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Umbrella Health Care Systems - Medicines

Our pharmacy offers prescription drugs at discounted prices.

Amlodipine Tablet

Blood Pressure / Heart

What is amlodipine?   Amlodipine is a calcium channel blocker that dilates (widens) blood vessels and improves blood flow. Amlodipine is used to treat chest pain (angina) and other conditions caused by coronary artery disease. Amlodipine is also used to treat high blood pressure (hypertension). Lowering blood pressure may lower your risk of a stroke or heart attack. Amlodipine is for use in adults and children who are at least 6 years old. Warnings Before taking amlodipine, tell your doctor if you have congestive heart failure or liver disease. Drinking alcohol can further lower your blood pressure and may increase certain side effects of amlodipine. If you are being treated for high blood pressure, keep using amlodipine 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. Amlodipine is only part of a complete program of treatment that may also include diet, exercise, weight control, and other medications. Follow your diet, medication, and exercise routines very closely. Tell your doctor about all other heart or blood pressure medications you are taking. Your chest pain may become worse when you first start taking amlodipine or when your dose is increased. Call your doctor if your chest pain is severe or ongoing. Before taking this medicine You should not take amlodipine if you are allergic to it. To make sure amlodipine is safe for you, tell your doctor if you have ever had: liver disease; or a heart valve problem called aortic stenosis. Tell your doctor if you are pregnant or plan to become pregnant. It is not known whether amlodipine 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. Amlodipine can pass into breast milk, but effects on the nursing baby are not known. Tell your doctor if you are breast-feeding. Amlodipine is not approved for use by anyone younger than 6 years old.   How should I take amlodipine? Take amlodipine exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not use this medicine in larger or smaller amounts or for longer than recommended. You may take amlodipine with or without food. Take the medicine at the same time each day. Shake the Katerzia oral suspension (liquid) before you measure a dose. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon). Your blood pressure will need to be checked often. Your chest pain may become worse when you first start taking amlodipine or when your dose is increased. Call your doctor if your chest pain is severe or ongoing. If you are being treated for high blood pressure, keep using amlodipine 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. Your hypertension or heart condition may be treated with a combination of drugs. Use all medications as directed by your doctor. Read the medication guide or patient instructions provided with each medication. Do not change your doses or stop taking any of your medications without your doctor's advice. This is especially important if you also take nitroglycerin. Amlodipine is only part of a complete program of treatment that may also include diet, exercise, weight control, and other medications. Follow your diet, medication, and exercise routines very closely. Store at room temperature away from moisture, heat, and light.   What happens if I miss a dose? Take the missed dose as soon as you remember. If you are more than 12 hours late, skip the missed 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 rapid heartbeats, redness or warmth in your arms or legs, or fainting. What to avoid Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall. Amlodipine side effects Get emergency medical help if you have signs of an allergic reaction to amlodipine: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. In rare cases, when you first start taking amlodipine, your angina may get worse or you could have a heart attack. Seek emergency medical attention or call your doctor right away if you have symptoms such as: chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating. Call your doctor at once if you have: pounding heartbeats or fluttering in your chest; worsening chest pain; swelling in your feet or ankles; severe drowsiness; or a light-headed feeling, like you might pass out. Common amlodipine side effects may include: dizziness, drowsiness; feeling tired; stomach pain, nausea; or flushing (warmth, redness, or tingly feeling).   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 amlodipine? Tell your doctor about all your current medicines and any you start or stop using, especially: nitroglycerin; simvastatin (Zocor, Simcor, Vytorin); or any other heart or blood pressure medications. This list is not complete. Other drugs may interact with amlodipine, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.  

Amlodipine/Benazepril capsule

Blood Pressure / Heart

What is amlodipine and benazepril? Amlodipine is a calcium channel blocker. Amlodipine relaxes (widens) blood vessels and improves blood flow. Benazepril is an ACE inhibitor. ACE stands for angiotensin converting enzyme. Benazepril also widens blood vessels and also prevents the body from retaining water. Amlodipine and benazepril is a combination medicine used to treat high blood pressure (hypertension). Amlodipine and benazepril may also be used for purposes not listed in this medication guide. Warnings Do not use if you are pregnant. If you become pregnant, stop taking amlodipine and benazepril and tell your doctor right away. You should not use this medicine if you have ever had angioedema. Do not take this medicine within 36 hours before or after taking medicine that contains sacubitril (such as Entresto). If you have diabetes, do not use amlodipine and benazepril together with any medication that contains aliskiren (a blood pressure medicine). Before taking this medicine You should not use this medicine if you are allergic to amlodipine or benazepril, or if: you have had angioedema (hives or severe swelling of deep skin tissues sometimes caused by allergic reaction); you recently took a heart medicine called sacubitril; or you are allergic to any other ACE inhibitor, such as captopril, enalapril, lisinopril, moexipril, benazepril, quinapril, ramipril, Accupril, Prinivil, Mavik, Vasotec, and many others. Do not take amlodipine and benazepril within 36 hours before or after taking medicine that contains sacubitril (such as Entresto). If you have diabetes, do not use amlodipine and benazepril together with any medication that contains aliskiren (a blood pressure medicine). You may also need to avoid taking amlodipine and benazepril with aliskiren if you have kidney disease. Tell your doctor if you have ever had: heart disease or congestive heart failure; high levels of potassium in your blood (hyperkalemia); kidney disease (or if you are on dialysis); liver disease; or if you are on a low-salt diet. Do not use if you are pregnant. If you become pregnant, stop taking this medicine and tell your doctor right away. Benazepril can cause injury or death to the unborn baby if you take the medicine during your second or third trimester. You should not breast-feed while you are using this medicine. How should I take amlodipine and benazepril? 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. You may take amlodipine and benazepril with or without food. Take the medicine at the same time each day. Vomiting, diarrhea, or heavy sweating can cause you to become dehydrated. Drink plenty of water each day while you are taking amlodipine and benazepril. Your blood pressure will need to be checked often, and you may also need frequent blood tests. If you need surgery, tell your surgeon you currently use this medicine. You may need to stop for a short time. Call your doctor if you have ongoing vomiting or diarrhea, or if you are sweating more than usual. You can easily become dehydrated while taking amlodipine and benazepril. This can lead to very low blood pressure, electrolyte disorders, or kidney failure. 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. 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 you are more than 12 hours late for the dose. Do not use 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 amlodipine and benazepril? Drinking alcohol with amlodipine and benazepril can cause side effects. Avoid driving or hazardous activity until you know how this medicine will affect you. Your reactions could be impaired. Do not use salt substitutes or potassium supplements while taking amlodipine and benazepril, unless your doctor has told you to. Amlodipine and benazepril side effects Get emergency medical help if you have signs of an allergic reaction: hives; severe stomach pain; difficulty breathing; swelling of your face, lips, tongue, or throat. You may be more likely to have an allergic reaction if you are African-American. Some side effects may not occur until after you have used the medicine for several months. Call your doctor at once if you have: a light-headed feeling, like you might pass out; swelling in your hands or feet, rapid weight gain; new or worsened chest pain; fever, chills, sore throat, body aches, flu symptoms; high potassium--nausea, weakness, tingly feeling, chest pain, irregular heartbeats, loss of movement; or liver problems--nausea, stomach pain (upper right side), itching, unusual tiredness, flu-like symptoms, dark urine, jaundice (yellowing of the skin or eyes). Common side effects may include: cough; dizziness; or swelling in your hands or feet. 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.   Amlodipine and benazepril dosing information Usual Adult Dose for Hypertension: Initial dose: Amlodipine 2.5 mg-Benazepril 10 mg orally once a day Maintenance dose: Amlodipine 2.5 to 10 mg-Benazepril 10 to 40 mg orally once a day Maximum dose: Amlodipine: 10 mg/day; Benazepril 80 mg/day Comments: -May increase dose after 2 weeks as needed to achieve blood pressure goal. -Adding benazepril to amlodipine should not be expected to provide additional blood pressure reduction in African Americans.   What other drugs will affect amlodipine and benazepril? Sometimes it is not safe to use certain medications at the same time. Some drugs can affect your blood levels of other drugs you take, which may increase side effects or make the medications less effective. Tell your doctor about all your current medicines. Many drugs can affect amlodipine and benazepril, especially: lithium; probenecid; simvastatin; a diuretic or "water pill"; gold injections to treat arthritis; heart or blood pressure medication; insulin or oral diabetes medicine; an antibiotic--clarithromycin, telithromycin; antifungal medicine--itraconazole, ketoconazole; antiviral medicine to treat HIV/AIDS--indinavir, ritonavir, and others; medicine to prevent organ transplant rejection--cyclosporine, everolimus, sirolimus, tacrolimus, temsirolimus; or NSAIDs (nonsteroidal anti-inflammatory drugs)--aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others. This list is not complete and many other drugs may affect amlodipine and benazepril. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Amlodipine/Olmesartan tablet

Blood Pressure / Heart

What is amlodipine and olmesartan? Amlodipine is a calcium channel blocker. Olmesartan is an angiotensin II receptor blocker (sometimes called an ARB). Amlodipine and olmesartan is a combination medicine used to treat high blood pressure (hypertension). Lowering blood pressure may lower your risk of a stroke or heart attack. Amlodipine and olmesartan may also be used for purposes not listed in this medication guide. Warnings Do not use if you are pregnant. If you become pregnant, stop taking amlodipine and olmesartan and tell your doctor right away. If you have diabetes, do not use amlodipine and olmesartan together with any medication that contains aliskiren (a blood pressure medicine). Before taking this medicine You should not use this medicine if you are allergic to amlodipine or olmesartan. If you have diabetes, do not use amlodipine and olmesartan together with any medication that contains aliskiren (a blood pressure medicine). You may also need to avoid taking amlodipine and olmesartan with aliskiren if you have kidney disease. Tell your doctor if you have ever had: kidney disease; liver disease; coronary artery disease; angina (chest pain), congestive heart failure; high levels of potassium in your blood; if you are on a low-salt diet; if you are 75 years or older; or if you recently had a heart attack. Do not use if you are pregnant. Stop using the medicine and tell your doctor right away if you become pregnant. Olmesartan can cause injury or death to the unborn baby if you take the medicine during your second or third trimester. You should not breastfeed while using this medicine. Amlodipine and olmesartan is not approved for use by anyone younger than 18 years old. How should I take amlodipine and olmesartan? 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. You may take this medication with or without food. Your blood pressure will need to be checked often. Your kidney function may also need to be checked. 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. If you need surgery, tell the surgeon ahead of time that you are using amlodipine and olmesartan. Keep using amlodipine and olmesartan 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. 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. What should I avoid while taking amlodipine and olmesartan? Avoid driving or hazardous activity until you know how amlodipine and olmesartan will affect you. Your reactions could be impaired. 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. Amlodipine and olmesartan 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. When you first start taking this medicine, you may have new or worsening chest pain (angina), or you could have a heart attack. Seek emergency medical attention or call your doctor right away if you have symptoms such as: chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating. Call your doctor at once if you have: new or worsening chest pain; swelling in your hands or feet, rapid weight gain; severe or ongoing diarrhea with weight loss; pounding heartbeats or fluttering in your chest; a light-headed feeling, like you might pass out; or high potassium level--nausea, weakness, tingly feeling, chest pain, irregular heartbeats, loss of movement. Common side effects include swelling. 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.   Amlodipine and olmesartan dosing information Usual Adult Dose for Hypertension: Initial dose: Amlodipine 5 mg-Olmesartan 20 mg orally once a day; may increase dose after 1 to 2 weeks of therapy. Maximum dose: Amlodipine 10 mg-Olmesartan 40 mg orally once a day Uses: -Substitution therapy for patients maintained on the individual components separately or for patients not adequately controlled with one of the components or a component within the same antihypertensive class. -Initial therapy in patients who are likely to need more than 1 antihypertensive agent to control blood pressure.   What other drugs will affect amlodipine and olmesartan? Sometimes it is not safe to use certain medications at the same time. Some drugs can affect your blood levels of other drugs you take, which may increase side effects or make the medications less effective. If you also take colesevelam, take it 4 hours after you take amlodipine and olmesartan. Tell your doctor about all your other medicines, especially: cyclosporine; lithium; simvastatin; tacrolimus; 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 amlodipine and olmesartan, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Amlodipine/Valsartan tablet

Blood Pressure / Heart

What is amlodipine and valsartan? Amlodipine is a calcium channel blocker. Valsartan is an angiotensin II receptor antagonist. Amlodipine and valsartan is a combination medicine used to treat high blood pressure (hypertension). Lowering blood pressure may lower your risk of a stroke or heart attack. Amlodipine and valsartan is usually given after other blood pressure medicines have been tried without success. Amlodipine and valsartan may also be used for purposes not listed in this medication guide. Warnings Do not use if you are pregnant. If you become pregnant, stop taking amlodipine and valsartan and tell your doctor right away. If you have diabetes, do not use amlodipine and valsartan together with any medication that contains aliskiren (a blood pressure medicine). Before taking this medicine You should not use this medicine if you are allergic to amlodipine (Norvasc) or valsartan (Diovan). If you have diabetes, do not use amlodipine and valsartan together with any medication that contains aliskiren (a blood pressure medicine). You may also need to avoid taking amlodipine and valsartan with aliskiren if you have kidney disease. Tell your doctor if you have ever had: heart problems; a heart attack; kidney disease; liver disease; 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. Amlodipine and valsartan can cause injury or death to the unborn baby if you take the medicine during your second or third trimester. You should not breastfeed while using this medicine. Amlodipine and valsartan is not approved for use by anyone younger than 18 years old. How should I take amlodipine and 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. You may take this medication with or without food. Your blood pressure will need to be checked often. Your kidney function may also need to be checked. You may have very low blood pressure while taking this medication. Call your doctor if you are sick with vomiting or diarrhea, or if you are sweating more than usual. If you need surgery, tell the surgeon ahead of time that you are using amlodipine and valsartan. It may take up to 4 weeks for this medication to control your blood pressure. Keep using amlodipine and valsartan 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. Blood pressure medication is only part of a complete treatment program that may also include diet, exercise, regular blood pressure checks, lifestyle changes, and other medications. Follow your doctor's instructions very carefully. Use all medications as directed by your doctor. Do not change your doses or stop taking any of your medications without your doctor's advice. 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. What should I avoid while taking amlodipine and valsartan? Do not use potassium supplements or salt substitutes, unless your doctor has told you to. Drinking alcohol with amlodipine and valsartan can cause side effects. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Avoid driving or hazardous activity until you know how this medicine will affect you. Your reactions could be impaired. Amlodipine and valsartan 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; swelling in your hands or feet, rapid weight gain; or high potassium level--nausea, weakness, tingly feeling, chest pain, irregular heartbeats, loss of movement. Common side effects include: swelling in your hands or feet; dizziness; or cold symptoms such as stuffy nose, sneezing, sore throat. 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.   Amlodipine and valsartan dosing information Usual Adult Dose for Hypertension: Initial therapy: Amlodipine 5 mg-Valsartan 160 mg orally once a day Add-on/Replacement therapy: Amlodipine 5 to 10 mg-Valsartan 160 to 320 mg orally once a day Comments: -May increase dose after 1 to 2 weeks of therapy. -A patient who experiences dose-limiting adverse reactions on either component alone may be switched to this drug containing a lower dose of that component in combination with the other. If blood pressure remains uncontrolled after 3 to 4 weeks, may titrate up to a maximum of amlodipine 10 mg-valsartan 320 mg orally once a day.   What other drugs will affect amlodipine and valsartan? Sometimes it is not safe to use certain medications at the same time. Some drugs can affect your blood levels of other drugs you take, which may increase side effects or make the medications less effective. Tell your doctor about all your current medicines. Many drugs can affect amlodipine and valsartan, especially: cyclosporine; lithium; simvastatin or other cholesterol medication; an antibiotic or antifungal medicine; heart or blood pressure medication, including a diuretic ("water pill"); or NSAIDs (nonsteroidal anti-inflammatory drugs)--aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), and others. This list is not complete and many other drugs may affect amlodipine and valsartan. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Atenolol Tablet

Blood Pressure / Heart

What is atenolol? Atenolol (Tenormin) is a beta-blocker that affects the heart and circulation (blood flow through arteries and veins). Atenolol is used to treat angina (chest pain) and hypertension (high blood pressure). Atenolol is also used to lower the risk of death after a heart attack. Warnings You should not use this atenolol if you have a serious heart condition such as "AV block," very slow heartbeats, or heart failure. Do not stop taking atenolol without first talking to your doctor. Stopping suddenly may make your condition worse. If you are having any type of surgery, be sure the surgeon knows ahead of time that you are using this medicine. Atenolol can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Avoid drinking alcohol, which could increase drowsiness and dizziness while you are taking this medicine. Atenolol is only part of a complete program of treatment for hypertension that may also include diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely if you are being treated for hypertension. If you are being treated for high blood pressure, keep using this medication even if you feel fine. High blood pressure often has no symptoms. You may need to use blood pressure medication for the rest of your life. Before taking this medicine You should not use atenolol if you are allergic to it, or if you have: a serious heart condition such as "AV block" (second or third degree); slow heartbeats; heart failure; or if your heart cannot pump blood properly. To make sure atenolol is safe for you, tell your doctor if you have: congestive heart failure; coronary artery disease (hardened arteries); asthma, bronchitis, emphysema; diabetes; overactive thyroid; liver or kidney disease; pheochromocytoma (tumor of the adrenal gland); peripheral vascular disease such as Raynaud's syndrome; or allergies (or if you are undergoing allergy treatments or skin-testing). Atenolol may harm an unborn baby. Tell your doctor if you are pregnant or if you become pregnant while using this medicine. Atenolol can pass into breast milk and may harm a nursing baby. Tell your doctor if you are breastfeeding a baby. Atenolol is not approved for use by anyone younger than 18 years old. How should I take atenolol? Take atenolol exactly as it was prescribed for you. Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Your blood pressure will need to be checked often. If you need surgery, tell the surgeon ahead of time that you are using atenolol. You may need to stop using the medicine for a short time. Keep using the medication as directed and tell your doctor if your symptoms do not improve. You should not stop taking atenolol suddenly. Stopping suddenly may make your condition worse. If you are being treated for high blood pressure: Keep using this medicine 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. Your condition may need to be treated with a combination of drugs. Use all medications as directed by your doctor. Read the medication guide or patient instructions provided with each medication. Do not change your doses or medication schedule without your doctor's advice. Store at room temperature away from moisture, heat, and light. Keep the bottle tightly closed when not in use. Atenolol dosing information Usual Adult Dose of Atenolol for Hypertension: Initial dose: 50 mg orally once a day Maintenance dose: 50 to 100 mg orally once a day Maximum dose: 100 mg per day Comments: -If desired response not achieved after 1 to 2 weeks, increase to 100 mg may be beneficial. -Doses greater than 100 mg once a day did not result in significant additional antihypertensive effects. Use: For the treatment of hypertension alone or in combination with other antihypertensive agents. Usual Adult Dose of Atenolol for Angina Pectoris Prophylaxis: Initial dose: 50 mg orally once a day -Increase to 100 mg orally once a day after 1 week if optimal response not achieved Maintenance dose: 50 to 200 mg orally once a day Maximum dose: 200 mg per day Comments: -Some patients may require 200 mg per day to attain optimal effect. Use: For the long-term management of angina pectoris due to coronary atherosclerosis. Usual Adult Dose of Atenolol for Angina Pectoris: Initial dose: 50 mg orally once a day -Increase to 100 mg orally once a day after 1 week if optimal response not achieved Maintenance dose: 50 to 200 mg orally once a day Maximum dose: 200 mg per day Comments: -Some patients may require 200 mg per day to attain optimal effect. Use: For the long-term management of angina pectoris due to coronary atherosclerosis. Usual Adult Dose of Atenolol for Myocardial Infarction: 50 mg orally twice a day or 100 mg orally once a day Comments: -If IV beta blockers are contraindicated or inappropriate, oral therapy should continue for at least 7 days post-myocardial infarction (MI). -Treatment with beta blockers post MI should generally continue for 1 to 3 years if there are no contraindications. Use: For the management of hemodynamically stable patients with definite or suspected acute myocardial infarction to reduce cardiovascular mortality. Usual Geriatric Dose of Atenolol for Hypertension: Initial dose: Consider reducing the starting dose to 25 mg orally once a day Detailed Atenolol dosage information 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 weakness or lack of energy, very slow heart rate, shortness of breath, or fainting. What should I avoid while taking atenolol? Follow your doctor's instructions about any restrictions on food, beverages, or activity. Atenolol side effects Get emergency medical help if you have signs of an allergic reaction to atenolol: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: new or worsening chest pain; slow or uneven heartbeats; a light-headed feeling, like you might pass out; shortness of breath (even with mild exertion), swelling, rapid weight gain; or a cold feeling in your hands and feet. Common atenolol side effects may include include: cold hands or feet; dizziness; tiredness; or depressed mood. 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 atenolol? Tell your doctor about all your current medicines and any you start or stop using, especially: digoxin, digitalis; indomethacin; any other beta-blocker--bisoprolol, carvedilol, labetalol, metoprolol, nebivolol, propranolol, sotalol, timolol, and others; or heart or blood pressure medication--amiodarone, clonidine, diltiazem, disopyramide, nicardipine, nifedipine, reserpine, verapamil, and others. This list is not complete. Other drugs may interact with atenolol, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.  

Benazepril Tablet

Blood Pressure / Heart

What is Banzel? Banzel (rufinamide) is a seizure medication, also called an anti-epileptic or anticonvulsant. Banzel is used together with other medicines to treat seizures caused by Lennox-Gastaut syndrome, a severe form of childhood epilepsy that also causes developmental and behavior problems. Banzel is for use in adults and children who are at least 1 year old.   Warnings You should not use Banzel if you have a severe liver disease, or a genetic heart rhythm disorder called short QT syndrome. You should not stop taking Banzel suddenly, unless your doctor tells you to stop the medicine because of a serious side effect. Some people have thoughts about suicide while taking seizure medication. Stay alert to changes in your mood or symptoms.   Before taking this medicine You should not use Banzel if you are allergic to rufinamide, or if you have: a genetic heart rhythm disorder called short QT syndrome; or severe liver disease. To make sure Banzel is safe for you, tell your doctor if you have ever had: heart disease; liver disease; kidney disease (or if you are on dialysis); or depression, mental illness, or suicidal thoughts or actions. Some people have thoughts about suicide while taking Banzel. Your doctor will need to check your progress at regular visits. Your family or other caregivers should also be alert to changes in your mood or symptoms. Do not start or stop taking seizure medication during pregnancy without your doctor's advice. Having a seizure during pregnancy could harm both mother and baby. Tell your doctor right away if you become pregnant. If you are pregnant, your name may be listed on a pregnancy registry to track the effects of rufinamide on the baby. Banzel can make hormonal birth control less effective, including birth control pills, injections, implants, skin patches, and vaginal rings. To prevent pregnancy while using rufinamide, use a barrier form of birth control: condom, diaphragm, cervical cap, or contraceptive sponge. It may not be safe to breastfeed while using this medicine. Ask your doctor about any risk. Banzel should not be given to a child younger than 1 year old. How should I take Banzel? Take Banzel exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Take Banzel with food. The tablet may be swallowed whole, crushed, or cut in half. Shake the oral suspension (liquid) well just before you measure a dose. Measure the liquid using the dosing syringe and bottle adapter provided with this medicine. Insert the adapter into the bottle and snap it into place. Insert the syringe into the adapter and turn the bottle upside down. To measure your dose, pull the plunger to the correct number of milliliters marked on the side of the syringe. Rinse the syringe with water after each use. Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions. Call your doctor if your seizures get worse or you have them more often while taking Banzel. You should not stop using Banzel suddenly, unless your doctor tells you to stop the medicine because of a serious side effect. Stopping suddenly may cause increased seizures. Follow your doctor's instructions very carefully. Store at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use. Store the liquid medicine in an upright position. Do not try to remove the bottle adapter once it is in place. Throw away Banzel liquid 90 days after you first opened the bottle, even if there is medicine left inside. In case of emergency, wear or carry medical identification to let others know you use rufinamide. Dosing information Usual Adult Dose for Lennox-Gastaut Syndrome: Initial dose: 400 to 800 mg orally per day in 2 equally divided doses -Titrate in 400 to 800 mg increments every other day until a maximum daily dose of 3200 mg/day is reached Maintenance dose: 1600 mg orally twice a day Comments: -It is not known if doses lower than 3200 mg/day are effective. -For patients concomitantly receiving valproate, initial doses should be lower; see dose adjustments section. Use: For adjunctive treatment of seizures associated with Lennox-Gastaut Syndrome. Usual Pediatric Dose for Lennox-Gastaut Syndrome: 1 year of age or older: Initial dose: 10 mg/kg/day orally in 2 equally divided doses -Titrate in 10 mg/kg increments every other day to a target dose of 45 mg/kg/day Maintenance dose: 45 mg/kg orally per day in 2 equally divided doses Maximum dose: 3200 mg/day Comments: -It is not known if doses lower than 45 mg/kg (not to exceed 3200 mg/day) are effective. -For patients concomitantly receiving valproate, initial doses should be lower; see dose adjustments section. Use: For adjunctive treatment of seizures associated with Lennox-Gastaut Syndrome in pediatric patients 1 year of age and older   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. Get your prescription refilled before you run out of medicine completely. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. What to avoid Avoid driving or hazardous activity until you know how this medicine will affect you. Your reactions could be impaired. Drinking alcohol can increase certain side effects of rufinamide. Banzel side effects Get emergency medical help if you have signs of an allergic reaction to Banzel: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Seek medical treatment if you have a serious drug reaction that can affect many parts of your body. Symptoms may include: skin rash, fever, swollen glands, muscle aches, severe weakness, unusual bruising, or yellowing of your skin or eyes. Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, depression, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, agitated, hostile, aggressive, restless, irritable, hyperactive, talkative, or have thoughts about suicide or hurting yourself. Call your doctor at once if you have: loss of balance or coordination; trouble walking; or worsening or increased seizures. Common Banzel side effects may include: headache; dizziness, drowsiness; nausea; or feeling tired. 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 Banzel? Using Banzel with other drugs that make you drowsy can worsen this effect. Ask your doctor before using opioid medication, a sleeping pill, a muscle relaxer, or medicine for anxiety or seizures. Tell your doctor about all your other medicines, especially: valproic acid (Depakene, Stavzor). This list is not complete. Other drugs may interact with rufinamide, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.  

Candesartan Cilexetil tablet

Blood Pressure / Heart

What is candesartan? Candesartan is an angiotensin II receptor blocker (sometimes called an ARB). Candesartan 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. Candesartan is also used in adults to treat certain types of heart failure and lower your risk of death or needing to be hospitalized for heart damage. Candesartan may also be used for purposes not listed in this medication guide. Warnings Do not use if you are pregnant. Stop using candesartan and tell your doctor right away if you become pregnant. If you have diabetes, do not take candesartan with any medication that contains aliskiren (a blood pressure medicine). Before taking this medicine You should not use this medication if you are allergic to candesartan. If you have diabetes, do not take candesartan with any medication that contains aliskiren (a blood pressure medicine). You may also need to avoid taking candesartan with aliskiren if you have kidney disease. Tell your doctor if you have ever had: a heart condition other than one being treated with candesartan; kidney disease (or if you are on dialysis); liver disease; 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. Candesartan 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 candesartan. How should I take candesartan? 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. You may take candesartan with or without food. For a child who cannot swallow a tablet whole, a pharmacist can mix the medicine into a liquid. Shake the liquid before you measure a dose. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon). Candesartan 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 candesartan. 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. If you need surgery, tell your surgeon you currently use this medicine. You may need to stop for a short time. 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 dizziness, fast heartbeats, or fainting. What should I avoid while taking candesartan? 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. Candesartan 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, back pain; cold symptoms such as stuffy or runny nose, sneezing, sore throat; dizziness; 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.   Candesartan dosing information Usual Adult Dose for Hypertension: Initial dose: 16 mg orally once a day Maintenance dose: 8 to 32 mg/day orally in 1 to 2 divided doses Maximum dose: 32 mg/day Comments: -Consider administration of a lower initial dose in volume depleted patients. -Most of the antihypertensive effect is present within 2 weeks; maximum blood pressure reduction at a given dose is generally observed within 4 to 6 weeks of starting that dose. Usual Adult Dose for Congestive Heart Failure: Initial dose: 4 mg orally once a day; double dose every 2 weeks, as tolerated, to target dose of 32 mg orally once a day Use: Treatment of New York Heart Association (NYHA) class II through IV heart failure Usual Pediatric Dose for Hypertension: 1 TO LESS THAN 6 YEARS: Initial dose: 0.2 mg/kg/day orally in 1 to 2 divided doses Maintenance dose: 0.05 to 0.4 mg/kg/day orally in 1 to 2 divided doses 6 TO LESS THAN 17 YEARS: Less than 50 kg: -Initial dose: 4 to 8 mg/day orally in 1 to 2 divided doses -Maintenance dose: 2 to 16 mg/day orally in 1 to 2 divided doses Greater than 50 kg: -Initial dose: 8 to 16 mg/day orally in 1 to 2 divided doses -Maintenance dose: 4 to 32 mg/day orally in 1 to 2 divided doses Comments: -For patients with possible intravascular volume depletion (e.g., patients treated with diuretics, especially those with renal impairment), initiate this drug under close supervision and consider administration of a lower dose. -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. -For children unable to swallow tablets, an extemporaneous suspension may be used instead.   What other drugs will affect candesartan? Tell your doctor about all your other medicines, especially: any other heart or blood pressure medications; a diuretic or "water pill"; lithium; or NSAIDs (nonsteroidal anti-inflammatory drugs)--ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others. This list is not complete. Other drugs may affect candesartan, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Captopril tablet

Blood Pressure / Heart

What is captopril? Captopril is an ACE inhibitor. ACE stands for angiotensin converting enzyme. Captopril is used to treat high blood pressure (hypertension), congestive heart failure, kidney problems caused by diabetes, and to improve survival after a heart attack. Captopril may also be used for purposes not listed in this medication guide. Warnings Do not use captopril if you are pregnant. If you become pregnant, stop taking this medicine and tell your doctor right away. If you have diabetes, do not use captopril together with any medication that contains aliskiren (Amturnide, Tekturna, Tekamlo). Before taking this medicine You should not use this medicine if you are allergic to captopril or to any other ACE inhibitor, such as benazepril, fosinopril, enalapril, lisinopril, moexipril, perindopril, quinapril, ramipril, or trandolapril. You may also need to avoid taking captopril with aliskiren if you have kidney disease. To make sure captopril is safe for you, tell your doctor if you have: kidney disease (or if you are on dialysis); liver disease; diabetes; a connective tissue disease such as Marfan syndrome, Sjogren's syndrome, lupus, scleroderma, or rheumatoid arthritis; or if you have had an organ transplant. Do not use if you are pregnant. If you become pregnant, stop taking this medicine and tell your doctor right away. Captopril can cause injury or death to the unborn baby if you take the medicine during your second or third trimester. Captopril can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are using captopril. How should I take captopril? Take captopril exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose. Do not use this medicine in larger or smaller amounts or for longer than recommended. Captopril is usually taken 1 hour before meals. Follow your doctor's instructions. Call your doctor if you have ongoing vomiting or diarrhea, or if you are sweating more than usual. You can easily become dehydrated while taking captopril. This can lead to very low blood pressure, electrolyte disorders, or kidney failure. Drink plenty of water each day while you are taking captopril. Your blood pressure will need to be checked often, and you may need frequent blood tests. This medication can cause false results with certain medical tests. Tell any doctor who treats you that you are using captopril. If you need surgery, tell the surgeon ahead of time that you are using captopril. You may need to stop using the medicine for a short time. If you are being treated for high blood pressure, keep using this medicine 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. Store at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use. Detailed Captopril dosage information 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. What to avoid Drinking alcohol can further lower your blood pressure and may increase certain side effects of captopril. Do not use salt substitutes or potassium supplements while taking captopril, unless your doctor has told you to. Avoid becoming overheated or dehydrated during exercise and in hot weather. Follow your doctor's instructions about the type and amount of liquids you should drink. In some cases, drinking too much liquid can be as unsafe as not drinking enough. Avoid strenuous exercise without your doctor's approval if you are being treated for heart failure. Captopril side effects Get emergency medical help if you have signs of an allergic reaction to captopril: hives; severe stomach pain; 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; little or no urination, or urinating more than usual; shortness of breath (even with mild exertion), swelling, rapid weight gain; chest pain or pressure, pounding heartbeats or fluttering in your chest; high potassium - nausea, slow or unusual heart rate, weakness, loss of movement; or sudden weakness or ill feeling, fever, chills, sore throat, painful mouth sores, pain when swallowing, skin sores, cold or flu symptoms. Common captopril side effects may include: cough; flushing (warmth, redness, or tingly feeling); numbness, tingling, or burning pain in your hands or feet; loss of taste sensation; or mild skin itching or rash. 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. Captopril side effects (more detail) What other drugs will affect captopril? Other drugs may interact with captopril, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.

Carvedilol Tablet

Blood Pressure / Heart

What is carvedilol? Carvedilol is a beta-blocker. Beta-blockers affect the heart and circulation (blood flow through arteries and veins). Carvedilol is used to treat heart failure and hypertension (high blood pressure). It is also used after a heart attack that has caused your heart not to pump as well. Carvedilol may also be used for purposes not listed in this medication guide. Warnings You should not take carvedilol if you have asthma, bronchitis, emphysema, severe liver disease, or a serious heart condition such as heart block, "sick sinus syndrome," or slow heart rate (unless you have a pacemaker). Avoid drinking alcohol within 2 hours before or after taking extended-release carvedilol (Coreg CR). Also avoid taking medicines or other products that might contain alcohol. Alcohol may cause the carvedilol in Coreg CR to be released too quickly into the body. If you are being treated for high blood pressure, keep using carvedilol 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. Before taking this medicine You should not take carvedilol if you are allergic to it, or if you have: asthma, bronchitis, emphysema; severe liver disease; or a serious heart condition such as heart block, "sick sinus syndrome," or slow heart rate (unless you have a pacemaker). To make sure carvedilol is safe for you, tell your doctor if you have: diabetes (taking carvedilol can make it harder for you to tell when you have low blood sugar); angina (chest pain); liver or kidney disease; a thyroid disorder; pheochromocytoma (tumor of the adrenal gland); circulation problems (such as Raynaud's syndrome); or a history of allergies. FDA pregnancy category C. It is not known whether carvedilol 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 carvedilol passes into breast milk or if it could harm a nursing baby. You should not breast-feed while you are taking carvedilol.   How should I take carvedilol? Take carvedilol exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not take this medicine in larger or smaller amounts or for longer than recommended. Carvedilol works best if you take it with food. You may open the carvedilol capsule and sprinkle the medicine into a spoonful of pudding or applesauce to make swallowing easier. Swallow right away without chewing. Do not save the mixture for later use. Discard the empty capsule. Take carvedilol at the same time every day. Do not skip doses or stop taking carvedilol without first talking to your doctor. Stopping suddenly may make your condition worse. If you are switched from carvedilol tablets to carvedilol extended-release capsules (Coreg CR), your daily total dose of this medicine may be higher or lower than before. Older adults may be more likely to become dizzy or feel faint when switching from tablets to extended-release capsules. Follow your doctor's instructions. Your blood pressure will need to be checked often. If you are being treated for high blood pressure, keep using this medication 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. If you need surgery, tell the surgeon ahead of time that you are using carvedilol. You may need to stop using the medicine for a short time. You should not stop using carvedilol suddenly. Stopping suddenly may make your condition worse. Carvedilol can affect your pupils during cataract surgery. Tell your eye surgeon ahead of time that you are using this medication. Do not stop using carvedilol before surgery unless your surgeon tells you to. Carvedilol is only part of a complete program of treatment for hypertension that may also include diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely if you are being treated for hypertension. Store at room temperature away from moisture and heat.   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 uneven heartbeats, shortness of breath, bluish-colored fingernails, dizziness, weakness, fainting, and seizure (convulsions). What to avoid Carvedilol may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Drinking alcohol can further lower your blood pressure and may increase certain side effects of carvedilol. You should especially avoid drinking alcohol within 2 hours before or after taking extended-release carvedilol (Coreg CR). Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall. Carvedilol side effects Get emergency medical help if you have any of these signs of an allergic reaction to carvedilol: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have a serious side effect such as: a light-headed feeling, like you might pass out; slow or uneven heartbeats; swelling, rapid weight gain, feeling short of breath (even with mild exertion); cold feeling or numbness in your fingers or toes; chest pain, dry cough, wheezing, chest tightness, trouble breathing; or high blood sugar (increased thirst, increased urination, hunger, dry mouth, fruity breath odor, drowsiness, dry skin, blurred vision, weight loss). Common carvedilol side effects may include: weakness, dizziness; diarrhea; dry eyes; tired feeling; or weight gain. 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 carvedilol? Other drugs may interact with carvedilol, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.

Clonidine HCL Tablet

Blood Pressure / Heart

What is clonidine? Clonidine lowers blood pressure by decreasing the levels of certain chemicals in your blood. This allows your blood vessels to relax and your heart to beat more slowly and easily. Clonidine is used to treat hypertension (high blood pressure). The Kapvay brand is used to treat attention deficit hyperactivity disorder (ADHD). Clonidine is sometimes given with other medications. Clonidine is also available as a transdermal patch worn on the skin. Do not use two forms of this medicine at the same time. Warnings Before you take clonidine, tell your doctor if you have heart disease or severe coronary artery disease, a heart rhythm disorder, slow heartbeats, low blood pressure, a history of heart attack or stroke, kidney disease, or if you have ever had an allergic reaction to a Catapres TTS transdermal skin patch. Use only as directed. Tell your doctor if you use other medicines or have other medical conditions or allergies. Before taking this medicine You should not take this medicine if you are allergic to clonidine. To make sure clonidine is safe for you, tell your doctor if you have: heart disease or severe coronary artery disease; a heart rhythm disorder, slow heartbeats; high or low blood pressure, or a history of fainting spells; a heart attack or stroke; pheochromocytoma (tumor of the adrenal gland); kidney disease; or if you have ever had an allergic reaction to a Catapres TTS transdermal skin patch. It is not known if clonidine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. If you are pregnant, your name may be listed on a pregnancy registry to track the effects of clonidine on the baby. Clonidine may affect fertility in men or women. Pregnancy could be harder to achieve while either parent is using this medicine. If you are breastfeeding, tell your doctor if you notice somnolence, tiredness, rapid breathing, and poor feeding in the nursing baby. Catapres is not approved for use by anyone younger than 18 years old. Do not give Kapvay to a child younger than 6 years old. How should I take clonidine? Take clonidine exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Clonidine is usually taken in the morning and at bedtime. If you take different doses of this medicine at each dosing time, it may be best to take the larger dose at bedtime. Clonidine may be taken with or without food. Swallow the extended-release tablet whole and do not crush, chew, or break it. Tell your doctor if you have a planned surgery. You may have withdrawal symptoms if you stop using this medicine suddenly. Ask your doctor before stopping the medicine. Call your doctor if you are sick with vomiting. This is especially important for a child taking clonidine. If you have high blood pressure, keep using this medicine even if you feel well. High blood pressure often has no symptoms. Store at room temperature away from moisture, heat, and light. Dosing information Usual Adult Dose for Hypertension: Oral: -Initial dose: 0.1 mg orally 2 times a day (morning and bedtime) -Titration: Increments of 0.1 mg orally per day may be made at weekly intervals to desired response -Maintenance dose: 0.2 to 0.6 mg orally per day in divided doses -Maximum dose: 2.4 mg orally per day in divided doses Comments: -Taking the larger portion of the oral daily dose at bedtime may minimize transient adjustment effects of dry mouth and drowsiness Transdermal patches: -Initial dose: 0.1 mg/24 hr patch applied every 7 days -Maintenance dose: If, after 1 to 2 weeks the desired reduction in blood pressure is not achieved, increase the dosage by adding another 0.1 mg/24 hr patch or changing to a larger system -Maximum dose: Doses above two 0.3 mg/24 hr patches applied every 7 days is usually not associated with additional efficacy Comments: -The transdermal patch should be applied to a hairless area of intact skin on the upper outer arm or chest. -Each new patch should be applied on a different skin site from the previous location. -If the patch loosens during 7-day wearing, the adhesive cover should be applied directly over the system to ensure good adhesion. -There have been rare reports of the need for patch changes prior to 7 days to maintain blood pressure control. -When substituting patches for the oral formulation or for other antihypertensive drugs, physicians should be aware that the antihypertensive effect of the patches may not commence until 2 to 3 days after initial application; therefore, gradual reduction of prior drug dosage is advised. Some or all previous antihypertensive treatment may have to be continued, particularly in patients with more severe forms of hypertension. Use: For hypertension, alone or in combination with other antihypertensive agents Usual Pediatric Dose for Attention Deficit Disorder: Extended release: 6 years and older: -Initial dose: 0.1 mg orally at bedtime -Titration: Increase in 0.1 mg/day increments every 7 days until desired response; doses should be administered twice daily (either split equally or with the higher split dosage given at bedtime) -Maximum dose: 0.4 mg/day in 2 divided doses Comments: -May be taken with or without food. -If a dose is missed, that dose should be skipped and take the next dose as scheduled. -Tablets should be swallowed whole, and not crushed, chewed, or broken to avoid increasing the rate of drug release. -When discontinuing therapy, taper daily dose by no more than 0.1 mg every 3 to 7 days. Use: For the treatment of attention deficit hyperactivity disorder (ADHD) as monotherapy or as adjunctive therapy to stimulant medications.   What happens if I miss a dose? Skip the missed dose and use your next dose at the regular time. Do not use 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 feeling cold, irritable, weak, drowsy, or light-headed, or having weak reflexes, pinpoint pupils, slow heartbeats, shallow breathing, or a seizure. What should I avoid while taking clonidine? Avoid drinking alcohol. It may increase certain side effects of clonidine. Avoid driving or hazardous activity until you know how clonidine will affect you. Dizziness or drowsiness can cause falls, accidents, or severe injuries. Avoid becoming overheated or dehydrated during exercise and in hot weather. Clonidine side effects Get emergency medical help if you have signs of an allergic reaction to clonidine: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: severe chest pain, shortness of breath, irregular heartbeats; a very slow heart rate; or a light-headed feeling, like you might pass out. Common clonidine side effects may include: drowsiness, dizziness; feeling tired or irritable; dry mouth; constipation, loss of appetite; or sleep problems (insomnia), nightmares. 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 clonidine? Using clonidine with other drugs that make you drowsy can worsen this effect. Ask your doctor before using opioid medication, a sleeping pill, a muscle relaxer, or medicine for anxiety or seizures. Tell your doctor about all your other medicines, especially: other heart or blood pressure medications; an antidepressant; or any other medicine that contains clonidine. This list is not complete. Other drugs may interact with clonidine, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

Clonidine patch

Blood Pressure / Heart

What is clonidine? Clonidine lowers blood pressure by decreasing the levels of certain chemicals in your blood. This allows your blood vessels to relax and your heart to beat more slowly and easily. Clonidine is used to treat hypertension (high blood pressure). The Kapvay brand is used to treat attention deficit hyperactivity disorder (ADHD). Clonidine is sometimes given with other medications. Clonidine is also available as a transdermal patch worn on the skin. Do not use two forms of this medicine at the same time. Warnings Before you take clonidine, tell your doctor if you have heart disease or severe coronary artery disease, a heart rhythm disorder, slow heartbeats, low blood pressure, a history of heart attack or stroke, kidney disease, or if you have ever had an allergic reaction to a Catapres TTS transdermal skin patch. Use only as directed. Tell your doctor if you use other medicines or have other medical conditions or allergies. Before taking this medicine You should not take this medicine if you are allergic to clonidine. To make sure clonidine is safe for you, tell your doctor if you have: heart disease or severe coronary artery disease; a heart rhythm disorder, slow heartbeats; high or low blood pressure, or a history of fainting spells; a heart attack or stroke; pheochromocytoma (tumor of the adrenal gland); kidney disease; or if you have ever had an allergic reaction to a Catapres TTS transdermal skin patch. It is not known if clonidine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. If you are pregnant, your name may be listed on a pregnancy registry to track the effects of clonidine on the baby. Clonidine may affect fertility in men or women. Pregnancy could be harder to achieve while either parent is using this medicine. If you are breastfeeding, tell your doctor if you notice somnolence, tiredness, rapid breathing, and poor feeding in the nursing baby. Catapres is not approved for use by anyone younger than 18 years old. Do not give Kapvay to a child younger than 6 years old. How should I take clonidine? Take clonidine exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Clonidine is usually taken in the morning and at bedtime. If you take different doses of this medicine at each dosing time, it may be best to take the larger dose at bedtime. Clonidine may be taken with or without food. Swallow the extended-release tablet whole and do not crush, chew, or break it. Tell your doctor if you have a planned surgery. You may have withdrawal symptoms if you stop using this medicine suddenly. Ask your doctor before stopping the medicine. Call your doctor if you are sick with vomiting. This is especially important for a child taking clonidine. If you have high blood pressure, keep using this medicine even if you feel well. High blood pressure often has no symptoms. Store at room temperature away from moisture, heat, and light. Dosing information Usual Adult Dose for Hypertension: Oral: -Initial dose: 0.1 mg orally 2 times a day (morning and bedtime) -Titration: Increments of 0.1 mg orally per day may be made at weekly intervals to desired response -Maintenance dose: 0.2 to 0.6 mg orally per day in divided doses -Maximum dose: 2.4 mg orally per day in divided doses Comments: -Taking the larger portion of the oral daily dose at bedtime may minimize transient adjustment effects of dry mouth and drowsiness Transdermal patches: -Initial dose: 0.1 mg/24 hr patch applied every 7 days -Maintenance dose: If, after 1 to 2 weeks the desired reduction in blood pressure is not achieved, increase the dosage by adding another 0.1 mg/24 hr patch or changing to a larger system -Maximum dose: Doses above two 0.3 mg/24 hr patches applied every 7 days is usually not associated with additional efficacy Comments: -The transdermal patch should be applied to a hairless area of intact skin on the upper outer arm or chest. -Each new patch should be applied on a different skin site from the previous location. -If the patch loosens during 7-day wearing, the adhesive cover should be applied directly over the system to ensure good adhesion. -There have been rare reports of the need for patch changes prior to 7 days to maintain blood pressure control. -When substituting patches for the oral formulation or for other antihypertensive drugs, physicians should be aware that the antihypertensive effect of the patches may not commence until 2 to 3 days after initial application; therefore, gradual reduction of prior drug dosage is advised. Some or all previous antihypertensive treatment may have to be continued, particularly in patients with more severe forms of hypertension. Use: For hypertension, alone or in combination with other antihypertensive agents Usual Pediatric Dose for Attention Deficit Disorder: Extended release: 6 years and older: -Initial dose: 0.1 mg orally at bedtime -Titration: Increase in 0.1 mg/day increments every 7 days until desired response; doses should be administered twice daily (either split equally or with the higher split dosage given at bedtime) -Maximum dose: 0.4 mg/day in 2 divided doses Comments: -May be taken with or without food. -If a dose is missed, that dose should be skipped and take the next dose as scheduled. -Tablets should be swallowed whole, and not crushed, chewed, or broken to avoid increasing the rate of drug release. -When discontinuing therapy, taper daily dose by no more than 0.1 mg every 3 to 7 days. Use: For the treatment of attention deficit hyperactivity disorder (ADHD) as monotherapy or as adjunctive therapy to stimulant medications.   What happens if I miss a dose? Skip the missed dose and use your next dose at the regular time. Do not use 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 feeling cold, irritable, weak, drowsy, or light-headed, or having weak reflexes, pinpoint pupils, slow heartbeats, shallow breathing, or a seizure. What should I avoid while taking clonidine? Avoid drinking alcohol. It may increase certain side effects of clonidine. Avoid driving or hazardous activity until you know how clonidine will affect you. Dizziness or drowsiness can cause falls, accidents, or severe injuries. Avoid becoming overheated or dehydrated during exercise and in hot weather. Clonidine side effects Get emergency medical help if you have signs of an allergic reaction to clonidine: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: severe chest pain, shortness of breath, irregular heartbeats; a very slow heart rate; or a light-headed feeling, like you might pass out. Common clonidine side effects may include: drowsiness, dizziness; feeling tired or irritable; dry mouth; constipation, loss of appetite; or sleep problems (insomnia), nightmares. 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 clonidine? Using clonidine with other drugs that make you drowsy can worsen this effect. Ask your doctor before using opioid medication, a sleeping pill, a muscle relaxer, or medicine for anxiety or seizures. Tell your doctor about all your other medicines, especially: other heart or blood pressure medications; an antidepressant; or any other medicine that contains clonidine. This list is not complete. Other drugs may interact with clonidine, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

Diltiazem ER capsule (24hr) (Dilt-XR)

Blood Pressure / Heart

What is diltiazem? Diltiazem is a calcium channel blocker. It works by relaxing the muscles of your heart and blood vessels. Diltiazem is used to treat hypertension (high blood pressure), angina (chest pain), and certain heart rhythm disorders. Diltiazem may also be used for purposes not listed in this medication guide. Warnings You should not use diltiazem if you have very low blood pressure, a serious heart condition such as "sick sinus syndrome" or "second- or third-degree AV block" (unless you have a pacemaker), or if you have recently had a heart attack and you have a build-up of fluid in your lungs. Before taking diltiazem, tell your doctor if you have kidney disease, liver disease, or congestive heart failure. Diltiazem may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Do not stop taking this medication without first talking to your doctor. If you stop taking diltiazem suddenly, your condition may become worse. Diltiazem may be only part of a complete program of treatment that also includes diet, exercise, and other medications. Follow your diet, medication, and exercise routines very closely. If you are being treated for high blood pressure, keep using this medicine 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. However, if you have symptoms of low blood pressure (dizziness, fainting, weakness, or blurred vision), call your doctor and stop taking diltiazem. Before taking this medicine You should not use diltiazem if you are allergic to it, or if you have: a serious heart condition such as "sick sinus syndrome" or "second- or third-degree AV block" (unless you have a pacemaker); very low blood pressure; or if you have recently had a heart attack and you have a build-up of fluid in your lungs. To make sure diltiazem is safe for you, tell your doctor if you have: kidney disease; liver disease; congestive heart failure; or if you also take digoxin, or a beta blocker (such as atenolol, carvedilol, metoprolol, propranolol, sotalol, and others). It is not known whether diltiazem will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. Diltiazem can pass into breast milk and may harm a nursing baby. You should not breastfeed while using this medicine. How should I take diltiazem? Take diltiazem exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose. Do not use this medicine in larger or smaller amounts or for longer than recommended. Do not crush, chew, break, or open an extended-release diltiazem tablet or capsule. Swallow it whole. To make swallowing easier, ask your doctor or pharmacist if you can open a diltiazem capsule and sprinkle the medicine into a spoonful of applesauce. Swallow right away without chewing. Do not save the mixture for later use. Use diltiazem regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely. You should not stop using diltiazem suddenly. Stopping suddenly may make your condition worse. If you are being treated for high blood pressure, keep using this medicine 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. Your blood pressure will need to be checked often. You may also need frequent blood tests. Store diltiazem at room temperature away from moisture and heat.   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. An overdose of diltiazem can be fatal. Overdose symptoms may include slow heartbeat, weakness, chest pain, shortness of breath, or fainting. What to avoid Grapefruit and grapefruit juice may interact with diltiazem and lead to unwanted side effects. Discuss the use of grapefruit products with your doctor. Diltiazem may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Avoid drinking alcohol while taking diltiazem. Avoid taking herbal supplements containing St. John's wort at the same time you are taking diltiazem. Diltiazem side effects Get emergency medical help if you have signs of an allergic reaction to diltiazem: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: slow heartbeats; pounding heartbeats or fluttering in your chest; a light-headed feeling, like you might pass out; shortness of breath (even with mild activity), swelling, rapid weight gain; nausea, upper stomach pain, itching, tired feeling, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes); or severe skin reaction - fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling. Common diltiazem side effects may include: swelling; dizziness, weakness; headache; nausea; or rash. 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 diltiazem? Many drugs can interact with diltiazem, and your doctor may need to change your treatment plan if you use certain other medicines. The following are common drugs that interact with diltiazem; Medications used in anesthesia; Anti-anxiety medications called benzodiazepines (such as midazolam, triazolam, and others) as well as busipirone; Beta-blockers (such as atenolol, carvedilol, metoprolol, propranolol, sotalol, and others); Carbamazepine; Cimetidine; Clonidine; Digitalis; Quinidine; Rifampin; and Cholesterol medication called statins (such as atorvastatin, lovastatin, simvastatin, rosuvastatin, and others) Not all possible interactions are listed in this medication guide. Other prescription and over-the-counter medicines, vitamins, and herbal products may interact with diltiazem. Tell your doctor about all medicines you use, and those you start or stop using. Give a list of all your medicines to any healthcare provider who treats you.

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