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Product Description Common use Floxin belongs to the group of anti-microbial medications called the fluoroquinolones which are synthetic broad-spectrum antibiotics. Due to their principally different mechanism of action they are active against great range of resistant microorganisms including polyresistant ones. They prevent unwinding and duplicating of bacterial DNA. Floxin is used to treat patients with infections of respiratory system (ears, throat, nose), skin, soft tissues, osteomyelitis, infectious diseases of abdomen, kidney, urinary tract, prostatitis, in gynecology, gonorrhea.

Dosage and directions Do not take Floxin with food. Dosage should be corrected for patients with severely abnormal liver or kidney function. Avoid taking of Floxin with antacids, minerals, and vitamins with iron which block the absorption of Floxin.

Avoid exposure of your body to sunlight during treatment with this drug.

Contraindications Hypersensitivity to quinolones, epilepsy, pregnancy, breastfeeding women, children and teenagers younger than 15 y. o.

Possible side effect The most frequent side effects include nausea, vomiting, diarrhea, insomnia, headache, dizziness, itching, and vaginitis in women. Rare allergic reactions may also occur (hives and anaphylaxis). Symptoms of nervous system stimulation, such as anxiety, euphoria, and hallucinations are rather rare.

Drug interaction Floxin is able to interact with caffeine, cyclosporine, theophylline (asthma), warfarin (anticoagulant), medications used to treat diabetes.

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Blood Glucose Management: Checking for Ketones

What are ketones?

The human body normally runs on glucose that’s produced when the body breaks down carbohydrates. But when your body doesn’t have enough glucose or insulin to use the glucose, your body starts breaking down fats for energy. Ketones are byproducts of this breakdown. Those with type 1 diabetes are especially at risk for making ketones.

Ketones can make your blood acidic. Acidic blood can cause a serious condition known as diabetic ketoacidosis (DKA). Because the presence of ketones is often one of the signs that a person needs medical help, those with diabetes are often encouraged to check ketones in urine or blood regularly.

Ketone levels can range from negative or none at all to very high levels. While individual testing may vary, some general results for ketone levels can be:

negative: less than 0.6 millimoles per liter (mmol/L)

low to moderate: between 0.6 to 1.5 mmol/L

high: 1.6 to 3.0 mmol/L

very high: greater than 3.0 mmol/L

Call your doctor if your ketones are low to moderate, and seek emergency medical attention if your ketone levels are high to very high.

What are the symptoms of ketone buildup?

If you have diabetes, you need to be especially aware of the symptoms that having too many ketones in your body can cause. Examples of early symptoms of ketone buildup include:

a dry mouth

blood sugar levels greater than 240 milligrams per deciliter

strong thirst

frequent urination

If you don’t get treatment, the symptoms can progress. The symptoms that occur later can include:

confusion

extreme fatigue

flushed skin

a fruity breath odor

nausea

vomiting

stomach pain

trouble breathing

You should always seek immediate medical attention if your ketone levels are high.

What causes ketones to build up?

Ketones are the body’s alternate way of fueling. They build up when you:

don’t have enough insulin

can’t use the insulin you have

aren’t eating enough

This may occur if you aren’t feeling well or you’re trying to diet and you aren’t eating enough.

Your body receives signals to release energy from fats when it:

doesn’t have enough insulin, which occurs in type 1 diabetes

can’t use insulin properly, which occurs in type 2 diabetes

can’t use glucose properly, which occurs in starvation

When these fats reach your liver, it breaks them down into ketones.

The release of ketones can become a cycle. Your body will continue to release energy from fats, and the liver will continue to release ketones. This can cause your blood levels to become too acidic, which can be deadly.

Some diets, such as a low-carbohydrate diet, are intended to release fats and create ketones. Those who don’t have diabetes can usually compensate for these changes. However, the excess ketones can be dangerous for someone with diabetes. This is why doctors recommend that people with diabetes proceed carefully when restricting their diets.

How are ketones tested?

You can use blood or urine tests to test your ketone levels. At-home testing kits are available for both types of tests. Urine tests are available without a prescription at most drugstores, or you can buy them online.

You should test your urine or blood for ketones when any of the following occurs:

your fasting blood sugar is higher than 240 mg/dL

your blood sugar exceeds 300 mg/dL

you feel sick or nauseated, regardless of your blood sugar reading

Urine testing strips contain a special chemical. If the strip interacts with urine that has ketones, it will turn a specific color. Several manufacturers make testing kits for ketone levels. Many of them provide results that indicate no ketones up to a high level of ketones in the body. If a child isn’t potty-trained, a parent can usually press the stick to their child’s wet diaper to test for ketones.

An at-home meter is available to test for blood ketones. This is tested in a similar way to a finger-stick glucose test. You’ll prick your finger with a needle and place a small drop of blood onto the testing area.

Doctors often recommend that people who’ve just been diagnosed with diabetes test their ketones twice daily.

If you have a large amount of blood ketones, usually greater than 3.0 mmol/L, or you have a large amount of ketones in your urine, you should seek emergency medical treatment.

What happens if your ketone levels get too high?

If you don’t get treatment for high ketone levels, DKA can occur. The most serious effects of DKA include:

swelling in the brain

a loss of consciousness

diabetic coma

death

This is why it’s important to have a plan for if your ketone levels are moderate and if they become high.

Treatment for high ketone levels

High ketone levels usually take time to start getting higher. Accordingly, it can take several days to correct DKA. Treatments can include:

Intravenous (IV) fluid replacement

One DKA symptom is increased urination, which can result in fluid loss. Rehydrating with IV fluids can help to dilute the extra glucose in your blood.

Electrolyte replacement

When a person has DKA, the electrolyte levels tend to be low. Examples of electrolytes include potassium, sodium, and chloride. If a person loses too much of these electrolytes, their heart and muscles can’t function as well.

Insulin

People usually receive insulin through an IV to improve their ability to use excess glucose in the blood for energy. This usually involves testing glucose levels on an hourly basis. When your ketones and blood acid level return to normal, IV insulin may no longer be necessary.

Since an underlying illness can also lead to DKA, such as a severe stomach bug that causes vomiting, your doctor may prescribe treatments for that illness as well.

What is the outlook?

Seeking immediate medical treatment when ketone levels are high can ensure a person gets the help they need. You may need hospitalization for several days if you have DKA, but it’s treatable. However, you should evaluate your diet and blood glucose management plan after a DKA episode to help prevent your ketone levels from getting too high again.

Are there ways to prevent high ketone levels?

Careful management of diabetes is the key to preventing high ketone levels. Do the following to keep your blood sugar levels healthy and ketone production to a minimum:

Check blood sugar levels regularly

Your doctor will recommend how frequently you should check your blood sugar levels, but this is typically three to four times per day. You should check your blood sugar more often if:

your blood sugar levels are getting higher

you’re having symptoms of high or low blood sugar

you’re sick

Follow a healthy diet plan

Eating enough food and taking enough insulin for the foods you eat that contain carbohydrates is vital for managing diabetes.

Create a plan for moderate ketone levels

Sometimes, moderate ketone levels can be treated before they worsen. A doctor can help you create a plan when your ketone levels get too high, such as administering additional insulin and drinking more water.

Always keep ketone testing kits available

Keep ketone testing kits with you at home and when you travel so that you have a fast way to check your ketone levels.

Work closely with a diabetes educator and your doctor

Diabetes management takes constant vigilance to ensure your insulin administration and eating plan is working effectively. The medication and insulin combination that works best varies depending on the person. You should talk to your doctor if you’re concerned about your ketone levels being frequently high.

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Copyright © 2004-2015. Nivas d. o.o. – All right reserved – Made in Croatia NIVAS, d. o.o. za proizvodnju, trgovinu, ugostiteljstvo i usluge, sa sjedistem u Zagrebu, Stritofova 1. Drustvo je upisano u registar trgovackog suda u Zagrebu pod brojem tt-95/20627-4, MBS: 080285812, MB: 0199605, OIB: 16578192145, temeljni kapital drustva iznosi 22.000,00 kn i uplacen je u cijelosti. Ziro racun 2360000-1101523985, IBAN: HR9423600001101523985, SWIFT: ZABAHR2X, u poslovnoj banci Zagrebacka banka d. d. sa sjedistem u Zagrebu, Trg bana Josipa Jelacica 10. Clanovi Uprave drustva: Neven Jacmenovic, Duro Korac.

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Gynera Oral Contraceptive Review, Gynera

Gynera oral contraceptive review

Gynera is a brand of oral contraceptives – otherwise known as “birth control pills” made by the pharmaceutical group Schering AG. It contains a formulation of Gestodene 0.075 mg and Ethinylestradiol 0.03 mg combined in a single pill.

Gynera comes in a 21 tablet blister pack format and retails for RM 24 per box. That slightly works out to RM 1 per day since oral contraceptives are meant to be taken on a daily basis, preferably at the same time each day. It’s cheaper than my daily benzodiazepine dose, that’s for sure. ;)

Gynera has a day-of-the-week foil printed at the back of the blister pack for an easy dosage guide. The official recommendation is three weeks on the pill and one week off, but some people I know have taken it for months without a break. *shrugs*

Personally, I have never menstruated while on Gynera. It effectively prevented ovulation and thus, unintended reproduction during sexual congress. I give it two thumbs up!

I’m male though, so perhaps Gynera really wasn’t necessary at all since I’ve never menstruated in my entire life. ;)

P/S – This is a gag post, for those who didn’t get it. Gynera seems to work for a lot of people though…

However, I did take one pill coz someone dared me to. ;)

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8 thoughts on “ Gynera oral contraceptive review ”

I used Gynera, sometimes i missed taking the pill not just once and i end the strips of gynera 2 days after its regular date to be consumed. I was bleeding for almost a week.

elle: I’m a guy, I just wrote that for fun. My ex gf was taking it. )

I took gynera for 5 months. But now i stopped taking the pills i want to have babies but there is something wrong. I have anal sex 3 times a day and till now no babiess HELP. PlzzZzZz HELP me

i have been taking gynera for over 5 years and i am getting my results that i needed

May I know if gynera is one of the best contraceptives?

when my boyfren left me for 1 month i stop taking the pill then 2 days ago he came back and yesterday i took the pills immediately, is it safe even i dont have menstruation yet?…pls leave me a reply as soon as possible im so confused about it

i just started the pill lastmnonth, im on my 7days of no pill now, but i wasnt remembering to take them everyday will that b a problem? cuz i really wud like to c sum blood release

i have been using this MAGICAL PILLS for years, i haven’t get pregnant haven’t put n size or get buttons on face just an upset feeling when take it that’s it, i love it

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3. El vaso esta graduado en mililitros. 4. Presione (empuje) fuertemente la tapa de seguridad hacia abajo y sin dejar de presionar, girela a la izquierda. 5. Mida la cantidad exacta de liquido en el vaso. Si el nino tomo de mas, debe acudir rapidamente al medico. 6. Haga que el nino tome el liquido. 7. Si es necesario, la dosis puede repetirse cada 4 horas, pero no mas de 4 veces al dia. 8. No use por mas de 3 dias sin consultar al medico.

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Altace is used for treating high blood pressure or decreasing the risk of heart attack, stroke, and death in certain patients. It may be used alone or with other medicines. It is used along with other medicines to manage heart failure and improve survival after a heart attack. Altace is an angiotensin-converting enzyme (ACE) inhibitor. It works by relaxing blood vessels. This helps to lower blood pressure.

Use Altace as directed by your doctor.

Take Altace by mouth with or without food.

Swallow this tablet whole unless your doctor tells you otherwise.

Continue to take Altace even if you feel well. Do not miss any dose.

If you miss a dose of Altace, 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 Altace.

Store Altace between 68 and 77 degrees F (20 and 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 Altace out of the reach of children and away from pets.

Active Ingredient: Ramipril.

Do NOT use Altace if:

you are allergic to any ingredient in Altace

you have a history of angioedema (swelling of the hands, face, lips, eyes, throat, or tongue; difficulty swallowing or breathing; or hoarseness) caused by treatment with an ACE inhibitor

you are in your second or third trimester of pregnancy.

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

Some medical conditions may interact with Altace. 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 are able to become pregnant

if you have a history of heart problems (eg, aortic stenosis, heart failure), blood vessel problems, blood flow problems, bone marrow problems, kidney problems, certain liver problems (eg, ascites, cirrhosis), or diabetes

if you have a history of angioedema, stroke, or recent heart attack, or you have had a kidney transplant

if you have an autoimmune disease (eg, lupus, rheumatoid arthritis, scleroderma)

if you are dehydrated or have low blood volume, high blood potassium levels, or low blood sodium levels, or if you are on a low-salt (sodium) diet

if you are receiving treatments to reduce sensitivity to bee stings

if you are on dialysis or are scheduled to have major surgery.

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

Diuretics (eg, furosemide, hydrochlorothiazide) because the risk of low blood pressure may be increased

Aldosterone blockers (eg, eplerenone), nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen), potassium-sparing diuretics (eg, spironolactone, triamterene), potassium supplements, or trimethoprim because the risk of high blood potassium levels may be increased

Certain gold-containing medicines (eg, sodium aurothiomalate) because flushing, nausea, vomiting, and low blood pressure may occur

Lithium or thiopurines (eg, azathioprine) because the risk of their side effects may be increased by Altace.

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

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

Altace 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.

Altace may cause a serious side effect called angioedema. Contact your doctor at once if you develop swelling of the hands, face, lips, eyes, throat, or tongue; difficulty swallowing or breathing; or hoarseness.

Altace may not work as well in black patients. They may also be at greater risk of side effects. Contact your doctor if your symptoms do not improve or if they become worse.

Dehydration, excessive sweating, vomiting, or diarrhea may increase the risk of low blood pressure. Contact your health care provider at once if any of these occur.

Rarely, Altace may lower the ability of your body to fight infection. This risk may be greater if you have certain other health problems (eg, kidney problems, collagen vascular disease). Avoid contact with people who have colds or infections. Tell your doctor if you notice signs of infection like fever, sore throat, rash, or chills.

Check with your doctor before you use a salt substitute or a product that has potassium in it.

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

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.

If you have high blood pressure, do not use nonprescription products that contain stimulants. These products may include diet pills or cold medicines. Contact your doctor if you have any questions or concerns.

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

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

Use Altace with caution in the elderly; they may be more sensitive to its effects.

Altace should be used with extreme caution in children; safety and effectiveness in children have not been confirmed.

Pregnancy and breast-feeding: Altace may cause birth defects or fetal death if you take it while you are pregnant. If you think you may be pregnant, contact your doctor right away. It is not known if Altace is found in breast milk. Do not breastfeed while taking Altace.

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:

Cough; dizziness; headache; tiredness.

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 hands, eyes, mouth, face, lips, or tongue; hoarseness); chest pain; dark urine; decreased urination; difficulty swallowing; fainting; infection (eg, fever, chills, persistent sore throat); irregular heartbeat; seizures; stomach pain (with or without nausea or vomiting); symptoms of low blood pressure (eg, fainting, severe dizziness, lightheadedness); 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.

Altace is used for treating high blood pressure or decreasing the risk of heart attack, stroke, and death in certain patients. It may be used alone or with other medicines. It is used along with other medicines to manage heart failure and improve survival after a heart attack. Altace is an angiotensin-converting enzyme (ACE) inhibitor. It works by relaxing blood vessels. This helps to lower blood pressure.

Use Altace as directed by your doctor.

Take Altace by mouth with or without food.

Swallow this tablet whole unless your doctor tells you otherwise.

Continue to take Altace even if you feel well. Do not miss any dose.

If you miss a dose of Altace, 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 Altace.

Store Altace between 68 and 77 degrees F (20 and 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 Altace out of the reach of children and away from pets.

Active Ingredient: Ramipril.

Do NOT use Altace if:

you are allergic to any ingredient in Altace

you have a history of angioedema (swelling of the hands, face, lips, eyes, throat, or tongue; difficulty swallowing or breathing; or hoarseness) caused by treatment with an ACE inhibitor

you are in your second or third trimester of pregnancy.

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

Some medical conditions may interact with Altace. 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 are able to become pregnant

if you have a history of heart problems (eg, aortic stenosis, heart failure), blood vessel problems, blood flow problems, bone marrow problems, kidney problems, certain liver problems (eg, ascites, cirrhosis), or diabetes

if you have a history of angioedema, stroke, or recent heart attack, or you have had a kidney transplant

if you have an autoimmune disease (eg, lupus, rheumatoid arthritis, scleroderma)

if you are dehydrated or have low blood volume, high blood potassium levels, or low blood sodium levels, or if you are on a low-salt (sodium) diet

if you are receiving treatments to reduce sensitivity to bee stings

if you are on dialysis or are scheduled to have major surgery.

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

Diuretics (eg, furosemide, hydrochlorothiazide) because the risk of low blood pressure may be increased

Aldosterone blockers (eg, eplerenone), nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen), potassium-sparing diuretics (eg, spironolactone, triamterene), potassium supplements, or trimethoprim because the risk of high blood potassium levels may be increased

Certain gold-containing medicines (eg, sodium aurothiomalate) because flushing, nausea, vomiting, and low blood pressure may occur

Lithium or thiopurines (eg, azathioprine) because the risk of their side effects may be increased by Altace.

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

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

Altace 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.

Altace may cause a serious side effect called angioedema. Contact your doctor at once if you develop swelling of the hands, face, lips, eyes, throat, or tongue; difficulty swallowing or breathing; or hoarseness.

Altace may not work as well in black patients. They may also be at greater risk of side effects. Contact your doctor if your symptoms do not improve or if they become worse.

Dehydration, excessive sweating, vomiting, or diarrhea may increase the risk of low blood pressure. Contact your health care provider at once if any of these occur.

Rarely, Altace may lower the ability of your body to fight infection. This risk may be greater if you have certain other health problems (eg, kidney problems, collagen vascular disease). Avoid contact with people who have colds or infections. Tell your doctor if you notice signs of infection like fever, sore throat, rash, or chills.

Check with your doctor before you use a salt substitute or a product that has potassium in it.

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

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.

If you have high blood pressure, do not use nonprescription products that contain stimulants. These products may include diet pills or cold medicines. Contact your doctor if you have any questions or concerns.

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

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

Use Altace with caution in the elderly; they may be more sensitive to its effects.

Altace should be used with extreme caution in children; safety and effectiveness in children have not been confirmed.

Pregnancy and breast-feeding: Altace may cause birth defects or fetal death if you take it while you are pregnant. If you think you may be pregnant, contact your doctor right away. It is not known if Altace is found in breast milk. Do not breastfeed while taking Altace.

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:

Cough; dizziness; headache; tiredness.

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 hands, eyes, mouth, face, lips, or tongue; hoarseness); chest pain; dark urine; decreased urination; difficulty swallowing; fainting; infection (eg, fever, chills, persistent sore throat); irregular heartbeat; seizures; stomach pain (with or without nausea or vomiting); symptoms of low blood pressure (eg, fainting, severe dizziness, lightheadedness); 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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Cefaclor is used to treat many different types of infections caused by bacteria.

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label. Take this medicine with a full glass of water. Cefaclor works best if you take it with a meal or within 30 minutes of a meal.

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

This medication can cause you to have unusual results with certain medical tests. Tell any doctor who treats you that you are using cefaclor. Take cefaclor for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Cefaclor will not treat a viral infection such as the common cold or flu. Store the tablets and capsules at room temperature away from moisture, heat, and light. Store the oral liquid in the refrigerator. Throw away any unused medication after 14 days.

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

Take this medication exactly as it was prescribed for you by your HealthProvider.

Store this medicine at room temperature in a tightly-closed container, away from heat and light.

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

Before taking this medication, tell your doctor if you are allergic to any drugs (especially penicillin). Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Cefaclor will not treat a viral infection such as the common cold or flu.

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

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

Avoid using antacids within 1 hour before or after taking cefaclor. Antacids can make it harder for your body to absorb cefaclor.

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

diarrhea that is watery or bloody;

fever, sore throat, and joint pain with a severe blistering, peeling, and red skin rash;

numbness or tingly feeling;

warmth, redness, or tingling under your skin;

swelling in your hands or feet;

fast or pounding heartbeats;

chest pain, shortness of breath.

Less serious side effects may include:

mild nausea, stomach pain, constipation, loss of appetite;anxiety, drowsiness;

increased night-time urination;

headache;

runny nose, sore throat, cough; or

vaginal itching or discharge.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

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Does Wintrocin Interact With Any Other Medications Webmd Answers, Wintrocin

Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for it. Do not start, stop or change the dosage of any medicine before checking with them first.

This drug should not be used with the following medications because very serious interactions may occur: eletriptan, ergot alkaloids (e. g. ergotamine, dihydroergotamine), drugs which may affect the heart rhythm (QT prolonging drugs such as cisapride, pimozide, droperidol, sertindole), ivabradine.

If you are currently using any of these medications listed above, tell your doctor or pharmacist before starting erythromycin.

Many drugs besides erythromycin and those listed above may affect the heart rhythm (QT prolongation), including amiodarone, dofetilide, gatifloxacin, moxifloxacin, procainamide, propafenone, quinidine, sotalol, and thioridazine, among others. Therefore, before using erythromycin, report all medications you are currently using to your doctor or pharmacist.

Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: colchicine, digoxin, live bacterial vaccines, warfarin, drugs affecting liver enzymes that remove erythromycin from your body (such as azole antifungals-including itraconazole and fluconazole, rifamycins-including rifabutin, quinupristin-dalfopristin, calcium channel blockers-including diltiazem and verapamil, certain anti-seizure medicines-including carbamazepine and phenytoin and valproate).

This drug can slow down the removal of other drugs from your body by affecting certain liver enzymes. Some examples of these affected drugs include alfentanil, bromocriptine, buspirone, certain benzodiazepines (alprazolam, midazolam, triazolam), caffeine-containing drugs, cilostazol, corticosteroids (e. g. prednisone), cyclosporine, eplerenone, certain drugs to treat erectile dysfunction-ED or pulmonary hypertension (such as sildenafil, tadalafil), eszopiclone, felodipine, certain "statin" drugs (such as atorvastatin, lovastatin, pravastatin, simvastatin), quetiapine, tacrolimus, theophylline, tolterodine, vinblastine.

Although most antibiotics probably do not affect hormonal birth control such as pills, patch, or ring, some antibiotics may decrease their effectiveness. This could cause pregnancy. Examples include rifamycins such as rifampin or rifabutin. Be sure to ask your doctor or pharmacist if you should use additional reliable birth control methods while using this antibiotic.

This drug can affect the results of certain lab tests. Make sure laboratory personnel and your doctors know you are taking this medication.

This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.



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Tridestra, Tridestra

TRIDESTRA

Transcript

PACKAGE LEAFLET: INFORMATION FOR THE USER

TRIDESTRA® Estradiol valerate and Medroxyprogesterone acetate Read all of this leaflet carefully before you start taking this medicine because it contains important information for you. • Keep this leaflet. You may need to read it again. • If you have any further questions, ask your doctor or pharmacist. • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours. • If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4. In this leaflet: 1. What Tridestra is and what it is used for 2. What you need to know before you take Tridestra 3. How to take Tridestra 4. Possible side effects 5. How to store Tridestra 6. Contents of the pack and other information 1. WHAT TRIDESTRA IS AND WHAT IT IS USED FOR Tridestra is a Hormone Replacement Therapy (HRT). It contains two types of female hormones, an oestrogen and a progestogen. Tridestra is used for: Relief of menopausal symptoms During the menopause, the amount of the oestrogen produced by a woman’s body drops. This can cause symptoms such as hot face, neck and chest (“hot flushes”). Tridestra alleviates these symptoms. You will only be prescribed Tridestra if your symptoms seriously hinder your daily life. Prevention of osteoporosis After the menopause some women may develop fragile bones (osteoporosis). You should discuss all available options with your doctor. If you are at an increased risk of fractures due to osteoporosis and other medicines are not suitable for you, you can use Tridestra to prevent osteoporosis after menopause. 2. WHAT YOU NEED TO KNOW BEFORE YOU TAKE TRIDESTRA Medical history and regular check-ups The use of HRT carries risks which need to be considered when deciding whether to start taking it, or whether to carry on taking it. The experience in treating women with a premature menopause (due to ovarian failure or surgery) is limited. If you have a premature menopause the risks of using HRT may be different. Please talk to your doctor. Before you start (or restart) HRT, your doctor will ask about your own and your family’s medical history. Your doctor may decide to perform a physical examination. This may include an examination of your breasts and/ or an internal examination, if necessary. Once you have started on Tridestra you should see your doctor for regular check-ups (at least once a year). At these check-ups, discuss with your doctor the benefits and risks of continuing with Tridestra. Regularly check your breasts for any changes (see section 2, Breast cancer). Go for regular breast screening, as recommended by your doctor. Do not take Tridestra if any of the following applies to you. If you are not sure about any of the points below, talk to your doctor before taking Tridestra. Do not take Tridestra • if you have or have ever had breast cancer, or if you are suspected of having it • if you have cancer which is sensitive to oestrogens, such as cancer of the womb lining (endometrium), or if you are suspected of having it • if you have any unexplained vaginal bleeding • if you have excessive thickening of the womb lining (endometrial hyperplasia) that is not being treated • if you have or have ever had a blood clot in a vein (thrombosis), such as in the legs (deep venous thrombosis) or the lungs (pulmonary embolism) • if you have a blood clotting disorder (such as protein C, protein S, or antithrombin deficiency) • if you have or recently have had a disease caused by blood clots in the arteries, such as a heart attack, stroke or angina • if you have or have ever had a liver disease and your liver function tests have not returned to normal • if you have a rare blood problem called “porphyria” which is passed down in families (inherited) • if you are allergic to Estradiol valerate or Medroxyprogesterone acetate or any of the other ingredients of this medicine (listed in section 6) • if you have been told that you have an intolerance to some sugars. If any of the above conditions appear for the first time while taking Tridestra, stop taking it at once and consult your doctor immediately. Warnings and Precautions Talk to your doctor before starting the treatment if you have ever had any of the following problems, as these may return or become worse during treatment with Tridestra. If so, you should see your doctor more often for check-ups: • fibroids inside your womb • growth of womb lining outside your womb (endometriosis) or a history of excessive growth of the womb lining (endometrial hyperplasia) • increased risk of developing blood clots (see “Blood clots in a vein (thrombosis)”) • increased risk of getting an oestrogen-sensitive cancer (such as having a mother, sister or grandmother who has had breast cancer) • high blood pressure • a liver disorder, such as a benign liver tumour • diabetes • gallstones • migraine or severe headaches • a disease of the immune system that affects many organs of the body (systemic lupus erythematosus, SLE) • epilepsy • asthma • a disease affecting the eardrum and hearing (otosclerosis) • a very high level of fat in your blood (triglycerides) • fluid retention due to cardiac or kidney problems. • hereditary angioedema Stop taking Tridestra and see a doctor immediately If you notice any of the following when taking HRT: • any of the conditions mentioned in the ‘Do not take Tridestra’ section • yellowing of your skin or the whites of your eyes (jaundice). These may be signs of a liver disease • a large rise in your blood pressure (symptoms may be headache, tiredness, dizziness) • migraine-like headaches which happen for the first time • if you become pregnant • if you notice signs of a blood clot, such as: - painful swelling and redness of the legs - sudden chest pain - difficulty in breathing For more information, see ‘Blood clots in a vein (thrombosis)’. Note: Tridestra is not a contraceptive. If it is less than 12 months since your last menstrual period or you are under 50 years old, you may still need to use additional contraception to prevent pregnancy. Speak to your doctor for advice. HRT and cancer Excessive thickening of the lining of the womb (endometrial hyperplasia) and cancer of the lining of the womb (endometrial cancer) Taking oestrogen-only HRT will increase the risk of excessive thickening of the lining of the womb (endometrial hyperplasia) and cancer of the womb lining (endometrial cancer). The progestogen in Tridestra protects you from this extra risk. Unexpected bleeding You will have a bleed once every three months (so-called withdrawal bleed) while taking Tridestra. But, if you have unexpected bleeding or drops of blood (spotting) besides your three monthly bleed, which: • carries on for more than the first 6 months • starts after you have been taking Tridestra for more than 6 months • carries on after you have stopped taking Tridestra see your doctor as soon as possible. Breast cancer Evidence suggests that taking combined oestrogen-progestogen and possibly also oestrogen-only HRT increases the risk of breast cancer. The extra risk depends on how long you take HRT. The additional risk becomes clear within a few years. However, it returns to normal within a few years (at most 5) after stopping treatment. Compare Women aged 50 to 79 who are not taking HRT, on average, 9 to 17 in 1000 will be diagnosed with breast cancer over a 5-year period. For women aged 50 to 79 who are taking oestrogen-progestogen HRT over 5 years, there will be 13 to 23 cases in 1000 (i. e. an extra 4 to 6 cases). • Regularly check your breasts. See your doctor if you notice any changes such as: • dimpling of the skin • changes in the nipple • any lumps you can see or feel. Additionally, you are advised to join mammography screening programs when offered to you. For mammogram screening, it is important that you inform the nurse/healthcare professional who is actually taking the x-ray that you use HRT, as this medication may increase the density of your breasts which may affect the outcome of the mammogram. Where the density of the breast is increased, mammography may not detect all lumps. Ovarian Cancer Ovarian cancer is rare – much rarer than breast cancer. The use of oestrogen-only or combined oestrogenprogestogen HRT has been associated with a slightly increased risk of ovarian cancer. The risk of ovarian cancer varies with age. For example, in women aged 50 to 54 who are not taking HRT, about 2 women in 2,000 will be diagnosed with ovarian cancer over a 5-year period. For women who have been taking HRT for 5 years, there will be about 3 cases per 2,000 users (i. e. about 1 extra case). Effect of HRT on heart and circulation Blood clots in a vein (thrombosis) The risk of blood clots in the veins is about 1.3 to 3- times higher in HRT users than in non-users, especially during the first year of taking it. Blood clots can be serious, and if one travels to the lungs, it can cause chest pain, breathlessness, fainting or even death. You are more likely to get a blood clot in your veins as you get older and if any of the following applies to you. Inform your doctor if any of these situations applies to you: • you are unable to walk for a long time because of major surgery, injury or illness (see also section 3, If you need to have surgery) • you are seriously overweight (BMI >30 kg/m2) • you have any blood clotting problem that needs long-term treatment with a medicine used to prevent blood clots • if any of your close relatives has ever had a blood clot in the leg, lung or another organ • you have systemic lupus erythematosus (SLE) • you have cancer • you have had one or more miscarriages. For signs of a blood clot, see “Stop taking Tridestra and see a doctor immediately”. Compare Looking at women in their 50s who are not taking HRT, on average, over a 5-year period, 4 to 7 in 1000 would be expected to get a blood clot in a vein. For women in their 50s who have been taking oestrogen-progestogen HRT over 5 years, there will be 9 to 12 cases in 1000 users (i. e. an extra 5 cases). Heart disease (heart attack) There is no evidence that HRT will prevent a heart attack. Women over the age of 60 years who use oestrogen-progestogen HRT are slightly more likely to develop heart disease than those not taking any HRT. Stroke The risk of getting stroke is about 1.5 times higher in HRT users than in non-users. The number of extra cases of stroke due to use of HRT will increase with age.

100825-15 302017 100825-15 Leaflet Tridestra vedos. indd 1

Compare Looking at women in their 50s who are not taking HRT, on average, 8 in 1000 would be expected to have a stroke over a 5-year period. For women in their 50s who are taking HRT, there will be 11 cases in 1000 users, over 5 years (i. e. an extra 3 cases). Other conditions • HRT will not prevent memory loss. There is some evidence of a higher risk of memory loss in women who start using HRT after the age of 65. Speak to your doctor for advice. • If you have a tendency to develop blotchy brown patches (chloasma) on the skin you should minimise exposure to the sun or ultraviolet radiation whilst using Tridestra. Other medicines and Tridestra Some medicines may interfere with the effect of Tridestra. This might lead to irregular bleeding. This applies to the following medicines: • Medicines for epilepsy (such as phenobarbital, phenytoin and carbamazepin). • Medicines for tuberculosis (such as rifampicin, rifabutin). • Medicines for HIV infection (such as nevirapine, efavirenz, ritonavir and nelfinavir). • Herbal remedies containing St John’s Wort (Hypericum perforatum). Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines including medicines obtained without a prescription, herbal medicines or other natural products. Laboratory tests If you need a blood test, tell your doctor or the laboratory staff that you are taking Tridestra, because this medicine can affect the results of some tests. Pregnancy and breast-feeding Tridestra is for use in postmenopausal women only. • Pregnancy - If you become pregnant, stop taking Tridestra and contact your doctor. • Breast-feeding – Do not take Tridestra if you are breast-feeding. Tridestra with food and drink Tridestra can be swallowed with a glass of water at the same time each day. Driving and using machines Tridestra should not affect your ability to drive or operate machinery. Tridestra contains lactose If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product. 3. HOW TO TAKE TRIDESTRA Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure. Your doctor will aim to prescribe the lowest dose to treat your symptom for as short as necessary. Speak to your doctor if you think this dose is too strong or not strong enough. If you are still having periods you should start to take the tablets on the fifth day of bleeding. If you are not having periods or you are switching from a continuous combined HRT product you can start taking your tablets on any day. If you are switching from a cyclic HRT product you should start taking Tridestra one week after you stop taking the other HRT product. Tridestra Tablets come in a calendar pack of 91 days. There are three blister strips numbered 1 to 3. The pack is designed to help you to take your tablets correctly. The white tablets are taken on days 1 - 70 The blue tablets are taken on days 71 - 84. The yellow tablets are taken on days 85 - 91. • On the reverse side of strip number 3 you will see the heading “start day” and the seven days of the week. • Pierce the foil below the day of the week when you start taking Tridestra. This will make it easy to check whether you have taken all tablets correctly according to schedule. Tablets 8, 15 etc are taken on the same week-day as the first tablet. • The tablets are taken in sequence indicated by the numbers on the foil strips. Take one tablet each day following the numbers on the pack. • Begin by taking tablet number 1 on strip number 1, moving on to strip number 2, then number 3 and ending with tablet 91. • During the last week when you are taking the yellow tablets it is usual to have a menstrual like bleed. • Swallow the tablets with a drink of water. • Start the next pack of Tridestra the day after you finish this one. You should be starting each pack on the same day of the week. Whilst taking this medicine You should expect a regular menstrual type bleed every 3 months. This is quite normal even if your periods had stopped before. When you first start to take the tablets you may get some bleeding at odd times for a few months (see section 2, sub-heading ‘Unexpected bleeding’). However, if this is still happening after a few months or if you experience heavy bleeding tell your doctor. If you take more Tridestra than you should If you or somebody else has taken too many Tridestra Tablets, tell your doctor or pharmacist. If you forget to take Tridestra It is best to take your tablet at the same time each day. If you forget, take it within 12 hours. If you do not remember and you are more than 12 hours late, leave the forgotten tablet. You should then continue by taking the next tablet at your usual time. Missing a tablet or irregular use of Tridestra tablets may cause unscheduled or breakthrough bleeding or spotting. If you have any further questions on the use of this product, ask your doctor or pharmacist. If you need to have surgery If you are going to have surgery, tell the surgeon that you are taking Tridestra. You may need to stop taking Tridestra about 4 to 6 weeks before the operation to reduce the risk of a blood clot (see section 2, Blood clots in a vein). Ask your doctor when you can start taking Tridestra again. If you have any further questions on the use of this medicine, ask your doctor or pharmacist. 4. POSSIBLE SIDE EFFECTS Like all medicines, this medicine can cause side effects, particularly early on (in the first few months of treatment). However, not everybody gets them. These often disappear with continued treatment. There are a number of situations in which you may have to stop taking Tridestra. Tell your doctor immediately if you develop any of the following conditions: • you develop any of the conditions under ‘section 2 Do not take Tridestra’ • yellowing of the skin or the whites of the eyes (jaundice). These may be signs of a liver disease • you have been told that you have an increase in your blood pressure (symptoms may be headache, tiredness, dizziness) • unexplained or first time migraine-type headaches, with or without disturbed vision (these headaches may be an early sign of a stroke) • signs of a blood clot (see section 2 “Blood clots in a vein (thrombosis)) such as painful swelling and redness of the legs, sudden chest pain or difficulty breathing (these may be signs of a blood clot) • a pain in your chest that spreads to your arm or neck (this pain could be a sign of heart disease). The following diseases are reported more often in women using HRT compared to women not using HRT: • breast cancer • abnormal growth or cancer of the lining of the womb (endometrial hyperplasia or cancer) • ovarian cancer • blood clots in the veins of the legs or lungs (venous thromboembolism) • heart disease • stroke • probable memory loss if HRT is started over the age of 65. For more information about these side effects, see Section 2. The following is a list of side effects that have been linked to the use of HRT: Common: (may affect up to 1 in 10 people) • weight increase or decrease, swelling caused by fluid retention • depression, nervousness, lethargy • nausea, vomiting, stomach cramps, flatulence • headache, dizziness • hot flushes, sweating • breast tension and pain, vaginal discharge, bleeding or spotting, disorder of vulva/vagina, menstrual disorder. Uncommon: (may affect up to 1 in 100 people) • non-cancerous breast tumor, benign growths in the lining of the womb • allergic (hypersensitivity) reaction • increased appetite, high level of cholesterol in the blood • anxiety, inability to sleep, apathy, mood swings, poor concentration, changes in sex drive and mood, euphoria, agitation • migraine, sensation of tingling, pricking or numbness in skin, trembling • visual impairment, dry eye • unusually fast or irregular heartbeat • increased blood pressure, superficial inflammation of the veins, redness or red spots on the skin • breathlessness, runny or blocked nose • constipation, indigestion/heartburn, diarrhoea, rectal disorder • acne, hair loss, dry skin, nail problems, skin nodule, excessive hair growth (hirsutism), painful reddish skin nodules (erythema nodosum), generalised itchy rash • joint disorders, muscle cramps • increased and frequent urge to pass urine, loss of bladder control, bladder infections, discoloured urine, blood in the urine • breast enlargement, breast tenderness, thickening of the lining of the womb, uterine disorder • tiredness, abnormal laboratory tests, weakness, fever, flu-like symptoms, feeling generally unwell Rare: (may affect up to 1 in 1,000 people) • contact lens intolerance • alternations in liver function and biliary flow • skin rash • blood clots in the veins of the legs or lungs • menstrual pain, pre-menstrual like syndrome Other side effects reported (frequency cannot be estimated from the available data) • uterine fibroids • worsening of the symptoms of hereditary angioedema • reduced oxygen flow to the brain or to a section of the brain • stomach pain, bloating, yellowing of the skin or eyes • eczema • gall bladder disease • various skin disorders: - discoloration of the skin especially of the face or neck known as “pregnancy patches” (chloasma) - rash with target-shaped reddening or sores (erythema multiforme). Reporting of side effects If you get any side effects, talk to your doctor or pharmacist. 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 TRIDESTRA Keep this medicine out of the sight and reach of children. Do not use this medicine after the expiry date which is stated on the pack. The expiry date refers to the last day of that month. Store this medicine at room temperature not exceeding 25°C in a dry place. Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment. 6. CONTENTS OF THE PACK AND OTHER INFORMATION What Tridestra contains The active substances are: white tablet: 2 mg estradiol valerate blue tablet: 2 mg estradiol valerate and 20 mg medroxyprogesterone acetate yellow tablets do not contain any active ingredients. The other ingredients are: white tablet: lactose, maize starch, gelatin, talc and magnesium stearate blue tablet: lactose, maize starch, magnesium stearate, gelatin and indigo carmine (E132) yellow tablet: lactose, maize starch, gelatine, magnesium stearate and yellow iron oxide (E172). Tridestra tablets are gluten free. What Tridestra looks like and contents of the pack Each pack contains 91 tablets, 70 white ones, 14 blue ones and 7 yellow ones. Marketing Authorisation Holder: Orion Corporation, Orionintie 1, FIN-02200, Espoo, Finland Manufactured by: Orion Corporation Orion Pharma, Tengstrominkatu 8, 20360 Turku, Finland Distributed in the UK by: Orion Pharma (UK) Ltd. Oaklea Court, 22 Park Street, Newbury, Berks RG14 1EA, United Kingdom. Tridestra is a registered trademark. ©1999 Orion Pharma (UK) Ltd. Date of last revision of leaflet: March 2016

302017 100825-15 Leaflet Tridestra vedos. indd 2

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.

Tridestra

What is Tridestra?

Tridestra is a hormone replacement therapy (HRT) preparation. It contains two active ingredients: estradiol (an oestrogen hormone) and medroxyprogesterone (a progestogen hormone). Tridestra tablets are used to treat menopausal symptoms in women. Tridestra is a prescription-only medicine.

What is Tridestra used for?

Women’s ovaries gradually produce less and less oestrogen in the period up to menopause, and oestrogen levels decline as a result. The declining levels of oestrogen can cause distressing symptoms. The most common menopausal symptoms include:

Hot flashes;

Vaginal discomfort (dryness, pain, irritation);

Difficulty falling asleep or staying asleep;

Osteoporosis (decrease in bone mass and density);

Night sweats;

Mood swings.

HRT restores hormonal balance. This helps relieve menopausal symptoms. Tridestra is intended for women with an intact womb because it contains a progestogen hormone which protects the lining of the womb from side effects. Tridestra produces a withdrawal bleed every three months.

How to use Tridestra

Tridestra is based on a three-monthly cycle. Each package contains three numbered blisters.

Blister no. 1 contains white tablets. These tablets are taken for the first 70 days and contain just estradiol.

Blister no. 2 contains blue tablets, which are taken for days 71 to 84. These tablets contain estradiol and medroxyprogesterone.

Blister no. 3 contains yellow tablets. These tablets are taken for days 85 to 91 and contain no active ingredient at all (placebo).

The three-monthly cycle results in a withdrawal bleed every three months (between day 85 and day 91). You start the next pack (blister 1) right after you finish the third blister, even if you are still bleeding.

Dosage

Unless otherwise advised by a doctor, the usual dose in adult women is:

one tablet, once daily.

Read the package leaflet before use.

Side effects

HRT may cause side effects. The following are some of the side effects that are known to be associated with Tridestra:

Headache;

Breast tenderness;

Gastrointestinal symptoms such as nausea and stomach ache;

Breakthrough bleeding (spotting).

Consult a doctor if the side effects are persistent. See the package leaflet for a full list of side effects, including rare yet serious side effects such as cancer and thrombosis.

When not to use Tridestra

Tridestra is not suitable for everyone and should not be used if:

You are allergic to estradiol, medroxyprogesterone or any other of its ingredients;

You have a known or past history of breast cancer, endometrial cancer or other hormone-related cancer;

You have vaginal bleeding of unknown cause;

You have an overgrowth of the lining of the womb (endometrial hyperplasia);

You have a blood clot in a vein (thrombosis) or the lungs (pulmonary embolism) or a history of this;

You have a blood disorder or liver disease.

Consult a doctor on the use of Tridestra if you have a health condition that is not listed above or are currently taking medication.

Pregnancy/driving ability/alcohol

This medicine is intended for women who are no longer in the fertile age bracket. The following advice applies to women who don’t fall within this group:

Tridestra should not be used during pregnancy and while breastfeeding.

Warning: this medicine is not a contraceptive pill! If possible pregnancy is to be avoided then some method of birth control should be used.

This medicine does not interact with alcohol or affect your ability to drive safely.

Why register with MediGuard?

We are a free monitoring service designed for patients like you who want to be in the driver seat of your medical treatment. We have a community of more than 2.6 million members and offer the services below.

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Tridestra

What is your Risk Rating for this medicine?

The risk of serious side effects for taking this medicine can be different if you take other medicines or if you suffer from a condition. Get your Risk Rating by creating a profile in a few steps.

Benefits:

We monitor your health and alert you to any safety updates and recalls.

You get to talk directly to other members about their experience.

You can create profiles for you and your loved ones.

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Share your story! Tell us how MediGuard has helped you or someone you love. Download the MediGuard Mobile App to manage your prescription and over-the-counter medications, for free. Taking multiple medications puts you at risk for possible drug-drug interactions Monitor the medical treatment of you and your loved ones.

DISCLAIMER: MediGuard is not intended to be a substitute for professional medical advice. MediGuard cannot and does not take into consideration every possible interaction or account for individual responses to medicine. Different individuals may respond to medication in different ways. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective, or appropriate for any given patient. Always seek the advice of a qualified health provider with any questions you may have before making any changes to your treatment. The use of the MediGuard site and its content is at your own risk. The MediGuard site and the information contained in it is intended for users in the United States and information in other countries may be different.

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Nifedipine is a drug given in conditions like hypertension and angina pectoris. It belongs to the class of calcium channel blocker and is widely employed in heart diseases like angina pectoris and arrhythmias. It works by relaxing heart muscles and blood vessels. Nifedipine decreases the work load of heart blood vessels.

Understating the ailments it is used for .

Nifedipine is given in heart related problems like hypertension, angina pectoris and cardiac arrhythmia that make the person prone to serious cardiovascular diseases like heart failure, heart attack and angina pectoris.

Understanding the drug Nifedipine:

Nifedipine is a calcium channel blocker and is given in almost every heart related problems.

Nifedipine blocks the calcium release from calcium channels. This blockage relaxes the blood vessels which ease the blood circulation. This all results in lower blood pressure and improves the efficiency of the heart. It lowers the heart load so is given in Angina pectoris also.

When should you avoid it?

You should not take Nifedipine if you:

Have allergy to Nifedipine

Have kidney disease

Are having liver disorder like cirrhosis

Have slow digestion

are hypothyroidism

are a diabetic patient

have coronary artery disease

have congestive heart failure

Always take the dose as prescribed by the physician. It is very important to consume medicine timely. The general recommended dose starts from 30 mg and can be increased to 60 mg depending upon the patient’s condition and demand. With time, dose adjustments are generally done according to the response of the patient.

What are the strengths available?

Nifedipine tablets contain the following six strength combinations on the website:

Adalat chrono 30 mg

Adalat chrono 60 mg

Who is the manufacturer?

Depin is manufactured by Cipla pharmaceuticals ltd, a pharmaceutical giant. It is available on our websites in the pack of 30 tablets.

Nifelat is manufactured by Cipla pharmaceuticals ltd, a pharmaceutical giant. It is available on our website in the pack of 30 tablets.

Nicardia is manufactured by JB Chemicals Pharmaceuticals Ltd. It is available on our website in the pack of 30 tablets.

Adalat Chrono is manufactured by Bayer healthcare, a pharmaceutical giant. It is available on our website in the pack of 40 extended release tablets

You must swallow the whole tablet with one glass full of water. Do not crush or chew it. Swallow the extended release tablets whole.

Single dose of Nifedipine can be taken once in a day or divided dose can be taken twice a day. It can be taken with or without food a day. It is best to take it at the same time daily because it shows best results and helps to remember when to take the drug.

For how long should it be taken?

It is important to take the drug as instructed by your doctor. Abrupt discontinuation of medicine can cause adverse reactions. So before stopping the drug intake, always consult physician first.

What if you take too much (overdose)?

You may need urgent medical attention if you experience below mentioned symptoms:

Dizziness

Tachycardia

Flushing

Nausea

Vomiting

Blurred vision

Swelling of hands and feet

What if you miss the dose?

Take it as soon as you remember. If it is almost time for your next dose then skip the dose and take your next dose on the correct time. Do not double up the dose to compensate for the missed one .

What are the side effects?

All medicines have their side effects, sometimes they are serious but most of the times they are not. Common side effects are mentioned below:

Headache

Dizziness

Lightheadedness

Heartburn

Nausea

Vomiting

Fainting

Blurred vision

Serious side effects which need medical attention are as follows:

Breathing difficulties

Fainting

Skin rashes

Yellowing of skin and eyes

Are there any possible drug interactions?

Always inform your doctor about the drugs you are taking till date. Give a complete list of prescription or non prescription drugs and any other disease conditions. This way, doctor is able to decide and give you the list of drugs and other things that may interact with Nifedipine. Drugs listed below may interact with Nifedipine and can hinder its normal functioning:

Cimetidine

Isonazid

Levothyroxine

Imatinib

Tizanidine

Convipatan

Atazanavir

Sotalol

NSAIDs like Diclofenac, Cambia and Indomethacin

What are the things to be taken care of?

Keep the medicine in a close tight container and out of reach of children

Don’t use the expired medicine

Keep a complete record of all the medicines you are taking along with this medicine

Limit the intake of alcohol beverages and avoid activity that requires alertness

Monitor your blood pressure levels regularly

To reduce dizziness and lightheadedness, get up slowly when rising from a sitting or lying position

Don’t exceed the recommended dose

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Alvedon Side Effects

Note: This page contains information about the side effects of acetaminophen. Some of the dosage forms included on this document may not apply to the brand name Alvedon.

For the Consumer

Applies to acetaminophen: capsule, capsule liquid filled, elixir, liquid, powder, powder for solution, solution, suppository, suspension, syrup, tablet, tablet chewable, tablet disintegrating, tablet effervescent, tablet extended release

Other dosage forms:

In addition to its needed effects, some unwanted effects may be caused by acetaminophen (the active ingredient contained in Alvedon). In the event that any of these side effects do occur, they may require medical attention.

Major Side Effects

You should check with your doctor immediately if any of these side effects occur when taking acetaminophen:

Rare

Bloody or black, tarry stools

bloody or cloudy urine

fever with or without chills (not present before treatment and not caused by the condition being treated)

pain in the lower back and/or side (severe and/or sharp)

pinpoint red spots on the skin

skin rash, hives, or itching

sore throat (not present before treatment and not caused by the condition being treated)

sores, ulcers, or white spots on the lips or in the mouth

sudden decrease in the amount of urine

unusual bleeding or bruising

unusual tiredness or weakness

yellow eyes or skin

If any of the following symptoms of overdose occur while taking acetaminophen, get emergency help immediately:

Symptoms of overdose:

Diarrhea

increased sweating

loss of appetite

nausea or vomiting

stomach cramps or pain

swelling, pain, or tenderness in the upper abdomen or stomach area

For Healthcare Professionals

Applies to acetaminophen: compounding powder, intravenous solution, oral capsule, oral granule effervescent, oral liquid, oral powder for reconstitution, oral suspension, oral tablet, oral tablet chewable, oral tablet disintegrating, oral tablet extended release, rectal suppository

General

In general, acetaminophen (the active ingredient contained in Alvedon) is well-tolerated when administered in therapeutic doses. The most commonly reported adverse reactions have included nausea, vomiting, constipation. Injection site pain and injection site reaction have been reported with the IV product. [Ref ]

Hepatic

Common (1% to 10%): Increased aspartate aminotransferase Rare (less than 0.1%): Increased hepatic transaminases Frequency not reported: Liver failure [Ref ]

Gastrointestinal

Very common (10% or more): Nausea (up to 34%), Vomiting (up to 15%) Common (1% to 10%): Abdominal pain, diarrhea, constipation, dyspepsia, enlarged abdomen Frequency not reported: Dry mouth [Ref ]

Hypersensitivity

Postmarketing reports: Anaphylaxis, hypersensitivity reactions [Ref ]

Hematologic

Common (1% to 10%): Anemia, postoperative hemorrhage Very rare (less than 0.01%): Thrombocytopenia, leucopenia, neutropenia [Ref ]

Dermatologic

Common (1% to 10%): Rash, pruritus Rare (less than 0.1%): Serious skin reactions such as acute generalized exanthematous pustulosis, Stevens-Johnson syndrome, and toxic epidermal necrolysis Very rare (less than 0.01%): Pemphigoid reaction, pustular rash, Lyell syndrome : [Ref ]

Respiratory

Common (1% to 10%): Dyspnea, abnormal breath sounds, pulmonary edema, hypoxia, pleural effusion, stridor, wheezing, coughing [Ref ]

Cardiovascular

Common (1% to 10%): Peripheral edema, hypertension, hypotension, tachycardia, chest pain [Ref ]

Metabolic

Common (1% to 10%): Hypokalemia, hyperglycemia [Ref ]

Nervous system

Common (1% to 10%): Headache, dizziness Frequency not reported: Dystonia

Musculoskeletal

Common (1% to 10%): Muscle spasms, trismus

Psychiatric

Common (1% to 10%): Insomnia, anxiety

Genitourinary

Common (1% to 10%): Oliguria

Local

Common (1% to 10%): Infusion site pain, injection site reactions

Ocular

Common (1% to 10%): Periorbital edema

Other

Common (1% to 10%): Pyrexia, fatigue Rare (0.01% to 0.1%): Malaise

References

1. "Multum Information Services, Inc. Expert Review Panel"

2. Zimmerman HJ, Maddrey WC "Acetaminophen (paracetamol) hepatotoxicity with regular intake of alcohol: analysis of instances of therapeutic misadventure." Hepatology 22 (1995): 767-73

3. Vitols S "Paracetamol hepatotoxicity at therapeutic doses." J Intern Med 253 (2003): 95-8

4. Gursoy M, Haznedaroglu IC, Celik I, Sayinalp N, Ozcebe OI, Dundar SV "Agranulocytosis, plasmacytosis, and thrombocytosis followed by a leukemoid reaction due to acute acetaminophen toxicity." Ann Pharmacother 30 (1996): 762-5

5. Kurtovic J, Riordan SM "Paracetamol-induced hepatotoxicity at recommended dosage." J Intern Med 253 (2003): 240-3

6. Cheung L, Meyer KC "Acetaminophen poisoning and liver function." N Engl J Med 331 (1994): 1311-2

7. McJunkin B, Barwick KW, Little WC, Winfield JB "Fatal massive hepatic necrosis following acetaminophen overdose." JAMA 236 (1976): 1874-5

8. Rumore MM, Blaiklock RG "Influence of age-dependent pharmacokinetics and metabolism on acetaminophen hepatotoxicity." J Pharm Sci 81 (1992): 203-7

9. Kumar S, Rex DK "Failure of physicians to recognize acetaminophen hepatotoxicity in chronic alcoholics." Arch Intern Med 151 (1991): 1189-91

10. Minton NA, Henry JA, Frankel RJ "Fatal paracetamol poisoning in an epileptic." Hum Toxicol 7 (1988): 33-4

11. Whitcomb DC, Block GD "Association of acetaminopphen hepatotoxicity with fasting and ethanol use." JAMA 272 (1994): 1845-50

12. Block R, Jankowski JA, Lacoux P, Pennington CR "Does hypothermia protect against the development of hepatitis in paracetamol overdose?" Anaesthesia 47 (1992): 789-91

13. Hartleb M "Do thyroid hormones promote hepatotoxicity to acetaminophen?" Am J Gastroenterol 89 (1994): 1269-70

14. Lee WM "Acute liver failure." Am J Med 96 (1994): 3-9

15. Singer AJ, Carracio TR, Mofenson HC "The temporal profile of increased transaminase levels in patients with acetaminophen-induced liver dysfunction." Ann Emerg Med 26 (1995): 49-53

16. Kaysen GA, Pond SM, Roper MH, Menke DJ, Marrama MA "Combined hepatic and renal injury in alcoholics during therapeutic use of acetaminophen." Arch Intern Med 145 (1985): 2019-23

17. Bonkovsky HL "Acetaminophen hepatotoxicity, fasting, and ethanol." JAMA 274 (1995): 301

18. Mofenson HC, Caraccio TR, Nawaz H, Steckler G "Acetaminophen induced pancreatitis." Clin Toxicol 29 (1991): 223-30

19. Keays R, Harrison PM, Wendon JA, et al "Intravenous acetylcysteine in paracetamol induced fulminant hepatic failure: a prospective controlled trial." BMJ 303 (1991): 1026-9

20. Brotodihardjo AE, Batey RG, Farrell GC, Byth K "Hepatotoxicity from paracetamol self-poisoning in Western Sydney: a continuing challenge." Med J Aust 157 (1992): 382-5

21. Keaton MR "Acute renal failure in an alcoholic during therapeutic acetaminophen ingestion." South Med J 81 (1988): 1163-6

22. Lee WM "Medical progress: drug-induced hepatotoxicity." N Engl J Med 333 (1995): 1118-27

23. Johnson GK, Tolman KG "Chronic liver disease and acetaminophen." Ann Intern Med 87 (1977): 302-4

24. Smilkstein MJ, Douglas Dr, Daya MR "Acetaminophen poisoning and liver function." N Engl J Med 331 (1994): 1310-1

25. Shriner K, Goetz MB "Severe hepatotoxicity in a patient receiving both acetaminophen and zidovudine." Am J Med 93 (1992): 94-6

26. Cheung L, Potts RG, Meyer KC "Acetaminophen treatment nomogram." N Engl J Med 330 (1994): 1907-8

27. Whitcomb DC "Acetaminophen poisoning and liver function." N Engl J Med 331 (1994): 1311

28. Bonkovsky HL, Kane RE, Jones DP, Galinsky RE, Banner B "Acute hepatic and renal toxicity from low doses of acetaminophen in the absence of alcohol abuse or malnutrition - evidence for increased susceptibility to drug toxicity due to cardiopulmonary and renal insufficiency." Hepatology 19 (1994): 1141-8

29. Seeff LB, Cuccherini BA, Zimmerman HJ, Adler E, Benjamin SB "Acetaminophen hepatotoxicity in alcoholics." Ann Intern Med 104 (1986): 399-404

30. O'Dell JR, Zetterman RK, Burnett DA "Centrilobular hepatic fibrosis following acetaminophen-induced hepatic necrosis in an alcoholic." JAMA 255 (1986): 2636-7

31. Block R "Liver failure induced by paracetamol." BMJ 306 (1993): 457

32. Bray GP "Liver failure induced by paracetamol." BMJ 306 (1993): 157-8

33. Wong V, Daly M, Boon A, Heatley V "Paracetamol and acute biliary pain with cholestasis." Lancet 342 (1993): 869

34. Nelson EB, Temple AR "Acetaminophen hepatotoxicity, fasting, and ethanol." JAMA 274 (1995): 301

35. Halevi A, BenAmitai D, Garty BZ "Toxic epidermal necrolysis associated with acetaminophen ingestion." Ann Pharmacother 34 (2000): 32-4

36. Settipane RA, Stevenson DD "Cross sensitivity with acetaminophen in aspirin-sensitive subjects with asthma." J Allergy Clin Immunol 84 (1989): 26-33

37. Kalyoncu AF "Acetaminophen hypersensitivity and other analgesics." Ann Allergy 72 (1994): 285

38. Doan T "Acetaminophen hypersensitivity and other analgesics - response." Ann Allergy 72 (1994): 285

39. Doan T, Greenberger PA "Nearly fatal episodes of hypotension, flushing, and dyspnea in a 47- year-old woman." Ann Allergy 70 (1993): 439-44

40. Leung R, Plomley R, Czarny D "Paracetamol anaphylaxis." Clin Exp Allergy 22 (1992): 831-3

41. Van Diem L, Grilliat JP "Anaphylactic shock induced by paracetamol." Eur J Clin Pharmacol 38 (1990): 389-90

42. Kawada A, Hiruma M, Noguchi H, Ishibashi A "Fixed drug eruption induced by acetaminophen in a 12-year-old girl." Int J Dermatol 35 (1996): 148-9

43. Bougie DW, Benito AI, Sanchez-Abarca LI, Torres R, Birenbaum J, Aster RH "Acute thrombocytopenia caused by sensitivity to the glucuronide conjugate of acetaminophen." Blood 109 (2007): 3608-9

44. Shoenfeld Y, Shaklai M, Livni E, Pinkhas J "Thrombocytopenia from acetaminophen." N Engl J Med 303 (1980): 47

45. Guccione JL, Zemtsov A, Cobos E, Neldner KH "Acquired purpura fulminans induced by alcohol and acetaminophen - successful treatment with heparin and vitamin-k." Arch Dermatol 129 (1993): 1267-9

46. Thomas RH, Munro DD "Fixed drug eruption due to paracetamol." Br J Dermatol 115 (1986): 357-9

47. Filipe PL, Freitas JP, Decastro JC, Silva R "Drug eruption induced by acetaminophen in infectious mononucleosis." Int J Dermatol 34 (1995): 220-1

48. Kondo K, Inoue Y, Hamada H, Yokoyama A, Kohno N, Hiwada K "Acetaminophen-induced eosinophilic pneumonia." Chest 104 (1993): 291-2

49. Brown G "Acetaminophen-induced hypotension." Heart Lung 25 (1996): 137-40

50. Koulouris Z, Tierney MG, Jones G "Metabolic acidosis and coma following a severe acetaminophen overdose." Ann Pharmacother 33 (1999): 1191-4

Not all side effects for Alvedon may be reported. You should always consult a doctor or healthcare professional for medical advice. Side effects can be reported to the FDA here .



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This medication is used to treat infections of the vagina caused by a mixture of certain bacteria and fungi. It contains two ingredients. The first ingredient, metronidazole, works by killing certain bacteria. The second ingredient, nystatin, works by killing certain fungi.

This medication should not be used by anyone who: is allergic to metronidazole, nystatin, or any other ingredients of this medication. is taking oral (by mouth) metronidazole and also has an active neurological disorder, a history of blood disorders, an underactive thyroid, or underactive adrenal glands.

Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent. The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor. The following side effects have been reported by at least 1% of people taking this medication. Many of these side effects can be managed, and some may go away on their own over time. Less common: diarrhea dizziness or lightheadedness dryness of mouth headache feeling of a "furry" tongue loss of appetite metallic taste or other change in taste sensation nausea vomiting More common: itching in the vagina pain during sexual intercourse thick, white vaginal discharge with no odour or with a mild odour Less common: abdominal or stomach cramping or pain burning or irritation of penis of sexual partner burning during urination or need to urinate more often itching, stinging, or redness of the genital area Rare: burning in the vagina not present before use of this medication Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication.

This medication may affect how the following work, may be affected by them, or together they may increase the risk of side effects: alcohol barbiturates (e. g. primidone, phenobarbital) disulfiram warfarin If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to: stop taking one of the medications, change one of the medications to another, change how you are taking one or both of the medications, or leave everything as is. An interaction between two medications does not always mean that you must stop taking one of them. In many cases, interactions are intended or are managed by close monitoring. Speak to your doctor about how any drug interactions are being managed or should be managed. Medications other than the ones listed above may interact with this medication. Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications that you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

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Che Cosa e Haloperidol?

Da Dott. Ananya Mandal, MD

L'Haloperidol e un antipsicotico tradizionale o convenzionale usato per trattare la schizofrenia, la mania ed altri moduli di psicosi. E un derivato di butirofenone ed agisce bloccando gli effetti di dopamina, di un prodotto chimico nel cervello che pregiudica il pensiero, di un comportamento e delle sensibilita.

L'Haloperidol in primo luogo e stato scoperto da Paul Janssen, il fondatore di grande ditta farmaceutica nel Belgio ha chiamato Janssen Pharmaceutica. La societa ha sviluppato l'haloperidol nel 1958 e la droga e stata inserita nei test clinici entro l'anno. Nel 1967, gli Stati Uniti Food and Drug Administration hanno approvato l'haloperidol ed erano poi successivamente di marketing negli Stati Uniti dai Laboratori di McNeil sotto il nome di Haldol.

L'Haloperidol e venduto nell'ambito di seguenti denominazioni commerciali: Aloperidin, Bioperidolo, Brotopon, Dozic, Duraperidol (Germania), Einalon S, Eukystol, Haldol, Halosten, Keselan, Linton, Peluces, Serenace, Serenase e Sigaperidol.

Il medicinale e prescritto sia come farmaco orale che come preparati iniettabili endovenosi ed intramuscolari. I preparati iniettabili Uno e l'estere a lunga azione del decanoate, che e usato per curare la gente con la schizofrenia e le circostanze riferite che ha incontrata difficolta aderire ad altre pianificazioni del farmaco. Cio puo accadere se i pazienti hanno una comprensione difficile della loro malattia o perche dimenticano di catturare le loro compresse. Questi pazienti soffrono spesso le frequenti ricadute del loro stato di conseguenza. I Pazienti sono amministrati un'iniezione dell'haloperidol ogni quattro settimane.

L'Haloperidol e usato per trattare un'ampia varieta di malattie mentali. Oltre a essere usando come farmaco per la schizofrenia, l'haloperidol e usato per gestire la psicosi acuta, compreso psicosi indotta dalle droghe quali il LSD, le anfetamine, la ketamina, la psilocibina e il phencyclidine. Puo contribuire a gestire la psicosi connessa con alta febbre o la malattia metabolica e puo diminuire l'agitazione e la confusione connesse con la sclerosi cerebrale. Altri usi comprendono un trattamento aggiuntiva nell'alcool e nel ritiro dell'opioide e un trattamento per alcuni disordini neurologici quali i tic e la sindrome di Tourette. Il dolore Cronico, i singhiozzi severi e la nausea severa e vomitare possono anche essere alleviati facendo uso di haloperidol.

Esaminato dalla Battuta Robertson, BSc

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[Ulteriore Lettura: Haloperidol]

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Common use Indomethacin belongs to a class of non-steroidal anti-inflammatory drugs (NSAIDs). This medication helps to reduce fever, stiffness, pain, and swelling. It can also be used in other cases.

Dosage and direction Take Indocin by mouth with a glass of water, with or without food. Avoid cutting, crushing or chewing this medicine. Do not take the medicine more often than it is prescribed. Do not give up taking it except following the advice of your doctor. It may need time for the medicine to help. Consult your doctor concerning proper dose for you.

Precautions Before taking Indocin tell your doctor or chemist if you are allergic to it; or if you have other allergies. Indocin, like other NSAIDs, can inhibit the excretion of sodium and lithium. Be cautious when using this drug along with lithium supplements. Avoid drinking alcohol and smoking while being treated with this medication. Aged people can be more sensitive to side effects of the medicine. Inform your doctor if you have Parkinson's disease, kidney or liver disease, high blood pressure; if you are pregnant or breast-feed.

Contraindications Indocin should not be used by patients with sodium-sensitive hypertension as well as by patients having demonstrated a reaction of hypersensitivity to it.

Possible side effect The most common side effects are dry mouth, dizziness, irritability, sedation, insomnia, urinary retention, etc. A very serious allergic reaction rarely occurs. Many people using this medicine do not have serious side effects. Turn to your doctor or pharmacist for more details. In case you notice the effects not listed here, contact your doctor or pharmacist.

Drug interaction Tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use before using this medication. Indocin can interact with: * NSAIDs of the salicylate family (Aspirin) * medicines for pain and inflammation (ibuprofen or naproxen) * medicines that treat or prevent blood clots (warfarin) * anticoagulants. Turn to your doctor or pharmacist for more details.

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RETIN-A Gel, Cream and Liquid, containing tretinoin are used for the topical treatment of acne vulgaris. RETIN-A Gel contains tretinoin (retinoic acid, vitamin A acid) in either of two strengths, 0.025% or 0.01% by weight, in a gel vehicle of butylated hydroxytoluene, hydroxypropyl cellulose and alcohol (denatured with tert-butyl alcohol and brucine sulfate) 90% w/w. RETIN-A (tretinoin) Cream contains tretinoin in either of three strengths, 0.1%, 0.05%, or 0.025% by weight, in a hydrophilic cream vehicle of stearic acid, isopropyl myristate, polyoxyl 40 stearate, stearyl alcohol, xanthan gum, sorbic acid, butylated hydroxytoluene, and purified water. RETIN-A Liquid contains tretinoin 0.05% by weight, polyethylene glycol 400, butylated hydroxytoluene and alcohol (denatured with tert-butyl alcohol and brucine sulfate) 55%. Chemically, tretinoin is all-trans-retinoic acid and has the following structure:

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Diltiazem is used to treat high blood pressure and to control angina (chest pain). Diltiazem is in a class of medications called calcium-channel blockers. It works by relaxing the blood vessels so the heart does not have to pump as hard. It also increases the supply of blood and oxygen to the heart.

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Dans notre serie "Que fait la pharmacovigilance francaise ?" nous posons le probleme mineur de l'Otipax car il est bien evident qu'il est des chantiers plus urgents dans notre beau pays.

L'otipax est une aberration absolue.

Car non seulement l'Otipax ne sert a rien mais, plus encore, son rapport benefices / risques est dans les paquerettes.

La particularite de ce produit est non seulement de n'avoir aucun interet medical mais, plus encore, d'etre en vente libre.

Reprenons par le debut.

Prescrire des gouttes auriculaires ne se justifie plus que dans des cas tres particuliers. antibiotherapie locale probabiliste ou non.

Prescrire des gouttes auriculaires ne peut se faire qu'apres avoir vu l'etat du tympan.

Il vaut mieux, en general, s'abstenir de prescrire des gouttes auriculaires sauf dans le cas sus decrit.

Qui peut produire un seul argument pour prescrire de l'Otipax qui contient un anesthesique local (lidocaine) et un analgesique antipyretique (sic) la phenazone ?

Dernier point. l'Otipax est en vente libre. C'est a dire que tout pharmacien, au dessus de son comptoir, peut vendre de l'Otipax sans avoir vu le tympan ; c'est a dire que tout parent peut acheter de l'Otipax pour en mettre dans l'oreille de son enfant. Sans avoir regarde le tympan.

Cesser la commercialisation de l'Otipax me parait une mesure appropriee et j'engage les patients / malades a le refuser tant en pharmacie que chez le medecin.

22 commentaires:

Au risque de me faire conspuer, cher Confrere, je continuerai a prescrire OTIPAX qui rend bien service lorsqu'une OMA est diagnostiquee et que l'enfant a mal. C'est efficace contre la douleur, sans danger si on previent les parents que l'OTIPAX ne doit pas etre employe sans avoir prealablement vu le tympan ou s'il y a un ecoulement d'oreille (faisant suspecter une perforation tympanique spontanee, mais la l'enfant n'a plus mal). J'explique aux parents que l'OTIPAX n'a d'autre interet que de calmer la douleur, et a mon sens c'est moins dangereux que l'ibuprofene par voie generale. Je reste ouvert a vos arguments. Quelle est la nocivite de la lidocaine en local. Et de la phenazone (meme si elle ne sert pas a grand chose) ? A vous lire.

Ce n'est pas le lieu de faire des commentaires medicaux. Mais. Le traitement de l'OMA a tympan ferme ne necessite pas l'utilisation de topiques. L'ibuprofene n'est pas le traitement de premiere ligne. Je prefere paracetamol / codeine. La nocivite de la lidocaine en local. reactions allergiques mais, surtout, passage en arriere de la membrane tympanique (gravissime). Pas d'otipax. C'est mon point de vue. Confraternite.

Je suis assez d'accord avec Tournepierre car ca soulage bien la douleur et ca peut aider a eviter la prescription d'antibiotiques

mais effectivement contre la vente libre

lire "La revanche des bonnes vieilles gouttes de mon enfance.

CR d'un essai etasunien

Bonjour! Mon medecin me l'a prescrit car suite a une grippe que j'ai laisse trainer deux bonnes semaines j'ai commence a avoir un grincement tres fort dans l'oreille. Mon medecin ne pas explique a quoi ete d'eu ce grincement mais une chose est sur j'ai eu besoin d'utiliser Otipax que trois fois pour que le bruit s'arrete. A present a chaque petit rhum je sens une gene dans l'oreille. Es-ce parce que j'ai mal soigne mon oreille la premiere fois en prenant Otipax ou seulement que cette fois la a fragilise mon tympans?

@ Jersey Davidson (beau pseudo). pas de reponses medicales ici. Il faut remontrer votre tympan a votre medecin traitant le jour ou vous ressentez ce que vous decrivez. Bonne soiree.

J'ai deux enfants et l'OTIPAX m'a ete d'un grand secours lors des otites, que comme chacun sait surviennent souvent au moment du couche du soir, lorsqu'il n'y a plus de medecin sous la main. Il a permit d'eviter des nuits d'insomnie (a eux et a moi). En plus mon deuxieme souffre enormement en phase d'atterrissage (plus longue) et de decollage, alors que les medecins disent qu'il n'y a aucune pathologie. Cela fait des annees que ca dure alors je pense que la prochaine fois j'y aurai recours.

Je ne suis pas medecin, mais je souffre BEAUCOUP. J'ai un peu "la flemme" d'aller au medecin (vue que j'ai mal)

J'ai une otite :

Mal a l'oreille, mal un peu au toucher (surtout si je touche l'interieur de l'oreille comme pour y mettre un coton etc). j'ai un peu mal en bas de la machoire, du mal a mastiquer (manger hin, pas de blague)

ET j'ai dit a ma mere d'aller vite me chercher un truc car j'ai vraiment MAL

Le pharmacien A DONNER de l'otipax a ma mere et lui a dit "ATTENTION si le tympan est ouvert ne lui donner pas ca. car il peu risquer d'autre infection blabla" DONC il a BIEN prevenu.

Donc faut arretez de croire que les pharmaciens pensent qu'a se faire de l'argent d’ailleurs ma mere a du insister car il voulais pas le donner si j'avais pas pris RDV chez un medecin.

Mais vue que mon oreille ne coule pas j'ai donc pas le tympan perce.

Bref, j'en met 3 gouttes et je vais beaucoup mieux dans les minutes suivante pendant 4h voir +.

Donc il est pas inutile. il soulage enormement et les pharmaciens previennent. (en tout cas le miens a prevenu).

Je suis d'accord que certains dentiste/medecin etc sont un peu des "je pense qu'au fric je m'en fout de ta sante" mais c'est pas TOUS le cas.

Voila, donc maintenant je me soigne avec mes gougouttes et mes cachets !

Je suis pharmacien et tres perplexe quant a l'otipax. Seul produit disponible en vente libre pour les oreilles je ne le conseille jamais car je ne regarde pas dans les oreilles. ce qui me parait logique. De plus mettre un ains (phenazone) sans couverture antibiotique sur une otite (donc une infection) me parait illogique et dangereux.

Quid de la place de ce produit dans l'arsenal therapeutique

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Vytorin - Cholesterol Lowering, Zerocoler

Vytorin (Ezetimibe/Simvastatin) is used for reducing total cholesterol, LDL cholesterol, and triglycerides and for increasing HDL cholesterol.

Vytorin is available in a 20 mg dosage ( 10 mg of ezetimibe and 10 mg of simvastatin) and in a 30 mg dosage (10 mg of ezetimibe, and 20 mg of simvastatin).

The recommended dose range of Vytorin is 10/10 mg to 10/80 mg, and it is administered once daily in the evening with or without food. Therapy is usually initiated with 10/20 mg daily, but individuals who need more than a 55% reduction in LDL cholesterol can be started on 10/40 mg daily.

Drug Class and Mechanism

Vytorin is a combination of ezetimibe (Zetia) and simvastatin (Zocor) that is used for treating high levels of cholesterol in the blood. Vytorin reduces total cholesterol and low density lipoprotein cholesterol while it increases high density lipoprotein cholesterol. The ezetimibe component of Vytorin lowers blood cholesterol by blocking the absorption of cholesterol, including dietary cholesterol, from the intestine. It does not affect the absorption of triglycerides. The simvastatin component of Vytorin belongs to a class of drugs called HMG-CoA reductase inhibitors, commonly called "statins". Statins reduce cholesterol by blocking an enzyme in the liver (HMG-CoA reductase) that produces cholesterol. Statins lower total and LDL cholesterol in the blood as well as triglycerides. They also increase HDL cholesterol. LDL cholesterol is believed to be an important cause of coronary artery disease. Lowering LDL cholesterol levels slows and may even reverse coronary artery disease. Raising HDL cholesterol levels also may slow down coronary artery disease. Vytorin was approved by the FDA in July, 2004.

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.

Vytorin should be stored at room temperature, 20-25 degrees C (68-77 degrees F).

Before taking ezetimibe/simvastatin, tell your doctor or pharmacist if you think you are allergic to it; or to other drugs called "statins"; or if you have any other allergies. This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: active liver disease. Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart disease, history of liver disease, kidney disease, underactive thyroid (hypothyroidism), poorly controlled diabetes, alcohol use. Developing severe muscle damage, which is rare, can sometimes lead to serious kidney problems (see the Side Effects section in this handout). This medication is usually temporarily stopped if you have any condition which can increase your risk of developing kidney problems. Before you stop taking your medication, notify your doctor immediately if you have any of the following conditions: major surgery, trauma, serious illness (e. g. sepsis or severe metabolic, endocrine, or electrolyte disorders), very low blood pressure, uncontrolled seizures. Limit alcoholic beverages. Daily use of alcohol may increase your chance for serious side effects. Caution is advised when using this drug in the elderly because they may be more sensitive to its side effects, especially muscle damage. This medication must not be used during pregnancy. If you become pregnant or think you may be pregnant, inform your doctor immediately. It is recommended that young girls and women of child-bearing age use effective birth control to prevent pregnancy while taking this drug. One of these drugs (simvastatin) may cause harm to your unborn child. It is not known if either drug passes into breast milk. A drug similar to simvastatin passes into breast milk, and because of this drug's potential risk of undesirable effects on a nursing infant, breast-feeding is not recommended while using ezetimibe/simvastatin. Consult your doctor before breast-feeding.

Possible Side Effects

Headache may occur. If this effect persists or worsens, notify your doctor or pharmacist promptly. This drug can sometimes cause muscle damage. Although uncommon, this may lead to very serious muscle damage called rhabdomyolysis, which in rare cases can be fatal. Seek immediate medical attention if you develop: muscle pain/tenderness/weakness (especially with fever or unusual tiredness). Tell your doctor immediately if any of these highly unlikely but very serious side effects occur: yellowing eyes and skin, dark urine, severe fatigue, stomach/abdominal pain, persistent nausea, change in the amount of urine. A serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

Do not share this medication with others. Laboratory and/or medical tests (e. g. blood cholesterol levels, liver function tests) should be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details. For best results, this product should be used along with exercise, a low-cholesterol or low-fat diet, and a weight-loss program if you are overweight. Also to help reduce your risk of heart attacks and strokes, check your blood pressure regularly, seek medical treatment if your blood pressure is high, and stop smoking. Consult your doctor for more details.

Cholesterol Lowering - Zerocoler (Brand name: vytorin)

Vytorin (Ezetimibe/Simvastatin) is used for reducing total cholesterol, LDL cholesterol, and triglycerides and for increasing HDL cholesterol.

Vytorin is available in a 20 mg dosage ( 10 mg of ezetimibe and 10 mg of simvastatin) and in a 30 mg dosage (10 mg of ezetimibe, and 20 mg of simvastatin).

The recommended dose range of Vytorin is 10/10 mg to 10/80 mg, and it is administered once daily in the evening with or without food. Therapy is usually initiated with 10/20 mg daily, but individuals who need more than a 55% reduction in LDL cholesterol can be started on 10/40 mg daily.

Drug Class and Mechanism

Vytorin is a combination of ezetimibe (Zetia) and simvastatin (Zocor) that is used for treating high levels of cholesterol in the blood. Vytorin reduces total cholesterol and low density lipoprotein cholesterol while it increases high density lipoprotein cholesterol. The ezetimibe component of Vytorin lowers blood cholesterol by blocking the absorption of cholesterol, including dietary cholesterol, from the intestine. It does not affect the absorption of triglycerides. The simvastatin component of Vytorin belongs to a class of drugs called HMG-CoA reductase inhibitors, commonly called "statins". Statins reduce cholesterol by blocking an enzyme in the liver (HMG-CoA reductase) that produces cholesterol. Statins lower total and LDL cholesterol in the blood as well as triglycerides. They also increase HDL cholesterol. LDL cholesterol is believed to be an important cause of coronary artery disease. Lowering LDL cholesterol levels slows and may even reverse coronary artery disease. Raising HDL cholesterol levels also may slow down coronary artery disease. Vytorin was approved by the FDA in July, 2004.

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.

Vytorin should be stored at room temperature, 20-25 degrees C (68-77 degrees F).

Before taking ezetimibe/simvastatin, tell your doctor or pharmacist if you think you are allergic to it; or to other drugs called "statins"; or if you have any other allergies. This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: active liver disease. Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart disease, history of liver disease, kidney disease, underactive thyroid (hypothyroidism), poorly controlled diabetes, alcohol use. Developing severe muscle damage, which is rare, can sometimes lead to serious kidney problems (see the Side Effects section in this handout). This medication is usually temporarily stopped if you have any condition which can increase your risk of developing kidney problems. Before you stop taking your medication, notify your doctor immediately if you have any of the following conditions: major surgery, trauma, serious illness (e. g. sepsis or severe metabolic, endocrine, or electrolyte disorders), very low blood pressure, uncontrolled seizures. Limit alcoholic beverages. Daily use of alcohol may increase your chance for serious side effects. Caution is advised when using this drug in the elderly because they may be more sensitive to its side effects, especially muscle damage. This medication must not be used during pregnancy. If you become pregnant or think you may be pregnant, inform your doctor immediately. It is recommended that young girls and women of child-bearing age use effective birth control to prevent pregnancy while taking this drug. One of these drugs (simvastatin) may cause harm to your unborn child. It is not known if either drug passes into breast milk. A drug similar to simvastatin passes into breast milk, and because of this drug's potential risk of undesirable effects on a nursing infant, breast-feeding is not recommended while using ezetimibe/simvastatin. Consult your doctor before breast-feeding.

Possible Side Effects

Headache may occur. If this effect persists or worsens, notify your doctor or pharmacist promptly. This drug can sometimes cause muscle damage. Although uncommon, this may lead to very serious muscle damage called rhabdomyolysis, which in rare cases can be fatal. Seek immediate medical attention if you develop: muscle pain/tenderness/weakness (especially with fever or unusual tiredness). Tell your doctor immediately if any of these highly unlikely but very serious side effects occur: yellowing eyes and skin, dark urine, severe fatigue, stomach/abdominal pain, persistent nausea, change in the amount of urine. A serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

Do not share this medication with others. Laboratory and/or medical tests (e. g. blood cholesterol levels, liver function tests) should be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details. For best results, this product should be used along with exercise, a low-cholesterol or low-fat diet, and a weight-loss program if you are overweight. Also to help reduce your risk of heart attacks and strokes, check your blood pressure regularly, seek medical treatment if your blood pressure is high, and stop smoking. Consult your doctor for more details.



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Benzoyl Peroxide Gel Indications, Side Effects, Warnings, Benzoyle

Benzoyl peroxide gel

Before using benzoyl peroxide gel:

Some medical conditions may interact with benzoyl peroxide gel. 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

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

Ask your health care provider if benzoyl peroxide gel 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 benzoyl peroxide gel:

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

To use the gel wash - Wet the affected area. Use your hands to apply the medicine and gently wash. Rinse with water and pat dry.

To use the gel - Wash and completely dry the affected area. Gently rub the medicine in until it is evenly distributed.

Wash your hands after using benzoyl peroxide gel.

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

Ask your health care provider any questions you may have about how to use benzoyl peroxide gel.

Important safety information:

Certain acne products that contain benzoyl peroxide or salicylic acid can rarely cause serious and sometimes life-threatening allergic reactions or severe irritation. Before first use, you may need to follow certain steps to make sure you do not have an allergic reaction. Use benzoyl peroxide gel as you were told by your doctor or read the package label. Discuss any questions or concerns with your doctor.

Use on the skin only. Avoid getting benzoyl peroxide gel in your eyes, on the inside of your nose or mouth, on highly inflamed or damaged skin, or on your lips. If you get benzoyl peroxide gel in your eyes, immediately wash them out with cool tap water.

Avoid applying benzoyl peroxide gel to raw or irritated skin, including sunburns, or to open wounds.

Several weeks may pass before you see improvement in your acne. Continue to use benzoyl peroxide gel for the full time recommended by your doctor. If your acne does not improve or if it gets worse, check with your doctor.

Talk with your doctor before you use any other medicines, special cleansers, aftershave, or cosmetics on your skin.

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

Benzoyl peroxide gel may cause bleaching. Avoid contact with hair, fabrics, or carpeting.

Benzoyl peroxide gel should be used with extreme caution 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 benzoyl peroxide gel while you are pregnant. It is not known if this medicine is found in breast milk. If you are or will be breast-feeding while you use benzoyl peroxide gel, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of benzoyl peroxide gel:

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:

Dryness; feeling of warmth; irritation; itching; peeling; redness; stinging; swelling of the skin.

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

Severe allergic reactions (rash; hives; itching; dizziness; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); excessive burning, itching, redness, or tenderness of your skin; extreme dryness; swelling.

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. Symptoms may include excessive scaling; flushing; redness; swelling.

Proper storage of benzoyl peroxide gel:

Store at room temperature between 59 and 77 degrees F (15 and 25 degrees C). Store in a tightly closed container, away from fire, flame, heat, and light. Keep benzoyl peroxide gel out of the reach of children and away from pets.

General information:

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

Benzoyl peroxide gel 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 benzoyl peroxide gel 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 benzoyl peroxide gel. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to benzoyl peroxide gel. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your health care provider for complete information about the risks and benefits of using benzoyl peroxide gel.

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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Anacin - Pain Relief, Genspir

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.

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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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