Saturday 31 March 2012

cefaclor


Generic Name: cefaclor (CEF a klor)

Brand names: Raniclor, Ceclor, Ceclor Pulvules, Ceclor CD


What is cefaclor?

Cefaclor is in a group of drugs called cephalosporin (SEF a low spor in) antibiotics. It works by fighting bacteria in your body.


Cefaclor is used to treat many different types of infections caused by bacteria.


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


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


Do not take this medication if you are allergic to cefaclor, or to similar antibiotics, such as Ceftin, Cefzil, Keflex, Omnicef, and others.

Before taking this medication, tell your doctor if you are allergic to any drugs (especially penicillin). Also tell your doctor if you have kidney disease or a history of intestinal problems.


Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Cefaclor will not treat a viral infection such as the common cold or flu.

Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or has blood in it, call your doctor. Do not use any medicine to stop the diarrhea unless your doctor has told you to.


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


Do not take this medication if you are allergic to cefaclor or to other cephalosporin antibiotics, such as:

  • cefadroxil (Duricef);




  • cefazolin (Ancef);




  • cefdinir (Omnicef);




  • cefditoren (Spectracef);




  • cefpodoxime (Vantin);




  • cefprozil (Cefzil);




  • ceftibuten (Cedax);




  • cefuroxime (Ceftin);




  • cephalexin (Keflex); or




  • cephradine (Velosef); and others.



Before taking cefaclor, tell your doctor if you are allergic to any drugs (especially penicillins), or if you have:



  • kidney disease (or if you are on dialysis); or




  • a history of intestinal problems, such as colitis.



If you have any of these conditions, you may need a dose adjustment or special tests to safely take cefaclor.


FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Cefaclor may pass into breast milk and could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

The cefaclor suspension (liquid) contains sucrose. Talk to your doctor before using this form of cefaclor if you have diabetes.


How should I take cefaclor?


Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.


Take this medicine with a full glass of water. Cefaclor works best if you take it with a meal or within 30 minutes of a meal.

The cefaclor chewable tablet must be chewed before you swallow it.


Do not crush, chew, or break an extended-release tablet. Swallow the pill whole. Breaking the pill may cause too much of the drug to be released at one time. Shake the oral suspension (liquid) well just before you measure a dose. To be sure you get the correct dose, measure the liquid with a marked measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

This medication can cause you to have false results with certain medical tests, including urine glucose (sugar) tests. Tell any doctor who treats you that you are using cefaclor.


Take cefaclor for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Cefaclor will not treat a viral infection such as the common cold or flu. Store the tablets and capsules at room temperature away from moisture and heat. Store cefaclor oral liquid in the refrigerator. Do not allow it to freeze. Throw away any unused medication that is older than 14 days.

What happens if I miss a dose?


Take the medication as soon as you remember the missed dose. If it is almost time for your next dose, skip the missed dose and use the medicine at your next regularly scheduled time. Do not use extra medicine to make up the missed dose.


What happens if I overdose?


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

Overdose symptoms may include nausea, vomiting, stomach pain, and diarrhea.


What should I avoid while taking cefaclor?


Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or has blood in it, call your doctor. Do not use any medicine to stop the diarrhea unless your doctor has told you to.


Cefaclor side effects


Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:

  • diarrhea that is watery or bloody;




  • easy bruising or bleeding, severe tingling, numbness, pain, muscle weakness;




  • unusual bleeding;




  • seizure (convulsions);




  • pale or yellowed skin, dark colored urine, fever, confusion or weakness;




  • jaundice (yellowing of the skin or eyes);




  • fever, chills, body aches, flu symptoms, swollen glands, rash or itching, joint pain, or general ill feeling;




  • fever, sore throat, and headache with a severe blistering, peeling, and red skin rash; or




  • increased thirst, loss of appetite, swelling, weight gain, feeling short of breath, urinating less than usual or not at all.



Less serious side effects may include:



  • nausea, vomiting, stomach pain, mild diarrhea;




  • stiff or tight muscles;




  • feeling restless or hyperactive;




  • unusual or unpleasant taste in your mouth;




  • mild itching or skin rash;




  • dizziness, drowsiness; or




  • vaginal itching or discharge.



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


Cefaclor Dosing Information


Usual Adult Dose for Bronchitis:

Acute bacterial exacerbation of chronic bronchitis or secondary bacterial infection of acute bronchitis:
Immediate-release: 250 to 500 mg orally every 8 hours
Extended-release: 500 mg orally every 12 hours with food
Duration: 7 days

Usual Adult Dose for Otitis Media:

Immediate-release: 250 to 500 mg orally every 8 hours for 10 to 14 days

Usual Adult Dose for Pneumonia:

Mild to moderate:
Immediate-release: 500 mg orally every 8 hours for 10 to 21 days

Usual Adult Dose for Pyelonephritis:

Mild to moderate:
Immediate-release: 500 mg orally every 8 hours for 14 days

Usual Adult Dose for Sinusitis:

Immediate-release: 250 to 500 mg orally every 8 hours for 10 to 14 days
Extended-release: 375 mg orally every 12 hours with food
Duration: 10 to 14 days. Longer courses of therapy, sometimes 3 to 4 weeks, may be required for refractory or recurrent cases.

Usual Adult Dose for Skin or Soft Tissue Infection:

Uncomplicated:
Immediate-release: 250 to 500 mg orally every 8 hours
Extended-release: 375 mg orally every 12 hours with food
Duration: 7 to 10 days

Usual Adult Dose for Tonsillitis/Pharyngitis:

Immediate-release: 250 to 500 mg orally every 8 hours
Extended-release: 375 mg orally every 12 hours with food
Duration: 10 days

Usual Adult Dose for Upper Respiratory Tract Infection:

Mild to moderate:
Immediate-release: 250 to 500 mg orally every 8 hours for 10 days
Extended-release: 375 mg orally every 12 hours with food
Duration: 10 days

Usual Adult Dose for Urinary Tract Infection:

Immediate-release: 250 to 500 mg orally every 8 hours for 3 to 10 days

Usual Pediatric Dose for Otitis Media:

1 month or older:
Immediate-release: 20 to 40 mg/kg/day orally in divided doses every 8 or 12 hours; do not exceed 1 g/day
Duration: At least 10 days

Usual Pediatric Dose for Tonsillitis/Pharyngitis:

1 month or older:
Immediate-release: 20 to 40 mg/kg/day orally in divided doses every 8 or 12 hours; do not exceed 1 g/day
Duration: At least 10 days

Usual Pediatric Dose for Cystitis:

1 month or more:
Immediate-release: 20 to 40 mg/kg/day orally in divided doses every 8 or 12 hours; do not exceed 1 g/day

Usual Pediatric Dose for Pneumonia:

1 month or more:
Immediate-release: 20 to 40 mg/kg/day orally in divided doses every 8 or 12 hours; do not exceed 1 g/day

Usual Pediatric Dose for Pyelonephritis:

1 month or more:
Immediate-release: 20 to 40 mg/kg/day orally in divided doses every 8 or 12 hours; do not exceed 1 g/day

Usual Pediatric Dose for Urinary Tract Infection:

1 month or more:
Immediate-release: 20 to 40 mg/kg/day orally in divided doses every 8 or 12 hours; do not exceed 1 g/day

Usual Pediatric Dose for Skin and Structure Infection:

1 month or more:
Immediate-release: 20 to 40 mg/kg/day orally in divided doses every 8 or 12 hours; do not exceed 1 g/day


What other drugs will affect cefaclor?


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



  • probenecid (Benemid); or




  • a blood thinner such as warfarin (Coumadin);



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



More cefaclor resources


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


  • cefaclor Prescribing Information (FDA)

  • Cefaclor Professional Patient Advice (Wolters Kluwer)

  • Cefaclor Monograph (AHFS DI)

  • Cefaclor MedFacts Consumer Leaflet (Wolters Kluwer)



Compare cefaclor with other medications


  • Bladder Infection
  • Bronchitis
  • Kidney Infections
  • Otitis Media
  • Pneumonia
  • Sinusitis
  • Skin and Structure Infection
  • Skin Infection
  • Tonsillitis/Pharyngitis
  • Upper Respiratory Tract Infection
  • Urinary Tract Infection


Where can I get more information?


  • Your pharmacist can provide more information about cefaclor.

See also: cefaclor side effects (in more detail)


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Multiple Sclerosis Medications


Definition of Multiple Sclerosis: A disorder of the brain and spinal cord (central nervous system) caused by progressive damage to the outer covering of nerve cells (myelin). This results in decreased nerve functioning which can lead to a variety of symptoms.

Drugs associated with Multiple Sclerosis

The following drugs and medications are in some way related to, or used in the treatment of Multiple Sclerosis. This service should be used as a supplement to, and NOT a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners.

See sub-topics

Topics under Multiple Sclerosis

  • Encephalomyelitis, Acute Disseminated (0 drugs)

  • Spasticity (8 drugs in 2 topics)

Learn more about Multiple Sclerosis

Micromedex Care Notes:

  • Multiple Sclerosis

Medical Encyclopedia:

  • Multiple sclerosis

Harvard Health Guide:

  • Symptoms and treatment for Multiple Sclerosis




Drug List:

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Tuesday 27 March 2012

Sodium Cromoglicate 2% w / v Eye Drops





1. Name Of The Medicinal Product



Sodium Cromoglicate 2% w/v Eye Drops


2. Qualitative And Quantitative Composition



Sodium Cromoglicate 2% w/v



3. Pharmaceutical Form



Eye drops, solution.



A clear, colourless solution.



4. Clinical Particulars



4.1 Therapeutic Indications



The prevention and treatment of acute, seasonal and perennial allergic conjunctivitis.



4.2 Posology And Method Of Administration



Adults, Elderly & Children : One or two drops into each eye up to four times a day.



4.3 Contraindications



Patients with known hypersensitivity to any of the ingredients.



4.4 Special Warnings And Precautions For Use



This formulation of Sodium Cromoglicate Eye Drops contains benzalkonium chloride as a preservative. Benzalkonium chloride may be deposited in soft contact lenses. Hence, Sodium Cromoglicate Eye Drops should not be used while wearing these lenses. The lenses should be removed before instillation of the drops and not reinserted earlier than 15 minutes after use.



Patients should also be instructed that ocular solutions, if handled improperly can become contaminated by common bacteria known to cause ocular infections. Serious damage to the eye and subsequent loss of vision may result from using contaminated solutions. Patients should also be advised that if they develop any intercurrent ocular condition (e.g. trauma, ocular surgery or infection), they should immediately seek their physician's advice concerning the continued use of present multi-dose container. There have been reports of bacterial keratitis associated with the use of topical ophthalmic products.



4.5 Interaction With Other Medicinal Products And Other Forms Of Interaction



None known



4.6 Pregnancy And Lactation



There are no adequeate and well-controlled studies of Sodium Cromoglicate eye drops in pregnant women. Therefore, use during pregnancy is not recommended unless the benefit outweighs the potential risk.



It is not known whether Sodium Cromoglicate is excreted in human milk. Therefore caution should be exercised when the eye drops are administered to nursing mothers.



4.7 Effects On Ability To Drive And Use Machines



Transient stinging or blurring of vision may occur on instillation of the drops.



Do not drive or use machinery until normal vision is restored.



4.8 Undesirable Effects



Transient stinging and burning on instillation of the drops. Rarely, other symptoms of local irritation.



4.9 Overdose



Medical observation is recommended in cases of overdosage.



Sodium cromoglicate is poorly absorbed both from the eye and from the gastrointestinal tract.



5. Pharmacological Properties



5.1 Pharmacodynamic Properties



Sodium cromoglicate inhibits the degranulation of sensitised mast cells which normally occurs after exposure to allergens and thereby prevents the release of allergic mediators such as histamine.



5.2 Pharmacokinetic Properties



Sodium cromoglicate is poorly absorbed from the eye (approximately 0.03% in healthy volunteers) due to its lipid insolubility. Orally, it is poorly absorbed from the gastrointestinal tract with a reported bioavailability of 1%. Systemically, sodium cromoglicate is excreted unchanged in the bile and urine.



Trace amounts have been detected in the aqueous humour of rabbit eyes up to 24 hours after administration.



5.3 Preclinical Safety Data



Pre-clinical safety data does not add anything of further significance to the prescriber.



6. Pharmaceutical Particulars



6.1 List Of Excipients



Benzalkonium chloride edetate



Sodium chloride



Polysorbate 80



Water for injection



6.2 Incompatibilities



Benzalkonium chloride may be deposited in and is known to discolour soft contact lenses.



These lenses should therefore be removed before instillation of the eye drops and not reinserted earlier than 15 minutes after use.



6.3 Shelf Life



Unopened: 24 months



Opened: 1 month



6.4 Special Precautions For Storage



Do not store above 30oC. Protect from direct sunlight.



To avoid contamination do not touch dropper tip to any surface



6.5 Nature And Contents Of Container



The container is a bottle of low density polyethylene (LDPE) with a polystyrene spiked cap



closure which contains 5ml or 10ml of Sodium Cromoglicate 2% w/v Eye Drops solution.



6.6 Special Precautions For Disposal And Other Handling



No special instructions.



Administrative Data


7. Marketing Authorisation Holder



FDC International Ltd



Unit 6 Fulcrum 1



Solent Way



Whiteley



Fareham



Hants



PO15 7FE



United Kingdom



8. Marketing Authorisation Number(S)



PL 15872/0008



9. Date Of First Authorisation/Renewal Of The Authorisation



16 May 2007



10. Date Of Revision Of The Text



17 June 2009




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Sunday 25 March 2012

Vazotan Suspension


Pronunciation: BROME-fen-IR-a-meen/KAR-bay-ta-PEN-tane/FEN-il-EF-rin
Generic Name: Brompheniramine/Carbetapentane/Phenylephrine
Brand Name: Examples include V-Cof and Vazotan


Vazotan Suspension is used for:

Relieving symptoms of sinus congestion, pressure, runny nose, sneezing, and cough due to colds, upper respiratory infections, and allergies. It may also be used for other conditions as determined by your doctor.


Vazotan Suspension is an antihistamine, decongestant, and cough suppressant combination. The antihistamine works by blocking the action of histamine, which helps reduce symptoms such as watery eyes and sneezing. The decongestant promotes sinus and nasal drainage, which relieves congestion and pressure. The cough suppressant works in the brain to help decrease the cough reflex.


Do NOT use Vazotan Suspension if:


  • you are allergic to any ingredient in Vazotan Suspension

  • you have severe high blood pressure, severe heart blood vessel disease, rapid heartbeat, or severe heart problems

  • you take sodium oxybate (GHB) or you have taken furazolidone or a monoamine oxidase inhibitor (MAOI) (eg, phenelzine) within the last 14 days

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



Before using Vazotan Suspension:


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


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

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

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

  • if you have a fast, slow, or irregular heartbeat

  • if you have a history of asthma; lung problems (eg, emphysema); adrenal gland problems (eg, adrenal gland tumor); heart problems; high blood pressure; diabetes; blood vessel problems; stroke; glaucoma; a blockage of your bladder, stomach, or intestines; ulcers; trouble urinating; an enlarged prostate or other prostate problems; seizures; phenylketonuria; or an overactive thyroid

  • if you are very drowsy, sedated, or are confined to a bed or chair

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


  • Beta-blockers (eg, propranolol), catechol-O-methyltransferase (COMT) inhibitors (eg, tolcapone), furazolidone, indomethacin, MAOIs (eg, phenelzine), sodium oxybate (GHB), or tricyclic antidepressants (eg, amitriptyline) because they may increase the risk of Vazotan Suspension's side effects

  • Digoxin or droxidopa because the risk of irregular heartbeat or heart attack may be increased

  • Bromocriptine or hydantoins (eg, phenytoin) because the risk of their side effects may be increased by Vazotan Suspension

  • Guanadrel, guanethidine, mecamylamine, methyldopa, or reserpine because their effectiveness may be decreased by Vazotan Suspension

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


How to use Vazotan Suspension:


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


  • Take Vazotan Suspension by mouth with or without food.

  • Shake well before each use.

  • Use a measuring device marked for medicine dosing. Ask your pharmacist for help if you are unsure of how to measure your dose.

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

Ask your health care provider any questions you may have about how to use Vazotan Suspension.



Important safety information:


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

  • Do not drink alcohol while you are using Vazotan Suspension.

  • Do not take diet or appetite control medicines while you use Vazotan Suspension unless your doctor tells you to.

  • Vazotan Suspension has brompheniramine and phenylephrine in it. Before you start any new medicine, check the label to see if it has brompheniramine and phenylephrine in it too. If it does or if you are not sure, check with your doctor or pharmacist.

  • Do NOT take more than the recommended dose or take Vazotan Suspension for longer than prescribed without checking with your doctor.

  • If your symptoms do not get better within 7 days or if they get worse, check with your doctor.

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

  • Some of these products contain phenylalanine. If you must have a diet that is low in phenylalanine, ask your pharmacist if it is in your product.

  • Vazotan Suspension may interfere with skin allergy tests. If you are scheduled for a skin test, talk to your doctor. You may need to stop taking Vazotan Suspension for a few days before the tests.

  • Tell your doctor or dentist that you take Vazotan Suspension before you receive any medical or dental care, emergency care, or surgery.

  • Use Vazotan Suspension with caution in the ELDERLY; they may be more sensitive to its effects.

  • Caution is advised when using Vazotan Suspension in CHILDREN; they may be more sensitive to its effects.

  • Vazotan Suspension should be used with extreme caution in CHILDREN younger than 2 years old; safety and effectiveness in these children have not been confirmed.

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


Possible side effects of Vazotan Suspension:


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



Constipation; diarrhea; dizziness; drowsiness; excitability; headache; loss of appetite; nausea; nervousness or anxiety; trouble sleeping; upset stomach; vomiting; weakness.



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

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); difficulty urinating or inability to urinate; fast or irregular heartbeat; hallucinations; seizures; severe dizziness, lightheadedness, or headache; tremor; vision changes.



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


See also: Vazotan side effects (in more detail)


If OVERDOSE is suspected:


Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include blurred vision; confusion; hallucinations; seizures; severe dizziness, lightheadedness, or headache; severe drowsiness; unusually fast, slow, or irregular heartbeat; vomiting.


Proper storage of Vazotan Suspension:

Store Vazotan Suspension at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Vazotan Suspension out of the reach of children and away from pets.


General information:


  • If you have any questions about Vazotan Suspension, please talk with your doctor, pharmacist, or other health care provider.

  • Vazotan Suspension is to be used only by the patient for whom it is prescribed. Do not share it with other people.

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

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

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



Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Vazotan resources


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


Compare Vazotan with other medications


  • Cold Symptoms
  • Cough and Nasal Congestion
  • Hay Fever

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Saturday 24 March 2012

Vermox


Generic Name: mebendazole (Oral route)

me-BEN-da-zole

Commonly used brand name(s)

In the U.S.


  • Vermox

Available Dosage Forms:


  • Suspension

  • Tablet, Chewable

Therapeutic Class: Anthelmintic


Chemical Class: Benzimidazole


Uses For Vermox


Mebendazole belongs to the family of medicines called anthelmintics. Anthelmintics are medicines used in the treatment of worm infections.


Mebendazole is used to treat:


  • Common roundworms (ascariasis);

  • Hookworm infections (uncinariasis);

  • Pinworms (enterobiasis; oxyuriasis);

  • Whipworms (trichuriasis); and

  • More than one worm infection at a time.

This medicine may also be used for other worm infections as determined by your doctor.


Mebendazole works by keeping the worm from absorbing sugar (glucose). This gradually causes loss of energy and death of the worm.


Mebendazole is available only with your doctor's prescription.


Before Using Vermox


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


Allergies


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


Pediatric


This medicine has been tested in a limited number of children 2 years of age or older and, in effective doses, has not been shown to cause different side effects or problems in children than it does in adults.


Geriatric


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


Pregnancy








Pregnancy CategoryExplanation
All TrimestersCAnimal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

Breast Feeding


Studies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding.


Interactions with Medicines


Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.


Interactions with Food/Tobacco/Alcohol


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


Other Medical Problems


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


  • Crohn's disease or

  • Liver disease or

  • Ulcerative colitis—Patients with these diseases may have an increased chance of side effects from mebendazole

Proper Use of Vermox


Mebendazole usually comes with patient directions. Read them carefully before using this medicine.


No special preparations or other steps (for example, special diets, fasting, other medicines, laxatives, or enemas) are necessary before, during, or immediately after taking mebendazole.


Mebendazole tablets may be chewed, swallowed whole, or crushed and mixed with food.


For patients taking mebendazole for hookworms, roundworms, or whipworms:


  • To help clear up your infection completely, take this medicine exactly as directed by your doctor for the full time of treatment. In some patients a second course of this medicine may be required to clear up the infection completely. Do not miss any doses.

For patients taking mebendazole for pinworms:


  • To help clear up your infection completely, take this medicine exactly as directed by your doctor. A second course of this medicine is usually required to clear up the infection completely.

  • Pinworms may be easily passed from one person to another, especially in a household. Therefore, all household members may have to be treated at the same time. This helps to prevent infection or reinfection of other household members. Also, all household members may have to be treated again in 2 to 3 weeks to clear up the infection completely.

For patients taking mebendazole for infections in which high doses are needed:


  • Mebendazole is best taken with meals, especially fatty ones (for example, meals that include whole milk or ice cream). This helps to clear up the infection by helping your body absorb the medicine better. However, if you are on a low-fat diet, check with your doctor.

Dosing


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


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


  • For oral dosage form (chewable tablets):
    • For common roundworms, hookworms, and whipworms:
      • Adults and children 2 years of age and over—100 milligrams (mg) two times a day, morning and evening, for three days. Treatment may need to be repeated in two to three weeks.

      • Children up to 2 years of age—Use and dose must be determined by your doctor.


    • For pinworms:
      • Adults and children 2 years of age and over—100 mg once a day for one day. Treatment may need to be repeated in two to three weeks.

      • Children up to 2 years of age—Use and dose must be determined by your doctor.


    • For more than one worm infection at a time:
      • Adults and children 2 years of age and over—100 mg two times a day, morning and evening, for three days.

      • Children up to 2 years of age—Use and dose must be determined by your doctor.



Missed Dose


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


Storage


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


Keep out of the reach of children.


Do not keep outdated medicine or medicine no longer needed.


Precautions While Using Vermox


It is important that your doctor check your progress at regular visits, especially in infections in which high doses are needed. This is to make sure that the infection is cleared up completely and to allow your doctor to check for any unwanted effects.


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


For patients taking mebendazole for pinworms:


  • In some patients, pinworms may return after treatment with mebendazole. Washing (not shaking) all bedding and nightclothes (pajamas) after treatment may help to prevent this.

  • Some doctors may also recommend other measures to help keep your infection from returning. If you have any questions about this, check with your doctor.

For patients taking mebendazole for hookworms or whipworms :


  • In hookworm and whipworm infections anemia may occur. Therefore, your doctor may want you to take iron supplements to help clear up the anemia. If so, it is important to take iron every day while you are being treated for hookworms or whipworms; do not miss any doses. Your doctor may also want you to keep taking iron supplements for up to 6 months after you stop taking mebendazole. If you have any questions about this, check with your doctor.

Vermox Side Effects


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


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


Rare
  • Fever

  • skin rash or itching

  • sore throat and fever

  • unusual tiredness and weakness

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


Less common
  • Abdominal or stomach pain or upset

  • diarrhea

  • nausea or vomiting

Rare
  • Dizziness

  • hair loss

  • headache

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


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

See also: Vermox side effects (in more detail)



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


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


More Vermox resources


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


  • Vermox Consumer Overview

  • Mebendazole Prescribing Information (FDA)

  • Mebendazole Professional Patient Advice (Wolters Kluwer)

  • Mebendazole Monograph (AHFS DI)

  • Mebendazole MedFacts Consumer Leaflet (Wolters Kluwer)



Compare Vermox with other medications


  • Angiostrongylosis
  • Ascariasis
  • Capillariasis
  • Dracunculiasis
  • Echinococcus
  • Filariasis, Elephantiasis
  • Hookworm Infection, Necator or Ancylostoma
  • Hydatid Disease
  • Pinworm Infection, Enterobius vermicularis
  • Trichinosis
  • Trichostrongylosis
  • Visceral Larva Migrans, Toxicariasis
  • Whipworm Infection

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Thursday 22 March 2012

Poly-Tussin DM


Generic Name: chlorpheniramine, dextromethorphan, and phenylephrine (klor feh NEER a meen, dex troe meh THOR fan, and feh nill EH frin)

Brand Names: Alka-Seltzer Plus Cold and Cough, C-Phen DM, C-Phen DM Drops, Cardec DM, Cardec DM Drops, Ceron-DM, Ceron-DM Drops, Cerose DM, Corfen-DM, CP Dec DM, CP Dec-DM Drops, De-Chlor DM, De-Chlor DR, Dec-Chlorphen DM, Dex PC, DM-PE-Chlor, Donatussin DM Drops, Ed A-Hist DM, HistadecDM, Maxiphen ADT, Mintuss DR, Nasohist-DM, Neo DM Drops, Nohist-DMX, Norel DM, P Chlor DM, PD-Cof, PD-Cof Drops, Poly-Tussin DM, Quartuss DM, Reme Tussin DM, Rondec-DM, Rondec-DM Drops, Rondex-DM, Rondex-DM Drops, Sildec-PE DM, Sildec-PE DM Drops, Tri-Vent DPC, Trital DM, Tussplex DM, Zotex-12D


What is Poly-Tussin DM (chlorpheniramine, dextromethorphan, and phenylephrine)?

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


Dextromethorphan is a cough suppressant. It affects the signals in the brain that trigger cough reflex.


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


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


Dextromethorphan will not treat a cough that is caused by smoking, asthma, or emphysema.


Chlorpheniramine, dextromethorphan, and phenylephrine may also be used for other purposes not listed in this medication guide.


What is the most important information I should know about Poly-Tussin DM (chlorpheniramine, dextromethorphan, and phenylephrine)?


Always ask a doctor before giving a cough or cold medicine to a child. Death can occur from the misuse of cough and cold medicines in very young children. Do not use a cough or cold medicine if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take cough or cold medicine before the MAO inhibitor has cleared from your body. Do not use any other over-the-counter cough, cold, allergy, or sleep medication without first asking your doctor or pharmacist. If you take certain products together you may accidentally take too much of one or more types of medicine. Read the label of any other medicine you are using to see if it contains an antihistamine, decongestant, or cough suppressant. Chlorpheniramine, dextromethorphan, and phenylephrine can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Avoid drinking alcohol. It can increase some of the side effects of this medication.

What should I discuss with my healthcare provider before taking Poly-Tussin DM (chlorpheniramine, dextromethorphan, and phenylephrine)?


Do not use a cough or cold medicine if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take cough or cold medicine before the MAO inhibitor has cleared from your body.

Before taking this medication, tell your doctor if you are allergic to chlorpheniramine, dextromethorphan, or phenylephrine, or if you have:


  • kidney disease;

  • liver disease;


  • diabetes;




  • glaucoma;




  • heart disease or high blood pressure;




  • diabetes;




  • a thyroid disorder;




  • a stomach ulcer or a stomach obstruction,




  • emphysema or chronic bronchitis; or




  • an enlarged prostate or urination problems.



If you have any of these conditions, you may need a dose adjustment or special tests to safely take this medication.


FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Chlorpheniramine, dextromethorphan, and phenylephrine can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Artificially-sweetened liquid forms of cough-and-cold medications may contain phenylalanine. This would be important to know if you have phenylketonuria (PKU). Check the ingredients and warnings on the medication label if you are concerned about phenylalanine.


How should I take Poly-Tussin DM (chlorpheniramine, dextromethorphan, and phenylephrine)?


Use this medication exactly as directed on the label or as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor.


Always ask a doctor before giving a cough or cold medicine to a child. Death can occur from the misuse of cough and cold medicines in very young children. Take this medicine with a full glass of water. If you use the effervescent tablet, drop the tablet in 8 ounces of water and allow it to dissolve completely. Stir this mixture and drink all of it right away. To make sure you get the entire dose, add a little more water to the same glass, swirl gently and drink right away.

Measure the liquid form of this medicine with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.


Take this medicine with food or milk if it upsets your stomach.

This medication can cause you to have unusual results with allergy skin tests. Tell any doctor who treats you that you are taking an antihistamine.


Talk with your doctor if your symptoms do not improve after 7 days of treatment, or if you have a fever with a headache, cough, or skin rash.

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


Store the medication at room temperature away from moisture and heat.

What happens if I miss a dose?


Since cough or cold medicine is usually taken only as needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose.


What happens if I overdose?


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

Overdose symptoms may include feeling restless or nervous, nausea, vomiting, stomach pain, dizziness, drowsiness, dry mouth, warmth or tingly feeling, or seizure (convulsions).


What should I avoid while taking Poly-Tussin DM (chlorpheniramine, dextromethorphan, and phenylephrine)?


This medication can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Avoid drinking alcohol. It can increase some of the side effects of this medication. Before taking this medication, tell your doctor if you regularly use other medicines that make you sleepy (such as cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety). They can add to sleepiness caused by this medication.

Avoid taking diet pills, caffeine pills, or other stimulants (such as ADHD medications) without your doctor's advice. Taking a stimulant together with a decongestant can increase your risk of unpleasant side effects.


Do not use any other over-the-counter cough, cold, allergy, or sleep medication without first asking your doctor or pharmacist. Antihistamines, decongestants, and cough suppressants are contained in many medicines available over the counter. If you take certain products together you may accidentally take too much of one or more types of medicine. Read the label of any other medicine you are using to see if it contains an antihistamine, decongestant, or cough suppressant.

Poly-Tussin DM (chlorpheniramine, dextromethorphan, and phenylephrine) side effects


Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using this medication and call your doctor at once if you have any of these serious side effects:

  • fast, pounding, or uneven heartbeat;




  • confusion, hallucinations, unusual thoughts or behavior;




  • severe dizziness, anxiety, restless feeling, or nervousness;




  • increased blood pressure (severe headache, blurred vision, trouble concentrating, chest pain, numbness, seizure);




  • confusion, hallucinations;




  • slow, shallow breathing;




  • urinating less than usual or not at all;




  • easy bruising or bleeding, unusual weakness, fever, chills, body aches, flu symptoms; or




  • nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).



Less serious side effects may include:



  • blurred vision;




  • dry mouth;




  • nausea, stomach pain, constipation;




  • mild loss of appetite, stomach upset;




  • warmth, tingling, or redness under your skin;




  • feeling excited or restless;




  • sleep problems (insomnia);




  • restless or excitability (especially in children);




  • skin rash or itching;




  • dizziness, drowsiness;




  • problems with memory or concentration; or




  • ringing in your ears.



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


What other drugs will affect Poly-Tussin DM (chlorpheniramine, dextromethorphan, and phenylephrine)?


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



  • an antidepressant;




  • a diuretic (water pill);




  • medication to treat irritable bowel syndrome;




  • celecoxib (Celebrex);




  • cinacalcet (Sensipar);




  • imatinib (Gleevec);




  • quinidine (Quinaglute, Quinidex);




  • ranolazine (Ranexa)




  • ritonavir (Norvir);




  • sibutramine (Meridia);




  • terbinafine (Lamisil);




  • medicines to treat high blood pressure;




  • aspirin or salicylates (such as Disalcid, Doan's Pills, Dolobid, Salflex, Tricosal, and others);




  • bladder or urinary medications such as darifenacin (Enablex), oxybutynin (Ditropan, Oxytrol) or tolterodine (Detrol); or




  • a beta-blocker such as atenolol (Tenormin), carteolol (Cartrol), metoprolol (Lopressor, Toprol), nadolol (Corgard), propranolol (Inderal), sotalol (Betapace), timolol (Blocadren), and others.



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



More Poly-Tussin DM resources


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


  • Poly-Tussin DM Liquid MedFacts Consumer Leaflet (Wolters Kluwer)

  • Bronkids Drops MedFacts Consumer Leaflet (Wolters Kluwer)

  • Cardec DM Elixir MedFacts Consumer Leaflet (Wolters Kluwer)

  • Maxiphen ADT MedFacts Consumer Leaflet (Wolters Kluwer)

  • Quartuss DM Prescribing Information (FDA)

  • Trital DM Prescribing Information (FDA)



Compare Poly-Tussin DM with other medications


  • Cough and Nasal Congestion


Where can I get more information?


  • Your pharmacist can provide more information about chlorpheniramine, dextromethorphan, and phenylephrine.

See also: Poly-Tussin DM side effects (in more detail)


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Sunday 18 March 2012

Vinate One


Generic Name: prenatal multivitamins (PRE nay tal VYE ta mins)

Brand Names: Advance Care Plus, Bright Beginnings, Cavan Folate, Cavan One, Cavan-Heme OB, Cenogen Ultra, CitraNatal Rx, Co Natal FA, Complete Natal DHA, Complete-RF, CompleteNate, Concept OB, Docosavit, Dualvit OB, Duet, Edge OB, Elite OB 400, Femecal OB, Folbecal, Folcaps Care One, Folivan-OB, Foltabs, Gesticare, Icar Prenatal, Icare Prenatal Rx, Inatal Advance, Infanate DHA, Kolnatal DHA, Lactocal-F, Marnatal-F, Maternity, Maxinate, Mission Prenatal, Multi-Nate 30, Multinatal Plus, Nata 29 Prenatal, Natachew, Natafort, Natelle, Neevo, Nestabs, Nexa Select with DHA, Novanatal, NovaStart, O-Cal Prenatal, OB Complete, OB Natal One, Ob-20, Obtrex DHA, OptiNate, Paire OB Plus DHA, PNV Select, PNV-Total, PR Natal 400, Pre-H-Cal, Precare, PreferaOB, Premesis Rx, PrenaCare, PrenaFirst, PrenaPlus, Prenatabs OBN, Prenatabs Rx, Prenatal 1 Plus 1, Prenatal Elite, Prenatal Multivitamins, Prenatal Plus, Prenatal S, Prenatal-U, Prenate Advanced Formula, Prenate DHA, Prenate Elite, Prenavite FC, PreNexa, PreQue 10, Previte Rx, PrimaCare, Pruet DHA, RE OB Plus DHA, Renate, RightStep, Rovin-NV, Se-Care, Se-Natal One, Se-Plete DHA, Se-Tan DHA, Select-OB, Seton ET, Strongstart, Stuart Prenatal with Beta Carotene, Tandem OB, Taron-BC, Tri Rx, TriAdvance, TriCare, Trimesis Rx, Trinate, Triveen-PRx RNF, UltimateCare Advance, Ultra-Natal, Vemavite PRX 2, VeNatal FA, Verotin-BY, Verotin-GR, Vinacal OR, Vinatal Forte, Vinate Advanced (New Formula), Vinate AZ, Vinate Care, Vinate Good Start, Vinate II (New Formula), Vinate III, Vinate One, Vitafol-OB, VitaNatal OB plus DHA, Vitaphil, Vitaphil Aide, Vitaphil Plus DHA, Vitaspire, Viva DHA, Vol-Nate, Vol-Plus, Vol-Tab Rx, Vynatal F.A., Zatean-CH, Zatean-PN


What are Vinate One (prenatal multivitamins)?

There are many brands and forms of prenatal vitamin available and not all brands are listed on this leaflet.


Prenatal vitamins are a combination of many different vitamins that are normally found in foods and other natural sources.


Prenatal vitamins are used to provide the additional vitamins needed during pregnancy. Minerals may also be contained in prenatal multivitamins.


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


What is the most important information I should know about prenatal vitamins?


There are many brands and forms of prenatal vitamin available and not all brands are listed on this leaflet.


Never take more than the recommended dose of a multivitamin. Avoid taking any other multivitamin product within 2 hours before or after you take your prenatal vitamins. Taking similar vitamin products together at the same time can result in a vitamin overdose or serious side effects.

Many multivitamin products also contain minerals such as calcium, iron, magnesium, potassium, and zinc. Minerals (especially taken in large doses) can cause side effects such as tooth staining, increased urination, stomach bleeding, uneven heart rate, confusion, and muscle weakness or limp feeling. Read the label of any multivitamin product you take to make sure you are aware of what it contains.


Seek emergency medical attention if you think you have used too much of this medicine. An overdose of vitamins A, D, E, or K can cause serious or life-threatening side effects and can also harm your unborn baby. Certain minerals contained in a prenatal multivitamin may also cause serious overdose symptoms or harm to the baby if you take too much.

Overdose symptoms may include stomach pain, vomiting, diarrhea, constipation, loss of appetite, hair loss, peeling skin, tingly feeling in or around your mouth, changes in menstrual periods, weight loss, severe headache, muscle or joint pain, severe back pain, blood in your urine, pale skin, and easy bruising or bleeding.


Do not take this medication with milk, other dairy products, calcium supplements, or antacids that contain calcium. Calcium may make it harder for your body to absorb certain ingredients of the multivitamin.

What should I discuss with my healthcare provider before taking prenatal vitamins?


Many vitamins can cause serious or life-threatening side effects if taken in large doses. Do not take more of this medication than directed on the label or prescribed by your doctor.

Before taking prenatal vitamins, tell your doctor about all of your medical conditions.


You may need to continue taking prenatal vitamins if you breast-feed your baby. Ask your doctor about taking this medication while breast-feeding.

How should I take prenatal vitamins?


Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.


Never take more than the recommended dose of prenatal vitamins.

Many multivitamin products also contain minerals such as calcium, iron, magnesium, potassium, and zinc. Minerals (especially taken in large doses) can cause side effects such as tooth staining, increased urination, stomach bleeding, uneven heart rate, confusion, and muscle weakness or limp feeling. Read the label of any multivitamin product you take to make sure you are aware of what it contains.


Take your prenatal vitamin with a full glass of water.

Swallow the regular tablet or capsule whole. Do not break, chew, crush, or open it.


The chewable tablet must be chewed or allowed to dissolve in your mouth before swallowing. You may also allow the chewable tablet to dissolve in drinking water, fruit juice, or infant formula (but not milk or other dairy products). Drink this mixture right away.


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


Store at room temperature away from moisture and heat. Keep prenatal vitamins in their original container. Storing vitamins in a glass container can ruin the medication.

What happens if I miss a dose?


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


What happens if I overdose?


Seek emergency medical attention if you think you have used too much of this medicine. An overdose of vitamins A, D, E, or K can cause serious or life-threatening side effects and can also harm your unborn baby. Certain minerals contained in a prenatal multivitamin may also cause serious overdose symptoms or harm to the baby if you take too much.

Overdose symptoms may include stomach pain, vomiting, diarrhea, constipation, loss of appetite, hair loss, peeling skin, tingly feeling in or around your mouth, changes in menstrual periods, weight loss, severe headache, muscle or joint pain, severe back pain, blood in your urine, pale skin, and easy bruising or bleeding.


What should I avoid while taking prenatal vitamins?


Avoid taking any other multivitamin product within 2 hours before or after you take your prenatal vitamins. Taking similar vitamin products together at the same time can result in a vitamin overdose or serious side effects.

Avoid the regular use of salt substitutes in your diet if your multivitamin contains potassium. If you are on a low-salt diet, ask your doctor before taking a vitamin or mineral supplement.


Do not take this medication with milk, other dairy products, calcium supplements, or antacids that contain calcium. Calcium may make it harder for your body to absorb certain ingredients of the prenatal vitamin.

Prenatal vitamins side effects


Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

When taken as directed, prenatal vitamins are not expected to cause serious side effects. Less serious side effects may include:



  • upset stomach;




  • headache; or




  • unusual or unpleasant taste in your mouth.



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


What other drugs will affect prenatal vitamins?


Vitamin and mineral supplements can interact with certain medications, or affect how medications work in your body. Before taking a prenatal vitamin, tell your doctor if you also use:



  • diuretics (water pills);




  • heart or blood pressure medications;




  • tretinoin (Vesanoid);




  • isotretinoin (Accutane, Amnesteen, Clavaris, Sotret);




  • trimethoprim and sulfamethoxazole (Cotrim, Bactrim, Gantanol, Gantrisin, Septra, TMP/SMX); or




  • an NSAID (non-steroidal anti-inflammatory drug) such as ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn, Naprelan, Treximet), celecoxib (Celebrex), diclofenac (Cataflam, Voltaren), indomethacin (Indocin), meloxicam (Mobic), and others.



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



More Vinate One resources


  • Vinate One Use in Pregnancy & Breastfeeding
  • Vinate One Drug Interactions
  • Vinate One Support Group
  • 0 Reviews for Vinate One - Add your own review/rating


  • Cal-Nate MedFacts Consumer Leaflet (Wolters Kluwer)

  • CareNatal DHA MedFacts Consumer Leaflet (Wolters Kluwer)

  • CitraNatal 90 DHA MedFacts Consumer Leaflet (Wolters Kluwer)

  • CitraNatal Assure Prescribing Information (FDA)

  • CitraNatal Harmony Prescribing Information (FDA)

  • Concept DHA Prescribing Information (FDA)

  • Docosavit Prescribing Information (FDA)

  • Duet DHA with Ferrazone MedFacts Consumer Leaflet (Wolters Kluwer)

  • Folbecal MedFacts Consumer Leaflet (Wolters Kluwer)

  • Folcal DHA Prescribing Information (FDA)

  • Folcaps Care One Prescribing Information (FDA)

  • Gesticare DHA Prescribing Information (FDA)

  • Gesticare DHA MedFacts Consumer Leaflet (Wolters Kluwer)

  • Inatal Advance Prescribing Information (FDA)

  • Inatal Ultra Prescribing Information (FDA)

  • Multi-Nate DHA Prescribing Information (FDA)

  • Multi-Nate DHA Extra Prescribing Information (FDA)

  • MultiNatal Plus MedFacts Consumer Leaflet (Wolters Kluwer)

  • Natelle One Prescribing Information (FDA)

  • Neevo Caplets MedFacts Consumer Leaflet (Wolters Kluwer)

  • Neevo DHA MedFacts Consumer Leaflet (Wolters Kluwer)

  • OB Complete 400 MedFacts Consumer Leaflet (Wolters Kluwer)

  • Paire OB Plus DHA Prescribing Information (FDA)

  • PreNexa MedFacts Consumer Leaflet (Wolters Kluwer)

  • PreNexa Prescribing Information (FDA)

  • PreferaOB Prescribing Information (FDA)

  • Prenatal Plus Prescribing Information (FDA)

  • Prenatal Plus Iron Prescribing Information (FDA)

  • Prenate Elite Prescribing Information (FDA)

  • Prenate Elite MedFacts Consumer Leaflet (Wolters Kluwer)

  • Prenate Elite tablets

  • Prenate Essential Prescribing Information (FDA)

  • PrimaCare Advantage MedFacts Consumer Leaflet (Wolters Kluwer)

  • PrimaCare ONE capsules

  • PrimaCare One MedFacts Consumer Leaflet (Wolters Kluwer)

  • Renate DHA Prescribing Information (FDA)

  • Se-Natal 19 Chewable Tablets MedFacts Consumer Leaflet (Wolters Kluwer)

  • Se-Natal 19 Prescribing Information (FDA)

  • Tandem DHA Prescribing Information (FDA)

  • Tandem OB Prescribing Information (FDA)

  • TriAdvance Prescribing Information (FDA)

  • Triveen-One MedFacts Consumer Leaflet (Wolters Kluwer)

  • Triveen-PRx RNF Prescribing Information (FDA)

  • UltimateCare ONE NF Prescribing Information (FDA)

  • Ultra NatalCare MedFacts Consumer Leaflet (Wolters Kluwer)

  • Vinate AZ Prescribing Information (FDA)

  • Vitafol-One MedFacts Consumer Leaflet (Wolters Kluwer)

  • Zatean-CH Prescribing Information (FDA)



Compare Vinate One with other medications


  • Vitamin/Mineral Supplementation during Pregnancy/Lactation


Where can I get more information?


  • Your pharmacist can provide more information about prenatal vitamins.


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Saturday 17 March 2012

Isedipeal




Isedipeal may be available in the countries listed below.


Ingredient matches for Isedipeal



Nicardipine

Nicardipine hydrochloride (a derivative of Nicardipine) is reported as an ingredient of Isedipeal in the following countries:


  • Japan

International Drug Name Search

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Thursday 15 March 2012

Quibron-T


Pronunciation: thee-OF-i-lin
Generic Name: Theophylline
Brand Name: Quibron-T


Quibron-T is used for:

Preventing and treating symptoms and blockage of airway due to asthma or other lung diseases (eg, emphysema, bronchitis). It may also be used for other conditions as determined by your doctor.


Quibron-T is a xanthine derivative. It works by relaxing the muscle around the airways in the lungs, which allows them to widen and makes breathing easier. It also improves contraction of the diaphragm (the major breathing muscle) and decreases the response of the airways to irritants.


Do NOT use Quibron-T if:


  • you are allergic to any ingredient in Quibron-T, similar medicines (eg, aminophylline), or xanthines (eg, caffeine, chocolate)

  • you are using large amounts of other products that contain xanthine (such as chocolate or caffeinated drinks)

  • you are taking dipyridamole intravenously (IV), febuxostat, halothane, or St. John's wort

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



Before using Quibron-T:


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


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

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

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

  • if you have a history of heart problems (eg, congestive heart failure, cor pulmonale), an irregular heartbeat, liver problems (eg, cirrhosis, hepatitis), viral infection, thyroid problems, increased acid levels in the body, brain or nerve problems, or seizures (eg, epilepsy)

  • if you are in shock or have a fever, an ulcer, a severe infection, cystic fibrosis, or fluid in the lungs (pulmonary edema)

  • if you smoke, are stopping or starting smoking, or are exposed to the smoke from cigarettes or marijuana

  • if you are in the last 3 months of pregnancy

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


  • Aminoglutethimide, barbiturates (eg, phenobarbital), carbamazepine, hydantoins (eg, phenytoin), isoproterenol, moricizine, rifampin, St. John's wort, or sulfinpyrazone because they may decrease Quibron-T's effectiveness

  • Allopurinol, beta-blockers (eg, propranolol), cimetidine, disulfiram, enoxacin, estrogen, febuxostat, fluvoxamine, interferon alpha, macrolide antibiotics (eg, clarithromycin, erythromycin), methotrexate, mexiletine, oral contraceptives (birth control pills), pentoxifylline, propafenone, quinolone antibiotics (eg, ciprofloxacin), tacrine, thiabendazole, ticlopidine, troleandomycin, verapamil, viloxazine, or zileuton because they may increase the risk of Quibron-T's side effects

  • Ephedrine because the risk of side effects, such as nausea, nervousness, and trouble sleeping, may be increased

  • Halothane because the risk of side effects such as irregular heartbeat may be increased

  • Ketamine because the risk of seizures may be increased

  • Adenosine, benzodiazepines (eg, diazepam, flurazepam, lorazepam, midazolam), dipyridamole IV, lithium, or nondepolarizing muscle relaxants (eg, pancuronium) because their effectiveness may be decreased by Quibron-T

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


How to use Quibron-T:


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


  • Some foods may change the effectiveness or increase the side effects of Quibron-T. Talk to your doctor about how you should take Quibron-T with regard to food. Do not suddenly change your diet or eating habits without first checking with your doctor.

  • Take Quibron-T at evenly spaced times throughout the day. Taking Quibron-T at the same time each day will help you remember to take it. Contact your doctor with any questions or concerns about the best way to take Quibron-T.

  • If you miss a dose of Quibron-T, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Quibron-T.



Important safety information:


  • Drinking alcohol may increase the risk of side effects of Quibron-T. Talk to your doctor before drinking alcohol while you are taking Quibron-T.

  • Tell your doctor or dentist that you take Quibron-T before you receive any medical or dental care, emergency care, or surgery.

  • Do not take more than the recommended dose or use more often than prescribed without checking with your doctor. If your symptoms become worse, contact your doctor.

  • Carry an ID card at all times that says you take Quibron-T.

  • Avoid large amounts of food or drink that have caffeine (eg, coffee, tea, cocoa, cola, chocolate).

  • Notify your doctor if you develop a new illness, especially if it is accompanied by fever; if a chronic illness becomes worse; or if you start or stop smoking cigarettes or marijuana.

  • Tell your doctor if another doctor prescribes a new medicine or tells you to stop using a medicine that you have already been taking. Tell your doctor if you start or stop any medicine, either prescription or over the counter.

  • Quibron-T will not stop an asthma attack once one has started. Be sure to always carry appropriate rescue medicine (eg, bronchodilator inhaler) with you in case of an asthma attack.

  • If you have more than one doctor, be sure to tell each of your doctors that you are taking Quibron-T.

  • Diabetes patients - Quibron-T may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.

  • Quibron-T may interfere with certain lab tests. Be sure your doctor and lab personnel know you are taking Quibron-T.

  • Lab tests, including blood theophylline levels, may be performed while you use Quibron-T. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.

  • Use Quibron-T with caution in the ELDERLY; they may be more sensitive to its effects.

  • Caution is advised when using Quibron-T in CHILDREN, especially children younger than 1 year old; they may be more sensitive to its effects. Children may be more likely to experience mild, temporary behavior changes.

  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Quibron-T while you are pregnant. Quibron-T is found in breast milk. If you are or will be breast-feeding while you use Quibron-T, check with your doctor. Discuss any possible risks to your baby.


Possible side effects of Quibron-T:


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



Irritability; mild, temporary caffeine-like effects (eg, headache, nausea, diarrhea, trouble sleeping); mild, temporary changes in behavior; restlessness; temporary increased urination.



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

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); confusion; dizziness; fast breathing; fast or irregular heartbeat; heart rhythm problems; seizures; severe or persistent nausea, diarrhea, or headache; sleeplessness; tremors; vomiting.



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


See also: Quibron-T side effects (in more detail)


If OVERDOSE is suspected:


Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include agitation; chest pain; confusion; decreased urination; fast or irregular heartbeat; headache; increased thirst; irritability; loss of appetite; muscle pain or tenderness; nausea; nervousness; persistent increased urination; restlessness; seizures; severe or persistent diarrhea; stomach pain; tremors or twitching; vomiting, especially of blood.


Proper storage of Quibron-T:

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


General information:


  • If you have any questions about Quibron-T, please talk with your doctor, pharmacist, or other health care provider.

  • Quibron-T is to be used only by the patient for whom it is prescribed. Do not share it with other people.

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

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

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



Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Quibron-T resources


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


  • Quibron-T Prescribing Information (FDA)

  • Quibron-T Advanced Consumer (Micromedex) - Includes Dosage Information

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  • Theophylline Prescribing Information (FDA)

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  • Elixophyllin Concise Consumer Information (Cerner Multum)

  • Theo-24 Prescribing Information (FDA)

  • Theolair tablets Prescribing Information (FDA)

  • Theophyllines Monograph (AHFS DI)

  • Uniphyl Prescribing Information (FDA)



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Wednesday 14 March 2012

Mepivacaine


Pronunciation: me-PIV-a-kane
Generic Name: Mepivacaine
Brand Name: Examples include Carbocaine and Polocaine


Mepivacaine is used for:

Causing numbness during surgical procedures, labor, or delivery. It may also be used for other conditions as determined by your doctor.


Mepivacaine is a local anesthetic. It works by preventing nerves from transmitting painful impulses to the brain, which creates temporary anesthesia (lack of feeling or numbness).


Do NOT use Mepivacaine if:


  • you are allergic to any ingredient in Mepivacaine or to similar medicines

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



Before using Mepivacaine:


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


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

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

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

  • if you have inflammation or infection at the proposed injection site, severe heart problems, low blood pressure, low blood volume, or kidney or liver disease

Some MEDICINES MAY INTERACT with Mepivacaine. However, no specific interactions with Mepivacaine are known at this time.


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


How to use Mepivacaine:


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


  • Mepivacaine is usually administered as an injection at your doctor's office, hospital, or clinic. If you are using Mepivacaine at home, carefully follow the injection procedures taught to you by your health care provider.

  • If Mepivacaine contains particles or is discolored, or if the vial is cracked or damaged in any way, do not use it.

  • Keep this product, as well as syringes and needles, out of the reach of children and away from pets. Do not reuse needles, syringes, or other materials. Dispose of properly after use. Ask your doctor or pharmacist to explain local regulations for proper disposal.

  • If you miss a dose of Mepivacaine, contact your doctor right away.

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



Important safety information:


  • Mepivacaine may cause dizziness, drowsiness, or blurred vision. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Mepivacaine. Using Mepivacaine alone, with certain other medicines, or with alcohol may lessen your ability to drive or perform other potentially dangerous tasks.

  • Temporary loss of sensation and motor activity may occur, usually in the lower half of the body, after receiving Mepivacaine.

  • Before receiving Mepivacaine, give your doctor a list of all medicines that you are taking.

  • If you are going home before the numbness wears off, protect the treated area from injury until you regain feeling.

  • PREGNANCY and BREAST-FEEDING: If you become pregnant while taking Mepivacaine, discuss with your doctor the benefits and risks of using Mepivacaine during pregnancy. It is unknown if Mepivacaine is excreted in breast milk. If you are or will be breast-feeding while you are using Mepivacaine, check with your doctor or pharmacist to discuss the risks to your baby.


Possible side effects of Mepivacaine:


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



Abnormal skin sensations; anxiety; backache; changes in speech patterns; chills; constricted pupils; depression; headache; inability to urinate or defecate; lightheadedness; metallic taste; numbness and tingling of the mouth and lips; numbness in the legs and feet; ringing in the ears; sexual dysfunction; twitching; weakness.



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

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); blurred vision; changes in hearing; chest pain; convulsions; dizziness; drowsiness; excessive sweating; excitement; fainting; increased body temperature; increased heartbeat; interrupted breathing; irregular heartbeat; itching; lightheadedness; loss of consciousness; nausea; persistent numbness; redness; restlessness; slow heartbeat; sneezing; tremors; vomiting.



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


See also: Mepivacaine side effects (in more detail)


If OVERDOSE is suspected:


Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include seizures; shortness of breath; slow heartbeat.


Proper storage of Mepivacaine:

Store Mepivacaine at room temperature, between 59 and 86 degrees F (15 and 30 degrees C), in a tightly closed container. Store away from heat, moisture, and light. Brief exposure at temperatures up to 104 degrees F (40 degrees C) will not affect the product. Keep Mepivacaine out of the reach of children and away from pets.


General information:


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

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

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

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

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



Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Mepivacaine resources


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


  • Mepivacaine Prescribing Information (FDA)

  • mepivacaine Concise Consumer Information (Cerner Multum)

  • Carbocaine Prescribing Information (FDA)



Compare Mepivacaine with other medications


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