Thursday, 4 October 2012

fat emulsion Intravenous, Injection


fat e-MULL-shun


Intravenous route(Emulsion)

Deaths due to intravascular fat accumulation in the lungs in preterm infants after infusion of intravenous fat emulsion have been reported in the medical literature. Use caution when treating premature and low birth weight infants with intravenous fat emulsion and strictly adhere to the recommended total daily dose and hourly infusion rates. Hourly infusion rate should be as slow as possible in each case and fat should not in any case exceed 1 g fat/kg in four hours. Carefully monitor serum triglycerides and/or plasma free fatty acid levels in these patients .



Commonly used brand name(s)

In the U.S.


  • Liposyn

Available Dosage Forms:


  • Emulsion

  • Injectable

Therapeutic Class: Parenteral Lipids


Uses For fat emulsion


Fat emulsions are used as dietary supplements for patients who are unable to get enough fat in their diet, usually because of certain illnesses or recent surgery. Fats are used by the body for energy and to form substances needed for normal body functions.


Fat emulsions are available by injection only with your doctor's prescription.


Before Using fat emulsion


In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For fat emulsion, the following should be considered:


Allergies


Tell your doctor if you have ever had any unusual or allergic reaction to fat emulsion or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.


Pediatric


Fat emulsions may cause or worsen lung problems or jaundice if given to premature infants. Although there is no specific information comparing use of fat emulsions in older children with use in other age groups, it is not expected to cause different side effects or problems in older children than it does in adults.


Geriatric


Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults or if they cause different side effects or problems in older people. Although there is no specific information comparing use of fat emulsions in the elderly with use in other age groups, fat emulsion is not expected to cause different side effects or problems in older people than it does in younger adults.


Pregnancy








Pregnancy CategoryExplanation
All TrimestersCAnimal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

Breast Feeding


There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.


Interactions with Medicines


Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.


Interactions with Food/Tobacco/Alcohol


Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.


Other Medical Problems


The presence of other medical problems may affect the use of fat emulsion. Make sure you tell your doctor if you have any other medical problems, especially:


  • Blood problems or

  • Diabetes mellitus (sugar diabetes) or

  • High cholesterol levels or

  • Infection or

  • Jaundice or

  • Kidney disease or

  • Liver disease or

  • Lung disease or

  • Pancreas disease—Fat emulsions may make these conditions worse

Proper Use of fat emulsion


Dosing


The dose of fat emulsion will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of fat emulsion. If your dose is different, do not change it unless your doctor tells you to do so.


The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.


  • For injection dosage form:
    • For nutritional supplement:
      • Adults and teenagers—At first, the dose is 0.5 to 1 milliliter (mL) per minute injected slowly into a vein over a period of fifteen to thirty minutes. Your doctor may increase the rate of the injection until up to 250 to 500 mL have been injected over four to six hours.

      • Children—At first, the dose is 0.1 mL per minute injected slowly into a vein over a period of fifteen minutes. Your doctor may increase the rate of the injection up to 50 to 100 mL per hour.



Storage


Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.


Keep out of the reach of children.


Do not keep outdated medicine or medicine no longer needed.


Precautions While Using fat emulsion


It is very important that your doctor check your progress weekly while you are receiving fat emulsions to make sure that fat emulsion does not cause unwanted effects.


Fat emulsions can lower your ability to fight infection. If you think you are getting an infection, check with your doctor.


fat emulsion Side Effects


Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.


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


More common
  • Chills

  • fever

  • sore throat

Rare
  • Bluish color of skin

  • chest or back pain

  • difficulty in breathing

  • headache

  • hives

  • unusual bleeding or bruising

  • unusual irritability

  • unusual tiredness or weakness

  • yellow eyes or skin

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:


More common
  • Redness, swelling, or pain at place of injection

Less common
  • Diarrhea

  • dizziness

  • flushing

  • nausea and vomiting

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.


Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.



The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.


The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.


More fat emulsion Intravenous, Injection resources


  • Fat emulsion Intravenous, Injection Drug Interactions
  • Fat emulsion Intravenous, Injection Support Group
  • 0 Reviews · Be the first to review/rate this drug

Kaolin and Morphine Mixture BP (Boots Company plc)





Kaolin & Morphine mixture BP (Boots Company plc)



relieves occasional diarrhoea



200 ml e



Read all of this label for full instructions.




Uses:


A traditional anti-diarrhoeal for the relief of occasional diarrhoea.




Before you take this medicine



Do not take:



  • If you are allergic to any of the ingredients


  • If you have difficulty breathing


  • If you have liver problems or alcoholism


  • If you have a head injury or a condition where there is raised pressure in the head


  • If you have an intolerance to some sugars, unless your doctor tells you to (this medicine contains sucrose)



Talk to your pharmacist or doctor:


  • If you have bowel problems

  • If you are taking monoamine oxidase inhibitors (for depression) or you have taken them in the last 14 days

  • If you are on a controlled sodium diet (this medicine contains 137 mg of sodium per 10 ml)

  • If you take other medicines - hypnotics, sedatives, phenothiazines (e.g. chlorpromazine)

  • If you are pregnant or breastfeeding



Other information:


This medicine will only relieve the symptoms of diarrhoea. It does not treat any dehydration caused by it. You must drink plenty of fluids when you have diarrhoea.


May cause drowsiness. If affected do not drive or operate machinery.


This medicine contains small amounts of alcohol (ethanol), less than 100 mg per 10 ml.





How to take this medicine


Check the cap seal is not broken before first use. If it is, do not take the medicine.


Shake the bottle.


Mix the amount given below with a little water in a glass and drink the solution.



Adults and children of 12 years and over:


Two 5ml spoonfuls, mixed with water. Take this amount 3 times in 24 hours, if you need to, until your diarrhoea is relieved.



Do not give to children under 12 years.



Warning: Do not exceed the stated dose


If your diarrhoea is not relieved within 24 hours, talk to your doctor.




If you take too much:


Talk to a doctor straight away.





Possible side effects


Most people will not have problems, but some may get some of these:


  • Feeling sick, being sick

  • Constipation, dry mouth, sweating

  • Drowsiness, facial flushing

  • Changes to the pupil in your eye


If any side effect becomes severe, or you notice any side effect not listed here, please tell your pharmacist or doctor.


Keep tightly closed.



Keep all medicines out of the sight and reach of children.


Use by the date on the label edge.




Active ingredients


Each 5 ml of oral suspension contains Light Kaolin 20% w/v, Morphine Hydrochloride 0.0092% w/v.


Also contains: purified water, sodium bicarbonate, sucrose, chloroform, ethanol (0.45 vol %), black treacle, liquorice liquid extract, ether, peppermint oil.


PL 00014/5783 [P]


Text prepared 3/07




Manufactured by the Marketing Authorisation holder



The Boots Company PLC

Nottingham

NG2 3AA



If you need more advice ask your pharmacist.


BTC13956 vF dated 17/10/07





Wednesday, 3 October 2012

Extendryl HC


Generic Name: guaifenesin and hydrocodone (gwye FEN e sin and HYE droe KOE done)

Brand Names: A-Cof DH, Canges-XP, Codiclear DH, Condasin, Cotuss V, Execlear, Extendryl HC, Hycotuss Expectorant, Hydrocod-GF, Kwelcof, Monte-G HC, Narcof, Pancof XP, Pneumotussin 2.5, Relasin-HCX, Touro HC, Tussicle, Tusso-DF, Vi-Q-Tuss, Vitussin Expectorant, Xpect-HC, Z-Cof HCX


What is Extendryl HC (guaifenesin and hydrocodone)?

Guaifenesin is an expectorant. It helps loosen congestion in your chest and throat, making it easier to cough out through your mouth.


Hydrocodone is a narcotic cough suppressant.


Guaifenesin and hydrocodone is used to treat cough and reduce chest congestion caused by the common cold, flu, or allergies.


Guaifenesin and hydrocodone may also be used for purposes not listed in this medication guide.


What is the most important information I should know about Extendryl HC (guaifenesin and hydrocodone)?


This medication may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Drinking alcohol can increase certain side effects of guaifenesin and hydrocodone. Tell your doctor if you regularly use other medicines that make you sleepy (such as other cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety). They can add to sleepiness caused by guaifenesin and hydrocodone. Hydrocodone may be habit-forming and should be used only by the person it was prescribed for. Keep the medication in a secure place where others cannot get to it.

What should I discuss with my healthcare provider before taking Extendryl HC (guaifenesin and hydrocodone)?


Hydrocodone may be habit forming and should be used only by the person it was prescribed for. Never share this medication with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it. Do not use this medicine if you are allergic to hydrocodone or guaifenesin.

To make sure you can safely take guaifenesin and hydrocodone, tell your doctor if you have any of these other conditions:



  • liver or kidney disease;




  • asthma;




  • urination problems;




  • an enlarged prostate;




  • a thyroid disorder;




  • seizures or epilepsy;




  • gallbladder disease;




  • a head injury; or




  • Addison's disease.




FDA pregnancy category C. It is not known whether this medication will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. Guaifenesin and hydrocodone can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take Extendryl HC (guaifenesin and hydrocodone)?


Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.


Guaifenesin and hydrocodone can be taken with or without food.


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


Call your doctor if your symptoms do not improve, or if they get worse. Store at room temperature away from moisture and heat.

Keep track of the amount of medicine used from each new bottle. Guaifenesin and hydrocodone is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.


What happens if I miss a dose?


Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.


What happens if I overdose?


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include extreme drowsiness, sweating, pinpoint pupils, nausea, vomiting, dry mouth, confusion, cold and clammy skin, muscle weakness, fainting, weak pulse, slow heart rate, seizure (convulsions), weak or shallow breathing, or breathing that stops.


What should I avoid while taking Extendryl HC (guaifenesin and hydrocodone)?


This medication may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Drinking alcohol can increase certain side effects of guaifenesin and hydrocodone.

Ask a doctor or pharmacist before using any other cough, cold, allergy, pain, or sleep medicine. Guaifenesin is contained in many combination medicines. Taking certain products together can cause you to get too much guaifenesin. Check the label to see if a medicine contains guaifenesin.


Extendryl HC (guaifenesin and hydrocodone) side effects


Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using this medication and call your doctor at once if you have a serious side effect such as:

  • slow heart rate, weak or shallow breathing;




  • feeling like you might pass out;




  • confusion, fear, unusual thoughts or behavior;




  • seizure (convulsions); or




  • urinating less than usual or not at all.



Less serious side effects may include:



  • dizziness, drowsiness;




  • nausea, vomiting, upset stomach;




  • blurred vision;




  • constipation;




  • dry mouth; or




  • sweating.



This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.


What other drugs will affect Extendryl HC (guaifenesin and hydrocodone)?


Tell your doctor if you regularly use other medicines that make you sleepy (such as other cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety). They can add to sleepiness caused by guaifenesin and hydrocodone.

Tell your doctor about all other medicines you use, especially:



  • antidepressants such as amitriptyline (Elavil, Vanatrip, Limbitrol), doxepin (Sinequan), nortriptyline (Pamelor), and others;




  • atropine (Donnatal, and others), benztropine (Cogentin), dimenhydrinate (Dramamine), glycopyrrolate (Robinul), mepenzolate (Cantil), methscopolamine (Pamine), or scopolamine (Transderm-Scop);




  • bladder or urinary medications such as darifenacin (Enablex), flavoxate (Urispas), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or solifenacin (Vesicare);




  • a bronchodilator such as ipratropium (Atrovent) or tiotropium (Spiriva); or




  • irritable bowel medications such as dicyclomine (Bentyl), hyoscyamine (Anaspaz, Cystospaz, Levsin, and others), or propantheline (Pro-Banthine).



This list is not complete and other drugs may interact with guaifenesin and hydrocodone. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.



More Extendryl HC resources


  • Extendryl HC Side Effects (in more detail)
  • Extendryl HC Use in Pregnancy & Breastfeeding
  • Extendryl HC Drug Interactions
  • Extendryl HC Support Group
  • 0 Reviews for Extendryl HC - Add your own review/rating


  • CodiCLEAR DH Liquid MedFacts Consumer Leaflet (Wolters Kluwer)

  • Entuss Liquid MedFacts Consumer Leaflet (Wolters Kluwer)

  • Tusso-HC Sustained-Release Tablets MedFacts Consumer Leaflet (Wolters Kluwer)



Compare Extendryl HC with other medications


  • Cough


Where can I get more information?


  • Your pharmacist can provide more information about guaifenesin and hydrocodone.

See also: Extendryl HC side effects (in more detail)


Tuesday, 25 September 2012

Sudafed 24-Hour


Generic Name: pseudoephedrine (SOO doe ee FED rin)

Brand Names: Chlor Trimeton Nasal Decongestant, Contac Cold, Drixoral Decongestant Non-Drowsy, Elixsure Decongestant, Entex, Genaphed, Kid Kare Drops, Nasofed, Seudotabs, Silfedrine, Sudafed, Sudafed 12-Hour, Sudafed 24-Hour, Sudafed Children's Nasal Decongestant, Sudodrin, SudoGest, SudoGest 12 Hour, Suphedrin, Triaminic Softchews Allergy Congestion, Unifed


What is Sudafed 24-Hour (pseudoephedrine)?

Pseudoephedrine is a decongestant that shrinks blood vessels in the nasal passages. Dilated blood vessels can cause nasal congestion (stuffy nose).


Pseudoephedrine is used to treat nasal and sinus congestion, or congestion of the tubes that drain fluid from your inner ears, called the eustachian (yoo-STAY-shun) tubes.


Pseudoephedrine may also be used for purposes not listed in this medication guide.


What is the most important information I should know about Sudafed 24-Hour (pseudoephedrine)?


Do not give this medication to a child younger than 4 years old. Always ask a doctor before giving a cough or cold medicine to a child. Death can occur from the misuse of cough and cold medicines in very young children. Ask a doctor or pharmacist before using any other cough or cold medicine. Pseudoephedrine or other decongestants are contained in many combination medicines. Taking certain products together can cause you to get too much of a certain drug. Check the label to see if a medicine contains pseudoephedrine or a decongestant. Do not use pseudoephedrine if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects.

What should I discuss with my healthcare provider before taking Sudafed 24-Hour (pseudoephedrine)?


Do not use pseudoephedrine if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects. Do not use this medication if you are allergic to pseudoephedrine or to other decongestants, diet pills, stimulants, or ADHD medications.

Ask a doctor or pharmacist if it is safe for you to take pseudoephedrine if you have:



  • heart disease or high blood pressure;




  • diabetes; or




  • a thyroid disorder.




FDA pregnancy category C. It is not known whether pseudoephedrine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. Pseudoephedrine can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Artificially sweetened liquid cold medicine may contain phenylalanine. If you have phenylketonuria (PKU), check the medication label to see if the product contains phenylalanine.


How should I take Sudafed 24-Hour (pseudoephedrine)?


Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Cold medicine is usually taken only for a short time until your symptoms clear up.


Do not give this medication to a child younger than 4 years old. Always ask a doctor before giving a cough or cold medicine to a child. Death can occur from the misuse of cough and cold medicines in very young children. Take this medicine with a full glass of water. Do not crush, chew, or break an extended-release tablet. Swallow it whole. Breaking or opening the pill may cause too much of the drug to be released at one time. You may need to shake the oral suspension (liquid) well just before you measure a dose. Measure the liquid with a special dose measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose measuring device, ask your pharmacist for one. Do not take pseudoephedrine for longer than 7 days in a row. Talk with your doctor if your symptoms do not improve after 7 days of treatment, or if you have a fever with a headache, cough, or skin rash. If you need surgery, tell the surgeon ahead of time that you are using pseudoephedrine. You may need to stop using the medicine for a short time. Store at room temperature away from moisture and heat.

What happens if I miss a dose?


Since pseudoephedrine is taken as needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.


What happens if I overdose?


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include feeling restless or nervous.


What should I avoid while taking Sudafed 24-Hour (pseudoephedrine)?


Avoid taking this medication if you also take diet pills, caffeine pills, or other stimulants (such as ADHD medications). Taking a stimulant together with a decongestant can increase your risk of unpleasant side effects.


Ask a doctor or pharmacist before using any other cough or cold medicine. Pseudoephedrine or other decongestants are contained in many combination medicines. Taking certain products together can cause you to get too much of a certain drug. Check the label to see if a medicine contains pseudoephedrine or a decongestant.

Sudafed 24-Hour (pseudoephedrine) side effects


Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using pseudoephedrine and call your doctor at once if you have a serious side effect such as:

  • fast, pounding, or uneven heartbeat;




  • severe dizziness or anxiety;




  • easy bruising or bleeding, unusual weakness, fever, chills, body aches, flu symptoms; or




  • dangerously high blood pressure (severe headache, blurred vision, ringing in your ears, anxiety, confusion, chest pain, trouble breathing, uneven heart rate, seizure).



Less serious side effects may include:



  • loss of appetite;




  • warmth, tingling, or redness under your skin;




  • feeling restless or excited (especially in children);




  • sleep problems (insomnia); or




  • skin rash or itching.



This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.


What other drugs will affect Sudafed 24-Hour (pseudoephedrine)?


Tell your doctor about all other medicines you use, especially:



  • blood pressure medications;




  • a beta blocker such as atenolol (Tenormin, Tenoretic), carvedilol (Coreg), labetalol (Normodyne, Trandate), metoprolol (Dutoprol, Lopressor, Toprol), nadolol (Corgard), propranolol (Inderal, InnoPran), sotalol (Betapace), and others; or




  • an antidepressant such as amitriptyline (Elavil, Vanatrip, Limbitrol), doxepin (Sinequan), nortriptyline (Pamelor), and others.



This list is not complete and other drugs may interact with pseudoephedrine. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.



More Sudafed 24-Hour resources


  • Sudafed 24-Hour Side Effects (in more detail)
  • Sudafed 24-Hour Use in Pregnancy & Breastfeeding
  • Sudafed 24-Hour Drug Interactions
  • Sudafed 24-Hour Support Group
  • 0 Reviews for Sudafed 24-Hour - Add your own review/rating


  • Pseudoephedrine MedFacts Consumer Leaflet (Wolters Kluwer)

  • Pseudoephedrine Monograph (AHFS DI)

  • Cenafed Advanced Consumer (Micromedex) - Includes Dosage Information

  • Dimetapp Decongestant Drops MedFacts Consumer Leaflet (Wolters Kluwer)

  • Drixoral Non-Drowsy Sustained-Release Capsules MedFacts Consumer Leaflet (Wolters Kluwer)

  • Entex Liquid MedFacts Consumer Leaflet (Wolters Kluwer)

  • Entex Consumer Overview

  • Sudafed Consumer Overview

  • Tylenol Simply Stuffy Liquid MedFacts Consumer Leaflet (Wolters Kluwer)



Compare Sudafed 24-Hour with other medications


  • Nasal Congestion


Where can I get more information?


  • Your pharmacist can provide more information about pseudoephedrine.

See also: Sudafed 24-Hour side effects (in more detail)


Saturday, 22 September 2012

Isentress


Generic Name: raltegravir (Oral route)

ral-TEG-ra-vir

Commonly used brand name(s)

In the U.S.


  • Isentress

Available Dosage Forms:


  • Tablet, Chewable

  • Tablet

Therapeutic Class: Antiretroviral Agent


Pharmacologic Class: Integrase Inhibitor


Uses For Isentress


Raltegravir is used together with other medicines to treat human immunodeficiency virus (HIV) infection. HIV is the virus that causes acquired immune deficiency syndrome (AIDS). This medicine is usually given to patients who have already received HIV medicines in the past.


Raltegravir will not cure or prevent HIV infection or AIDS. It helps keep HIV from reproducing and appears to slow down the destruction of the immune system. This may help delay problems that are usually related to AIDS or HIV disease from occurring. Raltegravir will not keep you from spreading HIV to other people. People who receive this medicine may continue to have other problems usually related to AIDS or HIV disease.


This medicine is available only with your doctor's prescription.


Before Using Isentress


In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:


Allergies


Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.


Pediatric


Appropriate studies have not been performed on the relationship of age to the effects of raltegravir in children younger than 2 years of age. Safety and efficacy have not been established.


Geriatric


Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of raltegravir in the elderly. However, elderly patients are more likely to have age-related kidney, liver, or heart problems, which may require caution and an adjustment in the dose for patients receiving raltegravir.


Pregnancy








Pregnancy CategoryExplanation
All TrimestersCAnimal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

Breast Feeding


There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.


Interactions with Medicines


Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.


Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.


  • Fosamprenavir

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.


  • Etravirine

  • Omeprazole

  • Rifampin

Interactions with Food/Tobacco/Alcohol


Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.


Other Medical Problems


The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:


  • Infections—May decrease your body's ability to fight infection.

  • Liver disease, severe—Use with caution. This medicine has not been studied in patients with severe liver problems.

  • Phenylketonuria (PKU)—The chewable tablet contains phenylalanine, which can make this condition worse.

Proper Use of Isentress


Take this medicine exactly as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered.


This medicine comes with a patient package insert. It is very important that you read and understand this information. Be sure to ask your doctor about anything you do not understand.


It is important to take this medicine together with other medicines for HIV. Be sure to take all of the medicines your doctor ordered, and to take them at the right times.


You may take this medicine with or without food.


You may chew or swallow the chewable tablets whole. However, the film-coated tablets must be swallowed whole.


Do not substitute the chewable tablets with the film-coated tablets. Ask your doctor or pharmacist if you have any questions.


Do not change or stop using this medicine without checking first with your doctor. When your supply of this medicine is running low, contact your doctor or pharmacist ahead of time. Do not allow yourself to run out of this medicine.


Dosing


The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.


The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.


  • For treatment of HIV infection:
    • For oral dosage form (chewable tablets):
      • Children 6 to less than 12 years of age and weighing at least 25 kilograms (kg)—Dose is based on body weight and must be determined by your doctor. The dose is usually 150 milligrams (mg) two times a day. However, the dose is usually not more than 300 mg two times a day.

      • Children 6 to less than 12 years of age and weighing less than 25 kg—Dose is based on body weight and must be determined by your doctor. The dose is usually 75 to 150 mg two times a day. However, the dose is usually not more than 300 mg two times a day.

      • Children 2 to less than 6 years of age and weighing at least 10 kg—Dose is based on body weight and must be determined by your doctor. The dose is usually 75 mg two times a day. However, the dose is usually not more than 300 mg two times a day.

      • Children younger than 2 years of age—Use and dose must be determined by your doctor.


    • For oral dosage form (film-coated tablets):
      • Adults, teenagers, and children 12 years of age and older—400 milligrams (mg) two times a day.

      • Children 6 to less than 12 years of age and weighing at least 25 kilograms (kg)—400 mg two times a day.

      • Children 6 to less than 12 years of age and weighing less than 25 kg—Use of chewable tablets recommended.

      • Children 2 to less than 6 years of age and weighing at least 10 kg—Use of chewable tablets recommended.

      • Children younger than 2 years of age—Use and dose must be determined by your doctor.



Missed Dose


If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.


Storage


Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.


Keep out of the reach of children.


Do not keep outdated medicine or medicine no longer needed.


Ask your healthcare professional how you should dispose of any medicine you do not use.


Precautions While Using Isentress


It is very important that your doctor check your or your child's progress at regular visits to make sure this medicine is working properly. Blood tests may be needed to check for unwanted effects.


Serious skin and allergic reactions can occur with this medicine. These could be life-threatening and require immediate medical attention. Stop using this medicine and check with your doctor right away if you have a severe rash; blistering, peeling, or loosening of the skin; fever or chills; muscle or joint pain; sores or ulcers on the skin; swelling of the face, lips, tongue, or throat; unusual tiredness or weakness; or yellowing of the eyes or skin while you or your child are using this medicine.


When you start taking HIV medicines, your immune system may get stronger. If you or your child have infections that are hidden in your body, such as pneumonia or tuberculosis, you may notice new symptoms when your body tries to fight them. If this occurs, tell your doctor immediately.


This medicine will not keep you from giving HIV to your partner during sex. Make sure you understand this and practice safe sex, even if your partner also has HIV, by using a latex condom or other barrier method. This medicine will also not keep you from giving HIV to other people if they are exposed to your blood. Do not re-use or share needles with anyone.


Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.


Isentress Side Effects


Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.


Check with your doctor immediately if any of the following side effects occur:


Less common or rare
  • Blood in the urine

  • burning or stinging of the skin

  • dark urine

  • decreased frequency or amount of urine

  • fast heartbeat

  • fever

  • general tiredness and weakness

  • hives

  • hoarseness

  • increased blood pressure

  • increased thirst

  • irritation

  • itching

  • joint pain, stiffness, or swelling

  • light-colored stools

  • loss of appetite

  • lower back or side pain

  • nausea and vomiting

  • pain in the groin or genitals

  • painful blisters on the trunk of the body

  • painful cold sores or blisters on the lips, nose, eyes, or genitals

  • rash

  • redness of the skin

  • sharp back pain just below the ribs

  • shortness of breath

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

  • tightness in the chest

  • troubled breathing or swallowing

  • unusual tiredness or weakness

  • upper right abdominal or stomach pain

  • weight gain

  • wheezing

  • yellow eyes and skin

Incidence not known
  • Black, tarry stools

  • bleeding gums

  • headache

  • muscle cramps or spasms

  • muscle pain or stiffness

  • pinpoint red spots on the skin

  • stomach pain, continuing

  • unusual bleeding or bruising

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:


Less common
  • Sleeplessness

  • trouble with sleeping

  • unable to sleep

Less common or rare
  • Acid or sour stomach

  • belching

  • depression

  • dizziness

  • heartburn

  • indigestion

  • lack or loss of strength

  • stomach discomfort, upset, or pain

  • tenderness in the stomach area

  • thoughts of killing oneself or changes in behavior

Incidence not known
  • Delusions of persecution, mistrust, suspiciousness, and/or combativeness

  • diarrhea

  • fear or nervousness

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.


Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

See also: Isentress side effects (in more detail)



The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.


The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.


More Isentress resources


  • Isentress Side Effects (in more detail)
  • Isentress Use in Pregnancy & Breastfeeding
  • Drug Images
  • Isentress Drug Interactions
  • Isentress Support Group
  • 5 Reviews for Isentress - Add your own review/rating


  • Isentress Prescribing Information (FDA)

  • Isentress Consumer Overview

  • Isentress Monograph (AHFS DI)

  • Isentress MedFacts Consumer Leaflet (Wolters Kluwer)

  • Raltegravir Professional Patient Advice (Wolters Kluwer)



Compare Isentress with other medications


  • HIV Infection

Heart and Circulation Tonic




Generic Name: crataegus fruit, arnica montana, potassium phosphate, dibasic and calcium fluoride granule

Dosage Form: FOR ANIMAL USE ONLY
HEART AND CIRCULATION TONIC

Improves circulation and strengthens heart and arteries



Indications: Homeopathic heart and circulation tonic.



Dosage: Sprinkle into the mouth and administer 3 times daily.  Cats and dogs under 20 lbs: 1 large pinch.  Dogs 20-50 lbs: 2 pinches.  Dogs over 50 lbs: 1/4 cap.



Caution: Consult your vet if symptoms persist or worsen. Keep this and all medicines from the reach of children.



Ingredients: Each dose contains equal parts of Crataegus (3X) (HPUS), Arnica (3X) (HPUS), Kali phos (6C) (HPUS), Calc flour (6C) (HPUS)



Sucrose (inactive ingredient).



Contains no gluten, artificial flavors, colors or preservatives.



All Native Remedies health products are especially formulated by experts in the field of natural health and are manufactured according to the highest pharmaceutical standards for maximum safety and effectiveness. For more information, visit us at www.petalive.com


Distributed by


Native Remedies, LLC


6531 Park of Commerce Blvd. 


Suite 160


Boca Raton, FL 33487


Phone: +1.877.289.1235


International: +1.561.999.8857


The letters HPUS indicate that the component(s) in this product is (are) officially monographed in the Homeopathic Pharmacopoeia of the United States.





Keep this and all medicines from the reach of children.









HEART AND CIRCULATION TONIC 
crataegus, arnica , kali phos, calc flour   granule










Product Information
Product TypeOTC ANIMAL DRUGNDC Product Code (Source)68647-156
Route of AdministrationORALDEA Schedule    

















Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
CRATAEGUS FRUIT (CRATAEGUS FRUIT)CRATAEGUS FRUIT3 [hp_X]  in 50 mg
ARNICA MONTANA (ARNICA MONTANA)ARNICA MONTANA3 [hp_X]  in 50 mg
POTASSIUM PHOSPHATE, DIBASIC (POTASSIUM CATION)POTASSIUM PHOSPHATE, DIBASIC6 [hp_C]  in 50 mg
CALCIUM FLUORIDE (CALCIUM CATION)CALCIUM FLUORIDE6 [hp_C]  in 50 mg






Inactive Ingredients
Ingredient NameStrength
SUCROSE20000 mg  in 20000 mg


















Product Characteristics
Colorwhite (white sucrose granules)Score    
ShapeSize
FlavorImprint Code
Contains      










Packaging
#NDCPackage DescriptionMultilevel Packaging
168647-156-1020000 mg In 1 BOTTLE, GLASSNone










Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
unapproved homeopathic01/01/2010


Labeler - Feelgood Health (538418296)









Establishment
NameAddressID/FEIOperations
W. Last567284153manufacture
Revised: 09/2010Feelgood Health



Triderm


Generic Name: triamcinolone topical (trye am SIN oh lone)

Brand Names: Cinolar, Kenalog, Oralone, Pediaderm TA, Triamcinolone Acetonide in Absorbase, Trianex, Triderm


What is Triderm (triamcinolone topical)?

Triamcinolone is a topical steroid. It reduces the actions of chemicals in the body that cause inflammation, redness, and swelling.


Triamcinolone topical is used to treat the inflammation caused by a number of conditions such as allergic reactions, eczema, and psoriasis. The dental paste form of triamcinolone is used to treat mouth ulcers.


Triamcinolone topical may also be used for purposes not listed in this medication guide.


What is the most important information I should know about Triderm (triamcinolone topical)?


Use this medication exactly as directed on the label, or as it has been prescribed by your doctor. Do not use the medication in larger amounts or for longer than recommended.


Do not cover treated skin areas with a bandage or other covering unless your doctor has told you to. If you are treating the diaper area of a baby, do not use plastic pants or tight-fitting diapers. Covering the skin that is treated with triamcinolone topical can increase the amount of the drug your skin absorbs, which may lead to unwanted side effects. Follow your doctor's instructions.

Avoid using this medication on your face, near your eyes, or on body areas where you have skin folds or thin skin.


Do not use this medication on a child without a doctor's advice. Children are more sensitive to the effects of triamcinolone topical.

Triamcinolone topical will not treat a bacterial, fungal, or viral skin infection.


Contact your doctor if your condition does not improve or if it gets worse after using this medication for several days.

What should I discuss with my healthcare provider before using Triderm (triamcinolone topical)?


Do not use this medication if you are allergic to triamcinolone.

To make sure you can safely use triamcinolone topical, tell your doctor if you have any of these other conditions:



  • any skin infection, especially tuberculosis infection of the skin;




  • chicken pox or herpes infection (including cold sores);




  • diabetes; or




  • a stomach ulcer.




FDA pregnancy category C. It is not known whether triamcinolone topical will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. It is not known whether triamcinolone topical passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not use this medication on a child without a doctor's advice. Children are more sensitive to the effects of triamcinolone topical.

How should I use Triderm (triamcinolone topical)?


Use exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.


Triamcinolone topical will not treat a bacterial, fungal, or viral skin infection.


Wash your hands before and after each application, unless you are using triamcinolone topical to treat a hand condition.

Apply a small amount to the affected area and rub it gently into the skin.


Avoid using this medication on your face, near your eyes or mouth, or on body areas where you have skin folds or thin skin.


If you are using the dental paste, apply the medication in a thin layer, just enough to cover the mouth ulcer. The paste may stick better if you dry the mouth ulcer before applying the medication.


Do not cover treated skin areas with a bandage or other covering unless your doctor has told you to. If you are treating the diaper area of a baby, do not use plastic pants or tight-fitting diapers. Covering the skin that is treated with triamcinolone topical can increase the amount of the drug your skin absorbs, which may lead to unwanted side effects. Follow your doctor's instructions. Contact your doctor if your condition does not improve or if it gets worse after using this medication for several days. It is important to use triamcinolone topical regularly to get the most benefit. Store at room temperature away from moisture and heat.

What happens if I miss a dose?


Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.


What happens if I overdose?


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222, especially if anyone has accidentally swallowed this medicine. An overdose of triamcinolone topical applied to the skin is not expected to produce life-threatening symptoms.

What should I avoid while using Triderm (triamcinolone topical)?


Avoid getting this medication in your eyes, mouth, and nose, or on your lips. If it does get into any of these areas, wash with water. Do not use triamcinolone topical on sunburned, windburned, irritated, or broken skin. Also avoid using this medication in open wounds.

Avoid using skin products that can cause irritation, such as harsh soaps or skin cleansers, or skin products with alcohol, spices, astringents, or lime. Avoid using other medications on the areas you treat with triamcinolone topical unless you doctor tells you to.


Triderm (triamcinolone topical) side effects


Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Stop using this medication and call your doctor at once if you have any of these signs that you may be absorbing triamcinolone topical through your skin or gums:

  • blurred vision, or seeing halos around lights;




  • uneven heartbeats;




  • mood changes;




  • sleep problems (insomnia);




  • weight gain, puffiness in your face; or




  • feeling tired.



Less serious side effects may include:



  • skin redness, burning, itching, or peeling;




  • thinning of your skin; or




  • blistering skin; or




  • stretch marks.



This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.


What other drugs will affect Triderm (triamcinolone topical)?


It is not likely that other drugs you take orally or inject will have an effect on topically applied triamcinolone topical. But many drugs can interact with each other. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.



More Triderm resources


  • Triderm Side Effects (in more detail)
  • Triderm Use in Pregnancy & Breastfeeding
  • Triderm Drug Interactions
  • Triderm Support Group
  • 0 Reviews for Triderm - Add your own review/rating


  • Triderm Advanced Consumer (Micromedex) - Includes Dosage Information

  • Triderm Prescribing Information (FDA)

  • Aristocort A Cream MedFacts Consumer Leaflet (Wolters Kluwer)

  • Kenalog Aerosol Solution MedFacts Consumer Leaflet (Wolters Kluwer)

  • Kenalog Consumer Overview

  • Oralone Prescribing Information (FDA)

  • Pediaderm TA Cream MedFacts Consumer Leaflet (Wolters Kluwer)



Compare Triderm with other medications


  • Atopic Dermatitis
  • Dermatitis
  • Lichen Planus
  • Psoriasis


Where can I get more information?


  • Your pharmacist can provide more information about triamcinolone topical.

See also: Triderm side effects (in more detail)