MedStore:Prescription Medication - Online Pharmacy

Zovirax

2010-09-15T09:43:00.003-07:00

Brand name: Zovirax
Generic name: Acyclovir

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

Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated.
Treatment with Zovirax should be started as soon as possible after the first appearance of symptoms (such as tingling, burning, blisters).
Herpes infections are contagious and you can infect other people, even while you are being treated with Zovirax. Avoid letting infected areas come into contact with other people. Avoid touching an infected area and then touching your eyes. Wash your hands frequently to prevent passing the infection to others.

What is Zovirax?

Zovirax is an antiviral drug. It slows the growth and spread of the herpes virus so that the body can fight off the infection. Zovirax will not cure herpes, but it can lessen the symptoms of the infections.
Zovirax is used to treat infections caused by herpes viruses. Illnesses caused by herpes viruses include genital herpes, cold sores, shingles, and chicken pox.
Zovirax may also be used for purposes other than those listed in this medication guide.

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

Do not take Zovirax without if you are allergic to valZovirax (Valtrex).
Before taking Zovirax, tell your doctor if you have kidney disease. You may need a dosage adjustment or special tests during treatment.
FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.
Zovirax passes into breast milk and may harm a nursing infant. Do not take this medication without telling your doctor if you are breast-feeding a baby.

How should I take Zovirax?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor.
Treatment with Zovirax should be started as soon as possible after the first appearance of symptoms (such as tingling, burning, blisters).
Take each dose with a full glass of water. Drink plenty of water while you are taking Zovirax to keep your kidneys working properly.
Zovirax can be taken with or without food. Taking Zovirax with food may decrease stomach upset.
Shake the oral suspension (liquid) well just before you measure a dose. To be sure you get the correct dose, measure the liquid with a marked measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.
Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Zovirax will not treat a viral infection such as the common cold or flu.
Lesions caused by herpes viruses should be kept as clean and dry as possible. Wearing loose clothing may help to prevent irritation of the lesions.
Store Zovirax at room temperature away from moisture and heat.

What happens if I miss a dose?

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

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.
Symptoms of an Zovirax overdose may include seizure (convulsions), hallucinations, and urinating less than usual or not at all.

What should I avoid while taking Zovirax?

Herpes infections are contagious and you can infect other people, even while you are being treated with Zovirax. Avoid letting infected areas come into contact with other people. Avoid touching an infected area and then touching your eyes. Wash your hands frequently to prevent passing the infection to others.
Zovirax will not prevent the spread of genital herpes. Avoid sexual intercourse or use a latex condom to prevent spreading the virus to others.

What are the possible side effects of Zovirax?

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 Zovirax and call your doctor at once if you have any of these serious side
- urinating less than usual or not at all;
- easy bruising or bleeding;
- unusual weakness.
Continue using Zovirax and talk with your doctor if you have any of these less serious side effects:
- nausea, vomiting, diarrhea, loss of appetite, stomach pain;
- headache, feeling light-headed; or
- swelling in your hands or feet.
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.

What other drugs will affect Zovirax?

Before taking Zovirax, tell your doctor if you are also taking probenecid (Benemid). If you are using probenecid, you may not be able to use Zovirax, or you may need dosage adjustments or special tests during treatment.
There may be other drugs that can affect Zovirax. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Zerit

2010-09-15T09:43:00.001-07:00

Brand name: Zerit
Generic name: Stavudine

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

Lactic acidosis and severe liver problems, including fatal cases, have been reported with the use of reverse transcriptase inhibitors, such as Zerit, alone or in combination. Contact your doctor immediately if you experience nausea, vomiting, or unusual or unexpected stomach discomfort; weakness and tiredness; shortness of breath; weakness in the arms and legs; yellowing of the skin or eyes; or pain in the upper stomach area. These may be early symptoms of lactic acidosis or liver problems.
Serious cases of pancreatitis (inflammation of the pancreas) have been reported with the use of Zerit. Notify your doctor immediately if you develop symptoms of pancreatitis including nausea, vomiting, diarrhea, abdominal pain.
Avoid alcohol while taking Zerit. Alcohol may increase the risk of damage to the pancreas and/ or liver.
The most common side effect from Zerit therapy is peripheral neuropathy, which may cause loss of feeling, numbness, tingling, or pain in a part of the body. Approximately 20% of patients taking Zerit will experience peripheral neuropathy. Contact your doctor if you experience any of these side effects.
Follow your doctor's instructions with respect to high-risk activities such as unprotected sex and the sharing of needles. Zerit is not a cure for HIV or AIDS, and you can still transmit the virus to others during therapy with this medication.

What is Zerit?

Zerit is an antiviral medication. It is in a category of HIV medicines called reverse transcriptase inhibitors. Zerit inhibits the reproduction of HIV in the body.
Zerit is used to treat the human immunodeficiency virus (HIV), which causes the acquired immunodeficiency syndrome (AIDS). Zerit is not a cure for HIV or AIDS.
Zerit may also be used for purposes other than those listed in this medication guide.

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

Before taking Zerit, tell your doctor if you have:
- kidney disease;
- liver disease;
- pancreatitis; or
- a history of peripheral neuropathy (numbness or tingling). or
You may not be able to take Zerit, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
The Zerit oral solution contains 50 mg of sucrose per mL. Individuals with diabetes may need to monitor their intake of sucrose.
Zerit is in the FDA pregnancy category C. This means that it is not known whether it will harm an unborn baby. Fatal lactic acidosis has been reported in pregnant women treated with the combination of didanosine (Videx, Videx EC) and Zerit with other antiretroviral medicines. It is very important to treat HIV/ AIDS during pregnancy to reduce the risk of infecting the baby. Talk to your doctor about your treatment options.
It is not known whether Zerit passes into breast milk and what effect it may have on a nursing baby. To prevent transmission of the virus to uninfected babies, it is recommended that HIV-positive mothers not breast-feed. Talk to your doctor about breast-feeding if you are taking Zerit.

How should I take Zerit?

Take Zerit 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.
Zerit can be taken with or without food.
Shake the suspension well before measuring a dose.
To ensure that you get a correct dose, measure the liquid form of Zerit with a special dose-measuring spoon or cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.
Swallow the extended-release capsules (Zerit XR) whole, without crushing or chewing. If swallowing the capsules is difficult, they can be carefully opened and the contents mixed with two tablespoons of applesauce or yogurt. The mixture should then be swallowed whole, without chewing or crushing the beads. Consume the mixture immediately, do not save it for later use.
Treatment of HIV/ AIDS almost always requires the use of two or more drugs. If you need to stop taking one of the medicines you are taking for HIV, you should stop all of them until you can talk to your doctor.
It is important to take Zerit regularly to get the most benefit.
Your doctor may want you to have blood tests or other medical evaluations during treatment with Zerit to monitor progress and side effects.
Store Zerit capsules at room temperature away from moisture and heat.
Store the Zerit suspension in the refrigerator between 2 and 8 degrees Celsius (36 to 46 degrees Fahrenheit). Throw away any unused suspension after 30 days.

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 regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take a double dose of this medication unless your doctor directs otherwise.

What happens if I overdose?

Seek emergency medical attention.
Symptoms of a Zerit overdose include liver damage (yellowing of the skin or eyes, nausea, abdominal pain or discomfort, unusual bleeding or bruising, severe fatigue) and numbness, tingling, or pain in a part of the body.

What should I avoid while taking Zerit?

Follow your doctor's instructions with respect to high-risk activities such as unprotected sex and the sharing of needles. Zerit is not a cure for HIV or AIDS, and you can still transmit the virus to others during therapy with this medication.
Avoid alcohol while taking Zerit. Alcohol may increase the risk of damage to the pancreas and/ or liver.

What are the possible side effects of Zerit?

Stop taking Zerit and seek emergency medical attention if you experience an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives).
Lactic acidosis and severe liver problems, including fatal cases, have been reported with the use of reverse transcriptase inhibitors, such as Zerit, alone or in combination. Contact your doctor immediately if you experience nausea, vomiting, or unusual or unexpected stomach discomfort; weakness and tiredness; shortness of breath; weakness in the arms and legs; yellowing of the skin or eyes; or pain in the upper stomach area. These may be early symptoms of lactic acidosis or liver problems.
Serious cases of pancreatitis (inflammation of the pancreas) have been reported with the use of Zerit. Notify your doctor immediately if you develop symptoms of pancreatitis including nausea, vomiting, diarrhea, abdominal pain.
The most common side effect from Zerit therapy is peripheral neuropathy, which may cause loss of feeling, numbness, tingling, or pain in a part of the body. Approximately 20% of patients taking Zerit will experience peripheral neuropathy. Contact your doctor if you experience any of these side effects.
Other, less serious side effects may be more likely to occur. Continue to take Zerit and talk to your doctor if you experience any of the following side effects:
- headache;
- a fever or chills;
- nausea, vomiting, or diarrhea;
- insomnia;
- decreased appetite;
- a rash; or
- redistribution of body fat (loss of fat from the arms, legs, and face and increased fat around the neck, breast, and trunk).
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.

What other drugs will affect Zerit?

Zerit may interact with other medications resulting in reduced effectiveness and/ or side effects. Talk to your doctor and pharmacist before taking any other prescription or over-the-counter medications, including herbal products.

Valtrex

2010-09-15T09:42:00.002-07:00

Brand name: Valtrex
Generic name: Valacyclovir

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

Take all of the valtrex that has been prescribed for you even if you begin to feel better. Your symptoms may start to improve before the infection is completely treated.

Treatment with valtrex should be started as soon as possible after the first appearance of symptoms (e.g. tingling, burning, blisters).

Herpes infections are contagious and you can infect other people, even during treatment. Avoid letting infected areas come into contact with other people. Wash your hands frequently to prevent transmission.

Valtrex is not a cure for herpes virus infections.

What is valtrex?

Valtrex is an antiviral drug. It slows the growth and spread of the herpes virus so that the body can fight off the infection. Valtrex lessens the symptoms of these infections and shortens the length of time you are sick.

Valtrex is used in the treatment and suppression of genital herpes, shingles, and cold sores. Valtrex is not a cure for herpes virus infections.

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

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

Do not take valtrex without first talking to your doctor if you are allergic to acyclovir (Zovirax). Before taking this medication, tell your doctor if you have kidney disease or immune system problems. You may need a dosage adjustment or special monitoring during treatment with valtrex. Valtrex is in the FDA pregnancy category B. This means that it is not expected to 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 valtrex passes into breast milk and how it may affect a nursing baby. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.

How should I take valtrex?

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

Treatment with valtrex should be started as soon as possible after the first appearance of symptoms (e.g. for cold sores-tingling, burning, blisters).

Take each dose with a full glass of water.

Valtrex can be taken with or without food. Taking valtrex with food may decrease stomach upset.

Take all of the valtrex that has been prescribed for you even if you begin to feel better. Your symptoms may start to improve before the infection is completely treated.

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

Lesions caused by herpes viruses should be kept as clean and dry as possible. Wearing loose clothing may help to prevent irritation of the lesions.

Store valtrex 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 regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take a double dose of this medication unless otherwise directed by your doctor.

What happens if I overdose?

Seek emergency medical treatment if an overdose is suspected.

The symptoms of an overdose of valtrex are not well known, but an overdose of acyclovir (Zovirax), which is a similar drug, may cause seizures, hallucinations, and kidney damage (decreased urine production).

What should I avoid while taking valtrex?

Valtrex will not prevent the spread of genital herpes. Avoidance of sexual intercourse and use of latex condoms may prevent spreading the virus to others.

What are the possible side effects of valtrex?

Stop taking valtrex 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).

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

nausea, vomiting, diarrhea, constipation, or abdominal pain;
headache;
dizziness; or
tremors.

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.

What other drugs will affect valtrex?

Probenecid (Benemid) and cimetidine (Tagamet, Tagamet HB) may increase the effects of valtrex and possibly lead to dangerous side effects. You may need a dosage adjustment or special monitoring during treatment if you are taking probenecid or cimetidine.

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

Urispas

2010-09-15T09:42:00.001-07:00

Brand name: Urispas
Generic name: Flavoxate

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

Use caution when driving, operating machinery, or performing other hazardous activities. Urispas may cause dizziness, drowsiness, or blurred vision. If you experience dizziness, drowsiness, or blurred vision, avoid these activities.
Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while taking Urispas.
Avoid becoming overheated in hot weather. Urispas may increase the risk of heat stroke because it may decrease sweating. Drink plenty of fluid of maintain adequate hydration.

What is Urispas?

Urispas relieves spasms of the bladder and urinary tract.
Urispas is used to treat the symptoms of urinary frequency, urinary urgency, urinary leakage, painful or difficult urination, and urinary incontinence.
Urispas may also be used for purposes other than those listed in this medication guide.

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

Do not take Urispas if you have
- a blockage of the urinary tract (difficulty urinating);
- bleeding in the stomach; or
- a blockage in the intestines.
Before taking Urispas, tell your doctor if you have glaucoma or other health problems. You may not be able to take Urispas, or you may require a dosage adjustment or special monitoring if you have other medical conditions.
Urispas is in the FDA pregnancy category B. This means that it is not expected to be harmful to an unborn baby. Do not take Urispas without first talking to your doctor if you are pregnant or could become pregnant during treatment.
It is not known whether Urispas will be harmful to a nursing infant. Do not take Urispas without first talking to your doctor if you are breast-feeding a baby.
The safety and effectiveness of Urispas have not been studied in children younger than 12 years of age. Urispas is not recommended for use by children in this age group.

How should I take Urispas?

Take Urispas 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.
Do not take more of this medication than is prescribed for you. If your symptoms are not being treated, notify your doctor.
Store Urispas 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.
Symptoms of an Urispas overdose are not well known but might include restlessness, tremor, irritability, seizures, delirium, hallucinations, flushing, fever, nausea, vomiting, a fast heartbeat, and possibly coma.

What should I avoid while taking Urispas?

Use caution when driving, operating machinery, or performing other hazardous activities. Urispas may cause dizziness, drowsiness, or blurred vision. If you experience dizziness, drowsiness, or blurred vision, avoid these activities.
Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while taking Urispas.
Avoid becoming overheated in hot weather. Urispas may increase the risk of heat stroke because it may decrease sweating. Drink plenty of fluid to maintain adequate hydration.

What are the possible side effects of Urispas?

If you experience any of the following serious side effects, stop taking Urispas and seek emergency medical attention or contact your doctor immediately:
- an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives); or
- an irregular or fast heart rate.
Other, less serious side effects may be more likely to occur. Continue to take Urispas and talk to your doctor if you experience
- nausea or vomiting;
- dry mouth;
- dizziness or lightheadedness;
- headache;
- confusion;
- drowsiness;
- nervousness;
- blurred vision or large pupils;
- dryness of the eyes; or
- difficulty urinating.
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.

What other drugs will affect Urispas?

Urispas may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any medicine without first talking to your doctor.
Drugs other than those listed here may also interact with Urispas. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Symmetrel

2010-09-15T09:41:00.001-07:00

Brand name: Symmetrel
Generic name: Amantadine

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

Do not stop taking Symmetrel suddenly if you are using it to treat Parkinson's disease. Doing so may cause your condition to suddenly become much worse.
If you are taking Symmetrel to treat influenza A, take all of the medication that has been prescribed for you even if you begin to feel better. Your symptoms may start to improve before the infection is completely treated.

What is Symmetrel?

Symmetrel is an antiviral medication. It blocks the actions of viruses in your body.
Symmetrel is used to treat and to prevent influenza A (a viral infection). There may be some flu seasons during which Symmetrel is not recommended because certain flu strains may be resistant to this drug.
Symmetrel is also used to treat Parkinson's disease and “parkinson-like” symptoms such as stiffness and shaking that may be caused by the use of certain drugs. How Symmetrel works in these conditions is unknown.
Symmetrel may also be used for purposes other than those listed in this medication guide.

Who should not take Symmetrel?

Before taking Symmetrel, tell your doctor if you have
- epilepsy or any other seizure disorder;
- congestive heart failure or an accumulation of fluid (swelling) in your arms, legs, hands, or feet;
- any type of kidney disease;
- any type of liver disease; or
- a chronic rash such as eczema.
You may need a lower dose or special monitoring during treatment if you have any of the conditions listed above.
Symmetrel is in the FDA pregnancy category C. This means that it is not known whether it will harm an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant.
Symmetrel passes into breast milk. It is not known whether it will harm a nursing baby. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.

How should I take Symmetrel?

Take Symmetrel exactly as directed by your doctor. If you do not understand the directions on your prescription bottle, ask your pharmacist, nurse, or doctor to explain them to you.
Take each dose with a full glass of water.
To ensure that you get a correct dose, measure the liquid form of Symmetrel with a special dose-measuring spoon or cup, not with a regular tablespoon. If you do not have a dose-measuring device, ask your pharmacist for one.
If you are taking Symmetrel to treat influenza A, take all of the medication that has been prescribed for you even if you begin to feel better. Your symptoms may start to improve before the infection is completely treated.
Store Symmetrel 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 your next dose, skip the dose you missed and take only your next regularly scheduled dose. Do not take a double dose of this medication.

What happens if I overdose?

Seek emergency medical attention.
Symptoms of an Symmetrel overdose include an increased heart rate; high blood pressure (blurred vision, severe headache); anxiety; difficulty breathing; insomnia; aggression; tremor; confusion; hallucinations; paranoia; coma; seizures; and even death.

What should I avoid while taking Symmetrel?

Use caution when driving, operating machinery, or performing other hazardous activities. Symmetrel may cause dizziness. If you experience dizziness, avoid these activities.

What are the possible side effects of Symmetrel?

If you experience any of the following serious side effects, stop taking Symmetrel and seek emergency medical attention:
- an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);
- congestive heart failure (swelling in your lower legs or feet, difficulty breathing, fatigue);
- severe stiffness or involuntary movements of your arms or legs; or
- confusion after discontinuing Symmetrel or after a dose reduction.
Other, less serious side effects are more likely to occur. Continue to take Symmetrel and talk to your doctor if you experience
- dizziness, lightheadedness, drowsiness, or a headache;
- insomnia;
- nausea or decreased appetite;
- dry mouth or constipation; or
- depression, anxiety, or confusion.
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.

What other drugs will affect Symmetrel?

Other drugs that stimulate your central nervous system, such as caffeine, diet pills, and decongestants, may increase the side effects from Symmetrel. Do not take any prescription or over-the-counter medicines for weight loss, for colds, for allergies, or to help you stay awake without first talking to your doctor or pharmacist.
Tell your doctor if you are taking a diuretic (water pill). You may need special monitoring during your therapy.
Phenothiazines used to treat emotional disorders, such as chlorpromazine (Thorazine) and thioridazine (Mellaril), may increase tremor during Symmetrel therapy. Tell your doctor about any medicines you are taking for emotional conditions.
Drugs other than those listed here may also interact with Symmetrel. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

Sustiva

2010-09-15T09:40:00.004-07:00

Brand name: Sustiva
Generic name: Efavirenz

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

Treatment with Sustiva has been associated with the development of serious psychiatric side effects including severe depression, suicidal thoughts, aggressive behavior, paranoid reactions, manic reactions. Contact your doctor immediately if you develop any new or worsening psychiatric symptoms.
Use caution when driving, operating machinery, or performing other hazardous activities. Sustiva may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
Avoid alcohol or use it with caution while taking Sustiva. Alcohol may increase dizziness and drowsiness while taking this medication.
Sustiva is not a cure for HIV or AIDS, and you can still transmit the virus to others during therapy with the medication. Follow your doctor's instructions with respect to high-risk activities such as unprotected sex and the sharing of needles.

What is Sustiva?

Sustiva is an antiviral medication. It is in a category of HIV medicines called non-nucleoside reverse transcriptase inhibitors. Sustiva inhibits the reproduction of HIV in the body.
Sustiva is used to treat the human immunodeficiency virus (HIV), which causes the acquired immunodeficiency syndrome (AIDS). Sustiva is not a cure for HIV or AIDS.
Sustiva may also be used for purposes other than those listed in this medication guide.

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

Sustiva may cause serious and/ or life-threatening side effects if taken with certain other medications including the following: cisapride (Propulsid), astemizole (Hismanal), terfenadine (Seldane), midazolam (Versed), triazolam (Halcion), ergotamine (Ergostat, Ergomar, and others), dihydroergotamine (D.H.E. 45), and others. Do not take any other medicines during treatment with Sustiva without first talking to your doctor.
Before taking Sustiva, tell your doctor if you have
- liver disease;
- a history of mental illness or depression; or
- high blood levels of cholesterol or triglycerides (types of fat in the blood).
You may not be able to take Sustiva, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
Sustiva is in the FDA pregnancy category D. This means that Sustiva is known to be harmful to an unborn baby. Do not use Sustiva without first talking to your doctor if you are pregnant or could become pregnant during treatment. Discuss with your doctor the appropriate use of birth control during treatment with Sustiva if necessary.
Sustiva passes into breast milk and it is not known whether it will affect a nursing baby. To prevent transmission of the virus to uninfected babies, it is recommended that HIV-positive mothers not breast feed their babies.

How should I take Sustiva?

Take Sustiva 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.
Sustiva can be taken with or without food. Do not take Sustiva with a high fat meal.
Taking Sustiva at bedtime may help to minimize side effects.
It is important to take Sustiva regularly to get the most benefit.
Treatment of HIV/ AIDS almost always requires the use of two or more drugs. If you need to stop taking one of the medicines you are taking for HIV, you should stop all of them until you can talk to your doctor.
Your doctor may want you to have blood tests or other medical evaluations during treatment with Sustiva to monitor progress and side effects.
Store Sustiva 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 regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take a double dose of this medication unless your doctor directs otherwise.

What happens if I overdose?

Seek emergency medical attention if an overdose is suspected.
Symptoms of an Sustiva overdose may include confusion, poor coordination, headache, numbness or tingling, tremor, dizziness, muscle cramps, and seizures.

What should I avoid while taking Sustiva?

Use caution when driving, operating machinery, or performing other hazardous activities. Sustiva may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
Avoid alcohol or use it with caution while taking Sustiva. Alcohol may increase dizziness and drowsiness while taking this medication.
Follow your doctor's instructions with respect to high-risk activities such as unprotected sex and the sharing of needles. Sustiva is not a cure for HIV or AIDS, and you can still transmit the virus to others during therapy with this medication.

What are the possible side effects of Sustiva?

Treatment with Sustiva has been associated with the development of serious psychiatric side effects including severe depression, suicidal thoughts, aggressive behavior, paranoid reactions, manic reactions. Contact your doctor immediately if you develop any new or worsening psychiatric symptoms.
If you experience any of the following serious side effects, stop taking Sustiva and seek emergency medical attention or notify your doctor immediately:
- an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives); or
- a rash.
Other, less serious side effects may be more likely to occur. Continue taking Sustiva and talk to your doctor if you experience
- dizziness;
- drowsiness;
- insomnia;
- abnormal dreams;
- impaired concentration;
- agitation or nervousness;
- headache;
- mild nausea, vomiting, or diarrhea; or
- changes in body fat (e.g., increased fat in the upper back, neck, breast, and trunk and loss of fat from the legs, arms, and face).
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.

What other drugs will affect Sustiva?

Sustiva may cause serious and/ or life-threatening side effects if taken with certain other medications including the following: cisapride (Propulsid), astemizole (Hismanal), terfenadine (Seldane), midazolam (Versed), triazolam (Halcion), ergotamine (Ergostat, Ergomar, and others), dihydroergotamine (D.H.E. 45), and others. Do not take any other medicines during treatment with Sustiva without first talking to your doctor.
Before taking Sustiva, tell your doctor if you are taking
- indinavir (Crixivan);
- ritonavir (Norvir);
- saquinavir (Invirase, Fortovase);
- warfarin (Coumadin);
- clarithromycin (Biaxin);
- rifabutin (Mycobutin); or
- rifampin (Rifadin, Rimactane).
You may not be able to take Sustiva, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.
Drugs other than those listed here may also interact with Sustiva. Talk to your doctor and pharmacist before taking or using any other prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.

Retrovir

2010-09-15T09:40:00.003-07:00

Brand name: Retrovir
Generic name: Zidovudine

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

Before using this medication, tell your doctor if you have kidney disease, liver disease, a pancreas disorder, or problems with your muscles.
Retrovir can lower the blood cells in your body that help you fight infections. This can make it easier for you to bleed from an injury or get sick from being around others who are ill. To be sure your blood cells do not get too low, your blood will need to be tested on a regular basis. It is important that you not miss any scheduled visits to your doctor.
Call your doctor at once if you have liver problems while you are using Retrovir. Symptoms to watch for include stomach pain, nausea and vomiting, low fever, lost appetite, dark urine, clay-colored stools, or jaundice (yellowing of the skin or eyes).
Call your doctor at once if you have muscle pain or weakness, numbness or tingling in any part of your body, and nausea with vomiting. These could be signs of lactic acidosis.

What is Retrovir?

Retrovir is an antiviral medication. It is in a group of human immunodeficiency virus (HIV) medicines called reverse transcriptase inhibitors. This medication helps keep the HIV virus from reproducing in the body.
Retrovir is used to treat HIV, which causes the acquired immunodeficiency syndrome (AIDS). Retrovir is also given during pregnancy to prevent an HIV-infected woman from passing the virus to her baby. This medication is not a cure for HIV or AIDS.
Retrovir may also be used for purposes other than those listed in this medication guide.

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

Before taking Retrovir, tell your doctor if you have:
- kidney disease;
- liver disease;
- hepatitis C;
- pancreatitis; or
- bone marrow suppression.
If you have any of the conditions listed above, you may not be able to use Retrovir or you may need a dosage adjustment or special tests during treatment.
Retrovir is in the FDA pregnancy category C. This means that it is not known if it will be harmful to an unborn baby. Do not use this medication without telling your doctor if you are pregnant. It is very important to treat HIV/ AIDS during pregnancy to reduce the risk of infecting the baby. Tell your doctor if you become pregnant during treatment.
It is not known whether Retrovir passes into breast milk or if it could harm a nursing baby. Women with HIV or AIDS should not breast-feed. Even if your baby is born without HIV, you may still pass the virus to the baby in your breast milk.

How should I take Retrovir?

Take Retrovir exactly as your doctor has prescribed it for you. Do not use more of the medication than recommended. Do not take Retrovir for longer than your doctor has prescribed.
Retrovir tablets, capsules, or syrup can be taken with or without food.
To be sure you get the correct dose of Retrovir syrup, measure the liquid with a marked measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.
Retrovir IV (intravenous) is given as an injection into a vein. The medicine must be injected slowly and is usually given 5 to 6 times daily. Your IV needle may be left in place during the entire time you are receiving this medicine by injection. Retrovir injection should be used only until you are able to take the tablet, capsule, or syrup form of this medicine.
If you will use this medicine at home, your doctor, nurse, or pharmacist will give you specific instructions on how to use an IV. Do not give yourself an injection if you do not understand these instructions. Call your doctor, nurse, or pharmacist for help with injection instructions.
Use each needle and syringe only one time. With your medicine you will receive a puncture-proof container for used needles and syringes. If you do not receive a container, ask your pharmacist for one. Keep this container out of the reach of children and pets. Your pharmacist can tell you how to properly dispose of the container properly.
Treatment of HIV/ AIDS almost always requires using many medicines together. To best treat your condition, use all of your medications as directed by your doctor. Do not change your doses or medication schedule without advice from your doctor. Every person with HIV or AIDS should remain under the care of a doctor.
Retrovir can lower the blood cells in your body that help you fight infections. This can make it easier for you to bleed from an injury or get sick from being around others who are ill. To be sure your blood cells do not get too low, your blood will need to be tested on a regular basis. It is important that you not miss any scheduled visits to your doctor.
Store Retrovir at room temperature away from moisture and heat.
Retrovir injection must be diluted (mixed) before it is given in the IV. After mixing the medication, you may store it at room temperature or in a refrigerator. Use the mixture within 8 hours if it is kept at room temperature, or within 24 hours if refrigerated.

What happens if I miss a dose?

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

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.
Symptoms of a Retrovir overdose may include nausea, vomiting, dizziness, drowsiness, headache, confusion, and seizures.

What should I avoid while taking Retrovir?

Avoid having unprotected sex or sharing needles, razors, or toothbrushes. Taking this medication will not keep you from passing HIV to other people. Talk with your doctor about safe methods of preventing HIV transmission during sex, such as using a condom and spermicide. Sharing drug or medicine needles is never safe, even for a healthy person.

What are the possible side effects of Retrovir?

Stop using this medication and get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have any problems with your liver while you are using Retrovir. Symptoms to watch for include stomach pain, nausea and vomiting, low fever, lost appetite, dark urine, clay-colored stools, or jaundice (yellowing of the skin or eyes).
Call your doctor at once if you have any of these other serious side effects:
- lactic acidosis — muscle pain or weakness, numb or tingly feeling, and nausea with vomiting;
- signs of a new infection — fever, chills, body aches, flu symptoms;
- easy bruising or bleeding, unusual weakness, pale skin;
- white patches or sores inside your mouth or on your lips.
Less serious side effects may be more likely to occur. Talk with your doctor if you have any of these side effects:
- changes in the shape or location of body fat (especially in your arms, legs, face, neck, breasts, and trunk);
- headache, sleep problems (insomnia);
- mild nausea, vomiting, constipation, stomach pain;
- pain or irritation where you injected the medication;
- eye twitching or uncontrollable movements; or
- lack of balance or coordination.
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.

What other drugs will affect Retrovir?

Do not use Retrovir together with other combination drugs that contain Retrovir, such as Combivir or Trizivir.
Before taking Retrovir, tell your doctor if you are also using:
- stavudine (Zerit);
- doxorubicin (Adriamycin);
- ganciclovir (Cytovene);
- interferon-alfa (Roferon, Intron, Rebetron);
- phenytoin (Dilantin); or
- ribavirin (Rebetol, Ribasphere, Copegus Virazole).
There may be other drugs that can affect Retrovir. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Famvir

2010-09-15T09:40:00.001-07:00

Brand name: Famvir
Generic name: Famciclovir

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

Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated.
Treatment with Famvir should be started as soon as possible after the first appearance of symptoms (such as tingling, burning, blisters).
Herpes infections are contagious and you can infect other people, even while you are being treated with Famvir. Avoid letting infected areas come into contact with other people. Avoid touching an infected area and then touching your eyes. Wash your hands frequently to prevent passing the infection to others.

What is Famvir?

Famvir is an antiviral drug. It slows the growth and spread of the herpes virus so that the body can fight off the infection. Famvir will not cure herpes, but it can lessen the symptoms of the infections.
Famvir is used to treat infections caused by herpes viruses. Illnesses caused by herpes viruses include genital herpes, cold sores, shingles, and chicken pox.
Famvir may also be used for purposes other than those listed in this medication guide.

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

Do not take Famvir if you are allergic to penciclovir (Denavir).
Before taking this medication, tell your doctor if you have:
- kidney disease;
- galactose intolerance;
- severe lactase deficiency; or
- glucose-galactose malabsorption.
If you have any of these conditions, you may not be able to use Famvir, or you may need a dosage adjustment or special tests during treatment.
FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.
It is not known whether Famvir passes into breast milk, or if it could harm a nursing baby. Do not take Famvir without telling your doctor if you are breast-feeding a baby.
Do not give this medication to a child younger than 18 years old.

How should I take Famvir?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor.
Treatment with Famvir should be started as soon as possible after the first appearance of symptoms (such as tingling, burning, blisters).
Take each dose with a full glass of water. Drink plenty of water while you are taking Famvir to keep your kidneys working properly.
Famvir can be taken with or without food. Taking Famvir with food may decrease stomach upset.
Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Famvir will not treat a viral infection such as the common cold or flu.
Lesions caused by herpes viruses should be kept as clean and dry as possible. Wearing loose clothing may help to prevent irritation of the lesions.
Store Famvir at room temperature away from moisture and heat.

What happens if I miss a dose?

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

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a Famvir overdose are unknown.

What should I avoid while taking Famvir?

Herpes infections are contagious and you can infect other people, even while you are being treated with Famvir. Avoid letting infected areas come into contact with other people. Avoid touching an infected area and then touching your eyes. Wash your hands frequently to prevent passing the infection to others.
Famvir will not prevent the spread of genital herpes. Avoid sexual intercourse or use a latex condom to prevent spreading the virus to others.

What are the possible side effects of Famvir?

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.
Continue taking Famvir and talk to your doctor if you have any of these less serious side effects:
- nausea, vomiting, stomach pain;
- headache;
- diarrhea,
- dizziness, sleepiness;
- mild itching or skin rash; or
- confusion.
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.

What other drugs will affect Famvir?

Before taking Famvir, tell your doctor if you are also taking probenecid (Benemid). If you are using probenecid, you may not be able to use Famvir, or you may need dosage adjustments or special tests during treatment.
There may be other drugs that can affect Famvir. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Epivir

2010-09-15T09:39:00.001-07:00

Brand name: Epivir
Generic name: Lamivudine

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

Before taking Epivir, tell your doctor if you have kidney disease, liver disease, a pancreas disorder, or problems with your muscles.
Call your doctor at once if you have liver problems while you are using Epivir. Symptoms to watch for include stomach pain, nausea and vomiting, low fever, lost appetite, dark urine, clay-colored stools, or jaundice (yellowing of the skin or eyes).
If you have hepatitis B you may develop liver symptoms after you stop taking Epivir, even months after stopping. Your doctor may want to check your liver at regular visits for several months after you stop using this medication. Do not miss any scheduled visits.
Swelling of the pancreas (pancreatitis) may occur during treatment, especially in children using Epivir. Call your doctor right away if you notice any of these symptoms of pancreatitis: sudden and severe pain in the upper middle or left side of your stomach, nausea and/ or vomiting, fever, chills, rapid pulse, or stomach pain that gets worse after eating or when lying down flat.
Call your doctor at once if you have muscle pain or weakness, numbness or tingling in any part of your body, and nausea with vomiting. These could be signs of lactic acidosis.
Epivir tablets and liquid contain a higher dose of Epivir than Epivir-HBV. Epivir is for treating HIV and Epivir-HBV is for treating hepatitis B. Each time you get a refill of this medication, be sure you have received the correct brand to treat your condition.

What is Epivir?

Epivir is an antiviral medication. It is in a group of human immunodeficiency virus (HIV) medicines called reverse transcriptase inhibitors. Epivir helps keep the HIV virus from reproducing in the body.
The Epivir brand of Epivir is used to treat HIV, which causes the acquired immunodeficiency syndrome (AIDS). Epivir is not a cure for HIV or AIDS. The Epivir-HBV brand of Epivir is used to treat chronic hepatitis B.
Epivir may also be used for purposes other than those listed in this medication guide.

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

Before taking Epivir, tell your doctor if you have:
- kidney disease;
- liver disease;
- pancreatitis; or
- problems with your muscles.
If you have any of the conditions listed above, you may not be able to use Epivir or you may need a dosage adjustment or special tests during treatment.
If you have hepatitis B you may develop liver symptoms after you stop taking Epivir, even months after stopping. Your doctor may want to check your liver at regular visits for several months after you stop using this medication. Do not miss any scheduled visits.
If you have diabetes, you should know that the liquid forms of this medication contain 3 to 4 grams of sucrose (sugar) per dose.
Epivir is in the FDA pregnancy category C. This means that it is not known if it will be harmful to an unborn baby. Do not use this medication without telling your doctor if you are pregnant. It is very important to treat HIV/ AIDS during pregnancy to reduce the risk of infecting the baby. Tell your doctor if you become pregnant during treatment.
It is not known if Epivir passes into breast milk or if it could harm a nursing baby. Women with HIV or AIDS should not breast-feed. Even if your baby is born without HIV, you may still pass the virus to the baby in your breast milk.

How should I take Epivir?

Take this medication exactly as your doctor has prescribed it for you. Do not use more of the medication than recommended. Do not take Epivir for longer than your doctor has prescribed.
To be sure you get the correct dose, measure the liquid with a marked measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.
Epivir can be taken with or without food.
To ensure that you get a correct dose, measure the liquid forms of Epivir with a special dose-measuring spoon or cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.
Epivir tablets and liquid contain a higher dose of Epivir than Epivir-HBV. Epivir is for treating HIV and Epivir-HBV is for treating hepatitis B. Each time you get a refill of this medication, be sure you have received the correct brand to treat your condition.
Treatment of HIV/ AIDS almost always requires using many medicines together. To best treat your condition, use all of your medications as directed by your doctor. Do not change your doses or medication schedule without advice from your doctor. Every person with HIV or AIDS should remain under the care of a doctor.
To be sure this medication is helping your condition, your blood will need to be tested on a regular basis. Your kidney or liver function may also need to be tested. It is important that you not miss any scheduled visits to your doctor.
Store this medication at room temperature away from moisture and heat. You may keep the oral solution (liquid) in the refrigerator but do not let it freeze.

What happens if I miss a dose?

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

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. The symptoms of a Epivir overdose are not known.

What should I avoid while taking Epivir?

Avoid having unprotected sex or sharing needles, razors, or toothbrushes. Taking this medication will not keep you from passing HIV to other people. Talk with your doctor about safe methods of preventing HIV transmission during sex, such as using a condom and spermicide. Sharing drug or medicine needles is never safe, even for a healthy person.
Avoid drinking alcohol while taking Epivir. Alcohol may increase the risk of damage to your pancreas or liver.

What are the possible side effects of Epivir?

Stop using Epivir and get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have any problems with your liver while you are using Epivir. Symptoms to watch for include stomach pain, nausea and vomiting, low fever, lost appetite, dark urine, clay-colored stools, or jaundice (yellowing of the skin or eyes).
Swelling of the pancreas (pancreatitis) may occur during treatment with Epivir, especially in children using this medication. Call your doctor right away if you notice any of these symptoms of pancreatitis: sudden and severe pain in the upper middle or left side of your stomach, nausea and/ or vomiting, fever, chills, rapid pulse, or stomach pain that gets worse after eating or when lying down flat.
Call your doctor at once if you have any of these other serious side effects:
- lactic acidosis — muscle pain or weakness, numb or tingly feeling, and nausea with vomiting;
- signs of a new infection — fever, chills, body aches, flu symptoms; or
- white patches or sores inside your mouth or on your lips.
Less serious side effects may be more likely to occur. Talk with your doctor if you have any of these side effects:
- changes in the shape or location of body fat (especially in your arms, legs, face, neck, breasts, and trunk);
- sleep problems (insomnia), strange dreams;
- headache, dizziness; or
- a runny or stuffy nose.
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.

What other drugs will affect Epivir?

Before taking Epivir, tell your doctor if you are also taking zalcitabine (Hivid) or ribavirin (Rebetol, Ribasphere, Copegus Virazole). There may be other drugs that can affect Epivir. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Dostinex

2010-09-15T09:38:00.001-07:00

Brand name: Dostinex
Generic name: Cabergoline

Dostinex is used for:

Treating disorders associated with high levels of the hormone prolactin, either due to tumors in the pituitary gland or to unknown causes. It may also be used for other conditions as determined by your doctor.

Dostinex is a dopamine receptor agonist. It works by blocking prolactin secretion from the pituitary gland.

Do NOT use Dostinex if:

you are allergic to any ingredient in Dostinex or to ergot derivatives (eg, ergotamine)
you have uncontrolled high blood pressure
you are taking a butyrophenone (eg, haloperidol), metoclopramide, a phenothiazine (eg, chlorpromazine), or a thioxanthene (eg, thiothixene)

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

Before using Dostinex:

Some medical conditions may interact with Dostinex. 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 high blood pressure or liver problems
if you have high blood pressure or convulsions caused by pregnancy
if you are taking medicines that may lower your blood pressure

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

Butyrophenones (eg, haloperidol), metoclopramide, phenothiazines (eg, chlorpromazine), or thioxanthenes (eg, thiothixene) because effectiveness of Dostinex may be decreased

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

How to use Dostinex:

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

Dostinex may be taken on an empty stomach or with food.
It may be helpful to mark on a calendar which days you are supposed to take Dostinex.
If you miss a dose of Dostinex, contact your doctor immediately.

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

Important safety information:

Dostinex may cause drowsiness or dizziness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Dostinex. Using Dostinex alone, with certain other medicines, or with alcohol may lessen your ability to drive or perform other potentially dangerous tasks.
Dostinex may cause dizziness, lightheadedness, or fainting. Alcohol, hot weather, exercise, and fever can increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Also, sit or lie down at the first sign of dizziness, lightheadedness, or weakness.
If you suspect that you may be pregnant, contact your doctor so that a pregnancy test can be arranged.
Use Dostinex with extreme caution in CHILDREN. Safety and effectiveness have not been confirmed.
PREGNANCY and BREAST-FEEDING: If you become pregnant while taking Dostinex, discuss with your doctor the benefits and risks of using Dostinex during pregnancy. It is unknown if Dostinex is excreted in breast milk. Do not breast feed while taking Dostinex.

Possible side effects of Dostinex:

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

Constipation;
diarrhea;
dizziness;
drowsiness;
headache;
hot flashes;
indigestion;
lightheadedness;
nausea;
nervousness;
tiredness;
vomiting.

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

Severe allergic reactions (rash; hives; itching;
difficulty breathing;
tightness in the chest;
swelling of the mouth, face, lips, or tongue);
black, tarry stool;
chest pain;
confusion;
depression;
hallucinations;
irregular heartbeat;
shortness of breath;
swelling of hands or feet;
vision disturbances.

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

If OVERDOSE is suspected:

Contact 1-800-222-1222 begin_of_the_skype_highlighting 1-800-222-1222 end_of_the_skype_highlighting (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include fainting or hallucinations.

Proper storage of Dostinex:

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

General information:

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

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

Ditropan

2010-09-15T09:23:00.002-07:00

Brand name: Ditropan
Generic name: Oxybutynin

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

Use caution when driving, operating machinery, or performing other hazardous activities. Ditropan may cause dizziness, drowsiness, or blurred vision. If you experience dizziness, drowsiness, or blurred vision, avoid these activities.
Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while using Ditropan.
Avoid becoming overheated in hot weather. Ditropan increases the risk of heat stroke because it decreases sweating. Drink plenty of fluid of maintain adequate hydration.
Do not expose the Ditropan transdermal patch (Oxytrol) to sunlight. It should be worn under clothing.

What is Ditropan?

Ditropan relieves spasms of the bladder and urinary tract.
Ditropan is used to treat the symptoms of urinary frequency, urinary urgency, urinary leakage, painful or difficult urination, urinary incontinence, and nighttime urination associated with overactive bladder.
Ditropan may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before using Ditropan?

Do not use Ditropan if you have
- a blockage of the urinary tract (difficulty urinating); or
- a blockage in the intestines.
Before using Ditropan, tell your doctor if you have
- liver disease;
- kidney disease;
- numbness or tingling in the hands or feet;
- difficulty swallowing solids or liquids;
- reflux disease;
- glaucoma;
- myasthenia gravis;
- ulcerative colitis;
- thyroid problems;
- high blood pressure, an irregular heartbeat, or any type of heart disease;
- a hiatal hernia; or
- enlargement of the prostate.
You may not be able to use Ditropan, or you may require a dosage adjustment or special monitoring if you have any of the conditions listed above.
Ditropan is in the FDA pregnancy category B. This means that it is not expected to be harmful to an unborn baby. Do not use Ditropan without first talking to your doctor if you are pregnant or could become pregnant during treatment.
It is not known whether Ditropan passes into breast milk. Do not use Ditropan without first talking to your doctor if you are breast-feeding a baby.

How should I use Ditropan?

Use Ditropan 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 oral dose with a full glass of water.
Do not crush, chew, or break the extended release form of Ditropan (Ditropan XL). These tablets are specially formulated to release the medication slowly into the body. Swallow the tablets whole with a glass of water or another liquid. Occasionally, you may find a tablet form in the stool. Do not be alarmed, this is the outer shell of the tablet only, the medication has been absorbed by the body.
To ensure that you get the correct dosage, measure the liquid form of Ditropan with a dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.
Use the Ditropan topical patches (Oxytrol) as directed. Each patch should be applied to dry, intact skin on the stomach, hip, or buttock. Do not expose the Ditropan transdermal patch to sunlight. It should be worn under clothing. A new application site should be selected with each new system to avoid re-application to the same site within 7 days. Patches are usually changed twice a week, every 3 to 4 days. Try to change the patch on the same two days every week.
When changing the Oxytrol patch, remove the old patch slowly and carefully to avoid damaging the skin. Once off, fold the patch in half with the sticky sides together. Throw away the patch so that it cannot be accidentally worn or swallowed by another person, especially a child or pet. If any adhesive remains on the skin after patch removal, wash the area with mild soap and warm water. A small amount of baby oil may also be used. Rings of adhesive that become dirty may require a medical adhesive removal pad that you can get from your pharmacist. Alcohol or other dissolving liquids should not be used.
Do not apply the Ditropan transdermal patch (Oxytrol) to areas where the skin folds, the waistline where tight clothing may rub against the patch, skin that is damaged (cut or scraped) or irritated, or skin that has been treated with oil, lotion, powder, or other skin products.
The Ditropan transdermal patch (Oxytrol) does not need to be removed during bathing, swimming, showering, or exercising. However, try to avoid rubbing the patch area during these activities.
Do not use more of this medication than is prescribed for you. If your symptoms are not being treated, notify your doctor.
Store Ditropan at room temperature away from moisture and heat.

What happens if I miss a dose?

Take a missed oral 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.
If an Ditropan transdermal patch (Oxytrol) falls off, press it back in place and continue to follow your application schedule. If the patch does not stay on, throw it away. Apply a new patch in a different area, and continue to follow your original application schedule for changing the patch. If you forget to change a patch after 3 or 4 days, remove the old patch, put on a new patch in a different area and continue to follow your original application schedule.

What happens if I overdose?

Seek emergency medical attention.
Symptoms of an Ditropan overdose include restlessness, tremor, irritability, seizures, delirium, hallucinations, flushing, fever, nausea, vomiting, a fast heartbeat, and possibly coma.

What should I avoid while using Ditropan?

Use caution when driving, operating machinery, or performing other hazardous activities. Ditropan may cause dizziness, drowsiness, or blurred vision. If you experience dizziness, drowsiness, or blurred vision, avoid these activities.
Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while using Ditropan.
Avoid becoming overheated in hot weather. Ditropan increases the risk of heat stroke because it decreases sweating. Drink plenty of fluid to maintain adequate hydration.

What are the possible side effects of Ditropan?

If you experience any of the following serious side effects, stop using Ditropan and seek emergency medical attention or contact your doctor immediately:
- an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives); or
- an irregular or fast heart rate.
Other, less serious side effects may be more likely to occur. Continue to take Ditropan and talk to your doctor if you experience
- nausea or vomiting;
- difficulty urinating;
- constipation;
- dry mouth;
- blurred vision or large pupils;
- dryness of the eyes;
- drowsiness;
- dizziness or lightheadedness;
- decreased sweating;
- a rash;
- insomnia;
- restlessness;
- hallucinations; or
- mild redness at patch application site (Oxytrol).
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.

What other drugs will affect Ditropan?

Ditropan may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any medicine while using Ditropan without first talking to your doctor.
Drugs other than those listed here may also interact with Ditropan. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Copegus

2010-09-15T09:23:00.001-07:00

Brand name: Copegus
Generic name: Ribavirin

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

Ribavirin is not effective when used alone to treat hepatitis C. Ribavirin must be used together with an interferon alfa product (such as Peg-Intron or Intron A) to treat chronic hepatitis C. This medication can cause birth defects or death in an unborn baby.

If you are a woman, do not take copegus if you are pregnant
If you are a man, do not take copegus if your female sexual partner is pregnant. An unborn baby could also be harmed if a man fathers the child while he is taking copegus.
Use at least two effective forms of birth control while either sexual partner is taking copegus, and for at least 6 months after treatment ends.
Tell your doctor right away if a pregnancy occurs while either the mother or the father is taking copegus.

Ribavirin may decrease the number of red blood cells in your body. This is called anemia and it can be life-threatening in people who have heart disease or circulation problems. To be sure this medication is not causing harmful effects, your blood will need to be tested on a regular basis. Do not miss any scheduled visits to your doctor.

Call your doctor at once if you have pale or yellowed skin, dark colored urine, fever, confusion, chest pain, shortness of breath, or weakness. These may be signs of serious anemia.

What is copegus?

Ribavirin is an antiviral medication.

Ribavirin must be used together with an interferon alfa product (such as Peg-Intron or Intron A) to treat chronic hepatitis C.

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

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

Do not take this medication if you are allergic to copegus, or if you have:

autoimmune hepatitis; or
a hemoglobin disorder such as anemia, thalassemia (Mediterranean anemia), or sickle-cell anemia.

Before using copegus, tell your doctor if you are allergic to any drugs, or if you have:

a history of heart disease, high blood pressure, or a heart attack;
cancer;
diabetes;
lung disease or breathing problems;
kidney or liver disease;
a history of depression or suicide attempt;
sarcoidosis;
a history of drug or alcohol addiction;
a thyroid disorder;
a history of a liver or other organ transplant; or
hepatitis B virus or human immunodeficiency virus (HIV or AIDS).
Tell your doctor if you have been treated with interferon in the past and it did not work well in treating your hepatitis C.

If you have any of these conditions, you may not be able to use copegus, or you may need a dosage adjustment or special tests during treatment.

This medication can cause birth defects or death in an unborn baby.

If you are a woman, do not take copegus if you are pregnant
If you are a man, do not take copegus if your female sexual partner is pregnant. An unborn baby could also be harmed if a man fathers the child while he is taking copegus.
Use at least two effective forms of birth control while either sexual partner is taking copegus, and for at least 6 months after treatment ends.
Tell your doctor right away if a pregnancy occurs while either the mother or the father is taking copegus.

Your name may need to be listed on a copegus pregnancy registry if you become pregnant while you or your male sexual partner are taking this medication or during the 6 months after treatment ends. The purpose of this registry is to track the outcome of the pregnancy and delivery to evaluate whether copegus had any effect on the baby.

It is not known whether copegus passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take copegus?

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

Ribavirin is not effective when used alone to treat hepatitis C. It must be used together with an interferon alfa product (such as Peg-Intron or Intron A) to treat chronic hepatitis C. Take the copegus tablet or capsule with a full glass of water.

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

You may take copegus with or without food, but take it the same way every time.

Call your doctor at once if you have pale or yellowed skin, dark colored urine, fever, confusion, chest pain, shortness of breath, or weakness. These may be signs of serious anemia.

It is important to use copegus regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely. You may need to take this medication for many months.

Drink extra fluids while you are taking copegus to keep from getting dehydrated, especially during exercise or in hot weather.

Ribavirin can cause dry mouth, which could lead to tooth decay or gum disease. If you vomit while taking copegus, rinse your mouth out with water to prevent damage to your teeth or gums. Be sure to have regular dental exams while you are taking this medication.

Store copegus tablets and capsules at room temperature away from moisture, heat, and light. Store copegus liquid (oral solution) in the refrigerator. Do not allow it to freeze.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. If you have not taken the medication for longer than 24 hours, call your doctor for instructions. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a copegus overdose may include easy bruising or bleeding, urinating less than usual or not at all, chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, or a general ill feeling.

What should I avoid while taking copegus?

Treatment with copegus does not prevent spread of the hepatitis C virus to other people. Follow your doctors instructions about how to prevent passing the disease to another person.

Do not drink alcohol while taking copegus. Alcohol can increase the risk of damage to your liver. Ribavirin can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

What are the possible side effects of copegus?

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 copegus and call your doctor at once if you have any of these serious side effects:

severe depression, thoughts of suicide or hurting yourself;
pale or yellowed skin, dark colored urine, easy bruising or bleeding, confusion, or unusual weakness;
fever, chills, body aches, flu symptoms, trouble breathing;
chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling; or
severe pain in your upper stomach spreading to your back, nausea and vomiting, fast heart rate.

Continue taking copegus and talk to your doctor if you have any of these less serious side effects:

dry mouth;
nausea, vomiting, loss of appetite, weight loss;
headache, dizziness;
skin rash or itching;
feeling tired or irritable;
trouble concentrating;
joint or muscle pain;
sleep problems (insomnia); or
stuffy nose.

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.

What other drugs will affect copegus?

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

didanosine (Videx);
stavudine (Zerit); or
zidovudine (Retrovir, AZT).

If you are using any of these drugs, you may not be able to use copegus, or you may need dosage adjustments or special tests during treatment.

There may be other drugs not listed that can affect copegus. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Combivir

2010-09-15T09:22:00.001-07:00

Brand name: Combivir
Generic name: Lamivudine

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

Before taking this medication, tell your doctor if you have kidney disease, liver disease, a pancreas disorder, or problems with your muscles.
Combivir can lower the blood cells in your body that help you fight infections. This can make it easier for you to bleed from an injury or get sick from being around others who are ill. To be sure your blood cells do not get too low, your blood will need to be tested on a regular basis. It is important that you not miss any scheduled visits to your doctor.
Call your doctor at once if you have liver problems while you are using Combivir. Symptoms to watch for include stomach pain, nausea and vomiting, low fever, lost appetite, dark urine, clay-colored stools, or jaundice (yellowing of the skin or eyes).
If you have hepatitis B you may develop liver symptoms after you stop taking Combivir, even months after stopping. Your doctor may want to check your liver at regular visits for several months after you stop using this medication. Do not miss any scheduled visits.
Swelling of the pancreas (pancreatitis) may occur during treatment, especially in children using Combivir. Call your doctor right away if you notice any of these symptoms of pancreatitis: sudden and severe pain in the upper middle or left side of your stomach, nausea and/ or vomiting, fever, chills, rapid pulse, or stomach pain that gets worse after eating or when lying down flat.
Call your doctor at once if you have muscle pain or weakness, numbness or tingling in any part of your body, and nausea with vomiting. These could be signs of lactic acidosis.

What is Combivir?

Combivir are antiviral medications. They are in a group of human immunodeficiency virus (HIV) medicines called reverse transcriptase inhibitors. This medication helps keep the HIV virus from reproducing in the body.
Combivir are used to treat HIV, which causes the acquired immunodeficiency syndrome (AIDS). This medication is not a cure for HIV or AIDS.
Combivir may also be used for purposes other than those listed in this medication guide.

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

Before taking Combivir, tell your doctor if you have:
- kidney disease;
- liver disease;
- pancreatitis; or
- bone marrow suppression.
If you have any of the conditions listed above, you may not be able to use Combivir or you may need a dosage adjustment or special tests during treatment.
If you have hepatitis B you may develop liver symptoms after you stop taking this medication, even months after stopping. Your doctor may want to check your liver at regular visits for several months after you stop using Combivir. Do not miss any scheduled visits.
Combivir is in the FDA pregnancy category C. This means that it is not known if it will be harmful to an unborn baby. Do not use this medication without telling your doctor if you are pregnant. It is very important to treat HIV/ AIDS during pregnancy to reduce the risk of infecting the baby. Tell your doctor if you become pregnant during treatment.
It is not known whether Combivir passes into breast milk or if it could harm a nursing baby. Women with HIV or AIDS should not breast-feed. Even if your baby is born without HIV, you may still pass the virus to the baby in your breast milk.

How should I take Combivir?

Take Combivir exactly as your doctor has prescribed it for you. Do not use more of the medication than recommended. Do not take Combivir for longer than your doctor has prescribed.
Combivir can be taken with or without food.
Treatment of HIV/ AIDS almost always requires using many medicines together. To best treat your condition, use all of your medications as directed by your doctor. Do not change your doses or medication schedule without advice from your doctor. Every person with HIV or AIDS should remain under the care of a doctor.
Combivir can lower the blood cells in your body that help you fight infections. This can make it easier for you to bleed from an injury or get sick from being around others who are ill. To be sure your blood cells do not get too low, your blood will need to be tested on a regular basis. It is important that you not miss any scheduled visits to your doctor.
Store Combivir at room temperature away from moisture and heat.

What happens if I miss a dose?

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

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.
Symptoms of a Combivir overdose may include nausea, vomiting, headache, dizziness, drowsiness, confusion, and seizures.

What should I avoid while taking Combivir?

Avoid having unprotected sex or sharing needles, razors, or toothbrushes. Taking this medication will not keep you from passing HIV to other people. Talk with your doctor about safe methods of preventing HIV transmission during sex, such as using a condom and spermicide. Sharing drug or medicine needles is never safe, even for a healthy person.
Avoid alcohol while taking Combivir. Alcohol may increase the risk of damage to the pancreas and/ or liver.

What are the possible side effects of Combivir?

Stop using this medication and get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have any problems with your liver while you are using lamivudine. Symptoms to watch for include stomach pain, nausea and vomiting, low fever, lost appetite, dark urine, clay-colored stools, or jaundice (yellowing of the skin or eyes).
Swelling of the pancreas (pancreatitis) may occur during treatment with Combivir. Call your doctor right away if you notice any of these symptoms of pancreatitis: sudden and severe pain in the upper middle or left side of your stomach, nausea and/ or vomiting, fever, chills, rapid pulse, or stomach pain that gets worse after eating or when lying down flat.
Call your doctor at once if you have any of these other serious side effects:
- lactic acidosis — muscle pain or weakness, numb or tingly feeling, and nausea with vomiting;
- signs of a new infection — fever, chills, body aches, flu symptoms;
- easy bruising or bleeding, unusual weakness, pale skin;
- white patches or sores inside your mouth or on your lips.
Less serious side effects may be more likely to occur. Talk with your doctor if you have any of these side effects:
- changes in the shape or location of body fat (especially in your arms, legs, face, neck, breasts, and trunk);
- sleep problems (insomnia), strange dreams;
- headache, dizziness; or
- a runny or stuffy nose.
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.

What other drugs will affect Combivir?

Before taking Combivir, tell your doctor if you are also using:
- cancer treatments;
- stavudine (Zerit);
- doxorubicin (Adriamycin);
- zalcitabine (Hivid);
- ganciclovir (Cytovene);
- interferon-alfa (Roferon, Intron, Rebetron);
- trimethoprim (Bactrim, Septra);
- ribavirin (Rebetol, Ribasphere, Copegus Virazole); or
- other forms of lamivudine or zidovudine (such as Epivir, Epzicom, Retrovir, Trizivir).
There may be other drugs that can affect Combivir. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Modalert

2010-09-15T08:59:00.000-07:00

Brand name: Modalert

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

Use caution when driving, operating machinery, or performing other hazardous activities. Modalert may affect your judgment, thinking, or motor skills. If you experience any of these effects, avoid hazardous activities. It is best to avoid alcohol while taking modalert. Alcohol or modalert may have altered effects if taken together.

Modalert may decrease the effects of hormonal methods of birth control including birth control pills and depot and implantable formulations (e.g., Norplant, Depo-Provera). Use a second, nonhormonal form of birth control while taking modalert, and for one month after stopping modalert, if prevention of pregnancy is desired.

Modalert may be habit forming. You should discuss the abuse and dependence potential of modalert with your doctor. Do not stop taking modalert without first talking to your doctor. Your doctor may want to gradually lower the dose of the medication before stopping treatment.

What is modalert?

The exact way that modalert works is not known.

Modalert is used to improve wakefulness in patients with excessive daytime sleepiness associated with narcolepsy, obstructive sleep apnea/hypoapnea syndrome (OSAHS), and shift work sleep disorder (SWSD).

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

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

Before taking modalert, tell your doctor if you have

left ventricular hypertrophy (enlarged left heart ventricle);
chest pain, irregular heartbeats, or other symptoms of mitral valve prolapse due to central nervous system stimulant use;
a recent history of a heart attack;
high blood pressure;
angina (chest pain);
abused medicines called stimulants or street drugs;
a history of mental illness;
kidney disease; or
liver disease.

You may not be able to take modalert, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.

Modalert is in the FDA pregnancy category C. This means that it is not known whether it will be harmful to an unborn baby. Do not take modalert without first talking to your doctor if you are pregnant or could become pregnant during treatment. It is not known whether modalert passes into breast milk. Do not take modalert without first talking to your doctor if you are breast-feeding. If you are older than 65 years of age, you may be more likely to experience side effects from modalert. You may require a lower dose or special monitoring during treatment.

How should I take modalert?

Take modalert 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.

Modalert can be taken with or without food.

Modalert is usually taken once a day. Follow your doctor's instructions.

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

Modalert is not a replacement for sleep. Modalert may reduce the signs of sleepiness, but may not completely treat this problem. Some drowsiness may continue. Potentially hazardous activities such as driving or operating machinery should only be performed if the level of wakefulness achieved is sufficient to permit such activities.

Other treatments such as CPAP (continuous positive airway pressure) use should be continued as directed by your doctor if you have obstructive sleep apnea/hypoapnea syndrome (OSAHS) and are taking modalert.

What happens if I miss a dose?

Take the missed dose as soon as you remember as directed by your doctor. A missed dose taken late in the waking day may cause insomnia. If you don't remember until 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 unless otherwise directed by your doctor.

What happens if I overdose?

Seek emergency medical attention if an overdose is suspected.

Symptoms of a modalert overdose may include excitation, agitation, insomnia, sleep disturbances, anxiety, irritability, aggressiveness, confusion, nervousness, tremor, palpitations, nausea, and diarrhea.

What should I avoid while taking modalert?

What are the possible side effects of modalert?

If you experience any of the following uncommon but serious side effects, stop taking modalert and seek emergency medical attention or contact your doctor immediately:

an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
irregular heartbeats;
low or high blood pressure; or
shortness of breath.

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

headache;
infection;
nausea, decreased appetite, or diarrhea;
chills;
dry mouth;
runny nose;
sore throat;
nervousness;
anxiety;
dizziness;
insomnia;
depression; or
numbness or tingling.

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.

What other drugs will affect modalert?

Before taking modalert, tell your doctor if you are taking any of the following drugs:

a monoamine oxidase inhibitor (MAO inhibitor) such as isocarboxazid (Marplan), tranylcypromine (Parnate), or phenelzine (Nardil);
a tricyclic antidepressant such as clomipramine (Anafranil) or desipramine (Norpramin);
another CNS stimulant such as amphetamine-dextroamphetamine (Adderall), methylphenidate (Ritalin, Methylin, Metadate ER, Concerta), pemoline (Cylert), and others;
phenytoin (Dilantin);
carbamazepine (Tegretol);
phenobarbital;
rifampin (Rifadin, Rimactane);
ketoconazole (Nizoral);
itraconazole (Sporanox);
cyclosporine (Neoral, Sandimmune);
theophylline (Theolair, Theochron, Theo-Bid, Theo-Dur, Elixophyllin, Slo-Phyllin, and others);
warfarin (Coumadin);
diazepam (Valium); or
propranolol (Inderal).

You may not be able to take modalert, or you may require a dosage adjustment or special monitoring during your treatment if you are taking any of the medicines listed above.

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

Mycelex

2010-09-15T08:54:00.000-07:00

Brand name: Mycelex
Generic name: Clotrimazol

What is Mycelex (Clotrimazol)?

Mycelex is an antifungal medication. Mycelex prevents fungus from growing on your skin.

Mycelex is used to treat skin infections such as athlete's foot, jock itch, ringworm, and yeast infections.

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

What is the most important information I should know about Mycelex (clotrimazol)?

Use this medication for the full amount of time prescribed by your doctor or as recommended in the package even if you begin to feel better. Your symptoms may improve before the infection is completely healed.

Do not use bandages or dressings that do not allow air to circulate to the affected area (occlusive dressings) unless otherwise directed by your doctor. Wear loose-fitting clothing (preferably cotton).

Avoid getting this medication in your eyes, nose, or mouth.

Who should not use Mycelex (clotrimazol)?

Do not use clotrimazol if you have had an allergic reaction to it in the past.

Mycelex is in the FDA pregnancy category B. This means that it is unlikely to harm an unborn baby. Do not use clotrimazol without first talking to your doctor if you are pregnant. It is not known whether clotrimazole passes into breast milk. Do not use clotrimazol without first talking to your doctor if you are breast-feeding a baby.

How should I use Mycelex (clotrimazol)?

Use clotrimazol exactly as directed by your doctor or follow the directions that accompany the package. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.

Wash your hands before and after using this medication, unless you are using it to treat a hand infection.

Clean and dry the affected area. Apply a small amount of the cream (usually twice daily) for 2 to 4 weeks.

Do not take this medication by mouth.

If the infection does not clear up in 4 weeks, or if it appears to get worse, see your doctor.

Do not use bandages or dressings that do not allow air circulation over the affected area (occlusive dressings) unless otherwise directed by your doctor. A light cotton-gauze dressing may be used to protect clothing.

Avoid getting this medication in your eyes, nose, or mouth. Store clotrimazol at room temperature away from moisture and heat.

What happens if I miss a dose?

Apply the missed dose as soon as you remember. However, if it is almost time for your next regularly scheduled dose, skip the dose you missed and apply only the regular amount of clotrimazol. Do not use a double dose unless otherwise directed by your doctor.

What happens if I overdose?

An overdose of clotrimazol is unlikely to occur. If you do suspect that a much larger than normal dose has been used, or that clotrimazol has been ingested, contact an emergency room or a poison control center.

What should I avoid while using Mycelex (clotrimazol)?

Avoid wearing tight-fitting, synthetic clothing that doesn't allow air circulation. Wear clothing made of loose cotton and other natural fibers until the infection is healed.

Mycelex (clotrimazol) side effects

Serious side effects of clotrimazol use are not expected. Stop using clotrimazol and see your doctor if you experience unusual or severe blistering, itching, redness, peeling, dryness, swelling, or irritation of the skin.

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.

What other drugs will affect Mycelex (clotrimazol)?

Avoid using other topicals at the same time unless your doctor approves. Other skin medications may affect the absorption or effectiveness of clotrimazol.

Drugs other than those listed here may also interact with clotrimazol. Talk to your doctor and pharmacist before taking or using any other prescription or over-the-counter medicines.

Men Healths - Prevention Better Than Curing

2010-09-07T22:19:00.000-07:00

The most important aspect of a happy life is a good physical and mental health. In modern life there are different sources of stress and pressures to the health and the mind that may reduce its ability to maintain a balance at all times.

There has been growing awareness among women from different walks of life and across countries about the different kinds of health issues that they usually encounter. And on a worldwide basis this has achieved considerable success with a positive identification of the related health issues with the life pattern of a woman and its available cure or preventive measures.

The same awareness and recognitions of ailments are needed for men in different countries as well.

Here are some of the ailments and health issues that have risen sharply among men over the last few decades.

Heart attacks
Lung cancer
Liver ailments
Prostate problems
Nerve disorders

But for all of that a timely visit to the doctor or a regular medical checkup is extremely essential and crucial. And it was this awareness that had led to the formation of the Men's Health Magazine in the American state of Pennsylvania with aroud38 editions in different countries of the world.

Men's Health

Men's Health magazine was started in the USA in 1987. The editor and founder Mark Bricklin who formed this magazine has taken care of all the important aspects of a man's life that needs attention and care on a regular basis.

Here are some of the basic aspects that are looked into with further research and details about a man's life.

Health
Fitness
Nutrition and diet regime
Relationship Issues
Travel health guards and safeguards
Financial matters
Science and Technology
Medical Science research and developments
Fashion

All of these are researched with in-depth analysis and detailing so that there is an awareness among men about the growing health concerns that may affect their regular lives from time to time and the necessary steps to be taken for timely prevention or cure.

Sporanox (Generic name: Itraconazole)

2008-07-16T22:38:00.000-07:00

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

Do not take Sporanox if you are taking astemizole (Hismanal), cisapride (Propulsid), pimozide (Orap), triazolam (Halcion), midazolam (Versed), lovastatin (Mevacor), simvastatin (Zocor), or quinidine (Cardioquin, Quinora, Quinidex, Quinaglute, Quin-Release, Quin-G). Combined with these drugs, Sporanox could cause serious, even fatal, problems.
In rare cases, Sporanox has caused severe liver damage, sometimes resulting in death. Notify your doctor immediately if you develop nausea, vomiting, abdominal pain, unusual fatigue, loss of appetite, yellow skin or eyes, itching, dark urine, or clay colored stools. These symptoms may be early signs of liver damage.
In rare cases, Sporanox has been associated with the onset of congestive heart failure (CHF). Do not take Sporanox without first talking to your doctor if you have CHF or a history of CHF; other heart or heart valve disease; a lung disease such as chronic obstructive pulmonary disease; or significant swelling or water retention (edema). Contact your doctor if you develop symptoms that may indicate CHF including shortness of breath, chest pain, or swelling during treatment with Sporanox.
Take all of the Sporanox that has been prescribed for you even if you begin to feel better. Your symptoms may begin to improve before the infection is completely treated.

What is Sporanox?

Sporanox is an antifungal medication. It is like an antibiotic but is used to treat fungal infections.
Sporanox is used to treat fungal infections in the lungs, in the central nervous system, in other parts of the body, as well as serious fungal infections of the skin and nails. The Sporanox oral solution is used to treat yeast infections of the mouth, throat, and esophagus.
Sporanox may also be used for purposes other than those listed in this medication guide.

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

Do not take Sporanox if you are taking any of the following drugs:
- astemizole (Hismanal);
- cisapride (Propulsid);
- pimozide (Orap);
- quinidine (Cardioquin, Quinora, Quinidex, Quinaglute, Quin-Release, Quin-G);
- midazolam (Versed) or triazolam (Halcion); or
- lovastatin (Mevacor) or simvastatin (Zocor).
Dangerous or life-threatening events may occur if Sporanox is taken with any of the medicines listed above.
In rare cases, Sporanox has been associated with the onset of congestive heart failure (CHF). Do not take Sporanox without first talking to your doctor if you have CHF or a history of CHF; other heart or heart valve disease; a lung disease such as chronic obstructive pulmonary disease; or significant swelling or water retention (edema). Contact your doctor if you develop symptoms that may indicate CHF including shortness of breath, chest pain, or swelling during treatment with Sporanox.
Before taking Sporanox, tell your doctor if you have
- liver disease; or
- achlorhydria (decreased stomach acid production) or if you take antacids, stomach acid reducers, or stomach ulcer medicines.
You may not be able to take Sporanox, or you may require a dosage adjustment, special monitoring, or special directions for use during your treatment.
Sporanox is in the FDA pregnancy category C. This means that it is not known whether Sporanox will be harmful to an unborn baby. Effective contraception is recommended for any woman who could potentially become pregnant during treatment with Sporanox and for 2 months following the end of treatment. Do not take this medication without first talking to your doctor if you are pregnant.
Sporanox passes into breast milk and may affect a nursing infant. Do not take Sporanox without first talking to your doctor if you are breast-feeding a baby.

How should I take Sporanox?

Take Sporanox exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
Take each capsule with a full glass of water.
Take Sporanox capsules after a full meal to increase absorption in your stomach.
To treat yeast infections of the mouth, throat, or esophagus, the oral solution should be swished vigorously in the mouth for several seconds, then swallowed. Take the oral solution without food if possible.
Sporanox capsules and oral solution are different preparations and cannot be used interchangeably.
Take all of the Sporanox that has been prescribed for you even if you begin to feel better. Your symptoms may begin to improve before the infection is completely treated.
Grapefruit and grapefruit juice may interact with Sporanox. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.
Store Sporanox at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for the next dose, skip the dose you missed and take only the next regularly scheduled dose as directed. Do not take a double dose of this medication unless otherwise directed by your doctor.

What happens if I overdose?

Seek emergency medical attention if an overdose is suspected.
Symptoms of an Sporanox overdose are not well known but might include dizziness, ringing in the ears, headache, nausea, vomiting, diarrhea, and abdominal pain.

What should I avoid while taking Sporanox?

Use alcohol with moderation while taking Sporanox. Alcohol and Sporanox can both affect the liver.
Use caution when driving or performing other hazardous activities. Sporanox may cause dizziness. If you experience dizziness, avoid these activities.
Grapefruit and grapefruit juice may interact with Sporanox. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.

What are the possible side effects of Sporanox?

If you experience any of the following serious side effects, stop taking Sporanox and seek emergency medical attention or notify your doctor immediately:
- an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
- liver damage (pale stools, yellowish skin or eyes, abdominal pain, unusual fatigue, or dark urine);
- symptoms of congestive heart failure including shortness of breath, chest pain, or swelling; or
- nerve pain, numbness or tingling.
Other, less serious side effects may be more likely to occur. If you experience any of the following side effects, continue taking Sporanox and talk to your doctor:
- nausea, vomiting, or diarrhea;
- headache;
- dizziness;
- fatigue; or
- itching or a rash.
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.

What other drugs will affect Sporanox?

Do not take Sporanox if you are taking any of the following drugs:
- astemizole (Hismanal);
- cisapride (Propulsid);
- pimozide (Orap);
- quinidine (Cardioquin, Quinora, Quinidex, Quinaglute, Quin-Release, Quin-G);
- midazolam (Versed) or triazolam (Halcion); or
- lovastatin (Mevacor) or simvastatin (Zocor).
Dangerous or life-threatening events may occur if Sporanox is taken with any of the medicines listed above.
Before taking Sporanox, tell your doctor if you are taking any other medicines, especially any of the following:
- digoxin (Lanoxin, Lanoxicaps);
- carbamazepine (Tegretol, others) or phenytoin (Dilantin, others);
- rifabutin (Mycobutin) or rifampin (Rifadin, Rimactane);
- busulfan (Myleran), docetaxel (Taxotere), vinblastine sulfate (Velban), vincristine sulfate (Oncovin), or vinorelbine (Navelbine);
- trimetrexate (Neutrexin);
- alprazolam (Xanax) or diazepam (Valium);
- verapamil (Isoptin, Verelan, Calan, Covera-HS), amlodipine (Norvasc), felodipine (Plendil), isradipine (DynaCirc), nicardipine (Cardene), nifedipine (Adalat, Procardia), nimodipine (Nimotop), or nisoldipine (Sular);
- atorvastatin (Lipitor) or cerivastatin (Baycol);
- tacrolimus (Prograf);
- sirolimus (Rapamune);
- cyclosporine (Sandimmune, Neoral);
- glipizide (Glucotrol), glyburide (Diabeta, Micronase, Glynase), tolbutamide (Orinase), tolazamide (Tolinase), chlorpropamide (Diabinese), and others;
- indinavir (Crixivan), ritonavir (Norvir), or saquinavir (Fortovase, Invirase);
- buspirone (Buspar);
- antacids;
- cimetidine (Tagamet, Tagamet HB), nizatidine (Axid, Axid AR), famotidine (Pepcid, Pepcid AC), or ranitidine (Zantac, Zantac 75);
- omeprazole (Prilosec), lansoprazole (Prevacid), or rabeprazole (Aciphex);
- isoniazid (Nydrazid);
- nevirapine (Viramune);
- methylprednisolone (Medrol, others);
- clarithromycin (Biaxin); or
- warfarin (Coumadin).
You may not be able to take Sporanox, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.
Drugs other than those listed here may also interact with Sporanox or affect your condition. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Nizoral (Generic name: Ketoconazole)

2008-07-16T22:37:00.002-07:00

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

Do not take Nizoral if you are taking astemizole (Hismanal), cisapride (Propulsid), triazolam (Halcion), or midazolam (Versed). Combined with these drugs, Nizoral could cause serious, even fatal, side effects.
In rare cases, Nizoral has caused severe liver damage, sometimes resulting in death. Notify your doctor immediately if you develop nausea, vomiting, abdominal pain, unusual fatigue, loss of appetite, yellow skin or eyes, itching, dark urine, or clay colored stools. These symptoms may be early signs of liver damage.
Take all of the Nizoral that has been prescribed for you even if you begin to feel better. Your symptoms may begin to improve before the infection is completely treated.

What is Nizoral?

Nizoral is an antifungal medication. It is like an antibiotic but is used to treat fungal infections.
Nizoral is used to treat yeast infections of the mouth, throat, and esophagus; fungal infections throughout the whole body; and serious fungal infections of the skin and nails.
Nizoral may also be used for purposes other than those listed in this medication guide.

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

Do not take Nizoral if you are taking any of the following drugs:
- astemizole (Hismanal),
- cisapride (Propulsid), or
- triazolam (Halcion) or midazolam (Versed).
Dangerous or life-threatening events may occur if Nizoral is taken with any of the medicines listed above.
Before taking Nizoral, tell your doctor if you have
- liver disease; or
- achlorhydria (decreased stomach acid production) or if you take antacids, stomach acid reducers, or stomach ulcer medicines.
You may not be able to take Nizoral, or you may require a dosage adjustment, special monitoring, or special directions for use during your treatment.
Nizoral is in the FDA pregnancy category C. This means that it is not known whether it 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.
Nizoral passes into breast milk and may be harmful to a nursing baby. For this reason, Nizoral should not be taken by nursing mothers. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.

How should I take Nizoral?

Take Nizoral exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
Take each dose with a full glass of water.
Nizoral is usually taken once a day. Follow your doctor's instructions.
If you have a condition that decreases the amount of acid produced by the stomach, you may require a special mixture of this medication. Drink this solution through a straw far back in the mouth away from the teeth and follow each dose with a swish and swallow of water to prevent damage to the teeth.
It is important to take Nizoral regularly to get the most benefit.
Your doctor may want you to have blood tests or other medical evaluations during treatment with Nizoral to monitor progress and side effects.
Store this medication at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for the next dose, skip the dose you missed and take only the next regularly scheduled dose as directed. Do not take a double dose of this medication unless otherwise directed by your doctor.

What happens if I overdose?

Seek emergency medical attention if an overdose is suspected.
Symptoms of a Nizoral overdose are not well known but might include dizziness, ringing in the ears, headache, nausea, vomiting, diarrhea, and abdominal pain.

What should I avoid while taking Nizoral?

Alcohol should be used with moderation while taking Nizoral. Alcohol and Nizoral can both affect the liver. Rarely, flushing, nausea, vomiting, headache, swelling, and rashes have occurred when alcohol has been used during Nizoral therapy.
Use caution when driving or performing other hazardous activities. Nizoral may cause dizziness. If you experience dizziness, avoid these activities.

What are the possible side effects of Nizoral?

If you experience any of the following serious side effects, stop taking Nizoral and seek emergency medical attention or contact your doctor immediately:
- an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives); or
- liver damage (pale stools, yellowish skin or eyes, abdominal pain, unusual fatigue, or dark urine).
Other, less serious side effects may be more likely to occur. If you experience any of the following side effects, continue to take Nizoral and talk to your doctor:
- nausea, vomiting, or abdominal pain;
- diarrhea;
- headache;
- dizziness;
- fatigue; or
- itching.
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.

What other drugs will affect Nizoral?

Do not take Nizoral if you are taking any of the following drugs:
- astemizole (Hismanal),
- cisapride (Propulsid), or
- triazolam (Halcion) or midazolam (Versed).
Dangerous or life-threatening events may occur if Nizoral is taken with any of the medicines listed above.
Before taking Nizoral, tell your doctor if you are taking any other medicines, especially any of the following:
- cyclosporine (Sandimmune, Neoral);
- tacrolimus ((Prograf);
- methylprednisolone (Medrol, others);
- antacids;
- cimetidine (Tagamet, Tagamet HB), nizatidine (Axid, Axid AR), famotidine (Pepcid, Pepcid AC), or ranitidine (Zantac, Zantac 75);
- omeprazole (Prilosec), lansoprazole (Prevacid), or rabeprazole (Aciphex);
- digoxin (Lanoxin, Lanoxicaps);
- warfarin (Coumadin);
- phenytoin (Dilantin, others);
- rifampin (Rifadin, Rimactane); or
- an oral diabetes medicine such as glipizide (Glucotrol), glyburide (Diabeta, Micronase, Glynase), tolbutamide (Orinase), tolazamide (Tolinase), chlorpropamide (Diabinese), and others.
You may not be able to take Nizoral, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.
Drugs other than those listed here may also interact with Nizoral 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.

Lamisil (Generic name: Terbinafine)

2008-07-16T22:37:00.001-07:00

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

Take all of the Lamisil that has been prescribed for you even if you begin to feel better. The symptoms may begin to improve before the infection is completely treated.
In rare cases, Lamisil has caused severe liver damage, sometimes resulting in liver transplant or death. Notify your doctor immediately if you develop nausea, vomiting, abdominal pain, unusual fatigue, loss of appetite, yellow skin or eyes, itching, dark urine, or clay colored stools. These symptoms may be early signs of liver damage.

What is Lamisil?

Lamisil is an antifungal medication. It is like an antibiotic but is used to treat fungal infections.
Lamisil is used to treat fungal infections of the fingernails and toenails.
Lamisil may also be used for purposes other than those listed in this medication guide.

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

Do not take Lamisil without first talking to your doctor if you have
- ever had an allergic reaction to it,
- liver disease,
- kidney disease,
- problems with your immune system, or
- blood problems.
You may not be able to take Lamisil, or you may require a dosage adjustment or special monitoring if you have any of the conditions listed above.
Lamisil is in the FDA pregnancy category B. This means that it is not expected to harm an unborn baby. Do not take Lamisil without first talking to your doctor if you are pregnant.
Lamisil passes into breast milk and may affect a nursing baby. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.

How should I take Lamisil?

Take Lamisil exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
Take each dose with a full glass (8 ounces) of water.
Take all of the Lamisil that has been prescribed for you even if you begin to feel better. The symptoms may begin to improve before the infection is completely treated. It may take several months to cure a fingernail or toenail infection.
Store this medication 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 regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take a double dose of this medication.

What happens if I overdose?

Seek emergency medical attention.
Symptoms of a Lamisil overdose are not well known but might include drowsiness, poor coordination, shortness of breath, abdominal pain, frequent urination, rash, and headache.

What should I avoid while taking Lamisil?

Avoid alcohol or use it in moderation while taking Lamisil. Alcohol and Lamisil can both affect the liver.

What are the possible side effects of Lamisil?

If you experience any of the following serious side effects, stop taking Lamisil and seek emergency medical attention:
- an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);
- a rash;
- changes in vision; or
- blood problems (detected by blood tests).
In rare cases, Lamisil has caused severe liver damage, sometimes resulting in liver transplant or death. Notify your doctor immediately if you develop nausea, vomiting, abdominal pain, unusual fatigue, loss of appetite, yellow skin or eyes, itching, dark urine, or clay colored stools. These symptoms may be early signs of liver damage.
Other, less serious side effects may be more likely to occur. Continue to take Lamisil and talk to your doctor if you experience
- nausea, upset stomach, or heartburn;
- diarrhea or flatulence;
- headache; or
- taste disturbances or a loss of taste.
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.

What other drugs will affect Lamisil?

Before taking Lamisil, tell your doctor if you are taking any of the following medicines:
- cimetidine (Tagamet, Tagamet HB).;
- rifampin (Rifadin, Rimactane); or
- cyclosporine (Sandimmune, Neoral).
You may not be able to take Lamisil, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.
Drugs other than those listed here may also interact with Lamisil. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

Grisactin (Generic name: Griseofulvin)

2008-07-16T22:36:00.001-07:00

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

Take all of the Grisactin that has been prescribed for you even if you begin to feel better. Your symptoms may begin to improve before the infection is completely treated.
Avoid prolonged exposure to sunlight. Grisactin increases sensitivity to sunlight, and severe burning may result.

What is Grisactin?

Grisactin is an antifungal medication. It is like an antibiotic but is used to treat fungal infections.
Grisactin is used to treat fungal infections of the skin, hair, and nails such as jock itch, athlete's foot, and barber's itch.
Grisactin may also be used for purposes other than those listed in this medication guide.

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

You cannot take Grisactin if you
- have ever had an allergic reaction to it,
- have porphyria, or
- have liver disease.
Talk to your doctor before taking Grisactin if you have any of the conditions listed above.
Grisactin is in the FDA pregnancy category C. This means that it is not known whether Grisactin will harm an unborn baby. In rare cases, the use of Grisactin has been associated with conjoined twins. Do not take this medication without first talking to your doctor if you are pregnant.
It is also not known whether Grisactin passes into breast milk. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.
Grisactin may affect sperm and sperm production. It is recommended that you avoid fathering a child during treatment with Grisactin and for 6 months following therapy.

How should I take Grisactin?

Take Grisactin exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
Take each dose with a full glass (8 ounces) of water.
Your doctor may recommend that you take Grisactin with a fatty meal to increase its absorption into your body.
Take all of the Grisactin that has been prescribed for you even if you begin to feel better. Your symptoms may begin to improve before the infection is completely treated.
Shake the suspension well before measuring a dose. To ensure that you get a correct dose, measure the liquid form of Grisactin with a dose-measuring spoon or cup, not with a regular tablespoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.
Store Grisactin tablets, capsules, and suspension at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Take the rest of the day's doses at evenly spaced intervals unless your doctor directs otherwise.

What happens if I overdose?

Seek emergency medical attention.
Symptoms of a Grisactin overdose are not well known but might include nausea, vomiting, diarrhea, headache, numbness and tingling, and confusion.

What should I avoid while taking Grisactin?

Avoid prolonged exposure to sunlight. Grisactin increases sensitivity to sunlight, and severe burning may result. Use a sunscreen and wear protective clothing when exposure to the sun is unavoidable.
The combination of alcohol and Grisactin may cause flushing and a fast heart rate. Use alcohol cautiously during treatment with Grisactin.

What are the possible side effects of Grisactin?

Stop taking Grisactin and seek emergency medical attention if you experience an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives).
Other, less serious side effects may be more likely to occur. Continue to take Grisactin and notify your doctor if you experience
- white patches in your mouth (thrush/ yeast infection);
- nausea, vomiting, or diarrhea;
- headache, dizziness, or tiredness;
- insomnia;
- confusion;
- numbness or tingling in your hands or feet; or
- menstrual irregularities.
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.

What other drugs will affect Grisactin?

Grisactin may decrease the effects of the following drugs:
- oral anticoagulants (blood thinners) such as warfarin (Coumadin). A decrease in the effectiveness of anticoagulants could lead to blood clotting. It may be necessary to increase anticoagulant dosage.
- birth control pills. Decreased effectiveness could lead to break-through bleeding and possibly to an unintended pregnancy. Talk to your doctor about using of other forms of birth control during treatment with Grisactin.
- salicylates such as aspirin, salsalate (Disalcid, Salsitab, Salflex, others), choline salicylate (Arthropan), magnesium salicylate (Doan's, Magan), and others. Larger doses of these medicines may be needed.
- cyclosporine (Sandimmune, Neoral). Your doctor may need to adjust your cyclosporine dosage.
The effects of Grisactin may be decreased by barbiturates such as phenobarbital (Luminal, Solfoton), pentobarbital (Nembutal), secobarbital (Seconal), amobarbital (Amytal), and butabarbital (Butisol). Larger doses of Grisactin may be necessary if you are taking any of these drugs.
Drugs other than those listed here may also interact with Grisactin. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

Fulvicin (Generic name: Gresiofulvin)

2008-07-16T22:35:00.000-07:00

What is Fulvicin (griseofulvin)?

Griseofulvin is an antifungal medication. It is like an antibiotic but is used to treat fungal infections.

Griseofulvin is used to treat fungal infections of the skin, hair, and nails such as jock itch, athlete's foot, and barber's itch.

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

What is the most important information I should know about Fulvicin (griseofulvin)?

Take all of the griseofulvin that has been prescribed for you even if you begin to feel better. Your symptoms may begin to improve before the infection is completely treated. Avoid prolonged exposure to sunlight. Griseofulvin increases sensitivity to sunlight, and severe burning may result.

What should I discuss with my healthcare provider before taking Fulvicin (griseofulvin)?

You cannot take griseofulvin if you

have ever had an allergic reaction to it,
have porphyria, or
have liver disease.

Talk to your doctor before taking griseofulvin if you have any of the conditions listed above.

Griseofulvin is in the FDA pregnancy category C. This means that it is not known whether griseofulvin will harm an unborn baby. In rare cases, the use of griseofulvin has been associated with conjoined twins. Do not take this medication without first talking to your doctor if you are pregnant. It is also not known whether griseofulvin passes into breast milk. Do not take this medication without first talking to your doctor if you are breast-feeding a baby. Griseofulvin may affect sperm and sperm production. It is recommended that you avoid fathering a child during treatment with griseofulvin and for 6 months following therapy.

How should I take Fulvicin (griseofulvin)?

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

Take each dose with a full glass (8 ounces) of water. Your doctor may recommend that you take griseofulvin with a fatty meal to increase its absorption into your body. Take all of the griseofulvin that has been prescribed for you even if you begin to feel better. Your symptoms may begin to improve before the infection is completely treated. Shake the suspension well before measuring a dose. To ensure that you get a correct dose, measure the liquid form of griseofulvin with a dose-measuring spoon or cup, not with a regular tablespoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.

Store griseofulvin tablets, capsules, and suspension at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Take the rest of the day's doses at evenly spaced intervals unless your doctor directs otherwise.

What happens if I overdose?

Seek emergency medical attention.

Symptoms of a griseofulvin overdose are not well known but might include nausea, vomiting, diarrhea, headache, numbness and tingling, and confusion.

What should I avoid while taking Fulvicin (griseofulvin)?

Avoid prolonged exposure to sunlight. Griseofulvin increases sensitivity to sunlight, and severe burning may result. Use a sunscreen and wear protective clothing when exposure to the sun is unavoidable. The combination of alcohol and griseofulvin may cause flushing and a fast heart rate. Use alcohol cautiously during treatment with griseofulvin.

Fulvicin (griseofulvin) side effects

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

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

white patches in your mouth (thrush/yeast infection);
nausea, vomiting, or diarrhea;
headache, dizziness, or tiredness;
insomnia;
confusion;
numbness or tingling in your hands or feet; or
menstrual irregularities.

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.

What other drugs will affect Fulvicin (griseofulvin)?

Griseofulvin may decrease the effects of the following drugs:

oral anticoagulants (blood thinners) such as warfarin (Coumadin). A decrease in the effectiveness of anticoagulants could lead to blood clotting. It may be necessary to increase anticoagulant dosage.
birth control pills. Decreased effectiveness could lead to break-through bleeding and possibly to an unintended pregnancy. Talk to your doctor about using of other forms of birth control during treatment with griseofulvin.
salicylates such as aspirin, salsalate (Disalcid, Salsitab, Salflex, others), choline salicylate (Arthropan), magnesium salicylate (Doan's, Magan), and others. Larger doses of these medicines may be needed.
cyclosporine (Sandimmune, Neoral). Your doctor may need to adjust your cyclosporine dosage.

The effects of griseofulvin may be decreased by barbiturates such as phenobarbital (Luminal, Solfoton), pentobarbital (Nembutal), secobarbital (Seconal), amobarbital (Amytal), and butabarbital (Butisol). Larger doses of griseofulvin may be necessary if you are taking any of these drugs.

Drugs other than those listed here may also interact with griseofulvin. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

Diflucan (Generic name: Fluconazole)

2008-07-16T22:34:00.000-07:00

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

Do not take Diflucan if you are taking cisapride (Propulsid). Combined with cisapride (Propulsid), Diflucan could cause serious, even fatal, heart problems.
In rare cases, Diflucan has caused severe liver damage, sometimes resulting in death. Notify your doctor immediately if you develop nausea, vomiting, abdominal pain, unusual fatigue, loss of appetite, yellow skin or eyes, itching, dark urine, or clay colored stools. These symptoms may be early signs of liver damage.
In rare cases, Diflucan has also caused severe skin rash, sometimes resulting in death. Notify your doctor immediately fi you develop a rash while taking Diflucan.
Take all of the Diflucan that has been prescribed for you even if you begin to feel better. Your symptoms may begin to improve before the infection is completely treated.

What is Diflucan?

Diflucan is an antifungal medication. It is used to treat fungal infections.
Diflucan is used to treat yeast infections of the mouth, throat, and esophagus; vaginal yeast infections; fungal urinary tract infections; pneumonia caused by yeast; and fungal infections throughout the whole body and in the blood. Diflucan is also used to prevent fungal infections from occurring in people with suppressed immune systems such as cancer chemotherapy patients, organ transplant patients, and AIDS patients.
Diflucan may also be used for purposes other than those listed in this medication guide.

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

Do not take Diflucan if you are taking cisapride (Propulsid). Combined with cisapride (Propulsid), Diflucan could cause serious, even fatal, heart problems.
Before taking Diflucan, tell your doctor if you have any other medical conditions, especially kidney disease, or if you take other medicines. You may not be able to take Diflucan, or you may require a dosage adjustment or special monitoring during your treatment.
Diflucan is in the FDA pregnancy category C. This means that it is not known whether it will be harmful to an unborn baby. Do not take Diflucan without first talking to your doctor if you are pregnant or could become pregnant during treatment.
Diflucan passes into breast milk and may be harmful to a nursing baby. For this reason, Diflucan should not be taken by nursing mothers. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.

How should I take Diflucan?

Take Diflucan exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
Take each dose with a full glass of water.
A single dose of this medication is often used to treat vaginal yeast infections.
In multiple-dose therapy, a double dose of Diflucan is often taken on the first day of treatment to quickly get the proper amount of medicine into the body. Follow your doctor's directions.
Shake the suspension well before measuring a dose. To ensure that you get the correct dose, measure the suspension using a dose-measuring spoon, cup, or dropper, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.
It is important to take Diflucan regularly to get the most benefit.
Store the tablets at room temperature away from moisture and heat.
The suspension can be stored at room temperature or in the refrigerator. Do not let it freeze. Throw away any unused suspension after 14 days.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for the next dose, skip the dose you missed and take only the next regularly scheduled dose as directed. Do not take a double dose of this medication unless otherwise directed by your doctor.

What happens if I overdose?

Seek emergency medical attention if an overdose is suspected.
Symptoms of a Diflucan overdose include confusion, hallucinations, paranoia, decreased movement, decreased breathing, tearing eyes, drooling, urinary incontinence, seizures, and death.

What should I avoid while taking Diflucan?

Avoid alcohol or use it in moderation while taking Diflucan. Alcohol and Diflucan can both affect the liver.
Use caution when driving or performing other hazardous activities. Diflucan may cause dizziness. If you experience dizziness, avoid these activities.

What are the possible side effects of Diflucan?

If you experience any of the following serious side effects, stop taking Diflucan and seek emergency medical attention or contact your doctor immediately:
- an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
- liver damage (pale stools, yellowing of the skin or eyes, abdominal pain, unusual fatigue, or dark urine); or
- a rash.
Other, less serious side effects may be more likely to occur. If you experience any of the following side effects, continue taking Diflucan and talk to your doctor:
- nausea, vomiting, or abdominal pain;
- diarrhea;
- headache;
- dizziness;
- fatigue; or
- itching.
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.

What other drugs will affect Diflucan?

Do not take Diflucan if you are taking cisapride (Propulsid). Combined with cisapride (Propulsid), Diflucan could cause serious, even fatal, heart problems.
Before taking Diflucan, tell your doctor if you are taking any other medicines, especially any of the following:
- an oral diabetes medicine such as glipizide (Glucotrol), glyburide (Diabeta, Micronase, Glynase), tolbutamide (Orinase), tolazamide (Tolinase), chlorpropamide (Diabinese), and others;
- warfarin (Coumadin);
- phenytoin (Dilantin, others);
- cyclosporine (Sandimmune, Neoral);
- cisapride (Propulsid);
- a benzodiazepine such as diazepam (Valium), lorazepam (Ativan), alprazolam (Xanax), estazolam (ProSom) and others;
- tacrolimus ((Prograf);
- rifabutin (Mycobutin) or rifampin (Rifadin, Rimactane); or
- theophylline (Theo-Dur, Theolair, Theochron, Elixophyllin, Slo-Phyllin, others); or
- astemizole (Hismanal).
You may not be able to take Diflucan, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.
Drugs other than those listed here may also interact with Diflucan 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.

Zyprexa (Generic name: Olanzapine)

2008-07-16T22:31:00.000-07:00

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

Zyprexa is not for use in psychotic conditions that are related to dementia. Zyprexa has caused fatal heart attack and stroke in older adults with dementia-related conditions.
Zyprexa may cause you to have high blood sugar (hyperglycemia). Talk to your doctor if you have any signs of hyperglycemia such as increased thirst or urination, excessive hunger, or weakness. If you are diabetic, check your blood sugar levels on a regular basis while you are taking Zyprexa.
Do not stop taking Zyprexa without first talking to your doctor. It may be at least 4 weeks before you begin to feel better, and you may need to take the medication for longer than 4 weeks. Follow your doctor's instructions. It is important to take Zyprexa regularly to get the most benefit.
Do not take Zyprexa for longer than 8 weeks unless your doctor has told you to.
Zyprexa can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
Dizziness may be more likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall.
Avoid drinking alcohol, which can increase some of the side effects of Zyprexa.
Avoid using other medicines that make you sleepy (such as cold medicine, pain medication, muscle relaxers, and medicine for seizures, depression or anxiety). They can add to sleepiness caused by Zyprexa.
Avoid becoming overheated or dehydrated. Drink plenty of fluids, especially in hot weather and during exercise. It is easier to become dangerously overheated and dehydrated while you are taking Zyprexa.

What is Zyprexa?

Zyprexa is an antipsychotic medication. It works by changing the actions of chemicals in the brain.
Zyprexa is used to treat the symptoms of psychotic conditions such as schizophrenia and bipolar disorder (manic depression).
Zyprexa may also be used for purposes other than those listed in this medication guide.

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

Zyprexa is not for use in psychotic conditions that are related to dementia. Zyprexa has caused fatal heart attack and stroke in older adults with dementia-related conditions.
Before taking Zyprexa, tell your doctor if you have:
- liver disease;
- kidney disease;
- heart disease, high blood pressure, heart rhythm problems;
- a history of heart attack or stroke;
- a history of breast cancer;
- seizures or epilepsy;
- a personal or family history of diabetes;
- an enlarged prostate or difficulty urinating;
- glaucoma; or
- trouble swallowing.
If you have any of these conditions, you may not be able to use Zyprexa, or you may need a dosage adjustment or special tests during treatment.
Zyprexa may cause you to have high blood sugar (hyperglycemia). Talk to your doctor if you have any signs of hyperglycemia such as increased thirst or urination, excessive hunger, or weakness. If you are diabetic, check your blood sugar levels on a regular basis while you are taking Zyprexa.
The Zyprexa orally disintegrating tablet (Zyprexa Zydis) may contain phenylalanine. Talk to your doctor before using this form of Zyprexa if you have phenylketonuria (PKU).
FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.
Zyprexa can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take Zyprexa?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor.
Do not take Zyprexa for longer than 8 weeks unless your doctor has told you to.
Take each tablet with a full glass of water.
Zyprexa can be taken with or without food.
Zyprexa is usually taken once a day. Follow your doctor's instructions.
To take Zyprexa orally disintegrating tablets (Zyprexa Zydis):
- Keep the tablet in its blister pack until you are ready to take the medicine. Open the package and peel back the foil from the tablet blister. Do not push a tablet through the foil or you may damage the tablet.
- Using dry hands, remove the tablet and place it in your mouth. It will begin to dissolve right away.
- Do not swallow the tablet whole. Allow it to dissolve in your mouth without chewing.
- Swallow several times as the tablet dissolves. If desired, you may drink liquid to help swallow the dissolved tablet.
It is important to take Zyprexa regularly to get the most benefit.
Do not stop taking Zyprexa without first talking to your doctor. It may be at least 4 weeks before you begin to feel better, and you may need to take the medication for longer than 4 weeks. Follow your doctor's instructions. It is important to take Zyprexa regularly to get the most benefit.
To be sure this medication is helping your condition, your doctor will need to check your progress on a regular basis. It is important that you not miss any scheduled visits to your doctor.
Store Zyprexa at room temperature away from moisture and heat.

What happens if I miss a dose?

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

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of an Zyprexa overdose may include drowsiness, agitation, aggression, slurred speech, confusion, increased heart rate, jerky or uncontrolled muscle movements, trouble breathing, or fainting.

What should I avoid while taking Zyprexa?

Zyprexa can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
Dizziness may be more likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall.
Avoid drinking alcohol, which can increase some of the side effects of Zyprexa.
Avoid using other medicines that make you sleepy (such as cold medicine, pain medication, muscle relaxers, and medicine for seizures, depression or anxiety). They can add to sleepiness caused by Zyprexa.
Avoid becoming overheated or dehydrated. Drink plenty of fluids, especially in hot weather and during exercise. It is easier to become dangerously overheated and dehydrated while you are taking Zyprexa.

What are the possible side effects of Zyprexa?

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 Zyprexa and call your doctor at once if you have any of these serious side effects:
- fever, stiff muscles, confusion, sweating, fast or uneven heartbeats;
- jerky muscle movements you cannot control;
- sudden numbness or weakness, especially on one side of the body;
- sudden headache, confusion, problems with vision, speech, or balance;
- increased thirst, frequent urination, excessive hunger, or weakness;
- feeling light-headed, fainting; or
- unusual thoughts or behavior, hallucinations, or thoughts about hurting yourself.
Continue taking Zyprexa and talk to your doctor if you have any of these less serious side effects:
- dizziness, drowsiness, or weakness;
- constipation;
- dry mouth;
- swelling in your hands or feet;
- back pain;
- weight gain, increased appetite; or
- upset stomach.
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.

What other drugs will affect Zyprexa?

Before taking Zyprexa, tell your doctor if you are taking any of the following medicines:
- a medication to treat high blood pressure or a heart condition;
- carbamazepine (Tegretol);
- fluvoxamine (Luvox); or
- a medication to treat Parkinson's disease including levodopa (Sinemet, Larodopa, Atamet), selegiline (Eldepryl, Emsam), pramipexole (Mirapex), ropinirole (Requip), and others.
If you are using any of these drugs, you may not be able to use Zyprexa, or you may need dosage adjustments or special tests during treatment.
There may be other drugs not listed that can affect Zyprexa. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Wellbutrin (Generic name: Bupropion)

2008-07-16T22:29:00.001-07:00

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

You should not take Wellbutrin if you have epilepsy or a seizure disorder, an eating disorder such as anorexia or bulimia, if you are using a second form of Wellbutrin, or if you have suddenly stopped using alcohol or sedatives. Do not take Wellbutrin if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl), or tranylcypromine (Parnate) in the last 14 days.
You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication, especially if you are 18 years of age or younger. Talk with your doctor about this risk. While you are taking this medication you will need to be monitored for worsening symptoms of depression and/ or suicidal thoughts during the first weeks of treatment, or whenever your dose is changed. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.
Contact your doctor if you have any of the following side effects, especially if they are new symptoms or if they get worse: mood changes, anxiety, panic attacks, trouble sleeping, irritability, agitation, aggressiveness, severe restlessness, mania (mental and/ or physical hyperactivity), or thoughts of suicide or hurting yourself.
Do not stop taking Wellbutrin without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly.
Avoid using Wellbutrin to treat more than one condition at a time. If you take Wellbutrin for depression, do not also take Zyban to quit smoking. Too much of this medicine can increase your risk of a seizure.
Do not smoke at any time if you are using a nicotine product along with Zyban. Too much nicotine can cause serious side effects.
Avoid drinking alcohol while taking Wellbutrin. Alcohol may increase your risk of a seizure while you are taking Wellbutrin. If you drink alcohol regularly, talk with your doctor before changing the amount you drink. Wellbutrin can cause seizures in people who drink a lot of alcohol and then suddenly quit drinking when they start using the medication.
There are many other drugs that can affect Wellbutrin. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

What is Wellbutrin?

Wellbutrin is an antidepressant medication.
Wellbutrin is used to treat major depressive disorder and seasonal affective disorder.
At least one brand of Wellbutrin (Zyban) is used to help people stop smoking by reducing cravings and other withdrawal effects.
Wellbutrin may also be used for purposes other than those listed in this medication guide.

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

Do not take Wellbutrin if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl), or tranylcypromine (Parnate) in the last 14 days.
You should not take Wellbutrin if you have:
- epilepsy or a seizure disorder;
- an eating disorder such as anorexia or bulimia;
- if you are using a second form of Wellbutrin; or
- if you have suddenly stopped using alcohol or sedatives (such as Valium).
Wellbutrin may cause seizures, especially if you have any of the following conditions:
- head injury, brain or spinal cord tumor;
- bipolar disorder (manic depression);
- diabetes for which you use insulin or take oral medication;
- current use of steroids, theophylline (Theo-Dur, Slo-Bid, Bronkodyl Theolair, Respbid), or medicine to treat depression or mental illness; or
- recent use of alcohol, sedatives (such as Valium), narcotic pain medicines, diet pills, or street drugs such as “speed” or cocaine.
Before taking Wellbutrin, tell your doctor if you have high blood pressure, heart disease, liver disease, kidney disease, or severe liver disease (especially cirrhosis).
You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication, especially if you are under 18 years old. While you are taking Wellbutrin, you will need to be monitored for worsening symptoms of depression and/ or suicidal thoughts during the first weeks of treatment, or whenever your dose is changed. In addition to you watching for changes in your own symptoms, your family or other caregivers should be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.
Contact your doctor if you have any of the following side effects, especially if they are new symptoms or if they get worse: mood changes, anxiety, panic attacks, trouble sleeping, irritability, agitation, aggressiveness, severe restlessness, mania (mental and/ or physical hyperactivity), or thoughts of suicide or hurting yourself.
FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.
Wellbutrin passes into breast milk and could be harmful to a nursing baby. Do not take Wellbutrin without telling your doctor if you are breast-feeding a baby.
You should not smoke if you use inhaled insulin (Exubera) to treat diabetes. Smoking may cause you to have low blood sugar (hypoglycemia) while using Exubera. Do not use Exubera unless you have been smoke-free for at least 6 months. Do not start smoking again or you will have to stop using Exubera.

How should I take Wellbutrin?

Take Wellbutrin exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from the medication.
Wellbutrin can be taken with or without food.
Take each dose with a full glass of water.
Do not crush, chew, or break the extended-release tablet (Wellbutrin SR, Wellbutrin XL, Zyban SR). Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time.
If you take Zyban to help you stop smoking, you may continue to smoke for about 1 week after you start the medicine. Set a date to quit smoking during the second week of Zyban treatment. By that time you will have enough of the medicine in your blood stream to help you quit smoking. Talk to your doctor if you are having trouble quitting after you have used Zyban for at least 7 weeks.
Your doctor may prescribe nicotine patches or gum to help support your smoking cessation treatment. Be sure you read all directions and safety information for the nicotine product. Using nicotine with Zyban may raise your blood pressure and your doctor may want to check your blood pressure regularly. Do not smoke at any time if you are using a nicotine product along with Zyban. Too much nicotine can cause serious side effects.
Do not stop taking Wellbutrin without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly.
If you use the Wellbutrin extended-release tablet, the tablet shell may pass into your stools (bowel movements). This is normal and does not mean that you are not receiving enough of the medicine.
Store Wellbutrin at room temperature away from moisture and heat.

What happens if I miss a dose?

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

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a Wellbutrin overdose may include seizures, muscle stiffness, hallucinations, fainting, fast or uneven heartbeat, shallow breathing, heart failure, or coma.

What should I avoid while taking Wellbutrin?

Avoid drinking alcohol while taking Wellbutrin. Alcohol may increase your risk of a seizure while you are taking Wellbutrin. If you drink alcohol regularly, talk with your doctor before changing the amount you drink. Wellbutrin can cause seizures in people who drink a lot of alcohol and then suddenly quit drinking when they start using the medication.
Avoid using Wellbutrin to treat more than one condition at a time. If you take Wellbutrin for depression, do not also take Zyban to quit smoking. Too much of this medicine can increase your risk of a seizure.
Wellbutrin can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
You should not smoke if you use inhaled insulin (Exubera) to treat diabetes. Smoking may cause you to have low blood sugar (hypoglycemia) while using Exubera. Do not use Exubera unless you have been smoke-free for at least 6 months. Do not start smoking again or you will have to stop using Exubera.

What are the possible side effects of Wellbutrin?

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 Wellbutrin and call your doctor at once if you have a seizure (convulsions) or fast, uneven heartbeats.
Continue taking Wellbutrin and talk to your doctor if you have any of these less serious side effects:
- headache or migraine;
- sleep problems (insomnia);
- nausea, vomiting, constipation, dry mouth;
- confusion, dizziness, agitation, tremors (shaking);
- appetite changes, weight loss or gain;
- mild itching or skin rash, increased sweating; or
- loss of interest in sex.
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.

What other drugs will affect Wellbutrin?

Do not take Wellbutrin if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl), or tranylcypromine (Parnate) in the last 14 days.
There are many other drugs that can affect Wellbutrin. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Trivastal (Generic name: Piribedil)

2008-07-16T22:28:00.001-07:00

Indications

Treatment of Parkinsons disease either as monotherapy or in combination with L-dopa therapy, in the early stages as well as in advanced stages. Treatment of Pathological cognitive deficits in the elderly. Treatment of Dizziness in the elderly. Treatment of retinal ischemic manifestations. Adjuvant treatment in intermittent claudication due to peripheral occlusive arterial disease of the lower limbs.

Contraindication

Cardiogenic shock. Acute Phase mycordial infraction.

Side Effects

Rare side effects: minor gastrointestinal disorders in predisposed individuals, or under taken between meals.

Tofranil (Generic name: Imipramine)

2008-07-16T22:26:00.002-07:00

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

Do not use tofranil if you have recently had a heart attack, or if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days.

You may have suicidal thoughts or behavior when you start taking an antidepressant, especially if you are under 18 years old. You will need to be monitored for worsening symptoms of depression or suicidal thoughts. Your doctor should check you at regular visits during the first 12 weeks of treatment, or whenever your dose is changed.

What is tofranil?

Tofranil is in a group of drugs called tricyclic antidepressants. Tofranil affects chemicals in the brain that may become unbalanced.

Tofranil is used to treat symptoms of depression.

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

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

Do not use this medication if you are allergic to tofranil, or if you have recently had a heart attack. Do not use tofranil if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take tofranil before the MAO inhibitor has cleared from your body.

Before taking tofranil, tell your doctor if you are allergic to any drugs, or if you have:

heart disease;
a history of heart attack, stroke, or seizures;
bipolar disorder (manic-depression);
kidney or liver disease;
overactive thyroid;
diabetes (tofranil may raise or lower blood sugar);
adrenal gland tumor (pheochromocytoma);
glaucoma; or
problems with urination.

If you have any of these conditions, you may not be able to use tofranil, or you may need a dosage adjustment or special tests during treatment.

You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication, especially if you are under 18 years old. While you are taking tofranil, you will need to be monitored for worsening symptoms of depression and/or suicidal thoughts during the first weeks of treatment, or whenever your dose is changed.

In addition to you watching for changes in your own symptoms, your family or other caregivers should be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.

Contact your doctor promptly if you have any of the following side effects, especially if they are new symptoms or if they get worse: mood changes, anxiety, panic attacks, trouble sleeping, irritability, agitation, aggressiveness, severe restlessness, mania (mental and/or physical hyperactivity), thoughts of suicide or hurting yourself. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Tofranil can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Older adults may be more likely to have side effects from this medication. Do not give this medication to anyone under 18 years old without the advice of a doctor.

How should I take tofranil?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from this medication. Follow the directions on your prescription label.

If you need to have any type of surgery, tell the surgeon ahead of time that you are taking tofranil. You may need to stop using the medicine for a short time.

Do not stop using tofranil without first talking to your doctor. You may need to use less and less before you stop the medication completely. Stopping this medication suddenly could cause you to have unpleasant side effects. It may take up to 3 weeks of using this medicine before your symptoms improve. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve after 3 weeks of treatment. Store tofranil at room temperature away from moisture and heat.

What happens if I miss a dose?

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

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. An overdose of tofranil can be fatal.

Symptoms of an tofranil overdose may include uneven heartbeats, extreme drowsiness, agitation, vomiting, blurred vision, sweating, muscle stiffness, swelling, shortness of breath, blue lips or fingernails, feeling light-headed, fainting, seizure (convulsions), or coma.

What should I avoid while taking tofranil?

Avoid drinking alcohol. It can cause dangerous side effects when taken together with tofranil.

Avoid using other medicines that make you sleepy (such as cold medicine, pain medication, muscle relaxers, medicine for seizures, or other antidepressants). They can add to sleepiness caused by tofranil.

Grapefruit and grapefruit juice may interact with tofranil. Discuss the use of grapefruit products with your doctor before increasing or decreasing the amount of grapefruit products in your diet.

Tofranil can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Tofranil can make your skin more sensitive to sunlight and sunburn may result. Use a sunscreen (minimum SPF 15) and wear protective clothing if you must be out in the sun.

What are the possible side effects of tofranil?

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

fast, pounding, or uneven heart rate;
chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;
sudden numbness or weakness, especially on one side of the body;
sudden headache, confusion, problems with vision, speech, or balance;
feeling short of breath, even with mild exertion;
swelling, rapid weight gain;
confusion, hallucinations, or seizure (convulsions);
easy bruising or bleeding, unusual weakness;
restless muscle movements in your eyes, tongue, jaw, or neck;
urinating more or less than usual;
extreme thirst with headache, nausea, vomiting, and weakness;
skin rash, bruising, severe tingling, numbness, pain, or muscle weakness.

Less serious side effects may be more likely to occur, such as:

nausea, vomiting, stomach pain, loss of appetite;
constipation or diarrhea;
dry mouth, unpleasant taste;
weight changes;
weakness, lack of coordination;
feeling anxious, restless, dizzy, drowsy, or tired;
sleep problems (insomnia), nightmares;
blurred vision, headache, ringing in your ears;
breast swelling (in men or women); or
decreased sex drive, impotence, or difficulty having an orgasm.

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.

What other drugs will affect tofranil?

Before taking tofranil, tell your doctor if you have used an SSRI antidepressant in the past 5 weeks, such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), or sertraline (Zoloft).

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

cimetidine (Tagamet);
clonidine (Catapres);
guanethidine (Ismelin);
methylphenidate (Concerta, Ritalin, Daytrana); or
heart rhythm medications such as flecainide (Tambocor), propafenone (Rhythmol), or quinidine (Cardioquin, Quinidex, Quinaglute).

If you are using any of these drugs, you may not be able to use tofranil, or you may need dosage adjustments or special tests during treatment.

There are many other medicines that can interact with tofranil. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.

Sinequan (Generic name: Doxepin)

2008-07-16T22:26:00.001-07:00

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

While you are taking Sinequan you may need to be monitored for worsening symptoms of depression and/ or suicidal thoughts at the start of therapy or when doses are changed. This concern about the increased risk of suicidal thoughts or behaviors may be greater if you are 18 years of age or younger and are taking Sinequan. In patients younger than 18 years, the period of risk may extend beyond start of therapy or when doses are changed. Your doctor may want you to monitor for the following symptoms: anxiety, panic attacks, difficulty sleeping, irritability, hostility, impulsivity, severe restlessness, and mania (mental and/ or physical hyperactivity). These symptoms may be associated with the development of worsening symptoms of depression and/ or suicidal thoughts or actions. Contact your healthcare provider if you develop any new or worsening mental health symptoms during treatment with Sinequan. Do not stop taking Sinequan.
Use caution when driving, operating machinery, or performing other hazardous activities. Sinequan may cause drowsiness or dizziness. If you experience drowsiness or dizziness, avoid these activities.
Dizziness is likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall.
Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while taking Sinequan.

What is Sinequan?

Sinequan is in a class of drugs called tricyclic antidepressants. Sinequan affects chemicals in the brain that may become unbalanced and cause depression.
Sinequan is used to relieve symptoms of depression and anxiety such as feelings of sadness, worthlessness, or guilt; loss of interest in daily activities; changes in appetite; tiredness; sleeping too much; insomnia, and thoughts of death or suicide.
Sinequan may also be used for purposes other than those listed in this medication guide.

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

Do not take Sinequan if you have taken a monoamine oxidase inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) within the last 14 days.
Before taking Sinequan, tell your doctor if you have
- liver disease,
- kidney disease,
- asthma,
- thyroid disease,
- diabetes,
- stomach or intestinal problems,
- high blood pressure or heart disease,
- had a heart attack in the last 6 weeks,
- an enlarged prostate or difficulty urinating, or
- glaucoma.
You may not be able to take Sinequan, or you may require a dosage adjustment or special monitoring during therapy if you have any of the conditions listed above.
While you are taking Sinequan you may need to be monitored for worsening symptoms of depression and/ or suicidal thoughts at the start of therapy or when doses are changed. This concern about the increased risk of suicidal thoughts or behaviors may be greater if you are 18 years of age or younger and are taking Sinequan. In patients younger than 18 years, the period of risk may extend beyond start of therapy or when doses are changed. Your doctor may want you to monitor for the following symptoms: anxiety, panic attacks, difficulty sleeping, irritability, hostility, impulsivity, severe restlessness, and mania (mental and/ or physical hyperactivity). These symptoms may be associated with the development of worsening symptoms of depression and/ or suicidal thoughts or actions. Contact your healthcare provider if you develop any new or worsening mental health symptoms during treatment with Sinequan. Do not stop taking Sinequan.
It is not known whether Sinequan will be harmful to an unborn baby. Do not take Sinequan without first talking to your doctor if you are pregnant or could become pregnant during treatment.
Sinequan passes into breast milk and may affect a nursing baby. Do not take Sinequan without first talking to your doctor if you are breast-feeding a baby.
If you are over 60 years of age, you may be more likely to experience side effects such as drowsiness, dizziness, unsteadiness, feeling uncoordinated, and low blood pressure. Your doctor may prescribe a lower dose of this medication.

How should I take Sinequan?

Take Sinequan 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 (8 oz) of water.
Sinequan may be taken several times a day or in one daily dose (usually at bedtime). Follow your doctor's instructions.
It may be several weeks before you start to feel better, but do not stop taking Sinequan without first talking to your doctor.
Store Sinequan at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for the next regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take a double dose of this medication unless otherwise directed by your doctor.

What happens if I overdose?

Seek emergency medical attention if an overdose is suspected.
Symptoms of an Sinequan overdose include seizures, confusion, drowsiness, agitation, hallucinations, and low blood pressure (dizziness, fatigue, fainting).

What should I avoid while taking Sinequan?

Use caution when driving, operating machinery, or performing other hazardous activities. Sinequan may cause drowsiness or dizziness. If you experience drowsiness or dizziness, avoid these activities.
Dizziness is likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall.
Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while taking Sinequan.
Do not stop taking Sinequan suddenly. This could cause symptoms such as nausea, headache, and malaise.

What are the possible side effects of Sinequan?

If you experience any of the following serious side effects, stop taking Sinequan and contact your doctor immediately or seek emergency medical treatment:
- an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, face, or tongue; or hives);
- seizures;
- a fast or irregular heartbeat;
- a heart attack;
- high blood pressure (blurred vision, severe headache);
- difficulty urinating; or
- fever with increased sweating, muscle stiffness, or severe muscle weakness.
Other, less serious side effects may be more likely to occur. Continue to take Sinequan and talk to your doctor if you experience
- drowsiness or dizziness;
- dry mouth and eyes;
- constipation;
- mild tremor;
- sweating;
- mild agitation, weakness, or headache;
- ringing in the ears;
- nausea; or
- loss of weight or appetite.
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.

What other drugs will affect Sinequan?

Do not take Sinequan if you have taken a monoamine oxidase inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) within the last 14 days.
Sinequan may increase the effects of other drugs that cause drowsiness, including other antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any other prescription or over-the-counter medicines without first talking to your doctor.
Drugs other than those listed here may also interact with Sinequan. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.

Sinemet (Generic name: Carbidopa + Levodopa)

2008-07-16T22:25:00.000-07:00

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

Do not stop taking Sinemet suddenly. It may take several weeks before you feel the full effects of this medicine. Stopping suddenly could make your condition much worse.
Do not crush or chew any controlled-release forms of Sinemet (Sinemet CR). They are specially formulated to release slowly into your system. If necessary, the tablets can be split in half where they are scored, then swallowed without crushing or chewing.
Use caution when driving, operating machinery, or performing other hazardous activities. Sinemet may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
Call your doctor immediately if you have uncontrollable movements of the mouth, tongue, cheeks, jaw, arms, or legs; fever; or increased body heat.

What is Sinemet?

Sinemet is a medication used to treat Parkinson's disease. Parkinson's disease is believed to be related to low levels of a chemical called dopamine (DOE pa meen) in the brain. Levodopa is turned into dopamine in the body. Carbidopa is used with levodopa to prevent the breakdown (metabolism) of levodopa before it can reach the brain and take effect.
Sinemet is used to treat the stiffness, tremors, spasms, and poor muscle control associated with Parkinson's disease. This medication is also used to treat the same muscular conditions when they are caused by carbon monoxide and/or manganese intoxication.
Sinemet may also be used for purposes other than those listed in this medication guide.

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

If you are already taking levodopa (Larodopa, Dopar), you will have to stop taking it at least 12 hours before you take your first dose of Sinemet.
Do not take Sinemet if you are taking or have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the past 14 days.
Do not take this medication if you have
- narrow-angle glaucoma (angle closure glaucoma), or
- current or past history of malignant melanoma (a type of skin cancer).
Before taking this medication, tell your doctor if you have:
- any kind of heart disease, including high blood pressure, arteriosclerosis (hardening of the arteries), a previous heart attack, or an irregular heartbeat;
- respiratory disease, including asthma and chronic obstructive pulmonary disease (COPD);
- liver disease;
- kidney disease;
- an endocrine (hormonal) disease;
- a stomach or intestinal ulcer;
- wide-angle glaucoma; or
- depression or any other psychiatric disorder.
You may not be able to take Sinemet, or you may need a lower dose or special monitoring during treatment if you have any of the conditions listed above.
Parcopa 10/100 mg and 25/100 mg tablets each contain 3.4 mg of phenylalanine; Parcopa 25/250 mg tablet contains 8.4 mg of phenylalanine. Talk to your doctor if you have phenylketonuria or have a family history of phenylketonuria.
Sinemet is in the FDA pregnancy category C. This means that it is not known whether Sinemet will harm an unborn baby. Do not take Sinemet without first talking to your doctor if you are pregnant.
It is also not known whether Sinemet will harm a nursing infant. Do not take Sinemet without first talking to your doctor if you are breast-feeding a baby.

How should I take Sinemet?

Do not stop taking Sinemet suddenly. It may take several weeks before you feel the full effects of this medicine. Stopping suddenly could make your condition much worse.
Sinemet can be taken with or without food.
Take Sinemet 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.
Use dry hands to place Parcopa (Sinemet orally disintegrating tablets) onto your tongue where it will dissolve in seconds and can then be swallowed. Parcopa can be taken with or without water.
Do not crush or chew any controlled-release forms of Sinemet (Sinemet CR). They are specially formulated to release slowly into your system. If necessary, the tablets can be split in half where they are scored, then swallowed without crushing or chewing.
The regular-release formulations can be broken or crushed to make them easier to swallow.
It is important to take Sinemet regularly to get the most benefit.
Store Sinemet 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 your next dose, skip the missed dose and only take your next regularly scheduled dose. Do not take a double dose of this medication.

What happens if I overdose?

Seek emergency medical attention.
Symptoms of a Sinemet overdose include muscle spasms or weakness, spasms of the eyelid, nausea, vomiting, diarrhea, irregular heartbeat, confusion, agitation, hallucinations, and unconsciousness.

What should I avoid while taking Sinemet?

Use caution when driving, operating machinery, or performing other hazardous activities. Sinemet may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
Do not change the amount of protein in your diet without first talking to your doctor (high protein foods include meats, eggs, cheese and others). Protein may reduce the amount of Sinemet that gets absorbed into your body.

What are the possible side effects of Sinemet?

If you experience any of the following serious side effects, stop taking Sinemet and seek emergency medical attention:
- an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);
- uncontrolled movements of a part of your body;
- seizures;
- severe nausea, vomiting, or diarrhea;
- an irregular heartbeat or fluttering in your chest;
- unusual changes in mood or behavior; or
- depression or suicidal thoughts.
Other, less serious side effects may be more likely to occur. Continue to take Sinemet and talk to your doctor if you experience
- mild nausea, vomiting, or decreased appetite;
- constipation, dry mouth, or blurred vision;
- hand tremor;
- muscle twitches;
- dizziness or drowsiness;
- insomnia, confusion, or nightmares;
- agitation or anxiety;
- darkening of your urine, sweat, or saliva; or
- fatigue.
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.

What other drugs will affect Sinemet?

You cannot take Sinemet if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the past 14 days.
If you are already taking levodopa (Larodopa, Dopar) you will have to stop taking it at least 12 hours before you take your first dose of Sinemet.
Before taking Sinemet, tell your doctor if you are taking any of the following medicines:
- antacids;
- iron supplements or vitamin supplements containing iron;
- metoclopramide (Reglan);
- isoniazid (Nydrazid);
- phenytoin (Dilantin);
- a medicine to treat high blood pressure (hypertension);
- a tricyclic antidepressant such as amitriptyline (Elavil), doxepin (Sinequan), nortriptyline (Pamelor), desipramine (Norpramin), amoxapine (Asendin), and others; or
- a medicine used to treat psychiatric conditions (and nausea and vomiting) such as chlorpromazine (Thorazine), prochlorperazine (Compazine), promethazine (Phenergan), fluphenazine (Prolixin), mesoridazine (Serentil), thioridazine (Mellaril), trifluoperazine (Stelazine), or haloperidol (Haldol).
You may not be able to take Sinemet, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.
Levodopa may interfere with urine tests for sugar and ketones. If you are diabetic and notice changes in your urine test results, talk to your doctor before making any changes in your diabetes medication.
Drugs other than those listed here may also interact with Sinemet. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

Risperdal (Generic name: Risperidone)

2008-07-16T22:24:00.000-07:00

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

Contact your doctor immediately if you experience fever, sweating, severe muscle stiffness (rigidity), confusion, fast or irregular heart beat. These could be symptoms of a potentially fatal side effect called Neuroleptic Malignant Syndrome (NMS).
Use caution when driving, operating machinery, or performing other hazardous activities. Risperdal may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
Dizziness may be more likely to occur when rising from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall.
Avoid alcohol or use it with caution. Alcohol may increase drowsiness and dizziness while taking Risperdal.
Avoid becoming overheated in hot weather and during exercise. Risperdal may increase the risk of heat stroke.
Elderly patients with dementia-related psychosis treated with Risperdal are at an increased risk of death compared to placebo. Risperdal is not approved for the treatment of patients with Dementia-Related Psychosis. Talk to your doctor if you have any questions regarding the use of Risperdal.
Do not mix the liquid form of Risperdal with cola or tea.

What is Risperdal?

Risperdal is an antipsychotic medication. It works by changing the effects of chemicals in the brain.
Risperdal is used for the treatment of schizophrenia and mania associated with bipolar disorder.
Risperdal may also be used for purposes other than those listed in this medication guide.

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

Before taking this medication, tell your doctor if you have
- had a heart attack, low blood pressure, an irregular heart-beat, or any other type of heart disease;
- epilepsy or another seizure disorder (or a history of this);
- diabetes;
- ever been diagnosed with breast cancer;
- liver disease; or
- kidney disease.
You may not be able to take Risperdal, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
Elderly patients with dementia-related psychosis treated with Risperdal are at an increased risk of death compared to placebo. Risperdal is not approved for the treatment of patients with Dementia-Related Psychosis. Talk to your doctor if you have any questions regarding the use of Risperdal.
Hyperglycemia (increased blood sugar) has been reported in patients treated with atypical antipsychotics including Risperdal. Talk to your doctor if you experience any signs of hyperglycemia including excessive thirst, frequent urination, excessive hunger or weakness.
The Risperdal (Risperdal) orally-disintegrating tablets contain phenylalanine. The 0.5 mg tablets contain 0.14 mg phenylalanine, the 1 mg tablets contain 0.28 mg phenylalanine, and the 2 mg tablets contain 0.5 mg phenylalanine. Individuals with phenylketonuria may need to monitor their intake of this additive.
Risperdal is in the FDA pregnancy category C. This means that it is not known whether Risperdal will be harmful to an unborn baby. Do not take Risperdal without first talking to your doctor if you are pregnant or could become pregnant during treatment.
It is not known whether Risperdal passes into breast milk. Do not take Risperdal without first talking to your doctor if you are breast-feeding a baby.
If you are over the age of 65, you may be more likely to experience side effects from Risperdal. An increased risk of stroke and transient ischemic attack (TIA, “mini-stroke”) has been associated with the use of Risperdal in elderly patients with dementia-related psychosis. Your doctor may prescribe a lower dose of the medication or special monitoring during treatment.

How should I take Risperdal?

Take Risperdal exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
The injectable form of Risperdal (Risperdal Consta) will be administered by a healthcare professional. If you are administering injectable Risperdal at home, your healthcare provider will give you detailed instructions regarding preparation, administration, and storage of the medication.
Take the regular oral tablets with a full glass of water.
The Risperdal orally-disintegrating tablets (Risperdal M-Tabs) can be taken without water. Using dry hands, peel back the foil on blister. Do not push tablet through the foil as this may damage the tablet. Immediately upon opening the blister, remove the tablet and place it on the tongue. The tablet must be taken immediately after opening the blister and not saved for later use. The tablet will disintegrate rapidly in the mouth and can be easily swallowed with or without liquid. Do not chew or split the tablets.
Measure the liquid form of Risperdal carefully and mix it with water, coffee, orange juice, or low-fat milk and drink it immediately.
Do not mix the liquid form of Risperdal with cola or tea.
Risperdal can be taken with or without food or milk.
It is important to take Risperdal regularly to get the most benefit.
Do not stop taking Risperdal without first talking to your doctor. It may be several weeks before you begin to feel better, and you may require continuous treatment for quite some time. Talk to your doctor before you stop taking this medication.
Your doctor may want you to have blood tests or other medical evaluations during treatment with Risperdal to monitor progress and side effects.
Store Risperdal at room temperature away from moisture, light, and heat. Do not allow the liquid form of Risperdal to freeze.

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 regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take a double dose of this medication.

What happens if I overdose?

Seek emergency medical treatment if an overdose is suspected.
Symptoms of a Risperdal overdose include dizziness; drowsiness; increased heart rate; fainting; fever; sweating; muscle spasms; and uncontrollable movements of the arms, hands, tongue, face, or other body parts.

What should I avoid while taking Risperdal?

Use caution when driving, operating machinery, or performing other hazardous activities. Risperdal may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
Dizziness may be more likely to occur when rising from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall.
Avoid alcohol or use it with caution. Alcohol may increase drowsiness and dizziness while taking Risperdal.
Avoid becoming overheated in hot weather and during exercise. Risperdal may increase the risk of heat stroke.

What are the possible side effects of Risperdal?

Contact your doctor immediately if you experience fever, sweating, severe muscle stiffness (rigidity), confusion, fast or irregular heart beat. These could be symptoms of a potentially fatal side effect called Neuroleptic Malignant Syndrome (NMS).
If you experience any of the following serious side effects, stop taking Risperdal and seek emergency medical treatment or contact your doctor immediately:
- an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
- uncontrollable movements of the tongue, face, lips, arms, or legs;
- muscle spasms of the face or neck;
- severe restlessness or tremor;
- severe drowsiness or fainting; or
- irregular or very fast heartbeat.
Other, less serious side effects may be more likely to occur. Continue to take Risperdal and talk to your doctor if you experience
- mild restlessness, drowsiness, or tremor;
- insomnia;
- blurred vision;
- dizziness or headache;
- nausea; or
- weight gain.
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.

What other drugs will affect Risperdal?

Before taking this medication, tell your doctor if you are taking any of the following medicines:
- carbamazepine (Tegretol);
- clozapine (Clozaril);
- medicines used to treat Parkinson's Disease such as levodopa (Dopar, Larodopa, Sinemet, Atamet, others), bromocriptine (Parlodel, others), pergolide (Permax), pramipexole (Mirapex), or ropinirole (Requip), or;
- any medicine used to lower blood pressure.
You may not be able to take Risperdal, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.
Risperdal may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any medicine without first talking to your doctor.
Drugs other than those listed here may also interact with Risperdal. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.

Remeron (Generic name: Mirtazapine)

2008-07-16T22:23:00.000-07:00

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

While you are taking Remeron you may need to be monitored for worsening symptoms of depression and/ or suicidal thoughts at the start of therapy or when doses are changed. This concern about the increased risk of suicidal thoughts or behaviors may be greater if you are 18 years of age or younger and are taking Remeron. In patients younger than 18 years, the period of risk may extend beyond start of therapy or when doses are changed. Your doctor may want you to monitor for the following symptoms: anxiety, panic attacks, difficulty sleeping, irritability, hostility, impulsivity, severe restlessness, and mania (mental and/ or physical hyperactivity). These symptoms may be associated with the development of worsening symptoms of depression and/ or suicidal thoughts or actions. Contact your healthcare provider if you develop any new or worsening mental health symptoms during treatment with Remeron. Do not stop taking Remeron.
It may be several weeks before you start to feel better. Even when you start to feel better, do not stop taking Remeron without first talking to your doctor.
Contact your doctor if you experience fever, chills, a sore throat, flu-like symptoms, or sores in the mouth or nose.
Use caution when driving, operating machinery, or performing other hazardous activities. Remeron may cause drowsiness and dizziness. If you experience drowsiness or dizziness, avoid these activities.
Dizziness is likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall.
Avoid the use of alcohol while taking Remeron. Alcohol may increase drowsiness and dizziness.
Remeron is available in a regular tablet formulation (Remeron) that should be swallowed with water. Remeron is also available in a rapidly-disintegrating formulation (Remeron SolTab) that will disintegrate rapidly when placed on the tongue and can be swallowed with or without water.

What is Remeron?

Remeron is in a class of drugs called antidepressants. Remeron affects chemicals in your brain that may become unbalanced and cause depression.
Remeron is used to relieve symptoms of depression such as feelings of sadness, worthlessness, or guilt; loss of interest in daily activities; changes in appetite; tiredness; sleeping too much; insomnia; and thoughts of death or suicide.
Remeron may also be used for purposes other than those listed in this medication guide.

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

While you are taking Remeron you may need to be monitored for worsening symptoms of depression and/ or suicidal thoughts at the start of therapy or when doses are changed. This concern about the increased risk of suicidal thoughts or behaviors may be greater if you are 18 years of age or younger and are taking Remeron. In patients younger than 18 years, the period of risk may extend beyond start of therapy or when doses are changed. Your doctor may want you to monitor for the following symptoms: anxiety, panic attacks, difficulty sleeping, irritability, hostility, impulsivity, severe restlessness, and mania (mental and/ or physical hyperactivity). These symptoms may be associated with the development of worsening symptoms of depression and/ or suicidal thoughts or actions. Contact your healthcare provider if you develop any new or worsening mental health symptoms during treatment with Remeron. Do not stop taking Remeron.
Do not take Remeron if you are currently taking, or have taken within the last 14 days, a monoamine oxidase inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate).
Before taking Remeron, tell your doctor if you
- have liver disease;
- have kidney disease;
- have a manic-depressive disorder;
- have blood problems;
- have high or low blood pressure or heart disease;
- have had a heart attack in the last 6 weeks; or
- have epilepsy or seizures.
You may not be able to take Remeron, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
The rapidly-disintegrating formulation of Remeron tablets (Remeron SolTab) contains phenylalanine. People with the disease phenylketonuria (PKU) need to monitor their intake of this additive.
Remeron is in the FDA pregnancy category C. This means that it is not known whether Remeron will harm an unborn baby. Do not take Remeron without first talking to your doctor if you are pregnant or could become pregnant during treatment.
It is not known whether Remeron passes into breast milk. Do not take Remeron without first talking to your doctor if you are breast-feeding a baby.
If you are over 60 years of age, you may be more likely to experience side effects such as drowsiness, dizziness, unsteadiness, feeling uncoordinated, and low blood pressure. You may require a lower dose of this medication.

How should I take Remeron?

Take Remeron exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
Remeron is available in a regular tablet formulation (Remeron) that should be swallowed with water. Remeron is also available in a rapidly-disintegrating formulation (Remeron SolTab) that will disintegrate rapidly when placed on the tongue and can be swallowed with or without water.
If you are taking the Remeron rapidly-disintegrating tablets (Remeron SolTab), open the blister pack with dry hands and use the tablet immediately after removal from the blister pack. Do not attempt to split the rapidly-disintegrating tablets.
Remeron is usually taken once a day, preferably at bedtime. Follow your doctor's instructions.
It may be several weeks before you start to feel better. Even when you start to feel better, do not stop taking Remeron without first talking to your doctor.
Store Remeron 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 unless otherwise directed by your doctor.

What happens if I overdose?

Seek emergency medical attention if an overdose is suspected.
Symptoms of a Remeron overdose include confusion, drowsiness, poor memory, and a fast heartbeat.

What should I avoid while taking Remeron?

Use caution when driving, operating machinery, or performing other hazardous activities. Remeron may cause drowsiness and dizziness. If you experience drowsiness or dizziness, avoid these activities.
Dizziness is likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall.
Avoid the use of alcohol while taking Remeron. Alcohol may increase drowsiness and dizziness.

What are the possible side effects of Remeron?

If you experience any of the following serious side effects, stop taking Remeron and call your doctor immediately or seek emergency medical treatment:
- an allergic reaction (swelling of the lips, face, or tongue; difficulty breathing);
- seizures;
- a fast or irregular heartbeat; or
- fever, chills, a sore throat, flu-like symptoms, or sores in your mouth or nose.
Other, less serious side effects may be more likely to occur. Continue to take Remeron and talk to your doctor if you experience
- drowsiness;
- nausea;
- increase in weight or appetite;
- dizziness;
- dry mouth;
- constipation; or
- mild tremor.
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.

What other drugs will affect Remeron?

Do not take Remeron if you are currently taking, or have taken within the last 14 days, a monoamine oxidase inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate).
Remeron may increase the effects of other drugs that cause drowsiness, including other antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any medicine unless your doctor approves.
Drugs other than those listed here may also interact with Remeron. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.

Paxil (Generic name: Paroxetine)

2008-07-16T22:22:00.000-07:00

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

You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication, especially if you are a child or young adult. Talk with your doctor about this risk. While you are taking Paxil you will need to be monitored for worsening symptoms of depression and/ or suicidal thoughts during the first weeks of treatment, or whenever your dose is changed. In addition to you watching for changes in your own symptoms, your family or other caregivers should be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.
Contact your doctor promptly if you have any of the following side effects, especially if they are new symptoms or if they get worse: mood changes, anxiety, panic attacks, trouble sleeping, irritability, agitation, aggressiveness, severe restlessness, mania (mental and/ or physical hyperactivity), thoughts of suicide or hurting yourself.
Do not use this medication if you are pregnant. It could cause harm to the unborn baby. Use an effective form of birth control, and tell your doctor if you become pregnant during treatment.
Do not take Paxil together with pimozide (Orap), thioridazine (Mellaril), or a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate). You must wait at least 14 days after stopping an MAOI before you can take Paxil. You must wait 5 weeks after stopping Paxil before you can take thioridazine (Mellaril).

What is Paxil?

Paxil is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors (SSRIs). Paxil affects chemicals in the brain that may become unbalanced and cause depression, panic, anxiety, or obsessive-compulsive symptoms.
Paxil is used to treat depression, obsessive-compulsive disorder, panic disorder, anxiety disorders, post-traumatic stress disorder (PTSD), and premenstrual dysphoric disorder (PMDD).
Paxil may also be used for purposes other than those listed in this medication guide.

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

You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication, especially if you are a child or young adult. Talk with your doctor about this risk. While you are taking Paxil you will need to be monitored for worsening symptoms of depression and/ or suicidal thoughts during the first weeks of treatment, or whenever your dose is changed. In addition to you watching for changes in your own symptoms, your family or other caregivers should be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.
Do not use Paxil if you are using any of the following drugs:
- pimozide (Orap);
- thioridazine (Mellaril); or
- an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam).
Serious and sometimes fatal reactions can occur when these medicines are taken with Paxil. You must wait at least 14 days after stopping an MAO inhibitor before you can take Paxil. You must wait 5 weeks after stopping Paxil before you can take thioridazine (Mellaril).
Before taking Paxil, tell your doctor if you have:
- liver or kidney disease;
- seizures or epilepsy;
- bipolar disorder (manic depression); or
- a history of drug abuse or suicidal thoughts.
If you have any of these conditions, you may not be able to use Paxil, or you may need a dosage adjustment or special tests during treatment.
FDA pregnancy category D. This medication can cause harm to an unborn baby. Do not use Paxil if you are pregnant. Tell your doctor if you become pregnant during treatment. Use an effective form of birth control while you are using this medication.
Paxil can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take Paxil?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from the medication.
Try to take the medicine at the same time each day.
Do not crush, chew, or break a controlled-release tablet. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time.
Shake the liquid form of Paxil well just before you measure a dose. To be sure you get the correct dose, measure the liquid with a marked measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.
It may take 4 weeks or more for you to start feeling better. Do not stop using Paxil without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly.
Store Paxil 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 regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have taken too much of this medication. Symptoms of a Paxil overdose may include nausea, vomiting, tremor, sweating, decreased urination, blurred vision, rapid heartbeat, confusion, aggression, fainting, seizures, and coma.

What should I avoid while taking Paxil?

Do not take Paxil together with pimozide (Orap), thioridazine (Mellaril), isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate).
Avoid drinking alcohol, which can increase some of the side effects of Paxil.
Avoid using other medicines that make you sleepy (such as cold medicine, other pain medication, muscle relaxants). They can add to sleepiness caused by Paxil.
Paxil can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

What are the possible side effects of Paxil?

Get emergency medical help if you have any of these signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Contact your doctor promptly if you have any of the following side effects, especially if they are new symptoms or if they get worse: mood changes, anxiety, panic attacks, trouble sleeping, irritability, agitation, aggressiveness, severe restlessness, mania (mental and/ or physical hyperactivity), thoughts of suicide or hurting yourself.
Call your doctor at once if you have any of these serious side effects:
- seizure (convulsions);
- tremors, shivering, muscle stiffness or twitching;
- problems with balance or coordination; or
- agitation, confusion, sweating, fast heartbeat.
Other less serious side effects are more likely to occur, such as:
- feeling nervous, restless, or unable to sit still;
- drowsiness, dizziness, weakness;
- sleep problems (insomnia);
- nausea, constipation, loss of appetite;
- weight changes;
- decreased sex drive, impotence, or difficulty having an orgasm; or
- dry mouth, yawning, or ringing in your ears.
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.

What other drugs will affect Paxil?

Talk to your doctor before taking any medicine for pain, arthritis, fever, or swelling. This includes aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), diclofenac (Voltaren), indomethacin, piroxicam (Feldene), nabumetone (Relafen), etodolac (Lodine), and others. Taking any of these drugs with Paxil may cause you to bruise or bleed easily.
Before taking Paxil, tell your doctor if you are using any of the following medicines:
- tryptophan (also called L-tryptophan);
- risperidone (Risperdal);
- tramadol (Ultram);
- St. John's wort;
- cimetidine (Tagamet);
- lithium (Lithobid, Eskalith);
- atomoxetine (Strattera);
- a blood thinner such as warfarin (Coumadin);
- any other antidepressants such as amitriptyline (Elavil), citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), imipramine (Tofranil), nortriptyline (Pamelor), or sertraline (Zoloft);
- a phenothiazine such as prochlorperazine (Compazine), chlorpromazine (Thorazine), fluphenazine (Prolixin), mesoridazine (Serentil), perphenazine (Trilafon), and others;
- almotriptan (Axert), frovatriptan (Frova), sumatriptan (Imitrex), naratriptan (Amerge), rizatriptan (Maxalt), or zolmitriptan (Zomig); or
- heart rhythm medication such as flecainide (Tambocor), propafenone (Rhythmol), and others.
If you are using any of these drugs, you may not be able to use Paxil, or you may need dosage adjustments or special tests during treatment.
There may be other drugs not listed that can affect Paxil. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Pamelor (Generic name: Nortriptyline)

2008-07-16T22:21:00.002-07:00

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

Do not use pamelor if you have recently had a heart attack, or if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days.

What is pamelor?

Pamelor is in a group of drugs called tricyclic antidepressants. Pamelor affects chemicals in the brain that may become unbalanced.

Pamelor is used to treat symptoms of depression.

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

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

Do not use this medication if you are allergic to pamelor, or if you have recently had a heart attack. Do not use pamelor if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take pamelor before the MAO inhibitor has cleared from your body.

Before taking pamelor, tell your doctor if you are allergic to any drugs, or if you have:

heart disease;
a history of heart attack, stroke, or seizures;
bipolar disorder (manic-depression);
schizophrenia or other mental illness;
diabetes (pamelor may raise or lower blood sugar);
overactive thyroid;
glaucoma; or
problems with urination.

If you have any of these conditions, you may not be able to use pamelor, or you may need a dosage adjustment or special tests during treatment.

You may have suicidal thoughts or behavior when you first start taking an antidepressant, especially if you are under 18 years old. Watch for worsening symptoms of depression or suicidal thoughts. Your doctor should check you at regular visits during the first 12 weeks of treatment, or whenever your dose is changed.

In addition to you watching for changes in your own symptoms, your family or caregivers should be alert to changes in your mood or symptoms.

Contact your doctor promptly if you have any of the following side effects, especially if they are new symptoms or if they get worse: mood changes, anxiety, panic attacks, trouble sleeping, irritability, agitation, aggressiveness, severe restlessness, mania (mental and/or physical hyperactivity), thoughts of suicide or hurting yourself. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether pamelor passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Older adults may be more likely to have side effects from this medication. Do not give this medication to anyone under 18 years old without the advice of a doctor.

How should I take pamelor?

If you need to have any type of surgery, tell the surgeon ahead of time that you are taking pamelor. You may need to stop using the medicine for a short time.

Do not stop using pamelor without first talking to your doctor. You may need to use less and less before you stop the medication completely. Stopping this medication suddenly could cause you to have unpleasant side effects. It may take a few weeks of using this medicine before your symptoms improve. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve during treatment with pamelor. Store pamelor at room temperature away from moisture and heat.

What happens if I miss a dose?

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. An overdose of pamelor can be fatal.

Symptoms of a pamelor overdose may include extreme drowsiness, confusion, agitation, hallucinations, blurred vision, vomiting, muscle stiffness, feeling hot or cold, fainting, seizure (convulsions), or coma.

What should I avoid while taking pamelor?

Avoid drinking alcohol. It can cause dangerous side effects when taken together with pamelor.

Grapefruit and grapefruit juice may interact with pamelor. Discuss the use of grapefruit products with your doctor before increasing or decreasing the amount of grapefruit products in your diet.

Pamelor can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Pamelor can make your skin more sensitive to sunlight and sunburn may result. Use a sunscreen (minimum SPF 15) and wear protective clothing if you must be out in the sun.

What are the possible side effects of pamelor?

fast, pounding, or uneven heart rate;
chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;
sudden numbness or weakness, especially on one side of the body;
sudden headache, confusion, problems with vision, speech, or balance;
confusion, hallucinations, or seizure (convulsions);
easy bruising or bleeding, unusual weakness;
restless muscle movements in your eyes, tongue, jaw, or neck;
tremors;
extreme thirst with headache, nausea, vomiting, and weakness;
feeling light-headed or fainting; or
urinating less than usual or not at all.

Less serious side effects may be more likely to occur, such as:

nausea, vomiting, stomach pain, loss of appetite;
constipation or diarrhea;
weight changes;
dry mouth, unpleasant taste;
weakness, lack of coordination;
numbness or tingly feeling;
feeling anxious or restless;
sleep problems (insomnia), nightmares;
blurred vision, headache, ringing in your ears;
mild skin rash;
breast swelling (in men or women); or
increased sweating.

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.

What other drugs will affect pamelor?

Before taking pamelor, tell your doctor if you have used an SSRI antidepressant in the past 5 weeks, such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), or sertraline (Zoloft).

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

cimetidine (Tagamet);
guanethidine (Ismelin);
reserpine; or
heart rhythm medications such as flecainide (Tambocor), propafenone (Rhythmol), or quinidine (Cardioquin, Quinidex, Quinaglute).

If you are using any of these drugs, you may not be able to use pamelor, or you may need dosage adjustments or special tests during treatment.

There are many other medicines that can interact with pamelor. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.

Luvox (Generic name: Fluvoxamine)

2008-07-16T22:21:00.001-07:00

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

You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication, especially if you are under 18 years old. Talk with your doctor about this risk. While you are taking Luvox you will need to be monitored for worsening symptoms of depression and/ or suicidal thoughts during the first weeks of treatment, or whenever your dose is changed. In addition to you watching for changes in your own symptoms, your family or other caregivers should be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.
Contact your doctor promptly if you have any of the following side effects, especially if they are new symptoms or if they get worse: mood changes, anxiety, panic attacks, trouble sleeping, irritability, agitation, aggressiveness, severe restlessness, mania (mental and/ or physical hyperactivity), thoughts of suicide or hurting yourself.
Do not take Luvox together with thioridazine (Mellaril), terfenadine (Seldane), astemizole (Hismanal), cisapride (Propulsid), pimozide (Orap), or a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate). You must wait at least 14 days after stopping an MAOI before you can take Luvox. You must wait 5 weeks after stopping Luvox before you can take thioridazine (Mellaril).

What is Luvox?

Luvox is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors. Luvox affects chemicals in the brain that may become unbalanced and cause obsessive-compulsive symptoms.
Luvox is used to treat obsessive-compulsive disorders involving recurring thoughts or actions.
Luvox may also be used for purposes other than those listed in this medication guide.

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

You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication, especially if you are under 18 years old. Talk with your doctor about this risk. While you are taking Luvox you will need to be monitored for worsening symptoms of depression and/ or suicidal thoughts during the first weeks of treatment, or whenever your dose is changed. In addition to you watching for changes in your own symptoms, your family or other caregivers should be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.
Do not use Luvox if you are using any of the following drugs:
- thioridazine (Mellaril);
- terfenadine (Seldane);
- astemizole (Hismanal);
- cisapride (Propulsid); or
- pimozide (Orap); or
- an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam).
Serious and sometimes fatal reactions can occur when these medicines are taken with Luvox. You must wait at least 14 days after stopping an MAO inhibitor before you can take Luvox. You must wait 5 weeks after stopping Luvox before you can take thioridazine (Mellaril).
Before taking Luvox, tell your doctor if you have:
- liver disease;
- seizures or epilepsy;
- bipolar disorder (manic depression); or
- a history of drug abuse or suicidal thoughts.
You may not be able to take Luvox, or you may need a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.
Luvox can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take Luvox?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from the medication.
Take each dose with water.
Try to take the medicine at the same time each day.
It may take 4 weeks or more for you to start feeling better. Do not stop using Luvox without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly.
Store Luvox 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 regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have taken too much of this medication. Symptoms of a Luvox overdose may include nausea, vomiting, blurred vision, rapid heartbeat, lack of coordination, trouble breathing, drowsiness, fainting, and coma.

What should I avoid while taking Luvox?

Do not take Luvox together with thioridazine (Mellaril), terfenadine (Seldane), astemizole (Hismanal), cisapride (Propulsid), pimozide (Orap), or a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate).
Avoid drinking alcohol, which can increase some of the side effects of Luvox.
Avoid using other medicines that make you sleepy (such as cold medicine, other pain medication, muscle relaxants). They can add to sleepiness caused by Luvox.
Luvox can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

What are the possible side effects of Luvox?

Get emergency medical help if you have any of these signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Contact your doctor promptly if you have any of the following side effects, especially if they are new symptoms or if they get worse: mood changes, anxiety, panic attacks, trouble sleeping, irritability, agitation, aggressiveness, severe restlessness, mania (mental and/ or physical hyperactivity), thoughts of suicide or hurting yourself.
Call your doctor at once if you have any of these serious side effects:
- tremors, shivering, muscle stiffness or twitching;
- seizure (convulsions);
- problems with balance or coordination;
- unusual thoughts or behavior; or
- agitation, confusion, sweating, fast heartbeat.
Other less serious side effects are more likely to occur, such as:
- feeling nervous, restless, or unable to sit still;
- sleep problems (insomnia);
- drowsiness, weakness;
- urinating more than usual;
- loss of appetite, weight gain or loss;
- nausea, vomiting, diarrhea, gas, constipation, or upset stomach;
- decreased sex drive, impotence, or difficulty having an orgasm; or
- dry mouth, unpleasant taste in your mouth.
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 have some side effects after you stop using Luvox, including headache, nausea, vomiting, sleepiness or insomnia, nervousness, or agitation.

What other drugs will affect Luvox?

Before taking Luvox, tell your doctor if you are using any of the following medicines:
- clozapine (Clozaril);
- lithium (Lithobid, Eskalith);
- propranolol (Inderal, Inderal LA) or metoprolol (Lopressor, Toprol XL);
- carbamazepine (Tegretol);
- warfarin (Coumadin);
- tryptophan (also called L-tryptophan);
- mexiletine (Mexitil);
- theophylline (Aerolate, Bronkodyl, Slo-Bid, Theo-Dur);
- methadone (Dolophine, Methadose);
- tacrine (Cognex);
- almotriptan (Axert), frovatriptan (Frova), sumatriptan (Imitrex), naratriptan (Amerge), rizatriptan (Maxalt), or zolmitriptan (Zomig);
- a benzodiazepine such as diazepam (Valium), alprazolam (Xanax), midazolam (Versed), or triazolam (Halcion); or
- any other antidepressants such as amitriptyline (Elavil), citalopram (Celexa), clomipramine (Anafranil), desipramine (Norpramin), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), imipramine (Tofranil), nortriptyline (Pamelor), paroxetine (Paxil), or sertraline (Zoloft).
If you are using any of these drugs, you may not be able to use Luvox, or you may need dosage adjustments or special tests during treatment.
There may be other drugs not listed that can affect Luvox. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Lithobid (Generic name: Lithium)

2008-07-16T22:20:00.001-07:00

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

Call your doctor if you experience nausea, vomiting, diarrhea, slurred speech, extreme drowsiness, or weakness. These symptoms may be early signs of Lithobid toxicity.
Do not crush, chew, or break any extended-release forms of Lithobid (e.g., Lithobid, Eskalith CR). They are specially formulated to release slowly in the body.
Lithobid may cause dizziness or drowsiness. Use caution when driving or performing other hazardous activities until you know how this medication affects you. If you experience dizziness or drowsiness, avoid these activities.

What is Lithobid?

Lithobid is a naturally occurring substance. As a medication, Lithobid reduces chemicals in the body that cause excitation or mania.
Lithobid is used to treat manic episodes of manic-depressive illness. Lithobid helps to prevent and control symptoms of mania such as hyperactivity, rushed speech, poor judgment, reduced need for sleep, aggression, and anger.
Lithobid may also be used for purposes other than those listed in this medication guide.

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

Before taking Lithobid, tell your doctor if you
- have kidney disease;
- have heart disease; or
- have thyroid problems.
You may not be able to take Lithobid, or you may require a dosage adjustment or special monitoring if you have any of the conditions listed above.
Lithobid is in the FDA pregnancy category D. This means that Lithobid is known to be harmful to an unborn baby. Do not take Lithobid without first talking to your doctor if you are pregnant or are planning a pregnancy.
Lithobid passes into breast milk and may affect a nursing infant. Do not take Lithobid without first talking to your doctor if you are breast-feeding a baby.
Lithobid may have greater effects in people over 65 years of age. Your doctor may prescribe a lower dose or recommend special monitoring if you are over 65 years of age.

How should I take Lithobid?

Take Lithobid 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.
Do not crush, chew, or break any extended-release or controlled-release forms of Lithobid (e.g., Lithobid, Eskalith CR). They are specially formulated to release slowly in the body.
Measure the liquid form of Lithobid with a dose-measuring spoon or cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.
Maintain adequate fluid intake by drinking 8 to 12 glasses of water or other fluid every day while taking Lithobid. Vigorous exercise, prolonged exposure to heat or sun, excessive sweating, diarrhea, or vomiting may cause dehydration and side effects from Lithobid. Call your doctor if you lose a significant amount of body fluid as a result of sweating, diarrhea, or vomiting.
Your doctor may want you to have regularly scheduled blood tests during treatment with Lithobid to monitor the amount of medication in your body.
Do not stop taking Lithobid without first talking to your doctor, even if you begin to feel better. Treatment with Lithobid may be necessary even if you are feeling well.
Store Lithobid 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 your next dose, skip the missed dose and only take your next regularly scheduled dose. Do not take a double dose.

What happens if I overdose?

Seek emergency medical attention.
Symptoms of a Lithobid overdose include diarrhea, nausea, vomiting, drowsiness, weakness, decreased coordination, giddiness, blurred vision, ringing in the ears, and seizures.

What should I avoid while taking Lithobid?

Lithobid may cause dizziness or drowsiness. Use caution when driving or performing other hazardous activities until you know how this medication affects you. If you experience dizziness or drowsiness, avoid these activities.
Maintain adequate fluid intake by drinking 8 to 12 glasses of water or other fluid every day while taking Lithobid. Vigorous exercise, prolonged exposure to heat or sun, excessive sweating, fever, diarrhea, or vomiting may cause dehydration and side effects from Lithobid. Call your doctor if you lose a significant amount of body fluid as a result of sweating, diarrhea, or vomiting.
Do not change the amount of salt that you consume in your diet. Consuming more or less salt could change the amount of Lithobid in your blood.

What are the possible side effects of Lithobid?

If you experience any of the following serious side effects, stop taking Lithobid and seek emergency medical attention or contact your doctor immediately:
- an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);
- blurred vision or eye pain;
- nausea, vomiting, or diarrhea;
- slurred speech;
- extreme drowsiness, weakness, or confusion;
- involuntary movements; or
- ringing in your ears.
Other, less serious side effects may be more likely to occur. Continue to take Lithobid and talk to your doctor if you experience
- fine hand tremor;
- mild increase in thirst or urination;
- a rash;
- headache or mild dizziness; or
- swollen feet or hands.
Side effects other than those listed here may also occur. Talk to your doctor about any side effects that you experience.

What other drugs will affect Lithobid?

Before taking Lithobid, tell your doctor if you are taking any other medications, especially any of the following:
- haloperidol (Haldol);
- a nonsteroidal anti-inflammatory drug (NSAID) such as ibuprofen (Motrin, Advil, Nuprin, others), ketoprofen (Orudis, Oruvail, Orudis KT), naproxen (Aleve, Anaprox, Naprosyn, others), indomethacin (Indocin), oxaprozin (Daypro), piroxicam (Feldene), nabumetone (Relafen), and others;
- a diuretic (water pill) such as hydrochlorothiazide (HCTZ, HydroDiuril, others), furosemide (Lasix), triamterene (Dyazide, Dyrenium, Maxzide), chlorothiazide (Diuril), metolazone (Mykrox, Zaroxolyn), indapamide (Lozol), bumetanide (Bumex), spironolactone (Aldactone), and amiloride (Midamor);
- an angiotensin-converting-enzyme inhibitor (ACE inhibitor) such as benazepril (Lotensin), lisinopril (Zestril, Prinivil), fosinopril (Monopril), captopril (Capoten), enalapril (Vasotec), moexipril (Univasc), quinapril (Accupril), and ramipril (Altace);
- the calcium channel blockers diltiazem (Cardizem, Dilacor XR) or verapamil (Calan, Isoptin, Verelan);
- a selective serotonin reuptake inhibitor (SSRI) such as fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), sertraline (Zoloft), paroxetine (Paxil), or citalopram (Celexa);
- carbamazepine (Tegretol);
- metronidazole (Flagyl);
- theophylline (Theo-Dur, Theo-Bid, Theolair, Elixophyllin, Slo-Phyllin, others); or
- acetazolamide (Diamox).
You may require special monitoring or a dosage adjustment if you are taking any of the medicines listed above.
Drugs other than those listed here may also interact with Lithobid. Tell your doctor and pharmacist about all other medicines that you take, including over-the-counter preparations. Do not take any medications without the approval of your doctor.

Lexapro (Generic name: Escitalopram)

2008-07-16T22:19:00.001-07:00

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

You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication, especially if you are under 18 years old. Talk with your doctor about this risk. While you are taking Lexapro you will need to be monitored for worsening symptoms of depression and/ or suicidal thoughts during the first weeks of treatment, or whenever your dose is changed. In addition to you watching for changes in your own symptoms, your family or other caregivers should be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.
Contact your doctor promptly if you have any of the following side effects, especially if they are new symptoms or if they get worse: mood changes, anxiety, panic attacks, trouble sleeping, irritability, agitation, aggressiveness, severe restlessness, mania (mental and/ or physical hyperactivity), thoughts of suicide or hurting yourself.
Do not take Lexapro together with a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate). You must wait at least 14 days after stopping an MAOI before you can take Lexapro.

What is Lexapro?

Lexapro is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors (SSRIs). Lexapro affects chemicals in the brain that may become unbalanced and cause depression or anxiety.
Lexapro is used to treat anxiety and major depressive disorder.
Lexapro may also be used for purposes other than those listed in this medication guide.

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

You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication, especially if you are under 18 years old. Talk with your doctor about this risk. While you are taking Lexapro you will need to be monitored for worsening symptoms of depression and/ or suicidal thoughts during the first weeks of treatment, or whenever your dose is changed. In addition to you watching for changes in your own symptoms, your family or other caregivers should be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.
Do not use Lexapro if you are using an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam). Serious and sometimes fatal reactions can occur when these medicines are taken with Lexapro. You must wait at least 14 days after stopping an MAO inhibitor before you can take Lexapro.
Before taking Lexapro, tell your doctor if you have:
- liver or kidney disease;
- seizures or epilepsy;
- bipolar disorder (manic depression); or
- a history of drug abuse or suicidal thoughts.
If you have any of these conditions, you may not be able to use Lexapro, or you may need a dosage adjustment or special tests during treatment.
FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.
Lexapro can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take Lexapro?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from the medication.
Take each dose with a full glass of water.
Try to take the medicine at the same time each day.
To be sure you get the correct dose of liquid Lexapro, measure the liquid with a marked measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.
It may take 4 weeks or more for you to start feeling better. Do not stop using Lexapro without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly.
Store Lexapro 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 regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have taken too much of this medication. Symptoms of an Lexapro overdose may include nausea, vomiting, tremor, sweating, rapid heartbeat, confusion, dizziness, seizures, and coma.

What should I avoid while taking Lexapro?

Do not take Lexapro together with citalopram (Celexa), isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate).
Avoid drinking alcohol, which can increase some of the side effects of Lexapro.
Avoid using other medicines that make you sleepy (such as cold medicine, other pain medication, muscle relaxants). They can add to sleepiness caused by Lexapro.
Lexapro can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

What are the possible side effects of Lexapro?

Get emergency medical help if you have any of these signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Contact your doctor promptly if you have any of the following side effects, especially if they are new symptoms or if they get worse: mood changes, anxiety, panic attacks, trouble sleeping, irritability, agitation, aggressiveness, severe restlessness, mania (mental and/ or physical hyperactivity), thoughts of suicide or hurting yourself.
Call your doctor at once if you have any of these serious side effects:
- seizure (convulsions);
- tremors, shivering, muscle stiffness or twitching;
- problems with balance or coordination; or
- agitation, confusion, sweating, fast heartbeat.
Other less serious side effects are more likely to occur, such as:
- feeling nervous, restless, or unable to sit still;
- headache, trouble concentrating;
- drowsiness, dizziness;
- sleep problems (insomnia);
- nausea, diarrhea, heartburn;
- weight changes;
- decreased sex drive, impotence, or difficulty having an orgasm; or
- dry mouth, ringing in your ears.
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.

What other drugs will affect Lexapro?

Talk to your doctor before taking any medicine for pain, arthritis, fever, or swelling. This includes aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), diclofenac (Voltaren), indomethacin, piroxicam (Feldene), nabumetone (Relafen), etodolac (Lodine), and others. Taking any of these drugs with Lexapro may cause you to bruise or bleed easily.
Before taking Lexapro, tell your doctor if you are using any of the following medicines:
- carbamazepine (Tegretol);
- cimetidine (Tagamet);
- lithium (Lithobid, Eskalith);
- a blood thinner such as warfarin (Coumadin);
- any other antidepressants such as amitriptyline (Elavil), citalopram (Celexa), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), imipramine (Tofranil), nortriptyline (Pamelor), paroxetine (Paxil), or sertraline (Zoloft); or
- almotriptan (Axert), frovatriptan (Frova), sumatriptan (Imitrex), naratriptan (Amerge), rizatriptan (Maxalt), or zolmitriptan (Zomig).
If you are using any of these drugs, you may not be able to use Lexapro, or you may need dosage adjustments or special tests during treatment.
There may be other drugs not listed that can affect Lexapro. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Geodon (Generic name: Ziprasidone)

2008-07-16T22:18:00.001-07:00

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

Do not take Geodon if you have any of the following conditions or a history of these conditions: heart disease; an irregular heartbeat or a history of irregular heartbeats; a history of prolonged QT intervals; a family history of congenital long QT syndrome; or other heartbeat disturbances. These conditions may increase the risk of irregular heartbeats, heart attack, and death while taking Geodon.
Do not take Geodon with any of the following drugs: mesoridazine (Serentil), thioridazine (Mellaril, others), chlorpromazine (Thorazine), pimozide (Orap), droperidol (Inapsine), quinidine (Cardioquin, Quinaglute Dura-Tabs, Quinidex, Quinora, others), dofetilide (Tikosyn), sotalol (Betapace, Betapace AF, others), moxifloxacin (Avelox), gatifloxacin (Tequin), sparfloxacin (Zagam), mefloquine (Lariam), pentamidine (Pentam 300), arsenic trioxide (Trisenox), dolasetron (Anzemet), levomethadyl acetate (Orlaam), or tacrolimus (Prograf). Taken with any of these drugs, Geodon may cause irregular heartbeats that could lead to death. This is not a complete list of drugs that may interact with Geodon and cause heart problems. Talk to your doctor or pharmacist before taking any other prescription or over-the-counter medications, including herbal products, while taking Geodon.
Hyperglycemia (increased blood sugar) has been reported in patients treated with atypical antipsychotics including Geodon. Talk to your doctor if you experience any signs of hyperglycemia including excessive thirst, frequent urination, excessive hunger, or weakness.
Contact your doctor immediately if you experience symptoms that may indicate heart rhythm problems such as dizziness, palpitations, or fainting.
Call your doctor immediately if you experience uncontrollable movements of the mouth, tongue, cheeks, jaw, arms, or legs.
Call your doctor immediately if you experience fever, sweating, severe muscle stiffness (rigidity), confusion, or fast or irregular heartbeats. These could be symptoms of a potentially fatal side effect called Neuroleptic Malignant Syndrome (NMS).
Use caution when driving, operating machinery, or performing other hazardous activities. Geodon may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
Dizziness may be more likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall.
Avoid alcohol or use it with caution while taking Geodon. Alcohol may increase drowsiness and dizziness while taking Geodon.
Avoid becoming overheated in hot weather and during exercise. Geodon may increase the risk of heat stroke.

What is Geodon?

Geodon is an antipsychotic medication. It works by changing the effects of chemicals in the brain.
Geodon is used to manage the symptoms of psychotic disorders such as schizophrenia that may include hearing voices; seeing things or sensing things that are not there; mistaken beliefs; unusual suspiciousness; or becoming withdrawn from family and friends. Geodon is also used to treat bipolar mania.
Geodon may also be used for purposes other than those listed in this medication guide.

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

Do not take Geodon if you have any of the following conditions or a history of these conditions: heart disease; an irregular heartbeat or a history of irregular heartbeats; a history of prolonged QT intervals; a family history of congenital long QT syndrome; or other heartbeat disturbances. These conditions may increase the risk of irregular heartbeats, heart attack, and death while taking Geodon.
Do not take Geodon with any of the following drugs: mesoridazine (Serentil), thioridazine (Mellaril, others), chlorpromazine (Thorazine), pimozide (Orap), droperidol (Inapsine), quinidine (Cardioquin, Quinaglute Dura-Tabs, Quinidex, Quinora, others), dofetilide (Tikosyn), sotalol (Betapace, Betapace AF, others), moxifloxacin (Avelox), gatifloxacin (Tequin), sparfloxacin (Zagam), mefloquine (Lariam), pentamidine (Pentam 300), arsenic trioxide (Trisenox), dolasetron (Anzemet), levomethadyl acetate (Orlaam), or tacrolimus (Prograf). Taken with any of these drugs, Geodon may cause irregular heartbeats that could lead to death. This is not a complete list of drugs that may interact with Geodon and cause heart problems. Talk to your doctor or pharmacist before taking any other prescription or over-the-counter medications, including herbal products, while taking Geodon.
Before taking Geodon, tell your doctor if you have
- a history of heart attack, heart disease, heart failure, or high blood pressure;
- diabetes or hyperglycemia;
- a history of dizziness or fainting;
- a history of epilepsy, seizures, or Alzheimer's disease; or
- liver disease.
You may not be able to take Geodon, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
Hyperglycemia (increased blood sugar) has been reported in patients treated with atypical antipsychotics including Geodon. Talk to your doctor if you experience any signs of hyperglycemia including excessive thirst, frequent urination, excessive hunger, or weakness.
Geodon is in the FDA pregnancy category C. This means that it is not known whether Geodon will be harmful to an unborn baby. Do not take Geodon without first talking to your doctor if you are pregnant or could become pregnant during treatment.
It is not known whether Geodon passes into breast milk. Do not take Geodon without first talking to your doctor if you are breast-feeding a baby.
If you are over the age of 65, you may be more likely to experience side effects from Geodon. Your doctor may prescribe a lower dose of the medication.

How should I take Geodon?

Take Geodon 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 oral dose with a full glass of water.
Take Geodon with food at the same time each day.
Do not crush, open, or break the capsules. Swallow them whole.
Geodon can also be administered as an injection by a healthcare provider.
Continue to take Geodon, even if your symptoms have improved. Continuous treatment may prevent the return of symptoms. Do not stop taking this medication without first talking to your doctor.
Store Geodon at room temperature away from moisture, light, 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 regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take a double dose of this medication unless otherwise directed by your doctor.

What happens if I overdose?

Seek emergency medical treatment.
Symptoms of a Geodon overdose may include dizziness; drowsiness; slurred speech, increased heart rate; fainting; fever; sweating; muscle spasms; and uncontrollable movements of the arms, hands, tongue, face, or other body parts.

What should I avoid while taking Geodon?

Use caution when driving, operating machinery, or performing other hazardous activities. Geodon may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
Dizziness may be more likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall.
Avoid alcohol or use it with caution while taking Geodon. Alcohol may increase drowsiness and dizziness while taking Geodon.
Avoid becoming overheated in hot weather and during exercise. Geodon may increase the risk of heat stroke.

What are the possible side effects of Geodon?

Call your doctor immediately if you experience fever, sweating, severe muscle stiffness (rigidity), confusion, fast or irregular heart beat. These could be symptoms of a potentially fatal side effect called Neuroleptic Malignant Syndrome (NMS).
If you experience any of the following serious side effects, stop taking Geodon and seek emergency medical treatment or contact your doctor immediately:
- an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
- uncontrollable movements of the tongue, face, lips, arms, or legs;
- muscle spasms of the face or neck;
- severe restlessness or tremor;
- a rash;
- severe dizziness or fainting; or
- irregular or fast heartbeats.
Other, less serious side effects may be more likely to occur. Continue to take Geodon and talk to your doctor if you experience
- mild restlessness or tremor;
- drowsiness;
- nausea;
- constipation or diarrhea;
- dry mouth;
- mild dizziness; or
- increased cough or runny nose.
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.

What other drugs will affect Geodon?

Do not take Geodon with any of the following drugs:
- mesoridazine (Serentil) or thioridazine (Mellaril, others);
- chlorpromazine (Thorazine);
- pimozide (Orap);
- quinidine (Cardioquin, Quinaglute Dura-Tabs, Quinidex, Quinora, others);
- dofetilide (Tikosyn);
- sotalol (Betapace, Betapace AF, others);
- moxifloxacin (Avelox), gatifloxacin (Tequin), or sparfloxacin (Zagam);
- mefloquine (Lariam);
- pentamidine (Pentam 300);
- droperidol (Inapsine);
- arsenic trioxide (Trisenox);
- dolasetron (Anzemet);
- levomethadyl acetate (Orlaam); or
- tacrolimus (Prograf).
Taken with any of these drugs, Geodon may cause irregular heartbeats that could lead to death. This is not a complete list of drugs that may interact with Geodon and cause heart problems. Talk to your doctor or pharmacist before taking any other prescription or over-the-counter medications, including herbal products, while taking Geodon.
Before taking Geodon, tell your doctor if you are taking any other medicines, especially any of the following:
- ketoconazole (Nizoral) or itraconazole (Sporanox);
- erythromycin (E-Mycin, E.E.S., Ery-Tab, Eryc, others);
- carbamazepine (Tegretol, Carbatrol, Epitol);
- medicines used to treat Parkinson's Disease such as levodopa (Dopar, Larodopa, Sinemet, Atamet, others), bromocriptine (Parlodel), ropinirole (Requip), cabergoline (Dostinex), pramipexole (Mirapex), pergolide (Permax), selegiline (Eldepryl), and others; or
- medicine used to lower blood pressure.
You may not be able to take Geodon, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.
Geodon may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any medicine without first talking to your doctor.
Drugs other than those listed here may also interact with Geodon. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Elavil (Generic name: Amitriptylin)

2008-07-16T22:17:00.000-07:00

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

While you are taking Elavil you may need to be monitored for worsening symptoms of depression and/ or suicidal thoughts at the start of therapy or when doses are changed. This concern about the increased risk of suicidal thoughts or behaviors may be greater if you are 18 years of age or younger and are taking Elavil. In patients younger than 18 years, the period of risk may extend beyond start of therapy or when doses are changed. Your doctor may want you to monitor for the following symptoms: anxiety, panic attacks, difficulty sleeping, irritability, hostility, impulsivity, severe restlessness, and mania (mental and/ or physical hyperactivity). These symptoms may be associated with the development of worsening symptoms of depression and/ or suicidal thoughts or actions. Contact your healthcare provider if you develop any new or worsening mental health symptoms during treatment with Elavil. Do not stop taking Elavil.
It may be 4 weeks or more before you start to feel better, but do not stop taking Elavil without first talking to your doctor.
Use caution when driving, operating machinery, or performing other hazardous activities. Elavil may cause drowsiness or dizziness. If you experience drowsiness or dizziness, avoid these activities.
Dizziness is likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall.
Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking Elavil.

What is Elavil?

Elavil is in a class of drugs called tricyclic antidepressants. Elavil affects chemicals in the brain that may become unbalanced and cause depression.
Elavil is used to relieve symptoms of depression such as feelings of sadness, worthlessness, or guilt; loss of interest in daily activities; changes in appetite; tiredness; sleeping too much; insomnia; and thoughts of death or suicide. Elavil is also sometimes used to treat certain types of pain.
Elavil may also be used for purposes other than those listed in this medication guide.

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

Do not take Elavil if you have taken a monoamine oxidase inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) within the last 14 days.
Before taking Elavil, tell your doctor if you have
- liver disease;
- kidney disease;
- asthma;
- thyroid disease;
- diabetes;
- stomach or intestinal problems;
- high blood pressure or heart disease;
- had a heart attack in the last 6 weeks;
- an enlarged prostate or difficulty urinating; or
- glaucoma.
You may not be able to take Elavil, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
While you are taking Elavil you may need to be monitored for worsening symptoms of depression and/ or suicidal thoughts at the start of therapy or when doses are changed. This concern about the increased risk of suicidal thoughts or behaviors may be greater if you are 18 years of age or younger and are taking Elavil. In patients younger than 18 years, the period of risk may extend beyond start of therapy or when doses are changed. Your doctor may want you to monitor for the following symptoms: anxiety, panic attacks, difficulty sleeping, irritability, hostility, impulsivity, severe restlessness, and mania (mental and/ or physical hyperactivity). These symptoms may be associated with the development of worsening symptoms of depression and/ or suicidal thoughts or actions. Contact your healthcare provider if you develop any new or worsening mental health symptoms during treatment with Elavil. Do not stop taking Elavil.
Elavil may be harmful to an unborn baby. Do not take Elavil without first talking to your doctor if you are pregnant or could become pregnant during treatment.
Elavil passes into breast milk and may affect a nursing baby. Do not take Elavil without first talking to your doctor if you are breast-feeding a baby.
If you are over 60 years of age, you may be more likely to experience side effects such as drowsiness, dizziness, unsteadiness, feeling uncoordinated, and low blood pressure. Your doctor may prescribe a lower dose of this medication.

How should I take Elavil?

Take Elavil 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 (8 oz) of water.
Elavil may be taken several times a day or in one daily dose (usually at bedtime). Follow your doctor's instructions.
Do not stop taking Elavil suddenly. This could cause symptoms such as nausea, headache, and malaise.
It may be 4 weeks or more before you start to feel better, but do not stop taking Elavil without first talking to your doctor.
Store Elavil at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for the next regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take a double dose of this medication unless otherwise directed by your doctor.

What happens if I overdose?

Seek emergency medical attention.
Symptoms of an Elavil overdose include seizures, confusion, drowsiness, agitation, hallucinations, and low blood pressure (dizziness, fatigue, fainting).

What should I avoid while taking Elavil?

Use caution when driving, operating machinery, or performing other hazardous activities. Elavil may cause drowsiness or dizziness. If you experience drowsiness or dizziness, avoid these activities.
Dizziness is likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall.
Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking Elavil.
Do not stop taking Elavil suddenly. This could cause symptoms such as nausea, headache, and malaise.

What are the possible side effects of Elavil?

If you experience any of the following serious side effects, stop taking Elavil and contact your doctor immediately or seek emergency medical treatment:
- an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, face, or tongue; or hives);
- seizures;
- a fast or irregular heartbeat;
- a heart attack;
- high blood pressure (blurred vision, headache);
- difficulty urinating; or
- fever with increased sweating, muscle stiffness, or severe muscle weakness.
Other, less serious side effects may be more likely to occur. Continue to take Elavil and talk to your doctor if you experience
- drowsiness or dizziness;
- dry mouth and eyes;
- constipation;
- mild tremor;
- sweating;
- mild agitation, weakness, or headache;
- ringing in the ears;
- nausea; or
- loss of weight or appetite.
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.

What other drugs will affect Elavil?

Do not take Elavil if you have taken a monoamine oxidase inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) within the last 14 days.
Elavil may increase the effects of other drugs that cause drowsiness, including other antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any other prescription or over-the-counter medicines without first talking to your doctor.
Drugs other than those listed here may also interact with Elavil. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Effexor (Generic name: Venlafaxine)

2008-07-16T22:15:00.000-07:00

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

Do not take Effexor if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) during the past 14 days. Serious and sometimes fatal reactions have occurred when these medicines were taken at the same time and they must not be used together with Effexor.
You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication, especially if you are 18 years of age or younger. Talk with your doctor about this risk. While you are taking Effexor you will need to be monitored for worsening symptoms of depression and/ or suicidal thoughts during the first weeks of treatment, or whenever your dose is changed. In addition to you watching for changes in your own symptoms, your family or other caregivers should be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.
Contact your doctor if you have any of the following side effects, especially if they are new symptoms or if they get worse: mood changes, anxiety, panic attacks, trouble sleeping, irritability, agitation, aggressiveness, severe restlessness, mania (mental and/ or physical hyperactivity), or thoughts of suicide or hurting yourself.
It may take 4 weeks or more for you to start feeling better. Do not stop using Effexor without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly.

What is Effexor?

Effexor is in a class of drugs called antidepressants. Effexor affects chemicals in the brain that may become unbalanced and cause depression, panic, or anxiety.
Effexor is used to treat major depressive disorder, anxiety, and panic disorder.
Effexor may also be used for purposes other than those listed in this medication guide.

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

You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication, especially if you are under 18 years old. Talk with your doctor about this risk. While you are taking Effexor you will need to be monitored for worsening symptoms of depression and/ or suicidal thoughts during the first weeks of treatment, or whenever your dose is changed. In addition to you watching for changes in your own symptoms, your family or other caregivers should be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.
Do not take Effexor if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), selegeline (Eldepryl, Emsam), or tranylcypromine (Parnate) during the past 14 days. Serious and sometimes fatal reactions have occurred when these medicines were taken at the same time and they must not be used together with Effexor. You must wait at least 7 days after you stop taking Effexor before you start taking an MAO inhibitor.
Before taking Effexor, tell your doctor if you have:
- cirrhosis or other liver disease;
- kidney disease;
- a family or personal history of bipolar disorder (manic depression);
- a family or history of suicidal thoughts or actions;
- high blood pressure;
- glaucoma;
- seizures or epilepsy;
- a bleeding or blood clotting disorder;
- diet pills; or
- high cholesterol.
If you have any of the conditions listed above, you may not be able to take Effexor, or you may need a dosage adjustment or special monitoring during treatment.
FDA pregnancy category C. This medication may be harmful to an unborn baby. Similar medicines have caused problems in newborn babies of mothers who used the drug late in pregnancy (during the third trimester). Tell your doctor if you are pregnant or plan to become pregnant during treatment.
Effexor can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
Older adults may be more sensitive to the side effects of this medication.

How should I take Effexor?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from the medication.
Take each dose with water. You should take Effexor with food.
Swallow the controlled-release capsule (Effexor XR) whole, without crushing or chewing. To make the medication easier to swallow, you may open the capsule and sprinkle the medicine into a small amount of applesauce. Swallow all of the mixture without chewing, and do not save any for later use.
Try to take Effexor at the same time each day.
It may take 4 weeks or more for you to start feeling better. Do not stop using Effexor without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly.
Store Effexor 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 regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have taken too much of this medication.
Symptoms of a Effexor overdose may include dizziness, sleepiness, nausea, and numbness or tingling in your hands or feet.

What should I avoid while taking Effexor?

Avoid drinking alcohol, which can increase some of the side effects of Effexor.
Avoid using other medicines that make you sleepy (such as cold medicine, pain medication, muscle relaxers, other antidepressants, and medicine for seizures). They can add to sleepiness caused by Effexor.
Effexor can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

What are the possible side effects of Effexor?

Get emergency medical help if you have any of these signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Contact your doctor promptly if you have any of the following side effects, especially if they are new symptoms or if they get worse: mood changes, anxiety, panic attacks, trouble sleeping, irritability, agitation, aggressiveness, severe restlessness, mania (mental and/ or physical hyperactivity), thoughts of suicide or hurting yourself.
Call your doctor at once if you have any of these serious side effects:
- feeling light-headed, fainting;
- increased blood pressure (severe headache, blurred vision);
- seizure (convulsions); or
- fast or slow heartbeat.
Other less serious side effects are more likely to occur, such as:
- drowsiness or dizziness;
- nervousness or anxiety;
- dry mouth;
- nausea, vomiting, diarrhea, constipation;
- decreased sex drive, impotence, or difficulty having an orgasm;
- headache, blurred vision;
- sleep problems (insomnia);
- tremor or chills;
- increased sweating; or
- changes in appetite or weight.
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.

What other drugs will affect Effexor?

Do not take Effexor together with a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl), or tranylcypromine (Parnate). You must wait at least 14 days after stopping an MAOI before you can take Effexor. You must wait at least 7 days after you stop taking Effexor before you start taking an MAO inhibitor.
Before taking Effexor, tell your doctor if you are using any of the following medicines:
- diet pills;
- diuretics;
- cimetidine (Tagamet, Tagamet HB);
- warfarin (Coumadin);
- amiodarone (Cordarone), quinidine (Quinadex, Cardioquin, Quinaglute), mibefradil (Posicor)
- methadone (Dolophine, Methadose);
- HIV medicines such as indinavir (Crixivan), ritonavir (Norvir); saquinavir (Invirase), nelfinavir (Viracept);
- haloperidol (Haldol) or risperidone (Risperdal); or
- other antidepressants such as clomipramine (Anafranil), desipramine (Norpramin), duloxetine (Cymbalta), fluoxetine (Prozac), paroxetine (Paxil), buproprion (Wellbutrin, Zyban).
If you are using any of these drugs, you may not be able to use Effexor, or you may need dosage adjustments or special tests during treatment.
There may be other drugs not listed that can affect Effexor. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Dilantin (Generic name: Phenytoin)

2008-07-15T21:51:00.002-07:00

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

Do not stop taking Dilantin even if you feel better. It is important to continue taking the medication to prevent seizures from recurring.
Do not change brands of Dilantin without first talking to your doctor or pharmacist. Some brands of Dilantin are interchangeable while others are not. Your doctor and/ or pharmacist know which brand/ generic formulations may be substituted for another.
Do not crush, chew, or break the capsules. Swallow them whole. They are specially formulated to release the drug slowly into the body.
Carry or wear a medical identification tag to let others know that you are taking this medicine in the case of an emergency.

What is Dilantin?

Dilantin is an anti-epileptic. It works by slowing down impulses in the brain that cause seizures.
Dilantin is used to control seizures.
Dilantin may also be used for purposes other than those listed in this medication guide.

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

Before taking this medication, tell your doctor if you have, or ever have had, liver disease. You may not be able to take Dilantin, or you may require a lower dose or special monitoring during treatment.
Dilantin may increase blood sugar. If you are a diabetic and are taking Dilantin, watch for changes in blood sugar levels that may be caused by this medication.
Dilantin is in the FDA pregnancy category C. This means that it is not known whether Dilantin will be harmful to an unborn baby. Do not take Dilantin without first talking to your doctor if you are pregnant or could become pregnant during treatment.
Dilantin passes into breast milk and may affect a nursing infant. Do not take Dilantin without first talking to your doctor if you are breast-feeding a baby.

How should I take Dilantin?

Take Dilantin 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 of Dilantin with a full glass of water.
Take Dilantin with food to lessen stomach upset.
Do not crush, chew, or break the capsules. Swallow them whole. They are specially formulated to release the drug slowly into the body.
Chew the chewable tablets thoroughly or break them into small pieces before swallowing.
Shake the liquid form of Dilantin well before use. To ensure that you measure a correct dose, measure the suspension with a special dose-measuring spoon or a cup, not with a regular tablespoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.
Do not take any capsule, tablet, or suspension that is discolored.
Do not change brands of Dilantin without first talking to your doctor or pharmacist. Some brands of Dilantin are interchangeable while others are not. Your doctor and/ or pharmacist know which brand/ generic formulations may be substituted for another.
It is important to take Dilantin regularly to get the most benefit.
Do not stop taking Dilantin even if you feel better. It is important to continue taking the medication to prevent seizures from recurring.
Your doctor may want you to have blood tests or other medical evaluations during treatment with Dilantin to monitor progress and side effects.
Brush and floss your teeth as directed to reduce the risk of gum disease while taking Dilantin.
Carry or wear a medical identification tag to let others know that you are taking this medicine in the case of an emergency.
Store Dilantin at room temperature away from moisture, light, 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 dose you missed 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 treatment if an overdose is suspected.
Symptoms of a Dilantin overdose include back-and-forth eye movements, slurred speech, stumbling or staggering walk, imbalance, drowsiness, unconsciousness, nausea, vomiting, tremor, low blood pressure, and slow breathing.

What should I avoid while taking Dilantin?

Do not drink alcohol while taking this medication. Alcohol can cause deep sedation or sleepiness. It may also increase the risk of seizures.
Use caution when driving, operating machinery, or performing other hazardous activities. Dilantin may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
Brush and floss your teeth as directed to reduce the risk of gum disease while taking Dilantin.

What are the possible side effects of Dilantin?

If you experience any of the following serious side effects, stop taking Dilantin and seek emergency medical attention or contact your doctor immediately:
- an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
- hallucinations;
- slurred speech or staggering walk;
- a rash;
- changes in vision;
- agitation;
- low blood pressure;
- slow or irregular heartbeats;
- abdominal pain, dark urine, light colored stools, or jaundice (yellow skin or eyes);
- easy bruising or bleeding; or
- swollen or tender gums.
Other, less serious side effects may be more likely to occur. Continue to take Dilantin and talk to your doctor if you experience
- nausea, vomiting, constipation, or diarrhea;
- mild dizziness or drowsiness;
- tender or swollen glands;
- swollen or painful gums;
- headache;
- muscle twitches;
- increased facial hair;
- swelling of breasts, or
- insomnia.
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.

What other drugs will affect Dilantin?

The following drugs can increase the level of Dilantin in the blood which may cause dangerous side effects:
- alcohol (with occasional use);
- other seizure medicines such as ethosuximide (Zarontin) or methsuximide (Celontin Kapseals);
- the stomach medicines cimetidine (Tagamet, Tagamet HB) or ranitidine (Zantac, Zantac 75);
- the anxiety and insomnia medicines chlordiazepoxide (Librium, Librax) and diazepam (Valium);
- estrogens such as conjugated estrogens (Premarin, Premphase, Prempro), estradiol (Estrace), esterified estrogens (Estratab, Menest), estropipate (Ogen), and estrogen patches (Estraderm, Vivelle, Climara);
- the heart medicine amiodarone (Cordarone);
- salicylates such as aspirin, magnesium salicylate (Magan), choline salicylate (Arthropan), and choline and magnesium salicylate (Trilisate);
- anti-infective medicines such as isoniazid (Nydrazid) and sulfonamides such as sulfamethoxazole (Septra, Bactrim);
- methylphenidate (Ritalin, Concerta, Metadate, Methylin);
- tolbutamide;
- trazodone (Desyrel); and
- disulfiram (Antabuse).
Other drugs may decrease the amount of Dilantin in the blood. This can decrease the effects of Dilantin and result in seizures. The following drugs may have this effect:
- alcohol (when used regularly);
- carbamazepine (Tegretol, Epitol, Carbatrol);
- reserpine;
- sucralfate (Carafate); and
- molindone (Moban).
Other seizure medicines may interact unpredictably with Dilantin and either increase or decrease its effects. These drugs include
- valproic acid (Depakene) and divalproex sodium (Depakote); and
- phenobarbital (Luminal).
It may be necessary for your doctor to adjust your Dilantin dosage if you are taking any of the medicines listed above.
Dilantin may also decrease the activity of other medicines, including
- steroid medicines such as prednisone (Deltasone), hydrocortisone (Cortef), betamethasone (Celestone), dexamethasone (Decadron), methylprednisolone (Medrol), and others;
- warfarin (Coumadin);
- quinidine (Quinidex, Quinaglute, others);
- birth control pills;
- estrogens such as Premarin, Ogen, Menest, Estratest, Estraderm, Vivelle, Climara, and others;
- the anti-infective medicines rifampin (Rimactane, Rifadin) and doxycycline (Doryx, Vibramycin, Doxy, Monodox, Adoxa, others);
- furosemide (Lasix); and
- theophylline (Theo-Dur, Theochron, Theo-Bid, Theolair, Aerolate, others).
Drugs other than those listed here may also interact with Dilantin. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Desyrel (Generic name: Trazodone)

2008-07-15T21:51:00.001-07:00

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

While you are taking Desyrel you may need to be monitored for worsening symptoms of depression and/ or suicidal thoughts at the start of therapy or when doses are changed. This concern about the increased risk of suicidal thoughts or behaviors may be greater if you are 18 years of age or younger and are taking Desyrel. In patients younger than 18 years, the period of risk may extend beyond start of therapy or when doses are changed. Your doctor may want you to monitor for the following symptoms: anxiety, panic attacks, difficulty sleeping, irritability, hostility, impulsivity, severe restlessness, and mania (mental and/ or physical hyperactivity). These symptoms may be associated with the development of worsening symptoms of depression and/ or suicidal thoughts or actions. Contact your healthcare provider if you develop any new or worsening mental health symptoms during treatment with Desyrel. Do not stop taking Desyrel.
Use caution when driving, operating machinery, or performing other hazardous activities. Desyrel may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
Dizziness may be more likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall.
Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while taking Desyrel.
Stop taking Desyrel and call your doctor immediately if you experience a prolonged (4 hours or longer), painful, or inappropriate erection. This could lead to a serious condition requiring surgery.
Do not stop taking Desyrel without first talking to your doctor, even if you begin to feel better. It may be several weeks before your symptoms begin to improve, and you may require continuous treatment for quite some time.

What is Desyrel?

Desyrel is an antidepressant medication. It works by changing the actions of chemicals in the brain.
Desyrel is used to relieve symptoms of depression such as feelings of sadness, worthlessness, or guilt; loss of interest in daily activities; changes in appetite; tiredness; sleeping too much; insomnia; and thoughts of death or suicide.
Desyrel may also be used for purposes other than those listed in this medication guide.

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

While you are taking Desyrel you may need to be monitored for worsening symptoms of depression and/ or suicidal thoughts at the start of therapy or when doses are changed. This concern about the increased risk of suicidal thoughts or behaviors may be greater if you are 18 years of age or younger and are taking Desyrel. In patients younger than 18 years, the period of risk may extend beyond start of therapy or when doses are changed. Your doctor may want you to monitor for the following symptoms: anxiety, panic attacks, difficulty sleeping, irritability, hostility, impulsivity, severe restlessness, and mania (mental and/ or physical hyperactivity). These symptoms may be associated with the development of worsening symptoms of depression and/ or suicidal thoughts or actions. Contact your healthcare provider if you develop any new or worsening mental health symptoms during treatment with Desyrel. Do not stop taking Desyrel.
Desyrel should not be taken during the initial recovery phase after a heart attack. Talk to your doctor before taking Desyrel if you have had a heart attack. You may also require special monitoring during treatment if you have any other types of heart disease, high blood pressure, irregular heartbeats, or chest pain (angina).
Stop taking Desyrel and call your doctor immediately if you experience a prolonged (4 hours or longer), painful, or inappropriate erection. This could lead to a serious condition requiring surgery.
Desyrel is in the FDA pregnancy category C. This means that it is not known whether Desyrel 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 Desyrel passes into breast milk. Do not take Desyrel without first talking to your doctor if you are breast-feeding a baby.

How should I take Desyrel?

Take Desyrel exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain the instructions to you.
Take each dose with a full glass of water.
Take Desyrel with a meal or a light snack. Food increases the amount of medicine that is absorbed by the body and it may help to decrease dizziness.
It is important to take Desyrel regularly to get the most benefit.
Do not stop taking Desyrel without first talking to your doctor, even if you begin to feel better. It may be several weeks before your symptoms begin to improve, and you may require continuous treatment for quite some time.
Your doctor may want you to have blood tests or other medical evaluations during treatment with Desyrel to monitor progress and side effects.
Store Desyrel 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 regularly scheduled dose, skip the missed dose and take only the next one as directed. 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 a Desyrel overdose include drowsiness, nausea, vomiting, seizures, an irregular heart beat, difficulty breathing, painful erection, and death.

What should I avoid while taking Desyrel?

Use caution when driving, operating machinery, or performing other hazardous activities. Desyrel may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
Dizziness may be more likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall.
Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while taking Desyrel.

What are the possible side effects of Desyrel?

If you experience any of the following serious side effects, stop taking Desyrel and seek emergency medical attention or contact your doctor immediately:
- an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
- a prolonged (4 hours or longer), painful, or inappropriate erection; or
- an irregular heartbeat or chest pains.
Other, less serious side effects may be more likely to occur. Continue to take Desyrel and talk to your doctor if you experience
- dizziness or drowsiness;
- headache;
- insomnia or vivid dreams;
- dry mouth, upset stomach, nausea, or vomiting;
- diarrhea or constipation;
- tremors (shaking); or
- blurred vision.
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.

What other drugs will affect Desyrel?

Before taking Desyrel, tell your doctor if you are taking any of the following medications:
- digoxin (Lanoxin, Lanoxicaps);
- phenytoin (Dilantin);
- a monoamine oxidase (MAO) inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate); or
- warfarin (Coumadin).
You may not be able to take Desyrel, or you may require special monitoring during treatment if you are taking any of the medicines listed above.
Drugs other than those listed here may also interact with Desyrel. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.

Cymbalta (Generic name: Duloxetine)

2008-07-15T21:50:00.001-07:00

What is cymbalta?

Cymbalta is an antidepressant in a group of drugs called selective serotonin and norepinephrine reuptake inhibitors (SSNRIs). Cymbalta affects chemicals in the brain that may become unbalanced and cause depression.

Cymbalta is used to treat major depressive disorder and general anxiety disorder. It is also used to treat pain caused by nerve damage in people with diabetes (diabetic neuropathy).

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

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

Do not take cymbalta together with thioridazine (Mellaril), or a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate). You must wait at least 14 days after stopping an MAOI before you can take cymbalta. After you stop taking cymbalta, you must wait at least 5 days before you start taking an MAOI.

You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication, especially if you are under 18 years old. Talk with your doctor about this risk. While you are taking cymbalta you will need to be monitored for worsening symptoms of depression and/or suicidal thoughts during the first weeks of treatment, or whenever your dose is changed. In addition to you watching for changes in your own symptoms, your family or other caregivers should be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.

Avoid using other medicines that make you sleepy (such as cold medicine, pain medication, muscle relaxers, medicine for seizures, other medication for depression or anxiety). They can add to sleepiness caused by cymbalta.

Cymbalta can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

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

Do not use cymbalta together with thioridazine (Mellaril), or an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), rasagiline (Azilect), or selegiline (Eldepryl, Emsam). Serious and sometimes fatal reactions can occur when these medicines are taken with cymbalta. You must wait at least 14 days after stopping an MAO inhibitor before you can take cymbalta. After you stop taking cymbalta, you must wait at least 14 days before you start taking an MAOI. You must wait 5 days after stopping cymbalta before you can take an MAOI. Do not use this medication if you are allergic to cymbalta, or if you have untreated or uncontrolled glaucoma.

Before taking cymbalta, tell your doctor if you are allergic to any drugs, or if you have:

liver or kidney disease;
seizures or epilepsy;
bipolar disorder (manic depression); or
a history of drug abuse or suicidal thoughts.

If you have any of these conditions, you may not be able to use cymbalta, or you may need a dosage adjustment or special tests during treatment.

FDA pregnancy category C. Cymbalta may be harmful to an unborn baby, and may cause problems in a newborn baby if the mother takes the medication late in pregnancy (during the third trimester). Tell your doctor if you are pregnant or plan to become pregnant during treatment. Cymbalta can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Older adults may be more sensitive to the side effects of this medication. Do not give this medication to anyone under 18 years old without the advice of a doctor.

How should I take cymbalta?

Try to take the medicine at the same time each day. Follow the directions on your prescription label.

Do not crush, chew, break, or open a delayed-release capsule. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking or opening the pill would cause too much of the drug to be released at one time. It may take 4 weeks or longer for your symptoms improve. For best results, keep using the medication as directed. Do not stop using cymbalta without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly. Store cymbalta 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 regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have taken too much of this medication. Symptoms of a cymbalta overdose may include nausea, vomiting, diarrhea, agitation, confusion, hallucinations, fast heart rate, feeling light-headed, or fainting.

What should I avoid while taking cymbalta?

Avoid drinking alcohol while taking cymbalta. Alcohol may increase the risk of damage to your liver.

Cymbalta can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

Cymbalta side effects

Get emergency medical help if you have any of these signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Contact your doctor promptly if you have any of the following side effects, especially if they are new symptoms or if they get worse: mood changes, anxiety, panic attacks, trouble sleeping, irritability, agitation, aggressiveness, severe restlessness, mania (mental and/or physical hyperactivity), thoughts of suicide or hurting yourself.

Call your doctor at once if you have any of these serious side effects:

nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
restlessness, overactive reflexes, hallucinations, loss of coordination, fainting, coma; or
nausea, vomiting, diarrhea, fever, and fast heartbeat.

Other less serious side effects are more likely to occur, such as:

constipation;
drowsiness, dizziness, headache;
sleep problems (insomnia);
weight changes;
feeling anxious or nervous, increased sweating;
sore throat; or
decreased sex drive, impotence, or difficulty having an orgasm.

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.

What other drugs will affect cymbalta?

Talk to your doctor before taking any medicine for pain, arthritis, fever, or swelling. This includes aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), diclofenac (Voltaren), indomethacin, piroxicam (Feldene), nabumetone (Relafen), etodolac (Lodine), and others. Taking any of these drugs with cymbalta may cause you to bruise or bleed easily.

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

cimetidine (Tagamet);
linezolid (Zyvox);
lithium (Lithobid, Eskalith);
St. John's wort;
tramadol (Ultram);
tryptophan (sometimes called L-tryptophan);
a blood thinner such as warfarin (Coumadin);
almotriptan (Axert), frovatriptan (Frova), sumatriptan (Imitrex), naratriptan (Amerge), rizatriptan (Maxalt), or zolmitriptan (Zomig); or
any other antidepressants such as amitriptyline (Elavil), amoxapine (Ascendin), clomipramine (Anafranil), desipramine (Norpramin), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), imipramine (Janimine, Tofranil), nortriptyline (Pamelor), paroxetine (Paxil), protriptyline (Vivactil), sertraline (Zoloft), trimipramine (Surmontil), or venlafaxine (Effexor).

If you are using any of these drugs, you may not be able to use cymbalta, or you may need dosage adjustments or special tests during treatment.

There may be other drugs not listed that can affect cymbalta. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Celexa (Generic name: Citalopram)

2008-07-15T21:49:00.001-07:00

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

You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication, especially if you are under 18 years old. Talk with your doctor about this risk. While you are taking Celexa you will need to be monitored for worsening symptoms of depression and/ or suicidal thoughts during the first weeks of treatment, or whenever your dose is changed. In addition to you watching for changes in your own symptoms, your family or other caregivers should be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.
Contact your doctor promptly if you have any of the following side effects, especially if they are new symptoms or if they get worse: mood changes, anxiety, panic attacks, trouble sleeping, irritability, agitation, aggressiveness, severe restlessness, mania (mental and/ or physical hyperactivity), thoughts of suicide or hurting yourself.
Do not take Celexa together with a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate). You must wait at least 14 days after stopping an MAOI before you can take Celexa.

What is Celexa?

Celexa is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors (SSRIs). Celexa affects chemicals in the brain that may become unbalanced and cause depression.
Celexa is used to treat depression.
Celexa may also be used for purposes other than those listed in this medication guide.

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

You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication, especially if you are under 18 years old. Talk with your doctor about this risk. While you are taking Celexa you will need to be monitored for worsening symptoms of depression and/ or suicidal thoughts during the first weeks of treatment, or whenever your dose is changed. In addition to you watching for changes in your own symptoms, your family or other caregivers should be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.
Do not use Celexa if you are using an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam). Serious and sometimes fatal reactions can occur when these medicines are taken with Celexa. You must wait at least 14 days after stopping an MAO inhibitor before you can take Celexa.
Before taking Celexa, tell your doctor if you have:
- liver or kidney disease;
- seizures or epilepsy;
- bipolar disorder (manic depression); or
- a history of drug abuse or suicidal thoughts.
If you have any of these conditions, you may not be able to use Celexa, or you may need a dosage adjustment or special tests during treatment.
FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.
Celexa can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take Celexa?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from the medication.
Try to take the medicine at the same time each day.
To be sure you get the correct dose of liquid Celexa, measure the liquid with a marked measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.
It may take 4 weeks or more for you to start feeling better. Do not stop using Celexa without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly.
Store Celexa 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 regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have taken too much of this medication. Symptoms of a Celexa overdose may include nausea, vomiting, tremor, sweating, rapid heartbeat, confusion, dizziness, seizures, and coma.

What should I avoid while taking Celexa?

Do not take Celexa together with isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate).
Avoid drinking alcohol, which can increase some of the side effects of Celexa.
Avoid using other medicines that make you sleepy (such as cold medicine, other pain medication, muscle relaxants). They can add to sleepiness caused by Celexa.
Celexa can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

What are the possible side effects of Celexa?

Get emergency medical help if you have any of these signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Contact your doctor promptly if you have any of the following side effects, especially if they are new symptoms or if they get worse: mood changes, anxiety, panic attacks, trouble sleeping, irritability, agitation, aggressiveness, severe restlessness, mania (mental and/ or physical hyperactivity), thoughts of suicide or hurting yourself.
Call your doctor at once if you have any of these serious side effects:
- seizure (convulsions);
- tremors, shivering, muscle stiffness or twitching;
- problems with balance or coordination; or
- agitation, confusion, sweating, fast heartbeat.
Other less serious side effects are more likely to occur, such as:
- feeling nervous, restless, or unable to sit still;
- drowsiness, dizziness, trouble concentrating;
- sleep problems (insomnia);
- nausea, gas, upset stomach, loss of appetite;
- weight changes;
- urinating more than usual;
- decreased sex drive, impotence, or difficulty having an orgasm; or
- dry or watery mouth, yawning, or ringing in your ears.
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.

What other drugs will affect Celexa?

Talk to your doctor before taking any medicine for pain, arthritis, fever, or swelling. This includes aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), diclofenac (Voltaren), indomethacin, piroxicam (Feldene), nabumetone (Relafen), etodolac (Lodine), and others. Taking any of these drugs with Celexa may cause you to bruise or bleed easily.
Before taking Celexa, tell your doctor if you are using any of the following medicines:
- carbamazepine (Tegretol);
- cimetidine (Tagamet);
- lithium (Lithobid, Eskalith);
- a blood thinner such as warfarin (Coumadin);
- any other antidepressants such as amitriptyline (Elavil), esCelexa (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), imipramine (Tofranil), nortriptyline (Pamelor), paroxetine (Paxil), or sertraline (Zoloft); or
- almotriptan (Axert), frovatriptan (Frova), sumatriptan (Imitrex), naratriptan (Amerge), rizatriptan (Maxalt), or zolmitriptan (Zomig).
If you are using any of these drugs, you may not be able to use Celexa, or you may need dosage adjustments or special tests during treatment.
There may be other drugs not listed that can affect Celexa. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Anafranil (Generic name: Clomipramine HCI)

2008-07-15T21:47:00.000-07:00

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

While you are taking Anafranil you may need to be monitored for worsening symptoms of depression and/ or suicidal thoughts at the start of therapy or when doses are changed. This concern about the increased risk of suicidal thoughts or behaviors may be greater if you are 18 years of age or younger and are taking Anafranil. In patients younger than 18 years, the period of risk may extend beyond start of therapy or when doses are changed. Your doctor may want you to monitor for the following symptoms: anxiety, panic attacks, difficulty sleeping, irritability, hostility, impulsivity, severe restlessness, and mania (mental and/ or physical hyperactivity). These symptoms may be associated with the development of worsening symptoms of depression and/ or suicidal thoughts or actions. Contact your healthcare provider if you develop any new or worsening mental health symptoms during treatment with Anafranil. Do not stop taking Anafranil.
It may be 4 weeks or more before you start to feel better, but do not stop taking Anafranil without first talking to your doctor.
Use caution when driving, operating machinery, or performing other hazardous activities. Anafranil may cause drowsiness or dizziness. If you experience drowsiness or dizziness, avoid these activities.
Dizziness is likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall.
Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking Anafranil.

What is Anafranil?

Anafranil is in a class of drugs called tricyclic antidepressants. Anafranil affects chemicals in the brain that may become unbalanced and cause obsessive-compulsive disorder.
Anafranil is used to relieve symptoms of obsessive-compulsive disorder such as recurrent thoughts or feelings and repetitive actions.
Anafranil may also be used for purposes other than those listed in this medication guide.

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

Do not take Anafranil if you have taken a monoamine oxidase inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) within the last 14 days.
Before taking Anafranil, tell your doctor if you have
- liver disease,
- kidney disease,
- asthma,
- thyroid disease,
- diabetes,
- stomach or intestinal problems,
- high blood pressure or heart disease,
- had a heart attack in the last 6 weeks,
- an enlarged prostate or difficulty urinating,
- glaucoma, or
- seizures.
You may not be able to take Anafranil, or you may require a dosage adjustment or special monitoring during therapy if you have any of the conditions listed above.
While you are taking Anafranil you may need to be monitored for worsening symptoms of depression and/ or suicidal thoughts at the start of therapy or when doses are changed. This concern about the increased risk of suicidal thoughts or behaviors may be greater if you are 18 years of age or younger and are taking Anafranil. In patients younger than 18 years, the period of risk may extend beyond start of therapy or when doses are changed. Your doctor may want you to monitor for the following symptoms: anxiety, panic attacks, difficulty sleeping, irritability, hostility, impulsivity, severe restlessness, and mania (mental and/ or physical hyperactivity). These symptoms may be associated with the development of worsening symptoms of depression and/ or suicidal thoughts or actions. Contact your healthcare provider if you develop any new or worsening mental health symptoms during treatment with Anafranil. Do not stop taking Anafranil.
Anafranil is in the FDA pregnancy category C. This means that it is not known whether Anafranil will harm an unborn baby. Do not take Anafranil without first talking to your doctor if you are pregnant or could become pregnant during treatment.
Anafranil passes into breast milk and may affect a nursing baby. Do not take Anafranil without first talking to your doctor if you are breast-feeding a baby.

How should I take Anafranil?

Take Anafranil 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 (8 oz) of water.
Anafranil may be taken several times a day or in one daily dose (usually at bedtime). Follow your doctor's instructions.
Grapefruit and grapefruit juice may interact with Anafranil. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.
It may be 4 weeks or more before you start to feel better, but do not stop taking Anafranil without first talking to your doctor.
Store Anafranil at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for the next regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take a double dose of this medication unless otherwise directed by your doctor.

What happens if I overdose?

Seek emergency medical attention.
Symptoms of a Anafranil overdose include seizures, confusion, drowsiness, agitation, hallucinations, and low blood pressure (dizziness, fatigue, fainting).

What should I avoid while taking Anafranil?

Use caution when driving, operating machinery, or performing other hazardous activities. Anafranil may cause drowsiness or dizziness. If you experience drowsiness or dizziness, avoid these activities.
Dizziness is likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall.
Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking Anafranil.
Grapefruit and grapefruit juice may interact with Anafranil. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.
Do not stop taking Anafranil suddenly. This could cause symptoms such as nausea, headache, and malaise.

What are the possible side effects of Anafranil?

If you experience any of the following serious side effects, stop taking Anafranil and contact your doctor immediately or seek emergency medical treatment:
- an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, face, or tongue; or hives);
- seizures;
- a fast or irregular heartbeat;
- a heart attack;
- high blood pressure (blurred vision, severe headache);
- difficulty urinating; or
- fever with increased sweating, muscle stiffness, or severe muscle weakness.
Other, less serious side effects may be more likely to occur. Continue to take Anafranil and talk to your doctor if you experience
- drowsiness or dizziness;
- dry mouth and eyes;
- constipation;
- mild tremor;
- sweating;
- mild agitation, weakness, or headache;
- ringing in the ears;
- nausea; or
- loss of weight or appetite.
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.

What other drugs will affect Anafranil?

Do not take Anafranil if you have taken a monoamine oxidase inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) within the last 14 days.
Anafranil may increase the effects of other drugs that cause drowsiness, including other antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any other prescription or over-the-counter medicines without first talking to your doctor.
Drugs other than those listed here may also interact with Anafranil. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Valparin (Generic name: Valproic Acid)

2008-07-14T22:27:00.002-07:00

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

In rare cases, Valparin has caused life-threatening liver failure, especially in children younger than 2 years old. Children of this age may be at even greater risk for liver problems if they use more than one seizure medication, if they have a metabolic disorder, or if they have a brain disease causing mental impairment (such as Creutzfeldt-Jacob disease, Huntington disease, multiple sclerosis, or a brain injury or infection).
Valparin has also caused rare cases of life-threatening pancreatitis (inflammation of the pancreas). Pancreatitis can come on suddenly and symptoms may start even after you have been taking Valparin for several years.
Seek emergency medical attention if the person taking this medicine has nausea, vomiting, stomach pain, or loss of appetite, low fever, dark urine, clay-colored stools, or jaundice (yellowing of the skin or eyes). These symptoms may be early signs of liver damage. Some of these symptoms may also be early signs of pancreatitis.
Do not use this medication without your doctor's consent if you are pregnant. It could cause harm to the unborn baby. Use an effective form of birth control, and tell your doctor if you become pregnant during treatment.
Do not stop taking the medication even if you feel better. It is important to take Valparin regularly to prevent seizures from recurring. Call your doctor promptly if this medicine does not seem to be working as well in preventing your seizures.
Swallow the capsule whole. Do not crush, chew, or break a capsule because the medicine may irritate your mouth or throat when you swallow it.
Carry an ID card or wear a medical alert bracelet stating that you are taking Valparin, in case of emergency. Any doctor, dentist, or emergency medical care provider who treats you should know that you are taking Valparin.
Avoid using other drugs that make you sleepy (such as other seizure medicines, alcohol, cold medicine, pain medication, muscle relaxers, and medicine for depression or anxiety). They can add to sleepiness caused by Valparin.

What is Valparin?

Valparin affects chemicals in the body that may be involved in causing seizures.
Valparin is used to treat various types of seizure disorders. Valparin is sometimes used together with other seizure medications.
Valparin may also be used for purposes other than those listed in this medication guide.

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

In rare cases, Valparin has caused life-threatening liver failure, especially in children younger than 2 years old. Children of this age may be at even greater risk for liver problems if they use more than one seizure medication, if they have a metabolic disorder, or if they have a brain disease causing mental impairment (such as Creutzfeldt-Jacob disease, Huntington disease, multiple sclerosis, or a brain injury or infection).
Valparin has also caused rare cases of life-threatening pancreatitis (inflammation of the pancreas). Pancreatitis can come on suddenly and symptoms may start even after you have been taking Valparin for several years. Do not take Valparin if you have liver disease or a urea cycle disorder.
Before taking Valparin, tell your doctor if you have:
- a bleeding or blood clotting disorder;
- a history of head injury, brain disorder, or coma;
- a family history of a urea cycle disorder;
- a family history of infant deaths with unknown cause; or
- HIV or CMV (cytomegalovirus) infection.
If you have any of these conditions, you may not be able to use Valparin, or you may need a dosage adjustment or special tests during treatment.
FDA pregnancy category D. This medication can cause harm to an unborn baby. Do not use Valparin without your doctor's consent if you are pregnant. Tell your doctor if you become pregnant during treatment. Use an effective form of birth control while you are using this medication.
Valparin passes into breast milk and could harm a nursing infant. Do not take Valparin without telling your doctor if you are breast-feeding a baby.
Valparin should not be given to a child younger than 2 years of age without a doctor's consent.
Older adults may be more sensitive to sleepiness caused by this medicine.

How should I take Valparin?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor.
Take each dose with a full glass of water. Drink plenty of water while you are taking this medication. Your dose may need to be changed if you do not get enough fluids each day.
Measure the liquid form of Valparin with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.
To be sure this medication is not causing harmful effects, your liver function will need to be tested. It is important that you not miss any scheduled visits to your doctor.
Do not stop taking the medication even if you feel better. It is important to take Valparin regularly to prevent seizures from recurring. Get your prescription refilled before you run out of medicine completely. Call your doctor promptly if this medicine does not seem to be working as well in preventing your seizures.
Swallow the capsule whole. Do not crush, chew, or break a capsule because the medicine may irritate your mouth or throat when you swallow it.
Carry an ID card or wear a medical alert bracelet stating that you are taking Valparin, in case of emergency. Any doctor, dentist, or emergency medical care provider who treats you should know that you are taking Valparin.
Store Valparin at room temperature away from moisture and heat.

What happens if I miss a dose?

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

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.
Symptoms of a Valparin overdose may include sleepiness or drowsiness, shallow breathing, weak pulse, or loss of consciousness.

What should I avoid while taking Valparin?

Avoid drinking alcohol, which can increase some of the side effects of Valparin.
Avoid using other medicines that make you sleepy (such as cold medicine, pain medication, muscle relaxers, and medicine for seizures, depression or anxiety). They can add to sleepiness caused by Valparin.
Valparin can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Valparin can make your skin more sensitive to sunlight and sunburn may result. Use a sunscreen (minimum SPF 15) and wear protective clothing if you must be out in the sun.

What are the possible side effects of Valparin?

Seek emergency medical attention if the person taking this medicine has nausea, vomiting, stomach pain, or loss of appetite, low fever, dark urine, clay-colored stools, or jaundice (yellowing of the skin or eyes). These symptoms may be early signs of liver damage. Some of these symptoms may also be early signs of pancreatitis.
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have any of these serious side effects:
- unexplained weakness with vomiting and confusion or fainting;
- easy bruising or bleeding, unusual weakness;
- fever, skin rash, swollen glands;
- fever, chills, body aches, flu symptoms;
- urinating less than usual;
- blood in your urine;
- hallucinations (seeing things that aren't there);
- weakness, lack of coordination;
- a red, blistering, peeling skin rash;
- extreme drowsiness;
- unusual bleeding or bruising; or
- double vision or back-and-forth movements of the eyes.
Continue using Valparin and talk with your doctor if you have any of these less serious side effects:
- drowsiness or weakness;
- diarrhea, constipation, upset stomach;
- depression, anxiety, or other emotional changes;
- changes in your menstrual periods;
- enlarged breasts;
- tremor (shaking);
- hair loss;
- weight changes;
- a red, blistering, peeling skin rash;
- vision changes; or
- unusual or unpleasant taste in your mouth.
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.

What other drugs will affect Valparin?

Before taking Valparin, tell your doctor if you are using any of the following drugs:
- topiramate (Topamax);
- tolbutamide (Orinase);
- a blood thinner such as warfarin (Coumadin);
- aspirin or acetaminophen (Tylenol);
- zidovudine (Retrovir);
- clozapine (Clozaril, Fazaclo);
- diazepam (Valium);
- meropenem (Merrem);
- rifampin (Rifadin, Rimactane, Rifater);
- ethosuximide (Zarontin); or
- another seizure medicine such as phenytoin (Dilantin), carbamazepine (Tegretol, Carbatrol), phenobarbital (Luminal, Solfoton), felbamate (Felbatol), lamotrigine (Lamictal), or clonazepam (Klonopin).
If you are using any of these drugs, you may not be able to use Valparin, or you may need dosage adjustments or special tests during treatment.
There may be other drugs not listed that can affect Valparin. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Trileptal (Generic name: Oxcarbazepine)

2008-07-14T22:27:00.001-07:00

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

Serious skin reactions have been reported in both children and adults who are taking Trileptal. These skin reactions may be life-threatening. Talk to your doctor immediately if you develop a rash or any kind of skin problem.
Do not stop taking Trileptal without first talking to your doctor, even if you feel better. It is important to continue taking Trileptal to prevent the seizures from recurring. Stopping Trileptal suddenly may result in increased seizure frequency. If the medication needs to be stopped, your doctor may need to lower the dosage gradually.
Trileptal may decrease the effectiveness of birth control pills. Use a second method of birth control while taking Trileptal to ensure protection from unintended pregnancy.
Do not drink alcohol while taking Trileptal. Alcohol may increase drowsiness or dizziness caused by Trileptal. Alcohol may also increase the risk of seizures.
Trileptal may cause drowsiness, dizziness, blurred vision, or poor coordination. Do not drive, operate dangerous machinery, or perform other hazardous activities until you know how Trileptal affects you. If you experience drowsiness, dizziness, blurred vision, or poor coordination, avoid these activities.

What is Trileptal?

Trileptal is a drug that affects the nerves and brain. It works by decreasing impulses in nerves that cause seizures.
Trileptal is used alone and with other drugs to treat seizures.
Trileptal may also be used for purposes other than those listed in this medication guide.

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

Do not take Trileptal without first talking to your doctor if you have ever had an allergic reaction to carbamazepine (Tegretol, others). You may have an allergic reaction to Trileptal.
Before taking this medication, tell your doctor if you have
- kidney disease, or
- liver disease.
You may not be able to take Trileptal, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
Serious skin reactions have been reported in both children and adults who are taking Trileptal. These skin reactions may be life-threatening. Talk to your doctor immediately if you develop a rash or any kind of skin problem.
Trileptal is in the FDA category C. This means that it is not known whether Trileptal 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.
Trileptal passes into breast milk and may be harmful to a nursing infant. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.
If you are over 60 years of age, you may be more likely to experience side effects from Trileptal. Your doctor may prescribe a lower dose or special monitoring during treatment.

How should I take Trileptal?

Take Trileptal exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
Take each dose with a full glass of water.
Trileptal can be taken with or without food.
Shake the suspension well before measuring a dose. To ensure that you get the correct dose, measure the suspension with a dose-measuring spoon or cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.
It is important to take Trileptal regularly to get the most benefit.
Do not stop taking Trileptal without first talking to your doctor, even if you feel better. It is important to continue taking Trileptal to prevent the seizures from recurring. Stopping Trileptal suddenly may result in increased seizure frequency. If the medication needs to be stopped, your doctor may need to lower the dosage gradually.
If treatment with Trileptal is stopped for any reason, contact your doctor before restarting the medication. A lower dose may be needed to prevent side effects from occurring.
Your doctor may want you to have blood tests or other medical evaluations during treatment with Trileptal to monitor progress and side effects.
Carry or wear a medical identification tag to let others know that you are taking this medicine in the case of an emergency.
Store Trileptal at room temperature away from moisture and heat. The suspension should be used within 7 weeks of first opening the bottle.

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 treatment.
Symptoms of an Trileptal overdose are not known.

What should I avoid while taking Trileptal?

Do not drink alcohol while taking Trileptal. Alcohol may increase drowsiness or dizziness caused by Trileptal. Alcohol may also increase the risk of seizures.
Trileptal may cause drowsiness, dizziness, blurred vision, or poor coordination. Do not drive, operate dangerous machinery, or perform other hazardous activities until you know how Trileptal affects you. If you experience drowsiness, dizziness, blurred vision, or poor coordination, avoid these activities.

What are the possible side effects of Trileptal?

If you experience any of the following serious side effects, seek emergency medical attention or consult your doctor immediately:
- an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
- symptoms of low blood sodium (nausea, general discomfort, headache, extreme drowsiness, or confusion);
- central nervous system effects (difficulty with concentration, speech, or language; excessive sleepiness or fatigue; a loss of coordination or trouble walking);
- double vision, nystagmus (back-and-forth movements of the eyes), blurred vision, or other visual disturbances; or
- increasing frequency or worsening of seizures.
Other, less serious side effects may be more likely to occur. Continue to take Trileptal and talk to your doctor if you experience
- headache;
- mild sleepiness or fatigue;
- nausea, vomiting, or stomach pain;
- tremor;
- dizziness;
- rash;
- diarrhea, constipation, or decreased appetite;
- weight gain; or
- dry mouth.
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.

What other drugs will affect Trileptal?

Trileptal interacts with many of the other drugs used to treat seizures. Before taking Trileptal, tell your doctor about all other medications you are taking. You may require a dosage adjustment or special monitoring during treatment if you are taking a combination of medications to treat seizures. Continue to take all medications prescribed to treat seizures exactly as directed.
Trileptal may decrease the effectiveness of birth control pills. Use a second method of birth control while taking Trileptal to ensure protection from unintended pregnancy.
Trileptal may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, and muscle relaxants. Dangerous sedation, dizziness, or drowsiness may occur if Trileptal is taken with any of these medications.
Drugs other than those listed here may also interact with Trileptal or affect your condition. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Topamax (Generic name: Topiramate)

2008-07-14T22:25:00.000-07:00

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

Seek immediate medical attention if you experience blurred vision, changes in vision, or pain in or around the eyes during treatment with Topamax. These may be early signs of a serious side effect.
Do not stop taking Topamax without first talking to your doctor, even if your symptoms have improved. It is important to continue taking Topamax to prevent seizures from recurring.
Carry or wear a medical identification tag to let others know that you are taking Topamax in the case of an emergency.
Use caution when driving, operating machinery, or performing other hazardous activities. Topamax may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
Alcohol should be avoided while taking Topamax. Alcohol may cause increased sedation or drowsiness. It may also increase the risk of having a seizure.
Unless otherwise directed by your doctor, drink several extra glasses of fluid each day during treatment with Topamax to minimize the risk of side effects such as kidney stone formation and metabolic acidosis (a decrease in a certain electrolyte in the body). Additional fluid may be necessary during hot weather, vigorous exercise, and illness (e.g., fever, vomiting, diarrhea).
Decreased sweating and high body temperature have been associated with the use of Topamax. These side effects may be dangerous. Avoid becoming overheated in hot weather and during vigorous exercise, monitor sweating, and drink plenty of fluid to maintain hydration. If sweating is decreased or body temperature is elevated, contact your doctor.

What is Topamax?

The exact way that Topamax works is unknown. However, it is believed that Topamax alters the chemical impulses in the brain that cause seizures.
Topamax is used with other medications to control seizures. Topamax is also used to prevent migraine headaches.
Topamax may also be used for purposes other than those listed in this medication guide.

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

Before taking Topamax, tell your doctor if you
- have kidney disease or a history of kidney stones;
- have liver disease;
- have lung or respiratory disease such as asthma, emphysema, or bronchitis; or
- need to have surgery.
You may not be able to take Topamax, or you may require a dosage adjustment or special monitoring during treatment
Topamax is in the FDA pregnancy category C. This means that it is not known whether Topamax will be harmful to an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant or if you could become pregnant during treatment.
It is not known whether Topamax passes into breast milk. Do not take Topamax without first talking to your doctor if you are breast-feeding a baby.

How should I take Topamax?

Take Topamax 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 of Topamax with a full glass of water.
The tablets should be swallowed whole. Due to their bitter taste, the tablets should not be broken.
The capsules may be swallowed whole or opened to facilitate swallowing. If the capsules are opened, the entire contents of the capsule should be sprinkled onto a small amount (teaspoon) of soft food (e.g., applesauce, custard, ice cream, oatmeal, pudding, yogurt). This drug/ food mixture should be swallowed immediately, without chewing. The mixture should not be stored for future use. If the mixture is combined in a small container, add some water to the container after the dose has been taken, and drink the water to ensure the whole dose has been taken.
Topamax can be taken with or without food.
It is important to take Topamax regularly to get the most benefit.
Carry or wear a medical identification tag to let others know that you are taking this medicine in the case of an emergency.
Do not stop taking Topamax without first talking to your doctor, even if your symptoms have improved. It is important to continue taking Topamax to prevent seizures from recurring.
Unless otherwise directed by your doctor, drink several extra glasses of fluid each day during treatment with Topamax to minimize the risk of side effects such as kidney stone formation and metabolic acidosis (a decrease in a certain electrolyte in the body). Additional fluid may be necessary during hot weather, vigorous exercise, and illness (e.g., fever, vomiting, diarrhea).
Your doctor may want you to have blood tests or other medical evaluations during treatment with Topamax to monitor progress and side effects.
Store Topamax 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 dose you missed 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 treatment if an overdose is suspected.
Symptoms of a Topamax overdose are not known but may include severe drowsiness, poor coordination, tremor, confusion, difficulty speaking, and nausea.

What should I avoid while taking Topamax?

Use caution when driving, operating machinery, or performing other hazardous activities. Topamax may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
Alcohol should be avoided while taking Topamax. Alcohol may cause increased sedation or drowsiness. It may also increase the risk of having a seizure.
Unless otherwise directed by your doctor, drink several extra glasses of fluid each day during treatment with Topamax to minimize the risk of side effects such as kidney stone formation and metabolic acidosis (a decrease in a certain electrolyte in the body). Additional fluid may be necessary during hot weather, vigorous exercise, and illness (e.g., fever, vomiting, diarrhea).
Ketogenic diets (high protein, very low carbohydrate diets that may induce ketosis) may increase the risk of kidney stone formation and should be avoided during treatment with Topamax.
Decreased sweating and high body temperature have been associated with the use of Topamax. These side effects may be dangerous. Avoid becoming overheated in hot weather and during vigorous exercise, monitor sweating, and drink plenty of fluid to maintain hydration. If sweating is decreased or body temperature is elevated, contact your doctor.
Tell your doctor and dentist that you are taking Topamax before having any type of surgery.

What are the possible side effects of Topamax?

Seek immediate medical attention if you experience blurred vision, changes in vision, or pain in or around the eyes during treatment with Topamax. These may be early signs of a serious side effect.
If you experience any of the following serious side effects, stop taking Topamax and seek emergency medical attention or contact your doctor immediately:
- an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);
- worsening of seizures;
- metabolic acidosis (a high acidity of the blood that may be detected by blood tests). Symptoms of metabolic acidosis include increased rate of breathing, decreased appetite, and irregular heartbeats;
- decreased sweating;
- fever or increased body temperature; or
- side or low back pain, or painful or difficult urination (may indicate kidney stones).
Other, less serious side effects may be more likely to occur. Continue to take Topamax and talk to your doctor if you experience
- dizziness, poor coordination, sluggishness, or drowsiness;
- irregular back-and-forth movements of the eyes;
- nausea, decreased appetite, or weight loss;
- tremor, numbness, or tingling;
- confusion, difficulty concentrating or decreased memory;
- speech or language difficulties; or
- changes in behavior, depression, nervousness, or agitation.
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.

What other drugs will affect Topamax?

Before taking Topamax, tell your doctor if you are taking any of the following medicines:
- another seizure medication such as valproic acid (Depakote, Depakene), carbamazepine (Tegretol, Carbatrol, Epitol), phenytoin (Dilantin), and others;
- a carbonic anhydrase inhibitor such as acetazolamide (Diamox), methazolamide (Neptazane), or dichlorphenamide (Daranide);
- metformin (Glucophage, Fortamet); or
- digoxin (Lanoxin, Lanoxicaps).
You may not be able to take Topamax, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the drugs listed above.
Topamax may decrease the effectiveness of certain birth control pills. Talk to your doctor about other birth control options to prevent unintended pregnancy.
Topamax may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, pain relievers, sedative (sleep aids), anxiety medicines, and muscle relaxants. Dangerous sedation, dizziness, or drowsiness may occur if Topamax is taken with any of these medications.
Drugs other than those listed here may also interact with Topamax. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.

Tegretol (Generic name: Carbamazepine)

2008-07-14T22:22:00.000-07:00

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

Do not take Tegretol if you have taken an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam) in the past 14 days.
There are many other medicines that could cause a drug interaction if you take them together with Tegretol. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.
Do not take this medicine if you have a history of bone marrow suppression, or history of allergic reaction to an antidepressant such as amitriptyline (Elavil), desipramine (Norpramin), imipramine (Tofranil), or nortriptyline (Pamelor).
Do not use this medication without your doctor's consent if you are pregnant. It could cause harm to the unborn baby. Tegretol should not be used during pregnancy, but taking the medicine can make birth control pills less effective. Use a non-hormone method of birth control (not birth control pills) to prevent pregnancy while you are taking Tegretol. Tell your doctor if you become pregnant during treatment.
Do not stop taking the medication even if you feel better. It is important to take Tegretol regularly to prevent seizures from recurring. Call your doctor promptly if this medicine does not seem to be working as well in preventing your seizures.
Tegretol can lower the blood cells that help your body fight infections. To be sure your blood cells do not get too low, your blood will need to be tested on a regular basis. Your liver function may also need to be tested. It is important that you not miss any scheduled visits to your doctor.
Tegretol can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
Avoid drinking alcohol, which can increase some of the side effects of Tegretol. It may also increase the risk of seizures.
Avoid using other medicines that make you sleepy (such as cold medicine, pain medication, muscle relaxers, and medicine for seizures, depression or anxiety). They can add to sleepiness caused by Tegretol.

What is Tegretol?

Tegretol is in a group of drugs called anticonvulsants. It works by decreasing nerve impulses that cause seizures and pain.
Tegretol is used to treat seizures and nerve pain such as trigeminal neuralgia and diabetic neuropathy. Tegretol is also used to treat bipolar disorder.
Tegretol may also be used for purposes other than those listed in this medication guide.

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

Do not take Tegretol if you have:
- a history of allergic reaction to a tricyclic antidepressant such as amitriptyline (Elavil), clomipramine (Anafranil), doxepin (Sinequan), desipramine (Norpramin), amoxapine (Asendin), imipramine (Tofranil), or nortriptyline (Pamelor);
- a history of bone marrow suppression; or
- if you have taken an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam) in the past 14 days.
Before taking Tegretol, tell your doctor if you have:
- a history of serious side effects from any drug;
- liver disease;
- heart disease or congestive heart failure;
- lupus;
- a history of mental illness; or
- glaucoma.
You may not be able to take Tegretol, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
FDA pregnancy category D. This medication can cause harm to an unborn baby. Do not use Tegretol without your doctor's consent if you are pregnant. Tell your doctor if you become pregnant during treatment. Use an effective non-hormone form of birth control (such as a condom, diaphragm, or spermicidal gel) while you are taking Tegretol.
Tegretol can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
Older adults may be more sensitive to the side effects of this medicine.

How should I take Tegretol?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from this medication.
Take each dose with a full glass of water.
Do not crush, chew, or break an extended-release tablet. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time.
You may open the extended-release capsule and sprinkle the medicine into a spoonful of pudding or applesauce to make swallowing easier. Swallow this mixture right away without chewing. Do not save the mixture for later use. Discard the empty capsule.
Shake the oral suspension (liquid) well just before you measure a dose. To be sure you get the correct dose, measure the liquid with a marked measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.
The Tegretol chewable tablet must be chewed before you swallow it.
Tegretol can lower the blood cells that help your body fight infections. This can make it easier for you to bleed from an injury or get sick from being around others who are ill. To be sure your blood cells do not get too low, your blood will need to be tested on a regular basis. Your liver function may also need to be tested. It is important that you not miss any scheduled visits to your doctor.
Tegretol can cause eye changes. Your doctor may recommend having your eyes examined regularly while you are taking this medicine.
Do not stop taking the medication even if you feel better. It is important to take Tegretol regularly to prevent seizures from recurring. Get your prescription refilled before you run out of medicine completely. Call your doctor promptly if this medicine does not seem to be working as well in preventing your seizures.
Carry an ID card or wear a medical alert bracelet stating that you are taking Tegretol, in case of emergency. Any doctor, dentist, or emergency medical care provider who treats you should know that you are taking Tegretol.
Grapefruit and grapefruit juice may interact with Tegretol and cause unwanted side effects. Do not change the amount of grapefruit products in your diet without first talking to your doctor.
It may take 4 weeks or more for you to start feeling better. Do not stop using Tegretol without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly.
Store Tegretol at room temperature away from moisture and heat.

What happens if I miss a dose?

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

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.
Symptoms of a Tegretol overdose may include shallow breathing, fast heartbeat, nausea, vomiting, urinating less or not at all, muscle twitches, restlessness, seizures, tremors, slurred speech, staggering walk, and feeling light-headed or fainting.

What should I avoid while taking Tegretol?

Tegretol can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
Do not drink alcohol while taking Tegretol. Alcohol may increase drowsiness caused by Tegretol. It may also increase the risk of seizures.
Avoid prolonged exposure to sunlight. Tegretol may increase the sensitivity of your skin to sunlight. Use a sun screen and wear protective clothing when exposure to the sun is unavoidable.
Tegretol should not be used during pregnancy, but taking the medicine can make birth control pills less effective. Use a non-hormone method of birth control (not birth control pills) to prevent pregnancy while you are taking Tegretol.

What are the possible side effects of Tegretol?

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have any of these serious side effects:
- a red, blistering, peeling skin rash;
- fever, sore throat, body aches, flu symptoms;
- easy bruising or bleeding, unusual weakness;
- white patches or sores inside your mouth or on your lips;
- feeling short of breath, even with mild exertion;
- swelling of your ankles or feet;
- nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
- urinating less than usual.
Other, less serious side effects may be more likely to occur, such as:
- feeling unsteady;
- mild nausea, vomiting, diarrhea, constipation, stomach pain;
- confusion, headache, blurred vision;
- feeling agitated or depressed;
- ringing in your ears;
- dry mouth, swollen tongue; or
- joint or muscle pain, leg cramps.
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.

What other drugs will affect Tegretol?

There are many other medicines that could cause a drug interaction if you take them together with Tegretol. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.

Neurontin (Generic name: Gabapentin)

2008-07-14T22:21:00.001-07:00

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

If you are taking Neurontin for seizures, do not stop taking Neurontin even if you feel better. It is important to continue taking the medication to prevent seizures from recurring.
Carry or wear a medical identification tag to let others know that you are taking this medicine in the case of an emergency.
Use caution when driving, operating machinery, or performing other hazardous activities. Neurontin may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.

What is Neurontin?

Neurontin affects chemicals and nerves in the body that are involved in the cause of seizures and some types of pain. The exact way that it works is unknown.
Neurontin is used with other drugs in the treatment of some types of seizures and for the management of postherpetic neuralgia (nerve pain caused by the herpes virus or shingles).
Neurontin may also be used for purposes other than those listed in this medication guide.

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

Before taking this medication, tell your doctor if you have any other medical conditions, especially kidney, liver, or heart disease. Also discuss any medicines that you take, including over-the-counter preparations.
Neurontin is in the FDA pregnancy category C. This means that it is not known whether Neurontin will be harmful to an unborn baby. Do not take Neurontin without first talking to your doctor if you are pregnant or could become pregnant during treatment.
Neurontin passes into breast milk. Do not take Neurontin without first talking to your doctor if you are breast-feeding a baby.

How should I take Neurontin?

Take Neurontin 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 of Neurontin with a full glass of water.
Neurontin can be taken with or without food.
To ensure you get the correct dose, measure the Neurontin oral solution with a dose-measuring cup or spoon, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.
Carry or wear a medical identification tag to let others know that you are taking this medicine in the case of an emergency.
Do not stop taking Neurontin without talking to your doctor. Suddenly stopping Neurontin may cause side effects.
If you are taking Neurontin for seizures, do not stop taking Neurontin even if you feel better. It is important to continue taking the medication to prevent seizures from recurring.
Store Neurontin tablets and capsules at room temperature away from moisture and heat.
Store the Neurontin oral solution in the refrigerator.

What happens if I miss a dose?

Take the missed dose as soon as you remember. However, if several hours have passed and 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 the medication to catch up.

What happens if I overdose?

Seek emergency medical treatment.
Symptoms of a Neurontin overdose include double vision, drowsiness, slurred speech, diarrhea, poor coordination, and difficulty breathing.

What should I avoid while taking Neurontin?

Use caution when driving, operating machinery, or performing other hazardous activities. Neurontin may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
Avoid alcohol during treatment with Neurontin. Alcohol may increase the risk of having side effects while taking Neurontin.

What are the possible side effects of Neurontin?

If you experience any of the following serious side effects, stop taking Neurontin and seek medical attention or contact your doctor immediately:
- an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives).
Other, less serious side effects may be more likely to occur. Continue to take Neurontin and talk to your doctor if you experience
- dizziness, poor coordination, or drowsiness;
- blurred or double vision;
- irregular back and forth movements of the eyes;
- nausea and vomiting; or
- tremor.
If children 3 to 12 years of age experience any of the following serious side effects, contact your doctor immediately
- emotional lability (anxiety, behavior problems, crying, false sense of well-being, mental depression, reacting too quickly, too emotionally, or overreacting, rapidly changing moods);
- hostility (aggressive behavior, suspiciousness, or distrust);
- restlessness, hyperactivity or increase in body movements;
- amnesia (loss of memory);
- thought disorders (concentration problems and change in school performance).
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.

What other drugs will affect Neurontin?

Neurontin does not interact with other commonly used antiseizure medications.
Antacids will decrease the amount of Neurontin that is absorbed in the stomach. Do not take Neurontin for at least 2 hours after a dose of antacid.
Neurontin may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, and muscle relaxants.
Drugs other than those listed here may also interact with Neurontin or affect your condition. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

MedStore:Prescription Medication - Online Pharmacy

Zovirax

Brand name: ZoviraxGeneric name: Acyclovir

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

What is Zovirax?

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

How should I take Zovirax?

What happens if I miss a dose?

What happens if I overdose?

What should I avoid while taking Zovirax?

What are the possible side effects of Zovirax?

What other drugs will affect Zovirax?

Zerit

Brand name: ZeritGeneric name: Stavudine

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

What is Zerit?

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

How should I take Zerit?

What happens if I miss a dose?

What happens if I overdose?

What should I avoid while taking Zerit?

What are the possible side effects of Zerit?

What other drugs will affect Zerit?

Valtrex

Brand name: ValtrexGeneric name: Valacyclovir

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

What is valtrex?

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

How should I take valtrex?

What happens if I miss a dose?

What happens if I overdose?

What should I avoid while taking valtrex?

What are the possible side effects of valtrex?

What other drugs will affect valtrex?

Urispas

Brand name: UrispasGeneric name: Flavoxate

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

What is Urispas?

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

How should I take Urispas?

What happens if I miss a dose?

What happens if I overdose?

What should I avoid while taking Urispas?

What are the possible side effects of Urispas?

What other drugs will affect Urispas?

Symmetrel

Brand name: SymmetrelGeneric name: Amantadine

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

What is Symmetrel?

Who should not take Symmetrel?

How should I take Symmetrel?

What happens if I miss a dose?

What happens if I overdose?

What should I avoid while taking Symmetrel?

What are the possible side effects of Symmetrel?

What other drugs will affect Symmetrel?

Sustiva

Brand name: SustivaGeneric name: Efavirenz

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

What is Sustiva?

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

How should I take Sustiva?

What happens if I miss a dose?

What happens if I overdose?

What should I avoid while taking Sustiva?

What are the possible side effects of Sustiva?

What other drugs will affect Sustiva?

Retrovir

Brand name: RetrovirGeneric name: Zidovudine

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

What is Retrovir?

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

How should I take Retrovir?

What happens if I miss a dose?

What happens if I overdose?

What should I avoid while taking Retrovir?

What are the possible side effects of Retrovir?

What other drugs will affect Retrovir?

Famvir

Brand name: FamvirGeneric name: Famciclovir

Brand name: Zovirax
Generic name: Acyclovir

Brand name: Zerit
Generic name: Stavudine

Brand name: Valtrex
Generic name: Valacyclovir

Brand name: Urispas
Generic name: Flavoxate

Brand name: Symmetrel
Generic name: Amantadine

Brand name: Sustiva
Generic name: Efavirenz

Brand name: Retrovir
Generic name: Zidovudine

Brand name: Famvir
Generic name: Famciclovir

Brand name: Epivir
Generic name: Lamivudine

Brand name: Dostinex
Generic name: Cabergoline

Brand name: Ditropan
Generic name: Oxybutynin

Brand name: Copegus
Generic name: Ribavirin

Brand name: Combivir
Generic name: Lamivudine