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A small number of children, teenagers, and young adults (up to 24 years of age) who took antidepressants ('mood elevators') such as doxepin during clinical studies became suicidal (thinking about harming or killing oneself or planning or trying to do so). Children, teenagers, and young adults who take antidepressants to treat depression or other mental illnesses may be more likely to become suicidal than children, teenagers, and young adults who do not take antidepressants to treat these conditions. However, experts are not sure about how great this risk is and how much it should be considered in deciding whether a child or teenager should take an antidepressant. Children younger than 18 years of age should not normally take doxepin, but in some cases, a doctor may decide that doxepin is the best medication to treat a child's condition.

You should know that your mental health may change in unexpected ways when you take doxepin or other antidepressants even if you are an adult over age 24. You may become suicidal, especially at the beginning of your treatment and any time that your dose is increased or decreased. You, your family, or your caregiver should call your doctor right away if you experience any of the following symptoms: new or worsening depression; thinking about harming or killing yourself, or planning or trying to do so; extreme worry; agitation; panic attacks; difficulty falling asleep or staying asleep; aggressive behavior; irritability; acting without thinking; severe restlessness; and frenzied, abnormal excitement. Be sure that your family or caregiver knows which symptoms may be serious so they can call the doctor if you are unable to seek treatment on your own.

Your healthcare provider will want to see you often while you are taking doxepin, especially at the beginning of your treatment. Be sure to keep all appointments for office visits with your doctor.

The doctor or pharmacist will give you the manufacturer's patient information sheet (Medication Guide) when you begin treatment with doxepin. Read the information carefully and ask your doctor or pharmacist if you have any questions. You also can obtain the Medication Guide from the FDA website: http://www. fda. gov/Drugs/DrugSafety/InformationbyDrugClass/UCM096273 .

No matter your age, before you take an antidepressant, you, your parent, or your caregiver should talk to your doctor about the risks and benefits of treating your condition with an antidepressant or with other treatments. You should also talk about the risks and benefits of not treating your condition. You should know that having depression or another mental illness greatly increases the risk that you will become suicidal. This risk is higher if you or anyone in your family has or has ever had bipolar disorder (mood that changes from depressed to abnormally excited) or mania (frenzied, abnormally excited mood) or has thought about or attempted suicide. Talk to your doctor about your condition, symptoms, and personal and family medical history. You and your doctor will decide what type of treatment is right for you.

Why is this medication prescribed?

Doxepin is used to treat depression and anxiety. Doxepin is in a class of medications called tricyclic antidepressants. It works by increasing the amounts of certain natural substances in the brain that are needed for mental balance.

How should this medicine be used?

Doxepin comes as a capsule, a tablet, or concentrate (liquid) to take by mouth. It is usually taken one to three times a day and may be taken with or without food. Try to take doxepin at around the same time(s) every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take doxepin exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Doxepin concentrate (oral liquid) comes with a specially marked dropper for measuring the dose. Ask your pharmacist to show you how to use the dropper. Dilute the concentrate in 4 ounces (120 mL) of water; whole or skim milk; or orange, grapefruit, tomato, prune, or pineapple juice just before taking it. Do not mix it with carbonated beverages (soft drinks).

It may take several weeks or longer for you to feel the full effect of doxepin. Continue to take doxepin even if you feel well. Do not stop taking doxepin without talking to your doctor. Your doctor will probably want to decrease your dose gradually.

Other uses for this medicine

This medication may be prescribed for other uses. Ask your doctor or pharmacist for more information.

What special precautions should I follow?

Before taking doxepin,

tell your doctor and pharmacist if you are allergic to doxepin, amoxapine, or any other medications.

tell your doctor if you are taking a monoamine oxidase (MAO) inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), and tranylcypromine (Parnate), or if you have stopped taking an MAO inhibitor within the past 14 days. Your doctor will probably tell you not to take doxepin. If you stop taking doxepin, you should wait at least 14 days before you start to take an MAO inhibitor.

tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Be sure to mention any of the following: antihistamines; anticoagulants (blood thinners) such as warfarin (Coumadin, Jantoven); cimetidine (Tagamet); flecainide (Tambocor); levodopa (Larodopa, Sinemet); lithium (Eskalith, Lithobid); medication for high blood pressure, seizures, Parkinson's disease, diabetes, asthma, colds, or allergies; methylphenidate (Ritalin); muscle relaxants; propafenone (Rythmol); quinidine; sedatives; selective serotonin reuptake inhibitors (SSRIs) such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), and sertraline (Zoloft); sleeping pills; thyroid medications; tolazamide (Tolinase); and tranquilizers. Your doctor may need to change the doses of your medications or monitor you carefully for side effects. Your doctor may tell you not to take doxepin if you have taken fluoxetine in the past 5 weeks.

tell your doctor if you have difficulty urinating. Your doctor will probably tell you not to take doxepin.

tell your doctor if you have or have ever had an enlarged prostate (a male reproductive gland), diabetes, seizures, an overactive thyroid gland, or liver, kidney, or heart disease.

tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking this medication, call your doctor.

talk to your doctor about the risks and benefits of taking doxepin if you are 65 years of age or older. Older adults should not usually take doxepin because it is not as safe or effective as other medications that can be used to treat the same condition.

if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking doxepin.

you should know that this medication may make you drowsy. Do not drive a car or operate machinery until you know how this medication affects you.

remember that alcohol can add to the drowsiness caused by this medication.

you should know that doxepin may cause angle-closure glaucoma (a condition where the fluid is suddenly blocked and unable to flow out of the eye causing a quick, severe increase in eye pressure which may lead to a loss of vision). Talk to your doctor about having an eye examination before you start taking this medication. If you have nausea, eye pain, changes in vision, such as seeing colored rings around lights, and swelling or redness in or around the eye, call your doctor or get emergency medical treatment right away.

What special dietary instructions should I follow?

Unless your doctor tells you otherwise, continue your normal diet

What should I do if I forget a dose?

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

What side effects can this medication cause?

Doxepin may cause side effects. Call your doctor if any of these symptoms are severe or do not go away:

nausea

drowsiness

weakness or tiredness

nightmares

dry mouth

skin more sensitive to sunlight than usual

changes in appetite or weight

constipation

difficulty urinating

frequent urination

changes in sex drive or ability

excessive sweating

If you experience any of the following symptoms or those listed in the IMPORTANT WARNING or SPECIAL PRECAUTIONS sections, call your doctor immediately:

jaw, neck, and back muscle spasms

slow or difficult speech

shuffling walk

uncontrollable shaking of a part of the body

fever

difficulty breathing or swallowing

rash

yellowing of the skin or eyes

irregular heartbeat

If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (http://www. fda. gov/Safety/MedWatch ) or by phone (1-800-332-1088).

Doxepin may cause other side effects. Call your doctor if you have any unusual problems while you are taking this medication.

What should I know about storage and disposal of this medication?

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

In case of emergency/overdose



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50 Awesome Ambigram Generator And Examples, Ambigram

50 Awesome Ambigram Generator and Examples

An ambigram generator is able to help you create ambigrams with ease. An anbigram is a typographical design or art form that may be read as one or more words not only in its form as presented, but also from another viewpoint, direction, or orientation. The words readable in the other viewpoint, direction or orientation may be the same or different from the original words. An ambigram doesn’t always need to be complex to communicate well & speak to the right audience.

There are many types of ambigrams such as rotational ambigrams, reflective types, 3-dimensional, etc. but the most basic and popular ones are the flipscript or rotational ambigram in which word or words when flipped both horizontal or vertical way, still spells the same word as before. An “AMBIGRAM” is a fascinating and increasingly popular art form of letters and words. Some refer to it as “word art”.As There are various forms of ambigrams each posses unique and specific symmetrical properties. One thing is certain…an ambigram is interesting from any angle and hard to create without an ambigram generator.

In this article, I will showcase some awesome and creative ambigrams from different artist, that will surely make your neck twist as we will view it upside down :-).

Ambigram Generator Options

There are several ambigram generators available online – mainly from tattoo related businesses. Unfortunately some of them have a small cost related to getting the ambigram out in high resolution. Also adding some colors and a great background really makes a difference for an ambigram.

Use this Ambigram Generator to create your own mind-blowing designs that can be read upright and upside-down! YOU decide what your ambigram will say in both directions!

Free Ambigram Generator – The “Ambimatic”

Ambigram Examples

While you can use a ambigram generator there is nothing as art created by experienced and skilled artists. Most of the ambigrams below require human touch and hard work to be created.

1. Heaven in Blazing Sunshine

2. SHCH graphics

3. Rondo’s Restaurant

4. Pug & OBP

5. The Stone Rose

6. Anj

7. Moo Cow

8. Fate Ambigrams

9. Udbhav

10. Illuminati

11. Viola

12. Josh

13. Proud

14. Pankaj Ambigram

15. Illuminati Diamond

16. HAC

18. Steampunk

19. One Blood One Love

20. Beatles

21. I Love Rock n Roll

22. Ektopia

23. Peta

24. A lot of Love

25. Faithful

26. Marley

27. Shark Attack

28. Azathoth

29. Baltimore

30. Dirty/Clean

31. Right/Wrong

32. Love/Hate

33. Samantha/Marcianne

34. Phat Beats

36. Shub-Niggurath

37. Child’s Play

38. Pepsi

39. Manila

40. 1984

41. Reverse Engineering

42. San Francisco

43. City of Brotherly Love

44. Woodstock

45. Anti-Precipitation Device

46. Dungeons and Dragons

47. fatality

48. Abee

49. Crimson Desire

50. Pakour is Freedom

Author. Dustin Betonio

Dustin Betonio is a Translation Management graduate at University of Mindanao. His earlier career was devoted on customer service outside the information highway. Currently studying Law in the same University.

Its not too hard to draw them yourselves, I wouldn’t bother with a generater tbh there way expensive, twitter me I wouldn’t min seeing if I could draw what you need

Would you please consider trying to make me a ambigram that says Kayla upright and Timothy upside down?

I can help you with that. I am an ambigram artist and I specialize in handmade ambigrams. I can make that ambigram of Kayla/Timothy, and can scan a high resolution file of my creation and send it to you. If you want to contact me, my email ID is –> mahajanchandu@yahoo. in. send me an email with subject ” ambigram request” if you are interested. – Chandrakant Mahajan a. k.a. Drakan

hi there i just want to make sample of my name in a ambigram style which is colored i hope u respone to my request thanks a lot

I wish there were a few more generators out there. The few here are OK, I’d like one where I could generate a non-watermarked thing.

hi, inquiriny if you also do personal ambigram designs? im planning to get my son’s name tattooed at my forearm and im looking for great fonts



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Baymax (Earth-616) - Marvel Database, Baymox

Baymax (Earth-616)

History

Origin

Baymax is a robotic synthformer created by the young genius Hiro Takachiho when Hiro lost his father Tomeo Takachiho. Baymax was seemingly built to be just a bodyguard but soon helped fill the void left by his father's death, certainly helped by the fact that Hiro installed many of his father's memories and emotions into Baymax's core programming. [2] When Hiro was drafted into the Japanese hero group, Big Hero 6. Baymax came along for the ride. Hiro reluctantly joined to prevent Everwraith from slaughtering millions in downtown Tokyo. [3] During the battle, Big Hero 6 was joined by Sunfire, Japan's premiere super hero and a mutant with the ability to super-heat matter into plasma, who was instrumental in the Everwraith's defeat. [4]

Soon after, Big Hero 6 moved their headquarters from the Giri Office Building to Japan's Cool World Amusement Park, where they were attacked by X the Unknowable. a monster born from a child's drawings that could transform its atomic structure into any form and shape. With the help of Alpha Flight, Big Hero 6 destroyed X the Unknowable in the fires of Mount Fuji. [5] Afterwards, Big Hero 6 continued to protect Japan from all threats, such as when the team rescued Tokyo residents from a freak blizzard caused by the Crimson Cowl (Justine Hammer) and her Masters of Evil. [6]

The members of Big Hero 6 fell victim to a mind-control device implanted within Baymax. Traveling to Canada. the mind-controlled super heroes attacked a new incarnation of Alpha Flight at a national park. After a brief battle, the mind-control device was short-circuited and the two teams parted as friends. Big Hero 6 returned to Japan to seek out the parties responsible for their mind-control.

Big Hero 6 help Alpha Flight protect the timestream. [7] [8]

Civil War

After the super-human Civil War. instead of forcing heroes to join the Japan Defense Agency. Japan government preferred to established a voluntary public partnership: the Big Hero Six, including Red Ronin and Otomo. [9]

Spider-Man rallies many of earth heroes including Big Hero 6 to help stop the construction of Doctor Octopus ' satellites. [16] Big Hero 6 found one of the facilities, discovered that it is guarded by Everwraith. Despite a tough battle, Big Hero 6 finally ended up victorious. [17]

Powers and Abilities

Powers

Robotic Body: Baymax is an artificial synthformer with the ability to shift into various battle forms. His default form is a large humanoid male designed to be less conspicuous in public while attending to Hiro's daily needs. He possesses a durable, polymantium exoskeleton resistant to most forms of small ballistics. Baymax can use water as his primary source of power for locomotion. [18]

Battleform: Baymax in his battle form is more powerful and imposing. [18]

Sensors: Baymax is equipped with internal scanners and sensors able to detect and evaluate the threat posed by lifeforms in the immediate vicinity. He can also deploy remote monitors to record events from afar. [18]

Flight Baymax feet are equipped with jet engines capable of generating a thrust sufficient to propel him at speeds up to Mach 4. [18]

Communication: Baymax can send, receive, and intercept radio transmissions, and monitors all networks. He is linked to Hiro's personal Core Cyber-Network. When Baymax can be summoned via a communication device mounted on Hiro's wrist. Baymax is connected to Hiro's cybernetic glasses, so that everything that Hiro sees and hears while wearing the glasses is stored in Baymax's databanks. [18]

Abilities

Programmed Skills: Baymax is programmed with fighting techniques from several forms of combat. His artificial intelligence system is memory-card-based and contains thoughts and emotions of Hiro's departed father, industrialist Tomeo Takachiho. [18]

Weaknesses

When Baymax sustains physical injuries beyond his damage threshold, he automatically reverts to his humanoid form and becomes temporarily depowered. [18]

Links and References

Discover and Discuss

Footnotes

Like this? Let us know!

Around Wikia's network

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Lavir

PROMORANK (сокр. PR) — формула, с помощью которой PromoDJ рассчитывает динамический рейтинг для всех DJ, музыкантов и их материалов.

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Zismirt Orotab, Zismirt

You are here: Home / Zismirt Orotab

Zismirt Orotab

Company: Gerard Laboratories. Legal category: Prescription. GMS. Sport permitted. Active ingredient: Mirtazapine 15mg, 30mg or 45mg. Description: White, round, orodispersible tablets marked 36, 37 or 38 respectively. Presentation: 15mg-30, €11.85; 30mg-30, €23.69; 45mg-30, €35.53. Indications: Episode of major depression.

Pharmacology: Mirtazapine is a centrally active presynaptic ?2-antagonist, which increases central noradrenergic and serotonergic neurotransmission. The enhancement of serotonergic neurotransmission is specifically mediated via 5-HT1 receptors, while 5-HT2 and 5-HT3 receptors are blocked by mirtazapine. The histamine H1-antagonistic activity of mirtazapine is responsible for its sedative properties. Dosage: Adult: Initially 15 or 30mg. The effective dose is usually between 15 and 45mg daily. May be given in sub doses equally divided over the day (once in the morning, once at night-time). Elderly: As per adults. Increase in doses under close supervision. Children: Under 18 years, not recommended. Contraindications: Hypersensitivity to mirtazapine or to any of the excipients. Lactation, pregnancy (unless clearly indicated). Special precautions: Monitor for signs of bone marrow depression (discontinue if occurs). Suicide-related behaviours reported in children and adolescents. Careful dosing and close monitoring necessary with: Epilepsy and organic brain syndrome, hepatic or renal failure, heart disease, hypotension. Like all antidepressants, caution with: GI obstruction or ileus, micturition disturbances, acute narrow-angle glaucoma and raised intra-ocular pressure, diabetes mellitus, schizophrenia, history of mania/hypomania, elderly. Discontinue if jaundice occurs. Withdrawal symptoms may occur following abrupt termination. Contains aspartame. Driving/using machines. Drug interactions: Should not be administered concomitantly with MAOIs or within two weeks after discontinuation of MAOI therapy. Avoid alcohol. Caution with: Benzodiazepines and other sedatives, other serotonergic drugs (e. g. SSRIs, venlafaxine), potent CYP3A4 inhibitors (e. g. ketoconazole), CYP3A4 inducers (e. g. carbamazepine), cimetidine, warfarin. Adverse drug reactions: Increased appetite and weight gain, somnolence, dizziness, headache, generalised or local oedema. Full prescribing information and references available from Gerard Laboratories. Telephone: (01) 8322250. Fax: (01) 4661912. E-mail: niamh_malone@gerardlabs. net

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Patent Us5256703 - Abrasive Propellant For Cleaning Of Surfaces And Machinery - Google Patenty, Trep

This application is a continuation-in-part of pending U. S. patent application Ser. No. 07/376,764 filed Jul. 7, 1989 and a continuation-in-part of pending U. S. application Ser. No. 606,169 filed Oct. 31, 1990 both abandoned.

This invention relates to polymeric products of minerals such as calcium metasilicate especially Wollastonite and other abrasives.

A preferred embodiment of the invention relates to a granulated medium or variety of compositions having a negligible or very low dust content for use in blasting equipment which propels the media, via a pressurized air stream, against a surface of an object to dislodge and absorb the contaminant thereon without harm to the surface. The contaminant to be removed may include any foreign substance attached to or adhering to a surface such as hazardous materials, soil, grease, oil, solvents, and other objectional deposits. The invention concerns improved removal of surface coatings such as paint, resinous materials, baked-on grease and other objectionable materials from hard or soft substrates which may be harmed by conventional sandblast-type cleaning. Examples are oily residue on wallpaper, PVC resin on molds, or lead paint coatings. Thus another object of the invention is to not harm the substrate.

BACKGROUND OF THE INVENTION

Calcium metasilicate is known and used as Wollastonite as a filler for dental abrasives, (U. S. Pat. No. 4,038,380) bone implants, automotive parts (WO 9103513, U. S. Pat. Nos. 4,943,603 and 4,871,789), paints (JP 1141964), molded plastics U. S. Pat. No. 3,007,757 bone implants (DDR 268130, 268113, 268114), orthopedic casts (U. S. Pat. No. 4,473,671), acrylic coating for finger nails (U. S. Pat No. 4,626,428) and sealants (U. S. Pat. No. 4,816,509).

The object of the media for cleaning is to dislodge or remove the surface contaminant so as to minimize as much as possible dust formation, to absorb the same possibly within the interstices of the media, and then to release the contaminant from the media into a washing fluid during a cleaning operation. Cleaning of the media allows the media to be re-used and facilitates concentration of the contaminants for efficient disposal in a reduced volume.

Suitable blasting equipment for propulsion of media according to the present invention is described in U. S. patent application Ser. No. 07/376,764, now abandoned filed Jul. 7, 1989 hereby incorporated by reference. The operation of such blasting equipment is facilitated by a product having the characteristics of the preferred embodiment of the invention which greatly enhances its operation. The prescribed characteristics of the media include, but are not limited to, angle of repose, density, tensile strength, particle size, lipophilicity and cost. Clarification of the above terminology with respect to the present invention will become apparent to those skilled in the art with reference to the following detailed description and accompanying drawings.

Materials are also known which are used for cleaning as particulate cleaning agents.

U. S. Pat. No. 4,594,362 to Smith and Murphy concerns a textile cleaning stick yielding shreds which serve to remove soil. Silanes are used to bind the abrasive particles to the foam matrix.

A granulated form of media is described, for instance, in U. S. Pat. No. 4,551,481 to Smith et al in which such media is generally used for the cleaning of rugs or floors. That U. S. Patent is believed to be the most relevant prior art to the preferred embodiment of the present invention. Other particle abrasive system to be used in machinery which propels abrasive against a substantially hard surface to remove or polish the surface are known. See U. S. Pat. Nos. 4,034,769, 3,918,220, 3,912,667, 2,609,347, 2,664,366, 4,537,914 and 4,343,910.

Calcium sulfate is known and used as gypsum in building materials such as wall board. Gypsum has the formula CaSO 4 ?H 2 O and is used in its hydrated or calcined (non-hydrated) form as a filler for paints and candies, fertilizer, as an additive to soften Portland cements, as a plastic and for making plasterboard and wallboard. Other materials are known to be added to the gypsum as an admixture to form building materials.

This U. S. Pat. No. 4,100,242 to Leach shows addition of polystyrene beads to gypsum. Dixon et al in U. S. Pat. No. 2,862,829 adds animal or vegetable material to gypsum to form a building material. Preformed foam is added to gypsum to produce a light-weight building material, U. S. Pat. No. 2,731,377 to Riddell et al. uses a resin admixed with gypsum for a building material. Also see U. S. Pat. No. 4,229,223 to flake showing addition of a resin foam to gypsum to form a building material.

JP 736 00 22 mixed polyurethane foam with a styrene monomer to react same. This was then mixed with CaSO 4 .5H 2 O and water. Thus the polymer is formed first and then mixed with gypsum.

JP 5009624 appears to be primarily a gypsum product as opposed to the invention teaching a reaction product of a water-foamable product, polystyrene and CaSO 4 .

A product according to U. S. Pat. No. 4,551,481 was evaluated and found to have too low a dry density to be propelled properly by the intended blasting equipment and, in addition, dusted significantly upon impact. Attempts to improve product performance by the use of various fillers failed. The following is a table of the fillers, silane and the prepolymer contents, by weight, tested.

Each of the above materials was evaluated for flow through suitable blasting equipment and for dusting. The above materials were found unacceptable for the equipment and/or because of dusting and breakdown.

U. S. Pat. No. 4,158,576 to Butz shows sponges propelled onto a surface with liquid, or as dry sponge to absorb liquid.

Montmorillomite, a typical clay material used as a rapid drying high temperature calcined material which is inexpensive and harder in water than most clays, reduces dusting but otherwise does not work satisfactorily in the intended use because it does not form a satisfactory re-usable granule.

The invention using garnet and/or Wollastonite (calcium metasilicate) with or without iron aluminum silicate (Staurolite) produced less dust than any of the other materials. After use of the above gypsum materials, dust from the mineral was produced over equipment and users. Use of the Wollastonite material of the invention produced negligible or little dust from release of mineral fragments in comparison. No dust was produced in a stationary air area greater than about 20 feet from the target. Thus the invention is considerably more user-friendly than any material tested above or in the prior art. In comparison asbestos material can produce minute dust particles which remain in the air for hours. The invention granules have weight so that they settle to the ground and produce little if any dust. Any substantial dust formation must then be produced by the material being blasted by the granules.

Applicants search for a material to aid in binding and to ensure the phibral strength upon impingement without fracture, has led to a series of experiments with Wollastonite. Various degrees of silane treatments have been evaluated vs volume of Wollastonite (aqueous). In one experiment, 100 grams of granulated product was vigorously mixed with 500 grams of water and tested. The above mixture was then filtered through a conical filter and the effluent was tested for solids content. It was found that Silane treated Wollastonite and Staurolite were significantly better than gypsums. However, success in the lab was not replicated during a machine test of the product during which the product broke down, dusted and flowed poorly through the blasting equipment because it plugged the nozzle and bridged the feed system for the product.

However, further work using Wollastonite showed an improved product when latex was eliminated from the formulation.

Carr in U. S. Pat. No. 4,731,125 shows a cleaning material from which contaminants cannot be removed so that the material in Carr is not reusable.

The object of the invention is to provide complexed and/or polymeric compounds containing bound minerals such as but not limited to garnet, Wollastonite, Staurolite and water-foamable polymeric material which avoid the excessive dust problem and breakdown problems of the prior art and can be recycled for further use. Cleaning of the particles of the invention allows this media to be reused and facilitates concentration of the contaminants for efficient disposal in a reduced volume. Ser. No. 376,764 discloses in general employing a pliant medium or light mineral essentially free from dust and discusses use of particulate media and reduction of the contaminated liquid; such as foam pretreated with a dry powder to increase density and abrasiveness. Specific media are herein disclosed.

It is also one of the objects of the present invention to overcome the aforementioned problems of cleaning media to provide a media capable of performing in the aforementioned desirable manner.

It is an object of the invention to provide a variety of compositions to clean hard or soft substrates and dislodge and/or remove objectionable soils. It is another object for the compositions to be capable of being propelled through the air to impact the substrate without harm thereto. Ser. No. 606,169 disclosed gypsum and Wollastonite compositions. Improved compositions of Wollastonite are herein disclosed.

It is another object of the invention to contain through absorption the soil or dust removed onto the composition and allow removal of the soil or dust in order to reuse or recycle the composition.

It is a further object to provide improved methods of polishing or cleaning hard or soft substrates by removal of objectionable soil (such as softened lead paint) and incinerating entire spent material. It is a further object not to leave any or minimal residue on a substrate or in the air.

SUMMARY OF THE INVENTION

A loose particulate abrasive having hydroxy groups on the surface wherein particle size vs hardness is tailored to the specific application.

A hydrophilic, lipophilic polyurethane prepolymer which when mixed with an aqueous phase will react with and coat the abrasive and be compressible and absorbent.

The resultant composition is to be continuously mixed, poured, allowed to use, gelled to tack-free and comminuted to a specific size. The foamed and sized composition is to be used in a relatively dry mode to remove foreign objects or coatings from hard or soft substrates.

BRIEF DESCRIPTION OF THE DRAWINGS

The invention will now be described, by way of example, with reference to the accompanying drawings in which:

FIG. 1 is a diagrammatic representation of a prior art foam granule, such as the granule disclosed in U. S. Pat. No. 4,551,481;

FIG. 2 is a diagrammatic representation of the improved granule of the present invention;

FIG. 3 is a diagrammatic cross section along section line 3--3 of FIG. 2; and

FIG. 4 is a block diagram of a process for chemically treating minerals.

FIGS. 5a, 5b and 5c are block diagrams showing the process for manufacturing the improved granule of the present invention.

FIG. 6 shows mineral content versus cost.

DESCRIPTION OF THE PREFERRED EMBODIMENTS

In accordance with the present invention a lipophilic/hydrophilic, flexible, open cell water-foamable polymeric material such as a polyurethane-Wollastonite and/or staurolite interpolymer is obtained by a chemical reaction under foam forming and interpolymer conditions. The term "interpolymer" is used to indicate that the polyurethane is somehow bound to the abrasive mineral such as garnet or Wollastonite by some sort of bonding whether hydrogen bonding, chemical bonding or by complex or by adsorptive or absorptive bonding, rather than being merely an admixture of the components as in the prior art. The bonding can be combinations of the above. The invention is not limited thereto. The interpolymer of the invention can be for example the cured product of a mixture of substantially linear isocyanate capped polyether polyol prepolymer, having an average functionality of less than 2, a cell formation regulating amount of surfactant and water.

Preferably the invention comprises a lipophilic flexible open cell urethane-Wollastonite interpolymer obtained by reacting, under interpolymer and urethane forming conditions, (a) a substantially linear isocyanate capped prepolymer having a reactive functionality of less than 2 mixed with (b) an aqueous solution comprising Wollastonite and surfactant. Preferably the interpolymer has an active functionality of from about 1.3 to about 1.9, and more preferably of from about 1.5 to about 1.8. The linear polyether polyol is derived from a difunctional, active hydrogen-containing initiator and one or more 1,2-epoxides which will impart hydrophilic properties to the resulting polyol, or from ethylene glycol and ethylene oxide or prepared from a substantially linear polyether polyol of the general formula H(OCH 2 CH) m OCH 2 CH 2 O (CH 2 CH 2 O) n H wherein m and n each is an integer of from 2 to about 250 and m and n taken together is an integer of from about 3 to about 500, preferably in which m and n each is an integer of from about 5 to about 80 and m and n taken together is an integer of from about 20 to about 200. The average molecular weight of the polyol is from about 200 to about 20,000, preferably from about 800 to about 10,000.

The prepolymer may be prepared with a toluene disocyanate (TDI); the acrylic is preferably an acrylic latex, the gypsum is US Hydrostone gypsum and the surfactant is a preferably non-ionic surface active agent with from about 0.5 to about 5.0 percent surface active agent by weight of prepolymer added to the interpolymer, preferably from about 1.0 to about 2.0 percent surface active agent by weight of prepolymer. However, the formulations are preferably without latex.

Generally from about 6.5 to about 400 moles of water are reacted with the prepolymer, preferably from about 20 to about 200 moles of water. This differs from other urethanes where stoichiometric amounts of water are used.

The granulated product of this invention exhibits unexpected lipophilic characteristics and is able to release any absorbed contaminants and debris during a wash or cleaning process. Still another surprising characteristic of this mineral-abrasive polymer such as polyurethane/garnet/ Wollastonite/staurolite interpolymer is its ability to be propelled against a surface to be treated to minimize or not create any dust or fine particulate matter upon impact. The product of the invention is useful for a variety of different applications, including the aforementioned.

The resultant composition is to be continuously mixed, poured, allowed to rise, gelled to tack-free and comminuted to a specific size. The foamed and sized composition is to be used in a relatively dry mode to remove foreign objects or coatings from hard or soft substrates.

The mineral abrasive may be present in a varied range of proportions in relation to the prepolymer. Generally the percentage of abrasive to total composition can vary from 1% to over 90%, more preferably in the 70 to 90% range. The abrasive is much lower in cost and higher in specific gravity so that its use at the highest level of addition is important in general cost as well as density. The particulate abrasive is preferably a water insoluble, OH group bearing mineral, such as sand, quartz, garnet, Wollastonite, carborundum, diatomaceous earth, gypsum etc.

A preferred abrasive is garnet for harder substrates and Wollastonite for softer substrates or minimal abrasiveness. Both are available from NYCO in New York.

The preferred prepolymer shall be mixed with an aqueous reactant phase containing the above abrasives.

Turning now to FIG. 1, a known prior art urethane strand 1 can be seen. The spacing 2 between adjacent urethane strands 1 is shown and the reticulation, which is well known in the art, is the ratio of the strand's thickness versus the space. As can be seen in FIG. 2, the space per strand ratio achieved by the interpolymer made according to the present invention is less than that of prior art FIG. 1. This is because the thicker interpolymer strands (3) of the present invention have an increased interpolymer distribution of urethane-Wollastonite (4) contained within its internal structure.

The interpolymer product is preferably prepared from an isocyanate capped polyether polyol prepolymer known as TREPOL (®) available from Twin Rivers Engineer of Boothbay, Me. A-62 is a Trepol-like material also produced by Twin Rivers. Another similar product is available from W. R. Grace of Lexington, Mass. and known as HYPOL (®). Similarities exist between these two products, but TREPOL (®) is preferred because of its better absorption, higher tensile strength and lower cost. Hypol consists of trimethylol propane (TMOP), polyethylene glycol (PEG), and TDI while TREPOL consists of PEG and TDI.

The prepolymer is chemically reacted with a large molar excess of water, on the order of about 6.5 to about 400 moles. The water is provided as an aqueous solution containing other components, such as Wollastonite and/or Staurolite and a surfactant which are all readily dispersed or soluble within the water. This differs from other urethanes which involve formation of the polymer using stoichiometric amounts of water. If desired, the prepolymer and/or the aqueous mixture can contain one or more other active ingredients. For example, an activated carbon or aqueous mixture for absorption of specific contaminant materials may also be included in the aqueous phase to be mixed with prepolymer.

In addition to the abrasive and the prepolymer other components such as surfactants, acids, suspension agents etc. to enhance handling of for example the aqueous phase might contain 0.1% to 0.5% of pluronic F88 (BASF) to increase cell size or 10% to 5% of VGUM (Vanderbilt) to better suspend the abrasive, or 1%-8% oleic acid (Hercules) to aid in cleaning brass or copper. The additions of the above and other additives are known to those skilled in the art and are minor possible additions to the total composition for adjusting and tailoring the final composition.

Bactericide or fungicide can also be included in the medium to prevent bacterial or mold growth. The interpolymer media of the invention can be used to clean oil or contaminants from industrial equipment such as in machine shops, blow molds, paper mills, ducts, manufacturing plants, paint, restaurants etc. Oil contaminated rocks can be cleaned with vacuuming of the oil-soaked medium. Thus the material is useful for environmental cleaning of e. g. oil spills.

The cleaning media of the invention can be reused. The open cells appear to hold the grease or contaminant. In water the granules sink to the bottom while the grease, oil etc. is released from the pores of the medium to rise to the top. Then the oil or grease can be skimmed off so that only a small volume of contaminant needs to be cleaned off or disposed of.

Firstly an aqueous phase blend having the following composition is prepared prior to mixing with prepolymer:

To prepare the above product with reference to FIG. 4, the aqueous surfactant solution 10 and the acrylic latex 12 are continuously supplied in metered quantities and blended together in a container 14. The gypsum is metered separately from container 16 into a discharge pipe 20 by a rotary valve 18, or the like, and allowed to fall by gravity toward a pump 22. The aqueous solution of surfactant and latex from container 14 is metered and sprayed by suitable nozzle means onto the gypsum, in a desired proportion, as it falls in the discharge pipe 20. The pump 22 then pumps the admixture of the components to a rotary mixer 24 via supply pipe 26. The prepolymer, i. e. the TREPOL (®), is metered from container 28 by a suitable valve 30 into the supply pipe conveying the admixture to the rotary mixer 24. The mixture is combined with the prepolymer TREPOL (®) in a ratio of 4.75 parts admixture:1 part TREPOL (®), by weight. All of the components then enter the rotary mixer and are sufficiently mixed thereby and discharged onto a continuous conveyer belt 32 where the product is allowed to foam and cure into a urethane strip.

The mixture immediately prior to curing including the prepolymer has approximately the following composition:

The interpolymer produced according to the above procedure reacts as a typical polyurethane product, that is, the mixed product is in a fluid/cream state (emulsion) immediately after mixing which then increases in volume approximately 3 fold during the next two minutes immediately following mixing as a result of the formation of carbon dioxide gases. The product then cures at room temperature for about 3-18 minutes on the conveyer belt 32. Most of the reacted components are "tack free" (i. e. non-sticky to the touch) after about 5 minutes after mixing and an additional 15 minutes or so is required to ensure that the acrylic latex is also "tack free". After this period of time (about 20 minutes total), the cured product is ground by a grinder 34 into small individual particles of media having a diameter of about 1/20,000 to 1/4 inch, preferably about 1/16 to 1/8 inch. The ground media is then allowed to cure for an additional 6 to 8 hours so that the product is completely cured and can be packaged. If this product is ground before it is sufficiently cured, i. e. the product is still "tacky", it tends to clump together into large particles, after grinding, and is then too bulky to be used in the intended blasting equipment.

The product (P) manufactured from the above discussed process was tested in the intended blasting equipment and was found to have the following characteristics compared with the material of FIG. 1.

A formula of the invention has the following final mixture immediately prior to curing:

In the above product, a germicide has been added to control the formation of fungus and other bacteria, a greater percent solution of F88 surfactant was used and the UCAR 154 acrylic latex has been replaced with a TR 407 acrylic latex which is cheaper in cost.

It is to be appreciated that the above weight percentages in the examples are only illustrative of suitable amounts and are not meant to limit the invention herein. The gypsum can have a range of from about 10 to about 75%, the surfactant can have a range of from about 0.0 to about 10%, the acrylic latex can have a range from about 0 to about 25%, the prepolymer can have a range of from about 5 to about 95%. Thus it is seen that those skilled in the art can produce useful granules varying proportions of materials as above. Thus removal of latex and/or surfactant as seen above also produced a useful granule. For the above formulations it has been found that gypsum is the most preferred alkaline earth sulphate material.

The latex which is an Acrylic Copolymer could be replaced with Styrene Butadiene Rubber Copolymers or Vinyl Chloride, or Vinyl Acetate, or Styrenated Acrylics.

The base acrylic latexes utilized in the present invention are well known in the art. They are generally prepared by polymerizing one or more alkyl acrylate and/or methacrylates containing 1 to 18 carbon atoms in the alkyl group. One or more other copolymerizable monomers can also be included, selected from vinyl and vinylidene halides, carboxylic acids selected from ?-?-olefinically unsaturated carboxylic acids containing 3 to 5 carbon atoms and esters thereof containing 4 to 20 carbon atoms, mono-unsaturated dicarboxylic acids containing 4 to 8 carbon atoms nitriles selected from ?, ?-olefinically unsaturated nitriles containing 3 to 5 carbon atoms; acrylamides derived from acrylic and methacrylic acids and their N-alkylol and N-alkoxy-alkyl derivatives containing 3 to 12 carbon atoms, polymerizable ethylenically unsaturated monocarboxylic and dicarboxylic acids containing 3 to 8 carbon atoms and esters thereof containing 4 to 20 carbon atoms, vinyl ethers containing 4 to 22 carbon atoms, vinyl ketones containing 3 to 12 carbon atoms; vinyl esters of carboxylic acids containing 4 to 22 carbon atoms; o-olefins containing 2 to 12 carbon atoms, styrene and styrene derivatives; and other polyfunctional monomers.

The more common comonomers which are polymerized with one or more of the alkyl acrylates and/or methacrylates include styrene, acrylonitrile, acrylic acid, acrylamide, methacrylamide. N-methylol acrylamide, N-methylol methacrylamide, vinyl chloride, and itaconic acid. Other sulfates such as barium sulfate can be used.

Mechanically U. S. Pat. No. 4,551,481 describes a highly reticulated (see FIG. 1) foam. It also describes a bun of low tensile strength. It has been found that the product of the instant invention is significantly higher in tensile strength while having a much lower reticulation (see FIG. 2).

A catalyst can be added to the aqueous and prepolymer components, if desired, to increase the speed of the chemical reactions for producing the product of the present invention. For instance, a terra alba additive can be added to the admixture while an amine may be added along with the prepolymer. In addition, the application of heat, in the range of 100° to 120° F. also decreases the reaction time.

An aqueous phase blend having the following composition is prepared prior to adding the prepolymer:

To prepare the above product with reference to FIG. 4, the aqueous, surfactant, Wollastonite solution 10 are blended together in a container 14. The pump 22 then pumps the admixture of the components to a rotary mixer 24 via supply pipe 26. The prepolymer, i. e. the TREPOL (®), is metered from container 28 by a suitable valve 30 into the supply pipe conveying the admixture to the rotary mixer 24. The mixture is combined with the prepolymer TREPOL (®) in a ratio of 4.75 parts admixture:1 part TREPOL (®), by weight. All of the components then enter the rotary discharged onto a continuous conveyer belt 32 where the product is allowed to foam and cure into a urethane strip.

The mixture (without latex) immediately prior to curing has approximately the following composition:

The interpolymer produced according to the above procedure reacts as a typical polyurethane product, that is, the mixed product is in a fluid/cream state (emulsion) immediately after mixing which then increases in volume approximately 3 fold during the next two minutes immediately following mixing as a result of the formation of carbon dioxide gases. The product then cures at room temperature for about 3-18 minutes on the conveyer belt 32. Most of the reacted components are "tack free" (i. e. non-sticky to the touch) after about 5-15 minutes after mixing. After this period of time (about 20 minutes total), the cured product is ground by a grinder 34 into small individual particles of media having a diameter of about 1/20,000 to 1/4 inch, preferably about 1/16 to 1/8 inch. The ground media is then allowed to cure for an additional 6 to 8 hours so that the product is completely cured and can be packaged. If this product is ground before it is sufficiently cured, i. e. the product is still "tacky", it tends to clump together into large particles, after grinding, and is then too bulky to be used in the intended blasting equipment.

The product (P) manufactured from the above discussed process was tested in the intended blasting equipment and was found to have the following characteristics compared with the material of FIG. 1.

Another example of the invention has the following final mixture immediately prior to curing:

In the above product, a germicide has been added to control the formation of fungus and other bacteria and a greater percent solution of F88 surfactant was used.

The mineral and/or abrasive may be present in a varied range of proportions in relation to the prepolymer. Generally the percentage of abrasive to total composition can vary from 1% to over 90%, more preferably in the 70 to 90% range. The abrasive is much lower in cost and higher in specific gravity so that its use at the highest level of addition is important in overall cost is density.

The particulate abrasive is preferably a water insoluble, OH group bearing mineral, such as sands, Quartz, Garnet, Wollastonite, gypsum, carborundum, diatomaceous earth, etc.

A preferred abrasive is garnet for harder substrates and Wollastonite for softer substrates or minimal abrasivity both available from "NYCO" New York.

The preferred prepolymer shall be required to be mixed with an aqueous reactant phase containing the above abrasives. There is commercially available such prepolymers as described in U. S. Pat. No. 4,137,200 to W. R. Grace known as "Hypol". "Trepol" is manufactured by Rynel Corp. Boothbay, Me. The preferred prepolymer is Trepol with its lower cost, higher strength, and more absorption. In addition to the abrasive and prepolymer other components can be added to the aqueous phase such as surfactants, acids, suspension agents etc. to enhance handling or effectiveness.

For example, the aqueous phase might contain 0.1% to 0.5% of Pluronic F88 (BASF) to increase cell size, or 0.1% or 0.5% of V Gum (Vanderbilt) to suspend abrasive, or 1%-8% oleic acid (Hercules) to aid in cleaning brass and copper. The additions of the above and others are known to those skilled in the art and are minor additions to the total for taking the final composition.

FIG. 2 shows a cross section of a single particle of abrasive/urethane binder. The urethane binder may or may not contains additives, and the particle size may range from 1/32-1/4" in envelop size.

1. Urethane Binder

Further examples of components and ranges follow.

The above ranges show the varying amounts of individual components able to be used. In general the temperature of the aqueous phase is about 60° F. and that of the polymer phase about 80° F.

Water--the water component is used to fluidize aqueous phase and react the prepolymer into foam.

Abrasive--the abrasive will abrade the soil yet not degrade the surface to be cleared.

Thickener--holds aqueous phase in suspension by increasing viscosity thickeners tested are conventional thickening agents such as Vee-gum, Carbipol, CMC, gums, etc.

Coupling agent--the coupling agent reacts onto selected abrasive and also reacts with urethane so as to bind abrasive into foam during comminutation and use.

Active ingredient--many actives can be added to satisfy the requirement such as detergents, acids, water soluble paint stripper, solids, oils, etc. Those skilled in the art may see the value of addition of many more.

Surfactant--The surfactant controls cell size and aids actives do the job. Non-ionic surfactants are preferred such as BASF pluronic series.

Prepolymer--A urethane forming flexible or semi-rigid is preferred similar to Trepol or Hypol so that it is absorbent of noxious material which it is to remove.

For all formulations showing usefulness in trials, a graph was set up to compare density vs cost (FIG. 6). As less prepolymer is used, the cost goes down. As more Aqueous phase is used, the wet density goes up. Where lines cross is the optimal formulation.

The following examples show various formulations tested:

All formulas were tested for the their use in machinery under patent application Ser. No. 376,764, now abandoned filed Jul. 7, 1989 by Sponge Jet incorporated.

The foams were ground down to a size of 1/10-1/8 inch particle size and propelled at a surface through the machine. Each particle hits and picks up the material to be removed. After use, the particles are collected and washed. Washing oil out of the particle is done by subjecting soiled particles to a water phase where foam particle sinks and oil floats. The oily floating debris is then decanted for hazardous waste removal and the foam particle is dried for reuse. The volume for hazardous waste removal is thereby reduced.

Understanding the above sets up criteria for the various desirable particle characteristics:

Density--Must flow through machine without bridging and allow propulsion through the air to hit substrate with impact. Requires 15-30 lb/cu ft. wet density.

Bulk Density--Ground up foam particles must maintain dry bulk density to satisfy above bulk density of 1.5-5.0 and above.

Angle of Repose--Must meet included angle of repose to flow in machine with minimal bridging in hopper and no plugging of nozzle.

Water Soluability--Particles must not be water soluble so that they will be able to go through the wash cycle without agglomerating.

Aggressiveness--Particles must be aggressive enough to remove soil yet not harm substrate. This is accomplished by selection of particle size and hardness of abrasive added in conjunction with polymer coating of particles.

Dusting--particles upon impact must not fracture and must produce little or no residual dusting during use.

Adsorption--particles must adsorb soil from substrate and allow cleaning for reuse. This is accomplished by adding selective active ingredients to aqueous phase.

A preferred medium brown formula using Staurolite (Starblast) is:

Another preferred hard yellow formulation using Garnet #50 (NYCO) is:

A preferred soft green formulation using Wollastonite 10012 (NYCO) is:

It is found that Wollastonite toughens up the sponge, helps the sponge maintain itself for the cleaning cycle or for being wrung out, hardens and enhances the ability of the sponge to flow through the blasting or propelling machinery. Also an unexpected result is the reduction of flash rusting on carbon steel cleaned with use of Wollastonite.

Staurolite is present as in formulation where more abrasive aggressiveness is required. Garnet is used in the most abrasive aggressive application. To prepare the above abrasive formula the Iron Aluminum Silicate ("Starblast") Dupont, or Garnet (NYCO) is first treated with "Silane", A 1100 series @0.5% Silane to either abrasive. There is a chemical reaction of Silane onto either abrasive. FIG. 5a shows a tank (12) containing starblast and Silane (13) with an agitator (10).

The aqueous phase components i. e. water, F88, Wollastonite abrasive, starblast (optional) FIG. 5b are added to a mix tank (15) in order of addition, and mixed (16) into a homogenous blend. The above Aqueous phase is shown in FIG. 5b and is pumped out of (17) mix tank to holding tank (18) in FIG. 5c.

To make foam, the aqueous phase (18a) is metered out of the holding tank in FIG. 5c with a metering pump (19). At the same time "Trepol" Prepolymer is metered out (20) of 55 gallon storage drums (21) and both streams in proper ratio are mixed in rotary mixer (22). The liquid output reacting foam (23) of mixer is deposited onto a conveyor belt (24) whereon it rises and cures along the length of the belt. After curing, the foam is solid enough to be fed into a grinder (26), ground up, and fed through a sizing screen and packaged in bags (27).

The less abrasive product Example 18 is made similarly without the addition of additional abrasives and with changing the ratio of components. It is to be appreciated that the above weight percentages in the examples are only illustrative of suitable amounts and are not meant to limit the invention herein. The Wollastonite and/or can have a range of from about 10 to about 75%, the surfactant can have a range of from about 0.0 to about 10%, and the prepolymer can have a range of from about 5 to about 95%. Thus it is seen that those skilled in the art can produce useful granules varying proportions of materials as above. For the above formulations it has been found that metasilcates such as Garnet, Wollastonite and or Staurolite are the most preferred alkaline earth materials.

Mechanically U. S. Pat. No. 4,551,481 describes a highly reticulated (see FIG. 1) foam of 13 vm. It also describes a bun of low tensile strength. It has been found that the product of the instant invention is significantly higher in tensile strength while having a much lower reticulation (see FIG. 2).

A catalyst can be added to the aqueous and prepolymer components, if desired, to increase the speed of the chemical reactions for producing the product of the present invention. For instance, a terra alba additive can be added to the admixture while an amine may be added along with the prepolymer. In addition, the application of heat, in the range of 100° to 120° F. also decreases the reaction time.

The product of the present invention is particularly useful as a carrier of a wide variety of biologically active substances which have cleanup value, especially for the use in the clean up of hazardous materials. It is possible to achieve a substantially uniform distribution of such substances within the media by adding them to the aqueous components so that they can be homogeneously distributed and mixed throughout the product before curing. Examples are fungicide, germicide, bactericide, activated carbon, ionic resin beads, superabsorbants for water, detergents, abrasives, enzymes and pH controllers. The removal of lead paint can be done with or without stripper present. The granules are also used for cleaning the surfaces of buildings.

A particular application for the product of the present invention, which fully exploits its advantageous properties, is in physical cleanup of vehicles or of industrial equipment as found in a "machine shop", for instance. Recent Environmental Protection Agency regulations describe the by-product from a typical prior art "power wash" (high pressure water & detergent) as a hazardous waste because the spent cleaning material (by-product) contains oil and other contaminants which have been removed during the cleaning process. The interpolymer product according to the present application, when propelled against soiled machinery, dislodges and absorbs all of the oil and other contaminants, does not affect surface finish of the vehicle or machinery, is easily collected as a dry granule material, does not dust and/or contaminate the area being cleaned, and can be separated, recycled and reused again. The residue oil or contaminant separated from the residue is then present in a small volume for disposal.

Wollastonite with prepolymer has been used to make round foam balls of about one inch in diameter to scrape i. e. clean the walls of tubes of the same inside diameter in nuclear power plants. Here the cleaning is done together with water pumped through the tubes. These balls contained additional polymer in addition to the Trepol.

In various environmental rules in different states it is necessary to dispose of hazardous waste at a special waste disposal site if the waste level exceeds certain guidelines. This is expensive. Thus oil and grease from power wash may be 57,500 ppm while a state limit may be 5 ppm for discharge. This is expensive. Power wash as in the prior art can produce large amounts of such materials. The invention controls levels to smaller volumes thus reducing hazardous waste disposal. Stringent rules in California often prohibit power wash of any kind. In Maine cleaning of paper mills requires notification of the local sewer district which then can refuse disposal or charge a fee. Smaller fees would be incurred since the invention leads to smaller volumes of contaminants. This avoids costly environmental cleanups. A recent clean-up in Maine cost more than $4 million dollars.

For example, the invention can be used to remove lead paint softened by conventional strippers, or not. The granules are then totally incinerated, or separated from lead for disposal. The use of liquid strippers in the prior art creates a dangerous problem in removal of stripper plus lead paint. Testwork of the invention in Boston's Callahan tunnel reduced tetraethyl lead content on surfaces therein from 20,000 ppm to 40 ppm which is 10 times better than the EPA requirement of 400 ppm for safe conditions for workers.

Baking soda (NaHCO 3 ) is used in water-injected wash or blasting in the prior art. Water is used to suppress the dust from the baking soda. By mixing the soda with damp sponge material of soda present will continue to achieve the desired cleaning effect. Other cleaning media which produce dust can also be used in the above manner such as agricultural media as corn cob, walnut and also silica sand and any carbon product.

For other cleaning processes, the active ingredient product is first mixed into an aqueous phase, allowed to foam and ground into small particles for use in air blasting equipment. Each particle is then considered a minute absorbing sponge which, when placed in water, would sink. This characteristic leads to easy separation of product from its absorbed contaminants. Spent or used foam particles, after removing any residual noxious contaminates, can be separated for proper disposal. The hazardous waste can then be reduced to its minimal volume, water can be reduced by evaporation and the like, rather than being emulsified in a large quantity of pressure wash effluent.

With respect to lead or other foreign solid matter, the particles of the invention containing the lead can be screened, the screened particles can be swollen by wetting and rescreened to separate the solid foreign matter from the particles. The particles may then be reused.

The sponge material of the invention can be used together with acid or detergents to clean soiled building surfaces whereby graffiti may be removed from brick concrete, etc. without descrution of substrate.

Since certain changes may be made in the above interpolymer material without departing from the spirit and scope of the invention herein involved, it is intended that all matter contained in the above description and shown in the accompanying drawings shall not be construed as limiting the invention but shall be interpreted merely as examples illustrating the inventive concept herein.



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If you have a bacterial infection, you may benefit from cefuroxime axetil. Uses of this medication include treatment of tonsillitis, strep throat, ear infections, skin infections, and bronchitis, to name a few. This prescription medication works by preventing the bacteria from forming cell walls. It is approved for use in both adults and children (as young as three months old).

An Overview of Uses for Cefuroxime Axetil

Cefuroxime axetil (Ceftin ® ) is a prescription antibiotic that comes in the form of tablets and an oral suspension (liquid). The two different products are approved for different uses.

Cefuroxime axetil oral suspension is approved to treat the following infections in children 3 months through 12 years of age:

The tablet form of cefuroxime axetil is approved for a broader range of uses, including the treatment of the following infections:

Tonsillitis (tonsil infection) or pharyngitis ("strep throat") caused by Streptococcus pyogenes bacteria

Ear infections

Sinus infections

Bronchitis

Skin and skin structure infections

Urinary tract infections (UTIs. such as bladder infections)

Gonorrhea. a sexually transmitted infection

Lyme disease in its early stages.

Cefuroxime axetil is approved for treating the infections listed above only when they are caused by certain types of bacteria. Not all bacteria will respond to this medicine. Also, bacteria have different resistance patterns in different regions of the country. This means that some bacteria may be susceptible to cefuroxime axetil in certain parts of the country but not in others. Cefuroxime axetil is completely ineffective for treating viral illnesses (such as the common cold or the flu ).

In some situations, your healthcare provider may perform certain tests to see if your particular infection is susceptible or resistant to cefuroxime axetil. In other situations, your healthcare provider may decide to try cefuroxime axetil without such tests, especially for infections that are not severe.



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KETANOV TABLET

What is ketorolac tromethamine for:

This medication is a non-steroidal anti-inflammatory agent (NSAID), prescribed for short-term management of severe pain, usually after surgery that requires analgesia (pain killer) at the opioid level and free from opioid side effects. It stops the bodys production of substances (prostaglandin, histamines etc) that cause pain, fever and inflammation.

How does ketorolac tromethamine work:

Ketorolac tromethamine blocks chemicals that cause pain and swelling.

How should ketorolac tromethamine be used:

It comes as a tablet to be taken by mouth. It is usually taken every 4 to 6 hours on a schedule or as needed for pain. It also comes as eye drops to instill into the affected eyes, as directed by your physician.

Common side effects of ketorolac tromethamine :

Headache. Belly pain. Upset stomach or throwing up. Many small meals, good mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help. Loose stools (diarrhea).

What do I do if I miss a dose

Take a missed dose as soon as you think about it. If it is close to the time for your next dose, skip the missed dose and go back to your normal time. Do not take 2 doses at the same time or extra doses. Many times this drug is taken on an as needed basis.

What precautions should I take when taking ketorolac tromethamine :

If you have an allergy to ketorolac tromethamine or any other part of this drug. Tell your doctor if you are allergic to any drugs. Make sure to tell about the allergy and what signs you had. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs. If you have any of these health problems: Bleeding in the brain, bleeding problems, hole in the GI (gastrointestinal) tract, recent GI bleeding, very bad kidney disease, ulcer disease, or use before surgery. If you are more than 24 weeks pregnant. If you are breast-feeding.

When do I need to seek medical help

If you think there was an overdose, call your local poison control center or ER right away. Signs of a very bad reaction to the drug. These include wheezing; chest tightness; fever; itching; bad cough; blue or gray skin color; seizures; or swelling of face, lips, tongue, or throat. Chest pain or pressure. Change in strength on 1 side is greater than the other, trouble speaking or thinking, change in balance, or blurred eyesight. Very upset stomach or throwing up. Very bad belly pain. Very bad swelling or pain of hands or feet. A big weight gain. Black, tarry, or bloody stools. Blood in the urine. Very loose stools (diarrhea). Any bruising or bleeding. Any rash. Side effect or health problem is not better or you are feeling worse.

Can I take ketorolac tromethamine with other medicines:

Sometimes drugs are not safe when you take them with certain other drugs and food. - Taking them together can cause bad side effects. - Be sure to talk to your doctor about all the drugs you take.

Are there any food restrictions

How do I store ketorolac tromethamine :

Store in a cool, dry place away from the reach of children. - Medicines must not be used past the expiry date.

Pregnancy Category

Category C. Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.

Therapeutic Classification

Nonsteroidal Anti-Inflammatory Drugs (NSAIDs), Non-Opioid Analgesics & Antipyretics

This medication is a non-steroidal anti-inflammatory agent (NSAID), prescribed for short-term management of severe pain, usually after surgery that requires analgesia (pain killer) at the opioid level and free from opioid side effects. It stops the bodys production of substances (prostaglandin, histamines etc) that cause pain, fever and inflammation.



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Cardura - Blood Pressure, Doxamax

Blood Pressure - Doxamax (Brand name: Cardura)

Doxamax is used for treating high blood pressure and treating signs and symptoms of benign prostatic hyperplasia (BPH). Doxamax is an alpha-blocker. It works by relaxing muscles in the blood vessels, resulting in lowering of blood pressure. In men with BPH, alpha-blockers work by relaxing muscles around the urethra (the tube that drains urine from the bladder), which improves urinary symptoms.

Use Doxamax as directed by your doctor.

Take Doxamax by mouth with or without food.

Doxamax may cause a sudden drop in blood pressure after the first dose. Take your first dose at bedtime. If you get up during the night, sit up slowly, then stand slowly.

If you miss a dose of Cardura, 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 Cardura.

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

Active Ingredient: Doxazosin mesylate.

Do NOT use Doxamax if:

you are allergic to any ingredient of Doxamax or to similar medicines (eg, prazosin).

Some medical conditions may interact with Cardura. Tell your health care provider 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 prostate cancer, kidney or liver problems, or high or low blood pressure

if you will be having eye surgery.

Some medicines may interact with Cardura. Tell your health care provider if you are taking any other medicines, especially any of the following.

Phosphodiesterase type 5 inhibitors (eg, sildenafil, vardenafil) because severe low blood pressure may occur

Clarithromycin, HIV protease inhibitors (eg, ritonavir), itraconazole, ketoconazole, nefazodone, telithromycin, or voriconazole because they may increase the risk of Cardura's side effects.

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

Important safety information:

Doxamax may cause drowsiness, dizziness, lightheadedness, or fainting. These effects may be worse if you take it with alcohol or certain medicines. Use Doxamax with caution. Do not drive or perform other possible unsafe tasks until you know how you react to it.

Doxamax may cause a sudden drop in blood pressure after the first dose. Take your first dose at bedtime. If you get up during the night, sit up slowly, then stand slowly. This will help to reduce your lightheadedness or dizziness. These effects will more likely occur after the first few doses or if your dose has increased, but can occur at any time while you are taking the medicine. It can also occur if you stop taking the medicine and then restart treatment.

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

Do NOT take more than the recommended dose without checking with your doctor.

Tell your doctor or dentist that you take Doxamax before you receive any medical or dental care, emergency care, or surgery (including eye surgery).

Doxamax may rarely cause a prolonged, painful erection. This could happen even when you are not having sex. If this is not treated right away, it could lead to permanent sexual problems such as impotence. Contact your doctor right away if this happens.

Patients who take medicine for high blood pressure often feel tired or run down for a few weeks after starting treatment. Be sure to take your medicine even if you may not feel "normal." Tell your doctor if you develop any new symptoms.

Lab tests, including blood pressure, may be performed while you use Cardura. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.

Use Doxamax with caution in the elderly; they may be more sensitive to its effects, especially low blood pressure.

Doxamax should not be used in children; safety and effectiveness in 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 Doxamax while you are pregnant. It is not known if Doxamax is found in breast milk. If you are or will be breast-feeding while you use Cardura, check with your doctor. Discuss any possible risks to your baby.

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:

Dizziness; drowsiness; lightheadedness; nasal congestion; tiredness; 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); chest pain; fainting; irregular heartbeat; prolonged, painful erection; severe or prolonged dizziness or headache; shortness of breath; swelling of the ankles, feet, or hands; 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.



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Marcofen, Marcofen

Marcofen

Important Notice: The Drugs. com international database is in BETA release. This means it is still under development and may contain inaccuracies. It is not intended as a substitute for the expertise and judgement of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that the use of any medication in any country is safe, appropriate or effective for you. Consult with your healthcare professional before taking any medication.

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Predfoam, Predfoam

PREDFOAM

Transcript

If you forget to use Predfoam Do not worry if you miss a dose of Predfoam. Administer Predfoam as soon as you remember and then use your next dose at the usual time. Do not use more than 2 doses in one day.

PACKAGE LEAFLET: INFORMATION FOR THE USER PREDFOAM Prednisolone as Prednisolone Metasulphobenzoate Sodium Read all of this lea?et carefully before you start using this medicine. ? Keep this lea?et. You may need to read it again. If you have any further questions, ask your doctor. ? ? This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours. ? If you notice any side effects please tell your doctor. In this lea?et: 1. What Predfoam is and what it is used for 2. Before you use Predfoam 3. How to use Predfoam 4. Possible side effects 5. How to store Predfoam 6. Further information

1. What Predfoam is and what it is used for

Predfoam is a foam enema which is inserted into the rectum. Predfoam belongs to a group of medicines called corticosteroids which are used to reduce in?ammation. Predfoam is used to treat ulcerative colitis (in?ammation of the bowels) and may be used to treat proctitis (in?ammation of the rectum).

2. Before you use Predfoam

Do not use Predfoam: If you are allergic (hypersensitive) to prednisolone or any of the other ingredients of Predfoam (see Section 6 for full list of ingredients). ? If you suffer from peritonitis (in?ammation of the peritoneum – (abdominal lining)) ? If you suffer from bowel problems such as obstruction, perforation or rectal/colonic ?stulae (abnormal connection between internal organs) or if you have a possible infection. If you think this may apply to you speak to your doctor. Take special care with Predfoam: ? If you suffer from severe ulcerative colitis Predfoam may not be suitable for you and you should talk to your doctor before using it. ? The use of Predfoam may make diagnosing an infection more dif?cult but your doctor should be aware of this. Predfoam is for application in the rectum only. It is not advisable to use Predfoam for a long period of time, but your doctor will be aware of this. Using other medicines You can use Predfoam whilst taking other medicines. Pregnancy and breast-feeding Ask your doctor for advice before using Predfoam if you are pregnant or breast-feeding. ?

3. How to use Predfoam

Dosage Always use Predfoam exactly as your doctor has told you. You should check with your doctor if you are not sure. Predfoam is not recommended for use in children (i. e. those under 18 years old). One metered-dose of Predfoam should be inserted rectally, using one of the applicator nozzles provided, once or twice daily for 2 weeks. Your doctor may decide to extend the treatment for a further 2 weeks. Administration Predfoam has been designed for your maximum comfort and ease of use. Read these instructions carefully before using Predfoam for the ?rst time. If you ?nd it dif?cult to use Predfoam in a standing position an alternative is to administer while lying on your side with both legs bent up.

If you use more Predfoam than you should Overdosage by this route is unlikely, but if someone else takes your medicine or it is used incorrectly take the canister to your doctor and ask for advice. If you have any further questions on the use of this product, ask your doctor.

4. Possible Side effects

Normally, there are no side effects associated with the use of Predfoam. Reporting of side effects If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www. mhra. gov. uk/yellowcard By reporting side effects you can help provide more information on the safety of this medicine.

5. How to store Predfoam

Keep out of the reach and sight of children. Do not use Predfoam after the expiry date stated on the carton and canister after ‘Use By End’. The expiry date refers to the last day of that month. Predfoam is supplied in a pressurised container containing a ?ammable propellant. Do not store above 25?C. Protect from sunlight and do not expose to temperatures above 50 ?C. Do not pierce or burn even after use. Do not spray on naked ?ame or any incandescent material. Do not store in a refrigerator. Discard after 14 doses have been used. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

6. Further information What Predfoam contains The active substance is prednisolone metasulphobenzoate sodium. Each metered dose contains 31.4 mg of the active ingredient (equivalent to 20.0 mg of prednisolone). The other ingredients are non-ionic emulsifying wax, cetostearyl alcohol, oleyl alcohol, technical white oil, phenoxyethanol, sorbic acid, polysorbate 20, disodium edetate, sodium hydroxide and puri?ed water. The propellant in Predfoam is Butane 48. What Predfoam looks like and contents of the pack Predfoam is supplied in a canister. Each canister contains enough product for 14 doses and comes supplied with disposable applicators and disposal bags. Marketing Authorisation Holder Chemidex Pharma Ltd, Chemidex House Egham Business Village, Crabtree Road, Egham, Surrey TW20 8RB Manufactured on behalf of Chemidex Pharma Ltd by: Pharmaserve (North West) Limited Astmoor Industrial Estate Runcorn, Cheshire WA7 1NU. This lea?et was last revised in: June 2015 “Chemidex” and Chemidex logo are registered trademarks of Chemidex Pharma Ltd.

5. Important: Holding the canister 4. The easiest way to use Predfoam is to 1. Shake before use. with the dose button pointing down, 2. When using for the first time remove stand with one foot raised on a chair press the button on the canister and gently insert the nozzle tip into and discard the small plastic safety firmly and release. Only press the your rectum. It may help if you smear tag from under the button. button once otherwise you will the nozzle with lubricating jelly before 3. Carefully push an applicator nozzle exceed the recommended dose. insertion. onto the side arm of the canister. Note: the canister will only work Line up semi-circular cut-out on cap when held with the dose button with nozzle. pointing down. foam canister canister nozzle Foam is expelled when the button is applicator nozzle released. safety tag Dispose of the used nozzle in the semi-circular plastic bag provided - the nozzles cut-out dose button will not flush down toilets.

Disposal The used nozzles should be disposed of in the plastic bag provided.

Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.



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Anacin - Pain Relief, Neverdol

Anacin is a pain reliever intended for the temporary relief of minor aches and pains. Anacin is a combination salicylate and stimulant. It works by blocking several different chemical processes within the body that cause pain, inflammation, and fever. It also reduces the tendency for blood to clot.

Availability: In Stock (17 packs)

Other names of Anacin:

Anacin is used for treating pain including, headache, muscle aches, sprains, tooth extraction and toothache, menstrual cramps, arthritis and rheumatism, and pain and fever of the common cold. It may also be used for other conditions as determined by your doctor.

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

Take Anacin by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation. Taking it with food may not decrease the risk of stomach or bowel problems (eg, bleeding, ulcers) that may occur while taking Anacin.

Take Anacin with a full glass of water (8 oz/240 mL). Do not lie down for 30 minutes after taking Anacin.

Use Anacin exactly as directed on the package, unless instructed differently by your doctor. If you are taking Anacin without a prescription, follow any warnings and precautions on the label.

If you miss a dose of Anacin and you are taking it regularly, 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 Anacin.

Store Anacin 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 Anacin out of the reach of children and away from pets.

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

Avoid large amounts of food or drink that have caffeine (eg, coffee, tea, cocoa, cola, chocolate). This includes any medicines that contain caffeine.

Anacin has aspirin in it. Before you start any new medicine, check the label to see if it has aspirin in it too. If it does or if you are not sure, check with your doctor or pharmacist.

Talk to your doctor before you take Anacin or other pain relievers/fever reducers if you drink more than 3 drinks with alcohol per day. Serious stomach ulcers or bleeding can occur with the use of Anacin. Taking it in high doses or for a long time, smoking, or drinking alcohol increases the risk of these side effects. Taking Anacin with food will NOT reduce the risk of these effects. Contact your doctor or emergency room at once if you develop severe stomach or back pain; black, tarry stools; vomit that looks like blood or coffee grounds; or unusual weight gain or swelling.

Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor. Taking more than the recommended dose or taking Anacin regularly may be habit-forming.

Anacin may reduce the number of clot-forming cells (platelets) in your blood. To prevent bleeding, avoid situations in which bruising or injury may occur. Report any unusual bleeding, bruising, blood in stools, or dark, tarry stools to your doctor.

Aspirin has been linked to a serious illness called Reye syndrome. Do not give Anacin to a child or teenager who has the flu, chickenpox, or a viral infection. Contact your doctor with any questions or concerns.

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

If Anacin has a strong vinegar-like smell upon opening, do not use. It means the medicine is breaking down. Throw the bottle away safely and out of the reach of children; contact your pharmacist and replace.

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

Do not take Anacin for at least 7 days after any surgery unless directed by your health care provider.

Do not take Anacin for more than 10 days for pain or for more than 3 days for fever unless directed to do so by your health care provider.

Different brands of Anacin may have different dosing instructions for CHILDREN. Follow the dosing instructions on the package labeling. If your doctor has given you instructions, follow those. If you are unsure of the dose to give a child, check with your doctor or pharmacist.

Do NOT use Anacin if:

you are allergic to any ingredient in Anacin

you are a child or teenager with influenza (flu) or chickenpox

you have bleeding problems such as hemophilia, von Willebrand disease, or low blood platelets, or you have active severe bleeding

you have had a severe allergic reaction (eg, severe rash, hives, breathing difficulties, dizziness) to aspirin, tartrazine, or a nonsteroidal anti-inflammatory drug (NSAID) (eg, ibuprofen, naproxen, celecoxib)

you are taking anticoagulants (eg, heparin, warfarin) or methotrexate

Before using Anacin:

Some medical conditions may interact with Anacin. 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 alcoholism or if you consume 3 or more alcohol-containing drinks every day

if you have asthma, bleeding or clotting problems, growths in the nose (nasal polyps), kidney or liver problems, stomach or intestinal problems (eg, ulcer, inflammation), heart problems, heartburn, upset stomach, stomach pain, hives, influenza (flu) or chickenpox, or vitamin K deficiency

if you have anxiety, trouble sleeping, or heart problems

if you are a child with a stroke, a weakened blood vessel (cerebral aneurysm) or bleeding in the brain, rheumatic disease (eg, rheumatoid arthritis), or Kawasaki syndrome (a rare inflammation causing heart problems in children)

Some MEDICINES MAY INTERACT with Anacin. Tell your health care provider if you are taking any other medicines.

PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Anacin while you are pregnant. Anacin is not recommended during the last 3 months (third trimester) of pregnancy because it may cause harm to the fetus. Anacin is found in breast milk. If you are or will be breast-feeding while you use Anacin, check with your doctor. Discuss any possible risks to your baby.

All medicines may cause side effects, but many people have no, or minor, side effects. Anacin's side effects may include dizziness, heartburn, irritability, nausea, nervousness, rashes, hives, bloody stools, drowsiness, hearing loss, ringing in the ears, and trouble sleeping.

Check with your doctor if any of the listed above most COMMON side effects persist or become bothersome.

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); black or bloody stools; confusion; diarrhea; drowsiness; hearing loss; ringing in the ears; severe or persistent dizziness; severe or persistent stomach pain or heartburn; shakiness; trouble sleeping; 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.

Anacin is a pain reliever intended for the temporary relief of minor aches and pains. Anacin is a combination salicylate and stimulant. It works by blocking several different chemical processes within the body that cause pain, inflammation, and fever. It also reduces the tendency for blood to clot.

Availability: In Stock (17 packs)

Other names of Anacin:

Anacin is used for treating pain including, headache, muscle aches, sprains, tooth extraction and toothache, menstrual cramps, arthritis and rheumatism, and pain and fever of the common cold. It may also be used for other conditions as determined by your doctor.

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

Take Anacin by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation. Taking it with food may not decrease the risk of stomach or bowel problems (eg, bleeding, ulcers) that may occur while taking Anacin.

Take Anacin with a full glass of water (8 oz/240 mL). Do not lie down for 30 minutes after taking Anacin.

Use Anacin exactly as directed on the package, unless instructed differently by your doctor. If you are taking Anacin without a prescription, follow any warnings and precautions on the label.

If you miss a dose of Anacin and you are taking it regularly, 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 Anacin.

Store Anacin 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 Anacin out of the reach of children and away from pets.

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

Avoid large amounts of food or drink that have caffeine (eg, coffee, tea, cocoa, cola, chocolate). This includes any medicines that contain caffeine.

Anacin has aspirin in it. Before you start any new medicine, check the label to see if it has aspirin in it too. If it does or if you are not sure, check with your doctor or pharmacist.

Talk to your doctor before you take Anacin or other pain relievers/fever reducers if you drink more than 3 drinks with alcohol per day. Serious stomach ulcers or bleeding can occur with the use of Anacin. Taking it in high doses or for a long time, smoking, or drinking alcohol increases the risk of these side effects. Taking Anacin with food will NOT reduce the risk of these effects. Contact your doctor or emergency room at once if you develop severe stomach or back pain; black, tarry stools; vomit that looks like blood or coffee grounds; or unusual weight gain or swelling.

Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor. Taking more than the recommended dose or taking Anacin regularly may be habit-forming.

Anacin may reduce the number of clot-forming cells (platelets) in your blood. To prevent bleeding, avoid situations in which bruising or injury may occur. Report any unusual bleeding, bruising, blood in stools, or dark, tarry stools to your doctor.

Aspirin has been linked to a serious illness called Reye syndrome. Do not give Anacin to a child or teenager who has the flu, chickenpox, or a viral infection. Contact your doctor with any questions or concerns.

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

If Anacin has a strong vinegar-like smell upon opening, do not use. It means the medicine is breaking down. Throw the bottle away safely and out of the reach of children; contact your pharmacist and replace.

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

Do not take Anacin for at least 7 days after any surgery unless directed by your health care provider.

Do not take Anacin for more than 10 days for pain or for more than 3 days for fever unless directed to do so by your health care provider.

Different brands of Anacin may have different dosing instructions for CHILDREN. Follow the dosing instructions on the package labeling. If your doctor has given you instructions, follow those. If you are unsure of the dose to give a child, check with your doctor or pharmacist.

Do NOT use Anacin if:

you are allergic to any ingredient in Anacin

you are a child or teenager with influenza (flu) or chickenpox

you have bleeding problems such as hemophilia, von Willebrand disease, or low blood platelets, or you have active severe bleeding

you have had a severe allergic reaction (eg, severe rash, hives, breathing difficulties, dizziness) to aspirin, tartrazine, or a nonsteroidal anti-inflammatory drug (NSAID) (eg, ibuprofen, naproxen, celecoxib)

you are taking anticoagulants (eg, heparin, warfarin) or methotrexate

Before using Anacin:

Some medical conditions may interact with Anacin. 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 alcoholism or if you consume 3 or more alcohol-containing drinks every day

if you have asthma, bleeding or clotting problems, growths in the nose (nasal polyps), kidney or liver problems, stomach or intestinal problems (eg, ulcer, inflammation), heart problems, heartburn, upset stomach, stomach pain, hives, influenza (flu) or chickenpox, or vitamin K deficiency

if you have anxiety, trouble sleeping, or heart problems

if you are a child with a stroke, a weakened blood vessel (cerebral aneurysm) or bleeding in the brain, rheumatic disease (eg, rheumatoid arthritis), or Kawasaki syndrome (a rare inflammation causing heart problems in children)

Some MEDICINES MAY INTERACT with Anacin. Tell your health care provider if you are taking any other medicines.

PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Anacin while you are pregnant. Anacin is not recommended during the last 3 months (third trimester) of pregnancy because it may cause harm to the fetus. Anacin is found in breast milk. If you are or will be breast-feeding while you use Anacin, check with your doctor. Discuss any possible risks to your baby.

All medicines may cause side effects, but many people have no, or minor, side effects. Anacin's side effects may include dizziness, heartburn, irritability, nausea, nervousness, rashes, hives, bloody stools, drowsiness, hearing loss, ringing in the ears, and trouble sleeping.

Check with your doctor if any of the listed above most COMMON side effects persist or become bothersome.

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); black or bloody stools; confusion; diarrhea; drowsiness; hearing loss; ringing in the ears; severe or persistent dizziness; severe or persistent stomach pain or heartburn; shakiness; trouble sleeping; 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.



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HEPATOTOXICITY

ACETAMINOPHEN HAS BEEN ASSOCIATED WITH CASES OF ACUTE LIVER FAILURE, AT TIMES RESULTING IN LIVER TRANSPLANT AND DEATH. MOST OF THE CASES OF LIVER INJURY ARE ASSOCIATED WITH THE USE OF ACETAMINOPHEN AT DOSES THAT EXCEED 4000 MILLIGRAMS PER DAY, AND OFTEN INVOLVE MORE THAN ONE ACETAMINOPHEN-CONTAINING PRODUCT/

DESCRIPTION

Butalbital and acetaminophen are supplied in tablet form for oral administration.

Butalbital (5-allyl-5-isobutylbarbituric acid), a slightly bitter, white, odorless, crystalline powder, is a short to intermediate-acting barbiturate. It has the following structural formula:

Acetaminophen (4’-hydroxyacetanilide), a slightly bitter, white, odorless, crystalline powder, is a non-opiate, non-salicylate analgesic and antipyretic. It has the following structural formula:

Each tablet contains:

Butalbital …………………………………………….50 mg Warning: May be habit-forming. Acetaminophen ………………………………………325 mg

In addition, each tablet contains the following inactive ingredients: colloidal silicon dioxide, croscarmellose sodium, crospovidone, microcrystalline cellulose, povidone, pregelatinized starch, stearic acid.

CLINICAL PHARMACOLOGY

This combination drug product is intended as a treatment for tension headache.

It consists of a fixed combination of butalbital and acetaminophen. The role each component plays in the relief of the complex of symptoms known as tension headache is incompletely understood.

Pharmacokinetics

The behavior of the individual components is described below.

Butalbital. Butalbital is well absorbed from the gastrointestinal tract and is expected to distribute to most tissues in the body. Barbiturates in general may appear in breast milk and readily cross the placental barrier. They are bound to plasma and tissue proteins to a varying degree and binding increases directly as a function of lipid solubility.

Elimination of butalbital is primarily via the kidney (59% to 88% of the dose) as unchanged drug or metabolites. The plasma half-life is about 35 hours. Urinary excretion products include parent drug (about 3.6% of the dose), 5-isobutyl-5-(2,3-dihydroxypropyl) barbituric acid (about 24% of the dose), 5-allyl-5(3-hydroxy-2-methyl-l-propyl) barbituric acid (about 4.8% of the dose), products with the barbituric acid ring hydrolyzed with excretion of urea (about 14% of the dose), as well as unidentified materials. Of the material excreted in the urine, 32% is conjugated.

The in vitro plasma protein binding of butalbital is 45% over the concentration range of 0.5 to 20 mcg/mL. This falls within the range of plasma protein binding (20% to 45%) reported with other barbiturates such as phenobarbital, pentobarbital, and secobarbital sodium. The plasma-to-blood concentration ratio was almost unity indicating that there is no preferential; distribution of butalbital into either plasma or blood cells (See OVERDOSAGE for toxicity information.).

Acetaminophen. Acetaminophen is rapidly absorbed from the gastrointestinal tract and is distributed throughout most body tissues. The plasma half-life is 1.25 to 3 hours, but may be increased by liver damage and following overdosage. Elimination of acetaminophen is principally by liver metabolism (conjugation) and subsequent renal excretion of metabolites. Approximately 85% of an oral dose appears in the urine within 24 hours of administration, most as the glucuronide conjugate, with small amounts of other conjugates and unchanged drug.

See OVERDOSAGE for toxicity information.

INDICATIONS AND USAGE

Butalbital and acetaminophen tablets are indicated for the relief of the symptom complex of tension (or muscle contraction) headache.

Evidence supporting the efficacy and safety of this combination product in the treatment of multiple recurrent headaches is unavailable. Caution in this regard is required because butalbital is habit-forming and potentially abusable.

CONTRAINDICATIONS

This product is contraindicated under the following conditions:

• Hypersensitivity or intolerance to any component of this product. • Patients with porphyria.

WARNINGS

Butalbital is habit-forming and potentially abusable. Consequently, the extended use of this product is not recommended.

Hepatotoxicity

Acetaminophen has been associated with cases of acute liver failure, at times resulting in liver transplant and death. Most of the cases of liver injury are associated with the use of acetaminophen at doses that exceed 4000 milligrams per day, and often involve more than one acetaminophen-containing product. The excessive intake of acetaminophen may be intentional to cause self-harm or unintentional as patients attempt to obtain more pain relief or unknowingly take other acetaminophen-containing products.

The risk of acute liver failure is higher in individuals with underlying liver disease and in individuals who ingest alcohol while taking acetaminophen.

Instruct patients to look for acetaminophen or APAP on package labels and not to use more than one product that contains acetaminophen. Instruct patients to seek medical attention immediately upon ingestion of more than 4000 milligrams of acetaminophen per day, even if they feel well.

Serious Skin Reactions

Rarely, acetaminophen may cause serious skin reactions such as acute generalized exanthematous pustulosis (AGEP), Stevens-Johnson Syndrome (SJS), and toxic epidermal necrolysis (TEN), which can be fatal. Patients should be informed about the signs of serious skin reactions, and use of the drug should be discontinued at the first appearance of skin rash or any other sign of hypersensitivity.

Hypersensitivity/anaphylaxis

There have been post-marketing reports of hypersensitivity and anaphylaxis associated with use of acetaminophen. Clinical signs included swelling of the face, mouth, and throat, respiratory distress, urticaria, rash, pruritus, and vomiting. There were infrequent reports of life-threatening anaphylaxis requiring emergency medical attention. Instruct patients to discontinue Butalbital and Acetaminophen Tablets immediately and seek medical care if they experience these symptoms. Do not prescribe butalbital and acetaminophen tablets for patients with acetaminophen allergy.

PRECAUTIONS

General

Butalbital and acetaminophen tablets should be prescribed with caution in certain special-risk patients, such as the elderly or debilitated, and those with severe impairment of renal or hepatic function, or acute abdominal conditions.

Information for Patients/Caregivers

• Do not take butalbital and acetaminophen tablets if you are allergic to any of its ingredients. • If you develop signs of allergy such as a rash or difficulty breathing, stop taking butalbital and acetaminophen tablets and contact your healthcare provider immediately. • Do not take more than 4000 milligrams of acetaminophen per day. Call your doctor if you took more than the recommended dose.

This product may impair mental and/or physical abilities required for the performance of potentially hazardous tasks such as driving a car or operating machinery. Such tasks should be avoided while taking this product.

Alcohol and other CNS depressants may produce an additive CNS depression, when taken with this combination product, and should be avoided.

Butalbital may be habit-forming. Patients should take the drug only for as long as it is prescribed, in the amounts prescribed, and no more frequently than prescribed.

All MedLibrary. org resources are included in as near-original form as possible, meaning that the information from the original provider has been rendered here with only typographical or stylistic modifications and not with any substantive alterations of content, meaning or intent.

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Ciprapine, Ciprapine

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CITALOPRAM

Brand names: Celexa, Cipramil, Citrol, Seropram, Talam, Citabax, Citaxin, Citalec, Recital, Zetalo, Celapram, Ciazil, Zentius, Ciprapine, Cilift, Citox, Citopam, Akarin, Cipramis

Citalopram (brand names Celexa, Cipramil, Citrol, Seropram, Talam, Citabax, Citaxin, Citalec, Recital, Zetalo, Celapram, Ciazil, Zentius, Ciprapine, Cilift, Citox, Citopam, Akarin, Cipramis) is an antidepressant drug used to treat major depression associated with mood disorders. It is also used on occasion in the treatment of body dysmorphic disorder and anxiety. Citalopram is an antidepressant medication that affects neurotransmitters, the chemicals that nerves within the brain use to communicate with each other.

Generic Celexa 10mg / 20mg / 40mg

What are citalopram tablets?

CITALOPRAM (Celexa) is a medicine for depression and other related problems. You may have to take citalopram for up to 4 weeks or longer before you begin to feel better. Generic citalopram 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: diabetes heart disease kidney disease liver disease mania receive electroconvulsive therapy seizures (convulsions) suicidal thoughts or a previous suicide attempt an unusual or allergic reaction to citalopram, the related drug escitalopram, other medicines, foods, dyes, or preservatives pregnant or trying to become pregnant breast-feeding

How should I take this medicine?

Take citalopram tablets by mouth. Follow the directions on the prescription label. Swallow the tablets with a drink of water. Citalopram 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 your prescriber or health care professional's advice.

What if I miss a dose?

If you miss a dose of citalopram, 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. Follow your prescriber or health care professional's advice on missed doses. Do not take double or extra doses.

What drug(s) may interact with citalopram?

Do not take citalopram with any of the following medications: cisapride escitalopram medicines called MAO inhibitors-phenelzine (Nardil®), tranylcypromine (Parnate®), isocarboxazid (Marplan®), selegiline (Eldepryl®)

Citalopram may also interact with the following medications: alosetron alprazolam amphetamine aspirin, warfarin, or nonsteroidal antiinflammatory drugs (NSAIDs) such as ibuprofen or naproxen buspirone carbamazepine certain diet drugs (dexfenfluramine, fenfluramine, phentermine, sibutramine) clarithromycin cimetidine cyproheptadine dexamethasone dextromethorphan dextroamphetamine diazepam diltiazem erythromycin ethosuximide furazolidone grapefruit juice kava kava ketoconazole linezolid lithium medicines that treat depression or other mood problems medicines that treat HIV infection or AIDS methadone migraine headache medicines (almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan) medicines for psychosis or severe mood problems modafinil nefazodone nicardipine phenobarbital phenytoin prescription pain relievers (codeine, hydrocodone, meperidine, morphine, tramadol, oxycodone) primidone procarbazine quinine rifabutin rifampin St. John's Wort troglitazone tryptophan valerian verapamil

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 grapefruit juice, 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 citalopram?

Side effects that you should report to your prescriber or health care professional as soon as possible:

Rare or uncommon: confusion dizziness or lightheadedness skin rash, itching (hives) fast talking and excited feelings or actions that are out of control suicidal thoughts vomiting

More common: agitation, anxiety, or restlessness, especially in the first week of treatment or when doses are changed

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome): blurred vision diarrhea difficulty sleeping drowsiness dry mouth fever frequent urination headache indigestion, nausea increased or decreased appetite increased sweating sexual difficulties (decreased sexual ability or desire) taste alterations tremor (shaking) weight changes

What should I watch for while taking citalopram?

Visit your prescriber or health care professional for regular checks on your progress. Continue to take your tablets even if you do not immediately feel better. It can take about 4 weeks before you feel the full effect of citalopram.

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.

If you have been taking citalopram regularly for some time, do not suddenly stop taking it. You must gradually reduce the dose, or your symptoms may get worse. Ask your prescriber 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 citalopram 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 interfere with the effect of citalopram. Avoid alcoholic drinks.

Do not treat yourself for coughs, colds, or allergies without asking your prescriber 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.

If you are going to have surgery, tell your prescriber or health care professional that you are taking citalopram.

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.

Frequently asked questions:

What is a generic medication?

Wikipedia gives the following definition: “Generic drug (pl. generic drugs, short: generics) is a drug which is produced and distributed without a brand name. A generic must contain the same active ingredients as the original formulation. In most cases, it is considered bioequivalent to the brand name counterpart with respect to pharmacokinetic and pharmacodynamic properties. By extension, therefore, generics are assumed to be identical in dose, strength, route of administration, safety, efficacy, and intended use. Mind that the pills you will receive from us differ in appearance from the brand name ones. The looks of medications as well as brand names are the intellectual property of the brand manufacturer. Thus to avoid any accusation of copyright infringement we have to change the shape and the color of the generic pills as well as use the name of the active ingredient (generic name) instead of the brand name for printing on pills. Please be aware that the generic pills differ in appearance from the brand name medications. Our pills are round shaped and blister packed (10 pills per each blister). The name of the active ingredient as well as the weight are specified on the pill itself.

Why are generic pills cheaper than the brand name ones?

The principal reason for the reduced price of generic medicines is that the creation of the generic drug runs up less cost and therefore a lower price can be offered and still maintain profitability. Manufacturers of generic drugs are mainly able to avoid the following three costs that brand name pharmaceutical companies incur: (1) costs associated with the research and development of the drug; (2) costs associated obtaining regulatory approval (i. e. proving safety and efficacy of a drug); and (3) marketing costs. First, Generic manufacturers do not incur the cost of drug discovery and instead reverse-engineer existing brand name drugs to allow them to manufacture bioequivalent versions. Second, generic manufacturers do not bear the burden of proving the safety and efficacy of the drugs through clinical trials - rather, generic manufacturers must prove the generic drug’s bioequivalancy to the existing drug. Third, these companies receive the large benefit of the marketing and advertising that goes into pushing the innovator drug. The brand name drug has to prove itself in the eyes of the consumer, generic ones do not. The drugs that generic manufacturers are selling have been on the market for usually a decade or more and do not need additional advertising. For the same reason, generic manufacturers also do not give away sample doses to promote their products. The significant research, development and marketing costs incurred by the large pharmaceutical companies in introducing a new drug to the market is often cited as the reason for the high cost of new agents - they wish to recover these costs before the patent expires. Generic manufacturers do not incur these costs, with bioequivalence testing and manufacturing costing relatively little, and are able to charge significantly less than the brand. Buy discount Citalopram (Celexa) online. Order cheap generic Celexa (Citalopram). Purchase Citalopram (Celexa) - low cost and price, but high quality.

Do you require a prescription?

However we would strongly recommend you to consult your doctor before taking a medication. You may have some diseases contra-indicated for taking certain kinds of medicines and your doctor will advise you what you can or cannot take.

Do you guarantee the quality of pills?

High quality of the medications we offer is the subject of our primary concern. The logic is very simple: the better the quality of goods is, the more customers we have. Thus we are very attentive and selective in the choice of the supplier, the quality of goods is thoroughly tested and the documentation is closely checked.

How do you ship orders? Will I have to sign for the package?

If sent by the standard unregistered mail the order will come in a plain envelope without any reference to content. The envelope will be left in your mail box. There is no need to sign for it. If sent by a courier, the recipient needs to sign for the package. All orders are shipped in discreet packaging. There is no mention on the outside of the package as to what is contained inside. Furthermore, your name or any other personal information will never be given or sold to any other company. Your privacy is our utmost concern.

Will my order be delivered in one package or you will divide it in case the order is large?

If an order includes 90 pills (or more) or if there are different types of medications in one order we will have to send the pills separately. Thus the delivery will take longer than 3 weeks since the packages are sent with the interval of approximately 7 days one by one. This is done to secure the delivery.

All the information you provide is confidential and is not given to any third parties. On our site, you fill in a form to order your medications. Your personal information inserted is used for the delivery of goods and for and orders confirmation message. This information is also used to contact the customer if needed. The information is not used for any spam or promotional messages etc.

Our stuff does not have any access to the customers’ credit card information. Customer support operators can see only the last four digits of your credit card in the database. All the data from the “checkout page” is directly transferred to the secure server of the payment system. Payments security is ensured by encrypting your personal information during its transfer from the customer to the bank for the processing. We use 128 bit Secure Sockets Layer (SSL) software to encrypt the information you input.



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Ripoff Report, Expan

By consumers, for consumers.

Expan Inc. in Chicago Area RIP-OFF SPEAKER SCAM. Dynalab SDA 2.8 Signature Reference Speakers. The Rest of the Scam!

I got scammed by Expan Inc. operating out of suburban Chicago. Was able to get my money back even though I didn't have a receipt. Other people on here seem to be throwing their hands up and accepting the loss, don't!

My Story How the Scam Works

Chances are that you came across this site because you bought some home theatre tower speakers from 2 guys in a Dynalab van and have just discovered or are discovering that you might have got scammed.

Before we go any further however let's get a couple things straight. First of all, the Dynalab SDA 2.8 Signature Reference Speakers are real speakers and do actually work. Some people like their sound and looks a lot, others just don't like anything about them at all. I really don't know much about sound quality, or internal components, so will say no more to remain objective. The jury is also out on the actual value of the speakers. From my experience I would guess that they are worth somewhere between $100-$300, but I'm open to more knowledgeable opinions.

What just about everyone does agree on however, is the unusual sales practices used by the two guys in the Dynalab van. The sale/scam basically works like this. People are approached in a parking lot by two professional looking guys in a professional looking van and enticed into looking at some speakers. Some people are told that the company has an overstock and is wanting to get rid of the speakers quickly for whatever amount they can get, while others are told that the speakers are extras left over from an installation job and the two guys just want to give someone a good deal and make a few bucks for themselves. A flashy catalog shows that the MSRP for the speakers is around $1,299 but of course they will take much less. Coincidentally there always seems to be an ATM or bank nearby. Depending on the story that you get you may get a receipt with your purchase.

How to Get Your Money Back

If you have a receipt you should be able to get your money back from the company (not from your salesperson) pretty easily. Some people have reported that the receipts is only good for three days after purchase but the receipt I got didn't say anything about that. You may have to be persistent in calling and setting up appointments and may have to really assert yourself in demanding a refund, but you should get it. Remember that the middle man is trying to run a legitimate business.

If you don't have a receipt you can probably talk them into giving you one at a later date if you have some sort of contact information. I was able to, but maybe it was because the guy had just assaulted me and realized I had the upper hand.

Best of luck to you. Please let me know how things come out.

Update! For those of you in Sydney, Australia . I have recently been sent an e-mail detailing one gentleman's legwork for getting your money back. He states, "Success! I got all my money back after sending the two faxes attached to Dynalab Sydney, and doing some of my own legal research. These are the sites that would come in handy to any others in NSW Australia seeking a refund:

This report was posted on Ripoff Report on 02/26/2002 12:00 AM and is a permanent record located here: http://www. ripoffreport. com/r/Expan-Inc/Rolling-Meadows-Illinois/Expan-Inc-in-Chicago-Area-RIP-OFF-SPEAKER-SCAM-Dynalab-SDA-28-Signature-Reference-Spea-15160. The posting time indicated is Arizona local time. Arizona does not observe daylight savings so the post time may be Mountain or Pacific depending on the time of year.

Ripoff Report has an exclusive license to this report. It may not be copied without the written permission of Ripoff Report.

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Only search one name at a time if Company has many AKA's.

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Isoxsuprine Indications, Side Effects, Warnings, Duvadilan

Isoxsuprine

Isoxsuprine is used for:

Improving blood flow in some conditions (eg, cerebral vascular insufficiency, arteriosclerosis obliterans, Buerger disease, Raynaud disease). It may also be used for other conditions as determined by your doctor.

Isoxsuprine is a vasodilating agent. It works by relaxing and widening the blood vessels in muscles and other tissues, which helps to improve blood flow (circulation) in these muscles and tissues.

Do NOT use isoxsuprine if:

you are allergic to any ingredient in isoxsuprine

you have bleeding of the arteries

you are in labor or have just given birth

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

Before using isoxsuprine:

Some medical conditions may interact with isoxsuprine. 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 bleeding problems

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

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

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

Isoxsuprine may be taken with or without food.

If you miss a dose of isoxsuprine, 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 isoxsuprine.

Important safety information:

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

Before you have any medical or dental treatments, emergency care, or surgery, tell the doctor or dentist that you are using isoxsuprine.

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

Possible side effects of isoxsuprine:

All medicines may cause side effects, but many people have no, or minor, side effects. When used in small doses, no COMMON side effects have been reported with this product. 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); chest pain; fast or irregular heartbeat; severe or persistent dizziness.

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 .

If OVERDOSE is suspected:

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

Proper storage of isoxsuprine:

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

General information:

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

Isoxsuprine 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 should not be used to decide whether or not to take isoxsuprine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about isoxsuprine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to isoxsuprine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using isoxsuprine.

Review Date: August 8, 2016

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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Diltiazem Oral Uses, Side Effects, Interactions, Pictures, Warnings - Dosing, Herbesser

diltiazem

GENERIC NAME(S): DILTIAZEM HCL

Uses

Diltiazem is used to prevent chest pain (angina ). It may help to increase your ability to exercise and decrease how often you may get angina attacks. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart and lowers the heart rate. Blood can flow more easily and your heart works less hard to pump blood.

OTHER USES: This section contains uses of this drug that are not listed in the approved professional labeling for the drug but that may be prescribed by your health care professional. Use this drug for a condition that is listed in this section only if it has been so prescribed by your health care professional.

Diltiazem may also be used to control your heart rate if you have a fast/irregular heartbeat (such as atrial fibrillation ). Long-acting forms of diltiazem may be used to treat high blood pressure. If your doctor prescribes diltiazem to treat high blood pressure. check with your pharmacist to make sure you are getting the correct form of diltiazem.

How to use diltiazem

Take this medication by mouth before meals and at bedtime as directed by your doctor, usually 3 to 4 times a day. Swallow the tablets whole. Do not split, crush, or chew the tablets. Doing so can release all of the drug at once, increasing the risk of side effects. Follow your doctor's directions on how to take this medication.

The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). Your doctor may gradually increase your dose. Follow your doctor's instructions carefully.

Use this medication regularly to get the most benefit from it. To help you remember, use it at the same times each day. This medication must be taken regularly to prevent angina. It should not be used to treat angina when it occurs. Use other medications (such as sublingual nitroglycerin ) to relieve an angina attack as directed by your doctor. Consult your doctor or pharmacist for details.

Tell your doctor if your condition worsens (for example, your chest pain worsens or is more frequent).

Side Effects

Dizziness. lightheadedness, weakness. nausea. flushing, constipation. and headache may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

To lower the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if you have any serious side effects, including: fainting. slow/irregular/pounding/fast heartbeat, swelling ankles /feet, shortness of breath, unusual tiredness, unexplained/sudden weight gain. mental/mood changes (such as depression. agitation), unusual dreams. severe stomach /abdominal pain. dark urine, persistent nausea/vomiting. yellowing eyes /skin .

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction. including: rash. itching /swelling (especially of the face/tongue /throat), severe dizziness, trouble breathing .

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www. fda. gov/medwatch.

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

Before taking diltiazem, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: certain types of heart rhythm problems (such as sick sinus syndrome /atrioventricular block), liver disease, kidney disease. heart failure .

This drug may make you dizzy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Limit alcoholic beverages.

Before having surgery, tell your doctor or dentist that you are taking this medication.

Older adults may be more sensitive to the side effects of this drug, especially dizziness, constipation. or swelling ankles/feet.

This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor.

This drug passes into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breast-feeding.

Interactions

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

Some products that may interact with this drug include: amiodarone, digoxin, fingolimod.

Other medications can affect the removal of diltiazem from your body, which may affect how this medication works. Examples include cimetidine, quinidine, St. John's wort, azole antifungals such as ketoconazole, macrolide antibiotics such as erythromycin, rifamycins including rifabutin and rifampin.

Diltiazem may also affect how your body gets rid of many drugs (such as aprepitant/fosaprepitant, buspirone, ivabradine, certain anti-seizure drugs including carbamazepine, certain benzodiazepines including triazolam and midazolam).

Check the labels on all your medicines (such as cough-and-cold products, diet aids) because they may contain ingredients that could increase your heart rate and worsen chest pain (including caffeine, pseudoephedrine, phenylephrine). Ask your pharmacist about using these products safely.

Overdose

If overdose is suspected, contact a poison control center or emergency room right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center.

Notes

Do not share this medication with others.

Laboratory and/or medical tests (such as kidney/liver function tests, pulse, blood pressure, EKG) may be performed from time to time to monitor your progress or check for side effects. Consult your doctor for more details.

There are different brands and types of this medication available. Many do not have the same effects. Do not change brands or types without consulting your doctor or pharmacist.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Storage

Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

MEDICAL ALERT: Your condition can cause complications in a medical emergency. For information about enrolling in MedicAlert, call 1-888-633-4298 (US) or 1-800-668-1507 (Canada).

Information last revised February 2016. Copyright(c) 2016 First Databank, Inc.

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Retin-A is often used to improve the appearance and texture of the skin. It produces a mild, superficial peel of the epidermis. Retin-A has effects on the both the superficial (epidermis) and the deep (dermis) parts of the skin. The major benefit is to decrease the effects of sunlight caused aging by increasing the speed with which the surface cells are replaced.

Apply a thin layer to affected area once a day at bedtime. Use a gauze pad or cotton swab to apply the liquid. Wash your hands immediately after use. Using this medication more frequently or in excessive amounts does not improve the results, but may increase side effects. Avoid applying near the eyes, mouth, or open cuts since this medication can irritate sensitive skin. Acne may appear to worsen when the medication is first used; continue therapy. It may take three to six weeks before the full benefits of this medication are seen. Use mild soap when washing your face. Do not wash face excessively. Abrasive soaps, cleansers, medicated creams or lotions can increase skin irritation. Consult your doctor or pharmacist about their use. Use other acne preparations with caution while using this medication. Drug Class and Mechanism

Tretinoin is a derivative of vitamin A. Topical Tretinoin is used in the treatment of mild to moderate acne and on skin that has been damaged by excessive exposure to the sun. Tretinoin irritates the skin and causes the cells of the skin to grow (divide) and die more rapidly, that is, it increases the turnover of cells. The number of layers of cells in the skin actually is reduced. In patients with acne, new cells replace the cells of existing pimples, and the rapid turnover of cells prevents new pimples from forming. By a similar mechanism, Tretinoin can reduce some wrinkles, areas of darkened skin, and rough areas of skin, all of which occur in sun-damaged skin. In patients with sun-damaged skin, improvements in the skin usually are seen within the first 3 to 4 weeks of treatment. Brown spots begin to fade after six to eight weeks. Wrinkles decrease or disappear after three to six months. Following application to the skin, a minimal amount of drug is absorbed into the body.

If you miss a dose, use it as soon as remembered; do not use if it is almost time for the next dose, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up.

Store at room temperature away from sunlight. Keep this and all medications out of the reach of children.

This medication can increase sensitivity to sunlight, wind and cold. Avoid prolonged exposure to the sun and sunlamps. Wear protective clothing and use an effective sunscreen. This medication should be used during pregnancy only if clearly needed. It is not known if Retin-A appears in breast milk. Consult your doctor before breast-feeding.

Possible Side Effects

Due to the possibility of irritation, it is advisable to begin treatment on a small area of skin. Exposure to the sun or to ultraviolet rays causes additional irritation. During treatment, such exposure should be avoided as much as possible or a sun block should be used. During the first weeks of treatment there may be an apparent worsening of the problem. Such a reaction is perfectly normal because small cysts deep within the skin are being eliminated at an accelerated rate. This medication can increase sensitivity wind and cold. Avoid prolonged exposure to the sun and sunlamps. Wear protective clothing and use an effective sunscreen. If any ingredient should cause hypersensitivity, discontinue use.

Serious side effects are not likely to occur. Stop using tretinoin topical and seek emergency medical attention if you experience an allergic reaction (shortness of breath; closing of your throat; swelling of your lips, face, or tongue; or hives). You may experience some burning, warmth, stinging, tingling, itching, redness, swelling, dryness, peeling, or irritation while you are using tretinoin topical. If these side effects are excessive, talk to your doctor. You may need a lower dose or less frequent applications of tretinoin topical. If you notice a change in your skin color, contact your doctor. Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.



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Alozof is een efficiente behandeling in de richting van gist bacteriele infecties. De aandacht zou omgaan met candida van het vaginale gebied, mond gebied, amandelen, maag, longen, luchtpijp, bloed, en andere inwendige organen, meningitis veroorzaakt door schimmels, candida in patienten die gevoelig blijken zijn besmet te zijn als ze worden steeds gegeven bestraling of zelfs bestraling voorafgaand aan het botweefsel merg haartransplantatie.

Alozof is eigenlijk werkt via die een rem op de betreffende schimmel die verontreiniging veroorzaken. Het is echt triazool.

Alozof kan ook worden aangeduid als fluconazol, Forcan, Trican.

General titel geassocieerd met Alozof is eigenlijk Fluconazol.

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Alozof (Diflucan) Dosis

Alozof wordt geleverd in:

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200 mg maximale dosis frictiemateriaal

Krijg Alozof pillen evenals vloeistof contactformulier via de mond met of zonder maaltijden.

Meestal niet te malen of zelfs kauwen dit.

Krijg Alozof gelijktijdig dagelijks samen met het drinken van water.

Wilt u beste resultaten te bereiken meestal niet stoppen met het gebruik van Alozof ineens.

Alozof (Diflucan) ontbreekt in verband met de dosering

Meestal krijgt niet de dubbele dosering. In het geval u de dosering die u nodig hebt om het te dragen als je eenmaal in het achterhoofd te houden met betrekking tot uw ontbreekt overslaan. Wanneer het tijd is voor de dosering die u nodig hebt om te dragen op je eigen normale dosering routine.

Alozof (Diflucan) Overdose

In het geval u Alozof overdosis en je ook voorkomen dat geweldig je nodig hebt om direct te controleren uw arts of zelfs arts. Alozof geassocieerd met overdosering: ernstige zorgen die andere medicatie is een poging om een ??persoon beschadigen, hallucinaties.

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Alozof biedt de negatieve effecten. De meest typische neiging om:

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Veel minder typische en ernstige nadelige gevolgen voor de hele behulp Alozof:

allergische reactie reacties (urticaria, en uitademen problemen, allergie, evenals eruptie) frictiemateriaal

de problemen inname frictiemateriaal

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Negatieve effecten indicaties worden afhankelijk van medicijnen die u Mogelijk gebruikt u maar bovendien rekenen op uw welzijn conditie en andere aspecten.

Alozof (Diflucan) Contra-indicaties

Meestal heb Alozof niet te krijgen in het geval u gevoelig om Alozof elementen zijn.

Meestal niet krijgen Alozof als je anders je van plan bent om een ??kind te bezitten verwacht worden, anders wordt je echt een medische moeder.

Meestal niet cisapride krijgen (Propulsid).

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Wees voorzichtig, samen met Alozof in het geval u worden getroffen door en hebben een korte geschiedenis geassocieerd met maligniteit, verkregen immunodeficientie symptomen (AIDS), een goede abnormale hartslag, hart-, nier-, ziekten in de lever.

Voorkom alcoholische dranken.

Meestal niet stoppen met het gebruik van Alozof ineens.

Alozof (Diflucan) Veelgestelde vragen

Queen: Wat is Alozof precies?

De: Alozof is een efficiente behandeling in de richting van gist bacteriele infecties. De aandacht zou omgaan met candida van het vaginale gebied, mond gebied, amandelen, maag, longen, luchtpijp, bloed, en andere inwendige organen, meningitis veroorzaakt door schimmels, candida in patienten die gevoelig blijken zijn besmet te zijn als ze worden steeds gegeven bestraling of zelfs bestraling voorafgaand aan het botweefsel merg hair transplant. A

Queen: Precies wat moet ik fag situatie als gevolg van een overdosis?

De: Meestal niet Alozof pillen te krijgen in grote hoeveelheden. In geval van Alozof overdosering, moet u controleren arts of zelfs arts instantly. A

Queen: Kun je echt alcohol consumeren?

De: Absoluut geen, het is echt onaanvaardbaar waarderen alcoholische beverages. A

Queen: Wat zijn precies algemene evenals merken geassocieerd met Alozof?

De: General titel geassocieerd met Alozof is eigenlijk Fluconazol. Merk geassocieerd met Alozof is eigenlijk Alozof. A

Queen: Hoe kan zal het uit te voeren?

De: Alozof is eigenlijk werkt via die een rem op de betreffende schimmel die verontreiniging veroorzaken. Het is echt triazole. A

Queen: Wat zijn precies Alozof negatieve effecten?

De: Alozof biedt de typische negatieve effecten bijvoorbeeld diarree, buik ongemak, vermoeidheid, zure reflux, migraine, verbeteringen gedaan op het vermogen om de smaak gerechten. Maar in de situatie in verband met zijn afgewezen in verband met Alozof componenten die u in staat om meer ernstige negatieve effecten tegenkomen zijn: moeite inname, vermoeidheid, onvoldoende vermogen, minder honger, geelzucht, griep tekenen en symptomen, donkere plas, licht barkrukken, provocatie, jeuk, moeite in-en uitademen, ernstige vermoeidheid, ongemak in de meest rechtse bovenhoek deel van de buik, in verband met allergische reactie (moeilijkheden samen met in-en uitademen, ontsteking, porien en huid allergie of zelfs netelroos), ongewone bloeden of bruising. A

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Important Notice: The Drugs. com international database is in BETA release. This means it is still under development and may contain inaccuracies. It is not intended as a substitute for the expertise and judgement of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that the use of any medication in any country is safe, appropriate or effective for you. Consult with your healthcare professional before taking any medication.

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Diclofenac is used to treat pain or inflammation caused by arthritis or ankylosing spondylitis. Diclofenac may also be used for purposes other than those listed in this medication guide.

Use Diclofenac as directed by your doctor.

Take Diclofenac by mouth with or without food. Ask your health care provider any questions you may have about how to use Diclofenac.

Drug Class and Mechanism

Diclofenac is in a group of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs). Diclofenac works by reducing hormones that cause inflammation and pain in the body.

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

Store Diclofenac at room temperature between 68 and 77 degrees F (20 and 25 degrees C) in a tightly closed container. Brief periods at temperatures of 59 to 86 degrees F (15 to 30 degrees C) are permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Diclofenac out of the reach of children and away from pets.

Do not use Diclofenac if:

you are allergic to any ingredient in Diclofenac; you have had a severe allergic reaction (e. g. severe rash, hives, breathing difficulties, dizziness) to another NSAID (e. g. ibuprofen, naproxen, celecoxib) or aspirin. Contact your doctor or health care provider right away if any of these apply to you.

Important : Diclofenac may cause dizziness or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Diclofenac with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it. Before you start any new medicine, check the label to see if it has diclofenac or another nonsteroidal anti-inflammatory drug (NSAID) medicine in it too. If it does or if you are not sure, check with your doctor or pharmacist. Diclofenac should not be used in children; safety and effectiveness in 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 Diclofenac while you are pregnant. It is not known if Diclofenac is found in breast milk. Do not breast-feed while using Diclofenac.

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Recomendacoes Recorde-se que antes de tomar este medicamento devera consultar o seu medico, a informacao que lhe disponibilizamos e meramente orientativa e nao substitui em nenhuma ocasiao a consulta de um medico ou qualquer profissional de saude.

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INFORMACAO PARA O UTILIZADOR Micolysin 10 mg/g Creme Clotrimazol Este folheto contem informacoes importantes para si. Leia-o atentamente. Este medicamento pode ser adquirido sem receita medica. No entanto, e necessario utilizar Micolysin com precaucao para obter os devidos resultados. - Conserve este folheto. Pode ter necessidade de o reler. - Caso precise de esclarecimentos ou conselhos, consulte o seu farmaceutico. - Em caso de agravamento ou persistencia dos sintomas, consulte o seu medico. - Se algum dos efeitos secundarios se agravar ou se detectar quaisquer efeitos secundarios nao mencionados neste folheto, informe o seu medico ou farmaceutico. Neste folheto: 1. O que e Micolysin e para que e utilizado 2. Antes de utilizar Micolysin 3. Como utilizar Micolysin 4. Efeitos secundarios possiveis 5. Como conservar Micolysin 6. Outras informacoes

O QUE E Micolysin E PARA QUE E UTILIZADO

Micolysin pertence ao grupo farmacoterapeutico 13.1.3. Medicamentos usados em afeccoes cutaneas. Anti-infecciosos de aplicacao na pele. Antifungicos. O clotrimazol esta indicado no tratamento local de varias infeccoes fungicas, nomeadamente micoses interdigitais nas maos e pes (pe de atleta) e dermatite das fraldas (assadura provocada pela fralda). Esta ainda indicado no tratamento da pitiriase versicolor. Micolysin creme pode tambem ser usado no tratamento da candidiase vulvar e balanica.

ANTES DE UTILIZAR Micolysin N?

o utilize Micolysin - se tem alergia (hipersensibilidade) ao clotrimazol ou aos antifungicos do grupo imidazol ou a qualquer outro componente de Micolysin . Tome especial cuidado com Micolysin - evite que o Micolysin entre em contacto com os olhos. - quando aplicado na zona genital (na mulher: labios da vulva e areas proximas; no homem: glande e prepucio do penis), Micolysin pode reduzir a eficacia e a seguranca de dispositivos a base de latex, como preservativos e diafragmas. Tambem a eficacia APROVADO EM 23-07-

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anticoncepcional dos espermicidas pode ser reduzida - este efeito e temporario podendo prolongar-se 5 dias apos a interrupcao do tratamento. - durante o tratamento com Micolysin creme (clotrimazol) nao e aconselhavel a utilizacao de saboes com p

H acido, pois favorecem o crescimento e multiplicacao de leveduras, nomeadamente Candida albicans. Ao utilizar Micolysin com outros medicamentos Informe o seu medico ou farmaceutico se estiver a tomar ou tiver tomado recentemente outros medicamentos, incluindo medicamentos obtidos sem receita medica.

Gravidez e aleitamento Consulte o seu medico ou farmaceutico antes de tomar qualquer medicamento.

O Micolysin apenas deve ser utilizado durante a gravidez e aleitamento se a relacao beneficio/risco o justificar, avaliando-se esta relacao caso a caso. Conducao de veiculos e utilizacao de maquinas Nao foram observados efeitos sobre a capacidade de conduzir e utilizar maquinas. Informacoes importantes sobre alguns componentes de Micolysin - devido a presenca dos alcoois estearilico e cetilico na composicao do creme, Micolysin pode causar reaccoes cutaneas locais (por exemplo dermatite de contacto). - Micolysin contem para-hidroxibenzoato de butilo na sua composicao, como tal, pode causar reaccoes alergicas (possivelmente retardadas).

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tilizar Micolysin sempre de acordo com as indicacoes do medico. Fale com o seu medico ou farmaceutico se tiver duvidas. Nas micoses interdigitais e dermatite das fraldas, o creme deve ser aplicado com a mao, sobre as zonas afectadas, em camada fina, 2 a 3 vezes por dia, com ligeira friccao. Nas afeccoes das areas genitais, o creme deve ser aplicado 2 a 3 vezes por dia sobre as zonas afectadas (mulher: labios e areas adjacentes da vulva; homem: glande e prepucio do penis). E importante que o parceiro sexual do doente tambem realize o tratamento, para evitar reinfeccoes.

A duracao do tratamento e a que se segue: Micoses interdigitais: 3 a 4 semanas Dermatite das fraldas: 1 semana (apos este periodo, o tratamento pode prosseguir quando indicado pelo medico) APROVADO EM 23-07-

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itiriase versicolor: aproximadamente 3 semanas Candidiase vulvar e balanica: 1 a 2 semanas. O tratamento devera prosseguir, dependendo da indicacao, durante cerca de 2 semanas apos o desaparecimento dos sintomas clinicos, para assegurar uma cura completa. A posologia e duracao do tratamento recomendadas podem ser modificadas sempre que o seu medico assim o entenda. Devem-se lavar bem as maos antes e depois do manuseamento do creme. Se utilizar mais Micolysin do que deveria O caso de sobredosagem e improvavel, devido a via de administracao. Se acidentalmente o medicamento for ingerido o doente devera ser transportado de imediato a uma unidade hospitalar para tratamento adequado.

Caso se tenha esquecido de utilizar Micolysin Nao exige nenhuma atitude especial. Devera continuar-se o tratamento sem, no entanto, aplicar maior quantidade do que a indicada. Caso ainda tenha duvidas sobre a utilizacao deste medicamento, fale com o seu medico ou farmaceutico.

EFEITOS SECUNDARIOS POSSIVEIS C

omo todos os medicamentos, Micolysin pode ter efeitos secundarios, no entanto estes nao se manifestam em todas as pessoas. Os efeitos adversos mais frequentes sao os que se manifestam localmente, tais como irritacao, sensacao de queimadura e prurido. Podem ocorrer ainda eritema, edema, vesiculacao, queratolise e urticaria. A dermatite de contacto e pouco frequente. Existem ainda relatos de exacerbacao da dermatite vulvar. Se algum dos efeitos secundarios se agravar ou se detectar quaisquer efeitos secundarios nao mencionados neste folheto, deve suspender o tratamento e informar o seu medico ou farmaceutico.

COMO CONSERVAR Micolysin N?

o conservar acima de 25 ?C. Manter a bisnaga bem fechada. Conservar na embalagem de origem. Manter fora do alcance e da vista das criancas. Nao utilize Micolysin apos o prazo de validade impresso na embalagem. O prazo de validade corresponde ao ultimo dia do mes indicado. APROVADO EM 23-07-

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s medicamentos nao devem ser eliminados na canalizacao ou no lixo domestico. Pergunte ao seu farmaceutico como eliminar os medicamentos de que ja nao necessita. Estas medidas irao ajudar a proteger o ambiente.

OUTRAS INFORMACOES Q

ual a composicao de Micolysin - A substancia activa e o clotrimazol - Os outros componentes sao alcool cetilico, alcool estearilico, para-hidroxibenzoato de butilo, estearato de polietilenoglicol 40, parafina liquida, vaselina branca e agua purificada. Qual o aspecto de Micolysin e conteudo da embalagem O creme Micolysin esta acondicionado em bisnaga de aluminio interiormente revestida por uma epoxirresina, com tampa de rosca, em polietileno.

Cada bisnaga contem 40 g de creme doseado a 1% em clotrimazol e encontra-se dentro de uma caixa de cartao. Titular da Autorizacao de Introducao no Mercado Labialfarma - Laboratorio de Produtos Farmaceuticos e Nutraceuticos, S. A. Edificio Labialfarma n. ? 1 Felgueira 3450-336 Sobral Mortagua Portugal Fabricante Labialfarma - Laboratorio de Produtos Farmaceuticos e Nutraceuticos, S. A. Felgueira - Mortagua 3450-336 Sobral de Mortagua Portugal Este folheto informativo foi revisto pela ultima vez em

Dermatite: Inflamacao das camadas superficiais da pele, que pode apresentar-se de formas variadas (dermatite seborreica, dermatite de contato. ) e e produzida pela agressao direta de microorganismos, substancia toxica ou por uma resposta imunologica inadequada (alergias, doencas auto-imunes).

Candidiase. o nome da infeccao produzida pela Candida albicans, um fungo que produz doenca em mucosas, na pele ou em orgaos profundos (candidiase sistemica).As infeccoes profundas podem ser mais frequentes em pessoas com deficiencia no sistema imunologico (pacientes com cancer, SIDA, etc.).

Edema: Acumulo anormal de liquido nos espacos intercelulares dos tecidos ou em diferentes cavidades corporais (peritoneo, pleura, articulacoes, etc.).

Tala: Instrumento ortopedico utilizado frequentemente para imobilizar uma articulacao ou osso fraturado. Pode ser de gesso ou material plastico.

Urticaria: Reacao alergica manifestada na pele como elevacoes pruriginosas, acompanhadas de vermelhidao da mesma. Pode afetar uma parte ou a totalidade da pele. Em geral e autolimitada e cede em pouco tempo, podendo apresentar periodos de melhora e piora ao longo de varios dias.



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Burmax Company, Burnax

The Burmax Company has been serving the Professional Beauty Industry since 1948, catering to wholesale beauty supply distributors and beauty schools. This family-owned and operated company has grown from a small office in New York City to our current 115,000 square foot State-of-the-Art facility in Holtsville, New York. We are one of the leading manufacturers, importers and distributors of professional beauty and spa supplies.

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Home - Nc Folklife Institute, Micoflux

North Carolina Folklife Institute

Scenes from the 1976 Statewide Folklife Festival

Fall 2015 marks a season of exciting new beginnings for NC Folk. We’ve been around for the past 41 years, from putting on North Carolina’s first statewide folk festival in 1974, to working behind the scenes to support folklife programs of the NC Arts Council, to working statewide from our Durham offices.

But much of our work has always been “in the field”: working in cooperation with members of communities all across the state to document their traditions, helping equip them with the tools and skills to carry out projects of their own, and partnering with people, organizations, and localities in North Carolina to tap into folklife’s great potential as a tool for community development.

To maximize our resources and energies, NC Folk has moved out of our Durham office.

For many years we managed the folklife archives for the North Carolina Arts Council, to ensure that the public (especially communities documented in the archives) could have easy access to these materials. We are delighted that, through a three-way collaboration, these archives now have a great new home at the State Archives in Raleigh. Over the last two years NC Folk staff and interns have worked hard to digitize much of our contributions to the archive, so we’ll continue to have ready access to the rich products of our four decades of documentation. And of course, now our documentation is native digital, and continues to be archived and catalogued, with the goal of making as much as possible available online.

Meanwhile, our work has kept us out of the office more and more of the time. In just the past month members of our staff have been to Clinton, Cullowhee, Lexington, and Pembroke! We find that most people connect with us online — through our enormously popular monthly newsletter, on Facebook or other social media, or via our website.

For these reasons, we’ve decided to convert to a largely virtual office. We’re excited about shifting money from rent and other overhead into more robust service options, more online access to archival materials, and more online publications that share our research.

To make this ambitious plan a reality, we have also reconfigured our staff team. Evan Hatch joins our team as Director of Programs and Development. A very accomplished folklorist, Evan served for more than a decade as Director of Folk and Traditional Arts Programming for the Arts Center of Cannon County in Woodbury, Tennessee. There he designed and implemented a progressive, award-winning folk arts program that provided a national model for similar organizations. But he is a North Carolina native, and we are delighted to have helped woo him home.

Joy Salyers continues as Executive Director. You’ll find that, while NC Folk’s physical footprint has become smaller, our staff and overall organizational capacity have grown, further increasing our ability to carry out great work across the state. We’ll now primarily be working remotely and from the field, offering even more community trainings, site visits and consultations, and documentary fieldwork, as well as boosting our web and social media presence. Keep an eye out for us online and on the road! We’re thrilled about the future.

The North Carolina Folklife Institute is a 501(c)3 nonprofit organization. Donations can be made online or by check: PO Box 61222, Durham, NC 27715.



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Nitromed Takes Buyout Offer From Deerfield, Dumps Archemix At The Altar, Nitromed

NitroMed Takes Buyout Offer from Deerfield, Dumps Archemix at the Altar

NitroMed (NASDAQ:NTMD ), the Lexington, MA-based drug developer that struggled to market a heart failure drug for African-Americans, says it has agreed to be acquired for 80 cents per share in cash by investment firm Deerfield Management. This means NitroMed bailed out of previous agreements to sell BiDil to specialty drugmaker JHP Pharmaceuticals and to merge with Cambridge, MA-based biotech firm Archemix.

Archemix issued a separate statement confirming the terminated deal with NitroMed, and the associated fallout. Now that it’s planning to be independent again, Archemix said CEO Errol De Souza, who negotiated the deal with NitroMed, is resigning from the top job and will remain on the board of directors. Duncan Higgons, who was previously executive vice president of business operations, is replacing him as interim president and CEO of Archemix. De Souza had planned to step down after the merger with NitroMed.

Deerfield’s buyout offer, which is subject to NitroMed shareholder approval and other conditions, came last month after NitroMed announced the previous month that it agreed to an all-stock merger with privately held Archemix. The offer represents a 25 percent premium above NitroMed’s closing stock price yesterday of 64 cents. The Deerfield bid puts NitroMed’s value at about $36.8 million.

In October, before Deerfield made its bid, NitroMed said it would sell all assets related to BiDil (isosorbide dinitrate/hydralazine hydrochloride), its heart failure drug approved by the FDA for self-identified African Americans in 2005, for about $26 million. Now Deerfield’s acquisition of NitroMed is expected to close in April.

Archemix’s and JHP’s breakup fees with NitroMed provide some degree of a silver lining. As part of the firms’ agreements with NitroMed, Archemix is due to get a $1.5 million termination fee from NitroMed and JHP is expected to receive $900,000.

Archemix continues to land lucrative deals related to its drugs called aptamers, which use short pieces of DNA or RNA to bind with disease-related proteins. Last month Archemix received $27.5 million in upfront money in a deal to develop aptamer treatments for London-based drug giant GlaxoSmithKline. Two months before landing the GSK deal, former Archemix CEO De Souza told me that his firm had enough cash to support operations through the middle of 2010.

Also, Archemix says that it has just started mid-stage clinical trials of its lead aptamer drug for treating a rare blood disorder known as thrombotic microangiopathiesement.

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Mefenamic Acid - Side Effects, Dosage, Interactions, Mefenacid

Mefenamic Acid

Mefenamic acid is a nonsteroidal anti-inflammatory drug (NSAID). Mefenamic acid works by reducing hormones that cause inflammation and pain in the body.

Mefenamic acid is used short-term (7 days or less) to treat mild to moderate pain in adults and children who are at least 14 years old. Mefenamic acid is also used to treat menstrual pain.

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

Mefenamic acid can increase your risk of fatal heart attack or stroke, especially if you use it long term or take high doses, or if you have heart disease. Do not use this medicine just before or after heart bypass surgery (coronary artery bypass graft, or CABG).

Mefenamic acid may also cause stomach or intestinal bleeding, which can be fatal. These conditions can occur without warning while you are using mefenamic acid, especially in older adults.

You should not take mefenamic acid if you already have stomach bleeding or an active ulcer, or a bowel disorder such as ulcerative colitis, or if you have kidney disease.

Mefenamic acid can increase your risk of fatal heart attack or stroke, especially if you use it long term or take high doses, or if you have heart disease. Even people without heart disease or risk factors could have a stroke or heart attack while taking this medicine.

Do not use this medicine just before or after heart bypass surgery (coronary artery bypass graft, or CABG).

Mefenamic acid may also cause stomach or intestinal bleeding, which can be fatal. These conditions can occur without warning while you are using mefenamic acid, especially in older adults.

You should not use mefenamic acid if you are allergic to it, or if you have:

an active ulcer or stomach bleeding;

a bowel disorder such as ulcerative colitis or inflammatory bowel disease;

kidney disease; or

a history of asthma attack or severe allergic reaction after taking aspirin or an NSAID.

To make sure mefenamic acid is safe for you, tell your doctor if you have:

heart disease, high blood pressure, high cholesterol, diabetes, or if you smoke;

a history of heart attack, stroke, or blood clot;

a history of stomach ulcers or bleeding;

asthma;

fluid retention; or

liver disease.

Taking mefenamic acid during the last 3 months of pregnancy may harm the unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

Mefenamic acid can pass into breast milk and may harm a nursing baby. You should not breast-feed while using this medicine.

Mefenamic acid is not approved for use by anyone younger than 14 years old.

Mefenamic Acid Side Effects

Avoid drinking alcohol. It may increase your risk of stomach bleeding.

Avoid taking aspirin while you are taking mefenamic acid.

Ask a doctor or pharmacist before using any cold, allergy, or pain medication. Many medicines available over the counter contain aspirin or other medicines similar to mefenamic acid. Taking certain products together can cause you to get too much of this type of medication. Check the label to see if a medicine contains aspirin, ibuprofen, ketoprofen, or naproxen.

Ask your doctor before using mefenamic acid if you take an antidepressant such as citalopram, escitalopram, fluoxetine (Prozac), fluvoxamine, paroxetine, sertraline (Zoloft), trazodone, or vilazodone. Taking any of these medicines with an NSAID may cause you to bruise or bleed easily.

Tell your doctor about all your current medicines and any you start or stop using, especially:

lithium;

methotrexate;

antacids such as Milk of Magnesia, Maalox, Mylanta, or Rolaids;

a blood thinner (warfarin, Coumadin, Jantoven);

heart or blood pressure medication, including a diuretic or "water pill"; or

steroid medicine (such as prednisone).

This list is not complete. Other drugs may interact with mefenamic acid, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

Mefenamic Acid Dosage

Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not take this medicine in larger amounts or for longer than recommended. Use the lowest dose that is effective in treating your condition.

Mefenamic acid should not be used for longer than 7 days. Follow your doctor's dosing instructions very carefully.

If you use this medicine long-term, you may need frequent medical tests.

Mefenamic acid can cause unusual results with certain medical tests. Tell any doctor who treats you that you are using mefenamic acid.

Store at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use.

Read all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.

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

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.

Copyright 1996-2016 Cerner Multum, Inc.

Latest Update: 5/16/2016, Version: 9.01



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Viagra - Erectile Dysfunction, Zegmular

Common use The main component of Viagra is Sildenafil Citrate. Sildenafil Citrate affects the response to sexual stimulation. It acts by enhancing smooth muscle relaxation using nitric oxide, a chemical that is normally released in response to sexual stimulation. This smooth muscle relaxation allows increased blood flow into certain areas of the penis, which leads to an erection. Sildenafil Citrate is applied for the treatment of erectile dysfunction (impotence) in men and pulmonary arterial hypertension. Sildenafil Citrate may also be used for other purposes not listed above.

Dosage and direction Usually the recommended dose is 50 mg. It is taken approximately 0,5-1 hour before sexual activity. Do not take Viagra more then once a day. A high fat meal may delay the time of the effect of this drug. Try not to eat grapefruit or drink grapefruit juice while you are being treated with Sildenafil Citrate .

Precautions Before you start taking Sildenafil Citrate. tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. Aged people may be more sensitive to the side effects of the drug.

Viagra is contraindicated in patients who take another medicine to treat impotence or using a nitrate drug for chest pain or heart problems. This medicine should not be taken by women and children as well as in patients with a known hypersensitivity to any component of the tablet.

Possible side effect The most common side effects are headache, flushing, heartburn, stomach upset, nasal stuffiness, lightheadedness, dizziness or diarrhea. A serious allergic reaction to this drug is very rare, but seek immediate medical help if it occurs. Many people who use this medicine do not have serious side effects. In case you notice any side effects not listed above, contact your doctor or pharmacist.

Drug interaction This drug should not be used with nitrates and recreational drugs called "poppers" containing amyl or butyl nitrite; alpha-blocker medications; other medications for impotence; high blood pressure medicines, etc. Consult your doctor or pharmacist for more details.

Missed dose Viagra is used as needed, so you are unlikely to be on a dosing schedule.

Overdose If you think you have used too much of this medicine seek emergency medical attention right away. The symptoms of overdose usually include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.

Storage Store your medicines at room temperature between 68-77 degrees F (20-25 degrees C) away from light and moisture. Do not store the drugs in the bathroom. Keep all drugs away from reach of children and pets.

Disclaimer We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.



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Noroxin (Norflostad)

Noroxin is used for treating bacterial infections. Noroxin is a fluoroquinolone antibiotic. It works by killing sensitive bacteria.

Use Noroxin as directed by your doctor.

Take Noroxin by mouth on an empty stomach at least 1 hour before or 2 hours after a meal or eating or drinking milk or other dairy products.

Take Noroxin with a full glass of water (8 oz/240 mL).

Drinking extra fluids while you are taking Noroxin is recommended. Check with your doctor for instructions.

Do not take any products containing magnesium, aluminum, calcium, iron, or zinc (eg, antacids, quinapril, vitamins/minerals); didanosine; sucralfate; or bismuth subsalicylate within 2 hours before or 2 hours after taking Noroxin.

To clear up your infection completely, take Noroxin for the full course of treatment. Keep taking it even if you feel better in a few days.

Do not miss any dose. If you miss a dose of Noroxin, 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 Noroxin.

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

Active Ingredient: Norfloxacin.

Do NOT use Noroxin if:

you are allergic to any ingredient in Noroxin or to another fluoroquinolone (eg, levofloxacin)

you have inflammation of a tendon (tendonitis) or a history of ruptured tendon caused by Noroxin or another fluoroquinolone (eg, levofloxacin)

you are taking certain antiarrhythmic medicines (eg, amiodarone, procainamide, quinidine, sotalol) or nitrofurantoin.

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

Some medical conditions may interact with Noroxin. 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 stomach infection, liver problems, brain or nervous system problems, muscle problems (eg, myasthenia gravis), increased pressure in the brain, Alzheimer disease, brain blood vessel problems, or a history of seizures

if you have a history of severe or persistent diarrhea, skin sensitivity to the sun, recent heart attack, blood problems (eg, anemia, hemolysis), or glucose-6-phosphate dehydrogenase (G6PD) problems

if you have personal or family history of irregular heartbeat (eg, QT prolongation), heart problems (eg, slow heartbeat), or low blood potassium levels

if you have a history of joint or tendon problems; rheumatoid arthritis; kidney problems or decreased kidney function; or heart, kidney, or lung transplant

if you take a corticosteroid (eg, prednisone) or participate in strenuous physical work or exercise.

Some medicines may interact with Noroxin. Tell your health care provider if you are taking any other medicines, especially any of the following:

Antiarrhythmics (eg, amiodarone, disopyramide, dofetilide, quinidine, sotalol), cisapride, diuretics (eg, furosemide, hydrochlorothiazide), macrolide or ketolide antibiotics (eg, erythromycin, telithromycin), medicines for mental or mood disorders, medicines that may affect your heartbeat, phenothiazines (eg, chlorpromazine), or tricyclic antidepressants (eg, amitriptyline) because the risk of serious side effects, including irregular heartbeat and other heart problems, may be increased. Check with your doctor or pharmacist if you are unsure if any of your medicines may affect your heartbeat

Nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) because the risk of side effects, such as seizures, may be increased

Corticosteroids (eg, prednisone) because risk of tendon damage may be increased

Probenecid because it may increase the risk of Noroxin's side effects

Nitrofurantoin because it may decrease Noroxin's effectiveness

Anticoagulants (eg, warfarin), caffeine, clozapine, cyclosporine, methotrexate, ropinirole, serotonin norepinephrine reuptake inhibitors (eg, venlafaxine), sulfonylureas (eg, glyburide), tacrine, theophyllines, or tizanidine because the risk of their side effects may be increased by Noroxin

Live vaccines or mycophenolate because their effectiveness may be decreased by Noroxin.

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

Noroxin may cause drowsiness, dizziness, or lightheadedness. These effects may be worse if you take it with alcohol or certain medicines. Use Noroxin with caution. Do not drive or perform other possible unsafe tasks until you know how you react to it.

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

Be sure to use Noroxin for the full course of treatment. If you do not, the medicine may not clear up your infection completely. The bacteria could also become less sensitive to this or other medicines. This could make the infection harder to treat in the future.

Long-term or repeated use of Noroxin may cause a second infection. Tell your doctor if signs of a second infection occur. Your medicine may need to be changed to treat this.

Noroxin only works against bacteria; it does not treat viral infections (eg, the common cold).

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

If you experience pain or swelling of a tendon or weakness or loss of use of a joint area, notify your doctor right away. Rest the area and avoid exercise until instruction from your doctor.

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

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

Mild diarrhea is common with antibiotic use. However, a more serious form of diarrhea (pseudomembranous colitis) may rarely occur. This may develop while you use the antibiotic or within several months after you stop using it. contact your doctor right away if stomach pain or cramps, severe diarrhea, or bloody stools occur. Do not treat diarrhea without first checking with your doctor.

Noroxin may cause changes in certain heart tests (eg, electrocardiogram [ECG]). Be sure to your doctor and lab personnel know you are using Noroxin.

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

Use Noroxin with caution in the elderly; they may be more sensitive to its effects (eg, tendon problems), especially if they take corticosteroids (eg, prednisone). They may also be more sensitive to other effects (eg, irregular heartbeat).

Noroxin should be used with extreme caution in children younger 18 years; safety and effectiveness in these children have not been confirmed. The risk of joint and tendon problems may be increased in children.

Pregnancy and breast-feeding: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Noroxin while you are pregnant. It is not known if Noroxin is found in breast milk. Do not breastfeed while taking Noroxin.

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:

Diarrhea; dizziness; headache; loss of appetite; nausea; stomach upset or cramps; vomiting.

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

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); bloody or tarry stools; burning, numbness, tingling, pain, or weakness of the arms, hands, legs, or feet; change in sense of touch or temperature; chest pain; dark urine or change in amount of urine; decreased amount of urine; fainting; fever, chills, or unusual cough; hallucinations; hearing changes (eg, ringing in the ears, hearing loss); inability to move or bear weight on a joint or tendon area; irregular heartbeat; joint pain or swelling; moderate to severe sunburn; mood or mental changes (eg, new or worsening anxiety, agitation, confusion, depression, restlessness, sleeplessness); muscle pain or weakness; pain, soreness, redness, swelling, weakness, or bruising of a tendon or joint area; pale stools; persistent sore throat; red, swollen, blistered, or peeling skin; seizures; severe or persistent dizziness; severe or persistent diarrhea; severe stomach pain or cramps; suicidal thoughts or actions; tremors; unusual bruising or bleeding; unusual fatigue; vaginal yeast infection; vision changes; yellowing of the skin or eyes.

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.

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Anti-Inflammatory Medication, Baycuten

Baycuten cream 30 gr. 1 tube

Description

Available in the form of a cream as well as a combination medicine, Baycuten combines the strong anti fungal effects of the clotrimazole. The drug is highly effective in the local treatment of secondary anti bacterial infections of the skin. The drug is available as a torche, or throat lozenges while for the ear infection it comes in the form of liquid drops as well. The cream is said to penetrate easily and within 6 hours reaches the deeper layer of epidermis

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