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Umbrella Health Care Systems - Medicines

Our pharmacy offers prescription drugs at discounted prices.

Prazosin capsule

Blood Pressure

What is prazosin? Prazosin is used to treat hypertension (high blood pressure). Lowering blood pressure may lower your risk of a stroke or heart attack. Prazosin may also be used for other purposes not listed in this medication guide. Warnings Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use. Before taking this medicine You should not use prazosin if you are allergic to it. Tell your doctor if you have ever had: low blood pressure, especially if caused by taking medications. Prazosin can affect your pupils. If you have cataract surgery, tell your surgeon ahead of time that you use prazosin. Tell your doctor if you are pregnant or plan to become pregnant. It is not known whether prazosin will harm an unborn baby. However, having high blood pressure during pregnancy may cause complications such as diabetes or eclampsia (dangerously high blood pressure that can lead to medical problems in both mother and baby). The benefit of treating hypertension may outweigh any risks to the baby. It may not be safe to breastfeed while using this medicine. Ask your doctor about any risk. Prazosin is not approved for use by anyone younger than 18 years old. How should I take prazosin? Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed. Prazosin lowers blood pressure and may cause dizziness or fainting, especially when you first start taking it, or whenever your dose is changed. You may feel very dizzy when you first wake up. Your blood pressure will need to be checked often. Swallow the capsule whole and do not crush, chew, break, or open it. Keep using this medicine as directed, even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medication for the rest of your life. Prazosin is only part of a complete treatment program that may also include diet, exercise, weight control, and special medical care. Follow your doctor's instructions very closely. Some things can cause your blood pressure to get too low. This includes vomiting, diarrhea, or heavy sweating. Call your doctor if you are sick with vomiting or diarrhea. Store at room temperature away from moisture and heat. What happens if I miss a dose? Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time. 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 or underactive reflexes. What should I avoid while taking prazosin? Avoid driving or hazardous activity until you know how prazosin will affect you. Your reactions could be impaired. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Drinking alcohol with this medicine can cause side effects. Prazosin side effects Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: a light-headed feeling, like you might pass out; pounding heartbeats or fluttering in your chest; new or worsening chest pain; or upper stomach pain, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes). Call your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis. Common side effects may include: dizziness, drowsiness; headache; feeling weak or tired; or nausea. 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.   Prazosin dosing information Usual Adult Dose for Hypertension: Initial dose: 1 mg orally 2 or 3 times a day Maintenance dose: 1 to 20 mg orally per day in divided doses Comments: -Titrate slowly as determined by blood pressure response. -Therapeutic dosages usually range from 6 to 15 mg per day in divided doses. -Total daily doses greater than 20 mg usually do not increase efficacy, but some patients may benefit from daily doses up to 40 mg per day in divided doses.   What other drugs will affect prazosin? Tell your doctor about all your other medicines, especially: propranolol; any other blood pressure medication; a diuretic or "water pill"; or sildenafil (Viagra) and other erectile dysfunction medicines. This list is not complete. Other drugs may affect prazosin, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Telmisartan Tablet

Blood Pressure

What is telmisartan? Telmisartan is an angiotensin II receptor blocker (sometimes called an ARB) that is used to treat high blood pressure (hypertension). Lowering blood pressure may lower your risk of a stroke or heart attack. Telmisartan is also used to reduce the risk of stroke, heart attack, or death from heart problems in people who are at least 55 years old with risk factors for serious heart disorders. Telmisartan may also be used for purposes not listed in this medication guide. Warnings Do not use if you are pregnant. Stop using telmisartan and tell your doctor right away if you become pregnant. If you have diabetes, do not take telmisartan with any medicine that contains aliskiren (a blood pressure medicine). Before taking this medicine You should not use telmisartan if you are allergic to it. If you have diabetes, do not take telmisartan with any medicine that contains aliskiren (a blood pressure medicine). You may also need to avoid taking telmisartan with aliskiren if you have kidney disease. Tell your doctor if you have ever had: a heart condition other than one being treated with telmisartan; liver disease; kidney disease (or if you are on dialysis); or if you are on a low-salt diet. Do not use if you are pregnant. Stop using the medicine and tell your doctor right away if you become pregnant. Telmisartan can cause injury or death to the unborn baby if you take the medicine during your second or third trimester. If you plan to get pregnant, ask your doctor for a safer medicine to use before and during pregnancy. Having high blood pressure during pregnancy may cause complications in the mother and the baby. You should not breastfeed while using telmisartan. How should I take telmisartan? Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed. Take telmisartan at the same time each day, with or without food. Call your doctor if you are sick with vomiting or diarrhea, or if you are sweating more than usual. You can easily become dehydrated while taking telmisartan. It may take 2 to 4 weeks before your blood pressure is under control. Keep using this medicine as directed, even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medicine for the rest of your life. Treatment may also include diet, exercise, lowering cholesterol, not smoking, and controlling diabetes. Your blood pressure will need to be checked often. Your liver or kidney function may also need to be checked. Store at room temperature away from moisture and heat. Keep the tablets in their original package or container, along with any packet or canister of moisture-absorbing preservative. Keep this medicine in its original packaging until you're ready to take a tablet. Tear or cut one tablet blister from the package, peel back the paper liner, and push the tablet through the foil. What happens if I miss a dose? Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. What should I avoid while taking telmisartan? Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Do not use potassium supplements or salt substitutes, unless your doctor has told you to. Telmisartan side effects Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Also call your doctor at once if you have: a light-headed feeling, like you might pass out; little or no urination; swelling in your feet or ankles, rapid weight gain; unusual pain or tightness in your lower body; a skin ulcer; or high potassium level--nausea, weakness, tingly feeling, chest pain, irregular heartbeats, loss of movement. Common side effects may include: stuffy nose, sinus pain; back pain; or diarrhea. 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. Telmisartan dosing information Usual Adult Dose for Hypertension: Initial dose: 40 mg orally once a day Maintenance dose: 40 to 80 mg orally once a day Comments: Most of the antihypertensive effect is present within 2 weeks; maximum blood pressure reduction at a given dose is generally observed within 4 weeks of starting that dose. Usual Adult Dose for Cardiovascular Risk Reduction: 80 mg orally once a day Comments: -It is unknown whether doses lower than 80 mg are effective in reducing the risk of cardiovascular morbidity and mortality. -When initiating this drug for cardiovascular risk reduction, monitoring of blood pressure is recommended, and if appropriate, adjustment of other medications that lower blood pressure. Use: Reduction of risk of myocardial infarction, stroke, or death from cardiovascular causes in patients 55 years or older at high risk of developing major cardiovascular events who are unable to take angiotensin-converting enzyme (ACE) inhibitors. High risk for cardiovascular events can be evidenced by a history of coronary artery disease, peripheral arterial disease, stroke, transient ischemic attack, or high-risk diabetes (insulin-dependent or non-insulin dependent) with evidence of end-organ damage.   What other drugs will affect telmisartan? Tell your doctor about all your other medicines, especially: digoxin; lithium; a diuretic or "water pill" or other blood pressure medicine; or NSAIDs (nonsteroidal anti-inflammatory drugs)--aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others; This list is not complete. Other drugs may affect telmisartan, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here,  

Valsartan tablet

Blood Pressure

What is valsartan? Valsartan is an angiotensin II receptor blocker (sometimes called an ARB). Valsartan is used to treat high blood pressure (hypertension) in adults and children who are at least 1 year old. Lowering blood pressure may lower your risk of a stroke or heart attack. Valsartan is also used in adults to treat heart failure and lower your risk of needing to be hospitalized, and to lower your risk of death after a heart attack. Valsartan may also be used for purposes not listed in this medication guide. Warnings Do not use if you are pregnant. Stop using valsartan and tell your doctor right away if you become pregnant. If you have diabetes, do not take valsartan with any medication that contains aliskiren (a blood pressure medicine). Before taking this medicine You should not use valsartan if you are allergic to it. If you have diabetes, do not take valsartan with any medication that contains aliskiren (a blood pressure medicine). You may also need to avoid taking valsartan with aliskiren if you have kidney disease. Tell your doctor if you have ever had: a heart condition other than one being treated with valsartan; kidney disease (or if you are on dialysis); or if you are on a low-salt diet. Do not use if you are pregnant. Stop using the medicine and tell your doctor right away if you become pregnant. Valsartan can cause injury or death to the unborn baby if you take the medicine during your second or third trimester. If you plan to get pregnant, ask your doctor for a safer medicine to use before and during pregnancy. Having high blood pressure during pregnancy may cause complications in the mother and the baby. You should not breastfeed while using valsartan. Valsartan is not approved for use by anyone younger than 1 year old. How should I take valsartan? Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed. Take valsartan at the same time(s) each day, with or without food. For a child who cannot swallow a tablet whole, a pharmacist can mix the medicine into a liquid. If your child switches from valsartan tablets to liquid, the dose will not be the same. Shake the liquid for 10 seconds before you measure a dose. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon). Valsartan doses are based on weight in children and/or teenagers. Your child's dose needs may change if the child gains or loses weight. Your blood pressure will need to be checked often. Your kidney function may also need to be checked. Call your doctor if you are sick with vomiting or diarrhea, or if you are sweating more than usual. You can easily become dehydrated while taking valsartan. It may take 2 to 4 weeks before your blood pressure is under control. Keep using this medicine as directed, even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medicine for the rest of your life. Treatment may also include diet, exercise, lowering cholesterol, not smoking, and controlling diabetes. Store the tablets or liquid at room temperature away from moisture and heat. Throw away any unused liquid after 30 days. The liquid may be stored for up to 75 days if kept in a refrigerator. Keep valsartan liquid in the original glass bottle, tightly closed when not in use. What happens if I miss a dose? Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Overdose symptoms may include fast heartbeats or fainting. What should I avoid while taking valsartan? Do not use potassium supplements or salt substitutes unless your doctor has told you to. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Valsartan side effects Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: a light-headed feeling, like you might pass out; little or no urination; or high potassium level--nausea, weakness, tingly feeling, chest pain, irregular heartbeats, loss of movement. Common side effects may include: high potassium; headache, dizziness, feeling light-headed; flu symptoms, tiredness; cough; stomach pain, diarrhea; back pain, joint pain; or abnormal kidney test. 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.   Valsartan dosing information Usual Adult Dose for Congestive Heart Failure: Initial dose: 40 mg orally twice a day Maintenance dose: 80 to 160 mg twice a day. The dose should be increased to the highest dose tolerated by the patient. Usual Adult Dose for Hypertension: Initial dose: 80 to 160 mg orally once a day. Maintenance dose: 80 to 320 mg orally once a day Usual Adult Dose for Myocardial Infarction: Initial dose: 20 mg orally twice a day Maintenance dose: The initial dosage may be titrated upward within 7 days to 40 mg twice daily, with subsequent titrations to a target maintenance dose of 160 mg twice a day as tolerated by the patient. If symptomatic hypotension or renal dysfunction occurs, consideration should be given to a dosage reduction. Comment: Valsartan may be initiated as early as 12 hours after a myocardial infarction, and may be given with other standard postmyocardial infarction treatment, including thrombolytics, aspirin, beta blockers, and statins. Usual Pediatric Dose for Hypertension: 6 to 16 years: Initial dose: 1.3 mg/kg once a day (up to 40 mg) Maintenance dose: up to 2.7 mg/kg (up to 160 mg) once a day titrated according to patient response Comments: -If the calculated dosage does not correspond to the available tablet strengths, or if children are unable to swallow tablets, the use of a suspension (which can be prepared from the tablets) is recommended. The valsartan dose may need to be increased if the suspension is replaced by a tablet. -No data are available in pediatric patients either undergoing dialysis or with a glomerular filtration rate less than 30 mL/min.   What other drugs will affect valsartan? Tell your doctor about all your other medicines, especially: lithium; a diuretic (water pill) or other medicines that lower blood pressure; or NSAIDs (nonsteroidal anti-inflammatory drugs)--aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others; This list is not complete. Other drugs may affect valsartan, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

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