Mycelex

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.

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 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.

Sporanox (Generic name: Itraconazole)

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)

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)

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)

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)

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)

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.