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Global Foot and Ankle Symposium (GFAS) At a Glance

Who Should Attend: All practicing orthopaedic foot and ankle and podiatric surgeons.

When and Where: December 2 – 3, 2016 at the Downtown Marriott in New York, NY

The GFAS brings together a distinguished international faculty of gifted, key opinion leading educators to deliver a world class academic program that will feature:

Fully Moderated Panels and Roundtables – Each session of the agenda culminates with a dynamic series of real-world case discussions, challenging surgical controversy deliberations and fascinating point/counterpoint debates that will inspire full participation and consistent input from the listeners.

Didactic Presentations – The faculty will share their best practices and clinical expertise to cover a broad spectrum of foot and ankle indications and related procedures, without subjecting the participants to a “death by powerpoint” format. The entire agenda is structured to draw the audience into a lively, interactive setting that encourages constant involvement and thought-provoking dialog.

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International Perspectives – In addition to a celebrated lineup of U. S. surgeons, the faculty will include a contingent of key opinion leaders from Europe who will enhance the program with their unique views and treatment methodologies, offering a seldom explored dimension of thinking and innovation to foot and ankle surgery.

Networking Opportunities – The GFAS provides an exceptional forum for participants to mingle with a wide variety of colleagues from all corners of the U. S. and other countries, allowing them to forge new relationships and beneficial collaborations, further broadening their professional horizons.

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Dexamethasone nasal was withdrawn from the U. S. market in 1998.

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Before using this medication, tell your doctor or pharmacist your medical history. Do not self-treat with this medication without consulting your doctor first if you have certain medical conditions such as: kidney disease, liver disease.

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Availability (generic available)

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Nursing assessment

Assess type, location, and intensity of pain before and 60 min following administration.

Prolonged use may lead to physical and psychological dependence and tolerance. This should not prevent patient from receiving adequate analgesia. Most patients who receive butalbital compound for pain do not develop psychological dependence.

Potential Nursing Diagnoses

Acute pain (Indications) Risk for injury (Side Effects)

Implementation

Explain therapeutic value of medication before administration to enhance the analgesic effect.

Regularly administered doses may be more effective than prn administration. Analgesic is more effective if given before pain becomes severe.

Medication should be discontinued gradually after long-term use to prevent withdrawal symptoms.

Patient/Family Teaching

Instruct patient to take medication as directed. Do not increase dose because of the habit-forming potential of butalbital. If medication appears less effective after a few weeks, consult health care professional. The dose of acetaminophen should not exceed the maximum recommended daily dose of 4 g/day. Chronic excessive use of >4 g/day (2 g in chronic alcoholism) may lead to hepatotoxicity, renal or cardiac damage.

Advise patients with tension headaches to take medication at first sign of headache. Lying down in a quiet, dark room may also be helpful. Medications taken for prophylaxis should be continued.

May cause drowsiness or dizziness. Advise patient to avoid driving and other activities requiring alertness until response to medication is known.

Caution patient to avoid concurrent use of alcohol or other CNS depressants.

Advise patient to use an additional nonhormonal method of contraception while taking butalbital compound.

Evaluation/Desired Outcomes

Decrease in severity of pain without a significant alteration in level of consciousness.

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Ketoprofen Side Effects

For the Consumer

Applies to ketoprofen: oral capsule, oral capsule extended release, oral tablet, oral tablet enteric coated, oral tablet extended release

In addition to its needed effects, some unwanted effects may be caused by ketoprofen. 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 ketoprofen:

More common:

Abdominal pain

bloody urine

decreased frequency or amount of urine

headache

increased blood pressure

increased thirst

loss of appetite

lower back or side pain

nausea

swelling of face, fingers, feet, or lower legs

troubled breathing

unusual tiredness or weakness

vomiting

weight gain

Less common:

Bladder pain

cloudy urine

difficult, burning, or painful urination

frequent urge to urinate

rash

swelling or inflammation of the mouth

Rare

Back pain

bleeding from rectum

bleeding gums

blistering, peeling, loosening of skin

blood in vomit

bloody nose

bloody, black, or tarry stools

blurred vision

body aches or pain

burning feeling in chest or stomach

burning, dry or itching eyes

change in color of eye

chest pain

chills

clay-colored stools

cold hands and feet

coma

confusion

congestion

constipation

convulsions

cough or hoarseness

coughing or spitting up blood

cracks in the skin

dark urine

decreased urination

decreased vision or other changes in vision

diarrhea

difficult or labored breathing

difficulty swallowing

dilated neck veins

discharge, excessive tearing

dryness or soreness of throat

extreme fatigue

fast, irregular, pounding, or racing heartbeat or pulse

feeling faint, dizzy, or lightheadedness

feeling of warmth or heat

fever with or without chills

flushing or redness of skin, especially on face and neck

general tiredness and weakness

heartburn

hives or welts

increased sensitivity of skin to sunlight

indigestion

itching

joint or muscle pain

light-colored stools

loss of heat from the body

muscle pain or cramps

nervousness

noisy breathing

pale or blue lips, fingernails, or skin

pale skin

pinpoint red or purple spots on skin

pounding in the ears

problems with bleeding or clotting

puffiness or swelling of the eyelids or around the eyes, face, lips or tongue

red skin lesions, often with a purple center

red, irritated eyes

red, swollen skin

redness or other discoloration of skin

redness or soreness around fingernails or loosening of the fingernails

redness, pain, swelling of eye, eyelid, or inner lining of eyelid

runny nose

scaly skin

severe abdominal cramping

severe or continuing stomach pain

severe sunburn

shortness of breath

skin rash, encrusted, scaly and oozing

slow heartbeat

slow or irregular breathing

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

stomach pain or upset

sweating

swelling of face, ankles, or hands

tender, swollen glands in neck

tenderness in stomach area

tightness in chest

trouble in swallowing

troubled breathing with exertion

unpleasant breath odor

unusual bleeding or bruising

upper right abdominal pain

voice changes

vomiting of blood

vomiting of material that looks like coffee grounds, severe and continuing

wheezing

yellow eyes or skin

Symptoms of overdose:

Dizziness, faintness, or lightheadedness when getting up from a lying or sitting position suddenly

fast or shallow breathing

pain or discomfort in chest, upper stomach, or throat

unusual drowsiness, dullness, tiredness, weakness or feeling of sluggishness

Minor Side Effects

Some of the side effects that can occur with ketoprofen may not need medical attention. As your body adjusts to the medicine during treatment these side effects may go away. Your health care professional may also be able to tell you about ways to reduce or prevent some of these side effects. If any of the following side effects continue, are bothersome or if you have any questions about them, check with your health care professional:

More common:

Acid or sour stomach

belching

bloated

discouragement

dreams

excess air or gas in stomach or intestines

excitation

feeling sad or empty

full feeling

general feeling of discomfort or illness

irritability

lack of appetite

loss of interest or pleasure

passing gas

sleepiness

sleeplessness

trouble concentrating

trouble sleeping

unable to sleep

Less common:

Continuing ringing or buzzing or other unexplained noise in ears

disturbed color perception

double vision

halos around lights

hearing loss

loss of vision

night blindness

overbright appearance of lights

tunnel vision

weight loss

For Healthcare Professionals

Applies to ketoprofen: compounding powder, oral capsule, oral capsule extended release, oral tablet

Gastrointestinal

Esophagitis, gastritis, and duodenitis have been associated with the use of ketoprofen. Patients should be encouraged to take their medication with food to minimize these effects.

One manufacturer reports a less than 1% incidence of peptic ulcer or gastrointestinal (GI) bleeding in controlled clinical trials involving 1,076 patients. However, this incidence was greater than 2% in open-label continuation trials in 1,292 patients.

Pancreatitis developed twelve days after initiation of ketoprofen therapy for hip pain in an 80-year-old man. The patient complained of anorexia, weakness, and severe epigastric pain. Both amylase and lipase levels became extremely elevated and slowly returned to normal following discontinuation of ketoprofen.

Patients with a history of serious gastrointestinal events or alcohol abuse are at increased risk for severe GI side effects. Ketoprofen should be used with caution in these patients. [Ref ]

Gastrointestinal side effects have been reported the most frequently. These have included dyspepsia (11.5%), nausea (>3%), abdominal pain (>3%), diarrhea (>3%), constipation (>3%), flatulence, dysphagia, anorexia, and stomatitis. More serious gastrointestinal effects include peptic ulceration, intestinal ulceration, gastrointestinal bleeding, gastrointestinal perforation, and pancreatitis. [Ref ]

Nervous system

Nervous system side effects have included headache, dizziness, somnolence, malaise, and excitation. These effects may be dose related. [Ref ]

Renal

At least one case of irreversible renal failure has been reported. The patient experienced proteinuria, peripheral eosinophilia, and eosinophils in the urine. Hemodialysis was required but the patient eventually died. A second case of glomerulonephritis which was reversible following discontinuation of ketoprofen and use of steroid therapy has also been reported.

Ketoprofen may impair the ability of the kidney to cope with low renal blood flow states due to inhibition of prostaglandin-dependent afferent arteriolar vasodilation. Renal function may be further compromised in patients with heart failure, hypovolemia, cirrhosis, nephrotic syndrome, or hypoalbuminemia. Additional risk factors for ketoprofen-induced renal insufficiency are advanced age and concomitant use of diuretics.

A case-control study suggested that patients who consumed 5000 or more pills containing NSAIDs during their lifetime may be at increased risk of end-stage renal disease.

Patients with reduced renal function may be at increased risk for renal side effects. [Ref ]

Renal side effects have included reports of renal impairment, including increases in blood urea nitrogen and serum creatinine as well as acute renal failure, interstitial nephritis, dysuria, and nephrotic syndrome. This impairment may or may not be reversible upon discontinuation of ketoprofen. In addition, hematuria and signs and symptoms of urinary tract irritation may occur. [Ref ]

Hepatic

Hepatic side effects have included elevations in liver function tests, which may occur in up to 15% of patients. Jaundice has been reported rarely. [Ref ]

Elevations in liver function tests three times normal values have been reported in less than 1% of patients receiving ketoprofen during clinical trials. [Ref ]

Hematologic

Hematologic side effects have included reports of increase in bleeding time in patients receiving ketoprofen. This is seen in conjunction with a reversible inhibition of platelet aggregation which is restored within 24 hours of the last dose. No consistent effects on other coagulation parameters have been noted. [Ref ]

Hematologic side effects have included reversible inhibition of platelet aggregation, hypocoagulability, agranulocytosis, anemia, hemolysis, purpura, and thrombocytopenia. [Ref ]

Dermatologic

Dermatologic side effects have included rash (1% to 3%), alopecia, eczema, pruritus, bullous rash, exfoliative dermatitis, photosensitivity, toxic epidermal necrolysis, positive Nikolsky sign, and skin discoloration. Topical ketoprofen preparations are associated with contact dermatitis and contact photoallergy. [Ref ]

Hypersensitivity

A 21-year-old female developed a pruritic macropapular rash 48 hours after taking a second dose of flurbiprofen 200 mg for a sore throat. Two days later, the patient developed angioedema of the hands and feet along with hypotension. After treatment with methylprednisolone, the skin healed. [Ref ]

Hypersensitivity side effects have included urticaria, laryngeal edema, fever, conjunctivitis, bronchospasm, and anaphylaxis. [Ref ]

Respiratory

Respiratory side effects have included bronchospasm, which may occur in patients with underlying asthma. Caution should be used when administering ketoprofen to these patients. Dyspnea, hemoptysis, epistaxis, pharyngitis, rhinitis, bronchospasm, and laryngeal edema have also been reported. [Ref ]

Cardiovascular

Nonsteroidal anti-inflammatory drugs (NSAIDs) may elevate blood pressure and increase the risk for the initiation of antihypertensive therapy. Furthermore, NSAIDs may antagonize the blood-pressure lowering effect of antihypertensive medications in patients already being treated with antihypertensive drugs. [Ref ]

Cardiovascular side effects have included hypertension, palpitation, tachycardia, congestive heart failure, peripheral vascular disease, vasodilation, arrhythmias and myocardial infarction. [Ref ]

Psychiatric

Psychiatric effects and including persecutory delusions, and auditory and visual scenic hallucinations have been reported in a 64-year-old white woman after taking 600 mg to 700 mg of ketoprofen in a 24 hour period. [Ref ]

Psychiatric side effects have included reports of depression, nervousness, and dreams in greater than 1% of patients in clinical trials. [Ref ]

Metabolic

Metabolic side effects have included weight gain, weight loss, hyponatremia, and thirst. [Ref ]

Musculoskeletal

Musculoskeletal side effects have included myalgia. [Ref ]

Ocular

Ocular side effects have included visual disturbance, conjunctivitis, conjunctivitis sicca, eye pain, retinal hemorrhage and pigmentation change. [Ref ]

Endocrine

Endocrine side effects have included aggravation of diabetes mellitus. [Ref ]

References

1. "Product Information. Oruvail (ketoprofen)." Wyeth-Ayerst Laboratories, Philadelphia, PA.

2. Lanza FL, Codispoti JR, Nelson EB "An endoscopic comparison of gastroduodenal injury with over-the-counter doses of ketoprofen and acetaminophen." Am J Gastroenterol 93 (1998): 1051-4

3. Collins AJ, Davies J, Dixon ASJ "A prospective endoscopic study of the effect of orudis and oruvail on the upper gastrointestinal tract, in patients with osteoarthritis." Br J Rheumatol 27 (1988): 106-9

4. "Product Information. Orudis (ketoprofen)." Wyeth-Ayerst Laboratories, Philadelphia, PA.

5. Singh G, Ramey DR, Morfeld D, Fries JF "Comparative toxicity of non-steroidal anti-inflammatory agents." Pharmacol Ther 62 (1994): 175-91

6. Cobb TK, Pierce JR Jr "Acute pancreatitis associated with ketoprofen." South Med J 85 (1992): 430-1

7. Tijhuis GJ, Teepe RGC, Smith SJ "Toxic epidermal necrolysis related to ketoprofen." Dermatology 190 (1995): 176

8. Stambaugh J, Drew J "A double-blind parallel evaluation of the efficacy and safety of a single dose of ketoprofen in cancer pain." J Clin Pharmacol 28 (1988): s34-9

9. Pazmino PA, Pazmino PB "Ketoprofen-induced irreversible renal failure." Nephron 50 (1988): 70-1

10. Sennesael J, Van den Houte K, Verbeelen D "Reversible membranous glomerulonephritis associated with ketoprofen." Clin Nephrol 26 (1986): 213-5

11. Perneger TV, Whelton PK, Klag MJ "Risk of kidney failure associated with the use of acetaminophen, aspirin, and nonsteroidal antiinflammatory drugs." N Engl J Med 331 (1994): 1675-9

12. Gandini R, Cunietti E, Pappalepore V, et al "Effects of intravenous high doses of ketoprofen on blood clotting, bleeding time and platelet aggregation in man." J Int Med Res 11 (1983): 243

13. Tosti A, Gaddoni G, Valeri F, Bardazzi F "Contact allergy to ketoprofen: report of 7 cases." Contact Dermatitis 23 (1991): 112-3

14. Hindsen M, Isaksson M, Persson L, Zimersson E, Bruze M "Photoallergic contact dermatitis from ketoprofen induced by drug-contaminated personal objects." J Am Acad Dermatol 50 (2004): 215-9

15. Meggitt SJ, Farr PM "Pseudoporphyria and propionic acid non-steroidal anti-inflammatory drugs." Br J Dermatol 141 (1999): 591-2

16. Mozzanica N, Pigatto PD "Contact and photocontact allergy to ketoprofen: clinical and experimental study." Contact Dermatitis 23 (1990): 336-40

17. Schreuder G "Ketoprofen: possible idiosyncratic acute bronchospasm." Med J Aust 152 (1990): 332-3

18. Johnson AG, Nguyen TV, Day RO "Do nonsteroidal anti-inflammatory drugs affect blood pressure? A meta-analysis." Ann Intern Med 121 (1994): 289-300

19. Gurwitz JH, Avron J, Bohn RL, Glynn RJ, Monane M, Mogun H "Initiation of antihypertensive treatment during nonsteroidal anti-inflammatory drug therapy." JAMA 272 (1994): 781-6

20. Tavcar R, Dernovsek MZ, Brosch S "Ketoprofen intoxication delirium." J Clin Psychopharmacol 19 (1999): 95-6

Not all side effects for ketoprofen 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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Sulfatrim DS

Uses

This medication is a combination of two antibiotics. sulfamethoxazole and trimethoprim. It is used to treat a wide variety of bacterial infections (such as middle ear, urine, respiratory, and intestinal infections). It is also used to prevent and treat a certain type of pneumonia (pneumocystis-type).

This medication should not be used in children less than 2 months of age due to the risk of serious side effects.

This medication treats only certain types of infections. It will not work for viral infections (such as flu ). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness.

How to use Sulfatrim DS

Take this medication by mouth. as directed by your doctor, with a full glass of water (8 ounces / 240 milliliters). If stomach upset occurs, take with food or milk. Drink plenty of fluids while taking this medication to lower the unlikely risk of kidney stones forming, unless your doctor advises you otherwise. Dosage is based on your medical condition and response to treatment.

Antibiotics work best when the amount of medicine in your body is kept at a constant level. Therefore, take this drug at evenly spaced intervals.

Continue to take this medication until the full prescribed amount is finished, even if symptoms disappear after a few days. Stopping it too early may allow bacteria to continue to grow, which may result in a relapse of the infection.

Tell your doctor if your condition persists or worsens.

Side Effects

Nausea. vomiting. diarrhea. and loss of appetite may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

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

Tell your doctor right away if you have any serious side effects, including: muscle weakness. mental/mood changes, signs of kidney problems (such as change in the amount of urine, blood in the urine ), extreme drowsiness, signs of low blood sugar (such as nervousness, shakiness, sweating. hunger ).

Get medical help right away if you have any very serious side effects, including: persistent headache. neck stiffness, seizures. slow/irregular heartbeat .

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Use of this medication for prolonged or repeated periods may result in oral thrush or a new yeast infection. Contact your doctor if you notice white patches in your mouth. a change in vaginal discharge. or other new symptoms.

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

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

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

Precautions

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

Before using this medication, tell your doctor or pharmacist your medical history, especially of: kidney disease, liver disease, certain blood disorders (such as porphyria, anemia due to folate vitamin deficiency), history of blood disorders caused by trimethoprim or sulfa medications, vitamin deficiency (folate or folic acid), severe allergies, asthma, decreased bone marrow function (bone marrow suppression), a certain metabolic disorder (G6PD deficiency), underactive thyroid, mineral imbalances (such as high level of potassium or low level of sodium in the blood).

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

This medication may make you more sensitive to the sun. Avoid prolonged sun exposure, tanning booths or sunlamps. Use a sunscreen and wear protective clothing when outdoors.

If you have diabetes, this product may affect your blood sugar levels. Check your blood sugar levels regularly as directed by your doctor. Tell your doctor right away if you have symptoms of low blood sugar (see Side Effects section). Your doctor may need to adjust your diabetes medication, exercise program, or diet.

Older adults may be more sensitive to the side effects of this drug, especially skin reactions, blood disorders, easy bleeding/bruising, and a high potassium blood level.

Patients with AIDS may be more sensitive to the side effects of this drug, especially skin reactions, fever, and blood disorders.

This medication is not recommended for use during pregnancy especially near the expected delivery date because of possible harm to the unborn baby. Consult your doctor for more details.

This drug passes into breast milk. While there have been no reports of harm to healthy infants, this drug may have undesirable effects on infants who are ill or premature or have certain disorders (jaundice, high blood levels of bilirubin, G6PD deficiency). Therefore, breast-feeding is not recommended for infants with these conditions. Consult your doctor before breast-feeding.

Interactions

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

Some products that may interact with this drug include: "blood thinners" (such as warfarin), dofetilide, hydantoins (such as phenytoin), live vaccines, methenamine, methotrexate.

Although most antibiotics are unlikely to affect hormonal birth control such as pills, patch, or ring, a few antibiotics (such as rifampin, rifabutin) can decrease their effectiveness. This could result in pregnancy. If you use hormonal birth control, ask your doctor or pharmacist for more details.

This product may interfere with certain laboratory tests, possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this product.

Overdose

If overdose is suspected, contact a poison control center or emergency room right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: severe nausea/vomiting/diarrhea, severe dizziness or drowsiness, mental/mood changes.

Notes

Do not share this medication with others.

This medication has been prescribed for your current condition only. Do not use it later for another infection unless told to do so by your doctor. A different medication may be necessary in that case.

If taking this medication for an extended period, laboratory and/or medical tests (such as complete blood count, kidney function tests, potassium blood level, cultures) should be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details.

Missed Dose

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

Storage

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

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

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

Images

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Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, expect as may be authorized by the applicable terms of use.

CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

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

Use Diclofenac as directed by your doctor.

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

Drug Class and Mechanism

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

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

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

Do not use Diclofenac if:

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

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

Possible Side Effects

Check with your doctor if any of these most common side effects persist or become bothersome:

burning or stinging; discharge; eye redness, irritation, or itching. 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); blurred or distorted vision; eye infection; eyelid swelling or redness; sensitivity to glare or light.

Diclofenac 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.



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Mefloquine Dosage Guide With Precautions, Eloquine

Mefloquine Dosage

Additional dosage information:

Usual Adult Dose for Malaria

1250 mg orally as a single dose

CDC recommendation for uncomplicated infections due to chloroquine-resistant Plasmodium vivax or P falciparum: 750 mg orally as initial dose, followed by 500 mg orally 6 to 12 hours after initial dose

Approved indication: For treatment of mild to moderate acute malaria due to mefloquine-susceptible P falciparum (both chloroquine-susceptible and - resistant strains) or P vivax

Usual Adult Dose for Malaria Prophylaxis

250 mg orally once a week

Comments : - Should be taken on the same day of each week, preferably after the main meal - Prophylaxis should begin 1 week (per manufacturer) to 2 or more weeks (per CDC) before arrival in an endemic area and should continue for 4 weeks after leaving such areas.

Approved indication: For prophylaxis of P falciparum and P vivax malaria infections, including prophylaxis of chloroquine-resistant strains of P falciparum

Usual Pediatric Dose for Malaria

6 months or older: 20 to 25 mg/kg orally as a single dose Maximum total dose: 1250 mg

CDC recommendation for uncomplicated infections due to chloroquine-resistant P vivax or P falciparum: 15 mg/kg orally as initial dose, followed by 10 mg/kg orally 6 to 12 hours after initial dose Maximum total dose: 1250 mg

Comments : - Manufacturer states splitting the total dose into 2 doses given 6 to 8 hours apart may reduce the occurrence or severity of side effects. - Pediatric dose should not exceed adult dose. - A second full dose should be given if the patient vomits less than 30 minutes after taking mefloquine. - An additional half-dose should be given if the patient vomits 30 to 60 minutes after taking mefloquine. - If vomiting recurs, the patient should be monitored closely and alternative malaria treatment should be considered if improvement is not observed within a reasonable period of time.

Approved indication: For treatment of mild to moderate acute malaria due to mefloquine-susceptible P falciparum (both chloroquine-susceptible and - resistant strains) or P vivax

Usual Pediatric Dose for Malaria Prophylaxis

20 to 30 kg: 125 mg (1/2 tablet) orally once a week 30 to 45 kg: 187.5 mg (3/4 tablet) orally once a week Greater than 45 kg: 250 mg (1 tablet) orally once a week

CDC recommendation : 9 kg or less: 5 mg/kg orally once a week Greater than 9 to 19 kg: 62.5 mg (1/4 tablet) orally once a week Greater than 19 to 30 kg: 125 mg (1/2 tablet) orally once a week Greater than 30 to 45 kg: 187.5 mg (3/4 tablet) orally once a week Greater than 45 kg: 250 mg (1 tablet) orally once a week

Comments : - Approximately 5 mg/kg (maximum: 250 mg/dose) orally once a week - Should be taken on the same day of each week, preferably after the main meal - Prophylaxis should begin 1 week (per manufacturer) to 2 or more weeks (per CDC) before arrival in an endemic area and should continue for 4 weeks after leaving such areas.

Approved indication: For prophylaxis of P falciparum and P vivax malaria infections, including prophylaxis of chloroquine-resistant strains of P falciparum

Renal Dose Adjustments

Data not available

Liver Dose Adjustments

Data not available

Precautions

Consult WARNINGS section for dosing related precautions.

Dialysis

Hemodialysis: No adjustment recommended. CAPD: Data not available

Other Comments

The dosage is expressed in terms of mefloquine hydrochloride (salt).

Administration advice : - Do not take mefloquine on an empty stomach; take with at least 8 ounces (240 mL) of water. - Tablets may be crushed and suspended in a small amount of water, milk, or other beverage for patients unable to swallow them whole.

General : - A Medication Guide and information wallet card (supplied by the manufacturer) must be given to patients when dispensing mefloquine. - Competent national expert centers should be consulted for current advice on geographical resistance patterns.

For malaria treatment : - Patients with life-threatening, serious, or overwhelming malaria infections due to P falciparum should be treated with IV antimalarials. Mefloquine may be used to complete the course of therapy after IV therapy is finished. - If a full treatment course with mefloquine does not lead to improvement within 48 to 72 hours, alternative treatment should be used for retreatment (not mefloquine). Similarly, if previous prophylaxis with mefloquine failed, it should not be used for curative therapy. - To avoid relapse, after initial treatment of acute P vivax malaria with mefloquine, patients should subsequently be treated with primaquine (to eliminate hepatic phase parasites).

For malaria prophylaxis : - Mefloquine prophylaxis should start at least 1 week before arrival in an endemic area, continue during the stay, and then continue for 4 weeks after leaving the area. - In certain cases (e. g. when traveler is taking other medications) it may be desirable to start prophylaxis 2 to 3 weeks prior to travel in order to ensure tolerance. - The CDC states that mefloquine can be started 3 to 4 weeks in advance to allow potential side effects to occur before travel. If unacceptable side effects develop, there would be time to change the drug before the traveler's departure.

Monitoring : - Hepatic: Hepatic function (periodically during prolonged use) - Nervous system: For neuropsychiatric symptoms (especially during prolonged use) - Ocular: Ophthalmic examinations (periodically during prolonged use) - Psychiatric: For neuropsychiatric symptoms (especially during prolonged use)

Patient advice : - Read the Medication Guide and carry the information wallet card during mefloquine use. - Additional precautions (e. g. protective clothing, insect repellents, bed nets) are important for malaria prophylaxis. - Seek medical attention for any febrile illness occurring after return from a malaria area. - Use caution during activities requiring alertness and fine motor coordination (e. g. driving, piloting aircraft, operating machinery, deep-sea diving) while neurologic symptoms persist.



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Neosar Intravenous Uses, Side Effects, Interactions, Pictures, Warnings - Dosing, Neosar

Neosar intravenous

Uses

Cyclophosphamide is used to treat various types of cancer. It is a chemotherapy drug that works by slowing or stopping cell growth.

Cyclophosphamide also works by decreasing your immune system's response to various diseases. It is used to treat a certain type of kidney disease in children after other treatments have not worked.

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

This medication may also be used for various conditions such as lupus and rheumatoid arthritis. and to prevent organ transplant rejection.

How to use Neosar intravenous

This medication is usually given by injection into a vein by a health care professional. The dosage is based on your medical condition, weight. response to treatment, and other treatments (such as other chemotherapy drugs, radiation ) you may be receiving. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

During treatment with this medication, it is important that you take in more fluids than usual and pass urine frequently to help avoid kidney and bladder side effects. Intravenous fluids should be given with this medication. Also, ask your doctor how much fluid you should drink and how often to empty your bladder each day, and follow these instructions carefully.

Side Effects

Nausea, vomiting, loss of appetite, stomach ache, diarrhea. or darkening of the skin /nails may occur. Nausea and vomiting can be severe. In some cases, drug therapy may be necessary to prevent or relieve nausea and vomiting. Changes in diet such as eating several small meals or limiting activity may help lessen some of these effects. If these effects persist or worsen, notify your doctor or pharmacist promptly.

Although these effects are uncommon, immediately report any pain, swelling, or redness at the injection site.

Temporary hair loss may occur. Hair growth should return after treatment has ended or may even return during treatment. However, new hair may have a different color or texture.

Many people using this medication have serious side effects. However, your doctor has prescribed this drug because he or she has judged that the benefit to you is greater than the risk of side effects. Careful monitoring by your doctor may decrease your risk.

Tell your doctor right away if you have any serious side effects, including: signs of kidney or bladder problems (such as change in the amount of urine, pink/bloody urine), mouth sores, unusual tiredness or weakness. joint pain. easy bruising/bleeding, stopping of menstrual periods, existing wounds that are slow healing, black/bloody stools, severe stomach /abdominal pain. yellowing eyes or skin, dark urine, mental/mood changes, muscle weakness/spasm, swelling of the ankles /feet, sudden or unusual weight gain .

This medication may rarely cause very serious effects on the heart. especially when used in high doses, or in combination with radiation treatment or certain other chemotherapy drugs (e. g. doxorubicin ). Get medical help right away if you develop: chest pain. jaw/left arm pain, trouble breathing. irregular heartbeat .

This medication can lower the body's ability to fight an infection. Notify your doctor promptly if you develop any signs of an infection such as fever, chills or persistent sore throat .

Cyclophosphamide may lessen the chance of having children in both men and women. Sterility is usually temporary with this medication, but can be permanent in some cases. Consult your doctor for more details.

Although cyclophosphamide is used to treat cancer. in some patients it may increase the risk of developing another form of cancer. sometimes months to years after treatment. Consult your doctor for more details. It is important to be closely monitored by your doctor during treatment. You should also see your doctor regularly after treatment is finished. Tell your doctor right away if you develop: unusual growths or lumps, swollen glands. unexplained or sudden weight loss. night sweats. pain in the pelvis, painful or frequent urination .

A very serious allergic reaction to this drug is unlikely, but get medical help right away if it occurs. Symptoms of a serious allergic reaction may include: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness. trouble breathing.

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

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

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

Precautions

Before using cyclophosphamide, tell your doctor or pharmacist if you are allergic to it; or to other chemotherapy drugs (e. g. busulfan, chlorambucil); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: decreased bone marrow function (e. g. anemia, leukopenia, thrombocytopenia).

Before using this medication, tell your doctor or pharmacist your medical history, especially of: liver disease, kidney disease, surgery to remove your adrenal glands.

Cyclophosphamide can make you more likely to get infections or may worsen any current infections. Therefore, wash your hands well to prevent the spread of infection. Avoid contact with people who have infections that may spread to others (such as chickenpox, measles, flu). Consult your doctor if you have been exposed to an infection or for more details.

Do not have immunizations/vaccinations without the consent of your doctor. Avoid contact with people who have recently received live vaccines (such as flu vaccine inhaled through the nose).

To lower the chance of getting cut, bruised, or injured, use caution with sharp objects like razors and nail cutters, and avoid activities such as contact sports.

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Caution is advised when using this drug in the elderly because they may be more sensitive to its effects.

Caution is advised when using this drug in children because they may be more sensitive to its effects, especially possible infertility later in life.

This drug is not recommended for use during pregnancy. It may harm an unborn baby. Women of childbearing age should use reliable forms of birth control (such as condoms, birth control pills) during treatment and for up to 1 year after treatment is stopped. Men should use reliable birth control (such as condoms) during sexual activity with a female partner of childbearing age during treatment and for up to 4 months after treatment is stopped. Tell the doctor right away if you or your partner become pregnant, or if you think you or your partner might be pregnant. Consult your doctor for more details.

This drug passes into breast milk and may harm a nursing infant. Breast-feeding while using this drug is not recommended. Consult your doctor before breast-feeding.

Interactions

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

Some products that may interact with this drug include: allopurinol, chloramphenicol, chloroquine, digoxin, nalidixic acid, phenobarbital, phenothiazines, St John's wort, turmeric (curcumin).

Overdose

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

Notes

Laboratory and/or medical tests (e. g. complete blood counts, urine tests) should be performed to monitor your progress or check for side effects. Consult your doctor for more details.

Missed Dose

For the best possible benefit, it is important to receive each scheduled dose of this medication as directed. If you miss a dose, contact your doctor or pharmacist right away to establish a new dosing schedule.

Storage

Consult the product instructions and your pharmacist for storage details. Keep all medications away from children and pets.

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

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

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

Images

No data available at this time.

Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, expect as may be authorized by the applicable terms of use.

CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

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Messaging - Definition Of Messaging By The Free Dictionary, Mesagin

messaging

a. A usually short communication transmitted by words, signals, or other means from one person, station, or group to another: I found the message you left at my desk. She sent me a quick message by e-mail.

b. The substance of such a communication; the point or points conveyed: gestured to a waiter, who got the message and brought the bill.

2. A statement made or read before a gathering: a retiring coach's farewell message.

3. A basic thesis or lesson; a moral: a play with a message.

1. To send a message to.

2. To send as a message: messaged the report by cable.

To send a message; communicate.

Deviating from a planned set of remarks or positions: The aides worried that the candidate would make a gaffe if he went off message.

Following a planned set of remarks or positions.

[Middle English, from Old French, from Medieval Latin missāticum . from Latin missus . past participle of mittere . to send .]

messaging

1. (Computer Science) the practice of sending and receiving written communications by computer or mobile phone

2. (Telecommunications) the practice of sending and receiving written communications by computer or mobile phone

Thesaurus Antonyms Related Words Synonyms Legend:

References in classic literature ?

And what I tell you is this--that as long as our people go backwards and forwards, to and fro, up and down, to that there jolly old Maypole, lettering, and messaging. and fetching and carrying, you couldn't help your son keeping company with that young lady by deputy,--not if he was minded night and day by all the Horse Guards, and every man of 'em in the very fullest uniform.

THIS FALL, BALDWIN-WALlace College (Ohio) became a high-tech pioneer when it added text messaging to its recruitment communications arsenal.

A new service provider entering the messaging market for the first time might go straight to a single centralized server to support collection of all media and delivery to the recipient customers.

Voice messaging is particularly useful for salespeople and other employees who are on the road.

ESG Report Concludes that Large Organizations Equate Messaging Security with E-mail, Leaving Other Messaging Channels Vulnerable to Security Breaches and Malicious Code Attacks

the leading global provider of trusted messaging. today announced enhancements to its Trusted Unified Messaging Platform (TrUMP) with a number of significant product releases designed to support the growing need for bi-directional, policy-centric message processing and protection.

com Adds SMS Broadcasting and other New Features to Two-Way Text Messaging Service

com/reports/c47026) has announced the addition of Backbone Connectivity Messaging Middleware Market Opportunities, Strategies, and Forecasts, 2006 to 2012 to their offering.

the leading global provider of trusted messaging today -- in conjunction with celebrating 25 years of Internet Mail (see related Sendmail release dated October 25(th), 2006) -- announced a comprehensive strategic vision to provide the only end-to-end solution spanning the needs of the Secure Content Management market.

Why shouldn't young mobile phone text messaging fanatics be able to send messages to their friends at home too?

com/reports/c42760) has announced the addition of the Pyramid Research, Inc report Mobile Messaging Trends in Latin America to their offering.

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Harbahn (Urispas) Explicacion

Harbahn que se recibio a traves de especialistas de drogas tiendas para luchar junto con infecciones bacterianas (daninos asociados con la infeccion de la vejiga, urinario: Sistema, de prostata, asi como infecciones de los rinones), asi como su molesto signos y sintomas. Concentrese en asociado con Harbahn seria gestionar, germenes finales calmar el tejido muscular que son responsables de hacer pipi.

Harbahn puede pasar como un buen tratamiento anti-contaminacion del sistema urinario. Harbahn funciona a traves de la eliminacion de los germenes que calman el tejido muscular que son responsables de hacer pipi.

Harbahn tambien pueden ser referidos como Flavoxato.

Harbahn se puede usar en conjuncion con antibioticos.

Harbahn no se pueden proporcionar a los ninos por debajo de mas de una decada.

titulo general asociada con Harbahn es en realidad Flavoxato clorhidrato.

Marca asociada con Harbahn Harbahn es en realidad.

Harbahn (Urispas) Dosis

Harbahn viene en:

200mg material de friccion dosis regular

Harbahn viene en pastillas (200 mg), asi como los tipos de fluidos.

Es necesario llevarlo junto con el agua potable por via oral.

Por cada terapia Harbahn ofrece varias direcciones de dosis.

Es recomendable considerar Harbahn 3-4 ocasiones cada dia junto con los alimentos o incluso sin tener esto.

Es recomendable considerar Harbahn pildoras cada dia al mismo tiempo junto con los alimentos. Los tipos de liquidos que tienden a ser utilizados junto con los alimentos o incluso sin tener esto.

Harbahn no se pueden proporcionar a los ninos por debajo de mas de una decada.

Si usted desea lograr mejores resultados por lo general no dejar de usar Harbahn todos de repente.

Harbahn (Urispas) Careciendo asocia con dosis

Por lo general, no reciben doble dosis. En caso de que salte la dosis que necesita para llevar una vez se tiene en cuenta en lo que respecta a su deficiente. Cuando es hora de la dosis que necesita para llevar a cabo su propia rutina de dosificacion normal.

Harbahn (Urispas)

En el caso de una sobredosis Harbahn y que tambien se evita gran usted necesita comprobar hacia fuera su medico o incluso el medico de inmediato.

Harbahn (Urispas) Espacio de almacenamiento

Tienda en temperaturas de espacio entre 10 y 30 niveles de D (59, asi como ochenta y seis niveles F) de humedad, asi como la temperatura. Fortalecer cualquier tipo de medicamento sin tocar a partir del dia de vencimiento. Mantener desde el lograr de los ninos dentro de un cuadro de texto que los ninos pequenos no puedan abrir.

Harbahn (Urispas) Efectos negativos

Harbahn ofrece los efectos negativos. El mas tipico tienden a ser:

material de friccion arcadas

area de la boca seca o incluso material de friccion amigdalas

conciencia ojos severa con el fin de la iluminacion material de friccion

molestias asociadas con material de friccion ojo

material de friccion vision borrosa

vientre molesto friccion materiales

Mucho menos efectos negativos tipicos y graves en todo usando Harbahn:

respuestas reaccion alergica (urticaria, inhalando y exhalando, cuestiones de alergia, asi como la erupcion) material de friccion

sensacion de mareo severo friccion materiales

anormal del corazon batir material de friccion

material de friccion malentendidos

corazon rapido batir material de friccion

dolorido amigdalas junto con material de friccion de temperatura

material de friccion severa sensacion de sueno

Los efectos negativos son indicaciones se basan en medicamentos que podrian estar utilizando pero, ademas, se basan en su condicion de bienestar y otros aspectos.

Harbahn (Urispas) Contraindicaciones

Por lo general no se obtiene Harbahn en caso de que son sensibles con el fin de Harbahn elementos.

Tenga cuidado junto con Harbahn si usted esta esperando otra manera tiene la intencion de tener un hijo, si no que realmente eres una mama medica.

Harbahn no se pueden proporcionar a los ninos por debajo de mas de una decada.

Por lo general no reciben Harbahn en caso de conseguir urinaria: la congestion del sistema, la perdida de sangre de estomago, problemas de descanso de la masa muscular, tracto intestinal o incluso la congestion del vientre.

Tenga cuidado junto con Harbahn en caso de conseguir el vientre o incluso los rinones enfermedad obstructiva, ileo paralitico, tracto intestinal, ulceras, glaucoma.

Utilizar Harbahn meticulosamente en el caso de que usted desea ir a traves de un procedimiento quirurgico (dental o algun tipo de otra).

Evite las bebidas alcoholicas.

Prevenir itinerante dispositivo.

Por lo general, no dejar de fumar lleve todo de repente.

Harbahn (Urispas) Preguntas comunes

Queen: Exactamente ?que implica Harbahn?

El: Harbahn es realmente un tratamiento de primera clase que se consume en la terapia, asi como final del contrato de enfermedades importantes porque prostata, la vejiga, los rinones, asi como infecciones bacterianas, asi como sus signos y sintomas, ya orinar molestos (frecuente, dolorosa), urinaria: urgencia, region pubica molestias. Harbahn tambien pueden ser la evitacion asociada con atractivo urinaria: musculo sistema spasms. A

Queen: ?Que son exactamente los de marca, asi como las marcas generales asociados con Harbahn?

El: titulo general asociada con Harbahn es en realidad Flavoxato clorhidrato. Marca asociada con Harbahn es en realidad Harbahn. A

Reina: ?Como se puede realmente funcionar Harbahn?

El: Harbahn pueden pasar como un buen tratamiento anti-contaminacion del sistema urinario. Harbahn funciona a traves de la eliminacion de tejido muscular calmante que son responsables de peeing. A

Queen: ?Que es exactamente Harbahn se centran en?

El: Harbahn efectivamente se reciben a traves de especialistas de drogas tiendas para luchar junto con las infecciones bacterianas (daninos asociados con la infeccion de la vejiga, la orina: sistema, de prostata, asi como infecciones de los rinones), asi como sus senales molestas y sintomas. Enfoque en asociado con Harbahn seria gestionar, germenes finales calmar el tejido muscular que son responsables de peeing. A

Queen: Que las mujeres que estan embarazadas utilizan Harbahn?

El: Juega el papel de cautela junto con Harbahn cuando usted esta esperando y tienen nurseling. A

Queen: realmente Harbahn poseen grupo de edad restringe?

El: Harbahn no se pueden proporcionar a los ninos por debajo de mas de un decade. A

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Cuminyl Alcohol - 536-60-7, Cuminol

European Food Safety Authority (EFSA) reference(s):

Opinion of the Scientific Panel on food additives, flavourings, processing aids and materials in contact with food (AFC) on a request from the Commission related to Flavouring Group Evaluation 20 (FGE.20): Benzyl alcohols, benzaldehydes, a related acetal, benzoic acids, and related esters from chemical group 23 View page or View pdf

Flavouring Group Evaluation 52 (FGE.52): Consideration of hydroxy - and alkoxy-substituted benzyl derivatives evaluated by JECFA (57th meeting) structurally related to benzyl alcohols, benzaldehydes, a related acetal, benzoic acids, and related esters evaluated by EFSA in FGE.20 (2005) (Commission Regulation (EC) No 1565/2000 of 18 July 2000) - Opinion of the Scientific Panel on Food Additives, Flavourings, Processing Aids and Materials in contact with Food (AFC) View page or View pdf

Flavouring Group Evaluation 54 (FGE.54)[1] - Consideration of benzyl derivatives evaluated by JECFA (57th meeting) structurally related to benzyl alcohols, benzaldehydes, a related acetal, benzoic acids and related esters evaluated by EFSA in FGE.20 (2005) - Scientific Opinion of the Panel on Food Additives, Flavourings, Processing Aids and Materials in Contact with Food View page or View pdf

Flavouring Group Evaluation 20, Revision 1 (FGE.20Rev1): Benzyl alcohols, benzaldehydes, a related acetal, benzoic acids and related esters from chemical group 23 View page or View pdf

Flavouring Group Evaluation 54, Revision 1 (FGE.54Rev1): Consideration of benzyl derivatives evaluated by JECFA (57th meeting) structurally related to benzyl alcohols, benzaldehydes, a related acetal, benzoic acids and related esters evaluated by EFSA in FGE.20Rev1 (2009) View page or View pdf

Scientific Opinion on Flavouring Group Evaluation 20, Revision 2 (FGE.20Rev2): Benzyl alcohols, benzaldehydes, a related acetal, benzoic acids, and related esters from chemical groups 23 and 30 View page or View pdf

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IMPORTANT: THIS IS A PRESCRIPTION DRUG. Please consult your physician and other healthcare providers before taking any medicines found in this page. The contents of this page are provided for information purposes only. It should not be construed as a substitute for a professional medical advice and should not be relied upon in that regard. You undertake to carefully read all product packaging and labels prior to use.

You acknowledge that you are now entering the prescription medicines page of this website. Please consult your physician and other healthcare providers before taking any prescription medicines found in this page. The contents of this page are provided for information purposes only. It should not be construed as a substitute for a professional medical advice and should not be relied upon in that regard. You undertake to carefully read all product packaging and labels prior to use.

Vidastat (10 mg)

Simvastatin

Vidastat

Indication

Treatment of primary hypercholesterolemia or mixed dyslipidemia as an adjunct to diet, when response to diet and other non-pharmacological treatments (e. g. exercise, weight reduction) is inadequate.

Treatment of homozygous familial hypercholesterolemia as an adjunct to diet and other lipid-lowering treatments (e. g. LDL apheresis) or if such treatments are not appropriate.

Reduction of cardiovascular mortality and morbidity in patients with manifest atherosclerotic cardiovascular disease or diabetes mellitus, with either normal or increased cholesterol levels, as an adjunct to correction of other risk factors and cardioprotective therapy (see pharmacodynamic properties).

Dosage and Administration

Please see Product Information Leaflet for complete information.

Caution: Foods, Drugs, Devices, and Cosmetics Act prohibits dispensing without prescription.

The contents of this site are for information purposes only and should not be construed as a substitute for professional medical advice. For diagnosis, treatment, and prescription, consult your physician and other healthcare providers. Carefully read all product labels and packaging prior to use.



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Roto Moulding, Rotational Moulding, Plastic Moulding, Fixopan

About Fixopan

About Fixopan

Fixopan understands the needs of its clients. The company tries its best to fulfill all the needs of a Rotomoulder under one roof. With the growing scope of the booming plastic rotomolding industry, Fixopan is successful in attaining the best of the quality levels and worldwide acceptance. Repeat orders from clients in Australia, Qatar, Canada, Greece, Poland, Saudi, UAE, Sri Lanka and other countries speak volumes about the capability of Fixopan machines and molds.

Customized Moulded Plastic Products

CNC Rotational Molds - Fixopan also offers Cast Aluminum molds made by CNC.

Fixopan uses Pro E and Solidworks software and offers the facility to its clients of scanning a product or developing a product or working from an existing IGS/ equivalent files. Fixopan has in-house CNC machining facility and has a large VMC of 2 meter bed from Haas USA.

Fixopan also offers a large range of Rotomolding Machines Pulverisor sheet metal molds; Cast Aluminium & CnC machined Molds and associated equipments like cranes, extrusion lines, Table saw etc. Fixopan forever continues to support the clients in the Rotomolding industry. All Fixopan molds are tried at the works and clients invited to see the trials or the samples sent to the clients for prior evaluation .

Contact us



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Dilabar Diu, Dilabar Diu

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Comprar DILABAR DIU ? Precio & Efectos Adversos

Por favor ayudenos Califica este articulo Medicina

Comprar DILABAR DIU 50/25 MG 30 COMPRIMIDOS from LESVI. Precio DILABAR DIU es €7.38. Efectos adversos del DILABAR DIU se deben a Anatomico Accion terapeutica. que podemos encontrar en su codigo atc. DILABAR DIU 50/25 MG 30 COMPRIMIDOS dosis – especificada por el medico. Usos de DILABAR DIU 50/25 MG 30 COMPRIMIDOS se encuentran en diversas complicaciones relacionadas con la ATA (accion terapeutica anatomica). Aprobado nombre universal por la FDA (Nombre generico) para el medicamento es el CAPTOPRIL/HIDROCLOROTIAZIDA 50MG/25MG 30 COMPRIMIDOS.

DILABAR DIU Detalles breves.

Nombre generico – CAPTOPRIL/HIDROCLOROTIAZIDA 50MG/25MG 30 COMPRIMIDOS

Laboratorio – LESVI

Dosis y Embalaje – 50/25 MG 30 COMPRIMIDOS

Empresa fabricante – LESVI

Pais de Fabricacion – Espana

Mercado Medicina – Espana

Medicine Market Espana

N ? de registro – 992024

Precios de los Medicamentos Para Publica – € 7.38

Importador de Drogas – LESVI

estado en el mercado – ALTA

Disponibilidad Juridico de publico – Por prescripcion.

Realizar Medicina CAPTOPRIL/HIDROCLOROTIAZIDA 50MG/25MG 30 COMPRIMIDOS

Estado de licencia – Aprobado por la FDA

Medicina del estado de disponibilidad – En Mercado.

Comprar DILABAR DIU

esta disponible en el Espana y se vende en casi todas las tiendas de medicina, no se puede comprar sin receta DILABAR DIU . Usted puede comprar desde LESVI. Forma fisica vendida es la 50/25 MG 30 COMPRIMIDOS.

Comprar en el precio barato

En el mercado internacional se puede comprar 50/25 MG 30 COMPRIMIDOS en diferentes marcas y fuerzas, LESVI ventas de TI en Espana. No se puede comprar sin receta DILABAR DIU . Usted puede comprar DILABAR DIU en linea tambien desde LESVI. Para comprar DILABAR DIU linea que usted necesita receta.

Comprar en linea

Para comprar DILABAR DIU en linea con tarjeta de credito es posible que necesite una receta de los medicos, Varios sitios de ventas en linea con los principios activos – CAPTOPRIL/HIDROCLOROTIAZIDA 50MG/25MG 30 COMPRIMIDOS. A comprar DILABAR DIU en linea en el precio bajo que usted debe considerar las diferentes marcas de los ingredientes genericos. Para la entrega rapida usted puede considerar LESVI. Lo puedes comprar en linea desde LESVI Espana. Tasa de compra DILABAR DIU mantendra fluctuante con el tiempo y la demanda y esta tasa se ??define el precio de mercado de la marca. Los datos historicos de la demanda de drogas de fluctuacion con ano se dan aqui.

El aumento de la edad de DILABAR DIU % Compre precio online – Comprar por ano

Aumento o disminucion de la demanda de drogas

Aumento de la demanda en 2010

Compre en Argentina.

En Argentina se encuentra disponible en diferentes marcas cuyos ingredientes centrales son. DILABAR DIU. paracetamol en Argentina es relativamente mejor calidad y de almacenamiento que cualquier otro pais. LESVI puede suministrar DILABAR DIU en todo el Argentina. Para comprar DILABAR DIU en Argentina necesitara receta. En Argentina 50/25 MG 30 COMPRIMIDOS fisica esta disponible facilmente.

% edad de comprar en Argentina por ano

Aumento o disminucion de la demanda de drogas

Aumento de la demanda en Argentina 2010

Comprar en Colombia y Venezuela

Colombia y Venezuela paises comparativamente caros para comprar DILABAR DIU. usted puede comprar DILABAR DIU en Colombia de LESVI. LESVI tambien DILABAR DIU ventas en Venezuela relativamente mejor precio. Contacto Farmacias en Bogota y Medellin para comprar al mejor precio en Colombia. En Venezuela para comprar esta droga puede comunicarse directamente Farmacia LESVI en Caracas y Maracaibo.

Demanda La rebelion de DILABAR DIU en Colombia y Venezuela

Porcentaje de incremento en la demanda de DILABAR DIU compra al ano.

Demanda Comprar en Colombia

Comprar en Venezuela

Comprar en Chile y Mexico

Sin embargo DILABAR DIU en Chile y Mexico se encuentra disponible en todas las tiendas de un medico si usted tiene un problema de compra en Mexico y Chile puede comunicarse LESVI. LESVI suministrar DILABAR DIU en Chile y Mexico a mejores precios. Para comprar DILABAR DIU en Mexico contacto LESVI Pharma en la Ciudad de Mexico o en Ecatepec. Para comprar en Chile desde LESVI contacto farmaceutica respectiva farmacia en Puente Alto. Usted necesitara una receta para ordenar DILABAR DIU en Chile .

Porcentaje de incremento en la demanda de DILABAR DIU compra al ano.

Demanda Comprar en Mexico

Comprar en chile

Comprar DILABAR DIU sin receta.

DILABAR DIU es legalmente disponible solo con receta medica. Usted necesitara una receta de medico autorizado en el Espana para comprar en cualquier lugar. Tiendas en linea tambien requieren receta medica para comprar DILABAR DIU. No se puede comprar DILABAR DIU sin receta.

Precio DILABAR DIU

DILABAR DIU lista de precios mantendra fluctuante, sin embargo el precio de DILABAR DIU en Espana se fija por gob de Espana. Sin embargo diferentes marcas tienen diferentes precios. En la marca de LESVI – DILABAR DIU, el precio de DILABAR DIU es – € 7.38.

Precio en Espana

Precio DILABAR DIU en Espana es inferior a DILABAR DIU de precios en el Chile y precio en la Venezuela. Esta diferencia en DILABAR DIU precio es debido a la demanda del mercado, Coste de produccion y los impuestos aplicados por diferentes gbno on LESVI. Precio de DILABAR DIU en Espana – 7.38 €.

Sin embargo el precio real continuen fluctuando con el tiempo y la demanda, los datos historicos de DILABAR DIU precio.

DILABAR DIU Precio en la Espana por ano

Precio en linea DILABAR DIU

En linea puede encontrar mejor y mas valiosa precio de DILABAR DIU, LESVI DILABAR DIU precio es 7.38 € para la entrega del Espana para todos los paises (chile, colombia, venezuela o argentina) LESVI puede cobrar extra. DILABAR DIU ingredientes activos son – CAPTOPRIL/HIDROCLOROTIAZIDA 50MG/25MG 30 COMPRIMIDOS. Para comprar DILABAR DIU en el precio bajo tratar de comparar los ingredientes para diferentes marcas.

Precio en Chile, Mexico y Colombia.

En chile DILABAR DIU es caro comparativamente colombia y Espana, LESVI precio de la marca es muy superior a la mexico y colombia. Precio en Chile 7.394 . Precio en Mexico es inferior a Chile. DILABAR DIU de precios en Mexico es €.Chile Gobierno tiene comision especial para regular los precios, pero debido a los costes laborales, etc el precio en chile es mas alta. DILABAR DIU de precios en Colombia es – € 7.78. en Colombia varias otras empresas de ventas CAPTOPRIL/HIDROCLOROTIAZIDA 50MG/25MG 30 COMPRIMIDOS. Calidad de la fabricacion de DILABAR DIU en colombia es mejor por lo tanto hay diferencia de precio colombia .

DILABAR DIU Precio Por ano

Precio en Chile

Precio en Mexico

Price in chile, mexico y colombia.

DILABAR DIU efectos adversos.

Cada medicamento que contiene CAPTOPRIL/HIDROCLOROTIAZIDA 50MG/25MG 30 COMPRIMIDOS como su ingrediente tiene efectos secundarios, la principal causa de los efectos secundarios causados ??por su ingrediente CAPTOPRIL/HIDROCLOROTIAZIDA 50MG/25MG 30 COMPRIMIDOS. DILABAR DIU efecto secundario es debido Anatomico Accion terapeutica del ingrediente. Los efectos secundarios del DILABAR DIU se pueden minimizar si el medicamento se toma exactamente de acuerdo con la recomendacion del medico. Medico tambien puede prescribir algunos medicamentos de venta libre para contrarrestar los efectos secundarios.

Sin embargo especifico efecto secundario dosis potencia de DILABAR DIU.

DILABAR DIU Los efectos secundarios Potencia por mismo tamano de dosificacion.

Side efecto Potencialidad en Mujeres Embarazadas

En el varon adulto y hembra

Specific Dosage Potential Side Effects in different Age group.

DILABAR DIU efectos secundarios en el embarazo

El uso de DILABAR DIU durante el embarazo puede aumentar el riesgo de los ninos en desarrollo algun trastorno (commpon para algunos este tipo de drogas), sin embargo, depende de la forma en DILABAR DIU ingredientes atravesar la placenta y pueden tener efecto en el bebe – fortaleza de la DILABAR DIU es un factor importante en la determinacion de dichos efectos secundarios, el posible peligro en el embarazo estan bajo investigacion. LESVI Espana publicar folleto sobre DILABAR DIU cada actualizacion para describir los posibles riesgos del uso de DILABAR DIU efecto secundario en el embarazo y las mujeres embarazadas . Usted puede descargar LESVI emitido folleto acerca de los efectos secundarios de la DILABAR DIU – 50/25 MG 30 COMPRIMIDOS.

Los efectos secundarios en los ninos y el bebe

Evaluacion FDA todavia esta incompleto. DILABAR DIU efectos secundarios comunes son Sin embargo.

1. Cambios en la actividad mental por CAPTOPRIL/HIDROCLOROTIAZIDA 50MG/25MG 30 COMPRIMIDOS.

2. Los cambios metabolicos: Debido a DILABAR DIU.

3. DILABAR DIU causado alteracion Tasa de crecimiento.

Efectos exacta depende del modo de accion terapeutica en los ninos.

Sobredosis

Dosificacion exacta de DILABAR DIU – 50/25 MG 30 COMPRIMIDOS es recetado por el medico Dependiendo de la edad, peso, sexo y tipo de enfermedad, etc Sin embargo sobredosis pueden causar DILABAR DIU toxicidad.

En caso de sobredosis La toxicidad de DILABAR DIU de contacto Spain – 112

el Centro de Toxicologia colombia – 123 or 112

el Centro de Toxicologia venezuela – 171

el Centro de Toxicologia mexico – 911

Argentina – 107

Nombre generico y de marca

Nombre generico es el nombre universal aprobado por la FDA de la droga o producto quimico sin marca. Marca es el nombre propio de la empresa para la comercializacion de la droga por una patente nombre especial para ellos. DILABAR DIU en si es una marca .

?Que es la DILABAR DIU nombre generico?

Los ingredientes activos de la DILABAR DIU son CAPTOPRIL/HIDROCLOROTIAZIDA 50MG/25MG 30 COMPRIMIDOS y su nombre generico es – CAPTOPRIL/HIDROCLOROTIAZIDA 50MG/25MG 30 COMPRIMIDOS.

Dosis y via de administracion.

Exact Dosis (cuanto DILABAR DIU paciente tiene que tomar.), La forma de dosificacion (Formulario de CAPTOPRIL/HIDROCLOROTIAZIDA 50MG/25MG 30 COMPRIMIDOS Medicine.) y la via de administracion (?Como CAPTOPRIL/HIDROCLOROTIAZIDA 50MG/25MG 30 COMPRIMIDOS que ser administrado).

Via de administracion

La medicina DILABAR DIU se debe dar al paciente como el medico especifique. sin embargo, la via de administracion depende de la forma fisica de DILABAR DIU y es – 50/25 MG 30 COMPRIMIDOS.

Detalle Dosis

Dosis de DILABAR DIU – CAPTOPRIL/HIDROCLOROTIAZIDA 50MG/25MG 30 COMPRIMIDOS 50/25 MG 30 COMPRIMIDOS es del volumen o tamano. La dosis clinica se especifica por el medico.

Periodo de caducidad.

CAPTOPRIL/HIDROCLOROTIAZIDA 50MG/25MG 30 COMPRIMIDOS – DILABAR DIU periodo de caducidad es el periodo de tiempo tras el cual DILABAR DIU no es medicamente utilizables o caducados. El periodo de caducidad exacta despues de la fabricacion es de 48 meses. Despues de 48 meses DILABAR DIU medicamente no es utilizable. Para mantener el DILABAR DIU en mejor condicion mantengalo siempre a 25 grados centigrados.

Interacciones medicamentosas

DILABAR DIU puede interactuar con algun otro medicamento o puede tener efectos secundarios. Los efectos secundarios y la interaccion de drogas causado por DILABAR DIU en diferentes organos puede calcularse utilizando ATC ??codigo.



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Bedranol, Bedranol

propranolol hydrochloride

propranolol hydrochloride

Apo-Propranolol (CA), Bedranol SR (UK), Betachron E-R, Beta-Prograne (UK), Dom-Propranolol (CA), Half Beta-Prograne (UK), Half Inderal LA (UK), Inderal LA, Inno-pran XL, Novopranol (CA), Nu-Propranolol (CA), PMS Propranolol (CA), Rapranol SR (UK), Slo-Pro (UK), Syprol (UK)

Pharmacologic class: Beta-adrenergic blocker (nonselective)

Therapeutic class: Antianginal, anti-arrhythmic (class II), antihypertensive, vascular headache suppressant

Pregnancy risk category C

FDA Box Warning

• In patients with angina pectoris, exacerbations of angina and, in some cases, myocardial infarction (MI) have followed abrupt drug withdrawal. For planned withdrawal, reduce dosage gradually over at least a few weeks and caution patient not to interrupt or stop therapy without physician's advice. If therapy is interrupted and angina exacerbation occurs, consider reinstituting drug and taking other measures to manage unstable angina. As coronary artery disease may be unrecognized, it may be prudent to follow same advice in patients at risk for occult atherosclerotic heart disease who receive drug for other indications.

Action

Blocks stimulation of beta 1 - adrenergic (myocardial) and beta 2 - adrenergic (pulmonary, vascular, and uterine) receptor sites. This action decreases cardiac output, slows heart rate, and reduces blood pressure.

Availability

Capsules (extended-release, sustained-release): 60 mg, 80 mg, 120 mg, 160 mg

Injection: 1 mg/ml

Oral solution: 4 mg/ml, 8 mg/ml, 80 mg/ml

Tablets: 10 mg, 20 mg, 40 mg, 60 mg, 90 mg

⊘ Indications and dosages

➣ Angina pectoris

Adults: 80 to 320 mg P. O. daily in three to four divided doses or 160 mg (extended - or sustained-release) P. O. daily; maximum daily dosage is 320 mg.

Adults: 40 mg P. O. b. i.d. or 80 mg (extended - or sustained-release) P. O. daily. Maximum daily dosage is 640 mg; usual maintenance dosage is 120 to 240 mg/day.

➣ Prophylaxis after MI

Adults: 180 to 240 mg P. O. daily in three to four divided doses; maximum daily dosage is 240 mg.

➣ Hypertrophie subaortic stenosis

Adults: 20 to 40 mg P. O. three to four times daily (before meals and at bedtime) or 80 to 160 mg (extended - or sustained-release) P. O. daily

➣ Adjunctive therapy in pheochromocytoma

Adults: 60 mg P. O. daily in divided doses for 3 days, given after primary therapy with alpha-adrenergic blocker

➣ To prevent migraine or vascular headache

Adults: 80 mg P. O. (extended - or sustained-release) daily; may increase as needed up to 240 mg/day. Effective range is 160 to 240 mg/day.

➣ Essential tremor

Adults: 40 mg P. O. b. i.d.; if necessary, 240 to 320 mg/day. Maximum daily dosage is 320 mg.

Adults: 10 to 30 mg P. O. (tablets or oral solution) three or four times daily

➣ Life-threatening arrhythmias; arrhythmias occurring during anesthesia

Adults: 1 to 3 mg slow I. V. injection. If necessary, give second dose after 2 minutes and additional doses at intervals of no less than 4 hours until desired response occurs.

Contraindications

• Hypersensitivity to drug, its components, or other beta-adrenergic blockers • Uncompensated heart failure • Cardiogenic shock • Sinus bradycardia, heart block greater than first degree • Bronchospastic disease

Precautions

Use cautiously in: • renal or hepatic impairment, sinus node dysfunction, pulmonary disease, diabetes mellitus, hyperthyroidism, Raynaud's syndrome, hypertensive emergencies, myasthenia gravis • concurrent thioridazine use • history of severe allergic reactions • elderly patients • pregnant or breastfeeding patients • children (safety not established).

Administration

☞ Take apical pulse for 1 full minute. Withhold dose and notify prescriber if patient has bradycardia or tachycardia.

☞ Be aware that I. V. use is usually reserved for arrhythmias that are life-threatening or occur during anesthesia. • Inject I. V. dose directly into large vein or into tubing of compatible I. V. solution (dextrose 5% in water, normal or half-normal saline solution, or lactated Ringer's solution). • Don't give as continuous I. V. infusion. • For intermittent I. V. infusion, dilute with normal saline solution and infuse in 0.1- to 0.2-mg increments over 10 to 15 minutes.

☞ Keep I. V. isoproterenol, atropine, or glucagon at hand in case of emergency.

☞ Don't stop giving drug suddenly. Dosage must be tapered.

Adverse reactions

CNS . fatigue, asthenia, anxiety, dizziness, drowsiness, insomnia, memory loss, depression, mental status changes, nervousness, paresthesia, nightmares

CV . peripheral vasoconstriction, orthostatic hypotension, bradycardia, arrhythmias, heart failure, myocardial infarction and sudden death (with abrupt withdrawal in angina therapy)

EENT . blurred vision, dry eyes, nasal congestion, rhinitis, sore throat

GI . nausea, vomiting, diarrhea, constipation, dry mouth

GU . erectile dysfunction, decreased libido

Hematologic: purpura, thrombocytopenic purpura

Metabolic: fluid retention, hyperglycemia, hypoglycemia (increased in children), thyrotoxicosis (with abrupt withdrawal in hypertension therapy)

Musculoskeletal: joint pain, back pain, myalgia, muscle cramps

Respiratory: wheezing, bronchospasm, pulmonary edema

Skin: pruritus, rash

Interactions

Drug-drug. Antacids (aluminum-based): decreased propranolol absorption

Anticholinergics, tricyclic antidepressants: antagonism of cardiac beta-adrenergic blocking effect

Chlorpromazine: additive hypotension

Cimetidine: increased propranolol blood level and risk of toxicity

Digoxin: additive bradycardia

Diuretics, other antihypertensives: increased hypotensive effect

Glucagon, isoproterenol: antagonism of propranolol's effects

Insulin, oral hypoglycemics: impaired glucose tolerance, increased risk of hypoglycemia

Neuromuscular blockers: increased neuromuscular blockade (with high propranolol doses)

Nonsteroidal anti-inflammatory drugs: decreased hypotensive effect

Theophylline: decreased theophylline clearance, antagonism of theophylline's bronchodilating effect

Thioridazine: increased thioridazine blood level, leading to prolonged QT interval

Drug-diagnostic tests. Alkaline phosphatase, blood urea nitrogen, eosinophils, lactate dehydrogenase, serum transaminases, triiodothyronine: increased levels

Glucose: decreased or increased level

Platelets, thyroxine: decreased levels

Drug-behaviors. Acute alcohol ingestion: additive hypotension

Patient monitoring

• Monitor vital signs, ECG, and central venous pressure. • Assess fluid balance. Check for signs and symptoms of heart failure. • Monitor CBC and liver and thyroid function tests. • Watch closely for signs and symptoms of hypoglycemia, which drug may mask. • Monitor blood glucose level in diabetic patient, to identify need for altered insulin or oral hypoglycemic dosage. Be aware that in labile diabetes, hypoglycemia may be accompanied by steep blood pressure rise.

Patient teaching

• Advise patient to take with meals at same time every day to minimize GI upset.

☞ Caution patient not to stop taking drug suddenly. Tell him dosage must be tapered. • Tell patient to monitor pulse and to promptly report bradycardia or tachycardia. • Inform patient that drug may cause muscle aches or bone pain. Advise him to discuss activity recommendations and pain management with prescriber. • Caution patient to avoid driving and other hazardous activities until he knows how drug affects concentration, vision, and alertness. • As appropriate, review all other significant and life-threatening adverse reactions and interactions, especially those related to the drugs, tests, and behaviors mentioned above.

pro·pran·o·lol hy·dro·chlor·ide

An adrenergic β-receptor blocking agent; used in the treatment of angina pectoris, hypertension, cardiac arrhythmias, and other conditions.

propranolol hydrochloride

a nonselective beta-adrenergic receptor blocking agent.

indications It is prescribed in the treatment of hypertension, angina pectoris, catecholamine-induced cardiac arrhythmias, pheochromocytoma, essential tremor, and migraine headache and for various unlabeled uses such as treatment of anxiety and aggressive behavior.

contraindications Asthma, COPD, pulmonary edema, bradycardia, second or third degree heart block, congestive heart failure unless secondary to a tachyarrhythmia treatable with beta-blockers, pregnancy (especially second and third trimester), or known hypersensitivity to this drug prohibits its use.

adverse effects Among the more serious adverse effects are heart failure, heart block, increased airway resistance, augmentation of hypoglycemic response, GI disturbances, and hypersensitivity reactions. Withdrawal syndrome has been observed in some patients.

pro·pran·o·lol hy·dro·chlor·ide

An adrenergic β-receptor blocking agent; used to treat angina pectoris, hypertension, and other conditions.



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Angel - Definition Of Angel By The Free Dictionary, Angal

angel

an·gel

1. A typically benevolent celestial being that acts as an intermediary between heaven and earth, especially in Christianity, Judaism, Islam, and Zoroastrianism.

2. A representation of such a being, especially in Christianity, conventionally in the image of a human figure with a halo and wings.

3. angels Christianity The last of the nine orders of angels in medieval angelology. From the highest to the lowest in rank, the orders are: seraphim, cherubim, thrones, dominations or dominions, virtues, powers, principalities, archangels, and angels.

4. A guardian spirit or guiding influence.

a. A kind and lovable person.

b. One who manifests goodness, purity, and selflessness.

6. A financial backer of an enterprise, especially a dramatic production or a political campaign.

[Middle English, aungel . from Old English engel or Old French angele . both from Late Latin angelus . from Late Greek angelos . from Greek, messenger .]

an·gel′ic (ăn-jĕl′ĭk). an·gel′i·cal adj.

angel

1. (Theology) theol one of a class of spiritual beings attendant upon God. In medieval angelology they are divided by rank into nine orders: seraphim, cherubim, thrones, dominations (or dominions), virtues, powers, principalities (or princedoms), archangels, and angels

2. (Theology) a divine messenger from God

3. a guardian spirit

4. a conventional representation of any of these beings, depicted in human form with wings

5. informal a person, esp a woman, who is kind, pure, or beautiful

6. (Theatre) informal an investor in a venture, esp a backer of a theatrical production

7. (Currencies) Also called: angel-noble a former English gold coin with a representation of the archangel Michael on it, first minted in Edward IV's reign

8. (Aeronautics) informal an unexplained signal on a radar screen

[Old English, from Late Latin angelus, from Greek angelos messenger]

an•gel

1. a celestial attendant of God; one of a class of spiritual beings who, in medieval angelology, were the lowest of the nine celestial orders (seraphim, cherubim, thrones, dominations, virtues, powers, principalities, archangels, and angels).

2. a conventional representation of such a being, in human form, with wings.

3. a messenger, esp. of God.

4. a person having qualities generally attributed to an angel, as beauty, purity, or kindliness.

5. an attendant or guardian spirit.

6. a deceased person whose soul is regarded as having been accepted into heaven.

7. Informal. one who provides financial backing for some undertaking, as a play or political campaign.

8. Slang. an image on a radar screen caused by a low-flying object, as a bird.

9. Informal. to provide financial backing for.

[before 950; Middle English a(u)ngel (< Anglo-French, Old French), Old English engel < Late Latin angelus < Greek angelos messenger]

an•gel•ic (?nˈdʒɛl ɪk) an•gel′i•cal, adj.

angel

- The word angel was one of the earliest Germanic adoptions from Latin; originally from Greek aggelos, "messenger," it first meant "hireling" or "messenger."

See also related terms for messenger .

angel

A form of good spirit residing in heaven.

Thesaurus Antonyms Related Words Synonyms Legend:

angel

angel

1. a messenger or attendant of God. The angels announced the birth of Christ to the shepherds. engel ????? ангел anjo andel der Engel engel ??????? angel ingel ????? enkeli ange ???? ?????? andeo angyal malaikat engill angelo ?? ?? angelas engelis pari-pari engel engel aniol ?????? anjo inger ангел anjel angel andeo angel ??????; ????? melek ?? янгол, ангел ????? ? ??? thien th?n ??

2. a very good or beautiful person. She's an absolute angel about helping us. liefling, engel ????? ?? ????? ??????? ангел anjo andel der Engel engel ??????? angel ingel ??? ??? ? ???? enkeli ange ???? ?????? ????? ?? ????? ??????? andeo „angyal” orang yang baik sekali engill angelo ??????? ??? ?? angelas engelis bidadari engel engel aniol ?? ?????? ??? anjo inger ангел anjel angel andeo angel ?????????????????? melek gibi kimse ??????? ангел ??? ? ??? ngu?i phuc h?u ????

angelic ( ?n?d?elik ) adjective

like an angel. engelagtig ???????? като ангел angelical andelsky engelhaft engleagtig ????????? angelical ingellik ????? ????? enkelimainen angelique ????????, ?????? ???????? ?????? ?? ???? andeoski angyali seperti bidadari himneskur; eins og engill angelico ?????? ?? ?? angeliskas engela-; engelim lidzigs berkaitan dengan kebaikan engelachtig engleaktig. engle - anielski ?????? ??? angelico an­gelic ангельский anjelsky angelski andeoski anglalik, angla - ??????????? melek gibi ???? ангельський ???? ?? ????? t?t d?p ????

engelagtig ???????? ???????????? ангелски angelicamente andelsky engelhaft engleagtigt ???????? angelicalmente ingellikult ?? ???? ??????? enkelimaisesti angeliquement ????????? ?????? ?? ??? ?? andeoski angyalian baik sekali eins og engill angelicamente ?????? ?? ?? angeliskai, kaip angelas engeliski seperti bidadari engelachtig engleaktig anielsko ? ?????? ?? ???? ??? angelicamente angelic ангельски anjelsky angelsko andeoski anglalikt ????????? melek gibi ???? по-ангельськи ????? ?? ????? t?t d?p nhu thien th?n ????

a brightly-coloured tropical fish with spiny fin. engelvis ???? ??? ???????? ?????????? ангелска риба peixe anjo zralok kridlaty der Engelhai havengel ????? ???????? ?????? pez angel ingelkala ????? ???? kuukeisarikala chetodon ??? ?????? ???? ??? ?? ?? ???????????? ???? skalar angyalcapa nama ikan bar?ahafur pesce angelo ????????? ?? ?? juros angelas jurasengelis sejenis ikan zee-engel havengel aniol morski ????? ???? tipo de peixe (peste) fluture de mare морской ангел zralok kridlaty morski pes (tropska vrsta) sklat havsangel ???????? melek bal?g? ??? морський ангел ????? ?? ??? ??? ca ng?nh ??

angel

Link to this page:

The girls had never been called angel children before, and thought it very agreeable, especially Jo, who had been considered a `Sancho' ever since she was born.

If I am fortunate and an angel of God should appear, David will see the beauty and glory of God made manifest to man.

the suffering angel had remained in the heartless state of celibacy twenty long years, and that for the sake of a man who could forget her

A recluse, like Hepzibah, usually displays remarkable frankness, and at least temporary affability, on being absolutely cornered, and brought to the point of personal intercourse; like the angel whom Jacob wrestled with, she is ready to bless you when once overcome.

Had it been otherwise -- had an active politician been put into this influential post, to assume the easy task of making head against a Whig Collector, whose infirmities withheld him from the personal administration of his office -- hardly a man of the old corps would have drawn the breath of official life within a month after the exterminating angel had come up the Custom-House steps.

I found nothing at all, and he was therefore an angel .

A hundred black faces turned round in their rows to peer; and beyond, a black Angel of Doom was beating a book in a pulpit.

Nelly calls her her angel. and she has good right to do so).

the man inquired; and whether it was a good angel that put it into Jurgis's mind, or an intuition of his sharpened wits, he was moved to answer, "No, sir.

If she an't a Christian and an angel. there never was one.

Thanks, oh, sweet my lord, thou talkest like an angel .

When they are in the field - so to speak, - they always wear them; you never see an angel going with a message anywhere without his wings, any more than you would see a military officer presiding at a court-martial without his uniform, or a postman delivering letters, or a policeman walking his beat, in plain clothes.

angel

an·gel

1. A typically benevolent celestial being that acts as an intermediary between heaven and earth, especially in Christianity, Judaism, Islam, and Zoroastrianism.

2. A representation of such a being, especially in Christianity, conventionally in the image of a human figure with a halo and wings.

3. angels Christianity The last of the nine orders of angels in medieval angelology. From the highest to the lowest in rank, the orders are: seraphim, cherubim, thrones, dominations or dominions, virtues, powers, principalities, archangels, and angels.

4. A guardian spirit or guiding influence.

a. A kind and lovable person.

b. One who manifests goodness, purity, and selflessness.

6. A financial backer of an enterprise, especially a dramatic production or a political campaign.

[Middle English, aungel . from Old English engel or Old French angele . both from Late Latin angelus . from Late Greek angelos . from Greek, messenger .]

an·gel′ic (ăn-jĕl′ĭk). an·gel′i·cal adj.

angel

1. (Theology) theol one of a class of spiritual beings attendant upon God. In medieval angelology they are divided by rank into nine orders: seraphim, cherubim, thrones, dominations (or dominions), virtues, powers, principalities (or princedoms), archangels, and angels

2. (Theology) a divine messenger from God

3. a guardian spirit

4. a conventional representation of any of these beings, depicted in human form with wings

5. informal a person, esp a woman, who is kind, pure, or beautiful

6. (Theatre) informal an investor in a venture, esp a backer of a theatrical production

7. (Currencies) Also called: angel-noble a former English gold coin with a representation of the archangel Michael on it, first minted in Edward IV's reign

8. (Aeronautics) informal an unexplained signal on a radar screen

[Old English, from Late Latin angelus, from Greek angelos messenger]

an•gel

1. a celestial attendant of God; one of a class of spiritual beings who, in medieval angelology, were the lowest of the nine celestial orders (seraphim, cherubim, thrones, dominations, virtues, powers, principalities, archangels, and angels).

2. a conventional representation of such a being, in human form, with wings.

3. a messenger, esp. of God.

4. a person having qualities generally attributed to an angel, as beauty, purity, or kindliness.

5. an attendant or guardian spirit.

6. a deceased person whose soul is regarded as having been accepted into heaven.

7. Informal. one who provides financial backing for some undertaking, as a play or political campaign.

8. Slang. an image on a radar screen caused by a low-flying object, as a bird.

9. Informal. to provide financial backing for.

[before 950; Middle English a(u)ngel (< Anglo-French, Old French), Old English engel < Late Latin angelus < Greek angelos messenger]

an•gel•ic (?nˈdʒɛl ɪk) an•gel′i•cal, adj.

angel

- The word angel was one of the earliest Germanic adoptions from Latin; originally from Greek aggelos, "messenger," it first meant "hireling" or "messenger."

See also related terms for messenger .

angel

A form of good spirit residing in heaven.

Thesaurus Antonyms Related Words Synonyms Legend:

angel

angel

1. a messenger or attendant of God. The angels announced the birth of Christ to the shepherds. engel ????? ангел anjo andel der Engel engel ??????? angel ingel ????? enkeli ange ???? ?????? andeo angyal malaikat engill angelo ?? ?? angelas engelis pari-pari engel engel aniol ?????? anjo inger ангел anjel angel andeo angel ??????; ????? melek ?? янгол, ангел ????? ? ??? thien th?n ??

2. a very good or beautiful person. She's an absolute angel about helping us. liefling, engel ????? ?? ????? ??????? ангел anjo andel der Engel engel ??????? angel ingel ??? ??? ? ???? enkeli ange ???? ?????? ????? ?? ????? ??????? andeo „angyal” orang yang baik sekali engill angelo ??????? ??? ?? angelas engelis bidadari engel engel aniol ?? ?????? ??? anjo inger ангел anjel angel andeo angel ?????????????????? melek gibi kimse ??????? ангел ??? ? ??? ngu?i phuc h?u ????

angelic ( ?n?d?elik ) adjective

like an angel. engelagtig ???????? като ангел angelical andelsky engelhaft engleagtig ????????? angelical ingellik ????? ????? enkelimainen angelique ????????, ?????? ???????? ?????? ?? ???? andeoski angyali seperti bidadari himneskur; eins og engill angelico ?????? ?? ?? angeliskas engela-; engelim lidzigs berkaitan dengan kebaikan engelachtig engleaktig. engle - anielski ?????? ??? angelico an­gelic ангельский anjelsky angelski andeoski anglalik, angla - ??????????? melek gibi ???? ангельський ???? ?? ????? t?t d?p ????

engelagtig ???????? ???????????? ангелски angelicamente andelsky engelhaft engleagtigt ???????? angelicalmente ingellikult ?? ???? ??????? enkelimaisesti angeliquement ????????? ?????? ?? ??? ?? andeoski angyalian baik sekali eins og engill angelicamente ?????? ?? ?? angeliskai, kaip angelas engeliski seperti bidadari engelachtig engleaktig anielsko ? ?????? ?? ???? ??? angelicamente angelic ангельски anjelsky angelsko andeoski anglalikt ????????? melek gibi ???? по-ангельськи ????? ?? ????? t?t d?p nhu thien th?n ????

a brightly-coloured tropical fish with spiny fin. engelvis ???? ??? ???????? ?????????? ангелска риба peixe anjo zralok kridlaty der Engelhai havengel ????? ???????? ?????? pez angel ingelkala ????? ???? kuukeisarikala chetodon ??? ?????? ???? ??? ?? ?? ???????????? ???? skalar angyalcapa nama ikan bar?ahafur pesce angelo ????????? ?? ?? juros angelas jurasengelis sejenis ikan zee-engel havengel aniol morski ????? ???? tipo de peixe (peste) fluture de mare морской ангел zralok kridlaty morski pes (tropska vrsta) sklat havsangel ???????? melek bal?g? ??? морський ангел ????? ?? ??? ??? ca ng?nh ??

angel

Link to this page:

The girls had never been called angel children before, and thought it very agreeable, especially Jo, who had been considered a `Sancho' ever since she was born.

If I am fortunate and an angel of God should appear, David will see the beauty and glory of God made manifest to man.

the suffering angel had remained in the heartless state of celibacy twenty long years, and that for the sake of a man who could forget her

A recluse, like Hepzibah, usually displays remarkable frankness, and at least temporary affability, on being absolutely cornered, and brought to the point of personal intercourse; like the angel whom Jacob wrestled with, she is ready to bless you when once overcome.

Had it been otherwise -- had an active politician been put into this influential post, to assume the easy task of making head against a Whig Collector, whose infirmities withheld him from the personal administration of his office -- hardly a man of the old corps would have drawn the breath of official life within a month after the exterminating angel had come up the Custom-House steps.

I found nothing at all, and he was therefore an angel .

A hundred black faces turned round in their rows to peer; and beyond, a black Angel of Doom was beating a book in a pulpit.

Nelly calls her her angel. and she has good right to do so).

the man inquired; and whether it was a good angel that put it into Jurgis's mind, or an intuition of his sharpened wits, he was moved to answer, "No, sir.

If she an't a Christian and an angel. there never was one.

Thanks, oh, sweet my lord, thou talkest like an angel .

When they are in the field - so to speak, - they always wear them; you never see an angel going with a message anywhere without his wings, any more than you would see a military officer presiding at a court-martial without his uniform, or a postman delivering letters, or a policeman walking his beat, in plain clothes.



Buy Online Angel - Definition Of Angel By The Free Dictionary, Angal

Flagyl Er - Woman S Health, Fladex

METRONIDAZOLE is an antiinfective. This medicine is used to treat many kinds of infections, like respiratory, skin, gastrointestinal, and bone and joint infections. It will not work for colds, flu, or other viral infections.

What should my health care professional know before I take this medicine?

They need to know if you have any of these conditions: anemia or other blood disorders disease of the nervous system fungal or yeast infection if you drink alcohol containing drinks liver disease seizures an unusual or allergic reaction to metronidazole, or other medicines, foods, dyes, or preservatives pregnant or trying to get pregnant breast-feeding

How should I take this medicine?

Take this medicine by mouth with a full glass of water. Take your medicine at regular intervals. Do not take your medicine more often than directed. Take all of your medicine as directed even if you think you are better. Do not skip doses or stop your medicine early.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

Do not take this medicine with any of the following: alcohol or any product that contains alcohol amprenavir oral solution disulfiram paclitaxel injection ritonavir oral solution sertraline oral solution sulfamethoxazole-trimethoprim injection

This medicine may also interact with the following: cimetidine lithium phenobarbital phenytoin warfarin

This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while taking this medicine?

Tell your doctor or health care professional if your symptoms do not improve or if they get worse.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells.

Avoid alcoholic drinks while you are taking this medicine and for three days afterward. Alcohol may make you feel dizzy, sick, or flushed.

If you are being treated for a sexually transmitted disease, avoid sexual contact until you have finished your treatment. Your sexual partner may also need treatment.

What side effects may I notice from this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible: allergic reactions like skin rash or hives, swelling of the face, lips, or tongue confusion, clumsiness dark or white patches in the mouth fever, infection numbness, tingling, pain or weakness in the hands or feet pain when passing urine seizures if you are unusually weak or tired vaginal irritation or discharge

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome): diarrhea headache metallic taste nausea stomach pain or cramps

This list may not describe all possible side effects.

Where can I keep my medicine?

Keep out of the reach of children.

Store at room temperature below 25 degrees C (77 degrees F). Protect from light. Keep the container tightly closed. Throw away any unused medicine after the expiration date.



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Pms-Terazosin, Pms-Terazosin

Drug Information

(terazosin)

How does this medication work? What will it do for me?

Terazosin belongs to the family of medications called antihypertensives, specifically the group known as alpha 1-blockers . Terazosin is used to treat mild-to-moderate high blood pressure . It relaxes blood vessels, allowing blood to flow through them more easily.

Terazosin is also used to treat enlarged prostate (benign prostatic hyperplasia or BPH). For BPH, terazosin helps to relax the muscles in the prostate and bladder. This helps to improve urine flow and decrease symptoms of BPH. Terazosin does not slow or stop the progression of enlarged prostate.

This medication may be available under multiple brand names and/or in several different forms. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of this medication may not be used for all of the conditions discussed here.

Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor. Do not stop taking this medication without consulting your doctor.

Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor has not prescribed it.

How should I use this medication?

The recommended adult dose of terazosin for high blood pressure starts at 1 mg at bedtime and is slowly increased until the desired blood pressure response is achieved. The usual dose ranges from 1 mg to 5 mg daily. The dose for high blood pressure is usually taken once or twice a day.

The recommended adult dose of terazosin to treat an enlarged prostate starts at 1 mg at bedtime, with increases at weekly intervals to 2 mg, 5 mg, or 10 mg once daily to achieve the desired improvement of symptoms. It may take 2 to 4 weeks of treatment before you see an improvement of your symptoms.

Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.

If you miss a dose, take it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If it has been more than a few days since your last dose, talk to your doctor; you may need to restart at the 1 mg dose. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Store this medication at room temperature, protect it from light and moisture, and keep it out of the reach of children.

Do not dispose of medications in wastewater (e. g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

What form(s) does this medication come in?

1 mg Each white, flat face, bevelled-edged, round tablet debossed "TRZ" on one side and "1" on the other contains 1 mg of terazosin hydrochloride. Nonmedicinal ingredients: corn starch, crospovidone, lactose, magnesium stearate, povidone and talc.

2 mg Each orange, flat face, bevelled-edged, round tablet debossed "TRZ" on one side and "2" on the other contains 2 mg of terazosin hydrochloride. Nonmedicinal ingredients: corn starch, crospovidone, lactose, magnesium stearate, povidone and talc, FD&C yellow No. 6 Lake.

5 mg Each brown-beige, flat face, bevelled-edged, round tablet debossed "TRZ" on one side and "5" on the other 5 mg of terazosin hydrochloride. Nonmedicinal ingredients: corn starch, crospovidone, lactose, magnesium stearate, povidone and talc, Black iron oxide, iron oxide red and yellow iron oxide.

10 mg Each blue, flat face, bevelled-edged, round tablet debossed "TRZ" on one side and "10" on the other 10 mg of terazosin hydrochloride. Nonmedicinal ingredients: corn starch, crospovidone, lactose, magnesium stearate, povidone and talc, FD&C Blue No. 1 Lake and FD&C Blue No. 2 Aluminum Lake.

Who should NOT take this medication?

Who should not take this medication?

Do not take this medication if you:

are allergic to terazosin or any ingredients of this medication

are allergic to quinazoline-type medications

What side effects are possible with this medication?

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.

Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

abdominal pain or discomfort

back or joint pain

blurred vision

constipation

decreased interest in sexual activity

decreased sexual ability

diarrhea

difficulty sleeping

dizziness or lightheadedness, especially when getting up from a lying or sitting position

drowsiness

dry mouth

gas

headache

increased need to urinate or urinating more often than usual

indigestion

nausea

stuffy nose

unusual tiredness or weakness

vomiting

Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention.

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

anxiety

blood pressure changes

blurred vision

chest pain

fainting (sudden)

fast or irregular heartbeat

pounding heartbeat

shortness of breath

signs of depression (e. g. poor concentration, changes in weight, changes in sleep, decreased interest in activities, thoughts of suicide)

skin rash

swelling of feet or lower legs

symptoms of a urinary tract infection (e. g. pain when urinating, urinating more often than usual, low back or flank pain, strong odour)

weight gain

Stop taking the medication and seek immediate medical attention if any of the following occur:

painful, prolonged erection (lasting longer than 4 hours)

signs of a serious allergic reaction (e. g. abdominal cramps, difficulty breathing, nausea and vomiting, or swelling of the face and throat)

trouble breathing

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.

Are there any other precautions or warnings for this medication?

Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.

Blood pressure: The first few doses of terazosin can cause extreme lowering of blood pressure, especially when moving from a lying or sitting position to a standing position. Sometimes even loss of consciousness can occur. A similar effect may occur if the medication is taken again after stopping it for more than a few doses, if the dose is rapidly increased, or if another blood-pressure-lowering medication is added.

The likelihood of this effect can be minimized by starting the dose of terazosin at 1 mg at bedtime, by increasing the dosage slowly, and by starting any additional blood-pressure-lowering medications with caution. If you are also taking phosphodiesterase 5 inhibitors (e. g. sildenafil, tadalafil, vardenafil) discuss with your doctor whether any special monitoring is needed.

While temporary loss of consciousness is the most severe blood-pressure-lowering effect of terazosin, other symptoms of lowered blood pressure, such as dizziness, lightheadedness, and palpitations are more common. If these symptoms occur, lie down and wait for a few minutes before standing to prevent their recurrence, then get up very gradually.

Disease progression: Terazosin does not slow or stop the progression of enlarged prostate.

Drowsiness/reduced alertness: Because of the risk of extreme lowering of blood pressure, avoid driving or hazardous tasks for 12 hours after the initial dose of terazosin, after the dose is increased, and after interruption of therapy when treatment is resumed.

Avoid situations where dizziness, lightheadedness, or temporary loss of consciousness could result in injury.

Fainting: Terazosin can cause extreme lowering of blood pressure and possibly fainting. If you have a history of micturition syncope (a condition where fainting occurs during or after urination), you should not take terazosin. Talk to your doctor if you have any concerns.

Kidney, bladder, and urinary problems: If you have reduced kidney function, bladder problems, or urinary problems, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Prostate cancer: Prostate cancer and enlarged prostate (BPH) have many of the same symptoms and it is possible for men to have both diseases at the same time. Terazosin is not used to treat prostate cancer. Your doctor may perform tests to rule out prostate cancer before starting you on terazosin treatment.

Pregnancy: This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking this medication, contact your doctor immediately.

Breast-feeding: It is not known if terazosin passes into breast milk. If you are a breast-feeding mother and are taking this medication, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

Children: The safety and effectiveness of using this medication have not been established for children.

Seniors: People over 65 years of age may be at an increased risk of blood pressure decreases, especially when moving from a lying or sitting position to a standing position.

What other drugs could interact with this medication?

There may be an interaction between terazosin and any of the following:

aldesleukin

aliskiren

other alpha 1 blockers (e. g. doxazosin, prazosin, tamsulosin)

other medications that lower blood pressure (antihypertensives), such as beta-blockers (e. g. metoprolol, propranolol)

alpha agonists (e. g. clonidine, methyldopa)

amifostine

amphetamines (e. g. dextroamphetamine, lisdexamphetamine)

angiotensin converting enzyme inhibitors (ACEIs; captopril, enalapril, ramipril)

angiotensin receptor blockers (ARBs; e. g. candasartan, irbesartan, losartan)

barbiturates (e. g. butalbital, pentobarbital phenobarbital)

beta-adrenergic blockers (e. g. atenolol, propranolol, sotalol)

brimonidine

calcium channel blockers (e. g. amlodipine, diltiazem, nifedipine, verapamil)

diazoxide

dipyridamole

diuretics (water pills; e. g. furosemide, hydrochlorothiazide, triamterene)

duloxetine

epinephrine

guanfacine

levodopa

methylphenidate

minoxidil

monoamine oxidase inhibitors (MAOIs; e. g. moclobemide, phenelzine, rasagiline, selegiline, tranylcypromine)

nitrates (e. g. nitroglycerin, isosorbide dinitrate, isosorbide mononitrate)

norepinephrine

pentoxifylline

phosphodiesterase 5 inhibitors (e. g. sildenafil, tadalafil, vardenafil)

pseudoephedrine

quetiapine

risperidone

rituximab

yohimbine

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. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with this medication. Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications 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.

All material © 1996-2016 MediResource Inc. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.



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Peridor, Peridor

Figure 7.--Peridot from the San Carlos Apache reservation in Arizona. (Photo is courtesy of ICA/Bart Curren.)

Peridot is the best known gem variety of olivine, a species name for a series of magnesium-iron rich silicate minerals. This bright yellow-green to green gemstone has caught the fancy of humans for thousands of years. Some historians even suspect that at least some of the "emeralds" worn by Cleopatra were actually peridot. Much of its recent popularity can be explained by its currently being recognized as the birthstone for the month of August, people wear the stone because it is supposed to bring the wearer success, peace, and good luck.

The United States was for many years the largest producer of peridot, the value of production in 1993 was estimated to be about $1.5 million, according to the USBM. The United States is getting major Competition from China and Pakistan for the title of world's largest producer.

The earliest recorded production of peridot was in about 70 A. D. from St. Johns Island in the Red Sea, about 54 kilometers off the coast of Egypt. Most of the earliest known peridot gems came from this location and small amounts of material are still being produced from there today. Later, very large, fine-quality peridot was produced from deposits in Myanmar (formerly Burma). These deposits were well known for their 20- to 40-carat cut stones of superb color and clarity, but since the socialist government came to power, the supply of Burmese peridot has been curtailed to such a point as to no longer be a factor in the industry. One can only guess as to whether the deposits are mined out, or if government policies have resulted in the shortage of material.

Arizona. --Currently, the United States is the basic supplier of peridot to the world gemstone industry. Deposits in Arizona are the major source of U. S. peridot. Faceted Arizona peridot is highly prized locally, but also enjoys widespread popularity for the manufacture of birthstone and other jewelry. The bright green, yellow-green to olive-green peridot is used both as a faceted and tumbled gem. The faceted stones are used in rings, earrings, pendants, bracelets, and as accent stones. The tumbled gems can be set in baroque jewelry, drilled and strung as beads, used in mosaics, and in the manufacture of gem trees.

Peridot Mesa, located on the San Carlos Apache Indian Reservation east of Globe in Gila County, is the most productive locality for peridot in the world. A second Arizona location from which peridot is recovered is Buell Park Apache County, Arizona, about 16 kilometers north of Fort Defiance. However, it is estimated that 80% to 95% of the world's production of peridot comes from the San Carlos Reservation.

The peridot occurs as individual grains and aggregates of grains in a basalt which is about 3 to 35 meters thick that forms the top and sides of Peridot Mesa. The material is recovered after it has weathered out of the basalt, in the gullies and canyons which lead down the sides of the Mesa or it is recovered in place in the basalt. The latter method of recovery requires drilling and blasting. The peridot grains that are commercially recovered are typically 6 to 13 millimeters in size. Therefore, the faceted stones produced from this material are generally about 1 carat in size; 2 to 3 carat stones are not uncommon, but stones, particularly flawless ones, 5 carats and over are unusual. Stones as large as 15 and 22 carats have been cut from San Carlos peridot.

On the Reservation, peridot can be mined only by individual Native Americans or by individual families of Native Americans from the San Carlos Reservation. In the past, the miners have not marketed the peridot directly to the gemstone industry. They marketed the material in random size lots, from as small as a coffee can full to as much as a 55-gallon barrel full, to local brokers or mineral dealers. These local brokers/dealers may or may not sort and grade the material, but they do tend to market to the industry in uniform size lots. Currently, some of the large volume miners are marketing the material directly to the industry and are also contracting for cutting services and are marketing cut stones.

New Mexico. --Gem-quality peridot can be found in deposits at three different locations in New Mexico. The deposits are in the Buell Park area in McKinley County in the northwestern part of the State and in Kilbourne Hole and Potrillo Mar depression, both near the Mexican border in the southeastern part of the State. The color of the material is brown, greenish-brown, yellowish-green, and the desirable peridot green. Some people believe the material from the Kilbourne Hole area is superior to the material from the famous Arizona location on the San Carlos Reservation. Currently, there is no commercial production of material from any of the deposits in New Mexico, but "rockhounds" and other mineral collectors gather materials from these locations for their own use.

URL: http://minerals. usgs. gov/minerals/pubs/commodity/gemstones/sp14-95/peridot. html Maintained by: rcallaghan@usgs. gov Last modification: 11-Jan-2013@16:53

The vivid green of the peridot, with just a slight hint of gold, is the ideal gemstone colour to go with that light summer wardrobe. No wonder – since the peridot is the gemstone of the summer month of August.

The peridot is a very old gemstone, and one which has become very popular again today. It is so ancient that it can be found in Egyptian jewellery from the early 2nd millennium B. C. The stones used at that time came from a deposit on a small volcanic island in the Red Sea, some 45 miles off the Egyptian coast at Aswan, which was not rediscovered until about 1900 and has, meanwhile, been exhausted for quite some time. Having said that, the peridot is also a thoroughly modern gemstone, for it was not until a few years ago that peridot deposits were located in the Kashmir region; and the stones from those deposits, being of an incomparably beautiful colour and transparency, have succeeded in giving a good polish to the image of this beautiful gemstone, which had paled somewhat over the millennia.

The ancient Romans too were fond of this gemstone and esteemed its radiant green shine, which does not change even in artificial light. For that reason they nicknamed it the 'eme rald of the evening'. Peridot is also found in Europe in medieval churches, where it adorns many a treasure, for example one of the shrines in Cologne Cathedral. During the baroque period, the rich green gemstone once again enjoyed a brief heyday, and then it somehow faded into oblivion.

Spectacular 'Kashmir peridots'

But suddenly, in the middle of the 1990s, the peridot was the big sensation at gemstone fairs all round the world. The reason? In Pakistan, up on an inhospitable pass at some 4000 metres (13,120 ft.), a sensationally rich deposit of the finest peridots had been found. In tough climatic conditions which permitted the gemstones to be mined only during the summer months, the unusually large, fine crystals and fragments were brought down into the valley. These stones were finer than anything that had ever been seen before. And the deposits were so rich that the demand for peridots can, for the present, easily be satisfied.

In order to emphasise the special quality of the peridots from Pakistan, these stones are offered as 'Kashmir peridots', following the famous Kashmir sapphires. Creative gemstone cutters have succeeded in cutting some fascinatingly beautiful one-off stones of more than 100 carats from some of the large, fine, clear crystals with their magnificent rich green!

How green? It all depends on the iron

This gemstone has no fewer than three names: 'peridot', 'chrysolite', from the Greek 'gold stone', and 'olivine', for the peridot is the gemstone form of the mineral olivine. In the gemstone trade it is called 'peridot', derived from the Greek word 'peridona', which means something like 'to give richness'.

The peridot is one of the few gemstones which come in one colour only. The rich, green colour with the slight tinge of gold is caused by very fine traces of iron. From a chemical point of view, peridot is an iron magnesium silicate. The intensity of the colour depends on the amount of iron actually present. The colour itself can vary over all shades of yellowish green and olive, and even to a brownish green. Peridot is not particularly hard - only 6.5 to 7 on the Mohs scale - but it is easy to look after and fairly robust. Peridot cat's eyes and star peridot are particularly rare and precious.

The most beautiful stones come from the border area between Pakistan and Afghanistan. However, the peridot as a gemstone also exists in Myanmar, China, the USA, Africa and Australia. Stones from East Burma, now known as Myanmar, have a vivid light green and fine inclusions with a silky shine to them. Peridot from Arizona, where it is popularly used in native American jewellery, often has somewhat yellowish or gold-brown nuances.

Uncomplicated, but not for the cutter

The peridot is cut in accordance with its crystal shape, mostly faceted or in classical table cuts, or round, antique, as an octahedron or oval. Smaller crystals are cut into standardised series stones, larger ones into imaginative one-offs. Cabochons are made if the material contains more inclusions, for the domed cut brings out the fine silky shine of the inclusions to their best.

The cutters know full well that this gemstone is anything but easy to work with. The raw crystals can be very tricky and may crack easily. There is often a good deal of tension on the inside of the crystal. But once the cutter has succeeded in removing the coarser inclusions, the peridot is a precious stone with good wearing qualities which does not call for any special care.

An ideal summer stone

The peridot adds a wonderful variant to the colour spectrum of green gemstones. Increasingly, it is processed not only to one-offs, but also for use in series jewellery. And since the world of fashion is just in the process of rediscovering its love for the colour green, the popularity of this rich green gemstone is also very much on the up.

Thanks to the rich finds in Pakistan and Afghanistan, there is enough raw material on the market, so the 'right stone' can now be found to cater for each individual taste and each pocket. Large, transparent stones of an intense colour are, however, rare and correspondingly expensive. The peridot is a gemstone that you should definitely get to know better. Its fine pistachio to olive green is the perfect complement to a fresh, light summer wardrobe.



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ibuprofen IV (Rx) Brand and Other Names: Caldolor, NeoProfen

Patent Ductus Arteriosus

Indicated to close a clinically significant patent ductus arteriosus (PDA) in premature infants weighing between 500-1500 g, who are no more than 32 weeks gestational age when usual medical management is ineffective

Initial NeoProfen dose: 10 mg/kg IV, THEN

Additional 2 NeoProfen doses of 5 mg/kg each, after 24 and 48 hr

If renal dysfunction, withhold 2nd/3rd dose until renal function normal

If ductus arteriosus fails to close, then a second course of ibuprofen IV, alternative pharmacological therapy, or surgery may be needed

Pain

Indicated for management of mild-to-moderate pain and the management of moderate-to-severe pain as an adjunct to opioid analgesics

<6 months: Safety and efficacy not established

6 months to <12 years: 10 mg/kg IV q4-6 hr prn; not to exceed 400 mg/dose; maximum daily dose is 40 mg/kg or 2400 mg, whichever is less

12-17 years: 400 mg IV q4-6 hr prn

Do not exceed 40 mg/kg or 2,400 mg, whichever is less, total daily dose in pediatric patients aged <17 yr

Must dilute solution; undiluted solution may result in hemolysis (see IV preparation)

Fever

Indicated for management of mild-to-moderate pain and the management of moderate-to-severe pain as an adjunct to opioid analgesics

<6 months: Safety and efficacy not established

6 months to <12 years: 10 mg/kg IV q4-6 hr prn; not to exceed 400 mg/dose; maximum daily dose is 40 mg/kg or 2400 mg, whichever is less

12-17 years: 400 mg IV q4-6 hr prn

Do not exceed 40 mg/kg or 2,400 mg, whichever is less, total daily dose in pediatric patients aged <17 yr

Must dilute solution; undiluted solution may result in hemolysis (see IV preparation)

These warnings are specific for Caldolor

NSAIDs may increase risk of serious cardiovascular thrombotic events, myocardial infarction (MI), and stroke, which can be fatal

Risk may increase with duration of use

Patients with risk factors for or with existing cardiovascular disease may be at greater risk

NSAIDs are contraindicated for perioperative pain in the setting of coronary artery bypass graft (CABG) surgery (increased risk of MI and stroke)

NSAIDs increase risk of serious GI adverse events including bleeding, ulceration, and

perforation of the stomach or intestines, which can be fatal

GI adverse events may occur at any time during use and without warning symptoms

Elderly patients are at greater risk for serious GI events

Contraindications

Hypersensitivity

History of asthma, urticaria, or allergic-type reactions after taking aspirin or other NSAIDs

Coronary artery bypass graft (CABG): Increased risk of MI and stroke if administered in the first 10-14 days following CABG

Untreated proven or suspected infection

Congenital heart disease where PDA patency is necessary for satisfactory pulmonary or systemic blood flow (eg, pulmonary atresia, severe tetralogy of Fallot, severe coarctation of the aorta)

Bleeding, especially active intracranial hemorrhage or GI bleeding

Thrombocytopenia; coagulation defects

Necrotizing enterocolitis

Significant renal impairment

Cautions

Increased risk for serious CV thrombotic events, myocardial infarction (MI), and stroke (use lowest effective dose for shortest duration possible); additionally, increased MI and stroke if administered in the first 10-14 days following CABG (see Contraindications)

Risk of GI ulceration, bleeding, and perforation

May cause borderline LFT elevations; rare reports of notable ALT or AST (ie, 3xULN) or severe hepatic reactions (eg, jaundice, fulminant hepatitis, liver necrosis, hepatic failure)

May cause new onset hypertension, or exacerbation of existing hypertension

Fluid retention and edema observed; caution in patients with heart failure

Long-term administration of NSAIDs may result in renal papillary necrosis and other renal injury; patients at greatest risk include the elderly, or those with impaired renal function, hypovolemia, heart failure, liver dysfunction, salt depletion, and individuals taking diuretics, ACE inhibitors, or ARBs

Anaphylactoid reactions reported (see Contraindications)

Serious skin reactions may occur (eg, exfoliative dermatitis, Stevens-Johnson syndrome, toxic epidermal necrolysis)

Avoid in pregnancy after 30 weeks gestation; associated with premature closure of the ductus arteriosus

Diminishes utility of inflammation and fever as diagnostic signs for infection

Must be diluted prior to use; infusing undiluted may result in hemolysis

Patients with asthma may have aspirin-sensitive asthma; use of aspirin or NSAIDs may cause severe bronchospasm in these patients

Blurred or diminished vision, scotomata, and changes in color vision reported with oral ibuprofen

Aseptic meningitis with fever and coma observed with oral ibuprofen therapy

Diminishes utility of inflammation and fever as diagnostic signs for infection

Inhibits platelet aggregation; caution with underlying hemostatic defects (see Contraindications)

Displaces bilirubin from albumin binding-sites

Administer cautiously to avoid extravasation

Vd: 320 mL/kg (NeoProfen)

Metabolism

Racemic mixture of R - and S-isomers; in vivo and in vitro studies indicate the S-isomer is active and the R-form, while thought to be pharmacologically inactive, is slowly and incompletely (

60%) interconverted into the active S species in adults

Hepatic CYP2C9 (primarily); CYP2C19 substrate

Metabolites: (+)-2-[4'-(2-hydroxy-2-methylpropyl) phenyl] propionic acid (metabolite A), (+)-2-[4'-(2-carboxypropyl) phenyl] propionic acid (metabolite B)

Elimination

Half-life: 2.22-2.44 hr (Caldolor); >10 times that of adults (neonates), 43.1 hr (3 days old) and 26.8 hr (5 days old)

Renal clearance: 3 mL/kg/hr (NeoProfen); increases rapidly postnatally by 0.5 mL/kg/hr per day

Excretion: Urine (predominantly) and bile

Administration

IV Preparation

Dilute to a final concentration of ?4 mg/mL in 0.9% NaCl, D5W or LR

100 mg dose: Dilute 1 mL in at least 100 mL of diluent

200 mg dose: Dilute 2 mL in at least 100 mL of diluent

400 mg dose: Dilute 4 mL in at least 100 mL of diluent

800 mg dose: Dilute 8 mL in at least 200 mL of diluent

Dilute in dextrose or 0.9% NaCl

Administer within 30 minutes of dilution

IV Administration

Adults: Infuse over at least 30 minutes

Pediatric patients aged 6 mo to 17 yr: Infuse over at least 10 minutes

Infuse over 30 minutes

Use IV port nearest to insertion site

Do NOT coadminister with TPN in same line (allow 15 min discontinuation of TPN if necessary)

Discard unused portion - no preservatives

Storage

Caldolor: Store unopened vial at room temperature; diluted solutions are stable for up to 24 hr at room temperature and room lighting

NeoProfen: Store vial at room temperature, protect from light

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Cefpodoxime is used to treat certain infections caused by bacteria such as bronchitis (infection of the airway tubes leading to the lungs); pneumonia; gonorrhea (a sexually transmitted disease); and infections of the skin, ear, sinuses, throat, tonsils, and urinary tract. Cefpodoxime is in a class of medications called cephalosporin antibiotics. It works by stopping the growth of bacteria.

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tell your doctor and pharmacist if you are allergic to cefpodoxime; any other cephalosporin antibiotic such as cefaclor, cefadroxil, cefazolin (Ancef, Kefzol), cefdinir, cefditoren (Spectracef), cefepime (Maxipime), cefixime (Suprax), cefotaxime (Claforan), cefotetan, cefoxitin (Mefoxin), cefprozil, ceftaroline (Teflaro), ceftazidime (Fortaz, Tazicef, in Avycaz), ceftibuten (Cedax), ceftriaxone (Rocephin), cefuroxime (Zinacef) and cephalexin (Keflex);penicillin antibiotics; or any other medications. Also tell your doctor if you are allergic to any of the ingredients in cefpodoxime tablets or suspension. Ask your pharmacist for a list of the ingredients.

tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Be sure to mention any of the following: antacids (Maalox, Mylanta, others), cimetidine, colistimethate (Coly-Mycin M), diuretics ('water pills'), famotidine (Pepcid), gentamicin, kanamycin, neomycin (Neo-Fradin), nizatidine (Axid), polymixin B, probenecid (Probalan), ranitidine (Zantac), streptomycin, tobramycin. and vancomycin (Vancocin). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.

tell your doctor if you have or have ever had gastrointestinal disease (GI; affecting the stomach or intestines), especially colitis (condition that causes swelling in the lining of the colon [large intestine]), or kidney disease.

tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. If you become pregnant while taking cefpodoxime, call your doctor.

if you have phenylketonuria (PKU, an inherited condition in which a special diet must be followed to prevent mental retardation), you should know that cefpodoxime suspension is sweetened with aspartame that forms phenylalanine.

What special dietary instructions should I follow?

Unless your doctor tells you otherwise, continue your normal diet.

What should I do if I forget a dose?

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

What side effects can this medication cause?

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

nausea

vomiting

diarrhea

stomach pain

swelling, redness, irritation, burning, or itching of the vagina

white vaginal discharge

headache

Some side effects can be serious. If you experience any of the following symptoms, call your doctor immediately or get emergency medical treatment:

watery or bloody stools, stomach cramps, or fever during treatment or for up to two or more months after stopping treatment

rash

itching

hives

difficulty breathing or swallowing

wheezing

a return of fever, sore throat, chills, or other signs of infection

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

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

Keep this medication in the container it came in, tightly closed, and out of reach of children. Store the tablets at room temperature and away from light and excess heat and moisture (not in the bathroom). Keep liquid medicine in the refrigerator, tightly closed, and dispose of any unused medication after 14 days.

Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA's Safe Disposal of Medicines website (http://goo. gl/c4Rm4p ) for more information if you do not have access to a take-back program.

In case of emergency/overdose



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