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Monday, July 16, 2007

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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Thursday, July 5, 2007

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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Tuesday, May 22, 2007

Nasonex

Prescription Nasonex: Drug Uses

Nasonex is a nasal allergy spray for the treatment of seasonal and perennial allergy symptoms. Nasonex helps relieve itchy, runny noses, sneezing and congestion caused by dust mites, pet dander and tree and grass pollen. Nasonex Nasal Spray is a corticosteroid demonstrating anti-inflammatory properties. The Corticosteroids have been shown to have a wide range of effects on multiple cell types.

Prescription Nasonex: How Taken
Shake Nasonex well before each use. Prime the spray pump as instructed by your pharmacist. Use as directed generally two sprays in each nostril daily. Do not use this drug more often or longer than prescribed. Use Nasonex regularly during the prescribed treatment period for full benefit. If the drug is used for seasonal allergy, therapy is best started 2-4 weeks before the season. Improvement in symptoms occurs generally within 2 days and full benefit occurs after 1-2 weeks of use.

Prescription Nasonex: Warnings/Precautions

Before using Nasonex, tell your doctor and pharmacist if you have a viral, bacterial, or fungal infection of any kind. The absorption of this drug into your system can inhibit your body\'s ability to fight off infections. You may not be able to use Nasonex if you have an infection. Before using Nasonex, tell your doctor if you have a nasal septum ulcer, recently had nasal surgery, or nasal damage. You may not be able to use Nasonex, or you may require a dosage adjustment or special monitoring during your treatment. Nasonex is in the FDA pregnancy category C. This means that it is not known whether Nasonex will harm an unborn baby. Do not use this medication without first talking to your doctor if you are pregnant. It is unknown whether Nasonex passes into breast milk. Do not use Nasonex without first talking to your doctor if you are breast feeding a baby. Nasonex is not approved for children use younger than 3 years of age.

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

Prescription Nasonex: Possible Side Effects

Headache or sore throat might occur. If these effects persist or worsen, notify your doctor promptly. Very unlikely but report promptly: vision changes, unusual nasal bleeding or irritation/pain, blood-tinged mucus/phlegm, unusual increase in thirst or urination, nausea, weakness, weight loss. In the unlikely event you have an allergic reaction to Nasonex, seek immediate medical attention. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

Prescription Nasonex: Storage
Store at 25°C (77°F); excursions permitted to 15-30°C (59-86°F). Protect from light. When Nasonex Nasal Spray, 50 mcg is removed from its cardboard container, prolonged exposure of the product to direct light should be avoided. Brief exposure to light, as with normal use, is acceptable.

Prescription Nasonex: Overdose

An overdose of this medication is not likely to occur. If you do think that an overdose has occurred, call an emergency room or poison control left.

Prescription Nasonex: More Information
Avoid items or activities that you know are allergens for you if they make your symptoms worse. Clean areas where dust or pet fur may aggravate your condition. Avoid exposing yourself to known sources of infection. Stay away from people with chicken pox, measles, or any other type of infectious disease. Your immune system may not be strong enough to fight off an infection while you are using Nasonex.

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