Health

The New Medicine: Integrative, Complementary Alternative Medicine (CAM), - Medical Intuition & Distant Energy Healing: the Mind Body Connection

2006-12-04T07:02:00.001-08:00

by: Brent Atwater

The New Medicine: Integrative, Complementary Alternative Medicine (CAM), - Medical Intuition & Distant Energy Healing: the Mind Body Connection

In the Bravewell Collaborative's PBS special on the New Medicine Dana Reeves expressed that traditional medicine is now examining and addressing the entire mind body connection. One of the physicians interviewed stated "It is dumb" to not look at the entire person in order to determine the complete patient diagnosis.

PBS previews state:

"A burgeoning movement is taking place in hospitals and clinics across this country - integrating the best of high-tech medicine with a new attitude that recognizes that treating the patient as a whole person is essential to the healing process. As scientific findings reveal that the mind plays a critical role in the body's capacity to heal, the medical community is beginning to embrace a new range of treatment options, including many once considered fringe.

The National Institutes of Health has been funding rigorous scientific research to determine what alternative healing strategies are safe and effective so that there is solid evidence to broaden medical choices for patients. "Integrative medicine means being able to offer patients a full array of choices from conventional medicine, but to be able to add those complementary and alternative strategies where we have scientific evidence that they work and they're safe," says Dr. Margaret Chesney, Deputy Director of the National Center for Complementary and Alternative Medicine (NCCAM), a division of the NIH. "

Your body's energy system records and stores everything that has occurred since your physical being was born. Its energy blueprint provides a complete information source about what has and is occurring. Your energy divulges whether physical health issues were derived from an emotional connection or are an acquired physical manifestation from cellular deficiency or breakdown. Medical intuition is the science of tapping into this energy blueprint resource to locate the origin of your issues.

Although modern medicine uses MRI's, x-rays, PET, CAT, Trilogy, and MUGA scans to determine physical issues, most emotionally caused physical issues go undetected.

Medical intuitives can provide insight into direct links between the emotions lodged in your energy memory bank, and how those emotions created health issues. Louise Hayes, in her book "You Can Heal Your Life" actually lists disorders, and the common emotional patterns that create health issues.

Medical intuition can also provide insight to physical issues that will be entering the human body. Energy disorders present themselves in the exterior energy field or aura of our body before it enters into the physical body. New Medicine is trying to stop destructive exterior patterns such as thoughts, behaviors, etc. from creating unhealthy energy patterns that eventually create disease in our physical body. Thus the term "mind over matter" has great relevance in today's medical treatment. Additionally, once the physical body is combating unhealthy energy, using your mind to generate healthy energy frequencies helps facilitate healing.

Some medical intuitives are able to see your body's actual cellular and organ structures and systems like an MRI. Those medical intuitives can provide immediate information as to the location, extent and severity of physical disease and disorders, and even provide information about possible future health problems. This viewing ability is an asset in emergency room medicine. It reduces stress and saves time in critical care, intensive care, trauma injury and pediatric care. Medical intuition complements modern techniques by providing a broader knowledge base for the patient to determine their total treatment, and integrates the best of all worlds to create their health care regime using the total mind and body connection.

Energy Healing is another technique. Although considered alternative and complementary health care and medicine, "energy medicine" is now being considered more and more as a valuable healing modality in mainstream medical facilities. Everything has energy. When you reestablish healthy energy patterns, you facilitate the body healing itself. Disease is altered energy that is not resonating at a healthy frequency. Everything has a frequency or it doesn't exist. There are many charts available on the internet that list the frequency of a healthy body (62-78 MHz) or the frequency of particular organs. A diseased organ will not have the same frequency as a healthy organ or an entire body. Energy healing addresses the frequency of your body and its energy centers (chakras), flow directions (meridians), and blockages or any changes in your systems or cells energy patterns.

Energy healing has been around for 2000 years or more, in the form of acupuncture. Acupuncture works by stimulating the patient’s own chi or life-force energy to accelerate the healing process. There are numerous other forms of energy healing that complement and integrate with modern medicine that can be done while you are working with your physician. Quantum touch, Energy Medicine, Healing Hands, Healing Touch, Reiki, Huna, reflexology, Vibrational medicine, acupuncture, shiatsu, acupressure, Craniosacral work, Pranic Healing, Energy psychology, Chinese Medicine and a multitude of others aid the body's energy to facilitate health.

An added value of medical intuition and most forms of energy healing is that the intuitive diagnosis and energy healing services can be performed from a distance or remotely and immediately. This saves valuable time, dehabilitating travel for critically ill individuals, and offers another assessment and healing modality for any person in any location. Both are non-threatening, non invasive, and have no side effects, and are compatible with your current treatments and procedures.

The new medicine integrates alternative complementary medicine and techniques with traditional medicine to address the entire person in order to determine a complete mind body diagnosis and treatment program. The patient is the benefactor by having "all there is" available to them in their choices to facilitate their healing journey.

Feel free to reprint this article in its entirety.

Contact Information:
Brent Atwater, Alternative & Integrative Medical Specialist
Medical Intuitive, Distance Energy Healing
ATL, GA Phone: 404.242.9022 USA
NC Phone: 910.692.5206 USA

Website: http://www.brentatwater.com/
Email: mailto:Brent@BrentAtwater.com

Disclaimer: Brent Atwater is not a medical doctor or associated with any branch of medicine. Brent works in Complementary Alternative Medicine. She offers her opinions based on her intuition, and her personal distant energy healing work, which is not a substitute for medical procedures or treatments. Always consult a physician or trained health care professional concerning any medical problem or condition before undertaking any diet, health related or lifestyle change programs. There are no guarantees with the Energy work.

Brent Atwater: Medical Intuitive, Distant Energy Healing: As an integrative medical & pediatric specialist (CAM), her international Medical Intuitive & Distant Energy Healing has been studied by & or documented at Duke, the ARE, & for pets by the NCSU's Vet school. She participates in evidence based research & clinical trials. ARTIST: An artist 30+yrs, Brent is a pioneer in healing art by scientifically documenting Paintings that Heal™. Her art was featured on "PBS". She founded Just Plain Love™ Charitable Trust to benefit children. AUTHOR: Just Plain Love™ Children's Healing Books. The books are translated into plays performed in children's healthcare facilities turning illness negatives into positives. "Cancer Kids, God's Special Children". "Positive Attitudes, Affirmations, & Actions for Overcoming Your Health Challenges", & "Positive Attitudes, Affirmations & Actions to Help Survive Your Cancer Experience". These books are holistic, alternative medicine & alternative healing for your mind. Brent attended Wake Forest Law School and is a minister.

About The Author

Brent Atwater: Medical Intuitive, Energy Healing: As an alternative medical specialist (CAM), her international evidence based Medical Intuitive & Distance Energy Healing work is published and has been studied by & or documented at Duke, the ARE, & for animals by the NCSU's Vet school. She participates in research & Clinical trials. ARTIST: An artist 30+yrs, Brent is a pioneer in healing art by scientifically documenting Paintings that Heal™. Her art was featured on "PBS". At 16, NC Museum of Art chose her painting for the permanent collection. She founded Just Plain Love™ Charitable Trust to benefit children. AUTHOR: Just Plain Love™ Children's Healing Books. The books are translated into plays performed in children's healthcare facilities turning illness negatives into positives. "Cancer Kids, God's Special Children". "Positive Attitudes, Affirmations, & Actions for Overcoming Your Health Challenges", & "Positive Attitudes, Affirmations & Actions to Help Survive Your Cancer Experience". Brent attended Wake Forest Law School and is a minister.

Healthy Weight Loss - The Truth about Dieting

2006-12-04T06:58:00.000-08:00

by: Christine Sutherland

Very few people realise that nearly 100% of people who lose weight through a diet program put that weight back on even more quickly than before. Read on to discover why our health departments are now saying that even healthy diets should be avoided.

In the first month of a diet the weight you lose is mostly water and muscle weight. As soon as you go off the diet, those are replaced with more fat! In addition, almost no-one can stick to a diet because it is so out of kilter with the person's familiar eating patterns. The very act of dieting both lowers metabolic processing, and increases food cravings. No wonder that three years after going on a diet, over 95% have put that weight back on or are even heavier!

Nevertheless there is no doubt we have a serious weight problem. In Australia the latest National Nutrition Survey showed that we have 45% of women and 65% of men overweight. Over the last 20 years our obesity rate has doubled to 17% of men and 19% of women. According to the National Health & Medical Research Council paper “Acting on Australia’s Weight” our children are 2-3 times more likely to be obese, as their rates have also doubled since the 1980’s.

The costs of overweight are enormous: over $700 million dollars of the public purse, and over $500 million spent attending diet or weight loss clinics. Our hospitals are clogged with people who have diseases which are a consequence of overweight: heart disease, metabolic disorders, diabetes, oedema, osteoarthritis, gallbladder disease, cancers of the endometrium, biliary system disease and respiratory problems. The cost in loss of life is even worse. Every year in Australia we lose many thousands of people to the effects of overweight. We also lose thousands of young women every year dying from dieting diseases such as anorexia and bulimia.

So not only does dieting not work, it's dangerous, and we can no longer afford to tolerate a culture of dieting.

The following are a list of health problems caused by dieting, all of which are thoroughly backed by worldwide consensus research:

1. Diets have been linked with fatal eating disorders, particularly amongst children, and particularly amongst children of mothers who have dieted.

2. Weight loss dieting can cause health problems and can even lead to gall bladder disease and emergency surgery if the decrease is too rapid.

3. Dieting has been linked with lowered libido. Diets can wreck a wonderful sex life and a great relationship!

4. Diets usually cost money, money that could have been spent on lovely new clothes or family treats. If diets worked, this would be a wise investment, but the problem is, the weight loss effects are merely temporary and the damage done by dieting persists!

5. Diets often don’t provide correct nutrition, leading to problems with concentration and memory and also decreased well-being, lowered immune system and more illness.

6. Food deprivation causes food cravings that become so intense that sooner or later everyone busts out of their diet! At this point the myth of willpower is shown to be the awful lie that it truly is.

So why diet? It doesn’t work. It causes problems. And there’s a much better way!

What is this better way? Certainly we now know that healthy weight loss does not involve any special eating regime or exercise regime. Instead the best weight loss programs will ensure that a thorough study is made of how the person behaves and the lifestyle choices they make when they are NOT trying to lose weight. This is the realistic baseline that we're starting from.

Often we find that if the person is fairly active and not overeating too severely, that it is something very small that is nevertheless making a very big difference in weight. It could be that they're eating or drinking something on a regular basis that they had no idea contained so many empty calories. The café latté is a perfect example, as some of these can add up to as much as half one's daily calorie needs! One of these each day could easily add 0.5 kg per week in excess weight. Many people are surprised to learn that it only takes an excess of just 250 calories a day for most people to accumulate an extra 11 kilos of fat every year!

Or it could be that the person has reduced their physical activity level by giving up some sport or activity that they enjoyed and need to give themselves permission, even as adults, to get out there and play and engage with life again. This should not on any account be confused with an exercise regime. This really is about PLAYING and genuine pleasure is the key.

So this is why we should focus on healthy weight loss practices only, and really look at what choices people are making, and why they are making them, before we even begin to construct a plan, not by imposing it on someone, but by working together as a team to build an informed, customised, workable and permanent solution.

Finally, the compulsive and addictive components of weight loss have been so poorly understood that they've been ignored totally, leaving the poor overweight person out of control with cravings. Until now there has not really been a satisfactory answer to cravings, but by using modern deconditioning methods, people can now learn to literally switch off these cravings, quickly and permanently. I hope after reading this article that you would never again consider dieting, and instead look at the real reasons for your weight issues, and real solutions for healthy weight loss! Thank you for reading.

About The Author

Christine Sutherland is the owner of http://www.weightchoice.com.au , an information-packed resource for people who want healthy weight loss from real, permanent solutions. You can view more interesting articles, videos and audios on the WeightChoice web site.

Toxins Clearly Need Treating

2006-12-04T06:57:00.000-08:00

by: Ralph Morton

Using Organic Products Does Make a Difference If you're one of those people who have never given any thought to what ingredients might be in the products you use, you're not alone. And if you're one of the people who believe that if it's on a shelf being advertized and sold, then it must have been tested and be safe to use, well, think again. It is so frustrating to me to see how large corporations sell out their consumers just to make a buck, but then I guess that's what makes the world go round, right?

Profits are put before the health of the public and using "beauty" as the hook, most people are drawn right in. I think it's time that we set new standards for ourselves and our children. Sure everyone wants to look "younger" and "more beautiful," but at what expense? We as consumers need to know what is in the products we are using and how it can affect us today and in the future.

The truth is that few of the chemicals in cosmetics and personal care products are fully tested to find out what kind of affects they have on the humans that use them, and certainly none of the toxic chemicals are tested in relation to other toxic chemicals. After all, you do use more than one product at a time, don't you?

In other words, no one really knows what the adverse reactions are at the time of usage or what's going to happen after they have accumulated in your body over a period of time.

It's time for you to become informed, learn about the ingredients, read about what consumer organizations are doing to try to protect you, find out about healthy alternatives to using synthetic toxic products, learn about the effects of these ingredients and the various reactions that you might have to them.

Find out the truth about fluoride. Why is it that the FDA requires a warning on all fluoridated toothpastes telling the consumer to seek professional help or contact a poison control center immediately if they accidentally swallow more toothpaste than used for brushing?

Learn about the possible link between the aluminium in antiperspirants and Alzheimer's disease and that there is research to suggest a link between aluminium and epilepsy.

Using conventional products is a matter of personal choice.

We can avoid many of these toxic chemicals by simply using organic products instead. We have options. Organic skin care is an area of the organic movement which has made real progress in recent times, and where previously there were few options available, there is now a fairly wide range of grooming products out there. Another option open to consumers is to make your own cosmetics using organic ingredients.

As you can see, we are really required to look after our families and ourselves, no matter what products we are using, they may toxins.

We also find toxins in our vegetables, our meats, our dairy products, a great lot of thought has to go into your selection of foods.

Have you ever asked yourself this question, why is it today we have more obese people? Up 67% of the population are overweight today. There were a great lot less many years ago. A few, but in no way were they around as they are today, and believe me it will get worse. It will not get any better unless people educate themselves. Unless they know why this is happening, the problem will continue to grow.

In order to rid ourselves of these toxins it was required someone came up with a Natural body cleanse which would be able to clean out the fatty particles, and the toxins from the colon, liver, kidneys and lungs, plus all the other organs.

I am happy to say I used John Anderson's natural cleanse from the Isagenix company, after I used it I felt 100% better and had the energy I had lost over the years.

You will also find this company offers Natural Beauty Aids which are worth investigating.

In order to rid ourselves of these toxins it was required someone came up with a body cleanse which would be able to clean out the fat particles, and the toxins from the colon, liver, kidneys and lungs, plus all the other organs. I am happy to say I used John Anderson's natural cleanse, after I used it I felt full of energy, just like I had when I was young.

I would also tell you, I am 78 years old, I feel like a 50 year old because I cleanse regularly. I would also mention, my first 9 day cleanse resulted in the loss of 13lbs.

You are not doing yourself any favors by leaving toxins in your Body, cleanse and feel wonderful.

Toxins are destroying our world. Toxins are the reason we are having an epidemic of people overweight. This article will give you information of how to clean out your system. Hundreds have already been successful of losing weight by reading these articles.If you don't clean it out, the toxins will wear you down. Be sensible, make the adjustment today, be fit and full of energy.

For more information visit http://thisisyourbusiness.net See what ABC and FOX television thought of Cleansing

To contact the Author 604-536-6813 or email noviorbis@telus.net

About The Author

Ralph Morton has many articles on the subject of toxins and has helped hundreds to lose weight the easy way. He would like you to read others Articles. Please visit http://thisisyourbusiness.net and enjoy them. If you do a cleanse you will no doubt lose the weight, however, if you want to become wealthy, Ralph will show you the way.

You can also visit http://theteam.isagenix.com when it loads on the top left click on ISAVIDEOS and listen to Dr Becky Natrajan who will give you full details of what Toxins do to your system.

Also you will find two News Casts, one from FOX, the other from ABC Television programs, each show why cleansing is the way to lose weight.

Do a cleanse and enjoy the benefit of having the energy back that you lost. Be healthy once again.

For further information, noviorbis@telus.net

Is Authentic Hoodia an Oxymoron?

2006-12-04T06:54:00.000-08:00

by: Dan Nessel

We all have our favorite oxymorons - act natural, original copy, jumbo shrimp and the list goes on. With all the spam and misinformation surrounding the weight loss supplement Hoodia, I have been asked if "authentic Hoodia" should be added to the list of Oxymorons. It often does feel like "authentic Hoodia" is an apt Oxymoron, however, the secret that most of the supplement industry does not want you to know is that there are lab tests that can be done to find authentic Hoodia.

In case you have a terrific spam filter - here is the 411 on Hoodia. Hoodia Gordonii is a succulent plant that grows in South Africa. The SAN Bushmen have chewed on Hoodia for close to 1,000 years to reduce their appetite while on long hunting trips. Hoodia is now a highly sought after plant for it ability to suppress appetite. In fact, Hoodia Gordonii is in such high demand it is considered a protected plant and can only be exported with a special permit from the government of South Africa (a CITES permit).

To start, you should always ask to see the CITES Permit for any Hoodia you are looking to buy. However, the fact that a company can produce a document is no guarantee that that document applies to what you are buying from the company. For example, a company may have a valid CITES permit for 50 Kilos of Hoodia Gordonii from South Africa from 2005. The question then becomes, was the supplement you are about to buy actually made from the Hoodia bought under CITES permit in 2005? You really have no way of knowing if you just rely on the CITES or any other import documentation. These documents, if authentic, simply tell you the company you are dealing with has imported real Hoodia Gordonii at some point. These documents do not help you determine if the supplement you are buying from the company is real Hoodia Gordonii.

If you want to determine what is in a capsule of a supplement marketed as Hoodia Gordonii, you need to have the supplement lab tested. Okay, but what does lab tested really mean? When dealing with botanicals, such as Hoodia, there are three lab tests that can help determine the authenticity of a supplement.

Microscopy

In this test the sample of Hoodia is examined under a microscope (usually at 400x magnification). A well trained technician examines the cellular structure of the sample and looks for patterns that match the know cellular structure of Hoodia Gordonii. For example, it is known that pure Hoodia Gordonii has long fibers with whirled striations so this something a technician would try to find when examining a sample.

It is important to note that even if the Hoodia Gordonii plant has been dried, crushed, powdered and processed - the cellular structure should still be intact. So, an authentic finished Hoodia Gordonii supplement should still show the cellular structure of Hoodia when examined in a Microscopy test.

High Performance Thin Layer Chromatography (HPTLC)

The American Heritage Dictionary defines Chromatography as:

"Any of various techniques for the separation of complex mixtures that rely on the differential affinities of substances for a gas or liquid mobile medium and for a stationary adsorbing medium through which they pass, such as paper, gelatin, or magnesia."

If you are like us - the above definition just leaves you scratching your head. In layman's terms - chromatography is a process used to separate samples by the levels of absorbency of the sample.

High Performance Thin Layer Chromatography (HPTLC) is the specific type of Chromatography used to test for Hoodia Gordonii in a sample. With HPTLC first a know reference sample of Hoodia Gordonii is tested. This produces a plate with varying colors for separation over time.

While the technical data gets beyond the scope of this article, the idea is that the HPTLC provides a fingerprint of what authentic Hoodia Gordonii looks like when separated under HPTLC. To confirm that a Hoodia supplement is really Hoodia, an HPTLC test is done to see if the Hoodia in question matches the fingerprint of the known Hoodia Gordonii.

What is interesting with HPTLC is you do not need to know what components make up the Hoodia Gordonii plant. The above test says nothing about what the analytes are in Hoodia Gordonii - but it does provide a fingerprint of how Hoodia Gordonii reacts in chromatography.

High Performance Liquid Chromatography (HPLC)

HPLC is another form of Chromatography that is often used in analytical chemistry to identify analytes in a sample. In HPLC the sample is injected through a liquid and the response time of certain components of the sample are measured.

HPLC tests are used to detect the presence of P57 in a sample. P57 is an active ingredient in Hoodia, so if a test shows that a sample has P57 you can be confident that the sample is Hoodia Gordonii.

It is important to note that the current state of Hoodia testing using HPLC is qualitative NOT quantitative. This means that the HPLC is useful in determining if P57 is present in a sample, but it is not accurate enough to determine the quantity of P57 in a sample.

The Whole is Greater than the Sum of the Parts

You might be wondering - why do you need to do 3 tests for Hoodia Gordonii? The reason is no one test is 100% accurate - there is always the chance for false positives and false negatives. However, when you apply 3 different tests to a sample and they all come back positive for Hoodia Gordonii, it greatly reduces the odds of a test error.

Conclusions

If you want to be sure the Hoodia Gordonii supplement you are buying is authentic, make sure you see the results of the three lab tests described above. You also want to make sure that the lab tests were done on the exact LOT Number of finished product that you are buying.

What lab should do the testing? In our experience, Alkemists Labs has the experience and expertise to most accurately complete the above tests.

About The Author

Dan Nessel is a writer and researcher for Hoodia-Advice.Org. Mr. Nessel has spent the last 10 years writing and researching dietary supplements for various online publications. Hoodia-Advice.Org specializes in presenting unbiased research and information on Hoodia Gordonii.

Read more articles at - http://www.hoodia-advice.org

Alternative Cancer Treatments

2006-12-04T06:45:00.000-08:00

by: Om Prakash

Alternative Cancer Treatments are increasingly being used for treating cancer patients. The treatments are either used a sole therapy or in combination with traditional therapies to cure cancer. These treatments are based on the fact that our own immune system provides the first and best defense against cancer. In alternative cancer treatments vaccines stimulate patient's immune system to recognize and destroy tumor cells. The treatments are customized according to the patient ailing with cancer.

Some of the therapies used in an alternative cancer treatment program are:

1. Dendritic Cell Therapy

Cancer occurs when the immune system fails and comes across tumor cells. Macrophage or monocyte is an immune cell that comes in contact with th cancerous or precancerous cell. (Pre)cancerous cell signals the macrophage of any unhealthy cell. Macrophage breaks the cell into little pieces with the help of little packets of enzymes. The little pieces are then either moved to another type of immune cell or transformed to what is call a 'Dendritic Cell'. These cells are found in all tissues of the body. The very first dendritic cell discovered occurs throughout the skin and is called a Langerhan's cell. Dendritic cells are helpful in switching on an immune response and these stimulate the T-cells to become active against tumors.

Experiments have proved that these dendritic cells with tumor antigens can provide effective response against cancer. It is possible to produce large number of dendritic cells from the circulating blood of cancer patients, find source of tumor antigen and mature them.

Dendritic cell therapy is very effective when used with other types of immune therapies. The therapy itself is also useful for patients with high risk of recurrence once the tumor is removed by surgery.

2. Coley Vaccine

This Vaccine was developed by William Coley, a surgeon in 1893 at the New York Cancer Hospital. Coley discovered that when his vaccine caused a fever, the cancer shrank and number of immune cells increased dramatically. Usually, fevers are suppressed with medicinal drugs like acetaminophen, aspirin or ibuprofen. But studies have shown that suppressing a fever not only makes the infection worse but also spreads it. Coley recognized the beneficial effects of fever in cancer patients. He also discovered that when he stopped injecting the vaccine too early, the cancer started growing again. Thus, immune cells could be stimulated to fight the cancer for a limited time only. So, he used repeated injections to stimulate the immune system continuously.

Though it is called Coley's vaccine, it does not work to prevent an infection. Rather, it induces an immune response. Similarly, Coley's toxins are not toxins though they contain endotoxins and exotoxins. Under the therapy, Coley's toxins are injected into the affected tissues. Injection makes the cancer tissue necrotic which is then removed by drains. Injections are repeatedly given either daily or after every two days, however this varies from person to person.

3. Heat Shock Antigen Cancer Vaccine

Immune therapies for cancer stimulate white blood cells to attack cancer cells. Vaccines reprogram patient's immune system to recognize and attack the cells having the cancer fingerprint. Heat shock antigen vaccine captures the particular cancer's 'fingerprint,' which contains unique antigens. The personalized vaccine treats immune systems of cancer patients with little or no side effects.

HSAV is made from patients' tumors and heat shock proteins that are produced by patients' white blood cells. Part or all of the cancerous tissue is removed through surgery. White blood cells contain heat shock proteins that are purified and mixed with purified antigens from the tumor. The mixture is filtered and put into vials. The final product is tested for quality and sterility.

4. Cytokines Cancer Vaccine Treatment

Cytokines, also known as immune hormones can both enhance and suppress immunity. For cancer treatments, cytokines enhance immunity. FDA has approved two cytokines, interleukin-2 (IL-2) and interferon-alfa 2b, to be used against certain cancers. Combinations of cytokines deliver better results. For example, Interleukin-2 stimulates white blood cells to divide. A very high dose of it will be required if it is used individually. However, that can cause negative side effects. The solution to this can be the use of natural combination produced by white blood cells.

By using the combination, the dose of IL-2 can be lowered. Effects of heat shock protein vaccines and dendritic cell vaccines can be enhanced when given with natural cytokine combination.

5. Photodynamic Cancer Therapy

Photodynamic therapy is a revolutionary medical technology that uses light to induce reactions in patient's body. The therapy can destroy unwanted tissues without affecting normal tissues. A drug called a photosensitiser is injected into patient's body. The drug makes cells more sensitive to light and eventually destroys the cell. The drug has no effect until exposed to a particular type of light.

6. Immuno-Augmentive Therapy

The prime objective of IAT is restoring the immune system to enable it to destroy cancer cells. The therapy restores cancer patient's immune competency so that it can control cancer. Once the natural immune system is restored, patient’s own body becomes capable of treating itself. IAT treatment is not a cure for cancer but a means of restoring natural balance of the system.

Om Prakash makes it easy and provides alternative cancer treatment for treating cancer patients. To recieve free part mini-course visit the http://www.immunemedicine.com.

About The Author

Om Prakash is a writer and researcher in the field of alternative health and nutrition. Information about alternative cancer treatment used in this article is from the ITL Cancer Clinic which has excelled in treating cancer through alternative methods with negligible side effects.

Treatment Of Shoulder Pain

2006-12-04T06:44:00.001-08:00

by: Francois L. Botha

Shoulder pain can strike anyone at any time. Whether you’re a javelin-throwing athlete, a weight-lifting gym bunny or a mom picking up a hefty toddler at the wrong angle, no-one is immune from the possibility of straining or damaging this vital, complex area of the body, with its joints, ligaments, tendons, muscles and nerves all capable of succumbing to the stresses placed on them.

There are two basic degrees of shoulder pain – acute or chronic. Acute shoulder pain has a sudden onset and lasts temporarily, for example when a muscle is strained.

Chronic shoulder pain may come on more gradually but persists for an indefinite amount of time. Acute pain can develop into chronic pain, especially if not treated correctly at the time of onset.

Shoulder pain should never be ignored as early treatment is the best way to avoid prolonged problems, while occasionally pain can indicate a more serious condition.

Some of the more common causes of shoulder pain include:

Tendonitis – tiny tears in the tendon causes the area to become inflamed, often related to sport activities or work-related strain

Rotator Cuff Shoulder Pain – can be caused by the natural aging process, this affects the rotator cuff which is the group of muscles and tendons that provide the shoulder with its circular motion

Bursitis – the bursa are small, slippery sacs which reduce friction between these soft tissue and bone. If the bursa becomes inflamed due to repetitive motion, for example in manual labor or similar routine jobs, bursitis can result.

Arthritis – most commonly found at the site of an old injury.

Shoulder Pain Treatments

The importance of early diagnosis cannot be stressed enough. The sooner the correct treatment is begun, the sooner the pain can be alleviated and managed, and the chances of further problems are enormously reduced.

The types of shoulder treatments available include surgery, allopathic, and alternative therapies.

Allopathic Shoulder Pain Treatment

Depending on the severity of your pain, and its causes, Pharmaceutical treatments for shoulder pain can be obtained over-the-counter, such as aspirin, or with a doctor’s prescription. Your doctor will be able to recommend the right kind of medication depending on his diagnosis. For example, some conditions do not respond to anti-inflammatories while others respond extremely well. Do not try and guess, ask your medical practitioner.

Remember that many drugs carry the risk of side effects which can be quite severe, such as heart disease, digestive disorders, ulcers and liver damage. This is especially true with long-term use. Make sure you are aware of the risks and discuss alternatives with your doctor if you are unhappy with his proposed medication.

Also keep in mind the risk of addiction with certain long-term medications.

It is important to understand that medicines usually manage pain rather than cure the cause. This is especially true of degenerative conditions.

Physical Therapy

Physical Therapy is often prescribed along with medication to alleviate shoulder pain. A wide variety of treatments from heat therapy to massage are offered by registered physiotherapists, with a wide range of success being reported, from excellent to fair. Physiotherapy is most helpful in treating shoulder pain so as to prevent frozen shoulder, when the patient stops using the shoulder due to pain and then the muscles seize up, compounding the problem.

Alternative Therapies

For those patients who prefer a more natural approach there is a wide range of alternative treatments available for shoulder pain. These methods of treating shoulder pain are generally more conservative than the standard medical approach, and often just as, if not more, effective.

You can choose from Acupuncture, Chiropractic Massage Therapy and Naprapathy. Check that the practitioners are registered and properly qualified. Many doctors now happily refer their patients to alternative professionals themselves.

Shoulder Pain Surgery

If all else fails you may be faced with the option of surgery. This should always be a last resort, as the results are not guaranteed. Surgery offers limited relief for certain conditions. Also, there are some risks to be taken into consideration. Discuss all your options with your surgeon before making the decision to go ahead with this option.

About The Author

Francois Botha is the developer of Shoulder Institute Cape Town, a website covering http://www.shoulderinstitute.co.za, http://www.shoulderinstitute.co.za/shoulder1.html, shoulder treatments and more.

Acne Scarring

2006-12-04T06:40:00.000-08:00

by: Len Cecchetto

The news is, acne scarring is permanent but can be treated. A final solution for your acne scarring is to have major plastic surgery. Most sever acne is NOT controlled by food, cleanliness, or OTC meds.

However, acne scarring is commonly more significant than this. Acne Scarring is visible markings, lumps or indentations on the skin's surface resulting from scar tissue which has formed as part of the healing proc. The only way to completely prevent acne scarring is by properly treating acne lesions as soon as they form.

The most effective way to prevent acne scarring is to leave the acne alone, however this doesn’t mean you can’t seek expert advice on how best to treat your acne. Acne scarring is most often the result of self-excoriate behavior such as the tendency to pick or squeeze the pimples.

Moderate to sever acne include: nodules, cysts, rosacea and conglobata. For moderate to sever acne, it is advisable to consult with a dermatologist.

Oral Antibiotics:

These are available by prescription for moderate to sever acne. A new topical treatment of moderate to sever acne can help and it’s best to ask your dermatologist first.

Physicians say that the scarring itself represents only a small part of the actual damage.

Acne suffers are aware that where there is acne there will be scarring as well. Many people have the common pimple or breakout, but for a few of the unlucky acne sufferers, acne can cause scarring. Any scarring will improve with time.

Doctors advise people not to squeeze acne themselves, because scarring can result.

Adjacent, no overlapping laser pulses are delivered over the scars. The ultra pulsed carbon dioxide laser, the erbium YAG laser and the pulsed dye yellow light laser are most commonly used for treating acne scarring.

For the improvement of facial acne scarring: a systematic review of the evidence check out Laser resurfacing of the skin The Harmony Pixel Laser is proving to be highly effective in the treatment of acne scarring.

Numerous medical studies have documented the effectiveness of Nd:YAG laser treatments for acne scarring. Acne scar laser treatment is administered by experienced medical staff who have been properly trained in this area. Laser therapy for acne and acne scarring works by targeting the sebaceous, oily glands that cause bacterial entrapment.

Scar reduction is one of the most common uses of laser skin resurfacing. Recent research shows Acne Rosacea can be successfully treated with yellow laser with no side effects. The erbium laser typically is used to produce superficial resurfacing.

Laser skin resurfacing has added to the numerous treatment options available for acne scarring. The latest treatment options for acne scarring are lasers, such as the pulsed carbon dioxide (CO2) laser and the Erbium:YAG laser. There are many treatment options for those who suffer from chronic consistent acne.

The good news is that there are numerous treatment options now available to treat acne scarring. Fortunately there are topical treatment options, depending on the kind of scarring. The first thing to do is to get good advice about the options.

Laser treatment is one of the newer options for getting rid of acne. As with any surgery, it is important to understand the options and procedures. Laser resurfacing is a recent addition to the armamentarium of options for acne scarring. Electrolysis and laser are the best options. Talk to your doctor about the best treatment options for you.

However, acne scarring is commonly more significant than this. One more cause of acne scarring is the pinching and squeezing of acne. A final solution for your acne scarring is to have major plastic surgery. Acne scarring is one of the most embarrassing skin problems faced by many, but help is out there, so make the most of it.

Acne scarring is permanent but can be treated. The only way to completely prevent acne scarring is by properly treating acne lesions as soon as they form. Acne scarring is almost as embarrassing as actual pimples.

Acne scarring is one of the great misfortunes of many people, young and old. For the lucky majority, acne scarring is a minor annoyance, difficult for others to visualize. Acne scarring is what most teenagers and adults fear. Acne scarring is the end result of the body's healing process.

About The Author

Len Cecchetto has written lots of articles about acne. He suffered as a kid and has had a keen interested in the development of cures over the years. You can find out more at: http://howtorid-acne.blogspot.com

Stroke: Stroke Damage Treatment- Paralysis and Energy Healing

2006-12-04T06:38:00.000-08:00

by: Brent Atwater

Suddenly you feel a portion of your body pause, loose sensation and stop functioning correctly. Your eyes may see double, your tongue might tingle, and your arm or leg may drag for few minutes. If these symptoms continue for a few minutes (15-20) you are having a stroke. Those are the symptoms of a TIA or Transient Ischemic Attack, known as a mini stroke. The sneaky part is that in both a TIA and a lesser stroke, the symptoms come and go for the lucky individual. If you can't produce an even smile on both sides of your face, remember the date, or have continued numbness on one side of your body, go to the hospital emergency room immediately. You have a 3-hour window to have an opportunity to reverse any major damage.

For those who exhibit and experience major impairment and who are unable to obtain immediate treatment, stroke damage may result in paralysis, nerve damage, and other dehabilitating symptoms. The good news is, usually in time, you can have some form of restored function in the areas of your body that were initially damaged.

Acupuncture has recently been providing significant restorative results by improving some physical functions for stroke victims. According to CBC News, "The functional electrical stimulation rowing machine, developed by researchers in Edmonton and England, helps people with disabilities (paraplegics and others) enjoy the benefits of regular exercise."

As a medical intuitive and distance energy healer, energy healing is another modality that provides electromagnetic stimulation and shows great promise in treating and curing stroke damage and regenerating damaged nerves. By using directed electromagnetic bio molecular energy healing, we can reframe bio structures, ie nerve impulse generators and their neural pathways that direct your body's physical functions to their initial blueprint of health. Neural pathways can be restructured so that those with paralysis can move their legs or arms. Numb extremities can be revived and regenerated to sensation.

In several clients with stroke complications, after their cellular and neural connections were restored and regenerated, physical therapy was used to restrengthen their muscles that had weakened due to lack of use during the early stages of their rehabilitation. To date, various stroke symptoms and complications can be lessened or reversed with energy healing.

Energy healing is cutting edge and is being clinically researched as a healing modality that shows great promise in assisting and restoring the physical health of those who have experienced a stroke.

Feel free to reprint this article in its original format.

Contact Information:
Brent Atwater, Alternative Medical Specialist
Medical Intuitive, Distance Energy Healing
ATL, GA Phone: 404.242.9022 USA
NC Phone: 910.692.5206 USA
Website: http://www.brentatwater.com/
Email: mailto:Brent@BrentAtwater.com

Disclaimer: Brent Atwater is not a medical doctor or associated with any branch of medicine. Brent works in Alternative & Integrative Medicine. She offers her opinions based on her intuition, and her personal energy healing work, which is not a substitute for medical procedures or treatments. Always consult a physician or trained health care professional concerning any medical problem or condition before undertaking any diet, health related or lifestyle change programs. As in traditional medicine, there are no guarantees with medical intuition or energy work.

About The Author

Brent Atwater: Medical Intuitive, Energy Healing: As an alternative medical specialist (CAM), her international evidence based Medical Intuitive & Distance Energy Healing work is published and has been studied by & or documented at Duke, the ARE, & for animals by the NCSU's Vet school. She participates in research & Clinical trials. ARTIST: An artist 30+yrs, Brent is a pioneer in healing art by scientifically documenting Paintings that Heal™. Her art was featured on "PBS". At 16, NC Museum of Art chose her painting for the permanent collection. She founded Just Plain Love™ Charitable Trust to benefit children. AUTHOR: Just Plain Love™ Children's Healing Books. The books are translated into plays performed in children's healthcare facilities turning illness negatives into positives. "Cancer Kids, God's Special Children". "Positive Attitudes, Affirmations, & Actions for Overcoming Your Health Challenges", & "Positive Attitudes, Affirmations & Actions to Help Survive Your Cancer Experience". Brent attended Wake Forest Law School and is a minister.

The Differences Between Anorexia And Bulimia

2006-12-04T06:37:00.000-08:00

by: Rob Zawrotny

The distinctions between eating disorders can be confusing. While anorexia and bulimia may have some issues in common, other factors make them distinct. For parents, understanding the differences can be crucial, as early detection and proper treatment significantly improve the chances a child will recover. Following is information to help distinguish between the two.

Definition:

Anorexia is more common in teenagers, while bulimia is more often seen in women in their 20’s. However, don’t make the mistake of thinking there is a set age for either of these diseases. Here are differences between anorexia and bulimia based on the American Psychiatric Association’s definition:

Bulimia Nervosa

•Recurrent episodes of binge eating (minimum average of two binge-eating episodes a week for at least three months).
•A feeling of lack of control over eating during the binges.
•Regular use of one or more of the following to prevent weight gain: self-induced vomiting, use of laxatives or diuretics, strict dieting or fasting, or vigorous exercise.
•Persistent over-concern with body shape and weight.

Anorexia Nervosa

•Refusal to maintain weight that's over the lowest weight considered normal for age and height.
•Intense fear of gaining weight or becoming fat, even though underweight.
•Distorted body image.
•In women, three consecutive missed menstrual periods without pregnancy.

Signs & Symptoms:

While both disorders focus on an obsession with thinness, anorexics display noticeable, often severe weight loss while bulimics usually maintain a healthy weight. Here are other signs and symptoms of these two eating disorders:

Anorexia
•Avoids eating
•Exercises excessively
•Weighs food and counts calories
•Wears baggy clothes
•Takes diet pills
•Has dry skin and thinning hair
•Has fine hair on other parts of body
•Acts moody or depressed
•Feels cold
•Has frequent sensation of dizziness

Bulimia
•Has a puffy face
•Exercises excessively
•Has swollen fingers
•Has cuts and calluses on the back of the hands and knuckles
•Discoloring or staining of teeth
•Goes to the bathroom a lot after eating (to purge)

Health Issues:
Both disorders can cause severe health issues. Bulimia damages the digestive system and can affect electrolyte balances, which in turn damages organs. The starvation of anorexia causes the body to slow down to preserve energy, which in turn has adverse consequences. In extreme cases, both can lead to death. Other health issues include:

Anorexia
•Reduction of bone density
•Cessation of menstrual periods
•Fatigue
•Depression
•Irregular heart rate, leading to possible heart failure
•Mild anemia
•Muscle loss
•Possible kidney failure due to dehydration
•Low blood pressure

Bulimia
•Possible rupture of the esophagus due to frequent vomiting
•Fatigue
•Depression
•Stomach pains
•Irregular heart rate, leading to possible heart failure
•Constipation
•Tooth decay from stomach acid

Treatment:
When seeking treatment, parents may find their child resists admitting they are ill. In dealing with a child suffering from an eating disorder, treatment for involves a team of specialists: doctors, dieticians, and therapists. Self-help groups and treatment centers are also effective. Following are treatment goals and options for anorexia and bulimia, based on recommendations from the National Institute of Mental Health:

Anorexia: The treatment of anorexia has three main phases:
•Restore weight loss
•Treat psychological issues such as depression, self-esteem, and interpersonal conflicts
•Achieve long-term recovery and remission

The use of anti-depressants for treating anorexia should be considered only after weight gain has been established.

Bulimia: The main goal in the treatment of bulimia is to eliminate binging and purging.
•Establish healthy and consistent eating habits, i.e. three meals a day at regular times
•Encourage healthy, not excessive, exercise
•Treat psychological issues such as mood or anxiety disorders

The use of anti-depressants for treating bulimia has been shown to be helpful for those with bulimia and may help prevent relapse.

About The Author

Rob Zawrotny is a copywriter for MWI web design. He has been assisting Avalon Hills Eating Disorder Treatment Center in developing content for those seeking information about Anorexia and Bulimia. Visit http://www.avalonhills.org for more information.

Zyrtec

2006-11-17T08:15:00.004-08:00

What is the most important information I should know about Zyrtec?
• Use caution when driving, operating machinery, or performing other hazardous activities. Zyrtec may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
• Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking Zyrtec.

What is Zyrtec?
• Zyrtec is an antihistamine. Antihistamines prevent sneezing, runny nose, itching and watering of the eyes, and other allergic symptoms.
• Zyrtec is used to treat allergies, hives (urticaria), and other allergic inflammatory conditions.
• Zyrtec may also be used for purposes other than those listed in this medication guide.

Who should not take Zyrtec?
• Before taking this medication, tell your doctor if you have kidney or liver disease. You may need a lower dose or special monitoring during your therapy with Zyrtec.
• Zyrtec is in the FDA pregnancy category B. This means that it is unlikely to harm an unborn baby. Do not take Zyrtec without first talking to your doctor if you are pregnant.
• Zyrtec passes into breast milk and may affect a nursing baby. Do not take Zyrtec without first talking to your doctor if you are breast-feeding a baby.
• If you are over 60 years of age, you may be more likely to experience side effects from Zyrtec. You may require a lower dose of this medication.

How should I take Zyrtec?
• Take Zyrtec exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take each dose with a full glass of water.
• Zyrtec can be taken with or without food.
• Zyrtec is usually taken once daily. Follow your doctor's instructions.
• Store Zyrtec at room temperature away from moisture and heat.

What happens if I miss a dose?
• Take the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take only your next regularly scheduled dose. Do not take a double dose of this medication.

What happens if I overdose?
• Seek emergency medical attention.
• Symptoms of a Zyrtec overdose are not well known, but extreme sleepiness, confusion, and weakness may be expected.

What should I avoid while taking Zyrtec?
• Use caution when driving, operating machinery, or performing other hazardous activities. Zyrtec may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
• Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking Zyrtec.

What are the possible side effects of Zyrtec?
• Stop taking Zyrtec and seek emergency medical attention if you experience an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives).
• Other, less serious side effects may be more likely to occur. Continue to take Zyrtec and talk to your doctor if you experience
· sleepiness, fatigue, or dizziness;
· headache; or
· dry mouth.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Zyrtec?
• Before taking this medication, tell your doctor if you are taking any of the following medicines:
· medications for anxiety or sleep such as alprazolam (Xanax), diazepam (Valium), chlordiazepoxide (Librium), temazepam (Restoril), or triazolam (Halcion);
· medications for depression such as amitriptyline (Elavil), doxepin (Sinequan), nortriptyline (Pamelor), fluoxetine (Prozac), sertraline (Zoloft), or paroxetine (Paxil);
· other cough, cold, or allergy medicines; or
· any other medications that cause drowsiness, sleepiness, or relaxation.
• Heavy sedation may occur if Zyrtec is taken with any of the medicines listed above.
• Drugs other than those listed here may also interact with Zyrtec. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

Zyprexa

2006-11-17T08:15:00.003-08:00

What is the most important information I should know about Zyprexa?
• Zyprexa is not for use in psychotic conditions that are related to dementia. Zyprexa has caused fatal heart attack and stroke in older adults with dementia-related conditions.
• Zyprexa may cause you to have high blood sugar (hyperglycemia). Talk to your doctor if you have any signs of hyperglycemia such as increased thirst or urination, excessive hunger, or weakness. If you are diabetic, check your blood sugar levels on a regular basis while you are taking Zyprexa.
• Do not stop taking Zyprexa without first talking to your doctor. It may be at least 4 weeks before you begin to feel better, and you may need to take the medication for longer than 4 weeks. Follow your doctor's instructions. It is important to take Zyprexa regularly to get the most benefit.
• Do not take Zyprexa for longer than 8 weeks unless your doctor has told you to.
• Zyprexa can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
• Dizziness may be more likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall.
• Avoid drinking alcohol, which can increase some of the side effects of Zyprexa.
• Avoid using other medicines that make you sleepy (such as cold medicine, pain medication, muscle relaxers, and medicine for seizures, depression or anxiety). They can add to sleepiness caused by Zyprexa.
• Avoid becoming overheated or dehydrated. Drink plenty of fluids, especially in hot weather and during exercise. It is easier to become dangerously overheated and dehydrated while you are taking Zyprexa.

What is Zyprexa?
• Zyprexa is an antipsychotic medication. It works by changing the actions of chemicals in the brain.
• Zyprexa is used to treat the symptoms of psychotic conditions such as schizophrenia and bipolar disorder (manic depression).
• Zyprexa may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking Zyprexa?
• Zyprexa is not for use in psychotic conditions that are related to dementia. Zyprexa has caused fatal heart attack and stroke in older adults with dementia-related conditions.
• Before taking Zyprexa, tell your doctor if you have:
· liver disease;
· kidney disease;
· heart disease, high blood pressure, heart rhythm problems;
· a history of heart attack or stroke;
· a history of breast cancer;
· seizures or epilepsy;
· a personal or family history of diabetes;
· an enlarged prostate or difficulty urinating;
· glaucoma; or
· trouble swallowing.
• If you have any of these conditions, you may not be able to use Zyprexa, or you may need a dosage adjustment or special tests during treatment.
• Zyprexa may cause you to have high blood sugar (hyperglycemia). Talk to your doctor if you have any signs of hyperglycemia such as increased thirst or urination, excessive hunger, or weakness. If you are diabetic, check your blood sugar levels on a regular basis while you are taking Zyprexa.
• The olanzapine orally disintegrating tablet (Zyprexa Zydis) may contain phenylalanine. Talk to your doctor before using this form of Zyprexa if you have phenylketonuria (PKU).
• FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.
• Zyprexa can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take Zyprexa?
• Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor.
• Do not take Zyprexa for longer than 8 weeks unless your doctor has told you to.
• Take each tablet with a full glass of water.
• Zyprexa can be taken with or without food.
• Zyprexa is usually taken once a day. Follow your doctor's instructions.
• To take Zyprexa orally disintegrating tablets (Zyprexa Zydis):
· Keep the tablet in its blister pack until you are ready to take the medicine. Open the package and peel back the foil from the tablet blister. Do not push a tablet through the foil or you may damage the tablet.
· Using dry hands, remove the tablet and place it in your mouth. It will begin to dissolve right away.
· Do not swallow the tablet whole. Allow it to dissolve in your mouth without chewing.
· Swallow several times as the tablet dissolves. If desired, you may drink liquid to help swallow the dissolved tablet.
• It is important to take Zyprexa regularly to get the most benefit.
• Do not stop taking Zyprexa without first talking to your doctor. It may be at least 4 weeks before you begin to feel better, and you may need to take the medication for longer than 4 weeks. Follow your doctor's instructions. It is important to take Zyprexa regularly to get the most benefit.
• To be sure this medication is helping your condition, your doctor will need to check your progress on a regular basis. It is important that you not miss any scheduled visits to your doctor.
• Store Zyprexa at room temperature away from moisture and heat.

What happens if I miss a dose?
• Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?
• Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of an Zyprexa overdose may include drowsiness, agitation, aggression, slurred speech, confusion, increased heart rate, jerky or uncontrolled muscle movements, trouble breathing, or fainting.

What should I avoid while taking Zyprexa?
• Zyprexa can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
• Dizziness may be more likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall.
• Avoid drinking alcohol, which can increase some of the side effects of Zyprexa.
• Avoid using other medicines that make you sleepy (such as cold medicine, pain medication, muscle relaxers, and medicine for seizures, depression or anxiety). They can add to sleepiness caused by Zyprexa.
• Avoid becoming overheated or dehydrated. Drink plenty of fluids, especially in hot weather and during exercise. It is easier to become dangerously overheated and dehydrated while you are taking Zyprexa.

What are the possible side effects of Zyprexa?
• Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
• Stop using Zyprexa and call your doctor at once if you have any of these serious side effects:
· fever, stiff muscles, confusion, sweating, fast or uneven heartbeats;
· jerky muscle movements you cannot control;
· sudden numbness or weakness, especially on one side of the body;
· sudden headache, confusion, problems with vision, speech, or balance;
· increased thirst, frequent urination, excessive hunger, or weakness;
· feeling light-headed, fainting; or
· unusual thoughts or behavior, hallucinations, or thoughts about hurting yourself.
• Continue taking Zyprexa and talk to your doctor if you have any of these less serious side effects:
· dizziness, drowsiness, or weakness;
· constipation;
· dry mouth;
· swelling in your hands or feet;
· back pain;
· weight gain, increased appetite; or
· upset stomach.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Zyprexa?
• Before taking Zyprexa, tell your doctor if you are taking any of the following medicines:
· a medication to treat high blood pressure or a heart condition;
· carbamazepine (Tegretol);
· fluvoxamine (Luvox); or
· a medication to treat Parkinson's disease including levodopa (Sinemet, Larodopa, Atamet), selegiline (Eldepryl, Emsam), pramipexole (Mirapex), ropinirole (Requip), and others.
• If you are using any of these drugs, you may not be able to use Zyprexa, or you may need dosage adjustments or special tests during treatment.
• There may be other drugs not listed that can affect Zyprexa. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Zomig

2006-11-17T08:15:00.001-08:00

What is the most important information I should know about Zomig?
• Do not take this medication without first talking to your doctor if you have heart disease including angina (chest pain), history of a heart attack, or high blood pressure. Serious, even fatal, side effects involving the heart have been reported with Zomig and other similar medicines.
• Do not take Zomig if the headache you are experiencing is not like other migraines that you have had.
• Never take more of this medication than is prescribed by your doctor. If your symptoms are not being treated, contact your doctor.
• Zomig may cause dizziness or drowsiness. Use caution when driving, operating machinery, or performing other hazardous activities until you can evaluate the effects of the medication.

What is Zomig?
• Zomig is a headache medicine. It is believed to work by causing vasoconstriction (narrowing) of blood vessels (arteries and veins) around the brain. Zomig also reduces the release of substances in the body that contribute to headache pain, nausea, sensitivity to light and sound, and other migraine symptoms.
• Zomig is used to treat vascular headaches such as migraines. Zomig will not prevent migraines. It will only treat a migraine that is already occurring.
• Zomig may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking Zomig?
• Do not take Zomig without first talking to your doctor if you
· have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), tranylcypromine (Parnate), or phenelzine (Nardil) in the last 14 days;
· have taken an ergot-based medication within the last 24 hours--ergot-based medicines include methysergide (Sansert), ergotamine (Ergostat, Medihaler Ergotamine), dihydroergotamine mesylate (D.H.E., Migranal Nasal Spray), and ergotamine combination products (Cafergot, Ercaf, Wigraine, Cafatine, Cafatine-PB, Cafetrate);
· have taken almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt, Maxalt-MLT), or sumatriptan (Imitrex) within the last 24 hours;
· have basilar or hemiplegic migraine headaches;
· have had a heart attack, have angina (chest pain), have irregular heartbeats, or have another type of heart disease;
· have a history of stroke or transient ischemic attack (TIA or "mini-stroke");
· are experiencing a headache that is not like other migraines you have had; or
· have an allergy to Zomig or another similar medicine such as almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), or sumatriptan (Imitrex).
• Taking Zomig may be dangerous if you have any of the conditions, or have taken any of the medications, listed above.
• Before taking Zomig, tell your doctor if you have
· risk factors for heart disease such as high blood pressure, a family history of heart disease, high cholesterol (a type of fat in the blood), are overweight, have diabetes, smoke cigarettes, are postmenopausal, or are a male over 40 years of age;
· liver disease;
· kidney disease; or
· seizures or epilepsy.
• You may not be able to take Zomig, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
• Each 2.5 mg Zomig-ZMT orally disintegrating tablet contains 2.81 mg phenylalanine. Each 5 mg Zomig-ZMT tablet contains 5.62 mg phenylalanine. Individuals with phenylketonuria may need to monitor their intake of this additive.
• Zomig is in the FDA pregnancy category C. This means that it is not known whether Zomig will be harmful to an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment.
• It is not known whether Zomig passes into human breast milk. Do not take Zomig without first talking to your doctor if you are breast-feeding a baby.

How should I take Zomig?
• Take Zomig exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take Zomig as soon as you notice symptoms of a migraine, or at any time during an attack.
• Take one or one-half regular Zomig tablet with a glass of water, as directed by your doctor.
• Administration with liquid is not necessary for the Zomig-ZMT orally disintegrating tablets. Just prior to taking a dose, peel open the blister pack and place the tablet on the tongue, where it will dissolve and be swallowed with the saliva. The Zomig-ZMT tablets should not be broken.
• Use the nasal spray as directed by your healthcare provider. Blow your nose gently before use. Remove the protective cap just before use. Hold the nasal sprayer device with your fingers and thumb. Do not press the plunger until you have put the tip of the device into your nostril. Block one nostril by pressing on the side of the nose with your finger. Either nostril can be used. Put the tip of the sprayer into the other nostril as far as feels comfortable and tilt your head slightly back. Breathe in gently through the nose and press the plunger firmly with your thumb at the same time. Keep your head slightly tilted back and remove the tip from your nose. Breathe gently through your mouth for 5-10 seconds. You may feel liquid in your nose or the back of your throat. This is normal and will soon pass.
• If your symptoms do not improve, contact your doctor before taking any more doses of Zomig.
• If your symptoms go away and then return, you can take a another dose of Zomig every 2 hours, if needed, up to a maximum of 10 mg in 24 hours unless otherwise directed by your doctor. Never take more than this amount. Any single form or combination of Zomig regular tablets, orally-disintegrating tablets, and nasal spray should not exceed 10 mg in 24 hours.
• Store Zomig at room temperature away from moisture, heat, and the reach of children. Throw away an unused medication on the expiration date.

What happens if I miss a dose of Zomig?
• Since Zomig is taken to treat migraines as they occur and not to prevent them, missing a dose does not usually occur. Take only the doses you need, according to your doctor's instructions.

What happens if I overdose with Zomig?
• Seek emergency medical attention if an overdose is suspected.
• Symptoms of a Zomig overdose are not well known but may include sedation.

What should I avoid while taking Zomig?
• Zomig may cause dizziness or drowsiness. Use caution when driving, operating machinery, or performing other hazardous activities until you can evaluate the effects of the medication.

What are the possible side effects of Zomig?
• If you experience any of the following serious side effects, stop taking Zomig and seek emergency medical attention or contact your doctor immediately:
· an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
· severe or prolonged chest pain or an irregular heartbeat;
· chest, neck, or jaw pain, tightness, or heaviness;
· sudden or severe stomach pain;
· problems seeing; or
· unusual weakness or numbness.
• Other, less serious side effects may be more likely to occur. Continue to take Zomig and talk to your doctor if you experience
· dry mouth;
· unusual taste in the mouth;
· nausea;
· muscle tiredness or weakness;
· tightness, heaviness, or pressure on a body part (other than the chest, neck, or jaw);
· drowsiness or dizziness; or
· tingling, tightness, warmth, or heaviness in a body part.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Zomig?
• Do not take Zomig if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), tranylcypromine (Parnate), or phenelzine (Nardil) within the last 14 days. The combination could cause seizures, nausea, vomiting, sweating, flushing, and dizziness.
• Do not take Zomig if you have taken any of the following medicines within the previous 24 hours:
· an ergot-based medication such as methysergide (Sansert), ergotamine (Ergostat, Medihaler Ergotamine), dihydroergotamine mesylate (D.H.E., Migranal Nasal Spray), an ergotamine combination product (Cafergot, Ercaf, Wigraine, Cafatine, Cafatine-PB, Cafetrate), and others; or
· almotriptan (Axert), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt, Maxalt-MLT), or sumatriptan (Imitrex).
• Taking Zomig within 24 hours of any of the medicines listed above may be dangerous.
• Before taking Zomig, tell your doctor if you are taking a selective serotonin reuptake inhibitor (SSRI) such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac), fluvoxamine (Luvox), paroxetine (Paxil), or sertraline (Zoloft). You may not be able to take Zomig, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed.
• Before taking Zomig, talk to your doctor if you are taking cimetidine (Tagamet, Tagamet HB). You may require a dosage adjustment or special monitoring during treatment.
• Drugs other than those listed here may also interact with Zomig. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.

Zoloft

2006-11-17T08:14:00.003-08:00

What is the most important information I should know about Zoloft?
You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication, especially if you are under 18 years old. Talk with your doctor about this risk. While you are taking Zoloft you will need to be monitored for worsening symptoms of depression and/or suicidal thoughts during the first weeks of treatment, or whenever your dose is changed. In addition to you watching for changes in your own symptoms, your family or other caregivers should be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.

Contact your doctor promptly if you have any of the following side effects, especially if they are new symptoms or if they get worse: mood changes, anxiety, panic attacks, trouble sleeping, irritability, agitation, aggressiveness, severe restlessness, mania (mental and/or physical hyperactivity), thoughts of suicide or hurting yourself. Do not take Zoloft together with pimozide (Orap), or a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate). You must wait at least 14 days after stopping an MAOI before you can take Zoloft. After you stop taking Zoloft, you must wait at least 14 days before you start taking an MAOI. SSRI antidepressants may cause serious or life-threatening lung problems in newborn babies whose mothers take the medication during pregnancy. However, you may have a relapse of depression if you stop taking your antidepressant during pregnancy. If you are planning a pregnancy, or if you become pregnant while taking Zoloft, do not stop taking the medication without first talking to your doctor.

What is Zoloft?
Zoloft is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors (SSRIs). Zoloft affects chemicals in the brain that may become unbalanced and cause depression, panic, anxiety, or obsessive-compulsive symptoms.

Zoloft is used to treat depression, obsessive-compulsive disorder, panic disorder, anxiety disorders, post-traumatic stress disorder (PTSD), and premenstrual dysphoric disorder (PMDD).

Zoloft may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking Zoloft?
You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication, especially if you are under 18 years old. Talk with your doctor about this risk. While you are taking Zoloft you will need to be monitored for worsening symptoms of depression and/or suicidal thoughts during the first weeks of treatment, or whenever your dose is changed. In addition to you watching for changes in your own symptoms, your family or other caregivers should be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks.

Do not use Zoloft if you are using pimozide (Orap), or an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), rasagiline (Azilect), or selegiline (Eldepryl, Emsam). Serious and sometimes fatal reactions can occur when these medicines are taken with Zoloft. You must wait at least 14 days after stopping an MAO inhibitor before you can take Zoloft. After you stop taking Zoloft, you must wait at least 14 days before you start taking an MAOI.
Before taking Zoloft, tell your doctor if you have:

liver or kidney disease;
seizures or epilepsy;

bipolar disorder (manic depression); or

a history of drug abuse or suicidal thoughts.

If you have any of these conditions, you may not be able to use Zoloft, or you may need a dosage adjustment or special tests.

FDA pregnancy category C. SSRI antidepressants may cause serious or life-threatening lung problems in newborn babies whose mothers take the medication during pregnancy. However, you may have a relapse of depression if you stop taking your antidepressant during pregnancy. If you are planning a pregnancy, or if you become pregnant while taking Zoloft, do not stop taking the medication without first talking to your doctor. It is not known whether Zoloft passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take Zoloft?
Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from the medication.

Take each tablet with water.
Zoloft may be taken with or without food.

Try to take the medicine at the same time each day. Follow the directions on your prescription label.

The oral liquid form of this medicine must be diluted before you take it. To be sure you get the correct dose, measure the liquid with medicine dropper provided, not with a regular table spoon. Mix the dose with 4 ounces (one-half cup) of water, ginger ale, lemon/lime soda, lemonade, or orange juice. Do not use any other liquids to dilute the medicine. Stir this mixture and drink all of it right away. To make sure you get the entire dose, add a little more water to the same glass, swirl gently and drink right away.

It may take 4 weeks or longer before you start feeling better. Do not stop using Zoloft without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly. Store Zoloft at room temperature away from moisture and heat.

What happens if I miss a dose of Zoloft?
Take the missed dose as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take extra medicine to make up the missed dose.

What happens if I overdose with Zoloft?
Seek emergency medical attention if you think you have taken too much of this medication. Symptoms of a Zoloft overdose may include dizziness, drowsiness, nausea, vomiting, rapid heartbeat, agitation, tremor, confusion, seizures, and coma.

What should I avoid while taking Zoloft?
Avoid drinking alcohol, which can increase some of the side effects of Zoloft.
Do not take the liquid form of Zoloft if you are taking disulfiram (Antabuse). Liquid Zoloft may contain alcohol and you could have a severe reaction to the disulfiram.

Avoid using other medicines that make you sleepy (such as cold medicine, pain medication, muscle relaxers, medicine for seizures, other medication for depression or anxiety). They can add to sleepiness caused by Zoloft.

Zoloft can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

What are the possible side effects of Zoloft?
Get emergency medical help if you have any of these signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Contact your doctor promptly if you have any of the following side effects, especially if they are new symptoms or if they get worse: mood changes, anxiety, panic attacks, trouble sleeping, irritability, agitation, aggressiveness, severe restlessness, mania (mental and/or physical hyperactivity), thoughts of suicide or hurting yourself.
Call your doctor at once if you have any of these serious side effects:

seizure (convulsions);

tremors, shivering, muscle stiffness or twitching;

problems with balance or coordination; or

agitation, confusion, sweating, fast heartbeat.

Other less serious side effects are more likely to occur, such as:

feeling nervous, restless, or unable to sit still;

drowsiness, dizziness, weakness;

sleep problems (insomnia);

nausea, diarrhea, dry mouth, or changes in appetite or weight; or

decreased sex drive, impotence, or difficulty having an orgasm.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Zoloft?
Talk to your doctor before taking any medicine for pain, arthritis, fever, or swelling. This includes aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), diclofenac (Voltaren), indomethacin, piroxicam (Feldene), nabumetone (Relafen), etodolac (Lodine), and others. Taking any of these drugs with Zoloft may cause you to bruise or bleed easily.

Before taking Zoloft, tell your doctor if you are using any of the following medicines:

tramadol (Ultram, Ultram ER, Ultracet);

digitoxin (Crystodigin);

phenytoin (Dilantin), valproate (Depacon, Depakene);

lithium (Lithobid, Eskalith);

a blood thinner such as warfarin (Coumadin);

any other antidepressants such as amitriptyline (Elavil), citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), imipramine (Tofranil), nortriptyline (Pamelor), or paroxetine (Paxil);

almotriptan (Axert), frovatriptan (Frova), sumatriptan (Imitrex), naratriptan (Amerge), rizatriptan (Maxalt), or zolmitriptan (Zomig); or

heart rhythm medication such as flecainide (Tambocor), propafenone (Rhythmol), and others.

If you are using any of these drugs, you may not be able to use Zoloft, or you may need dosage adjustments or special tests during treatment.

There may be other drugs not listed that can affect Zoloft. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information on Zoloft?
Your pharmacist has additional information about Zoloft written for health professionals that you may read.
What does my medication look like?
Sertraline is available with a prescription under the brand name Zoloft. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

Zoloft 25 mg-capsule-shaped, green, film-coated, scored tablets

Zoloft 50 mg--capsule-shaped, light-blue, film-coated, scored tablets

Zoloft 100 mg--capsule-shaped, light-yellow, film-coated, scored tablets

Zoloft Oral Concentrate 20 mg/mL-clear, colorless solution with a menthol scent

Zocor

2006-11-17T08:14:00.001-08:00

What is the most important information I should know about Zocor?
• Rare cases of muscle problems and liver problems have been associated with the use of Zocor and other similar medicines. Contact your doctor immediately if you experience unexplained muscle pain, tenderness, or weakness, especially if accompanied by a fever or flulike symptoms or yellowing of the skin or eyes, abdominal pain, unexplained fatigue, dark colored urine or pale colored stools. These may be early symptoms of muscle or liver problems.
• Do not take Zocor without first talking to your doctor if you have liver disease.
• Alcohol and Zocor can both be damaging to the liver. Alcohol should be used only in moderation. Discuss the use of alcohol with your doctor so that the potential for liver problems can be determined.
• Do not take Zocor if you are pregnant, could become pregnant during treatment, or if you are breast-feeding a baby.

What is Zocor?
• Zocor is an HMG CoA reductase inhibitor. Zocor blocks the production of cholesterol (a type of fat) in the body.
• Zocor is used to reduce the total amounts of cholesterol, LDL (bad) cholesterol, triglycerides (another type of fat), and apolipoprotein B (a protein needed to make cholesterol) in your blood. Zocor (Zocor) is also used to increase the level of HDL (good) cholesterol in your blood. These actions may reduce the risk of hardening of the arteries, which can lead to heart attacks, stroke, and peripheral vascular disease.
• Zocor may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking Zocor?
• Do not take Zocor without first talking to your doctor if you have liver disease.
• Before taking Zocor, tell your doctor if you
· have kidney disease,
· drink alcoholic beverages,
· have a chronic muscular disease, or
· have a blood disorder.
• You may not be able to take Zocor, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
• Zocor is in the FDA pregnancy category X. This means that Zocor is known to cause birth defects if it is taken during pregnancy. Do not take Zocor if you are pregnant or could become pregnant during treatment.
• It is not known whether Zocor passes into breast milk. Do not take Zocor without first talking to your doctor if you are breast-feeding a baby.

How should I take Zocor?
• Take Zocor exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take each dose with a full glass of water.
• For the greatest effect, Zocor is usually taken at bedtime or with an evening meal. Follow your doctor's instructions.
• Your doctor may want to monitor your liver function with blood tests before starting treatment with Zocor and every six months after both the start of your treatment and any increase in dose. Depending on the results of these tests, your doctor can determine how much monitoring you will require.
• Grapefruit and grapefruit juice may interact with Zocor. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.
• Eat a low-fat, low-cholesterol diet. To realize beneficial effects from Zocor, avoid fatty, high-cholesterol foods.
• It is important to take Zocor regularly to get the most benefit.
• Do not stop taking Zocor without first talking to your doctor. Zocor may need to be taken on a long-term basis for the treatment of high cholesterol.
• Your doctor may want you to have blood tests or other medical evaluations during treatment with Zocor to monitor progress and side effects.
• Store Zocor at room temperature away from moisture and heat.

What happens if I miss a dose?
• Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication.

What happens if I overdose?
• Seek emergency medical attention if an overdose is suspected.
• Symptoms of a Zocor overdose include nausea, diarrhea, stomach distress, and indigestion.

What should I avoid while taking Zocor?
• Grapefruit and grapefruit juice may interact with Zocor. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.
• Alcohol and Zocor can both be damaging to the liver. Alcohol should be used only in moderation. Discuss the use of alcohol with your doctor so that the potential for liver problems can be determined.

What are the possible side effects of Zocor?
• Rare cases of muscle problems and liver problems have been associated with the use of Zocor and other similar medicines. Contact your doctor immediately if you experience unexplained muscle pain, tenderness, or weakness, especially if accompanied by a fever or flulike symptoms or yellowing of the skin or eyes, abdominal pain, unexplained fatigue, dark colored urine or pale colored stools. These may be early symptoms of muscle or liver problems.
• If you experience any of the following serious side effects, stop taking Zocor and seek emergency medical attention or contact your doctor immediately:
· an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
· decreased urine or rust-colored urine; or
· blurred vision.
• Other, less serious side effects may be more likely to occur. Continue to take Zocor and talk to your doctor if you experience
· gas, bloating, nausea, stomach upset, heartburn, abdominal pain, constipation, or diarrhea;
· cough;
· headache; or
· insomnia.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Zocor?
• Do not take Zocor without first talking to your doctor if you are taking any of the following medicines:
· cyclosporine (Sandimmune, Neoral);
· gemfibrozil (Lopid), clofibrate (Atromid-S), or fenofibrate (Tricor);
· niacin (Nicolar, Nicobid, Slo-Niacin, others);
· erythromycin (E-Mycin, E.E.S., Ery-Tab, others) or clarithromycin (Biaxin);
· cholestyramine (Questran) or colestipol (Colestid);
· an antifungal medication such as itraconazole (Sporanox), fluconazole (Diflucan), or ketoconazole (Nizoral);
· nefazodone (Serzone);
· digoxin (Lanoxin, Lanoxicaps);
· warfarin (Coumadin);
· a protease inhibitor such as amprenavir (Agenerase), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir), lopinavir-ritonavir (Kaletra), or saquinavir (Invirase, Fortovase);
· amiodarone (Cordarone, Pacer one); or
· verapamil (Calan, Covera-HS, Isoptin, Verelan).
• You may not be able to take Zocor, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.
• Drugs other than those listed here may also interact with Zocor. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.

Zithromax

2006-11-17T08:12:00.002-08:00

What is the most important information I should know about Zithromax?
• Do not use Zithromax if you have ever had an allergic reaction to this medicine or similar drugs such as erythromycin (E-Mycin, Ery-Tab, E.E.S.), clarithromycin (Biaxin), or other macrolide antibiotics.
• There are many other medicines that can interact with Zithromax. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.
• Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Zithromax will not treat a viral infection such as the common cold or flu.
• Take Zithromax on an empty stomach 1 hour before or 2 hours after meals.
• Do not take Zithromax at the same time as taking an antacid that contains aluminum or magnesium. This includes Rolaids, Maalox, Mylanta, Milk of Magnesia, Pepcid Complete, and others. These antacids can make Zithromax less effective when taken at the same time.

What is Zithromax?
• Zithromax is in a group of drugs called macrolide antibiotics. Zithromax fights bacteria in the body.
• Zithromax is used to treat many different types of infections caused by bacteria, such as respiratory infections, skin infections, ear infections, and sexually transmitted diseases.
• Zithromax may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking Zithromax?
• Do not use Zithromax if you have ever had an allergic reaction to this medicine or similar drugs such as erythromycin (E-Mycin, Ery-Tab, E.E.S.), clarithromycin (Biaxin), or other macrolide antibiotics.
• Before taking Zithromax, tell your doctor if you have:
· liver disease;
· kidney disease;
· a heart rhythm disorder; or
· a history of Long QT syndrome.
• If you have any of these conditions, you may not be able to use Zithromax, or you may need a dosage adjustment or special tests during treatment.
• FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.
• It is not known whether Zithromax passes into breast milk or if it could harm a nursing baby. Do not take this medication without telling your doctor if you are breast-feeding a baby.

How should I take Zithromax?
• Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. The dose and length of treatment with Zithromax may not be the same for every type of infection.
• Take each tablet or capsule with a full glass (8 ounces) of water.
• To use the oral suspension single dose packet: Open the packet and pour the medicine into 2 ounces of water. Stir this mixture and drink all of it right away. To make sure you get the entire dose, add a little more water to the same glass, swirl gently and drink right away.
• Zithromax capsules must be taken on an empty stomach. Take the capsule at least 1 hour before or 2 hours after eating a meal
• Zithromax tablets or powder oral suspension may be taken with or without food. Take the tablet or oral suspension with food if the medicine upsets your stomach.
• Do not take Zithromax at the same time as taking an antacid that contains aluminum or magnesium. This includes Rolaids, Maalox, Mylanta, Milk of Magnesia, Pepcid Complete, and others. These antacids can make Zithromax less effective when taken at the same time.
• Shake the oral suspension (liquid) well just before you measure a dose. To be sure you get the correct dose, measure the liquid with a marked measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.
• Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Zithromax will not treat a viral infection such as the common cold or flu.
• It is important to take Zithromax regularly to get the most benefit.
• Store this medication at room temperature away from moisture and heat. Throw away any unused liquid medicine after 10 days.

What happens if I miss a dose?
• Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?
• Seek emergency medical attention if you think you have used too much of this medicine.
• Symptoms of an Zithromax overdose may include nausea, vomiting, diarrhea, and stomach discomfort.

What should I avoid while taking Zithromax?
• Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or has blood in it, call your doctor. Do not use any medicine to stop the diarrhea unless your doctor has told you to.
• Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Zithromax can make your skin more sensitive to sunlight and sunburn may result. Use a sunscreen (minimum SPF 15) and wear protective clothing if you must be out in the sun.

What are the possible side effects of Zithromax?
• Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
• Stop using Zithromax and call your doctor at once if you have any of these serious side effects:
· diarrhea that is watery or bloody;
· chest pain, uneven heartbeats; or
· nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).
• Continue using Zithromax and talk with your doctor if you have any of these less serious side effects:
· mild nausea, vomiting, diarrhea, constipation, or stomach pain;
· dizziness, tired feeling, or headache;
· vaginal itching or discharge; or
· mild itching or skin rash.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Zithromax?
• Do not take antacids that contain aluminum or magnesium within 2 hours of taking Zithromax.
• Before taking Zithromax, tell your doctor if you are using any of the following drugs:
· nelfinavir (Viracept);
· digoxin (Lanoxin, Lanoxicaps);
· ergot medicine such as methysergide (Sansert), ergotamine (Ergostat, Medihaler, Cafergot, Ercaf, Wigraine), dihydroergotamine mesylate (D.H.E., Migranal Nasal Spray);
· triazolam (Halcion);
· carbamazepine (Carbatrol, Tegretol);
· cyclosporine (Neoral, Sandimmune);
· phenytoin (Dilantin);
· cholesterol-lowering medicines such as lovastatin (Mevacor), atorvastatin (Lipitor), or cerivastatin (Baycol);
· a calcium channel blocker such as diltiazem (Cartia XT, Diltiazem, Tiazac), felodipine (Plendil), nicardipine (Cardene), nifedipine (Procardia, Adalat), nimodipine (Nimotop), verapamil (Calan, Covera-HS);
· HIV medicines such as indinavir (Crixivan), ritonavir (Norvir), saquinavir (Invirase);
· alprazolam (Xanax), diazepam (Valium), midazolam (Versed), triazolam (Halcion);
· theophylline (Theo-Dur, Theolair, Theochron);
· warfarin (Coumadin);
· pimozide (Orap); or
· another antibiotic, especially clarithromycin (Biaxin) or erythromycin (E-Mycin, E.E.S, Ery-Tab).
• If you are using any of these drugs, you may not be able to use Zithromax, or you may need dosage adjustments or special tests during treatment.
• There are many other medicines that can interact with Zithromax. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.

Zetia

2006-11-17T08:12:00.001-08:00

What is the most important information I should know about Zetia?
• Do not stop taking Zetia unless directed to do so by your doctor. It may be weeks or months before beneficial effects are seen from this medication.

What is Zetia?
• Zetia reduces the amount of cholesterol absorbed by the body.
• Zetia is used to reduce the amount of total cholesterol, LDL (bad) cholesterol, and apolipoprotein B (a protein needed to make cholesterol) in the blood. Zetia is used with a low cholesterol diet and, in some cases, other cholesterol lowering medications.
• Zetia may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking Zetia?
• Before taking Zetia tell your doctor if you
· have liver disease;
· are taking another cholesterol-lowering medication; or
· have unexplained muscle pain, tenderness, or weakness.
• You may not be able to take Zetia, or you may require a dosage adjustment or special monitoring during treatment.
• Zetia is in the FDA pregnancy category C. This means that it is not known whether Zetia will be harmful to an unborn baby. Do not take Zetiawithout first talking to your doctor if you are pregnant or could become pregnant during treatment.
• It is not known whether Zetia passes into breast milk. Do not take Zetia without first talking to your doctor if you are breast-feeding a baby.

How should I take Zetia?
• Take Zetia exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take each dose with a full glass of water.
• Take Zetia once a day with or without food. It may be easier to remember to take the medication if you take it at the same time every day.
• Zetia should be taken 2 hours before or 4 hours after a bile acid sequestrant such as cholestyramine (Locholest, Prevalite, Questran), colestipol (Colestid), or colesevelam (Welchol).
• Eat a low-fat, low-cholesterol diet. To see beneficial effects from Zetia avoid fatty, high-cholesterol foods.
• Your doctor may want to monitor cholesterol levels, liver function, or other factors with blood tests before starting and during treatment with Zetia. Depending on the results of these tests, your doctor can determine how much monitoring you will require.
• Do not stop taking Zetia unless directed to do so by your doctor. It may be weeks or months before beneficial effects are seen from this medication.
• Store Zetia at room temperature away from moisture and heat.

What happens if I miss a dose of Zetia?
• Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of the medication.

What happens if I overdose with Zetia?
• Seek emergency medical attention.
• Symptoms of an Zetia overdose are not known.

What should I avoid while taking Zetia?
• Eat a low-fat, low-cholesterol diet. To see beneficial effects from Zetia avoid fatty, high-cholesterol foods.

What are the possible side effects of Zetia?
• If you experience an uncommon allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives), stop taking Zetia and seek emergency medical attention.
• Other, less serious side effects have also been reported, although uncommon. Continue to take Zetia and talk to your doctor if you experience
· abdominal pain;
· diarrhea; or
· tiredness.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Zetia?
• Before taking Zetia, tell your doctor if you are taking:
· another medicine to lower cholesterol such as gemfibrozil (Lopid), fenofibrate (Tricor), clofibrate (Atromid-S), atorvastatin (Lipitor), fluvastatin (Lescol), lovastatin (Altocor, Mevacor), pravastatin (Pravachol), or simvastatin (Zocor).
· cyclosporine (Sandimmune, Neoral, Gengraf).
• You may not be able to take Zetia, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medications listed above.
• Zetia should be taken 2 hours before or 4 hours after a bile acid sequestrant such as cholestyramine (Locholest, Prevalite, Questran), colestipol (Colestid), or colesevelam (Welchol).
• Drugs other than those listed here may also interact with cholestyramine. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Yasmin

2006-11-17T08:11:00.002-08:00

What is the most important information I should know about Yasmin?
• This medication can cause birth defects in an unborn baby. Do not use if you are pregnant. Use an effective form of birth control, and tell your doctor if you become pregnant during treatment.
• Yasmin will not protect you from sexually transmitted diseases--including HIV or AIDS.
• Avoid smoking cigarettes while taking Yasmin. Smoking greatly increases the risk of heart attack, stroke, and blood clot.
• Drospirenone may raise potassium levels in your blood. Other medical conditions can also affect potassium levels. Before using Yasmin, tell your doctor about all of your current and past medical conditions, and about all the medicines you use.
• Many other drugs can interact with Yasmin and make this medication less effective, increasing your risk of unintended pregnancy. Tell your doctor about all the prescription and over-the-counter medications you use, including vitamins, minerals, herbal products, and drugs prescribed by other doctors.
• Stop using this medication and call your doctor at once if you feel short of breath, have sudden numbness or weakness on one side of the body, sudden headache, confusion, or problems with vision, speech, or balance.
• Call your doctor right away if you have a breast lump, unusual vaginal bleeding, or jaundice (yellowing of the skin or eyes).

What is Yasmin?
• Drospirenone and ethinyl estradiol are female hormones involved in conception.
• Yasmin is used to prevent pregnancy. This medication works by preventing ovulation (the release of an egg from an ovary).
• Yasmin may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking Yasmin
• Drospirenone may raise potassium levels in your blood. Other medical conditions can also affect potassium levels. Before using Yasmin, tell your doctor if you have any of the following:
· a history of liver disease;
· a history of jaundice (yellowing of the skin or eyes) during a pregnancy or while using birth control pills;
· kidney disease;
· adrenal insufficiency;
· hemophilia or other bleeding disorder;
· unusual vaginal bleeding; or
· any type of breast, uterine, or hormone-dependent cancer.
• Certain medicines can also affect potassium levels. Tell your doctor if you use any of the following drugs:
· heparin;
· aspirin or other NSAIDs (non-steroidal anti-inflammatory drugs) such as celecoxib (Celebrex), diclofenac (Voltaren), ibuprofen (Motrin, Advil), indomethacin, naproxen (Aleve, Naprosyn), piroxicam (Feldene);
· a diuretic ("water pill") such as spironolactone (Aldactone), triamterene (Dyrenium, Dyazide, Maxzide), amiloride (Midamor), or eplerenone (Inspra);
· a potassium supplement such as Klor-Con, K-Dur, K-Tab;
· an ACE inhibitor such as benazepril (Lotensin), lisinopril (Prinivil, Zestril), enalapril (Vasotec); or
· blood pressure medicine such as candesartan (Atacand), losartan (Cozaar), telmisartan (Micardis).
• If you have any of the following conditions, you may not be able to use Yasmin, or you may need a dosage adjustment or special tests during treatment:
· high blood pressure, angina, heart disease, high cholesterol or triglycerides;
· a history of stroke or blood clot;
· liver or kidney disease;
· asthma;
· epilepsy;
· migraines, depression;
· diabetes;
· gallbladder disease;
· uterine fibroids; or
· you have had a hysterectomy (uterus removed).
• FDA pregnancy category X. This medication can cause birth defects. Do not use this medication if you are pregnant. Tell your doctor right away if you become pregnant during treatment.
• Yasmin may affect breast milk. Do not take Yasmin without telling your doctor if you are breast-feeding a baby.

How should I take Yasmin?
• Take this medication exactly as it was prescribed for you. Do not take the medication in larger or smaller amounts, or take it for longer than recommended by your doctor.
• Take the first pill in a package on the first day of your period or on the first Sunday after your period begins as directed by your doctor.
• Take one pill every day, no more than 24 hours apart. Try to take the pills at the same time each day to help you remember.
• Taking the pill at night may reduce noticeable side effects such as headache or nausea.
• If you are on a 28-day cycle, take one pill every day. When the pack runs out, throw it away. Begin a new pack the following day. The 28-day cycle contains seven pills that are placebos (with no active ingredients). These are "reminder" pills to keep you on a regular cycle. You will take them while you are on your period.
• You may need to use a backup method of birth control when you first start taking drosperinone and ethinyl estradiol or if you miss a pill. You may also need another form of birth control whenever you use certain other medicines. Some drugs can make birth control pills less effective and you could become pregnant. Follow your doctor's instructions for using a second form of birth control if you have any of these situations.
• See your doctor yearly for physical exams. Check your breasts for lumps monthly while you are taking Yasmin. Your doctor may also want to test the potassium levels in your blood. It is important that you not miss any scheduled appointments with your doctor.
• Yasmin will not protect you from sexually transmitted diseases--including HIV or AIDS.
• Store Yasmin at room temperature away from moisture and heat.

What happens if I miss a dose?
• Missing a pill increases your risk of becoming pregnant. Follow the directions on the patient information sheet provided with your medicine. If you do not have an information sheet, call your doctor for instructions if you miss a dose.
• If you miss one yellow "active" pill, take the dose as soon as you remember or take two pills at the time of your next regularly scheduled dose. You do not need to use backup birth control.
• If you miss two yellow "active" tablets in a row in week one or two, take two tablets each for the next two regularly scheduled doses (one missed tablet plus one regularly scheduled tablet for 2 days in a row). Use another form of birth control for at least 7 days following the missed tablets.
• If you miss two yellow "active" tablets in a row in week three, or if you miss three tablets in a row during any of the first 3 weeks, throw out the rest of the pack and start a new package on the same day if you are a Day 1 starter. If you are a Sunday starter, keep taking a pill every day until Sunday. On Sunday, throw out the rest of the pack and start a new pack of pills that same day. You may not have a period that month, but this is expected. However, if you miss your period 2 months in a row, call your doctor because you might be pregnant.
• If you miss one of the reminder pills in week four, skip that dose and take the next one as directed.
• If you miss a pill, you may become pregnant if you have sex in the 7 days after your missed pill. You MUST use another birth control method (such as condoms or spermicides) as a back-up for those 7 days.

What happens if I overdose?
• Seek emergency medical attention if you think you have used too much of this medicine.
• An overdose of Yasmin is not expected to produce life-threatening symptoms.

What should I avoid while taking Yasmin
• Avoid smoking cigarettes while taking Yasmin. Smoking greatly increases the risk of heart attack, stroke, and blood clot.

What are the possible side effects of Yasmin?
• Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
• Stop using this medication and call your doctor at once if you have any of these serious side effects:
· chest pain;
· shortness of breath;
· sudden numbness or weakness, especially on one side of the body;
· sudden headache, confusion, problems with vision, speech, or balance;
· unusual vaginal bleeding;
· stomach pain, swelling, or tenderness;
· jaundice (yellowing of the skin or eyes); or
· breast lump.
• Continue using Yasmin and talk with your doctor if you have any of these less serious side effects:
· nausea and vomiting;
· breast tenderness or enlargement;
· swelling of your hands or feet;
· darkened skin, especially on your face;
· changes in your menstrual periods;
· headache, migraine, dizziness, or fainting;
· problems with contact lenses;
· depression;
· vaginal yeast infections; or
· enlargement of uterine fibroids.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Yasmin?
• Before taking this medication, tell your doctor if you are using any of the following drugs:
· rifampin (Rifadin, Rimactane, Rifater);
· seizure medicine such as phenytoin (Dilantin), phenobarbital (Luminal), carbamazepine (Tegretol);
· an antibiotic such as ampicillin (Omnipen, Totacillin), tetracycline (Brodspec, Sumycin, Panmycin) or griseofulvin (Fulvicin);
· a potassium supplement such as Klor-Con, K-Dur, K-Tab;
· atorvastatin (Lipitor); or
· St. John's wort.
• If you are using any of these drugs, you may not be able to use dropirenone and estradiol.
• Many other drugs can interact with Yasmin and make this medication less effective, increasing your risk of unintended pregnancy. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Xenical

2006-11-17T08:11:00.001-08:00

What is the most important information I should know about Xenical?
• Xenical may decrease your body's absorption of some fat-soluble vitamins. To ensure adequate nutrition, your doctor may recommend taking a multivitamin that contains vitamins D, E, K, and beta-carotene. Take your vitamin supplement once a day, at least 2 hours before or after a dose of Xenical.
• Do not take more of this medication than has been prescribed for you. Doses greater than 120 mg three times a day have not been shown to provide any additional weight-loss benefit.

What is Xenical?
• Xenical blocks some of the fat that you eat from being absorbed by your body.
• Xenical is used in the management of obesity including weight loss and weight maintenance when used with a reduced-calorie diet.
• Xenical may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking Xenical?
• Do not take Xenical without first talking to your doctor if you have
· a chronic malabsorption syndrome, or
· gallbladder problems.
• You may not be able to take Xenical if you have any of the conditions listed above.
• Before taking Xenical, talk to your doctor if you
· have a history of kidney stones,
· have diabetes,
· have anorexia or bulimia,
· take any other weight-loss medicine, or
· take cyclosporine (Sandimmune, Neoral).
• You may not be able to take Xenical, or you may require a dosage adjustment or special monitoring during your treatment if you have any of the conditions listed above.
• Xenical is in the FDA pregnancy category B. This means that it is not expected to harm an unborn baby. Do not take Xenical without first talking to your doctor if you are pregnant.
• It is not known whether Xenical passes into breast milk. Do not take Xenical without first talking to your doctor if you are breast-feeding a baby.

How should I take Xenical?
• Take Xenical exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take each dose with a full glass of water.
• Xenical is usually taken with each main meal that contains fat. Xenical can be taken during meals or up to one hour after a meal.
• Each time you take Xenical, your meal should contain no more than about 30% of calories from fat. Evenly divide your daily intake of fat, carbohydrates, and protein over three main meals a day. Talk to your doctor about following a healthy eating plan.
• If you miss a meal, or if you have a meal without fat, you can skip your dose of Xenical for that meal also.
• If Xenical is taken with any one meal that is very high in fat, there is an increased chance of digestive side effects.
• Do not take more of this medication than has been prescribed for you. Doses greater than 120 mg three times a day have not been shown to provide an additional weight-loss benefit.
• Xenical may decrease your body's absorption of some fat-soluble vitamins. To ensure adequate nutrition, your doctor may recommend taking a multivitamin that contains vitamins D, E, K, and beta-carotene. Take your vitamin supplement once a day, at least 2 hours before or after a dose of Xenical.
• Store Xenical at room temperature away from moisture and heat.

What happens if I miss a dose?
• Take the missed dose up to one hour after a meal. If more than one hour has passed since your last meal, skip the dose you missed and take only your next regularly scheduled dose as directed. Do not take a double dose of this medication.
• If you miss a meal, or if you have a meal without fat, you can skip your dose of Xenical for that meal also.

What happens if I overdose?
• Seek emergency medical attention.
• Symptoms of an Xenical overdose are not known.

What should I avoid while taking Xenical?
• Xenical may decrease your body's absorption of some fat-soluble vitamins. To ensure adequate nutrition, your doctor may recommend taking a multivitamin that contains vitamins D, E, K, and beta-carotene. Take your vitamin supplement once a day, at least 2 hours before or after a dose of Xenical.
• Each time you take Xenical, your meal should contain no more than about 30% of calories from fat. Evenly divide your daily intake of fat, carbohydrates, and protein over three main meals a day. Talk to your doctor about following a healthy eating plan.

What are the possible side effects of Xenical?
• Stop taking Xenical and seek emergency medical attention if you experience a rare allergic reaction including shortness of breath; closing of your throat; swelling of your lips, tongue, or face; or hives.
• Other, less serious side effects are more likely to occur. Continue to take Xenical and talk to your doctor if you experience
· oily spotting,
· gas with discharge,
· an urgent need to go to the bathroom,
· oily or fatty stools,
· an oily discharge,
· an increased number of bowel movements,
· an inability to control bowel movements, or
· orange or brown colored oil in your stool.
• The bowel changes listed above are a natural effect of blocking fat and indicate that Xenical is working. They generally occur early in treatment, particularly after meals containing higher amounts of fat than are recommended. These symptoms are usually temporary and lessen or disappear as you continue treatment and keep to your recommended diet of meals containing 30% fat.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Xenical?
• Do not take Xenical without first talking to your doctor if you are taking any of the following medicines:
· cyclosporine (Neoral, Sandimmune), or
· warfarin (Coumadin).
• You may not be able to take Xenical, or you may require a dosage adjustment or special monitoring during your treatment if you are taking any of the medicines listed above.
• Before taking Xenical, tell your doctor if you are taking any of the following medicines to lower cholesterol:
· atorvastatin (Lipitor),
· cerivastatin (Baycol),
· fluvastatin (Lescol),
· lovastatin (Mevacor),
· pravastatin (Pravachol), or
· simvastatin (Zocor).
• You may require a dosage adjustment or special monitoring during treatment if you are taking any of the cholesterol-lowering medicines listed above.
• Xenical may decrease your body's absorption of some fat-soluble vitamins. To ensure adequate nutrition, your doctor may recommend taking a multivitamin that contains vitamins D, E, K, and beta-carotene. Take your vitamin supplement once a day, at least 2 hours before or after a dose of Xenical.
• Drugs other than those listed here may also interact with Xenical. Talk to your doctor and pharmacist before taking or using any other prescription or over-the-counter medicines.

Xanax

2006-11-17T08:10:00.000-08:00

What is the most important information I should know about Xanax?
• Use caution when driving, operating machinery, or performing other hazardous activities. Xanax will cause drowsiness and may cause dizziness. If you experience drowsiness or dizziness, avoid these activities.
• Avoid alcohol while taking Xanax. Alcohol may increase drowsiness and dizziness caused by Xanax.
• Do not crush, chew, or break the extended-release form Xanax XR. Swallow them whole. These tablets are specially formulated to release the medication slowly in the body.
• Xanax is habit forming. You can become physically and psychologically dependent on the medication. Do not take more than the prescribed amount of medication or take it for longer than is directed by your doctor. Withdrawal effects may occur if Xanax is stopped suddenly after several weeks of continuous use. Seizures may be a side effect of sudden discontinuation of the medication. Your doctor may recommend a gradual reduction in dose.

What is Xanax?
• Xanax is in a class of drugs called benzodiazepines. Xanax affects chemicals in the brain that may become unbalanced and cause anxiety.
• Xanax is used to relieve anxiety, nervousness, and tension associated with anxiety disorders. Xanax is also used to treat panic disorders.
• Xanax may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking Xanax?
• Do not take Xanax if you have narrow-angle glaucoma. Xanax may worsen this condition.
• Before taking this medication, tell your doctor if you
· have kidney disease;
· have liver disease;
· have a history of alcohol or drug abuse;
· have asthma, bronchitis, emphysema, or another respiratory disease;
· are depressed or have suicidal thoughts; or
· have mania, bipolar disorder, or another psychiatric condition (other than anxiety or panic disorder).
• You may not be able to take Xanax, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
• Xanax is in the FDA pregnancy category D. This means that Xanax is known to be harmful to an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment.
• It is not known whether Xanax passes into breast milk. Do not take Xanax without first talking to your doctor if you are breast-feeding a baby.
• If you are over 65 years of age, you may be more likely to experience side effects from Xanax. Your doctor may prescribe a lower dose of the medication.

How should I take Xanax?
• Take Xanax exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take each dose with a full glass of water.
• Do not crush, chew, or break the extended-release form Xanax XR. Swallow them whole. These tablets are specially formulated to release the medication slowly in the body.
• Do not take more of the medication than is prescribed for you.
• Xanax is habit forming. You can become physically and psychologically dependent on the medication. Do not take more than the prescribed amount of medication or take it for longer than is directed by your doctor. Withdrawal effects may occur if Xanax is stopped suddenly after several weeks of continuous use. Seizures may be a side effect of sudden discontinuation of the medication. Your doctor may recommend a gradual reduction in dose.
• Store Xanax at room temperature away from moisture and heat.

What happens if I miss a dose?
• Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the dose you missed and take only the next regularly scheduled dose. Do not take a double dose of this medication. A double dose could be dangerous.

What happens if I overdose?
• Seek emergency medical attention if an overdose is suspected.
• Symptoms of an Xanax overdose include sleepiness, dizziness, confusion, a slow heart beat, difficulty breathing, difficulty walking and talking, an appearance of being drunk, and unconsciousness.

What should I avoid while taking Xanax?
• Use caution when driving, operating machinery, or performing other hazardous activities. Xanax will cause drowsiness and may cause dizziness. If you experience drowsiness or dizziness, avoid these activities.
• Avoid alcohol while taking Xanax. Alcohol may increase drowsiness and dizziness caused by Xanax.
• Xanax may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, seizure medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any other medicine without first talking to your doctor.

What are the possible side effects of Xanax?
• If you experience any of the following serious side effects, stop taking Xanax and seek emergency medical attention or contact your doctor immediately:
· an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, face, or tongue; or hives);
· sores in the mouth or throat;
· yellowing of the skin or eyes;
· a rash;
· hallucinations or severe confusion; or
· changes in vision.
• Other, less serious side effects may be more likely to occur. Continue to take Xanax and talk to your doctor if you experience
· drowsiness, dizziness, or clumsiness;
· depression;
· nausea, vomiting, diarrhea, or constipation;
· difficulty urinating;
· vivid dreams;
· headache;
· dry mouth;
· decreased sex drive; or
· changes in behavior.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Xanax?
• Do not take ketoconazole (Nizoral) or itraconazole (Sporanox) during treatment with Xanax without first talking to your doctor.
• Xanax may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, seizure medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any medicine without first talking to your doctor.
• Antacids may decrease the effects of Xanax. Separate doses of an antacid and Xanax by several hours whenever possible.
• Drugs other than those listed here may also interact with Xanax. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Wellbutrin

2006-11-17T08:09:00.002-08:00

What is the most important information I should know about Wellbutrin?
You should not take Wellbutrin if you have epilepsy or a seizure disorder, an eating disorder such as anorexia or bulimia, if you are using a second form of bupropion, or if you have suddenly stopped using alcohol or sedatives. Do not take Wellbutrin if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl), or tranylcypromine (Parnate) in the last 14 days.
You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication, especially if you are 18 years of age or younger. Talk with your doctor about this risk. While you are taking this medication you will need to be monitored for worsening symptoms of depression and/or suicidal thoughts during the first weeks of treatment, or whenever your dose is changed. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.

Contact your doctor if you have any of the following side effects, especially if they are new symptoms or if they get worse: mood changes, anxiety, panic attacks, trouble sleeping, irritability, agitation, aggressiveness, severe restlessness, mania (mental and/or physical hyperactivity), or thoughts of suicide or hurting yourself.

Do not stop taking Wellbutrin without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly.
Avoid using bupropion to treat more than one condition at a time. If you take Wellbutrin for depression, do not also take Zyban to quit smoking. Too much of this medicine can increase your risk of a seizure.

Do not smoke at any time if you are using a nicotine product along with Zyban. Too much nicotine can cause serious side effects. Avoid drinking alcohol while taking Wellbutrin. Alcohol may increase your risk of a seizure while you are taking Wellbutrin. If you drink alcohol regularly, talk with your doctor before changing the amount you drink. Wellbutrin can cause seizures in people who drink a lot of alcohol and then suddenly quit drinking when they start using the medication.
There are many other drugs that can affect Wellbutrin. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

What is Wellbutrin?
Wellbutrin is an antidepressant medication.

Wellbutrin is used to treat major depressive disorder and seasonal affective disorder.

At least one brand of bupropion (Zyban) is used to help people stop smoking by reducing cravings and other withdrawal effects.

Wellbutrin may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking Wellbutrin?
Do not take Wellbutrin if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl), or tranylcypromine (Parnate) in the last 14 days. You should not take Wellbutrin if you have:
epilepsy or a seizure disorder;

an eating disorder such as anorexia or bulimia;

if you are using a second form of bupropion; or

if you have suddenly stopped using alcohol or sedatives (such as Valium).

Before taking Wellbutrin, tell your doctor if you have:

heart disease or high blood pressure;

head injury, brain or spinal cord tumor;

kidney disease;

liver disease (especially cirrhosis);

bipolar disorder (manic depression);

diabetes for which you use insulin or take oral medication;

current use of steroids, theophylline (Theo-Dur, Slo-Bid, Bronkodyl Theolair, Respbid), or medicine to treat depression or mental illness; or

recent use of alcohol, sedatives (such as Valium), narcotic pain medicines, diet pills, or street drugs such as "speed" or cocaine.

If you have any of these conditions, you may not be able to use Wellbutrin, or you may need a dosage adjustment or special tests during treatment.

Wellbutrin may cause seizures, especially in people with certain medical conditions or when using certain drugs. Tell your doctor about all of your medical conditions and the drugs you use.

You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication, especially if you are under 18 years old. While you are taking Wellbutrin, you will need to be monitored for worsening symptoms of depression and/or suicidal thoughts during the first weeks of treatment, or whenever your dose is changed. In addition to you watching for changes in your own symptoms, your family or other caregivers should be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.

Contact your doctor if you have any of the following side effects, especially if they are new symptoms or if they get worse: mood changes, anxiety, panic attacks, trouble sleeping, irritability, agitation, aggressiveness, severe restlessness, mania (mental and/or physical hyperactivity), or thoughts of suicide or hurting yourself.

FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Wellbutrin passes into breast milk and could be harmful to a nursing baby. Do not take Wellbutrin without telling your doctor if you are breast-feeding a baby.

How should I take Wellbutrin?
Take Wellbutrin exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from the medication.

Wellbutrin can be taken with or without food.

Take each dose with a full glass of water. Do not crush, chew, or break the extended-release tablet (Wellbutrin SR, Wellbutrin XL, Zyban SR). Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time.
If you take Zyban to help you stop smoking, you may continue to smoke for about 1 week after you start the medicine. Set a date to quit smoking during the second week of Zyban treatment. By that time you will have enough of the medicine in your blood stream to help you quit smoking. Talk to your doctor if you are having trouble quitting after you have used Zyban for at least 7 weeks.

Your doctor may prescribe nicotine patches or gum to help support your smoking cessation treatment. Be sure you read all directions and safety information for the nicotine product. Using nicotine with Zyban may raise your blood pressure and your doctor may want to check your blood pressure regularly. Do not smoke at any time if you are using a nicotine product along with Zyban. Too much nicotine can cause serious side effects.

Do not stop taking Wellbutrin without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly.
If you use the Wellbutrin extended-release tablet, the tablet shell may pass into your stools (bowel movements). This is normal and does not mean that you are not receiving enough of the medicine.

Store Wellbutrin at room temperature away from moisture and heat.

What happens if I miss a dose of Wellbutrin?
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose with Wellbutrin?
Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a Wellbutrin overdose may include seizures, muscle stiffness, hallucinations, fainting, fast or uneven heartbeat, shallow breathing, heart failure, or coma.

What should I avoid while taking Wellbutrin?
Avoid drinking alcohol while taking Wellbutrin. Alcohol may increase your risk of a seizure while you are taking Wellbutrin. If you drink alcohol regularly, talk with your doctor before changing the amount you drink. Wellbutrin can cause seizures in people who drink a lot of alcohol and then suddenly quit drinking when they start using the medication.
Avoid using bupropion to treat more than one condition at a time. If you take Wellbutrin for depression, do not also take Zyban to quit smoking. Too much of this medicine can increase your risk of a seizure.

Wellbutrin can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

What are the possible side effects of Wellbutrin?
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using Wellbutrin and call your doctor at once if you have a seizure (convulsions) or fast, uneven heartbeats.
Continue taking Wellbutrin and talk to your doctor if you have any of these less serious side effects:

headache or migraine;

sleep problems (insomnia);

nausea, vomiting, constipation, dry mouth;

confusion, dizziness, agitation, tremors (shaking);

appetite changes, weight loss or gain;

mild itching or skin rash, increased sweating; or

loss of interest in sex.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Wellbutrin?
Do not take Wellbutrin if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl), or tranylcypromine (Parnate) in the last 14 days.

There are many other drugs that can affect Wellbutrin. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information on Wellbutrin?
Your pharmacist has more information about Wellbutrin written for health professionals that you may read.

Vytorin

2006-11-17T08:09:00.001-08:00

What is the most important information I should know about Vytorin?
• Do not stop taking Vytorin unless directed to do so by your doctor. It may be weeks or months before beneficial effects are seen from this medication.
• Rare cases of muscle problems and liver problems have been associated with the use of Vytorin and other similar medicines. Contact your doctor immediately if you experience unexplained muscle pain, tenderness, or weakness, especially if accompanied by a fever or flulike symptoms or yellowing of the skin or eyes, abdominal pain, unexplained fatigue, dark colored urine or pale colored stools. These may be early symptoms of muscle or liver problems.
• Do not take Vytorin without first talking to your doctor if you have liver disease.
• Alcohol and Vytorin can both be damaging to the liver. Alcohol should be used only in moderation. Discuss the use of alcohol with your doctor so that the potential for liver problems can be determined.
• Do not take Vytorin if you are pregnant, could become pregnant during treatment, or if you are breast-feeding a baby.

What is Vytorin?
• Vytorin reduces the amount of cholesterol (a type of fat) absorbed by the body and blocks the production of cholesterol in the body.
• Vytorin is used to reduce the total amounts of cholesterol, LDL (bad) cholesterol, triglycerides (another type of fat), and apolipoprotein B (a protein needed to make cholesterol) in your blood. Vytorin is also used to increase the level of HDL (good) cholesterol in your blood. These actions may reduce the risk of hardening of the arteries, which can lead to heart attacks, stroke, and peripheral vascular disease.
• Vytorin may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking Vytorin?
• Before taking Vytorin, tell your doctor if you
· have liver or kidney disease;
· drink alcoholic beverages;
· have hypothyroidism (low thyroid function);
· have a chronic muscular disease or have unexplained muscle pain, tenderness, or weakness;
· are taking another cholesterol-lowering medication; or
· have a blood disorder.
• You may not be able to take Vytorin, or you may require a dosage adjustment or special monitoring during treatment.
• Vytorin is in the FDA pregnancy category X. This means that Vytorin is known to cause birth defects if it is taken during pregnancy. Do not take Vytorin if you are pregnant or could become pregnant during treatment.
• It is not known whether Vytorin passes into breast milk. Do not take simvastatin without first talking to your doctor if you are breast-feeding a baby.

How should I take Vytorin?
• Take Vytorin exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take Vytorin once a day with or without food. It may be easier to remember to take the medication if you take it at the same time every day.
• Vytorin should be taken 2 hours before or 4 hours after a bile acid sequestrant such as cholestyramine (Locholest, Prevalite, Questran), colestipol (Colestid), or colesevelam (Welchol).
• Your doctor may want to monitor cholesterol levels, liver function, or other factors with blood tests before starting and during treatment with Vytorin. Depending on the results of these tests, your doctor can determine how much monitoring you will require.
• Do not stop taking Vytorin unless directed to do so by your doctor. It may be weeks or months before beneficial effects are seen from this medication.
• Store Vytorin at room temperature away from moisture and heat.

What happens if I miss a dose?
• Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of the medication.

What happens if I overdose?
• Seek emergency medical attention if an overdose is suspected.
• Symptoms of an Vytorin overdose may include nausea, diarrhea, stomach distress, and indigestion..

What should I avoid while taking Vytorin?
• Eat a low-fat, low-cholesterol diet. To see beneficial effects from Vytorin avoid fatty, high-cholesterol foods.
• Grapefruit and grapefruit juice may interact with Vytorin. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.
• Both alcohol and ezetimibe/simvastatin can be damaging to the liver. Alcohol should be used only in moderation. Discuss the use of alcohol with your doctor so that the potential for liver problems can be determined.
• Avoid prolonged exposure to sunlight or artificial UV light (e.g., tanning beds). Vytorin may increase the sensitivity of the skin to sunlight, and burning may result. Wear protective clothing and sunscreen if exposure to the sun is unavoidable.

What are the possible side effects of Vytorin?
• Rare cases of muscle problems and liver problems have been associated with the use of Vytorin and other similar medicines. Contact your doctor immediately if you experience unexplained muscle pain, tenderness, or weakness, especially if accompanied by a fever or flulike symptoms or yellowing of the skin or eyes, abdominal pain, unexplained fatigue, dark colored urine or pale colored stools. These may be early symptoms of muscle or liver problems.
• If you experience any of the following serious side effects, stop taking Vytorin and seek emergency medical attention or contact your doctor immediately:
· an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
· decreased urine or rust-colored urine; or
· blurred vision.
• Other, less serious side effects may be more likely to occur. Continue to take Vytorin and talk to your doctor if you experience
· gas, bloating, nausea, stomach upset, heartburn, abdominal pain, constipation, or diarrhea;
· cough;
· tiredness;
· headache; or
· insomnia.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Vytorin?
• Do not take Vytorin without first talking to your doctor if you are taking any of the following medicines:
· cyclosporine (Sandimmune, Neoral);
· atorvastatin (Lipitor), fluvastatin (Lescol), lovastatin (Altocor, Mevacor), pravastatin (Pravachol), rosuvastatin (Crestor) or simvastatin (Zocor);
· gemfibrozil (Lopid), fenofibrate (Tricor) or clofibrate (Atromid-S);
· niacin (Nicolar, Nicobid, Slo-Niacin, others);
· erythromycin (E-Mycin, E.E.S., Ery-Tab, others), telithromycin (Ketek) or clarithromycin (Biaxin);
· cholestyramine (Questran) or colestipol (Colestid);
· an antifungal medication such as itraconazole (Sporanox), fluconazole (Diflucan), or ketoconazole (Nizoral);
· nefazodone (Serzone);
· digoxin (Lanoxin, Lanoxicaps);
· warfarin (Coumadin);
· a protease inhibitor such as amprenavir (Agenerase), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir), lopinavir-ritonavir (Kaletra), or saquinavir (Invirase, Fortovase);
· amiodarone (Cordarone, Pacer one); or
· verapamil (Calan, Covera-HS, Isoptin, Verelan).
• You may not be able to take Vytorin, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.
• Drugs other than those listed here may also interact with Vytorin. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.

Voltaren

2006-11-17T08:08:00.002-08:00

What is the most important information I should know about Voltaren?
• Take Voltaren with food, milk, or an antacid to lessen stomach upset.
• Do not crush or chew Voltaren tablets. Swallow them whole.
• Contact your doctor if you experience blood in vomit or bloody, black, or tarry stools. These symptoms could indicate damage to the stomach or intestines, which could be dangerous.
• Many over-the-counter cough, cold, allergy, and pain medicines contain aspirin or other medicines similar to Voltaren (such as ibuprofen, ketoprofen, and others). Before taking any prescription or over-the-counter medicine, talk to your doctor and pharmacist.
• Avoid alcohol or use it with moderation. If you drink more than three alcoholic beverages a day, Voltaren may increase the risk of dangerous stomach bleeding. Talk to your doctor before taking Voltaren if you drink more than 3 alcoholic beverages a day.

What is Voltaren?
• Voltaren is in a class of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs). Voltaren works by reducing hormones that cause inflammation and pain in the body.
• Voltaren is used to reduce pain, inflammation and stiffness caused by many conditions, such as osteoarthritis, rheumatoid arthritis, abdominal cramps associated with menstruation, and ankylosing spondylitis.
• Voltaren may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking Voltaren?
• Before taking this medication, tell your doctor if you
· have an allergy to aspirin or any other NSAIDs,
· have an ulcer or bleeding in your stomach,
· drink more than three alcoholic beverages a day,
· have liver disease,
· have kidney disease,
· have a coagulation (bleeding) disorder,
· have congestive heart failure,
· have fluid retention,
· have heart disease, or
· have high blood pressure.
• You may not be able to take Voltaren, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
• Voltaren is in the FDA pregnancy category B. This means that it is not expected to be harmful to an unborn baby. Voltaren should not be taken late in pregnancy (the third trimester) because a similar drug is known to affect the baby's heart. Do not take Voltaren without first talking to your doctor if you are pregnant.
• Voltaren passes into breast milk and may affect a nursing infant. Do not take this medicine without first talking to your doctor if you are breast-feeding a baby.

How should I take Voltaren?
• Take Voltaren exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take each dose with a full glass of water.
• Take Voltaren with milk, food, or an antacid to lessen stomach upset.
• Do not crush or chew Voltaren tablets. Swallow them whole.
• Shake the suspension well before measuring a dose. To ensure that you get the correct dose, measure the liquid form of Voltaren with a special dose-measuring spoon or cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.
• Store Voltaren at room temperature away from moisture and heat.

What happens if I miss a dose?
• If you are taking Voltaren on a regular schedule, take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose.
• If you are taking Voltaren as needed, take the missed dose if it is needed, then wait the recommended or prescribed amount of time before taking another dose.

What happens if I overdose?
• Seek emergency medical attention if an overdose is suspected.
• Symptoms of a Voltaren overdose may include nausea, vomiting, stomach pain, dizziness, drowsiness, headache, ringing in the ears, blurred vision, seizures, sweating, numbness or tingling, little or no urine production, and slow breathing.

What should I avoid while taking Voltaren?
• Avoid prolonged exposure to sunlight. Voltaren may increase the sensitivity of the skin to sunlight. Use a sunscreen and wear protective clothing when exposure to the sun is unavoidable.
• Avoid alcohol or use it with moderation. If you drink more than three alcoholic beverages a day, Voltaren may increase the risk of dangerous stomach bleeding. Talk to your doctor before taking Voltaren if you drink more than 3 alcoholic beverages a day.
• Many over-the-counter cough, cold, allergy, and pain medicines contain aspirin or other medicines similar to Voltaren (such as ibuprofen, ketoprofen, and others). Before taking any prescription or over-the-counter medicine, talk to your doctor and pharmacist.

What are the possible side effects of Voltaren?
• Contact your doctor if you experience blood in vomit or bloody, black, or tarry stools. These symptoms could indicate damage to the stomach or intestines, which could be dangerous.
• If you experience any of the following serious side effects, stop taking Voltaren and seek medical attention or contact your doctor immediately:
· an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
· muscle cramps, numbness, or tingling;
· ulcers (open sores) in the mouth;
· rapid weight gain (fluid retention);
· seizures;
· decreased hearing or ringing in the ears;
· yellowing of the skin and eyes (jaundice); or
· abdominal cramping, indigestion, or heartburn.
• Other, less serious side effects may be more likely to occur. Continue to take Voltaren and talk to your doctor if you experience
· dizziness or headache;
· nausea, diarrhea, or constipation;
· depression;
· fatigue or weakness;
· dry mouth; or
· irregular menstrual periods.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Voltaren?
• Before taking Voltaren, tell your doctor if you are taking any of the following drugs:
· aspirin or another salicylate (form of aspirin) such as salsalate (Disalcid), diflunisal (Dolobid), choline salicylate-magnesium salicylate (Trilisate, Tricosal, others), and magnesium salicylate (Doan's, others);
· another nonsteroidal anti-inflammatory drug (NSAID) such as etodolac (Lodine), fenoprofen (Nalfon), flurbiprofen (Ansaid), ibuprofen (Motrin, Advil, others), indomethacin (Indocin), ketoprofen (Orudis, Orudis KT), ketorolac (Toradol), meloxicam (Mobic), nabumetone (Relafen), naproxen (Aleve, Naprosyn, Anaprox, others), oxaprozin (Daypro), piroxicam (Feldene), sulindac (Clinoril), or tolmetin (Tolectin);
· an over-the-counter cough, cold, allergy, or pain medicine that contains aspirin, ibuprofen, Voltaren, or ketoprofen;
· an anticoagulant (blood thinner) such as warfarin (Coumadin);
· a steroid such as prednisone (Deltasone);
· insulin or an oral diabetes medicine such as glipizide (Glucotrol), glyburide (Diabeta, Micronase), and others;
· probenecid (Benemid);
· lithium (Eskalith, Lithobid, others); or
· bismuth subsalicylate in drugs such as Pepto-Bismol.
• You may not be able to take Voltaren, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.
• Drugs other than those listed here may also interact with Voltaren. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.

Vioxx

2006-11-17T08:08:00.001-08:00

What is the most important information I should know about rofecoxib?
• The manufacturer of rofecoxib (Vioxx) has announced a voluntary withdrawal of the drug from the U.S. and worldwide market. This withdrawal is due to safety concerns of an increased risk of cardiovascular events (including heart attack and stroke) in patients taking rofecoxib.
• Notify your doctor immediately if you develop abdominal pain, tenderness, or discomfort; nausea; blood in your vomit; bloody, black, or tarry stools; unexplained weight gain; swelling or water retention; fatigue or lethargy; a skin rash; itching; yellowing of your skin or eyes;"flu-like" symptoms; or unusual bruising or bleeding. These symptoms could be early signs of dangerous side effects.

What is rofecoxib?
• Rofecoxib is in a class of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs). Rofecoxib works by reducing substances that cause inflammation, pain, and fever in the body.
• Rofecoxib is used to reduce pain, inflammation, and stiffness caused by osteoarthritis, rheumatoid arthritis and certain forms of juvenile rheumatoid arthritis; to manage acute pain in adults; to treat migraines; and to treat menstrual pain.
• Rofecoxib may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking rofecoxib?
• The manufacturer of rofecoxib (Vioxx) has announced a voluntary withdrawal of the drug from the U.S. and worldwide market. This withdrawal is due to safety concerns of an increased risk of cardiovascular events (including heart attack and stroke) in patients taking rofecoxib.
• Do not take rofecoxib without first talking to your doctor if you have experienced asthma, hives, or an allergic reaction after taking aspirin or another NSAID such as ibuprofen (Motrin, Advil, Nuprin), naproxen (Aleve, Naprosyn, Anaprox), ketoprofen (Orudis KT, Orudis, Oruvail), diclofenac (Voltaren, Cataflam), diflunisal (Dolobid), etodolac (Lodine), fenoprofen (Nalfon), flurbiprofen (Ansaid), indomethacin (Indocin), ketorolac (Toradol), nabumetone (Relafen), oxaprozin (Daypro), piroxicam (Feldene), sulindac (Clinoril), tolmetin (Tolectin), celecoxib (Celebrex), valdecoxib (Bextra), or meloxicam (Mobic). You may experience a similar reaction to rofecoxib.
• Before taking rofecoxib, tell your doctor if you
· smoke;
· drink alcohol;
· have ever had an ulcer or bleeding in your stomach;
· have liver disease;
· have kidney disease;
· have asthma;
· have congestive heart failure;
· have fluid retention;
· have heart disease;
· have high blood pressure;
· have a coagulation (bleeding) disorder or are taking an anticoagulant (blood thinner) such as warfarin (Coumadin); or
· are taking a steroid medicine such as prednisone (Deltasone and others), methylprednisolone (Medrol and others), prednisolone (Prelone, Pediapred, and others), and others.
• You may not be able to take rofecoxib, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions, or are taking any of the medicines, listed above.
• Rofecoxib is in the FDA pregnancy category C. This means that it is not known whether it will harm an unborn baby. Rofecoxib should not be taken late in pregnancy (the third trimester) because it may affect the formation of the baby's heart. Do not take rofecoxib without first talking to your doctor if you are pregnant or could become pregnant during treatment.
• It is not known whether rofecoxib passes into breast milk. Do not take rofecoxib without first talking to your doctor if you are breast-feeding.
• If you are over the age of 65 years, you may be more likely to experience side effects from rofecoxib. You may require a lower dosage or special monitoring during treatment.

How should I take rofecoxib?
• Take rofecoxib exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take each dose with a full glass of water.
• Shake the rofecoxib suspension well before measuring a dose. Use a dose-measuring cup or spoon, not a regular table spoon, to measure the liquid form of rofecoxib to ensure that you measure the correct amount of medicine. If you do not have a dose-measuring device, ask your pharmacist where you can get one.
• Rofecoxib can be taken with or without food or milk.
• Store rofecoxib at room temperature away from moisture and heat.

What happens if I miss a dose?
• Take the missed dose as soon as you remember. If it is almost time for the next dose, skip the dose you missed and take only the next regularly scheduled dose as directed. Do not take a double dose of this medication unless your doctor directs otherwise.

What happens if I overdose?
• Seek emergency medical attention.
• Symptoms of a rofecoxib overdose are not known.

What should I avoid while taking rofecoxib?
• There are no restrictions on food, beverages, or activity during treatment with rofecoxib, unless otherwise directed by your doctor.

What are the possible side effects of rofecoxib?
• Notify your doctor immediately if you develop abdominal pain, tenderness, or discomfort; nausea; blood in your vomit; bloody, black, or tarry stools; unexplained weight gain; swelling or water retention; fatigue or lethargy; a skin rash; itching; yellowing of your skin or eyes;"flu-like" symptoms; or unusual bruising or bleeding. These symptoms could be early signs of dangerous side effects.
• If you experience any of the following serious side effects, stop taking rofecoxib and seek medical treatment or contact your doctor immediately:
· an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);
· abdominal pain, tenderness, or discomfort;
· bloody, black, or tarry stools;
· nausea or heartburn;
· blood in your vomit;
· unexplained weight gain;
· swelling or water retention;
· unusual fatigue or lethargy;
· a skin rash or itching;
· yellowing of your skin or eyes;
· "flu-like" symptoms; or
· unusual bruising or bleeding.
• Other, less serious side effects may be more likely to occur. Continue to take rofecoxib and talk to your doctor if you experience
· dizziness;
· mild fatigue or weakness; or
· diarrhea.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect rofecoxib?
• Before taking rofecoxib, tell your doctor if you are taking any of the following drugs:
· aspirin or an aspirin-like medication such as salsalate (Disalcid), choline salicylate-magnesium salicylate (Trilisate, Tricosal, others), and magnesium salicylate (Doan's, Bayer Select Backache Formula, others);
· an over-the-counter cough, cold, allergy, or pain medicine that contains aspirin, ibuprofen, naproxen, or ketoprofen;
· a diuretic (water pill) such as furosemide (Lasix), hydrochlorothiazide (Hydrodiuril, others), chlorothiazide (Diuril, others), chlorthalidone (Hygroton, Thalitone), and others;
· an angiotensin-converting-enzyme inhibitor (ACE inhibitor) such as benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), lisinopril (Prinivil, Zestril), moexipril (Univasc), quinapril (Accupril), and others;
· a steroid medicine such as prednisone (Deltasone and others), methylprednisolone (Medrol and others), prednisolone (Prelone, Pediapred, and others), and others;
· an anticoagulant (blood thinner) such as warfarin (Coumadin);
· methotrexate (Rheumatrex, Folex);
· theophylline (Theo-Dur, Theobid, and others);
· lithium (Eskalith, Lithobid, others); or
· rifampin (Rimactane, Rifadin, Rifater).
• You may not be able to take an rofecoxib, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.
• Drugs other than those listed here may also interact with rofecoxib. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Vicodin

2006-11-17T08:07:00.000-08:00

What is the most important information I should know about Vicodin?
• Hydrocodone is habit forming. It is possible become physically and/or psychologically dependent on the medication. Do not take more than the prescribed amount of medication or take it for longer than is directed by your doctor. Withdrawal effects may occur if Vicodin is stopped suddenly after several weeks of continuous use. Your doctor may recommend a gradual reduction in dose.
• Avoid alcohol while taking Vicodin. Alcohol can increase drowsiness and dizziness caused by the medication, possibly resulting in unconsciousness and death. Also, acetaminophen can be damaging to the liver when taken with alcohol.
• Vicodin may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, pain relievers, anxiety medicines, seizure medicines, and muscle relaxants. Dangerous sedation, dizziness, or drowsiness may occur if Vicodin is taken with any of these medications. Tell your doctor about all medicines that you are taking, and do not take any medicine without first talking to your doctor.
• Vicodin may cause constipation. Drink plenty of water (six to eight full glasses a day) to lessen this side effect. Increased fiber in the diet may also help to alleviate constipation.

What is Vicodin?
• Hydrocodone (related to codeine) is in a class of drugs called narcotic analgesics. It relieves pain.
• Acetaminophen is a less potent pain reliever that increases the effects of hydrocodone.
• Together, Vicodin is used to relieve moderate-to-severe pain.
• Vicodin may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking Vicodin?
• Before taking this medication, tell your doctor if you have
· a history of alcohol or drug abuse;
· kidney disease;
· liver disease;
· asthma;
· urinary retention;
· an enlarged prostate;
· hypothyroidism;
· seizures or epilepsy;
· gallbladder disease;
· a head injury; or
· Addison's disease.
• You may not be able to take Vicodin, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
• Vicodin is in the FDA pregnancy category C. This means that it is not known whether it will be harmful to an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment.
• Vicodin passes into breast milk and may affect a nursing infant. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.
• If you are younger than 18 years of age or older than 60 years of age, you may be more likely to experience side effects from Vicodin. Your doctor may prescribe a lower dose.

How should I take Vicodin?
• Take Vicodin exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take each dose with a full glass of water.
• Take Vicodin with food or milk if it causes stomach upset.
• To ensure that you get a correct dose, measure the liquid form of Vicodin with a special dose-measuring spoon or cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.
• Hydrocodone is habit forming. It is possible become physically and/or psychologically dependent on the medication. Do not take more than the prescribed amount of medication or take it for longer than is directed by your doctor. Withdrawal effects may occur if Vicodin is stopped suddenly after several weeks of continuous use. Your doctor may recommend a gradual reduction in dose.
• Vicodin may cause constipation. Drink plenty of water (six to eight full glasses a day) to lessen this side effect. Increased fiber in the diet may also help to alleviate constipation.
• Store Vicodin at room temperature away from moisture and heat.

What happens if I miss a dose?
• Take the missed dose as soon as you remember. Do not take a double dose of this medication. Wait the prescribed amount of time before taking the next dose.

What happens if I overdose?
• Seek emergency medical attention if an overdose is suspected.
• Symptoms of an Vicodin overdose may include slow breathing, seizures, dizziness, weakness, loss of consciousness, coma, confusion, tiredness, cold and clammy skin, small pupils, nausea, vomiting, and sweating.

What should I avoid while taking Vicodin?
• Avoid alcohol while taking Vicodin. Alcohol can increase drowsiness and dizziness caused by the medication, possibly resulting in unconsciousness and death. Also, acetaminophen can be damaging to the liver when taken with alcohol.
• Vicodin may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, pain relievers, anxiety medicines, seizure medicines, and muscle relaxants. Dangerous sedation, dizziness, or drowsiness may occur if Vicodin is taken with any of these medications. Tell your doctor about all medicines that you are taking, and do not take any medicine without first talking to your doctor.
• Use caution when driving, operating machinery, or performing other hazardous activities. Hydrocodone may cause drowsiness or dizziness. If you experience drowsiness or dizziness, avoid these activities.
• Other products may also contain acetaminophen, especially over-the-counter pain, fever, cold, and allergy medications. Do not take any other products that contain acetaminophen without first talking to your doctor. Too much acetaminophen can be dangerous.

What are the possible side effects of Vicodin?
• If you experience any of the following serious side effects, stop taking Vicodin and seek emergency medical attention or contact your doctor immediately:
· an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
· slow, weak breathing;
· seizures;
· cold, clammy skin;
· severe weakness or dizziness;
· unconsciousness;
· yellowing of the skin or eyes; or
· unusual fatigue, bleeding, or bruising.
• Other, less serious side effects may be more likely to occur. Continue to take Vicodin and talk to your doctor if you experience
· constipation;
· dry mouth, nausea, vomiting, or decreased appetite;
· dizziness, tiredness, or lightheadedness;
· muscle twitches;
· sweating;
· itching;
· decreased urination; or
· decreased sex drive.
• Hydrocodone is habit forming. It is possible become physically and/or psychologically dependent on the medication. Do not take more than the prescribed amount of medication or take it for longer than is directed by your doctor. Withdrawal effects may occur if Vicodin is stopped suddenly after several weeks of continuous use. Your doctor may recommend a gradual reduction in dose.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Vicodin?
• Do not take Vicodin if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days. Dangerous side effects could result.
• Vicodin may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, pain relievers, anxiety medicines, seizure medicines, and muscle relaxants. Dangerous sedation, dizziness, or drowsiness may occur if Vicodin is taken with any of these medications. Tell your doctor about all medicines that you are taking, and do not take any medicine without first talking to your doctor.
• Other products may also contain acetaminophen, especially over-the-counter pain, fever, cold, and allergy medications. Do not take any other products that contain acetaminophen without first talking to your doctor. Too much acetaminophen can be dangerous.
• Drugs other than those listed here may also interact with Vicodin. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.

Viagra

2006-11-17T08:06:00.002-08:00

What is the most important information I should know about Viagra?
• Do not take Viagra if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking Viagra with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack.
• If you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be having a serious side effect of Viagra.
• Do not take Viagra more than once a day. Allow 24 hours to pass between doses.
• Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.
• A small number of patients have had a sudden loss of eyesight after taking Viagra. This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether Viagra is the actual cause of such vision loss. Sudden vision loss with Viagra use has occurred most often in people with heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old.
• Stop using Viagra and get emergency medical help if you have sudden vision loss.

What is Viagra?
• Viagra relaxes muscles and increases blood flow to particular areas of the body.
• Sildenafil under the name Viagra is used to treat erectile dysfunction (impotence) in men. Another brand of sildenafil is Revatio, which is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women.
• Viagra may also be used for purposes other than those listed here.

What should I discuss with my healthcare provider before taking Viagra?
• Do not take Viagra if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking Viagra with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack.
• A small number of patients have had a sudden loss of eyesight after taking Viagra. This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether Viagra is the actual cause of such vision loss. Sudden vision loss with Viagra use has occurred most often in people with heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old.
• Before taking Viagra, tell your doctor if you have:
· heart disease or heart rhythm problems;
· a recent history (in the past 6 months) of a heart attack, stroke, or heart rhythm disorder;
· congestive heart failure;
· high or low blood pressure;
· coronary artery disease;
· liver disease;
· kidney disease;
· a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
· a bleeding disorder such as hemophilia;
· a stomach ulcer;
· retinitis pigmentosa (an inherited condition of the eye);
· a physical deformity of the penis (such as Peyronie's disease); or
· if you have been told you should not have sexual intercourse for health reasons.
• If you have any of these conditions, you may not be able to use Viagra or you may need a dosage adjustment or special tests during treatment.
• FDA pregnancy category B: This medication is not expected to be harmful to an unborn baby. Do not use Viagra without telling your doctor if you are pregnant or plan to become pregnant during treatment.
• It is not known if Viagra passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take Viagra?
• Take Viagra exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor.
• Revatio is usually taken three times each day, about 4 to 6 hours apart.
• Viagra is usually taken only when needed, 30 minutes to 1 hour before sexual activity. You may take it up to 4 hours before sexual activity. Do not take Viagra more than once per day.
• Viagra can help you have an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Follow your doctor's instructions.
• If you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be having a serious side effect of Viagra.
• Store this medication at room temperature away from moisture and heat.

What happens if I miss a dose of Viagra?
• Viagra is used as needed, so you are not likely to miss a dose.
• If you miss a dose of Revatio, take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose with Viagra?
• Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a Viagra overdose may include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.

What should I avoid while taking Viagra?
• Avoid drinking alcohol, which can increase some of the side effects of Viagra.
• Avoid using other medicines to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), without first talking to your doctor.

What are the possible side effects of Viagra?
• If you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be having a serious side effect of Viagra.
• Stop using Viagra and get emergency medical help if you have sudden vision loss.
• Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
• Stop using Viagra and call your doctor at once if you have any of these serious side effects:
· chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;
· irregular heartbeat;
· swelling in your hands, ankles, or feet;
· shortness of breath;
· vision changes;
· feeling light-headed, fainting; or
· penis erection that is painful or lasts 4 hours or longer.
• Continue taking Viagra and talk with your doctor if you have any of these less serious side effects:
· warmth or redness in your face, neck, or chest;
· stuffy nose;
· headache;
· upset stomach; or
· back pain.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Viagra?
• Do not take Viagra if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket), or recreational drugs such as amyl nitrate or nitrite ("poppers").
• Before taking Viagra, tell your doctor if you are using any of the following medications:
· bosentan (Tracleer);
· cimetidine (Tagamet, Tagamet HB);
· an antibiotic such as erythromycin (E-Mycin, Eryc, Ery-Tab) or clarithromycin (Biaxin);
· doxazosin (Cardura), prazosin (Minipress), Terazosin (Hytrin);
· HIV medicines such as amprenavir (Agenerase), tipranavir (Aptivus), darunavir (Prezista), efavirenz (Sustiva), nevirapine (Viramune), indinavir (Crixivan), saquinavir (Invirase, Fortovase), lopinavir/ritonavir (Kaletra), fosamprenavir (Lexiva), ritonavir (Norvir), atazanavir (Reyataz), or nelfinavir (Viracept);
· an antifungal medication such as itraconazole (Sporanox) or ketoconazole (Nizoral);
· carbamazepine (Tegretol), phenobarbital (Luminal), or phenytoin (Dilantin); or
· rifampin (Rifadin, Rimactane) or rifabutin (Mycobutin).
• If you are using any of these drugs, you may not be able to take Viagra, or you may need dosage adjustments or special tests during treatment.
• There may be other drugs not listed that can affect Viagra. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Valtrex

2006-11-17T08:06:00.001-08:00

What is the most important information I should know about Valtrex?
• Take all of the Valtrex that has been prescribed for you even if you begin to feel better. Your symptoms may start to improve before the infection is completely treated.
• Treatment with Valtrex should be started as soon as possible after the first appearance of symptoms (e.g. tingling, burning, blisters).
• Herpes infections are contagious and you can infect other people, even during treatment. Avoid letting infected areas come into contact with other people. Wash your hands frequently to prevent transmission.

What is Valtrex?
• Valtrex is an antiviral drug. It slows the growth and spread of the herpes virus so that the body can fight off the infection. Valtrex lessens the symptoms of these infections and shortens the length of time you are sick.
• Valtrex is used to treat genital herpes, shingles, and cold sores.
• Valtrex may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking Valtrex?
• Do not take Valtrex without first talking to your doctor if you are allergic to acyclovir (Zovirax).
• Before taking this medication, tell your doctor if you have kidney disease. You may need a lower dose or special monitoring during therapy with Valtrex.
• Valtrex is in the FDA pregnancy category B. This means that it is not expected to be harmful to an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment.
• It is not known whether Valtrex passes into breast milk and how it may affect a nursing baby. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.

How should I take Valtrex?
• Take Valtrex exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
• Treatment with Valtrex should be started as soon as possible after the first appearance of symptoms (e.g. for cold sores-tingling, burning, blisters).
• Take each dose with a full glass of water.
• Valtrex can be taken with or without food. Taking Valtrex with food may decrease stomach upset.
• Take all of the Valtrex that has been prescribed for you even if you begin to feel better. Your symptoms may start to improve before the infection is completely treated.
• It is important to take Valtrex regularly to get the most benefit.
• Lesions caused by herpes viruses should be kept as clean and dry as possible. Wearing loose clothing may help to prevent irritation of the lesions.
• Store Valtrex at room temperature away from moisture and heat.

What happens if I miss a dose?
• Take the missed dose as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take a double dose of this medication unless otherwise directed by your doctor.

What happens if I overdose?
• Seek emergency medical treatment.
• The symptoms of an overdose of Valtrex are not well known, but an overdose of acyclovir (Zovirax), which is a similar drug, may cause seizures, hallucinations, and kidney damage (decreased urine production).

What should I avoid while taking Valtrex?
• Herpes infections are contagious and you can infect other people, even during treatment. Avoid letting infected areas come into contact with other people. Wash your hands frequently to prevent transmission.
• Valtrex will not prevent the spread of genital herpes. Avoidance of sexual intercourse and use of latex condoms may prevent spreading the virus to others.

What are the possible side effects of Valtrex?
• Stop taking Valtrex and seek emergency medical attention if you experience an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives).
• Other, less serious side effects may be more likely to occur. Continue to take Valtrex and talk to your doctor if you experience
· nausea, vomiting, diarrhea, constipation, or abdominal pain;
· headache;
· dizziness; or
· tremors.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Valtrex?
• Probenecid (Benemid) and cimetidine (Tagamet, Tagamet HB) may increase the effects of Valtrex and possibly lead to dangerous side effects. You may need a dosage adjustment or special monitoring during treatment if you are taking probenecid or cimetidine.
• Drugs other than those listed here may also interact with Valtrex. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Valium diazepam

2006-11-15T02:40:00.001-08:00

What is the most important information I should know about Valium (diazepam)?
•
Use caution when driving, operating machinery, or performing other hazardous activities. Valium (diazepam) will cause drowsiness and may cause dizziness. If you experience drowsiness or dizziness, avoid these activities.
•
Avoid alcohol while taking Valium (diazepam). Alcohol may increase drowsiness and dizziness caused by Valium (diazepam). Alcohol may also increase the risk of having a seizure if Valium (diazepam) is being taken for a seizure condition.
•
Valium (diazepam) is habit forming. You can become physically and psychologically dependent on the medication. Do not take more than the prescribed amount of medication or take it for longer than is directed by your doctor. Withdrawal effects may occur if Valium (diazepam) is stopped suddenly after several weeks of continuous use. Your doctor may recommend a gradual reduction in dose.
What is Valium (diazepam)?
•
Valium (diazepam) is in a class of drugs called benzodiazepines. Valium (diazepam) affects chemicals in the brain that may become unbalanced and cause anxiety, seizures, and muscle spasms.
•
Valium (diazepam) is used to relieve anxiety, nervousness, and tension associated with anxiety disorders. It is also used to treat certain types of seizure disorders and muscle spasms.
•
Valium (diazepam) may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking Valium (diazepam)?
•
Do not take Valium (diazepam) if you have narrow-angle glaucoma. Valium (diazepam) may worsen this condition.
•
Before taking this medication, tell your doctor if you
·
have kidney disease;
·
have liver disease;
·
have asthma, bronchitis, emphysema, or another respiratory disease; or
·
are depressed or have suicidal thoughts.
•
You may not be able to take Valium (diazepam), or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
•
Valium (diazepam) is in the FDA pregnancy category D. This means that Valium (diazepam) is known to harm an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant.
•
Valium (diazepam) passes into breast milk. Do not take Valium (diazepam) without first talking to your doctor if you are breast-feeding a baby.
•
If you are over 65 years of age, you may be more likely to experience side effects from Valium (diazepam). You may require a lower dose of this medication.
How should I take Valium (diazepam)?
•
Take Valium (diazepam) exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
•
Take each oral dose with a full glass of water.
•
To ensure the correct dose, measure the liquid forms of Valium (diazepam) with a dose-measuring spoon or cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.
•
Your doctor or nurse will give you detailed instructions for administration of the Diastat rectal gel. In general, application of the rectal gel is as follows:
·
Remove the protective cover from the medication syringe and lubricate the rectal tip with lubricating jelly.
·
Turn the person on their side facing you. Bend the upper leg forward and separate the buttocks to expose the rectum.
·
Gently insert the syringe tip into the rectum. The rim should be snug against the rectal opening. Slowly count out loud to three while gently pushing the plunger in until it stops. Slowly count to three before removing the syringe. Slowly count to three and hold the buttocks together to prevent leakage.
·
Keep the person on their side facing you, note the time the medication was given, and observe the person for signs of seizure, skin color, breathing, or any unusual reaction.
•
Do not take Valium (diazepam) more often or in larger doses than is prescribed.
•
Valium (diazepam) is habit forming. You can become physically and psychologically dependent on the medication. Do not take more than the prescribed amount of medication or take it for longer than is directed by your doctor. Withdrawal effects may occur if Valium (diazepam) is stopped suddenly after several weeks of continuous use. Your doctor may recommend a gradual reduction in dose.
•
Store Valium (diazepam) at room temperature away from moisture and heat.
What happens if I miss a dose?
•
Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the dose you missed and take only the next regularly scheduled dose. Do not take a double dose of this medication. A double dose could be dangerous.
What happens if I overdose?
•
Seek emergency medical attention.
•
Symptoms of a Valium (diazepam) overdose include sleepiness, dizziness, confusion, a slow heart beat, difficulty breathing, difficulty walking and talking, an appearance of being drunk, and unconsciousness.
What should I avoid while taking Valium (diazepam)?
•
Use caution when driving, operating machinery, or performing other hazardous activities. Valium (diazepam) will cause drowsiness and may cause dizziness. If you experience drowsiness or dizziness, avoid these activities.
•
Avoid alcohol while taking Valium (diazepam). Alcohol may increase drowsiness and dizziness caused by Valium (diazepam). Alcohol may also increase the risk of having a seizure if Valium (diazepam) is being taken for a seizure condition.
•
Valium (diazepam) may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, seizure medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any medicine without first talking to your doctor.
What are the possible side effects of Valium (diazepam)?
•
If you experience any of the following serious side effects, stop taking Valium (diazepam) and seek emergency medical attention or contact your doctor immediately:
·
an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, face, or tongue; or hives);
·
sores in the mouth or throat;
·
yellowing of the skin or eyes;
·
a rash;
·
hallucinations or severe confusion; or
·
changes in your vision.
•
Other, less serious side effects may be more likely to occur. Continue to take Valium (diazepam) and talk to your doctor if you experience
·
drowsiness, dizziness, or clumsiness;
·
depression;
·
nausea, vomiting, diarrhea, or constipation;
·
difficulty urinating;
·
vivid dreams;
·
headache;
·
dry mouth;
·
decreased sex drive; or
·
changes in behavior.
•
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect Valium (diazepam)?
•
Valium (diazepam) may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, seizure medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any medicine without first talking to your doctor.
•
Antacids may decrease the effects of Valium (diazepam). Separate doses of an antacid and Valium (diazepam) by several hours whenever possible.
•
Drugs other than those listed here may also interact with Valium (diazepam). Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

Ultram

2006-11-15T02:39:00.000-08:00

What is the most important information I should know about Ultram?You should not take Ultram if you have ever been addicted to drugs or alcohol.
Take Ultram exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Do not take more than 300 milligrams of Ultram in one day.
Do not stop using this medication suddenly without talking to your doctor. You may need to gradually reduce the dose. Withdrawal symptoms may occur when you stop using Ultram. Withdrawal symptoms include anxiety, sweating, nausea, diarrhea, tremors, chills, hallucinations, trouble sleeping, or breathing problems. Call your doctor at once if you have any of these withdrawal symptoms after you stop using Ultram.Do not crush the Ultram tablet. This medicine is for oral (by mouth) use only. Powder from a crushed tablet should not be inhaled or diluted with liquid and injected into the body. Using this medicine by inhlation or injection can cause life-threatening side effects, overdose, or death.
Seizures (convulsions) have occurred in some people taking Ultram. You may be more likely to have a seizure while taking Ultram if you have a history of seizures or head injury, a metabolic disorder, or if you are taking certain medicines such as antidepressants, muscle relaxers, or medicine for nausea and vomiting.Seek emergency medical attention if you think you have used too much of this medicine. A Ultram overdose can be fatal. Symptoms of a Ultram overdose may include drowsiness, shallow breathing, slow heartbeat, extreme weakness, cold or clammy skin, feeling light-headed, fainting, or coma. While you are taking Ultram, do not drink alcohol or use drugs that make you sleepy (such as cold medicine, other pain medications, muscle relaxants, and medicine for seizures, depression or anxiety). These drugs may slow your breathing or increase drowsiness when used together with Ultram. Ultram can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
What is Ultram?
Ultram is a narcotic-like pain reliever.
Ultram is used to treat moderate to severe pain. Ultram extended-release is used to treat moderate to severe chronic pain when treatment is needed around the clock.
Ultram may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking Ultram?You should not take Ultram if you have ever been addicted to drugs or alcohol. Do not take Ultram if you are intoxicated (drunk), or if you have recently used any of the following drugs:
alcohol;
narcotic pain medicine;
sedatives or tranquilizers (such as Valium);
medicine for depression or anxiety;
medicine for mental illness (such as bipolar disorder, schizophrenia); or
street drugs.
Seizures have occurred in some people taking Ultram. Your risk of a seizure may be higher if you have any of these conditions:
a history of drug or alcohol addiction;
a history of epilepsy or other seizure disorder;
a history of head injury; or
a metabolic disorder.
Talk with your doctor about your individual risk of having a seizure from this medicine.
Before taking Ultram, tell your doctor if you are allergic to any drugs, or if you have:
kidney disease;
liver disease;
a stomach disorder; or
a history of depression, mental illness, or suicide attempt.
If you have any of these conditions, you may not be able to use Ultram, or you may need a dosage adjustment or special tests during treatment.FDA pregnancy category C. This medication may be harmful to an unborn baby. Ultram may also cause serious or fatal side effects in a newborn if the mother uses the medication during pregnancy or labor. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Ultram can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Older adults may be more sensitive to the effects of Ultram. If you are over 65, your doctor may recommend a lower dose. Ultram should not be given to a child younger than 16 years of age.
How should I take Ultram?
Take Ultram exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Follow the directions on your prescription label. Do not take more than 300 milligrams of Ultram in one day.Take each dose with a full glass of water.
Ultram can be taken with or without food, but take it the same way each time.Do not crush the Ultram tablet. This medicine is for oral (by mouth) use only. Powder from a crushed tablet should not be inhaled or diluted with liquid and injected into the body. Using this medicine by inhlation or injection can cause life-threatening side effects, overdose, or death. Do not crush, chew, or break an extended-release tablet. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time.
If you use the Ultram extended-release tablet, the tablet shell may pass into your stools (bowel movements). This is normal and does not mean that you are not receiving enough of the medicine.Ultram may be habit-forming. Tell your doctor if you feel the medicine is not working as well in relieving your pain. Do not change your dose without talking to your doctor.
Do not stop using this medication suddenly without talking to your doctor. You may need to gradually reduce the dose. Withdrawal symptoms may occur when you stop using Ultram. Withdrawal symptoms include anxiety, sweating, nausea, diarrhea, tremors, chills, hallucinations, trouble sleeping, or breathing problems. Call your doctor at once if you have any of these withdrawal symptoms after you stop using Ultram.Store Ultram at room temperature away from moisture and heat.
What happens if I miss a dose of Ultram?
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.
What happens if I overdose with Ultram?Seek emergency medical attention if you think you have used too much of this medicine. A Ultram overdose can be fatal.
Symptoms of a Ultram overdose may include drowsiness, shallow breathing, slow heartbeat, extreme weakness, cold or clammy skin, feeling light-headed, fainting, or coma.
What should I avoid while taking Ultram?Do not drink alcohol while you are taking Ultram. Alcohol may cause a dangerous decrease in your breathing when used together with Ultram.
Avoid using drugs that make you sleepy (such as cold medicine, other pain medications, muscle relaxants, and medicine for seizures, depression or anxiety). These drugs may slow your breathing or increase drowsiness when used together with Ultram.Ultram can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
What are the possible side effects of Ultram?Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using Ultram and call your doctor at once if you have any of these serious side effects:
seizure (convulsions);
a red, blistering, peeling skin rash; or
shallow breathing, weak pulse.
Continue taking Ultram and talk to your doctor if you have any of these less serious side effects:
dizziness, drowsiness, weakness;
nausea, vomiting, constipation, loss of appetite;
blurred vision;
flushing (redness, warmth, or tingly feeling); or
sleep problems (insomnia).
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect Ultram?
You may be more likely to have a seizure (convulsions) if you take Ultram while you are using certain other medicines. Do not take Ultram without telling your doctor if you also use any of the following:
an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam); or
an antidepressant such as amitriptyline (Elavil), citalopram (Celexa), clomipramine (Anafranil), desipramine (Norpramin), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), imipramine (Tofranil), nortriptyline (Pamelor); paroxetine (Paxil), or sertraline (Zoloft).
Before taking Ultram, tell your doctor if you also use:
carbamazepine (Tegretol);
warfarin (Coumadin);
digoxin (Lanoxin, Lanoxicaps);
ketoconazole (Nizoral);
erythromycin (E-Mycin, E.E.S., Ery-Tab);
rifampin (Rifadin, Rimactane, Rifater);
St. John's wort;
quinidine (Quinaglute, Quinadex, Cardioquin, Quinora); or
drugs that make you sleepy (such as cold medicine, other pain medications, muscle relaxants, and medicine for seizures, depression or anxiety).
If you are using any of these drugs, you may not be able to use Ultram or you may need dosage adjustments or special tests during treatment.
There may be other drugs not listed that can affect Ultram. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
Where can I get more information on Ultram?
Your pharmacist has more information about Ultram written for health professionals that you may read.
What does my medication look like?
Tramadol is available with a prescription under the brand names Ultram and Ultram ER. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.
Tramadol 50 mg--white, capsule-shaped, film-coated tablets.
Ultram ER 100 mg, 200 mg, 300 mg--white, round extended-release tablets.

Ultracet

2006-11-15T02:37:00.000-08:00

What is the most important information I should know about Ultracet?
•
Seizures have been reported as a rare side effect of treatment with Ultracet. The risk of seizures may be increased in patients who take more than the prescribed dose, have a history of seizures or epilepsy, have head trauma, have a metabolic disorder, have a central nervous system infection, are experiencing alcohol or drug withdrawal, or are taking certain medications. Talk to your doctor about factors that may increase the risk of seizures during treatment.
•
Do not drink alcohol while taking Ultracet. Alcohol may cause a dangerous decrease in breathing and/or liver problems when used during treatment with Ultracet.
•
Use caution when driving, operating machinery, or performing other hazardous activities. Ultracet may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
•
Do not take more of this medication than is prescribed for you. If the pain is not being controlled, talk to your doctor. Taking more than the prescribed amount of this medication could result in seizures or decreased breathing.
•
Do not take other prescription or over-the-counter medicines that contain acetaminophen (Tylenol, pain relievers, cold and flu medicines, others) during treatment with Ultracet. Taking too much acetaminophen may be harmful.
What is Ultracet?
•
Acetaminophen and tramadol are both pain relievers. The exact way that Ultracet works is unknown.
•
Ultracet is used for the short-term (5 days or less) management of pain.
•
Ultracet may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking Ultracet?
•
Seizures have been reported as a rare side effect of treatment with Ultracet. The risk of seizures may be increased in patients who have any of the conditions or are taking any of the medications listed below: Do not take Ultracet without first talking to your doctor if you
·
have a history of seizures or epilepsy;
·
have a head injury;
·
have a metabolic disorder;
·
have a central nervous system infection;
·
are experiencing alcohol or drug withdrawal;
·
are taking a tricyclic antidepressant such as amitriptyline (Elavil), nortriptyline (Pamelor), doxepin (Sinequan), imipramine (Tofranil), clomipramine (Anafranil), and others;
·
are taking a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate);
·
are taking a psychiatric medication such as chlorpromazine (Thorazine), fluphenazine (Prolixin), haloperidol (Haldol), loxapine (Loxitane), mesoridazine (Serentil), perphenazine (Trilafon), thioridazine (Mellaril), thiothixene (Navane), and others;
·
are taking a selective serotonin reuptake inhibitor (SSRI) such as fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), sertraline (Zoloft), or citalopram (Celexa);
·
are taking a narcotic pain reliever such as codeine, fentanyl (Duragesic), hydromorphone (Dilaudid), meperidine (Demerol), hydrocodone (Vicodin, Lorcet, Lortab, others), morphine (MS Contin, MSIR, RMS, Roxanol, others), oxycodone (Roxicodone, Percocet, Percodan, others), propoxyphene (Darvon, Darvocet, others), and others;
·
are taking promethazine (Phenergan) or prochlorperazine (Compazine);
·
are taking sibutramine (Meridia);
·
are taking bupropion (Wellbutrin, Zyban); or
·
are taking cyclobenzaprine (Flexeril).
•
Before taking Ultracet, tell your doctor if you have
·
kidney disease;
·
liver disease; or
·
a history of alcohol or drug dependence.
•
You may not be able to take Ultracet, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
•
Ultracet is in the FDA pregnancy category C. This means that it is not known whether it will harm an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment.
•
Ultracet passes into breast milk and may affect a nursing baby. Do not take Ultracet without first talking to your doctor if you are breast-feeding a baby.
•
If you are over 65 years of age, you may be more likely to experience side effects from Ultracet. Your doctor may prescribe a lower dose or special monitoring during treatment.
How should I take Ultracet?
•
Take Ultracet exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
•
Take each dose with a full glass of water.
•
Ultracet can be taken with or without food.
•
For the short-term treatment of pain, the usual dose is 2 tablets taken every 4 to 6 hours, up to eight tablets per day. People over 65 years of age and those with other medical conditions such as seizures or epilepsy, liver disease, kidney disease, and others may need lower daily doses. Follow your doctor's directions.
•
Do not take more of this medication than is prescribed for you. If the pain is not being controlled, talk to your doctor. Taking more than the prescribed amount of this medication could result in seizures or decreased breathing.
•
Store Ultracet at room temperature away from moisture and heat.
What happens if I miss a dose?
•
Since Ultracet is taken on an as-needed basis, missing a dose is usually not a problem. Take the dose as soon as you remember, and do not take another dose for the amount of time prescribed by your doctor. Do not take a double dose of this medication.
What happens if I overdose?
•
Seek emergency medical attention.
•
Symptoms of a Ultracet overdose include nausea; vomiting; sweating; difficulty breathing; shallow, weak breathing; and seizures.
What should I avoid while taking Ultracet?
•
Use caution when driving, operating machinery, or performing other hazardous activities. Ultracet may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
•
Do not drink alcohol while taking Ultracet. Alcohol may cause a dangerous decrease in breathing and/or liver problems when used during treatment with Ultracet.
•
Do not take other prescription or over-the-counter medicines that contain acetaminophen (Tylenol, pain relievers, cold and flu medicines, others) during treatment with Ultracet. Taking too much acetaminophen may be harmful.
•
Avoid sleeping pills, tranquilizers, sedatives and antihistamines except under the supervision of your doctor. Ultracet may cause drowsiness and these agents may worsen this effect.
What are the possible side effects of Ultracet?
•
If you experience any of the following serious side effects, stop taking Ultracet and seek emergency medical attention or contact your doctor immediately:
·
an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives); or
·
seizures.
•
Other, less serious side effects may be more likely to occur. Continue to take Ultracet and talk to your doctor if you experience
·
dizziness, drowsiness, or headache;
·
nervousness, tremor, or anxiety;
·
nausea, constipation, or diarrhea; or
·
itching, dry mouth, or sweating.
•
The tramadol component of Ultracet may be habit forming. Physical and/or psychological dependence can occur, and withdrawal effects are possible if the medication is stopped suddenly after prolonged or high-dose treatment.
•
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect Ultracet?
•
Ultracet may increase the risk of seizures especially in patients who have epilepsy or another seizure disorder. Also, Ultracet may increase the risk of seizures if you are taking any of the following drugs:
·
a tricyclic antidepressant such as amitriptyline (Elavil), nortriptyline (Pamelor), doxepin (Sinequan), imipramine (Tofranil), clomipramine (Anafranil), and others;
·
a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate);
·
an antipsychotic medication such as chlorpromazine (Thorazine), fluphenazine (Prolixin), haloperidol (Haldol), loxapine (Loxitane), mesoridazine (Serentil), perphenazine (Trilafon), thioridazine (Mellaril), thiothixene (Navane), and others;
·
a selective serotonin reuptake inhibitor (SSRI) such as fluoxetine (Prozac), fluvoxamine (Luvox), paroxetine (Paxil), sertraline (Zoloft), or citalopram (Celexa);
·
a narcotic pain reliever such as codeine, fentanyl (Duragesic), hydromorphone (Dilaudid), meperidine (Demerol), hydrocodone (Vicodin, Lorcet, Lortab, others), morphine (MS Contin, MSIR, RMS, Roxanol, others), oxycodone (Roxicodone, Percocet, Percodan, others), propoxyphene (Darvon, Darvocet, others), and others;
·
promethazine (Phenergan) or prochlorperazine (Compazine);
·
bupropion (Wellbutrin, Zyban); or
·
cyclobenzaprine (Flexeril).
•
Do not take Ultracet without first talking to your doctor if you are taking any of the medicines listed above.
•
Before taking Ultracet, tell your doctor if you are taking any of the following medicines:
·
carbamazepine (Tegretol);
·
quinidine (Quinaglute Dura-Tabs, Cardioquin, Quinora, others);
·
warfarin (Coumadin); or
·
digoxin (Lanoxin, Lanoxicaps).
•
You may not be able to take Ultracet, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.
•
Do not take other prescription or over-the-counter medicines that contain acetaminophen (Tylenol, pain relievers, cold and flu medicines, others) during treatment with Ultracet. Taking too much acetaminophen may be harmful.
•
Avoid sleeping pills, tranquilizers, sedatives and antihistamines except under the supervision of your doctor. Ultracet may cause drowsiness and these agents may worsen this effect.
•
Drugs other than those listed here may also interact with Ultracet. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Tysabri

2006-11-15T02:36:00.002-08:00

What is the most important information I should know about Tysabri?
•
Tysabri increases the risk of a serious viral infection of the brain that can lead to disability or death. This risk is higher if you have a weak immune system or are receiving certain medicines.
•
Tysabri is available only to select patients through a restricted-use program called the TOUCH Prescribing Program. To receive this medication, you must be enrolled in this program and meet all requirements. You will be interviewed before receiving each dose of this medicine to make sure you still meet these requirements.
•
During your Tysabri treatment, it is imperative that your doctor check you every 3 to 6 months to make sure you are not developing any signs of serious infection. Do not miss any scheduled visits to your doctor.
•
Call your doctor at once if you develop any signs of infection such as fever, chills, sore throat, cough, stuffy nose, redness, pain, swelling, or painful urination.
What is Tysabri?
•
Tysabri is a monoclonal antibody that affects the actions of the body's immune system.
•
Tysabri is used in to treat relapsing forms of multiple sclerosis.
•
Tysabri may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before receiving Tysabri?
•
Tysabri increases the risk of a serious viral infection of the brain that can lead to disability or death. This risk is higher if you have a weak immune system or are receiving certain medicines.
•
Tysabri is available only to select patients through a restricted-use program called the TOUCH Prescribing Program. To receive this medication, you must be enrolled in this program and meet all requirements. You will be interviewed before receiving each dose of this medicine to make sure you still meet these requirements.
•
You should not receive Tysabri if you have ever had a brain infection called progressive multifocal leukoencephalopathy.
•
Before receiving Tysabri, tell your doctor if you have:
·
HIV or AIDS;
·
herpes or shingles;
·
leukemia, lymphoma; or
·
if you have had a recent organ transplant;
·
if you are using any steroid medicines; or
·
if you are being treated with chemotherapy or radiation.
•
If you have any of these conditions, you may not be able to receive Tysabri, or you may need a dosage adjustment or special tests during treatment.
•
FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.
•
It is not known whether Tysabri passes into breast milk or if it could harm a nursing baby. Do not receive this medication without telling your doctor if you are breast-feeding a baby.
How is Tysabri given?
•
Tysabri is given as an injection through a needle placed into a vein. You will receive this injection in a clinic or hospital setting every 4 weeks. The medicine must be given slowly through an IV infusion, and can take up to 1 hour to complete.
•
Before you receive your first dose of Tysabri, your doctor may want you to have an MRI to make sure you do not have any signs of a brain infection.
•
After you receive Tysabri, your caregivers may want to watch you for at least 1 hour in case you have any type of reaction to the medication. An allergic reaction can occur up to 2 hours after your infusion.
•
During your treatment, it is imperative that your doctor check you every 3 to 6 months to make sure you are not developing any signs of serious infection. Do not miss any scheduled visits to your doctor.
What happens if I miss a dose?
•
Contact your doctor if you miss a dose of Tysabri.
What happens if I overdose?
•
Seek emergency medical attention if you think you have received too much of this medicine. Symptoms of a Tysabri overdose are unknown.
What should I avoid while receiving Tysabri?
•
Tysabri can lower the blood cells that help your body fight infections. This can make it easier for you to bleed from an injury or get sick from being around others who are ill. Avoid contact with people who have colds, the flu, or other contagious illnesses. Contact your doctor immediately if you develop signs of infection.
•
Do not receive a vaccine or flu shot while you are being treated with Tysabri, unless your doctor has told you to.
What are the possible side effects of Tysabri?
•
Get emergency medical help if you have any of these signs of an allergic reaction: skin rash, hives, itching; dizziness, fever; nausea, vomiting; feeling flushed; chest pain, difficulty breathing; swelling of your face, lips, tongue, or throat; feeling light-headed or fainting.
•
Call your doctor at once if you have any of these serious side effects:
·
signs of infection such as fever, chills, body aches, flu symptoms, sore throat, cough, redness, pain, swelling, or painful urination;
·
sudden change in your vision, balance, strength, or mental state;
·
easy bruising or bleeding, unusual weakness;
·
white patches or sores inside your mouth or on your lips;
·
vaginal itching or discharge;
·
tooth pain, gum pain or swelling; or
·
flare of herpes infection (cold sores, blisters or lesions of the genital or anal area).
•
Other, less serious side effects are more likely to occur, such as:
·
headache;
·
joint or muscle pain;
·
stomach pain;
·
depression;
·
painful menstrual cramps; or
·
drowsiness, tiredness.
•
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect Tysabri?
•
Before receiving Tysabri, tell your doctor if you are taking any other medicines, especially those that may affect the immune system such as:
·
interferon (Roferon, Intron, Rebetron, Alferon, Avonex, Rebif, Betaseron, or Actimmune);
·
cyclosporine (Neoral, Sandimmune, Gengraf);
·
sirolimus (Rapamune), tacrolimus (Prograf);
·
basiliximab (Simulect), efalizumab (Raptiva), muromonab-CD3 (Orthoclone);
·
mycophenolate mofetil (CellCept);
·
azathioprine (Imuran), leflunomide (Arava), etanercept (Enbrel); or
·
if you are receiving chemotherapy or radiation treatments.
•
If you are using any of these drugs, you may not be able to receive Tysabri, or you may need dosage adjustments or special tests during treatment.
•
There may be other drugs not listed that can affect Tysabri. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Tramadol

2006-11-15T02:36:00.001-08:00

What is the most important information I should know about Tramadol?You should not take tramadol if you have ever been addicted to drugs or alcohol.
Take tramadol exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Do not take more than 300 milligrams of tramadol in one day.
Do not stop using this medication suddenly without talking to your doctor. You may need to gradually reduce the dose. Withdrawal symptoms may occur when you stop using tramadol. Withdrawal symptoms include anxiety, sweating, nausea, diarrhea, tremors, chills, hallucinations, trouble sleeping, or breathing problems. Call your doctor at once if you have any of these withdrawal symptoms after you stop using tramadol.Do not crush the tramadol tablet. This medicine is for oral (by mouth) use only. Powder from a crushed tablet should not be inhaled or diluted with liquid and injected into the body. Using this medicine by inhlation or injection can cause life-threatening side effects, overdose, or death.
Seizures (convulsions) have occurred in some people taking tramadol. You may be more likely to have a seizure while taking tramadol if you have a history of seizures or head injury, a metabolic disorder, or if you are taking certain medicines such as antidepressants, muscle relaxers, or medicine for nausea and vomiting.Seek emergency medical attention if you think you have used too much of this medicine. A tramadol overdose can be fatal. Symptoms of a tramadol overdose may include drowsiness, shallow breathing, slow heartbeat, extreme weakness, cold or clammy skin, feeling light-headed, fainting, or coma. While you are taking tramadol, do not drink alcohol or use drugs that make you sleepy (such as cold medicine, other pain medications, muscle relaxants, and medicine for seizures, depression or anxiety). These drugs may slow your breathing or increase drowsiness when used together with tramadol. Tramadol can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
What is Tramadol?
Tramadol is a narcotic-like pain reliever.
Tramadol is used to treat moderate to severe pain. Tramadol extended-release is used to treat moderate to severe chronic pain when treatment is needed around the clock.
Tramadol may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking Tramadol?You should not take tramadol if you have ever been addicted to drugs or alcohol. Do not take tramadol if you are intoxicated (drunk), or if you have recently used any of the following drugs:
alcohol;
narcotic pain medicine;
sedatives or tranquilizers (such as Valium);
medicine for depression or anxiety;
medicine for mental illness (such as bipolar disorder, schizophrenia); or
street drugs.
Seizures have occurred in some people taking tramadol. Your risk of a seizure may be higher if you have any of these conditions:
a history of drug or alcohol addiction;
a history of epilepsy or other seizure disorder;
a history of head injury; or
a metabolic disorder.
Talk with your doctor about your individual risk of having a seizure from this medicine.
Before taking tramadol, tell your doctor if you are allergic to any drugs, or if you have:
kidney disease;
liver disease;
a stomach disorder; or
a history of depression, mental illness, or suicide attempt.
If you have any of these conditions, you may not be able to use tramadol, or you may need a dosage adjustment or special tests during treatment.FDA pregnancy category C. This medication may be harmful to an unborn baby. Tramadol may also cause serious or fatal side effects in a newborn if the mother uses the medication during pregnancy or labor. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Tramadol can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Older adults may be more sensitive to the effects of tramadol. If you are over 65, your doctor may recommend a lower dose. Tramadol should not be given to a child younger than 16 years of age.
How should I take Tramadol?
Take tramadol exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Follow the directions on your prescription label. Do not take more than 300 milligrams of tramadol in one day.Take each dose with a full glass of water.
Tramadol can be taken with or without food, but take it the same way each time.Do not crush the tramadol tablet. This medicine is for oral (by mouth) use only. Powder from a crushed tablet should not be inhaled or diluted with liquid and injected into the body. Using this medicine by inhlation or injection can cause life-threatening side effects, overdose, or death. Do not crush, chew, or break an extended-release tablet. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time.
If you use the tramadol extended-release tablet, the tablet shell may pass into your stools (bowel movements). This is normal and does not mean that you are not receiving enough of the medicine.Tramadol may be habit-forming. Tell your doctor if you feel the medicine is not working as well in relieving your pain. Do not change your dose without talking to your doctor.
Do not stop using this medication suddenly without talking to your doctor. You may need to gradually reduce the dose. Withdrawal symptoms may occur when you stop using tramadol. Withdrawal symptoms include anxiety, sweating, nausea, diarrhea, tremors, chills, hallucinations, trouble sleeping, or breathing problems. Call your doctor at once if you have any of these withdrawal symptoms after you stop using tramadol.Store tramadol at room temperature away from moisture and heat.
What happens if I miss a dose of Tramadol?
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.
What happens if I overdose with Tramadol?Seek emergency medical attention if you think you have used too much of this medicine. A tramadol overdose can be fatal.
Symptoms of a tramadol overdose may include drowsiness, shallow breathing, slow heartbeat, extreme weakness, cold or clammy skin, feeling light-headed, fainting, or coma.
What should I avoid while taking Tramadol?Do not drink alcohol while you are taking tramadol. Alcohol may cause a dangerous decrease in your breathing when used together with tramadol.
Avoid using drugs that make you sleepy (such as cold medicine, other pain medications, muscle relaxants, and medicine for seizures, depression or anxiety). These drugs may slow your breathing or increase drowsiness when used together with tramadol.Tramadol can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
What are the possible side effects of Tramadol?Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using tramadol and call your doctor at once if you have any of these serious side effects:
seizure (convulsions);
a red, blistering, peeling skin rash; or
shallow breathing, weak pulse.
Continue taking tramadol and talk to your doctor if you have any of these less serious side effects:
dizziness, drowsiness, weakness;
nausea, vomiting, constipation, loss of appetite;
blurred vision;
flushing (redness, warmth, or tingly feeling); or
sleep problems (insomnia).
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect Tramadol?
You may be more likely to have a seizure (convulsions) if you take tramadol while you are using certain other medicines. Do not take tramadol without telling your doctor if you also use any of the following:
an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam); or
an antidepressant such as amitriptyline (Elavil), citalopram (Celexa), clomipramine (Anafranil), desipramine (Norpramin), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), imipramine (Tofranil), nortriptyline (Pamelor); paroxetine (Paxil), or sertraline (Zoloft).
Before taking tramadol, tell your doctor if you also use:
carbamazepine (Tegretol);
warfarin (Coumadin);
digoxin (Lanoxin, Lanoxicaps);
ketoconazole (Nizoral);
erythromycin (E-Mycin, E.E.S., Ery-Tab);
rifampin (Rifadin, Rimactane, Rifater);
St. John's wort;
quinidine (Quinaglute, Quinadex, Cardioquin, Quinora); or
drugs that make you sleepy (such as cold medicine, other pain medications, muscle relaxants, and medicine for seizures, depression or anxiety).
If you are using any of these drugs, you may not be able to use tramadol or you may need dosage adjustments or special tests during treatment.
There may be other drugs not listed that can affect tramadol. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
Where can I get more information on Tramadol?
Your pharmacist has more information about tramadol written for health professionals that you may read.
What does my medication look like?
Tramadol is available with a prescription under the brand names Ultram and Ultram ER. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.
Tramadol 50 mg--white, capsule-shaped, film-coated tablets.
Ultram ER 100 mg, 200 mg, 300 mg--white, round extended-release tablets.

Toprol

2006-11-15T02:35:00.001-08:00

What is the most important information I should know about Toprol Xl?Do not stop taking Toprol without first talking to your doctor. Stopping suddenly may make your condition worse.
If you need to have any type of surgery, you may need to temporarily stop using Toprol. Be sure the surgeon knows ahead of time that you are using Toprol.Toprol can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Avoid drinking alcohol, which could increase drowsiness and dizziness while you are taking Toprol.
Toprol is only part of a complete program of treatment for hypertension that may also include diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely if you are being treated for hypertension.
Hypertension often has no symptoms, so you may not even feel that you have high blood pressure. Continue using this medicine as directed, even if you feel well. You may need to use blood pressure medication for the rest of your life.
What is Toprol?
Toprol is in a group of drugs called beta-blockers. Beta-blockers affect the heart and circulation (blood flow through arteries and veins).
Toprol is used to treat angina (chest pain) and hypertension (high blood pressure). It is also used to treat or prevent heart attack.
Toprol may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking Toprol?
Before taking Toprol, tell your doctor if you have:
asthma, bronchitis, emphysema;
diabetes;
low blood pressure;
a heart problem such as heart block, sick sinus syndrome, slow heart rate, or congestive heart failure;
depression;
liver or kidney disease;
a thyroid disorder;
myasthenia gravis;
pheochromocytoma; or
problems with circulation (such as Raynaud's syndrome).
If you have any of these conditions, you may not be able to use Toprol, or you may need a dosage adjustment or special tests during treatment.FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Toprol can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
How should I take Toprol?
Take Toprol exactly as it was prescribed for you. Do not take the medication in larger amounts or for longer than recommended by your doctor.Take this medication with a full glass of water.
Take Toprol at the same time every day.A Toprol tablet can be divided in half if your doctor has told you to do so. The half tablet should be swallowed whole, without chewing or crushing. Chewing or crushing the pill could cause too much of the drug to be released at one time. Do not skip doses or stop taking Toprol without first talking to your doctor. Stopping suddenly may make your condition worse.
To be sure this medication is helping your condition, your blood pressure will need to be checked on a regular basis. It is important that you not miss any scheduled visits to your doctor.
If you need to have any type of surgery, tell the surgeon that you are using Toprol. You may need to briefly stop using Toprol before having surgery.
Toprol is only part of a complete program of treatment for hypertension that may also include diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely if you are being treated for hypertension.
Hypertension often has no symptoms, so you may not even feel that you have high blood pressure. Continue using this medicine as directed, even if you feel well. You may need to use blood pressure medication for the rest of your life.Store Toprol at room temperature away from moisture and heat.
What happens if I miss a dose of Toprol?
Take the missed dose as soon as you remember. If your next dose is less than 4 hours away, skip the the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.
What happens if I overdose with Toprol?Seek emergency medical attention if you think you have used too much of this medicine.
Symptoms of an Toprol overdose may include uneven heartbeats, shortness of breath, bluish-colored fingernails, dizziness, weakness, fainting, or seizure (convulsions).
What should I avoid while taking Toprol?Toprol can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Avoid drinking alcohol, which could increase drowsiness and dizziness while you are taking Toprol.
What are the possible side effects of Toprol?Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:
slow or uneven heartbeats;
feeling light-headed, fainting;
feeling short of breath, even with mild exertion;
swelling of your ankles or feet;
nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
depression; or
cold feeling in your hands and feet.
Other less serious side effects are more likely to occur, such as:
decreased sex drive, impotence, or difficulty having an orgasm;
sleep problems (insomnia);
tired feeling; or
anxiety, nervousness.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect Toprol?
Before taking Toprol, tell your doctor if you are using:
allergy treatments (or if you are undergoing allergy skin-testing);
clonidine (Catapres);
guanabenz (Wytensin);
an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam);
a diabetes medication such as insulin, glyburide (Diabeta, Micronase, Glynase), glipizide (Glucotrol), chlorpropamide (Diabinese), or metformin (Glucophage);
a heart medication such as nifedipine (Procardia, Adalat), reserpine (Serpasil), verapamil (Calan, Verelan, Isoptin), diltiazem (Cartia, Cardizem);
medicine for asthma or other breathing disorders, such as albuterol (Ventolin, Proventil), bitolterol (Tornalate), metaproterenol (Alupent), pirbuterol (Maxair), terbutaline (Brethaire, Brethine, Bricanyl), and theophylline (Theo-Dur, Theolair); or
cold medicines, stimulant medicines, or diet pills.
If you are using any of these drugs, you may not be able to take Toprol, or you may need dosage adjustments or special tests during treatment.
There may be other drugs not listed that can affect Toprol. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
Where can I get more information on Toprol?
Your pharmacist has additional information about Toprol written for health professionals that you may read.
What do the pills look like?
Metoprolol is available with a prescription under the brand names Lopressor and Toprol XL. Other brand or generic formulations of this medication may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.
Lopressor 50 mg--pink, capsule-shaped, scored tablets
Lopressor 100 mg--light-blue, capsule-shaped, scored tablets
Toprol XL 50 mg extended-release tablets--white, round, film-coated, scored tablets
Toprol XL 100 mg extended-release tablets--white, round, film-coated, scored tablets
Toprol XL 200 mg extended-release tablets--white, oval, film-coated, scored tablets

Topamax

2006-11-15T02:34:00.003-08:00

What is the most important information I should know about Topamax?
•
Seek immediate medical attention if you experience blurred vision, changes in vision, or pain in or around the eyes during treatment with Topamax. These may be early signs of a serious side effect.
•
Do not stop taking Topamax without first talking to your doctor, even if your symptoms have improved. It is important to continue taking Topamax to prevent seizures from recurring.
•
Carry or wear a medical identification tag to let others know that you are taking Topamax in the case of an emergency.
•
Use caution when driving, operating machinery, or performing other hazardous activities. Topamax may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
•
Alcohol should be avoided while taking Topamax. Alcohol may cause increased sedation or drowsiness. It may also increase the risk of having a seizure.
•
Drink several extra glasses of fluid each day during treatment with Topamax to minimize the risk of kidney stone formation. Additional fluid may be necessary during hot weather, vigorous exercise, and illness.
What is Topamax?
•
Topamax is used to control seizures. The exact way that it works is unknown. However, it is believed that Topamax alters the chemical impulses in the brain that cause seizures.
•
Topamax may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking Topamax?
•
Before taking Topamax, tell your doctor if you have liver or kidney disease. You may not be able to take Topamax, or you may require a dosage adjustment or special monitoring during treatment.
•
Topamax is in the FDA pregnancy category C. This means that it is not known whether Topamax will harm an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant or if you could become pregnant during treatment.
•
It is not known whether Topamax passes into breast milk. Do not take Topamax without first talking to your doctor if you are breast-feeding a baby.
•
The safety and effectiveness of Topamax have not been established for children younger than 2 years of age.
How should I take Topamax?
•
Take Topamax exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
•
Take each dose of Topamax with a full glass of water.
•
The Topamax Sprinkle Capsules may be carefully opened and the contents sprinkled onto a small amount (teaspoon) of soft food. This drug/food mixture should be swallowed immediately, without chewing. The mixture should not be stored for future use. If the mixture is combined in a small container, add some water to the container after the dose has been taken, and drink the water to ensure the whole dose has been taken.
•
Due to their bitter taste, the Topamax tablets should not be broken.
•
Topamax can be taken with or without food.
•
Carry or wear a medical identification tag to let others know that you are taking this medicine in the case of an emergency.
•
Do not stop taking Topamax without first talking to your doctor, even if your symptoms have improved. It is important to continue taking Topamax to prevent seizures from recurring.
•
Drink several extra glasses of fluid each day during treatment with Topamax to minimize the risk of kidney stone formation. Additional fluid may be necessary during hot weather, vigorous exercise, and illness.
•
Store Topamax at room temperature away from moisture and heat.
What happens if I miss a dose?
•
Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the dose you missed and take only the next regularly scheduled dose. Do not take a double dose of this medication.
What happens if I overdose?
•
Seek emergency medical treatment.
•
Symptoms of a Topamax overdose are unknown but may include severe drowsiness, poor coordination, tremor, confusion, difficulty speaking, and nausea.
What should I avoid while taking Topamax?
•
Use caution when driving, operating machinery, or performing other hazardous activities. Topamax may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
•
Alcohol should be avoided while taking Topamax. Alcohol may cause increased sedation or drowsiness. It may also increase the risk of having a seizure.
•
Drink several extra glasses of fluid each day during treatment with Topamax to minimize the risk of kidney stone formation. Additional fluid may be necessary during hot weather, vigorous exercise, and illness.
•
Ketogenic diets (high protein, very low carbohydrate diets that may induce ketosis) may increase the risk of kidney stone formation and should be avoided during treatment with Topamax.
What are the possible side effects of Topamax?
•
If you experience any of the following serious side effects, stop taking Topamax and seek emergency medical attention:
·
an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);
·
blurred vision, changes in vision, or pain in or around the eyes
·
worsening of seizures.
•
Other, less serious side effects may be more likely to occur. Continue to take Topamax and talk to your doctor if you experience
·
dizziness, poor coordination, sluggishness, or drowsiness;
·
irregular back-and-forth movements of the eyes;
·
nausea, loss of appetite, or weight loss;
·
tremor, numbness, or tingling;
·
confusion, difficulty concentrating or decreased memory;
·
speech or language difficulties; or
·
changes in behavior, depression, nervousness, or agitation.
•
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect Topamax?
•
Before taking Topamax, tell your doctor if you are taking any of the following medicines:
·
another seizure medication such as valproic acid (Depakote, Depakene), carbamazepine (Tegretol, Carbatrol, Epitol), phenytoin (Dilantin), and others;
·
a carbonic anhydrase inhibitor such as acetazolamide (Diamox), methazolamide (Neptazane), or dichlorphenamide (Daranide); or
·
digoxin (Lanoxin, Lanoxicaps).
•
You may not be able to take Topamax, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the drugs listed above.
•
Topamax may decrease the effectiveness of birth control pills. Talk to your doctor about other birth control options to prevent unintended pregnancy.
•
Topamax may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, pain relievers, sedative (sleep aids), anxiety medicines, and muscle relaxants. Dangerous sedation, dizziness, or drowsiness may occur if Topamax is taken with any of these medications.
•
Drugs other than those listed here may also interact with Topamax. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

Thyroid

2006-11-15T02:34:00.001-08:00

What is the most important information I should know about thyroid?
•
Take thyroid every day as directed, even if you feel well.
•
Do not stop taking thyroid without first talking to your doctor. You may need to take this medication for the rest of your life to replace the thyroid hormone that is not being produced by the body.
What is thyroid?
•
Thyroid hormones are produced naturally in the body by the thyroid gland. They are important for maintaining normal energy and metabolism.
•
For a variety of reasons, the body may not produce enough thyroid hormone on its own. In these cases, medication is taken to replace the body's natural thyroid hormones. Thyroid hormones are also used to prevent and treat goiter (growth or enlargement of the thyroid gland) and along with surgery and radiation therapy in the treatment of certain thyroid cancers.
•
Thyroid may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking thyroid?
•
Before taking thyroid, tell your doctor if you have
·
hormonal problems;
·
heart disease such as coronary artery disease, high blood pressure, or angina; or
·
diabetes.
•
You may require special monitoring during treatment with thyroid if you have any of the conditions listed above.
•
Thyroid is in the FDA pregnancy category A. This means that thyroid is safe for use during pregnancy.
•
Thyroid is safe to take if you are breast-feeding a baby. The drug does pass into breast milk, but it has not been shown to be harmful to a nursing infant.
How should I take thyroid?
•
Take this medication exactly as directed by your doctor. If you do not understand these directions, ask your doctor, nurse, or pharmacist to explain them to you.
•
Take each dose with a full glass (8 ounces) of water.
•
It is best to take thyroid on an empty stomach, one-half hour to one hour before a meal.
•
Take this medication at the same time each day whenever possible.
•
Take thyroid every day as directed, even if you feel well.
•
It is important to take thyroid regularly to get the most benefit.
•
Do not stop taking thyroid without first talking to your doctor. You may need to take this medication for the rest of your life to replace insufficient amounts of thyroid produced by the body.
•
Your doctor may want you to have blood tests or other medical evaluations during treatment with thyroid to monitor progress and side effects.
•
Store thyroid at room temperature away from moisture and heat.
What happens if I miss a dose of thyroid?
•
Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication.
What happens if I overdose with thyroid?
•
Seek emergency medical treatment if an overdose is suspected.
•
Symptoms of an overdose of thyroid include chest pain, nervousness, trouble sleeping, tremor, rapid heartbeat, nausea, headache, fever, sweating, shortness of breath, heat intolerance, irregular menses, increased appetite, decreased weight, diarrhea, and abdominal pain.
What should I avoid while taking thyroid?
•
There are no restrictions on foods, beverages, or activities during treatment with a thyroid unless otherwise directed by your doctor.
What are the possible side effects of thyroid?
•
If you experience any of the following uncommon but serious side effects, stop taking thyroid and seek emergency medical attention or contact your doctor immediately:
·
an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
·
vomiting; or
·
chest pain, irregular heartbeat, or shortness of breath.
•
Other, less serious side effects may be more likely to occur. Continue to take thyroid and talk to your doctor if you experience
·
tremor, nervousness, or irritability;
·
headache;
·
insomnia;
·
diarrhea, changes in appetite, or weight loss;
·
leg cramps;
·
menstrual irregularities; or
·
fever, sweating, or heat sensitivity.
•
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect thyroid?
•
Before taking a thyroid, tell your doctor if you are taking any other medicines, especially any of the following:
·
an antacid that contains aluminum or calcium or sucralfate (Carafate) (these medications should be taken at least 4 hours apart from thyroid hormones);
·
cholestyramine (Questran) or colestipol (Colestid) (these medications should be taken at least 4 hours apart from thyroid hormones);
·
an iron supplement and vitamins with iron (these should be taken at least 4 hours apart from thyroid hormones);
·
warfarin (Coumadin);
·
insulin or an oral diabetes medication such as acarbose (Precose), glipizide (Glucotrol), glyburide (Micronase, Diabeta, Glynase), metformin (Glucophage), and others;
·
an estrogen replacement product such as Premarin, Estrace, Estratab, Ogen, Climara, Fempatch, and others;
·
birth control pills; or
·
a tricyclic antidepressant such as amitriptyline (Elavil), imipramine (Tofranil), doxepin (Sinequan), nortriptyline (Pamelor, Aventyl), and others.
•
You may require a dosage adjustment, special dosing instructions such as not taking certain medicines at the same time as thyroid hormones, or special monitoring during treatment if you are taking any of the medicines listed above.
•
Many drugs can interact with thyroid or can be affected by your condition. Talk to your doctor or pharmacist before taking any other prescription or over-the-counter medicines including vitamins, minerals, and herbal products.

Synthroid

2006-11-15T02:33:00.001-08:00

What is the most important information I should know about Synthroid?
•
Do not stop taking this medication without talking to your doctor. You will probably need to take this medication for the rest of your life to replace the thyroid hormone that your body is not producing. Even if you feel well, you need to take this medicine every day.
•
Do not change brands of levothyroxine or change to a generic drug without first talking to your doctor.
What is Synthroid?
•
Levothyroxine is a naturally occurring hormone produced by your thyroid. It is important for normal energy and metabolism.
•
For a variety of reasons, your body may not produce enough of this hormone on its own. In these cases, Synthroid is taken to replace your body's natural thyroid hormone. Synthroid is also used to prevent and treat goiter (growth or enlargement of the thyroid gland). Causes of goiter include hormonal imbalances, radiation, surgery, and cancer.
•
Synthroid may also be used for purposes other than those listed in this medication guide.
Who should not take Synthroid?
•
Since thyroid hormone occurs naturally in your body, almost anyone can take this drug. In general, Synthroid should not be taken if you have other hormonal problems that are not being adequately treated.
•
Before taking this medication, tell your doctor if you have a heart disease such as coronary artery disease, hypertension, or angina. These conditions may be affected by thyroid therapy, and closer monitoring may be necessary at the start of therapy.
•
Changes in blood sugar may occur if you have diabetes, and special monitoring may be necessary.
•
Synthroid is in the FDA pregnancy category A. This means that Synthroid is safe for use during pregnancy. It is also safe to take thyroid hormones if you are breast-feeding a baby. This drug does pass into breast milk, but it will not harm a nursing infant.
How should I take Synthroid?
•
Take this medication exactly as directed by your doctor. If you do not understand these directions, ask your doctor, nurse, or pharmacist to explain them to you.
•
Take each dose with a full glass (8 ounces) of water.
•
Take this medication at the same time each day whenever possible. Thyroid hormone is usually taken in the morning to prevent insomnia at night. Follow your doctor's instructions.
•
Do not stop taking this medication for any reason without talking to your doctor first. It may take several weeks for you to start feeling better. Once you start feeling all right, do not stop taking Synthroid. You will probably need to take this medicine for the rest of your life.
•
Do not change brands of levothyroxine or change to a generic drug without first talking to your doctor.
•
Store Synthroid at room temperature away from moisture and heat.
What happens if I miss a dose?
•
Take the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take only your next regularly scheduled dose. Do not take a double dose of this medication.
What happens if I overdose?
•
Seek emergency medical treatment.
•
Symptoms of a Synthroid overdose include chest pain, nervousness, trouble sleeping, tremor, rapid heartbeat, nausea, headache, fever, sweating, shortness of breath, heat intolerance, irregular menses, increased appetite, decreased weight, diarrhea, and abdominal pain.
What should I avoid while taking Synthroid?
•
Do not stop taking this medication suddenly.
•
Do not change brands of levothyroxine or change to a generic drug without first talking to your doctor.
What are the possible side effects of Synthroid?
•
If you experience any of the following serious side effects, stop taking Synthroid and seek emergency medical attention:
·
an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);
·
vomiting; or
·
chest pain, irregular heartbeat, shortness of breath.
•
Other, less serious side effects may be more likely to occur. Continue to take Synthroid and talk to your doctor or try another similar medication if you experience
·
tremor, nervousness, or irritability;
·
headache;
·
insomnia;
·
diarrhea, changes in appetite, or weight loss;
·
leg cramps;
·
menstrual irregularities; or
·
fever, sweating, or heat sensitivity.
•
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect Synthroid?
•
Other drugs may bind to Synthroid and reduce the amount that is available in your body, making it less effective. Separate Synthroid doses from the following medicines:
·
antacids that contain aluminum;
·
the prescription ulcer medicine sucralfate (Carafate);
·
the cholesterol-lowering drugs cholestyramine (Questran) and colestipol (Colestid); and
·
ferrous sulfate (a type of iron supplement).
•
Drugs other than those listed here may also interact with Synthroid or affect your condition. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

Strattera

2006-11-15T02:32:00.000-08:00

What is the most important information I should know about Strattera?
•
Strattera may increase thoughts of suicide or suicide attempts in children and teens. Call your child's healthcare professional right away if your child or teen has:
·
new or increased thoughts of suicide;
·
changes in mood or behavior including becoming irritable or anxious.
•
Use caution when driving, operating machinery, or performing other hazardous activities. Strattera may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
•
Strattera can cause liver damage in rare cases. Call your doctor right away if you have itching, dark urine, yellow skin/eyes, upper right-sided abdominal tenderness, or unexplained "flu-like" symptoms.
What is Strattera?
•
Strattera affects chemicals in the brain.
•
Strattera is used to treat attention deficit/hyperactivity disorder (ADHD).
•
Strattera may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking Strattera?
•
Strattera may increase thoughts of suicide or suicide attempts in children and teens. Call your child's healthcare professional right away if your child or teen has:
·
new or increased thoughts of suicide;
·
changes in mood or behavior including becoming irritable or anxious.
•
Do not take Strattera if you have taken a monoamine oxidase (MAO) inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days.
•
Do not take Strattera without first talking to your doctor if you have
·
glaucoma;
·
high blood pressure, heart disease, an irregular heart beat, or cerebrovascular disease (history of stroke or transient ischemic attack (TIA or "ministroke"); or
·
low blood pressure;
·
liver problems;
·
urinary retention or urinary hesitancy.
•
You may not be able to take Strattera, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
•
Strattera can cause liver damage in rare cases. Call your doctor right away if you have itching, dark urine, yellow skin/eyes, upper right-sided abdominal tenderness, or unexplained "flu-like" symptoms.
•
Strattera is in the FDA pregnancy category C. This means that it is not known whether Strattera will be harmful to an unborn baby. Do not take Strattera without first talking to your doctor if you are pregnant or could become pregnant during treatment.
•
It is not known whether Strattera passes into breast milk. Do not take Strattera without first talking to your doctor if you are breast-feeding a baby.
How should I take Strattera?
•
Take Strattera exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
•
Take each dose with a full glass (8 ounces) of water.
•
Strattera can be taken with or without food.
•
It is important to take Strattera regularly to get the most benefit.
•
Your doctor may want to monitor your blood pressure during treatment with Strattera.
•
Store Strattera at room temperature away from moisture and heat.
What happens if I miss a dose?
•
Take the missed dose as soon as you remember during the same day. If you do not remember until the next day, skip the missed dose and take only the doses scheduled for that day. Do not take more than the prescribed total daily amount of Strattera in any 24-hour period.
What happens if I overdose?
•
Seek emergency medical attention.
•
Symptoms of an Strattera overdose may include sleepiness, drowsiness, agitation, hyperactivity, abnormal behavior, gastrointestinal symptoms, blurred vision, fast heartbeat and dry mouth.
What should I avoid while taking Strattera?
•
Use caution when driving, operating machinery, or performing other hazardous activities. Strattera may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
What are the possible side effects of Strattera?
•
If you experience any of the following serious side effects, stop taking Strattera and seek emergency medical attention or contact your doctor immediately:
·
an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
·
irregular or fast heartbeats;
·
chest pain or high blood pressure (blurred vision or severe headache); or
·
difficult urination.
•
Strattera can cause liver damage in rare cases. Call your doctor right away if you have itching, dark urine, yellow skin/eyes, upper right-sided abdominal tenderness, or unexplained "flu-like" symptoms.
•
Other, less serious side effects may be more likely to occur. Continue to take Strattera and talk to your doctor if you experience
·
upset stomach, nausea, or vomiting;
·
decreased appetite;
·
constipation;
·
dry mouth;
·
insomnia;
·
decreased libido or sexual side effects;
·
menstrual cycle changes;
·
hot flushes or sweating;
·
fatigue;
·
dizziness; or
·
irritability or mood swings.
•
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect Strattera?
•
Do not take Strattera if you have taken a monoamine oxidase (MAO) inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days.
•
Before taking Strattera, tell your doctor if you are taking
·
a depression medication including fluoxetine (Prozac) or paroxetine (Paxil);
·
albuterol (Proventil, Ventolin); or
·
quinidine (Cardioquin, Dura-tabs, others).
•
You may not be able to take Strattera, or you may require a dosage adjustment or special monitoring during treatment.
•
Many other medications may interact with Strattera. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products, during treatment with Strattera.

Soma

2006-11-15T02:31:00.002-08:00

What is the most important information I should know about Soma?This medication may be habit-forming and should be used only by the person it was prescribed for. Soma should never be given to another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it. You may have withdrawal symptoms when you stop using Soma after using it over a long period of time. Do not stop using this medication suddenly without first talking to your doctor. You may need to use less and less before you stop the medication completely. Soma can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Avoid drinking alcohol. It can increase drowsiness and dizziness caused by Soma.
What is Soma?
Soma is a muscle relaxer that works by blocking pain sensations between the nerves and the brain.
Soma is used together with rest and physical therapy to treat injuries and other painful musculoskeletal conditions.
Soma may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking Soma?Do not use this medication if you are allergic to Soma or meprobamate (Equanil, Miltown), or if you have porphyria.
Before using this medication, tell your doctor if you are allergic to any drugs, or if you have:
epilepsy or other seizure disorder;
liver disease; or
kidney disease.
If you have any of these conditions, you may not be able to use Soma, or you may need a dosage adjustment or special tests during treatment.This medication may be habit-forming and should be used only by the person it was prescribed for. Soma should never be given to another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it. You may have withdrawal symptoms when you stop using Soma after using it over a long period of time. Withdrawal symptoms include stomach pain, sleep problems, headache, nausea, and seizure (convulsions). Do not stop using this medication suddenly without first talking to your doctor. You may need to use less and less before you stop the medication completely. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether Soma passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not give this medication to a child younger than 12 years old..
How should I take Soma?
Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.Take each dose with a full glass of water. Store Soma at room temperature away from moisture and heat.
What happens if I miss a dose of Soma?
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.
What happens if I overdose with Soma?Seek emergency medical attention if you think you have used too much of this medicine.
Symptoms of a Soma overdose may include shallow breathing, vision problems, fast heartbeat, confusion, hallucinations (seeing things), muscle stiffness, feeling light-headed, fainting, or seizure (convulsions).
What should I avoid while taking Soma?Soma can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
Avoid using other medicines that make you sleepy (such as cold medicine, pain medication, muscle relaxers, and medicine for seizures, depression or anxiety). They can add to sleepiness caused by Soma.Avoid drinking alcohol. It can increase drowsiness and dizziness caused by Soma.
What are the possible side effects of Soma?Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using Soma and call your doctor at once if you have any of these serious side effects:
paralysis (loss of feeling);
extreme weakness or lack of coordination;
feeling light-headed, fainting;
fast heartbeat;
seizure (convulsions);
vision loss; or
agitation, confusion.
Continue using Soma and talk with your doctor if you have any of these less serious side effects:
drowsiness, dizziness, tremor;
headache;
depression, feeling irritable;
blurred vision;
sleep problems (insomnia); or
nausea, vomiting, hiccups, upset stomach.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect Soma?
There may be other drugs that can affect Soma. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
Where can I get more information on Soma?
Your pharmacist has information about Soma written for health professionals that you may read.
What does my medication look like?
Carisoprodol is available with a prescription under the brand name Soma. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.
Soma 350 mg--white, round tablets

Seroquel

2006-11-15T02:31:00.001-08:00

What is the most important information I should know about Seroquel?
•
Call your doctor immediately or seek medical attention if you experience uncontrollable movements of the mouth, tongue, cheeks, jaw, arms, or legs.
•
Call your doctor immediately or seek medical attention if you experience fever, sweating, severe muscle stiffness (rigidity), confusion, fast or irregular heart beats. These could be symptoms of a potentially fatal side effect called Neuroleptic Malignant Syndrome (NMS).
•
Use caution when driving, operating machinery, or performing other hazardous activities. Seroquel may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
•
Dizziness may be more likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall.
•
Avoid alcohol during treatment with Seroquel. Alcohol may increase drowsiness and dizziness caused by Seroquel.
•
Use caution in hot weather and during exercise to avoid becoming overheated during treatment. It is easy to become dangerously dehydrated while taking Seroquel.
What is Seroquel?
•
Seroquel is an antipsychotic medication. It works by changing the actions of chemicals in the brain.
•
Seroquel is used to treat the symptoms of psychotic conditions, including hallucinations, delusions, and confusion.
•
Seroquel may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking Seroquel?
•
Before taking Seroquel, tell your doctor if you have
·
liver disease or other problems with your liver;
·
heart disease or other heart problems such as high blood pressure, a previous heart attack, or irregular heartbeats;
·
high levels of cholesterol or triglycerides (types of fat) in your blood;
·
Alzheimer's disease;
·
seizures or epilepsy; or
·
hypothyroidism.
•
You may not be able to take Seroquel, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
•
Seroquel is in the FDA pregnancy category C. This means that it is not known whether Seroquel will harm an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment.
•
It is also not known whether Seroquel passes into breast milk. Do not take Seroquel without first talking to your doctor if you are breast-feeding a baby.
How should I take Seroquel?
•
Take Seroquel exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you
•
Take each dose with a full glass of water.
•
Seroquel can be taken with or without food.
•
Seroquel is usually taken several times a day. Follow your doctor's instructions.
•
Do not stop taking Seroquel without first talking to your doctor. It may be several weeks before you begin to feel better, and stopping the medication may lead to a return of symptoms.
•
Store Seroquel at room temperature away from moisture and heat.
What happens if I miss a dose?
•
Take the missed dose as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication.
What happens if I overdose?
•
Seek emergency medical attention.
•
Symptoms of a Seroquel overdose include drowsiness, increased heart rate, and low blood pressure.
What should I avoid while taking Seroquel?
•
Use caution when driving, operating machinery, or performing other hazardous activities. Seroquel may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
•
Dizziness may be more likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall.
•
Avoid alcohol during treatment with Seroquel. Alcohol may increase drowsiness and dizziness caused by Seroquel.
•
Use caution in hot weather and during exercise to avoid becoming overheated during treatment. It is easy to become dangerously dehydrated while taking Seroquel.
What are the possible side effects of Seroquel?
•
Stop taking Seroquel and seek emergency medical attention if you experience an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives) to Seroquel.
•
Call your doctor immediately or seek medical attention if you experience uncontrollable movements of the mouth, tongue, cheeks, jaw, arms, or legs.
•
Call your doctor immediately or seek medical attention if you experience fever, sweating, severe muscle stiffness (rigidity), confusion, fast or irregular heart beats. These could be symptoms of a potentially fatal side effect called Neuroleptic Malignant Syndrome (NMS).
•
Other, less serious side effects may be more likely to occur. Continue to take Seroquel and talk to your doctor if you experience
·
dizziness or drowsiness;
·
agitation;
·
constipation;
·
dry mouth; or
·
weight gain.
•
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect Seroquel?
•
Before taking Seroquel, tell your doctor if you are taking any of the following medicines:
·
carbamazepine (Tegretol);
·
phenytoin (Dilantin);
·
phenobarbital (Luminal, Solfoton);
·
rifampin (Rifadin);
·
ketoconazole (Nizoral);
·
itraconazole (Sporanox);
·
fluconazole (Diflucan);
·
erythromycin (Ery-Tab, E-Mycin, E.E.S., others);
·
a steroid such as prednisone (Deltasone, Orasone), dexamethasone (Decadron), methylprednisolone (Medrol), prednisolone (Prelone, Pediapred, others), or cortisone (Cortef, others);
·
a medication to treat high blood pressure or another heart condition; or
·
a medication to treat Parkinson's disease including levodopa (Sinemet, Larodopa, Dopar), selegiline (Eldepryl), pramipexole (Mirapex), ropinirole (Requip), and others.
•
You may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.
•
Seroquel may also increase the effects of drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, muscle relaxants, and many others. Tell your doctor about all medicines that you are taking and do not take any medicine without first talking to your doctor.
•
Drugs other than those listed here may also interact with Seroquel. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

Ritalin

2006-11-15T02:30:00.000-08:00

What is the most important information I should know about Ritalin?
•
Use caution when driving, operating machinery, or performing other hazardous activities. Ritalin may cause dizziness, drowsiness, blurred vision, or impair your ability to concentrate. If you experience dizziness, drowsiness, blurred vision, or impaired concentration, avoid these activities.
•
Do not crush, chew, or break the sustained- or extended-release formulations of methylphenidate (Ritalin SR, Ritalin LA, Metadate ER, Metadate CD, Methylin ER, Concerta). Swallow these whole with water or another beverage. They are specially formulated to release medication slowly in the body. Alternatively, the Ritalin LA and Metadate CD capsules may be opened and the contents sprinkled onto a tablespoon of applesauce (not warm), and the mixture swallowed immediately. Do not save the mixture for later use. The capsule contents should be swallowed whole and not crushed or chewed.
What is Ritalin?
•
Ritalin is a mild stimulant to the central nervous system (brain and nerves). The exact way that Ritalin works is unknown.
•
Ritalin is used to treat attention deficit disorder (ADD), attention deficit hyperactivity disorder (ADHD), and narcolepsy.
•
Ritalin may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking Ritalin?
•
Do not take Ritalin if you have taken a monoamine oxidase (MAO) inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days.
•
Do not take Ritalin without first talking to your doctor if you have
·
an allergy to Ritalin;
·
severe tension, agitation, or anxiety;
·
glaucoma;
·
motor tics or have been diagnosed with Tourette's syndrome;
·
depression;
·
a psychotic condition such as schizophrenia;
·
epilepsy or another seizure disorder;
·
high blood pressure (hypertension);
·
a history of alcohol or drug abuse; or
·
a narrowing or blockage of your gastrointestinal tract (esophagus, stomach, or intestines).
•
You may not be able to take Ritalin, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
•
The use of Ritalin in children may cause suppression of growth. Growth should be monitored during treatment and children who are not growing or gaining weight as expected may need to have their treatment interrupted. Talk to your doctor if you have questions.
•
Ritalin is in the FDA pregnancy category C. This means that it is not known whether Ritalin will be harmful to an unborn baby. Do not take Ritalin without first talking to your doctor if you are pregnant or could become pregnant during treatment.
•
It is not known whether Ritalin passes into breast milk. Do not take Ritalin without first talking to your doctor if you are breast-feeding a baby.
How should I take Ritalin?
•
Take Ritalin exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain the instructions to you.
•
Take each dose with a full glass (8 ounces) of water. Taking this product without adequate liquid may cause it to swell and could lead to choking.
•
Take each dose of Ritalin or Methylin 30 to 45 minutes before a meal.
•
Chew the chewable tablets thoroughly before swallowing.
•
The sustained-release forms of methylphenidate (Ritalin-SR, Metadate ER, Metadate CD, Methylin ER, Concerta) can be taken with or without food.
•
Do not crush, chew, or break the sustained- or extended-release formulations of methylphenidate (Ritalin SR, Ritalin LA, Metadate ER, Metadate CD, Methylin ER, Concerta). Swallow these whole with water or another beverage. They are specially formulated to release medication slowly in the body. Alternatively, the Ritalin LA and Metadate CD capsules may be opened and the contents sprinkled onto a tablespoon of applesauce (not warm), and the mixture swallowed immediately. Do not save the mixture for later use. The capsule contents should be swallowed whole and not crushed or chewed.
•
If you are taking Concerta, do not be alarmed if you see in your stool what looks like a tablet. This is the outer shell of the tablet, the medication has been absorbed by your body.
•
Store Ritalin at room temperature away from moisture and heat.
What happens if I miss a dose?
•
Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly schedule dose unless otherwise directed by your doctor. Do not take a double dose of this medication.
What happens if I overdose?
•
Seek emergency medical attention.
•
Symptoms of a Ritalin overdose include agitation, tremors (shaking), muscle twitches, seizures, confusion, hallucinations, sweating, flushing, headache, fast or irregular heartbeat, large pupils, and dryness of the mouth and eyes.
What should I avoid while taking Ritalin?
•
Use caution when driving, operating machinery, or performing other hazardous activities. Ritalin may cause dizziness, drowsiness, blurred vision, or impair your ability to concentrate. If you experience dizziness, drowsiness, blurred vision, or impaired concentration, avoid these activities.
What are the possible side effects of Ritalin?
•
If you experience any of the following serious side effects, stop taking Ritalin and seek emergency medical attention or contact your doctor immediately:
·
an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
·
an irregular or fast heartbeat;
·
chest pains or very high blood pressure (blurred vision, severe headache, flushing);
·
unusual behavior or confusion; or
·
liver damage (yellowing of the skin or eyes, nausea, abdominal pain or discomfort, unusual bleeding or bruising, severe fatigue).
•
Other, less serious side effects may be more likely to occur. Continue to take Ritalin and talk to your doctor if you experience
·
insomnia (difficulty sleeping);
·
nervousness;
·
drowsiness;
·
dizziness;
·
headache;
·
blurred vision;
·
tics (repetitive movements);
·
abdominal pain, nausea, or vomiting;
·
decreased appetite or weight loss; or
·
slower weight gain and/or growth.
•
Ritalin may cause drug dependence.
•
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect Ritalin?
•
Do not take Ritalin if you have taken a monoamine oxidase (MAO) inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days.
•
Before taking Ritalin, tell your doctor if you are taking any of the following medicines:
·
warfarin (Coumadin);
·
phenytoin (Dilantin);
·
phenobarbital (Luminal, Solfoton);
·
primidone (Mysoline);
·
a tricyclic antidepressant such as nortriptyline (Pamelor), amitriptyline (Elavil, Endep), doxepin (Sinequan), desipramine (Norpramin), clomipramine (Anafranil), or imipramine (Tofranil);
·
a selective serotonin reuptake inhibitor such as fluoxetine (Prozac), fluvoxamine (Luvox), paroxetine (Paxil), or sertraline (Zoloft);
·
clonidine (Catapres); or
·
guanethidine (Ismelin).
•
You may require a dosage adjustment or special monitoring if you are taking any of the medicines listed above.
•
Drugs other than those listed here may also interact with Ritalin. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Prozac

2006-11-15T02:29:00.000-08:00

What is the most important information I should know about Prozac?
You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication, especially if you are under 18 years old. Talk with your doctor about this risk. While you are taking Prozac you will need to be monitored for worsening symptoms of depression and/or suicidal thoughts during the first weeks of treatment, or whenever your dose is changed. In addition to you watching for changes in your own symptoms, your family or other caregivers should be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.Contact your doctor promptly if you have any of the following side effects, especially if they are new symptoms or if they get worse: mood changes, anxiety, panic attacks, trouble sleeping, irritability, agitation, aggressiveness, severe restlessness, mania (mental and/or physical hyperactivity), thoughts of suicide or hurting yourself. Do not take Prozac together with pimozide (Orap), thioridazine (Mellaril), or a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate). You must wait at least 14 days after stopping an MAOI before you can take Prozac. You must wait 5 weeks after stopping Prozac before you can take thioridazine (Mellaril) or an MAOI. SSRI antidepressants may cause serious or life-threatening lung problems in newborn babies whose mothers take the medication during pregnancy. However, you may have a relapse of depression if you stop taking your antidepressant during pregnancy. If you are planning a pregnancy, or if you become pregnant while taking Prozac, do not stop taking the medication without first talking to your doctor.
What is Prozac?
Prozac is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors (SSRIs). Prozac affects chemicals in the brain that may become unbalanced and cause depression, panic, anxiety, or obsessive-compulsive symptoms.
Prozac is used to treat major depressive disorder, bulimia nervosa (an eating disorder) obsessive-compulsive disorder, panic disorder, and premenstrual dysphoric disorder (PMDD).
Prozac may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking Prozac?
You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication, especially if you are under 18 years old. Talk with your doctor about this risk. While you are taking Prozac you will need to be monitored for worsening symptoms of depression and/or suicidal thoughts during the first weeks of treatment, or whenever your dose is changed. In addition to you watching for changes in your own symptoms, your family or other caregivers should be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeksDo not use Prozac if you are using any of the following drugs:
pimozide (Orap);
thioridazine (Mellaril); or
an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), rasagiline (Azilect), or selegiline (Eldepryl, Emsam).Serious and sometimes fatal reactions can occur when these medicines are taken with Prozac. You must wait at least 14 days after stopping an MAO inhibitor before you can take Prozac. You must wait 5 weeks after stopping Prozac before you can take thioridazine (Mellaril) or an MAOI.
Before taking Prozac, tell your doctor if you are allergic to any drugs, or if you have:
cirrhosis of the liver;
kidney disease;
diabetes;
seizures or epilepsy;
bipolar disorder (manic depression); or
a history of drug abuse or suicidal thoughts.
If you have any of these conditions, you may not be able to use Prozac, or you may need a dosage adjustment or special tests.FDA pregnancy category C. SSRI antidepressants may cause serious or life-threatening lung problems in newborn babies whose mothers take the medication during pregnancy. However, you may have a relapse of depression if you stop taking your antidepressant during pregnancy. If you are planning a pregnancy, or if you become pregnant while taking Prozac, do not stop taking the medication without first talking to your doctor. Prozac can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
How should I take Prozac?
Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from the medication.Do not break, chew, or open an extended-release capsule. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time.
Measure the liquid form of Prozac with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.
Try to take the medicine at the same time each day. Follow the directions on your prescription label.It may take 4 weeks or longer before you start feeling better. Do not stop using Prozac without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly.
To treat premenstrual dysphoric disorder, the usual dose of Prozac is once daily while you are having your period, or 14 days before you expect your period to start. Follow your doctor's instructions.Store Prozac at room temperature away from moisture and heat.
What happens if I miss a dose of Prozac?
Take the missed dose as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take extra medicine to make up the missed dose.
If you miss a dose of Prozac Weekly, take the missed dose as soon as you remember and take the next dose 7 days later. However, if it is almost time for the next regularly scheduled weekly dose, skip the missed dose and take the next one as directed.Do not take extra medicine to make up the missed dose.
What happens if I overdose with Prozac?Seek emergency medical attention if you think you have taken too much of this medication. Symptoms of a Prozac overdose may include nausea, vomiting, fever, sleepiness, rapid or uneven heartbeat, confusion, fainting, seizures, or coma.
What should I avoid while taking Prozac?Avoid drinking alcohol, which can increase some of the side effects of Prozac.
Avoid using other medicines that make you sleepy (such as cold medicine, pain medication, muscle relaxers, medicine for seizures, other medication for depression or anxiety). They can add to sleepiness caused by Prozac.Prozac can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
What are the possible side effects of Prozac?Get emergency medical help if you have any of these signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Contact your doctor promptly if you have any of the following side effects, especially if they are new symptoms or if they get worse: mood changes, anxiety, panic attacks, trouble sleeping, irritability, agitation, aggressiveness, severe restlessness, mania (mental and/or physical hyperactivity), thoughts of suicide or hurting yourself.
Call your doctor at once if you have any of these serious side effects:
seizure (convulsions);
tremors, shivering, muscle stiffness or twitching;
a red, blistering, peeling skin rash;
unusual thoughts or behavior;
problems with balance or coordination; or
agitation, confusion, sweating, fast heartbeat.
Other less serious side effects are more likely to occur, such as:
feeling anxious, nervous, restless, or unable to sit still;
drowsiness, dizziness, weakness;
sleep problems (insomnia);
runny nose, sore throat, headache, flu symptoms;
nausea, diarrhea, changes in appetite;
weight changes;
decreased sex drive, impotence, or difficulty having an orgasm; or
dry mouth, increased sweating.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect Prozac?
Talk to your doctor before taking any medicine for pain, arthritis, fever, or swelling. This includes aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), diclofenac (Voltaren), indomethacin, piroxicam (Feldene), nabumetone (Relafen), etodolac (Lodine), and others. Taking any of these drugs with Prozac may cause you to bruise or bleed easily.
Before taking Prozac, tell your doctor if you are using any of the following medicines:
alprazolam (Xanax);
clozapine (Clozaril, Fazaclo);
digitoxin (Crystodigin);
flecainide (Tambocor);
haloperidol (Haldol);
seizure medication such as phenytoin (Dilantin) or carbamazepine (Tegretol);
tryptophan (also called L-tryptophan);
vinblastine (Velban);
a blood thinner such as warfarin (Coumadin);
almotriptan (Axert), frovatriptan (Frova), sumatriptan (Imitrex), naratriptan (Amerge), rizatriptan (Maxalt), or zolmitriptan (Zomig); or
any other antidepressants such as amitriptyline (Elavil), citalopram (Celexa), escitalopram (Lexapro), fluvoxamine (Luvox), desipramine (Norpramin), imipramine (Tofranil), nortriptyline (Pamelor), or sertraline (Zoloft).
If you are using any of these drugs, you may not be able to use Prozac, or you may need dosage adjustments or special tests during treatment.
There may be other drugs not listed that can affect Prozac. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
Where can I get more information on Prozac?
Your pharmacist has additional information about Prozac written for health professionals that you may read.
What does my medication look like?
Fluoxetine is available with a prescription generically and under the brand names Prozac and Sarafem. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.
Prozac 10 mg-green, elliptical, scored tablets
Prozac 10 mg-green capsules
Prozac 20 mg-green and white capsules
Prozac 40 mg-green and orange capsules
Prozac 20 mg/5 mL oral solution-mint flavored solution
Prozac Weekly 90 mg-green and clear capsules

Provigil

2006-11-15T02:28:00.002-08:00

What is the most important information I should know about Provigil?
•
Use caution when driving, operating machinery, or performing other hazardous activities. Provigil may affect your judgment, thinking, or motor skills. If you experience any of these effects, avoid hazardous activities.
•
It is best to avoid alcohol while taking Provigil. Alcohol may have altered or increased effects while taking Provigil.
•
Provigil may decrease the effects of hormonal methods of birth control including birth control pills and depot and implantable formulations (e.g., Norplant, Depo-Provera). Use a second, nonhormonal form of birth control while taking Provigil, and for one month after stopping Provigil, if prevention of pregnancy is desired.
•
Provigil may be habit forming. You should discuss the abuse and dependence potential of Provigil with your doctor. Do not stop taking Provigil without first talking to your doctor. Your doctor may want to gradually lower the dose of the medication before stopping treatment.
What is Provigil?
•
The exact way that Provigil works is not known.
•
Provigil is used to improve wakefulness in patients with excessive daytime sleepiness associated with narcolepsy.
•
Provigil may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking Provigil?
•
Before taking Provigil, tell your doctor if you have
·
left ventricular hypertrophy (enlarged left heart ventricle);
·
chest pain, irregular heartbeats, or other symptoms of mitral valve prolapse due to central nervous system stimulant use;
·
a recent history of a heart attack;
·
high blood pressure;
·
unstable angina;
·
a history of mental illness;
·
kidney disease; or
·
liver disease.
•
You may not be able to take Provigil, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
•
Provigil is in the FDA pregnancy category C. This means that it is not known whether it will be harmful to an unborn baby. Do not take Provigil without first talking to your doctor if you are pregnant or could become pregnant during treatment.
•
It is not known whether Provigil passes into breast milk. Do not take Provigil without first talking to your doctor if you are breast-feeding.
•
If you are older than 65 years of age, you may be more likely to experience side effects from Provigil. You may require a lower dose or special monitoring during treatment.
How should I take Provigil?
•
Take Provigil exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
•
Take each dose with a full glass of water.
•
Provigil can be taken with or without food.
•
Provigil is usually taken in the morning. Follow your doctor's instructions.
•
Provigil may be habit forming. You should discuss the abuse and dependence potential of Provigil with your doctor. Do not stop taking Provigil without first talking to your doctor. Your doctor may want to gradually lower the dose of the medication before stopping treatment.
•
Store Provigil at room temperature away from moisture and heat.
What happens if I miss a dose?
•
Take the missed dose as soon as you remember as directed by your doctor. A missed dose taken late in the day may cause insomnia. If you don't remember until it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication unless otherwise directed by your doctor.
What happens if I overdose?
•
Seek emergency medical attention.
•
Symptoms of a Provigil overdose might include excitation, agitation, insomnia, sleep disturbances, anxiety, irritability, aggressiveness, confusion, nervousness, tremor, palpitations, nausea, and diarrhea.
What should I avoid while taking Provigil?
•
Use caution when driving, operating machinery, or performing other hazardous activities. Provigil may affect your judgment, thinking, or motor skills. If you experience any of these effects, avoid hazardous activities.
•
It is best to avoid alcohol while taking Provigil. Alcohol may have altered or increased effects while taking Provigil.
•
Provigil may decrease the effects of hormonal methods of birth control including birth control pills and depot and implantable formulations (e.g., Norplant, Depo-Provera). Use a second, nonhormonal form of birth control while taking Provigil, and for one month after stopping Provigil, if prevention of pregnancy is desired.
What are the possible side effects of Provigil?
•
If you experience any of the following uncommon but serious side effects, stop taking Provigil and seek emergency medical attention or contact your doctor immediately:
·
an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
·
irregular heartbeats;
·
low or high blood pressure; or
·
shortness of breath.
•
Other, less serious side effects may be more likely to occur. Continue to take Provigil and talk to your doctor if you experience
·
headache;
·
infection;
·
nausea, decreased appetite, or diarrhea;
·
chills;
·
dry mouth;
·
runny nose;
·
sore throat;
·
nervousness;
·
anxiety;
·
dizziness;
·
insomnia;
·
depression; or
·
numbness or tingling.
•
Provigil may be habit forming. You should discuss the abuse and dependence potential of Provigil with your doctor. Do not stop taking Provigil without first talking to your doctor. Your doctor may want to gradually lower the dose of the medication before stopping treatment.
•
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect Provigil?
•
Provigil may decrease the effects of hormonal methods of birth control including birth control pills and depot and implantable formulations (e.g., Norplant, Depo-Provera). Use a second, nonhormonal form of birth control while taking Provigil, and for one month after stopping Provigil, if prevention of pregnancy is desired.
•
Before taking Provigil, tell your doctor if you are taking any of the following drugs:
·
a monoamine oxidase inhibitor (MAO inhibitor) such as isocarboxazid (Marplan), tranylcypromine (Parnate), or phenelzine (Nardil);
·
a tricyclic antidepressant such as clomipramine (Anafranil) or desipramine (Norpramin);
·
another CNS stimulant such as amphetamine-dextroamphetamine (Adderall), methylphenidate (Ritalin, Methylin, Metadate ER, Concerta), pemoline (Cylert), and others;
·
phenytoin (Dilantin);
·
carbamazepine (Tegretol);
·
phenobarbital;
·
rifampin (Rifadin, Rimactane);
·
ketoconazole (Nizoral);
·
itraconazole (Sporanox);
·
cyclosporine (Neoral, Sandimmune);
·
theophylline (Theolair, Theochron, Theo-Bid, Theo-Dur, Elixophyllin, Slo-Phyllin, and others);
·
warfarin (Coumadin);
·
diazepam (Valium); or
·
propranolol (Inderal).
•
You may not be able to take Provigil, or you may require a dosage adjustment or special monitoring during your treatment if you are taking any of the medicines listed above.
•
Drugs other than those listed here may also interact with Provigil. Talk to your doctor and pharmacist before taking or using any other prescription or over-the-counter medicines including herbal products.

Protonix

2006-11-15T02:28:00.001-08:00

What is the most important information I should know about Protonix?
•
Do not stop taking Protonix even if you begin to feel better. Your symptoms may improve before the condition is fully treated.
•
Do not crush, chew, or split the tablets. Swallow them whole. They are specially formulated to release the medication slowly in the body.
What is Protonix?
•
Protonix decreases the amount of acid produced in the stomach.
•
Protonix is used to treat damage to the esophagus associated with gastroesophageal reflux disease (GERD) and other conditions involving excessive stomach acid production (e.g. Zollinger-Ellison Syndrome).
•
Protonix may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking Protonix?
•
Talk to your doctor before taking Protonix if you have liver disease. You may not be able to take Protonix, or you may require a dosage adjustment or special monitoring during treatment if you have liver disease.
•
Protonix is in the FDA pregnancy category B. This means that it is unlikely to be harmful to an unborn baby. Do not take Protonix without first talking to your doctor if you are pregnant.
•
It is not known whether Protonix passes into breast milk. Do not take Protonix without first talking to your doctor if you are breast-feeding a baby.
How should I take Protonix?
•
Take Protonix exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
•
Take each dose with a full glass of water.
•
Protonix can be taken with or without food.
•
Do not crush, chew, or split the tablets. Swallow them whole. They are specially formulated to release the medication slowly in the body.
•
Do not stop taking Protonix even if you begin to feel better. Your symptoms may improve before the condition is fully treated.
•
Store Protonix at room temperature away from moisture and heat.
What happens if I miss a dose?
•
Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication unless your doctor directs otherwise.
What happens if I overdose?
•
Seek emergency medical attention.
•
Symptoms of a Protonix overdose are not known.
What should I avoid while taking Protonix?
•
There are no restrictions on food, beverages, or activity while taking Protonix, unless otherwise directed by your doctor.
What are the possible side effects of Protonix?
•
Serious side effects from Protonix are rare. Stop taking Protonix and seek emergency medical attention if you experience an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives) to Protonix.
•
Less serious side effects from Protonix are also uncommon. Continue to take Protonix and talk to your doctor if you experience
·
flatulence (gas);
·
upset stomach or diarrhea;
·
insomnia; or
·
a rash.
•
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect Protonix?
•
Before taking Protonix, tell your doctor if you are taking any of the following medicines:
·
ketoconazole (Nizoral),
·
ampicillin (Omnipen, Principen), or
·
iron (Feosol, Mol-Iron, Fergon, Femiron, others).
•
You may not be able to take Protonix, or you may require a dosage adjustment or special monitoring during your treatment if you are taking any of the medicines listed above.
•
Drugs other than those listed here may also interact with Protonix. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Propecia

2006-11-15T02:27:00.001-08:00

What is the most important information I should know about Propecia?
•
Women who are or who may become pregnant must not handle crushed or broken Propecia tablets. The medication could be absorbed through the skin. Propecia is known to cause birth defects in a developing male baby. Exposure to whole tablets should be avoided whenever possible, however exposure to whole tablets is not expected to be harmful as long as the tablets are not swallowed.
What is Propecia?
•
Propecia prevents the conversion of testosterone to dihydrotestosterone (DHT) in the body. DHT is involved in the development of benign prostatic hyperplasia (BPH) and hair loss.
•
Proscar is used to treat benign prostatic hyperplasia (enlarged prostate). Propecia is also used to reduce hair loss due to male pattern baldness.
•
Propecia may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking Propecia?
•
Before taking this medication, tell your doctor if you have liver disease. You may not be able to take Propecia, or you may need a lower dose or special monitoring during treatment.
•
Propecia is intended for use by men only.
•
Propecia is not indicated for use by women. Do not take or handle this medication if you are pregnant or are could become pregnant during treatment. Propecia is in the FDA pregnancy category X. This means that it is known to cause birth defects in an unborn baby. Women who are or who may become pregnant must not handle crushed or broken Propecia tablets. The medication could be absorbed through the skin. Propecia is known to cause birth defects in a developing male baby. Exposure to whole tablets should be avoided whenever possible, however exposure to whole tablets is not expected to be harmful as long as the tablets are not swallowed.
•
It is not known whether Propecia passes into breast milk. Propecia is not intended for use by women. Do not take this medication if you are breast-feeding a baby.
How should I take Propecia?
•
Take Propecia exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
•
Take each dose with a full glass of water.
•
Propecia can be taken with or without food.
•
It is important to take Propecia regularly to get the most benefit.
•
Your doctor may perform blood tests or other forms of monitoring during treatment with Propecia. One of the tests that may be performed is called PSA (prostate-specific antigen). This test is used to help detect prostate cancer. Propecia will reduce the amount of PSA measured in the blood. Your doctor is aware of this effect and can still use PSA to help detect prostate cancer.
•
Store this medication at room temperature away from moisture and heat.
What happens if I miss a dose?
•
Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the dose you missed and take only the next regularly scheduled dose. Do not take a double dose unless otherwise directed.
What happens if I overdose?
•
Seek emergency medical attention if an overdose is suspected.
•
Symptoms of a Propecia overdose are not known.
What should I avoid while taking Propecia?
•
There are no restrictions on food, beverages, or activities during treatment with Propecia unless your doctor directs otherwise.
What are the possible side effects of Propecia?
•
Stop taking Propecia and seek emergency medical attention if you experience an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives).
•
Other, less serious side effects have been reported but usually resolve with continued treatment. Continue to take Propecia and notify your doctor if you experience
·
decreased libido (sex drive);
·
decreased volume of ejaculate;
·
impotence (trouble getting or keeping an erection); or
·
breast tenderness or enlargement.
•
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect Propecia?
•
There are no known interactions between Propecia and other medications. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.

Prilosec

2006-11-15T02:25:00.000-08:00

What is the most important information I should know about Prilosec?
Heartburn is often confused with the first symptoms of a heart attack. Seek emergency medical attention if you have chest pain or heavy feeling, dizziness, pain spreading to the arm or shoulder, sweating, nausea or vomiting, and a general ill feeling.
Prilosec is not for immediate relief of heartburn symptoms.
Some conditions are treated with a combination of Prilosec and antibiotics. To best treat your condition, use all of your medications as directed by your doctor. Be sure to read the medication guide or patient instructions provided with each of your medications. Do not change your doses or medication schedule without advice from your doctor. Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the condition is completely treated.
Prilosec OTC (over-the-counter) should be taken only once every 24 hours for 14 days. It may take up to 4 days for full effect. Do not take more than one tablet every 24 hours.
Allow at least 4 months to pass before you start another 14-day treatment with Prilosec OTC. Call your doctor if you have additional symptoms and need treatment before the 4 months has passed.
What is Prilosec?
Prilosec decreases the amount of acid produced in the stomach.
Prilosec is used to treat symptoms of gastroesophageal reflux disease (GERD) and other conditions caused by excess stomach acid. Prilosec is also used to promote healing of erosive esophagitis (damage to your esophagus caused by stomach acid).
Prilosec may also be given together with antibiotics to treat gastric ulcer caused by infection with helicobacter pylori (H. pylori).
Prilosec may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking Prilosec?
Heartburn is often confused with the first symptoms of a heart attack. Seek emergency medical attention if you have chest pain or heavy feeling, dizziness, pain spreading to the arm or shoulder, sweating, nausea or vomiting, and a general ill feeling.Do not use this medication if you are allergic to Prilosec.
Before using this medication, tell your doctor if you are allergic to any drugs, or if you have liver disease. You may not be able to use Prilosec, or you may need a dosage adjustment or special tests during treatment.
Some conditions are treated with a combination of Prilosec and antibiotics. To best treat your condition, use all of your medications as directed by your doctor. Be sure to read the medication guide or patient instructions provided with each of your medications. Do not change your doses or medication schedule without advice from your doctor. Do not use over-the-counter omeprazole (Prilosec OTC) without the advice of a doctor if you have:
trouble or pain with swallowing;
bloody or black stools;
vomit that looks like blood or coffee grounds;
heartburn that has lasted for over 3 months;
frequent chest pain;
heartburn with wheezing;
unexplained weight loss;
nausea or vomiting; or
stomach pain.
If you have any of these conditions, you may not be able to use Prilosec OTC or you may need a dosage adjustment or special tests during treatment.FDA pregnancy category C. Prilosec may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Prilosec can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
Do not give this medication to a child without your doctor's advice.
How should I take Prilosec?
Prilosec is not for immediate relief of heartburn symptoms.
Take this medication exactly as directed on the label, or as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on the medicine label or on your prescription label.Take each dose of Prilosec with a full glass (8 ounces) of water.
Prilosec is usually taken before eating. Follow your doctor's instructions. Do not crush, break, or open a delayed-release capsule. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking or opening the pill would cause too much of the drug to be released at one time.
You may open the delayed-release capsule and sprinkle the medicine into a spoonful of applesauce to make swallowing easier. Swallow this mixture right away without chewing. Do not save the mixture for later use. Discard the empty capsule.
Prilosec OTC (over-the-counter) should be taken only once every 24 hours for 14 days. Take the medicine in the morning before you eat breakfast. It may take up to 4 days for full effect. Do not take more than one tablet every 24 hours.
Allow at least 4 months to pass before you start another 14-day treatment with Prilosec OTC. Call your doctor if you have additional symptoms and need treatment before the 4 months has passed.Do not crush, chew, or break a Prilosec OTC tablet. Swallow the pill whole. Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before your treatment is completed. Call your doctor if your symptoms do not improve or if they get worse while you are taking this medicine. Store Prilosec at room temperature away from moisture and heat.
What happens if I miss a dose of Prilosec?
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.
What happens if I overdose with Prilosec?Seek emergency medical attention if you think you have used too much of this medicine.
Symptoms of an Prilosec overdose include drowsiness, blurred vision, fast heartbeat, nausea, vomiting, sweating, headache, or dry mouth.
What should I avoid while taking Prilosec?
There are no restrictions on food, beverages, or activities while taking Prilosec, unless otherwise directed by your doctor.
What are the possible side effects of Prilosec?Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Other less serious side effects are more likely to occur, such as:
stomach pain, gas;
nausea, vomiting, diarrhea; or
headache.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect Prilosec?
Before taking Prilosec, tell your doctor if you are taking any of the following drugs:
a blood thinner such as warfarin (Coumadin);
atazanavir (Reyataz);
disulfiram (Antabuse);
cyclosporine (Gengraf, Neoral, Sandimmune);
tacrolimus (Prograf);
phenytoin (Dilantin);
theophylline (TheoBid, Theo-Dur, Theochron, Theolair, Elixophyllin, Slo-Phyllin);
itraconazole (Sporanox) or ketoconazole (Nizoral);
ampicillin (Omnipen, Principen);
iron (Feosol, Mol-Iron, Fergon, Femiron, others); or
a medicine for insomnia or anxiety such as diazepam (Valium), alprazolam (Xanax), lorazepam (Ativan), temazepam (Restoril), clorazepate (Tranxene), chlordiazepoxide (Librium), and others.
If you are using any of these drugs, you may not be able to use Prilosec, or you may need dosage adjustments or special tests during treatment.
There may be other drugs not listed that can affect Prilosec. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
Where can I get more information on Prilosec?
Your pharmacist has additional information about Prilosec written for health professionals that you may read.
What does my medication look like?
Omeprazole is available with a prescription and over-the-counter under the brand names Prilosec and Prilosec OTC. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.
Prilosec 10 mg--opaque, hard-gelatin, apricot/amethyst-colored capsules
Prilosec 20 mg--opaque, hard-gelatin, amethyst-colored capsules
Prilosec 40 mg--opaque, hard-gelatin, apricot/amethyst-colored capsules
Prilosec OTC 20 mg-round, pink tablets

Prevacid

2006-11-15T02:24:00.002-08:00

What is the most important information I should know about Prevacid?Before taking this medication, tell your doctor if you are allergic to any drugs, or if you have any type of liver disease. You may not be able to use Prevacid, or you may need a dosage adjustment or special tests during treatment.
Some conditions are treated with a combination of Prevacid and antibiotics. To best treat your condition, use all of your medications as directed by your doctor. Be sure to read the medication guide or patient instructions provided with each of your medications. Do not change your doses or medication schedule without advice from your doctor. Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before your treatment is completed. This medication comes in different forms (capsules, disintegrating tablets, granules). Follow the dosing instructions for the specific form you are taking.
What is Prevacid?
Prevacid decreases the amount of acid produced in the stomach.
Prevacid is used to treat and prevent stomach and intestinal ulcers, erosive esophagitis (damage to the esophagus from stomach acid), and other conditions involving excessive stomach acid such as Zollinger-Ellison syndrome.
Prevacid may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking Prevacid?Before taking this medication, tell your doctor if you are allergic to any drugs, or if you have any type of liver disease. You may not be able to use Prevacid, or you may need a dosage adjustment or special tests during treatment.
Some conditions are treated with a combination of Prevacid and antibiotics. To best treat your condition, use all of your medications as directed by your doctor. Be sure to read the medication guide or patient instructions provided with each of your medications. Do not change your doses or medication schedule without advice from your doctor. FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether Prevacid passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
Some forms of Prevacid may contain phenylalanine. Tell your doctor if you have phenylketonuria.Do not give this medication to a child younger than 1 year old.
How should I take Prevacid?
Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.Take each dose with a full glass (8 ounces) of water. Prevacid should be taken before eating. Do not crush, break, or open a delayed-release capsule. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking or opening the pill would cause too much of the drug to be released at one time.
If you are unable to swallow a capsule whole: Open the capsule and sprinkle the medicine into a spoonful of pudding, applesauce, yogurt, cottage cheese, strained pears, or a nutritional drink such as Ensure. Swallow this mixture right away without chewing. Do not save the mixture for later use. Discard the empty capsule.
You may also dissolve the medicine from a Prevacid capsule in 2 ounces (1/4 cup) of apple juice, orange juice, or tomato juice. Stir this mixture and drink all of it right away. To make sure you get the entire dose, add a little more juice to the same glass, swirl gently and drink right away.
Dissolve the oral granules in 2 tablespoons of water. Use only water when mixing Prevacid oral granules. Stir this mixture and drink all of it right away. To make sure you get the entire dose, add a little more water to the same glass, swirl gently and drink right away.
To take Prevacid orally disintegrating tablet: Use dry hands to remove the tablet and place it in your mouth. It will begin to dissolve right away. Allow the tablet to dissolve in your mouth without chewing, swallowing several times as it dissolves.
The Prevacid orally disintegrating tablet may be taken with an oral syringe as follows: Place the dry tablet into a 15-milliliter oral syringe and draw 10 milliliters of water into the syringe. Shake until the tablet is dissolved and then empty the syringe into your mouth. Refill the syringe with water, shake gently, and empty into your mouth.
The disintegrating tablet can also be given through a nasogastric (NG) feeding tube as follows: Place a 15-milligram tablet in a syringe and draw up 4 milliliters of water (or 10 milliliters of water if using a 30-milligram tablet). Shake until the tablet is dissolved. Attach the syringe to the NG tube and push the plunger down to empty the syringe into the tube. Then flush the tube with more water to wash the contents down.
It is important to use Prevacid regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before your treatment is completed. Store Prevacid at room temperature away from moisture and heat.
What happens if I miss a dose of Prevacid?
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.
What happens if I overdose with Prevacid?Seek emergency medical attention if you think you have used too much of this medicine.
An overdose of Prevacid is not expected to produce life-threatening symptoms.
What should I avoid while taking Prevacid?
If you also take sucralfate (Carafate), avoid taking it at the same time you take Prevacid. Sucralfate can make it harder for your body to absorb Prevacid. Wait at least 30 minutes after taking Prevacid before you take sucralfate.
What are the possible side effects of Prevacid?Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Other less serious side effects are more likely to occur, such as:
headache;
nausea, stomach pain;
diarrhea; or
constipation.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect Prevacid?
Before taking Prevacid, tell your doctor if you are using any of the following drugs:
theophylline (such as Elixophyllin, Respbid, Slo-Bid, Theobid, Theoclear, Theo-Dur, Uniphyl);
digoxin (Lanoxin, Lanoxicaps);
ampicillin (Omnipen, Principen);
ketoconazole (Nizoral);
iron (Feosol, Mol-Iron, Fergon, Femiron, others); or
a blood thinner such as warfarin (Coumadin).
If you are using any of these drugs, you may not be able to use Prevacid, or you may need dosage adjustments or special tests during treatment.
There may be other drugs not listed that can affect Prevacid. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
Where can I get more information on Prevacid?
Your pharmacist has additional information about Prevacid written for health professionals that you may read.
What does my medication look like?
Lansoprazole is available with a prescription under the brand name Prevacid. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.
Prevacid 15 mg--pink/green, delayed-release capsules
Prevacid 30 mg--pink/black, delayed-release capsules
Prevacid for Delayed-Release Oral Suspension-white to pale brownish granules
Prevacid SoluTab Delayed-Release Orally Disintegrating Tablets-white to yellowish tablets with orange or brown specks
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Prednisone

2006-11-15T02:24:00.001-08:00

What is the most important information I should know about prednisone?
•
Do not stop taking prednisone suddenly if you have been taking it for a few weeks. You may need a gradual reduction in dosage before you stop taking this medication.
•
Take prednisone with food or milk to lessen stomach upset.
•
Carry some type of medical identification that will let others know you are taking prednisone in the case of an emergency.
What is prednisone?
•
Prednisone is in a class of drugs called steroids. Prednisone reduces swelling and decreases the body's ability to fight infections.
•
Prednisone is used to treat many different conditions. It is used to treat endocrine (hormonal) disorders when the body does not produce enough of its own steroids. It is also used to treat many disorders such as arthritis, lupus, severe psoriasis, severe asthma, ulcerative colitis, and Crohn's disease.
•
Prednisone may also be used for purposes other than those listed in this medication guide.
Who should not take prednisone?
•
Do not take prednisone if you have a serious bacterial, viral, or fungal infection. Prednisone weakens the body's immune response and thus its ability to fight infection.
•
Before taking this medication, tell your doctor if you have
·
kidney disease,
·
liver disease,
·
high blood pressure or heart disease,
·
ulcerative colitis, diverticulitis, or stomach ulcers,
·
hypothyroidism,
·
a psychiatric condition,
·
osteoporosis,
·
myasthenia gravis,
·
diabetes mellitus, or
·
any other medical conditions.
•
You may not be able to take prednisone, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
•
Prednisone is in the FDA pregnancy category C. This means that it is not known whether prednisone will harm an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant.
•
Prednisone passes into breast milk. Do not take prednisone without first talking to your doctor if you are breast-feeding a baby.
How should I take prednisone?
•
Take prednisone exactly as directed by your doctor. Do not take more or less than is prescribed for you. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
•
Take each dose with a full glass of water.
•
Take prednisone with food or milk to lessen stomach upset.
•
Measure the liquid with the dropper provided or with a special dose-measuring spoon or cup. Ask your pharmacist for a dose-measuring spoon or cup if you do not have one.
•
If you are taking one dose daily, take that dose before 9 a.m. if possible, to follow the body's natural cycle. If you take more than one dose daily, space the doses evenly throughout the day as directed by your doctor.
•
Do not stop taking prednisone suddenly if you have been taking it for a few weeks. You may need a gradual reduction in dosage before you stop taking this medication.
•
Carry some type of medical identification that will let others know you are taking prednisone in the case of an emergency.
•
Store prednisone at room temperature away from moisture and heat.
What happens if I miss a dose?
•
If you take one dose daily, take the missed dose as soon as you remember. However, if you don't remember until the next day, skip the dose you missed and take only your regular daily dose.
•
If you take more than one dose daily, you can either take the missed dose as soon as you remember, or you can take two doses at the next dose time.
•
If you take one dose every other day, take the missed dose as soon as you remember, then go back to your regular every-other-day schedule.
What happens if I overdose?
•
Seek emergency medical attention. A single large dose of this medication is unlikely to cause symptoms or death. An overdose is more likely to be caused by a chronic overdose--large doses taken over a period of time.
•
Symptoms of an overdose include obesity (especially around the stomach); a round face; increased hair growth (especially around the face); acne; bruising; increased blood pressure; swollen hands, feet, or ankles (fluid retention); and sore or weak muscles.
What should I avoid while taking prednisone?
•
Avoid alcohol. Acting together, alcohol and prednisone can be damaging to the stomach.
•
Avoid sources of infection. Wash your hands frequently and keep them away from the mouth and eyes. Your immune system may be weakened while taking prednisone.
•
Do not receive any immunizations during treatment with prednisone without first talking to your doctor.
What are the possible side effects of prednisone?
•
If you experience any of the following serious side effects, stop taking prednisone and seek emergency medical attention or contact your doctor immediately:
·
an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);
·
increased blood pressure (severe headache or blurred vision); or
·
sudden weight gain (more than 5 pounds in a day or two).
•
Other, less serious side effects may be more likely to occur. Continue to take prednisone and talk to your doctor if you experience
·
insomnia;
·
nausea, vomiting, or stomach upset;
·
fatigue or dizziness;
·
muscle weakness or joint pain;
·
problems with diabetes control; or
·
increased hunger or thirst.
•
Other side effects that occur only rarely, usually with high doses of prednisone, include
·
acne,
·
increased hair growth,
·
thinning of the skin,
·
cataracts,
·
glaucoma,
·
osteoporosis,
·
roundness of the face, and
·
changes in behavior.
•
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect prednisone?
•
Do not take any other over-the-counter or prescription medications, including herbal products, during treatment with prednisone without first talking to your doctor. Many other medicines can interact with prednisone resulting in side effects or altered effectiveness of the medications.

Potassium

2006-11-15T02:23:00.000-08:00

What is the most important information I should know about potassium chloride?
•
Take each dose with a full glass of water.
•
Take potassium chloride with food or milk to lessen stomach upset.
•
Do not crush, chew, or break the tablets or capsules. Swallow them whole. They are specially formulated to release medicine slowly in the body. If you have problems swallowing, ask your doctor about other forms of potassium.
•
Mix the liquid with at least 4 ounces (one-half cup) of water or juice. Mix it thoroughly and drink it immediately. Do not drink the liquid without diluting it first.
•
Do not use a salt substitute while taking potassium chloride without first talking to your doctor. Salt substitutes may contain potassium. You may get too much potassium and experience side effects if you use these products.
What is potassium chloride?
•
Potassium is a mineral that is found naturally in foods and is necessary for many normal functions of the body, especially beating of the heart.
•
Potassium chloride is used to prevent or to treat a potassium deficiency.
•
Potassium chloride may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking potassium chloride?
•
Before taking potassium chloride, tell your doctor if you
·
have kidney disease;
·
are taking a potassium-sparing diuretic such as triamterene (Dyrenium, Dyazide, Maxzide), spironolactone (Aldactone, Aldactazide), or amiloride (Midamor, Moduretic);
·
have Addison's disease;
·
have an ulcer or an intestinal blockage; or
·
have chronic diarrhea.
•
You may not be able to take potassium chloride, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
•
Potassium chloride is in the FDA pregnancy category C. This means that it is not known whether potassium chloride will be harmful to an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment.
•
It is not known whether potassium passes into breast milk. Do not take potassium chloride without first talking to your doctor if you are breast-feeding a baby.
How should I take potassium chloride?
•
Take potassium chloride exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
•
Take each dose with a full glass of water.
•
Take potassium chloride with food or milk to lessen stomach upset.
•
Mix the powder or liquid with at least 4 ounces (one-half cup) of water or juice. Mix it thoroughly and drink it immediately. Do not drink the liquid without diluting it first.
•
Do not crush, chew, or break the tablets or capsules. Swallow them whole. They are specially formulated to release medicine slowly in the body. If you have problems swallowing, ask your doctor about other forms of potassium.
•
Do not worry if you find a wax capsule in the stool. The capsule is formulated to be passed out in the stool, but the drug has been absorbed by the body.
•
It is important to take potassium chloride regularly to get the most benefit.
•
Your doctor may want you to have blood tests or other medical evaluations during treatment with potassium chloride to monitor progress and side effects.
•
Store potassium chloride at room temperature away from moisture and heat.
What happens if I miss a dose?
•
Take the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication.
What happens if I overdose?
•
Seek emergency medical attention if an overdose is suspected.
•
Symptoms of a potassium chloride overdose may include paralysis; numbness or tingling in the hands, arms, legs, or feet; an irregular heartbeat; low blood pressure (dizziness, confusion, weakness, fatigue); seizures; coma; and heart attack.
What should I avoid while taking potassium chloride?
•
Do not use a salt substitute while taking potassium chloride without first talking to your doctor. Salt substitutes may contain potassium. You may get too much potassium and experience side effects if you use these products.
What are the possible side effects of potassium chloride?
•
If you experience any of the following serious side effects, stop taking potassium chloride and seek emergency medical attention or contact your doctor immediately:
·
an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
·
confusion;
·
an irregular heartbeat;
·
difficulty breathing;
·
unusual fatigue, weakness, or heavy legs;
·
abdominal pain or severe cramping;
·
black, bloody, or tarry stools.
•
Other, less serious side effects may be more likely to occur. Continue to take potassium chloride and talk to your doctor if you experience
·
nausea, vomiting, diarrhea, or abdominal discomfort;
·
a rash;
·
slight tingling in the hands or feet; or
·
anxiety.
•
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect potassium chloride?
•
Before taking potassium chloride, tell your doctor if you are taking any of the following medicines:
·
an angiotensin-converting-enzyme inhibitor (ACE inhibitor) such as benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril (Zestril, Prinivil), moexipril (Univasc), quinapril (Accupril), ramipril (Altace), and others;
·
a potassium-sparing diuretic such as triamterene (Dyrenium, Dyazide, Maxzide), spironolactone (Aldactone, Aldactazide), and amiloride (Midamor, Moduretic);
·
a beta-blocker such as atenolol (Tenormin), propranolol (Inderal), acebutolol (Sectral), bisoprolol (Zebeta), carteolol (Cartrol), labetalol (Normodyne, Trandate), nadolol (Corgard), metoprolol (Lopressor), pindolol (Visken), and others; and
·
digoxin (Lanoxin);
·
a diuretic (water pill) such as hydrochlorothiazide (Hydrodiuril, HCTZ, others), chlorothiazide (Diuril, others), metolazone (Zaroxolyn), indapamide (Lozol), and others;
·
a steroid such as prednisone (Deltasone, Orasone, others), cortisone (Cortone), hydrocortisone (Cortef, Hydrocortone, others), or dexamethasone (Decadron, Hexadrol); or
·
an anti-inflammatory drug such as ibuprofen (Motrin, Advil, others), naproxen (Aleve, Anaprox, Naprosyn, others), or ketoprofen (Orudis KT, Orudis, Oruvail).
•
You may not be able to take potassium chloride, or you may require a dosage adjustment or special monitoring if you are taking any of the medicines listed above.
•
Drugs other than those listed here may also interact with potassium chloride or affect your condition. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.

Plavix

2006-11-15T02:22:00.000-08:00

What is the most important information I should know about Plavix?
•
It may take longer than usual for you to stop bleeding, even from minor wounds. Tell your doctor about any unusual bleeding or bruising that you experience.
•
Tell your doctor and dentist that you are taking this medication before having any surgical procedures.
•
Do not take aspirin, ibuprofen (Motrin, Advil, Nuprin, others), naproxen (Aleve, Anaprox, Naprosyn, others), ketoprofen (Orudis, Orudis KT, Oruvail), indomethacin (Indocin), nabumetone (Relafen), oxaprozin (Daypro), or other non-steroidal anti-inflammatory medications (NSAIDs) without first talking to your doctor.
What is Plavix?
•
Plavix prevents platelets (substances in the blood) from clustering. This helps to prevent blood from forming blood clots.
•
Plavix is used in the prevention and treatment of heart attack, stroke, blood clots, and acute coronary syndrome.
•
Plavix may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking Plavix?
•
Do not take Plavix if you have active bleeding anywhere in the body such as the stomach (ulcer) or in the head (type of stroke).
•
Before taking this medication, tell your doctor if you:
·
have a bleeding or blood disorder,
·
have a stomach or intestinal ulcer;
·
have liver disease; or
·
need to have surgery (including dental surgery).
•
You may not be able to take Plavix, or you may require a dosage adjustment or special monitoring if you have any of the conditions listed above.
•
Plavix is in the FDA pregnancy category B. This means that it is unlikely to harm an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment.
•
It is not known whether Plavix passes into breast milk. Plavix is not recommended for use during breast-feeding. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.
How should I take Plavix?
•
Take Plavix exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
•
Take each dose with a full glass of water.
•
Plavix can be taken with or without food.
•
Store Plavix at room temperature away from moisture and heat.
What happens if I miss a dose of Plavix?
•
Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication.
What happens if I overdose with Plavix?
•
Seek emergency medical attention.
•
Symptoms of a Plavix overdose are unknown but might include vomiting, difficulty breathing, blood in the vomit or stool, and exhaustion.
What should I avoid while taking Plavix?
•
Tell your doctor and dentist that you are taking this medication before having any surgical procedures.
•
Do not take aspirin, ibuprofen (Motrin, Advil, Nuprin, others), naproxen (Aleve, Anaprox, Naprosyn, others), ketoprofen (Orudis, Orudis KT, Oruvail), indomethacin (Indocin), nabumetone (Relafen), oxaprozin (Daypro), or other non-steroidal anti-inflammatory medications (NSAIDs) without first talking to your doctor.
•
It may take longer than usual for you to stop bleeding, even from minor wounds. Tell your doctor about any unusual bleeding or bruising that you experience.
What are the possible side effects of Plavix?
•
If you experience any of the following serious side effects, stop taking Plavix and seek emergency medical attention or notify your doctor immediately:
·
an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
·
bloody (or black) vomit or stools;
·
severe headache, confusion, or dizziness;
·
unexplained bruising or bleeding; or
·
bleeding nose.
•
Other, less serious side effects may be more likely to occur. Continue to take Plavix and talk to your doctor if you experience
·
upset stomach;
·
diarrhea or constipation; or
·
headache or dizziness.
•
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect Plavix?
•
Before taking this medication tell your doctor if you are taking
·
aspirin;
·
warfarin (Coumadin);
·
heparin, ardeparin (Normiflo), dalteparin (Fragmin), danaparoid (Orgaran), enoxaparin (Lovenox), or tinzaparin (Innohep); or
·
a non-steroidal anti-inflammatory medication such as ibuprofen (Advil, Motrin, others), naproxen (Anaprox, Naprosyn, Aleve), ketoprofen (Orudis KT, Orudis, Oruvail), indomethacin (Indocin), diclofenac (Cataflam, Voltaren), diflunisal (Dolobid), etodolac (Lodine), fenoprofen (Nalfon), flurbiprofen (Ansaid), nabumetone (Relafen), oxaprozin (Daypro), piroxicam (Feldene), sulindac (Clinoril), or tolmetin (Tolectin).
•
The medicines listed above can cause bleeding, especially when taken with Plavix. This could become dangerous. Do not take any of the medicines listed above without first talking to your doctor.
•
Plavix may also interact with the following medications
·
phenytoin (Dilantin);
·
tamoxifen (Nolvadex);
·
tolbutamide (Orinase);
·
torsemide (Demadex ); and
·
fluvastatin (Lescol).
•
You may require a dosage adjustment or special monitoring if you are taking any of the medications listed above.
•
Drugs other than those listed here may also interact with Plavix. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.
Where can I get more information on Plavix?
•
Your pharmacist has more information about Plavix written for health professionals that you may read.

Phentermine

2006-11-15T02:21:00.000-08:00

What is the most important information I should know about phentermine?
•
Use caution when driving, operating machinery, or performing other hazardous activities. Phentermine may cause dizziness, blurred vision, or restlessness, and it may hide the symptoms of extreme tiredness. If you experience these effects, avoid hazardous activities.
•
Phentermine is habit forming. You can become physically and psychologically dependent on this medication, and withdrawal effects may occur if you stop taking it suddenly after several weeks of continuous use. Talk to your doctor about stopping this medication gradually.
•
Do not crush, chew or open any "once-daily" phentermine tablets or capsules. Swallow them whole.
What is phentermine?
•
Phentermine is a sympathomimetic amine, which is similar to an amphetamine. It is also known as an "anorectic" or "anorexigenic" drug. Phentermine stimulates the central nervous system (nerves and brain), which increases your heart rate and blood pressure and decreases your appetite.
•
Phentermine is used as a short-term supplement to diet and exercise in the treatment of obesity.
•
Phentermine may also be used for purposes other than those listed in this medication guide.
Who should not take phentermine?
•
You cannot take phentermine if you
·
have heart disease or high blood pressure;
·
have arteriosclerosis (hardening of the arteries);
·
have glaucoma;
·
have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), tranylcypromine (Parnate), or phenelzine (Nardil) in the last 14 days; or
·
have a history of drug or alcohol abuse.
•
Before taking this medication, tell your doctor if you have
·
problems with your thyroid,
·
an anxiety disorder,
·
epilepsy or another seizure disorder, or
·
diabetes.
•
You may not be able to take phentermine, or you may require a lower dose or special monitoring during treatment if you have any of the conditions listed above.
•
It is not known whether phentermine will harm an unborn baby. Do not take phentermine without first talking to your doctor if you are pregnant.
•
It is also not known whether phentermine passes into breast milk. Do not take phentermine without first talking to your doctor if you are breast-feeding a baby.
How should I take phentermine?
•
Take phentermine exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
•
Take each dose with a full glass of water.
•
Phentermine is usually taken once or twice a day before a meal on an empty stomach.
•
Do not take phentermine in the evening because it may cause insomnia.
•
Do not crush, chew or open any "once-daily" phentermine tablets or capsules. Swallow them whole.
•
Never take more of this medication than is prescribed for you. Too much phentermine could be very dangerous to your health.
•
Store phentermine at room temperature away from moisture and heat.
What happens if I miss a dose of phentermine?
•
Take the missed dose as soon as you remember. However, if it is almost time for your next dose or if it is already evening, skip the missed dose and take only your next regularly scheduled dose. A dose taken too late in the day will cause insomnia. Do not take a double dose of this medication.
What happens if I overdose with phentermine?
•
Seek emergency medical attention.
•
Symptoms of a phentermine overdose include restlessness, tremor, rapid breathing, confusion, hallucinations, panic, aggressiveness, nausea, vomiting, diarrhea, an irregular heartbeat, and seizures.
What should I avoid while taking phentermine?
•
Use caution when driving, operating machinery, or performing other hazardous activities. Amphetamine may cause dizziness, blurred vision, or restlessness, and it may hide the symptoms of extreme tiredness. If you experience these effects, avoid hazardous activities.
•
Do not take phentermine late in the day. A dose taken too late in the day can cause insomnia.
What are the possible side effects of phentermine?
•
If you experience any of the following serious side effects, stop taking phentermine and seek emergency medical attention:
·
an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);
·
an irregular heartbeat or very high blood pressure (severe headache, blurred vision); or
·
hallucinations, abnormal behavior, or confusion.
•
Other, less serious side effects may be more likely to occur. Continue to take phentermine and talk to your doctor if you experience
·
restlessness or tremor,
·
nervousness or anxiety,
·
headache or dizziness,
·
insomnia,
·
dry mouth or an unpleasant taste in your mouth,
·
diarrhea or constipation, or
·
impotence or changes in your sex drive.
•
Phentermine is habit forming. You can become physically and psychologically dependent on this medication, and withdrawal effects may occur if you stop taking it suddenly after several weeks of continuous use. Talk to your doctor about stopping this medication gradually.
•
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect phentermine?
•
You cannot take phentermine if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), tranylcypromine (Parnate), or phenelzine (Nardil) in the last 14 days.
•
Changes in insulin and other diabetes drug therapies may be necessary during treatment with phentermine.
•
Phentermine may reduce the effects of guanethidine (Ismelin). This could lead to an increase in blood pressure. Tell your doctor if you are taking guanethidine.
•
Before taking this medication, tell your doctor if you are taking a tricyclic antidepressant such as amitriptyline (Elavil), amoxapine (Asendin), doxepin (Sinequan), nortriptyline (Pamelor), imipramine (Tofranil), clomipramine (Anafranil), protriptyline (Vivactil), or desipramine (Norpramin). These drugs may decrease the effects of phentermine.
•
Drugs other than those listed here may also interact with phentermine. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.
Where can I get more information on phentermine?
•
Your pharmacist has more information about phentermine written for health professionals that you may read.

Percocet

2006-11-14T12:33:00.001-08:00

What is the most important information I should know about Percocet?
•
Do not stop taking Percocet suddenly if you have been taking it continuously for more than 5 to 7 days. Stopping suddenly could cause withdrawal symptoms and make you feel uncomfortable. Your doctor may want to gradually reduce your dose.
•
Use caution when driving, operating machinery, or performing other hazardous activities. Oxycodone may cause drowsiness or dizziness. If you experience drowsiness or dizziness, avoid these activities.
•
Avoid alcohol while taking Percocet. Alcohol may increase the drowsiness and dizziness caused by Percocet and could be dangerous. Also, acetaminophen can be toxic to your liver when taken with as little as 2 drinks of alcohol.
•
Also avoid sleeping pills, tranquilizers, sedatives, and antihistamines except under the supervision of your doctor. These medications also may cause dangerous sedation.
•
Percocet may cause constipation. Drink plenty of water (six to eight full glasses a day) to lessen this side effect. Increasing the amount of fiber in your diet can also help to alleviate constipation.
•
Never take more Percocet than is prescribed for you. If your pain is not being adequately treated, talk to your doctor.
•
Watch the acetaminophen content of other over-the-counter and prescription products while taking this medication. Do not take more than a total of 4 grams (4000 mg) of acetaminophen per day.
What is Percocet?
•
Oxycodone (related to codeine) is in a class of drugs called narcotic analgesics. It relieves pain.
•
Acetaminophen is a less potent pain reliever that increases the effects of oxycodone.
•
Together, acetaminophen and oxycodone are used to relieve moderate-to-severe pain.
•
Percocet may also be used for purposes other than those listed in this medication guide.
Who should not take Percocet?
•
Before taking Percocet, tell your doctor if you have
·
kidney disease;
·
liver disease;
·
asthma;
·
urinary retention;
·
an enlarged prostate;
·
hypothyroidism;
·
seizures or epilepsy;
·
gallbladder disease;
·
a head injury;
·
Addison's disease; or
·
a history of alcohol or drug addiction.
•
You may not be able to take Percocet, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
•
This drug combination is in the FDA pregnancy category C. This means that it is not known whether it will harm an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant.
•
It is not known whether this drug combination passes into breast milk. Do not take Percocet without first talking to your doctor if you are breast-feeding a baby.
•
If you are younger than 18 years of age or older than 60 years of age, you may be more likely to experience side effects from Percocet therapy. Use extra caution.
How should I take Percocet?
•
Take Percocet exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
•
Take each dose with a full glass of water.
•
Take Percocet with food or milk if it upsets your stomach.
•
Never take more Percocet than is prescribed for you. Too much Percocet could be very harmful.
•
To ensure that you get a correct dose, measure the liquid form of oxycodone with a special dose-measuring spoon or cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.
•
Do not stop taking Percocet suddenly if you have been taking it continuously for more than 5 to 7 days. Stopping suddenly could cause withdrawal symptoms and make you feel uncomfortable. Your doctor may want to gradually reduce your dose.
•
Percocet may cause constipation. Drink plenty of water (six to eight full glasses a day) to lessen this side effect. Increasing the amount of fiber in your diet can also help to alleviate constipation.
•
Do not share this medication with anyone else.
•
Store Percocet at room temperature away from moisture and heat.
What happens if I miss a dose?
•
Take the missed dose as soon as you remember. Do not take a double dose of this medication. Wait the prescribed amount of time before taking your next dose.
What happens if I overdose?
•
Seek emergency medical attention.
•
Symptoms of an Percocet overdose include slow breathing, seizures, dizziness, weakness, loss of consciousness, coma, confusion, tiredness, cold and clammy skin, small pupils, nausea, vomiting, and sweating.
What should I avoid while taking Percocet?
•
Use caution when driving, operating machinery, or performing other hazardous activities. Oxycodone may cause drowsiness or dizziness. If you experience drowsiness or dizziness, avoid these activities.
•
Avoid alcohol while taking Percocet. Alcohol may increase the drowsiness and dizziness caused by Percocet and could be dangerous. Also, acetaminophen can be toxic to your liver when taken with as little as 2 drinks of alcohol.
•
Also avoid sleeping pills, tranquilizers, sedatives, and antihistamines except under the supervision of your doctor. These medications also may cause dangerous sedation.
•
Watch the acetaminophen content of other over-the-counter and prescription products while taking this medication. Do not take more than a total of 4 grams (4000 mg) of acetaminophen per day.
What are the possible side effects of Percocet?
•
If you experience any of the following serious side effects, stop taking Percocet and seek emergency medical attention or notify your doctor immediately:
·
an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);
·
slow, weak breathing;
·
seizures;
·
cold, clammy skin;
·
severe weakness or dizziness;
·
unconsciousness;
·
yellowing of the skin or eyes; or
·
unusual fatigue, bleeding, or bruising.
•
Other, less serious side effects may be more likely to occur. Continue to take Percocet and talk to your doctor if you experience
·
constipation;
·
dry mouth, nausea, vomiting, or decreased appetite;
·
dizziness, tiredness, or lightheadedness;
·
muscle twitches;
·
sweating;
·
itching;
·
decreased urination; or
·
decreased sex drive.
•
Percocet is habit forming. Do not stop taking it suddenly.
•
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect Percocet?
•
Do not take Percocet if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days. Dangerous side effects could result.
•
The most serious interactions affecting Percocet are with those drugs that also cause sedation. The following drugs may lead to dangerous sedation if taken with Percocet:
·
antihistamines such as brompheniramine (Dimetane, Bromfed, others), diphenhydramine (Benadryl, Nytol, Compoz, others), chlorpheniramine (Chlor-Trimeton, Teldrin, others), and others;
·
tricyclic antidepressants, such as amitriptyline (Elavil) and doxepin (Sinequan), and serotonin reuptake inhibitors such as fluoxetine (Prozac), sertraline (Zoloft), and paroxetine (Paxil);
·
other commonly used antidepressants, including amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), imipramine (Tofranil), nortriptyline (Pamelor), and protriptyline (Vivactil);
·
anticholinergics such as belladonna (Donnatal), clidinium (Quarzan), dicyclomine (Bentyl, Antispas), hyoscyamine (Levsin, Anaspaz), ipratropium (Atrovent), propantheline (Pro-Banthine), and scopolamine (Transderm-Scop);
·
phenothiazines such as chlorpromazine (Thorazine), fluphenazine (Prolixin), thioridazine (Mellaril), and prochlorperazine (Compazine); and
·
tranquilizers and sedatives such as phenobarbital (Solfoton, Luminal), amobarbital (Amytal), secobarbital (Seconal), alprazolam (Xanax), diazepam (Valium), lorazepam (Ativan), flurazepam (ProSom), and temazepam (Restoril).
•
You may not be able to take Percocet or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.
•
Watch the acetaminophen content of other over-the-counter and prescription products while taking this medication. Do not take more than a total of 4 grams (4000 mg) of acetaminophen per day.
•
Drugs other than those listed here may also interact with Percocet. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.
Where can I get more information?
•
Your pharmacist has additional information about Percocet written for health professionals that you may read.