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| Viagra Soft (Sildenafil)
What are sildenafil soft tablets?
SILDENAFIL (Viagra®) is used to treat erection problems in men. Generic sildenafil tablets are not yet available.
What should I tell my health care provider before I take this medicine?
They need to know if you have any of these conditions:
• anatomical deformity of the penis, Peyronie's disease, or ever had an erection that lasted more than 4 hours
• benign prostatic hypertrophy (BPH)
• bleeding disorder
• cancer
• diabetes
• frequent heartburn or gastroesophageal reflux disease (GERD)
• heart disease, angina, high or low blood pressure, a history of heart attack, or other heart problems
• high cholesterol
• kidney disease
• liver disease
• sickle cell disease
• stomach or intestinal ulcer
• stroke
• eye or vision problems, including a rare inherited eye disease called retinitis pigmentosa
• an unusual or allergic reaction to sildenafil, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding
How should I take this medicine?
Take sildenafil tablets by mouth. Follow the directions on the prescription label. The dose is usually taken 1 hour before sexual activity. You should not take this dose more than once per day.
The dose is usually taken 30 minutes to 1 hour before sexual activity. The pill needs to be put under the tongue till it dissolves. If you have kidney or liver problems or are taking certain medications, your prescriber may limit your dose of tadalafil. Do not take double or extra doses.
Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.
What if I miss a dose?
This does not apply.
What drug(s) may interact with sildenafil?
Do not take sildenafil if you are taking the following medications:
• nitroglycerin-type drugs for the heart or chest pain such as amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin, even if these are only taken occasionally
Sildenafil may also interact with the following medications:
• alpha blockers, used for high blood pressure or an enlarged prostate. NOTE: Do not take doses of sildenafil higher than 25 mg within 4 hours of taking alpha blockers, such as alfuzosin (UroXatral®), doxazosin (Cardura®), prazosin (Minipress®), or terazosin (Hytrin®).
• bosentan
• certain drugs used for seizures such as carbamazepine, phenytoin, and phenobarbital
• certain drugs used for fungal or yeast infections, such as fluconazole, ketoconazole, and voriconazole
• certain drugs for the treatment of HIV infection or AIDS
• cimetidine
• cisapride
• clarithromycin
• diltiazem
• erythromycin
• grapefruit juice
• mibefradil
• monoamine oxidase inhibitors (Azilect®, Eldepryl®, Emsam®, Marplan®, Nardil®, Parnate®, Zelapar™)
• nitroprusside
• rifabutin
• rifampin
• quinidine
• some drugs for treating depression, anxiety or other mood problems (examples: fluoxetine, fluvoxamine, nefazodone)
• verapamil
Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.
What side effects may I notice from taking sildenafil?
Side effects that you should report to your prescriber or health care professional as soon as possible:
• changes in hearing such as loss of hearing or ringing in ears
• changes in vision such as loss of vision, blurred vision, eyes being more sensitive to light, or trouble telling the difference between blue and green objects or objects having a blue color tinge to them
• difficulty breathing, shortness of breath
• chest pain or palpitations
• prolonged erection (lasting longer than 4 hours)
• skin rash, itching
Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
• diarrhea
• dizziness
• flushing
• headache
• indigestion
• nasal congestion
What should I watch for while taking sildenafil?
If you notice any changes in your vision while taking this drug, notify your prescriber or health care professional as soon as possible. Stop using sildenafil right away if you have a loss of sight in one or both eyes. Contact your healthcare provider immediately.
Contact you physician immediately if the erection lasts longer than 4 hours or if it becomes painful. This may be a sign of priapism and must be treated immediately to prevent permanent damage.
If you experience symptoms of nausea, dizziness, chest pain or arm pain upon initiation of sexual activity after sildenafil use, you should refrain from further activity and should discuss the episode with your prescriber or health care professional as soon as possible.
Do not change the dose of your medication. Please call your prescriber or health care professional to determine if your dose needs to be reevaluated.
Using Viagra® (sildenafil) does not protect you or your partner against HIV infection (the virus that causes AIDS) or other sexually transmitted diseases.
Where can I keep my medicine?
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.
Soft tabs are also used to treat impotence, however with Soft tabs much quicker results and stronger effect can be achieved .....
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| Epitol (Carbamazepine)
What is/are Amitriptyline?
AMITRIPTYLINE is used to treat depression. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
What should I tell my health care providers before I take this medicine?
They need to know if you have any of these conditions:
an alcohol problem
asthma, difficulty breathing
bipolar disorder or schizophrenia
difficulty passing urine, prostate trouble
glaucoma
heart disease or previous heart attack
liver disease
over active thyroid
seizures
thoughts or plans of suicide, a previous suicide attempt, or family history of suicide attempt
an unusual or allergic reaction to amitriptyline, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
breast-feeding
How should I use this medicine?
Take this medicine by mouth with a drink of water. Follow the directions on the prescription label. You can take the tablets with or without food. Take your medicine at regular intervals. Do not take it more often than directed. If you have been taking this medicine regularly for some time, do not suddenly stop taking it. You must gradually reduce the dose or you may get severe side effects. Ask your doctor or health care professional for advice. Even after you stop taking this medicine it can still affect your body for several days.
A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
Note: This medicine is only for you. Do not share this medicine with others.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
What may interact with this medicine?
Do not take this medicine with any of the following:
arsenic trioxide
certain medicines used to regulate abnormal heartbeat or to treat other heart conditions
cisapride
droperidol
halofantrine
MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
other medicines for mental depression
phenothiazines like perphenazine, thioridazine and chlorpromazine
pimozide
probucol
procarbazine
sparfloxacin
St. John's Wort
ziprasidone
This medicine may also interact with the following:
atropine and related drugs like hyoscyamine, scopolamine, tolterodine and others
barbiturate medicines for inducing sleep or treating seizures, like phenobarbital
cimetidine
disulfiram
ethchlorvynol
thyroid hormones such as levothyroxine
This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What side effects may I notice from this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
abnormal production of milk in females
breast enlargement in both males and females
breathing problems
confusion, hallucinations
fast, irregular heartbeat
fever with increased sweating
muscle stiffness, or spasms
pain or difficulty passing urine, loss of bladder control
seizures
suicidal thoughts or other mood changes
swelling of the testicles
tingling, pain, or numbness in the feet or hands
yellowing of the eyes or skin
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
change in sex drive or performance
constipation or diarrhea
nausea, vomiting
weight gain or loss
This list may not describe all possible side effects.
What should I watch for while using this medicine?
Visit your doctor or health care professional for regular checks on your progress. It can take several days before you feel the full effect of this medicine.
Patients and their families should watch out for worsening depression or thoughts of suicide. Also watch out for sudden or severe changes in feelings such as feeling anxious, agitated, panicky, irritable, hostile, aggressive, impulsive, severely restless, overly excited and hyperactive, or not being able to sleep. If this happens, especially at the beginning of antidepressant treatment or after a change in dose, call your health care professional.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may increase dizziness and drowsiness. Avoid alcoholic drinks.
Do not treat yourself for coughs, colds, or allergies without asking your doctor or health care professional for advice. Some ingredients can increase possible side effects.
Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water will help.
This medicine may cause dry eyes and blurred vision. If you wear contact lenses you may feel some discomfort. Lubricating drops may help. See your eye doctor if the problem does not go away or is severe.
This medicine can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and use sunscreen. Do not use sun lamps or tanning beds/booths.
If you are diabetic, check your blood sugar more often than usual, especially during the first few weeks of treatment with this medicine. This medicine can affect blood sugar levels. Call your doctor or health care professional for advice if you notice a change in the results of blood or urine glucose tests.
Where should I keep this medicine?
Keep out of the reach of children.
Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Throw away any unused medicine after the expiration date. ,What is/are Amitriptyline?
AMITRIPTYLINE is used to treat depression. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
What should I tell my health care providers before I take this medicine?
They need to know if you have any of these conditions:
an alcohol problem
asthma, difficulty breathing
bipolar disorder or schizophrenia
difficulty passing urine, prostate trouble
glaucoma
heart disease or previous heart attack
liver disease
over active thyroid
seizures
thoughts or plans of suicide, a previous suicide attempt, or family history of suicide attempt
an unusual or allergic reaction to amitriptyline, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
breast-feeding
How should I use this medicine?
Take this medicine by mouth with a drink of water. Follow the directions on the prescription label. You can take the tablets with or without food. Take your medicine at regular intervals. Do not take it more often than directed. If you have been taking this medicine regularly for some time, do not suddenly stop taking it. You must gradually reduce the dose or you may get severe side effects. Ask your doctor or health care professional for advice. Even after you stop taking this medicine it can still affect your body for several days.
A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
Note: This medicine is only for you. Do not share this medicine with others.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
What may interact with this medicine?
Do not take this medicine with any of the following:
arsenic trioxide
certain medicines used to regulate abnormal heartbeat or to treat other heart conditions
cisapride
droperidol
halofantrine
MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
other medicines for mental depression
phenothiazines like perphenazine, thioridazine and chlorpromazine
pimozide
probucol
procarbazine
sparfloxacin
St. John's Wort
ziprasidone
This medicine may also interact with the following:
atropine and related drugs like hyoscyamine, scopolamine, tolterodine and others
barbiturate medicines for inducing sleep or treating seizures, like phenobarbital
cimetidine
disulfiram
ethchlorvynol
thyroid hormones such as levothyroxine
This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What side effects may I notice from this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
abnormal production of milk in females
breast enlargement in both males and females
breathing problems
confusion, hallucinations
fast, irregular heartbeat
fever with increased sweating
muscle stiffness, or spasms
pain or difficulty passing urine, loss of bladder control
seizures
suicidal thoughts or other mood changes
swelling of the testicles
tingling, pain, or numbness in the feet or hands
yellowing of the eyes or skin
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
change in sex drive or performance
constipation or diarrhea
nausea, vomiting
weight gain or loss
This list may not describe all possible side effects.
What should I watch for while using this medicine?
Visit your doctor or health care professional for regular checks on your progress. It can take several days before you feel the full effect of this medicine.
Patients and their families should watch out for worsening depression or thoughts of suicide. Also watch out for sudden or severe changes in feelings such as feeling anxious, agitated, panicky, irritable, hostile, aggressive, impulsive, severely restless, overly excited and hyperactive, or not being able to sleep. If this happens, especially at the beginning of antidepressant treatment or after a change in dose, call your health care professional.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may increase dizziness and drowsiness. Avoid alcoholic drinks.
Do not treat yourself for coughs, colds, or allergies without asking your doctor or health care professional for advice. Some ingredients can increase possible side effects.
Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water will help.
This medicine may cause dry eyes and blurred vision. If you wear contact lenses you may feel some discomfort. Lubricating drops may help. See your eye doctor if the problem does not go away or is severe.
This medicine can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and use sunscreen. Do not use sun lamps or tanning beds/booths.
If you are diabetic, check your blood sugar more often than usual, especially during the first few weeks of treatment with this medicine. This medicine can affect blood sugar levels. Call your doctor or health care professional for advice if you notice a change in the results of blood or urine glucose tests.
Where should I keep this medicine?
Keep out of the reach of children.
Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Throw away any unused medicine after the expiration date. .....
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| Voltaren Sr (Diclofenac)
What is/are Voltaren?
DICLOFENAC is a non-steroidal anti-inflammatory drug (NSAID). It is used to reduce swelling and to treat pain. It is used for osteoarthritis and rheumatoid arthritis. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
What should I tell my health care providers before I take this medicine?
They need to know if you have any of these conditions:
asthma, especially aspirin sensitive asthma
coronary artery bypass graft (CABG) surgery within the past 2 weeks
drink more than 3 alcohol containing drinks a day
heart disease or circulation problems like heart failure or leg edema (fluid retention)
high blood pressure
kidney disease
liver disease
stomach bleeding or ulcers
an unusual or allergic reaction to diclofenac, aspirin, other NSAIDs, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
breast-feeding
How should I use this medicine?
Take this medicine by mouth with food and with a full glass of water. Do not crush or chew the medicine. Follow the directions on the prescription label. Take your medicine at regular intervals. Do not take your medicine more often than directed. Long-term, continuous use may increase the risk of heart attack or stroke.
A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Elderly patients over 65 years old may have a stronger reaction and need a smaller dose.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
Note: This medicine is only for you. Do not share this medicine with others.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
What may interact with this medicine?
Do not take this medicine with any of the following:
cidofovir
ketorolac
methotrexate
pemetrexed
This medicine may also interact with the following:
alcohol
aspirin and aspirin-like medicines
diuretics
lithium
medicines for high blood pressure
medicines that affect platelets
medicines that treat or prevent blood clots like warfarin
NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen
steroid medicines like prednisone or cortisone
This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What side effects may I notice from this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
black or bloody stools, blood in the urine or vomit
blurred vision
chest pain
difficulty breathing or wheezing
nausea or vomiting
slurred speech or weakness on one side of the body
unexplained weight gain or swelling
unusually weak or tired
yellowing of eyes or skin
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
constipation
diarrhea
dizziness
headache
heartburn
This list may not describe all possible side effects.
What should I watch for while using this medicine?
Tell your doctor or health care professional if your pain does not get better. Talk to your doctor before taking another medicine for pain. Do not treat yourself.
This medicine does not prevent heart attack or stroke. In fact, this medicine may increase the chance of a heart attack or stroke. The chance may increase with longer use of this medicine and in people who have heart disease. If you take aspirin to prevent heart attack or stroke, talk with your doctor or health care professional.
Do not take medicines such as ibuprofen and naproxen with this medicine. Side effects such as stomach upset, nausea, or ulcers may be more likely to occur. Many medicines available without a prescription should not be taken with this medicine.
This medicine can cause ulcers and bleeding in the stomach and intestines at any time during treatment. Do not smoke cigarettes or drink alcohol. These increase irritation to your stomach and can make it more susceptible to damage from this medicine. Ulcers and bleeding can happen without warning symptoms and can cause death.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells.
This medicine can cause you to bleed more easily. Try to avoid damage to your teeth and gums when you brush or floss your teeth.
Where should I keep this medicine?
Keep out of the reach of children.
Store at room temperature below 30 degrees C (86 degrees F). Protect from moisture. Keep container tightly closed. Throw away any unused medicine after the expiration date. .....
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| Arcoxia (Etoricoxib)
Arcoxia is used for the following:
acute and chronic treatment of the signs and symptoms of osteoarthritis and rheumatoid arthritis
management of ankylosing spondylitis
relief of chronic musculoskeletal pain
relief of acute pain
to treat acute gouty arthritis
Your doctor will prescribe Arcoxia for you only after you have used other medicines for your condition and they have not been suitable for you.
Your doctor will want discuss your treatment with Arcoxia from time to time. It is important that you use the lowest dose that controls your pain and you should not take Arcoxia for longer than necessary. This is because the risk of heart attacks and strokes might increase after prolonged treatment, especially with high doses.
Osteoarthritis
Osteoarthritis is a joint disease. It results from the gradual breakdown of the cartilage that covers the joints and cushions the ends of bones.
Symptoms of osteoarthritis include pain, tenderness, stiffness of one or more joints, and physical disability. The hips and knees are the most commonly affected joints, but other joints such as those of the hands and spine may also be affected.
Osteoarthritis is more common in women than in men. Many factors can lead to the development of osteoarthritis including obesity and joint injury (eg. from sport).
Rheumatoid Arthritis
Rheumatoid arthritis is a chronic disease that causes pain, stiffness, swelling and loss of function in the joints and inflammation in other body organs.
Ankylosing Spondylitis
Ankylosing spondylitis is an inflammatory disease of the spine and large joints.
Gout
Gout is a disorder characterised by sudden, recurring attacks of pain and inflammation in one or more joints.
How does Arcoxia work?
Arcoxia belongs to a group of medicines called cyclooxygenase-2 (COX-2) specific inhibitors (also known as Coxibs).
The body produces two similar enzymes called COX-1 and COX-2. COX-1, among other functions, is involved with protecting the stomach, while COX-2 plays a role in joint inflammation and pain.
Arcoxia reduces pain and inflammation by blocking COX-2, an enzyme in the body.
Arcoxia does not block COX-1, the enzyme involved in protecting the stomach from ulcers.
Other anti-inflammatory medicines (NSAIDS) block both COX-1 and COX-2.
Arcoxia relieves pain and inflammation with less risk of stomach ulcers compared to NSAIDS. However taking aspirin with Arcoxia may reverse this benefit (see Before you take Arcoxia, Taking Other Medicines).
In clinical studies, the risk of developing ulcers on Arcoxia was lower than with NSAIDs. Some people developed ulcers whether they were taking Arcoxia or placebo in these studies; however the rate was higher on Arcoxia.
If any of the following symptoms: shortness of breath, chest pains or ankle swelling appear or worsen, stop your treatment with Arcoxia and consult a doctor, as soon as is practical.
If you have kidney, liver or heart disease, your doctor will want to appropriately keep a check on you.
If you develop any symptoms that could indicate a severe allergic reaction such as an inability to breathe or a serious skin reaction you must consult a doctor on an urgent basis.
Your doctor will want to discuss your treatment from time to time. It is important that you use the lowest dose that controls your pain and you should not take Arcoxia for longer than necessary. This is because the risk of heart attacks and strokes might increase after prolonged treatment, especially with high doses.
Arcoxia can increase blood pressure in some people, especially in high doses, and this could increase the risk of heart attacks and strokes. Your doctor will want to check your blood pressure from time to time, to make sure that it is safe to continue treatment.
Your doctor may have prescribed Arcoxia for another reason. Ask your doctor if you have any questions about why Arcoxia has been prescribed for you.
Arcoxia is not addictive.
Before you take Arcoxia
Do not take Arcoxia if:
you have an allergy to Arcoxia or any of the ingredients listed at the end of this leaflet
the packaging is torn or shows signs of tampering
the expiry date on the pack has passed.
If you take this medicine after the expiry date has passed, it may not work.
You have had heart failure, a heart attack, bypass surgery, chest pain (angina), narrow or blocked arteries of the extremities (peripheral arterial disease), a stroke or mini stroke (TIA or transient ischaemic attack).
You have high blood pressure that is not well controlled on blood pressure medication.
You are having major surgery and have conditions which increase your risk of coronary artery disease or atherosclerosis such as high blood pressure, diabetes, high cholesterol or smoking.
You are having major surgery on you heart or arteries.
If you are not sure whether you should start taking Arcoxia, talk to your doctor.
Arcoxia has not been adequately studied in children. Therefore, Arcoxia should not be given to children.
Arcoxia works equally well in older and younger adult patients. Adverse experiences may occur at a higher incidence in older patients compared to younger patients. If you are elderly (ie over 65 years of age), your doctor will want to appropriately keep a check on you. No dosage adjustment is necessary for older patients.
Before you start to taking Arcoxia tell your doctor if:
you are pregnant or intend to become pregnant
Arcoxia is not recommended for use during late pregnancy. If there is a need to consider using Arcoxia during your pregnancy, your doctor will discuss with you the benefits and risks of using it.
you are breast-feeding or plan to breast-feed
It is not known if Arcoxia passes into breast milk. You and your doctor should discuss whether you should stop breast-feeding or not take Arcoxia.
you have or have had any medical conditions, especially the following:
history of angina, heart attack or a blocked artery in your heart
narrow or blocked arteries of the extremities
kidney disease
liver disease
heart failure
high blood pressure
you have had an allergic reaction to aspirin or other anti-inflammatory medicines (commonly known as NSAIDs)
Symptoms of an allergic reaction may include asthma, pinkish itchy swellings on the skin (hives), runny or blocked nose.
you have an infection
If you take Arcoxia while you have an infection, it may hide fever and may make you think, mistakenly, that you are better or that your infection is less serious than it might be.
you have any allergies to any other medicines or any other substances, such as foods, preservatives or dyes.
you have a history of stroke or mini stroke
you have conditions which increase your risk of coronary artery disease or atherosclerosis such as high blood pressure, diabetes, high cholesterol or smoking.
If you have not told your doctor about any of the above, tell them before you take any Arcoxia.
Tell your doctor if you are taking any other medicines, including medicines that you buy without a prescription from your pharmacy, supermarket or health food shop.
Some medicines and Arcoxia may interfere with each other. These include:
warfarin, a medicine used to prevent blood clots
rifampicin, an antibiotic used to treat tuberculosis and other infections
water pills (diuretics)
ACE inhibitors and angiotensin receptor blockers, medicines used to lower high blood pressure or treat heart failure
lithium, a medicine used to treat a certain type of depression
birth control pills
hormone replacement therapy
methotrexate, a medicine used to suppress the immune system
These medicines may be affected by Arcoxia or may affect how well it works. You may need different amounts of your medicine, or you may need to take different medicines.
Your doctor or pharmacist has more information on medicines to be careful with or avoid while taking Arcoxia.
Arcoxia can be taken with low dose aspirin. If you are currently taking low dose aspirin for the prevention of a heart attack or stroke, you should continue to do so unless specified by your Doctor. Arcoxia cannot replace aspirin for this purpose.
How to take Arcoxia
Take Arcoxia only when prescribed by your doctor.
For osteoarthritis, the recommended dose is 60 mg once a day.
For rheumatoid arthritis the recommended dose is 90 mg once a day.
For ankylosing spondylitis the recommended dose is 90 mg once a day.
For the relief of gout attacks the recommended dose is 120 mg once a day, which should only be used for the acute painful period.
For the relief of chronic musculoskeletal pain the recommended dose is 60 mg once a day.
Doses greater than those recommended for each condition have either not demonstrated additional efficacy or have not been studied. Therefore, the daily doses stated above for each condition should not be exceeded.
If you have mild liver disease, you should not take more than 60 mg a day. If you have moderate liver disease, you should not take more than 60 mg every other day.
Follow all directions given to you by your doctor carefully. They may differ from the information contained in this leaflet.
If you do not understand the instructions on the box, ask your doctor or pharmacist for help.
Arcoxia comes as tablets.
When taking the tablets, swallow them with a glass of water. Do not halve the tablet.
Take your Arcoxia at about the same time each day.
Taking Arcoxia at the same time each day will have the best effect. It will also help you remember when to take the dose.
It does not matter if you take Arcoxia before or after food.
Do not use Arcoxia for longer than your doctor says.
Your doctor will want to discuss your treatment from time to time. It is important that you use the lowest dose that controls your pain and you should not take Arcoxia for longer than necessary. This is because the risk of heart attacks and strokes might increase after prolonged treatment, especially with high doses.
Depending on your condition, you may need to take Arcoxia for a few days or for a longer period.
For osteoarthritis and rheumatoid arthritis Arcoxia helps relieve your symptoms but it does not cure it. Continue taking Arcoxia for as long as your doctor prescribes.
For the relief of gout attacks or other types of pain, Arcoxia is usually only needed for a few days.
If you are not sure how long to take Arcoxia, talk to your doctor.
If it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to. Otherwise, take it as soon as you remember, and then go back to taking your tablet(s) as you would normally.
If you are not sure whether to skip the dose, talk to your doctor or pharmacist.
Do not take a double dose to make up for the dose that you missed.
If you have trouble remembering to take your tablets, ask your pharmacist for some hints.
If you take too much Arcoxia (overdose) immediately telephone your doctor or Poisons Centre or go to the emergency department at your nearest hospital, if you think that you or anyone else may have taken too much Arcoxia. Do this even if there are no signs of discomfort or poisoning.
While you are using Arcoxia
If you become pregnant while taking Arcoxia, tell your doctor immediately.
If you get an infection while taking Arcoxia, tell your doctor. Arcoxia may hide fever and may make you think, mistakenly, that you are better or that your infection is less serious than it might be.
If you are about to be started on any new medicine, tell your doctor and pharmacist that you are taking Arcoxia.
Do not give Arcoxia to anyone else, even if they have the same condition as you.
Some self help measures suggested below may help your condition. Talk to your doctor or pharmacist about these measures and for more information.
Exercise - regular exercise can help reduce pain and disability from osteoarthritis by increasing muscle strength and reducing the load on joints, but it is important not to overdo it. Walking is good exercise, however, before starting any exercise, ask your doctor about the best kind of programme for you.
Weight - your doctor may suggest losing some weight to help reduce the strain on your joints. Some people may need a dietician's help to lose weight.
Hot and cold treatments.
Using support devices.
Adverse Effects
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Arcoxia.
Arcoxia helps most people with osteoarthritis, rheumatoid arthritis, menstrual pain, gout or other types of pain, but it may have unwanted adverse effects in a few people. All medicines can have adverse effects. Sometimes they are serious, most of the time they are not. You may need medical treatment if you get some of the adverse effects.
Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor if you notice or have any of the following and they worry you:>
feeling sick (nausea), vomiting
heartburn, indigestion, uncomfortable feeling or pain in the stomach
diarrhoea
swelling of the legs, ankles or feet
high blood pressure
dizziness
headache
Additionally, the following have been reported:
allergic reactions including rash, itching and hives
severe skin reactions, which may occur without warning
taste alteration
wheezing
insomnia
anxiety
drowsiness
mouth ulcers
diarrhoea
severe increase in blood pressure
confusion
hallucinations
platelets decreased
These are usually the mild adverse effects of Arcoxia.
If any of the following happen, stop taking Arcoxia and tell your doctor immediately or go to Accident and Emergency at your nearest hospital:
swelling of the face, lips, tongue or throat which may cause difficulty in swallowing or breathing (hypersensitivity reactions, anaphylactic/anaphylactoid reactions including shock)
abnormal rhythm of the heart (atrial fibrillation)
heart failure
palpitations
serious kidney problems
serious liver problems
stomach pain
stomach ulcers that may become serious and may bleed, and may occur at any time during use and without warning
Other adverse effects not listed above may also occur in some patients. Tell your doctor if you notice any other effects.
Do not be alarmed by this list of possible adverse effects. You may not experience any of them.
After using Arcoxia
Keep your tablets in the blister pack until it is time to take them. If you take the tablets out of the blister pack they may not keep well.
Keep Arcoxia in a cool dry place where the temperature stays below 30°C. Do not store it or any other medicine in the bathroom or near a sink. Do not leave it in the car or on window sills. Heat and dampness can destroy some medicines.
Keep it where children cannot reach it. A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
If your doctor tells you to stop taking Arcoxia, or the tablets have passed their expiry date, ask your pharmacist what to do with any that are left over.
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| Norethindrone (Norethindrone Acetate)
What is/are Norethindrone Tablets?
NORETHINDRONE is an oral contraceptive. The product contains a female hormone known as a progestin. It is used to prevent pregnancy. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
What should I tell my health care providers before I take this medicine?
They need to know if you have any of these conditions:
blood vessel disease or blood clots
breast, cervical, or vaginal cancer
diabetes
heart disease
kidney disease
liver disease
mental depression
migraine
seizures
stroke
vaginal bleeding
an unusual or allergic reaction to norethindrone, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
breast-feeding
How should I use this medicine?
Take this medicine by mouth with a glass of water. You may take it with or without food. Follow the directions on the prescription label. Take this medicine at the same time each day and in the order directed on the package. Do not take your medicine more often than directed.
Contact your pediatrician regarding the use of this medicine in children. Special care may be needed. This medicine has been used in female children who have started having menstrual periods.
A patient information sheet will be given with each prescription and refill. Read this sheet carefully each time. The sheet may change frequently.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
Note: This medicine is only for you. Do not share this medicine with others.
What if I miss a dose?
Try not to miss a dose. Every time you miss a dose or take a dose late your chance of pregnancy increases. When 1 pill is missed (even if only 3 hours late), take the missed pill as soon as possible and continue taking a pill each day at the regular time (use a back up method of birth control for the next 48 hours). If more than 1 dose is missed, use an additional birth control method for the rest of your pill pack until menses occurs. Contact your health care professional if more than 1 dose has been missed.
What may interact with this medicine?
Do not take this medicine with any of the following:
amprenavir or fosamprenavir
bosentan
This medicine may also interact with the following:
antibiotics or medicines for infections, especially rifampin, rifabutin, rifapentine, and griseofulvin, and possibly penicillins or tetracyclines
aprepitant
barbiturate medicines, such as phenobarbital
carbamazepine
felbamate
modafinil
oxcarbazepine
phenytoin
ritonavir or other medicines for HIV infection or AIDS
St. John's wort
topiramate
This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What side effects may I notice from this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
breast tenderness or discharge
pain in the abdomen, chest, groin or leg
severe headache
skin rash, itching, or hives
sudden shortness of breath
unusually weak or tired
vision or speech problems
yellowing of skin or eyes
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
changes in sexual desire
change in menstrual flow
facial hair growth
fluid retention and swelling
headache
irritability
nausea
weight gain or loss
This list may not describe all possible side effects.
What should I watch for while using this medicine?
Visit your doctor or health care professional for regular checks on your progress. You will need a regular breast and pelvic exam and Pap smear while on this medicine.
Use an additional method of birth control during the first cycle that you take these tablets.
If you have any reason to think you are pregnant, stop taking this medicine right away and contact your doctor or health care professional.
If you are taking this medicine for hormone related problems, it may take several cycles of use to see improvement in your condition.
This medicine does not protect you against HIV infection (AIDS) or any other sexually transmitted diseases.
Where should I keep this medicine?
Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date. .....
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| Altace (Ramipril)
Ramipril
What are ramipril?
RAMIPRIL (Altace®) is an antihypertensive (blood pressure lowering agent) known as an ACE inhibitor. Ramipril controls high blood pressure (hypertension) by relaxing blood vessels; it is not a cure. High blood pressure levels can damage your kidneys, and may lead to a stroke or heart failure.
What should I tell my health care provider before I take this medicine?
They need to know if you have any of these conditions:
• autoimmune disease (such as lupus), or suppressed immune function
• previous swelling of the tongue, face, or lips with difficulty breathing, difficulty swallowing, hoarseness, or tightening of the throat (angioedema)
• bone marrow disease
• heart or blood vessel disease
• liver disease
• low blood pressure
• kidney disease
• if you are on a special diet, such as a low-salt diet
• an unusual or allergic reaction to ramipril, other ACE inhibitors, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding
How should I take this medicine?
Take ramipril capsules by mouth. Follow the directions on the prescription label. Swallow the capsules with a drink of water. Take your doses at regular intervals. Do not take your medicine more often than directed. Do not stop taking ramipril except on your prescriber's advice.
Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
What drug(s) may interact with ramipril?
• antiinflammatory drugs (NSAIDs, such as ibuprofen)
• gold compounds, often used for arthritis
• hawthorn
• heparin
• lithium
• medicines for diabetes
• medicines for high blood pressure
• monoamine oxidase inhibitors (Azilect®, Eldepryl®, Emsam®, Marplan®, Nardil®, Parnate®, Zelapar™)
• potassium salts
• water pills
Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.
What side effects may I notice from taking ramipril?
Side effects that you should report to your prescriber or health care professional as soon as possible:
• decreased amount of urine passed
• difficulty breathing, or difficulty swallowing
• dizziness, lightheadedness or fainting spells
• fast or uneven heart beat, palpitations, or chest pain
• fever or chills
• numbness or tingling in your fingers or toes
• skin rash, itching
• swelling of your face, lips, or tongue
Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
• change in taste
• cough
• headache
• tiredness
What should I watch for while taking ramipril?
Visit your prescriber or health care professional for regular checks on your progress. Check your blood pressure regularly while you are taking ramipril. Ask your prescriber or health care professional what your blood pressure should be and when you should contact him or her. Call your prescriber or health care professional if you notice an uneven or fast heart beat. Do not treat yourself for a fever or sore throat; check with your prescriber or health care professional as these may be the result of a ramipril side effect.
Check with your prescriber or health care professional if you get an attack of severe diarrhea, nausea and vomiting, or if you sweat a lot. The loss of body fluid can make it dangerous to take ramipril.
You may get dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how ramipril affects you. To avoid dizzy or fainting spells, do not stand or sit up quickly, especially if you are an older person. Alcohol can make you more dizzy. Avoid alcoholic drinks.
If you are going to have surgery, tell your prescriber or health care professional that you are using ramipril.
Avoid salt substitutes or other foods or substances high in potassium salts.
Do not treat yourself for coughs, colds, or pain while you are using ramipril without asking your prescriber or health care professional for advice.
Women should inform their doctor if they wish to become pregnant or think they might be pregnant. There is a potential for serious side effects to an unborn child. Talk to your health care professional or pharmacist for more information.
Where can I keep my medicine?
Keep out of the reach of children in a container that small children cannot open.
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| Wellbutrin (Bupropion Xl)
Generic Bupropion XL (Wellbutrin) is an antidepressant used to treat depression. It may also be used to treat other conditions as determined by your doctor. This medicine works to help balance specific natural substances in the brain called neurotransmitters. When out of balance these substances are thought to be associated with the symptoms of depression. .....
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| Uniphyl Cr (Theophylline)
What is/are Theophylline?
THEOPHYLLINE is a bronchodilator. It helps open up the airways in your lungs to make it easier to breathe. This medicine is used to treat the symptoms of asthma, bronchitis, and emphysema. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
What should I tell my health care providers before I take this medicine?
They need to know if you have any of these conditions:
heart disease
if you smoke
irregular heartbeat
liver disease
seizures
stomach problems like ulcers
thyroid disease
an unusual or allergic reaction to theophylline, aminophylline, caffeine, theobromine, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
breast-feeding
How should I use this medicine?
Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. Take this medicine on an empty stomach, at least 1 hour before eating. Do not crush or chew. Take your doses at the same time each day. Do not take your medicine more often than directed. Do not stop taking except on your doctor's advice.
Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for selected conditions, precautions do apply.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
Note: This medicine is only for you. Do not share this medicine with others.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
What may interact with this medicine?
adenosine
allopurinol
aminoglutethimide
caffeine
cimetidine
disulfiram
ephedrine
fluvoxamine
interferon
isoproterenol
lithium
medicines for anxiety or sleep
medicines for colds and breathing difficulties
methotrexate
pentoxifylline
some antibiotics or anti infectives
some medicines for irregular heart rhythms
some medicines for treating seizures
some medicines used during surgery
sulfinpyrazone
tacrine
This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What side effects may I notice from this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
fast or irregular breathing or heartbeat
feeling faint or lightheaded, falls
fever, infection
nausea, vomiting
seizures
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
anxiety, irritable, restless
diarrhea
headache
increased need to pass urine
tremors
trouble sleeping
This list may not describe all possible side effects.
What should I watch for while using this medicine?
Visit your doctor or health care professional for regular checks on your progress. Your doctor or health care professional may schedule regular blood tests, especially at first. Tell your doctor if your symptoms do not improve or if they get worse.
There are many different brands of this medicine. Do not change your brand without checking with your health care professional. Different brands of this medicine may act differently in your body.
Tell all of your doctors that you are taking this medicine. Talk to your doctor before you start or stop ANY over-the-counter or prescription medicines. Also talk to your health care professional about foods that affect this medicine, like chocolate, coffee, teas and charcoal-broiled foods. If you smoke tobacco or marijuana you may affect the level of this medicine in your body. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.
Where should I keep this medicine?
Keep out of the reach of children.
Store at room temperature below 25 degrees C (77 degrees F). Keep container tightly closed. Protect from light and moisture. Throw away any unused medicine after the expiration date. .....
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| Oxsoralen (Methoxsalen)
What is/are Methoxsalen Capsules?
METHOXSALEN is a skin coloring and light sensitizing agent. This medicine is given before ultraviolet radiation. It is used to treat severe psoriasis and vitiligo. Some forms of this medicine are also used to treat the skin symptoms of cutaneous T-cell lymphoma. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
What should I tell my health care providers before I take this medicine?
They need to know if you have any of these conditions:
albinism
eye problems like cataracts or aphakia
heart disease
liver disease
lupus
porphyria
history of arsenic therapy
history of x-ray therapy
skin cancer
skin photosensitivity problems
xeroderma
an unusual or allergic reaction to methoxsalen, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
breast-feeding
How should I use this medicine?
Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. If this medicine upsets your stomach, you may take it with low-fat food or milk, or you may divide your dose and take it in 2 portions (30 minutes apart). Follow your doctor's directions. Do not take it more often than directed.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
Note: This medicine is only for you. Do not share this medicine with others.
What if I miss a dose?
It is important not to miss your dose. Call your doctor or health care professional if you are unable to keep an appointment.
What may interact with this medicine?
anthralin
coal tar
diuretics like hydrochlorothiazide
griseofulvin
medical dyes like methylene blue, toluidine blue, rose bengal, methyl orange
medicines for seizures like ethotoin, fosphenytoin, phenytoin
nalidixic acid
phenothiazines like chlorpromazine, mesoridazine, prochlorperazine, thioridazine
retinoids like bexarotene, tazarotene, tretinoin
some antibiotics like ciprofloxacin, sulfamethoxazole, tetracycline
some bacteriostatic soaps
This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What side effects may I notice from this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
changes in vision
depression
swelling of feet or hands
unusually weak or tired
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
dizziness
headache
increased sensitivity to the sun
itching, dry skin
leg cramps
nausea
nervous
skin thinning or wrinkles
trouble sleeping
This list may not describe all possible side effects.
What should I watch for while using this medicine?
Visit your doctor or health care professional for regular check ups. See your eye doctor regularly. Report any changes in your vision right away.
This medicine may increase your chance of getting cancer. Talk to your doctor about your risk. See a doctor for regular cancer checks as directed.
This medicine can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and use sunscreen. Do not use sun lamps or tanning beds/booths. Stay out of the sun for 24 hours before a UV treatment and at least 8 hours after taking this medicine, or as directed by your doctor.
For 24 hours after you take this medicine, wear wrap-around sunglasses that block all UV light whenever you can see any sunlight.
Do not switch between hard- and soft-gelatin capsules of this medicine. This may change the timing of your UV treatment.
Where should I keep this medicine?
Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from light. Keep container tightly closed. Throw away any unused medicine after the expiration date. .....
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| Paxil Cr (Paroxetine)
What is/are Paxil CR Tablets?
PAROXETINE is used to treat depression. It may also be used to treat anxiety disorders, obsessive compulsive disorder, panic attacks, post traumatic stress, and premenstrual dysphoric disorder (PMDD). This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
What should I tell my health care providers before I take this medicine?
They need to know if you have any of these conditions:
bipolar disorder or a family history of bipolar disorder
heart disease
kidney or liver disease
receiving electroconvulsive therapy
seizures (convulsions)
suicidal thoughts or a previous suicide attempt
an unusual or allergic reaction to paroxetine, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
breast-feeding
How should I use this medicine?
Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. You can take it with or without food. Do not crush or chew this medicine. Take your medicine at regular intervals. Do not take your medicine more often than directed. Do not stop taking except on your doctor's advice.
A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
Note: This medicine is only for you. Do not share this medicine with others.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
What may interact with this medicine?
Do not take this medicine with any of the following:
antacids
certain diet drugs like dexfenfluramine, fenfluramine, phentermine
MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
medicines similar to paroxetine like fluoxetine, sertraline, citalopram
phenothiazines like thioridazine
pimozide
procarbazine
St. John's wort
tryptophan
This medicine may also interact with the following:
aspirin and aspirin-like drugs
cimetidine
digoxin
fosamprenavir
linezolid
medicines for depression, anxiety, or psychotic disturbances
medicines for migraine headache like almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan
medicines that treat or prevent blood clots like warfarin, enoxaparin, and dalteparin
NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen
phenobarbital
phenytoin
procyclidine
ritonavir
theophylline
This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What side effects may I notice from this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
black or bloody stools, blood in the urine or vomit
fast, irregular heartbeat
hallucination, loss of contact with reality
painful or prolonged erection (men)
seizures
suicidal thoughts or other mood changes
trouble passing urine or change in the amount of urine
unusual bleeding or bruising
unusually weak or tired
vomiting
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
change in appetite, weight
change in sex drive or performance
constipation or diarrhea
difficulty sleeping
drowsy
headache
increased sweating
muscle pain or weakness
tremors
This list may not describe all possible side effects.
What should I watch for while using this medicine?
Visit your doctor or health care professional for regular checks on your progress. Continue to take your medicine even if you do not immediately feel better. It can take several weeks before you feel the full effect of this medicine.
Patients and their families should watch out for depression or thoughts of suicide that get worse. Also watch out for sudden or severe changes in feelings such as feeling anxious, agitated, panicky, irritable, hostile, aggressive, impulsive, severely restless, overly excited and hyperactive, or not being able to sleep. If this happens, especially at the beginning of antidepressant treatment or after a change in dose, call your health care professional.
If you have been taking this medicine regularly for some time, do not suddenly stop taking it. You must gradually reduce the dose or your symptoms may get worse. Ask your doctor or health care professional for advice.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol can increase or decrease the effects of this medicine. Avoid alcoholic drinks.
Do not treat yourself for coughs, colds or allergies without asking your doctor or health care professional for advice. Some ingredients can increase possible side effects.
Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water will help.
Where should I keep this medicine?
Keep out of the reach of children.
Store at or below 25 degrees C (77 degrees F). Throw away any unused medicine after the expiration date. .....
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| Singulair (Montelukast)
What are montelukast tablets or chewable tablets?
MONTELUKAST (Singulair®) helps to reduce asthma symptoms (coughing, wheezing, shortness of breath, or chest tightness) and control your asthma. It does not provide instant relief and cannot be used to treat a sudden asthma attack. It works only when used on a regular basis to help reduce inflammation and prevent asthma attacks. Montelukast is effective in adults and children. This drug is also helpful in improving seasonal allergies, like hay fever. Generic montelukast tablets or chewable tablets are not yet available.
What should I tell my health care provider before I take this medicine?
They need to know if you have any of these conditions:
• an acute asthma attack
• are on corticosteroid therapy, like prednisone or inhalers
• liver disease, like hepatitis
• phenylketonuria
• an unusual or allergic reaction to montelukast, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding
How should I use this medicine?
Take montelukast by mouth. You may take your tablets with food. Take montelukast every day at roughly the same time, even on days when you are not having asthma or allergy symptoms. Follow the directions on the prescription label. Do not take your medicine more often than directed.
Chewable tablets: If you are taking the chewable tablets, chew them well before swallowing with water. You may take your tablets with food. Take montelukast every day at roughly the same time, even on days when you are not having asthma or allergy symptoms. Follow the directions on the prescription label. Do not take your medicine more often than directed.
Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed. Montelukast chewable tablets are normally prescribed in children 2 years of age or older.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for the next dose, skip the previous dose. Do not use double or extra doses.
What drug(s) may interact with montelukast?
• carbamazepine
• cerivastatin
• paclitaxel
• phenobarbital
• phenytoin
• repaglinide
• rifabutin
• rifampin
• rosiglitazone
• troglitazone
Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.
What side effects may I notice from using montelukast?
Side effects that you should report to your prescriber or health care professional as soon as possible:
Rare or uncommon:
• a feeling of pins and needles or numbness of arms and legs
• dark brown or yellow urine
• diarrhea
• easy bruising or bleeding
• edema or swelling of the legs or ankles
• fatigue or weakness
• fever
• flu-like illness
• muscle aches or cramps
• seizure or convulsion
• skin rash and itching
• severe stomach pain
• swelling of the face, lips, tongue, and/or throat, which may cause difficulty in breathing or swallowing
• vomiting
• wheezing or continued coughing
• yellowing of the eyes or skin
Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
• cough
• difficulty sleeping
• dizziness
• drowsiness
• headache
• heartburn
• hoarseness or sore throat
• indigestion or stomach upset
• muscle aches or cramps
• nausea
• runny nose
• unusual dreams
What should I watch for while taking montelukast?
Montelukast is only used to help prevent asthma attacks; it is not used as a "quick-relief" medicine to treat an asthma attack. Therefore, you should always have your "quick-relief" medicine with you to treat an asthma attack. Talk with your prescriber about what you should do if you have an acute asthma attack.
Tell your prescriber or health care professional if your symptoms do not improve or if your asthma gets worse. If you find that your medicines become less effective in treating your asthma, you should contact your health care professional as soon as possible.
Do not to stop taking or decrease the use of your other asthma treatments, including steroids, when starting montelukast unless otherwise directed by their health care prescriber. Follow your prescriber's directions exactly.
Montelukast works best if you use it regularly even when you do not have asthma symptoms. Do not stop using your medication without your prescriber's advice.
If you are going to have surgery, tell your health care professional that you take montelukast.
Where can I keep my medicine?
Keep out of the reach of children.
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| Atacand-hctz (Candesartan Hydrochlorothiazide)
What is/are Atacand HCT?
CANDESARTAN; HYDROCHLOROTHIAZIDE is a combination of a drug that relaxes blood vessels and a diuretic. It is used to treat high blood pressure. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
What should I tell my health care providers before I take this medicine?
They need to know if you have any of these conditions:
decreased urine
if you are on a special diet, like a low salt diet
immune system problems, like lupus
kidney disease
liver disease
an unusual or allergic reaction to candesartan, hydrochlorothiazide, sulfa drugs, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
breast-feeding
How should I use this medicine?
Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. This medicine can be taken with or without food. Take your doses at regular intervals. Do not take your medicine more often than directed. Do not stop taking except on the advice of your doctor or health care professional.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
Note: This medicine is only for you. Do not share this medicine with others.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
What may interact with this medicine?
barbiturates like phenobarbital
corticosteroids. like prednisone
diabetic medicines
diuretics like triamterene, spironolactone, or amiloride
lithium
NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen
potassium salts or potassium supplements
prescription pain medicines
skeletal muscle relaxants like tubocurarine
some cholesterol lowering medicines like cholestyramine or colestipol
This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What side effects may I notice from this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
breathing problems
dark urine
fast or irregular heart beat, palpitations, or chest pain
feeling faint or lightheaded
muscle cramps
persistent dry cough
redness, blistering, peeling or loosening of the skin, including inside the mouth
stomach pain
trouble passing urine or change in the amount of urine
unusual bleeding or bruising
worsened gout pain
yellowing of the eyes or skin
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
change in sex drive or performance
headache
This list may not describe all possible side effects.
What should I watch for while using this medicine?
Visit your doctor or health care professional for regular checks on your progress. Check your blood pressure as directed. Ask your doctor or health care professional what your blood pressure should be and when you should contact him or her. Call your doctor or health care professional if you notice an irregular or fast heart beat.
You must not get dehydrated. Ask your doctor or health care professional how much fluid you need to drink a day. Check with him or her if you get an attack of severe diarrhea, nausea and vomiting, or if you sweat a lot. The loss of too much body fluid can make it dangerous for you to take this medicine.
Women should inform their doctor if they wish to become pregnant or think they might be pregnant. There is a potential for serious side effects to an unborn child, particularly in the second or third trimester. Talk to your health care professional or pharmacist for more information.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this drug affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol can make you more drowsy and dizzy. Avoid alcoholic drinks.
This medicine may affect your blood sugar level. If you have diabetes, check with your doctor or health care professional before changing the dose of your diabetic medicine.
Avoid salt substitutes unless you are told otherwise by your doctor or health care professional.
This medicine can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and use sunscreen. Do not use sun lamps or tanning beds/booths.
Do not treat yourself for coughs, colds, or pain while you are taking this medicine without asking your doctor or health care professional for advice. Some ingredients may increase your blood pressure.
Where should I keep this medicine?
Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Keep container tightly closed. Throw away any unused medicine after the expiration date. .....
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| Voltaren Xr (Diclofenac)
What is/are Voltaren XR?
DICLOFENAC is a non-steroidal anti-inflammatory drug (NSAID). It is used to reduce swelling and to treat pain. It is used for osteoarthritis and rheumatoid arthritis. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
What should I tell my health care providers before I take this medicine?
They need to know if you have any of these conditions:
asthma, especially aspirin sensitive asthma
coronary artery bypass graft (CABG) surgery within the past 2 weeks
drink more than 3 alcohol containing drinks a day
heart disease or circulation problems like heart failure or leg edema (fluid retention)
high blood pressure
kidney disease
liver disease
stomach bleeding or ulcers
an unusual or allergic reaction to diclofenac, aspirin, other NSAIDs, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
breast-feeding
How should I use this medicine?
Take this medicine by mouth with food and with a full glass of water. Do not crush or chew the medicine. Follow the directions on the prescription label. Take your medicine at regular intervals. Do not take your medicine more often than directed. Long-term, continuous use may increase the risk of heart attack or stroke.
A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Elderly patients over 65 years old may have a stronger reaction and need a smaller dose.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
Note: This medicine is only for you. Do not share this medicine with others.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
What may interact with this medicine?
Do not take this medicine with any of the following:
cidofovir
ketorolac
methotrexate
pemetrexed
This medicine may also interact with the following:
alcohol
aspirin and aspirin-like medicines
diuretics
lithium
medicines for high blood pressure
medicines that affect platelets
medicines that treat or prevent blood clots like warfarin
NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen
steroid medicines like prednisone or cortisone
This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What side effects may I notice from this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
black or bloody stools, blood in the urine or vomit
blurred vision
chest pain
difficulty breathing or wheezing
nausea or vomiting
slurred speech or weakness on one side of the body
unexplained weight gain or swelling
unusually weak or tired
yellowing of eyes or skin
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
constipation
diarrhea
dizziness
headache
heartburn
This list may not describe all possible side effects.
What should I watch for while using this medicine?
Tell your doctor or health care professional if your pain does not get better. Talk to your doctor before taking another medicine for pain. Do not treat yourself.
This medicine does not prevent heart attack or stroke. In fact, this medicine may increase the chance of a heart attack or stroke. The chance may increase with longer use of this medicine and in people who have heart disease. If you take aspirin to prevent heart attack or stroke, talk with your doctor or health care professional.
Do not take medicines such as ibuprofen and naproxen with this medicine. Side effects such as stomach upset, nausea, or ulcers may be more likely to occur. Many medicines available without a prescription should not be taken with this medicine.
This medicine can cause ulcers and bleeding in the stomach and intestines at any time during treatment. Do not smoke cigarettes or drink alcohol. These increase irritation to your stomach and can make it more susceptible to damage from this medicine. Ulcers and bleeding can happen without warning symptoms and can cause death.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells.
This medicine can cause you to bleed more easily. Try to avoid damage to your teeth and gums when you brush or floss your teeth.
Where should I keep this medicine?
Keep out of the reach of children.
Store at room temperature below 30 degrees C (86 degrees F). Protect from moisture. Keep container tightly closed. Throw away any unused medicine after the expiration date. .....
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| Vospire Cr (Albuterol (salbutamol))
What is/are VoSpire?
ALBUTEROL is a bronchodilator. It helps open up the airways in your lungs to make it easier to breathe. This medicine is used to treat and to prevent bronchospasm. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
What should I tell my health care providers before I take this medicine?
They need to know if you have any of the following conditions:
diabetes
heart disease or irregular heartbeat
high blood pressure
pheochromocytoma
seizures
thyroid disease
an unusual or allergic reaction to albuterol, levalbuterol, sulfites, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
breast-feeding
How should I use this medicine?
Take this medicine by mouth. Follow the directions on the prescription label. If this medicine upsets your stomach, take it with food or milk. Do not crush or chew extended-release tablets. Do not take more often than directed.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
Note: This medicine is only for you. Do not share this medicine with others.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
What may interact with this medicine?
anti-infectives like chloroquine and pentamidine
caffeine
cisapride
diuretics
medicines for colds
medicines for depression or for emotional or psychotic conditions
medicines for weight loss including some herbal products
methadone
some antibiotics like clarithromycin, erythromycin, levofloxacin, and linezolid
some heart medicines
steroid hormones like dexamethasone, cortisone, hydrocortisone
theophylline
thyroid hormones
This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What side effects may I notice from this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
breathing problems
chest pain
feeling faint or lightheaded, falls
high blood pressure
irregular heartbeat
fever
muscle cramps or weakness
pain, tingling, numbness in the hands or feet
vomiting
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
cough
diarrhea
difficulty sleeping
fast heartbeat
headache
nervousness, trembling
stuffy or runny nose
upset stomach
This list may not describe all possible side effects.
What should I watch for while using this medicine?
Tell your doctor or health care professional if your symptoms do not improve. Do not take extra doses. If your asthma or bronchitis gets worse while you are using this medicine, call your doctor right away.
If your mouth gets dry try chewing sugarless gum or sucking hard candy. Drink water as directed.
Where should I keep this medicine?
Keep out of the reach of children.
Store Volmax tablets in the refrigerator (36 to 46 degrees F). Other tablets may be stored at room temperature (59 to 86 degrees F), check the packaging or ask your pharmacist. Keep container closed tightly. Throw away any unused medicine after the expiration date. .....
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| Vibramycin (Doxycycline)
What is/are Doxycycline Tablets ?
DOXYCYCLINE is a tetracycline antibiotic. It kills certain bacteria or stops their growth. It is used to treat many kinds of infections, like dental, skin, respiratory, and urinary tract infections. It also treats acne, Lyme disease, malaria, and certain sexually transmitted infections. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
What should I tell my health care providers before I take this medicine?
They need to know if you have any of these conditions:
liver disease
long exposure to sunlight like working outdoors
stomach problems like colitis
an unusual or allergic reaction to doxycycline, tetracycline antibiotics, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
breast-feeding
How should I use this medicine?
Take this medicine by mouth with a full glass of water. Follow the directions on the prescription label. It is best to take this medicine without food, but if it upsets your stomach take it with food. Take your medicine at regular intervals. Do not take your medicine more often than directed. Take all of your medicine as directed even if you think you are better. Do not skip doses or stop your medicine early.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed. While this drug may be prescribed for children as young as 8 years old for selected conditions, precautions do apply.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
Note: This medicine is only for you. Do not share this medicine with others.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
What may interact with this medicine?
antacids
barbiturates
birth control pills
bismuth subsalicylate
carbamazepine
methoxyflurane
other antibiotics
phenytoin
vitamins that contain iron
warfarin
This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What side effects may I notice from this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
difficulty breathing
fever
itching in the rectal or genital area
pain on swallowing
redness, blistering, peeling or loosening of the skin, including inside the mouth
severe stomach pain or cramps
unusual bleeding or bruising
unusually weak or tired
yellowing of the eyes or skin
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
diarrhea
loss of appetite
nausea, vomiting
This list may not describe all possible side effects.
What should I watch for while using this medicine?
Tell your doctor or health care professional if your symptoms do not improve.
Do not treat diarrhea with over the counter products. Contact your doctor if you have diarrhea that lasts more than 2 days or if it is severe and watery.
Do not take this medicine just before going to bed. It may not dissolve properly when you lay down and can cause pain in your throat. Drink plenty of fluids while taking this medicine to also help reduce irritation in your throat.
This medicine can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and use sunscreen. Do not use sun lamps or tanning beds/booths.
Birth control pills may not work properly while you are taking this medicine. Talk to your doctor about using an extra method of birth control.
If you are being treated for a sexually transmitted infection, avoid sexual contact until you have finished your treatment. Your sexual partner may also need treatment.
Avoid antacids, aluminum, calcium, magnesium, and iron products for 4 hours before and 2 hours after taking a dose of this medicine.
If you are using this medicine to prevent malaria, you should still protect yourself from contact with mosquitos. Stay in screened-in areas, use mosquito nets, keep your body covered, and use an insect repellent.
Where should I keep this medicine?
Keep out of the reach of children.
Store at room temperature, below 30 degrees C (86 degrees F). Protect from light. Keep container tightly closed. Throw away any unused medicine after the expiration date. Taking this medicine after the expiration date can make you seriously ill. .....
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| Phenergan (Promethazine)
Generic Phenergan (PROMETHAZINE) is a phenothiazine used to treat or prevent nausea, vomiting, or motion sickness. It may also be used to treat allergic conditions and other conditions as determined by your doctor. .....
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| Theolair Cr (Theophylline)
What is/are Theophylline?
THEOPHYLLINE is a bronchodilator. It helps open up the airways in your lungs to make it easier to breathe. This medicine is used to treat the symptoms of asthma, bronchitis, and emphysema. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
What should I tell my health care providers before I take this medicine?
They need to know if you have any of these conditions:
heart disease
if you smoke
irregular heartbeat
liver disease
seizures
stomach problems like ulcers
thyroid disease
an unusual or allergic reaction to theophylline, aminophylline, caffeine, theobromine, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
breast-feeding
How should I use this medicine?
Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. Take this medicine on an empty stomach, at least 1 hour before eating. Do not crush or chew. Take your doses at the same time each day. Do not take your medicine more often than directed. Do not stop taking except on your doctor's advice.
Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for selected conditions, precautions do apply.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
Note: This medicine is only for you. Do not share this medicine with others.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
What may interact with this medicine?
adenosine
allopurinol
aminoglutethimide
caffeine
cimetidine
disulfiram
ephedrine
fluvoxamine
interferon
isoproterenol
lithium
medicines for anxiety or sleep
medicines for colds and breathing difficulties
methotrexate
pentoxifylline
some antibiotics or anti infectives
some medicines for irregular heart rhythms
some medicines for treating seizures
some medicines used during surgery
sulfinpyrazone
tacrine
This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What side effects may I notice from this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
fast or irregular breathing or heartbeat
feeling faint or lightheaded, falls
fever, infection
nausea, vomiting
seizures
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
anxiety, irritable, restless
diarrhea
headache
increased need to pass urine
tremors
trouble sleeping
This list may not describe all possible side effects.
What should I watch for while using this medicine?
Visit your doctor or health care professional for regular checks on your progress. Your doctor or health care professional may schedule regular blood tests, especially at first. Tell your doctor if your symptoms do not improve or if they get worse.
There are many different brands of this medicine. Do not change your brand without checking with your health care professional. Different brands of this medicine may act differently in your body.
Tell all of your doctors that you are taking this medicine. Talk to your doctor before you start or stop ANY over-the-counter or prescription medicines. Also talk to your health care professional about foods that affect this medicine, like chocolate, coffee, teas and charcoal-broiled foods. If you smoke tobacco or marijuana you may affect the level of this medicine in your body. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.
Where should I keep this medicine?
Keep out of the reach of children.
Store at room temperature below 25 degrees C (77 degrees F). Keep container tightly closed. Protect from light and moisture. Throw away any unused medicine after the expiration date. .....
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| Cipro (Ciprofloxacin)
Generic Cipro (CIPROFLOXACIN) is a fluoroquinolone antibiotic used to treat bacterial infections.This drug treats many kinds of infections of different organs. It also treats certain sexually transmitted diseases .....
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| Diltia Er (Diltiazem Hcl)
What is/are Diltiazem Tablets?
DILTIAZEM is a calcium-channel blocker. It affects the amount of calcium found in your heart and muscle cells. This relaxes your blood vessels, which can reduce the amount of work the heart has to do. This medicine is used to treat chest pain caused by angina. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
What should I tell my health care providers before I take this medicine?
They need to know if you have any of these conditions:
heart problems, low blood pressure, irregular heartbeat
liver disease
previous heart attack
an unusual or allergic reaction to diltiazem, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
breast-feeding
How should I use this medicine?
Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. This medicine is usually taken before meals and at bedtime. Take your doses at regular intervals. Do not take your medicine more often then directed. Do not stop taking except on the advice of your doctor or health care professional.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
Note: This medicine is only for you. Do not share this medicine with others.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
What may interact with this medicine?
Do not take this medicine with any of the following:
cisapride
hawthorn
pimozide
ranolazine
red yeast rice
This medicine may also interact with the following:
buspirone
carbamazepine
cimetidine
cyclosporine
digoxin
local anesthetics or general anesthetics
lovastatin
medicines for anxiety or difficulty sleeping like midazolam and triazolam
medicines for high blood pressure or heart problems
quinidine
rifampin, rifabutin, or rifapentine
This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What side effects may I notice from this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
confusion, mental depression
feeling faint or lightheaded, falls
irregular heartbeat
pinpoint red spots on the skin
redness, blistering, peeling or loosening of the skin, including inside the mouth
slow heartbeat, irregular heartbeat
swelling of the ankles, feet
unusual bleeding or bruising
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
change in sex drive or performance
constipation or diarrhea
flushing of the face
headache
nausea, vomiting
tired or weak
trouble sleeping
This list may not describe all possible side effects.
What should I watch for while using this medicine?
Check your blood pressure and pulse rate regularly. Ask your doctor or health care professional what your blood pressure and pulse rate should be and when you should contact him or her.
You may feel dizzy or lightheaded. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. To reduce the risk of dizzy or fainting spells, do not sit or stand up quickly, especially if you are an older patient. Alcohol can make you more dizzy or increase flushing and rapid heartbeats. Avoid alcoholic drinks.
Where should I keep this medicine?
Keep out of the reach of children.
Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Protect from light. Keep container tightly closed. Throw away any unused medicine after the expiration date. .....
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| Renagel (Sevelamer Hydrochloride)
What is/are Renagel?
SEVELAMER is a polymer. It binds phosphates in the stomach and prevents them from being absorbed into the body. This medicine is used in patients with chronic kidney disease on dialysis to prevent dangerous increases in phosphates. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
What should I tell my health care providers before I take this medicine?
They need to know if you have any of these conditions:
difficulty swallowing
bowel obstruction
stomach surgery or disorder
an unusual or allergic reaction to sevelamer, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
breast-feeding
How should I use this medicine?
Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. Take with meals. Do not crush, chew or break open your dose. Take your medicine at regular intervals. Do not take your medicine more often than directed. Do not stop taking except on your doctor's advice.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
Note: This medicine is only for you. Do not share this medicine with others.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
What may interact with this medicine?
Do not take this medicine with any of the following:
phosphorus containing product or supplement
This medicine may also interact with the following:
ciprofloxacin
medicines for an irregular heartbeat
medicines for seizure control
This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What side effects may I notice from this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
confusion, irritability
difficulty breathing
fever, infection
low or high blood pressure
unusually weak or tired
vomiting
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
cough
diarrhea or constipation
headache
pain
stomach upset, nausea
This list may not describe all possible side effects.
What should I watch for while using this medicine?
Visit your Doctor or health care professional for regular check ups. Follow the diet as directed by your doctor.
If you are taking other medications, take them at least 1 hour before or 3 hours after taking this medicine.
Where should I keep this medicine?
Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from moisture. Throw away any unused medicine after the expiration date. .....
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| Femcare (Clotrimazole)
What is/are Clotrimazole?
CLOTRIMAZOLE is an antifungal. It is used to treat ringworm and infections like jock itch and athlete's foot. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
What should I tell my health care providers before I take this medicine?
They need to know if you have any of these conditions:
an unusual or allergic reaction to clotrimazole, other antifungals or medicines, foods, dyes or preservatives
pregnant or trying to get pregnant
breast-feeding
How should I use this medicine?
This medicine is for external use only. Do not take by mouth. Follow the directions on the prescription label. Wash your hands before and after use. If treating a hand or nail infection, wash hands before use only. Apply a thin layer to the affected area and a small amount to the surrounding area. Rub in gently. Do not get this medicine in your eyes. If you do, rinse out with plenty of cool tap water. Use this medicine at regular intervals. Do not use more often than directed. Finish the full course prescribed by your doctor or health care professional even if you think you are better. Do not stop using except on your doctor's advice.
Talk to your pediatrician regarding the use of this medicine in children. While this drug has been used in young children for selected conditions, precautions do apply.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
Note: This medicine is only for you. Do not share this medicine with others.
What if I miss a dose?
If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose. Do not use double or extra doses.
What may interact with this medicine?
amphotericin b
topical products that have nystatin
This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What side effects may I notice from this medicine?
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
skin irritation, burning
This list may not describe all possible side effects.
What should I watch for while using this medicine?
Tell your doctor or health care professional if your symptoms do not start to improve after 7 days. Do not self-medicate for more than one week.
If you are using this medicine for 'jock itch' be sure to dry the groin completely after bathing. Do not wear underwear that is tight-fitting or made from synthetic fibers like rayon or nylon. Wear loose-fitting, cotton underwear.
If you are using this medicine for athlete's foot be sure to dry your feet carefully after bathing, especially between the toes. Do not wear socks made from wool or synthetic materials like rayon or nylon. Wear clean cotton socks and change them at least once a day, change them more if your feet sweat a lot. Also, try to wear sandals or shoes that are well-ventilated.
Where should I keep this medicine?
Keep out of the reach of children.
Store at room temperature between 2 to 30 degrees C (36 to 86 degrees F). Do not freeze. Throw away any unused medicine after the expiration date. ,What is/are Clotrimazole?
CLOTRIMAZOLE is an antifungal. It is used to treat ringworm and infections like jock itch and athlete's foot. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
What should I tell my health care providers before I take this medicine?
They need to know if you have any of these conditions:
an unusual or allergic reaction to clotrimazole, other antifungals or medicines, foods, dyes or preservatives
pregnant or trying to get pregnant
breast-feeding
How should I use this medicine?
This medicine is for external use only. Do not take by mouth. Follow the directions on the prescription label. Wash your hands before and after use. If treating a hand or nail infection, wash hands before use only. Apply a thin layer to the affected area and a small amount to the surrounding area. Rub in gently. Do not get this medicine in your eyes. If you do, rinse out with plenty of cool tap water. Use this medicine at regular intervals. Do not use more often than directed. Finish the full course prescribed by your doctor or health care professional even if you think you are better. Do not stop using except on your doctor's advice.
Talk to your pediatrician regarding the use of this medicine in children. While this drug has been used in young children for selected conditions, precautions do apply.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
Note: This medicine is only for you. Do not share this medicine with others.
What if I miss a dose?
If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose. Do not use double or extra doses.
What may interact with this medicine?
amphotericin b
topical products that have nystatin
This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What side effects may I notice from this medicine?
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
skin irritation, burning
This list may not describe all possible side effects.
What should I watch for while using this medicine?
Tell your doctor or health care professional if your symptoms do not start to improve after 7 days. Do not self-medicate for more than one week.
If you are using this medicine for 'jock itch' be sure to dry the groin completely after bathing. Do not wear underwear that is tight-fitting or made from synthetic fibers like rayon or nylon. Wear loose-fitting, cotton underwear.
If you are using this medicine for athlete's foot be sure to dry your feet carefully after bathing, especially between the toes. Do not wear socks made from wool or synthetic materials like rayon or nylon. Wear clean cotton socks and change them at least once a day, change them more if your feet sweat a lot. Also, try to wear sandals or shoes that are well-ventilated.
Where should I keep this medicine?
Keep out of the reach of children.
Store at room temperature between 2 to 30 degrees C (36 to 86 degrees F). Do not freeze. Throw away any unused medicine after the expiration date. .....
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| Mestinon (Pyridostigmine Bromide)
What is/are Mestinon Tablets?
PYRIDOSTIGMINE can help with muscle strength. It is used to treat myasthenia gravis. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
What should I tell my health care providers before I take this medicine?
They need to know if you have any of these conditions:
asthma
difficulty passing urine
heart disease
infection in abdomen, peritonitis
irregular, slow heartbeat
kidney disease
seizures
stomach obstruction or ulcers
thyroid disease
vagotonia
an unusual or allergic reaction to pyridostigmine, bromides, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
breast-feeding
How should I use this medicine?
Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. Take your medicine at regular intervals. Do not take your medicine more often than directed. Do not stop taking except on your doctor's advice.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
Note: This medicine is only for you. Do not share this medicine with others.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
What may interact with this medicine?
Do not take this medicine with any of the following:
other medicines for myasthenia gravis like neostigmine
quinine
This medicine may also interact with the following:
atropine
bethanechol
disopyramide
edrophonium
guanadrel
guanethidine
mecamylamine
medicines that block muscle or nerve pain
This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What side effects may I notice from this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
breathing problems
changes in vision
muscle cramps, spasm
slow or irregular heartbeat
stomach cramps, pain
unusually weak or tired
vomiting
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
diarrhea, especially at start of treatment
increased saliva
increased sweating
nausea
This list may not describe all possible side effects.
What should I watch for while using this medicine?
Visit your doctor or health care professional for regular checks on your progress. Tell your doctor if your symptoms do not improve or if they get worse.
Wear a medical ID bracelet or chain, and carry a card that describes your disease and details of your medicine and dosage times. Where should I keep this medicine?
Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Keep container tightly closed. Throw away any unused medicine after the expiration date. .....
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| Ponstel (Mefenamic Acid)
Generic Ponstel (MEFENAMIC ACID) is a Nonsteroidal Anti-Inflammatory drug (NSAID) used to relieve pain caused by sprains, strains, or menstrual cramps. It is also used to treat other conditions as determined by your doctor. .....
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| Videx Ec (Didanosine)
What is/are Videx EC?
DIDANOSINE, ddI is an antiretroviral drug. It is used with other medicines to treat HIV. This medicine is not a cure for HIV. It will not stop the spread of HIV to others. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
What should I tell my health care providers before I take this medicine?
They need to know if you have any of these conditions:
gout
if you frequently drink alcohol containing drinks
kidney disease
liver disease
pancreatitis
tingling or numbness in the hands or feet
an unusual or allergic reaction to didanosine, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
breast-feeding
How should I use this medicine?
Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. Take this medicine on an empty stomach, at least 30 minutes before or 2 hours after food. Do not take with food. Do not chew or crush. Take your medicine at regular intervals. Do not take your medicine more often than directed. For your anti-HIV therapy to work as well as possible, take each dose exactly as prescribed. Do not skip doses or stop your medicine even if you feel better. Skipping doses may make the HIV virus resistant to this medicine and other medicines. Do not stop taking except on your doctor's advice.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
Note: This medicine is only for you. Do not share this medicine with others.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
What may interact with this medicine?
Do not take this medicine with the following medication:
zalcitabine, ddC
This medicine may also interact with the following:
allopurinol
delavirdine
ganciclovir
hydroxyurea
indinavir
itraconazole
ketoconazole
methadone
ribavirin
some antibiotics like ciprofloxacin, levofloxacin, tetracycline
stavudine, d4T
tenofovir
This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What side effects may I notice from this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
changes in vision
nausea, vomiting, unusual stomach upset or pain
tingling, pain or numbness in the hands or feet
unusual bleeding or bruising
unusually weak or tired
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
diarrhea
dry mouth or eyes
headache
heartburn or gas
loss of appetite
muscle pain
skin rash
weight gain around waist, back, or thinning of face, arms, legs
This list may not describe all possible side effects.
What should I watch for while using this medicine?
Visit your doctor or health care professional for regular check ups. Discuss any new symptoms with your doctor. You will need to have important blood work done while on this medicine.
HIV is spread to others through sexual or blood contact. Talk to your doctor about how to stop the spread of HIV.
Do not treat severe stomach pain, nausea or vomiting with over-the-counter medicines. Contact your doctor.
Alcohol can increase the risk of developing severe side effects when taken with this medicine. Avoid alcoholic drinks.
Where should I keep this medicine?
Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date. .....
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| Rheumatrex (Methotrexate)
What are methotrexate tablets?
METHOTREXATE (Rheumatrex®) is a chemotherapy agent that is used to treat certain kinds of cancer and other diseases. Methotrexate tablets are commonly used to treat inflammatory conditions such as rheumatoid arthritis and psoriasis. Methotrexate affects cells that are rapidly growing such as cancer cells, cells of psoriasis, and cells in your mouth and stomach. Methotrexate is used in treating a number of cancers including leukemias, lymphoma, breast cancer, and others. Generic methotrexate tablets are available.
What should I tell my health care provider before I take this medicine?
They need to know if you have any of these conditions:
• If you are HIV-positive or have acquired immunodeficiency syndrome (AIDS)
• If you frequently drink alcohol-containing beverages
• bleeding or blood disorders
• cold sores or previous chickenpox or shingles infection
• gout
• an active infection
• kidney disease, including a history of kidney stones
• liver disease
• lung disease
• recent radiation therapy or sunburn
• stomach or intestinal disease or obstruction
• ulcerative colitis
• an unusual or allergic reaction to methotrexate, other chemotherapy, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding
How should I take this medicine?
Take methotrexate tablets by mouth. Follow the directions on the prescription label. Swallow the tablets with a drink of water. Do not take your medicine more often than directed. Finish the full course prescribed by your doctor or health care professional, even if the tablets make you feel unwell. Do not stop taking except on your prescriber's advice.
The dose of methotrexate and how often it will be given may be different depending upon your disease and other medicines you are taking. If you have questions about the proper dose of your medicine, ask your prescriber or other health care professional.
What if I miss a dose?
If you miss a dose, skip that dose unless you remember within an hour or two, or your prescriber or health care professional tells you otherwise. Do not take double or extra doses. If you vomit after taking a dose, call your prescriber or health care professional for advice.
What drug(s) may interact with methotrexate?
• anti-inflammatory drugs (NSAIDs, such as ibuprofen)
• antibiotics and other medicines for infections
• aspirin and aspirin-like medicines including bismuth subsalicylate (e.g. Pepto-Bismol®)
• cholestyramine
• dapsone
• leucovorin
• medicines for diabetes
• pemetrexed
• phenytoin or fosphenytoin
• probenecid
• pyrimethamine
• trimetrexate
• vaccines
Tell your prescriber or health care professional about all other medicines that you are taking, including nonprescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.
What side effects may I notice from taking methotrexate tablets?
Side effects will vary depending on the condition for which you are being treated, the dose, and the length of time you are taking methotrexate. If you want more information on possible side effects, ask your prescriber or health care professional to discuss this with you.
Side effects that you should report to your prescriber or health care professional as soon as possible:
• symptoms of infection - fever or chills, cough, sore throat, pain or difficulty passing urine
• symptoms of decreased platelets or bleeding - bruising, pinpoint red spots on the skin, black, tarry stools, blood in the urine
• symptoms of decreased red blood cells (anemia) - unusual weakness or tiredness, fainting spells, lightheadedness
• diarrhea
• difficulty breathing, a non-productive cough
• mouth and throat ulcers
• redness, blistering, peeling or loosening of the skin, including inside the mouth
• skin rash, hives, or itching
• changes in vision
• vomiting
• yellow coloring of skin or eyes
Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
• hair loss
• increased sensitivity to sun and ultraviolet light
• loss of appetite
• nausea
What should I watch for while taking methotrexate tablets?
Visit your prescriber or health care professional for checks on your progress. You will need to have regular blood checks. The side effects of methotrexate can continue after you finish your treatment; report side effects promptly. It may take several weeks before you see an improvement in your rheumatoid arthritis or psoriasis.
Avoid alcohol-containing beverages while taking methotrexate. Methotrexate therapy for rheumatoid arthritis and psoriasis may cause damage to your liver. Your prescriber or health care professional will closely monitor your liver function while you are taking methotrexate. You may need to have a liver sample (a biopsy) taken before you receive methotrexate and during your therapy for rheumatoid arthritis or psoriasis.
Methotrexate may make you feel generally unwell. This is because methotrexate affects good cells as well as the disease cells. Report any side effects as above, but continue your course of medicine even though you feel ill, unless your prescriber or health care professional tells you to stop.
Methotrexate may decrease your body's ability to fight infections. Call your prescriber or health care professional if you have a fever, chills, sore throat or other symptoms of a cold or flu. Do not treat these symptoms yourself. Try to avoid being around people who are sick.
Methotrexate may harm your unborn baby. You should contact your prescriber immediately if you believe or suspect you or your partner have become pregnant while you are taking methotrexate. Both men and women must use effective birth control continuously while taking methotrexate. It is recommended that you use 2 reliable forms of contraception together. Men should continue to use contraception for at least 3 months after stopping methotrexate therapy. Women should continue to use contraception until after their first normal menstrual cycle after stopping methotrexate therapy.
If you are going to have surgery or dental work, tell your surgeon, dentist, or health care professional that you are taking methotrexate.
Methotrexate may cause you to more sensitive to the sun. Also methotrexate may cause a previous sunburn or radiation therapy reaction to reappear. Keep out of the sun, or wear protective clothing outdoors and use a sunscreen. Do not use sun lamps or sun tanning beds or booths.
Where can I keep my medicine?
Keep out of the 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). Protect from light. Throw away any unused medicine after the expiration date.
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