Buspar

Generic Name: buspirone

Most important information I should know about BuSpar?
Do not this medication if you are allergic to BuSpar, or if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take BuSpar before the MAO inhibitor has cleared from your body. BuSpar 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 may increase some of the side effects caused by BuSpar.

Grapefruit and grapefruit juice may interact with BuSpar and lead to potentially dangerous effects. Discuss the use of grapefruit products with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.

BuSpar is usually taken for only a short time. Do not take this medication for longer than 4 weeks without your doctors advice.

What is BuSpar?

BuSpar is an anti-anxiety medicine that affects chemicals in your brain that may become unbalanced and cause anxiety.

BuSpar is used to treat symptoms of anxiety, such as fear, tension, irritability, dizziness, pounding heartbeat, and other physical symptoms.

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

What should I discuss with my healthcare provider before taking BuSpar?
Do not this medication if you are allergic to BuSpar, or if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take BuSpar before the MAO inhibitor has cleared from your body.

Before taking BuSpar, tell your doctor if you are allergic to any drugs, or if you have:

* kidney disease; or
* liver disease.

If you have any of these conditions, you may not be able to use BuSpar, 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 BuSpar 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 18 years old.

How should I take BuSpar?

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.

BuSpar is usually taken for only a short time. Do not take this medication for longer than 4 weeks without your doctors advice.

You may take BuSpar with or without food but take it the same way each time.
Some tablet forms of buspirone (Buspar Dividose) may need to be broken before you take the medicine. These tablets have special scored marks on them to make breaking the tablet easy. Do not use the tablet if it has not broken correctly and the piece is too big or too small. Follow your doctors instructions about how much of the tablet to take.

If you have been switched to BuSpar from another anxiety medication, you may need to slowly decrease your dose of the other medication rather than stopping suddenly. Some anxiety medications can cause withdrawal symptoms when you stop taking them suddenly after long-term use.
Store BuSpar at room temperature away from moisture and heat.

Buspar missed 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 your 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 a BuSpar overdose may include nausea, vomiting, dizziness, drowsiness, blurred vision, and stomach pain.

What should I avoid while taking BuSpar?
BuSpar 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 may increase some of the side effects caused by BuSpar.

Avoid using other medicines that make you sleepy (such as cold medicine, pain medication, muscle relaxers, and other medicines to treat anxiety or depression). They may add to the side effects of BuSpar.

Grapefruit and grapefruit juice may interact with BuSpar and lead to potentially dangerous effects. Discuss the use of grapefruit products with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.

What are the possible side effects of BuSpar?
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:

*feeling light-headed, fainting;
*fast or uneven heart rate;
*depressed mood, unusual thoughts or behavior; or
*lack of balance or coordination.

Less serious side effects may be more likely to occur, such as:

*drowsiness, dizziness, blurred vision;
*feeling restless;
*nausea, upset stomach;
*sleep problems (insomnia); or
*trouble concentrating.

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.

Buspar drug interactions

Before taking BuSpar, tell your doctor if you are using any of the following drugs:

*medicines to treat psychiatric disorders, such as chlorpromazine (Thorazine), haloperidol (Haldol), mesoridazine (Serentil), pimozide (Orap), or thioridazine (Mellaril);
*dexamethasone (Decadron, Hexadrol);
*erythromycin (E-Mycin, E.E.S., Ery-Tab, Erythrocin);
*itraconazole (Sporanox), ketoconazole (Nizoral);
*ritonavir (Norvir);
*rifampin (Rifadin, Rimactane, Rifater);
*antibiotics such as capreomycin (Capastat), rifampin (Rifadin, Rimactane, Rifater), vancomycin (Vancocin, Vancoled);
*a calcium channel blocker such as diltiazem (Tiazac, Cartia, Cardizem) or verapamil (Calan, Covera, Isoptin, Verelan); or
*seizure medication such as carbamazepine (Carbatrol, Tegretol), phenytoin (Dilantin), phenobarbital (Luminal, Solfoton).

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

There may be other drugs not listed that can affect BuSpar. 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.

More information Buspar

* Your pharmacist has information about BuSpar written for health professionals that you may read.

What does Buspar look like?

Buspirone is available with a prescription under the brand name BuSpar. Other brand or generic forms may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

*BuSpar 5 mg white, rounded rectangular, scored tablet
*BuSpar 10 mg white, rounded rectangular, scored tablet
*BuSpar 15 mg two joined, rounded rectangles, forming a white, scored tablet

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Bentyl

Generic Name: dicyclomine
Brand Names: Bentyl

What is Bentyl?

Bentyl relieves spasms of the gastrointestinal tract (stomach and intestines) by blocking the actions of spasm-causing chemicals in the body.

Bentyl is used to treat functional bowel or irritable bowel syndrome.

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

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

Avoid becoming overheated in hot weather. Bentyl increases the risk of heat stroke because it causes decreased sweating.

Who should not take Bentyl?
Do not take Bentyl if you have

*a blockage of your urinary tract (difficulty urinating);
*a blockage in your intestines;
*reflux disease;
*glaucoma; or
*myasthenia gravis.

Before taking this medication, tell your doctor if you have

*numbness or tingling in your hands or feet;
* liver disease;
* kidney disease;
*ulcerative colitis;
*thyroid problems;
*high blood pressure, an irregular heartbeat, or any type of heart disease;
*hiatal hernia; or
*enlargement of the prostate.

Bentyl is in the FDA pregnancy category B. This means that it is unlikely to harm an unborn baby. Do not take Bentyl without first talking to your doctor if you are pregnant. Do not take Bentyl if you are breast-feeding a baby. Bentyl can cause serious breathing problems in infants younger than 6 months of age.

How should I take Bentyl?

Take Bentyl 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.

To ensure that you get a correct dose, measure the liquid form of Bentyl with a special dose-measuring spoon or cup, not with a regular tablespoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.
Store Bentyl at room temperature away from moisture and heat.

Bentyl missed 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 the next regularly scheduled dose. Do not take a double dose of this medication.

Bentyl overdose
Seek emergency medical attention.

Symptoms of a Bentyl overdose include headache; nausea; vomiting; dry mouth; difficulty swallowing; blurred vision; dilated pupils; hot, dry skin; dizziness; drowsiness; confusion; anxiety; seizures; weak pulse; and an irregular heartbeat.

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

Avoid becoming overheated in hot weather. Bentyl increases the risk of heat stroke because it decreases sweating.

Bentyl side effects
If you experience any of the following serious side effects, stop taking Bentyl and seek emergency medical attention:

*an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives); or
*an irregular or fast heart rate.

Other, less serious side effects may be more likely to occur. Continue to take Bentyl and talk to your doctor if you experience

*headache, dizziness, or lightheadedness;
*weakness or nervousness;
*blurred vision, large pupils;
*rash or itching;
*difficulty urinating;
*decreased sweating; or
*nasal congestion, stuffiness, or a 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.

Bentyl, drug interactions

Many other drugs may increase the side effects of Bentyl. Before taking this medication, tell your doctor if you are taking any of the following medicines:

*amantadine (Symmetrel);
*quinidine (Quinaglute, Cardioquin, Quinora, Quinidex);
*antihistamines such as diphenhydramine (Benadryl, many others), brompheniramine (Dimetapp, Bromfed, many others), triprolidine (Actifed, others), and chlorpheniramine (Chlor-Trimeton, others), which are found in many over-the-counter and prescription cough, cold, and allergy medications;
*decongestants and appetite suppressants such as phenylpropanolamine (Dexatrim, others), phenylephrine (Neo-Synephrine, others), and pseudoephedrine (Sudafed, others), which are also found in many over-the-counter and prescription products;
* phenothiazines such as chlorpromazine (Thorazine) and prochlorperazine (Compazine);
* other commonly used phenothiazines, including fluphenazine (Prolixin), mesoridazine (Serentil), perphenazine (Trilafon), thioridazine (Mellaril), trifluoperazine (Stelazine), and promazine (Sparine);
* benzodiazepines (sleep and anxiety medications) such as alprazolam (Xanax) and diazepam (Valium);
* other commonly used benzodiazepines, including chlordiazepoxide (Librium), clorazepate (Tranxene), clonazepam (Klonopin), estazolam (Prosom), flurazepam (Dalmane), halazepam (Paxipam), lorazepam (Ativan), oxazepam (Serax), prazepam (Centrax), quazepam (Doral), temazepam (Restoril), and triazolam (Halcion);
* monoamine oxidase inhibitors (MAOIs) such as isocarboxazid (Marplan), tranylcypromine (Parnate), and phenelzine (Nardil);
*narcotic analgesics such as codeine (Tylenol #3, and many other prescription pain relievers), morphine (MS Contin, Roxanol, Astramorph, Duramorph), hydrocodone (Vicodin), and propoxyphene (Darvocet, Darvon, Wygesic);
*nitrates such as isosorbide dinitrate (Isordil, Sorbitrate) and isosorbide mononitrate (Imdur, ISMO);
* tricyclic antidepressants such as amitriptyline (Elavil, Endep), doxepin (Sinequan), and nortriptyline (Pamelor); or
* other commonly used tricyclic antidepressants, including: amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), imipramine (Tofranil), protriptyline (Vivactil), and trimipramine (Surmontil).

Bentyl may increase the level of digoxin (Lanoxin, Lanoxicaps) in your blood. Tell your doctor if you are taking digoxin so that your digoxin levels can be monitored and changes in your dosage can be made if necessary.

Do not take antacids at the same time as Bentyl. They may decrease its absorption.

Drugs other than those listed here may also interact with Bentyl. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

More Bentyl information

* Your pharmacist has more information about Bentyl written for health professionals that you may read.

What does Bentyl look like?

Bentyl is available with a prescription under the brand name Bentyl. 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.

*Bentyl 10 mg--blue capsules
*Bentyl 20 mg--light-blue, round tablets
*Bentyl Syrup 10 mg per 5 mL (1 teaspoon)--pink syrup

Bentyl Recommended dosage

ADULTS

The usual dosage is 160 milligrams per day divided into 4 equal doses. Since this dose is associated with a significant incidence of side effects, your doctor may recommend a starting dose of 80 milligrams per day divided into 4 equal doses. If no side effects appear, the doctor will then increase the dose.

If Bentyl is not effective within 2 weeks or side effects require doses below 80 milligrams per day, your doctor may discontinue it.

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Atarax

Generic name: Hydroxyzine hydrochloride
Brand names: Vistaril, Atarax

Why is Atarax prescribed?

Atarax is an antihistamine used to relieve the symptoms of common anxiety and tension and, in combination with other medications, to treat anxiety that results from physical illness. It also relieves itching from allergic reactions and can be used as a sedative before and after general anesthesia. Antihistamines work by decreasing the effects of histamine, a chemical the body releases that narrows air passages in the lungs and contributes to inflammation. Antihistamines reduce itching and swelling and dry up secretions from the nose, eyes, and throat.

Most important fact about Atarax

Atarax is not intended for long-term use (more than 4 months). Your doctor should re-evaluate the prescription periodically.

How should you take Atarax?

Take Atarax exactly as prescribed by your doctor.

--If you miss a dose...

Take it as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Do not take 2 doses at once.

--Storage instructions...

Store tablets and syrup away from heat, light, and moisture. Keep the syrup from freezing.

Atarax side effects

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Atarax.

Drowsiness, the most common side effect of Atarax, is usually temporary and may disappear in a few days or when dosage is reduced. Other side effects include dry mouth, twitches, tremors, and convulsions. The last two usually occur with higher than recommended doses of Atarax.

Why should Atarax not be prescribed?

Atarax should not be taken in early pregnancy or if you are sensitive to or have ever had an allergic reaction to it. Make sure your doctor is aware of any drug reactions you have experienced.

Special warnings about Atarax

Atarax increases the effects of drugs that depress the activity of the central nervous system. If you are taking narcotics, non-narcotic analgesics, or barbiturates in combination with Atarax, their dosage should be reduced.

This medication can cause drowsiness. Driving or operating dangerous machinery or participating in any hazardous activity that requires full mental alertness is not recommended until you know how you react to Atarax.

Drug interactions

Atarax may increase the effects of alcohol. Avoid alcohol while taking Atarax.

If Atarax is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Atarax with the following:

Barbiturates such as Seconal and Phenobarbital
Narcotics such as Demerol and Percocet
Non-narcotic analgesics such as Motrin and Tylenol

Atarax: pregnant or breastfeeding

Although the effects of Atarax during pregnancy have not been adequately studied in humans, birth defects have appeared in animal studies with Atarax. You should not take Atarax in early pregnancy. If you are pregnant or plan to become pregnant, inform your doctor immediately. Atarax may appear in breast milk and could affect a nursing infant. If Atarax is essential to your health, your doctor may advise you to discontinue breastfeeding until your treatment is finished.

Recommended dosage

When treatment begins with injections, it can be continued in tablet form.

Your doctor will adjust your dosage based on your response to the drug. Due to an increased risk of drowsiness, older adults usually start at the low end of the dosage range.

FOR ANXIETY AND TENSION

Adults

The usual dose is 50 to 100 milligrams 4 times per day.

Children under Age 6

The total dose is 50 milligrams daily, divided into several smaller doses.

Children over Age 6

The total dose is 50 to 100 milligrams daily, divided into several smaller doses.

FOR ITCHING DUE TO ALLERGIC CONDITIONS

Adults

The usual dose is 25 milligrams 3 or 4 times a day.

Children under Age 6

The total dose is 50 milligrams daily, divided into several smaller doses.

Children over Age 6

The total dose is 50 to 100 milligrams daily, divided into several smaller doses.

BEFORE AND AFTER GENERAL ANESTHESIA

Adults

The usual dose is 50 to 100 milligrams.

Children

The usual dose is 0.6 milligram per 2.2 pounds of body weight.

Atarax Overdose

Any medication taken in excess can have serious consequences. If you suspect an overdose of Atarax, seek medical attention immediately.

The most common symptom of Atarax overdose is excessive calm; your blood pressure may drop, although it is not likely.

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Aphthasol

AMLEXANOX (Mucosal-Local)

Category Antiulcer agent (topical)

Aphthasol Description

Aphthasol is used as a paste in the mouth to treat aphthous ulcers (canker sores).

This medicine is available only with your doctor's prescription, in the following dosage form:

* Mucosal-Local
* Oral paste (U.S.)

Before Using Aphthasol

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

Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to Aphthasol. Also tell your health care professional if you are allergic to any other substances, such as preservatives or dyes.

Pregnancy—Aphthasol has not been studied in humans. However, studies in animals have not found that it causes any birth defects or other problems.

Breast-feeding—It is not known whether Aphthasol passes into breast milk in humans. However, it does pass into the milk in lactating animals. Although most medicines pass into human breast milk in small amounts, many of them may be used safely while breast-feeding. Mothers who are taking this medicine and who wish to breast-feed should discuss this with their doctor.

Children—There is no specific information comparing use of Aphthasol in children with use in other age groups.

Older adults—Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults. There is no specific information comparing use of Aphthasol in the elderly with use in other age groups.

Other 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. Tell your health care professional if you are using any other prescription or nonprescription (over-the-counter [OTC]) medicine.

Other medical problems—The presence of other medical problems may affect the use of Aphthasol. Make sure you tell your doctor if you have any other medical problems, especially:

* Immune system problems—It is not known if this medicine will work properly in patients with these problems

Proper Use of Aphthasol

How to use this medicine:

* Apply this medicine to the canker sore as soon as you notice it.
* Squeeze a small amount of the paste (about 1/4 inch) onto your fingertip. Using gentle pressure, dab the paste onto each sore in your mouth.
* Wash your hands immediately after using Aphthasol paste.
* Keep using the medicine until the sore is healed. However, if it is not healed after 10 days, check with your doctor.
* Do not get any of the paste in your eyes. If any gets in your eyes, wash them out with water right away.

Aphthasol Dosing—The dose of Aphthasol paste may 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 Aphthasol. If your dose is different, do not change it unless your doctor tells you to do so.

* For mucosal-local dosage form (oral paste):
o For treatment of canker sores:
+ Adults—Apply to each canker sore in the mouth four times a day, after you brush your teeth after breakfast, lunch, dinner, and at bedtime.
+ Children—Use and dose must be determined by your doctor.

Aphthasol Missed dose—If you miss a dose of this medicine, apply it as soon as possible. However, if it is almost time for the next dose, skip the missed dose and go back to your regular dosing schedule.

Aphthasol Storage—To store this medicine:

* Keep out of the reach of children.
* Store away from heat and direct light.
* Do not store in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the medicine to break down.
* Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children.

Side Effects of Aphthasol

Along with its needed effects, a medicine may cause some unwanted effects. The following side effects may go away during treatment as your body adjusts to the medicine. However, check with your doctor if any of these effects continue or are bothersome:

Less common or rare

Burning, stinging, or pain at place medicine is applied; inflammation of mucous membranes; diarrhea; nausea

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

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Antivert

Generic Name: meclizine
Brand Names: Antivert, Bonine, Dramamine II, Driminate II

What is Antivert?

Antivert is an antihistamine. It blocks the effects of the naturally occurring chemical histamine in your body.

Antivert is used to treat nausea, vomiting, and dizziness associated with motion sickness. Antivert may also be helpful in treating vertigo.

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

Important information about Antivert
Use caution when driving, operating machinery, or performing other hazardous activities. Antivert may cause dizziness, drowsiness, or blurred vision. If you experience dizziness, drowsiness, or blurred vision, avoid these activities. Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking Antivert.

Before taking Antivert

Before taking Antivert, tell your doctor if you have

*asthma, bronchitis, emphysema, or another lung disease;
*glaucoma;
*difficulty urinating or an enlarged prostate gland; or
*severe or chronic constipation.

You may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
Antivert is in the FDA pregnancy category B. This means that it is not expected to harm an unborn baby. Do not take Antivert without first talking to your doctor if you are pregnant. It is not known whether Antivert passes into breast milk. Do not take Antivert without first talking to your doctor if you are breast-feeding a baby. Antivert is not approved for use by children younger than 12 years of age.

How should I take Antivert?

Take Antivert exactly as directed by your doctor or follow the directions that accompany the package. 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.

The Bonine chewable tablets may be swallowed whole, crushed, or chewed.

For motion sickness, Antivert is usually taken about 1 hour before travel. The dose may be repeated once a day after that for the duration of the journey if necessary.

For vertigo, doses may be taken several times a day. Follow your doctors instructions.
Store Antivert at room temperature away from moisture and heat.

Antivert missed dose:

Since Antivert is usually taken as needed, missing a dose is usually not a problem. If you are taking Antivert on a regular schedule and you 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.

Antivert overdose:
Seek emergency medical attention.

Symptoms of a Antivert overdose include extreme drowsiness, seizures, hallucinations, and decreased breathing.

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

Antivert side effects
Stop taking Antivert 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 Antivert and talk to your doctor if you experience

*drowsiness or dizziness;
*a dry mouth (may be relieved by sugarless gum, ice chips, saliva substitutes, or other products if bothersome);
*blurred vision;
*nervousness;
*insomnia; 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.

Antivert drug interactions

Antivert may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, and muscle relaxants. Tell your doctor about all prescription and over-the-counter medicines that you are taking, and do not take any medicine without first talking to your doctor.

Antivert may affect skin allergy tests. Tell your doctor that you are taking this medication if you need to undergo allergy testing.

Drugs other than those listed here may also interact with Antivert. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

Antivert more information:

* Your pharmacist has more information about Antivert written for health professionals that you may read.

What does Antivert look like?

Meclizine is available over the counter under the brand name Bonine and with a prescription under the brand name Antivert. 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.

*Antivert 12.5 mgelliptical, blue tablets
*Antivert/25 25 mgelliptical, yellow tablets
*Antivert/50 50 mgelliptical, blue, scored tablets

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Amoxicillin

Brand Names: Amoxicot, Amoxil, Amoxil Pediatric Drops, Biomox, Dispermox, Trimox, Wymox

Most important information I should know about amoxicillin?
Do not use this medication if you are allergic to amoxicillin or to any other penicillin antibiotic, such as ampicillin (Omnipen, Principen), carbenicillin (Geocillin), dicloxacillin (Dycill, Dynapen), oxacillin (Bactocill), penicillin (Beepen-VK, Ledercillin VK, Pen-V, Pen-Vee K, Pfizerpen, V-Cillin K, Veetids), and others.

Before using amoxicillin, tell your doctor if you are allergic to cephalosporins such as Ceclor, Ceftin, Duricef, Keflex, and others. Also tell your doctor if you have asthma, liver or kidney disease, a bleeding or blood clotting disorder, mononucleosis (also called "mono"), or any type of allergy.
Amoxicillin can make birth control pills less effective, which may result in pregnancy. Before taking amoxicillin, tell your doctor if you use birth control pills. Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Amoxicillin will not treat a viral infection such as the common cold or flu. Do not give this medication to another person, even if they have the same symptoms you do.

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.

What is amoxicillin?

Amoxicillin is an antibiotic in the penicillin group of drugs. It fights bacteria in your body.

Amoxicillin is used to treat many different types of infections caused by bacteria, such as ear infections, bladder infections, pneumonia, gonorrhea, and E. coli or salmonella infection. Amoxicillin is also sometimes used together with another antibiotic called clarithromycin (Biaxin) to treat stomach ulcers caused by Helicobacter pylori infection. This combination is sometimes used with a stomach acid reducer called lansoprazole (Prevacid).

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

What to discuss with my healthcare provider before taking amoxicillin?
Do not use this medication if you are allergic to amoxicillin or to any other penicillin antibiotic, such as:

*ampicillin (Omnipen, Principen);
*carbenicillin (Geocillin);
*dicloxacillin (Dycill, Dynapen);
*oxacillin (Bactocill); or
*penicillin (Beepen-VK, Ledercillin VK, Pen-V, Pen-Vee K, Pfizerpen, V-Cillin K, Veetids, and others).

Before using amoxicillin, tell your doctor if you are allergic to any drugs (especially cephalosporins such as Ceclor, Ceftin, Duricef, Keflex, and others), or if you have:

*asthma;
*liver disease;
*kidney disease;
*a bleeding or blood clotting disorder;
*mononucleosis (also called "mono");
*a history of diarrhea caused by taking antibiotics; or
*a history of any type of allergy.

If you have any of these conditions, you may not be able to use amoxicillin, 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. Amoxicillin can make birth control pills less effective, which may result in pregnancy. Before taking amoxicillin, tell your doctor if you use birth control pills. Amoxicillin 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.

The amoxicillin chewable tablet may contain phenylalanine. Talk to your doctor before using this form of amoxicillin if you have phenylketonuria (PKU).

How should I take amoxicillin?

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.

If you are taking amoxicillin with clarithromycin and/or lansoprazole to treat stomach ulcer, use all of your medications as directed. 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 amoxicillin with a full glass of water.

You may take amoxicillin with or without food.
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.

You may place the liquid directly on the tongue, or you may mix it with water, milk, baby formula, fruit juice, or ginger ale. Drink all of the mixture right away. Do not save any for later use.

The chewable tablet should be chewed before you swallow it.

The dispersible tablet will not dissolve in your mouth. Place the tablet in at least 2 teaspoons of water (do not use any other type of liquid). After the tablet has completely broken apart, swirl the mixture and drink all of it right away.

To be sure this medication is helping your condition, your blood will need to be tested on a regular basis. Your kidney or liver function may also need to be tested. Do not miss any scheduled visits to your doctor.

If you are being treated for gonorrhea, your doctor may also have you tested for syphilis, another sexually transmitted disease.
Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Amoxicillin will not treat a viral infection such as the common cold or flu. Do not give amoxicillin to another person, even if they have the same symptoms you do.

This medication can cause you to have unusual results with certain medical tests. Tell any doctor who treats you that you are using amoxicillin.
Store amoxicillin at room temperature away from moisture, heat, and light.

Amoxicillin missed 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 your next regularly scheduled time. Do not take extra medicine to make up the missed dose.

Amoxicillin overdose:
Seek emergency medical attention if you think you have used too much of this medicine.

Symptoms of an amoxicillin overdose may include confusion, behavior changes, a severe skin rash, urinating less than usual, or seizure (black-out or convulsions).

What to avoid while taking amoxicillin?

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.

Possible side effects of amoxicillin:
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:

*fever, sore throat, and headache with a severe blistering, peeling, and red skin rash;
*nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
*diarrhea that is watery or bloody;
*fever, chills, body aches, flu symptoms;
*easy bruising or bleeding, unusual weakness;
*urinating less than usual or not at all;
*agitation, confusion, unusual thoughts or behavior; or
*seizure (black-out or convulsions).

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

*nausea, vomiting, stomach pain;
*vaginal itching or discharge;
*headache;
*swollen, black, or "hairy" tongue; or
*thrush (white patches or inside your mouth or throat).

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.

Amoxicillin: drug interactions

Before taking amoxicillin, tell your doctor if you are using any of the following drugs:

*methotrexate (Rheumatrex, Trexall);
*probenecid (Benemid);
*a sulfa drug (such as Bactrim or Septra);
*an antibiotic such as azithromycin (Zithromax), clarithromycin (Biaxin), erythromycin (E.E.S., E-Mycin, Ery-Tab, Erythrocin), telithromycin (Ketek), or troleandomycin (Tao); or
*a tetracycline antibiotic such as demeclocycline (Declomycin), doxycycline (Adoxa, Doryx, Oracea, Vibramycin), minocycline (Dynacin, Minocin, Solodyn, Vectrin), or tetracycline (Brodspec, Panmycin, Sumycin, Tetracap).

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

There may be other drugs not listed that can affect amoxicillin. 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.

Amoxicillin: more information

* Your pharmacist has information about amoxicillin written for health professionals that you may read.

What does Amoxicillin look like?

Amoxicillin is available with a prescription under several brand and generic names. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

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Allegra D

Generic Name: fexofenadine and pseudoephedrine
Brand Names: Allegra D 24 Hour, Allegra D

Most important information I should know about Allegra D?
Always ask a doctor before giving Allegra D to a child. Death can occur from the misuse of cough and cold medicines in very young children. Do not use any other over-the-counter cold, allergy, or sleep medication without first asking your doctor or pharmacist. If you take certain products together you may accidentally take too much of a certain drug. Read the label of any other medicine you are using to see if it contains an antihistamine or decongestant. Do not use Allegra D if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take Allegra D before the MAO inhibitor has cleared from your body. Allegra D 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 some of the side effects of Allegra D.

What is Allegra D?

Fexofenadine is an antihistamine that reduces the natural chemical histamine in the body. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose.

Pseudoephedrine is a decongestant that shrinks blood vessels in the nasal passages. Dilated blood vessels can cause nasal congestion (stuffy nose).

Allegra D is used to treat sneezing, cough, runny or stuffy nose, itchy or watery eyes, hives, skin rash, itching, and other symptoms of allergies and the common cold.

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

What to discuss with my healthcare provider before taking Allegra D?
Do not use a Allegra D if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take Allegra D before the MAO inhibitor has cleared from your body.

Before taking Allegra D, tell your doctor if you are allergic to fexofenadine, or pseudoephedrine, or if you have:

* kidney disease;
*diabetes;
*glaucoma;
*heart disease or high blood pressure;
*diabetes;
*a thyroid disorder;
*an enlarged prostate; or
*problems with urination.

If you have any of these conditions, you may not be able to use Allegra D, or you may need a dosage adjustment or special tests during treatment.
FDA pregnancy category C. Allegra D may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Allegra D can pass into breast milk and may harm a nursing baby. Do not use Allegra D without telling your doctor if you are breast-feeding a baby.

How should I take Allegra D?

Take Allegra D exactly as it has been prescribed by your doctor. Do not use the medication in larger amounts, or use it for longer than recommended. Follow the directions on your prescription label. Allegra D is usually taken only for a short time until your symptoms clear up.
Always ask a doctor before giving a Allegra D to a child. Death can occur from the misuse of cough and cold medicines in very young children. Take Allegra D with a full glass of water. 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 or opening the pill would cause too much of the drug to be released at one time. Talk with your doctor if your symptoms do not improve after 7 days of treatment, or if you have a fever with a headache, cough, or skin rash.

If you need to have any type of surgery, tell the surgeon ahead of time if you have taken Allegra D within the past few days.

Allegra D can cause you to have unusual results with allergy skin tests. Tell any doctor who treats you that you are taking an antihistamine.
Store the medication at room temperature away from moisture and heat.

Allegra D missed dose

Since Allegra D is usually taken only as needed, you may not be on a dosing schedule. If you are taking the medication regularly, 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 your next regularly scheduled time. Do not take extra medicine to make up the missed dose.

Allegra D overdose
Seek emergency medical attention if you think you have used too much of Allegra D.

Symptoms of an overdose may include feeling restless or nervous, nausea, vomiting, stomach pain, dizziness, drowsiness, dry mouth, warmth or tingly feeling, or seizure (convulsions).

What to avoid while taking Allegra D?
Allegra D 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 some of the side effects of Allegra D.

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

Avoid using antacids within 15 minutes before or after taking Allegra D. Antacids can make it harder for your body to absorb this medication.

Avoid taking diet pills, caffeine pills, or other stimulants (such as ADHD medications) without your doctor's advice. Taking a stimulant together with a decongestant can increase your risk of unpleasant side effects.
Do not use any other over-the-counter cold, allergy, or sleep medication without first asking your doctor or pharmacist. If you take certain products together you may accidentally take too much of a certain drug. Read the label of any other medicine you are using to see if it contains an antihistamine or decongestant.

Possible side effects of Allegra D:
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:

*fast, pounding, or uneven heartbeat;
*confusion, hallucinations, unusual thoughts or behavior;
*severe dizziness, anxiety, restless feeling, or nervousness;
*increased blood pressure (severe headache, blurred vision, trouble concentrating, chest pain, numbness, seizure);
*confusion, hallucinations, unusual thoughts or behavior;
*easy bruising or bleeding, unusual weakness, fever, chills, body aches, flu symptoms; or
*urinating less than usual or not at all.

Keep taking the medication and talk to your doctor if you have any of these less serious side effects:

*blurred vision;
*dry mouth;
*nausea, stomach pain, constipation;
*mild loss of appetite, stomach upset;
*warmth, tingling, or redness under your skin;
*sleep problems (insomnia);
*restless or excitability (especially in children);
*skin rash or itching;
*dizziness, drowsiness;
*problems with memory or concentration; or
*ringing in your ears.

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.

Allegra D: Drug interactions

Before taking this medication, tell your doctor if you are using any of the following drugs:

*medicines to treat high blood pressure;
*a diuretic (water pill);
* medication to treat irritable bowel syndrome;
*bladder or urinary medications such as oxybutynin (Ditropan, Oxytrol) or tolterodine (Detrol);
*aspirin or salicylates (such as Disalcid, Doan's Pills, Dolobid, Salflex, Tricosal, and others);
*a beta-blocker such as atenolol (Tenormin), carteolol (Cartrol), metoprolol (Lopressor, Toprol), nadolol (Corgard), propranolol (Inderal), sotalol (Betapace), timolol (Blocadren), and others; or
*antidepressants such as amitriptyline (Elavil), clomipramine (Anafranil), imipramine (Janimine, Tofranil), and others.

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

There may be other drugs not listed that can affect Allegra D. 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.

More Allegra D information:

* Your pharmacist has information about Allegra D written for health professionals that you may read.

What does Allegra D look like?

Fexofenadine and pseudoephedrine is available with a prescription under the brand name Allegra-D. 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.

*Allegra-D 60 mg/120 mg (fexofenadine/pseudoephedrine)- white and tan, oblong film-coated tablets
*Allegra-D 180 mg/240 mg (fexofenadine/pseudoephedrine)- white, round film-coated tablets

* 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 is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. 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. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects.

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Allegra

fexofenadine (fex oh FEN a deen)


Most important information I should know about Allegra:
• Never take more of this medication than is directed by your doctor. If your symptoms are not being adequately treated, talk to your doctor.


What is Allegra?
• Allegra is an antihistamine. Antihistamines work against the naturally occurring chemical histamine in your body.
• Allegra is used to prevent sneezing, runny nose, itching and watering of the eyes, and other allergic symptoms.
• Allegra may also be used for purposes other than those listed in this medication guide.


What should I discuss with my healthcare provider before taking Allegra?
• Do not take Allegra if you have ever had an allergic reaction to it.
• Before taking this medication, tell your doctor if you have any serious illness such as heart, kidney, or liver disease. You may require a dosage adjustment or special monitoring during treatment if you have other illnesses.
• Allegra is in the FDA pregnancy category C. This means that it is not known whether Allegra will harm an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant.
• It is also not known whether Allegra passes into breast milk. Do not take Allegra without first talking to your doctor if you are breast-feeding a baby.
• Allegra is not approved for use by children younger than 6 years of age.


How should I take Allegra?
• Take Allegra exactly as directed. 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.
• Allegra is usually taken twice a day, in the morning and the evening. Follow your doctor's instructions.
• Do not take Allegra close to a dose of an antacid that contains aluminum or magnesium such as Rolaids, Maalox, Mylanta, Milk of Magnesia, Pepcid Complete, and others. These antacids may decrease the effects of Allegra.
• Never take more of this medication than is directed by your doctor. If your symptoms are not being adequately treated, talk to your doctor.
• Store Allegra at room temperature away from moisture and heat.


Allegra missed 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.


Allegra overdose
• Seek emergency medical attention.
• Symptoms of a Allegra overdose are not well known.


What to avoid while taking Allegra?
• Do not take Allegra close to a dose of an antacid that contains aluminum or magnesium such as Rolaids, Maalox, Mylanta, Milk of Magnesia, Pepcid Complete, and others. These antacids may decrease the effects of Allegra.


Possible side effects of Allegra:
• Stop taking Allegra 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).
• Allergic reactions occur only rarely, and other serious side effects are not likely to occur.
• Some less serious side effects may be more likely to occur. Continue to take Allegra and talk to your doctor if you experience nausea or an 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.


Allegra Drugs interactions
• Do not take Allegra close to a dose of an antacid that contains aluminum or magnesium such as Rolaids, Maalox, Mylanta, Milk of Magnesia, Pepcid Complete, and others. These antacids may decrease the effects of Allegra.
• Drugs other than those listed here may also interact with Allegra. Talk to your doctor and pharmacist before taking other medications, including herbal products.


Allegra: more information
• Your pharmacist has more information about Allegra written for health professionals that you may read.
• 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.

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Alesse

Generic Name: ethinyl estradiol and levonorgestrel

Brand Names: Alesse, Aviane, Levlen, Levlite, Levora, Tri-Levlen, Triphasil, Triphasil-28, Trivora

What is Alesse?

Alesse contains a combination of female hormones that prevent ovulation (the release of an egg from an ovary). This medication also causes changes in your cervical mucous and uterine lining, making it harder for sperm to reach the uterus and harder for a fertilized egg to attach to the uterus.

Alesse are used as contraception to prevent pregnancy.

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

What is the most important information I should know about Alesse?
Do not use Alesse if you are pregnant or if you have recently had a baby. Do not use this medication if you have any of the following conditions: a history of stroke or blood clot, circulation problems (especially if caused by diabetes), a hormone-related cancer such as breast or uterine cancer, abnormal vaginal bleeding, liver disease or liver cancer, severe high blood pressure, migraine headaches, a heart valve disorder, or a history of jaundice caused by birth control pills.

You may need to use back-up birth control, such as condoms or a spermicide, when you first start using this medication. Follow your doctor's instructions.
Taking hormones can increase your risk of blood clots, stroke, or heart attack, especially if you smoke and are older than 35.

Some drugs can make birth control pills less effective, which may result in pregnancy. Tell your doctor about all the prescription and over-the-counter medications you use, including vitamins, minerals and herbal products. Do not start using a new medication without telling your doctor.

What should I discuss with my healthcare provider before taking Alesse?
This medication can cause birth defects. Do not use if you are pregnant. Tell your doctor right away if you become pregnant, or if you miss two menstrual periods in a row. If you have recently had a baby, wait at least 4 weeks before taking birth control pills (6 weeks if you are breast-feeding). Do not use this medication if you have:

*a history of a stroke or blood clot;
*circulation problems (especially if caused by diabetes);
*a hormone-related cancer such as breast or uterine cancer;
*abnormal vaginal bleeding;
* liver disease or liver cancer;
*severe high blood pressure;
*severe migraine headaches;
*a heart valve disorder; or
*a history of jaundice caused by birth control pills.

Before using this medication, tell your doctor if you have any of the following conditions. You may not be able to use birth control pills, or you may need a dosage adjustment or special tests during treatment.

*high blood pressure, heart disease, congestive heart failure, angina (chest pain), or a history of heart attack;
*high cholesterol or if you are overweight;
*a history of depression;
*gallbladder disease;
*diabetes;
*seizures or epilepsy;
* a history of irregular menstrual cycles;
*a history of fibrocystic breast disease, lumps, nodules, or an abnormal mammogram;
*uterine fibroid tumors;
*varicose veins; or
*tuberculosis.

The hormones in birth control pills can pass into breast milk and may harm a nursing baby. This medication may also slow breast milk production. Do not use if you are breast-feeding a baby.

How should I take Alesse?

Take this medication exactly as it was prescribed for you. Do not take larger amounts, or take it for longer than recommended by your doctor. You will take your first pill on the first day of your period or on the first Sunday after your period begins (follow your doctor's instructions).

You may need to use back-up birth control, such as condoms or a spermicide, when you first start using this medication. Follow your doctor's instructions.

The 28-day birth control pack contains seven "reminder" pills to keep you on your regular cycle. Your period will usually begin while you are using these reminder pills.
You may have breakthrough bleeding, especially during the first 3 months. Tell your doctor if this bleeding continues or is very heavy.

Take one pill every day, no more than 24 hours apart. When the pills run out, start a new pack the following day. You may get pregnant if you do not use this medication regularly. Get your prescription refilled before you run out of pills completely.

If you need to have any type of medical tests or surgery, or if you will be on bed rest, you may need to stop using this medication for a short time. Any doctor or surgeon who treats you should know that you are using birth control pills.

Your doctor will need to see you on a regular basis while you are using this medication. Do not miss any appointments.
Store this medication at room temperature away from moisture and heat.

Alesse missed dose:

Missing a pill increases your risk of becoming pregnant.

If you miss one "active" pill, take two pills on the day that you remember. Then take one pill per day for the rest of the pack.

If you miss two "active" pills in a row in week one or two, take two pills per day for two days in a row. Then take one pill per day for the rest of the pack. Use back-up birth control for at least 7 days following the missed pills.

If you miss two "active" pills in a row in week three, or if you miss three pills in a row during any of the first 3 weeks, throw out the rest of the pack and start a new one 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 one that day.

If you miss three "active" pills in a row during any of the first 3 weeks, throw out the rest of the pack and start a new pack 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 one that day.
If you miss two or more pills, you may not have a period during the month. If you miss a period for two months in a row, call your doctor because you might be pregnant.

If you miss any reminder pills, throw them away and keep taking one pill per day until the pack is empty. You do not need back-up birth control if you miss a reminder pill.

Alesse overdose:

Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of an overdose may include nausea, vomiting, and vaginal bleeding.

What should I avoid while taking Alesse?
Do not smoke while using birth control pills, especially if you are older than 35. Smoking can increase your risk of blood clots, stroke, or heart attack caused by birth control pills.

Birth control pills will not protect you from sexually transmitted diseases--including HIV and AIDS. Using a condom is the only way to protect yourself from these diseases.

Alesse 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. Stop using this medication and call your doctor at once if you have any of these serious side effects:

*sudden numbness or weakness, especially on one side of the body;
*sudden headache, confusion, pain behind the eyes, problems with vision, speech, or balance;
* chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;
* a change in the pattern or severity of migraine headaches;
* nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
*swelling in your hands, ankles, or feet; or
*symptoms of depression (sleep problems, weakness, mood changes).

Continue using the medication and talk to your doctor if you have any of these less serious side effects:

*mild nausea, vomiting, bloating, stomach cramps;
*breast pain, tenderness, or swelling;
*freckles or darkening of facial skin;
*increased hair growth, loss of scalp hair;
*changes in weight or appetite;
*problems with contact lenses;
*vaginal itching or discharge;
*changes in your menstrual periods, decreased sex drive; or
*headache, nervousness, dizziness, tired feeling.

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 Alesse?

Some drugs can make birth control pills less effective, which may result in pregnancy. Before using birth control pills, tell your doctor if you are using any of the following drugs:

* acetaminophen (Tylenol) or ascorbic acid (vitamin C);
*phenylbutazone (Azolid, Butazolidin);
*prednisolone (Orapred);
*theophylline (Respbid, Theo-Dur);
*cyclosporine (Neoral, Sandimmune, Gengraf);
*St. John's wort;
*antibiotics such as amoxicillin (Augmentin), ampicillin (Omnipen), doxycycline (Doryx, Vibramycin), griseofulvin (Grisactin, Grifulvin V, Fulvicin PG), minocycline (Minocin), penicillin (Veetids, Pen Vee K, Bicillin), rifampin (Rifadin), rifabutin (Mycobutin), tetracycline (Sumycin, Achromycin, Robitet), and others;
*seizure medicines such as phenytoin (Dilantin), carbamazepine (Tegretol), felbamate (Felbatol), oxcarbazepine (Trileptal), topiramate (Topamax), or primidone (Mysoline);
*a barbiturate such as amobarbital (Amytal), butabarbital (Butisol), mephobarbital (Mebaral), secobarbital (Seconal), or phenobarbital (Luminal, Solfoton); or
*HIV medicines such as amprenavir (Agenerase), atazanavir (Reyataz), tipranavir (Aptivus), indinavir (Crixivan), saquinavir (Invirase), lopinavir/ritonavir (Kaletra), fosamprenavir (Lexiva), ritonavir (Norvir), or nelfinavir (Viracept).

There may be other drugs not listed that can affect birth control pills. 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.

More Alesse information:

* Your pharmacist has additional information about Alesse written for health professionals that you may read.

What does Alesse look like?

Alesse is available with a prescription under several brand names and may also be available as a generic. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

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Aldara

Aldara used for:

Treating certain types of precancerous skin lesions or skin cancer (superficial basal cell carcinoma) in adults with normal immune systems. It may be used to treat external genital and perianal (around the anus) warts in certain patients. It also may be used for other conditions as determined by your doctor.

Aldara is an immune response modifier. How it works is unknown.
Do NOT use Aldara if:

* you are allergic to any ingredient in Aldara

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

Before using Aldara :

Some medical conditions may interact with Aldara . 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 warts in areas of your body other than the genital or anal areas, genital rash or inflammation, another type of skin cancer, or human papilloma virus (HPV) infection
* if you have broken, damaged, or inflamed skin in the area being treated; a weakened immune system; or an autoimmune condition (eg, rheumatoid arthritis, lupus)
* if you are sunburned, sensitive to sunlight, or spend long periods of time in natural or artificial sunlight

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

This may not be a complete list of all interactions that may occur. Ask your health care provider if Aldara 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 Aldara :

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

* Aldara comes with an extra patient leaflet. Read it carefully and reread it each time you get Aldara refilled.
* Apply Aldara just before bedtime, unless directed otherwise by your doctor.
* Wash your hands and the affected area with mild soap and water before using Aldara . Allow the area to completely dry (at least 10 minutes) before applying the medicine.
* Apply a thin layer of medicine to the affected area only. Gently rub the medicine in until it is evenly distributed. Wash your hands immediately after using this medicine.
* Leave the medicine on the skin for the prescribed amount of time. Do not bathe or get the area wet until it is time to remove the medicine. The amount of time the medicine is left on the skin varies depending on the condition being treated. Ask your doctor or pharmacist if you are unsure how long Aldara should be left on the skin. Wash the affected area with a mild soap and water when it is time to remove the medicine.
* If you are using Aldara to treat skin lesions or skin cancer, remove Aldara 8 hours after you apply it, unless directed otherwise by your doctor.
* If you are using Aldara to treat genital warts, remove Aldara 6 to 10 hours after you apply it, unless directed otherwise by your doctor.
* Do not apply Aldara inside the anus or vagina when applying the medicine to genital or perianal warts.
* Do not apply excessive amounts of this medicine to the affected area.
* Do not wrap or otherwise cover the treated area with bandages or wear tight-fitting clothing over the treated area unless specifically directed by your doctor. However, cotton underwear may be worn after applying medicine to the genital or anal area.
* Men who have not been circumcised and are treating warts under the foreskin should pull back the foreskin and clean the area just before treatment. The area should be cleaned daily while you are using Aldara .
* After applying, throw away any unused medicine that is left in the packet in a trash container, away from children and pets.
* Continue to use Aldara even if you feel well. Do not miss any doses.
* If you miss a dose of Aldara , 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 Aldara .

Aldara Important safety information:

* Aldara is for external use only. Avoid getting Aldara around your lips, or in your eyes, nose, mouth, or anus. If you get Aldara in your eyes or mouth, rinse right away with cool water.
* Avoid applying Aldara in the vagina. Take special care if applying the cream at the opening of the vagina because local skin reactions on the delicate, moist surfaces can result in pain or swelling, or may cause difficulty in passing urine.
* Aldara may cause dizziness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Aldara . Using Aldara alone, with certain other medicines, or with alcohol may lessen your ability to drive or perform other potentially dangerous tasks.
* It may take several weeks for Aldara to work.
* Aldara is not a cure for genital warts. New warts may appear during treatment with Aldara .
* Do not exceed the recommended dose, leave the medicine on the skin longer, or use the medicine for longer than prescribed without checking with your doctor. Doing so will not improve your condition faster and may increase your risk of side effects.
* Do not apply Aldara to sunburned skin. Wait until your skin has healed before using Aldara .
* Aldara may decrease the effectiveness of condoms and diaphragms. Use another form of birth control while you are using Aldara .
* It is unknown if Aldara can prevent you from spreading genital or perianal warts to others. For this reason, you should use safe sex practices. Ask your doctor or pharmacist about safe sex practices.
* If you are being treated for genital or perianal warts, do not have any type of sexual contact while the medicine is on the skin.
* Aldara may cause increased sensitivity to the sun. Avoid exposure to the sun, sunlamps, or tanning booths until you know how you react to Aldara . Use a sunscreen or wear protective clothing if you must be outside for a prolonged period.
* While you are using Aldara , the treated area and the skin around it may appear different than normal skin. Discuss any questions or concerns with your doctor.
* Aldara may cause a lightening or darkening of the skin where it is applied. This discoloration may not go away when you stop using the medicine. Discuss any concerns with your doctor.
* If you have a skin reaction that affects your daily activities, contact your doctor right away.
* Regular follow-up will be needed to monitor your progress and check for side effects. Be sure to keep all doctor and lab appointments.
* Use Aldara with extreme caution in CHILDREN younger than 12 years of age who have genital or perianal warts. Use Aldara with extreme caution in CHILDREN younger than 18 years of age who have skin lesions or skin cancer. Safety and effectiveness in these age groups have not been confirmed.
* PREGNANCY and BREAST-FEEDING: If you become pregnant, discuss with your doctor the benefits and risks of using Aldara during pregnancy. It is unknown if Aldara is excreted in breast milk. If you are or will be breast-feeding while you are using Aldara , check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of Aldara :

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:

Back pain; blisters or burning; flaking, redness, or crustiness of the skin; diarrhea; dry skin; headache; itching; peeling; scabbing; soreness; stinging or swelling; stuffy nose; thick or hardened skin.

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

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); changes in skin color at the application site; chest pain; chills; fever; irregular heartbeat; severe irritation, pain, or bleeding at the application site; skin sores; vision changes; vomiting; "weeping" or oozing at the application site.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If Aldara OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately. Symptoms may include dizziness or fainting.
Proper storage of Aldara :

Store Aldara at room temperature, between 59 and 77 degrees F (15 and 25 degrees C). Do not freeze. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Aldara out of the reach of children and away from pets.
General information:

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

This information is a summary only. It does not contain all information about Aldara . 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.

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Aldactone

Aldactone Warning

Spironolactone has been shown to be a tumorigen in chronic toxicity studies in rats (see Precautions). Aldactone should be used only in those conditions described under Indications and Usage. Unnecessary use of this drug should be avoided.

Aldactone Description

Aldactone oral tablets contain 25 mg, 50 mg, or 100 mg of the aldosterone antagonist spironolactone, 17-hydroxy-7α-mercapto-3-oxo-17α-pregn-4-ene-21-carboxylic acid γ-lactone acetate.

Spironolactone is practically insoluble in water, soluble in alcohol, and freely soluble in benzene and in chloroform.

Inactive ingredients include calcium sulfate, corn starch, flavor, hypromellose, iron oxide, magnesium stearate, polyethylene glycol, povidone, and titanium dioxide.

Aldactone ACTIONS / CLINICAL PHARMACOLOGY

Mechanism of action

Aldactone (spironolactone) is a specific pharmacologic antagonist of aldosterone, acting primarily through competitive binding of receptors at the aldosterone-dependent sodium-potassium exchange site in the distal convoluted renal tubule. Aldactone causes increased amounts of sodium and water to be excreted, while potassium is retained. Aldactone acts both as a diuretic and as an antihypertensive drug by this mechanism. It may be given alone or with other diuretic agents which act more proximally in the renal tubule.

Aldosterone antagonist activity

Increased levels of the mineralocorticoid, aldosterone, are present in primary and secondary hyperaldosteronism. Edematous states in which secondary aldosteronism is usually involved include congestive heart failure, hepatic cirrhosis, and the nephrotic syndrome. By competing with aldosterone for receptor sites, Aldactone provides effective therapy for the edema and ascites in those conditions. Aldactone counteracts secondary aldosteronism induced by the volume depletion and associated sodium loss caused by active diuretic therapy.

Aldactone is effective in lowering the systolic and diastolic blood pressure in patients with primary hyperaldosteronism. It is also effective in most cases of essential hypertension, despite the fact that aldosterone secretion may be within normal limits in benign essential hypertension.

Through its action in antagonizing the effect of aldosterone, Aldactone inhibits the exchange of sodium for potassium in the distal renal tubule and helps to prevent potassium loss.

Aldactone has not been demonstrated to elevate serum uric acid, to precipitate gout, or to alter carbohydrate metabolism.

Pharmacokinetics

Spironolactone is rapidly and extensively metabolized. Sulfur-containing products are the predominant metabolites and are thought to be primarily responsible, together with spironolactone, for the therapeutic effects of the drug. The following pharmacokinetic data were obtained from 12 healthy volunteers following the administration of 100 mg of spironolactone (Aldactone film-coated tablets) daily for 15 days. On the 15th day, spironolactone was given immediately after a low-fat breakfast and blood was drawn thereafter.

The pharmacological activity of spironolactone metabolites in man is not known. However, in the adrenalectomized rat the antimineralocorticoid activities of the metabolites C, TMS, and HTMS, relative to spironolactone, were 1.10, 1.28, and 0.32, respectively. Relative to spironolactone, their binding affinities to the aldosterone receptors in rat kidney slices were 0.19, 0.86, and 0.06, respectively.

In humans the potencies of TMS and 7-α-thiospirolactone in reversing the effects of the synthetic mineralocorticoid, fludrocortisone, on urinary electrolyte composition were 0.33 and 0.26, respectively, relative to spironolactone. However, since the serum concentrations of these steroids were not determined, their incomplete absorption and/or first-pass metabolism could not be ruled out as a reason for their reduced in vivo activities.

Spironolactone and its metabolites are more than 90% bound to plasma proteins. The metabolites are excreted primarily in the urine and secondarily in bile.

The effect of food on spironolactone absorption (two 100-mg Aldactone tablets) was assessed in a single dose study of 9 healthy, drug-free volunteers. Food increased the bioavailability of unmetabolized spironolactone by almost 100%. The clinical importance of this finding is not known.

Indications and Usage for Aldactone

Aldactone (spironolactone) is indicated in the management of:

Primary hyperaldosteronism for:

Establishing the diagnosis of primary hyperaldosteronism by therapeutic trial.

Short-term preoperative treatment of patients with primary hyperaldosteronism.

Long-term maintenance therapy for patients with discrete aldosterone-producing adrenal adenomas who are judged to be poor operative risks or who decline surgery.

Long-term maintenance therapy for patients with bilateral micro- or macronodular adrenal hyperplasia (idiopathic hyperaldosteronism).

Edematous conditions for patients with:

Congestive heart failure

For the management of edema and sodium retention when the patient is only partially responsive to, or is intolerant of, other therapeutic measures. Aldactone is also indicated for patients with congestive heart failure taking digitalis when other therapies are considered inappropriate.

Cirrhosis of the liver accompanied by edema and/or ascites

Aldosterone levels may be exceptionally high in this condition. Aldactone is indicated for maintenance therapy together with bed rest and the restriction of fluid and sodium.

The nephrotic syndrome

For nephrotic patients when treatment of the underlying disease, restriction of fluid and sodium intake, and the use of other diuretics do not provide an adequate response.

Essential hypertension

Usually in combination with other drugs, Aldactone is indicated for patients who cannot be treated adequately with other agents or for whom other agents are considered inappropriate.

Hypokalemia

For the treatment of patients with hypokalemia when other measures are considered inappropriate or inadequate. Aldactone is also indicated for the prophylaxis of hypokalemia in patients taking digitalis when other measures are considered inadequate or inappropriate.

Aldactone Usage in Pregnancy

The routine use of diuretics in an otherwise healthy woman is inappropriate and exposes mother and fetus to unnecessary hazard. Diuretics do not prevent development of toxemia of pregnancy, and there is no satisfactory evidence that they are useful in the treatment of developing toxemia.

Edema during pregnancy may arise from pathologic causes or from the physiologic and mechanical consequences of pregnancy.

Aldactone is indicated in pregnancy when edema is due to pathologic causes just as it is in the absence of pregnancy (however, see Precautions: Pregnancy). Dependent edema in pregnancy, resulting from restriction of venous return by the expanded uterus, is properly treated through elevation of the lower extremities and use of support hose; use of diuretics to lower intravascular volume in this case is unsupported and unnecessary. There is hypervolemia during normal pregnancy which is not harmful to either the fetus or the mother (in the absence of cardiovascular disease), but which is associated with edema, including generalized edema, in the majority of pregnant women. If this edema produces discomfort, increased recumbency will often provide relief. In rare instances, this edema may cause extreme discomfort which is not relieved by rest. In these cases, a short course of diuretics may provide relief and may be appropriate.

Aldactone Contraindications

Aldactone is contraindicated for patients with anuria, acute renal insufficiency, significant impairment of renal excretory function, or hyperkalemia.

Warnings

Potassium supplementation, either in the form of medication or as a diet rich in potassium, should not ordinarily be given in association with Aldactone therapy. Excessive potassium intake may cause hyperkalemia in patients receiving Aldactone (see Precautions: General). Aldactone should not be administered concurrently with other potassium-sparing diuretics. Aldactone, when used with ACE inhibitors or indomethacin, even in the presence of a diuretic, has been associated with severe hyperkalemia. Extreme caution should be exercised when Aldactone is given concomitantly with these drugs.

Aldactone should be used with caution in patients with impaired hepatic function because minor alterations of fluid and electrolyte balance may precipitate hepatic coma.

Lithium generally should not be given with diuretics (see Precautions: Drug interactions).

Aldactone Precautions

General

All patients receiving diuretic therapy should be observed for evidence of fluid or electrolyte imbalance, eg, hypomagnesemia, hyponatremia, hypochloremic alkalosis, and hyperkalemia.

Serum and urine electrolyte determinations are particularly important when the patient is vomiting excessively or receiving parenteral fluids. Warning signs or symptoms of fluid and electrolyte imbalance, irrespective of cause, include dryness of the mouth, thirst, weakness, lethargy, drowsiness, restlessness, muscle pains or cramps, muscular fatigue, hypotension, oliguria, tachycardia, and gastrointestinal disturbances such as nausea and vomiting. Hyperkalemia may occur in patients with impaired renal function or excessive potassium intake and can cause cardiac irregularities, which may be fatal. Consequently, no potassium supplement should ordinarily be given with Aldactone.

Concomitant administration of potassium-sparing diuretics and ACE inhibitors or nonsteroidal anti-inflammatory drugs (NSAIDs), eg, indomethacin, has been associated with severe hyperkalemia.

If hyperkalemia is suspected (warning signs include paresthesia, muscle weakness, fatigue, flaccid paralysis of the extremities, bradycardia and shock) an electrocardiogram (ECG) should be obtained. However, it is important to monitor serum potassium levels because mild hyperkalemia may not be associated with ECG changes.

If hyperkalemia is present, Aldactone should be discontinued immediately. With severe hyperkalemia, the clinical situation dictates the procedures to be employed. These include the intravenous administration of calcium chloride solution, sodium bicarbonate solution and/or the oral or parenteral administration of glucose with a rapid-acting insulin preparation. These are temporary measures to be repeated as required. Cationic exchange resins such as sodium polystyrene sulfonate may be orally or rectally administered. Persistent hyperkalemia may require dialysis.

Reversible hyperchloremic metabolic acidosis, usually in association with hyperkalemia, has been reported to occur in some patients with decompensated hepatic cirrhosis, even in the presence of normal renal function.

Dilutional hyponatremia, manifested by dryness of the mouth, thirst, lethargy, and drowsiness, and confirmed by a low serum sodium level, may be caused or aggravated, especially when Aldactone is administered in combination with other diuretics, and dilutional hyponatremia may occur in edematous patients in hot weather; appropriate therapy is water restriction rather than administration of sodium, except in rare instances when the hyponatremia is life-threatening.

Aldactone therapy may cause a transient elevation of BUN, especially in patients with preexisting renal impairment. Aldactone may cause mild acidosis.

Gynecomastia may develop in association with the use of spironolactone; physicians should be alert to its possible onset. The development of gynecomastia appears to be related to both dosage level and duration of therapy and is normally reversible when Aldactone is discontinued. In rare instances some breast enlargement may persist when Aldactone is discontinued.

Aldactone Information for patients

Patients who receive Aldactone should be advised to avoid potassium supplements and foods containing high levels of potassium including salt substitutes.

Laboratory tests

Periodic determination of serum electrolytes to detect possible electrolyte imbalance should be done at appropriate intervals, particularly in the elderly and those with significant renal or hepatic impairments.

Drug interactions

ACE inhibitors

Concomitant administration of ACE inhibitors with potassium-sparing diuretics has been associated with severe hyperkalemia.

Alcohol, barbiturates, or narcotics

Potentiation of orthostatic hypotension may occur.

Corticosteroids, ACTH

Intensified electrolyte depletion, particularly hypokalemia, may occur.

Pressor amines (eg, norepinephrine)

Spironolactone reduces the vascular responsiveness to norepinephrine. Therefore, caution should be exercised in the management of patients subjected to regional or general anesthesia while they are being treated with Aldactone.

Skeletal muscle relaxants, nondepolarizing (eg, tubocurarine)

Possible increased responsiveness to the muscle relaxant may result.

Lithium

Lithium generally should not be given with diuretics. Diuretic agents reduce the renal clearance of lithium and add a high risk of lithium toxicity.

Nonsteroidal anti-inflammatory drugs (NSAIDs)

In some patients, the administration of an NSAID can reduce the diuretic, natriuretic, and antihypertensive effect of loop, potassium-sparing and thiazide diuretics. Combination of NSAIDs, eg, indomethacin, with potassium-sparing diuretics has been associated with severe hyperkalemia. Therefore, when Aldactone and NSAIDs are used concomitantly, the patient should be observed closely to determine if the desired effect of the diuretic is obtained.

Digoxin

Spironolactone has been shown to increase the half-life of digoxin. This may result in increased serum digoxin levels and subsequent digitalis toxicity. It may be necessary to reduce the maintenance and digitalization doses when spironolactone is administered, and the patient should be carefully monitored to avoid over- or underdigitalization.

Aldactone/Laboratory test interactions

Several reports of possible interference with digoxin radioimmunoassay by spironolactone, or its metabolites, have appeared in the literature. Neither the extent nor the potential clinical significance of its interference (which may be assay-specific) has been fully established.

Carcinogenesis, mutagenesis, impairment of fertility

Orally administered spironolactone has been shown to be a tumorigen in dietary administration studies performed in rats, with its proliferative effects manifested on endocrine organs and the liver. In an 18-month study using doses of about 50, 150 and 500 mg/kg/day, there were statistically significant increases in benign adenomas of the thyroid and testes and, in male rats, a dose-related increase in proliferative changes in the liver (including hepatocytomegaly and hyperplastic nodules). In a 24-month study in which the same strain of rat was administered doses of about 10, 30, 100 and 150 mg spironolactone/kg/day, the range of proliferative effects included significant increases in hepatocellular adenomas and testicular interstitial cell tumors in males, and significant increases in thyroid follicular cell adenomas and carcinomas in both sexes. There was also a statistically significant, but not dose-related, increase in benign uterine endometrial stromal polyps in females.

A dose-related (above 20 mg/kg/day) incidence of myelocytic leukemia was observed in rats fed daily doses of potassium canrenoate (a compound chemically similar to spironolactone and whose primary metabolite, canrenone, is also a major product of spironolactone in man) for a period of one year. In two year studies in the rat, oral administration of potassium canrenoate was associated with myelocytic leukemia and hepatic, thyroid, testicular and mammary tumors.

Neither spironolactone nor potassium canrenoate produced mutagenic effects in tests using bacteria or yeast. In the absence of metabolic activation, neither spironolactone nor potassium canrenoate has been shown to be mutagenic in mammalian tests in vitro. In the presence of metabolic activation, spironolactone has been reported to be negative in some mammalian mutagenicity tests in vitro and inconclusive (but slightly positive) for mutagenicity in other mammalian tests in vitro. In the presence of metabolic activation, potassium canrenoate has been reported to test positive for mutagenicity in some mammalian tests in vitro, inconclusive in others, and negative in still others.

In a three-litter reproduction study in which female rats received dietary doses of 15 and 50 mg spironolactone/kg/day, there were no effects on mating and fertility, but there was a small increase in incidence of stillborn pups at 50 mg/kg/day. When injected into female rats (100 mg/kg/day for 7 days, i.p.), spironolactone was found to increase the length of the estrous cycle by prolonging diestrus during treatment and inducing constant diestrus during a two week posttreatment observation period. These effects were associated with retarded ovarian follicle development and a reduction in circulating estrogen levels, which would be expected to impair mating, fertility and fecundity. Spironolactone (100 mg/kg/day), administered i.p. to female mice during a two week cohabitation period with untreated males, decreased the number of mated mice that conceived (effect shown to be caused by an inhibition of ovulation) and decreased the number of implanted embryos in those that became pregnant (effect shown to be caused by an inhibition of implantation), and at 200 mg/kg, also increased the latency period to mating.

Pregnancy

Teratogenic effects

Pregnancy Category C

Teratology studies with spironolactone have been carried out in mice and rabbits at doses of up to 20 mg/kg/day. On a body surface area basis, this dose in the mouse is substantially below the maximum recommended human dose and, in the rabbit, approximates the maximum recommended human dose. No teratogenic or other embryotoxic effects were observed in mice, but the 20 mg/kg dose caused an increased rate of resorption and a lower number of live fetuses in rabbits. Because of its anti-androgenic activity and the requirement of testosterone for male morphogenesis, Aldactone may have the potential for adversely affecting sex differentiation of the male during embryogenesis. When administered to rats at 200 mg/kg/day between gestation days 13 and 21 (late embryogenesis and fetal development), feminization of male fetuses was observed. Offspring exposed during late pregnancy to 50 and 100 mg/kg/day doses of spironolactone exhibited changes in the reproductive tract including dose-dependent decreases in weights of the ventral prostate and seminal vesicle in males, ovaries and uteri that were enlarged in females, and other indications of endocrine dysfunction, that persisted into adulthood. There are no adequate and well-controlled studies with Aldactone in pregnant women. Spironolactone has known endocrine effects in animals including progestational and antiandrogenic effects. The antiandrogenic effects can result in apparent estrogenic side effects in humans, such as gynecomastia. Therefore, the use of Aldactone in pregnant women requires that the anticipated benefit be weighed against the possible hazards to the fetus.

Aldactone: Nursing mothers

Canrenone, a major (and active) metabolite of spironolactone, appears in human breast milk. Because spironolactone has been found to be tumorigenic in rats, a decision should be made whether to discontinue the drug, taking into account the importance of the drug to the mother. If use of the drug is deemed essential, an alternative method of infant feeding should be instituted.

Pediatric use

Safety and effectiveness in pediatric patients have not been established.

Aldactone Adverse Reactions

The following adverse reactions have been reported and, within each category (body system), are listed in order of decreasing severity.

Digestive: Gastric bleeding, ulceration, gastritis, diarrhea and cramping, nausea, vomiting.

Endocrine: Gynecomastia (see Precautions), inability to achieve or maintain erection, irregular menses or amenorrhea, postmenopausal bleeding. Carcinoma of the breast has been reported in patients taking spironolactone but a cause and effect relationship has not been established.

Hematologic: Agranulocytosis.

Hypersensitivity: Fever, urticaria, maculopapular or erythematous cutaneous eruptions, anaphylactic reactions, vasculitis.

Nervous system /psychiatric: Mental confusion, ataxia, headache, drowsiness, lethargy.

Liver / biliary: A very few cases of mixed cholestatic/hepatocellular toxicity, with one reported fatality, have been reported with spironolactone administration.

Renal: Renal dysfunction (including renal failure).

Aldactone Overdosage

The oral LD50 of spironolactone is greater than 1,000 mg/kg in mice, rats, and rabbits.

Acute overdosage of spironolactone may be manifested by drowsiness, mental confusion, maculopapular or erythematous rash, nausea, vomiting, dizziness, or diarrhea. Rarely, instances of hyponatremia, hyperkalemia, or hepatic coma may occur in patients with severe liver disease, but these are unlikely due to acute overdosage. Hyperkalemia may occur, especially in patients with impaired renal function.

Aldactone Treatment

Induce vomiting or evacuate the stomach by lavage. There is no specific antidote. Treatment is supportive to maintain hydration, electrolyte balance, and vital functions.

Patients who have renal impairment may develop spironolactone-induced hyperkalemia. In such cases, Aldactone should be discontinued immediately. With severe hyperkalemia, the clinical situation dictates the procedures to be employed. These include the intravenous administration of calcium chloride solution, sodium bicarbonate solution and/or the oral or parenteral administration of glucose with a rapid-acting insulin preparation. These are temporary measures to be repeated as required. Cationic exchange resins such as sodium polystyrene sulfonate may be orally or rectally administered. Persistent hyperkalemia may require dialysis.

Aldactone Dosage and Administration

Primary hyperaldosteronism

Aldactone may be employed as an initial diagnostic measure to provide presumptive evidence of primary hyperaldosteronism while patients are on normal diets.

Long test

Aldactone is administered at a daily dosage of 400 mg for three to four weeks. Correction of hypokalemia and of hypertension provides presumptive evidence for the diagnosis of primary hyperaldosteronism.

Short test

Aldactone is administered at a daily dosage of 400 mg for four days. If serum potassium increases during Aldactone administration but drops when Aldactone is discontinued, a presumptive diagnosis of primary hyperaldosteronism should be considered.

After the diagnosis of hyperaldosteronism has been established by more definitive testing procedures, Aldactone may be administered in doses of 100 to 400 mg daily in preparation for surgery. For patients who are considered unsuitable for surgery, Aldactone may be employed for long-term maintenance therapy at the lowest effective dosage determined for the individual patient.

Edema in adults (congestive heart failure, hepatic cirrhosis, or nephrotic syndrome)

An initial daily dosage of 100 mg of Aldactone administered in either single or divided doses is recommended, but may range from 25 to 200 mg daily. When given as the sole agent for diuresis, Aldactone should be continued for at least five days at the initial dosage level, after which it may be adjusted to the optimal therapeutic or maintenance level administered in either single or divided daily doses. If, after five days, an adequate diuretic response to Aldactone has not occurred, a second diuretic which acts more proximally in the renal tubule may be added to the regimen. Because of the additive effect of Aldactone when administered concurrently with such diuretics, an enhanced diuresis usually begins on the first day of combined treatment; combined therapy is indicated when more rapid diuresis is desired. The dosage of Aldactone should remain unchanged when other diuretic therapy is added.

Essential hypertension

For adults, an initial daily dosage of 50 to 100 mg of Aldactone administered in either single or divided doses is recommended. Aldactone may also be given with diuretics which act more proximally in the renal tubule or with other antihypertensive agents. Treatment with Aldactone should be continued for at least two weeks, since the maximum response may not occur before this time. Subsequently, dosage should be adjusted according to the response of the patient.

Hypokalemia

Aldactone in a dosage ranging from 25 mg to 100 mg daily is useful in treating a diuretic-induced hypokalemia, when oral potassium supplements or other potassium-sparing regimens are considered inappropriate.

Aldactone: how Supplied

Aldactone 25-mg tablets are round, light yellow, film coated, with SEARLE and 1001 debossed on one side and Aldactone and 25 on the other side, supplied as:
NDC Number Size
0025-1001-31 bottle of 100
0025-1001-51 bottle of 500
0025-1001-55 bottle of 2500

Aldactone 50-mg tablets are oval, light orange, scored, film coated, with SEARLE and 1041 debossed on the scored side and Aldactone and 50 on the other side, supplied as:
NDC Number Size
0025-1041-31 bottle of 100
0025-1041-34 carton of 100 unit dose

Aldactone 100-mg tablets are round, peach colored, scored, film coated, with SEARLE and 1031 debossed on the scored side and Aldactone and 100 on the other side, supplied as:
NDC Number Size
0025-1031-31 bottle of 100
0025-1031-34 carton of 100 unit dose

Store Aldactone below 77°F (25°C).

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drug description at RxList

MedlinePlus Drug Information

Albenza

Albenza Description

Albenza is used to treat infections caused by worms. Albenza works by keeping the worm from absorbing sugar (glucose), so that the worm loses energy and dies.

Albenza is used to treat:

* Hydatid disease (echinococcosis);
* Infection of the nervous system caused by pork tapeworms (neurocysticercosis).

Albenza is available only with your doctor's prescription, in the following dosage forms:

* Oral
* Tablets (U.S.)

Before Using Albenza

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 Albenza, the following should be considered:

Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to Albenza. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.

Pregnancy—Albenza has not been studied in pregnant women. However, studies in animals have shown that Albenza can cause birth defects or other problems. Before taking Albenza, make sure your doctor knows if you are pregnant or if you may become pregnant. Women of childbearing age should take the medicine within 7 days after the start of their period (menstrual cycle). After a negative pregnancy test, birth control must be used during treatment and for 1 month after stopping treatment with Albenza.

Breast-feeding—Albenza passes into animal milk. It is not known whether Albenza passes into human breast milk. Although most medicines pass into breast milk in small amounts, many of them may be used safely while breast-feeding. Mothers who are taking Albenza and who wish to breast-feed should discuss this with their doctor.

Children—Although there is very little specific information comparing use of Albenza in children with use in other age groups, Albenza is not expected to cause different side effects or problems in children than it does in adults.

Older adults—Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults or if they cause different side effects or problems in older people. There is no specific information comparing use of Albenza in the elderly with use in other age groups.

Other 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 Albenza, it is especially important that your health care professional know if you are taking any of the following:

* Cimetidine (e.g., Tagamet, Tagamet HB) or
* Corticosteroids (cortisone-like medicines) or
* Praziquantel (e.g., Biltricide)—Use of these medicines with Albenza has been shown to increase the effects of Albenza

Other medical problems—The presence of other medical problems may affect the use of Albenza. Make sure you tell your doctor if you have any other medical problems, especially:

* Cysticercosis involving the eye—Patients who are being treated with Albenza for pork tapeworms of the nervous system (neurocysticercosis) should be examined for lesions in the eye; use of Albenza may increase the chance of side effects involving the eye
* Liver disease—Patients with liver disease may have an increased chance of side effects

Proper Use of Albenza

No special preparations (fasting, laxatives, or enemas) or other steps are necessary before, during, or immediately after treatment with Albenza.

Albenza is best taken with meals, especially with food containing fat , to help your body absorb the medicine better.

For patients taking the tablet form of Albenza:

* Tablets should be swallowed whole with a small amount of liquid.

To help clear up your infection completely, take Albenza exactly as directed by your doctor for the full time of treatment . In some infections, additional treatments with Albenza may be needed at 2-week intervals to clear up the infection completely. Do not miss any doses .

Dosing—The dose of Albenza 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 Albenza. If your dose is different, do not change it unless your doctor tells you to do so.

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 taking Albenza .

* For oral dosage form (tablets):
o For hydatid disease:
+ Adults, teenagers, and children weighing 60 kilograms (132 pounds) and over—400 milligrams (mg) two times a day for twenty-eight days. Treatment may need to be repeated in fourteen days.
+ Adults, teenagers, and children weighing less than 60 kilograms (132 pounds)—15 mg per kilogram (6.8 milligrams per pound) of body weight per day divided into two doses and taken for twenty-eight days. Treatment may need to be repeated in fourteen days.
o For infections of the nervous system caused by pork tapeworm (neurocysticercosis):
+ Adults, teenagers, and children weighing 60 kilograms (132 pounds) and over—400 milligrams (mg) two times a day for eight to thirty days.
+ For adults, teenagers, and children weighing less than 60 kilograms (132 pounds)—15 mg per kilogram (6.8 mg per pound) of body weight per day divided into two doses and taken for eight to thirty days.

Missed dose—If you miss a dose of Albenza, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage—To store Albenza:

* Keep out of the reach of children.
* Store away from heat and direct light.
* Do not store in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the medicine to break down.
* Keep the suspension form of Albenza from freezing.
* Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children.

Precautions While Using Albenza

It is important that your doctor check your progress after treatment. This is to make sure that the infection is cleared up completely, and to allow your doctor to check for any unwanted effects.

If your symptoms do not improve after you have taken Albenza for the full course of treatment, or if they become worse, check with your doctor.

For women of childbearing age, it is important that you use birth control while taking Albenza since Albenza can cause birth defects or other problems.

Side Effects of Albenza

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:

Rare

Fever; skin rash or itching; sore throat; unusual tiredness and weakness

Other 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. However, check with your doctor if any of the following side effects continue or are bothersome:

Less common

Abdominal pain; diarrhea; dizziness; headache; nausea; vomiting

Rare

Thinning or loss of hair

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

Albenza Additional Information

Once a medicine has been approved for marketing for a certain use, experience may show that it is also useful for other medical problems. Although these uses are not included in product labeling in the U.S., Albenza is used in certain patients with the following infections:

* Capillariasis;
* Cutaneous larva migrans;
* Common roundworms (ascariasis);
* Hookworms (ancylostomiasis and necatoriasis);
* Pinworms (enterobiasis or oxyuriasis);
* Strongyloidiasis;
* Tapeworms (taeniasis);
* Trichostrongyliasis;
* Whipworms (trichuriasis).

For patients taking Albenza for hookworms :

* In hookworm infections, anemia may occur. Therefore, your doctor may want you to take iron supplements. If so, it is important to take iron every day while you are being treated for hookworm infection. Do not miss any doses. Your doctor may also want you to keep taking iron supplements for at least 3 to 6 months after you stop taking Albenza. If you have any questions about this, check with your doctor.

For patients taking Albenza for pinworms :

* In some patients, pinworms may return after treatment with Albenza. Wear pajamas and underwear to sleep, take a bath every day, and wash (not shake) all bedding and nightclothes (pajamas) after treatment to help prevent reinfection. Treatment may be repeated after 3 weeks.
* Pinworms may be easily passed from one person to another, especially among persons in the same household. Therefore, all household members may have to be treated at the same time to prevent their infection or reinfection.

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Acyclovir

Brand Names: Zovirax,

Most important information I should know about Acyclovir:
Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated.

Treatment with acyclovir should be started as soon as possible after the first appearance of symptoms (such as tingling, burning, blisters).

Herpes infections are contagious and you can infect other people, even while you are being treated with acyclovir. Avoid letting infected areas come into contact with other people. Avoid touching an infected area and then touching your eyes. Wash your hands frequently to prevent passing the infection to others.

What is Acyclovir?

Acyclovir is an antiviral drug. It slows the growth and spread of the herpes virus so that the body can fight off the infection. Acyclovir will not cure herpes, but it can lessen the symptoms of the infection.

Acyclovir is used to treat infections caused by herpes viruses. Illnesses caused by herpes viruses include genital herpes, cold sores, shingles, and chicken pox.

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

Before taking Acyclovir:
Do not take this medicine if you are allergic to acyclovir or valacyclovir (Valtrex). Before taking acyclovir, tell your doctor if you are allergic to any drugs, or if you have kidney disease. 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. Herpes virus can be passed from an infected mother to her baby during childbirth. If you have genital herpes, it is very important to prevent herpes lesions during your pregnancy so that you do not have a genital lesion when your baby is born. Acyclovir passes into breast milk and may harm a nursing infant. Do not take this medication without telling your doctor if you are breast-feeding a baby.

How should I take Acyclovir?

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.

Treatment with acyclovir should be started as soon as possible after the first appearance of symptoms (such as tingling, burning, blisters).
Take each dose with a full glass of water. Drink plenty of water while you are taking acyclovir to keep your kidneys working properly.

Acyclovir can be taken with or without food. Taking acyclovir with food may decrease stomach upset.
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. Acyclovir will not treat a viral infection such as the common cold or flu.

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 acyclovir at room temperature away from moisture and heat.

Acyclovir missed 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.

Acyclovir overdose:
Seek emergency medical attention if you think you have used too much of this medicine.

Symptoms of an acyclovir overdose may include seizure (convulsions), hallucinations, and urinating less than usual or not at all.

Avoid the following while taking Acyclovir:

Herpes infections are contagious and you can infect other people, even while you are being treated with acyclovir. Avoid letting infected areas come into contact with other people. Avoid touching an infected area and then touching your eyes. Wash your hands frequently to prevent passing the infection to others.

Acyclovir will not prevent the spread of genital herpes. Avoid sexual intercourse or use a latex condom to prevent spreading the virus to others.

Possible side effects of Acyclovir?
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 acyclovir and call your doctor at once if you have any of these serious side

*urinating less than usual or not at all;
*easy bruising or bleeding;
*unusual weakness.

Continue using acyclovir and talk with your doctor if you have any of these less serious side effects:

*nausea, vomiting, diarrhea, loss of appetite, stomach pain;
*headache, feeling light-headed; or
*swelling in your hands or feet.

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.

Acyclovir drug interactions?

Before taking acyclovir, tell your doctor if you are also taking probenecid (Benemid). If you are using probenecid, you may not be able to use acyclovir, or you may need dosage adjustments or special tests during treatment.

There may be other drugs that can affect acyclovir. 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.

Acyclovir more information?

* Your pharmacist has more information about acyclovir written for health professionals that you may read.

What does Acyclovir look like?

Acyclovir is available with a prescription under the brand name Zovirax. 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.

*Zovirax 200 mg--blue capsules
*Zovirax 400 mg--white, shield-shaped tablets
*Zovirax 800 mg--light-blue, oval tablets
*Zovirax suspension 200 mg/5 mL--off-white, banana-flavored suspension

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Aciphex

Aciphex - Rabeprazole

What should know about Aciphex?
• Do not stop taking Aciphex even if you begin to feel better. Your symptoms may improve before your condition is fully treated.
• Do not break, chew, or split the tablets. Swallow them whole. They are specially formulated to release slowly in your body.


What is Aciphex?
• Aciphex decreases the amount of acid produced in your stomach.
• Aciphex is used to treat ulcers, gastroesophageal reflux disease (GERD or heartburn), and other conditions involving excessive stomach acid production.
• Aciphex may also be used for purposes other than those listed in this medication guide.


Who should not take Aciphex?
• Talk to your doctor before taking Aciphex if you have liver disease. You may not be able to take Aciphex, or you may require a dosage adjustment or special monitoring during treatment if you have liver disease.
• Aciphex is in the FDA pregnancy category B. This means that it is not expected to harm an unborn baby. Do not take Aciphex without first talking to your doctor if you are pregnant.
• It is not known whether Aciphex passes into breast milk. Do not take Aciphex without first talking to your doctor if you are breast-feeding a baby.


How should I take Aciphex?
• Take Aciphex 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 break, chew, or split the tablets. Swallow them whole. They are specially formulated to release slowly in your body.
• Do not stop taking Aciphex even if you begin to feel better. Your symptoms may improve before your condition is fully treated.
• Store Aciphex at room temperature away from moisture and heat.


Aciphex 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 unless your doctor directs otherwise.


Aciphex overdose
• Seek emergency medical attention.
• Symptoms of a Aciphex overdose are not known.


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


possible side effects of Aciphex
• Serious side effects from Aciphex are rare. Stop taking Aciphex 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 Aciphex.
• Less serious side effects from Aciphex are also uncommon. Continue to take Aciphex and talk to your doctor if you experience
· headache;
· upset stomach or diarrhea;
· insomnia or nervousness; or
· a rash or itching.
• 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 Aciphex?
• Before taking Aciphex, tell your doctor if you are taking any of the following medicines:
· ketoconazole (Nizoral),
· ampicillin (Omnipen, Principen),
· iron (Feosol, Mol-Iron, Fergon, Femiron, others),
· digoxin (Lanoxin, Lanoxicaps), or
· cyclosporine (Sandimmune, Neoral).
• You may not be able to take Aciphex, 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 Aciphex. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.


more Aciphex information
• Your pharmacist has additional information about Aciphex written for health professionals that you may read.
• 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.

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Zyrtec

Prescription Zyrtec Drug Uses

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.

Prescription Zyrtec How Taken
Zyrtec comes as a tablet to take it orally. It usually is taken once a day. It may be taken regularly or when allergy symptoms flare up. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take Zyrtec exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Prescription Zyrtec Warnings/Precautions

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.

Prescription Zyrtec Missed Dose
If you forget to take a dose, do not take an extra tablet to catch up for the dose you forgot. Wait and take your next tablet at the regular time. Do not take more tablets than your doctor prescribed.

Prescription Zyrtec Possible Side Effects

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.

Prescription Zyrtec Storage
Store at 20-25°C (68-77°F); excursions permitted to 15-30°C (59-86°F).

Prescription Zyrtec Overdose

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

Prescription Zyrtec More Information
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.

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Zyloprim

Prescription Zyloprim Drug Uses

Zyloprim reduces the production of uric acid in your body. Zyloprim is used to treat gout, increased levels of uric acid caused by cancer treatment, and kidney stones that are caused by high levels of uric acid.

Prescription Zyloprim How Taken
Zyloprim comes as a tablet to take it orally. It usually is taken once a day, preferably after a meal. Drink at least eight glasses of water or other fluids each day while taking Zyloprim unless directed to do otherwise by your doctor. Avoid excessive amounts of vitamin C supplements or fruit juice while taking Zyloprim. Too much vitamin C may increase your chance of developing kidney stones.

Prescription Zyloprim Warnings/Precautions

Before taking Zyloprim, tell your doctor if you have kidney or liver disease. You may need a lower dose of Zyloprim or special monitoring during your therapy. Zyloprim is in the FDA pregnancy category C. This means that it is not known whether Zyloprim will harm an unborn baby. Do not take Zyloprim without first talking to your doctor if you are pregnant. Zyloprim passes into breast milk. Do not take Zyloprim without first talking to your doctor if you are breast-feeding a baby.

Prescription Zyloprim Missed Dose
Take the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the dose you missed and take only your next regularly scheduled dose. Do not take a double dose of this medication.

Prescription Zyloprim Possible Side Effects

If you experience any of the following serious side effects, stop taking Zyloprim and seek emergency medical attention: an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives); blood in your urine or pain when you urinate; a rash; eye irritation; fever, chills, or joint aches; or severe nausea or vomiting. Other, less serious side effects may be more likely to occur. Continue to take Zyloprim and talk to your doctor if you experience upset stomach or diarrhea; headache, dizziness, or drowsiness; or an acute attack of gouty arthritis. Side effects other than those listed here may also occur. Talk to your doctor about any reaction that seems unusual or that is especially bothersome.

Prescription Zyloprim Storage
Store at 15-25°C (59-77°F) in a dry place and protect from light.

Prescription Zyloprim Overdose

Seek emergency medical attention. Symptoms of Zyloprim overdose are not known.

Prescription Zyloprim More Information

Use caution when driving, operating machinery, or performing other hazardous activities. Zyloprim may cause drowsiness. If you experience drowsiness, avoid these activities. Avoid alcohol. It may worsen your condition. Follow your doctor's recommendations about diet.

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Zyban

Prescription Zyban Drug Uses

Zyban is indicated as an aid to smoking cessation treatment.

Prescription Zyban How Taken
Zyban comes as a tablet to take it orally. It is usually taken twice a day and may be taken with or without food. It is important to swallow Zyban Tablets whole. Do not chew, divide, or crush tablets.

Prescription Zyban Warnings/Precautions

Do not take Zyban if you have taken a monoamine oxidase inhibitor (MAOI) in the last 14 days. Zyban is in the FDA pregnancy category B. This means that it is not expected to be harmful to an unborn baby. Do not take Zyban without first talking to your doctor if you are pregnant or could become pregnant during treatment. It is not known whether Zyban will be harmful to a nursing baby. Do not take Zyban without first talking to your doctor if you are breast-feeding a baby.

Prescription Zyban Missed Dose
If you forget to take a dose, do not take an extra tablet to catch up for the dose you forgot. Wait and take your next tablet at the regular time. Do not take more tablets than your doctor prescribed. This is important so you do not increase your chance of having a seizure.

Prescription Zyban Possible Side Effects

Like all medicines, Zyban may cause side effects. Do not rely on this summary alone for information about side effects. Your doctor can discuss with you a more complete list of side effects that may be relevant to you. Hypertension (high blood pressure), in some cases severe, has been reported when taking Zyban alone and in combination with nicotine replacement therapy (for example a nicotine patch). The most common side effects include dry mouth and difficulty sleeping. These side effects are generally mild and often disappear after a few weeks. If you have difficulty sleeping, avoid taking your medicine too close to bedtime. The most common side effects that stopped taking Zyban during clinical studies were shakiness and skin rash. Stop taking Zyban and contact your doctor or health care professional if you have signs of an allergic reaction such as a rash, hives, or difficulty in breathing. It is not possible to predict whether a mild rash will develop into a more serious reaction. Therefore, if you experience a skin rash, hives, fever, swollen lymph glands, painful sores in the mouth or around the eyes, or swelling of lips or tongue, tell a doctor immediately, since these symptoms may be the first signs of a serious reaction. Discuss any other troublesome side effects with your doctor.

Prescription Zyban Storage
Store Zyban at room temperature, out of direct sunlight. Keep Zyban in a tightly closed container. Keep Zyban out of the reach of children.

Prescription Zyban Overdose

Seek emergency medical attention if an overdose is suspected. Symptoms of a Zyban overdose include seizures, hallucinations, loss of consciousness, weakness, a fast heartbeat, and heart attack.

Prescription Zyban More Information
Avoid alcohol or drink it only in moderation while taking Zyban. Alcohol may increase the risk of having a seizure while taking Zyban. However, if you usually drink a lot of alcohol, talk with your doctor before stopping. Suddenly stopping may increase the risk of having a seizure. Talk to your doctor about alcohol use before starting treatment with Zyban. Use caution when driving, operating machinery, or performing other hazardous activities. Zyban may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.

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Zovirax

Prescription Zovirax Drug Uses

Zovirax is used to treat herpes infections of the skin, lip, and genitals; herpes zoster (shingles); and chickenpox. It does not cure herpes infections but decreases pain and itching and promotes healing. Topical Zovirax does not prevent the recurrence of sores but may decrease pain and itching if applied when the earliest symptoms first appear. Oral Zovirax decreases the frequency and severity of recurrent sores, but it is used only by people with severe herpes infections because of possible adverse effects. This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

Prescription Zovirax How Taken
Treatment with Zovirax topical should be started as soon as possible after the first appearance of symptoms (e.g. tingling, burning, blisters). Wash your hands before and after applying Zovirax topical. Wear a glove or a finger cot or use an applicator (e.g. cotton swab) when applying Zovirax topical to avoid spreading the virus to other body parts and to other people. Apply enough ointment to cover the lesion(s) completely. A one-half inch ribbon of ointment should cover approximately 4 square inches of surface area. Avoid getting this medication in the eyes. Zovirax topical is usually applied every 3 hours, six times a day for seven days. Follow your doctor\'s instructions. Use Zovirax topical for the full amount of time prescribed, even if you begin to feel better. Your symptoms may start to improve before the infection is completely treated. 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.

Prescription Zovirax Warnings/Precautions

Before using Zovirax topical, tell your doctor if you have any other medical conditions or if you use any other medications. Zovirax topical is in the FDA pregnancy category C, which means that it is not known whether it will harm an unborn baby. Do not use Zovirax topical without first talking to your doctor if you are pregnant. It is not known whether Zovirax topical passes into breast milk. Do not use Zovirax topical without first talking to your doctor if you are breast feeding a baby.

Prescription Zovirax Missed Dose
Apply it as soon as you remember and apply further doses at your regular interval (e.g., every 3 hours) until you go to bed. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

Prescription Zovirax Possible Side Effects

No serious side effects are expected during treatment with Zovirax topical. If you suspect an allergic reaction (difficulty breathing; rash; hives; itching; swelling of your lips, tongue, or face) seek emergency medical attention. Other less serious side effects may be more likely to occur. Continue to use Zovirax topical and talk to your doctor if you experience itching, stinging, burning, or a rash. These side effects should resolve quickly. 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.

Prescription Zovirax Storage
Store below 25oC. Do not refrigerate.

Prescription Zovirax Overdose

An overdose of this medication is not likely to occur. If you suspect an overdose or ingestion of Zovirax topical, call an emergency room or poison control left for advice.

Prescription Zovirax More Information
Zovirax Cream is contra-indicated in patients known to be hypersensitive to acyclovir or propylene glycol. Zovirax is most effective if it is started within 48 hours of when the rash first appears. Follow the directions for using Zovirax provided by your doctor.

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Zoloft

Prescription Zoloft Drug Uses

Zoloft is a prescription medicine used to treat depression, panic disorder, obsessive-compulsive disorder (also called OCD) and posttraumatic stress disorder (also called PTSD) in adults. Zoloft is also used to treat OCD in children (ages 6-12) and adolescents (ages 12-17).

Prescription Zoloft How Taken
Zoloft comes as a tablet to take it orally. It is usually taken once daily and may be taken with or without food. Take Zoloft exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor. Continue to take Zoloft even if you feel well. Do not stop taking Zoloft without talking to your doctor, especially if you have taken large doses for a long time. Your doctor probably will want to decrease your dose gradually. This drug must be taken regularly for a few weeks before its full effect is felt.

Prescription Zoloft Warnings/Precautions

Before taking Zoloft, tell your doctor if you have liver disease; kidney disease; suffer from seizures; or suffer from mania or have suicidal thoughts. You may not be able to take Zoloft, or you may need a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. Zoloft is in the FDA pregnancy category C. This means that it is unknown whether it will be harmful to an unborn baby. Do not take Zoloft without first talking to your doctor if you are pregnant or could become pregnant during treatment. It is not known whether Zoloft passes into breast milk. Do not take Zoloft without first talking to your doctor if you are breast-feeding a baby.

Prescription Zoloft Missed Dose
If you take Zoloft once a day in the morning, take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. If you take Zoloft once a day at bedtime and do not remember to take it until the next morning, skip the missed dose. Do not take a double dose to make up for a missed one.

Prescription Zoloft Possible Side Effects

If you experience any of the following serious side effects, stop taking Zoloft and contact your doctor immediately or seek emergency medical treatment: an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives); an irregular heartbeat or pulse; low blood pressure (dizziness, weakness); high blood pressure (severe headache, blurred vision); or chills or fever. If you experience any of the following less serious side effects, continue taking Zoloft and talk to your doctor: headache; tremor, nervousness, or anxiety; nausea, diarrhea, dry mouth, or changes in appetite or weight; sleepiness or insomnia; 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.

Prescription Zoloft Storage
Store at 25°C (77°F); excursions permitted to 15° - 30°C (59° - 86°F).

Prescription Zoloft Overdose

Seek emergency medical attention. Symptoms of a Zoloft overdose include nausea, vomiting, tremor, seizures, agitation, drowsiness, hyperactivity, and enlarged pupils.

Prescription Zoloft More Information
Use caution when driving, operating machinery, or performing other hazardous activities. Zoloft may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities. Use alcohol cautiously. Alcohol may increase drowsiness or dizziness while taking Zoloft.

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Zithromax

Prescription Zithromax Drug Uses

Zithromax is used to treat many different types of bacterial infections, such as bronchitis, pneumonia, tonsillitis, skin infections, ear infections, and sexually transmitted diseases.

Prescription Zithromax How Taken
Zithromax comes as a capsule, tablet, and liquid to take it orally. It is usually taken once a day for 2-5 days. Take Zithromax exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor. Shake the liquid well before each use to mix the medication evenly. The capsules and tablets should be taken with a full glass of water. Continue to take Zithromax even if you feel well. Do not stop taking Zithromax without talking to your doctor. Take Zithromax liquid at least 1 hour before or 2 hours after meals. The capsule and tablet may be taken with or without food. If it upsets your stomach, take it with food.

Prescription Zithromax Warnings/Precautions

Before taking Zithromax, tell your doctor if you have liver disease. You may not be able to take Zithromax, or you may require a lower dose or special monitoring during treatment. Zithromax is in the FDA pregnancy category B. This means that it is not expected 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 Zithromax passes into breast milk. Do not take this medication without first talking to your doctor if you are breast-feeding a baby

Prescription Zithromax Missed 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.

Prescription Zithromax Possible Side Effects

If you experience any of the following serious side effects, stop taking Zithromax and seek emergency medical attention: an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives); 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 Zithromax and talk to your doctor if you experience nausea, vomiting, diarrhea, or abdominal pain; unusual dizziness, fatigue, or headache; vaginal yeast infection; a rash; or increased sensitivity to sunlight. 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.

Prescription Zithromax Storage
Zithromax tablets should be stored between 15° to 30° C (59° to 86°F). Store constituted suspension between 5° to 30°C (41° to 86°F) and discard when full dosing is completed or within 10 days. Shake well before each use. Oversized bottle provides shake space. Keep tightly closed.

Prescription Zithromax Overdose

Seek emergency medical attention. Symptoms of Zithromax overdose include nausea, vomiting, diarrhea, and abdominal discomfort.

Zithromax More Information
Avoid prolonged exposure to sunlight. Zithromax may increase the sensitivity of the skin to sunlight. Use a sunscreen and wear protective clothing when exposure to the sun is unavoidable.

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Zanaflex

Prescription Zanaflex Drug Uses

Zanaflex a muscle relaxant is used to help relax certain muscles in your body. It relieves the spasms and increased muscle tone caused by medical problems such as multiple sclerosis or spinal injury. This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

Prescription Zanaflex How Taken
Zanaflex comes as a tablet to take it orally. It usually is taken two or three times a day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take Zanaflex exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Prescription Zanaflex Warnings/Precautions

Before taking this medication, tell your doctor if you have liver disease, have kidney disease, have low blood pressure or you are on medication to treat high blood pressure; or you are taking birth control pills. You may not be able to take Zanaflex, or you may require a lower dose or special monitoring during treatment if you have any of the conditions listed above. Zanaflex is in the FDA pregnancy C. This means that it is not known whether Zanaflex 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 Zanaflex passes into breast milk. Do not take Zanaflex without first talking to your doctor if you are breast-feeding a baby.

Prescription Zanaflex Missed Dose
If you take several doses per day, take the missed dose as soon as you remember it and take any remaining doses for that day at evenly spaced intervals. However, if you remember a missed dose when it is almost time for your next scheduled dose, skip the missed dose. Do not take a double dose to make up for a missed one.

Prescription Zanaflex Possible Side Effects

Side effects from Zanaflex can occur. Tell your doctor if any of these symptoms are severe or do not go away: dizziness, upset stomach, vomiting, tingling sensation in the arms, legs, hands, and feet, dry mouth, increased muscle spasms. If you experience either of the following symptoms, call your doctor immediately: yellowing of the skin or eyes, unexplained flu-like symptoms.

Prescription Zanaflex Storage
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.

Prescription Zanaflex Overdose

Seek emergency medical attention. Symptoms of a Zanaflex overdose are not well known but include unconsciousness and irregular breathing.

Zanaflex More Information
Use caution when driving, operating machinery, or performing other hazardous activities. Zanaflex may cause drowsiness and dizziness. If you experience drowsiness or dizziness, avoid these activities. Dizziness is most likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall. Use caution with alcohol, other muscle relaxants, sleep or anxiety medicines, and pain medicines. These drugs may increase drowsiness and dizziness while you are taking Zanaflex. Do not take any other medicine during treatment with Zanaflex without first talking to your doctor or pharmacist.

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Yasmin

Prescription Yasmin Drug Uses

Yasmin is a birth control pill used to prevent pregnancy. Yasmin differs from other birth control pills because it contains a progestin hormone called drospirenone. It does not protect against HIV infection (AIDS) and other sexually transmitted diseases.

Prescription Yasmin How Taken
This oral contraceptive comes in a packet of 28 tablets. The first 21 tablets are the active pills; they contain the active ingredients (hormones) ethinyl estradiol and drospirenon. The last seven tablets in a 28-tablet packet are the reminder pills; they are different in color and do not contain any hormone. Day 1 start: Take the first active pill of the first pack during the first 24 hours of your period. You will not need to use a back-up method of birth control, since you are starting the pill at the beginning of your period. Sunday start: Take the first active pill of the first pack on Sunday after your period starts, even if you are still bleeding. If your period starts on Sunday, start the pack that same day. Use another method of birth control (such as condoms or spermicides) if you have sex during 7 days after you start your first packet.

Prescription Yasmin Warnings/Precautions

Do not take Yasmin without first talking to your doctor if you have had a stroke, heart attack, or blood clot; high blood pressure, angina, or heart disease; a bleeding or blood-clotting disorder; breast, uterine, or another hormone-related cancer; or undiagnosed, abnormal vaginal bleeding. Before taking Yasmin, also tell your doctor if you have diabetes; high cholesterol; gallbladder disease; migraines or other headaches; epilepsy; a history of depression; a history of scanty or irregular menstrual periods; smoke cigarettes; or need an extended period of bed rest due to surgery or illness. Yasmin is in the FDA pregnancy category X. This means that it has been reported to cause birth defects in an unborn baby. Hormonal changes during pregnancy can have very serious negative effects on a developing baby. Do not take drospirenone and ethinyl estradiol if you are pregnant or if you think you might be pregnant. Yasmin passes into breast milk and may decrease milk production. Do not take Yasmin without first talking to your doctor if you are breast-feeding a baby. Avoid smoking. Smoking greatly increases the risk of heart attack, stroke, or blood clot formation.

Prescription Yasmin Missed Dose
If you MISS 1 yellow active pill:
-Take it as soon as you remember. Take the next pill at your regular time.
This means you may take two pills in one day.
-You do not need to use a back-up birth control method if you have sex.
If you MISS 2 yellow active pills in a row in WEEK 1 OR WEEK 2 of your pack:
-Take two pills on the day you remember and two pills the next day.
-Then take one pill a day until you finish the pack.
-You MAY BECOME PREGNANT if you have sex in the 7 days after you miss pills. You MUST use another birth control method (such as condoms or spermicides) as a back-up for those 7 days.
If you MISS 2 yellow active pills in a row in the 3RD WEEK:
-If you are a Day 1 Starter:
THROW OUT the rest of the pill pack and start a new pack that same day.
If you are a Sunday Starter:
Keep taking one 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 your period this month but this is expected. However, if you miss your period two months in a row, call your doctor or clinic because you might be pregnant.
-You MAY BECOME PREGNANT if you have sex in the 7 days after you miss pills. You MUST use another birth control method (such as condoms or spermicides) as a back-up for those 7 days.
If you MISS 3 OR MORE yellow active pills in a row (during the first 3 weeks).
- If you are a Day 1 Starter:
THROW OUT the rest of the pill pack and start a new pack that same day.
If you are a Sunday Starter:
Keep taking 1 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 your period this month but this is expected. However, if you miss your period two months in a row, call your doctor or clinic because you might be pregnant.
-You MAY BECOME PREGNANT if you have sex in the 7 days after you miss pills. You MUST use another birth control method (such as condoms or spermicides) as a back-up for those 7 days.

Prescription Yasmin Possible Side Effects

VAGINAL BLEEDING
Irregular vaginal bleeding or spotting may occur while you are taking the pills. Irregular bleeding may vary from slight staining between menstrual periods to breakthrough bleeding, which is a flow much like a regular period. Irregular bleeding occurs most often during the first few months of oral contraceptive use, but may also occur after you have been taking the pill for some time. Such bleeding may be temporary and usually does not indicate any serious problems. It is important to continue taking your pills on schedule. If the bleeding occurs in more than one cycle or lasts for more than a few days, talk to your doctor or healthcare provider.
CONTACT LENSES
If you wear contact lenses and notice a change in vision or an inability to wear your lenses, contact your doctor or healthcare provider.
FLUID RETENTION
Oral contraceptives may cause edema (fluid retention) with swelling of the fingers or ankles and may raise your blood pressure. If you experience fluid retention, contact your doctor or healthcare provider.
MELASMA
A spotty darkening of the skin is possible, particularly of the face.
OTHER SIDE EFFECTS
Other side effects may include change in appetite, headache, nervousness, and depression, and dizziness, loss of scalp hair, rash, and vaginal infections. If any of these side effects bother you, call your doctor or healthcare provider.

Prescription Yasmin Storage
Store at 25°C (77°F); excursions permitted to 15°-30°C (59°-86°F).

Prescription Yasmin Overdose

Serious ill effects have not been reported following acute ingestion of large doses of other oral contraceptives by young children. Over dosage may cause nausea, and withdrawal bleeding may occur in females. Drospirenone, however, is a spironolactone analogue, which has antimineralocorticoid properties. Serum concentration of potassium and sodium, and evidence of metabolic acidosis, should be monitored in cases of overdose.

Prescription Yasmin More Information
Your healthcare provider will take a medical and family history before prescribing oral contraceptives and will examine you. The physical examination may be delayed to another time if you request it and the healthcare provider believes that it is appropriate to postpone it. You should be re-examined at least once a year. Be sure to inform your healthcare provider if there is a family history of any of the conditions listed previously in this leaflet. Be sure to keep all appointments with your healthcare provider, because this is a time to determine if there are early signs of side effects of oral contraceptive use. Do not use the drug for any condition other than the one for which it was prescribed. This drug has been prescribed specifically for you; do not give it to others who may want birth-control pills.

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Xenical

Prescription Xenical Drug Uses

Xenical is used to help obese people who fit certain weight and height requirements lose weight and maintain weight loss. Xenical works in your intestines, where it blocks some of the fat you eat from being absorbed. This undigested fat is then eliminated in your bowel movements. Use Xenical together with a reduced-calorie diet. The weight management effects of Xenical continue only as long as you are taking it.

Prescription Xenical How Taken
Xenical comes in a capsule to take it orally. It is usually taken tree times a day with food. Take Xenical exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor. Xenical should be given with meals. A diet consisting of daily intake of fat (30% of total calories), carbohydrates, and protein should be distributed evenly over 3 main meals.

Prescription Xenical Warnings/Precautions

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. 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.

Prescription Xenical Missed Dose
If you miss a dose resume taking Xenical at the next meal. Do not try to make up the loss with a double dose. The extra drug will not help.

Prescription Xenical Possible Side Effects

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.

Prescription Xenical Storage
Store this medication at room temperature and out of the reach of children. Protect from moisture. Keep container tightly closed. Throw away any unused medicine after the expiration date.

Prescription Xenical Overdose

Seek emergency medical attention. Symptoms of a Xenical overdose are not known.

Prescription Xenical More Information
Xenical may decrease your body's absorption of some fat-soluble vitamins. To ensure adequate nutrition, your doctor may recommend taking a multivitamin that contain 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.

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Wellbutrin SR

Prescription Wellbutrin SR Drug Uses

Wellbutrin SR (Anti Depressant) is a pharmaceutical prescription antidepressant, which acts directly on the brain and other nerve cells. It is also used to treat ADHD (Attention Deficit Disorder), bipolar depression, chronic fatigue syndrome, cocaine addiction, nicotine addiction, and lower back pain. Also, aids in quitting smoking (identical to Zyban). It is chemically unrelated to tricyclic, tetracyclic, selective serotonin re-uptake inhibitor, or other known antidepressant agents.

Prescription Wellbutrin SR How Taken
Wellbutrin SR comes as a tablet to take it orally. It is usually taken one to three times a day and may be taken with or without food. Do not crush, chew, or divide Wellbutrin SR. Do not stop taking Wellbutrin SR without talking to your doctor, especially if you have taken large doses for a long time. Your doctor probably will want to decrease your dose gradually. This drug must be taken regularly for a few weeks before its full effect is felt.

Prescription Wellbutrin SR Warnings/Precautions

Before taking Wellbutrin SR, tell your doctor if you have: history of seizures or head injury or brain tumor, heart disease, liver or kidney disease, eating disorder, diabetes, alcohol dependence, any allergies, the intent to quit smoking. Because of the possibility this drug will make you dizzy and affect coordination, do not drive or operate machinery until you get used to the drug\'s effects. Limit or avoid consumption of alcoholic beverages; alcohol can increase your risk of seizures. Chronic alcohol users who suddenly stop the intake of alcohol while taking Wellbutrin SR may increase the risk of having seizures. Suddenly stopping certain tranquilizers is not recommended because doing so may increase the risk of having seizures. If you are over 65 years old you may be more sensitive to the effects of this drug. Tell your doctor if you are pregnant or plan to become pregnant before taking this drug. This drug passes into breast milk. Because of the potential risk to the infant, breast-feeding while using this drug is not recommended. Consult your doctor before breast-feeding.

Prescription Wellbutrin SR Missed Dose
Take any missed dose as soon as possible but not if it is within 4 hours of the next dose. If it is time for the next dose, skip the missed dose and resume your regular schedule. Do not "double-up" the dose.

Prescription Wellbutrin SR Possible Side Effects

This medication is generally well tolerated. Dry mouth, headache, increased sweating, nausea/vomiting, constipation, anxiety, fatigue and blurred vision may occur. If these effects persist or worsen, notify your doctor. Report promptly: unusual weight loss or gain, palpitations, agitation, trouble sleeping. Unlikely but report promptly: tremor, dizziness, fainting, mood changes, slowed movements, difficulty urinating, decreased sex drive, and drowsiness. Very unlikely but report promptly: seizures, mental problems, fever, muscle aches, yellowing of the eyes or skin. In the unlikely event you have an allergic reaction to this drug, seek medical attention immediately. Symptoms may include trouble breathing, rash, itching, swelling, or severe dizziness. If you notice other effects not listed above, contact your doctor or pharmacist.

Prescription Wellbutrin SR Storage
Store at controlled room temperature, 20° to 25°C (68° to 77°F). Dispense in a tight, light-resistant container.

Prescription Wellbutrin SR Overdose

Seek emergency medical attention if an overdose is suspected. Symptoms of a Wellbutrin SR overdose include seizures, hallucinations, loss of consciousness, weakness, a fast heartbeat, and heart attack.

Prescription Wellbutrin SR More Information
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. Too much of this medicine can increase the risk of a seizure. Limit the consumption of caffeine while taking Wellbutrin SR.

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Wellbutrin

Prescription Wellbutrin: Drug Uses

Wellbutrin (Anti Depressant) is a pharmaceutical prescription antidepressant, which acts directly on the brain and other nerve cells. It is also used to treat ADHD (Attention Deficit Disorder), bipolar depression, chronic fatigue syndrome, cocaine addiction, nicotine addiction, and lower back pain. Also, aids in quitting smoking (identical to Zyban). It is chemically unrelated to tricyclic, tetracyclic, selective serotonin re-uptake inhibitor, or other known antidepressant agents.

Prescription Wellbutrin: How Taken
Wellbutrin comes as a tablet to take it orally. It is usually taken one to three times a day and may be taken with or without food. Do not crush, chew, or divide Wellbutrin. Do not stop taking Wellbutrin without talking to your doctor, especially if you have taken large doses for a long time. Your doctor probably will want to decrease your dose gradually. This drug must be taken regularly for a few weeks before its full effect is felt.

Prescription Wellbutrin: Warnings/Precautions

Before taking Wellbutrin, tell your doctor if you have: history of seizures or head injury or brain tumor, heart disease, liver or kidney disease, eating disorder, diabetes, alcohol dependence, any allergies, the intent to quit smoking. Because of the possibility this drug will make you dizzy and affect coordination, do not drive or operate machinery until you get used to the drug\'s effects. Limit or avoid consumption of alcoholic beverages; alcohol can increase your risk of seizures. Chronic alcohol users who suddenly stop the intake of alcohol while taking Wellbutrin may increase the risk of having seizures. Suddenly stopping certain tranquilizers is not recommended because doing so may increase the risk of having seizures. If you are over 65 years old you may be more sensitive to the effects of this drug. Tell your doctor if you are pregnant or plan to become pregnant before taking this drug. This drug passes into breast milk. Because of the potential risk to the infant, breast-feeding while using this drug is not recommended. Consult your doctor before breast-feeding.

Prescription Wellbutrin: Missed Dose
Take any missed dose as soon as possible but not if it is within 4 hours of the next dose. If it is time for the next dose, skip the missed dose and resume your regular schedule. Do not "double-up" the dose.

Prescription Wellbutrin: Possible Side Effects
This medication is generally well tolerated. Dry mouth, headache, increased sweating, nausea/vomiting, constipation, anxiety, fatigue and blurred vision may occur. If these effects persist or worsen, notify your doctor. Report promptly: unusual weight loss or gain, palpitations, agitation, trouble sleeping. Unlikely but report promptly: tremor, dizziness, fainting, mood changes, slowed movements, difficulty urinating, decreased sex drive, and drowsiness. Very unlikely but report promptly: seizures, mental problems, fever, muscle aches, yellowing of the eyes or skin. In the unlikely event you have an allergic reaction to this drug, seek medical attention immediately. Symptoms may include trouble breathing, rash, itching, swelling, or severe dizziness. If you notice other effects not listed above, contact your doctor or pharmacist.

Prescription Wellbutrin: Storage

Store at controlled room temperature, 20° to 25°C (68° to 77°F). Dispense in a tight, light-resistant container.

Prescription Wellbutrin Overdose

Seek emergency medical attention if an overdose is suspected. Symptoms of a Wellbutrin overdose include seizures, hallucinations, loss of consciousness, weakness, a fast heartbeat, and heart attack.

Prescription Wellbutrin: More Information
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. Too much of this medicine can increase the risk of a seizure. Limit the consumption of caffeine while taking Wellbutrin.

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Viagra

Prescription Viagra: Drug Uses

Viagra is used to treat impotence in men. Viagra increases the body's ability to achieve and maintain an erection during sexual stimulation. Viagra does not protect you from getting sexually transmitted diseases, including HIV.

Prescription Viagra: How Taken
Viagra comes as a tablet to take it orally. It should be taken as needed about 1 hour before sexual activity. However, Viagra can be taken anytime from 4 hours to 30 minutes before sexual activity. Viagra should not be taken more than once a day. Do not take more or less of it or take it more often than prescribed by your doctor.

Prescription Viagra: Warnings/Precautions

Before taking Viagra, tell your doctor if you have had a heart attack, stroke, or life-threatening irregular heartbeats within the last six months; have a history of heart failure; have coronary artery disease; have angina; have high or low blood pressure; have liver problems; have kidney problems; have ever had blood problems, including sickle cell anemia or leukemia; have a bleeding disorder; have a stomach ulcer; have retinitis pigmentosa (an inherited condition of the eye); have a physical deformity of the penis such as Peyronie's disease; have a condition that could lead to prolonged and painful erections, such as a tumor of the bone marrow, sickle cell anemia, or leukemia; or are taking another medicine to treat impotence. You may not be able to take Viagra, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. Although Viagra is not indicated for use by women, it is in the FDA pregnancy category B. This means that Viagra is not expected to be harmful to an unborn baby. Women should not take Viagra. It is not known whether Viagra passes into breast milk. If you are over 65 years of age, you may be more likely to experience side effects from Viagra. Your doctor may prescribe a lower dose of this medication.

Prescription Viagra: Missed Dose
Viagra is used as needed, so you are not likely to miss a dose.

Prescription Viagra: Possible Side Effects

Like all medicines, Viagra can cause some side effects. These effects are usually mild to moderate and usually don't last longer than a few hours. Some of these side effects are more likely to occur with higher doses. The most common side effects of Viagra are headache, flushing of the face, and upset stomach. Less common side effects that may occur are temporary changes in color vision (such as trouble telling the difference between blue and green objects or having a blue color tinge to them), eyes being more sensitive to light, or blurred vision. In rare instances, men have reported an erection that lasts many hours. You should call a doctor immediately if you ever have an erection that lasts more than 4 hours. If not treated right away, permanent damage to your penis could occur. Heart attack, stroke, irregular heartbeats, and death have been reported rarely in men taking Viagra. Most, but not all, of these men had heart problems before taking this medicine. It is not possible to determine whether these events were directly related to Viagra.

Prescription Viagra: Storage
Keep Viagra out of the reach of children. Keep Viagra in its original container. Store at 25°C (77°F); excursions permitted to 15-30°C (59-86°F).

Prescription Viagra: Overdose

Seek emergency medical attention. Symptoms of a Viagra overdose are not known, but are likely to include chest pain, dizziness, an irregular heartbeat, and swelling of the ankles or legs.

Prescription Viagra: More Information
If you take any medicines that contain nitrates - either regularly or as needed - you should never take Viagra. If you take Viagra with any nitrate medicine or recreational drug containing nitrates, your blood pressure could suddenly drop to an unsafe level. You could get dizzy, faint, or even have a heart attack or stroke. Nitrates are found in many prescription medicines that are used to treat angina. Viagra is only for patients with erectile dysfunction. Viagra is not for newborns, children, or women. Do not let anyone else take your Viagra. Viagra must be used only under a doctor's supervision.

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Vermox

Prescription Vermox: Drug Uses

Vermox is used to treat threadworms and other common worm infections.

Prescription Vermox: How Taken
Take Vermox orally. Your doctor will tell you how much Vermox to take and for how long you should continue to take it. Always read the label on your medicine and follow your doctor\'s instructions carefully.

Prescription Vermox: Warnings/Precautions

Do not give Vermox to children younger than 2 years of age. If you are or think you may be pregnant, do not take Vermox. Talk to your doctor first. The active ingredient in Vermox may get into breast milk, so it is therefore not advisable to breast feed while you are taking Vermox.

Prescription Vermox: Missed Dose
If you miss a dose, use it as soon as you remember. If it is near the time for the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Prescription Vermox: Possible Side Effects

You may experience minor adverse reactions such as mild, short-lived stomach ache or diarrhoea, or possibly an allergic reaction such as rash, shortness of breath, itching etc.

Prescription Vermox: Storage
Keep Vermox in a safe place where children cannot reach or see them. Do not store above 25°C. Protect from light. Do not use the medicine after the expiry date printed on the blister and carton.

Prescription Vermox: Overdose

If you or another person has taken too much Vermox, talk to your doctor as soon as possible, telling him what has happened.

Prescription Vermox: More Information
There are no restrictions on foods, beverages or performing other activities while taking Vermox.

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Vaniqa

Prescription Vaniqa Drug Uses

Vaniqa (Cream) is a prescription medication applied to the skin for the reduction of unwanted facial hair in women. Vaniqa interferes with an enzyme found in the hair follicle of the skin needed for hair growth. This results in slower hair growth and improved appearance where Vaniqa is applied. Vaniqa does not permanently remove hair or "cure" unwanted facial hair. It is not a depilatory. Your treatment program should include continuation of any hair removal technique you are currently using. Vaniqa will help you manage your condition and improve your appearance.

Prescription Vaniqa How Taken
Apply a thin layer of Vaniqa Cream to affected areas of the face and adjacent involved areas under the chin and rub in thoroughly. Do not wash treated area for at least 4 hours. Use twice daily at least 8 hours apart or as directed by a physician. You should continue to use hair removal techniques as needed in conjunction with Vaniqa. (Vaniqa should be applied at least 5 minutes after hair removal). Cosmetics or sunscreens may be applied over treated areas after cream has dried.

Prescription Vaniqa Warnings/Precautions

Do not use Vaniqa if you have had an allergic reaction to it in the past. Vaniqa is in the FDA pregnancy category C. This means that it is not known whether Vaniqa will harm an unborn baby. Do not use this medication without first talking to your doctor if you are pregnant. It is also not known whether Vaniqa passes into breast milk. Do not use Vaniqa without first talking to your doctor if you are breast-feeding a baby. Vaniqa has not been approved for use by children younger than 12 years of age.

Prescription Vaniqa Missed Dose
If you forget or miss a dose of Vaniqa do not try to "make it up". Return to your normal application schedule as soon as you can.

Prescription Vaniqa Possible Side Effects

Vaniqa may cause temporary redness, stinging, burning, tingling or rash on areas of the skin where it is applied. Hair bumps may also occur. If these persist, consult your doctor. Treatment related skin adverse events that occurred in less than 1% of the subjects treated with Vaniqa are: bleeding skin, cheilitis, and contact dermatitis, swelling of lips, herpes simplex, numbness and rosacea. Adverse events were primarily mild in intensity and generally resolved without medical treatment or discontinuation of Vaniqa.

Prescription Vaniqa Storage
Store at 25° C (77° F); excursions permitted to 15° C-30° C (59° F-86° F). Do not freeze. See tube crimp and carton end for expiration date and lot number.

Prescription Vaniqa Overdose

An overdose of Vaniqa is not likely to occur. If the cream has been ingested, or if you suspect an overdose has occurred, contact your doctor, hospital emergency room, or poison control center for advice.

Prescription Vaniqa More Information
Avoid getting this medication in your eyes, nose, or mouth. If this occurs, wash the area with water. If Vaniqa gets in your eyes, rinse thoroughly with water and contact your doctor.

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Valtrex

Prescription Valtrex Drug Uses

Valtrex is indicated for the treatment of herpes zoster (shingles), for the treatment or suppression of genital herpes in immunocompetent individuals and for the suppression of recurrent genital herpes in HIV-infected individuals and is also indicated for the treatment of cold sores (herpes labialis).

Prescription Valtrex How Taken
Valtrex comes as a tablet to take it orally. It is usually taken every 8 hours (three times a day) for 7 days to treat shingles. To treat genital herpes it is usually taken twice a day for 5 days. For cold sores, Valtrex is usually taken for one day only. Do not take more or less of it or take it more often than prescribed by your doctor. Use this medication as soon as possible after symptoms appear. Continue to take Valtrex even if you feel well. Do not stop taking Valtrex without talking to your doctor.

Prescription Valtrex Warnings/Precautions

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 or immune system problems. You may need a dosage adjustment or special monitoring during treatment 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.

Prescription Valtrex Missed Dose
If you miss a dose of Valtrex, take it as soon as you remember and then take your next dose at its regular time. However, if it is almost time for your next dose, do not take the missed dose. Wait and take the next dose at the regular time.

Prescription Valtrex Possible Side Effects

Kidney failure and nervous system problems are not common, but can be serious in some patients taking Valtrex. Nervous system problems include aggressive behavior, unsteady movement, shaky movements, confusion, speech problems, hallucinations (seeing or hearing things that are really not there), seizures, and coma. Kidney failure and nervous system problems have happened in patients who already have kidney disease and in elderly patients whose kidneys do not work well due to age. Always tell your healthcare provider if you have kidney problems before taking Valtrex. Call your doctor right away if you get a nervous system problem while you are taking Valtrex. Common side effects of Valtrex include headache, nausea, stomach pain, vomiting, and dizziness. Side effects in HIV-infected adults include headache, tiredness, and rash. These side effects are usually mild and usually do not cause patients to stop taking Valtrex. Other less common side effects include painful periods in women, joint pain, depression, low blood cell counts, and changes in tests that measure how well the liver and kidneys work.

Prescription Valtrex Storage
Store at 15° to 25°C (59° to 77°F).Keep Valtrex a tightly closed container. Do not keep medicine that is out of date or that you no longer need. Keep Valtrex and all medicines out of the reach of children.

Prescription Valtrex Overdose

Seek emergency medical treatment if an overdose is suspected. 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).

Prescription Valtrex More Information
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.

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Ultram

Precription Ultram Drug Uses

Ultram is used to relieve moderate to moderately severe pain. It also may be used to treat pain caused by surgery and chronic conditions such as cancer or joint pain. Ultram works by decreasing the brain's perception and response to pain. It also reduces the size or magnitude of the pain signal passed from one nerve to another. This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

Precription Ultram How Taken
Ultram comes as a tablet to take it orally. It usually is taken every 4-6 hours as needed. It may be taken with or without food. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take Ultram exactly as directed. Ultram can be habit-forming. Do not take a larger dose take it more often, or for a longer period than your doctor tells you to.

Precription Ultram Warnings/Precautions

Before taking Ultram, 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 Ultram, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. Ultram 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. It is also not known whether Ultram passes into breast milk. Do not take Ultram without first talking to your doctor if you are breast-feeding a baby. If you are over 75 years of age, you may be more likely to experience side effects from Ultram. The maximum daily dose of Ultram for people over 75 years of age is 300 mg. Ultram is not approved by the FDA for use by children younger than 16 years of age.

Precription Ultram Missed Dose
Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

Precription Ultram Possible Side Effects

Although side effects from Ultram are not common, they can occur. The most frequently reported events were in the central nervous system (Migraine, Speech disorders) and gastrointestinal system (Gastrointestinal bleeding, Hepatitis, Stomatitis, Liver failure). Tell your doctor if any of these symptoms are severe or do not go away: dizziness, headache, drowsiness, blurred vision, upset stomach, vomiting, and diarrhea. If you experience any of the following symptoms, call your doctor immediately: fast heartbeat, redness, swelling, and itching of the face, numbness or tingling of the hands and feet, difficulty breathing, changes in urination, seizures.

Precription Ultram Storage
Dispense in a tight container. Store at 25°C (77°F); excursions permitted to 15 - 30°C (59 - 86°F).

Precription Ultram Overdose

Seek emergency medical attention. Symptoms of a Ultram overdose include difficulty breathing; shallow, weak breathing; and seizures.

Precription Ultram More Information
Do not drink alcohol while taking Ultram. Alcohol may cause a dangerous decrease in breathing and/ or liver problems when used during treatment with Ultram. Use caution when driving, operating machinery, or performing other hazardous activities. Ultram may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities. Avoid sleeping pills, tranquilizers, sedatives, and antihistamines except under the supervision of your doctor. These drugs may increase drowsiness caused by Ultram.

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Ultracet

Prescription Ultracet: Drug Uses

Ultracet is a unique pain medication. It is used to relieve moderate, acute pain such as pain following surgical procedures, including dental surgery. Ultracet may be used for other types of pain as determined by your health care provider.

Prescription Ultracet: How Taken

Take Ultracet tablets orally. Follow the directions on the prescription label. Swallow the tablets with a drink of water. If Ultracet upsets your stomach, take it with food or milk. Do not take more than 2 tablets at a time or more than 8 tablets per day. Higher doses may cause severe side effects, do not take more medication than your prescriber has instructed.

Prescription Ultracet: Warnings/Precautions

DO NOT TAKE Ultracet IF YOU HAVE HAD SEVERE ALLERGIC REACTION to codeine. A severe allergic reaction includes a severe rash, hives, breathing difficulties, or dizziness. IF YOU EXPERIENCE difficulty breathing, tightness of chest, swelling of eyelids, face or lips or if you develop a rash or hives, tell your doctor immediately. Do not take any more doses of Ultracet unless your doctor tells you to do so. DO NOT EXCEED THE RECOMMENDED DOSE or take Ultracet for longer than prescribed. Ultracet MAY BE HABIT FORMING. Use caution driving or operating machinery. DO NOT DRINK ALCOHOL while taking Ultracet. DO NOT TAKE other products containing acetaminophen (check labels closely) while you are taking Ultracet. IF DIZZINESS OCCURS, sit or stand up slowly. BEFORE YOU HAVE ANY MEDICAL OR DENTAL TREATMENTS, EMERGENCY CARE, OR SURGERY, tell the doctor that you are taking Ultracet. IF YOU EXPERIENCE WITHDRAWAL SYMPTOMS (nervousness, sweating, nausea, diarrhea, tremor, trouble sleeping), check with your doctor. Discuss with your doctor is you are planning on getting pregnant. Ultracet IS EXCRETED IN BREAST MILK. DO NOT BREAST-FEED while taking Ultracet.

Ultracet Missed Dose

If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

Prescription Ultracet: Possible Side Effects

Side effects that you should report to your prescriber or health care professional as soon as possible:
Rare or uncommon: changes in vision; difficulty breathing, shortness of breath; fast or irregular heartbeat; hallucinations (seeing and hearing things that are not really there); not passing urine as often as usual; redness, blistering, peeling or loosening of the skin, including inside the mouth; skin rash, itching; seizures (convulsions); yellow tint to your skin or whites of your eyes.
More common: anxiety, agitation; vomiting.
Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome); constipation or diarrhea; difficulty sleeping; dizziness, drowsiness; dry mouth; false sense of well being, feeling of unreality, mood changes; headache; indigestion; itching; nausea; sweating or flushing.

Prescription Ultracet: Storage

Keep out of reach of children in a container that small children cannot open. Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.

Prescription Ultracet: Overdose

Seek emergency medical attention. Symptoms of a Ultracet overdose include nausea; vomiting; sweating; difficulty breathing; shallow, weak breathing; and seizures.

Prescription Ultracet: More Information

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 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.

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Triphasil

Prescription Triphasil Drug Uses
Triphasil is an oral contraceptive used to prevent pregnancy, also to regulate your menstrual cycle. Some brands of birth control pills can be used for treating acne or as a pill for emergency contraception ("morning after"). Please consult your doctor or pharmacist. By using of this medication you or your partner are not protected against sexually transmitted diseases like HIV, gonorrhea etc.

Prescription Triphasil How Taken
This medication is to be taken with food or immediately after a meal (to prevent stomach upset). If it is possible, try to take this medication at the same time each day, this makes easier for you to remember to take it. You should learn the proper use of your particular medication brand. Follow carefully your dosing schedule and always ask your doctor or pharmacist if you have any questions. During the first week of taking this medication you should use a supplemental form of birth control since it takes a while to be effective. If used as a "morning after" pill, please follow the directions from your doctor.

Prescription Triphasil Warning
Chances of having heart problems increase if you smoke cigarettes while using this medication. Do not smoke while using this medication. The risk of heart problems is growing with frequent smoking (more than 15 cigarettes per day) and with age (in women greater than 35 years of age).

Prescription Triphasil Precautions
This drug must not be used during pregnancy. Inform your doctor immediately if you become pregnant or think you may be pregnant. This medication passes into breast milk and may affect milk production (may have harmful effects on a nursing infant). Consult your doctor before breast-feeding. Before taking this medication, you should tell your doctor your entire medical history, including your family medical history, with special focus on: high blood pressure, asthma, stroke, kidney disease, liver heart disease, blood clots, heart attack, history of jaundice (yellowing skin/eyes) or high blood pressure during pregnancy, excessive weight gain or fluid retention during menstrual cycle, seizures, migraine headaches, breast cancer, high blood level of cholesterol or lipids (fats), diabetes, depression. This drug may cause a patchy, darkening of the skin on the face (melasma), depending on strength (higher strengths are more likely to cause melasma). This darkening could be intensified by sunlight, you may need to avoid prolonged sun exposure and sunlamps. Consult your doctor regarding use of sunscreens and protective clothing. After you stop taking birth control pills, it may take a long time for you to become pregnant. Consult your doctor. Do not smoke cigarettes. Birth-control pills slightly increase your risk of strokes, heart attacks, gallbladder disease, blood clots, high blood pressure, vision problems, and liver tumors. The risk of stroke, blood clots, high blood pressure and heart attacks further increases with cigarette smoking (especially 15 or more cigarettes daily) and age (women older than 35/smokers or 40/nonsmokers years of age). Ask your pharmacist or doctor for a copy of the patient labeling which explains these risks in more detail. If you have any questions please consult your doctor, including questions regarding possible use in nonsmokers over 40 years of age. You may develop vision problems if you are near-sighted or wear contact lenses and your tolerance of the lenses may decrease. Contact your eye doctor if these problems occur. Tell the doctor that you take birth control pills before having surgery, including dental surgery.

Prescription Triphasil Interactions
Tell your doctor about all prescription and nonprescription drugs you are taking. Drugs such as Griseofulvin, many antibiotics (e.g., penicillins, macrolides, tetracyclines, sulfas, cephalosporins), chloramphenicol, many seizure medications (e.g., phenytoin, barbiturates, primidone, carbamazepine), dapsone, rifamycins (e.g., rifampin), modafinil, nevirapine, nelfinavir, ritonavir, St John's wort, troglitazone may decrease the effectiveness of the pill. Ask your doctor if you should use additional birth control methods while taking any of the drugs mentioned above while taking birth control pills. Also tell your doctor if you use: thyroid hormone drugs, certain benzodiazepines (e.g., diazepam, chlordiazepoxide), prednisone-like drugs, certain antidepressants (e.g., tricyclics), beta-blockers (e.g., metoprolol), "blood thinners" (anticoagulants such as warfarin), insulin. This product can affect the results of certain lab tests (e.g., thyroid). Inform all laboratory personnel that you use this drug. Birth control pills may significantly intensify the effects of alcohol. Consult your doctor or pharmacist about this. Do not start or stop any medicine without doctor or pharmacist approval.

Prescription Triphasil Over Dose
Contact your local poison control center or emergency room immediately if you suspect an overdose. The symptoms of overdose could be nausea and vomiting. Females may experience vaginal bleeding.

Prescription Triphasil Missed Dose
Missed dose advice depends on the brand used, the number of doses missed. Product package information should include advice on missed doses. Ask your doctor or pharmacist if you have any questions.

Prescription Triphasil Possible Side Effects
This medication may cause headache, dizziness, lightheadedness, stomach upset, bloating, or nausea. Contact your doctor if these effects persist or worsen or if you experience: groin or calf pain, sudden severe headache, severe depression, chest pain, shortness of breath, lumps in the breast, weakness or tingling in the arms or legs, yellowing of the eyes or skin. If you notice other effects not listed above, contact your doctor or pharmacist.

Prescription Triphasil Storage
This medication should be stored at room temperature between 59 and 86 degrees F (between 15 and 30 degrees C) away from moisture and sunlight. Do not store in the bathroom.

Prescription Triphasil Notes
You should keep all appointments with your doctor and the laboratory. At least once a year you should have a complete physical examination (blood pressure, breast and pelvic examinations, PAP test for vaginal cancer). Do not allow anyone else to take this medication. Follow your doctor's instructions for examining your own breasts, and report any lumps immediately. A manufacturer's fact sheet about this drug should be dispensed with each prescription. Read the information carefully. Ask your doctor or pharmacist any questions you may have.

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Transderm Scop

Prescription Transderm Scop Drug Uses

Transderm Scop is used to relieve nausea, vomiting, and dizziness associated with motion sickness. Transderm Scop is an anticholinergic medicine. Anticholinergics have many effects in the body. For example, they decrease the secretion of fluids, slow the stomach and intestine, and dilate the pupils.

Prescription Transderm Scop How Taken
Transderm Scop comes as a patch to be placed on the skin behind your ear. Apply one patch to a clean, dry, hairless area behind the ear. The patch should be applied at least 4 hours before its effects will be needed. Each patch is good for 3 days. At the end of 3 days or when the Transderm Scop patch is no longer needed, remove the patch and throw it away. Wrap the patch in tissue or paper to avoid exposing anyone else to the remaining medication. Wash your hands and the area behind your ear thoroughly to remove any traces of Transderm Scop from the area. If a new patch needs to be applied, place a fresh patch on the hairless area behind your other ear.

Prescription Transderm Scop Warnings/Precautions

Before using this medication, tell your doctor if you have kidney disease, liver disease, an enlarged prostate, difficulty urinating, bladder problems, or glaucoma. Transderm Scop is in the FDA pregnancy category C. This means that it is not known whether Transderm Scop will harm an unborn baby. Do not use Transderm Scop without first talking to your doctor if you are pregnant. It is not known whether Transderm Scop passes into breast milk. Do not use Transderm Scop without first talking to your doctor if you are breast-feeding a baby. Transderm Scop is not recommended for children use. Children are much more sensitive to the side effects of scopolamine.

Prescription Transderm Scop Missed Dose
Remove the old patch as soon as you remember and apply a new patch to the same area behind the other ear. If it is almost time for the next dose, skip the missed dose altogether. Never take a double dose of Transderm Scop.

Prescription Transderm Scop Possible Side Effects

Stop using Transderm Scop 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 use Transderm Scop and talk to your doctor if you experience drowsiness; dry mouth, nose, or throat; restlessness, excitation, nervousness, or insomnia; blurred vision; dizziness; decreased appetite, nausea, or vomiting; difficulty urinating; or an irregular or fast heartbeat. Nausea, vomiting, dizziness, headache, and poor coordination have been reported when treatment lasting more than 3 days is discontinued. If you use Transderm Scop for more than 3 days, be aware that these side effects may occur when you stop. 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.

Prescription Transderm Scop Storage
Should be stored at controlled room temperature between 20°C - 25°C (68°F - 77°F).

Prescription Transderm Scop Overdose

Seek emergency medical attention. Symptoms of a Transderm Scop overdose include drowsiness, dizziness, agitation, excitability, seizures or convulsions, hallucinations, and death.

Prescription Transderm Scop More Information
Use caution when driving, operating machinery, or performing other hazardous activities. Transderm Scop may cause dizziness, drowsiness, or blurred vision. If you experience dizziness, drowsiness, or blurred vision, avoid these activities. Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are using Transderm Scop.

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