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If you have not had chickenpox, shingles, or measles, avoid contact with anyone who does.

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

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

If you use Betnovate for an extended period of time, your body may not produce enough natural steroids for up to several months after you stop using it. Severe symptoms may occur if you experience injury, surgery, infection, or loss of blood electrolytes. Contact your doctor immediately if you experience any of these events. You may need to begin taking additional corticosteroids.

If you have had Betnovate injected into a joint and you experience increased pain along with swelling, decreased joint movement, fever, and general feeling of being unwell, contact your doctor.

Talk with your doctor before you receive any vaccine while you are using Betnovate.

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

Betnovate may have benzyl alcohol in it. Do not use it in newborns or infants. It may cause serious and sometimes fatal nervous system problems and other side effects.

Corticosteroids may affect growth rate in children and teenagers in some cases. They may need regular growth checks while they use Betnovate.

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

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

If you suddenly stop taking Betnovate, you may have withdrawal symptoms, These may include unbalanced hormones (in both men and women).

All medicines may cause side effects, but many people have no, or minor, side effects.

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

Acne; clumsiness; dizziness; facial flushing; general body discomfort; headache; increased appetite; increased sweating; lightheadedness; nausea; nervousness; sleeplessness; upset stomach.

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

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); black, tarry stools; changes in body fat; changes in menstrual periods; changes in skin color; chest pain; easy bruising or bleeding; irregular heartbeat; mental or mood changes (eg, depression); muscle pain, wasting, or weakness; seizures; severe nausea or vomiting; sudden severe dizziness or headache; swelling of feet or legs; symptoms of infection (eg, chills, fever, sore throat); tendon or bone pain; thinning of the skin; unusual skin sensation; unusual weight gain; vision changes or other eye problems; vomit that looks like coffee grounds.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider.



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Applies to estradiol: vaginal cream, vaginal insert extended release, vaginal tablet

Other dosage forms:

In addition to its needed effects, some unwanted effects may be caused by estradiol (the active ingredient contained in Climodien). 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 estradiol:

Less common:

Vaginal yeast infection

Incidence not known:

Change in vaginal discharge

clear or bloody discharge from the nipple

decrease in the amount of urine

dimpling of the breast skin

fast heartbeat

fever

hives, itching, or rash

hoarseness

inverted nipple

irritation

joint pain, stiffness, or swelling

lump in the breast or under the arm

noisy, rattling breathing

pain or feeling of pressure in the pelvis

pain, redness, or swelling in the arm or leg

persistent crusting or scaling of the nipple

redness of the skin

redness or swelling of the breast

sore on the skin of the breast that does not heal

swelling of the eyelids, face, fingers, lips, hands, feet, or lower legs

tightness in the chest

troubled breathing at rest

troubled breathing or swallowing

vaginal bleeding

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

Symptoms of overdose:

Abdominal or stomach pain

dizziness

drowsiness

nausea or vomiting

tenderness of the breasts

unusual tiredness or weakness

Minor Side Effects

Some of the side effects that can occur with estradiol 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:

Back pain

headache

itching or pain of the vagina or genital area

thick, white vaginal discharge with mild or no odor

weight gain

Less common:

Body aches or pain

chills

cough

diarrhea

ear congestion

loss of voice

nasal congestion

runny nose

sneezing

sore throat

Incidence not known:

Feeling sad or empty

headache, severe and throbbing

irritability

lack of appetite

tiredness

trouble concentrating

trouble sleeping

welts

For Healthcare Professionals

Applies to estradiol: compounding powder, intramuscular solution, oral tablet, transdermal emulsion, transdermal film extended release, transdermal gel, transdermal spray, vaginal ring

Gastrointestinal

Cases of oral pigmentation and ischemic colitis have been reported rarely. [Ref ]

Gastrointestinal side effects have included nausea, abdominal cramps, bloating and vomiting. Some studies have demonstrated a 2 to 4 fold increase in gallbladder disease in postmenopausal women taking estrogen therapy. Cholestatic jaundice, pancreatitis, and enlargement of hepatic hemangiomas have been reported. Postmarketing experience with the vaginal ring has included a few cases of bowel obstruction and vaginal ring use. Postmarketing side effects with Vivelle-Dot include nausea, vomiting, abdominal cramps, bloating, cholelithiasis and diarrhea. [Ref ]

Oncologic

Oncologic side effects have included reports of an increased risk of endometrial carcinoma in patients with an intact uterus and less persuasively, with an increased risk of breast cancer. [Ref ]

A number of studies have suggested that the risk of endometrial carcinoma is removed (or delayed) by the administration of progestins in combination with estrogen therapy.

The increased risk of breast cancer due to use of estrogens is controversial. Several studies have suggested that long-term estrogen therapy may be associated with a slightly increased risk of breast cancer. Meta analysis of 51 studies (epidemiological data) supports a modest risk increase associated with long-term hormone replacement therapy (HRT).

One study of Swedish women has reported that a 10% increase in the relative risk of breast cancer may occur and that the risk is related to increasing duration of estrogen therapy. In that study, women with more than nine years of estrogen use had a 70% greater relative risk of breast cancer than controls. That study, however, examined use of a variety of estrogen preparations of which estradiol was the most frequently prescribed. In addition, women who took progestins did not demonstrate a decreased risk of breast cancer and may even have been at higher risk.

The Toronto Breast Cancer Study has reported that women who receive unopposed conjugated estrogens for less than 15 years are not at increased risk of breast cancer. In that study, an increase in the risk of breast cancer for women who used conjugated estrogens for more than 15 years was not ruled out.

The Case-Control Surveillance Study has reported that there is "no evidence that the use of unopposed conjugated estrogens increases the risk of breast cancer, even after long duration of use or long latent intervals, but the possibility of a modest increase (less than a doubling) could not be excluded."

Follow-up to the Nurses' Health Study of 1992 concluded, however, that there is an increased risk of breast cancer in women taking estrogen replacement therapy and that the risk is not reduced by concurrent use of progestins. (In that study, greater risk was associated with advanced age and prolonged duration of hormonal therapy.)

A study of middle-aged women in the Puget Sound area concluded that "on the whole, the use of estrogen with progestin HRT [hormone replacement therapy] does not appear to be associated with an increased risk of breast cancer in middle-aged women."

A prospective cohort study (11 years) of 37,105 women by Gapstur et al evaluated the histology of the breast cancer in women who ever used HRT. No association was found between duration of ever HRT use and the incidence of ductal carcinoma in situ or invasive ductal/lobular carcinoma. The duration of ever HRT use was associated with risk of invasive carcinoma with a favorable prognosis (relative risk (RR) = 1.81, 95% confidence interval (CI), 1.07 to 3.07 for HRT use less than or equal to 5 yrs and RR = 2.65, CI, 1.32 to 5.23 for HRT use > 5 yrs, p = 0.005). The relative risk of invasive carcinoma with a favorable prognosis for current users (adjusted for age and other risk factors) was 4.42, CI, 2.00 to 9.76 for less than or equal to 5 yrs and 2.63, CI, 1.18 to 5.89 for > 5 yrs). Risk of invasive ductal or lobular carcinoma for current users less than or equal to 5 yrs was RR = 1.38, CI, 1.03 to 1.85. [Ref ]

Cardiovascular

The reported effects of estrogens on cardiovascular activity are variable. Alterations in lipid profiles in treated women are thought to be responsible for reducing cardiovascular risks. Data suggest estrogen use may increase blood pressure, particularly in patients receiving high doses, decrease blood pressure, or result in no change. In addition, noncontraceptive use of estrogens in young women (particularly smokers) may substantially increase the risk of nonfatal myocardial infarction. Other studies have concluded that no increased risk of myocardial infarction exists. [Ref ]

Cardiovascular side effects have included studies suggesting that unopposed estrogen therapy decreased the risk of coronary heart disease by as much as 35%. Combination therapy with a progestin may have also decreased coronary risk. However, the extent of risk reduction with combination therapy has not been determined. Data are available that suggest combination therapy does not reduce the overall rate of coronary heart disease in postmenopausal women with established coronary disease. Postmarketing side effects with Vivelle-Dot include deep vein thrombosis, pulmonary embolism and thrombophlebitis. [Ref ]

Metabolic

Metabolic side effects have included reports of generally favorable alterations in plasma lipid profiles. Specifically, increased HDL and decreased cholesterol and LDL levels have occurred. Estrogen therapy may have led to increased serum triglyceride levels resulting in pancreatitis in patients with familial lipoprotein metabolic defects.

Metabolic adverse effects such as hypercalcemia have occurred in patients with breast cancer and bone metastases. [Ref ]

Endocrine

Endocrine side effects have included increased levels of thyroxin-binding globulin which led to increased total thyroid serum levels and a decreased in resin uptake of T3. Free thyroid hormone levels remained unchanged. Other endocrine effects have included decreased fasting plasma glucose. [Ref ]

General

General side effects have included fluid retention and mastodynia. Alterations in libido have occurred. Postmarketing experience with the vaginal ring has included a few cases of toxic shock syndrome. Postmarketing side effects with Vivelle-Dot include decrease in weight, reduced carbohydrate tolerance and edema. [Ref ]

Hepatic

Hepatic side effects have included reports of focal nodular hyperplasia, liver cell adenomas, hepatic hemangiomas, and well-differentiated hepatocellular carcinomas. Aggravation of porphyria has been reported. Postmarketing side effects with Vivelle-Dot include abnormal liver function tests. [Ref ]

Many of the reports of hepatic tumors have occurred in women taking long-term oral contraceptives. However, some tumors have been reported in women taking isolated estrogen therapy. [Ref ]

Hematologic

Hematologic side effects have included hypercoagulability and an increase in venous thromboembolism. [Ref ]

The clinical significance of such hypercoagulability in postmenopausal women taking estrogens has not been determined. [Ref ]

Ocular

Ocular side effects have included alterations in corneal curvature and contact lens discomfort. Retinal vascular thrombosis has been reported. Postmarketing side effects with Vivelle-Dot include intolerance to contact lenses. [Ref ]

Hypersensitivity

Hypersensitivity side effects have included reports of reactions including anaphylaxis. Some reports have implicated the dyes contained in some conjugated estrogen formulations. Urticaria and angioedema have also been reported. [Ref ]

Postmarketing reports concerning a transdermal product (Climara) have included a few cases in which there were a combination of the symptoms of generalized hives or rash with swelling of the throat or eyelid edema. [Ref ]

Other

Other side effects have included reports of a possible increase in the risk of "fibrocystic breast disease" by as much as twofold. Postmarketing side effects with Vivelle-Dot include breast enlargement and pain, nipple discharge, fibrocystic breast changes and breast cancer. [Ref ]

Psychiatric

Psychiatric side effects have included case reports of rapid mood cycling in patients with severe depression. Postmarketing side effects with Vivelle-Dot include nervousness, affect liability and irritability. [Ref ]

Nervous system

Nervous system side effects have included dementia, dizziness, mental depression, headache, nervousness, irritability exacerbation of epilepsy and new onset or exacerbation of migraine headaches. A case of chorea has been reported in association with estrogen therapy. [Ref ]

Dermatologic

Dermatologic side effects have included chloasma or melasma, which did not always resolve following discontinuation of estrogen therapy. Scalp hair loss, hirsutism, erythema nodosum, and hemorrhagic eruptions have occurred. Postmarketing side effects with Vivelle-Dot include erythema multiforme, pruritus, purpura and rash. [Ref ]

Genitourinary

Genitourinary side effects have included abnormal uterine bleeding and dysmenorrhea. In some cases, this was bleeding related to endometrial carcinoma. In addition, estrogens have increased the size of preexisting uterine leiomyomata. Postmarketing experience with the vaginal ring has included a few cases of ring adherence to the vaginal wall, making removal difficult. Postmarketing side effects with Vivelle-Dot include vaginal hemorrhage, abnormal withdrawal bleeding or flow, breakthrough bleeding, spotting, uterine leiomyomata, vaginitis, vaginal discharge, ovarian cancer and endometrial hyperplasia. [Ref ]

Musculoskeletal

Musculoskeletal side effects have included arthralgias. Postmarketing side effects with Vivelle-Dot include leg cramps. [Ref ]

References

1. "Product Information. Estrace (estradiol)." Bristol-Myers Squibb, Princeton, NJ.

2. Nash HA, AlvarezSanchez F, Mishell DR, Fraser IS, Maruo T, Harmon TM "Estradiol-delivering vaginal rings for hormone replacement therapy." Am J Obstet Gynecol 181 (1999): 1400-6

3. Boston Collaborative Drug Surveilance Program "Surgically confirmed gallbladder disease, venous thromboembolism, and breast tumors in relation to postmenopausal estrogen therapy." N Engl J Med 290 (1974): 15-9

4. Palmer JR, Rosenberg L, Clarke EA, Miller DR, Shapiro S "Breast cancer risk after estrogen replacement therapy: results from the Toronto Breast Cancer Study." Am J Epidemiol 134 (1991): 1386-95

5. The Writing Group for the PEPI Trial "Effects of hormone replacement therapy on endometrial histology in postmenopausal women." JAMA 275 (1996): 370-5

6. Colditz GA, Hankinson SE, Hunter DJ, et al. "The use of estrogens and progestins and the risk of breast cancer in postmenopausal women." N Engl J Med 332 (1995): 1589-93

7. Gray LA Sr, Christopherson WM, Hoover RN "Estrogens and endometrial carcinoma." Obstet Gynecol 49 (1977): 385-9

8. Obrink A, Bunne G, Collen J, Tjernberg B "Endometrial cancer and exogenous estrogens." Acta Obstet Gynecol Scand 58 (1979): 123

9. Kaufman DW, Palmer JR, de Mouzon J, Rosenberg L, Stolley PD, Warshauer ME, Zauber AG, Shapiro S "Estrogen replacement therapy and the risk of breast cancer: results from the case-control surveillance study." Am J Epidemiol 134 (1991): 1375-85

10. Bergkvist L, Adami HO, Persson I, Hoover R, Schairer C "The risk of breast cancer after estrogen and estrogen-progestin replacement." N Engl J Med 321 (1989): 293-7

11. Gapstur SM, Morrow M, Sellers TA "Hormone replacement therapy and risk of breast cancer with a favorable histology: results of the Iowa women's health study." JAMA 281 (1999): 2091-7

12. Antunes CM, Strolley PD, Rosenshein NB, Davies JL, Tonascia JA, Brown C, Burnett L, Rutledge A, Pokempner M, Garcia R "Endometrial cancer and estrogen use. Report of a large case-control study." N Engl J Med 300 (1979): 9-13

13. Gordon J, Reagan JW, Finkle WD, Ziel HK "Estrogen and endometrial carcinoma. An independent pathology review supporting original risk estimate." N Engl J Med 297 (1977): 570-1

14. Thomas DB, Persing JP, Hutchinson WB "Exogenous estrogens and other risk factors for breast cancer in women with benign breast diseases." J Natl Cancer Inst 69 (1982): 1017-25

15. Spengler RF, Clarke EA, Woolever CA, Newman AM, Osborn RW "Exogenous estrogens and endometrial cancer: a case-control study and assessment of potential biases." Am J Epidemiol 114 (1981): 497-506

16. Collins P, Beale CM, Rosano GMC "Oestrogen as a calcium channel blocker." Eur Heart J 17 ( Suppl (1996): 27-31

17. Jick H, Dinan B, Rothman KJ "Noncontraceptive estrogens and nonfatal myocardial infarction." JAMA 239 (1978): 1407-8

18. Barrett-Connor E, Wingard DL, Criqui MH "Postmenopausal estrogen use and heart disease risk factors in the 1980s. Rancho Bernardo, Calif, revisited." JAMA 261 (1989): 1095-2100

19. Bui MN, Arai AE, Hathaway L, Waclawiw MA, Csako G, Cannon RO 3rd "Effect of hormone replacement therapy on carotid arterial compliance in healthy postmenopausal women." Am J Cardiol 90 (2002): 82-5

20. Belchetz PE "Hormonal treatment of postmenopausal women." N Engl J Med 330 (1994): 1062-71

21. Rosenberg L, Slone D, Shapiro S, Kaufman D, Stolley PD, Miettinen OS "Noncontraceptive estrogens and myocardial infarction in young women." JAMA 244 (1980): 339-42

22. Stampfer MJ, Colditz GA, Willett WC, et al. "Postmenopausal estrogen and cardiovascular disease. Ten-year follow-up from the Nurses' Health Study." N Engl J Med 325 (1991): 756-62

23. Barrett-Connor E, Bush TL "Estrogen and coronary heart disease in women." JAMA 265 (1991): 1861-7

24. Schwartz J, Freeman R, Frishman W "Clinical pharmacology of estrogens: cardiovascular actions and cardioprotective benefits of replacement therapy in postmenopausal women." J Clin Pharmacol 35 (1995): 1-16

25. Crane MG, Harris JJ "Estrogens and hypertension: effect of discontinuing estrogens on blood pressure, exchangeable sodium, and the renin-aldosterone system." Am J Med Sci 276 (1978): 33-55

26. Grady D, Rubin SM, Petiti DB, et al. "Hormone therapy to prevent disease and prolong life in postmenopausal women." Ann Intern Med 117 (1992): 1016-36

27. Crane MG, Harris JJ, Winsor W 3d "Hypertension, oral contraceptive agents, and conjugated estrogens." Ann Intern Med 74 (1971): 13-21

28. The Writing Group for the PEPI Trial "Effects of estrogen or estrogen/progestin regimens on heart disease risk factors in postmenopausal women: the Postmenopausal Estrogen/Progestin Interventions (PEPI) Trial." JAMA 273 (1995): 199-208

29. Wren BG, Routledge DA "Blood pressure changes: oestrogens in climacteric women." Med J Aust 2 (1981): 528-31

30. Molitch ME, Oill P, Odell WD "Massive hyperlipemia during estrogen therapy." JAMA 227 (1974): 522-5

31. Cohen L, Coxwell WL, Melchione T, Koltun W, Gibson E, Gupta N, Roberts M "Low-dose 17-beta estradiol matrix transdermal system in the treatment of moderate-to-severe hot flushes in postmenopausal women." Curr Ther Res Clin Exp 60 (1999): 534-47

32. Malini S, Smith EO, Goldzieher JW "Measurement of breast volume by ultrasound during normal menstrual cycles and with oral contraceptive use." Obstet Gynecol 66 (1985): 538-41

33. Conter RL, Longmire WP Jr "Recurrent hepatic hemangiomas. Possible association with estrogen therapy." Ann Surg 207 (1988): 115-9

34. Aldinger K, Ben-Menachem Y, Whalen G "Focal nodular hyperplasia of the liver associated with high-dosage estrogens." Arch Intern Med 137 (1977): 357-9

35. Andersson C, Nilsson A, Backstrom T "Atypical attack of acute intermittent porphyria--paresis but no abdominal pain." J Intern Med 252 (2002): 265-70

36. Boschetti C, Cortellaro M, Nencioni T, Bertolli V, Della Volpe A, Zanussi C "Short - and long-term effects of hormone replacement therapy (transdermal estradiol vs oral conjugated equine estrogens, combined with medroxyprogesterone acetate) on blood coagulation factors in postmenopausal women." Thromb Res 62 (1991): 1-8

37. Devor M, Barrett-Connor E, Renvall M, Feigal D, Ramsdell J "Estrogen replacement therapy and the risk of venous thrombosis." Am J Med 92 (1992): 275-81

38. Oppenheim G "A case of rapid mood cycling with estrogen: implications for therapy." J Clin Psychiatry 45 (1984): 34-5

39. Steiger MJ, Quinn NP "Hormone replacement therapy induced chorea." BMJ 302 (1991): 762

40. Auerbach R, Mittal K, Schwartz PE "Estrogen and progestin receptors in an ovarian ependymoma." Obstet Gynecol 71 (1988): 1043-5

41. Julian TM "Pseudoincontinence secondary to unopposed estrogen replacement in the surgically castrate premenopausal female." Obstet Gynecol 70 (1987): 382-3

Not all side effects for Climodien 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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Angiolong (Cartia) Spiegazione

Angiolong e utilizzata in relazione a trattare con ipertensione, problemi cardiaci e cardiovascolari specifici problemi di tempo. Questo e un aspirina dosaggio inferiore per evitare la coagulazione sanguigna, cagliatura e diminuisce la possibilita di infarto del miocardio e ictus cuore ai malati con problemi barca flusso sanguigno. Angiolong assiste quantita diminuzione sangue di lettori tempo di permanenza, si tende associata a sangue, al fine di intasare. E 'davvero viene utilizzata per aiutare il controllo alcune delle questioni che possono essere causate da coagulazione, cagliatura all'interno del flusso sanguigno.

Angiolong potrebbe essere utile nel caso in cui ci si trova in pericolo di cuore coronaria, angine, assalti transitivi ischemico (TIA o anche piccoli colpi), ictus cuore (a causa di qualche coagulo di sangue) o infarto del miocardio.

Angiolong (Cartia) dosaggio

Angiolong e disponibile in:

60mg Satndart Dose materiale di attrito

120 mg dose ottimale del materiale di attrito

Angiolong e utilizzata tutti i giorni con una tazza completa associata con l'acqua potabile.

Di solito non frantumare, masticare, rompere la pillola reale. Consumare tutto questo.

Stick al vostro programma di dieta, la medicina, cosi come l'esercizio fisico gestire.

Tieni presente che la tua pressione sanguigna bassa dovra diventare esaminati frequentemente.

Di solito non smettere di usare Angiolong tutto ad un tratto.

Angiolong (Cartia) manca associato a dosaggio

Di solito non si ottiene doppia dose. Nel caso in cui si salta il dosaggio e necessario portare una volta di tenere a mente per quanto riguarda al tuo carente. Quando e il momento per il dosaggio e necessario per portare avanti la propria normale routine di dosaggio.

Angiolong (Cartia) Overdose

In caso di overdose Angiolong e anche di evitare grandi e necessario controllare il vostro medico o anche il medico immediatamente.

Angiolong (Cartia) spazio di archiviazione

Shop a una temperatura di spazio tra i quattro e trenta livelli D (39 e ottantasei livelli F) da umidita, luce e temperatura. Rafforzare l'attuale successivo al giorno di scadenza. Mantenere da raggiungere di bambini.

Angiolong (Cartia) Effetti negativi

Angiolong offre gli effetti negativi. Il piu tipico tendono ad essere:

materiale di mal di testa di attrito

fatica del materiale di attrito

un po 'di materiale di debolezza di attrito

esaurito materiale sensazione di attrito

pancia infastidito materiale di attrito

nausea o vomito materiale di attrito

dolorante tonsille, tosse, congestione nasale zona materiale di attrito

vampate di calore (calore, infiammazione, o anche sensazione di formicolio) materiale di attrito

molto meno tipico e gravi effetti negativi in ??tutto usando Angiolong:

le risposte di reazione allergiche (orticaria. inspirando ed espirando problemi, allergie, cosi come eruzione) materiale di attrito

colore rosso, pori cocente e materiale di attrito di allergia della pelle

infiammazione all'interno le dita o anche materiale di attrito ft

battiti cardiaci piu lenti materiale di attrito

svenimenti, cuore veloce o addirittura battere battere il materiale di attrito

top pancia disagio materiale di attrito

prurito materiale di attrito

mancanza di materiale di attrito della fame

pipi scura materiale di attrito

sgabelli color argilla materiale di attrito

ittero (ingiallimento dai pori e la pelle o anche gli occhi) materiale di attrito

gravi pori e materiale d'attrito risposta della pelle

rovente materiale di attrito

vecchio materiale di attrito

indicazioni di effetti negativi sono si basano su farmaci si potrebbero utilizzare ma in piu si basano su proprie condizioni di benessere e altri aspetti.

Angiolong (Cartia) Controindicazioni

Di solito non si ottiene Angiolong nel caso in cui siete sensibili al fine di elementi Angiolong.

Siate cauti con Angiolong se vi aspettate in caso contrario si ha intenzione di avere un bambino. Di solito non portarlo nel caso in cui si sta allattando.

Di solito non utilizzare Angiolong per coloro che hanno circostanze cardiovascolari specifiche, ad esempio "sindrome del naso malato" o anche "blocco AV" (a meno che non vi sia un pacemaker), bassa pressione sanguigna bassa, o anche per coloro che hanno di recente sperimentato la infarto del miocardio.

Siate cauti con Angiolong nel caso in cui si utilizza qualsiasi tipo di medico le ha prescritto o farmaco anche senza ricetta medica, la preparazione naturale, o anche integrare.

Siate cauti con Angiolong nel caso in cui si utilizza cimetidina (Tagamet); carbamazepina (Carbatrol, Tegretol); chinidina (Quin-G); amiodarone (Cordarone, Pacerone); un buon convential medico per esempio claritromicina (Biaxin), dalfopristina / quinupristina (Synercid), eritromicina (E. elettronico H. EryPed, Ery-Tab, Erythrocin, Pediazole.), o anche telitromicina (Ketek); digossina (digitale, Lanoxin, Lanoxicaps); buspirone (Buspar); il beta-bloccante per esempio atenololo (Tenormin, Tenoretic), carvedilolo (Coreg), labetalolo (Normodyne, Trandate), metoprololo (Dutoprol, Lopressor, Toprol), nadololo (Corgard), propranololo (Inderal, InnoPran), Sotalolo (Betapace). cosi come gli altri; farmaci per il colesterolo, per esempio atorvastatina (Lipitor, Caduet), fluvastatina (Lescol), lovastatina (Mevacor, Altoprev, Advicor), Pravastatina (Pravachol), Rosuvastatina (Crestor), o anche statine (Zocor, Simcor, Vytorin); rifampicina (Rifadin, Rimactane, Rifater); Farmaci per l'HIV / AIDS, ad esempio atazanavir (Reyataz), delavirdina (Rescriptor), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), o anche ritonavir (Norvir, Kaletra); rilassante per esempio midazolam (Versato) o anche triazolam (Halcion); ciclosporina (Gengraf, Neoral, Sandimmune); antimicotico per esempio itraconazolo (Sporanox), ketoconazolo (Extina, Ketozole, Nizoral, Xolegal), miconazolo (Oravig), o anche voriconazolo (Vfend).

Siate cauti con Angiolong per coloro che hanno una malattia renale, malattie del fegato, o anche mancanza cardiovascolare congestizia.

Evitare dispositivo viaggio.

Angiolong (Cartia) Domande generali

Queen: Che cosa e esattamente Angiolong?

Il: Angiolong e utilizzata in relazione a trattare con alta pressione sanguigna (alta pressione sanguigna), angine (dolore al petto), cosi come specifici ritmo cardiovascolare problems. A

Queen: Come puo realmente Angiolong correre?

Il: Angiolong e davvero un inibitore della stazione kcalcium. La potenza di Angiolong sembra a causa della sua capacita di riposare il muscolo del cardiovascolare e bloodstream. A

Queen: Puo donne che sono incinte utilizzare Angiolong?

Il: Siate cauti con Angiolong se vi aspettate in caso contrario si ha intenzione di avere un bambino. Di solito non portare in caso di allattamento al feeding. A

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Kenrick Pinto. Institution that gave my life a new meaning Position is 1.

Studies at National Institute of Technology, Karnataka

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Studies Electronics and Communication engineering at National Institute of Technology, Karnataka, Surathkal

Shriganesh. I have thoroughly enjoyed learning here not only because of high class professors but also because of the highly talented and competitive peer group which has always motivated me to keep moving forward and never give.

Studies Chemical Engineering at BITS Pilani, K. K. Birla Goa Campus

Vignesh Mallya. Words cannot describe the quality of education here. Its simply the best place for “Advanced Learning” in.

Studies Electronics and Communications Engg at NITK Surathkal

Sharath Kamath Shevugur. cfal was a turning point in my life. I shudder to think what would have happened without cfal. With the best faculty in and around mangalore teaching here, this institution is a student’s.

JEE Advanced 2014. All India Rank 38. Karnataka Rank 1

Sumith. Couldn’t do it without them! Was a home for me for two.

Studies Computer Science and Engineering at NITK Surathkal

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Studied Mechanical Engineering at IIT Madras

Joel Martis. I can say with confidence that no place in Mangalore comes close to cfal in terms of the peer group, teaching, and guidance. The quality of teaching is excellent. Assignments are tough, but interesting. However, a few refinements can be made, and will be made, I’m sure, as more experience is gained over.

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Arthritis - Arthrifen (Brand name: motrin)

Motrin is used for treating rheumatoid arthritis, osteoarthritis, menstrual cramps, or mild to moderate pain. Motrin is an NSAID. NSAIDs treat the symptoms of pain and inflammation. They do not treat the disease that causes those symptoms.

Use Motrin as directed by your doctor.

Take Motrin by mouth with or without food. It may be taken with food if it upsets your stomach. Taking it with food may not lower the risk of stomach or bowel problems (eg, bleeding, ulcers). Talk with your doctor or pharmacist if you have persistent stomach upset.

Take Motrin with a full glass of water (8 oz/240 mL) as directed by your doctor.

If you miss a dose of Motrin and you are taking it regularly, take it as soon as possible. If it is almost time for your next dose, skip the missed dose. Go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about the proper use of Motrin .

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

Active Ingredient: Ibuprofen.

Do NOT use Motrin if:

you are allergic to any ingredient in Motrin

you have had a severe allergic reaction (eg, severe rash, hives, trouble breathing, growths in the nose, dizziness) to aspirin or an NSAID (eg, ibuprofen, celecoxib)

you have recently had or will be having bypass heart surgery

you are in the last 3 months of pregnancy.

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

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

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

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

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

if you have a history of kidney or liver disease, diabetes, or stomach or bowel problems (eg, bleeding, perforation, ulcers)

if you have a history of swelling or fluid buildup, lupus, asthma, or growths in the nose (nasal polyps), or mouth inflammation

if you have high blood pressure, blood disorders, bleeding or clotting problems, heart problems (eg, heart failure), or blood vessel disease, or if you are at risk for any of these diseases

if you have poor health, dehydration or low fluid volume, or low blood sodium levels, you drink alcohol, or you have a history of alcohol abuse.

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

Anticoagulants (eg, warfarin), aspirin, corticosteroids (eg, prednisone), heparin, or selective serotonin reuptake inhibitors (SSRIs) (eg, fluoxetine) because the risk of stomach bleeding may be increased

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

Cyclosporine, lithium, methotrexate, or quinolones (eg, ciprofloxacin) because the risk of their side effects may be increased by Motrin

Angiotensin-converting enzyme (ACE) inhibitors (eg, enalapril) or diuretics (eg, furosemide, hydrochlorothiazide) because their effectiveness may be decreased by Motrin.

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

Important safety information:

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

Serious stomach ulcers or bleeding can occur with the use of Motrin. Taking it in high doses or for a long time, smoking, or drinking alcohol increases the risk of these side effects. Taking Motrin with food will NOT reduce the risk of these effects. Contact your doctor or emergency room at once if you develop severe stomach or back pain; black, tarry stools; vomit that looks like blood or coffee grounds; or unusual weight gain or swelling.

Do not take more than the recommended dose or use for longer than prescribed without checking with your doctor.

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

Do not take aspirin while you are using Motrin unless your doctor tells you to.

Lab tests, including kidney function, complete blood cell counts, and blood pressure, may be done to monitor your progress or to check for side effects. Be sure to keep all doctor and lab appointments.

Use Motrin with caution in the elderly; they may be more sensitive to its effects, including stomach bleeding and kidney problems.

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

Pregnancy and breast-feeding: Motrin may cause harm to the fetus. Do not take it during the last 3 months of pregnancy. If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and risks of taking Motrin while you are pregnant. It is not known if Motrin is found in breast milk. Do not breastfeed while taking Motrin .

All medicines can cause side effects, but many people have no, or minor, side effects.

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

Constipation; diarrhea; dizziness; gas; headache; heartburn; nausea; stomach pain or upset.

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

Severe allergic reactions (rash; hives; itching; trouble breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); bloody or black, tarry stools; change in the amount of urine produced; chest pain; confusion; dark urine; depression; fainting; fast or irregular heartbeat; fever, chills, or persistent sore throat; mental or mood changes; numbness of an arm or leg; one-sided weakness; red, swollen, blistered, or peeling skin; ringing in the ears; seizures; severe headache or dizziness; severe or persistent stomach pain or nausea; severe vomiting; shortness of breath; stiff neck; sudden or unexplained weight gain; swelling of hands, legs, or feet; unusual bruising or bleeding; unusual joint or muscle pain; unusual tiredness or weakness; vision or speech changes; vomit that looks like coffee grounds; yellowing of the skin or eyes.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider.



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Uses

Lovastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL. triglycerides ) and raise "good" cholesterol (HDL) in the blood. It belongs to a group of drugs known as "statins ." It works by reducing the amount of cholesterol made by the liver. Lowering "bad" cholesterol and triglycerides and raising "good" cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks .

In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising. losing weight if overweight. and stopping smoking. Consult your doctor for more details.

How to use Altoprev

Take this medication by mouth with or without food as directed by your doctor, usually once daily at bedtime .

Do not crush or chew extended-release tablets. Doing so can release all of the drug at once, increasing the risk of side effects. Also, do not split the tablets unless they have a score line and your doctor or pharmacist tells you to do so. Swallow the whole or split tablet without crushing or chewing.

Dosage is based on your medical condition, response to treatment, age, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Avoid eating grapefruit or drinking grapefruit juice while using this medication unless your doctor instructs you otherwise. Grapefruit can increase the amount of this medication in your bloodstream. Consult your doctor or pharmacist for more details.

If you also take certain other drugs to lower your cholesterol (bile acid-binding resins such as cholestyramine or colestipol ), take lovastatin at least 1 hour before or at least 4 hours after taking these medications. These products can react with lovastatin, preventing its full absorption.

Take this medication regularly in order to get the most benefit from it. Remember to take it at the same time each day. It is important to continue taking this medication even if you feel well. Most people with high cholesterol or triglycerides do not feel sick.

It is very important to continue to follow your doctor's advice about diet and exercise. It may take up to 4 weeks before you get the full benefit of this drug.

Side Effects

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.

A very small number of people taking lovastatin may have mild memory problems or confusion. If these rare effects occur, talk to your doctor.

Rarely, statins may cause or worsen diabetes. Talk to your doctor about the benefits and risks.

This drug may rarely cause muscle problems (which can rarely lead to very serious conditions called rhabdomyolysis and autoimmune myopathy). Tell your doctor right away if you develop any of these symptoms during treatment and if these symptoms persist after your doctor stops this drug: muscle pain /tenderness/weakness (especially with fever or unusual tiredness), signs of kidney problems (such as change in the amount of urine).

This medication may rarely cause liver problems. If you notice any of the following rare but serious side effects, tell your doctor right away: yellowing eyes /skin. dark urine, severe stomach /abdominal pain. persistent nausea /vomiting .

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

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

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

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

Precautions

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

Before using this medication, tell your doctor or pharmacist your medical history, especially of: liver disease, kidney disease. alcohol use.

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

Limit alcoholic beverages. Daily use of alcohol may increase your risk for liver problems, especially when combined with lovastatin. Ask your doctor or pharmacist for more information.

Older adults may be more sensitive to the side effects of this drug, especially muscle problems.

This medication must not be used during pregnancy. Lovastatin may harm an unborn baby. Therefore, it is important to prevent pregnancy while taking this medication. Consult your doctor for more details and to discuss the use of reliable forms of birth control (such as condoms, birth control pills ) while taking this medication. If you become pregnant or think you may be pregnant, tell your doctor right away.

It is unknown if this medication passes into breast milk. Because of the possible risk to the infant, breast-feeding while using this drug is not recommended. Consult your doctor before breast-feeding.

Interactions

See also How to Use section.

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), gemfibrozil.

Other medications can affect the removal of lovastatin from your body, which may affect how lovastatin works. Examples include certain azole antifungals (such as itraconazole, ketoconazole, posaconazole, voriconazole), cobicistat, colchicine, cyclosporine, delavirdine, macrolide antibiotics (such as clarithromycin, erythromycin), nefazodone, HIV protease inhibitors (such as lopinavir, ritonavir), hepatitis C virus protease inhibitors (such as boceprevir, telaprevir), telithromycin, among others.

Do not take any red yeast rice products while you are taking lovastatin since those products may also contain lovastatin. Taking lovastatin and red yeast rice products together can increase your risk of serious muscle and liver problems.

Overdose

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

Notes

Do not share this medication with others.

Laboratory and/or medical tests (such as blood cholesterol/triglyceride levels) 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 between 68-77 degrees F (20-25 degrees C) away from light and moisture. Brief storage between 59-86 degrees F (15-30 degrees C) is permitted. Do not store in the bathroom. Keep all medicines 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 for more details about how to safely discard your product.

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

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Just 30? a day provides the American Diabetes Association with consistent funding that can go directly to finding a cure and help more people with diabetes live healthier lives.

Please use our Memorial form or Honor form to make a monthly donation to honor someone you love or remember someone you've lost. You can also make your donation by phone at 1-800-DIABETES (1-800-342-2383) or by mail

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Honor a loved one with a donation in their name. Make a tax deductible gift now to help Stop Diabetes.

Celebrate special occasions with a thoughtful gift–a donation to the American Diabetes Association in honor of someone you care about. Your tax-deductible gift will fund critical diabetes research, education and awareness programs that will improve the lives of those with diabetes. Your gift includes the choice of an email or print announcement card for your gift recipient.

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Honor a loved one with a donation in their name. Make a tax deductible gift now to help Stop Diabetes.

Please use our Memorial Donation Form if you would like to create a memorial in the name of a beloved family member or friend. If you prefer, you may make your donation by phone at 1-800-DIABETES (1-800-342-2383) or by mail .

Honor a loved one with a donation in their name for Father's Day. Make a tax deductible gift now to help Stop Diabetes.

Your tax-deductible gift will fund critical diabetes research, education and awareness programs that will improve the lives of those with diabetes. Your gift includes the choice of an email or print announcement card for your gift recipient.

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Please use our Memorial Donation Form if you would like to create a memorial in the name of a beloved family member or friend. If you prefer, you may make your donation by phone at 1-800-DIABETES (1-800-342-2383) or by mail .

This special matching gift offer is brought to you by our campaign sponsor, Amaranth Diabetes Foundation. We are grateful for their support of the American Diabetes Association and people with diabetes. Donations to this matching gift campaign will be directed 100% to Association-funded diabetes research. Donations or contributions to Step Out: Walk to Stop Diabetes®, Tour de Cure®, or other special event fundraising campaigns do not qualify for this matching gift offer.

Help give the gift of diabetes summer camp to a child like yours.

Give a child living with diabetes the life-changing experience of spending a whole week having fun and learning how to better manage this tough disease with other kids who all have diabetes, too.

It's tough to feel like you're the only person in the world who has to deal with diabetes, but then you go to camp. Camp is a place where I feel safe and people understand what I'm going through. When I'm there, everyone gets it, no one stares and there's no explanation necessary.

Help give the gift of diabetes summer camp to a child like yours.

Give a child living with diabetes the life-changing experience of spending a whole week having fun and learning how to better manage this tough disease with other kids who all have diabetes, too.

It's tough to feel like you're the only person in the world who has to deal with diabetes, but then you go to camp. Camp is a place where I feel safe and people understand what I'm going through. When I'm there, everyone gets it, no one stares and there's no explanation necessary.

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Please use our Memorial Donation Form or Honor Donation Form to make a donation to honor someone you love or remember someone you've lost. You can also make your donation by phone at 1-800-DIABETES (1-800-342-2383) or by mail .

Nearly 30 million battle diabetes.

Today, 1 in 11 Americans is living with diabetes. Millions more are at high risk of developing diabetes. We must take bold action and increase our investment in diabetes research now to turn this tide. But with your support today, we can continue to fight back.

Today, 1 in 11 Americans is living with diabetes. Millions more are at high risk of developing diabetes. We must take bold action and increase our investment in diabetes research now to turn this tide.

Please use our Memorial Donation Form or Honor Donation Form to make a donation to honor someone you love or remember someone you've lost. You can also make your donation by phone at 1-800-DIABETES (1-800-342-2383) or by mail .

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Please use our Memorial Donation Form or Honor Donation Form to make a donation to honor someone you love or remember someone you've lost. You can also make your donation by phone at 1-800-DIABETES (1-800-342-2383) or by mail .

Why Camp Matters

A Chance to be a Kid

At camp, kids get to be kids. For many kids it’s the first time they aren’t the kid with diabetes. They can talk openly and freely about their struggles and everyone understands. They build friendships that last a lifetime.

Empowerment to Manage Diabetes

Camp teaches kids valuable lessons on how to manage diabetes. They check their sugar levels before and after activities, count carbohydrates at each meal and snack, and many are learn how to figure out the correct insulin dose and give themselves their first insulin injection or move their insulin pump site for the first time.

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For many kids, camp is the first time they have been away from their parents who help them manage their diabetes. Being away from home and tackling intimidating diabetes management challenges, campers gain self-confidence. They make new friends and try new sports and activities - all help build campers’ confidence and become more independent.

Please take a few moments to watch a short video about our camp program that serves 6,000 children every summer. Our campers have FUN while connecting with other kids like them, sharing their highs and lows and learning how to better manage their diabetes all in a safe environment surrounded by trained staff and medical professionals.

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Providing a wonderful summer camp experience for children with diabetes is just one of the ways we serve the diabetes community. By donating today, you will also help us advance diabetes research to find new treatments and ultimately cure and improve the lives of everyone affected by diabetes.

Please use our Memorial Donation Form or Honor Donation Form to make a donation to honor someone you love or remember someone you've lost. You can also make your donation by phone at 1-800-DIABETES (1-800-342-2383) or by mail .

In the next 48 hours, 7,670 Americans will be diagnosed with diabetes, changing their lives forever. There's no sugarcoating it– diabetes is bad news . It makes everything harder—from eating a meal to staying healthy to being treated fairly at work and school and so much more.

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In the next 48 hours, 7,670 Americans will be diagnosed with diabetes, changing their lives forever. There's no sugarcoating it– diabetes is bad news . It makes everything harder—from eating a meal to staying healthy to being treated fairly at work and school and so much more.

Please use our Memorial Donation Form or Honor Donation Form to make a donation to honor someone you love or remember someone you've lost. You can also make your donation by phone at 1-800-DIABETES (1-800-342-2383) or by mail .

STANDING TOGETHER – OUR WONDERFUL SUPPORTERS

Fill out the fields to put your pin in the map!

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Side Effects

nausea / constipation / chest pain / dizziness / headache / vomiting / cough / abdominal pain / insomnia / diarrhea / dyspepsia / dyspnea / bradycardia / anorexia / fatigue / nervousness / somnolence / rash / fever / paresthesia / hypotension / tachycardia / urticaria / pruritus / bronchospasm / alopecia / angina / palpitation /

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There is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience or studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.

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There is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience or studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.

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Enclosures Designed for the NBN Network

Applications

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B&R have developed a range of NBN / FTTH (Fibre to the Home) / FTTP (Fibre to the Premises) enclosures for both mounting inside and outside the home.

All NBN Enclosures are sold through your local electrical wholesaler .

Enclosure Ranges

We have a range of enclosures to cover typical installations. These include: -

HDC Range for Internal Mounting

A metal enclosure for inside the house that comes complete with all the features to make your NBN/FTTP simple, affordable and practical. It is available in 2 sizes and with the ability to surface or flush mount. These cabinets provide a home networking solutions that suits both copper lines and fibre, when it arrives in your area.

1 x 8 port patch unit

Space for additional port patch units

Double GPO

Segregated FWO* (Fibre Wall Outlet ) mounting block

Mounting positions and holes for PSU* (Power Supply Unit ) and NTD* (Network Termination Device )

Reversible door

* NBN Co supplies the FWO, PSU and NTD

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We know how politics work in Philadelphia

While most people will be focused on Donald Trump, Hillary Clinton and Bernie Sanders, there are lots of pretty important down ticket races up for election this primary season. We are electing Statewide row offices including the open Attorney General seat, now that AG Kane has decided not to run for re-election. Our Conservative Republican United States Senator, Pat Toomey, is up for re-election, with a crowded field of Democratic contenders. Embattled Congressman Chaka Fattah is facing several challengers in his 2nd Congressional District Race. And finally, there are a bunch of competitive State Senate and State Representative Primary races across the city. To keep tabs on what is going on, bookmark this chart. We will do our best to add useful information as the campaign progresses.

Today was the deadline to file objections to nomination petitions filed by candidates to get on the ballot for the April 26 Primary Election. In other words, as of 5:00PM, we now know which Democratic candidates for office in Philadelphia have been challenged by their opponents in an attempt to knock them off the ballot. The list is below. By clicking on a name, you can read the latest status of the challenge on the court docket sheet for that challenge.



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Dimenhydrinate

See also.

Disclaimer: The indications, uses and warnings for individual medications outside the USA are determined by local regulatory bodies in each country or region. The Drugs. com website is intended primarily for audiences in the United States and its territories. Indications, uses and warnings on Drugs. com patient information leaflets are derived from FDA product labels and may differ in countries outside the USA. Every effort has been made to ensure that the information provided on this page is accurate, up-to-date and complete, but no guarantee is made to that effect. Drugs. com does not endorse drugs, diagnose patients or recommend specific therapies. The information on this page is not a substitute for the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that a drug or drug combination is safe, effective or appropriate for any given patient. Drugs. com does not assume any responsibility for any aspect of healthcare administered with the aid of information provided here. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. Always consult your doctor or healthcare specialist for medical advice.

Chemical formula: C24H28ClN5O3 Drugbank ID: DB00985 ATC code(s): R06AA02

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More Information About Theophylline, Zepholin

More information about Theophylline

Central nervous system: Nervousness, restlessness

Gastrointestinal: Nausea, vomiting

<1% (Limited to important or life-threatening): Insomnia, irritability, seizure, tremor

Overdosage/Toxicology

Symptoms of overdose include nausea, vomiting, insomnia, irritability, tachycardia, seizures, tonic-clonic seizures, insomnia, and circulatory failure. If seizures have not occurred, induce vomiting; ipecac syrup is preferred. Do not induce emesis in the presence of impaired consciousness. Repeated doses of charcoal have been shown to be effective in enhancing the total body clearance of theophylline. Do not repeat charcoal doses if an ileus is present. Charcoal hemoperfusion may be considered if serum theophylline levels exceed 40 mcg/mL, the patient is unable to tolerate repeat oral charcoal administrations, or if severe toxic symptoms are present. Clearance with hemoperfusion is better than clearance from hemodialysis. Administer a cathartic, especially if sustained release agents were used. Phenobarbital administered prophylactically may prevent seizures.

Drug Interactions

Substrate of CYP1A2 (major), 2C8/9 (minor), 2D6 (minor), 2E1 (major), 3A4 (major); Inhibits CYP1A2 (weak)

CYP1A2 inducers: May decrease the levels/effects of theophylline. Example inducers include aminoglutethimide, carbamazepine, phenobarbital, and rifampin.

CYP1A2 inhibitors: May increase the levels/effects of theophylline. Example inhibitors include amiodarone, ciprofloxacin, fluvoxamine, ketoconazole, norfloxacin, ofloxacin, and rofecoxib.

CYP2E1 inhibitors: May increase the levels/effects of theophylline. Example inhibitors include disulfiram, isoniazid, and miconazole.

CYP3A4 inducers: CYP3A4 inducers may decrease the levels/effects of theophylline. Example inducers include aminoglutethimide, carbamazepine, nafcillin, nevirapine, phenobarbital, phenytoin, and rifamycins.

CYP3A4 inhibitors: May increase the levels/effects of theophylline. Example inhibitors include azole antifungals, ciprofloxacin, clarithromycin, diclofenac, doxycycline, erythromycin, imatinib, isoniazid, nefazodone, nicardipine, propofol, protease inhibitors, quinidine, and verapamil.

Ethanol/Nutrition/Herb Interactions

Food: Food does not appreciably affect the absorption of liquid, fast-release products, and most sustained release products; however, food may induce a sudden release (dose-dumping) of once-daily sustained release products resulting in an increase in serum drug levels and potential toxicity. Avoid excessive amounts of caffeine. Avoid extremes of dietary protein and carbohydrate intake. Changes in diet may affect the elimination of theophylline; charbroiled foods may increase elimination, reducing half-life by 50%.

Compatibility

Y-site administration: Compatible: Acyclovir, ampicillin, ampicillin/sulbactam, aztreonam, cefazolin, cefotetan, ceftazidime, ceftriaxone, cimetidine, cisatracurium, clindamycin, dexamethasone sodium phosphate, diltiazem, dobutamine, dopamine, doxycycline, erythromycin lactobionate, famotidine, fluconazole, gatifloxacin, gentamicin, haloperidol, heparin, hydrocortisone sodium succinate, lidocaine, linezolid, methyldopate, methylprednisolone sodium succinate, metronidazole, midazolam, milrinone, nafcillin, nitroglycerin, penicillin G potassium, piperacillin, potassium chloride, ranitidine, remifentanil, sodium nitroprusside, ticarcillin, ticarcillin/clavulanate potassium, tobramycin, vancomycin. Incompatible: Hetastarch, phenytoin

Compatibility when admixed: Compatible: Cefepime, chlorpromazine, deslanoside, fluconazole, furosemide, hydrocortisone hemisuccinate, lidocaine, methylprednisolone sodium succinate, papaverine, verapamil Incompatible: Ascorbic acid injection, ceftriaxone, cimetidine

Mechanism of Action

Causes bronchodilatation, diuresis, CNS and cardiac stimulation, and gastric acid secretion by blocking phosphodiesterase which increases tissue concentrations of cyclic adenine monophosphate (cAMP) which in turn promotes catecholamine stimulation of lipolysis, glycogenolysis, and gluconeogenesis and induces release of epinephrine from adrenal medulla cells

Pharmacodynamics/Kinetics

Absorption: Oral: Dosage form dependent

Distribution: 0.45 L/kg based on ideal body weight

Metabolism: Children >1 year and Adults: Hepatic; involves CYP1A2, 2E1 and 3A4; forms active metabolites (caffeine and 3-methylxanthine)

Half-life elimination: Highly variable and dependent upon age, liver function, cardiac function, lung disease, and smoking history

Time to peak, serum:

Oral: Liquid: 1 hour; Tablet, enteric-coated: 5 hours; Tablet, uncoated: 2 hours

I. V. Within 30 minutes

Neonates: 50% unchanged

Children >3 months and Adults: 10% unchanged

Dosage

Use ideal body weight for obese patients

I. V. Initial: Maintenance infusion rates:

6 weeks to 6 months: 0.5 mg/kg/hour

6 months to 1 year: 0.6-0.7 mg/kg/hour

Children >1 year and Adults:

Acute bronchospasm: See table.

Approximate I. V. maintenance dosages are based upon continuous infusions

Approximate I. V. Theophylline Dosage for Treatment of Acute Bronchospasm

Dosage for Next 12 h 1

Increasing dose: The dosage may be increased in approximately 25% increments at 2- to 3-day intervals so long as the drug is tolerated or until the maximum dose is reached

Maintenance dose: In children and healthy adults, a slow-release product can be used; the total daily dose can be divided every 8-12 hours

Administration

Oral: Long-acting preparations should be taken with a full glass of water, swallowed whole, or cut in half if scored. Do not crush. Extended release capsule forms may be opened and the contents sprinkled on soft foods; do not chew beads.

Dietary Considerations

Should be taken with water 1 hour before or 2 hours after meals. Premixed injection may contain corn-derived dextrose and its use is contraindicated in patients with allergy to corn-related products.

Patient Education

Take exactly as directed; do not exceed recommended dosage. Avoid smoking (smoking may interfere with drug absorption as well as exacerbate condition for which medication is prescribed). If you are smoking when dosage is prescribed; inform prescriber if you stop smoking (dosage may need to be adjusted to prevent toxicity). Preferable to take on empty stomach, 1 hour before or 2 hours after meals, with a full glass of water. Do not chew of crush sustained release forms; capsules may be opened and contents sprinkled on soft food (do not chew beads). Avoid dietary stimulants (eg, caffeine, tea, colas, or chocolate - may increase adverse side effects). Maintain adequate hydration (2-3 L/day of fluids) unless instructed to restrict fluid intake. You may experience nausea, vomiting, or lose of appetite (small, frequent meals, frequent mouth care, chewing gum, or sucking lozenges may help). Report acute insomnia or restlessness, chest pain or rapid heartbeat, emotional lability or agitation, muscle tremors or cramping, acute headache, abdominal pain and cramping, blackened stool, or worsening of respiratory condition. Pregnancy precaution: Inform prescriber if you are or intend to become pregnant.

Nursing Implications

Monitor heart rate, CNS effects (insomnia, irritability); respiratory rate (COPD patients often have resting controlled respiratory rates in low 20s), serum theophylline level, arterial or capillary blood gases (if applicable)

Additional Information

Theophylline salt / theophylline content (percent)

Theophylline anhydrous (eg, most oral solids): 100% theophylline

Theophylline monohydrate (eg, oral solutions): 91% theophylline

Aminophylline (theophylline) (eg, injection): 80% (79% to 86%) theophylline

Oxtriphylline (choline theophylline) (eg, Choledyl ® ): 64% theophylline

Cardiovascular Considerations

Theophylline results in significant tachycardia and, at higher doses, may impair ventricular rate control in patients with atrial fibrillation. This is particularly a concern since patients with underlying chronic obstructive lung disease often have coexisting atrial fibrillation. Aminophylline can be used to treat patients who have adverse hemodynamic responses to adenosine or dipyridamole, when used during cardiovascular stress testing.

Dental Health: Effects on Dental Treatment

Prescribe erythromycin products with caution to patients taking theophylline products. Erythromycin will delay the normal metabolic inactivation of theophyllines leading to increased blood levels; this has resulted in nausea, vomiting, and CNS restlessness. Azithromycin does not cause these effects in combination with theophylline products.

Dental Health: Vasoconstrictor/Local Anesthetic Precautions

No information available to require special precautions

Mental Health: Effects on Mental Status

May cause nervousness and restlessness; may rarely cause insomnia and irritability

Mental Health: Effects on Psychiatric Treatment

Barbiturates and carbamazepine may decrease serum levels while disulfiram, propranolol, and fluvoxamine may increase theophylline levels

Dosage Forms

[DSC] = Discontinued product

Capsule, extended release (Theo-24 ® ): 100 mg, 200 mg, 300 mg, 400 mg [24 hours]

Elixir (Elixophyllin ® ): 80 mg/15 mL (480 mL) [contains alcohol 20%; fruit flavor]

Infusion [premixed in D5W]: 0.8 mg/mL (500 mL, 1000 mL); 1.6 mg/mL (250 mL, 500 mL); 2 mg/mL (100 mL); 3.2 mg/mL (250 mL); 4 mg/mL (50 mL, 100 mL)

Solution, oral: 80 mg/15 mL (15 mL, 18.75 mL, 500 mL) [dye free, sugar free; contains alcohol 0.4% and benzoic acid; orange flavor]

Tablet, controlled release:

T-Phyl ®. 200 mg [12 hours; contains cetostearyl alcohol]

Uniphyl ®. 400 mg, 600 mg [24 hours; contains cetostearyl alcohol]

Tablet, extended release: 100 mg, 200 mg, 300 mg, 450 mg

Theochron ®. 100 mg, 200 mg, 300 mg [12-24 hours]

Tablet, immediate release:

Quibron ® - T: 300 mg

Theolair™: 125 mg, 250 mg

Tablet, sustained release (Quibron ® - T/SR): 300 mg [8-12 hours]

Tablet, timed release (Theolair™-SR [DSC]): 300 mg, 500 mg

References

"American Academy of Pediatrics Committee on Drugs. The Transfer of Drugs and Other Chemicals Into Human Milk," Pediatrics . 2001, 108(3):776-89.

Mokhlesi B, Leikin JB, Murray P, et al, "Adult Toxicology in Critical Care: Part II: Specific Poisonings," Chest . 2003, 123(3):897-922.

International Brand Names

Aerobin ® (DE); Aerobin ® [inj.] (DE); Aerobin Mite ® (TH); Aerodyne ® (AT); Aerodyne retard ® (AT); Afonilum ® (CZ, DE, PL); Afonilum SR ® (PL, RO); afpred forte-Theo ® (DE); Almarion ® (TH); Aminofilin ® (AR); Aminofilin Forte ® (AR); Aminomal Elisir ® (IT); Apo-Theo LA ® (CA, SG); Asmafilina ® (EC); Asmanyl ® (BD); Asmasolon ® (TH); Asthma-T ® (IL); Austyn ® (AU); Bronchoparat ® (DE); Bronchophylin ® (ID); Bronchoretard ® (DE); Bronkolin ® (TR); Bronsolvan ® (ID); Contiphyllin ® (DE); Crisasma ® (AR); Cronasma ® (DE); Diffumal ® (IT); Dilatrane ® (FR); Ditenate ® (DE); Drilyna ® (AR); Drilyna forte ® (AR); Duraphyllin ® (DE); Durofilin ® (RU, YU); Egifilin ® (HU); Elixifilin ® (ES); Elixine ® (CL); Elixofilina ® (DO); Eufilina ® (PT); Euphyllina ® (IT); Euphyllin ® (BE, CH, CZ, PL); Euphylline L. A. ® (FR); Euphyllin Quick ® (RO); Euphyllin Retard ® (AT, EG, FI, ID, JO, KW, LB, PL, ZA); Euphyllin retard N ® (CH); Euphylong ® (DE, EG, HU, JO, KW, LB, RU, SE, YU); Franol ® (TH); Frivent ® (IT); Glyphyllin ® (IL); G-Theophylline ® (BD); Histafilin ® (ES); Jasonphylin ® (BD); Kalbron ® (ID); Lasma ® (IE); Liopect ® (AR); Med-Phylline ® (TH); Nefoben ® (AR); Novo-Theophyl SR (CA); Nuelin ® (CR, DK, DO, FI, GB, GT, HK, HN, NO, NZ, PA, SG, SV, TH); Nuelin SA ® (GB, IE); Paidomal ® (IT); Pediaphyllin PL ® (BE, LU); Pharphylline ® (HK); Phylobid ® (IN, ZA); Phyloday ® (IN); Pirasmin ® (TR); PMS-Theophylline (CA); Pneumogeine ® (MC); Pro-Vent ® (IE); Pulmeno ® (ES); Pulmidur ® (AT); PulmiDur ® (DE); Pulmophylline (CA); Pulmo-Timelets ® (DE, DK); Quibron ® (ID); Quibron ® - T/SR (CA); Ramaphyllin ® (IL); ratio-Theo-Bronc (CA); Respicur ® (AT, IT); Retafyllin ® (FI, HU, SG, TH); Retafyl ® (RU); Retaphy SRl ® (ID); Sedacris ® (AR); Sinasmal ® (AR); Slo-Bid ® (HK, MX); Slo-Phyllin ® (GB, IE); Sodip-phylline Aquasol ® (CH); Solosin ® (DE); Solucao de Teofilina Berm&aacute;cia ® (BR); Spophyllin ® [compr.] (CZ, RU, SK); Spophyllin ® (CZ); Spophyllin ® [liqu. oral] (CZ); Talotren ® (TR); Tedralan ® (MC); Tefamin Elisir ® (IT); Temaco ® (TH); Teobid ® (CO, GT, PA, SV); Teoficol ® (BE); Teofilina Bermacia ® (BR); Teofilina Biocrom ® (AR); Teofilina ® (BR); Teofilina Ecar ® (CO); Teofilina Fabra ® (AR); Teofilina Genfar ® (EC); Teofilina Lafedar ® (AR); Teofilina Northia ® (AR); Teofilina Northia ® [compr.] (AR); Teofilina Ratiopharm ® (ES); Teofilinar ® (CO); Teofilina Retard ® (RO); Teokap ® (TR); Teolin ® (HR, SI); Teolixir ® (CO, ES); Teolong ® (BR, CR, DO, GT, HN, MX, PA, SV); Teosona ® (AR); Teotard ® (CZ, HR, PL, RO, SI); Teovent ® (PT); Terizol ® (AR); Teromol ® (ES); Thenglate ® (BD); Theo-2 ® (BE, LU); Theo-24 ® (IT); Theobilong ® (AT); Theobron ® (ID); Theo-Caps ® (PL); Theochron ® SR (CA); Theo-Dur ® (AR, AU, BE, CA, CZ, DK, ES, FI, GB, HK, IE, IT, LU, NO, NZ, PL, SE); Theofol ® (FI); Theofylamin "Medic" ® (DK); Theojap ® (BD); Theolair ® (BE); Theolair™ (CA); Theolair ® (CH, DE, ES, IT, LU, NL); Theolin ® (JO, NL, RO, SG); Theolong ® (JP); Theo Max ® (ES); Theomol ® (DE); Theonate ® (BD); Theo Pa ® (IN); Theophtard ® (HU); Theophyllin AL ® (DE); Theophyllin AZU ® (DE); Theophylline Bruneau ® (LU); Theophylline ® (IL); Theophyllin Heumann ® (DE); Theophyllin Ratiopharm ® (DE, LU); Theophyllin Sandoz ® (DE); Theophyllin Stada ® (DE); Theophyllinum ® (PL); Theophyllinum prolongatum ® (PL); Theoplus ® (AT, CR, CZ, DO, ES, GT, HN, PA, PL, SV, ZA); Theospirex ® (AT); Theospirex ® [caps./compr.] (AT, HU); Theospirex retard ® (PL); Theo-SR ® (RO); Theostat ® (FR); Theostat ® (LU, RU); Theotard ® (IL, RU); Theotrim ® (IL, TH); Theovent ® (HK, PL); theo von ct ® [caps.] (DE); theo von ct ® [inj.] (DE); Tromphyllin ® (DE); Unicontin ® (BD, IN); Uni-Dur ® (HR); Unidur ® (ID); Uni-Dur ® Ltec (RO); Uni-Dur ® (MX, PL, RO); Unifyl ® (AT); Unifyl Continus ® (CH); Unilair ® (DE); Unilong ® (ES); Uniphyl ® (HK); Uniphyllin Continus ® (GB, IE); Uniphyllin ® (DE, IE); Uniphyl ® SRT (CA); UniXan ® (DK); Uno-Lin ® (DK); Vent retard ® (ES); Xanthium ® (BE, FR, LU, SG, TH, TR); Zepholin ® (IE)



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General Information

Private dining at PAZO is perfect for business, social, or just for fun, we specialize in celebrations, presentations and more. PAZO is Baltimore's premier private event location for small intimate affairs to groups of 350. We welcome you to reserve one of our lounge seating areas, private rooms, or the entire restaurant for your next event.

Whether you're looking for a warm and inviting space or something on a grander scale, the management and service staff at PAZO are prepared to assist in creating events that provide wonderful memories of your special occasion or business affair. PAZO is open for dinner service seven days a week starting at 5pm through closing. For select occasions, we are pleased to accommodate breakfast meetings, luncheons and full restaurant buy-outs.

Click here to download a PDF of our private dining room options

When emailing, please consider including the following: your phone number, date of your event, number of guests, and any other information that can help us help you better! PRIVATE ROOMS PAZO offers two private rooms for your exclusive use. With built in plasma screens, the Avellino and Villa Rosa are perfect for business presentations, meetings and private events. Both spaces are located on the spectacular mezzanine at PAZO. LOUNGE & MAIN DINING AREA Enjoy the expansive and lively atmosphere at PAZO for business networking, social gatherings or a special night out.

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When emailing, please consider including the following: your phone number, date of your event, number of guests, and any other information that can help us help you better!

Menus

Upcoming Events

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Ciprofloxacin

AUDIENCE . Internal Medicine, Family Practice, Pharmacy, Patient

ISSUE . FDA is advising that the serious side effects associated with fluoroquinolone antibacterial drugs generally outweigh the benefits for patients with sinusitis, bronchitis, and uncomplicated urinary tract infections who have other treatment options. For patients with these conditions, fluoroquinolones should be reserved for those who do not have alternative treatment options.

An FDA safety review has shown that fluoroquinolones when used systemically (i. e. tablets, capsules, and injectable) are associated with disabling and potentially permanent serious side effects that can occur together. These side effects can involve the tendons, muscles, joints, nerves, and central nervous system.

As a result, FDA is requiring the drug labels and Medication Guides for all fluoroquinolone antibacterial drugs to be updated to reflect this new safety information. FDA is continuing to investigate safety issues with fluoroquinolones and will update the public with additional information if it becomes available.

See the FDA Drug Safety Communication (see http://1.usa. gov/1TdvrCk ) for a list of currently available FDA approved fluoroquinolones for systemic use.

BACKGROUND . The safety issues described in the Drug Safety Communication were also discussed at an FDA Advisory Committee (see http://1.usa. gov/1TaaUBN ) meeting in November 2015.

RECOMMENDATION . Patients should contact your health care professional immediately if you experience any serious side effects while taking your fluoroquinolone medicine. Some signs and symptoms of serious side effects include tendon, joint and muscle pain, a "pins and needles" tingling or pricking sensation, confusion, and hallucinations. Patients should talk with your health care professional if you have any questions or concerns.

Health care professionals should stop systemic fluoroquinolone treatment immediately if a patient reports serious side effects, and switch to a non-fluoroquinolone antibacterial drug to complete the patient's treatment course.

IMPORTANT WARNING:

Taking ciprofloxacin increases the risk that you will develop tendinitis (swelling of a fibrous tissue that connects a bone to a muscle) or have a tendon rupture (tearing of a fibrous tissue that connects a bone to a muscle) during your treatment or for up to several months afterward. These problems may affect tendons in your shoulder, your hand, the back of your ankle, or in other parts of your body. Tendinitis or tendon rupture may happen to people of any age, but the risk is highest in people over 60 years of age. Tell your doctor if you have or have ever had a kidney, heart, or lung transplant; kidney disease; a joint or tendon disorder such as rheumatoid arthritis (a condition in which the body attacks its own joints, causing pain, swelling, and loss of function); or if you participate in regular physical activity. Tell your doctor and pharmacist if you are taking oral or injectable steroids such as dexamethasone (Decadron, Dexpak), methylprednisolone (Medrol), or prednisone (Sterapred). If you experience any of the following symptoms of tendinitis, stop taking ciprofloxacin, rest, and call your doctor immediately: pain, swelling, tenderness, stiffness, or difficulty in moving a muscle. If you experience any of the following symptoms of tendon rupture, stop taking ciprofloxacin and get emergency medical treatment: hearing or feeling a snap or pop in a tendon area, bruising after an injury to a tendon area, or inability to move or to bear weight on an affected area.

Taking ciprofloxacin may worsen muscle weakness in people with myasthenia gravis (a disorder of the nervous system that causes muscle weakness) and cause severe difficulty breathing or death. Tell your doctor if you have myasthenia gravis. Your doctor may tell you not to take ciprofloxacin. If you have myasthenia gravis and your doctor tells you that you should take ciprofloxacin, call your doctor immediately if you experience muscle weakness or difficulty breathing during your treatment.

Talk to your doctor about the risks of taking ciprofloxacin.

Your doctor or pharmacist will give you the manufacturer's patient information sheet (Medication Guide) when you begin treatment with ciprofloxacin. Read the information carefully and ask your doctor or pharmacist if you have any questions. You can also visit the Food and Drug Administration (FDA) website (http://www. fda. gov/Drugs ) or the manufacturer's website to obtain the Medication Guide.

Why is this medication prescribed?

Ciprofloxacin is used to treat or prevent certain infections caused by bacteria. Ciprofloxacin is also used to treat or prevent anthrax (a serious infection that may be spread on purpose as part of a bioterror attack) in people who may have been exposed to anthrax germs in the air. Ciprofloxacin extended-release (long-acting) tablets are used only to treat certain types of urinary tract infections. Ciprofloxacin is in a class of antibiotics called fluoroquinolones. It works by killing bacteria that cause infections. Antibiotics will not work for colds, flu, or other viral infections.

How should this medicine be used?

Ciprofloxacin comes as a tablet, a suspension (liquid), and an extended-release tablet to take by mouth. The tablet and suspension are usually taken twice a day, in the morning and evening, with or without food. The extended-release tablets are usually taken once a day. Cipro XR brand extended-release tablets may be taken with or without food. Proquin XR brand extended-release tablets should be taken with a main meal of the day, preferably the evening meal. Take ciprofloxacin at around the same time(s) every day. The length of your treatment depends on the type of infection you have. Your doctor will tell you how long to take ciprofloxacin. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take ciprofloxacin exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

One brand or type of ciprofloxacin cannot be substituted for another. Be sure that you receive only the brand or type of ciprofloxacin that was prescribed by your doctor. Ask your pharmacist if you have any questions about the type of ciprofloxacin you were given.

Do not take ciprofloxacin with dairy products or calcium-fortified juices alone. However, you may take ciprofloxacin with a meal that includes these foods or drinks.

Swallow the tablets whole; do not split, crush, or chew them. If you cannot swallow tablets whole, tell your doctor.

If you are taking the suspension, shake the bottle very well for 15 seconds before each use to mix the medication evenly. Swallow the correct dose without chewing the granules in the suspension. Close the bottle completely after each use. Do not give the suspension to a patient through a feeding tube.

You should begin feeling better during the first few days of your treatment with ciprofloxacin. If your symptoms do not improve or if they get worse, call your doctor. If you are being treated for a urinary tract infection, call your doctor if you develop fever or back pain during or after your treatment. These symptoms may be signs that your infection is worsening.

Take ciprofloxacin until you finish the prescription, even if you feel better. Do not stop taking ciprofloxacin without talking to your doctor unless you experience certain serious side effects listed in the IMPORTANT WARNING and SIDE EFFECTS sections If you stop taking ciprofloxacin too soon or if you skip doses, your infection may not be completely treated and the bacteria may become resistant to antibiotics.

Other uses for this medicine

In the event of biological warfare, ciprofloxacin may be used to treat and prevent dangerous illnesses that are deliberately spread such as plague, tularemia, and anthrax of the skin or mouth. Talk to your doctor about the risks of using this medication for your condition.

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

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

nausea

vomiting

stomach pain

heartburn

diarrhea

feeling an urgent need to urinate

headache

vaginal itching and/or discharge

Some side effects can be serious. If you experience any of these symptoms, call your doctor immediately, but do not stop taking ciprofloxacin without talking to your doctor:

severe diarrhea (watery or bloody stools) that may occur with or without fever and stomach cramps (may occur up to 2 months or more after your treatment)

dizziness

confusion

nervousness

restlessness

anxiety

difficulty falling asleep or staying asleep

nightmares or abnormal dreams

not trusting others or feeling that others want to hurt you

hallucinations (seeing things or hearing voices that do not exist)

depression

thoughts about dying or killing yourself

uncontrollable shaking of a part of the body

If you experience any of the following symptoms, or the symptoms of tendinitis or tendon rupture described in the IMPORTANT WARNING section, stop taking ciprofloxacin and call your doctor immediately or get emergency medical help:

rash

hives

itching

peeling or blistering of the skin

fever

swelling of the eyes, face, mouth, lips, tongue, throat, hands, feet, ankles or lower legs

hoarseness

difficulty breathing or swallowing

fast heartbeat

fainting

loss of consciousness

yellowing of the skin or eyes

dark urine

decreased urination

seizures

unusual bruising or bleeding

joint or muscle pain

Ciprofloxacin may cause problems with bones, joints, and tissues around joints in children. Ciprofloxacin should not normally be given to children younger than 18 years of age unless they have certain serious infections that cannot be treated with other antibiotics or they have been exposed to anthrax in the air. If your doctor prescribes ciprofloxacin for your child, be sure to tell the doctor if your child has or has ever had joint-related problems. Call your doctor if your child develops joint problems such as pain or swelling while taking ciprofloxacin or after treatment with ciprofloxacin.

Ciprofloxacin may cause nerve damage that may not go away even after you stop taking ciprofloxacin. This damage may occur soon after you begin taking ciprofloxacin. If you experience any of the following symptoms, call your doctor immediately: numbness, tingling, pain, or burning in the arms or legs; or a change in your ability to feel light touch, pain, heat, or cold. If you experience these symptoms, do not take any more ciprofloxacin until you talk to your doctor. Your doctor may prescribe a different antibiotic for you to take instead of ciprofloxacin.

Talk to your doctor about the risks of taking ciprofloxacin or giving ciprofloxacin to your child.

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

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 and extended-release tablets at room temperature and away from excess heat and moisture (not in the bathroom). Store the suspension in the refrigerator or at room temperature, closed tightly, for up to 14 days. Do not freeze ciprofloxacin suspension. Throw away any suspension that is left over after 14 days and any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.

In case of emergency/overdose

In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.



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Uromaxx Urinary Tract Formula For Pets, Uromax

UroMAXX

UroMaXX

UroMaxx is a urinary tract support supplement for dogs and cats. It works to help support the functions and health of the urinary tract system, kidneys, and bladder. It contains a wide variety of ingredients including cranberry juice extract, nettle leaf, L methionine, and dandelion. Uromaxx is formulated to help acidify urine, reduce toxins, support urinary tract lining, reduce urination problems, reduce formation of stones, and may help aid in the treatment and prevention of infections. Uromaxx does not contain sugar, starch, salt, wheat, yeast, milk, or soy derivatives and has a tasty, natural chicken flavor. Easily poured over and mixed with pet’s food. Available in 6oz dropper bottle.

May help relieve certain urinary problems

Promotes kidney & bladder health

May acidify urine & reduce stone formation

Contains L methionine & cranberry extract

No sugar, starch, salt, wheat, yeast, milk, or soy derivatives

UroMaxx Dosage Guidelines:

For pets weighing 10 lbs and under, give 1.0mL daily. For every additional 5 lbs of body weight, add 0.5mL daily to their dosage.

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Tifaxcin - Thu?c Khang Sinh - Thong Tin B?nh Vi?n, Tifaxcin

Viem tai gi?a, viem xoang, viem bang quang va ni?u d?o khong bi?n ch?ng c?p, viem h?ng/amidan, viem ph? qu?n c?p.

Nhi?m khu?n du?ng m?t.

L?u khong bi?n ch?ng (c? t? cung/ni?u d?o, tr?c trang)

Ngu?i l?n 200-400 mg/ngay, 1 l?n ho?c chia 2 l?n.

Tr? em 8 mg/kg/ngay, 1 l?n ho?c chia 2 l?n,

Tr? < 6 thang tu?i khong nen dung.

B?nh nhan nu?t kho: ng?m vien thu?c 1-2 phut, vien s? m?m va ra trong nu?c b?t, va nu?t d? dang v?i m?t it nu?c. Ho?c cho vien thu?c vao tach nu?c vai phut d? vien ra ra, r?i u?ng.

L?u khong bi?n ch?ng li?u duy nh?t 400 mg.

Ngu?i l?n, tr? > 12 tu?i 200-400 mg/ngay, 1 l?n ho?c chia 2 l?n.

L?u ni?u d?o/c? t? cung khong bi?n ch?ng li?u duy nh?t 400 mg.

Tr? 6 thang-12 tu?i: 8 mg/kg, 1 l?n/ngay ho?c 4 mg/kg x 2 l?n/ngay, m?i 12 gi?.

Tr? < 6 thang tu?i tinh an toan, hi?u qu? chua du?c xac minh.

Suy th?n ch?nh li?u

Goi ch?a b?t u?ng: Nen dung luc b?ng doi: D? thu?c vao chen nh? ch?a 2 mu?ng canh d?y nu?c.

Khong du?c dung th?c an hay ch?t l?ng khac.

Khu?y k? va u?ng ngay

M?n c?m v?i b?t c? thanh ph?n nao c?a thu?c/cephalosporin

Ti?n s? qua m?n cephalosporin, penicillin ho?c thu?c khac.

Ti?n s? b?nh tieu hoa, d?c bi?t viem k?t trang.

Ph? n? co thai/cho con bu

R?i lo?n tieu hoa, viem k?t trang gi? m?c.

N?i ban da, m? day, s?t do thu?c, ng?a.

Ban d? da hinh, h?i ch?ng Stevens-Johnson, ph?n ?ng gi?ng b?nh huy?t thanh.

Nh?c d?u/chong m?t.

Thay d?i huy?t h?c.

Ng?a sinh d?c, viem am d?o, b?nh n?m candida

(khi s? d?ng chung v?i nh?ng thu?c sau day, s? gay ?nh hu?ng tac d?ng c?a thu?c)

Carbamazepine, thu?c ch?ng dong. Th? nghi?m Coomb tr?c ti?p (+) gi?

Trinh bay va dong goi:

Goi ch?a b?t u?ng: 50 mg x 10 goi x 1 g; 100 mg x 25 goi x 1 g

Vien nen bao film: 100 mg x 2 v? x 10 vien; 200 mg x 2 v? x 10 vien

Vien nen phan tan: 100 mg x 1 v? x 10 vien

Gia thu?c: Dang c?p nh?t



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Xyzal (Levocetirizine Dihydrochloride) Side Effects, Interactions, Warning, Dosage & Uses, Zylol

DRUG DESCRIPTION

Levocetirizine dihydrochloride, the active component of XYZAL tablets and oral solution, is an orally active H1-receptor antagonist. The chemical name is (R)[2-[4-[(4-chlorophenyl) phenylmethyl]-1-piperazinyl] ethoxy] acetic acid dihydrochloride. Levocetirizine dihydrochloride is the R enantiomer of cetirizine hydrochloride, a racemic compound with antihistaminic properties. The empirical formula of levocetirizine dihydrochloride is C 21 H 25 ClN 2 O 3 •2HCl. The molecular weight is 461.82 and the chemical structure is shown below:

Levocetirizine dihydrochloride is a white, crystalline powder and is water soluble.

XYZAL 5 mg tablets are formulated as immediate release, white, film-coated, oval-shaped scored tablets for oral administration. The tablets are imprinted on both halves of the scored line with the letter Y in red (Opacode ® Red). Inactive ingredients are: microcrystalline cellulose, lactose monohydrate, colloidal anhydrous silica. and magnesium stearate. The film coating contains hypromellose, titanium dioxide, and macrogol 400.

XYZAL 0.5 mg/mL oral solution is formulated as an immediate release, clear, colorless liquid. Inactive ingredients are: sodium acetate trihydrate, glacial acetic acid, maltitol solution, glycerin, methylparaben, propylparaben, saccharin. flavoring (consisting of triacetin, natural & artificial flavors, dl-alpha-tocopherol), purified water.

What are the possible side effects of levocetirizine (Xyzal)?

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

Stop using levocetirizine and call your doctor at once if you have a serious side effect such as:

feeling like you might pass out;

nosebleed (especially in a child);

pain or fullness in your ear, hearing problems;

depression, agitation, aggression, hallucinations;

numbness or tingling around your lips or mouth;

jaundice (yellowing of your skin or eyes);

painful.

What are the precautions when taking levocetirizine dihydrochloride (Xyzal)?

Before taking levocetirizine, tell your doctor or pharmacist if you are allergic to it; or to cetirizine; or to hydroxyzine; 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: difficulty urinating (such as due to an enlarged prostate), kidney disease.

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

Before having surgery, tell your doctor or dentist about all the products you use (including prescription.

Last reviewed on RxList: 7/6/2016 This monograph has been modified to include the generic and brand name in many instances.



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Cysticat, Cysticat

Cystistat®

Cystistat®

The primary component of Cystistat® is sodium hyaluronate, a derivative of hyaluronic acid, which occurs naturally in the fluids of the eye, the joints, and in the glycosaminoglycan (GAG) layer of the bladder lining. This layer - which is deficient in many patients with interstitial cystitis - is believed to provide the bladder wall with a protective coating.

What does Cystistat® do? Cystistat® temporarily replaces the deficient GAG layer on the bladder wall, helping to relieve the pain, frequency and urgency of interstitial cystitis. Research has shown that Cystistat® can provide relief from these distressing symptoms where other treatments have failed.

How is Cystistat® administered? Cystistat® is instilled directly into the bladder by your urologist. This usually only requires an outpatient visit to your hospital clinic.

How long do I need treatment for? For the first four weeks of treatment, all patients receive one instillation each week. After that, treatments are usually given once a month until the symptoms resolve. Response time will vary from patient to patient. A good response to Cystistat® may mean that instillation is only required every six, eight, or even 12 weeks. However; patients who do not notice an early improvement should not be discouraged, as five or six instillations may be necessary before symptoms begin to resolve. Treatment may be recommenced in the future if symptoms return.

Does Cystistat® have any side-effects? Research has shown that Cystistat® is well tolerated and causes few, if any adverse reactions. Occasionally, some localised irritation has been experienced as a result of the instillation procedure itself, rather than as a side-effect of Cystistat®.

How do I obtain treatment with Cystistat®?

Although Cystistat® is classified as a medical device, and is therefore not subject to the usual pharmaceutical supply regulations, it does require administration by qualified medical personnel. Furthermore, the decision as to whether or not Cystistat® is appropriate for any given patient must lie with the urologist.

More information can be found at their website: www. cystistat. co. uk

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Aceten (Captopril) - United Pharmacies, Aceten

Aceten

Description

Aceten (Captopril) is used in the treatment of high blood pressure and congestive heart failure. When prescribed for high blood pressure, it is effective used alone or combined with diuretics. If it is prescribed for congestive heart failure, it is used in combination with digitalis and diuretics. This drug is in a family of drugs known as angiotensin converting enzyme (ACE) inhibitors. It works by preventing a chemical in your blood called angiotensin I from converting into a more potent form that increases salt and water retention in your body. It also enhances blood flow throughout your blood vessels.

Dosage and Administration

Aceten (Captopril) should be taken 1 hour before meals. If you are taking an antacid, take it 2 hours prior to Aceten (Captopril). Take this medication exactly as prescribed. Stopping Aceten (Captopril) suddenly could cause your blood pressure to increase.

More common side effects may include itching, loss of taste, low blood pressure, and rash. Less common or rare side effects may include abdominal pain, anemia, angina pectoris (severe chest pain), blisters, blurred vision, breast development in males, cardiac arrest, changes in heart rhythm, chest pain, confusion, constipation, cough, depression, diarrhea, difficulty swallowing, dizziness, dry mouth, fatigue, fever and chills, flushing, general feeling of ill health, hair loss, headache, heart attack, heart failure, impotence, inability to sleep, indigestion, inflammation of the nose, inflammation of the tongue, labored breathing, lack of coordination, loss of appetite, lung inflammation, muscle pain and/or weakness, nausea, nervousness, pallor, palpitations, peptic ulcer, rapid heartbeat, sensitivity to light, skin inflammation, skin peeling, sleepiness, sore throat, stomach irritation, stroke, sudden fainting or loss of strength, swelling of face, lips, tongue, throat, or arms and legs, tingling or pins and needles, vomiting, weakness, wheezing, yellow eyes and skin.

If you are receiving bee or wasp venom to prevent an allergic reaction to stings, use of Aceten (Captopril) at the same time may cause a severe allergic reaction.

If you have kidney disease, Aceten (Captopril) should be used only if you have taken other blood pressure medications and your physician has determined that the results were unsatisfactory. Some people taking Aceten (Captopril) have had a severe allergic reaction during kidney dialysis.

If you are taking Aceten (Captopril) for your heart, be careful not to increase physical activity too quickly. Check with your physician as to how much exercise is safe for you. If you are taking Aceten (Captopril) for congestive heart failure, your blood pressure may drop temporarily after the first few doses and you may feel light-headed for a time. Your physician should monitor you closely when you start taking the medication or when your dosage is increased.



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Diclofenac - Woman S Health, Flexiplen

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

Use Diclofenac as directed by your doctor.

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

Drug Class and Mechanism

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

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

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

Do not use Diclofenac if:

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

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

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.

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

Use Diclofenac as directed by your doctor.

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

Drug Class and Mechanism

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

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

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

Do not use Diclofenac if:

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

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

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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Isoxsuprine Medical Facts From, Isoxsuprina

isoxsuprine

Isoxsuprine is in a class of drugs called vasodilators. Isoxsuprine relaxes veins and arteries, which makes them wider and allows blood to pass through them more easily.

These actions may help treat the symptoms of conditions such as cerebral vascular insufficiency (poor blood flow to the brain), arteriosclerosis (hardening of the arteries), Raynaud's phenomenon, and other conditions involving poor blood flow in the veins and arteries.

Isoxsuprine may also be used for purposes other than those listed in this medication guide.

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

Use caution when driving, operating machinery, or performing other hazardous activities. Isoxuprine may cause dizziness. If you experience dizziness, avoid these activities. Also, rise slowly from a sitting or lying position to avoid falling.

Notify your doctor if you experience a rash or bothersome irregular heartbeats.

Isoxsuprine has been withdrawn from the U. S. market.

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

Isoxsuprine should not be used immediately postpartum (after delivering a baby), or if you have a bleeding disorder. Talk to your doctor about any other medical conditions that you have.

Isoxsuprine is in the FDA pregnancy category C. This means that it is not known whether isoxsuprine will be harmful to an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment.

It is not known whether isoxsuprine passes into breast milk. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.

How should I take isoxsuprine?

Take isoxsuprine exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Take each dose with a full glass of water.

Isoxsuprine is usually taken three or four times a day. Follow your doctor's instructions.

It is important to take isoxsuprine regularly to get the most benefit.

Your doctor may want you to have blood tests or other medical evaluations during treatment with isoxsuprine to monitor progress and side effects.

Store isoxsuprine at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication.

What happens if I overdose?

Seek emergency medical attention if an overdose is suspected.

Symptoms of an isoxsuprine overdose include weakness, lightheadedness, fainting, nausea, and vomiting.

What should I avoid while taking isoxsuprine?

Use caution when driving, operating machinery, or performing other hazardous activities. Isoxsuprine may cause dizziness. If you experience dizziness, avoid these activities. Also, rise slowly from a sitting or lying position to avoid falling.

Isoxsuprine side effects

Stop taking isoxsuprine and seek emergency medical attention if you experience an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives).

Stop taking isoxsuprine and contact your doctor if you develop a rash.

Other, less serious side effects may be more likely to occur. Continue to take isoxsuprine and talk to your doctor if you experience

chest pain or an irregular heartbeat (call your doctor if this becomes bothersome);

nausea or vomiting; or

dizziness or weakness.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect isoxsuprine?

Drugs used to treat high blood pressure and other heart conditions may increase the effects of isoxsuprine. Special monitoring may be necessary.

Drugs other than those listed here may also interact with isoxsuprine or affect your condition. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.

More about isoxsuprine

Consumer resources

Professional resources

Related treatment guides

Where can I get more information?

Your pharmacist has additional information about isoxsuprine written for health professionals that you may read.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2012 Cerner Multum, Inc. Version: 2.07. Revision Date: 2010-12-15, 5:01:39 PM.



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Amoxil (Amoxicillin) Drug Information Clinical Pharmacology - Prescribing Information At Rxlist, Amo

Amoxicillin is an antibacterial drug. [see Microbiology ].

Pharmacokinetics

Absorption

Amoxicillin is stable in the presence of gastric acid and is rapidly absorbed after oral administration. The effect of food on the absorption of amoxicillin from the tablets and suspension of AMOXIL has been partially investigated; 400-mg and 875-mg formulations have been studied only when administered at the start of a light meal.

Orally administered doses of 250-mg and 500-mg amoxicillin capsules result in average peak blood levels 1 to 2 hours after administration in the range of 3.5 mcg/mL to 5.0 mcg/mL and 5.5 mcg/mL to 7.5 mcg/mL, respectively.

Mean amoxicillin pharmacokinetic parameters from an open, two-part, single-dose crossover bioequivalence study in 27 adults comparing 875 mg of AMOXIL with 875 mg of AUGMENTIN® (amoxicillin/clavulanate potassium) showed that the 875-mg tablet of AMOXIL produces an AUC0-∞ of 35.4 ± 8.1 mcg•hr/mL and a Cmax of 13.8 ± 4.1 mcg/mL. Dosing was at the start of a light meal following an overnight fast.

Orally administered doses of amoxicillin suspension, 125 mg/5 mL and 250 mg/5 mL, result in average peak blood levels 1 to 2 hours after administration in the range of 1.5 mcg/mL to 3.0 mcg/mL and 3.5 mcg/mL to 5.0 mcg/mL, respectively.

Oral administration of single doses of 400-mg chewable tablets and 400 mg/5 mL suspension of AMOXIL to 24 adult volunteers yielded comparable pharmacokinetic data:

Table 3: Mean Pharmacokinetic Parameters of Amoxicillin (400 mg chewable tablets and 400 mg/5 mL suspension) in Healthy Adults

* Administered at the start of a light meal. † Mean values of 24 normal volunteers. Peak concentrations occurred approximately 1 hour after the dose.

Distribution

Amoxicillin diffuses readily into most body tissues and fluids, with the exception of brain and spinal fluid, except when meninges are inflamed. In blood serum, amoxicillin is approximately 20% protein-bound. Following a 1-gram dose and utilizing a special skin window technique to determine levels of the antibiotic. it was noted that therapeutic levels were found in the interstitial fluid.

Metabolism and Excretion

The half-life of amoxicillin is 61.3 minutes. Approximately 60% of an orally administered dose of amoxicillin is excreted in the urine within 6 to 8 hours. Detectable serum levels are observed up to 8 hours after an orally administered dose of amoxicillin. Since most of the amoxicillin is excreted unchanged in the urine, its excretion can be delayed by concurrent administration of probenecid [see DRUG INTERACTIONS ].

Microbiology

Mechanism of Action

Amoxicillin is similar to penicillin in its bactericidal action against susceptible bacteria during the stage of active multiplication. It acts through the inhibition of cell wall biosynthesis that leads to the death of the bacteria.

Mechanism of Resistance

Resistance to amoxicillin is mediated primarily through enzymes called beta-lactamases that cleave the beta-lactam ring of amoxicillin, rendering it inactive.

Amoxicillin has been shown to be active against most isolates of the bacteria listed below, both in vitro and in clinical infections as described in the INDICATIONS AND USAGE section.

Gram-Positive Bacteria

Enterococcus faecalis Staphylococcus spp. Streptococcus pneumoniae Streptococcus spp. (alpha and beta-hemolytic)

Gram-Negative Bacteria

Escherichia coli Haemophilus influenzae Helicobacter pylori Proteus mirabilis

Susceptibility Test Methods

When available, the clinical microbiology laboratory should provide cumulative in vitro susceptibility test results for antimicrobial drugs used in local hospitals and practice areas to the physician as periodic reports that describe the susceptibility profile of nosocomial and community-acquired pathogens. These reports should aid the physician in selecting the most effective antimicrobial.

Dilution Techniques : Quantitative methods are used to determine antimicrobial minimum inhibitory concentrations (MICs). These MICs provide estimates of the susceptibility of bacteria to antimicrobial compounds. The MICs should be determined using a standardized test method -(broth or agar) 2,4. The MIC values should be interpreted according to the criteria in Table 4.

Diffusion Techniques : Quantitative methods that require measurement of zone diameters can also provide reproducible estimates of the susceptibility of bacteria to antimicrobial compounds 3,4. The zone size should be determined using a standardized test method 3 .

Susceptibility to amoxicillin of Enterococcus spp. Enterobacteriaceae . and H. influenzae, may be inferred by testing ampicillin 4. Susceptibility to amoxicillin of Staphylococcus spp. and beta-hemolytic Streptococcus spp. may be inferred by testing penicillin 4. The majority of isolates of Enterococcus spp. that are resistant to ampicillin or amoxicillin produce a TEM-type beta-lactamase. A beta-lactamase test can provide a rapid means of determining resistance to ampicillin and amoxicillin 4 .

Susceptibility to amoxicillin of Streptococcus pneumoniae (non-meningitis isolates) may be inferred by testing penicillin or oxacillin 4. The interpretive criteria for S. pneumoniae to amoxicillin are provided in Table 4 4 .

Table 4: Susceptibility Interpretive Criteria for Amoxicillin

Minimum Inhibitory Concentration (mcg/mL)

Disk Diffusion (zone diameter in mm)

* S. pneumoniae should be tested using a 1-mcg oxacillin disk. Isolates with oxacillin zone sizes of ≥ 20 mm are susceptible to amoxicillin. An amoxicillin MIC should be determined on isolates of S. pneumoniae with oxacillin zone sizes of ≤ 19 mm 4.

A report of “Susceptible” indicates the antimicrobial is likely to inhibit growth of the pathogen if the antimicrobial compound reaches a concentration at the infection site necessary to inhibit growth of the pathogen. A report of “Intermediate” indicates that the result should be considered equivocal, and, if the microorganism is not fully susceptible to alternative, clinically feasible drugs, the test should be repeated. This category implies possible clinical applicability in body sites where the drug is physiologically concentrated. This category also provides a buffer zone that prevents small uncontrolled technical factors from causing major discrepancies in interpretation. A report of “Resistant” indicates the antimicrobial is not likely to inhibit growth of the pathogen if the antimicrobial compound reaches the concentration usually achievable at the infection site; other therapy should be selected.

Susceptibility Testing for Helicobacter Pylori

Amoxicillin in vitro susceptibility testing methods for determining minimum inhibitory concentrations (MICs) and zone sizes have not been standardized, validated, or approved for testing H. pylori . Specimens for H. pylori and clarithromycin susceptibility test results should be obtained on isolates from patients who fail triple therapy. If clarithromycin resistance is found, a non-clarithromycin-containing regimen should be used.

Quality Control

Standardized susceptibility test procedures 2,3,4 require use of laboratory controls to monitor and ensure the accuracy and precision of the supplies and reagents used in the assay, and the techniques of the individuals performing the test control. Standard amoxicillin powder should provide the following range of MIC values provided in Table 5 4. For the diffusion technique the criteria provided in Table 5 should be achieved.

Table 5: Acceptable Quality Control Ranges for Amoxicillin a

Quality Control Microorganism

Minimum Inhibitory Concentrations (mcg/mL)

Disc Diffusion Zone Diameter (mm)

a This analysis was based on evaluable patients with confirmed duodenal ulcer (active or within 1 year) and H. pylori infection at baseline defined as at least 2 of 3 positive endoscopic tests from CLOtest®, histology, and/or culture. Patients were included in the analysis if they completed the study. Additionally, if patients dropped out of the study due to an adverse event related to the study drug, they were included in the analysis as failures of therapy. b Patients were included in the analysis if they had documented H. pylori infection at baseline as defined above and had a confirmed duodenal ulcer (active or within 1 year). All dropouts were included as failures of therapy.

Table 7: H. pylori Eradication Rates When Amoxicillin is Administered as Part of a Dual Therapy Regimen

Evaluable Analysis a [95% Confidence Interval] (number of patients)

Intent-to-Treat Analysis b [95% Confidence Interval] (number of patients)

a This analysis was based on evaluable patients with confirmed duodenal ulcer (active or within 1 year) and H. pylori infection at baseline defined as at least 2 of 3 positive endoscopic tests from CLOtest®, histology, and/or culture. Patients were included in the analysis if they completed the study. Additionally, if patients dropped out of the study due to an adverse event related to the study drug, they were included in the analysis as failures of therapy. b Patients were included in the analysis if they had documented H. pylori infection at baseline as defined above and had a confirmed duodenal ulcer (active or within 1 year). All dropouts were included as failures of therapy.

1. Swanson-Biearman B, Dean BS, Lopez G, Krenzelok EP. The effects of penicillin and cephalosporin ingestions in children less than six years of age. Vet Hum Toxicol. 1988; 30: 66-67.

2. Clinical and Laboratory Standards Institute (CLSI). Methods for Dilution Antimicrobial Susceptibility Tests for Bacteria that Grow Aerobically; Approved Standard – Tenth Edition. CLSI document M07-A10, Clinical and Laboratory Standards Institute, 950 West Valley Road, Suite 2500, Wayne, Pennsylvania 19087, USA, 2015.

3. Clinical and Laboratory Standards Institute (CLSI). Performance Standards for Antimicrobial Disk Diffusion Susceptibility Tests; Approved Standard – Twelfth Edition. CLSI document M02-A12, Clinical and Laboratory Standards Institute, 950 West Valley Road, Suite 2500, Wayne, Pennsylvania 19087, USA, 2015.

4. Clinical and Laboratory Standards Institute (CLSI). Performance Standards for Antimicrobial Susceptibility Testing; Twenty-fifth Informational Supplement, CLSI document M100-S25. CLSI document M100-S25, Clinical and Laboratory Standards Institute, 950 West Valley Road, Suite 2500, Wayne, Pennsylvania 19087, USA, 2015.

Last reviewed on RxList: 12/18/2015 This monograph has been modified to include the generic and brand name in many instances.



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Ranitidine is used for treating certain conditions that cause your body to make too much stomach acid (eg, Zollinger-Ellison syndrome). It is also used to treat ulcers of the small intestine that have not responded to other treatment. It may be used as a short-term alternative to oral ranitidine, in patients who are not able to take medicine by mouth. Ranitidine is an H 2 - receptor blocker. It works by blocking the action of histamine in the stomach. This reduces the amount of acid the stomach makes. Reducing stomach acid helps to reduce heartburn, heal irritation of the esophagus, and heal ulcers of the stomach or intestines.

Use Ranitidine as directed by your doctor.

Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

You may take antacids while you are using Ranitidine if you are directed to do so by your doctor.

Continue to use Ranitidine even if you feel well. Do not miss any dose.

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

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

Store Ranitidine between 68 and 77 degrees F (20 and 25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Ranitidine out of the reach of children and away from pets.

Do NOT use Ranitidine if:

you are allergic to any ingredient in Ranitidine

you have a history of the blood disease porphyria

you are taking dasatinib.

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

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

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

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

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

if you have a history of kidney or liver problems

if you have abnormal blood electrolyte levels or a history of irregular heartbeat.

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

Certain benzodiazepines (eg, midazolam, triazolam), glipizide, procainamide, or warfarin because the risk of their side effects may be increased by Ranitidine

Dasatinib, delavirdine, gefitinib, certain HIV protease inhibitors (eg, atazanavir), itraconazole, or ketoconazole because their effectiveness may be decreased by Ranitidine.

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

Important safety information:

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

Ranitidine may interfere with certain lab tests, including urine protein tests. Be sure your doctor and lab personnel know you are taking Ranitidine.

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

Ranitidine should be used with extreme caution in children younger than 1 month old; safety and effectiveness in these children have not been confirmed.

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

All medicines may cause side effects, but many people have no, or minor, side effects.

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

Constipation; diarrhea; headache; nausea; stomach upset.

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; unusual hoarseness); change in the amount of urine produced; confusion; dark urine; depression; fast, slow, or irregular heartbeat; fever, chills, or sore throat; hallucinations; severe or persistent headache or stomach pain; unusual bruising or bleeding; yellowing of the eyes or skin.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider.

Ranitidine is used for treating certain conditions that cause your body to make too much stomach acid (eg, Zollinger-Ellison syndrome). It is also used to treat ulcers of the small intestine that have not responded to other treatment. It may be used as a short-term alternative to oral ranitidine, in patients who are not able to take medicine by mouth. Ranitidine is an H 2 - receptor blocker. It works by blocking the action of histamine in the stomach. This reduces the amount of acid the stomach makes. Reducing stomach acid helps to reduce heartburn, heal irritation of the esophagus, and heal ulcers of the stomach or intestines.

Use Ranitidine as directed by your doctor.

Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

You may take antacids while you are using Ranitidine if you are directed to do so by your doctor.

Continue to use Ranitidine even if you feel well. Do not miss any dose.

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

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

Store Ranitidine between 68 and 77 degrees F (20 and 25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Ranitidine out of the reach of children and away from pets.

Do NOT use Ranitidine if:

you are allergic to any ingredient in Ranitidine

you have a history of the blood disease porphyria

you are taking dasatinib.

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

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

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

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

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

if you have a history of kidney or liver problems

if you have abnormal blood electrolyte levels or a history of irregular heartbeat.

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

Certain benzodiazepines (eg, midazolam, triazolam), glipizide, procainamide, or warfarin because the risk of their side effects may be increased by Ranitidine

Dasatinib, delavirdine, gefitinib, certain HIV protease inhibitors (eg, atazanavir), itraconazole, or ketoconazole because their effectiveness may be decreased by Ranitidine.

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

Important safety information:

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

Ranitidine may interfere with certain lab tests, including urine protein tests. Be sure your doctor and lab personnel know you are taking Ranitidine.

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

Ranitidine should be used with extreme caution in children younger than 1 month old; safety and effectiveness in these children have not been confirmed.

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

All medicines may cause side effects, but many people have no, or minor, side effects.

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

Constipation; diarrhea; headache; nausea; stomach upset.

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; unusual hoarseness); change in the amount of urine produced; confusion; dark urine; depression; fast, slow, or irregular heartbeat; fever, chills, or sore throat; hallucinations; severe or persistent headache or stomach pain; unusual bruising or bleeding; yellowing of the eyes or skin.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider.

Ranitidine is used for treating certain conditions that cause your body to make too much stomach acid (eg, Zollinger-Ellison syndrome). It is also used to treat ulcers of the small intestine that have not responded to other treatment. It may be used as a short-term alternative to oral ranitidine, in patients who are not able to take medicine by mouth. Ranitidine is an H 2 - receptor blocker. It works by blocking the action of histamine in the stomach. This reduces the amount of acid the stomach makes. Reducing stomach acid helps to reduce heartburn, heal irritation of the esophagus, and heal ulcers of the stomach or intestines.

Use Ranitidine as directed by your doctor.

Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

You may take antacids while you are using Ranitidine if you are directed to do so by your doctor.

Continue to use Ranitidine even if you feel well. Do not miss any dose.

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

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

Store Ranitidine between 68 and 77 degrees F (20 and 25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Ranitidine out of the reach of children and away from pets.

Do NOT use Ranitidine if:

you are allergic to any ingredient in Ranitidine

you have a history of the blood disease porphyria

you are taking dasatinib.

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

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

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

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

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

if you have a history of kidney or liver problems

if you have abnormal blood electrolyte levels or a history of irregular heartbeat.

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

Certain benzodiazepines (eg, midazolam, triazolam), glipizide, procainamide, or warfarin because the risk of their side effects may be increased by Ranitidine

Dasatinib, delavirdine, gefitinib, certain HIV protease inhibitors (eg, atazanavir), itraconazole, or ketoconazole because their effectiveness may be decreased by Ranitidine.

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

Important safety information:

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

Ranitidine may interfere with certain lab tests, including urine protein tests. Be sure your doctor and lab personnel know you are taking Ranitidine.

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

Ranitidine should be used with extreme caution in children younger than 1 month old; safety and effectiveness in these children have not been confirmed.

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

All medicines may cause side effects, but many people have no, or minor, side effects.

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

Constipation; diarrhea; headache; nausea; stomach upset.

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; unusual hoarseness); change in the amount of urine produced; confusion; dark urine; depression; fast, slow, or irregular heartbeat; fever, chills, or sore throat; hallucinations; severe or persistent headache or stomach pain; unusual bruising or bleeding; yellowing of the eyes or skin.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider.



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CFD-Code FLUTAN

Basics: FLUTAN is a highly vectorized computer code for steady and transient 3d fluiddynamic and thermal-hydraulic analyses in Cartesian or cylinder coordinates. It was developed in order to simulate single phase flows with small compressibility. The conservation equations for mass, momentum, energy, concentration of a contaminant, and turbulence quantities are solved. Material property libraries are available for the fluids water, air, sodium, lead, and lead-bismuth.

Numerics: The equations are discretized on a structured grid by a finite volume method. A staggered grid is used for the velocities. The discretization of the diffusive terms is performed by a central difference scheme. A first order upwind or one of two second order upwind methods (QUICK and LECUSSO) can be chosen for the convective terms. Several Poisson solvers are available for pressure calculation by means of the ICE technique, e. g. the CRESOR solver. A first order implicit Euler-method is used for time discretization.

Newly developed and implemented numerical features are achieving a larger efficiency and an improved accuracy: One is an explicitly treated static local grid refinement method for the Cartesian grid. The other one is a new method to use body fitted coordinates in a code basing on a staggered grid: the conservation equations are transformed from the Cartesian to a general curvilinear system by keeping the physical Cartesian velocity components as dependent variables and by defining three Cartesian velocity components on every cell surface.

Calculated instantaneous temperature field on the surfaces of a sump cooling experiment. View from below on the fluid domain. The blue areas represent the cooler surface temperatures, the straggly red and yellow surface represents the temperature distribution on the heater plate. (Groetzbach et al. 2001)

Physical models: Several turbulence models are available in FLUTAN basing on transport equations for some turbulence quantities. The most important one is the Turbulence Model for Buoyant Flows (TMBF) which consists of a first order k-eps model in a low-Reynolds number formulation and a second order five-equations turbulent heat flux model. The TMBF contains a number of models which were developed for variable Prandtl number applications on the basis of our Direct Numerical Simulation results from the TURBIT-code. In several benchmarks it turned out that the TMBF in its current development status is a powerful tool at least for forced and mixed convection even for liquid metal flows. The model development activities concentrate on achieving a wider application range of the more sophisticated turbulence models. Applying a porous body concept with mesh-cell dependent porosities and direction-dependent surface permeabilities allows to model effectively internal structures with scales below the grid widths and to mimic internal and external walls at cell surfaces. Special thermal boundary conditions are available like a heat exchanger model, a 1d wall model, and a model for heat radiation from solid surfaces. A 3d heat conduction model for solid structures was developed for simulating their internal non-uniform transport of heat. The structure temperatures are discretized on a separate grid on which the heat conduction equation is solved.

Pre - and Post-processing: These tools were undergoing a permanent extension and modification. By developing adequate interfaces, interactive geometry specification and meshing was possible; a TCL/TK based user interface allowed to handle the code system and to control interactively running jobs; several output interfaces allow to analyse the results by some graphics tools, e. g. it is possible to animate even 3d presentations of data by the AVS software.

Temperature field in the MEGAPIE module and in its bottom part. The PbBi is coming down from the annular cooler in the thin annular gap, is volumetrically heated at the lower 0.3 m by the proton beam, and is rising inside the steel guide tube due to buoyancy forces. The bypass jet to cool the hemispherical steel ‘window’ is modelled by a cold fluid source of 1.18 kg/s. The heat transfer through the guide tube heats the down-coming fluid strongly up and thus makes the window cooling less efficient. (Groetzbach et al. 2002).

Application fields: FLUTAN was carefully tested and verified. It successfully participated in several benchmarks, some with blind predictions for some experiments. It was already intensively used in the nuclear field to

investigate the decay heat removal from pool-type LMFBRs,

to analyse the cooling of PWR containment shells by natural convection and radiation,

to interpret the single-phase long-term cooling of a core melt in an optional sump cooling concept of the EPR (see upper figure above),

and to predict the flow and cooling behaviour in ADS targets and in the related MEGAPIE target module (see lower figure above).

References to the code

Bottoni, M. Willerding, G. Advanced solution algorithms for transient multidimensional thermohydraulic flow problems in complex geometries with the program COMMIX-2/KfK. Nucl. Engng & Design 100 (1987) pp.351-65.

Borgwaldt, H. CRESOR, A Robust Vectorized Poisson Solver Implemented in the COMMIX-2(V) Thermal-Hydraulic Code. Int. Conf. On Supercomputing in Nuclear Applications (SNA 90). Mito City, Japan, March 12-16 (1990) pp. 346-351.

Guenther, C. Fortgeschrittene Upwind-Differenzen-Verfahren zur numerischen Loesung der Konvektions-Diffusionsgleichung. Habilitation, Universitaet Karlsruhe (1992) KfK 4697

Willerding, G. Baumann, W. FLUTAN 2.0 Input Specifications. Forschungszentrum Karlsruhe (1996) FZKA 5712.

Ammann, T. Entwicklung eines impliziten Verfahrens zur lokalen Verfeinerung eines strukturierten Gitters; Dissertation, Universitaet Karlsruhe (1997) FZKA 5864

Carteciano L. N. Weinberg D. Mueller U. Development and Analysis of a Turbulence Model for Buoyant Flows (96kB). Proc. 4th World Conf. on Experimental Heat Transfer, Fluid Mechanics and Thermodynamics, Bruxelles, Belgium, June 2-6 (1997) 3 Pisa Edition ETS, pp. 1339-46

Jin, X. Rechenverfahren zur Diskretisierung von Stroemungen in komplexer Geometrie mittels koerperangepasster Gitter. Dissertation, Universitaet Karlsruhe (2001) FZKA 6596

Carteciano, L. Groetzbach, G. Validation of turbulence models for a free hot sodium jet with different buoyancy flow regimes using the computer code FLUTAN ; Forschungszentrum Karlsruhe, FZKA 6600 (2003)

References to some applications:

Weinberg, D.; Rust, K.; Hoffmann, H. Overview report of RAMONA-NEPTUN program on passive decay heat removal. Forschungszentrum Karlsruhe, FZKA-5667 (1996)

Baumann, W. Carteciano, L. Weinberg, D. Thermal propagation effects in a vertical turbulent flow behind a jet block - A benchmark exercise. J. of Hydraulics Research 35 (1997) pp. 843-864

Cheng, X. Mueller, U. Turbulent Natural Convection Coupled with Thermal Radiation in Large Vertical Channels with Asymmetric Heating. Int. J. Heat Mass Transfer 41 (1998) pp. 1681-1692

Groetzbach, G. Carteciano, L. N. Dorr, B. Jin, X. Analysis of an LWR Sump Cooling Concept (684kB). 29th IAHR Congress, Special Seminar Advances in Industrial Hydraulics and Applications to Energy Production, Beijing, China, September 17-21 (2001)

Groetzbach, G. Carteciano, L. N. Dorr, B. Analysis of the integral heat transfer characteristics of the MEGAPIE target (1033kB). Jahrestagung Kerntechnik 2002, Kerntechnische Gesellschaft e. V. INFORUM Bonn (2002) pp. 559 – 563

For further references on the FLUTAN code and its applications consider the databank of FZK publications and search for the publications of the authors listed above.

Contact person: G. Groetzbach, e-mail: groetzbach at kit. edu



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Stimulin - Male Enhancement Reviews, Stimulin

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Anacetin - Anti-Bacterial Agents, Protein Synthesis Inhibitors, Atc D06ax02, Atc D10af03, Atc G01aa0

Anacetin

Capsule; Drops; Liquid; Ointment; Powder; Solution; Suspension; Tablet

Anacetin Indication

Used in treatment of cholera, as it destroys the vibrios and decreases the diarrhea. It is effective against tetracycline-resistant vibrios. It is also used in eye drops or ointment to treat bacterial conjunctivitis.

Anacetin Pharmacology

Chloramphenicol is a broad-spectrum antibiotic that was derived from the bacterium Streptomyces venezuelae and is now produced synthetically. Chloramphenicol is effective against a wide variety of microorganisms, but due to serious side-effects (e. g. damage to the bone marrow, including aplastic anemia) in humans, it is usually reserved for the treatment of serious and life-threatening infections (e. g. typhoid fever). Chloramphenicol is bacteriostatic but may be bactericidal in high concentrations or when used against highly susceptible organisms. Chloramphenicol stops bacterial growth by binding to the bacterial ribosome (blocking peptidyl transferase) and inhibiting protein synthesis.

Anacetin Absorption

Rapidly and completely absorbed from gastrointestinal tract following oral administration (bioavailability 80%). Well absorbed following intramuscular administration (bioavailability 70%). Intraocular and some systemic absorption also occurs after topical application to the eye.

Anacetin side effects and Toxicity

Oral, mouse: LD 50 = 1500 mg/kg; Oral, rat: LD 50 = 2500 mg/kg. Toxic reactions including fatalities have occurred in the premature and newborn; the signs and symptoms associated with these reactions have been referred to as the gray syndrome. Symptoms include (in order of appearance) abdominal distension with or without emesis, progressive pallid cyanosis, vasomotor collapse frequently accompanied by irregular respiration, and death within a few hours of onset of these symptoms.

Anacetin Patient Information

No information avaliable

Anacetin Organisms Affected

Enteric bacteria and other eubacteria



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Prevacid (Lansoprazole) Side Effects, Interactions, Warning, Dosage & Uses, Lanzoprazol

DRUG DESCRIPTION

The active ingredient in PREVACID Delayed-Release Capsules and PREVACID SoluTab Delayed - Release Orally Disintegrating Tablets is lansoprazole, a substituted benzimidazole, 2-[[[3-methyl-4- (2,2,2-trifluoroethoxy)-2-pyridyl] methyl] sulfinyl] benzimidazole, a compound that inhibits gastric acid secretion. Its empirical formula is C 16 H 14 F 3 N 3 O 2 S with a molecular weight of 369.37. PREVACID has the following structure:

Lansoprazole is a white to brownish-white odorless crystalline powder which melts with decomposition at approximately 166°C. Lansoprazole is freely soluble in dimethylformamide; soluble in methanol; sparingly soluble in ethanol; slightly soluble in ethyl acetate, dichloromethane and acetonitrile; very slightly soluble in ether; and practically insoluble in hexane and water.

Lansoprazole is stable when exposed to light for up to two months. The rate of degradation of the compound in aqueous solution increases with decreasing pH. The degradation half-life of the drug substance in aqueous solution at 25°C is approximately 0.5 hour at pH 5.0 and approximately 18 hours at pH 7.0.

PREVACID is supplied in delayed-release capsules and in delayed-release orally disintegrating tablets for oral administration.

The delayed-release capsules are available in two dosage strengths: 15 mg and 30 mg of lansoprazole per capsule. Each delayed-release capsule contains enteric-coated granules consisting of 15 mg or 30 mg of lansoprazole (active ingredient) and the following inactive ingredients: sugar sphere, sucrose, methacrylic acid copolymer, low substituted hydroxypropyl cellulose, starch, magnesium carbonate, talc, polyethylene glycol, titanium dioxide, polysorbate 80, hydroxypropyl cellulose, colloidal silicon dioxide, D&C Red No. 28, FD&C Blue No. 1, FD&C Green No. 3 1. and FD&C Red No. 40.

PREVACID SoluTab Delayed-Release Orally Disintegrating Tablets are available in two dosage strengths: 15 mg and 30 mg of lansoprazole per tablet. Each delayed-release orally disintegrating tablet contains enteric - coated microgranules consisting of 15 mg or 30 mg of lansoprazole (active ingredient) and the following inactive ingredients: mannitol, methacrylic acid, hydroxypropyl cellulose, lactose monohydrate-microcrystalline cellulose sphere, triethyl citrate, crospovidone, polyacrylate, magnesium carbonate, aspartame 2. glyceryl monostearate, hypromellose, magnesium stearate, citric acid, titanium dioxide, talc, artificial strawberry flavor, polyethylene glycol, polysorbate 80 and ferric oxide.

1 PREVACID 15 mg caps ules only.

2 Phenylketonurics. Contains Phenylalanine 2.5 mg per 15 mg Tablet and 5.1 mg per 30 mg Tablet.

What are the possible side effects of lansoprazole (First Lansoprazole, Prevacid, Prevacid OTC, Prevacid SoluTab)?

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

Stop using lansoprazole and call your doctor at once if you have symptoms of low magnesium:

dizziness, confusion;

fast or uneven heart rate;

jerky muscle movements;

feeling jittery;

diarrhea that is watery or bloody;

muscle cramps, muscle weakness or limp feeling;

cough or choking feeling;.

What are the precautions when taking lansoprazole (Prevacid)?

Before taking lansoprazole, tell your doctor or pharmacist if you are allergic to it; or to similar drugs (such as dexlansoprazole, omeprazole, pantoprazole); 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: liver disease.

Some symptoms may actually be signs of a more serious condition. Get medical help right away if you have: heartburn with lightheadedness/sweating/dizziness, chest/jaw/arm/shoulder pain (especially with shortness of breath, unusual sweating), unexplained weight loss.

In addition, before you self-treat with this medication.

Last reviewed on RxList: 9/9/2016 This monograph has been modified to include the generic and brand name in many instances.



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