1

r schedule.
Do nottake 2doses atthe sametime.
Storageinstructions...
Sideeffects cannotbe anticipated.
If anydevelop orchange inintensity, tellyour doctoras soonas possible.
Only yourdoctor candetermine ifit issafe foryou tocontinue takingAmaryl.
Amaryl,like alloral antidiabetics,can resultin hypoglycemia(low bloodsugar).
Therisk ofhypoglycemia canbe increasedby missedmeals, alcohol,fever, injury,infection, surgery,excessive exercise,and theaddition ofother medicationssuch asGlucophage orinsulin.
Toavoid hypoglycemia,closely followthe dietaryand exerciseregimen suggestedby yourdoctor.
Askyour doctorwhat stepsyou shouldtake ifyou experiencemild hypoglycemia.
If symptomsof severelow bloodsugar occur,contact yourdoctor immediately;severe hypoglycemiais amedical emergency.
Avoid Amarylif youhave everhad anallergic reactionto it.
This conditionshould betreated withinsulin.
It'spossible thatdrugs suchas Amarylmay leadto moreheart problemsthan diettreatment alone,or treatmentwith dietand insulin.
If youhave aheart condition,you maywant todiscuss thiswith yourdoctor.
Whentaking Amaryl,you shouldcheck yourblood andurine regularlyfor abnormallyhigh sugar(glucose) levels.
The effectivenessof anyoral antidiabetic,including Amaryl,may decreasewith time.
This mayoccur becauseof eithera diminishedresponsiveness tothe medicationor aworsening ofthe diabetes.
If thishappens, yourdoctor mayrecommend thatyou addinsulin toyour treatmentwith Amarylor thatyou temporarilystop takingAmaryl anduse insulininstead.
IfAmaryl istaken withcertain otherdrugs, theeffects ofeither couldbe increased,decreased, oraltered.
Donot takeAmaryl whilepregnant.
Sincestudies suggestthe importanceof maintainingnormal bloodsugar levelsduring pregnancy,your doctormay prescribeinjected insulininstead.
Drugssimilar toAmaryl doappear inbreast milkand maycause lowblood sugarin nursinginfants.
Youshould nottake Amarylwhile nursing.
If dietalone doesnot controlyour sugarlevels, yourdoctor mayprescribe injectedinsulin.
ADULTSThe usualstarting doseis 1to 2milligrams takenonce dailywith breakfastor thefirst mainmeal.
Themaximum startingdose is2 milligrams.
If necessary,your doctorwill graduallyincrease thedose 1or 2milligrams ata timeevery 1or 2weeks.
Yourdiabetes willprobably becontrolled on1 to4 milligramsa day;the mostyou shouldtake ina dayis 8milligrams.
Ifthe maximumdose failsto dothe job,your doctormay addGlucophage toyour regimen.
Weakened ormalnourished peopleand thosewith adrenal,pituitary, kidney,or liverdisorders areparticularly sensitiveto hypoglycemicdrugs suchas Amaryland shouldstart at1 milligramonce daily.
Your doctorwill increaseyour medicationbased onyour responseto thedrug.
CHILDRENSafety andeffectiveness inchildren havenot beenestablished.
Anoverdose ofAmaryl cancause lowblood sugar(see "Whatside effectsmay occur?"
Forsevere hypoglycemia,seek medicalattention immediately.
In CanadaACE inhibitorsbelong tothe classof medicinescalled highblood pressuremedicines (antihypertensives).
They areused totreat highblood pressure(hypertension).
Highblood pressureadds tothe workloadof theheart andarteries.
Ifit continuesfor along time,the heartand arteriesmay notfunction properly.
This candamage theblood vesselsof thebrain, heart,and kidneys,resulting ina stroke,heart failure,or kidneyfailure.
Highblood pressuremay alsoincrease therisk ofheart attacks.
These problemsmay beless likelyto occurif bloodpressure iscontrolled.
Lisinopril,captopril, ramipril,and trandolaprilare usedin somepatients aftera heartattack.
Aftera heartattack, someof theheart muscleis damagedand weakened.
The heartmuscle maycontinue toweaken astime goesby.
Thismakes itmore difficultfor theheart topump blood.
Lisinopril usemay bestarted within24 hoursafter aheart attackto increasesurvival rate.
Captopril, ramipril,and trandolaprilhelp slowdown thefurther weakeningof theheart.
Captoprilis alsoused totreat kidneyproblems insome diabeticpatients whouse insulinto controltheir diabetes.
Over time,these kidneyproblems mayget worse.
Captopril mayhelp slowdown thefurther worseningof kidneyproblems.
Inaddition, someACE inhibitorsare usedto treatcongestive heartfailure ormay beused forother conditionsas determinedby yourdoctor.
Theexact waythat thesemedicines workis notknown.
Theyblock anenzyme inthe bodythat isnecessary toproduce asubstance thatcauses bloodvessels totighten.
Asa result,they relaxblood vessels.
This lowersblood pressureand increasesthe supplyof bloodand oxygento theheart.
Thesemedicines areavailable onlywith yourdoctor's prescription,in thefollowing dosageforms: Indeciding touse amedicine, therisks oftaking themedicine mustbe weighedagainst thegood itwill do.
This isa decisionyou andyour doctorwill make.
Also tellyour healthcare professionalif youare allergicto anyother substances,such asfoods, preservatives,or dyes.
Pregnancy Useof ACEinhibitors duringpregnancy, especiallyin thesecond andthird trimesters(after thefirst threemonths) cancause lowblood pressure,severe kidneyfailure, toomuch potassium,or evendeath inthe newborn.
Therefore, itis importantthat youcheck withyour doctorimmediately ifyou thinkthat youmay bepregnant .
Be surethat youhave discussedthis withyour doctorbefore takingthis medicine.
This mayincrease thechance ofside effectsor otherproblems duringtreatment.
Therefore,it isespecially importantthat youdiscuss withthe child'sdoctor thegood thatthis medicinemay doas wellas therisks ofusing it.
Older adultsThis medicinehas beentested ina limitednumber ofpatients 65years ofage orolder andhas notbeen shownto causedifferent sideeffects orproblems inolder peoplethan itdoes inyounger adults.
Other medicinesAlthough certainmedicines shouldnot beused togetherat all,in othercases twodifferent medicinesmay beused togethereven ifan interactionmight occur.
In thesecases, yourdoctor maywant tochange thedose, orother precautionsmay benecessary.
Whenyou aretaking orreceiving ACEinhibitors itis especiallyimportant thatyour healthcare professionalknow ifyou aretaking anyof thefollowing: Othermedical problemsThe presenceof othermedical problemsmay affectthe useof theACE inhibitors.
Make sureyou tellyour doctorif youhave anyother medicalproblems, especially:To helpyou rememberto takeyour medicine,try toget intothe habitof takingit atthe sametime eachday.
Forpatients takingcaptopril ormoexipril :For patientstaking ramiprilcapsules: Ifyou havetrouble swallowingcapsules, youmay openthe ramiprilcapsule andmix themedicine withapplesauce, wateror applejuice.
Mixonly onedose ata timejust beforetaking it.
You maymix adose aheadof timeand saveit forno morethan 24hours atroom temperatureor 18hours inthe refrigerator.
If youare unsureabout theseinstructions, askyour doctoror pharmacist.
For patientstaking thismedicine forhigh bloodpressure :Dosing Thedose ofthe ACEinhibitor willbe differentfor differentpatients.
Followyour doctor'sorders orthe directionson thelabel .
The followinginformation includesonly theaverage doses.
If yourdose isdifferent, donot changeit unlessyour doctortells youto doso.
Thenumber ofcapsules ortablets thatyou takedepends onthe strengthof themedicine.
Also,the numberof dosesyou takeeach day,the timeallowed betweendoses, andthe lengthof timeyou takethe medicinedepend onthe medicalproblem forwhich youare takingthe ACEinhibitor .
Missed doseIf youmiss adose ofthis medicine,take itas soonas possible.
However, ifit isalmost timefor yournext dose,skip themissed doseand goback toyour regulardosing schedule.
Do notdouble doses.Storage Tostore thismedicine: Itis importantthat yourdoctor checkyour progressat regularvisits tomake surethat thismedicine isworking properlyand tocheck forunwanted effects.
Make sureyou knowhow youreact tothis medicinebefore youdrive, usemachines, ordo anythingelse thatcould bedangerous ifyou aredizzy.
Checkwith yourdoctor rightaway ifyou becomesick whiletaking thismedicine, especiallywith severeor continuingnausea andvomiting ordiarrhea.
Theseconditions maycause youto losetoo muchwater andlead tolow bloodpressure.
Notifyyour doctorimmediately ifyou areor becomepregnant whiletaking thismedicine.
Checkwith yourdoctor ifyou haveany signsof infectionsuch aschills, fever,or sorethroat, becausethese maybe signsof neutropenia.
Check withyour doctorright awayif youhave symptomsof jaundice(yellow skinor eyes)because thesemay besigns ofa seriousliver condition.
Heavy sweatingcan causeloss oftoo muchwater andlow bloodpressure.
Useextra careduring exerciseor hotweather.
Avoidalcoholic beveragesuntil youhave discussedtheir usewith yourdoctor .
Alcohol maymake thelow bloodpressure effectworse and/orincrease thepossibility ofdizziness orfainting.
Checkwith yourdoctor ifyou experienceany weltsor swellingaround yourface, throator tongue.
Swelling inthe mouthor throatarea maycause breathingto becomevery difficultand couldresult indeath.
Checkwith yourdoctor ifyou havestrong stomachpain.
Thiscould bea symptomof acondition calledintestinal angioedema.
Your doctormay haveto usea CTscan oran ultrasoundto diagnosethis condition.
Before havingany kindof surgery(including dentalsurgery) oremergency treatment,tell themedical doctoror dentistin chargethat youare takingthis medicine.
For patientstaking captoprilor fosinopril: SideEffects ofThis MedicineAlong withits neededeffects, amedicine maycause someunwanted effects.
Although notall ofthese sideeffects mayoccur, ifthey dooccur theymay needmedical attention.
These sideeffects maygo awayduring treatmentas yourbody adjuststo themedicine.
However,check withyour doctorif anyof thefollowing sideeffects continueor arebothersome: Morecommon Cough(dry, persistent);headache Lesscommon Diarrhea;loss oftaste; nausea;unusual tirednessOther sideeffects notlisted abovemay alsooccur insome patients.
If younotice anyother effects,check withyour doctor.
Once amedicine hasbeen approvedfor marketingfor acertain use,experience mayshow thatit isalso usefulfor othermedical problems.
Although theseuses arenot includedin productlabeling, ACEinhibitors areused incertain patientswith thefollowing medicalconditions: Otherthan theabove information,there isno additionalinformation relatingto properuse, precautions,or sideeffects forthese uses.
Revised: 02/03/2005The informationcontained inthe ThomsonHealthcare (Micromedex)products asdelivered byDrugs.com isintended asan educationalaid only.
It isnot intendedas medicaladvice forindividual conditionsor treatment.
It isnot asubstitute fora medicalexam, nordoes itreplace theneed forservices providedby medicalprofessionals.
Talkto yourdoctor, nurseor pharmacistbefore takingany prescriptionor overthe counterdrugs (includingany herbalmedicines orsupplements) orfollowing anytreatment orregimen.
Onlyyour doctor,nurse, orpharmacist canprovide youwith adviceon whatis safeand effectivefor you.
The useof theThomson Healthcareproducts isat yoursole risk.
These productsare provided"AS IS"and "asavailable" foruse, withoutwarranties ofany kind,either expressor implied.
Thomson Healthcareand Drugs.commake norepresentation orwarranty asto theaccuracy, reliability,timeliness, usefulnessor completenessof anyof theinformation containedin theproducts.
Additionally,THOMSON HEALTHCAREMAKES NOREPRESENTATION ORWARRANTIES ASTO THEOPINIONS OROTHER SERVICEOR DATAYOU MAYACCESS, DOWNLOADOR USEAS ARESULT OFUSE OFTHE THOMSONHEALTHCARE PRODUCTS.
ALL IMPLIEDWARRANTIES OFMERCHANTABILITY ANDFITNESS FORA PARTICULARPURPOSE ORUSE AREHEREBY EXCLUDED.
Thomson Healthcaredoes notassume anyresponsibility orrisk foryour useof theThomson Healthcareproducts.
Wellbutrinis usedto treatmajor depressivedisorder andseasonal affectivedisorder.
Atleast onebrand ofbupropion (Zyban)is usedto helppeople stopsmoking byreducing cravingsand otherwithdrawal effects.
Wellbutrin mayalso beused forpurposes otherthan thoselisted inthis medicationguide.
Youmay havethoughts aboutsuicide whenyou firststart takingan antidepressant,especially ifyou areyounger than24 yearsold.
Yourdoctor willneed tocheck youat regularvisits forat leastthe first12 weeksof treatment.
Avoid usingWellbutrin totreat morethan onecondition ata time.
If youtake Wellbutrinfor depression,do notalso takeZyban toquit smoking.
Too muchof thismedicine canincrease yourrisk ofa seizure.
Valium). Wellbutrinmay causeseizures, especiallyin peoplewith certainmedical conditionsor whenusing certaindrugs.
Tellyour doctorabout allof yourmedical conditionsand thedrugs youuse.
Ifyou haveany ofthese conditions,you maynot beable touse Wellbutrin,or youmay needa dosageadjustment orspecial testsduring treatment.
You mayhave thoughtsabout suicidewhen youfirst starttaking anantidepressant, especiallyif youare youngerthan 24years old.
Tell yourdoctor ifyou haveworsening symptomsof depressionor suicidalthoughts duringthe firstseveral weeksof treatment,or wheneveryour doseis changed.
Your familyor othercaregivers shouldalso bealert tochanges inyour moodor symptoms.
Your doctorwill needto checkyou atregular visitsfor atleast thefirst 12weeks oftreatment.
TakeWellbutrin exactlyas itwas prescribedfor you.
Do nottake itin largerdoses orfor longerthan recommendedby yourdoctor.
Followthe directionson yourprescription label.
Wellbutrin canbe takenwith orwithout food.
If youtake Zybanto helpyou stopsmoking, youmay continueto smokefor about1 weekafter youstart themedicine.
Seta dateto quitsmoking duringthe secondweek ofZyban treatment.
By thattime youwill haveenough ofthe medicinein yourblood streamto helpyou quitsmoking.
Talkto yourdoctor ifyou arehaving troublequitting afteryou haveused Zybanfor atleast 7weeks.
Yourdoctor mayprescribe nicotinepatches orgum tohelp supportyour smokingcessation treatment.
Be sureyou readall directionsand safetyinformation forthe nicotineproduct.
Usingnicotine withZyban mayraise yourblood pressureand yourdoctor maywant tocheck yourblood pressureregularly.
Donot smokeat anytime ifyou areusing anicotine productalong withZyban.
Toomuch nicotinecan causeserious sideeffects.
Thisis normaland doesnot meanthat youare notreceiving enoughof themedicine.
Takethe misseddose assoon asyou remember.
If itis almosttime foryour nextdose, skipthe misseddose andtake themedicine atthe nextregularly scheduledtime.
Donot takeextra medicineto makeup themissed dose.
Avoid usingbupropion totreat morethan onecondition ata time.
If youtake Wellbutrinfor depression,do notalso takeZyban toquit smoking.
Too muchof thismedicine canincrease yourrisk ofa seizure.
Call yourdoctor atonce ifyou haveany newor worseningsymptoms suchas: moodor behaviorchanges, anxiety,panic attacks,trouble sleeping,or ifyou feelimpulsive, irritable,agitated, hostile,aggressive, restless,hyperactive (mentallyor physically),more depressed,or havethoughts aboutsuicide orhurting yourself.
Less seriousside effectsmay bemore likelyto occur,such as:headache ormigraine; nausea,vomiting, constipation,dry mouth;confusion, dizziness,tremors (shaking);appetite changes,weight lossor gain;mild itchingor skinrash, increasedsweating; orloss ofinterest insex.
Sideeffects otherthan thoselisted heremay alsooccur.
Talkto yourdoctor aboutany sideeffect thatseems unusualor thatis especiallybothersome.
Donot takeWellbutrin ifyou havetaken amonoamine oxidaseinhibitor (MAOI)such asisocarboxazid (Marplan),phenelzine (Nardil),rasagiline (Azilect),selegiline (Eldepryl),or tranylcypromine(Parnate) inthe last14 days.
There aremany otherdrugs thatcan affectWellbutrin.
Thisincludes vitamins,minerals, herbalproducts, anddrugs prescribedby otherdoctors.
Donot startusing anew medicationwithout tellingyour doctor.
Bupropion isavailable witha prescriptionunder thebrand namesWellbutrin, WellbutrinSR, WellbutrinXL, andZyban.
Otherbrand orgeneric formulationsmay alsobe available.
Ask yourpharmacist anyquestions youhave aboutWellbutrin, especiallyif itis newto you.
A lactosefree dietmeans eatingfoods thathave nolactose.
Lactoseis asugar thatis anormal partof milkproducts.
Somepeople donot breakdown lactosewell.
Theymay nothave enoughlactase, theenzyme thatbreaks lactosedown inthe body.
Or, theirbody maymake lactasethat doesnot workproperly.
Thismay causegas, bloating,cramping, ordiarrhea whenthey eator drinkmilk products.
Following alactose freediet mayprevent theseproblems.
Yourcaregiver ordietitian canhelp youdecide ifyou needto beon alactose freeor lowlactose dietinstead.
Care:The listsbelow showyou whatfoods aregood choicesbecause theycontain nolactose.
FOODINGREDIENTS THATOFTEN CONTAINLACTOSE CAREAGREEMENT: Youhave theright tohelp planyour care.
To helpwith thisplan, youmust learnabout yourdietary problemsand howthey canbe treated.
You canthen discusstreatment optionswith yourcaregivers.
Workwith themto decidewhat carewill beused totreat you.
You alwayshave theright torefuse treatment.
For peopleat highrisk ofheart disease,current guidelinescall forconsidering drugtherapy whenLDL levelsreach 130.
For thoseat littleor norisk, it's190.
Zocorcan alsoreduce theserisks inpeople withdiabetes, peripheralvascular disease,and ahistory ofstroke.
Toget thefull benefitof themedication, youneed tostick tothe dietand exerciseprogram prescribedby yourdoctor.
Allthese effortsto keepyour cholesterollevels normalare importantbecause togetherthey maylower yourrisk ofheart disease.
Take Zocorexactly asprescribed.
Ifyou missa dose...Take itas soonas youremember.
Ifit isalmost timefor yournext dose,skip theone youmissed andgo backto yourregular schedule.
Do nottake 2doses atonce.
Storageinstructions...
Storeat roomtemperature.
Sideeffects cannotbe anticipated.
If anydevelop orchange inintensity, informyour doctoras soonas possible.
Only yourdoctor candetermine whetherit issafe foryou tocontinue takingZocor.
Donot takeZocor ifyou haveever hadan allergicreaction toit orare sensitiveto it.
Do nottake Zocorif youhave activeliver disease.
Do nottake Zocorif youare pregnantor planto becomepregnant.
BecauseZocor maydamage theliver, yourdoctor mayorder ablood testto checkyour liverenzyme levelsbefore youstart takingthe drug.
Blood testswill probablybe donebefore yourtreatment isstarted andat periodicintervals fora yearafter yourfinal dosageincrease.
Ifyour liverenzyme levelsrise toohigh, yourdoctor maytell youto stoptaking Zocor.
Since Zocormay causedamage tomuscle tissue,be sureto tellyour doctorof anyunexplained muscletenderness, weakness,or painright away,especially ifyou alsohave afever orfeel sick.
Your doctormay wantto doa bloodtest tocheck forsigns ofmuscle damage.
If youare scheduledfor majorsurgery, yourdoctor willhave youstop takingZocor afew daysbefore theoperation.
Ifyou needto takeerythromycin, Biaxin,Nizoral, orSporanox, thedoctor maytemporarily takeyou offZocor.
Youmust notbecome pregnantwhile takingZocor.
Thisdrug lowerscholesterol, andcholesterol isneeded fora babyto developproperly.
Ifyou dobecome pregnantwhile takingZocor, notifyyour doctorright away.
Do nottake Zocorwhile breastfeedingyour baby.
All dosesshould beadjusted toyour individualneeds.
ADULTSThe usualstarting doseis 20to 40milligrams oncea dayin theevening.
Ifyour cholesterollevel orheart attackrisk isespecially high,the doctormay startwith adose of40 milligrams.
The dosagecan beadjusted every4 weeks.
Some peoplewith severe,hereditary highcholesterol maybe prescribedas muchas 80milligrams aday, takenin dosesof 20,20, and40 milligrams,along withother treatments.
Those whohave severekidney diseaseshould useZocor withcaution.
Therecommended startingdose is5 milligramsper day.
When combinedwith Calanor Cordarone,the dosageof Zocorshould notexceed 20milligrams aday.
CHILDREN10 TO17 YEARSOLD Therecommended startingdose is10 milligramsonce aday inthe evening.
The dosagemay beincreased every4 weeks,as determinedby thedoctor, upto amaximum of40 milligramsa day.
Girls musthave beenmenstruating forat least1 yearbefore startingtherapy withZocor.
Thesafety andeffectiveness ofZocor inchildren under10 yearsold orin dosesgreater than40 milligramsa dayhave notbeen studied.
Although nospecific informationabout Zocoroverdose isavailable, anymedication takenin excesscan haveserious consequences.
If yoususpect anoverdose ofZocor, seekmedical attentionimmediately.
Xanaxaffects chemicalsin thebrain thatmay becomeunbalanced andcause anxiety.
Xanax isused totreat anxietydisorders, panicdisorders, andanxiety causedby depression.
Xanax mayalso beused forpurposes otherthan thoselisted inthis medicationguide.
Beforetaking Xanax,tell yourdoctor ifyou haveany breathingproblems, glaucoma,kidney orliver disease,or ahistory ofdepression, suicidalthoughts, oraddiction todrugs oralcohol.
Avoidusing othermedicines thatmake yousleepy.
Theycan addto sleepinesscaused byXanax.
Itis dangerousto tryand purchaseXanax onthe Internetor fromvendors outsideof theUnited States.
Medications distributedfrom Internetsales maycontain dangerousingredients, ormay notbe distributedby alicensed pharmacy.
Samples ofXanax purchasedon theInternet havebeen foundto containhaloperidol (Haldol),a potentantipsychotic drugwith dangerousside effects.
For moreinformation, contactthe U.S.
Food andDrug Administration(FDA) orvisit www.fda.gov/buyonlineguide.
It isdangerous totry andpurchase Xanaxon theInternet orfrom vendorsoutside ofthe UnitedStates.
Medicationsdistributed fromInternet salesmay containdangerous ingredients,or maynot bedistributed bya licensedpharmacy.
Samplesof Xanaxpurchased onthe Internethave beenfound tocontain haloperidol(Haldol), apotent antipsychoticdrug withdangerous sideeffects.
Formore information,contact theU.S.
Foodand DrugAdministration (FDA)or visitwww.fda.gov/buyonlineguide.
Sporanox)or ketoconazole(Nizoral); orif youare allergicto alprazolamor toother benzodiazepines,such aschlordiazepoxide (Librium),clorazepate (Tranxene),diazepam (Valium),lorazepam (Ativan),or oxazepam(Serax).
Beforetaking Xanax,tell yourdoctor ifyou areallergic toany drugs,or ifyou have:asthma, emphysema,bronchitis, chronicobstructive pulmonarydisorder (COPD),or otherbreathing problems;glaucoma; kidneyor liverdisease (especiallyalcoholic liverdisease); ahistory ofdepression orsuicidal thoughtsor behavior;or ahistory ofdrug oralcohol addiction.
If youhave anyof theseconditions, youmay notbe ableto useXanax, oryou mayneed adosage adjustmentor specialtests duringtreatment.
Takethis medicationexactly asit wasprescribed foryou.
Donot takethe medicationin largeramounts, ortake itfor longerthan recommendedby yourdoctor.
Followthe directionson yourprescription label.
Your doctormay occasionallychange yourdose tomake sureyou getthe bestresults fromthis medication.
To takealprazolam orallydisintegrating tablets(Niravam): Usingdry hands,remove atablet fromthe bottleand placethe tableton yourtongue.
Itwill beginto dissolveright away.
Do notswallow thetablet whole.
Allow itto dissolvein yourmouth withoutchewing.
Swallowseveral timesas thetablet dissolves.
If desired,you maydrink liquidafter thetablet hascompletely dissolved.
Your symptomsmay returnwhen youstop usingXanax afterusing itover along periodof time.
You mayalso haveseizures orwithdrawal symptomswhen youstop usingXanax.
Withdrawalsymptoms mayinclude blurredvision, troubleconcentrating, lossof appetite,diarrhea, muscletwitching, numbnessor tingling,or increasedsensations.
Tobe surethis medicationis helpingyour condition,your doctorwill needto checkyour progresson aregular basis.
Do notmiss anyscheduled visitsto yourdoctor.
Keeptrack ofhow manypills havebeen usedfrom eachnew bottleof thismedicine.
Benzodiazepinesare drugsof abuseand youshould beaware ifany personin thehousehold isusing thismedicine improperlyor withouta prescription.
Take themissed doseas soonas youremember.
Ifit isalmost timefor yournext dose,skip themissed doseand takethe medicineat yournext regularlyscheduled time.
Do nottake extramedicine tomake upthe misseddose.
Avoidusing othermedicines thatmake yousleepy (suchas coldmedicine, painmedication, musclerelaxers, andmedicine forseizures, depressionor anxiety).
They canincrease someof theside effectsof Xanax.
Grapefruit andgrapefruit juicemay interactwith Xanaxand leadto potentiallydangerous effects.
Discuss theuse ofgrapefruit productswith yourdoctor.
Donot increaseor decreasethe amountof grapefruitproducts inyour dietwithout firsttalking toyour doctor.
Less seriousside effectsare morelikely tooccur, suchas: drowsiness,dizziness, feelingirritable; amnesiaor forgetfulness,trouble concentrating;sleep problems(insomnia); muscleweakness, lackof balanceor coordination,slurred speech;blurred vision;nausea, vomiting,constipation, appetiteor weightchanges; dryor waterymouth, increasedsweating; orloss ofinterest insex.
Sideeffects otherthan thoselisted heremay alsooccur.
Talkto yourdoctor aboutany sideeffect thatseems unusualor thatis especiallybothersome.
Beforetaking Xanax,tell yourdoctor ifyou areusing anyof thefollowing drugs:birth controlpills; cimetidine(Tagamet); diltiazem(Tiazac, Cartia,Cardizem); isoniazid(Nydrazid, Rifamate);propoxyphene (Darvon,Darvocet); seizuremedication; antibioticssuch asfluconazole (Diflucan),itraconazole (Sporanox)or ketoconazole(Nizoral); orantidepressants suchas fluvoxamine(Luvox), desipramine(Norpramin), orimipramine (Janimine,Tofranil).
Ifyou areusing anyof thesedrugs, youmay notbe ableto useXanax, oryou mayneed dosageadjustments orspecial testsduring treatment.
There maybe otherdrugs notlisted thatcan affectXanax.
Thisincludes vitamins,minerals, herbalproducts, anddrugs prescribedby otherdoctors.
Donot startusing anew medicationwithout tellingyour doctor.
Alprazolam isavailable witha prescriptionunder thebrand namesXanax andNiravam.
Otherbrand orgeneric formulationsmay alsobe available.
Ask yourpharmacist anyquestions youhave aboutthis medication,especially ifit isnew toyou.
Withthis typeof diabetes,insulin producedby thepancreas isnot ableto getsugar intothe cellsof thebody whereit canwork properly.
Using nateglinidealone, orwith metforminor athiazolidinedione (othertypes oforal antidiabeticmedicines), willhelp tolower bloodsugar whenit istoo highand helprestore theway youuse foodto makeenergy.
Manypeople cancontrol type2 diabeteswith dietalone orwith dietand exercise.
Following aspecially planneddiet andexercising willalways beimportant whenyou havediabetes, evenwhen youare takingmedicines.
Towork properly,the amountof nateglinideyou takemust bebalanced againstthe amountand typeof foodyou eatand theamount ofexercise youdo.
Ifyou changeyour diet,your exercise,or both,you willwant totest yourblood sugarto findout ifit istoo low.
Your healthcare professionalwill teachyou whatto doif thishappens.
Theirblood glucoseis bestcontrolled byinsulin injections.
Nateglinide doesnot helppatients whohave alreadybeen treatedwith otherantidiabetic medicinesfor along time.
Nateglinide maybe usedtogether withmetformin ora thiazolidinedione,but shouldnot takethe placeof thesemedicines.
Nateglinideis availableonly withyour doctor'sprescription, inthe followingdosage form:In decidingto usea medicine,the risksof takingthe medicinemust beweighed againstthe goodit willdo.
Thisis adecision youand yourdoctor willmake.
Fornateglinide, thefollowing shouldbe considered:Allergies Tellyour doctorif youhave everhad anyunusual orallergic reactionto nateglinide.
Also tellyour healthcare professionalif youare allergicto anyother substances,such asfoods, preservatives,or dyes.
Pregnancy Nateglinidehas notbeen studiedin pregnantwomen.
However,studies inanimals haveshown thatnateglinide causesbirth defects.
Before takingthis medicine,make sureyour doctorknows ifyou arepregnant orif youmay becomepregnant.
Olderadults Thismedicine hasbeen testedand hasnot beenshown tocause differentside effectsor problemsin olderpeople thanit doesin youngeradults.
However,older patientsmay bemore likelyto developlow bloodsugar.
Othermedicines Althoughcertain medicinesshould notbe usedtogether atall, inother casestwo differentmedicines maybe usedtogether evenif aninteraction mightoccur.
Inthese cases,your doctormay wantto changethe dose,or otherprecautions maybe necessary.
When youare takingnateglinide, itis especiallyimportant thatyour healthcare professionalknow ifyou aretaking anyof thefollowing: Othermedical problemsThe presenceof othermedical problemsmay affectthe useof nateglinide.
Make sureyou tellyour doctorif youhave anyother medicalproblems, especially:Follow carefullythe specialmeal planthat yourdoctor gaveyou.
Thisis themost importantpart ofcontrolling yourcondition andis necessaryif themedicine isto workproperly.
Also,exercise regularlyand testfor sugarin yourblood orurine asdirected.
Thismedicine isusually takenbetween 1and 30minutes beforea meal.
If youskip themeal, alsoskip thescheduled doseof nateglinide.
Use thismedicine asdirected evenif youfeel welland donot noticeany signsof highblood sugar.
Remember thatthis medicinewill notcure yourdiabetes, butit doeshelp tocontrol it.
You mustto continueto takeit asdirected ifyou expectto loweryour bloodsugar andkeep itlow.
Youmay haveto takean antidiabeticmedicine forthe restof yourlife.
Ifhigh bloodsugar isnot treated,it cancause seriousproblems, suchas bloodvessel disease,eye disease,heart failure,or kidneydisease.
DosingThe doseof nateglinidewill bedifferent fordifferent patients.
Follow yourdoctor's ordersor thedirections onthe label.
Thefollowing informationincludes onlythe averagedoses ofnateglinide.
Ifyour doseis different,do notchange itunless yourdoctor tellsyou todo so.
Missed doseIf youmiss adose ofthis medicine,take itbefore yournext mainmeal.
Donot doubledoses. StorageTo storethis medicine:Your doctorwill wantto checkyour progressat regularvisits ,especially duringthe firstfew weeksthat youtake thismedicine.
Itis veryimportant tofollow carefullyany instructionsfrom yourhealth careteam about: Incase ofemergency Theremay bea timewhen youneed emergencyhelp fora problemcaused byyour diabetes.
You needto beprepared forthese emergencies.
It isa goodidea towear amedical identification(ID) braceletor neckchain atall times.
Also, carryan IDcard inyour walletor pursethat saysthat youhave diabetesand alist ofall ofyour medicines.
Nateglinide cancause lowblood sugar(hypoglycemia).
Lowblood sugaralso canoccur ifyou usenateglinide withanother antidiabeticmedicine, delayor missa mealor snack,exercise morethan usual,drink alcohol,or cannoteat becauseof nauseaor vomiting.
Symptoms oflow bloodsugar mustbe treatedbefore theylead tounconsciousness (passingout) .
Different peoplemay feeldifferent symptomsof lowblood sugar.
It isimportant thatyou learnwhich symptomsof lowblood sugaryou usuallyhave sothat youcan treatit quickly.
Symptomsof lowblood sugarinclude anxiety;behavior changesimilar tobeing drunk;blurred vision;cold sweats;confusion; cool,pale skin;difficulty inthinking; drowsiness;excessive hunger;fast heartbeat;headache (continuing);nausea; nervousness;nightmares; restlesssleep; shakiness;slurred speech;or unusualtiredness orweakness.
Ifsymptoms oflow bloodsugar occur,eat glucosetablets orgel, cornsyrup, honey,or sugarcubes; ordrink fruitjuice, nondietsoft drink,or sugardissolved inwater torelieve thesymptoms.
Also,check yourblood forlow bloodsugar.
Getto adoctor ora hospitalright awayif thesymptoms donot improve.
Someone shouldcall foremergency helpimmediately ifsevere symptomssuch asconvulsions (seizures)or unconsciousnessoccur .
Food ordrink shouldnot beforced becausethe patientcould chokefrom notswallowing correctly.
Hyperglycemia (highblood sugar)may occurif youdo nottake enoughor skipa doseof yourantidiabetic medicine,overeat ordo notfollow yourmeal plan,have afever orinfection, ordo notexercise asmuch asusual.
Ifsymptoms ofhigh bloodsugar occur,check yourblood sugarlevel andthen callyour doctorfor instructions.
Alongwith itsneeded effects,a medicinemay causesome unwantedeffects.
Althoughnot allof theseside effectsmay occur,if theydo occurthey mayneed medicalattention.
Theseside effectsmay goaway duringtreatment asyour bodyadjusts tothe medicine.
However, checkwith yourdoctor ifany ofthe followingside effectscontinue orare bothersome.
More commonCough; runnyor stuffynose; sorethroat Lesscommon Abdominalor stomachpain; backpain; chills;dizziness; painin jointsor muscles;sneezing; swellingin jointsOther sideeffects notlisted abovemay alsooccur insome patients.
If younotice anyother effects,check withyour doctor.
Developed: 05/29/2001Revised: 08/10/2004The informationcontained inthe ThomsonHealthcare (Micromedex)products asdelivered byDrugs.com isintended asan educationalaid only.
It isnot intendedas medicaladvice forindividual conditionsor treatment.
It isnot asubstitute fora medicalexam, nordoes itreplace theneed forservices providedby medicalprofessionals.
Talkto yourdoctor, nurseor pharmacistbefore takingany prescriptionor overthe counterdrugs (includingany herbalmedicines orsupplements) orfollowing anytreatment orregimen.
Onlyyour doctor,nurse, orpharmacist canprovide youwith adviceon whatis safeand effectivefor you.
The useof theThomson Healthcareproducts isat yoursole risk.
These productsare provided"AS IS"and "asavailable" foruse, withoutwarranties ofany kind,either expressor implied.
Thomson Healthcareand Drugs.commake norepresentation orwarranty asto theaccuracy, reliability,timeliness, usefulnessor completenessof anyof theinformation containedin theproducts.
Additionally,THOMSON HEALTHCAREMAKES NOREPRESENTATION ORWARRANTIES ASTO THEOPINIONS OROTHER SERVICEOR DATAYOU MAYACCESS, DOWNLOADOR USEAS ARESULT OFUSE OFTHE THOMSONHEALTHCARE PRODUCTS.
ALL IMPLIEDWARRANTIES OFMERCHANTABILITY ANDFITNESS FORA PARTICULARPURPOSE ORUSE AREHEREBY EXCLUDED.
Thomson Healthcaredoes notassume anyresponsibility orrisk foryour useof theThomson Healthcareproducts.
Version:1.02. Revisiondate: 6/16/04.
Furosemide treatsfluid retention(edema) inpeople withcongestive heartfailure, liverdisease, ora kidneydisorder suchas nephroticsyndrome.
Thismedication isalso usedto treathigh bloodpressure (hypertension).
Furosemide mayalso beused forpurposes otherthan thoselisted inthis medicationguide.
Beforeusing thismedication, tellyour doctorif youhave kidneydisease, liverdisease, gout,lupus, diabetes,or anallergy tosulfa drugs.
To besure thismedication isnot causingharmful effects,your bloodwill needto betested ona regularbasis.
Yourkidney orliver functionmay alsoneed tobe tested.
It isimportant thatyou notmiss anyscheduled visitsto yourdoctor.
Furosemidewill makeyou urinatemore oftenand youmay getdehydrated easily.
Follow yourdoctor's instructionsabout usingpotassium supplementsor gettingenough saltand potassiumin yourdiet.
Avoidbecoming dehydrated.
Follow yourdoctor's instructionsabout thetype andamount ofliquids youshould drinkwhile youare takingfurosemide.
Ifyou arebeing treatedfor highblood pressure,keep usingthis medicationeven ifyou feelfine.
Highblood pressureoften hasno symptoms.
Before usingfurosemide, tellyour doctorif youhave: gout;lupus; diabetes;or anallergy tosulfa drugs.
If youhave anyof theseconditions, youmay notbe ableto usefurosemide, oryou mayneed adosage adjustmentor specialtests duringtreatment.
Takethis medicationexactly asit wasprescribed foryou.
Donot takethe medicationin largeramounts, ortake itfor longerthan recommendedby yourdoctor.
Yourdoctor mayoccasionally changeyour doseto makesure youget thebest resultsfrom thismedication.
Furosemidewill makeyou urinatemore oftenand youmay getdehydrated easily.
Follow yourdoctor's instructionsabout usingpotassium supplementsor gettingenough saltand potassiumin yourdiet.
Tobe surethis medicationis notcausing harmfuleffects, yourblood willneed tobe testedon aregular basis.
Your kidneyor liverfunction mayalso needto betested.
Itis importantthat younot missany scheduledvisits toyour doctor.
If youare beingtreated forhigh bloodpressure, keepusing thismedication evenif youfeel fine.
High bloodpressure oftenhas nosymptoms.
Furosemideis sometimesused onlyonce, soyou maynot beon adosing schedule.
If youare usingthe medicationregularly, takethe misseddose assoon asyou remember.
If itis almosttime forthe nextdose, skipthe misseddose andwait untilyour nextregularly scheduleddose.
Donot takeextra medicineto makeup themissed dose.
Avoid becomingdehydrated.
Followyour doctor'sinstructions aboutthe typeand amountof liquidsyou shoulddrink whileyou aretaking furosemide.
Continue takingfurosemide andtalk withyour doctorif youhave anyof theseless seriousside effects:diarrhea, constipation,or stomachpain; headache;numbness, burning,pain, ortingly feeling;dizziness; orblurred vision.
Side effectsother thanthose listedhere mayalso occur.
Talk toyour doctorabout anyside effectthat seemsunusual orthat isespecially bothersome.
Before takingthis medication,tell yourdoctor ifyou areusing anyof thefollowing drugs:lithium; digoxin(Lanoxin); steroids(prednisone andothers); ethacrynicacid (Edecrin);diet pillsor coldmedicine; otherblood pressuremedications; amikacin(Amikin), gentamicin(Garamycin), netilmicin(Netromycin), streptomycin,tobramycin (Nebcin,Tobi); salicylatessuch asaspirin, Disalcid,Doan's Pills,Dolobid, Salflex,Tricosal, andothers; orindomethacin.
Ifyou areusing anyof thesedrugs, youmay notbe ableto usefurosemide, oryou mayneed dosageadjustments orspecial testsduring treatment.
There maybe otherdrugs notlisted thatcan affectfurosemide.
Thisincludes vitamins,minerals, herbalproducts, anddrugs prescribedby otherdoctors.
Donot startusing anew medicationwithout tellingyour doctor.
Furosemide isavailable witha prescriptionunder thebrand nameLasix.
Otherbrand orgeneric formulationsmay alsobe available.
Ask yourpharmacist anyquestions youhave aboutthis medication,especially ifit isnew toyou.
Notcommercially availablein Canada.
The medicineprevents thedigestion ofsome ofthe fatyou eat.
Fats thatare notdigested cannotbe absorbedand thereforedo notcontribute calories.
Orlistat isavailable onlywith yourdoctor's prescription,in thefollowing dosageform(s): Indeciding touse amedicine, therisks oftaking themedicine mustbe weighedagainst thegood itwill do.
This isa decisionyou andyour doctorwill make.
For orlistat,the followingshould beconsidered: AllergiesTell yourdoctor ifyou haveever hadany unusualor allergicreaction toorlistat.
Alsotell yourhealth careprofessional ifyou areallergic toany othersubstances, suchas foods,preservatives, ordyes.
PregnancyOrlistat hasnot beenstudied inpregnant women.
However, orlistatmay decreasethe amountof certainvitamins thatyour bodycan absorbfrom thefood youeat.
Makesure youhave discussedwith yourdoctor theuse ofthis medicationduring pregnancy.
Children Studieson thismedicine havebeen doneonly inadult patients,and thereis nospecific informationcomparing useof orlistatin childrenwith usein otherage groups.
Older adultsThere isno specificinformation comparinguse oforlistat inthe elderlywith usein youngeradults.
However,this medicineis notexpected tocause differentside effectsor problemsin olderpeople thanit doesin youngeradults.
Othermedicines Althoughcertain medicinesshould notbe usedtogether atall, inother casestwo differentmedicines maybe usedtogether evenif aninteraction mightoccur.
Inthese cases,your doctormay wantto changethe dose,or otherprecautions maybe necessary.
When youare takingorlistat, itis especiallyimportant thatyour healthcare professionalknow ifyou aretaking thefollowing: Othermedical problemsThe presenceof othermedical problemsmay affectthe useof orlistat.
Make sureyou tellyour doctorif youhave anyother medicalproblems, especially:Orlistat preventsthe absorptionof someof thefat youeat.
Therefore,you shouldtake itduring themeal orwithin 1hour ofeating.
Ifyou occasionallymiss ameal oreat ameal thatcontains nofat, youshould skipthe doseof orlistat.
Because orlistatmay decreasethe amountof somevitamins thatyour bodycan absorbfrom food,you willneed totake amultivitamin supplementonce aday.
Takethe vitaminsupplement atleast 2hours beforeor aftertaking orlistat.
When usingorlistat, yourdiet shouldcontain nomore than30% ofcalories asfat.
Morefat inyour dietwill increasethe sideeffects ofthis medicine.
Your dietshould benutritionally balanced,and yourdaily intakeof fat,carbohydrates, andprotein shouldbe distributedover threemain meals.
Dosing Thedose oforlistat willbe differentfor differentpatients.
Followyour doctor'sorders orthe directionson thelabel.
Thefollowing informationincludes onlythe averagedoses oforlistat.
Ifyour doseis different,do notchange itunless yourdoctor tellsyou todo so.
Wait untilyour nextmeal, andtake themedicine onyour regularschedule.
Donot doubledoses. StorageTo storethis medicine:It isvery importantthat yourdoctor checkyour progressat regularvisits tomake surethat thismedicine isworking properlyand tocheck forunwanted effects.
For patientswith diabetes:Weight lossmay resultin animprovement inyour condition,and yourdoctor mayneed tochange yourdose oforal diabetesmedicine orinsulin.
Alongwith itsneeded effects,a medicinemay causesome unwantedeffects.
Althoughnot allof theseside effectsmay occur,if theydo occurthey mayneed medicalattention.
Checkwith yourdoctor assoon aspossible ifany ofthe followingside effectsoccur: Morecommon Bodyache;chills; cough;fever; headache;nasal congestion;runny nose;sneezing; sorethroat Lesscommon Tightnessin chest;tooth orgum problems;troubled breathing;wheezing RareBloody orcloudy urine;change inhearing; contagiousdiarrhea; difficultor painfulurination; earache;frequent urgeto urinate;pain inear Otherside effectsmay occurthat usuallydo notneed medicalattention.
Theseside effectsmay goaway duringtreatment asyour bodyadjusts tothe medicine.
However, checkwith yourdoctor ifany ofthe followingside effectscontinue orare bothersome:More commonLess commonAfter youstop usingthis medicine,your bodymay needtime toadjust.
Sideeffects causedby orlistatusually disappearwithin 2to 3days afterstopping it.
Other sideeffects notlisted abovemay alsooccur insome patients.
If younotice anyother effects,check withyour doctor.
Developed: 11/22/1999Revised: 06/28/2002The informationcontained inthe ThomsonHealthcare (Micromedex)products asdelivered byDrugs.com isintended asan educationalaid only.
It isnot intendedas medicaladvice forindividual conditionsor treatment.
It isnot asubstitute fora medicalexam, nordoes itreplace theneed forservices providedby medicalprofessionals.
Talkto yourdoctor, nurseor pharmacistbefore takingany prescriptionor overthe counterdrugs (includingany herbalmedicines orsupplements) orfollowing anytreatment orregimen.
Onlyyour doctor,nurse, orpharmacist canprovide youwith adviceon whatis safeand effectivefor you.
The useof theThomson Healthcareproducts isat yoursole risk.
These productsare provided"AS IS"and "asavailable" foruse, withoutwarranties ofany kind,either expressor implied.
Thomson Healthcareand Drugs.commake norepresentation orwarranty asto theaccuracy, reliability,timeliness, usefulnessor completenessof anyof theinformation containedin theproducts.
Additionally,THOMSON HEALTHCAREMAKES NOREPRESENTATION ORWARRANTIES ASTO THEOPINIONS OROTHER SERVICEOR DATAYOU MAYACCESS, DOWNLOADOR USEAS ARESULT OFUSE OFTHE THOMSONHEALTHCARE PRODUCTS.
ALL IMPLIEDWARRANTIES OFMERCHANTABILITY ANDFITNESS FORA PARTICULARPURPOSE ORUSE AREHEREBY EXCLUDED.
Thomson Healthcaredoes notassume anyresponsibility orrisk foryour useof theThomson Healthcareproducts.
InCanada Anothercommonly usedname forhydrocortisone iscortisol Thefollowing informationdoes notapply todesoxycorticosterone orfludrocortisone.
Theylessen swelling,redness, itching,and allergicreactions.
Theyare oftenused aspart ofthe treatmentfor anumber ofdifferent diseases,such assevere allergiesor skinproblems, asthma,or arthritis.
Corticosteroids mayalso beused forother conditionsas determinedby yourdoctor.
Ifyour bodydoes notproduce enough,your doctormay haveprescribed thismedicine tohelp makeup thedifference.
Corticosteroidsare verystrong medicines.
In additionto theirhelpful effectsin treatingyour medicalproblem, theyhave sideeffects thatcan bevery serious.
If youare takingthis medicineto treatanother medicalproblem, besure thatyou discussthe risksand benefitsof thismedicine withyour doctor.
These medicinesare availableonly withyour doctor'sprescription, inthe followingdosage forms:In decidingto usea medicine,the risksof takingthe medicinemust beweighed againstthe goodit willdo.
Thisis adecision youand yourdoctor willmake.
Forcorticosteroids, thefollowing shouldbe considered:Allergies Tellyour doctorif youhave everhad anyunusual orallergic reactionto corticosteroids.
Also tellyour healthcare professionalif youare allergicto anyother substances,such asfoods, preservatives,or dyes.
Diet Ifyou willbe usingthis medicinefor along time,your doctormay wantyou to:Pregnancy Studieson birthdefects withcorticosteroids havenot beendone inhumans.
However,studies inanimals haveshown thatcorticosteroids causebirth defects.
Children Corticosteroidsmay causeinfections suchas chickenpoxor measlesto bemore seriousin childrenwho catchthem.
Thesemedicines canalso slowor stopgrowth inchildren andin growingteenagers, especiallywhen theyare usedfor along time.
Before thismedicine isgiven tochildren orteenagers, youshould discussits usewith yourchild's doctorand thencarefully followthe doctor'sinstructions.
Olderadults Olderpatients maybe morelikely todevelop highblood pressureor osteoporosis(bone disease)from corticosteroids.
Women areespecially atrisk ofdeveloping bonedisease.
Othermedicines Althoughcertain medicinesshould notbe usedtogether atall, inother casestwo differentmedicines maybe usedtogether evenif aninteraction mightoccur.
Inthese cases,your doctormay wantto changethe dose,or otherprecautions maybe necessary.
When youare takingcorticosteroids, itis especiallyimportant thatyour healthcare professionalknow ifyou aretaking anyof thefollowing: Thereare manyother medicinesthat mayinteract withcorticosteroids.
Othermedical problemsThe presenceof othermedical problemsmay affectthe useof corticosteroids.
Do notuse moreor lessof it,do notuse itmore often,and donot useit fora longertime thanyour doctorordered.
Todo somay increasethe chanceof sideeffects.
DosingThe doseof thesemedicines willbe differentfor differentpatients.
Followyour doctor'sorders orthe directionson thelabel .
The followinginformation givesthe rangeof dosesof thesemedicines forall uses,which canvary widely.
The dosethat youare receivingmay bevery different.
If yourdose isdifferent, donot changeit unlessyour doctortells youto doso.
Thenumber ofcapsules, tablets,teaspoonfuls ofliquid oramount ofinjection thatyou usedepends onthe strengthof themedicine.
Also,the numberof dosesyou takeeach day,the timeallowed betweendoses, andthe lengthof timeyou takethe medicinedepend onthe medicalproblem forwhich youare takingthe corticosteroid.
In addition,your doctormay needto changethe dosefrom timeto time.
Misseddose Ifyou missa doseof thismedicine andyour dosingschedule is:If youhave anyquestions aboutthis, checkwith yourhealth careprofessional.
StorageTo storethis medicine:Your doctorshould checkyour progressat regularvisits .
Also, yourprogress mayhave tobe checkedafter youhave stoppedusing thismedicine, sincesome ofthe effectsmay continue.
Do notstop usingthis medicinewithout firstchecking withyour doctor.
Yourdoctor maywant youto reducegradually theamount youare usingbefore stoppingthe medicinecompletely.
Checkwith yourdoctor ifyour conditionreappears orworsens afterthe dosehas beenreduced ortreatment withthis medicineis stopped.
If youwill beusing corticosteroidsfor along time:Tell thedoctor incharge thatyou areusing thismedicine: Avoidclose contactwith anyonewho haschickenpox ormeasles .
This isespecially importantfor children.
Tell yourdoctor rightaway ifyou thinkyou havebeen exposedto chickenpoxor measles.
Whileyou arebeing treatedwith thismedicine, andafter youstop takingit, donot haveany immunizationswithout yourdoctor's approval.
Also,other peopleliving inyour homeshould notreceive theoral poliovaccine, sincethere isa chancethey couldpass thepolio viruson toyou.
Inaddition, youshould avoidclose contactwith otherpeople atschool orwork whohave recentlytaken theoral poliovaccine.
Forpatients withdiabetes :For patientshaving thismedicine injectedinto theirjoints :Corticosteroids maylower yourresistance toinfections.
Also,any infectionyou getmay beharder totreat.
Alwayscheck withyour doctoras soonas possibleif younotice anysigns ofa possibleinfection, suchas sorethroat, fever,sneezing, orcoughing.
Alongwith itsneeded effects,a medicinemay causesome unwantedeffects.
Althoughnot allof theseside effectsmay occur,if theydo occurthey mayneed medicalattention.
Whenthis medicineis usedfor shortperiods oftime, sideeffects usuallyare rare.
Check withyour doctorif anyof thefollowing sideeffects occur:Abdominal orstomach painor burning(continuing); acne;bloody orblack, tarrystools; changesin vision;eye pain;filling orrounding outof theface; headache;irregular heartbeat;menstrual problems;muscle crampsor pain;muscle weakness;nausea; painin arms,back, hips,legs, ribs,or shoulders;pitting, scarring,or depressionof skinat placeof injection;reddish purplelines onarms, face,groin, legs,or trunk;redness ofeyes; sensitivityof eyesto light;stunting ofgrowth (inchildren); swellingof feetor lowerlegs; tearingof eyes;thin, shinyskin; troublein sleeping;unusual bruising;unusual increasein hairgrowth; unusualtiredness orweakness; vomiting;weight gain(rapid); woundsthat willnot healOther sideeffects mayoccur thatusually donot needmedical attention.
These sideeffects maygo awayduring treatmentas yourbody adjuststo themedicine.
However,check withyour doctorif anyof thefollowing sideeffects continueor arebothersome: Morecommon Increasedappetite; indigestion;loss ofappetite (fortriamcinolone only);nervousness orrestlessness Lesscommon orrare Darkeningor lighteningof skincolor; dizzinessor lightheadedness;flushing offace orcheeks; hiccups;increased jointpain (afterinjection intoa joint);increased sweating;nosebleeds (afterinjection intothe nose);sensation ofspinning Afteryou stopusing thismedicine, yourbody mayneed timeto adjust.
Thelength oftime thistakes dependson theamount ofmedicine youwere usingand howlong youused it.
If youhave takenlarge dosesof thismedicine fora longtime, yourbody mayneed oneyear toadjust.
Duringthis time,check withyour doctorimmediately ifany ofthe followingside effectsoccur :Abdominal, stomach,or backpain; dizziness;fainting; fever;loss ofappetite (continuing);muscle orjoint pain;nausea; reappearanceof diseasesymptoms; shortnessof breath;unexplained headaches(frequent orcontinuing); unusualtiredness orweakness; vomiting;weight loss(rapid) Otherside effectsnot listedabove mayalso occurin somepatients.
Ifyou noticeany othereffects, checkwith yourdoctor.
Oncea medicinehas beenapproved formarketing fora certainuse, experiencemay showthat itis alsouseful forother medicalproblems.
Althoughthis useis notincluded inproduct labeling,some corticosteroidsare usedin certainpatients withthe followingmedical condition:Revised: 03/25/2005The informationcontained inthe ThomsonHealthcare (Micromedex)products asdelivered byDrugs.com isintended asan educationalaid only.
It isnot intendedas medicaladvice forindividual conditionsor treatment.
It isnot asubstitute fora medicalexam, nordoes itreplace theneed forservices providedby medicalprofessionals.
Talkto yourdoctor, nurseor pharmacistbefore takingany prescriptionor overthe counterdrugs (includingany herbalmedicines orsupplements) orfollowing anytreatment orregimen.
Onlyyour doctor,nurse, orpharmacist canprovide youwith adviceon whatis safeand effectivefor you.
The useof theThomson Healthcareproducts isat yoursole risk.
These productsare provided"AS IS"and "asavailable" foruse, withoutwarranties ofany kind,either expressor implied.
Thomson Healthcareand Drugs.commake norepresentation orwarranty asto theaccuracy, reliability,timeliness, usefulnessor completenessof anyof theinformation containedin theproducts.
Additionally,THOMSON HEALTHCAREMAKES NOREPRESENTATION ORWARRANTIES ASTO THEOPINIONS OROTHER SERVICEOR DATAYOU MAYACCESS, DOWNLOADOR USEAS ARESULT OFUSE OFTHE THOMSONHEALTHCARE PRODUCTS.
ALL IMPLIEDWARRANTIES OFMERCHANTABILITY ANDFITNESS FORA PARTICULARPURPOSE ORUSE AREHEREBY EXCLUDED.
Thomson Healthcaredoes notassume anyresponsibility orrisk foryour useof theThomson Healthcareproducts.
Version:7.01. Revisiondate: 7/15/03.
A lowpurine dietmeans eatingfoods thatdo nothave manypurines inthem.
Purinesare foundin somefoods.
Uricacid comesfrom thebreakdown ofpurines.
Thebody doesnot useuric acidso itis usuallyfiltered bythe kidneysand takenout inthe urine.
When uricacid buildsup inthe body,it cancause painand swellingknown asgout.
Itmay alsocause kidneystones.
Youmay needto followthis lowpurine dietif youhave theseproblems.
Care:Gout isoften treatedwith medicinesthat helpthe bodyget ridof extrauric acid.
But, eatingthe rightfoods canhelp limitthe amountof purinesin yourbody.
Thiswill lessenthe amountof uricacid inyour body.
LOW PURINEFOODS ANDBEVERAGES: Eator drinkthe followingthings asoften asyou likewhile followingan eatingplan forstaying ata goodbody weight.
You mayalso eatany otherfoods thatare noton themedium andhigh purinefood lists.
MEDIUM PURINEFOODS: Eatonly 1serving perday ofthese itemswhen yourgout isunder control.
Avoid themwhen yourgout isflaring up.
A servingof meat,fish, orpoultry is2 to3 ouncescooked.
Aserving ofvegetables is1/2 cup.
A servingof liquidsis 1cup.
HIGHPURINE FOODS:Avoid thesefoods allof thetime.
CALLYOUR CAREGIVERIF: CAREAGREEMENT: Youhave theright tohelp planyour care.
To helpwith thisplan, youmust learnabout yourdiet.
Youcan thendiscuss treatmentoptions withyour caregivers.
Work withthem todecide whatcare maybe usedto treatyou.
Youalways havethe rightto refusetreatment.
InCanada Othercommonly usednames are:Etodolic acidIndometacin Meclofenamicacid Thisinformation doesnot applyto aspirinor othersalicylates orto ketorolac(e.g., Toradol).
However, thismedicine doesnot curearthritis andwill helpyou onlyas longas youcontinue totake it.
Some ofthese medicinesare alsoused torelieve otherkinds ofpain orto treatother painfulconditions, suchas: Ibuprofenand naproxenare alsoused toreduce fever.
Meclofenamate isalso usedto reducethe amountof bleedingin somewomen whohave veryheavy menstrualperiods.
Someof theside effectsare painfulor uncomfortable.
Others canbe moreserious, resultingin theneed formedical careand sometimeseven death.
If youwill betaking thismedicine formore thanone ortwo monthsor inlarge amounts,you shoulddiscuss withyour doctorthe goodthat itcan doas wellas therisks oftaking it.
Also, itis agood ideato askyour doctorabout otherforms oftreatment thatmight helpto reducethe amountof thismedicine thatyou takeand/or thelength oftreatment.
Theseserious sideeffects aremore likelyto occurin patients40 yearsof ageor olderthan inyounger adults,and therisk becomesgreater asthe patient'sage increases.
Before youtake phenylbutazone,be surethat youhave discussedits usewith yourdoctor.
Also,do notuse phenylbutazoneto treatany painfulcondition otherthan theone forwhich itwas prescribedby yourdoctor .
Although ibuprofenand naproxenmay beused insteadof aspirinto treatmany ofthe samemedical problems,they mustnot beused bypeople whoare allergicto aspirin.
However, yourhealth careprofessional mayhave specialinstructions onthe properdose ofthese medicinesfor yourmedical condition.
These medicinesare availablein thefollowing dosageforms: Indeciding touse amedicine, therisks oftaking themedicine mustbe weighedagainst thegood itwill do.
This isa decisionyou andyour healthcare professionalwill make.
Some ofthese medicinescontain sodiumor sugar.
Pregnancy Studieson birthdefects withthese medicineshave notbeen donein humans.
However, thereis achance thatthese medicinesmay causeunwanted effectson theheart orblood flowof thefetus ornewborn babyif theyare takenregularly duringthe lastfew monthsof pregnancy.
Also, studiesin animalshave shownthat thesemedicines, iftaken latein pregnancy,may increasethe lengthof pregnancy,prolong labor,or causeother problemsduring delivery.
Studies inanimals havenot shownthat fenoprofen,floctafenine, flurbiprofen,ibuprofen, ketoprofen,nabumetone, phenylbutazone,piroxicam, tiaprofenicacid, ortolmetin causesbirth defects.
Diflunisal causedbirth defectsof thespine andribs inrabbits, butnot inmice orrats.
Diclofenacand meclofenamatecaused unwantedeffects onthe formationof bonesin animals.
Etodolac andoxaprozin causedbirth defectsin animals.
Indomethacin causedslower developmentof bonesand damageto nervesin animals.
In someanimal studies,sulindac causedunwanted effectson thedevelopment ofbones andorgans.
Studieson birthdefects withmefenamic acidhave notbeen donein animals.
Even thoughmost ofthese medicinesdid notcause birthdefects inanimals, manyof themdid causeother harmfulor toxiceffects onthe fetus,usually whenthey weregiven insuch largeamounts thatthe pregnantanimals becamesick.
Fornaproxen: Beforetaking thismedicine, makesure yourdoctor knowsif youare pregnantor ifyou maybecome pregnant.
Also, elderlypeople aremore likelythan youngeradults toget verysick ifthese medicinescause stomachproblems.
Withphenylbutazone, bloodproblems mayalso bemore likelyto occurin theelderly.
Othermedicines Althoughcertain medicinesshould notbe usedtogether atall, inother casestwo differentmedicines maybe usedtogether evenif aninteraction mightoccur.
Inthese cases,your doctormay wantto changethe dose,or otherprecautions maybe necessary.
Taking toomuch ofany ofthese medicinesmay increasethe chanceof unwantedeffects, especiallyin elderlypatients.
Thesemedicines usuallybegin towork withinone week,but insevere casesup totwo weeksor evenlonger maypass beforeyou beginto feelbetter.
Also,several weeksmay passbefore youfeel thefull effectsof themedicine.
Forpatients takingmefenamic acid: Forpatients takingphenylbutazone :Dosing Thedose ofthese medicineswill bedifferent fordifferent patients.
Follow yourdoctor's ordersor thedirections onthe label.
Thefollowing informationincludes onlythe averagedoses ofthese medicines.
If yourdose isdifferent, donot changeit unlessyour doctortells youto doso.
Thenumber ofcapsules ortablets orteaspoonfuls ofsuspension thatyou take,or thenumber ofsuppositories thatyou use,depends onthe strengthof themedicine.
Also,the numberof dosesyou takeeach day,the timeallowed betweendoses, andthe lengthof timeyou takethe medicinedepend onthe medicalproblem forwhich youare takingthe medicine.
Therefore,your dosemay needto beincreased ordecreased asyour conditionchanges.
Misseddose Ifyour healthcare professionalhas orderedyou totake thismedicine accordingto aregular schedule,and youmiss adose, takeit assoon asyou remember.
However, ifit isalmost timefor yournext dose,skip themissed doseand goback toyour regulardosing schedule.
If youdo notremember untillater, skipthe misseddose andgo backto yourregular dosingschedule.) Donot doubledoses.
StorageTo storethis medicine:If youwill betaking thismedicine fora longtime, asfor arthritis(rheumatism), yourdoctor shouldcheck yourprogress atregular visits.
Yourdoctor maywant todo certaintests tofind outif unwantedeffects areoccurring, especiallyif youare takingphenylbutazone.
Thetests arevery importantbecause seriousside effects,including ulcers,bleeding, orblood problems,can occurwithout anywarning.
Stomachproblems maybe morelikely tooccur ifyou drinkalcoholic beverageswhile beingtreated withthis medicine.
Also, alcoholmay addto thedepressant sideeffects ofphenylbutazone.
Ifyou consume3 ormore alcoholicbeverages perday, checkwith yourdoctor beforetaking thismedicine.
Therisk willdepend onhow muchof eachmedicine youtake everyday, andon howlong youtake themedicines together.
If yourhealth careprofessional directsyou totake thesemedicines togetheron aregular basis,follow hisor herdirections carefully.
However, donot takeacetaminophen oraspirin orother salicylatestogether withthis medicinefor morethan afew days,and donot takeany ketorolac(e.g., Toradol)while youare takingthis medicine,unless yourdoctor hasdirected youto doso andis followingyour progress.
Seriousside effectscan occurduring treatmentwith thismedicine.
Sometimesserious sideeffects canoccur withoutany warning.
However, possiblewarning signsoften occur,including swellingof theface, fingers,feet, and/orlower legs;severe stomachpain, black,tarry stools,and/or vomitingof bloodor materialthat lookslike coffeegrounds; unusualweight gain;and/or skinrash.
Also,signs ofserious heartproblems couldoccur suchas chestpain, tightnessin chest,fast orirregular heartbeat,or unusualflushing orwarmth ofskin.
Stoptaking thismedicine andcheck withyour doctorimmediately ifyou noticeany ofthese warningsigns.
Beforehaving anykind ofsurgery (includingdental surgery),tell themedical doctoror dentistin chargethat youare takingthis medicine.
If possible,this shouldbe donewhen yoursurgery isfirst beingplanned.
Thismedicine maycause somepeople tobecome confused,drowsy, dizzy,lightheaded, orless alertthan theyare normally.
It mayalso causeblurred visionor othervision problemsin somepeople.
Makesure youknow howyou reactto thismedicine beforeyou drive,use machines,or doanything elsethat couldbe dangerousif youare confused,dizzy, ordrowsy, orif youare notalert andable tosee well.
Ifthese reactionsare especiallybothersome, checkwith yourdoctor.
Exposureto sunlight,even forbrief periodsof time,may causesevere sunburn;blisters onthe skin;skin rash,redness, itching,or discoloration;or visionchanges.
Whenyou begintaking thismedicine: Ifyou havea severereaction fromthe sun,check withyour doctor.
Serious sideeffects, includingulcers orbleeding, canoccur duringtreatment withthis medicine.
Sometimes seriousside effectscan occurwithout anywarning.
However,possible warningsigns oftenoccur, includingsevere abdominalor stomachcramps, pain,or burning;black, tarrystools; severe,continuing nausea,heartburn, orindigestion; and/orvomiting ofblood ormaterial thatlooks likecoffee grounds.
Stop takingthis medicineand checkwith yourdoctor immediatelyif younotice anyof thesewarning signs.
Veryrarely, theseeffects maybe thefirst signsof aserious reactionto thismedicine.
Anaphylaxisrequires immediatemedical attention.
Themost serioussigns ofthis reactionare veryfast orirregular breathing,gasping forbreath, wheezing,or fainting.
If theseeffects occur,get emergencyhelp atonce.
Asksomeone todrive youto thenearest hospitalemergency room.
If thisis notpossible, donot tryto driveyourself.
Callan ambulance,lie down,cover yourselfto keepwarm, andprop yourfeet higherthan yourhead.
Stayin thatposition untilhelp arrives.
For patientstaking ibuprofenor naproxenwithout aprescription: Alongwith itsneeded effects,a medicinemay causesome unwantedeffects.
Althoughnot allof theseside effectsmay occur,if theydo occurthey mayneed medicalattention.
Theseside effectsmay goaway duringtreatment asyour bodyadjusts tothe medicine.
However, checkwith yourdoctor ifany ofthe followingside effectscontinue orare bothersome:More commonAbdominal orstomach cramps,pain, ordiscomfort (mildto moderate);diarrhea (iftaking mefenamicacid, stoptaking itand checkwith yourdoctor immediately);dizziness, drowsiness,or lightheadedness;headache (mildto moderate);heartburn, indigestion,nausea, orvomiting Lesscommon orrare Bittertaste orother tastechange; bloatedfeeling, gas,or constipation;decreased appetiteor lossof appetite;fast orpounding heartbeat;flushing orhot flashes;general feelingof discomfortor illness;increased sensitivityof eyesto light;increased sensitivityof skinto sunlight;increased sweating;irritation, dryness,or sorenessof mouth;nervousness, anxiety,irritability, trembling,or twitching;rectal irritation(with suppositories);trouble insleeping; unexplainedweight loss;unusual tirednessor weaknesswithout anyother symptomsAlthough notall ofthe sideeffects listedabove havebeen reportedfor allof thesemedicines, theyhave beenreported forat leastone ofthem.
Someside effectsmay occurmany daysor weeksafter youhave stoppedusing phenylbutazone.
During thistime checkwith yourdoctor immediatelyif younotice anyof thefollowing sideeffects: Sorethroat andfever; ulcers,sores, orwhite spotsin mouth;unusual bleedingor bruising;unusual tirednessor weaknessOther sideeffects notlisted abovemay alsooccur insome patients.
If younotice anyother effects,check withyour doctor.
Revised: 09/16/2005The informationcontained inthe ThomsonHealthcare (Micromedex)products asdelivered byDrugs.com isintended asan educationalaid only.
It isnot intendedas medicaladvice forindividual conditionsor treatment.
It isnot asubstitute fora medicalexam, nordoes itreplace theneed forservices providedby medicalprofessionals.
Talkto yourdoctor, nurseor pharmacistbefore takingany prescriptionor overthe counterdrugs (includingany herbalmedicines orsupplements) orfollowing anytreatment orregimen.
Onlyyour doctor,nurse, orpharmacist canprovide youwith adviceon whatis safeand effectivefor you.
The useof theThomson Healthcareproducts isat yoursole risk.
These productsare provided"AS IS"and "asavailable" foruse, withoutwarranties ofany kind,either expressor implied.
Thomson Healthcareand Drugs.commake norepresentation orwarranty asto theaccuracy, reliability,timeliness, usefulnessor completenessof anyof theinformation containedin theproducts.
Additionally,THOMSON HEALTHCAREMAKES NOREPRESENTATION ORWARRANTIES ASTO THEOPINIONS OROTHER SERVICEOR DATAYOU MAYACCESS, DOWNLOADOR USEAS ARESULT OFUSE OFTHE THOMSONHEALTHCARE PRODUCTS.
ALL IMPLIEDWARRANTIES OFMERCHANTABILITY ANDFITNESS FORA PARTICULARPURPOSE ORUSE AREHEREBY EXCLUDED.
Thomson Healthcaredoes notassume anyresponsibility orrisk foryour useof theThomson Healthcareproducts.
InCanada Antihistaminesare usedto relieveor preventthe symptomsof hayfever andother typesof allergy.
They workby preventingthe effectsof asubstance calledhistamine, whichis producedby thebody.
Histaminecan causeitching, sneezing,runny nose,and wateryeyes.
Also,in somepersons histaminecan closeup thebronchial tubes(air passagesof thelungs) andmake breathingdifficult.
Someof theantihistamines arealso usedto preventmotion sickness,nausea, vomiting,and dizziness.
In patientswith Parkinson'sdisease, diphenhydraminemay beused todecrease stiffnessand tremors.
Also, thesyrup formof diphenhydramineis usedto relievethe coughdue tocolds orhay fever.
In addition,since antihistaminesmay causedrowsiness asa sideeffect, someof themmay beused tohelp peoplego tosleep.
Hydroxyzineis usedin thetreatment ofnervous andemotional conditionsto helpcontrol anxiety.
It canalso beused tohelp controlanxiety andproduce sleepbefore surgery.
Antihistamines mayalso beused forother conditionsas determinedby yourdoctor.
Someantihistamine preparationsare availableonly withyour doctor'sprescription.
Othersare availablewithout aprescription.
However,your doctormay havespecial instructionson theproper doseof themedicine foryour medicalcondition.
Thesemedicines areavailable inthe followingdosage forms:In decidingto usea medicine,the risksof takingthe medicinemust beweighed againstthe goodit willdo.
Thisis adecision youand yourdoctor willmake.
Forantihistamines, thefollowing shouldbe considered:Allergies Tellyour doctorif youhave everhad anyunusual orallergic reactionto antihistamines.
Also tellyour healthcare professionalif youare allergicto anyother substances,such asfoods, preservatives,or dyes.
Most medicinescontain morethan theiractive ingredient,and manyliquid medicinescontain alcohol.
Pregnancy Hydroxyzineis notrecommended foruse inthe firstmonths ofpregnancy sinceit hasbeen shownto causebirth defectsin animalstudies whengiven indoses manytimes higherthan theusual humandose.
Besure youhave discussedthis withyour doctor.
Desloratadine andfexofenadine havenot beenstudied inpregnant women.
However, studiesin animalshave shownthat thesemedicines causebirth defectsor otherproblems whengiven indoses higherthan theusual humandose.
Beforetaking thismedicine, makesure yourdoctor knowsif youare pregnantor ifyou maybecome pregnant.
Azatadine, brompheniramine,cetirizine, chlorpheniramine,clemastine, cyproheptadine,dexchlorpheniramine, dimenhydrinate,diphenhydramine, doxylamine,and loratadinehave notbeen studiedin pregnantwomen.
However,these medicineshave notbeen shownto causebirth defectsor otherproblems inanimal studies.
Use isnot recommendedsince babiesare moresusceptible tothe sideeffects ofantihistamines, suchas unusualexcitement orirritability.
Also,since thesemedicines tendto decreasethe secretionsof thebody, itis possiblethat theflow ofbreast milkmay bereduced insome patients.
It isnot knownyet whethercetirizine, desloratadine,or loratadinecause thesesame sideeffects.
ChildrenSerious sideeffects, suchas convulsions(seizures), aremore likelyto occurin youngerpatients andwould beof greaterrisk toinfants thanto olderchildren oradults.
Ingeneral, childrenare moresensitive tothe effectsof antihistamines.
Also, nightmaresor unusualexcitement, nervousness,restlessness, orirritability maybe morelikely tooccur inchildren.
Olderadults Elderlypatients areusually moresensitive tothe effectsof antihistamines.
Confusion; difficultor painfulurination; dizziness;drowsiness; feelingfaint; ordryness ofmouth, nose,or throatmay bemore likelyto occurin elderlypatients.
Also,nightmares orunusual excitement,nervousness, restlessness,or irritabilitymay bemore likelyto occurin elderlypatients.
Othermedicines Althoughcertain medicinesshould notbe usedtogether atall, inother casesdifferent medicinesmay beused togethereven ifan interactionmight occur.
In thesecases, yourdoctor maywant tochange thedose, orother precautionsmay benecessary.
Whenyou aretaking antihistaminesit isespecially importantthat yourhealth careprofessional knowsif youare takingany ofthe following:Other medicalproblems Thepresence ofother medicalproblems mayaffect theuse ofantihistamines.
Makesure youtell yourdoctor ifyou haveany othermedical problems,especially: Antihistaminesare usedto relieveor preventthe symptomsof yourmedical problem.
Take themonly asdirected.
Donot takemore ofthem anddo nottake themmore oftenthan recommendedon thelabel, unlessotherwise directedby yourdoctor.
Todo somay increasethe chanceof sideeffects .
Dosing Thedose ofan antihistaminewill bedifferent fordifferent patients.
Follow yourdoctor's ordersor thedirections onthe label.
Thefollowing informationincludes onlythe averagedoses ofantihistamines.
Ifyour doseis different,do notchange itunless yourdoctor tellsyou todo so.
The numberof capsulesor tabletsor teaspoonfulsof liquidthat youtake orthe numberof suppositoriesyou usedepends onthe strengthof themedicine.
Misseddose Ifyou aretaking thismedicine regularlyand youmiss adose, takeit assoon aspossible.
However,if itis almosttime foryour nextdose, skipthe misseddose andgo backto yourregular dosingschedule.
Donot doubledoses. Forpatients takingthis medicineby mouth:For patientstaking dimenhydrinateor diphenhydraminefor motionsickness: Forpatients usingthe suppositoryform ofthis medicine:For patientsusing theinjection formof thismedicine :Storage Tostore thismedicine: Beforeyou haveany skintests forallergies, tellthe doctorin chargethat youare takingthis medicine.
The resultsof thetest maybe affectedby thismedicine.
Whentaking antihistamineson aregular basis,make sureyour doctorknows ifyou aretaking largeamounts ofaspirin atthe sametime (asfor arthritisor rheumatism).
Effects oftoo muchaspirin, suchas ringingin theears, maybe coveredup bythe antihistamine.
Antihistamines willadd tothe effectsof alcoholand otherCNS depressants(medicines thatslow downthe nervoussystem, possiblycausing drowsiness).
Some examplesof CNSdepressants aresedatives, tranquilizers,or sleepingmedicine; prescriptionpain medicineor narcotics;barbiturates; medicinefor seizures;muscle relaxants;or anesthetics,including somedental anesthetics.
Check withyour doctorbefore takingany ofthe abovewhile youare usingthis medicine.
Thismedicine maycause somepeople tobecome drowsyor lessalert thanthey arenormally.
Evenif takenat bedtime,it maycause somepeople tofeel drowsyor lessalert onarising.
Someantihistamines aremore likelyto causedrowsiness thanothers.
Drowsinessis lesslikely withcetirizine, andrare withdesloratadine andloratadine.
Makesure youknow howyou reactto theantihistamine youare takingbefore youdrive, usemachines, ordo anythingelse thatcould bedangerous ifyou arenot alert.
Antihistaminesmay causedryness ofthe mouth,nose, andthroat.
Someantihistamines aremore likelyto causedryness ofthe mouththan others.
Fortemporary reliefof mouthdryness, usesugarless candyor gum,melt bitsof icein yourmouth, oruse asaliva substitute.
However, ifyour mouthcontinues tofeel dryfor morethan 2weeks, checkwith yourmedical doctoror dentist.
Continuing drynessof themouth mayincrease thechance ofdental disease,including toothdecay, gumdisease, andfungus infections.
For patientsusing dimenhydrinate,diphenhydramine, orhydroxyzine: Forpatients usingdiphenhydramine ordoxylamine asa sleepingaid: Alongwith itsneeded effects,a medicinemay causesome unwantedeffects.
Althoughnot allof theseside effectsmay occur,if theydo occurthey mayneed medicalattention.
Theseside effectsmay goaway duringtreatment asyour bodyadjusts tothe medicine.
However, checkwith yourhealth careprofessional ifany ofthe followingside effectscontinue orare bothersome:More commonDrowsiness; drymouth, nose,or throat;gastrointestinal upset,stomach pain,or nausea;headache; increasedappetite andweight gain;thickening ofmucus Lesscommon orrare Acidor sourstomach; belching;blurred visionor anychange invision; clumsinessor unsteadiness;body achesor pain;confusion (notwith diphenhydramine);congestion; constipation;cough; diarrhea;difficult orpainful urination;difficulty inmoving; difficultor painfulmenstruation; dizziness(not withbrompheniramine orhydroxyzine; drowsiness(with highdoses ofdesloratadine andloratadine); drynessof mouth,nose, orthroat; earlymenstruation; fastheartbeat; fatigue;fever; gastrointestinalupset, stomachpain ornausea; heartburn;hoarseness; increasedappetite andweight gain;increased sensitivityof skinto sun;increased sweating;indigestion; lossof appetite;joint pain;muscle achingor cramping;muscle painsor stiffness;nausea; nightmares(not withazatadine, chlorpheniramine,cyproheptadine, desloratadine,hydroxyzine, orloratadine); ringingor buzzingin ears;runny nose;skin rash;swollen joints;stomach discomfort,upset orpain; tenderswollen glandsin neck;thickening ofmucus; tremor;unusual excitement,nervousness, restlessness,or irritability;vomiting Otherside effectsnot listedabove mayalso occurin somepatients.
Ifyou noticeany othereffects, checkwith yourhealth careprofessional.
Oncea medicinehas beenapproved formarketing fora certainuse, experiencemay showthat itis alsouseful forother medicalproblems.
Althoughthis useis notincluded inproduct labeling,cetirizine andloratadine areused incertain patientswith asthmatogether withasthma medicines.
The antihistamineis usedbefore andduring exposureto substancesthat causereactions, toprevent orreduce bronchospasm(wheezing ordifficulty inbreathing).
Cyproheptadineis usedas anappetite stimulant,in adultsand childrenCyproheptadine isused fortreatment ofvascular headaches.
Other thanthe aboveinformation, thereis noadditional informationrelating toproper use,precautions, orside effectsfor thisuse.
Revised:06/05/2003 Theinformation containedin theThomson Healthcare(Micromedex) productsas deliveredby Drugs.comis intendedas aneducational aidonly.
Itis notintended asmedical advicefor individualconditions ortreatment.
Itis nota substitutefor amedical exam,nor doesit replacethe needfor servicesprovided bymedical professionals.
Talk toyour doctor,nurse orpharmacist beforetaking anyprescription orover thecounter drugs(including anyherbal medicinesor supplements)or followingany treatmentor regimen.
Only yourdoctor, nurse,or pharmacistcan provideyou withadvice onwhat issafe andeffective foryou.
Theuse ofthe ThomsonHealthcare productsis atyour solerisk.
Theseproducts areprovided "ASIS" and"as available"for use,without warrantiesof anykind, eitherexpress orimplied.
ThomsonHealthcare andDrugs.com makeno representationor warrantyas tothe accuracy,reliability, timeliness,usefulness orcompleteness ofany ofthe informationcontained inthe products.
Additionally, THOMSONHEALTHCARE MAKESNO REPRESENTATIONOR WARRANTIESAS TOTHE OPINIONSOR OTHERSERVICE ORDATA YOUMAY ACCESS,DOWNLOAD ORUSE ASA RESULTOF USEOF THETHOMSON HEALTHCAREPRODUCTS.
ALLIMPLIED WARRANTIESOF MERCHANTABILITYAND FITNESSFOR APARTICULAR PURPOSEOR USEARE HEREBYEXCLUDED.
ThomsonHealthcare doesnot assumeany responsibilityor riskfor youruse ofthe ThomsonHealthcare products.
However, theprescription versionis stillneeded fortreatment ofulcers, esophagitis,GERD, andother conditionsthat requiremonitoring bya doctor.
Zantac helpsto preventthe recurrenceof gastricor duodenalulcers andaids thehealing ofulcers thatdo occur.
Take Zantacexactly asprescribed byyour doctor.
Make sureyou followthe dietyour doctorrecommends.
Dissolve"Efferdose" tabletsand granulesin 6to 8ounces ofwater beforetaking them.
You cantake anantacid forpain whileyou aretaking Zantac.
If youmiss adose... Takeit assoon asyou remember.
If itis almosttime foryour nextdose, skipthe oneyou missedand goback toyour regularschedule.
Nevertake 2doses atthe sametime.
Storageinstructions...
StoreZantac atroom temperaturein thecontainer itcame in,tightly closedand awayfrom moistplaces anddirect light.
Keep ZantacSyrup fromfreezing.
Sideeffects cannotbe anticipated.
If anydevelop orchange inintensity, informyour doctoras soonas possible.
Only yourdoctor candetermine ifit issafe foryou tocontinue takingZantac.
Ifyou aresensitive toor haveever hadan allergicreaction toZantac orsimilar drugssuch asTagamet, youshould nottake Zantac.
Make surethat yourdoctor isaware ofany drugreactions thatyou haveexperienced.
Astomach malignancycould bepresent, evenif yoursymptoms havebeen relievedby Zantac.
If youhave kidneyor liverdisease, Zantacshould beused withcaution.
Ifyou havephenylketonuria, youshould beaware thatthe "Efferdose"tablets andgranules containphenylalanine.
IfZantac istaken withcertain otherdrugs, theeffects ofeither couldbe increased,decreased, oraltered.
Ifyou arepregnant orplan tobecome pregnant,inform yourdoctor immediately.
Zantac appearsin breastmilk andcould affecta nursinginfant.
IfZantac isessential toyour health,your doctormay adviseyou todiscontinue breastfeedinguntil yourtreatment withZantac isfinished.
ADULTSActive DuodenalUlcer Theusual startingdose is150 milligrams2 timesa dayor 10milliliters (2teaspoonfuls) 2times aday.
Yourdoctor alsomight prescribe300 milligramsor 20milliliters (4teaspoonfuls) oncea day,after theevening mealor atbedtime, ifnecessary foryour convenience.
The doseshould bethe lowesteffective dose.
This dosecan beadjusted upwardsby yourdoctor.
BenignStomach Ulcerand GastroesophagealReflux Disease(GERD) Theusual doseis 150milligrams or10 milliliters(2 teaspoonfuls)2 timesa day.
Once anulcer hascleared up,a singlebedtime doseis prescribedto maintainhealing.
Symptomsof GERDgenerally improvewithin 24hours afterthe startof therapy.
Erosive EsophagitisThe usualdose is150 milligramsor 10milliliters (2teaspoonfuls) 4times aday.
Maintenancedosage is150 milligramsor 10milliliters (2teaspoonfuls) twicea day.
CHILDREN Duodenaland StomachUlcers Forchildren 1month to16 yearsof age,the recommendeddosage forinitial treatmentis 2to 4milligrams per2.2 poundsof bodyweight perday twicedaily upto amaximum of300 milligramsper day.
Gastroesophageal RefluxDisease (GERD)and ErosiveEsophagitis Forchildren 1month to16 yearsof age,the usualdaily dosageis 5to 10milligrams per2.2 poundsof bodyweight, dividedinto twodoses.
OLDERADULTS Peoplewith kidneyproblems, suchas someolder adults,typically aregiven alower dose.
During thetherapy withZantac, thedoctor isalso morelikely tomonitor yourkidney functionif you'reover 65.
Any medicationtaken inexcess canhave seriousconsequences.
Ifyou suspectan overdose,seek medicalattention immediately.
Information concerningZantac overdosageis limited.
However, anabnormal mannerof walking,low bloodpressure, andexaggerated sideeffect symptomsmay besigns ofan overdose.
If youexperience anyof thesesymptoms, notifyyour doctorimmediately.
A1200 caloriediabetic dietmeans eatingno morethan 1200calories offood eachday.
Youmay needthis dietto controlyour bloodsugar orlose weight.
Or loweryour riskfor heartproblems.
Care:Serving Sizes:Use thelist belowto measurefoods andserving sizes.
A servingsize meansthe sizeof foodafter itis cookedor prepared.
SAMPLE 1200CALORIE MENU:Breakfast: Lunch:Dinner: EveningSnack: CALLYOUR CAREGIVERIF: CAREAGREEMENT: Youhave theright tohelp planyour care.
To helpwith thisplan, youmust learnabout yourdiet orillness.
Youcan thendiscuss yourtreatment optionswith yourcaregiver.
Youcan workwith yourcaregiver todecide whatcare willbe usedto treatyou.
Youalways havethe rightto refusetreatment.
InCanada Anothercommonly usedname forglyburide isglibenclamide .
Sulfonylurea antidiabeticagents (alsoknown assulfonylureas) areused totreat acertain typeof diabetesmellitus (sugardiabetes) calledtype 2diabetes.
Whenyou havetype 2diabetes, insulinis stillbeing producedby yourpancreas.
Sometimesthe amountof insulinyou producemay notbe enoughor yourbody maynot beusing itproperly andyou maystill needmore.
Sulfonylureaswork bycausing yourpancreas torelease moreinsulin intothe bloodstream.
Allof thecells inyour bodyneed insulinto helpturn thefood youeat intoenergy.
Thisis doneby usingsugar (orglucose) inthe bloodas quickenergy.
Orthe sugarmay bestored inthe formof fats,sugars, andproteins foruse later,such asfor energybetween meals.
Sometimes insulinthat isbeing producedby thebody isnot ableto helpsugar getinside thebody's cells.
Sulfonylureas helpinsulin getinto thecells whereit canwork properlyto lowerblood sugar.
In thisway, sulfonylureaswill helplower bloodsugar andhelp restorethe wayyou usefood tomake energy.
Many peoplewith type2 diabetescan controltheir bloodsugar levelwith dietor dietand exercisealone.
Followinga diabetesdiet planand exercisingwill alwaysbe importantwith anytype ofdiabetes.
Towork properly,the amountof sulfonylureayou usemust bebalanced againstthe amountand typeof foodyou eatand theamount ofexercise youdo.
Ifyou changeyour diet,your exercise,or both,you willwant totest yourblood sugarlevel sothat itdoes notdrop toolow (hypoglycemia)or risetoo high(hyperglycemia).
Yourhealth careprofessional willteach youwhat todo ifthis happens.
Sometimes patientswith type2 diabetesmight needto changeto treatmentwith insulinfor ashort periodof timeduring pregnancyor fora seriousmedical condition,such asdiabetic coma;ketoacidosis; severeinjury, burn,or infection;or majorsurgery.
Inthese conditions,insulin andblood sugarcan changefast andblood sugarcan bebest controlledwith insulininstead ofa sulfonylurea.
At somepoint, asulfonylurea maystop workingas welland yourblood sugarlevel willgo up.
You willneed toknow ifthis happensand whatto do.
Instead oftaking moreof thismedicine, yourdoctor maychange youto anothersulfonylurea.
Oryour doctormay haveyou injectsmall dosesof insulinor takeanother oralantidiabetic medicinecalled metforminalong withyour sulfonylureato helpthe insulinyou makework better.
If thatdoes notbring downthe amountof sugarin yourblood, yourdoctor mayhave youstop takingthe oralantidiabetic agentsand beginreceiving onlyinsulin injections.
Chlorpropamide mayalso beused forother conditionsas determinedby yourdoctor.
Oralantidiabetic medicinesdo nothelp diabeticpatients whohave type1 diabetesbecause thesepatients cannotproduce orrelease insulinfrom theirpancreas gland.
Their bloodsugar isbest controlledby insulininjections.
Sulfonylureasare availableonly withyour doctor'sprescription, inthe followingdosage forms:In decidingto usea medicine,the risksof takingthe medicinemust beweighed againstthe goodit willdo.
Thisis adecision youand yourdoctor willmake.
Alsotell yourhealth careprofessional ifyou areallergic toany othersubstances, suchas foods,preservatives, ordyes.
PregnancySulfonylureas arerarely usedduring pregnancy.
The amountof insulinyou needchanges duringand afterpregnancy.
Forthis reason,it iseasier tocontrol yourblood sugarusing injectionsof insulin,rather thanwith theuse ofsulfonylureas.
Closecontrol ofyour bloodsugar canreduce yourchance ofhaving highblood sugarduring thepregnancy andof yourbaby gainingtoo muchweight, orhaving birthdefects.
Besure totell yourdoctor ifyou planto becomepregnant orif youthink youare pregnant.
If insulinis notavailable orcannot beused andsulfonylureas areused duringpregnancy, theyshould bestopped atleast 2weeks beforethe deliverydate (onemonth beforefor chlorpropamideand glipizide).
Glimepiride shouldnot beused atall duringpregnancy.
Loweringof bloodsugar canoccur asa reboundeffect atdelivery andfor severaldays followingbirth andwill bewatched closelyby yourhealth careprofessionals.
Chlorpropamideis notrecommended innursing mothersbut, insome cases,tolbutamide hasbeen used.
Nursing mothersshould nottake glimepiride.
It isnot knownif othersulfonylureas passinto breastmilk.
ChildrenThere islittle informationabout theuse ofsulfonylureas inchildren.
Type2 diabetesis unusualin thisage group.
Older adultsSome elderlypatients maybe moresensitive thanyounger adultsto theeffects ofsulfonylureas, especiallywhen morethan oneantidiabetic medicineis beingtaken orif othermedicines thataffect bloodsugar arealso beingtaken.
Thismay increaseyour chanceof developinglow bloodsugar duringtreatment.
Furthermore,the firstsigns oflow orhigh bloodsugar arenot easilyseen ordo notoccur atall inolder patients.
This mayincrease thechance oflow bloodsugar developingduring treatment.
Also, elderlypatients whotake chlorpropamideare morelikely tohold toomuch bodywater.
Othermedicines Althoughcertain medicinesshould notbe usedtogether atall, inother casestwo differentmedicines maybe usedtogether evenif aninteraction mightoccur.
Inthese cases,your doctormay wantto changethe dose,or otherprecautions maybe necessary.
Do nottake anyother medicine,unless prescribedor approvedby yourdoctor .
When youare takingsulfonylurea antidiabeticdrugs, itis especiallyimportant thatyour healthcare professionalknow ifyou aretaking anyof thefollowing: Othermedical problemsThe presenceof othermedical problemsmay affectthe useof thesulfonylurea antidiabeticmedicines.
Makesure youtell yourdoctor ifyou haveany othermedical problems,especially: Usethis medicineonly asdirected evenif youfeel welland donot noticeany signsof highblood sugar.
Do nottake moreof thismedicine anddo nottake itmore oftenthan yourdoctor ordered.
Todo somay increasethe chanceof seriousside effects.
Remember thatthis medicinewill notcure yourdiabetes butit doeshelp controlit.
Therefore,you mustcontinue totake itas directedif youexpect tolower yourblood sugarand keepit low.
You mayhave totake anantidiabetic medicinefor therest ofyour life.
Ifhigh bloodsugar isnot treated,it cancause seriousproblems, suchas heartfailure, bloodvessel disease,eye disease,or kidneydisease.
Yourdoctor willgive youinstructions aboutdiet, exercise,how totest yourblood sugarlevels, andhow toadjust yourdose whenyou aresick.
Followyour doctor'sorders orthe directionson thelabel .
The followinginformation includesonly theaverage dosesof thesemedicines.
Ifyour doseis different,do notchange itunless yourdoctor tellsyou todo so.
The numberof tabletsthat youtake dependson thestrength ofthe medicine.
Also, thenumber ofdoses youtake eachday, thetime allowedbetween doses,and thelength oftime youtake themedicine dependon theamount ofsugar inyour bloodor urine.
Misseddose Ifyou missa doseof thismedicine, takeit assoon aspossible.
However,if itis almosttime foryour nextdose, skipthe misseddose andgo backto yourregular dosingschedule.
Donot doubledoses. StorageTo storethis medicine:Your doctorwill wantto checkyour progressat regularvisits ,especially duringthe firstfew weeksthat youtake thismedicine.
Itis veryimportant tofollow carefullyany instructionsfrom yourhealth careteam about: Incase ofemergency Theremay bea timewhen youneed emergencyhelp fora problemcaused byyour diabetes.
You needto beprepared forthese emergencies.
It isa goodidea to:Too muchof asulfonylurea cancause lowblood sugar(also calledhypoglycemia).
Symptomsof lowblood sugarmust betreated beforethey leadto unconsciousness(passing out).
Differentpeople mayfeel differentsymptoms oflow bloodsugar.
Itis importantthat youlearn whichsymptoms oflow bloodsugar youusually haveso thatyou cantreat itquickly .
High bloodsugar (hyperglycemia)is anotherproblem relatedto uncontrolleddiabetes.
Ifyou haveany symptomsof highblood sugar,contact yourhealth careteam rightaway .
If highblood sugaris nottreated, severehyperglycemia canoccur, leadingto ketoacidosis(diabetic coma)and death.
The useof sulfonylureaantidiabetic agentshas beenreported, butnot provenin allstudies, toincrease therisk ofdeath fromheart andblood vesseldisease.
Patientswith diabetesare alreadymore likelyto havethese problemsif theydo notcontrol theirblood sugar.
Some sulfonylureas,such asglyburide andgliclazide, canhave apositive effecton heartand bloodvessel disease.
It isimportant toknow thatproblems canoccur, butit isalso notknown ifother sulfonylureas,particularly tolbutamide,help tocause theseproblems.
Itis knownthat ifblood sugaris notcontrolled, suchproblems canoccur.
Alongwith theirneeded effects,sulfonylureas maycause someunwanted effects.
Although notall ofthese sideeffects mayoccur, ifthey dooccur theymay needmedical attention.
These sideeffects maygo awayduring treatmentas yourbody adjuststo themedicine.
However,check withyour doctorif anyof thefollowing sideeffects continueor arebothersome: Morecommon Changesin senseof taste;constipation; diarrhea;dizziness; increasedamount ofurine ormore frequenturination; heartburn;increased ordecreased appetite;passing ofgas; stomachpain, fullness,or discomfort;vomiting Lesscommon orrare Difficultyin focusingthe eyes;increased sensitivityof skinto sunFor patientstaking chlorpropamideor tolbutamide:Depression; swellingor puffinessof face,ankles, orhands Otherside effectsnot listedabove mayalso occurin somepatients.
Ifyou noticeany othereffects, checkwith yourdoctor.
Oncea medicinehas beenapproved formarketing fora certainuse, experiencemay showthat itis alsouseful forother medicalproblems.
Althoughthis useis notincluded inproduct labeling,chlorpropamide isused incertain patientswith thefollowing medicalcondition: Ifyou aretaking thismedicine forwater diabetes,the advicelisted abovethat relatesto dietfor patientswith sugardiabetes doesnot applyto you.
However,the adviceabout hypoglycemia(low bloodsugar) doesapply toyou.
Callyour doctorright awayif youfeel anyof thesymptoms described.
Other thanthe aboveinformation, thereis noadditional informationrelating toits properuse, precautions,or sideeffects forthis use.
Revised: 10/14/2004The informationcontained inthe ThomsonHealthcare (Micromedex)products asdelivered byDrugs.com isintended asan educationalaid only.
It isnot intendedas medicaladvice forindividual conditionsor treatment.
It isnot asubstitute fora medicalexam, nordoes itreplace theneed forservices providedby medicalprofessionals.
Talkto yourdoctor, nurseor pharmacistbefore takingany prescriptionor overthe counterdrugs (includingany herbalmedicines orsupplements) orfollowing anytreatment orregimen.
Onlyyour doctor,nurse, orpharmacist canprovide youwith adviceon whatis safeand effectivefor you.
The useof theThomson Healthcareproducts isat yoursole risk.
These productsare provided"AS IS"and "asavailable" foruse, withoutwarranties ofany kind,either expressor implied.
Thomson Healthcareand Drugs.commake norepresentation orwarranty asto theaccuracy, reliability,timeliness, usefulnessor completenessof anyof theinformation containedin theproducts.
Additionally,THOMSON HEALTHCAREMAKES NOREPRESENTATION ORWARRANTIES ASTO THEOPINIONS OROTHER SERVICEOR DATAYOU MAYACCESS, DOWNLOADOR USEAS ARESULT OFUSE OFTHE THOMSONHEALTHCARE PRODUCTS.
ALL IMPLIEDWARRANTIES OFMERCHANTABILITY ANDFITNESS FORA PARTICULARPURPOSE ORUSE AREHEREBY EXCLUDED.
Thomson Healthcaredoes notassume anyresponsibility orrisk foryour useof theThomson Healthcareproducts.
Emsamis usedto treatmajor depressivedisorder.
Emsammay alsobe usedfor purposesother thanthose listedin thismedication guide.
There aremany othermedicines thatcan causeserious medicalproblems ifyou takethem whileusing Emsam.
You mayhave thoughtsabout suicidewhen youfirst startusing anantidepressant, especiallyif youare youngerthan 24years old.
Your doctorwill needto checkyou atregular visitsfor atleast thefirst 12weeks oftreatment.
Tegretol)or oxcarbazepine(Trileptal); cyclobenzaprine(Flexeril); dextromethorphan(cough medicine);meperidine (Demerol),methadone (Dolophine,Methadose), propoxyphene(Darvon, Darvocet),or tramadol(Ultram, Ultracet);mirtazapine (Remeron);diet pillsor coldmedicines thatcontain dextromethorphan,ephedrine, pseudoephedrine,or phenylephrine;St.
John'swort; antidepressantssuch asamitriptyline (Elavil),amoxapine (Ascendin),bupropion (Wellbutrin,Zyban), citalopram(Celexa), clomipramine(Anafranil), desipramine(Norpramin), doxepin(Sinequan), duloxetine(Cymbalta), escitalopram(Lexapro), fluoxetine(Prozac), fluvoxamine(Luvox), imipramine(Tofranil), nortriptyline(Pamelor), paroxetine(Paxil), protriptyline(Vivactil), sertraline(Zoloft), venlafaxine(Effexor), ortrimipramine (Surmontil);or otherMAO inhibitorssuch asisocarboxazid (Marplan),tranylcypromine (Parnate),phenelzine (Nardil),rasagiline (Azilect),or oralselegiline (Eldepryl).
After youstop usingEmsam, youmust waitat least14 daysbefore takingany ofthe medicationslisted above.
Tell yourdoctor ifyou areallergic toany drugs,or ifyou have:heart disease,high orlow bloodpressure; seizuresor epilepsy;or apersonal orfamily historyof bipolardisorder (manicdepression) orsuicide attempt.
You mayhave thoughtsabout suicidewhen youfirst startusing anantidepressant, especiallyif youare youngerthan 24years old.
Tell yourdoctor ifyou haveworsening symptomsof depressionor suicidalthoughts duringthe firstseveral weeksof treatment,or wheneveryour doseis changed.
Your familyor othercaregivers shouldalso bealert tochanges inyour moodor symptoms.
Your doctorwill needto checkyou atregular visitsfor atleast thefirst 12weeks oftreatment.
Usethis medicationexactly asdirected onthe label,or asit hasbeen prescribedby yourdoctor.
Donot usemore ofthe skinpatches oruse themfor longerthan recommended.
Follow thedirections onyour prescriptionlabel.
Foodsthat youMAY eatinclude: freshmeat, poultry,or fish(including lunchmeat, hotdogs, breakfastsausage, andcooked slicedham); anyvegetables exceptbroad beanpods (favabeans); processedcheese, mozzarella,ricotta, cottagecheese; pizzamade withcheeses lowin tyramine;soy milk,yogurt; orBrewer's orbaker's yeast.
This medicationcomes withpatient instructionsfor safeand effectiveuse.
Followthese directionscarefully.
Askyour doctoror pharmacistif youhave anyquestions.
Beforeapplying askin patch,wash theskin withsoap andwater anddry completely.
The patchcan beworn ona dry,smooth, andhairless areaof yourback, upperarm, chest,or thigh.
Do notapply thepatch toa skinwound orirritated skin,or wearit undertight clothing.
Remove thepatch after24 hours,taking carenot totouch thesticky sidewith yourfingers.
Foldthe patchin halfso thatit stickstogether.
Throwthe usedpatch awaywhere childrenand petscannot reachit.
Useonly onepatch ata time.
While youare wearingthe patch,do notexpose itto sunlightor othersources ofheat suchas aheating pad,electric blanket,hot tub,or sauna.
Apply askin patchas soonas youremember.
Ifit isalmost timeto applyyour nextpatch, skipthe misseddose andapply apatch atyour nextregularly scheduledtime.
Donot useextra patchesto makeup themissed dose.
If apatch becomesloose, pressit backin place.
If apatch fallsoff, applya newone andgo backto yourregular schedulefor patchchanges.
Youshould becomevery familiarwith thelist offoods toavoid whileyou areusing Emsam.
Call yourdoctor atonce ifyou haveany newor worseningsymptoms suchas: moodor behaviorchanges, anxiety,panic attacks,trouble sleeping,or ifyou feelimpulsive, irritable,agitated, hostile,aggressive, restless,hyperactive (mentallyor physically),more depressed,or havethoughts aboutsuicide orhurting yourself.
Continue usingEmsam andtalk withyour doctorif youhave anyof theseless seriousside effects:constipation, gas,loss ofappetite; swelling,numbness ortingling, easybruising, musclepain; drymouth, sorethroat, cough;redness oritching wherethe patchis worn;or impotence,loss ofinterest insex, ortrouble havingan orgasm.
Side effectsother thanthose listedhere mayalso occur.
Talk toyour doctorabout anyside effectthat seemsunusual orthat isespecially bothersome.
There aremany othermedicines thatcan causeserious medicalproblems ifyou takethem whileusing Emsam.
This includesvitamins, minerals,herbal products,and drugsprescribed byother doctors.
Keep alist withyou ofall themedicines youuse andshow thislist toany doctor,dentist, orother healthcareprovider whotreats you.
Selegiline transdermalis availablewith aprescription underthe brandname Emsam.
Other brandor genericformulations mayalso beavailable.
Askyour pharmacistany questionsyou haveabout thismedication, especiallyif itis newto you.
In CanadaLoop diureticsare givento helpreduce theamount ofwater inthe body.
They workby actingon thekidneys toincrease theflow ofurine.
Furosemideis alsoused totreat highblood pressure(hypertension) inthose patientswho arenot helpedby othermedicines orin thosepatients whohave kidneyproblems.
Highblood pressureadds tothe workload ofthe heartand arteries.
If itcontinues fora longtime, theheart andarteries maynot functionproperly.
Thiscan damagethe bloodvessels ofthe brain,heart, andkidneys, resultingin astroke, heartfailure, orkidney failure.
High bloodpressure mayalso increasethe riskof heartattacks.
Theseproblems maybe lesslikely tooccur ifblood pressureis controlled.
Loop diureticsmay alsobe usedfor otherconditions asdetermined byyour doctor.
This medicineis availableonly withyour doctor'sprescription, inthe followingdosage forms:In decidingto usea medicine,the risksof takingthe medicinemust beweighed againstthe goodit willdo.
Thisis adecision youand yourdoctor willmake.
Forloop diuretics,the followingshould beconsidered: AllergiesTell yourdoctor ifyou haveever hadany unusualor allergicreaction tobumetanide, ethacrynicacid, furosemide,sulfonamides (sulfadrugs), orthiazide diuretics(water pills).
Also tellyour healthcare professionalif youare allergicto anyother substances,such asfoods, preservatives,or dyes.
Pregnancy Studieshave notbeen donein pregnantwomen.
However,studies inanimals haveshown thismedicine tocause harmfuleffects.
Ingeneral, diureticsare notuseful fornormal swellingof feetand handsthat occursduring pregnancy.
Diuretics shouldnot betaken duringpregnancy unlessrecommended byyour doctor.
Furosemide passesinto breastmilk; itis notknown whetherbumetanide orethacrynic acidpasses intobreast milk.
Children Althoughthere isno specificinformation comparingthe useof loopdiuretics inchildren withuse inany otherage group,these medicinesare notexpected tocause differentside effectsin childrenthan theydo inadults.
Olderadults Dizziness,lightheadedness, orsigns oftoo muchpotassium lossmay bemore likelyto occurin theelderly, whoare moresensitive tothe effectsof thismedicine.
Elderlypatients mayalso bemore likelyto developblood clots.
Other medicinesAlthough certainmedicines shouldnot beused togetherat all,in othercases twodifferent medicinesmay beused togethereven ifan interactionmight occur.
In thesecases, yourdoctor maywant tochange thedose, orother precautionsmay benecessary.
Whenyou aretaking loopdiuretics, itis especiallyimportant thatyour healthcare professionalknow ifyou aretaking anyother medicines.
Other medicalproblems Thepresence ofother medicalproblems mayaffect theuse ofloop diuretics.
Make sureyou tellyour doctorif youhave anyother medicalproblems, especially:This medicinemay causeyou tohave anunusual feelingof tirednesswhen youbegin totake it.
You mayalso noticean increasein theamount ofurine orin yourfrequency ofurination.
Afteryou havetaken themedicine fora while,these effectsshould lessen.
In general,to keepthe increasein urinefrom affectingyour sleep:However, itis bestto planyour doseor dosesaccording toa schedulethat willleast affectyour personalactivities andsleep.
Askyour healthcare professionalto helpyou planthe besttime totake thismedicine.
Tohelp youremember totake yourmedicine, tryto getinto thehabit oftaking itat thesame timeeach day.
For patientstaking theoral liquidform offurosemide: Forpatients takingthis medicinefor highblood pressure: Ifthis medicineupsets yourstomach, itmay betaken withmeals ormilk.
Ifstomach upset(nausea, vomiting,or stomachpain) continuesor getsworse, orif yousuddenly getsevere diarrhea,check withyour doctor.
Dosing Thedose ofloop diureticswill bedifferent fordifferent patients.
Follow yourdoctor's ordersor thedirections onthe label.
Thefollowing informationincludes onlythe averagedoses ofloop diuretics.
If yourdose isdifferent, donot changeit unlessyour doctortells youto doso.
Thenumber oftablets orteaspoonfuls ofsolution thatyou takedepends onthe strengthof themedicine.
Also,the numberof dosesyou takeeach day,the timeallowed betweendoses, andthe lengthof timeyou takethe medicinedepend onthe medicalproblem forwhich youare takingloop diuretics.
Misseddose Ifyou missa doseof thismedicine, takeit assoon aspossible.
However,if itis almosttime foryour nextdose, skipthe misseddose andgo backto yourregular dosingschedule.
Donot doubledoses. StorageTo storethis medicine:It isimportant thatyour doctorcheck yourprogress atregular visitsto makesure thatthis medicineis workingproperly.
Thismedicine maycause aloss ofpotassium fromyour body: Toprevent theloss oftoo muchwater andpotassium, tellyour doctorif youbecome sick,especially withsevere orcontinuing nauseaand vomitingor diarrhea.
Before havingany kindof surgery(including dentalsurgery) oremergency treatment,make surethe medicaldoctor ordentist incharge knowsthat youare takingthis medicine.
Dizziness, lightheadedness,or faintingmay occur,especially whenyou getup froma lyingor sittingposition .
This ismore likelyto occurin themorning.
Gettingup slowlymay help.
Whenyou getup fromlying down,sit onthe edgeof thebed withyour feetdangling for1 or2 minutes.
Then standup slowly.If theproblem continuesor getsworse, checkwith yourdoctor.
Thedizziness, lightheadedness,or faintingis alsomore likelyto occurif youdrink alcohol,stand forlong periodsof time,exercise, orif theweather ishot.
Whileyou aretaking thismedicine, becareful tolimit theamount ofalcohol youdrink.
Also,use extracare duringexercise orhot weatheror ifyou muststand forlong periodsof time.
Fordiabetic patients: Forpatients takingthis medicinefor highblood pressure: Forpatients takingfurosemide :Along withits neededeffects, amedicine maycause someunwanted effects.
Although notall ofthese sideeffects mayoccur, ifthey dooccur theymay needmedical attention.
Check withyour doctoras soonas possibleif anyof thefollowing sideeffects occur:Rare Black,tarry stools;blood inurine orstools; coughor hoarseness;fever orchills; jointpain; lowerback orside pain;painful ordifficult urination;pinpoint redspots onskin; ringingor buzzingin earsor anyloss ofhearing morecommon withethacrynic acid;skin rashor hives;stomach pain(severe) withnausea andvomiting; unusualbleeding orbruising; yelloweyes orskin; yellowvision forfurosemide onlySigns andsymptoms oftoo muchpotassium lossDryness ofmouth; increasedthirst; irregularheartbeat; moodor mentalchanges; musclecramps orpain; nauseaor vomiting;unusual tirednessor weakness;weak pulseOther sideeffects mayoccur thatusually donot needmedical attention.
These sideeffects maygo awayduring treatmentas yourbody adjuststo themedicine.
However,check withyour doctorif anyof thefollowing sideeffects continueor arebothersome: Morecommon Dizzinessor lightheadednesswhen gettingup froma lyingor sittingposition Lesscommon orrare Blurredvision; chestpain withbumetanide only;confusion withethacrynic acidonly; diarrheamore commonwith ethacrynicacid; headache;increased sensitivityof skinto sunlightwith furosemideonly; lossof appetitemore commonwith ethacrynicacid; nervousnesswith ethacrynicacid only;premature ejaculationor difficultyin keepingan erectionwith bumetanideonly; rednessor painat placeof injection;stomach crampsor painOther sideeffects notlisted abovemay alsooccur insome patients.
If younotice anyother effects,check withyour doctor.
Once amedicine hasbeen approvedfor marketingfor acertain use,experience mayshow thatit isalso usefulfor othermedical problems.
Although theseuses arenot includedin productlabeling, loopdiuretics areused incertain patientswith thefollowing medicalconditions: Otherthan theabove information,there isno additionalinformation relatingto properuse, precautions,or sideeffects forthese uses.
Revised: 08/08/2000The informationcontained inthe ThomsonHealthcare (Micromedex)products asdelivered byDrugs.com isintended asan educationalaid only.
It isnot intendedas medicaladvice forindividual conditionsor treatment.
It isnot asubstitute fora medicalexam, nordoes itreplace theneed forservices providedby medicalprofessionals.
Talkto yourdoctor, nurseor pharmacistbefore takingany prescriptionor overthe counterdrugs (includingany herbalmedicines orsupplements) orfollowing anytreatment orregimen.
Onlyyour doctor,nurse, orpharmacist canprovide youwith adviceon whatis safeand effectivefor you.
The useof theThomson Healthcareproducts isat yoursole risk.
These productsare provided"AS IS"and "asavailable" foruse, withoutwarranties ofany kind,either expressor implied.
Thomson Healthcareand Drugs.commake norepresentation orwarranty asto theaccuracy, reliability,timeliness, usefulnessor completenessof anyof theinformation containedin theproducts.
Additionally,THOMSON HEALTHCAREMAKES NOREPRESENTATION ORWARRANTIES ASTO THEOPINIONS OROTHER SERVICEOR DATAYOU MAYACCESS, DOWNLOADOR USEAS ARESULT OFUSE OFTHE THOMSONHEALTHCARE PRODUCTS.
ALL IMPLIEDWARRANTIES OFMERCHANTABILITY ANDFITNESS FORA PARTICULARPURPOSE ORUSE AREHEREBY EXCLUDED.
Thomson Healthcaredoes notassume anyresponsibility orrisk foryour useof theThomson Healthcareproducts.
Discussthe useof grapefruitproducts withyour doctor.
Do notincrease ordecrease theamount ofgrapefruit productsin yourdiet withoutfirst talkingto yourdoctor.
BuSparis usuallytaken foronly ashort time.
Do nottake thismedication forlonger than4 weekswithout yourdoctors advice.
BuSpar isused totreat symptomsof anxiety,such asfear, tension,irritability, dizziness,pounding heartbeat,and otherphysical symptoms.
BuSpar mayalso beused forpurposes otherthan thoselisted inthis medicationguide.
Beforetaking BuSpar,tell yourdoctor ifyou areallergic toany drugs,or ifyou have:If youhave anyof theseconditions, youmay notbe ableto useBuSpar, oryou mayneed adosage adjustmentor specialtests duringtreatment.
Takethis medicationexactly asit wasprescribed foryou.
Donot takethe medicationin largeramounts, ortake itfor longerthan recommendedby yourdoctor.
Followthe directionson yourprescription label.
BuSpar isusually takenfor onlya shorttime.
Donot takethis medicationfor longerthan 4weeks withoutyour doctorsadvice.
Youmay takeBuSpar withor withoutfood buttake itthe sameway eachtime.
Ifyou havebeen switchedto BuSparfrom anotheranxiety medication,you mayneed toslowly decreaseyour doseof theother medicationrather thanstopping suddenly.
Take themissed doseas soonas youremember.
Ifit isalmost timefor yournext dose,skip themissed doseand takethe medicineat yournext regularlyscheduled time.
Do nottake extramedicine tomake upthe misseddose.
Symptomsof aBuSpar overdosemay includenausea, vomiting,dizziness, drowsiness,blurred vision,and stomachpain.
Avoidusing othermedicines thatmake yousleepy (suchas coldmedicine, painmedication, musclerelaxers, andother medicinesto treatanxiety ordepression).
Theymay addto theside effectsof BuSpar.
Grapefruit andgrapefruit juicemay interactwith BuSparand leadto potentiallydangerous effects.
Discuss theuse ofgrapefruit productswith yourdoctor.
Donot increaseor decreasethe amountof grapefruitproducts inyour dietwithout firsttalking toyour doctor.
Less seriousside effectsmay bemore likelyto occur,such as:drowsiness, dizziness,blurred vision;feeling restless;nausea, upsetstomach; sleepproblems (insomnia);or troubleconcentrating.
Sideeffects otherthan thoselisted heremay alsooccur.
Talkto yourdoctor aboutany sideeffect thatseems unusualor thatis especiallybothersome.
Ifyou areusing anyof thesedrugs, youmay notbe ableto useBuSpar, oryou mayneed dosageadjustments orspecial testsduring treatment.
There maybe otherdrugs notlisted thatcan affectBuSpar.
Thisincludes vitamins,minerals, herbalproducts, anddrugs prescribedby otherdoctors.
Donot startusing anew medicationwithout tellingyour doctor.
Buspirone isavailable witha prescriptionunder thebrand nameBuSpar.
Otherbrand orgeneric formsmay alsobe available.
Ask yourpharmacist anyquestions youhave aboutthis medication,especially ifit isnew toyou.
An1800 caloriediabetic dietmeans eatingno morethan 1800calories offood eachday.
Youmay needthis dietto controlyour bloodsugar orlose weight.
Or loweryour riskfor heartproblems.
Care:Serving Sizes:Use thelist belowto measurefoods andserving sizes.
A servingsize meansthe sizeof foodafter itis cookedor prepared.
SAMPLE 1800CALORIE MENUBreakfast LunchAfternoon SnackDinner EveningSnack CALLYOUR CAREGIVERIF: CAREAGREEMENT: Youhave theright tohelp planyour care.
To helpwith thisplan learnabout thisdiet.
Youcan thendiscuss yourtreatment optionswith yourcaregiver.
Youcan workwith themto decidewhat carewill beused totreat you.
You alwayshave theright torefuse treatment.
This elementis secondonly toiron inits concentrationin thebody.
Zincis neededfor thebody's defensive(immune) systemto properlywork.
Itplays arole incell division,cell growth,wound healing,and thebreak downof carbohydrates.
Zincis alsoneeded forthe sensesof smelland taste.
Beef, pork,and lambcontain morezinc thanfish.
Thedark meatof achicken hasmore zincthan thelight meat.
Other goodsources ofzinc arepeanuts, peanutbutter, andlegumes.
Fruitsand vegetablesare notgood sources,because zincin plantproteins isnot asavailable foruse bythe bodyas thezinc fromanimal proteins.
The symptomsgo awaywithin ashort periodof timeafter thestopping thesupplements.
Thebest wayto getthe dailyrequirement ofessential vitaminsand mineralsis toeat abalanced dietthat containsa varietyof foodsfrom thefood guidepyramid.
Specificrecommendations foreach vitaminor mineraldepend onage, gender,and otherfactors (suchas pregnancy).
The Foodand NutritionBoard ofthe Instituteof Medicinereport thefollowing dietaryreference intakes(DRIs) forzinc: Infants:Children andAdolescents Males:Females: *mcgis microgramsWomen whoare pregnantor producingmilk (lactating)need slighlyhigher levelsof zinc.
Ask yourhealth careprovider howmuch isbest foryou.
Instituteof Medicine,Food andNutrition Board.
Dietary ReferenceIntakes: VitaminC, VitaminE, Selenium,and Carotenoids.
National AcademyPress, Washington,DC, 2000.
Version: 1.04.Revision date:6/17/04.
Adiabetic exchangediet isa listof servingsizes offoods thatyou canchoose toeat everyday.
Thesefoods aredivided into6 groups.
Care: MealPlans CarbohydrateIntake OtherConcerns ServingSizes: Usethe listbelow tomeasure foodsand servingsizes.
Aserving sizemeans thesize offood afterit iscooked orprepared.
Breadsand Starches:Each servingbelow hasabout 15grams carbohydrate.
Eat ____servings aday fromthis list.
Fruit: Eachserving belowhas about15 gramscarbohydrate.
Eat____servings aday fromthis list.
Vegetables: Eachserving belowhas about5 gramscarbohydrate.
Onlycount avegetable ascarbohydrate ifyou havemore than2 servingsper meal.
Eat ____servings perday fromthis list.
One servingis 1cup rawor 1/2cup cookedof mostvegetables.
Dairy:Each servingbelow hasabout 12grams carbohydrate.
Eat ____servings perday fromthis list.
Meat /Meat Substitutes:These foodsdo notcount ascarbohydrates.
Theamounts listedbelow meancooked servingsizes.
Eat____ portionsper dayfrom thislist.
Fats:These foodsdo notcount ascarbohydrates.
Eat____ servingsper dayfrom thislist.
CombinationFoods: Eachserving containsabout 15grams carbohydrate.
Eat ____servings perday fromthis list.
Free FoodLists: Thefoods onthis listhave veryfew caloriesand shouldnot changeyour bloodsugar ifyou donot eattoo muchof them.
You mayhave 3servings aday fromthis list.
Eat onlythe amountlisted andcount itas 1serving.
Youmay havethese foodsas oftenas youwant.
CarefullyUse theFollowing Foods:Do notuse thesefoods untilyou havetalked toyour dietitian.
Eat onlythe amountsthat yourdietitian hassaid areOK.
Thesefoods containsimple sugarsand willincrease yourblood sugarif youeat toomuch ofthem.
CALLYOUR CAREGIVERIF: CAREAGREEMENT: Youhave theright tohelp planyour care.
To helpwith thisplan, youmust learnabout yourdiet.
Youcan thendiscuss thetreatment optionswith yourcaregivers.
Workwith themto decidewhat carewill beused totreat you.
You alwayshave theright torefuse treatment.
Not commerciallyavailable inCanada.
Thismedicine isavailable onlywith yourdoctor's prescription,in thefollowing dosageforms: Indeciding touse amedicine, therisks oftaking themedicine mustbe weighedagainst thegood itwill do.
This isa decisionyou andyour doctorwill make.
For ibandronate,the followingshould beconsidered: AllergiesTell yourdoctor ifyou haveever hadany unusualor allergicreaction toibandronate.
Alsotell yourhealth careprofessional ifyou areallergic toany othersubstances, suchas foods,preservatives, ordyes.
PregnancyIbandronate hasnot beenstudied inpregnant women.
However, studiesin animalshave shownthat ibandronatemay causesbirth defectsand otherpregnancy problems.
Before takingthis medicine,make sureyour doctorknows ifyou arepregnant orif youmay becomepregnant.
ChildrenStudies onthis medicinehave beendone onlyin adultpatients andthere isno specificinformation comparinguse ofibandronate inchildren withuse inother agegroups.
Olderadults Thismedicine hasbeen testedand hasnot beenshown tocause differentside effectsor problemsin olderpeople thanit doesin youngeradults.
Othermedicines Althoughcertain medicinesshould notbe usedtogether atall, inother casestwo differentmedicines maybe usedtogether evenif aninteraction mightoccur.
Inthese cases,your doctormay wantto changethe dose,or otherprecautions maybe necessary.
Other medicalproblems Thepresence ofother medicalproblems mayaffect theuse ofibandronate.
Yourdoctor mayrecommend thatyou eata balanceddiet withan adequateamount ofcalcium andvitamin D(found inmilk orother dairyproducts).
Takeibandronate witha fullglass (6to 8ounces) ofplain wateron anempty stomach.
Itshould betaken inthe morningat least60 minutesbefore anyfood, beverage,or othermedicines.
Foodand beverages,such asmineral water,coffee, tea,or juice,will decreasethe amountof ibandronateabsorbed bythe body.
Waiting longerthan 60minutes willallow moreof thedrug tobe absorbed.
Medicines suchas antacids,calcium orvitamin supplementswill alsodecrease theabsorption ofibandronate.
Donot liedown for60 minutesafter takingibandronate .
This willhelp ibandronatereach yourstomach faster.
It willalso helpprevent irritationto youresophagus.
Yourdoctor mayrecommend thatyou eata balanceddiet withan adequateamount ofcalcium andvitamin D(found inmilk orother dairyproducts).
However,do nottake anyfood, beverages,or calciumor vitaminsupplements within60 minutesor longerof takingibandronate.
Todo somay keepthis medicinefrom workingproperly.
Forthe injection: Youwill receivethis medicinefrom ahealthcare professionalevery 3months.
Youshould notreceive thisinjection moreoften thanevery 3months.
DosingThe doseof ibandronatewill bedifferent fordifferent patients.
Follow yourdoctor's ordersor thedirections onthe label.
Thefollowing informationincludes onlythe averagedoses ofibandronate.
Ifyour doseis different,do notchange itunless yourdoctor tellsyou todo so.
Missed doseFor 2.5mg tabletonce aday Ifyou missa doseof thismedicine, donot takeit laterin theday.
Resumeyour schedulethe nextmorning.
Donot doubledoses. For150 mgtablet oncea monthIf youmiss adose ofthis medicineand yournext scheduleddose ismore than7 daysaway, takeone tabletin themorning.
Resumeyour schedulethe nextmonth.
Ifyou missa doseof thismedicine andyour nextscheduled doseis only1 to7 daysaway, youmust waituntil yournext scheduleddose.
Resumeyour schedulethe nextmonth.
Donot doubledoses. Donot takemore thantwo tabletswithin thesame week.
For injectionevery 3months Ifyou missa scheduledappointment toreceive adose ofthis medicine,it shouldbe rescheduledas soonas possible.
Then, resumethe scheduleof every3 monthsfrom thedate ofthe lastinjection.
StorageTo storethis medicine:It isimportant thatyour doctorcheck yourprogress atregular visitsto makesure thismedicine isworking properlyand watchfor unwantedeffects.
Tellyour doctorright awayif youdevelop symptomsof youresophagus beingirritated suchas newor worseningdifficulty swallowing,pain onswallowing, painbehind yourbreast bone,or heartburn.
Importance ofnot lyingdown forat least60 minutesafter takingibandronate.
Importanceof takingibandronate atleast 60minutes beforefirst food,beverage, ormedication ofthe day.
Importance oftaking antacids,calcium supplements,or otherproducts containingaluminum, iron,or magnesiumat least60 minutesafter ibandronate.
Aleve, Motrin)may increaseyour riskfor stomachproblems.
Donot chewor suckon thetablet.
Swallowwhole with6 to8 ouncesof plainwater.
Alongwith itsneeded effects,a medicinemay causesome unwantedeffects.
Althoughnot allof theseside effectsmay occur,if theydo occurthey mayneed medicalattention.
Checkwith yourdoctor immediatelyif anyof thefollowing sideeffects occur:More commonBladder pain;bloody orcloudy urine;chest pain;cough producingmucus; difficultybreathing; difficult,burning, orpainful urination;fever orchills; frequenturge tourinate; lowerback orside pain;nervousness; poundingin theears; shortnessof breath;slow orfast heartbeat;sneezing; sorethroat; tightnessin chest;wheezing Lesscommon Bloodyor cloudyurine; bodyaches orpain; congestion;difficult, burning,or painfulurination; difficultyswallowing; dizziness;dryness ofthroat; fastheartbeat; frequenturge tourinate; hives;hoarseness; itching;large amountof cholesterolin theblood; numbness;puffiness orswelling ofthe eyelidsor aroundthe eyes,face, lipsor tongue;runny nose;skin rash;tender, swollenglands inneck; tingling;trouble inswallowing; unusualtiredness orweakness; voicechanges Incidenceunknown Blurredvision orother changein vision;bone, joint,and/or musclepain, severeand occasionallyincapacitating; eyeredness; eyetenderness; heavyjaw feeling;loosening ofa tooth;pain, swelling,or numbnessin themouth orjaw; sensitivityto light;severe eyepain; tearingSymptoms ofoverdose Getemergency helpimmediately ifany ofthe followingsymptoms ofoverdose occurAbdominal cramps;acid orsour stomach;belching; bonepain; burningfeeling inchest orstomach; chestpain; confusion;convulsions; difficultyin breathing;difficulty inswallowing; heartburn;indigestion; irregularheartbeats; lossof appetite;mood ormental changes;muscle crampsin hands,arms, feet,legs, orface; numbnessand tinglingaround themouth, fingertips,or feet;pain orburning inthroat; shortnessof breath;stomach discomfortupset orpain; sores,ulcers; tendernessin stomacharea; tremor;ulcer; unusualtiredness orweakness; upsetstomach; vomiting;white spotson lipsor tongueor insidethe mouthOther sideeffects mayoccur thatusually donot needmedical attention.
These sideeffects maygo awayduring treatmentas yourbody adjuststo themedicine.
However,check withyour doctorif anyof thefollowing sideeffects continueor arebothersome.
Ifyou noticeany othereffects, checkwith yourdoctor.
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Milk group(milk andmilk products)An unbalanceddiet cancause problemswith maintenanceof bodytissues, growthand development,brain andnervous systemfunction, aswell asproblems withbone andmuscle systems.
The term"balanced" simplymeans thata dietadequately meetsyour nutritionalneeds whilenot providingany nutrientsin excess.
To achievea balanceddiet, youmust consumea varietyof foodsfrom eachof thefood groups.
There areseveral guidelinesavailable tohelp aperson plantheir balanceddiet.
Theyinclude: GeneralGuidelines Themost importantstep toeating abalanced dietis toeducate yourselfabout whatyour bodyneeds, andread thenutrition labeland ingredientsof allthe foodyou eat.
New dietaryguidelines setforth bythe U.S.
Departments ofHealth andHuman Services(HHS) andAgriculture (USDA),recommend fewercalories andsmarter foodchoices.
Someof thekey recommendations:Dietary Guidelinesfor Americans2005.
Rockville,MD: USDept ofHealth andHuman Servicesand USDept ofAgriculture; 2005.
What canI doto makea clearliquid dietpart ofmy recovery?
What canI eatand drinkwhile ona clearliquid diet?
Beverages (drinks):Soup: Desserts:Other: Whatshould Iavoid eatingand drinkingwhile ona clearliquid diet?
Beverages: Soupand desserts:Sample menufor a270 mL(90 ounces)clear liquiddiet: Onecup isequal to8 ouncesof fluid.
Risks: Ifyou donot followthis dietbefore yourtest orsurgery, yourtest orsurgery mayneed tobe scheduledfor anothertime.
Youmay haveto followa clearliquid dietbecause yourbody cannotdigest (breakdown) solidfoods.
Ifyou donot followthis dietas ordered,you mayhave diarrhea(loose, waterystool), nauseaand vomiting(throwing up),gas, orbloating.
Theclear liquiddiet doesnot provideall thenutrients youneed.
Youshould notfollow thisdiet formore thantwo orthree daysunless yourcaregiver tellsyou to.
You mayhave todrink aclear liquidnutrition supplementif youhave tofollow thisdiet formore thanthree days.
CARE AGREEMENT:You havethe rightto helpplan yourcare.
Tohelp withthis plan,you mustlearn aboutyour diet.
You canthen discusstreatment optionswith yourcaregivers.
Workwith themto decidewhat caremay beused totreat you.
You alwayshave theright torefuse treatment.
The purposeof aNDA isto provideenough informationto permitthe FDAto reachthe followingkey decisions:For moreinformation onNew DrugApplications, pleasevisit Company:Vanda PharmaceuticalsInc.
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Company: Merckcan becomemalnourished andthis oftenmeans apoor outcome.
The dietwill helpdialysis patientsfeel asgood aspossible.
Thedialysis dietcontrols theintake offluid, protein,sodium, potassium,and phosphorus.
The controlledamounts ofeach ofthese nutrientsare basedon theperson's bloodlevels ofsodium, potassium,phosphorus, calcium,albumin, andurea measuredbefore andimmediately aftera dialysistreatment.
Fluidrestriction isbased onthe amountof urineoutput andweight gainbetween dialysistreatments.
Thefollowing aresome generaldietary recommendationsfor dialysispatients.
Thischanges withthe startof dialysis:the patientnow needsmuch moreprotein.
Patientson peritonealdialysis needeven higherprotein, becausea largeamount ofprotein canbe lostin theperitoneal fluidwhich isdiscarded.
However,dialysis patientsstill needto limitsalt, potassiumand phosphorous,which makesit alittle challengingto getenough protein.
Moreover, manydialysis patientshave poorappetites, especiallyearly afterstart ofdialysis.
Everydialysis centerhas adietician whocan explainthe dietarymodifications required,suggest foodselection, andprescribe supplementsas required.
SODIUM Mostpatients needto controlthe sodium(salt) contentin theirdiet.
Thishelps maintainfluid balancein thebody toavoid fluidretention andelevated bloodpressure.
POTASSIUMThe dailyintake ofpotassium isalso controlled.
This helpsprevent hyperkalemia(a highlevel ofpotassium), acommon problemfor peopleon dialysis.
PHOSPHORUS Themineral phosphorusis alsocontrolled bythis diet.
Phosphorus isnot effectivelyremoved bydialysis treatments.
Patients needto reducetheir intakeof dairyproducts andother foodshigh inphosphorus.
Theyare usuallyprescribed calciumsupplements, whichbind thephosphorus infood.
Itis importantto takethese calciumtablets withmeals.
FLUIDSDuring kidneyfailure, theamount ofurine produceddrops.
Theurine outputusually stopscompletely oncepatients havebeen ondialysis formore than6 months.
Patients onperitoneal dialysisusually retaintheir urineoutput fora longertime andhave lessrestriction onfluid intake.
Other considerationsare theamount offluid retention,the levelof dietarysodium, andwhether thepatient hascongestive heartfailure.
Patientson peritonealdialysis usuallyhave lessrestriction ontheir fluid,sodium, andpotassium intakeas theyhave dialysistreatments everyday.
Theintake ofthese substancesneeds tobe individualizedin thesepatients.
Thedaily calorieintake needsto maintainthe person'snutritional statusand preventthe breakdownof bodytissue.
Theperson's weightand proteinstatus shouldbe monitoredregularly.
Vitaminsupplementation isusually needed.
Vitamin Dis supplementeddepending oncalcium, phosphorus,and parathyroidhormone levels.
Vitamin Dis usuallygiven intravenouslyduring thedialysis treatment.
The mineralscalcium andiron aremonitored.
Supplementationof dailycalcium dependson thepatient's bloodcalcium levels.
Calcium isalso givenin thedialysis solutionand isadjusted accordingto theblood calciumlevels.
Ironsupplementation isbased oniron studies,usually monitoredevery 3months.
Mostdialysis patientsare irondeficient andreceive intravenousiron duringdialysis treatments.
SUPPORT TheKidney Foundationhas chaptersin moststates andis anexcellent resourcefor educationalmaterials andprograms forpeople ondialysis andtheir families.
Most dialysiscenters haveregistered dietitianswho workwith patientsand physiciansto educatethe patientsabout theirdiet whileon dialysis.
A lowlactose dietmeans eatingfoods thatdo nothave verymuch lactose.
Lactose isa sugarthat isa normalpart ofmilk products.
Some peopledo notbreak downlactose well.
They maynot haveenough lactase,the enzymethat breakslactose downin thebody.
Or,their bodymay makelactase thatdoes notwork properly.
This maycause gas,bloating, cramping,or diarrheawhen theyeat ordrink milkproducts.
Followinga lowlactose dietmay preventthese problems.
Care: Thelists belowshow youwhat foodsare goodchoices becausethey containlittle orno lactose.
You maybe ableto eatsome foodswith lactoseif youonly takesmall amountseach day.
You mayalso digestthese foodsbetter ifyou eatthem witha mealinstead ofalone.
Eatvery littleor noneof thehigher lactosefoods.
Adjustthe amountsyou eatfrom thesehigher lactoselists accordingto howwell youdigest them.
DAIRY BREADSSTARCHES FATSFRUITS VEGETABLESMEATS MEATSUBSTITUTES SOUPS,SAUCES, SEASONINGSSWEETS DESSERTS:FOOD INGREDIENTSTHAT OFTENCONTAIN LACTOSECARE AGREEMENT:You havethe rightto helpplan yourcare.
Tohelp withthis plan,you mustlearn aboutyour dietaryproblems andhow theycan betreated.
Youcan thendiscuss treatmentoptions withyour caregivers.
Work withthem todecide whatcare willbe usedto treatyou.
Youalways havethe rightto refusetreatment.
Yourdoctor mayprescribe italong witha specialdiet ifyour bloodcholesterol ortriglyceride levelis highand youhave beenunable tolower yourreadings bydiet alone.
For thoseat lowrisk, amedication isconsidered atreadings of190 ormore.
Lipitoris usuallyprescribed onlyif diet,exercise, andweight lossfail tobring yourcholesterol levelsunder control.
To getthe fullbenefit ofthe medication,you needto stickto thediet andexercise programprescribed byyour doctor.
All theseefforts tokeep yourcholesterol levelsnormal areimportant becausethey maylower yourrisk ofheart disease.
Lipitor shouldbe takenonce aday, withor withoutfood.
Youcan takeit inthe morningor theevening, butshould holdto thesame timeeach day.
The druggenerally beginsworking within2 weeks.
It's importantto avoidtaking thetwo drugsat thesame timeof day.
Take Lipitorat least1 hourbefore or4 hoursafter theother drug.
If youmiss adose... Takethe forgottendose assoon asyou remember.
If itis almosttime foryour nextdose, skipthe oneyou missedand goback toyour regularschedule.
Donot take2 dosesat thesame time.
Storage instructions...
Store atroom temperature.
Side effectscannot beanticipated.
Ifany developor changein intensity,inform yourdoctor assoon aspossible.
Onlyyour doctorcan determineif itis safefor youto continuetaking Lipitor.
Never takeLipitor duringpregnancy orwhile breastfeeding.
You shouldalso avoidLipitor ifyou haveliver disease,or ifthe druggives youan allergicreaction.
Thereis aslight chanceof liverdamage fromLipitor, soyour doctormay ordera bloodtest tocheck yourliver functionbefore youstart takingthe drug,again 12weeks afteryou begintherapy oryour dosageis increased,and periodicallythereafter.
Ifthe testsreveal aproblem, youmay haveto stopusing thedrug.
Drugslike Lipitorhave occasionallybeen knownto damagemuscle tissue,so besure totell yourdoctor immediatelyif younotice anyunexplained muscletenderness, weakness,or pain,especially ifyou alsohave afever orfeel sick.
Your doctormay wantto doa bloodtest tocheck forsigns ofmuscle damage.
If youare scheduledfor majorsurgery, yourdoctor willhave youstop takingLipitor afew daysbefore theoperation.
Ifyou takeLipitor withcertain otherdrugs, theeffects ofeither couldbe increased,decreased, oraltered.
Infact, yourdoctor isunlikely toprescribe Lipitorif thereis evena chancethat youmay becomepregnant.
Ifyou doconceive whiletaking Lipitor,notify yourdoctor rightaway.
Lipitordoes makeits wayinto breastmilk, soyou shouldnot takethe drugwhile breastfeedingyour baby.
ADULTS Therecommended startingdose is10 or20 milligramsonce aday.
Thedoctor maystart with40 milligramsdaily ifyour LDLlevels needto bereduced bymore than45 percent.)The doctorwill checkyour cholesterollevels every2 to4 weeksand adjustthe doseaccordingly.
Themaximum recommendeddaily doseis 80milligrams.
CHILDREN10 to17 YEARSOLD Therecommended startingdose is10 milligramsonce aday.
Thedosage maybe increasedafter 4weeks, asdetermined bythe doctor,up toa maximumof 20milligrams aday.
Girlsmust behaving regularmenstrual cyclesbefore startingtherapy withLipitor.
Thesafety andeffectiveness ofLipitor inchildren under10 yearsold orin dosesgreater than20 milligramsa dayhave notbeen studied.
Although nospecific informationabout Lipitoroverdose isavailable, anymedication takenin excesscan haveserious consequences.
If yoususpect anoverdose ofLipitor, seekmedical attention.
A highfiber dietcontains foodsthat havea lotof fiber.
Fiber isthe partof fruits,vegetables, andgrains thatis notbroken downby yourbody.
Ahigh fiberdiet willadd bulkand softnessto yourbowel movements(BMs).
Whatcan Ido tomake ahigh fiberdiet apart ofmy lifestyle?
Changing whatyou eatmay behard atfirst.
Thinkof thesechanges as"lifestyle" changes,not just"diet" changes.
You mayneed tomake thesechanges partof yourdaily routine.
Following ahigh fiberdiet mayhelp youfeel better.
What foodsare goodsources offiber?
Whatother dietguidelines shouldI follow?
Risks: CAREAGREEMENT: Youhave theright tohelp planyour care.
To helpwith thisplan, youmust learnabout yourdiet.
Youcan thendiscuss treatmentoptions withyour caregivers.
Work withthem todecide whatcare maybe usedto treatyou.
Youalways havethe rightto refusetreatment.
Theyare neededin smallamounts onlyand areavailable inthe foodsthat youeat.
VitaminD isnecessary forstrong bonesand teeth.
Lack ofvitamin Dmay leadto acondition calledrickets, especiallyin children,in whichbones andteeth areweak.
Inadults itmay causea conditioncalled osteomalacia,in whichcalcium islost frombones sothat theybecome weak.
Your doctormay treatthese problemsby prescribingvitamin Dfor you.
Vitamin Dis alsosometimes usedto treatother diseasesin whichcalcium isnot usedproperly bythe body.
Ergocalciferol isthe formof vitaminD usedin vitaminsupplements.
Someconditions mayincrease yourneed forvitamin D.
Increased needfor vitaminD shouldbe determinedby yourhealth careprofessional.
Alfacalcidol,calcifediol, calcitriol,and dihydrotachysterolare formsof vitaminD usedto treathypocalcemia (notenough calciumin theblood).
Alfacalcidol,calcifediol, andcalcitriol arealso usedto treatcertain typesof bonedisease thatmay occurwith kidneydisease inpatients whoare undergoingkidney dialysis.
Claims thatvitamin Dis effectivefor treatmentof arthritisand preventionof nearsightednessor nerveproblems havenot beenproven.
Somepsoriasis patientsmay benefitfrom vitaminD supplements;however, controlledstudies havenot beenperformed.
Injectablevitamin Dis givenby orunder thesupervision ofa healthcare professional.
Some strengthsof ergocalciferoland allstrengths ofalfacalcidol, calcifediol,calcitriol, anddihydrotachysterol areavailable onlywith yourdoctor's prescription.
Other strengthsof ergocalciferolare availablewithout aprescription.
However,it maybe agood ideato checkwith yourhealth careprofessional beforetaking vitaminD onyour own.
Taking largeamounts overlong periodsmay causeserious unwantedeffects .
Cooking doesnot affectthe vitaminD infoods.
VitaminD issometimes calledthe ''sunshinevitamin'' sinceit ismade inyour skinwhen youare exposedto sunlight.
If youeat abalanced dietand getoutside inthe sunshineat least1.5 to2 hoursa week,you shouldbe gettingall thevitamin Dyou need.
Vitamins alonewill nottake theplace ofa gooddiet andwill notprovide energy.
Your bodyalso needsother substancesfound infood suchas protein,minerals, carbohydrates,and fat.
Vitamins themselvesoften cannotwork withoutthe presenceof otherfoods.
Forexample, fatis neededso thatvitamin Dcan beabsorbed intothe body.
The dailyamount ofvitamin Dneeded isdefined inseveral differentways.
Inthe past,the RDAand RNIfor vitaminD havebeen expressedin Units(U).
Thisterm hasbeen replacedby micrograms(mcg) ofvitamin D.
Normal dailyrecommended intakesin mcgand Unitsare generallydefined asfollows: Remember:If youare takingthis dietarysupplement withouta prescription,carefully readand followany precautionson thelabel.
Forvitamin Dand relatedcompounds, thefollowing shouldbe considered:Allergies Tellyour healthcare professionalif youhave everhad anyunusual orallergic reactionto alfacalcidol,calcifediol, calcitriol,dihydrotachysterol, doxercalciferol,ergocalciferol, orparicalcitol.
Also,tell yourhealth careprofessional ifyou areallergic toany othersubstances, suchas foods,preservatives, ordyes.
PregnancyIt isespecially importantthat youare receivingenough vitaminD whenyou becomepregnant andthat youcontinue toreceive theright amountsof vitaminsthroughout yourpregnancy.
Thehealthy growthan