What is niacin? Niacin, also called nicotinic acid, is a B vitamin (vitamin B3). It occurs naturally in plants and animals, and is also added to many foods as a vitamin supplement. It is also present in many multiple vitamins and nutritional supplements. Niacin is used to lower blood levels of "bad" cholesterol (low-density lipoprotein, or LDL) and triglycerides, and increase levels of "good" cholesterol (high-density lipoprotein, or HDL). Niacin may also be used for purposes not listed in this medication guide. Warnings You should not take niacin if you have severe liver disease, a stomach ulcer, or active bleeding. Niacin can cause certain side effects, such as flushing (warmth, itching, redness, or tingly feeling under your skin). These effects can be made worse if you drink alcohol or hot beverages shortly after you take this medicine. These effects should disappear over time as you keep taking the medication. 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. Avoid taking colestipol (Colestid) or cholestyramine (Locholest, Prevalite, Questran) at the same time you take niacin. If you take either of these other medications, take them at least 4 to 6 hours before or after you take this medicine. Niacin 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. Before taking this medicine You should not take niacin if you are allergic to it. To make sure you can safely take niacin, tell your doctor if you have ever had: severe liver disease; a stomach ulcer; or active bleeding. Tell your doctor if you have ever had: liver disease; heart disease, chest pain (angina); gout; or diabetes. It is not known whether niacin will harm an unborn baby. You may not be able to use this medicine during pregnancy. Tell your doctor right away if you become pregnant. You should not breastfeed while using this medicine. Niacin is not approved for use by anyone younger than 18 years old. How should I take niacin ? Use niacin exactly as directed on the label, or as prescribed by your doctor. Read all medication guides or instruction sheets. Niacin can cause flushing (warmth, itching, redness, or tingly feeling under your skin). These effects should disappear over time as you keep taking the medicine. Flushing may be worse if you drink alcohol or hot beverages shortly after taking niacin. Swallow the capsule or tablet whole and do not crush, chew, break, or open it. Your dose needs may change if you switch to a different brand, strength, or form of this medicine. Avoid medication errors by using only the form and strength your doctor prescribes. If you stop taking niacin for any length of time, talk with your doctor before starting the medication again. You may need to restart the medication at a lower dose. This medicine can affect the results of certain medical tests. Tell any doctor who treats you that you are using this medicine. Niacin is only part of a complete treatment program that may also include diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely. Your doctor may recommend you take aspirin or an NSAID (such as ibuprofen, Advil, or Aleve) to help prevent flushing. Keep using these medicines for as long as your doctor has prescribed. Store at room temperature away from moisture and heat. Detailed Niacin 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. What to avoid Avoid drinking alcohol. It may increase your risk of liver damage, and can also worsen the flushing effects of niacin. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Avoid eating foods high in fat or cholesterol, or niacin will not be as effective. Niacin side effects Get emergency medical help if you have signs of an allergic reaction to niacin: 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; irregular heartbeats; severe warmth or redness under your skin; vision problems; or jaundice (yellowing of the skin or eyes). Common niacin side effects may include: flushing (sudden warmth, redness, or tingly feeling); upset stomach, vomiting, diarrhea; abnormal liver function tests; itching, dry skin; cough; skin discoloration; or headache. 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. Niacin side effects (more detail) What other drugs will affect niacin? Tell your doctor about all your other medicines, especially: statin cholesterol medication; heart or blood pressure medication; or other medicines that lower blood pressure. This list is not complete. Other drugs may interact with niacin, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

What is niacin? Niacin, also called nicotinic acid, is a B vitamin (vitamin B3). It occurs naturally in plants and animals, and is also added to many foods as a vitamin supplement. It is also present in many multiple vitamins and nutritional supplements. Niacin is used to lower blood levels of "bad" cholesterol (low-density lipoprotein, or LDL) and triglycerides, and increase levels of "good" cholesterol (high-density lipoprotein, or HDL). Niacin may also be used for purposes not listed in this medication guide. Warnings You should not take niacin if you have severe liver disease, a stomach ulcer, or active bleeding. Niacin can cause certain side effects, such as flushing (warmth, itching, redness, or tingly feeling under your skin). These effects can be made worse if you drink alcohol or hot beverages shortly after you take this medicine. These effects should disappear over time as you keep taking the medication. 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. Avoid taking colestipol (Colestid) or cholestyramine (Locholest, Prevalite, Questran) at the same time you take niacin. If you take either of these other medications, take them at least 4 to 6 hours before or after you take this medicine. Niacin 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. Before taking this medicine You should not take niacin if you are allergic to it. To make sure you can safely take niacin, tell your doctor if you have ever had: severe liver disease; a stomach ulcer; or active bleeding. Tell your doctor if you have ever had: liver disease; heart disease, chest pain (angina); gout; or diabetes. It is not known whether niacin will harm an unborn baby. You may not be able to use this medicine during pregnancy. Tell your doctor right away if you become pregnant. You should not breastfeed while using this medicine. Niacin is not approved for use by anyone younger than 18 years old. How should I take niacin ? Use niacin exactly as directed on the label, or as prescribed by your doctor. Read all medication guides or instruction sheets. Niacin can cause flushing (warmth, itching, redness, or tingly feeling under your skin). These effects should disappear over time as you keep taking the medicine. Flushing may be worse if you drink alcohol or hot beverages shortly after taking niacin. Swallow the capsule or tablet whole and do not crush, chew, break, or open it. Your dose needs may change if you switch to a different brand, strength, or form of this medicine. Avoid medication errors by using only the form and strength your doctor prescribes. If you stop taking niacin for any length of time, talk with your doctor before starting the medication again. You may need to restart the medication at a lower dose. This medicine can affect the results of certain medical tests. Tell any doctor who treats you that you are using this medicine. Niacin is only part of a complete treatment program that may also include diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely. Your doctor may recommend you take aspirin or an NSAID (such as ibuprofen, Advil, or Aleve) to help prevent flushing. Keep using these medicines for as long as your doctor has prescribed. Store at room temperature away from moisture and heat. Detailed Niacin 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. What to avoid Avoid drinking alcohol. It may increase your risk of liver damage, and can also worsen the flushing effects of niacin. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Avoid eating foods high in fat or cholesterol, or niacin will not be as effective. Niacin side effects Get emergency medical help if you have signs of an allergic reaction to niacin: 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; irregular heartbeats; severe warmth or redness under your skin; vision problems; or jaundice (yellowing of the skin or eyes). Common niacin side effects may include: flushing (sudden warmth, redness, or tingly feeling); upset stomach, vomiting, diarrhea; abnormal liver function tests; itching, dry skin; cough; skin discoloration; or headache.  

What is nifedipine? Nifedipine is in a group of drugs called calcium channel blockers. It works by relaxing the muscles of your heart and blood vessels. Nifedipine is used to treat hypertension (high blood pressure) and angina (chest pain). Nifedipine may also be used for purposes not listed in this medication guide. What is the most important information I should know about nifedipine? You should not use nifedipine if you have severe coronary artery disease, or if you have had a heart attack within the past 2 weeks. Before taking nifedipine, tell your doctor if you have kidney or liver disease, a blockage in your digestive tract (stomach or intestines), a history of stomach surgery, coronary artery disease, underactive thyroid, diabetes, or congestive heart failure. If you need surgery, tell the surgeon ahead of time that you are using nifedipine. You may need to stop using the medicine for a short time. Do not stop taking nifedipine without first talking to your doctor, even if you feel fine. Stopping suddenly may make your condition worse. 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 this medicine if you are allergic to nifedipine, if you have severe coronary artery disease, or if you have had a heart attack within the past 2 weeks. To make sure nifedipine is safe for you, tell your doctor if you have: severe COPD (chronic obstructive pulmonary disease); kidney disease; congestive heart failure; or if you take other medications, especially an antibiotic or antifungal medicine, an antidepressant, heart or blood pressure medicine, or drugs to treat HIV/AIDS or hepatitis C. It is not known whether nifedipine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. Nifedipine can pass into breast milk and may harm a nursing baby. Tell your doctor if you are breast-feeding a baby. The nifedipine extended-release tablet may contain lactose. Talk to your doctor before using this form of nifedipine if you have galactose intolerance, or severe problems with lactose (milk sugar). How should I take nifedipine? Take nifedipine 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. You may need to take an extended-release tablet on an empty stomach. Follow the directions on your medicine label about taking this medication with or without food. Do not crush, chew, or break a nifedipine extended-release tablet. Swallow it whole. Your blood pressure will need to be checked often and you may need other blood tests at your doctor's office. Some tablet forms of nifedipine are made with a shell that is not absorbed or melted in the body. Part of the tablet shell may appear in your stool. This is a normal side effect of nifedipine and will not make the medication less effective. If you need surgery, tell the surgeon ahead of time that you are using nifedipine. You may need to stop using the medicine at least 36 hours before surgery. 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 are also taking a beta-blocker (atenolol, carvedilol, labetalol, metoprolol, nadolol, nebivolol, propranolol, sotalol, and others) you should not stop using the beta-blocker suddenly or you could have serious heart problems that will not be prevented by nifedipine. Follow your doctor's instructions about tapering your beta-blocker dose. You should not stop using nifedipine suddenly. Stopping suddenly may make your condition worse. 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. 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. 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 should I avoid? Grapefruit and grapefruit juice may interact with nifedipine and lead to unwanted side effects. Discuss the use of grapefruit products with your doctor. 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. Nifedipine side effects Get emergency medical help if you have any signs of an allergic reaction to nifedipine: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: worsening angina; a light-headed feeling, like you might pass out; pounding heartbeats or fluttering in your chest; chest pain or heavy feeling, pain spreading to the jaw or shoulder, nausea, sweating, general ill feeling; swelling in your ankles or feet; or upper stomach pain, jaundice (yellowing of the skin or eyes). Common nifedipine side effects may include: mild dizziness; flushing (warmth, redness, or tingly feeling); weakness, headache, mood changes; heartburn, nausea; tremors, muscle cramps; or cough, wheezing, sore throat, stuffy nose. 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 nifedipine? Other drugs may interact with nifedipine, 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.

What is nifedipine? Nifedipine is in a group of drugs called calcium channel blockers. It works by relaxing the muscles of your heart and blood vessels. Nifedipine is used to treat hypertension (high blood pressure) and angina (chest pain). Nifedipine may also be used for purposes not listed in this medication guide. What is the most important information I should know about nifedipine? You should not use nifedipine if you have severe coronary artery disease, or if you have had a heart attack within the past 2 weeks. Before taking nifedipine, tell your doctor if you have kidney or liver disease, a blockage in your digestive tract (stomach or intestines), a history of stomach surgery, coronary artery disease, underactive thyroid, diabetes, or congestive heart failure. If you need surgery, tell the surgeon ahead of time that you are using nifedipine. You may need to stop using the medicine for a short time. Do not stop taking nifedipine without first talking to your doctor, even if you feel fine. Stopping suddenly may make your condition worse. 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 this medicine if you are allergic to nifedipine, if you have severe coronary artery disease, or if you have had a heart attack within the past 2 weeks. To make sure nifedipine is safe for you, tell your doctor if you have: severe COPD (chronic obstructive pulmonary disease); kidney disease; congestive heart failure; or if you take other medications, especially an antibiotic or antifungal medicine, an antidepressant, heart or blood pressure medicine, or drugs to treat HIV/AIDS or hepatitis C. It is not known whether nifedipine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. Nifedipine can pass into breast milk and may harm a nursing baby. Tell your doctor if you are breast-feeding a baby. The nifedipine extended-release tablet may contain lactose. Talk to your doctor before using this form of nifedipine if you have galactose intolerance, or severe problems with lactose (milk sugar). How should I take nifedipine? Take nifedipine 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. You may need to take an extended-release tablet on an empty stomach. Follow the directions on your medicine label about taking this medication with or without food. Do not crush, chew, or break a nifedipine extended-release tablet. Swallow it whole. Your blood pressure will need to be checked often and you may need other blood tests at your doctor's office. Some tablet forms of nifedipine are made with a shell that is not absorbed or melted in the body. Part of the tablet shell may appear in your stool. This is a normal side effect of nifedipine and will not make the medication less effective. If you need surgery, tell the surgeon ahead of time that you are using nifedipine. You may need to stop using the medicine at least 36 hours before surgery. 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 are also taking a beta-blocker (atenolol, carvedilol, labetalol, metoprolol, nadolol, nebivolol, propranolol, sotalol, and others) you should not stop using the beta-blocker suddenly or you could have serious heart problems that will not be prevented by nifedipine. Follow your doctor's instructions about tapering your beta-blocker dose. You should not stop using nifedipine suddenly. Stopping suddenly may make your condition worse. 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. 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. 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 should I avoid? Grapefruit and grapefruit juice may interact with nifedipine and lead to unwanted side effects. Discuss the use of grapefruit products with your doctor. 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. Nifedipine side effects Get emergency medical help if you have any signs of an allergic reaction to nifedipine: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: worsening angina; a light-headed feeling, like you might pass out; pounding heartbeats or fluttering in your chest; chest pain or heavy feeling, pain spreading to the jaw or shoulder, nausea, sweating, general ill feeling; swelling in your ankles or feet; or upper stomach pain, jaundice (yellowing of the skin or eyes). Common nifedipine side effects may include: mild dizziness; flushing (warmth, redness, or tingly feeling); weakness, headache, mood changes; heartburn, nausea; tremors, muscle cramps; or cough, wheezing, sore throat, stuffy nose. 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 nifedipine? Other drugs may interact with nifedipine, 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.

What is Nilandron? Nilandron is used to treat prostate cancer that has spread to other parts of the body. Nilandron is for use in men who have undergone surgical castration. Nilandron may also be used for purposes not listed in this medication guide. Warnings You should not use Nilandron if you have severe liver disease or severe breathing problems. Nilandron can cause serious lung problems. Call your doctor right away if you have chest pain, wheezing, dry cough, fever, and new or worsening shortness of breath. Before taking this medicine You should not use Nilandron if you are allergic to it, or if you have: severe liver disease; or severe breathing problems. Tell your doctor if you have ever had: liver disease; or asthma or another lung disease. Nilandron is not for use in women, and the effects of Nilandron during pregnancy or in breastfeeding women are unknown. How should I take Nilandron? Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. Treatment with Nilandron should be started on the day of or on the day after surgical castration. You may take Nilandron with or without food. Do not stop taking this medication without first talking to your doctor. 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 Nilandron? Nilandron may cause a delay in your ability to see in the dark after you have been in a lighted area. Be careful when driving at night, when entering a tunnel, and in similar situations. Wearing tinted glasses may help lessen this effect. Drinking alcohol with Nilandron may cause dizziness, flushing (warmth, redness, or tingly feeling), or other unpleasant symptoms. Nilandron 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: chest pain, wheezing, dry cough, fever; new or worsening shortness of breath; flu symptoms, pale skin, feeling tired; or liver problems--nausea, vomiting, loss of appetite, right-sided upper stomach pain, flu-like symptoms, dark urine, jaundice (yellowing of the skin or eyes). Common side effects may include: hot flashes; dizziness; constipation; nausea or vomiting, loss of appetite; skin rash; decreased libido, impotence; or vision changes. 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 Nilandron? Other drugs may affect Nilandron, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.

Uses Nitroglycerin extended-release capsules are used to prevent chest pain (angina) in people with a certain heart condition (coronary artery disease). This medication belongs to a class of drugs known as nitrates. Angina occurs when the heart muscle is not getting enough blood. This drug works by relaxing and widening blood vessels so blood can flow more easily to the heart.This medication will not relieve chest pain once it occurs. It is also not intended to be taken just before physical activities (such as exercise, sexual activity) to prevent chest pain. Other medications may be needed in these situations. Consult your doctor for more details. How to use Nitroglycerin Take this medication by mouth, usually 3 to 4 times daily or as directed by your doctor. It is important to take the drug at the same times each day. Do not change the dosing times unless directed by your doctor. The dosage is based on your medical condition and response to treatment. Swallow this medication whole. Do not crush or chew the capsules. Doing so can release all of the drug at once and may increase your risk of side effects. Use this medication regularly to get the most benefit from it. Do not suddenly stop taking this medication without consulting your doctor. Some conditions may become worse when the drug is suddenly stopped. Your dose may need to be gradually decreased. Although unlikely, when this medication is used for a long time, it may not work as well and may require different dosing. Tell your doctor if this medication stops working well (for example, you have worsening chest pain or it occurs more often). Side Effects Headache, dizziness, lightheadedness, nausea, and flushing may occur as your body adjusts to this medication. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. Headache is often a sign that this medication is working. Your doctor may recommend treating headaches with an over-the-counter pain reliever (such as acetaminophen, aspirin). If the headaches continue or become severe, tell your doctor promptly. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Tell your doctor right away if any of these unlikely but serious side effects occur: fainting, fast/irregular/pounding heartbeat. A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any of the following symptoms of a serious allergic reaction: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088  

What is nitroglycerin rectal? Nitroglycerin rectal is used to treat moderate to severe pain caused by chronic anal fissures (tears in the skin lining your rectum). Nitroglycerin rectal may also be used for purposes not listed in this medication guide. Warnings You should not use nitroglycerin if you are also using medicine to treat pulmonary arterial hypertension or erectile dysfunction, or if you have severe anemia (a lack of red blood cells), or increased pressure inside your skull. Before taking this medicine You should not use nitroglycerin rectal if you are allergic to it, or if you have: severe anemia (a lack of red blood cells); increased pressure inside the skull; or if you also use erectile dysfunction medicine such as Viagra, Cialis, Levitra, Stendra, Staxyn, sildenafil, avanafil, tadalafil, or vardenafil. Do not use nitroglycerin rectal if you have early signs of a heart attack (chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling). Seek emergency medical attention if you have symptoms of a heart attack. Tell your doctor if you have ever had: congestive heart failure; heart attack; a blood vessel disorder; low blood pressure; or headaches. Tell your doctor if you are pregnant or breastfeeding. Nitroglycerin rectal is not approved for use by anyone younger than 18 years old. How should I use nitroglycerin rectal? Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. Do not take a rectal suppository or enema by mouth. Use it only in your rectum. Nitroglycerin rectal can cause severe headaches. Ask your doctor before using any headache pain medication. It may take up to 3 weeks before your symptoms improve. Keep using as directed and tell your doctor if your symptoms do not improve or if they get worse while using nitroglycerin rectal. Store at room temperature away from moisture and heat. Keep the tube tightly closed when not in use. Throw away any nitroglycerin rectal ointment you have not used within 8 weeks after you first opened the tube.   What happens if I miss a dose? Use the medicine as soon as you can, but skip the missed dose if it is almost time for your next 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. An overdose of nitroglycerin can be fatal. Overdose symptoms may include a severe throbbing headache, confusion, fever, fast or pounding heartbeats, dizziness, vision problems, vomiting, bloody diarrhea, trouble breathing, cold or clammy skin, fainting, and seizures. What should I avoid while using nitroglycerin rectal? Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Drinking alcohol can increase certain side effects such as dizziness, drowsiness, feeling light-headed, or fainting. Avoid getting nitroglycerin in your eyes, mouth, or vagina. Nitroglycerin rectal 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: pounding heartbeats or fluttering in your chest; slow heart rate; a light-headed feeling, like you might pass out; or heart attack symptoms--chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating. Nitroglycerin can cause severe headaches. These headaches may gradually become less severe as you continue to use nitroglycerin. Do not stop using this medicine. Ask your doctor before using any headache pain medication. Common side effects may include: headache; or dizziness. 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 nitroglycerin rectal? Tell your doctor about all your current medicines, especially: aspirin or heparin; medicine used to treat blood clots; blood pressure medication; ergot medicine--dihydroergotamine, ergotamine, ergonovine, methylergonovine. other nitroglycerin medication. This list is not complete and many other drugs may affect nitroglycerin. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

What is norethindrone? Norethindrone is a form of progesterone, a female hormone important for regulating ovulation and menstruation. Norethindrone is used for birth control (contraception) to prevent pregnancy. Norethindrone is also used to treat menstrual disorders, endometriosis, or abnormal vaginal bleeding caused by a hormone imbalance. Not all brands of norethindrone are for the same uses. Some brands are for use only as contraception. Others are for use in treating endometriosis or vaginal bleeding disorders. Avoid medication errors by using only the brand, form, and strength your doctor prescribes. Norethindrone may also be used for other purposes not listed in this medication guide. Warnings You should not use this medicine if you you have: undiagnosed vaginal bleeding, breast cancer, liver disease, or a liver tumor. You may not be able to take norethindrone if you have ever had a heart attack, a stroke, or blood clot. Do not use if you are pregnant or trying to become pregnant. In some cases, you should not take norethindrone if you are nursing. Before taking this medicine You should not use norethindrone if you are allergic to it, or if you have: unusual vaginal bleeding that has not been checked by a doctor; liver disease or a liver tumor; breast cancer; or a history of blood clots in your brain, eyes, lungs, or legs. Do not use norethindrone if you are pregnant or trying to become pregnant. Stop taking the medicine and tell your doctor right away if you become pregnant. Ask your doctor about using norethindrone while you are breast-feeding. In some cases, you should not take norethindrone if you are nursing. Tell your doctor if you have ever had: heart disease, high blood pressure; liver disease; depression; migraine headaches; diabetes; high cholesterol or triglycerides; uterine fibroid tumors; epilepsy; kidney disease; asthma; or if you smoke. Do not give this medicine to a child without medical advice. How should I take norethindrone? Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. Carefully follow your doctor's dosing instructions about when to start taking norethindrone for contraception if you are switching from a combination birth control pill (estrogen and progestin). If you take norethindrone for contraception: Take one pill every day, no more than 24 hours apart. You may get pregnant if you do not take one pill daily. You may need to use back-up birth control (such as condoms with spermicide) if you are sick with vomiting or diarrhea, or if you are 3 or more hours late in taking your daily dose. If you take norethindrone for menstrual disorders or abnormal vaginal bleeding: You will most likely take the medicine for only 5 to 10 days. Vaginal bleeding will occur 3 to 7 days after your last dose. If you take norethindrone for endometriosis: Norethindrone is usually taken daily long-term for several months. Your doctor may occasionally change your dose. Your doctor should check your progress on a regular basis. Self-examine your breasts for lumps on a monthly basis, and have regular mammograms. Report any unusual vaginal bleeding right away. Norethindrone can affect the results of certain medical tests. Tell any doctor who treats you that you are using norethindrone. Store this medication at room temperature away from moisture, heat, and light. What happens if I miss a dose? Call your doctor for instructions, or follow the patient instructions provided with your medicine. Missing a birth control pill increases your risk of becoming pregnant. If you are more than 3 hours late for your dose, take the medicine as soon as you remember and use back-up birth control for at least 48 hours. Take your next pill at the regularly scheduled time and continue on your regular dosing schedule. If you miss a period for two months in a row, call your doctor because you might be pregnant. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of norethindrone is not expected to be dangerous. What should I avoid while taking norethindrone? Do not use estrogen medication unless your doctor tells you to. Avoid smoking. It can greatly increase your risk of blood clots, stroke, or heart attack while taking norethindrone for contraception. Norethindrone will not protect you from sexually transmitted diseases--including HIV and AIDS. Using a condom is the only way to protect yourself from these diseases. Norethindrone 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: sudden vision loss, bulging eyes, or severe headache; swelling, rapid weight gain; unusual vaginal bleeding; missed menstrual periods; pelvic pain (especially on one side); a breast lump; a light-headed feeling, like you might pass out; increased thirst, increased urination; liver problems--loss of appetite, stomach pain (upper right side), dark urine, jaundice (yellowing of the skin or eyes); or signs of a blood clot--sudden numbness or weakness, problems with vision or speech, chest pain, shortness of breath, swelling or redness in an arm or leg. Common side effects may include: irregular vaginal bleeding or spotting; headache; breast pain or swelling; stomach pain, bloating, nausea, vomiting; hair loss; depressed mood, trouble sleeping; weight gain; or vaginal itching or discharge. 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.   Norethindrone dosing information Usual Adult Dose for Abnormal Uterine Bleeding: 2.5 to 10 mg orally once a day Duration of therapy: 5 to 10 days Comments: -This drug should be used when the endometrium is adequately primed with endogenous/exogenous estrogen. -Withdrawal bleeding typically occurs within 3 to 7 days of treatment discontinuation. Use: Treatment of secondary amenorrhea and abnormal uterine bleeding due to hormonal imbalance without organic pathology (e.g., submucous fibroids, uterine cancer) Usual Adult Dose for Amenorrhea: 2.5 to 10 mg orally once a day Duration of therapy: 5 to 10 days Comments: -This drug should be used when the endometrium is adequately primed with endogenous/exogenous estrogen. -Withdrawal bleeding typically occurs within 3 to 7 days of treatment discontinuation. Use: Treatment of secondary amenorrhea and abnormal uterine bleeding due to hormonal imbalance without organic pathology (e.g., submucous fibroids, uterine cancer) Usual Adult Dose for Contraception: 0.35 mg orally once a day Comment: -This drug should be taken at the same time each day. Use: Prevention of pregnancy Usual Adult Dose for Endometriosis: Initial dose: 5 mg orally once a day for 2 weeks -Maximum dose: 15 mg/day Comments: -The dose should be increased by 2.5 mg/day every 2 weeks until 15 mg is reached. -Treatment may continue for 6 to 9 months OR until annoying breakthrough bleeding demands temporary termination. Uses: Treatment of endometriosis Usual Pediatric Dose for Contraception: Postpubertal adolescents (under 16 years): 0.35 mg orally once a day Comments: -This drug should be used after menarche occurs. -The dose should be taken at the same time each day. Use: Prevention of pregnancy   What other drugs will affect norethindrone? Some drugs can make norethindrone less effective, which may result in unintended pregnancy if you use norethindrone for contraception. Tell your doctor about all your other medicines, especially: St. John's wort; medicine to treat an infection (antibiotics or antifungal medicine); medicine to treat tuberculosis; medicine to treat HIV or AIDS; or seizure medication. This list is not complete. Other drugs may affect norethindrone, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

What is norethindrone? Norethindrone is a form of progesterone, a female hormone important for regulating ovulation and menstruation. Norethindrone is used for birth control (contraception) to prevent pregnancy. Norethindrone is also used to treat menstrual disorders, endometriosis, or abnormal vaginal bleeding caused by a hormone imbalance. Not all brands of norethindrone are for the same uses. Some brands are for use only as contraception. Others are for use in treating endometriosis or vaginal bleeding disorders. Avoid medication errors by using only the brand, form, and strength your doctor prescribes. Norethindrone may also be used for other purposes not listed in this medication guide. Warnings You should not use this medicine if you you have: undiagnosed vaginal bleeding, breast cancer, liver disease, or a liver tumor. You may not be able to take norethindrone if you have ever had a heart attack, a stroke, or blood clot. Do not use if you are pregnant or trying to become pregnant. In some cases, you should not take norethindrone if you are nursing. Before taking this medicine You should not use norethindrone if you are allergic to it, or if you have: unusual vaginal bleeding that has not been checked by a doctor; liver disease or a liver tumor; breast cancer; or a history of blood clots in your brain, eyes, lungs, or legs. Do not use norethindrone if you are pregnant or trying to become pregnant. Stop taking the medicine and tell your doctor right away if you become pregnant. Ask your doctor about using norethindrone while you are breast-feeding. In some cases, you should not take norethindrone if you are nursing. Tell your doctor if you have ever had: heart disease, high blood pressure; liver disease; depression; migraine headaches; diabetes; high cholesterol or triglycerides; uterine fibroid tumors; epilepsy; kidney disease; asthma; or if you smoke. Do not give this medicine to a child without medical advice. How should I take norethindrone? Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. Carefully follow your doctor's dosing instructions about when to start taking norethindrone for contraception if you are switching from a combination birth control pill (estrogen and progestin). If you take norethindrone for contraception: Take one pill every day, no more than 24 hours apart. You may get pregnant if you do not take one pill daily. You may need to use back-up birth control (such as condoms with spermicide) if you are sick with vomiting or diarrhea, or if you are 3 or more hours late in taking your daily dose. If you take norethindrone for menstrual disorders or abnormal vaginal bleeding: You will most likely take the medicine for only 5 to 10 days. Vaginal bleeding will occur 3 to 7 days after your last dose. If you take norethindrone for endometriosis: Norethindrone is usually taken daily long-term for several months. Your doctor may occasionally change your dose. Your doctor should check your progress on a regular basis. Self-examine your breasts for lumps on a monthly basis, and have regular mammograms. Report any unusual vaginal bleeding right away. Norethindrone can affect the results of certain medical tests. Tell any doctor who treats you that you are using norethindrone. Store this medication at room temperature away from moisture, heat, and light. What happens if I miss a dose? Call your doctor for instructions, or follow the patient instructions provided with your medicine. Missing a birth control pill increases your risk of becoming pregnant. If you are more than 3 hours late for your dose, take the medicine as soon as you remember and use back-up birth control for at least 48 hours. Take your next pill at the regularly scheduled time and continue on your regular dosing schedule. If you miss a period for two months in a row, call your doctor because you might be pregnant. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of norethindrone is not expected to be dangerous. What should I avoid while taking norethindrone? Do not use estrogen medication unless your doctor tells you to. Avoid smoking. It can greatly increase your risk of blood clots, stroke, or heart attack while taking norethindrone for contraception. Norethindrone will not protect you from sexually transmitted diseases--including HIV and AIDS. Using a condom is the only way to protect yourself from these diseases. Norethindrone 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: sudden vision loss, bulging eyes, or severe headache; swelling, rapid weight gain; unusual vaginal bleeding; missed menstrual periods; pelvic pain (especially on one side); a breast lump; a light-headed feeling, like you might pass out; increased thirst, increased urination; liver problems--loss of appetite, stomach pain (upper right side), dark urine, jaundice (yellowing of the skin or eyes); or signs of a blood clot--sudden numbness or weakness, problems with vision or speech, chest pain, shortness of breath, swelling or redness in an arm or leg. Common side effects may include: irregular vaginal bleeding or spotting; headache; breast pain or swelling; stomach pain, bloating, nausea, vomiting; hair loss; depressed mood, trouble sleeping; weight gain; or vaginal itching or discharge. 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.   Norethindrone dosing information Usual Adult Dose for Abnormal Uterine Bleeding: 2.5 to 10 mg orally once a day Duration of therapy: 5 to 10 days Comments: -This drug should be used when the endometrium is adequately primed with endogenous/exogenous estrogen. -Withdrawal bleeding typically occurs within 3 to 7 days of treatment discontinuation. Use: Treatment of secondary amenorrhea and abnormal uterine bleeding due to hormonal imbalance without organic pathology (e.g., submucous fibroids, uterine cancer) Usual Adult Dose for Amenorrhea: 2.5 to 10 mg orally once a day Duration of therapy: 5 to 10 days Comments: -This drug should be used when the endometrium is adequately primed with endogenous/exogenous estrogen. -Withdrawal bleeding typically occurs within 3 to 7 days of treatment discontinuation. Use: Treatment of secondary amenorrhea and abnormal uterine bleeding due to hormonal imbalance without organic pathology (e.g., submucous fibroids, uterine cancer) Usual Adult Dose for Contraception: 0.35 mg orally once a day Comment: -This drug should be taken at the same time each day. Use: Prevention of pregnancy Usual Adult Dose for Endometriosis: Initial dose: 5 mg orally once a day for 2 weeks -Maximum dose: 15 mg/day Comments: -The dose should be increased by 2.5 mg/day every 2 weeks until 15 mg is reached. -Treatment may continue for 6 to 9 months OR until annoying breakthrough bleeding demands temporary termination. Uses: Treatment of endometriosis Usual Pediatric Dose for Contraception: Postpubertal adolescents (under 16 years): 0.35 mg orally once a day Comments: -This drug should be used after menarche occurs. -The dose should be taken at the same time each day. Use: Prevention of pregnancy   What other drugs will affect norethindrone? Some drugs can make norethindrone less effective, which may result in unintended pregnancy if you use norethindrone for contraception. Tell your doctor about all your other medicines, especially: St. John's wort; medicine to treat an infection (antibiotics or antifungal medicine); medicine to treat tuberculosis; medicine to treat HIV or AIDS; or seizure medication. This list is not complete. Other drugs may affect norethindrone, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

What is ethinyl estradiol and norethindrone? Ethinyl estradiol is a form of estrogen. Estrogen is a female sex hormone necessary for many processes in the body. Norethindrone is a form of progesterone. Progesterone is a female hormone important for the regulation of ovulation and menstruation. Ethinyl estradiol and norethindrone HRT (hormone replacement therapy) is a combination medicine used to treat symptoms of menopause such as hot flashes, and vaginal dryness, burning, and irritation. It is also used to prevent osteoporosis. Ethinyl estradiol and norethindrone may also be used for purposes not listed in this medication guide. Warnings You should not use ethinyl estradiol and norethindrone if you have: undiagnosed vaginal bleeding, liver disease, a bleeding disorder, if you will have major surgery, or if you have ever had a heart attack, a stroke, a blood clot, or cancer of the breast, uterus/cervix, or vagina. Do not use if you are pregnant. This medicine may increase your risk of developing a condition that may lead to uterine cancer. Report any unusual vaginal bleeding right away. Using this medicine can increase your risk of blood clots, stroke, heart attack, or cancer of the breast, uterus, or ovaries. Ethinyl estradiol and norethindrone should not be used to prevent heart disease, stroke, or dementia. Before taking this medicine You should not use this medicine if you are allergic to ethinyl estradiol or norethindrone, or if you have: unusual vaginal bleeding that has not been checked by a doctor; liver disease; a bleeding disorder; a history of heart attack, stroke, or blood clot; or a history of hormone-related cancer, or cancer of the breast, uterus/cervix, or vagina. Do not use if you are pregnant. Tell your doctor right away if you become pregnant during treatment. Using this medicine can increase your risk of blood clots, stroke, or heart attack. You are even more at risk if you have high blood pressure, diabetes, high cholesterol, if you are overweight, or if you smoke. Ethinyl estradiol and norethindrone should not be used to prevent heart disease, stroke, or dementia, because this medicine may actually increase your risk of developing these conditions. Tell your doctor if you have ever had: heart disease; liver problems, or jaundice caused by pregnancy or taking hormones; kidney disease; hereditary angioedema (an immune system disorder); bone cancer; lupus; asthma; epilepsy or other seizure disorder; migraines; porphyria (a genetic enzyme disorder that causes symptoms affecting the skin or nervous system); gallbladder disease; endometriosis or uterine fibroid tumors; a thyroid disorder; or high or low levels of calcium in your blood. Using ethinyl estradiol and norethindrone may increase your risk of cancer of the breast, uterus, or ovaries. Talk with your doctor about this risk. This medicine can slow breast milk production. Tell your doctor if you are breast-feeding. How should I take ethinyl estradiol and norethindrone? Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. Try to take ethinyl estradiol and norethindrone at the same time each day. Ethinyl estradiol and norethindrone may increase your risk of developing a condition that can lead to uterine cancer. To help lower this risk, your doctor may also want you to take a progestin. Report any unusual vaginal bleeding right away. Your doctor should check your progress on a regular basis (every 3 to 6 months) to determine whether you should continue this treatment. Self-examine your breasts for lumps on a monthly basis, and have regular mammograms. If you need major surgery or will be on long-term bed rest, you may need to stop using this medicine for a short time. Any doctor or surgeon who treats you should know that you are using ethinyl estradiol and norethindrone. 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 nausea, vomiting, or vaginal bleeding. What should I avoid while taking ethinyl estradiol and norethindrone? Avoid smoking. It can greatly increase your risk of blood clots, stroke, or heart attack while using ethinyl estradiol and norethindrone. Grapefruit may interact with ethinyl estradiol and norethindrone and lead to unwanted side effects. Avoid the use of grapefruit products. Ethinyl estradiol and norethindrone 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. Stop using this medicine and call your doctor at once if you have: heart attack symptoms--chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating; increased blood pressure--severe headache, blurred vision, pounding in your neck or ears, anxiety, nosebleed; signs of a stroke--sudden numbness or weakness (especially on one side of the body), sudden severe headache, slurred speech, problems with vision or balance; signs of a blood clot--sudden vision loss, stabbing chest pain, feeling short of breath, coughing up blood, pain or warmth in one or both legs; swelling or tenderness in your stomach; jaundice (yellowing of the skin or eyes); unusual vaginal bleeding, pelvic pain; a breast lump; memory problems, confusion, unusual behavior; or high levels of calcium in your blood--nausea, vomiting, constipation, increased thirst or urination, muscle weakness, bone pain, lack of energy. Common side effects may include: stomach pain; bloating, swelling, weight gain; breast pain; light vaginal bleeding or spotting; thinning scalp hair; or headache. 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.   Ethinyl estradiol and norethindrone dosing information Usual Adult Dose for Contraception: 1 tablet orally once a day Comments: To be taken at the same time each day. Usual Adult Dose for Postmenopausal Symptoms: 1 tablet orally once a day Comments: Not all preparations are indicated for the treatment of vasomotor symptoms due to menopause; the manufacturer product information should be consulted. Use: For the treatment of moderate to severe vasomotor symptoms due to menopause Usual Adult Dose for Acne: 1 tablet orally once a day Comments: Not all preparations are indicated for the treatment of acne; the manufacturer product information should be consulted. Use: For the treatment of moderate acne vulgaris in females with no known contraindications to oral contraceptive therapy and who have achieved menarche and are unresponsive to topical anti-acne medications Usual Adult Dose for Prevention of Osteoporosis: 1 tablet orally once a day Comments: -Not all preparations are indicated for the prevention of postmenopausal osteoporosis; the manufacturer product information should be consulted. -When prescribing solely for the prevention of postmenopausal osteoporosis, therapy should only be considered for women at significant risk of osteoporosis and non-estrogen medication should be carefully considered. Use: For the prevention of postmenopausal osteoporosis Usual Pediatric Dose for Contraception: 1 tablet orally once a day Comments: To be taken at the same time each day. Usual Pediatric Dose for Acne: 15 years or older: 1 tablet orally once a day Comments: -Not all preparations are indicated for the treatment of acne; the manufacturer product information should be consulted. -Use should be reserved for the treatment of acne only if the patient desires an oral contraceptive for birth control and plans to stay on it for at least 6 months Use: For the treatment of moderate acne vulgaris in females at least 15 years of age with no known contraindications to oral contraceptive therapy and who have achieved menarche and are unresponsive to topical anti-acne medications   What other drugs will affect ethinyl estradiol and norethindrone? 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. Other drugs may affect ethinyl estradiol and norethindrone, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.

What is nortriptyline? Nortriptyline is a tricyclic antidepressant. It affects chemicals in the brain that may be unbalanced in people with depression. Nortriptyline is used to treat symptoms of depression. Nortriptyline is not recommended for use in children. Warnings You should not use nortriptyline if you recently had a heart attack. Do not use nortriptyline if you have used an MAO inhibitor in the past 14 days, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, tranylcypromine and others. Some young people have thoughts about suicide when first taking an antidepressant. Stay alert to changes in your mood or symptoms. Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself. Before taking this medicine You should not use nortriptyline if: you are allergic to it or similar medicines (amitriptyline, amoxapine, clomipramine, desipramine, doxepin, imipramine, protriptyline, trimipramine); you are allergic to certain seizure medications (carbamazepine, eslicarbazepine, oxcarbazepine, rufinamide); or you recently had a heart attack. Do not use nortriptyline if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, tranylcypromine, and others. Tell your doctor if you also take stimulant medicine, opioid medicine, herbal products, or medicine for depression, mental illness, Parkinson's disease, migraine headaches, serious infections, or prevention of nausea and vomiting. An interaction with nortriptyline could cause a serious condition called serotonin syndrome. Tell your doctor if you have used an "SSRI" antidepressant in the past 5 weeks, such as citalopram, escitalopram, fluoxetine (Prozac), fluvoxamine, paroxetine, sertraline (Zoloft), trazodone, or vilazodone. To make sure nortriptyline is safe for you, tell your doctor if you have ever had: unexplained fainting spells; a genetic heart condition called Brugada syndrome; a family history of unexplained death at younger than 45 years old; heart disease; a heart attack or stroke; a seizure; bipolar disorder (manic-depression); schizophrenia or other mental illness; a thyroid disorder; problems with urination; narrow-angle glaucoma; or if you are receiving electroshock treatment. Some young people have thoughts about suicide when first taking an antidepressant. Your doctor should check your progress at regular visits. Your family or other caregivers should also be alert to changes in your mood or symptoms. Tell your doctor if you are pregnant or breastfeeding. Nortriptyline is not approved for use by anyone younger than 18 years old. How should I take nortriptyline? Take nortriptyline 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. Measure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon). If you need surgery, tell your surgeon you currently use nortriptyline. You may need to stop for a short time. You may have unpleasant withdrawal symptoms if you stop using nortriptyline suddenly. Ask your doctor how to safely stop using this medicine. It may take a few weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve. Store at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use. Dosing information Usual Adult Dose for Depression: 25 mg orally 3 to 4 times per day -Maximum dose: 150 mg/day Comments: -The total daily dosage may be given once a day. -Patients should be started at lower doses, and the doses should be gradually increased. -When doses above 100 mg per day are given, plasma levels should be monitored and maintained in the optimum range of 50 to 150 ng/mL. Use: Relief of symptoms of depression Usual Geriatric Dose for Depression: 30 to 50 mg orally per day, in divided doses Comments: -The total daily dosage may be given once a day. -Patients should be started at lower doses, and the doses should be gradually increased. Use: Relief of symptoms of depression   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. An overdose of nortriptyline can be fatal. Overdose symptoms may include irregular heartbeats, severe drowsiness, vision problems, confusion, hallucinations, agitation, stiff muscles, overactive reflexes, vomiting, feeling hot or cold, feeling like you might pass out, seizures, or coma. What to avoid Do not drink alcohol. Dangerous side effects or death could occur. Avoid driving or hazardous activity until you know how nortriptyline will affect you. Your reactions could be impaired. Nortriptyline could make you sunburn more easily. Avoid sunlight or tanning beds. Wear protective clothing and use sunscreen (SPF 30 or higher) when you are outdoors. Nortriptyline side effects Get emergency medical help if you have signs of an allergic reaction to nortriptyline: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself. Call your doctor at once if you have: blurred vision, tunnel vision, eye pain or swelling, or seeing halos around lights; restless muscle movements in your eyes, tongue, jaw, or neck; a light-headed feeling, like you might pass out; seizure (convulsions); new or worsening chest pain, pounding heartbeats or fluttering in your chest; sudden numbness or weakness, problems with vision, speech, or balance; fever, sore throat, easy bruising, unusual bleeding; painful or difficult urination; or jaundice (yellowing of the skin or eyes). Seek medical attention right away if you have symptoms of serotonin syndrome, such as: agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, or diarrhea. Common nortriptyline side effects may include: increased blood pressure; numbness or tingling in your hands or feet; dry mouth, nausea, vomiting, loss of appetite; blurred vision; rash, itching; or breast swelling (in men or women). 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 nortriptyline? Using nortriptyline 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: medicine to treat depression, anxiety, mood disorders, or mental illness; cold or allergy medicine (Benadryl, Sudafed, and others); a stimulant medicine, such as diet pills or ADHD medicine; medicine to treat Parkinson's disease; medicine to treat stomach problems, motion sickness, or irritable bowel syndrome; medicine to treat overactive bladder; or bronchodilator asthma medication. This list is not complete. Other drugs may interact with nortriptyline, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

What is Nyamyc? Nystatin is an antifungal medication. Nystatin prevents fungus from growing on your skin. Nyamyc (for the skin) is used to treat skin infections caused by yeast. Nyamyc is not for use to treat a vaginal yeast infection. Nyamyc may also be used for purposes not listed in this medication guide. Warnings Do not use Nyamyc to treat any skin condition that has not been checked by your doctor. Nyamyc (for the skin) is not for use to treat a vaginal yeast infection. Avoid getting this medication in your eyes or mouth. If this does happen, rinse with water. Use this medication for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Call your doctor if your symptoms do not improve, or if they get worse while using Nyamyc. Do not share this medication with another person, even if they have the same symptoms you have. Before taking this medicine You should not use Nyamyc if you have ever had an allergic reaction to it. FDA pregnancy category C. It is not known whether Nyamyc 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 nystatin topical passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. How should I use Nyamyc? Use exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label. Do not use Nyamyc to treat any skin condition that has not been checked by your doctor. Wash your hands before and after using this medication. Clean and dry the skin before you apply Nyamyc. Do not cover treated skin with bandages or dressings that do not allow air circulation unless your doctor tells you to. Use this medication for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Call your doctor if your symptoms do not improve, or if they get worse while using Nyamyc. Do not share this medication with another person, even if they have the same symptoms you have. Store at room temperature away from moisture and heat.   What happens if I miss a dose? Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. What should I avoid while using Nyamyc? Avoid getting this medication in your eyes or mouth. If this does happen, rinse with water. Avoid wearing tight-fitting, synthetic clothing (such as nylon) that doesn't allow air circulation. Wear clothing made of loose cotton and other natural fibers until your infection is healed. Nyamyc side effects Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using Nyamyc and call your doctor at once if you have severe burning, itching, rash, pain, or other irritation where the medicine is applied. Less serious side effects may include mild itching or irritation. 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 Nyamyc? It is not likely that other drugs you take orally or inject will have an effect on topically applied Nyamyc. But many drugs can interact with each other. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

What is nystatin topical? Nystatin is an antifungal medication. Nystatin prevents fungus from growing on your skin. Nystatin topical (for the skin) is used to treat skin infections caused by yeast. Nystatin topical is not for use to treat a vaginal yeast infection. Nystatin topical may also be used for purposes not listed in this medication guide. Warnings Do not use nystatin topical to treat any skin condition that has not been checked by your doctor. Nystatin topical (for the skin) is not for use to treat a vaginal yeast infection. Avoid getting this medication in your eyes or mouth. If this does happen, rinse with water. Use this medication for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Call your doctor if your symptoms do not improve, or if they get worse while using nystatin topical. Do not share this medication with another person, even if they have the same symptoms you have. Before taking this medicine You should not use nystatin topical if you have ever had an allergic reaction to it. FDA pregnancy category C. It is not known whether nystatin topical will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. It is not known whether nystatin topical passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. How should I use nystatin topical? Use exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label. Do not use nystatin topical to treat any skin condition that has not been checked by your doctor. Wash your hands before and after using this medication. Clean and dry the skin before you apply nystatin topical. Do not cover treated skin with bandages or dressings that do not allow air circulation unless your doctor tells you to. Use this medication for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Call your doctor if your symptoms do not improve, or if they get worse while using nystatin topical. Do not share this medication with another person, even if they have the same symptoms you have. Store at room temperature away from moisture and heat. What happens if I miss a dose? Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. What should I avoid while using nystatin topical? Avoid getting this medication in your eyes or mouth. If this does happen, rinse with water. Avoid wearing tight-fitting, synthetic clothing (such as nylon) that doesn't allow air circulation. Wear clothing made of loose cotton and other natural fibers until your infection is healed. Nystatin topical side effects Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using nystatin topical and call your doctor at once if you have severe burning, itching, rash, pain, or other irritation where the medicine is applied. Less serious side effects may include mild itching or irritation. 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.   Nystatin topical dosing information Usual Adult Dose for Cutaneous Candidiasis: Apply nystatin topical cream, ointment or powder in a quantity sufficient to cover the affected area and immediately surrounding skin 2 to 4 times a day. The powder formulation is useful for the treatment of moist areas or lesions. Therapy should be continued for 2 to 8 weeks, depending on the nature and severity of the infection. Usual Adult Dose for Vaginal Candidiasis: Insert one nystatin vaginal tablet (100,000 units) vaginally once a day, preferably at bedtime, for a total of 14 days. Usual Pediatric Dose for Cutaneous Candidiasis: Apply nystatin topical cream, ointment or powder in a quantity sufficient to cover the affected area and immediately surrounding skin 2 to 4 times a day. The powder formulation is useful for the treatment of moist areas or lesions. Therapy should be continued for 2 to 8 weeks, depending on the nature and severity of the infection. Usual Pediatric Dose for Vaginal Candidiasis: >13 <18 years: Insert one nystatin vaginal tablet (100,000 units) vaginally once a day, preferably at bedtime, for a total of 14 days.  

What is nystatin and triamcinolone? Nystatin is an antifungal medicine. Triamcinolone is a steroid medicine. Nystatin and triamcinolone topical (for the skin) is a combination medicine used to treat skin infections caused by fungus or yeast. Nystatin and triamcinolone topical may also be used for 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 nystatin and triamcinolone if you are allergic to nystatin or triamcinolone. Tell your doctor if you have ever had: any type of skin infection; a skin reaction to any steroid medicine; liver disease; or an adrenal gland disorder. Steroid medicines can increase the glucose (sugar) levels in your blood or urine. Tell your doctor if you have diabetes. It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. It may not be safe to breastfeed while using this medicine. Ask your doctor about any risk. If you apply this medicine to your chest, avoid areas that may come into contact with the baby's mouth. Do not use this medicine on a child without medical advice. Children can absorb larger amounts of this medicine through the skin and may be more likely to have side effects. How should I use nystatin and triamcinolone? Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. Do not take by mouth. This medicine is for use only on the skin. Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions. Wash your hands before and after using nystatin and triamcinolone, unless you are using this medicine to treat the skin on your hands. Apply a thin layer of medicine to the affected skin and rub it in gently. Do not apply this medicine over a large area of skin unless your doctor has told you to. Do not cover the treated skin area with a bandage or other covering unless your doctor tells you to. Covering treated areas can increase the amount of medicine absorbed through your skin and may cause harmful effects. If you are treating the diaper area, do not use plastic pants or tight-fitting diapers. Call your doctor if your skin condition does not improve after 25 days of treatment, or if it gets worse while using this medicine. You should stop using this medicine once your skin symptoms are controlled. You should not stop using nystatin and triamcinolone suddenly. Follow your doctor's instructions about tapering your dose. Store at room temperature away from moisture and heat. Do not freeze. Keep the tube tightly closed when not in use. What happens if I miss a dose? Apply the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not apply 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 if anyone has accidentally swallowed the medication. High doses or long-term use of nystatin and triamcinolone topical can lead to thinning skin, easy bruising, changes in body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex. What should I avoid while using nystatin and triamcinolone? Avoid getting nystatin and triamcinolone in your eyes. Do not use nystatin and triamcinolone topical to treat any skin condition that has not been checked by your doctor. Nystatin and triamcinolone 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: worsening of your skin condition; redness, warmth, swelling, oozing, or severe irritation of any treated skin; high blood sugar--increased thirst, increased urination, dry mouth, fruity breath odor; or possible signs of absorbing this medicine through your skin--weight gain (especially in your face or your upper back and torso), slow wound healing, thinning or discolored skin, increased body hair, muscle weakness, nausea, diarrhea, tiredness, mood changes, menstrual changes, sexual changes. Common side effects may include: burning, itching, or irritation of treated skin; increased hair growth; white or "pruned" appearance of the skin; rash, pimples; or changes in color of treated skin. 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.   Nystatin and triamcinolone dosing information Usual Adult Dose for Cutaneous Candidiasis: Cream: Apply to affected areas twice a day (morning and evening). Ointment: Apply a thin film to affected areas twice a day (morning and evening). Use: For the treatment of cutaneous candidiasis Usual Pediatric Dose for Cutaneous Candidiasis: 2 months or older: -Cream: Apply to affected areas twice a day (morning and evening). -Ointment: Apply a thin film to affected areas twice a day (morning and evening). Use: For the treatment of cutaneous candidiasis   What other drugs will affect nystatin and triamcinolone? Medicine used on the skin is not likely to be affected by other drugs you use. But many drugs can interact with each other. Tell each of your healthcare providers about all medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products.

What is olanzapine? Olanzapine is an antipsychotic medication that is used to treat psychotic conditions such as schizophrenia and bipolar disorder (manic depression) in adults and children at least 13 years old. Olanzapine is also used together with fluoxetine (Prozac) to treat episodes of depression in adults and children at least 10 years old who have bipolar I disorder. Olanzapine may also be used for purposes not listed in this medication guide. Warnings Olanzapine is not approved for use in older adults with dementia-related psychosis. Before taking this medicine You should not take olanzapine if you are allergic to it. Olanzapine may increase the risk of death in older adults with dementia-related psychosis and is not approved for this use. Tell your doctor if you have ever had: liver disease; heart disease, high or low blood pressure; high cholesterol or triglycerides; a stroke, including "mini-stroke"; breast cancer; a seizure; Alzheimer's disease; diabetes or high blood sugar; an enlarged prostate; bowel problems; or narrow-angle glaucoma. Taking antipsychotic medicine in the last 3 months of pregnancy may cause breathing problems, feeding problems, or withdrawal symptoms in the newborn. If you get pregnant, tell your doctor right away. Do not stop taking olanzapine without your doctor's advice. Olanzapine can pass into breast milk. If you are breastfeeding, tell your doctor if you notice severe drowsiness, irritability, feeding problems, tremors, or unusual muscle movements in the nursing baby. The olanzapine orally disintegrating tablet (Zyprexa Zydis) may contain phenylalanine. Tell your doctor if you have phenylketonuria (PKU). How should I take olanzapine? 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. Olanzapine can be taken with or without food. Remove an orally disintegrating tablet (Zyprexa Zydis) from the package only when you are ready to take the medicine. Place the tablet in your mouth and allow it to dissolve, without chewing. Swallow several times as the tablet dissolves. Olanzapine can cause high blood sugar (hyperglycemia). If you are diabetic, check your blood sugar levels on a regular basis. You may gain weight or have high cholesterol and triglycerides (types of fat) while taking olanzapine, especially if you are a teenager. You may need frequent blood tests. Call your doctor if your symptoms do not improve, or if they get worse while using olanzapine. Do not stop using olanzapine suddenly, even if you feel fine. Stopping suddenly may cause serious side effects. Olanzapine is sometimes used together with other antipsychotic medications or antidepressants. Use all medications as directed and read all medication guides you receive. Do not change your dose or dosing schedule without your doctor's advice. Medication may be only part of a complete program of treatment that also includes counseling and other psychological support programs. Follow your doctor's instructions. Store at room temperature away from moisture, heat, and light.   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 drowsiness, agitation, aggression, slurred speech, confusion, increased heart rate, jerky or uncontrolled muscle movements, trouble breathing, or fainting. What should I avoid while taking olanzapine? Avoid driving or hazardous activity until you know how olanzapine will affect you. Dizziness or drowsiness can cause falls, accidents, or severe injuries. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Avoid drinking alcohol. Dangerous side effects could occur. Avoid becoming overheated or dehydrated. Drink plenty of fluids, especially in hot weather and during exercise. It is easier to become dangerously overheated and dehydrated while you are taking olanzapine. Olanzapine 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. 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. High doses or long-term use of olanzapine can cause a serious movement disorder that may not be reversible. The longer you use olanzapine, the more likely you are to develop this disorder, especially if you are a woman or an older adult. Call your doctor at once if you have: uncontrolled muscle movements in your face (chewing, lip smacking, frowning, tongue movement, blinking or eye movement); trouble speaking or swallowing; swelling in your hands or feet; confusion, unusual thoughts or behavior, hallucinations, or thoughts about hurting yourself; low white blood cell counts--fever, chills, mouth sores, skin sores, sore throat, cough, trouble breathing, feeling light-headed; or signs of dehydration--feeling very thirsty or hot, being unable to urinate, heavy sweating, or hot and dry skin; liver problems--upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes); high blood sugar--increased thirst, increased urination, hunger, dry mouth, fruity breath odor, drowsiness, dry skin, blurred vision, weight loss; or severe nervous system reaction--very stiff (rigid) muscles, high fever, sweating, confusion, fast or uneven heartbeats, tremors, feeling like you might pass out. Common side effects may include: weight gain (more likely in teenagers), increased appetite; headache, dizziness, drowsiness, feeling tired or restless; problems with speech or memory; tremors or shaking, numbness or tingly feeling; changes in personality; dry mouth, or increased salivation; stomach pain, constipation; or pain in your arms or legs. 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 is olmesartan? Olmesartan is an angiotensin II receptor blocker (sometimes called an ARB). Olmesartan is used to treat high blood pressure (hypertension) in adults and children at least 6 years old. It is sometimes given together with other blood pressure medications. Olmesartan may also be used for purposes not listed in this medication guide. Warnings Do not use if you are pregnant. Stop using olmesartan and tell your doctor right away if you become pregnant. If you have diabetes, do not take olmesartan with any medication that contains aliskiren (a blood pressure medicine). Before taking this medicine You should not take olmesartan if you are allergic to it. If you have diabetes, do not use olmesartan together with any medication that contains aliskiren (a blood pressure medicine). You may also need to avoid taking olmesartan with aliskiren if you have kidney disease. Tell your doctor if you have ever had: a heart condition other than one being treated with olmesartan; kidney 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. Olmesartan 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 olmesartan. How should I take 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 olmesartan 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). Olmesartan doses are based on weight in children and/or teenagers. Your child's dose needs may change if the child gains or loses weight. 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 olmesartan. It may take up to 2 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 kidney function may also need to be checked. Store tablets at room temperature away from moisture and heat. Store the liquid in a refrigerator. Throw away any liquid leftover after 4 weeks. 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 olmesartan? 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. Olmesartan 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; severe diarrhea and weight loss; or high potassium level--nausea, weakness, tingly feeling, chest pain, irregular heartbeats, loss of movement. Common side effects may include: dizziness. 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.   Olmesartan dosing information Usual Adult Dose for Hypertension: 20 mg orally once a day; may increase dose to 40 mg in two weeks if further blood pressure reduction is needed. Maximum dose: 40 mg orally once a day Comments: -For patients with possible intravascular volume depletion (e.g., patients treated with diuretics, especially those with impaired renal function), initiate this drug under close supervision and give consideration to a lower starting dose. -Twice daily dosing offers no additional benefit over the same total dose give once daily. Usual Pediatric Dose for Hypertension: 6 to 16 years: -20 to less than 35 kg: 10 mg orally once a day; may increase dose to 20 mg in two weeks if further blood pressure reduction is needed -35 kg or more: 20 mg orally once a day; may increase dose to 40 mg in two weeks if further blood pressure reduction is needed Comments: -For children who cannot swallow tablets, the same dose can be given using an extemporaneous suspension.   What other drugs will affect olmesartan? If you take colesevelam, take your olmesartan dose 4 hours before you take colesevelam. 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 olmesartan, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

What is hydrochlorothiazide and olmesartan? Hydrochlorothiazide is a diuretic (water pill). Olmesartan is an angiotensin II receptor blocker (sometimes called an ARB blocker). Hydrochlorothiazide 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. Hydrochlorothiazide and olmesartan is usually given after other blood pressure medicines did not work or have stopped working. Hydrochlorothiazide and olmesartan may also be used for purposes not listed in this medication guide. Warnings You should not use hydrochlorothiazide and olmesartan if you are unable to urinate. Do not use if you are pregnant. Use effective birth control, and tell your doctor if you become pregnant during treatment. If you have diabetes, do not use hydrochlorothiazide 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 hydrochlorothiazide or olmesartan, or if you are unable to urinate. If you have diabetes, do not use hydrochlorothiazide and olmesartan together with any medication that contains aliskiren (a blood pressure medicine). You may also need to avoid taking hydrochlorothiazide and olmesartan with aliskiren if you have kidney disease. Tell your doctor if you have ever had: kidney disease; liver disease; congestive heart failure; glaucoma; low or high levels of potassium in your blood; asthma or allergies; high cholesterol or triglyceride levels; gout; lupus; diabetes; or an allergy to penicillin or sulfa drugs. 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. How should I take hydrochlorothiazide 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. Your blood pressure will need to be checked often. 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 this medication, which can lead to severely low blood pressure or a serious electrolyte imbalance. If you need surgery or medical tests, tell the surgeon ahead of time that you are using hydrochlorothiazide and olmesartan. It may take up to 4 weeks for this medication to control your blood pressure. Keep using hydrochlorothiazide 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. Overdose symptoms may include fast or slow heart rate, feeling light-headed, or fainting. What should I avoid while taking hydrochlorothiazide and olmesartan? Hydrochlorothiazide may increase your risk of skin cancer. Avoid sunlight or tanning beds. Wear protective clothing and use sunscreen (SPF 30 or higher) when you are outdoors. Your doctor may want you to have skin examinations on a regular basis. Do not use potassium supplements or salt substitutes, unless your doctor has told you to. Drinking alcohol can further lower your blood pressure and may cause side effects. Avoid driving or hazardous activity until you know how hydrochlorothiazide 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. Hydrochlorothiazide 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. In rare cases, this medicine can cause a condition that results in the breakdown of skeletal muscle tissue, leading to kidney failure. Call your doctor right away if you have unexplained muscle pain, tenderness, or weakness especially if you also have fever, unusual tiredness, or dark colored urine. Also call your doctor at once if you have: a light-headed feeling, like you might pass out; eye pain, vision problems; an unusual skin rash; easy bruising, unusual bleeding; jaundice (yellowing of the skin or eyes); kidney problems--little or no urination, painful or difficult urination, swelling in your feet or ankles, feeling tired or short of breath; low levels of sodium in the body--headache, confusion, slurred speech, severe weakness, vomiting, loss of coordination, feeling unsteady; high potassium--slow or unusual heart rate, weakness, loss of movement; or low potassium--leg cramps, constipation, irregular heartbeats, fluttering in your chest, increased thirst or urination, numbness or tingling, muscle weakness or limp feeling. Common side effects include: nausea; dizziness; cold symptoms such as stuffy nose, sneezing, sore throat; or high levels of uric acid in your blood. 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.   Hydrochlorothiazide and olmesartan dosing information Usual Adult Dose for Hypertension: Hydrochlorothiazide 12.5 to 25 mg-Olmesartan 20 to 40 mg orally once a day Comments: -If blood pressure is not controlled by olmesartan alone, hydrochlorothiazide may be added starting with a dose of 12.5 mg once a day; if blood pressure is not controlled by hydrochlorothiazide alone, olmesartan may be added starting with a dose of 20 mg once a day. -If large doses of hydrochlorothiazide have been used as monotherapy and volume depletion or hyponatremia is present, use caution when adding olmesartan as marked decreases in blood pressure may occur. Consider reducing the dose of hydrochlorothiazide to 12.5 mg before adding olmesartan. -May be titrated every 2 to 4 weeks.   What other drugs will affect hydrochlorothiazide and olmesartan? If you also take cholestyramine or colestipol, take your hydrochlorothiazide and olmesartan dose 4 hours before or 4 hours after you take the other medicine. Tell your doctor about all your other medicines, especially: steroids; any other blood pressure medications; insulin or oral diabetes medicine; lithium; 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 hydrochlorothiazide and olmesartan, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

What is olopatadine ophthalmic? Olopatadine is an antihistamine that reduces the natural chemical histamine in the body. Histamine can produce symptoms of itching or watery eyes. Olopatadine ophthalmic (for the eye) is used to treat eye itching caused by allergies. Olopatadine ophthalmic may also be used for 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 olopatadine ophthalmic if you are allergic to it. Ask a doctor or pharmacist if olopatadine ophthalmic is safe to use if you have any type of eye infection. Tell your doctor if you are pregnant or breastfeeding. Olopatadine ophthalmic is not approved for use by anyone younger than 2 years old. How should I use olopatadine ophthalmic? Use exactly as directed on the label, or as prescribed by your doctor. Do not use while wearing soft contact lenses. A preservative in this medicine could permanently stain the lenses. Use the medicine at least 15 minutes before inserting your contact lenses. Wash your hands before using eye medication. To apply the eye drops: Tilt your head back slightly and pull down your lower eyelid to create a small pocket. Hold the dropper above the eye and squeeze a drop into this pocket. Close your eyes for 1 or 2 minutes. Wait at least 10 minutes before using any other eye drops your doctor has prescribed. Use only the number of drops recommended on the medicine label. Do not touch the tip of the eye dropper or place it directly on your eye. A contaminated dropper can infect your eye, which could lead to serious vision problems. Do not use the eye drops if the liquid looks cloudy or has changed colors. Store at room temperature away from moisture and heat. Do not freeze. Keep the bottle tightly closed when not in use. What happens if I miss a dose? Use the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not use two doses at one time. What happens if I overdose? An overdose of olopatadine ophthalmic is not expected to be dangerous. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222 if anyone has accidentally swallowed the medication. What should I avoid while using olopatadine ophthalmic? Avoid wearing contact lenses while your eyes are red or irritated. olopatadine ophthalmic will not treat eye irritation caused by wearing contacts. Olopatadine ophthalmic 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. Stop using this medicine and call your doctor at once if you have: eye pain or changes in vision; eye itching that gets worse or lasts longer than 72 hours; severe burning, stinging, or irritation after using this medicine; or eye swelling, redness, severe discomfort, crusting or drainage (may be signs of infection). Less serious side effects may be more likely, and you may have none at all. 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.   Olopatadine ophthalmic dosing information Usual Adult Dose for Seasonal Allergic Conjunctivitis: 0.1% solution: 1 drop in each affected eye twice per day at an interval of 6 to 8 hours 0.2%/0.7% solution: 1 drop in each affected eye once a day Use: Treatment of the signs and symptoms of allergic conjunctivitis Usual Pediatric Dose for Seasonal Allergic Conjunctivitis: 2 years or older: 0.2%/0.7% solution: 1 drop in each affected eye once a day 3 years or older: 0.1% solution: 1 drop in each affected eye twice per day at an interval of 6 to 8 hours Use: Treatment of the signs and symptoms of allergic conjunctivitis   What other drugs will affect olopatadine ophthalmic? Medicine used in the eyes is not likely to be affected by other drugs you use. But many drugs can interact with each other. Tell each of your healthcare providers about all medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products.

What is olopatadine nasal? Olopatadine nasal (for the nose) is used to treat seasonal allergy symptoms such as congestion, sneezing, and runny nose. Olopatadine nasal is for use in adults and children at least 6 years old. Olopatadine nasal may also be used for purposes not listed in this medication guide. Warnings 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 use olopatadine if you are allergic to olopatadine. Tell your doctor if you have other conditions that affect the inside of your nose. Tell your doctor if you are pregnant or breastfeeding. Not approved for use by anyone younger than 6 years old. How should I use olopatadine nasal? Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. Before your first use, shake the nasal spray well and prime it with 5 sprays into the air, until a fine mist appears. Spray away from your face. Prime again with 2 sprays whenever the medicine has not been used in longer than 7 days. Gently blow your nose before using the nasal spray. Carefully follow all Instructions for Use provided with this medicine. Call your doctor if your symptoms do not improve, or if they get worse. Store at room temperature away from moisture and heat. Throw away the bottle after 240 sprays have been used, even if there is still medicine left inside. If used daily, one bottle contains enough medicine for 30 days for an adult dose or 60 days for a child's dose. What happens if I miss a dose? Use the medicine as soon as you can, but skip the missed dose if it is almost time for your next 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. Overdose symptoms may include feeling agitated or restless and then drowsy. What should I avoid while taking olopatadine nasal? Avoid driving or hazardous activity until you know how olopatadine will affect you. Your reactions could be impaired. Drinking alcohol with this medicine can cause side effects. Avoid getting this medication in your eyes. Olopatadine nasal 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. Stop using olopatadine and call your doctor at once if you have: nosebleed; painful sores inside your nose; fever; or pain or burning when you urinate. Common side effects may include: runny or stuffy nose, nosebleeds; cough, throat pain or irritation; a bitter taste in your mouth; drowsiness; headache; fever; rash; or painful urination. 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.   Olopatadine dosing information Usual Adult Dose for Allergic Rhinitis: 2 sprays in each nostril twice a day Use: For the relief of symptoms of seasonal allergic rhinitis Usual Pediatric Dose for Allergic Rhinitis: 6 to 11 years: 1 spray in each nostril twice a day 12 years or older: 2 sprays in each nostril twice a day Use: For the relief of symptoms of seasonal allergic rhinitis   What other drugs will affect olopatadine nasal? Using olopatadine 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. Other drugs may affect olopatadine, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all other medicines you use.

What is omega-3 polyunsaturated fatty acids? Omega-3 polyunsaturated fatty acids are used together with diet and exercise to help lower triglyceride levels in the blood. It is not known if omega-3 polyunsaturated fatty acids will prevent a heart attack or stroke. Talk to your doctor about your risk factors. Omega-3 polyunsaturated fatty acids may also be used for purposes not listed in this medication guide. Warnings Follow all directions on the label and package. Use exactly as directed. Before taking this medicine You should not use omega-3 polyunsaturated fatty acids if you are allergic to omega-3 polyunsaturated fatty acids or soybeans. Ask a doctor or pharmacist if this medicine is safe to use if you have ever had: an allergy to fish or shellfish; diabetes; liver disease; a heart rhythm disorder; a pancreas disorder; or underactive thyroid. Tell your doctor if you are pregnant or breastfeeding. Not approved for use by anyone younger than 18 years old. How should I take omega-3 polyunsaturated fatty acids? Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. Swallow the capsule whole and do not crush, chew, break, or open it. Take with food. You may need frequent blood tests. You may need to follow a special diet. Follow all instructions of your doctor or dietitian. Learn about the foods you should eat or avoid. Tell your doctor if you have a planned surgery. Store at room temperature away from moisture and heat. Do not freeze. 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 omega-3 polyunsaturated fatty acids? Avoid eating foods high in fat or cholesterol, or omega-3 polyunsaturated fatty acids will not be as effective. Avoid drinking alcohol. It can increase triglycerides and may make your condition worse. Omega-3 polyunsaturated fatty acids 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: chest pain; or uneven heartbeats. Common side effects may include: loss of appetite; diarrhea, constipation, upset stomach, belching; back pain; or dry mouth, altered sense of taste. 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. Omega-3 polyunsaturated fatty acids side effects (more detail) Omega-3 polyunsaturated fatty acids dosing information Usual Adult Dose for Hypertriglyceridemia: 1 gram prescription only products: 4 grams orally daily; may be given as a single dose or 2 divided doses. Comments: -Assess triglyceride levels carefully before starting therapy and identify other possible causes (e.g. diabetes, hypothyroidism, medications) and manage appropriately. -Patients should be on a lipid lowering diet prior to using this medication, and continue the diet during use of this medication. -Capsules should be swallowed whole; do not break, crush, chew or dissolve capsules. -In clinical trials, the medication was administered with meals.   What other drugs will affect omega-3 polyunsaturated fatty acids? Tell your doctor about all your other medicines, especially: a blood thinner--warfarin, Coumadin, Jantoven. This list is not complete. Other drugs may affect omega-3 polyunsaturated fatty acids, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

What is omeprazole? Omeprazole is a proton pump inhibitor that decreases the amount of acid produced in the stomach. Omeprazole is used to treat symptoms of gastroesophageal reflux disease (GERD) and other conditions caused by excess stomach acid. It is also used to promote healing of erosive esophagitis (damage to your esophagus caused by stomach acid). Omeprazole may also be given together with antibiotics to treat gastric ulcer caused by infection with Helicobacter pylori (H. pylori). Over-the-counter (OTC) omeprazole is used in adults to help control heartburn that occurs 2 or more days per week. The OTC brand must be taken as a course on a regular basis for 14 days in a row. Warnings Omeprazole can cause kidney problems. Tell your doctor if you are urinating less than usual, or if you have blood in your urine. Diarrhea may be a sign of a new infection. Call your doctor if you have diarrhea that is watery or has blood in it. Omeprazole is not to used for the immediate relief of heartburn symptoms. Omeprazole may cause new or worsening symptoms of lupus. Tell your doctor if you have joint pain and a skin rash on your cheeks or arms that worsens in sunlight. You may be more likely to have a broken bone while taking this medicine long term or more than once per day. Before taking this medicine Heartburn can mimic early symptoms of a heart attack. Get emergency medical help if you have chest pain that spreads to your jaw or shoulder and you feel sweaty or light-headed. You should not use omeprazole if you are allergic to it, or if: you are also allergic to medicines like omeprazole, such as esomeprazole, lansoprazole, pantoprazole, rabeprazole, Nexium, Prevacid, Protonix, and others; you had breathing problems, kidney problems, or a severe allergic reaction after taking omeprazole in the past; or you also take HIV medication that contains rilpivirine (such as Complera, Edurant, Odefsey, Juluca). Ask a doctor or pharmacist if this medicine is safe to use if you have: trouble or pain with swallowing; bloody or black stools, vomit that looks like blood or coffee grounds; heartburn that has lasted for over 3 months; frequent chest pain, heartburn with wheezing; unexplained weight loss; nausea or vomiting, stomach pain; liver disease; low levels of magnesium in your blood; or osteoporosis or low bone mineral density (osteopenia). You may be more likely to have a broken bone in your hip, wrist, or spine while taking a proton pump inhibitor long-term or more than once per day. Talk with your doctor about ways to keep your bones healthy. Ask a doctor before using this medicine if you are pregnant or breastfeeding. Do not give this medicine to a child without medical advice. How should I take omeprazole? Take omeprazole exactly as directed on the label, or as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Use Prilosec OTC (over-the-counter) exactly as directed on the label, or as prescribed by your doctor. Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions. Shake the oral suspension (liquid) before you measure a dose. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon). If you cannot swallow a capsule whole, open it and sprinkle the medicine into a spoonful of applesauce. Swallow the mixture right away without chewing. Do not save it for later use. You must dissolve omeprazole powder in a small amount of water. This mixture can either be swallowed or given through a nasogastric (NG) feeding tube using a catheter-tipped syringe. Use this medicine for the full prescribed length of time, even if your symptoms quickly improve. OTC omeprazole should be taken for only 14 days in a row. It may take 1 to 4 days before your symptoms improve. Allow at least 4 months to pass before you start a new 14-day course of treatment. Call your doctor if your symptoms do not improve, or if they get worse. Some conditions are treated with a combination of omeprazole and antibiotics. Use all medications as directed. This medicine can affect the results of certain medical tests. Tell any doctor who treats you that you are using this medicine. 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 to avoid Omeprazole can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or bloody, call your doctor before using anti-diarrhea medicine. Omeprazole side effects help if you have signs of an allergic reaction to omeprazole: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using this medicine and call your doctor at once if you have: severe stomach pain, diarrhea that is watery or bloody; new or unusual pain in your wrist, thigh, hip, or back; seizure (convulsions); kidney problems - fever, rash, nausea, loss of appetite, joint pain, urinating less than usual, blood in your urine, weight gain; low magnesium - dizziness, irregular heartbeats, feeling jittery, muscle cramps, muscle spasms, cough or choking feeling; or new or worsening symptoms of lupus - joint pain, and a skin rash on your cheeks or arms that worsens in sunlight. Taking omeprazole long-term may cause you to develop stomach growths called fundic gland polyps. Talk with your doctor about this risk. If you use this medicine for longer than 3 years, you could develop a vitamin B-12 deficiency. Talk to your doctor about how to manage this condition if you develop it. Common omeprazole side effects may include: cold symptoms such as stuffy nose, sneezing, sore throat (especially in children); fever (especially in children); stomach pain, gas; nausea, vomiting, diarrhea; or headache. 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 omeprazole? 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 omeprazole, especially: digoxin; clopidogrel; methotrexate; St. John's wort; a diuretic or "water pill"; or an antibiotic - amoxicillin, clarithromycin, rifampin. This list is not complete and many Other drugs may interact with omeprazole. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

What is ondansetron? Ondansetron blocks the actions of chemicals in the body that can trigger nausea and vomiting. Ondansetron is used to prevent nausea and vomiting that may be caused by surgery, cancer chemotherapy, or radiation treatment. Ondansetron may be used for purposes not listed in this medication guide. Warnings You should not use ondansetron if you are also using apomorphine (Apokyn). You should not use ondansetron if you are allergic to it or to similar medicines such as dolasetron (Anzemet), granisetron (Kytril), or palonosetron (Aloxi). Before taking ondansetron, tell your doctor if you have liver disease, or a personal or family history of Long QT syndrome. Ondansetron orally disintegrating tablets may contain phenylalanine. Tell your doctor if you have phenylketonuria (PKU). Serious side effects of ondansetron include blurred vision or temporary vision loss (lasting from only a few minutes to several hours), slow heart rate, trouble breathing, anxiety, agitation, shivering, feeling like you might pass out, and urinating less than usual or not at all. Stop taking this medicine and call your doctor at once if you have any of these side effects. Ondansetron may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Before taking ondansetron You should not use ondansetron if: you are also using apomorphine (Apokyn); or you are allergic to ondansetron or similar medicines (dolasetron, granisetron, palonosetron). To make sure ondansetron is safe for you, tell your doctor if you have: liver disease; an electrolyte imbalance (such as low levels of potassium or magnesium in your blood); congestive heart failure, slow heartbeats; a personal or family history of long QT syndrome; or a blockage in your digestive tract (stomach or intestines). Ondansetron is not expected to harm an unborn baby. Tell your doctor if you are pregnant. It is not known whether ondansetron passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby. Ondansetron is not approved for use by anyone younger than 4 years old. Ondansetron orally disintegrating tablets may contain phenylalanine. Tell your doctor if you have phenylketonuria (PKU). How should I take ondansetron? Take ondansetron exactly as prescribed by your doctor. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended. Ondansetron can be taken with or without food. The first dose is usually taken before the start of your surgery, chemotherapy, or radiation treatment. Follow your doctor's dosing instructions very carefully. Take the ondansetron regular tablet with a full glass of water. To take the orally disintegrating tablet (Zofran ODT): Keep the tablet in its blister pack until you are ready to take it. Open the package and peel back the foil. Do not push a tablet through the foil or you may damage the tablet. Use dry hands to remove the tablet and place it in your mouth. Do not swallow the tablet whole. Allow it to dissolve in your mouth without chewing. Swallow several times as the tablet dissolves. To use ondansetron oral soluble film (strip) (Zuplenz): Keep the strip in the foil pouch until you are ready to use the medicine. Using dry hands, remove the strip and place it on your tongue. It will begin to dissolve right away. Do not swallow the strip whole. Allow it to dissolve in your mouth without chewing. Swallow several times after the strip dissolves. If desired, you may drink liquid to help swallow the dissolved strip. Wash your hands after using Zuplenz. Measure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one. Store at room temperature away from moisture, heat, and light. Store liquid medicine in an upright position. 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 sudden loss of vision, severe constipation, feeling light-headed, or fainting. What to avoid Ondansetron may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Ondansetron side effects Get emergency medical help if you have signs of an allergic reaction to ondansetron: rash, hives; fever, chills, difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: severe constipation, stomach pain, or bloating; headache with chest pain and severe dizziness, fainting, fast or pounding heartbeats; fast or pounding heartbeats; jaundice (yellowing of the skin or eyes); blurred vision or temporary vision loss (lasting from only a few minutes to several hours); high levels of serotonin in the body--agitation, hallucinations, fever, fast heart rate, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination, fainting. Common ondansetron side effects may include: diarrhea or constipation; headache; drowsiness; or tired 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.   Dosing information Usual Adult Dose of Ondansetron for Nausea/Vomiting -- Chemotherapy Induced: Oral: Highly Emetogenic Cancer Chemotherapy (HEC): -Recommended dose: 24 mg orally 30 minutes before the start of single-day HEC (including cisplatin doses of 50 mg/m2 or greater) Moderately Emetogenic Cancer Chemotherapy (MEC): -Recommended dose: 8 mg orally twice a day, with the first dose administered 30 minutes before the start of chemotherapy and the subsequent dose 8 hours later; then 8 mg orally 2 times a day (every 12 hours) for 1 to 2 days after the completion of chemotherapy Parenteral: -Recommended dose: 0.15 mg/kg IV, with the first dose (infused over 15 minutes) 30 minutes before the start of emetogenic chemotherapy and subsequent doses given 4 and 8 hours after the first dose. -Maximum dose: 16 mg per dose Comments: -Multi-day, single-dose administration of 24 mg orally for HEC has not been studied. -The injection formulation should be diluted prior to IV administration. Uses: -Prevention of nausea and vomiting associated with HEC or MEC -Prevention of nausea and vomiting associated with initial and repeat courses of emetogenic chemotherapy Usual Adult Dose of Ondansetron for Nausea/Vomiting: Oral: Highly Emetogenic Cancer Chemotherapy (HEC): -Recommended dose: 24 mg orally 30 minutes before the start of single-day HEC (including cisplatin doses of 50 mg/m2 or greater) Moderately Emetogenic Cancer Chemotherapy (MEC): -Recommended dose: 8 mg orally twice a day, with the first dose administered 30 minutes before the start of chemotherapy and the subsequent dose 8 hours later; then 8 mg orally 2 times a day (every 12 hours) for 1 to 2 days after the completion of chemotherapy Parenteral: -Recommended dose: 0.15 mg/kg IV, with the first dose (infused over 15 minutes) 30 minutes before the start of emetogenic chemotherapy and subsequent doses given 4 and 8 hours after the first dose. -Maximum dose: 16 mg per dose Comments: -Multi-day, single-dose administration of 24 mg orally for HEC has not been studied. -The injection formulation should be diluted prior to IV administration. Uses: -Prevention of nausea and vomiting associated with HEC or MEC -Prevention of nausea and vomiting associated with initial and repeat courses of emetogenic chemotherapy Usual Adult Dose of Ondansetron for Nausea/Vomiting -- Postoperative: Oral: -Recommended dose: 16 mg orally 1 hour before the induction of anesthesia Parenteral: -Recommended dose: 4 mg IV (undiluted) immediately before induction of anesthesia or postoperatively (nausea and/or vomiting within 2 hours after surgery) -Alternative route: 4 mg IM (undiluted) Comment: -Administration of a second dose does not provide additional control of nausea and vomiting. Use: -Prevention of postoperative nausea and vomiting Usual Adult Dose for Nausea/Vomiting--Radiation Induced: Recommended dose: 8 mg orally 3 times a day -Total Body Irradiation: 8 mg orally 1 to 2 hours before each fraction of radiotherapy administered each day -Single High-dose Fraction Radiotherapy to the Abdomen: 8 mg orally 1 to 2 hours before radiotherapy, with subsequent doses every 8 hours after the first dose for 1 to 2 days after the completion of radiotherapy -Daily Fractionated Radiotherapy to the Abdomen: 8 mg orally 1 to 2 hours before radiotherapy, with subsequent doses every 8 hours after the first dose for each day radiotherapy is given Use: -Prevention of nausea and vomiting associated with radiotherapy, either as total body irradiation, single high-dose fraction, or daily fractions to the abdomen Usual Pediatric Dose for Nausea/Vomiting -- Postoperative: Parenteral: 1 month to 12 years: Less than 40 kg: -Recommended dose: 0.1 mg/kg IV over 2 to 5 minutes immediately prior to/following anesthesia induction or postoperatively (nausea and/or vomiting occurring shortly after surgery) 40 kg and greater: -Recommended dose: 4 mg IV over 2 to 5 minutes immediately prior to/following anesthesia induction or postoperatively (nausea and/or vomiting occurring shortly after surgery) Use: -Prevention of postoperative nausea and vomiting Usual Pediatric Dose for Nausea/Vomiting -- Chemotherapy Induced: Oral: 4 to 11 years: -Recommended dose: 4 mg orally 3 times a day, with the first dose administered 30 minutes before the start of chemotherapy, and subsequent doses 4 and 8 hours after the first dose; then 4 mg orally 3 times a day (every 8 hours) for 1 to 2 days after the completion of chemotherapy 12 years and older: -Recommended dose: 8 mg orally twice a day, with the first dose administered 30 minutes before the start of chemotherapy and the subsequent dose 8 hours later; then 8 mg orally 2 times a day (every 12 hours) for 1 to 2 days after the completion of chemotherapy Parenteral: 6 months to 18 years: -Recommended dose: 0.15 mg/kg IV, with the first dose (infused over 15 minutes) 30 minutes before the start of emetogenic chemotherapy, and subsequent doses given 4 and 8 hours after the first dose -Maximum dose: 16 mg (per dose) Comments: -The injection formulation should be diluted in 50 mL prior to IV administration. -This drug should be used to prevent nausea and vomiting associated with moderately to highly emetogenic chemotherapy. Uses: -Prevention of nausea and vomiting associated with moderately emetogenic cancer chemotherapy -Prevention of nausea and vomiting associated with initial and repeat courses of emetogenic chemotherapy   What other drugs will affect ondansetron? Ondansetron can cause a serious heart problem, especially if you use certain medicines at the same time, including antibiotics, antidepressants, heart rhythm medicine, antipsychotic medicines, and medicines to treat cancer, malaria, HIV or AIDS. Tell your doctor about all medicines you use, and those you start or stop using during your treatment with ondansetron. Taking ondansetron while you are using certain other medicines can cause high levels of serotonin to build up in your body, a condition called "serotonin syndrome," which can be fatal. Tell your doctor if you also use: medicine to treat depression; medicine to treat a psychiatric disorder; a narcotic (opioid) medication; or medicine to prevent nausea and vomiting. This list is not complete and many other drugs can interact with ondansetron. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Give a list of all your medicines to any healthcare provider who treats you.

What is ondansetron? Ondansetron blocks the actions of chemicals in the body that can trigger nausea and vomiting. Ondansetron is used to prevent nausea and vomiting that may be caused by surgery, cancer chemotherapy, or radiation treatment. Ondansetron may be used for purposes not listed in this medication guide. Warnings You should not use ondansetron if you are also using apomorphine (Apokyn). You should not use ondansetron if you are allergic to it or to similar medicines such as dolasetron (Anzemet), granisetron (Kytril), or palonosetron (Aloxi). Before taking ondansetron, tell your doctor if you have liver disease, or a personal or family history of Long QT syndrome. Ondansetron orally disintegrating tablets may contain phenylalanine. Tell your doctor if you have phenylketonuria (PKU). Serious side effects of ondansetron include blurred vision or temporary vision loss (lasting from only a few minutes to several hours), slow heart rate, trouble breathing, anxiety, agitation, shivering, feeling like you might pass out, and urinating less than usual or not at all. Stop taking this medicine and call your doctor at once if you have any of these side effects. Ondansetron may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Before taking ondansetron You should not use ondansetron if: you are also using apomorphine (Apokyn); or you are allergic to ondansetron or similar medicines (dolasetron, granisetron, palonosetron). To make sure ondansetron is safe for you, tell your doctor if you have: liver disease; an electrolyte imbalance (such as low levels of potassium or magnesium in your blood); congestive heart failure, slow heartbeats; a personal or family history of long QT syndrome; or a blockage in your digestive tract (stomach or intestines). Ondansetron is not expected to harm an unborn baby. Tell your doctor if you are pregnant. It is not known whether ondansetron passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby. Ondansetron is not approved for use by anyone younger than 4 years old. Ondansetron orally disintegrating tablets may contain phenylalanine. Tell your doctor if you have phenylketonuria (PKU). How should I take ondansetron? Take ondansetron exactly as prescribed by your doctor. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended. Ondansetron can be taken with or without food. The first dose is usually taken before the start of your surgery, chemotherapy, or radiation treatment. Follow your doctor's dosing instructions very carefully. Take the ondansetron regular tablet with a full glass of water. To take the orally disintegrating tablet (Zofran ODT): Keep the tablet in its blister pack until you are ready to take it. Open the package and peel back the foil. Do not push a tablet through the foil or you may damage the tablet. Use dry hands to remove the tablet and place it in your mouth. Do not swallow the tablet whole. Allow it to dissolve in your mouth without chewing. Swallow several times as the tablet dissolves. To use ondansetron oral soluble film (strip) (Zuplenz): Keep the strip in the foil pouch until you are ready to use the medicine. Using dry hands, remove the strip and place it on your tongue. It will begin to dissolve right away. Do not swallow the strip whole. Allow it to dissolve in your mouth without chewing. Swallow several times after the strip dissolves. If desired, you may drink liquid to help swallow the dissolved strip. Wash your hands after using Zuplenz. Measure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one. Store at room temperature away from moisture, heat, and light. Store liquid medicine in an upright position. 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 sudden loss of vision, severe constipation, feeling light-headed, or fainting. What to avoid Ondansetron may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Ondansetron side effects Get emergency medical help if you have signs of an allergic reaction to ondansetron: rash, hives; fever, chills, difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: severe constipation, stomach pain, or bloating; headache with chest pain and severe dizziness, fainting, fast or pounding heartbeats; fast or pounding heartbeats; jaundice (yellowing of the skin or eyes); blurred vision or temporary vision loss (lasting from only a few minutes to several hours); high levels of serotonin in the body--agitation, hallucinations, fever, fast heart rate, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination, fainting. Common ondansetron side effects may include: diarrhea or constipation; headache; drowsiness; or tired 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.   Dosing information Usual Adult Dose of Ondansetron for Nausea/Vomiting -- Chemotherapy Induced: Oral: Highly Emetogenic Cancer Chemotherapy (HEC): -Recommended dose: 24 mg orally 30 minutes before the start of single-day HEC (including cisplatin doses of 50 mg/m2 or greater) Moderately Emetogenic Cancer Chemotherapy (MEC): -Recommended dose: 8 mg orally twice a day, with the first dose administered 30 minutes before the start of chemotherapy and the subsequent dose 8 hours later; then 8 mg orally 2 times a day (every 12 hours) for 1 to 2 days after the completion of chemotherapy Parenteral: -Recommended dose: 0.15 mg/kg IV, with the first dose (infused over 15 minutes) 30 minutes before the start of emetogenic chemotherapy and subsequent doses given 4 and 8 hours after the first dose. -Maximum dose: 16 mg per dose Comments: -Multi-day, single-dose administration of 24 mg orally for HEC has not been studied. -The injection formulation should be diluted prior to IV administration. Uses: -Prevention of nausea and vomiting associated with HEC or MEC -Prevention of nausea and vomiting associated with initial and repeat courses of emetogenic chemotherapy Usual Adult Dose of Ondansetron for Nausea/Vomiting: Oral: Highly Emetogenic Cancer Chemotherapy (HEC): -Recommended dose: 24 mg orally 30 minutes before the start of single-day HEC (including cisplatin doses of 50 mg/m2 or greater) Moderately Emetogenic Cancer Chemotherapy (MEC): -Recommended dose: 8 mg orally twice a day, with the first dose administered 30 minutes before the start of chemotherapy and the subsequent dose 8 hours later; then 8 mg orally 2 times a day (every 12 hours) for 1 to 2 days after the completion of chemotherapy Parenteral: -Recommended dose: 0.15 mg/kg IV, with the first dose (infused over 15 minutes) 30 minutes before the start of emetogenic chemotherapy and subsequent doses given 4 and 8 hours after the first dose. -Maximum dose: 16 mg per dose Comments: -Multi-day, single-dose administration of 24 mg orally for HEC has not been studied. -The injection formulation should be diluted prior to IV administration. Uses: -Prevention of nausea and vomiting associated with HEC or MEC -Prevention of nausea and vomiting associated with initial and repeat courses of emetogenic chemotherapy Usual Adult Dose of Ondansetron for Nausea/Vomiting -- Postoperative: Oral: -Recommended dose: 16 mg orally 1 hour before the induction of anesthesia Parenteral: -Recommended dose: 4 mg IV (undiluted) immediately before induction of anesthesia or postoperatively (nausea and/or vomiting within 2 hours after surgery) -Alternative route: 4 mg IM (undiluted) Comment: -Administration of a second dose does not provide additional control of nausea and vomiting. Use: -Prevention of postoperative nausea and vomiting Usual Adult Dose for Nausea/Vomiting--Radiation Induced: Recommended dose: 8 mg orally 3 times a day -Total Body Irradiation: 8 mg orally 1 to 2 hours before each fraction of radiotherapy administered each day -Single High-dose Fraction Radiotherapy to the Abdomen: 8 mg orally 1 to 2 hours before radiotherapy, with subsequent doses every 8 hours after the first dose for 1 to 2 days after the completion of radiotherapy -Daily Fractionated Radiotherapy to the Abdomen: 8 mg orally 1 to 2 hours before radiotherapy, with subsequent doses every 8 hours after the first dose for each day radiotherapy is given Use: -Prevention of nausea and vomiting associated with radiotherapy, either as total body irradiation, single high-dose fraction, or daily fractions to the abdomen Usual Pediatric Dose for Nausea/Vomiting -- Postoperative: Parenteral: 1 month to 12 years: Less than 40 kg: -Recommended dose: 0.1 mg/kg IV over 2 to 5 minutes immediately prior to/following anesthesia induction or postoperatively (nausea and/or vomiting occurring shortly after surgery) 40 kg and greater: -Recommended dose: 4 mg IV over 2 to 5 minutes immediately prior to/following anesthesia induction or postoperatively (nausea and/or vomiting occurring shortly after surgery) Use: -Prevention of postoperative nausea and vomiting Usual Pediatric Dose for Nausea/Vomiting -- Chemotherapy Induced: Oral: 4 to 11 years: -Recommended dose: 4 mg orally 3 times a day, with the first dose administered 30 minutes before the start of chemotherapy, and subsequent doses 4 and 8 hours after the first dose; then 4 mg orally 3 times a day (every 8 hours) for 1 to 2 days after the completion of chemotherapy 12 years and older: -Recommended dose: 8 mg orally twice a day, with the first dose administered 30 minutes before the start of chemotherapy and the subsequent dose 8 hours later; then 8 mg orally 2 times a day (every 12 hours) for 1 to 2 days after the completion of chemotherapy Parenteral: 6 months to 18 years: -Recommended dose: 0.15 mg/kg IV, with the first dose (infused over 15 minutes) 30 minutes before the start of emetogenic chemotherapy, and subsequent doses given 4 and 8 hours after the first dose -Maximum dose: 16 mg (per dose) Comments: -The injection formulation should be diluted in 50 mL prior to IV administration. -This drug should be used to prevent nausea and vomiting associated with moderately to highly emetogenic chemotherapy. Uses: -Prevention of nausea and vomiting associated with moderately emetogenic cancer chemotherapy -Prevention of nausea and vomiting associated with initial and repeat courses of emetogenic chemotherapy   What other drugs will affect ondansetron? Ondansetron can cause a serious heart problem, especially if you use certain medicines at the same time, including antibiotics, antidepressants, heart rhythm medicine, antipsychotic medicines, and medicines to treat cancer, malaria, HIV or AIDS. Tell your doctor about all medicines you use, and those you start or stop using during your treatment with ondansetron. Taking ondansetron while you are using certain other medicines can cause high levels of serotonin to build up in your body, a condition called "serotonin syndrome," which can be fatal. Tell your doctor if you also use: medicine to treat depression; medicine to treat a psychiatric disorder; a narcotic (opioid) medication; or medicine to prevent nausea and vomiting. This list is not complete and many other drugs can interact with ondansetron. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Give a list of all your medicines to any healthcare provider who treats you.

What is oxandrolone? Oxandrolone is a man-made steroid, similar to the naturally occurring steroid testosterone. Oxandrolone is an "anabolic" steroid that promotes the growth of muscle tissue. Oxandrolone is used to help you regain weight lost after surgery, severe trauma, or chronic infections. Oxandrolone is also used in people who cannot gain or maintain a healthy weight for unknown medical reasons. Oxandrolone is also used to decrease muscle loss caused by using steroid medicines, and to reduce bone pain in people with osteoporosis. Oxandrolone may also be used for purposes not listed in this medication guide. Warnings You should not use oxandrolone if you have prostate cancer, advanced kidney disease, high levels of calcium in your blood, breast cancer, or if you are pregnant. Some people using anabolic steroid medicine have developed life-threatening side effects on the liver, spleen, and blood vessels. These conditions can occur without warning or symptoms and can lead to liver failure, internal bleeding, cancer, stroke, heart attack, or death. Talk with your doctor about the risks and benefits of using oxandrolone. Before taking this medicine You should not use oxandrolone if you are allergic to it, or if you have prostate cancer; advanced kidney disease; high levels of calcium in your blood (hypercalcemia); breast cancer (in men or in women who have hypercalcemia); or if you are pregnant. Some people using anabolic steroid medicine have developed cysts or tumors of the liver or spleen. These conditions can occur without warning or symptoms and can lead to liver failure, internal bleeding, cancer, or death. Using anabolic steroid medicine may also cause cholesterol (lipid) changes within your blood, which can increase fatty buildup inside your arteries (also called atherosclerosis). This condition can lead to stroke or heart attack. Talk with your doctor about the risks and benefits of using oxandrolone. To make sure oxandrolone is safe for you, tell your doctor if you have: liver disease; a history of heart disease; high cholesterol or triglycerides (a type of fat in the blood); diabetes; a thyroid disorder; chronic obstructive pulmonary disease (COPD); a history of stroke or blood clots; if you take a blood thinner (warfarin, Coumadin, Jantoven); or if you use other steroid medicines (prednisone, methylprednisolone, and others). This medicine can harm an unborn baby or cause birth defects. Do not use if you are pregnant. Use effective birth control and tell your doctor right away if you become pregnant during treatment. It is not known whether oxandrolone passes into breast milk or if it could harm a nursing baby. You should not breast-feed while using this medicine. Older men may have an increased risk of developing an enlarged prostate or prostate cancer while taking this medicine. Talk with your doctor about your individual risk. How should I take oxandrolone? Oxandrolone is usually given for only a few weeks. Follow all directions on your prescription label. Do not take oxandrolone in larger or smaller amounts or for longer than recommended. Oxandrolone will not enhance athletic performance and should not be used for that purpose. Oxandrolone may be habit-forming. Never share oxandrolone with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it. If a child is taking this medicine, tell your doctor if the child has any changes in weight. Oxandrolone doses are based on weight in children. While using oxandrolone, you will need frequent blood tests. Your kidney function may also need to be checked with urine tests. Oxandrolone can cause bone overgrowth in children, especially young children. Bone development may need to be checked with x-rays every 6 months during treatment. Store at room temperature away from moisture and heat. Keep track of the amount of medicine used from each new bottle. Oxandrolone is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription. What happens if I miss a dose? Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. What should I avoid while taking oxandrolone? Follow your doctor's instructions about any restrictions on food, beverages, or activity. Oxandrolone 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: new or worsening acne; shortness of breath (even with mild exertion), swelling in your ankles or feet, rapid weight gain; increased or ongoing erection of the penis; unusual penis growth before puberty; impotence, ejaculation problems, decreased amounts of semen, decrease in testicle size; painful or difficult urination; liver problems--nausea, upper stomach pain, itching, tired feeling, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes); or high levels of calcium in your blood--vomiting, stomach pain, constipation, increased thirst or urination, muscle pain or weakness, joint pain, confusion, and feeling tired or restless. Women receiving oxandrolone may develop male characteristics, which could be irreversible if testosterone treatment is continued. Stop taking oxandrolone and call your doctor at once if you notice any of these signs of excess testosterone: acne; changes in menstrual periods; male-pattern hair growth (such as on the chin or chest); hoarse or deepened voice; or enlarged clitoris. Common side effects (in men or women) may include: breast swelling; feeling excited; sleep problems (insomnia); or increased or decreased interest in sex. 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.   Oxandrolone dosing information Usual Adult Dose for Weight Loss: 2.5 mg to 20 mg orally in 2 to 4 divided doses Duration of therapy: 2 to 4 weeks, may be repeated intermittently as indicated. Uses: -Adjunctive therapy to promote weight gain after weight loss following extensive surgery, chronic infections, or severe trauma, and in some patients who without definite pathophysiologic reasons fail to gain or to maintain normal weight -To offset the protein catabolism associated with prolonged administration of corticosteroids -For the relief of the bone pain frequently accompanying osteoporosis Usual Geriatric Dose for Weight Loss: 5 mg orally twice a day Uses: -Adjunctive therapy to promote weight gain after weight loss following extensive surgery, chronic infections, or severe trauma, and in some patients who without definite pathophysiologic reasons fail to gain or to maintain normal weight -To offset the protein catabolism associated with prolonged administration of corticosteroids -For the relief of the bone pain frequently accompanying osteoporosis Usual Pediatric Dose for Weight Loss: Less than or equal to 0.1 mg per kg body weight, may be repeated intermittently as indicated. Uses: -Adjunctive therapy to promote weight gain after weight loss following extensive surgery, chronic infections, or severe trauma, and in some patients who without definite pathophysiologic reasons fail to gain or to maintain normal weight -To offset the protein catabolism associated with prolonged administration of corticosteroids -For the relief of the bone pain frequently accompanying osteoporosis   What other drugs will affect oxandrolone? Other drugs may interact with oxandrolone, 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.