Hot Content Directory Malawi: 2012

Monday, 8 October 2012

Fluzone injectable

Generic Name: influenza virus vaccine (injectable) (in floo ENZ a VYE rus VAK seen)

Brand Names: Afluria, Fluarix, FluLaval, Fluvirin, Fluvirin Preservative-Free, Fluzone, Fluzone Preservative-Free, Fluzone Preservative-Free Pediatric

What is influenza virus injectable vaccine?

Influenza virus (commonly known as "the flu") is a serious disease caused by a virus. Influenza virus can spread from one person to another through small droplets of saliva that are expelled into the air when an infected person coughs or sneezes. The virus can also be passed through contact with objects the infected person has touched, such as a door handle or other surfaces.

Influenza virus vaccine is used to prevent infection caused by influenza virus. The vaccine is redeveloped each year to contain specific strains of inactivated (killed) flu virus that are recommended by public health officials for that year.

The injectable influenza virus vaccine (flu shot) is a "killed virus" vaccine. Influenza virus vaccine is also available in a nasal spray form, which is a "live virus" vaccine.

Influenza virus vaccine works by exposing you to a small dose of the virus, which helps your body to develop immunity to the disease. Influenza virus vaccine will not treat an active infection that has already developed in the body.

Influenza virus vaccine is for use in adults and children who are at least 6 months old.

Becoming infected with influenza (commonly known as "the flu") is much more dangerous to your health than receiving the vaccine to protect against it. Influenza causes thousands of deaths each year, and hundreds of thousands of hospitalizations. Like any medicine, this vaccine can cause side effects, but the risk of serious side effects is extremely low.

Like any vaccine, influenza virus vaccine may not provide protection from disease in every person. This vaccine will not prevent illness caused by avian flu ("bird flu").

What is the most important information I should know about this vaccine?

The injectable influenza virus vaccine (flu shot) is a "killed virus" vaccine. Influenza virus vaccine is also available in a nasal spray form, which is a "live virus" vaccine. This medication guide addresses only the injectable form of this vaccine.

You can still receive a vaccine if you have a cold or fever. In the case of a more severe illness with a fever or any type of infection, wait until you get better before receiving this vaccine.

Keep track of any and all side effects you have after receiving this vaccine. If you ever have to receive another influenza virus vaccine in the future, you will need to tell the doctor if the first shot caused any side effects.

Like any vaccine, influenza virus vaccine may not provide protection from disease in every person. This vaccine will not prevent illness caused by avian flu ("bird flu").

What should I discuss with my healthcare provider before receiving this vaccine?

Do not receive this vaccine if you have ever had an allergic reaction to a flu vaccine, or if you have:

an active or uncontrolled neurologic disorder (such as Parkinson's disease, Alzheimer's disease, or epilepsy);

a history of Guillain-Barré syndrome (especially if you had it within 6 weeks after having a flu vaccine); or

if you are allergic to chicken or egg products.

Before receiving influenza virus vaccine, tell your doctor if you are allergic to any drugs, or if you have:

a bleeding or blood clotting disorder such as hemophilia or easy bruising;

a neurologic disorder or disease affecting the brain (or if this was a reaction to a previous vaccine);

an allergy to latex rubber;

a weak immune system caused by disease, bone marrow transplant, or by using certain medicines or receiving cancer treatments; or

if you are taking a blood thinner such as warfarin (Coumadin).

You can still receive a vaccine if you have a cold or fever. In the case of a more severe illness with a fever or any type of infection, wait until you get better before receiving this vaccine.

Vaccines may be harmful to an unborn baby and generally should not be given to a pregnant woman. However, not vaccinating the mother could be more harmful to the baby if the mother becomes infected with a disease that this vaccine could prevent. Your doctor will decide whether you should receive this vaccine, especially if you have a high risk of infection with influenza. It is not known whether influenza virus vaccine 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. This vaccine should not be given to a child younger than 6 months old.

How is this given?

Some brands of this vaccine are made for use in adults and not in children. Your child's doctor can recommend the best influenza virus vaccine for your child.

This vaccine is given as an injection (shot) into a muscle. You will receive this injection in a doctor's office or other clinic setting.

You should receive a flu vaccine every year. Your immunity will gradually decrease over the 12 months after you receive the influenza virus vaccine. Children receiving this vaccine may need a booster shot one month after receiving the first vaccine.

The influenza virus vaccine is usually given in October or November. Some people may need to have their vaccines earlier or later. Follow your doctor's instructions.

Your doctor may recommend treating fever and pain with an aspirin-free pain reliever such as acetaminophen (Tylenol) or ibuprofen (Motrin, Advil, and others) when the shot is given and for the next 24 hours. Follow the label directions or your doctor's instructions about how much of this medicine to take.

It is especially important to prevent fever from occurring if you have a seizure disorder such as epilepsy.

What happens if I miss a dose?

Since flu shots are usually given only one time per year, you will most likely not be on a dosing schedule. Call your doctor if you forget to receive your yearly flu shot in October or November.

If your child misses a booster dose of this vaccine, call your doctor for instructions.

What happens if I overdose?

An overdose of this vaccine is unlikely to occur.

What should I avoid before or after receiving this vaccine?

Follow your doctor's instructions about any restrictions on food, beverages, or activity after you receive this vaccine.

Influenza virus injectable vaccine side effects

Influenza virus injectable (killed virus) vaccine will not cause you to become ill with the flu virus that it contains. However, you may have flu-like symptoms at any time during flu season that may be caused by other strains of influenza virus.

You should not receive a booster vaccine if you had a life-threatening allergic reaction after the first shot. Keep track of any and all side effects you have after receiving this vaccine. If you ever have to receive another influenza virus vaccine in the future, you will need to tell the doctor if the first shot caused any side effects. 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:

severe weakness or unusual feeling in your arms and legs (may occur 2 to 4 weeks after you receive the vaccine);

high fever; or

unusual bleeding.

Less serious side effects may include:

low fever, chills;

redness, bruising, pain, swelling, or a lump where the vaccine was injected;

headache, tired feeling; or

joint or muscle pain.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect influenza virus injectable vaccine?

Before receiving this vaccine, tell your doctor if you are using phenytoin (Dilantin), theophylline (Respbid, Slo-Bid, Theodur, Uniphyl), or a blood thinner (warfarin, Coumadin).

Also tell the doctor if you have recently received drugs or treatments that can weaken the immune system, including:

an oral, nasal, inhaled, or injectable steroid medicine;

medications to treat psoriasis, rheumatoid arthritis, or other autoimmune disorders, such as azathioprine (Imuran), efalizumab (Raptiva), etanercept (Enbrel), leflunomide (Arava), and others; or

medicines to treat or prevent organ transplant rejection, such as basiliximab (Simulect), cyclosporine (Sandimmune, Neoral, Gengraf), muromonab-CD3 (Orthoclone), mycophenolate mofetil (CellCept), sirolimus (Rapamune), or tacrolimus (Prograf).

This list is not complete and there may be other drugs that can interact with this vaccine. Tell your doctor about all the prescription and over-the-counter medications you have received. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

More Fluzone resources

Fluzone Side Effects (in more detail)
Fluzone Use in Pregnancy & Breastfeeding
Fluzone Drug Interactions
Fluzone Support Group
0 Reviews for Fluzone - Add your own review/rating

Compare Fluzone with other medications

Influenza Prophylaxis

Where can I get more information?

Your doctor or pharmacist may have information about influenza virus vaccine written for health professionals that you may read. You may also find additional information from your local health department or the Centers for Disease Control and Prevention.

See also: Fluzone side effects (in more detail)

Jolivette

In the US, Jolivette (norethindrone systemic) is a member of the following drug classes: contraceptives, progestins and is used to treat Abnormal Uterine Bleeding, Amenorrhea, Birth Control and Endometriosis.

US matches:

Jolivette

Ingredient matches for Jolivette

Norethisterone

Norethisterone is reported as an ingredient of Jolivette in the following countries:

United States

International Drug Name Search

Levitra

Generic Name: vardenafil (var DEN a fil)

Brand Names: Levitra, Staxyn

What is vardenafil?

Vardenafil relaxes muscles and increases blood flow to particular areas of the body.

Vardenafil is used to treat erectile dysfunction (impotence).

Vardenafil may also be used for purposes not listed in this medication guide.

What is the most important information I should know about vardenafil?

Do not take vardenafil if you are also using a nitrate drug for chest pain or heart problems (such as nitroglycerin). Taking vardenafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure. During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect of vardenafil. 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. Stop using vardenafil and get emergency medical help if you have sudden vision loss.

What should I discuss with my healthcare provider before taking vardenafil?

Do not take vardenafil 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 vardenafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure.

To make sure you can safely take vardenafil, tell your doctor if you have any of these other conditions:

heart disease, heart rhythm problems;

a recent history (in the past 6 months) of a heart attack, stroke, or congestive heart failure;

a personal or family history of "Long QT syndrome";

high or low blood pressure;

seizures;

liver disease, kidney disease (or if you are on dialysis);

a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;

a bleeding disorder such as hemophilia;

a stomach ulcer;

hearing or vision problems, history of vision loss;

an eye disorder such as 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.

Vardenafil can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking vardenafil, most of whom also had 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. It is not clear whether vardenafil is the actual cause of vision loss. Stop using vardenafil and get emergency medical help if you have sudden vision loss. FDA pregnancy category B: Although vardenafil is not for use in women, this medication is not expected to be harmful to an unborn baby. Although vardenafil is not for use in women, it is not known if vardenafil 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.

Staxyn may contain phenylalanine. Talk to your doctor before using this form of vardenafil if you have phenylketonuria (PKU).

How should I take vardenafil?

Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Vardenafil can be taken with or without food.

Vardenafil is usually taken only when needed, about 60 minutes before sexual activity. The medication can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Follow your doctor's instructions.

To take the orally disintegrating tablet (Staxyn):

Keep the tablet in its blister pack until you are ready to take it. 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. Do not take Staxyn with liquid.

Do not take vardenafil 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. Store at room temperature away from moisture and heat.

What happens if I miss a dose?

Since vardenafil is used as needed, you are not likely to be on a dosing schedule.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include back pain, muscle pain, or vision problems.

What should I avoid while taking vardenafil?

Drinking alcohol can increase certain side effects of vardenafil.

Grapefruit and grapefruit juice may interact with vardenafil and lead to potentially dangerous effects. Discuss the use of grapefruit products with your doctor.

Do not use any other drug to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), unless your doctor tells you to.

Vardenafil side effects

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. During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect of vardenafil. Stop using vardenafil and call your doctor at once if you have any of these serious side effects:

sudden vision loss;

ringing in your ears, or sudden hearing loss;

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;

penis erection that is painful or lasts 4 hours or longer; or

seizure (convulsions).

Less serious side effects may include:

warmth or redness in your face, neck, or chest;

runny or stuffy nose;

headache, dizziness;

upset stomach; or

back pain.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect vardenafil?

Do not take vardenafil with similar medications such as sildenafil (Viagra) or tadalafil (Cialis).

Before taking vardenafil, tell your doctor about all other medications you use for erectile dysfunction, or if you are using any of the following medications:

conivaptan (Vaprisol);

imatinib (Gleevec);

isoniazid (for treating tuberculosis);

an antidepressant such as nefazodone;

an antibiotic such as clarithromycin (Biaxin), dalfopristin/quinupristin (Synercid), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin, Pediazole), or telithromycin (Ketek);

antifungal medication such as itraconazole (Sporanox), ketoconazole (Nizoral), miconazole (Oravig), or voriconazole (Vfend);

drugs to treat high blood pressure or a prostate disorder, such as alfuzosin (Uroxatral), doxazosin (Cardura), prazosin (Minipress), terazosin (Hytrin), tamsulosin (Flomax);

heart or blood pressure medication such as diltiazem (Cardizem, Dilacor, Tiazac), nicardipine (Cardene), or verapamil (Calan, Covera, Isoptin, Verelan);

heart rhythm medicine such as amiodarone (Cordarone, Pacerone), quinidine (Quin-G), procainamide (Procan, Pronestyl), or sotalol (Betapace); or

HIV/AIDS medicine such as atazanavir (Reyataz), delavirdine (Rescriptor), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), saquinavir (Invirase), or ritonavir (Norvir, Kaletra).

This list is not complete and other drugs may interact with vardenafil. Tell your doctor about all medications you use. This includes prescription, over the counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

More Levitra resources

Levitra Side Effects (in more detail)
Levitra Use in Pregnancy & Breastfeeding
Drug Images
Levitra Drug Interactions
Levitra Support Group
40 Reviews for Levitra - Add your own review/rating

Levitra Advanced Consumer (Micromedex) - Includes Dosage Information

Levitra Monograph (AHFS DI)

Levitra Consumer Overview

Levitra MedFacts Consumer Leaflet (Wolters Kluwer)

Levitra Prescribing Information (FDA)

Staxyn Prescribing Information (FDA)

Staxyn Orally Disintegrating Tablets MedFacts Consumer Leaflet (Wolters Kluwer)

Staxyn Consumer Overview

Compare Levitra with other medications

Erectile Dysfunction

Where can I get more information?

Your pharmacist can provide more information about vardenafil.

See also: Levitra side effects (in more detail)

Sunday, 7 October 2012

Pancrecarb MS-4

Generic Name: pancrelipase (oral) (pan kre LYE pace)

Brand Names: Cotazym, Creon, Dygase, Ku-Zyme, Ku-Zyme HP, Kutrase, Lapase, Palcaps 10, Pancrease MT 10, Pancrease MT 16, Pancrease MT 20, Pancrease MT 4, Pancrecarb MS-16, Pancrecarb MS-4, Pancrecarb MS-8, Panocaps, Panocaps MT 16, Ultrase, Ultrase MT 12, Ultrase MT 18, Ultrase MT 20, Viokase, Viokase 16, Zenpep

What is pancrelipase?

Pancrelipase is a combination of three enzymes (proteins): lipase, protease, and amylase. These enzymes are normally produced by the pancreas and are important in the digestion of fats, proteins, and sugars.

Pancrelipase is used to replace these enzymes when the body does not have enough of its own. Certain medical conditions can cause this lack of enzymes, including cystic fibrosis, chronic inflammation of the pancreas, or blockage of the pancreatic ducts.

Pancrelipase may also be used following surgical removal of the pancreas.

Pancrelipase may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about pancrelipase?

You should not take pancrelipase if you are allergic to pork proteins.

Before taking pancrelipase, tell your doctor if you have gout, kidney disease, a history of intestinal blockage, a sudden onset of pancreatitis, or worsening of chronic pancreatic disease.

Use pancrelipase regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

Do not hold the tablets or capsule contents in your mouth. The medication may irritate the inside of your mouth.

Do not inhale the powder from a pancrelipase capsule, or allow it to touch your skin. It may cause irritation, especially to your nose and lungs.

If you miss a dose of this medicine, skip the missed dose and wait until your next scheduled dose to take the medicine. Do not take extra medicine to make up the missed dose.

What should I discuss with my healthcare provider before taking pancrelipase?

You should not take pancrelipase if you are allergic to pork proteins.

If you have any of these other conditions, you may need a pancrelipase dose adjustment or special tests:

kidney disease;

gout;

a history of blockage in your intestines;

a sudden onset of pancreatitis; or

worsening of chronic pancreatic disease.

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 pancrelipase 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 pancrelipase?

Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Pancrelipase should be taken with a meal or snack. Take the medicine with a full glass of water or juice.

Do not hold the tablets or capsule contents in your mouth. The medication may irritate the inside of your mouth.

Do not crush, chew, break, or open an extended-release tablet or capsule. Swallow it whole. Breaking or opening the pill may cause too much of the drug to be released at one time.

You may open the pancrelipase capsule and sprinkle the medicine into a spoonful of pudding or applesauce to make swallowing easier. Swallow right away without chewing. Do not save the mixture for later use. Discard the empty capsule.

Do not inhale the powder from a pancrelipase capsule, or allow it to touch your skin. It may cause irritation, especially to your nose and lungs.

Use pancrelipase regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

Store in the original container at room temperature (below 78 degrees F) for up to 12 weeks. Protect from moisture or high heat. Keep the bottle tightly closed when not in use. If the medication is exposed to temperatures between 78 and 104 degrees F, throw it away after 30 days. Do not use any pancrelipase that has been exposed to temperatures above 104 degrees F.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include diarrhea or stomach upset.

What should I avoid while taking pancrelipase?

Follow your doctor's instructions about any restrictions on food, beverages, or activity.

Pancrelipase side effects

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 severe or unusual stomach pain. This could be a symptom of a rare but serious bowel disorder.

Less serious side effects may include:

nausea or vomiting;

mild stomach pain or upset;

diarrhea or constipation;

bloating or gas.

greasy stools;

rectal irritation;

headache, dizziness;

cough; or

weight loss.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect pancrelipase?

There may be other drugs that can interact with pancrelipase. Tell your doctor about all medications you use. This includes prescription, over the counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

More Pancrecarb MS-4 resources

Pancrecarb MS-4 Side Effects (in more detail)
Pancrecarb MS-4 Use in Pregnancy & Breastfeeding
Drug Images
Pancrecarb MS-4 Drug Interactions
Pancrecarb MS-4 Support Group
0 Reviews for Pancrecarb MS-4 - Add your own review/rating

Pancrelipase Professional Patient Advice (Wolters Kluwer)

Pancrelipase Prescribing Information (FDA)

Pancrelipase Monograph (AHFS DI)

Pancrelipase MedFacts Consumer Leaflet (Wolters Kluwer)

Creon Prescribing Information (FDA)

Creon Advanced Consumer (Micromedex) - Includes Dosage Information

Creon MedFacts Consumer Leaflet (Wolters Kluwer)

Creon Consumer Overview

Creon 10 Delayed-Release Capsules MedFacts Consumer Leaflet (Wolters Kluwer)

Dygase MedFacts Consumer Leaflet (Wolters Kluwer)

Pancreaze Consumer Overview

Pancreaze Prescribing Information (FDA)

Zenpep Prescribing Information (FDA)

Zenpep Consumer Overview

Compare Pancrecarb MS-4 with other medications

Chronic Pancreatitis
Cystic Fibrosis
Pancreatic Exocrine Dysfunction

Where can I get more information?

Your pharmacist can provide more information about pancrelipase.

See also: Pancrecarb MS-4 side effects (in more detail)

Saturday, 6 October 2012

Luitpold Pharmaceuticals, Inc

Address

Luitpold Pharmaceuticals, Inc,
1 Luitpold Dr.

Shirley, NY 11967

Contact Details

Phone: (631) 924-4000
Website: http://www.luitpold.com
Careers: http://www.luitpold.com/CareerOpportunities.aspx

Friday, 5 October 2012

Solage Topical

Generic Name: mequinol and tretinoin (Topical route)

ME-kwin-ol, TRET-i-noin

Commonly used brand name(s)

In the U.S.

Solage

Available Dosage Forms:

Solution

Therapeutic Class: Hypopigmentation Agent

Chemical Class: Retinoid

Uses For Solage

Mequinol and Tretinoin is used to treat areas of the skin that have become darker after repeated exposure to the sun. These areas are called solar lentigines, or age or liver spots.

Mequinol and tretinoin is available only with your doctor's prescription.

Before Using Solage

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Studies on this medicine have been done only in adult patients, and there is no specific information comparing use of this medicine in children with use in other age groups. Mequinol and tretinoin should not be used in children.

Geriatric

This medicine has been tested and has not been shown to cause different side effects or problems in older people than it does in younger adults.

Pregnancy

	Pregnancy Category	Explanation
All Trimesters	X	Studies in animals or pregnant women have demonstrated positive evidence of fetal abnormalities. This drug should not be used in women who are or may become pregnant because the risk clearly outweighs any possible benefit.

Breast Feeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

Aminocaproic Acid

Aprotinin

Tetracycline

Tranexamic Acid

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

Fluconazole

Ketoconazole

Voriconazole

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Proper Use of Solage

It is very important that you use this medicine only as directed. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. To do so may cause irritation of the skin.

Do not apply this medicine to windburned or sunburned skin or on open wounds.

Do not use this medicine in or around the eyes or lips, or inside of the nose. Spread the medicine away from these areas when applying. If the medicine accidentally gets on these areas, wash with water at once.

This medicine usually comes with patient directions. Read them carefully before using the medicine.

To use this medicine:

Using the applicator tip, apply enough mequinol and tretinoin solution to cover the affected areas. Apply only enough medicine to make the lesion appear moist. Avoid areas of normally colored skin.

You should not shower or bathe for at least 6 hours after applying the medicine.

Cosmetics may be applied 30 minutes after application of the medicine.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

For topical dosage form (solution):
- For age or liver spots:
  - Adults —Apply to the affected areas of the skin twice daily, morning and evening, at least 8 hours apart.
  - Children—Use is not recommended.

Missed Dose

If you miss a dose of this medicine, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

The product is flammable and should be kept away from fire or excessive heat.

Precautions While Using Solage

You may notice redness, stinging, burning or irritation when you first start using this medicine. It may take up to 6 months before you notice full beneficial effects, even if you use the medicine every day. Check with your health care professional at any time skin irritation becomes severe or if your age spots get darker in color.

Unless your doctor tells you otherwise, it is especially important to avoid using the following skin products on the same area as mequinol and tretinoin topical solution:

Hair products that are irritating, such as permanents or hair removal products

Skin products that cause sensitivity to the sun, such as those containing spices or limes

Skin products containing a large amount of alcohol, such as astringents, shaving creams, or after-shave lotions

Skin products that are too drying or abrasive, such as some cosmetics, soaps, or skin cleansers

Using these products along with mequinol and tretinoin may cause mild to severe irritation of the skin. Check with your doctor before using other topical medicines.

Avoid overexposing the treated areas to sunlight, wind, or cold weather. The skin will be more prone to sunburn, dryness, or irritation. Do not use a sunlamp.

Regularly use sunscreen or sunblocking lotions with a sun protection factor (SPF) of at least 15. Also, wear protective clothing and hats, and apply creams, lotions, or moisturizers often.

Check with your doctor any time your skin becomes too dry and irritated. Your health care professional can help you choose the right skin products for you to reduce skin dryness and irritation and may include :

Taking part in an ongoing program to avoid further damage to your skin from the sun. The program should stress staying out of the sun when possible and wearing proper clothing or hats to protect your skin from sunlight.

Regular use of oil-based creams or lotions to help to reduce skin irritation or dryness caused by the use of mequinol and tretinoin topical solution.

Solage Side Effects

In some animal studies, mequinol and tretinoin has been shown to cause skin tumors to develop faster when the treated area is exposed to ultraviolet light (sunlight or artificial sunlight from a sunlamp). Other studies have not shown the same result and more studies need to be done. It is not known if mequinol and tretinoin topical solution causes skin tumors to develop faster in humans.

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

More common

Burning feeling or stinging skin (severe)

itching (severe)

peeling of skin (severe)

redness of skin (severe)

Less common

Allergic reaction

large blisters on the skin

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

Burning feeling, stinging, or tingling of skin (mild)—lasting for a short time after first applying the medicine

itching (mild)

chapping or slight peeling of skin (mild)

lightening of skin around treated area

lightening of skin on treated area

redness of skin (mild)

skin irritation

unusually warm skin (mild)

Less common

Crusting of skin

dry skin

skin rash

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

See also: Solage Topical side effects (in more detail)

The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.

Compare Solage Topical with other medications

Dermatological Disorders

Thursday, 4 October 2012

Nasonex Spray

Pronunciation: moe-MET-a-sone
Generic Name: Mometasone
Brand Name: Nasonex

Nasonex Spray is used for:

Treating and preventing allergic nasal symptoms including congestion, sneezing, itching, and runny nose. It is also used for treatment of growths in the nose (nasal polyps).

Nasonex Spray is a corticosteroid. It works by reducing inflammatory reactions in the nasal airway in response to allergens and irritants in the air.

Do NOT use Nasonex Spray if:

you are allergic to any ingredient in Nasonex Spray

you have a sore in your nose or your nose has not healed after recent nasal surgery or injury

Contact your doctor or health care provider right away if any of these apply to you.

Before using Nasonex Spray:

Some medical conditions may interact with Nasonex Spray. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

if you are pregnant, planning to become pregnant, or are breast-feeding

if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

if you have allergies to medicines, foods, or other substances

if you have active or inactive tuberculosis (TB) or a positive skin test for TB

if you have diarrhea; a bacterial, fungal, or viral infection (eg, measles or chickenpox); a herpes infection in or around the eye; an immune system problem; or if you have recently received a vaccination

if you have a history of glaucoma, increased pressure in the eye, or other eye problems (eg, cataracts)

if you have recently had nasal sores, nasal surgery, or a nasal injury

Some MEDICINES MAY INTERACT with Nasonex Spray. Because, little, if any, of Nasonex Spray is absorbed into the blood, the risk of it interacting with another medicine is low.

Ask your health care provider if Nasonex Spray may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Nasonex Spray:

Use Nasonex Spray as directed by your doctor. Check the label on the medicine for exact dosing instructions.

An extra patient leaflet is available with Nasonex Spray. Talk to your pharmacist if you have questions about this information.

Nasonex Spray is used in the nose.

Before using Nasonex Spray the first time, pump it up to 10 times or until a fine mist appears. If Nasonex Spray has not been used for more than 1 week, prime it by pumping it 2 times or until a fine mist appears before using it.

Shake well before each use.

Use Nasonex Spray at regular intervals exactly as prescribed by your health care provider.

Blow your nose gently to clear passages before using Nasonex Spray. Spray into each nostril as directed.

Avoid spraying into the eyes, mouth, or directly onto the nasal septum.

After using Nasonex Spray, wipe the applicator with a clean tissue and replace the lid.

The maximum benefit of Nasonex Spray is usually achieved within 1 to 2 weeks. Contact your doctor if symptoms worsen or do not improve.

If Nasonex Spray is being used to prevent seasonal allergy symptoms, begin treatment 2 to 4 weeks before the expected start of the pollen season.

Use Nasonex Spray on a regular schedule to get the most benefit from it.

Continue to use Nasonex Spray even if you feel well. Do not miss any doses.

If you miss a dose of Nasonex Spray, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use Nasonex Spray.

Important safety information:

Do NOT use more than the recommended dose or use more often than prescribed without checking with your doctor.

If you have not had chickenpox, shingles, or measles, avoid contact with anyone who does. If you are exposed, contact your doctor at once.

Fungal infections in the nose and throat have occurred in patients who use Nasonex Spray. Contact your doctor if you experience any redness or white patches in the nose or throat or symptoms of infection (eg, fever, chills, persistent cough or sore throat).

Nasonex Spray may delay wound healing. Do NOT use Nasonex Spray if you have a sore in your nose or your nose has not healed after recent nasal surgery or injury. Contact your doctor if you have any questions or concerns about this information.

Contact your doctor if you have a sore in your nose or if you have had recent nasal surgery or an injury that has not healed.

Use of Nasonex Spray may increase the risk of developing glaucoma or cataracts. You may need to have regular eye exams while using Nasonex Spray. Tell your doctor if you notice changes in your vision.

Tell your doctor or dentist that you take Nasonex Spray before you receive any medical or dental care, emergency care, or surgery.

Nasal exams may be performed while you use Nasonex Spray. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor appointments.

Nasonex Spray should not be used in CHILDREN younger than 2 years old; safety and effectiveness in these children have not been confirmed.

Corticosteroids may affect growth rate in CHILDREN and teenagers in some cases. They may need regular growth checks while they use Nasonex Spray.

PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Nasonex Spray while you are pregnant. It is not known if Nasonex Spray is found in breast milk. If you are or will be breast-feeding while you use Nasonex Spray, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Nasonex Spray:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Burning or irritation inside the nose; coughing; headache; muscle and joint pain; nosebleed or pink color to the mucus; painful menstruation; sinus pain or pressure; sore throat; upper respiratory tract infection; vomiting.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; redness or white patches in the mouth, nose, or throat; severe or persistent nausea or vomiting; sores in the nose; symptoms of infection (eg, fever, chills, persistent cough or sore throat, ear pain); symptoms of low blood pressure (eg, dizziness, fainting); unusual tiredness or weakness; vision changes; wheezing.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Nasonex side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.

Proper storage of Nasonex Spray:

Store Nasonex Spray at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Nasonex Spray out of the reach of children and away from pets.

General information:

If you have any questions about Nasonex Spray, please talk with your doctor, pharmacist, or other health care provider.

Nasonex Spray is to be used only by the patient for whom it is prescribed. Do not share it with other people.

If your symptoms do not improve or if they become worse, check with your doctor.

Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Nasonex Spray. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012

Database Edition 12.1.1.002

More Nasonex resources

Nasonex Side Effects (in more detail)
Nasonex Use in Pregnancy & Breastfeeding
Nasonex Support Group
9 Reviews for Nasonex - Add your own review/rating

Compare Nasonex with other medications

Hay Fever
Nasal Polyps

Friday, 28 September 2012

Piroxicam Capsules 20mg (single strength leaflet)

Due to technical difficulties in printing the label-leaflet format, please find the relevant text below. Text is representative of the leaflet portion of label-leaflet spec no 50110507.

Piroxicam Capsules 20mg

Please read this leaflet carefully before you start to take your medicine.

It gives you important information about your medicine.

If you want to know more, or you are not sure about anything, ask your pharmacist or doctor.

Keep the leaflet until you have finished the medicine.

What's In Your Medicine

Piroxicam Capsules are pink and contain 20mg of Piroxicam. The capsules also contain: carmellose sodium, gelatin, lactose, magnesium stearate, maize starch, polysorbate, shellac glaze, E127, E171, EI72.

Piroxicam Capsules are available in pack sizes of 28.

Piroxicam is one of a group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs).

Product Licence holder/Manufacturer:

Actavis

Barnstaple

EX32 8NS

About Your Medicine

The name of your medicine is piroxicam which is the generic (common) name. Your doctor may have given you this medicine before from another company and it may have looked slightly different. Either brand will have the same effect.

Piroxicam Capsules are used to treat:

the relief of pain, stiffness and inflammation in such conditions as arthritis, ankylosing spondylitis, low back pain, gout attacks, sprains, strains and other injuries.

Before Taking Your Medicine

Make sure you have told your doctor if you:

are pregnant, planning to become pregnant or are breast feeding.

are sensitive to piroxicam, aspirin, other NSAIDs, or any other ingredients in the capsules (have suffered from symptoms such as swelling, runny nose, difficulty breathing or itchy skin rash).

have kidney or liver problems.

have or have had a history of asthmatic attacks.

have or have had a stomach or duodenal ulcer or gastrointestinal bleeding.

have intestinal problems (eg ulcerative colitis, Crohn's disease).

have heart problems or high blood pressure.

are taking other medicines such as anticoagulants (eg warfarin), aspirin, diuretics (eg amiloride), cimetidine, lithium, other non-steroidal anti-inflammatory drugs (NSAIDs), drugs to treat high blood pressure (eg captopril and propranolol), drugs to treat heart conditions (eg digoxin), methotrexate, ciclosporin, corticosteroids (eg Prednisolone), antibacterial drugs such as norfloxacin, mifepristone (or within 8-12 days of taking mifepristone) and including any that you can buy without prescription.

Medicines such as piroxicam may be associated with a small increased risk of heart attack ("myocardial infarction") or stroke. Any risk is more likely with high doses and prolonged treatment. Do not exceed the recommended dose or duration of treatment.

If you have heart problems, previous stroke or think that you might be at risk of these conditions (for example if you have high blood pressure, diabetes or high cholesterol or are a smoker) you should discuss your treatment with your doctor or pharmacist.

Piroxicam may make you feel drowsy or dizzy, if so, do not drive a car or operate machinery.

Taking Your Medicine

Your doctor has decided the dose which is best for you. Always follow your doctor's instructions exactly, and those on the pharmacy label. If you do not understand anything, ask your doctor or pharmacist.

The usual dosage(s) are described below:

Age Group: Dosage

Adults (including elderly):

Arthritis & Ankylosing spondylitis: Initially 20mg as one dose, then 10-30mg daily (either as a single or divided dose).

Gout attack: Initially 40mg as one dose, then 40mg daily for 4-6 days (either as a single or a divided dose).

Sprains, strains, etc: Initially 40mg for 2 days (either as a single or divided dose), then 20mg daily for 5-12 days.

Children under 12 years: Not given to this age group.

These capsules should be taken as instructed - followed by a glass of water or milk. Continue to take them for as long as your doctor tells you to, it may be dangerous to stop without their advice.

If you forget to take a dose, take another as soon as you remember and then your next dose at the usual time. NEVER take two doses at the same time.

If you are elderly, it is particularly important to take this medicine exactly as directed by the doctor.

If you see another doctor or go into hospital, let them know what medicines you are taking.

If you accidentally take more than your prescribed dose, contact your nearest hospital casualty department, or tell your doctor, immediately.

After Taking Your Medicine

Like many medicines, piroxicam may occasionally cause side-effects in some patients, particularly when you first start taking it. These may include anxiety, dizziness, vertigo (a spinning sensation), tremor (shakiness of the arms or legs), difficulty in sleeping or nightmares, tiredness, irritability, loss of or abnormal sensations such as pins and needles, blurred or double vision, impaired hearing or ringing in the ears, headache, bitter taste or other taste change, mouth ulcers, swollen tongue, constipation, diarrhoea, feeling or being sick, loss of appetite, mild to moderate stomach discomfort or gas, loss of hair or finger and toenails, increased sensitivity to the effects of the sun (or sunlamps), skin rashes which may be raised, itchy, red, blister-like and severe, oedema (body swelling particularly of the ankles), nose bleeds. You should consult your doctor if these are troublesome or continue.

If you get visual disturbances, memory disturbance, mood or mental changes; convulsions (seizures); bloody stools; difficult, burning or painful urination; severe stomach pain, indigestion or heartburn for the first time; spitting up blood, unusual bleeding or bruising; persistent sore throat or high temperature; skin rash; allergic reactions such as wheezing or shortness of breath, swelling of the face and throat, swelling of blood vessels which may be associated with fever, rash and joint pains; very fast but irregular heartbeat or pulse; yellowing of the skin or eyes, or any other unusual effects, tell your doctor immediately and seek advice.

Medicines such as piroxicam may be associated with a small increased risk of heart attack ("myocardial infarction") or stroke.

Whilst you are taking piroxicam your doctor may want to give you a check-up from time to time.

Storing Your Medicine

Do not use the capsules after the expiry date shown on the product packaging. Keep the capsules below 25°C in a dry place and protected from light, and in the original packaging. KEEP THEM IN A SECURE PLACE WHERE CHILDREN CANNOT GET AT OR SEE THEM. REMEMBER, this medicine is for YOU only. NEVER give it to anyone else. It may harm them, even if their symptoms are the same as yours. Unless your doctor tells you to, do not keep medicines that you no longer need - give them back to your pharmacist for safe disposal.

Date of last revision: March 2007

Wednesday, 26 September 2012

Aloxi Capsules

Pronunciation: PAL-oh-NOE-se-tron
Generic Name: Palonosetron
Brand Name: Aloxi

Aloxi Capsules is used for:

Preventing nausea and vomiting caused by cancer chemotherapy. It may also be used for other conditions as determined by your doctor.

Aloxi Capsules is 5-HT₃ receptor blocker. It works by blocking the action of serotonin in certain parts of the brain and nervous system, which helps reduce or prevent nausea and vomiting.

Do NOT use Aloxi Capsules if:

you are allergic to any ingredient in Aloxi Capsules

you are taking apomorphine

Contact your doctor or health care provider right away if any of these apply to you.

Before using Aloxi Capsules:

Some medical conditions may interact with Aloxi Capsules. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

if you are pregnant, planning to become pregnant, or are breast-feeding

if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

if you have allergies to medicines, foods, or other substances

if you are allergic to other 5-HT₃ receptor antagonists (eg, ondansetron)

if you have a history of heart problems (eg, irregular heartbeat, prolonged QT), an abnormal heart function test (eg, electrocardiogram [ECG]), or low blood levels of potassium or magnesium

Some MEDICINES MAY INTERACT with Aloxi Capsules. Tell your health care provider if you are taking any other medicines, especially any of the following:

Apomorphine because side effects such as severely low blood pressure or loss of consciousness may occur

This may not be a complete list of all interactions that may occur. Ask your health care provider if Aloxi Capsules may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Aloxi Capsules:

Use Aloxi Capsules as directed by your doctor. Check the label on the medicine for exact dosing instructions.

An extra patient leaflet is available with Aloxi Capsules. Talk to your pharmacist if you have questions about this information.

Take Aloxi Capsules by mouth with or without food.

If you miss a dose of Aloxi Capsules, contact your doctor right away.

Ask your health care provider any questions you may have about how to use Aloxi Capsules.

Important safety information:

Aloxi Capsules may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Aloxi Capsules with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.

Aloxi Capsules should be used with extreme caution in CHILDREN younger than 18 years old; safety and effectiveness in these children have not been confirmed.

PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Aloxi Capsules while you are pregnant. It is not known if Aloxi Capsules is found in breast milk. Do not breast-feed while you are using Aloxi Capsules.

Possible side effects of Aloxi Capsules:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Constipation; headache; tiredness.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; fainting; fast, slow, or irregular heartbeat; fever, chills, or sore throat; trouble urinating; unusual muscle movement.

See also: Aloxi side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.

Proper storage of Aloxi Capsules:

Store Aloxi Capsules at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Aloxi Capsules out of the reach of children and away from pets.

General information:

If you have any questions about Aloxi Capsules, please talk with your doctor, pharmacist, or other health care provider.

Aloxi Capsules is to be used only by the patient for whom it is prescribed. Do not share it with other people.

If your symptoms do not improve or if they become worse, check with your doctor.

Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Aloxi Capsules. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012

Database Edition 12.1.1.002

More Aloxi resources

Aloxi Side Effects (in more detail)
Aloxi Use in Pregnancy & Breastfeeding
Aloxi Drug Interactions
Aloxi Support Group
0 Reviews for Aloxi - Add your own review/rating

Compare Aloxi with other medications

Nausea/Vomiting, Chemotherapy Induced
Nausea/Vomiting, Postoperative

Monday, 24 September 2012

Third generation cephalosporins

A drug may be classified by the chemical type of the active ingredient or by the way it is used to treat a particular condition. Each drug can be classified into one or more drug classes.

Cephalosporins are a group of broad spectrum, semi-synthetic beta-lactam antibiotics derived from the mould Cephalosporium. They are divided into three groups: Cephalosporin N and C are chemically related to penicillins and Cephalosporin P a steroid antibiotic resembles fusidic acid.

The mechanism of action of cephalosporins is the same as penicillins. They interfere with bacterial cell wall synthesis.

Semisynthetic broad-spectrum cephalosporins have been produced by the addition of different side chains, to the Cephalosporin C nucleus.

They are classified according to the chronological order in which they were produced.

Third generation cephalosporins followed the second generation cephalosporins.

Saturday, 22 September 2012

Amitriptyline/Chlordiazepoxide

Pronunciation: am-ee-TRIP-tih-leen/klor-dye-az-e-POX-ide
Generic Name: Amitriptyline/Chlordiazepoxide
Brand Name: Limbitrol DS

Antidepressants may increase the risk of suicidal thoughts or actions in children, teenagers, and young adults. However, depression and certain other mental problems may also increase the risk of suicide. Talk with the patient's doctor to be sure that the benefits of using Amitriptyline/Chlordiazepoxide outweigh the risks.

Family and caregivers must closely watch patients who take Amitriptyline/Chlordiazepoxide. It is important to keep in close contact with the patient's doctor. Tell the doctor right away if the patient has symptoms like worsened depression, suicidal thoughts, or changes in behavior. Discuss any questions with the patient's doctor.

Amitriptyline/Chlordiazepoxide is used for:

Treating moderate to severe depression with moderate to severe anxiety. It may also be used for other conditions as determined by your doctor.

Amitriptyline/Chlordiazepoxide is a combination tricyclic antidepressant and benzodiazepine. How tricyclic antidepressants improve depression symptoms is not fully known. They are thought to increase the activity of certain chemicals in the brain (norepinephrine, serotonin), which help improve mood. The benzodiazepine works in the brain to decrease anxiety.

Do NOT use Amitriptyline/Chlordiazepoxide if:

you are allergic to any ingredient in Amitriptyline/Chlordiazepoxide, to other tricyclic antidepressants (eg, nortriptyline), or to other benzodiazepines (eg, diazepam)

you have acute narrow-angle glaucoma, severe liver disease, or severe mental problems (psychosis)

you have taken linezolid, methylene blue, or a monoamine oxidase inhibitor (MAOI) (eg, phenelzine, selegiline) within the last 14 days

you are taking cisapride, droperidol, an H₁ antagonist (eg, astemizole, terfenadine), a ketolide (eg, telithromycin), a macrolide (eg, erythromycin), mibefradil, pimozide, or sodium oxybate (GHB)

you are recovering from a heart attack

Contact your doctor or health care provider right away if any of these apply to you.

Video: Treatment for Depression

Treatments for depression are getting better everyday and there are things you can start doing right away.

Before using Amitriptyline/Chlordiazepoxide:

Some medical conditions may interact with Amitriptyline/Chlordiazepoxide. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

if you are pregnant, planning to become pregnant, or are breast-feeding

if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

if you have allergies to medicines, foods, or other substances

if you have a history of mental illness (eg, bipolar disorder, mania, manic-depression), or have considered or attempted suicide

if you have a history of alcohol or other substance abuse or dependence, or you regularly drink 3 or more alcohol-containing drinks per day

if you have an irregular heartbeat, heart disease, chest pain, liver or kidney problems, prostate problems, thyroid disease, lung or breathing problems (eg, chronic obstructive pulmonary disease [COPD]), muscle problems (eg, myasthenia gravis), glaucoma, or risk factors for glaucoma, or you are unable to urinate (urinary retention)

if you have a history of seizures, epilepsy, or blood problems (eg, porphyria)

Some MEDICINES MAY INTERACT with Amitriptyline/Chlordiazepoxide. Tell your health care provider if you are taking any other medicines, especially any of the following:

Rifampin because it may decrease Amitriptyline/Chlordiazepoxide's effectiveness

Linezolid, MAOIs (eg, phenelzine, selegiline), or methylene blue because they can cause serious, sometimes life-threatening, reactions

Anticholinergics (eg, scopolamine), azole antifungals (eg, ketoconazole), bupropion, cimetidine, clozapine, disulfiram, fluconazole, nefazodone, omeprazole, phenothiazines (eg, chlorpromazine), selective serotonin reuptake inhibitors (SSRIs) (eg, fluoxetine), serotonin norepinephrine reuptake inhibitors (eg, duloxetine), sodium oxybate (GHB), terbinafine, or valproic acid because side effects such as blurred vision, difficult urination, drowsiness or sedation, dry mouth, or lightheadedness may occur

Antiarrhythmics (eg, quinidine, propafenone), arsenic, cisapride, droperidol, H₁ antagonists (eg, astemizole, terfenadine), ketolides (eg, telithromycin), macrolides (eg, erythromycin), mibefradil, pimozide, or streptogramins (eg, quinupristin/dalfopristin) because the risk of serious side effects on the heart (eg, racing heartbeat, dizziness, fainting, life-threatening abnormal heartbeat leading to unconsciousness, lack of heartbeat) may be increased by Amitriptyline/Chlordiazepoxide

Anticoagulants (eg, warfarin), carbamazepine, hydantoins (eg, phenytoin), thyroid medicines (eg, levothyroxine), or sympathomimetics (eg, albuterol, pseudoephedrine) because the risk of their side effects may be increased by Amitriptyline/Chlordiazepoxide

Clonidine, guanethidine, or guanfacine because their effectiveness may be decreased by Amitriptyline/Chlordiazepoxide

This may not be a complete list of all interactions that may occur. Ask your health care provider if Amitriptyline/Chlordiazepoxide may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Amitriptyline/Chlordiazepoxide:

Use Amitriptyline/Chlordiazepoxide as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Amitriptyline/Chlordiazepoxide comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Amitriptyline/Chlordiazepoxide refilled.

Take Amitriptyline/Chlordiazepoxide by mouth with or without food.

Do not eat grapefruit or drink grapefruit juice while you use Amitriptyline/Chlordiazepoxide.

Continue to use Amitriptyline/Chlordiazepoxide even if you feel well. Do not miss any doses.

Do not suddenly stop taking Amitriptyline/Chlordiazepoxide. Withdrawal symptoms may occur if you decrease your dose or suddenly stop taking it. Talk with your doctor about any changes to your dose.

If you miss a dose of Amitriptyline/Chlordiazepoxide, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Amitriptyline/Chlordiazepoxide.

Important safety information:

Amitriptyline/Chlordiazepoxide may cause dizziness, drowsiness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Amitriptyline/Chlordiazepoxide with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.

Do not drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Amitriptyline/Chlordiazepoxide; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.

Amitriptyline/Chlordiazepoxide may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.

Children, teenagers, and young adults who take Amitriptyline/Chlordiazepoxide may be at increased risk for suicidal thoughts or actions. Watch all patients who take Amitriptyline/Chlordiazepoxide closely. Contact the doctor at once if new, worsened, or sudden symptoms such as depressed mood; anxious, restless, or irritable behavior; panic attacks; or any unusual change in mood or behavior occur. Contact the doctor right away if any signs of suicidal thoughts or actions occur.

Diabetes patients - Amitriptyline/Chlordiazepoxide may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.

Amitriptyline/Chlordiazepoxide may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Amitriptyline/Chlordiazepoxide. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.

Do not become overheated in hot weather or while you are being active; heatstroke may occur.

If your symptoms do not get better within 4 weeks or if they get worse, check with your doctor.

When your medicine supply is low, get more from your doctor or pharmacist as soon as you can.

Tell your doctor or dentist that you take Amitriptyline/Chlordiazepoxide before you receive any medical or dental care, emergency care, or surgery.

Lab tests, including blood cell counts and liver function tests, may be performed while you use Amitriptyline/Chlordiazepoxide. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.

Use caution in the ELDERLY; they may be more sensitive to its effects, especially drowsiness, confusion, lightheadedness upon standing, rapid heartbeat, breathing problems, difficult urination, and constipation.

Amitriptyline/Chlordiazepoxide should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.

PREGNANCY and BREAST-FEEDING: Amitriptyline/Chlordiazepoxide has been shown to cause harm to the fetus. If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and risks of using Amitriptyline/Chlordiazepoxide while you are pregnant. Amitriptyline/Chlordiazepoxide is found in the breast milk. Do not breast-feed while taking Amitriptyline/Chlordiazepoxide.

When used for long periods of time or at high doses, Amitriptyline/Chlordiazepoxide may not work as well and may require higher doses to obtain the same effect as when originally taken. This is known as TOLERANCE. Talk with your doctor if Amitriptyline/Chlordiazepoxide stops working well. Do not take more than prescribed.

Some people who use Amitriptyline/Chlordiazepoxide for a long time may develop a need to continue taking it. People who take high doses are also at risk. This is known as DEPENDENCE or addiction. If you stop taking Amitriptyline/Chlordiazepoxide suddenly, you may have WITHDRAWAL symptoms. These may include convulsions, tremor, stomach and muscle cramps, vomiting, or sweating.

Possible side effects of Amitriptyline/Chlordiazepoxide:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Abnormal skin sensations; bloating; blurred vision; constipation; diarrhea; disturbed concentration; dizziness; drowsiness; dry mouth; headache; loss of appetite; nausea; restlessness; tiredness; upset stomach; vomiting; weakness; weight gain or loss.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; confusion; decreased sexual ability; decreased or increased urination; decreased coordination; delusions; disorientation; fast or irregular heartbeat; fainting; fever, chills, or persistent sore throat; hallucinations; involuntary movements of tongue, face, mouth, or jaw (eg, protrusion of tongue, puffing of cheeks, puckering of mouth, chewing movements), sometimes accompanied by involuntary movements of the arms and legs; lightheadedness; mental or mood changes; numbness of an arm or leg; one-sided weakness; pounding in the chest; seizures; severe constipation; speech problems; sudden severe dizziness, headache, stomach pain, or vomiting; tremors; unusual bleeding or bruising; yellowing of the skin or eyes.

See also: Amitriptyline/Chlordiazepoxide side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include confusion; enlarged pupils; fast or irregular heartbeat; fever; hallucinations; loss of consciousness; muscle stiffness; seizures; severe or persistent drowsiness or dizziness; slow reflexes; stupor; vomiting.

Proper storage of Amitriptyline/Chlordiazepoxide:

Store Amitriptyline/Chlordiazepoxide at room temperature, between 59 and 86 degrees F (15 and 30 degrees C), in a tightly closed container. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Amitriptyline/Chlordiazepoxide out of the reach of children and away from pets.

General information:

If you have any questions about Amitriptyline/Chlordiazepoxide, please talk with your doctor, pharmacist, or other health care provider.

Amitriptyline/Chlordiazepoxide is to be used only by the patient for whom it is prescribed. Do not share it with other people.

Do not use Amitriptyline/Chlordiazepoxide for other health conditions.

If your symptoms do not improve or if they become worse, check with your doctor.

If your symptoms do not improve after taking Amitriptyline/Chlordiazepoxide for 4 weeks, inform your doctor.

If using Amitriptyline/Chlordiazepoxide for an extended period of time, obtain refills before your supply runs out.

Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Amitriptyline/Chlordiazepoxide. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012

Database Edition 12.1.1.002

More Amitriptyline/Chlordiazepoxide resources

Amitriptyline/Chlordiazepoxide Side Effects (in more detail)
Amitriptyline/Chlordiazepoxide Use in Pregnancy & Breastfeeding
Drug Images
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Anxiety
Depression

Loprox

Generic Name: ciclopirox topical (sye kloe PEER ox)

Brand Names: Loprox, Penlac Nail Lacquer

What is Loprox (ciclopirox topical)?

Ciclopirox is an antifungal medication. Ciclopirox topical prevents fungus from growing.

Ciclopirox topical cream and lotion formulations are used to treat skin infections such as athlete's foot, jock itch, ringworm, and yeast infections. Ciclopirox shampoo is used to treat seborrheic dermatitis (inflammatory skin condition) of the scalp. Ciclopirox topical nail lacquer is used to treat fungal infections of the toenails and fingernails.

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

What is the most important information I should know about Loprox (ciclopirox topical)?

Avoid getting ciclopirox topical in the eyes, nose, or mouth. Do not use bandages or dressings that do not allow air to circulate (occlusive dressings) on areas treated with ciclopirox cream or lotion, unless otherwise directed by your doctor. Wear loose-fitting clothing (preferably cotton).

Use ciclopirox topical nail lacquer on nails and immediately surrounding skin only.

Ciclopirox topical nail lacquer is flammable, keep it away from heat and flame.

What should I discuss with my healthcare provider before using Loprox (ciclopirox topical)?

Do not use ciclopirox topical if you have had an allergic reaction to it in the past.

Before using ciclopirox topical, tell your doctor if you

have diabetes;

are immunosuppressed (e.g., have received an organ transplant or have AIDS);

take medication to control epilepsy or another seizure disorder;

use a topical corticosteroid on a regular basis; or

use a steroid inhaler on a regular basis.

You may not be able to use ciclopirox topical nail lacquer or you may require a dosage adjustment or special monitoring during your treatment .

Ciclopirox topical is the FDA pregnancy category B. This means that it is not expected to be harmful to an unborn baby. Do not use ciclopirox topical without first talking to your doctor if you are pregnant or could become pregnant during treatment. It is not known whether ciclopirox passes into breast milk. Do not use ciclopirox topical without first talking to your doctor if you are breast-feeding a baby.

How should I use Loprox (ciclopirox topical)?

Use ciclopirox topical exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.

To use ciclopirox topical cream or lotion:

Wash your hands before and after using this medication, unless you are using ciclopirox topical to treat a hand condition.

Clean and dry the affected area. Apply a small amount of the cream (usually twice daily) for 2 to 4 weeks. Follow your doctor's instructions.

Do not use bandages or dressings that do not allow air to circulate (occlusive dressings) on areas treated with ciclopirox cream or lotion, unless otherwise directed by your doctor. Wear loose-fitting clothing (preferably cotton).

If the infection does not clear up in 4 weeks, or if it appears to get worse, see your doctor.

To use ciclopirox shampoo:

Wet the hair and apply approximately 1 teaspoon (5 mL) of the shampoo to the scalp. Up to 2 teaspoons (10 mL) may be used for long hair. Lather and leave on the hair and scalp for 3 minutes. A timer may be used. Rinse off the shampoo after 3 minutes have passed.

Avoid contact with the eyes, nose, and inside of the mouth.

Treatment should be repeated twice per week for 4 weeks, with a minimum of 3 days between applications. If no improvement is seen after 4 weeks of treatment, contact your doctor.

To use ciclopirox topical nail lacquer:

Remove any loose nail or nail material using nail clippers or a nail file.

Apply ciclopirox topical nail lacquer once daily (preferably at bedtime) to all affected nails with the applicator brush provided. Apply the lacquer evenly over the entire nail. Where possible, apply the nail laquer to the underside of the nail and to the skin beneath it. Allow the lacquer to dry (approximately 30 seconds) before putting on socks or stockings. After applying the medication, wait 8 hours before taking a bath or shower.

Apply ciclopirox topical nail lacquer daily over the previous coat. Once a week, remove ciclopirox topical nail lacquer with alcohol. Remove as much as possible of the damaged nail using nail clippers or nail a file.

Use ciclopirox topical nail lacquer on nails and immediately surrounding skin only. Avoid contact with other areas.

Treatment with ciclopirox topical nail lacquer may require six months or more before initial improvement of symptoms is noticed. Up to 48 weeks of daily application of the nail lacquer, monthly removal of the unattached infected nail by a health care professional, and weekly trimming by the patient may be required for complete treatment.

To prevent the screw cap from sticking to the bottle, do not allow the solution to get into the bottle treads. To prevent the solution from drying out, close the bottle tightly after every use.

Use ciclopirox topical for the full amount of time prescribed by your doctor. Your symptoms may improve before the infection is completely healed however, it is important to use the medication for the full amount of time. Avoid getting ciclopirox topical in the eyes, nose, or mouth. Store ciclopirox topical at room temperature away from moisture and heat. Ciclopirox topical nail lacquer is flammable, keep it away from heat and flame. Protect the ciclopirox topical nail lacquer from light by storing the bottle in the carton after every use. Once a bottle of ciclopirox topical shampoo is opened, it should be used within 8 weeks.

What happens if I miss a dose?

Apply the missed dose as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the dose you missed and apply only the regular amount of ciclopirox topical. Do not use a double dose unless otherwise directed by your doctor.

What happens if I overdose?

An overdose of ciclopirox topical is unlikely to occur. If you do suspect that a much larger than normal dose has been used or that ciclopirox topical has been ingested, contact an emergency room or a poison control center.

What should I avoid while using Loprox (ciclopirox topical)?

Avoid wearing tight-fitting, synthetic clothing that doesn't allow air circulation. Wear loose-fitting clothing made of cotton and other natural fibers until the infection is healed.

Do not use nail polish, artificial nails, or other cosmetic nail products on the nails treated with ciclopirox topical nail lacquer.

Loprox (ciclopirox topical) side effects

Serious side effects of ciclopirox topical use are not expected to occur. Stop using ciclopirox topical and contact your doctor if you experience unusual or severe itching, redness, burning, dryness, or irritation of the skin or discoloration or other changes in the nails.

Mild burning, itching, or redness may occur with use of ciclopirox topical shampoo.

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. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Loprox (ciclopirox topical)?

Avoid using other topical products at the same time unless directed otherwise by your doctor. Other skin medications may affect the absorption or effectiveness of ciclopirox topical formulations.

Do not use nail polish, artificial nails, or other cosmetic nail products on the nails treated with ciclopirox topical nail lacquer.

Drugs other than those listed here may also interact with ciclopirox topical. Talk to your doctor and pharmacist before taking or using any other prescription or over-the-counter medicines, including herbal products.

More Loprox resources

Loprox Side Effects (in more detail)
Loprox Use in Pregnancy & Breastfeeding
Loprox Support Group
2 Reviews for Loprox - Add your own review/rating

Loprox Prescribing Information (FDA)

Loprox Topical Advanced Consumer (Micromedex) - Includes Dosage Information

Loprox Cream MedFacts Consumer Leaflet (Wolters Kluwer)

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Cutaneous Candidiasis
Seborrheic Dermatitis
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Tinea Cruris
Tinea Pedis
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Where can I get more information?

Your pharmacist has additional information about ciclopirox topical written for health professionals that you may read.

See also: Loprox side effects (in more detail)

Monday, 8 October 2012

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Saturday, 6 October 2012

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Friday, 5 October 2012

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Allergies

Pediatric

Geriatric

Pregnancy

Breast Feeding

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Missed Dose

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Thursday, 4 October 2012

Nasonex Spray is used for:

Do NOT use Nasonex Spray if:

Before using Nasonex Spray:

How to use Nasonex Spray:

Important safety information:

Possible side effects of Nasonex Spray:

If OVERDOSE is suspected:

General information:

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Friday, 28 September 2012

What's In Your Medicine

About Your Medicine

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Taking Your Medicine

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