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Umbrella Health Care Systems - Medicines

Our pharmacy offers prescription drugs at discounted prices.

Tretinoin 0.025% cream

Psoriasis / Acne

What is tretinoin topical? Tretinoin is a form of vitamin A that helps the skin renew itself. Tretinoin topical (for the skin) is used to treat acne, to smooth rough facial skin, and to reduce the appearance of fine wrinkles and mottled skin discoloration. Tretinoin topical may also be used for purposes not listed in this medication guide. Warnings Avoid getting this medication in your eyes, mouth, vagina, or in the creases of your nose. Before taking this medicine You should not use tretinoin topical if you are allergic to it. Do not give tretinoin topical to a child without medical advice. Some brands of tretinoin topical are not approved for use in anyone under 18. Tell your doctor if you have ever had: eczema; or an allergy to fish (the gel may contain ingredients derived from fish). It is not known whether tretinoin topical will harm an unborn baby. Tell your doctor if you are pregnant. It may not be safe to breast-feed a baby while you are using this medicine. Ask your doctor about any risks. How should I use tretinoin topical? Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. Using more medicine or applying it more often than prescribed will not make it work any faster, and may increase side effects. Do not take by mouth. Topical medicine is for use only on the skin. Do not use on sunburned skin, or skin affected by eczema. 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 applying tretinoin topical. Before applying, clean and dry the skin area to be treated. Applying tretinoin topical to wet skin may cause skin irritation. Do not wash the treated area or apply other skin products for at least 1 hour after applying tretinoin topical. Tretinoin topical should be used as part of a complete skin care program that includes avoiding sunlight and using an effective sunscreen and protective clothing. It may take up to several weeks before your skin improves. Keep using the medication as directed and tell your doctor if your symptoms do not improve. If you are using tretinoin topical to treat acne, your condition may get slightly worse for a short time. Call your doctor if skin irritation becomes severe or if your acne does not improve within 8 to 12 weeks. Use this medicine for the full prescribed length of time, even if you think it is not working. Store at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use. Tretinoin topical gel is flammable. Do not use near high heat or open flame. Do not smoke until the gel has completely dried on your skin. 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. What should I avoid while using tretinoin topical? Avoid exposure to sunlight or tanning beds. Tretinoin topical can make you sunburn more easily. Wear protective clothing and use sunscreen (SPF 15 or higher) when you are outdoors, even on a cloudy day. Avoid getting this medication in your eyes, mouth, vagina, or in the creases of your nose. Avoid using skin products that can cause irritation, such as harsh soaps, shampoos, hair coloring or permanent chemicals, hair removers or waxes, or skin products with alcohol, spices, astringents, or lime. Avoid using other medications on the areas you treat with tretinoin topical unless your doctor tells you to. Tretinoin topical 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: severe burning, stinging, or irritation of treated skin; severe skin dryness; or severe redness, swelling, blistering, peeling, or crusting. Your skin may be more sensitive to weather extremes such as cold and wind while using tretinoin topical. Common side effects may include: skin pain, redness, burning, itching, or irritation; sore throat; mild warmth or stinging where the medicine was applied; 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.   Tretinoin topical dosing information Usual Adult Dose for Acne: Recommended dose: Apply a thin layer to the entire affected area once a day at bedtime Comments: -Excessive amounts of the gel formulation will result in "pilling" or "caking," which prevents over-application. -Warmth and/or stinging may occur after application. -An apparent exacerbation of acne may occur during the first weeks of treatment, and should not be a reason to discontinue treatment. -Patients with and without acne reported that the gel formulation was less irritating than the cream formulation. Use: Treatment of acne vulgaris Usual Adult Dose for Dermatoheliosis: Recommended dose: Apply a pea-sized amount to the entire affected area once a day at bedtime Duration of therapy: 48 weeks (0.05% cream/emollient cream) and 52 weeks (0.02% cream) Comments: -Approximately 20 to 30 minutes prior to application, patients should wash their faces with a mild soap and pat the skin dry. -Warmth and/or stinging may occur after application. -Improvement in fine wrinkling may not be observed for up to 6 months. Use: Adjunctive agent for the mitigation of fine facial wrinkles in patients with comprehensive skin care and sunlight avoidance programs Usual Pediatric Dose for Acne: 12 years and older: -Recommended dose: Apply a thin layer to the affected area once a day at bedtime Comments: -Excessive amounts of the gel formulation will result in "pilling" or "caking," which prevents over-application. -Warmth and/or stinging may occur after application. -An apparent exacerbation of acne may occur during the first weeks of treatment, and should not be a reason to discontinue treatment. -Patients with and without acne reported that the gel formulation was less irritating than the cream formulation. Use: Treatment of acne vulgaris   What other drugs will affect tretinoin topical? Do not use skin products that contain benzoyl peroxide, sulfur, resorcinol, or salicylic acid unless otherwise directed by your doctor. These products can cause severe skin irritation if used with tretinoin topical. 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 health care providers about all medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products.

Tretinoin 0.05% cream

Psoriasis / Acne

What is tretinoin topical? Tretinoin is a form of vitamin A that helps the skin renew itself. Tretinoin topical (for the skin) is used to treat acne, to smooth rough facial skin, and to reduce the appearance of fine wrinkles and mottled skin discoloration. Tretinoin topical may also be used for purposes not listed in this medication guide. Warnings Avoid getting this medication in your eyes, mouth, vagina, or in the creases of your nose. Before taking this medicine You should not use tretinoin topical if you are allergic to it. Do not give tretinoin topical to a child without medical advice. Some brands of tretinoin topical are not approved for use in anyone under 18. Tell your doctor if you have ever had: eczema; or an allergy to fish (the gel may contain ingredients derived from fish). It is not known whether tretinoin topical will harm an unborn baby. Tell your doctor if you are pregnant. It may not be safe to breast-feed a baby while you are using this medicine. Ask your doctor about any risks. How should I use tretinoin topical? Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. Using more medicine or applying it more often than prescribed will not make it work any faster, and may increase side effects. Do not take by mouth. Topical medicine is for use only on the skin. Do not use on sunburned skin, or skin affected by eczema. 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 applying tretinoin topical. Before applying, clean and dry the skin area to be treated. Applying tretinoin topical to wet skin may cause skin irritation. Do not wash the treated area or apply other skin products for at least 1 hour after applying tretinoin topical. Tretinoin topical should be used as part of a complete skin care program that includes avoiding sunlight and using an effective sunscreen and protective clothing. It may take up to several weeks before your skin improves. Keep using the medication as directed and tell your doctor if your symptoms do not improve. If you are using tretinoin topical to treat acne, your condition may get slightly worse for a short time. Call your doctor if skin irritation becomes severe or if your acne does not improve within 8 to 12 weeks. Use this medicine for the full prescribed length of time, even if you think it is not working. Store at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use. Tretinoin topical gel is flammable. Do not use near high heat or open flame. Do not smoke until the gel has completely dried on your skin. 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. What should I avoid while using tretinoin topical? Avoid exposure to sunlight or tanning beds. Tretinoin topical can make you sunburn more easily. Wear protective clothing and use sunscreen (SPF 15 or higher) when you are outdoors, even on a cloudy day. Avoid getting this medication in your eyes, mouth, vagina, or in the creases of your nose. Avoid using skin products that can cause irritation, such as harsh soaps, shampoos, hair coloring or permanent chemicals, hair removers or waxes, or skin products with alcohol, spices, astringents, or lime. Avoid using other medications on the areas you treat with tretinoin topical unless your doctor tells you to. Tretinoin topical 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: severe burning, stinging, or irritation of treated skin; severe skin dryness; or severe redness, swelling, blistering, peeling, or crusting. Your skin may be more sensitive to weather extremes such as cold and wind while using tretinoin topical. Common side effects may include: skin pain, redness, burning, itching, or irritation; sore throat; mild warmth or stinging where the medicine was applied; 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.   Tretinoin topical dosing information Usual Adult Dose for Acne: Recommended dose: Apply a thin layer to the entire affected area once a day at bedtime Comments: -Excessive amounts of the gel formulation will result in "pilling" or "caking," which prevents over-application. -Warmth and/or stinging may occur after application. -An apparent exacerbation of acne may occur during the first weeks of treatment, and should not be a reason to discontinue treatment. -Patients with and without acne reported that the gel formulation was less irritating than the cream formulation. Use: Treatment of acne vulgaris Usual Adult Dose for Dermatoheliosis: Recommended dose: Apply a pea-sized amount to the entire affected area once a day at bedtime Duration of therapy: 48 weeks (0.05% cream/emollient cream) and 52 weeks (0.02% cream) Comments: -Approximately 20 to 30 minutes prior to application, patients should wash their faces with a mild soap and pat the skin dry. -Warmth and/or stinging may occur after application. -Improvement in fine wrinkling may not be observed for up to 6 months. Use: Adjunctive agent for the mitigation of fine facial wrinkles in patients with comprehensive skin care and sunlight avoidance programs Usual Pediatric Dose for Acne: 12 years and older: -Recommended dose: Apply a thin layer to the affected area once a day at bedtime Comments: -Excessive amounts of the gel formulation will result in "pilling" or "caking," which prevents over-application. -Warmth and/or stinging may occur after application. -An apparent exacerbation of acne may occur during the first weeks of treatment, and should not be a reason to discontinue treatment. -Patients with and without acne reported that the gel formulation was less irritating than the cream formulation. Use: Treatment of acne vulgaris   What other drugs will affect tretinoin topical? Do not use skin products that contain benzoyl peroxide, sulfur, resorcinol, or salicylic acid unless otherwise directed by your doctor. These products can cause severe skin irritation if used with tretinoin topical. 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 health care providers about all medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products.

Tri-Sprintec

Oral Contraceptive

Warning Smoking cigarettes while using Tri-Sprintec (ethinyl estradiol and norgestimate) raises the chance of very bad heart and blood-related side effects. This chance is raised with age (mainly in women older than 35 years of age). It is also raised with the number of cigarettes smoked. It is strongly advised not to smoke. Do not use Tri-Sprintec (ethinyl estradiol and norgestimate) if you smoke and are older than 35 years of age. Uses of Tri-Sprintec: It is used to prevent pregnancy. It is used to treat pimples (acne). It may be given to you for other reasons. Talk with the doctor. What do I need to tell my doctor BEFORE I take Tri-Sprintec? If you have an allergy to ethinyl estradiol, norgestimate, or any other part of Tri-Sprintec (ethinyl estradiol and norgestimate). If you are allergic to Tri-Sprintec (ethinyl estradiol and norgestimate); any part of Tri-Sprintec (ethinyl estradiol and norgestimate); or any other drugs, foods, or substances. Tell your doctor about the allergy and what signs you had. If you have had any of these health problems: Blood clots, blood clotting problem, breast cancer or other cancer where hormones make it grow, diseased blood vessels in the brain or heart, disease of a heart valve with problems, heart disease, chest pain caused by angina, heart attack, stroke, high blood pressure, liver disease, liver tumor, very bad headache or migraine, or diabetes that affects blood flow. If you have had any of these health problems: Endometrial cancer, cancer of the cervix or vagina, or vaginal bleeding where the cause is not known. If you turned yellow during pregnancy or with estrogen-based or hormone contraceptive use. If you are pregnant or may be pregnant. Do not take Tri-Sprintec (ethinyl estradiol and norgestimate) if you are pregnant. If you are breast-feeding or plan to breast-feed. If you are taking ombitasvir, paritaprevir, and ritonavir (with or without dasabuvir). This is not a list of all drugs or health problems that interact with Tri-Sprintec (ethinyl estradiol and norgestimate). Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take Tri-Sprintec (ethinyl estradiol and norgestimate) with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor. What are some things I need to know or do while I take Tri-Sprintec? Tell all of your health care providers that you take Tri-Sprintec (ethinyl estradiol and norgestimate). This includes your doctors, nurses, pharmacists, and dentists. This medicine may need to be stopped before certain types of surgery as your doctor has told you. If Tri-Sprintec (ethinyl estradiol and norgestimate) is stopped, your doctor will tell you when to start taking Tri-Sprintec (ethinyl estradiol and norgestimate) again after your surgery or procedure. This medicine may raise the chance of blood clots, a stroke, or a heart attack. Talk with the doctor. Talk with your doctor if you will need to be still for long periods of time like long trips, bedrest after surgery, or illness. Not moving for long periods may raise your chance of blood clots. If you have high blood sugar (diabetes), talk with your doctor. This medicine may raise blood sugar. Check your blood sugar as you have been told by your doctor. High blood pressure has happened with drugs like this one. Have your blood pressure checked as you have been told by your doctor. Have blood work checked as you have been told by the doctor. Talk with the doctor. This medicine may cause high cholesterol and triglyceride levels. Talk with the doctor. Be sure to have regular breast exams and gynecology check-ups. You will also need to do breast self-exams as you have been told. If you drink grapefruit juice or eat grapefruit often, talk with your doctor. This medicine may affect certain lab tests. Tell all of your health care providers and lab workers that you take Tri-Sprintec (ethinyl estradiol and norgestimate). Certain drugs, herbal products, or health problems could cause Tri-Sprintec (ethinyl estradiol and norgestimate) to not work as well. Be sure your doctor knows about all of your drugs and health problems. This medicine does not stop the spread of diseases like HIV or hepatitis that are passed through having sex. Do not have any kind of sex without using a latex or polyurethane condom. If you have questions, talk with your doctor. Do not use in children who have not had their first menstrual period. If you have any signs of pregnancy or if you have a positive pregnancy test, call your doctor right away. How is this medicine (Tri-Sprintec) best taken? Use Tri-Sprintec (ethinyl estradiol and norgestimate) as ordered by your doctor. Read all information given to you. Follow all instructions closely. Take Tri-Sprintec (ethinyl estradiol and norgestimate) at the same time of day. Take with or without food. Take with food if it causes an upset stomach. After starting Tri-Sprintec (ethinyl estradiol and norgestimate), you may need to use a non-hormone type of birth control like condoms to prevent pregnancy for some time. Follow what your doctor has told you to do about using a non-hormone type of birth control. If you also take colesevelam, take it at least 4 hours after you take Tri-Sprintec (ethinyl estradiol and norgestimate). Do not skip doses, even if you do not have sex very often. If you throw up or have diarrhea, Tri-Sprintec (ethinyl estradiol and norgestimate) may not work as well to prevent pregnancy. Use an extra form of birth control, like condoms, until you check with your doctor. If you miss 2 periods in a row, take a pregnancy test before starting a new cycle. What do I do if I miss a dose? If a dose is missed, check the package insert or call the doctor to find out what to do. If using Tri-Sprintec (ethinyl estradiol and norgestimate) to prevent pregnancy, another form of birth control may need to be used for some time to prevent pregnancy. Detailed Tri-Sprintec dosage information What are some side effects that I need to call my doctor about right away? WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect: Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat. Signs of liver problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes. Signs of high blood pressure like very bad headache or dizziness, passing out, or change in eyesight. Signs of gallbladder problems like pain in the upper right belly area, right shoulder area, or between the shoulder blades; yellow skin or eyes; fever with chills; bloating; or very upset stomach or throwing up. Weakness on 1 side of the body, trouble speaking or thinking, change in balance, drooping on one side of the face, or blurred eyesight. Depression or other mood changes. Feeling very tired or weak. Swelling. Not able to pass urine or change in how much urine is passed. A lump in the breast, breast pain or soreness, or nipple discharge. Vaginal itching or discharge. Eyesight changes or loss, bulging eyes, or change in how contact lenses feel. Call your doctor right away if you have signs of a blood clot like chest pain or pressure; coughing up blood; shortness of breath; swelling, warmth, numbness, change of color, or pain in a leg or arm; or trouble speaking or swallowing. Tri-Sprintec side effects (more detail) What are some other side effects of Tri-Sprintec? All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away: Weight gain. Headache. Upset stomach or throwing up. Gas. Feeling nervous and excitable. Stomach pain. Bloating. Feeling tired or weak. Enlarged breasts. Tender breasts. Period (menstrual) changes. These include spotting or bleeding between cycles. This medicine may cause dark patches of skin on your face. Avoid sun, sunlamps, and tanning beds. Use sunscreen and wear clothing and eyewear that protects you from the sun. These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-332-1088. You may also report side effects at https://www.fda.gov/medwatch. If OVERDOSE is suspected: If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened. How do I store and/or throw out Tri-Sprintec? Store at room temperature. Protect from light. Store in a dry place. Do not store in a bathroom. Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets. Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area. Consumer information use If your symptoms or health problems do not get better or if they become worse, call your doctor. Do not share your drugs with others and do not take anyone else's drugs. Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about Tri-Sprintec (ethinyl estradiol and norgestimate), please talk with your doctor, nurse, pharmacist, or other health care provider. If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

Tri-Sprintec tablet

Oral Contraceptive

Warning Smoking cigarettes while using Tri-Sprintec (ethinyl estradiol and norgestimate) raises the chance of very bad heart and blood-related side effects. This chance is raised with age (mainly in women older than 35 years of age). It is also raised with the number of cigarettes smoked. It is strongly advised not to smoke. Do not use Tri-Sprintec (ethinyl estradiol and norgestimate) if you smoke and are older than 35 years of age. Uses of Tri-Sprintec: It is used to prevent pregnancy. It is used to treat pimples (acne). It may be given to you for other reasons. Talk with the doctor. What do I need to tell my doctor BEFORE I take Tri-Sprintec? If you have an allergy to ethinyl estradiol, norgestimate, or any other part of Tri-Sprintec (ethinyl estradiol and norgestimate). If you are allergic to Tri-Sprintec (ethinyl estradiol and norgestimate); any part of Tri-Sprintec (ethinyl estradiol and norgestimate); or any other drugs, foods, or substances. Tell your doctor about the allergy and what signs you had. If you have had any of these health problems: Blood clots, blood clotting problem, breast cancer or other cancer where hormones make it grow, diseased blood vessels in the brain or heart, disease of a heart valve with problems, heart disease, chest pain caused by angina, heart attack, stroke, high blood pressure, liver disease, liver tumor, very bad headache or migraine, or diabetes that affects blood flow. If you have had any of these health problems: Endometrial cancer, cancer of the cervix or vagina, or vaginal bleeding where the cause is not known. If you turned yellow during pregnancy or with estrogen-based or hormone contraceptive use. If you are pregnant or may be pregnant. Do not take Tri-Sprintec (ethinyl estradiol and norgestimate) if you are pregnant. If you are breast-feeding or plan to breast-feed. If you are taking ombitasvir, paritaprevir, and ritonavir (with or without dasabuvir). This is not a list of all drugs or health problems that interact with Tri-Sprintec (ethinyl estradiol and norgestimate). Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take Tri-Sprintec (ethinyl estradiol and norgestimate) with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor. What are some things I need to know or do while I take Tri-Sprintec? Tell all of your health care providers that you take Tri-Sprintec (ethinyl estradiol and norgestimate). This includes your doctors, nurses, pharmacists, and dentists. This medicine may need to be stopped before certain types of surgery as your doctor has told you. If Tri-Sprintec (ethinyl estradiol and norgestimate) is stopped, your doctor will tell you when to start taking Tri-Sprintec (ethinyl estradiol and norgestimate) again after your surgery or procedure. This medicine may raise the chance of blood clots, a stroke, or a heart attack. Talk with the doctor. Talk with your doctor if you will need to be still for long periods of time like long trips, bedrest after surgery, or illness. Not moving for long periods may raise your chance of blood clots. If you have high blood sugar (diabetes), talk with your doctor. This medicine may raise blood sugar. Check your blood sugar as you have been told by your doctor. High blood pressure has happened with drugs like this one. Have your blood pressure checked as you have been told by your doctor. Have blood work checked as you have been told by the doctor. Talk with the doctor. This medicine may cause high cholesterol and triglyceride levels. Talk with the doctor. Be sure to have regular breast exams and gynecology check-ups. You will also need to do breast self-exams as you have been told. If you drink grapefruit juice or eat grapefruit often, talk with your doctor. This medicine may affect certain lab tests. Tell all of your health care providers and lab workers that you take Tri-Sprintec (ethinyl estradiol and norgestimate). Certain drugs, herbal products, or health problems could cause Tri-Sprintec (ethinyl estradiol and norgestimate) to not work as well. Be sure your doctor knows about all of your drugs and health problems. This medicine does not stop the spread of diseases like HIV or hepatitis that are passed through having sex. Do not have any kind of sex without using a latex or polyurethane condom. If you have questions, talk with your doctor. Do not use in children who have not had their first menstrual period. If you have any signs of pregnancy or if you have a positive pregnancy test, call your doctor right away. How is this medicine (Tri-Sprintec) best taken? Use Tri-Sprintec (ethinyl estradiol and norgestimate) as ordered by your doctor. Read all information given to you. Follow all instructions closely. Take Tri-Sprintec (ethinyl estradiol and norgestimate) at the same time of day. Take with or without food. Take with food if it causes an upset stomach. After starting Tri-Sprintec (ethinyl estradiol and norgestimate), you may need to use a non-hormone type of birth control like condoms to prevent pregnancy for some time. Follow what your doctor has told you to do about using a non-hormone type of birth control. If you also take colesevelam, take it at least 4 hours after you take Tri-Sprintec (ethinyl estradiol and norgestimate). Do not skip doses, even if you do not have sex very often. If you throw up or have diarrhea, Tri-Sprintec (ethinyl estradiol and norgestimate) may not work as well to prevent pregnancy. Use an extra form of birth control, like condoms, until you check with your doctor. If you miss 2 periods in a row, take a pregnancy test before starting a new cycle. What do I do if I miss a dose? If a dose is missed, check the package insert or call the doctor to find out what to do. If using Tri-Sprintec (ethinyl estradiol and norgestimate) to prevent pregnancy, another form of birth control may need to be used for some time to prevent pregnancy. Detailed Tri-Sprintec dosage information What are some side effects that I need to call my doctor about right away? WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect: Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat. Signs of liver problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes. Signs of high blood pressure like very bad headache or dizziness, passing out, or change in eyesight. Signs of gallbladder problems like pain in the upper right belly area, right shoulder area, or between the shoulder blades; yellow skin or eyes; fever with chills; bloating; or very upset stomach or throwing up. Weakness on 1 side of the body, trouble speaking or thinking, change in balance, drooping on one side of the face, or blurred eyesight. Depression or other mood changes. Feeling very tired or weak. Swelling. Not able to pass urine or change in how much urine is passed. A lump in the breast, breast pain or soreness, or nipple discharge. Vaginal itching or discharge. Eyesight changes or loss, bulging eyes, or change in how contact lenses feel. Call your doctor right away if you have signs of a blood clot like chest pain or pressure; coughing up blood; shortness of breath; swelling, warmth, numbness, change of color, or pain in a leg or arm; or trouble speaking or swallowing. Tri-Sprintec side effects (more detail) What are some other side effects of Tri-Sprintec? All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away: Weight gain. Headache. Upset stomach or throwing up. Gas. Feeling nervous and excitable. Stomach pain. Bloating. Feeling tired or weak. Enlarged breasts. Tender breasts. Period (menstrual) changes. These include spotting or bleeding between cycles. This medicine may cause dark patches of skin on your face. Avoid sun, sunlamps, and tanning beds. Use sunscreen and wear clothing and eyewear that protects you from the sun. These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-332-1088. You may also report side effects at https://www.fda.gov/medwatch. If OVERDOSE is suspected: If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened. How do I store and/or throw out Tri-Sprintec? Store at room temperature. Protect from light. Store in a dry place. Do not store in a bathroom. Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets. Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area. Consumer information use If your symptoms or health problems do not get better or if they become worse, call your doctor. Do not share your drugs with others and do not take anyone else's drugs. Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about Tri-Sprintec (ethinyl estradiol and norgestimate), please talk with your doctor, nurse, pharmacist, or other health care provider. If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

Triamcinolone cream

Dermatology

What is triamcinolone? Triamcinolone belongs to a class of drugs called corticosteroids. It prevents the release of substances in the body that cause inflammation. Triamcinolone oral (taken by mouth) is used to treat many different conditions such as allergic disorders, skin conditions, ulcerative colitis, arthritis, lupus, psoriasis, or breathing disorders. Triamcinolone may also be used for purposes not listed in this medication guide. Warnings You should not use this medication if you are allergic to triamcinolone, or if you have a fungal infection anywhere in your body. Before taking triamcinolone, tell your doctor about all of your medical conditions, and about all other medicines you are using. There are many other disease that can be affected by steroid use, and many other medicines that can interact with steroids. Your steroid medication needs may change if you have any unusual stress such as a serious illness, fever or infection, or if you have surgery or a medical emergency. Tell your doctor about any such situation that affects you during treatment. Steroid medications such as triamcinolone can weaken your immune system, making it easier for you to get an infection or worsening an infection you already have or have recently had. Tell your doctor about any illness or infection you have had within the past several weeks. Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using steroid medication. Do not receive a "live" vaccine while you are taking triamcinolone. Vaccines may not work as well while you are taking a steroid. Do not stop using triamcinolone suddenly, or you could have unpleasant withdrawal symptoms. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication. Wear a medical alert tag or carry an ID card stating that you take triamcinolone. Any medical care provider who treats you should know that you take steroid medication. Before taking this medicine You should not use this medication if you are allergic to triamcinolone, or if you have a fungal infection anywhere in your body. Steroid medication can weaken your immune system, making it easier for you to get an infection. Steroids can also worsen an infection you already have, or reactivate an infection you recently had. Before taking this medication, tell your doctor about any illness or infection you have had within the past several weeks. To make sure you can safely take triamcinolone, tell your doctor if you have any of these other conditions: liver disease (such as cirrhosis); kidney disease; a thyroid disorder; diabetes; a history of malaria; tuberculosis; osteoporosis; a muscle disorder such as myasthenia gravis; glaucoma or cataracts; herpes infection of the eyes; stomach ulcers, ulcerative colitis, or diverticulitis; depression or mental illness; congestive heart failure; or high blood pressure FDA pregnancy category C. It is not known whether triamcinolone will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. Triamcinolone can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Triamcinolone can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using triamcinolone.   How should I take triamcinolone? Take triamcinolone exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results from this medication. Take triamcinolone with food to prevent stomach upset. Your steroid medication needs may change if you have unusual stress such as a serious illness, fever or infection, or if you have surgery or a medical emergency. Tell your doctor about any such situation that affects you. This medication can cause you to have unusual results with certain medical tests. Tell any doctor who treats you that you are using triamcinolone. Do not stop using triamcinolone suddenly, or you could have unpleasant withdrawal symptoms. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication. Carry an ID card or wear a medical alert bracelet stating that you are taking a steroid, in case of emergency. Any doctor, dentist, or emergency medical care provider who treats you should know that you are taking steroid medication. Store triamcinolone at room temperature away from moisture and heat.   What happens if I miss a dose? Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of triamcinolone is not expected to produce life threatening symptoms. However, long term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of 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? Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using triamcinolone. Do not receive a "live" vaccine while using triamcinolone. The vaccine may not work as well during this time, and may not fully protect you from disease. Avoid drinking alcohol while you are taking triamcinolone. Triamcinolone side effects Get emergency medical help if you have any of these signs of an allergic reaction to triamcinolone: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have a serious side effect such as: problems with your vision; swelling, rapid weight gain, feeling short of breath; severe depression, unusual thoughts or behavior, seizure (convulsions); bloody or tarry stools, coughing up blood; pancreatitis (severe pain in your upper stomach spreading to your back, nausea and vomiting, fast heart rate); low potassium (confusion, uneven heart rate, extreme thirst, increased urination, leg discomfort, muscle weakness or limp feeling); or dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, confusion, chest pain, shortness of breath, uneven heartbeats, seizure). Less serious triamcinolone side effects may include: sleep problems (insomnia), mood changes; acne, dry skin, thinning skin, bruising or discoloration; slow wound healing; increased sweating; headache, dizziness, spinning sensation; nausea, stomach pain, bloating; muscle weakness; or changes in the shape or location of body fat (especially in your arms, legs, face, neck, breasts, and waist); 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 triamcinolone? Many drugs can interact with triamcinolone. Below is just a partial list. Tell your doctor if you are using: aspirin (taken on a daily basis or at high doses); a diuretic (water pill); a blood thinner such as warfarin (Coumadin, Jantoven); cyclosporine (Gengraf, Neoral, Sandimmune); insulin or diabetes medications you take by mouth; ketoconazole (Nizoral); rifampin (Rifadin, Rifater, Rifamate, Rimactane); or seizure medications such as phenytoin (Dilantin) or phenobarbital (Luminal, Solfoton). This list is not complete and other drugs may interact with triamcinolone. 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.

Triamcinolone Cream 0.1%

Dermatology

What is triamcinolone? Triamcinolone belongs to a class of drugs called corticosteroids. It prevents the release of substances in the body that cause inflammation. Triamcinolone oral (taken by mouth) is used to treat many different conditions such as allergic disorders, skin conditions, ulcerative colitis, arthritis, lupus, psoriasis, or breathing disorders. Triamcinolone may also be used for purposes not listed in this medication guide. Warnings You should not use this medication if you are allergic to triamcinolone, or if you have a fungal infection anywhere in your body. Before taking triamcinolone, tell your doctor about all of your medical conditions, and about all other medicines you are using. There are many other disease that can be affected by steroid use, and many other medicines that can interact with steroids. Your steroid medication needs may change if you have any unusual stress such as a serious illness, fever or infection, or if you have surgery or a medical emergency. Tell your doctor about any such situation that affects you during treatment. Steroid medications such as triamcinolone can weaken your immune system, making it easier for you to get an infection or worsening an infection you already have or have recently had. Tell your doctor about any illness or infection you have had within the past several weeks. Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using steroid medication. Do not receive a "live" vaccine while you are taking triamcinolone. Vaccines may not work as well while you are taking a steroid. Do not stop using triamcinolone suddenly, or you could have unpleasant withdrawal symptoms. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication. Wear a medical alert tag or carry an ID card stating that you take triamcinolone. Any medical care provider who treats you should know that you take steroid medication. Before taking this medicine You should not use this medication if you are allergic to triamcinolone, or if you have a fungal infection anywhere in your body. Steroid medication can weaken your immune system, making it easier for you to get an infection. Steroids can also worsen an infection you already have, or reactivate an infection you recently had. Before taking this medication, tell your doctor about any illness or infection you have had within the past several weeks. To make sure you can safely take triamcinolone, tell your doctor if you have any of these other conditions: liver disease (such as cirrhosis); kidney disease; a thyroid disorder; diabetes; a history of malaria; tuberculosis; osteoporosis; a muscle disorder such as myasthenia gravis; glaucoma or cataracts; herpes infection of the eyes; stomach ulcers, ulcerative colitis, or diverticulitis; depression or mental illness; congestive heart failure; or high blood pressure FDA pregnancy category C. It is not known whether triamcinolone will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. Triamcinolone can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Triamcinolone can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using triamcinolone.   How should I take triamcinolone? Take triamcinolone exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results from this medication. Take triamcinolone with food to prevent stomach upset. Your steroid medication needs may change if you have unusual stress such as a serious illness, fever or infection, or if you have surgery or a medical emergency. Tell your doctor about any such situation that affects you. This medication can cause you to have unusual results with certain medical tests. Tell any doctor who treats you that you are using triamcinolone. Do not stop using triamcinolone suddenly, or you could have unpleasant withdrawal symptoms. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication. Carry an ID card or wear a medical alert bracelet stating that you are taking a steroid, in case of emergency. Any doctor, dentist, or emergency medical care provider who treats you should know that you are taking steroid medication. Store triamcinolone at room temperature away from moisture and heat.   What happens if I miss a dose? Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of triamcinolone is not expected to produce life threatening symptoms. However, long term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of 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? Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using triamcinolone. Do not receive a "live" vaccine while using triamcinolone. The vaccine may not work as well during this time, and may not fully protect you from disease. Avoid drinking alcohol while you are taking triamcinolone. Triamcinolone side effects Get emergency medical help if you have any of these signs of an allergic reaction to triamcinolone: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have a serious side effect such as: problems with your vision; swelling, rapid weight gain, feeling short of breath; severe depression, unusual thoughts or behavior, seizure (convulsions); bloody or tarry stools, coughing up blood; pancreatitis (severe pain in your upper stomach spreading to your back, nausea and vomiting, fast heart rate); low potassium (confusion, uneven heart rate, extreme thirst, increased urination, leg discomfort, muscle weakness or limp feeling); or dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, confusion, chest pain, shortness of breath, uneven heartbeats, seizure). Less serious triamcinolone side effects may include: sleep problems (insomnia), mood changes; acne, dry skin, thinning skin, bruising or discoloration; slow wound healing; increased sweating; headache, dizziness, spinning sensation; nausea, stomach pain, bloating; muscle weakness; or changes in the shape or location of body fat (especially in your arms, legs, face, neck, breasts, and waist); 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 triamcinolone? Many drugs can interact with triamcinolone. Below is just a partial list. Tell your doctor if you are using: aspirin (taken on a daily basis or at high doses); a diuretic (water pill); a blood thinner such as warfarin (Coumadin, Jantoven); cyclosporine (Gengraf, Neoral, Sandimmune); insulin or diabetes medications you take by mouth; ketoconazole (Nizoral); rifampin (Rifadin, Rifater, Rifamate, Rimactane); or seizure medications such as phenytoin (Dilantin) or phenobarbital (Luminal, Solfoton). This list is not complete and other drugs may interact with triamcinolone. 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.

Triamterene/HCTZ Capsule

Blood Pressure / Fluid Retention

What is hydrochlorothiazide and triamterene? Hydrochlorothiazide is a thiazide diuretic (water pill). Triamterene is a potassium-sparing diuretic. Hydrochlorothiazide and triamterene is a combination medicine that is used to treat fluid retention (edema) and high blood pressure (hypertension). hydrochlorothiazide and triamterene is usually given to people in whom other diuretics have caused hypokalemia (low potassium levels in your blood). Hydrochlorothiazide and triamterene may also be used for purposes not listed in this medication guide. Warnings You should not use this medicine if have kidney disease, urination problems, high levels of potassium in your blood, or if you are taking other diuretics similar to triamterene. This medicine can raise your blood potassium to dangerous levels, especially if you have kidney disease, diabetes, severe illness, or if you are an older adult. Call your doctor right away if you have signs of high potassium: nausea, tingly feeling, feeling weak or tired, slow heartbeats, or loss of movement. Before taking this medicine You should not use hydrochlorothiazide and triamterene if you are allergic to hydrochlorothiazide or triamterene, or if: you have kidney disease or are unable to urinate; you have high potassium levels (hyperkalemia); you are taking diuretics similar to triamterene, such as amiloride or spironolactone; or you are taking potassium supplements (unless your doctor tells you to). Diuretics such as triamterene can raise your blood potassium to dangerous levels. This is more likely to occur if you have kidney disease, diabetes, severe illness, or if you are an older adult. Ask your doctor about your individual risk. Tell your doctor if you have ever had: diabetes; cirrhosis or other liver disease; heart disease, heart rhythm disorder; gout; cataracts or glaucoma; an allergy to sulfa drugs or penicillin; kidney stones; o if you are on a low-salt diet. It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. You should not breastfeed while using this medicine. This medicine is not approved for use by anyone younger than 18 years old. How should I take hydrochlorothiazide and triamterene? 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. Hydrochlorothiazide and triamterene is usually taken once per day. You may need frequent medical tests. Even if you have no symptoms, tests can help your doctor determine if this medicine is effective. Your heart function may also need to be checked using an electrocardiograph or ECG (sometimes called an EKG). Severe illness can affect your potassium levels. Call your doctor if you have a serious illness, injury, or medical emergency. If you need surgery or medical tests, tell the doctor you currently use this medicine. You may need to stop for a short time. If you have high blood pressure, keep using this medicine even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medicine for the rest of your life. Store at room temperature away from moisture, 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 increased urination, nausea, vomiting, weakness, fever, warmth or flushing in your face, or muscle spasms. What should I avoid while taking hydrochlorothiazide and triamterene? Do not use potassium supplements, salt substitutes, or low-sodium milk unless your doctor has told you to. Avoid a diet high in salt. Too much salt will cause your body to retain water and can make hydrochlorothiazide and triamterene less effective. 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. Avoid becoming overheated or dehydrated during exercise, in hot weather, or by not drinking enough fluids. Follow your doctor's instructions about the type and amount of liquids you should drink. In some cases, drinking too much liquid can be as unsafe as not drinking enough. Avoid driving or hazardous activity until you know how this medicine will affect you. Your reactions could be impaired. Hydrochlorothiazide and triamterene side effects Get emergency medical help if you have signs of an allergic reaction (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning eyes, skin pain, red or purple skin rash with blistering and peeling). Stop taking this medicine and call your doctor at once if you have: blurred vision, tunnel vision, eye pain, or seeing halos around lights; a light-headed feeling, like you might pass out; fast, slow, or uneven heart rate; signs of liver or pancreas problems--loss of appetite, upper stomach pain (that may spread to your back), nausea or vomiting, fast heart rate, dark urine, jaundice (yellowing of the skin or eyes); high potassium level--nausea, weakness, tingly feeling, feeling weak or tired, slow heartbeats, loss of movement; low potassium level--leg cramps, constipation, irregular heartbeats, fluttering in your chest, increased thirst or urination, numbness or tingling, muscle weakness or limp feeling; kidney problems--little or no urination, swelling in your feet or ankles, feeling tired or short of breath; lupus-like symptoms--muscle or joint pain, flu symptoms, chest pain, and a rash or patchy skin color that worsens in sunlight; or other signs of an electrolyte imbalance--thirst, dry mouth, stomach pain, drowsiness, weakness, fast heart rate, muscle pain or weakness, feeling restless or light-headed. Common side effects may include: stomach pain, nausea, diarrhea, constipation; dizziness, headache; blurred vision; or dry mouth. 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 / triamterene side effects (more detail) Hydrochlorothiazide and triamterene dosing information Usual Adult Dose for Edema: Hydrochlorothiazide 25 to 50 mg-Triamterene 37.5 to 100 mg orally once a day Comments: -Patients who become hypokalemic on 50 mg of hydrochlorothiazide may be transferred directly to hydrochlorothiazide 50 mg-triamterene 75 mg orally once a day. Patients who become hypokalemic on 25 mg of hydrochlorothiazide may be transferred directly to hydrochlorothiazide 25 mg-triamterene 37.5 mg orally once a day. -Patients in whom hypokalemia cannot be risked may be initiated on hydrochlorothiazide 25 mg-triamterene 37.5 mg orally once a day. Uses: -Treatment of hypertension or edema in patients who develop hypokalemia on hydrochlorothiazide alone. -Initial therapy of hypertension or edema for patients in whom hypokalemia cannot be risked (e.g., patients on concomitant digitalis preparations or with a history of cardiac arrhythmias, etc.). Usual Adult Dose for Hypertension: Hydrochlorothiazide 25 to 50 mg-Triamterene 37.5 to 100 mg orally once a day Comments: -Patients who become hypokalemic on 50 mg of hydrochlorothiazide may be transferred directly to hydrochlorothiazide 50 mg-triamterene 75 mg orally once a day. Patients who become hypokalemic on 25 mg of hydrochlorothiazide may be transferred directly to hydrochlorothiazide 25 mg-triamterene 37.5 mg orally once a day. -Patients in whom hypokalemia cannot be risked may be initiated on hydrochlorothiazide 25 mg-triamterene 37.5 mg orally once a day. Uses: -Treatment of hypertension or edema in patients who develop hypokalemia on hydrochlorothiazide alone. -Initial therapy of hypertension or edema for patients in whom hypokalemia cannot be risked (e.g., patients on concomitant digitalis preparations or with a history of cardiac arrhythmias, etc.). Detailed Hydrochlorothiazide / triamterene dosage information What other drugs can affect hydrochlorothiazide and triamterene? Tell your doctor about all your other medicines, especially: any other blood pressure medicine; amphotericin B; chlorpropamide; digoxin; laxatives; lithium; methenamine; a blood thinner; oral diabetes medicine; steroid medication (prednisone and others); an ACE inhibitor--benazepril, captopril, enalapril, fosinopril, lisinopril, moexipril, perindopril, quinapril, ramipril, trandolapril; 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 triamterene, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Triamterene/HCTZ Tablet

Blood Pressure / Fluid Retention

What is hydrochlorothiazide and triamterene? Hydrochlorothiazide is a thiazide diuretic (water pill). Triamterene is a potassium-sparing diuretic. Hydrochlorothiazide and triamterene is a combination medicine that is used to treat fluid retention (edema) and high blood pressure (hypertension). hydrochlorothiazide and triamterene is usually given to people in whom other diuretics have caused hypokalemia (low potassium levels in your blood). Hydrochlorothiazide and triamterene may also be used for purposes not listed in this medication guide. Warnings You should not use this medicine if have kidney disease, urination problems, high levels of potassium in your blood, or if you are taking other diuretics similar to triamterene. This medicine can raise your blood potassium to dangerous levels, especially if you have kidney disease, diabetes, severe illness, or if you are an older adult. Call your doctor right away if you have signs of high potassium: nausea, tingly feeling, feeling weak or tired, slow heartbeats, or loss of movement. Before taking this medicine You should not use hydrochlorothiazide and triamterene if you are allergic to hydrochlorothiazide or triamterene, or if: you have kidney disease or are unable to urinate; you have high potassium levels (hyperkalemia); you are taking diuretics similar to triamterene, such as amiloride or spironolactone; or you are taking potassium supplements (unless your doctor tells you to). Diuretics such as triamterene can raise your blood potassium to dangerous levels. This is more likely to occur if you have kidney disease, diabetes, severe illness, or if you are an older adult. Ask your doctor about your individual risk. Tell your doctor if you have ever had: diabetes; cirrhosis or other liver disease; heart disease, heart rhythm disorder; gout; cataracts or glaucoma; an allergy to sulfa drugs or penicillin; kidney stones; o if you are on a low-salt diet. It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. You should not breastfeed while using this medicine. This medicine is not approved for use by anyone younger than 18 years old. How should I take hydrochlorothiazide and triamterene? 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. Hydrochlorothiazide and triamterene is usually taken once per day. You may need frequent medical tests. Even if you have no symptoms, tests can help your doctor determine if this medicine is effective. Your heart function may also need to be checked using an electrocardiograph or ECG (sometimes called an EKG). Severe illness can affect your potassium levels. Call your doctor if you have a serious illness, injury, or medical emergency. If you need surgery or medical tests, tell the doctor you currently use this medicine. You may need to stop for a short time. If you have high blood pressure, keep using this medicine even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medicine for the rest of your life. Store at room temperature away from moisture, 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 increased urination, nausea, vomiting, weakness, fever, warmth or flushing in your face, or muscle spasms. What should I avoid while taking hydrochlorothiazide and triamterene? Do not use potassium supplements, salt substitutes, or low-sodium milk unless your doctor has told you to. Avoid a diet high in salt. Too much salt will cause your body to retain water and can make hydrochlorothiazide and triamterene less effective. 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. Avoid becoming overheated or dehydrated during exercise, in hot weather, or by not drinking enough fluids. Follow your doctor's instructions about the type and amount of liquids you should drink. In some cases, drinking too much liquid can be as unsafe as not drinking enough. Avoid driving or hazardous activity until you know how this medicine will affect you. Your reactions could be impaired. Hydrochlorothiazide and triamterene side effects Get emergency medical help if you have signs of an allergic reaction (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning eyes, skin pain, red or purple skin rash with blistering and peeling). Stop taking this medicine and call your doctor at once if you have: blurred vision, tunnel vision, eye pain, or seeing halos around lights; a light-headed feeling, like you might pass out; fast, slow, or uneven heart rate; signs of liver or pancreas problems--loss of appetite, upper stomach pain (that may spread to your back), nausea or vomiting, fast heart rate, dark urine, jaundice (yellowing of the skin or eyes); high potassium level--nausea, weakness, tingly feeling, feeling weak or tired, slow heartbeats, loss of movement; low potassium level--leg cramps, constipation, irregular heartbeats, fluttering in your chest, increased thirst or urination, numbness or tingling, muscle weakness or limp feeling; kidney problems--little or no urination, swelling in your feet or ankles, feeling tired or short of breath; lupus-like symptoms--muscle or joint pain, flu symptoms, chest pain, and a rash or patchy skin color that worsens in sunlight; or other signs of an electrolyte imbalance--thirst, dry mouth, stomach pain, drowsiness, weakness, fast heart rate, muscle pain or weakness, feeling restless or light-headed. Common side effects may include: stomach pain, nausea, diarrhea, constipation; dizziness, headache; blurred vision; or dry mouth. 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 / triamterene side effects (more detail) Hydrochlorothiazide and triamterene dosing information Usual Adult Dose for Edema: Hydrochlorothiazide 25 to 50 mg-Triamterene 37.5 to 100 mg orally once a day Comments: -Patients who become hypokalemic on 50 mg of hydrochlorothiazide may be transferred directly to hydrochlorothiazide 50 mg-triamterene 75 mg orally once a day. Patients who become hypokalemic on 25 mg of hydrochlorothiazide may be transferred directly to hydrochlorothiazide 25 mg-triamterene 37.5 mg orally once a day. -Patients in whom hypokalemia cannot be risked may be initiated on hydrochlorothiazide 25 mg-triamterene 37.5 mg orally once a day. Uses: -Treatment of hypertension or edema in patients who develop hypokalemia on hydrochlorothiazide alone. -Initial therapy of hypertension or edema for patients in whom hypokalemia cannot be risked (e.g., patients on concomitant digitalis preparations or with a history of cardiac arrhythmias, etc.). Usual Adult Dose for Hypertension: Hydrochlorothiazide 25 to 50 mg-Triamterene 37.5 to 100 mg orally once a day Comments: -Patients who become hypokalemic on 50 mg of hydrochlorothiazide may be transferred directly to hydrochlorothiazide 50 mg-triamterene 75 mg orally once a day. Patients who become hypokalemic on 25 mg of hydrochlorothiazide may be transferred directly to hydrochlorothiazide 25 mg-triamterene 37.5 mg orally once a day. -Patients in whom hypokalemia cannot be risked may be initiated on hydrochlorothiazide 25 mg-triamterene 37.5 mg orally once a day. Uses: -Treatment of hypertension or edema in patients who develop hypokalemia on hydrochlorothiazide alone. -Initial therapy of hypertension or edema for patients in whom hypokalemia cannot be risked (e.g., patients on concomitant digitalis preparations or with a history of cardiac arrhythmias, etc.). Detailed Hydrochlorothiazide / triamterene dosage information What other drugs can affect hydrochlorothiazide and triamterene? Tell your doctor about all your other medicines, especially: any other blood pressure medicine; amphotericin B; chlorpropamide; digoxin; laxatives; lithium; methenamine; a blood thinner; oral diabetes medicine; steroid medication (prednisone and others); an ACE inhibitor--benazepril, captopril, enalapril, fosinopril, lisinopril, moexipril, perindopril, quinapril, ramipril, trandolapril; 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 triamterene, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Trospium Chloride tablet

Urinary

What is trospium? Trospium relieves spasms of the bladder. Trospium is used to treat overactive bladder and symptoms of urinary incontinence, frequency, and urgency. Trospium may also be used for purposes not listed in this medication guide. Warnings You should not take trospium if you are allergic to trospium, or if you have untreated or uncontrolled narrow-angle glaucoma, a blockage in your digestive system, or if you are unable to urinate. Take trospium on an empty stomach, at least 1 hour before a meal. Avoid drinking alcohol within 2 hours before or after you take trospium. Drinking alcohol can increase certain side effects of trospium. This medication may cause blurred vision and may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly. Avoid becoming overheated or dehydrated during exercise and in hot weather. Trospium can decrease sweating, which makes it easier for you to have heat stroke. Drink plenty of fluids while you are taking this medication. Before using trospium, tell your doctor if you regularly use other medicines that make you sleepy (such as cold or allergy medicine, sedatives, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety). They can add to sleepiness caused by trospium. Before taking this medicine You should not use trospium if you are allergic to it, or if you have: untreated or uncontrolled narrow-angle glaucoma; a blockage in your digestive system; or if you are unable to urinate. To make sure you can safely take trospium, tell your doctor if you have any of these other conditions: glaucoma; liver disease; kidney disease; a stomach or intestinal disorder such as ulcerative colitis; a muscle disorder such as myasthenia gravis; or an enlarged prostate. FDA pregnancy category C. It is not known whether trospium 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 trospium 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. Older adults may be more likely to have side effects from this medicine. How should I take trospium? Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label. Take trospium on an empty stomach, at least 1 hour before a meal. Extended-release trospium (Sanctura XR) should be taken once each morning, at least 1 hour before a meal. Do not crush, chew, break, or open an extended-release capsule. Swallow it whole. Breaking or opening the pill may cause too much of the drug to be released at one time. Store at room temperature away from moisture and heat. What happens if I miss a dose? Take the missed dose 1 hour before your next meal. 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 severe forms of some of the side effects listed in this medication guide. What should I avoid while taking trospium? This medication may cause blurred vision and may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly. Avoid drinking alcohol within 2 hours before or after you take trospium. Drinking alcohol can increase certain side effects of trospium. Avoid becoming overheated or dehydrated during exercise and in hot weather. Trospium can decrease sweating, which makes it easier for you to have heat stroke. Drink plenty of fluids while you are taking this medication. Trospium side effects Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Stop using trospium and call your doctor at once if you have a serious side effect such as: severe stomach pain or bloating; severe constipation; urinating less than usual or not at all; or confusion, hallucinations. Less serious side effects may include: dry mouth or throat; headache; mild constipation; upset stomach, gas; dizziness, drowsiness, or dry eyes. 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.   Trospium dosing information Usual Adult Dose for Urinary Incontinence: Immediate-release formulation: 20 mg orally 2 times a day Extended-release formulation: 60 mg orally once a day in the morning Use: for overactive bladder (OAB) with symptoms of urge urinary incontinence, urgency, and urinary frequency Usual Adult Dose for Urinary Frequency: Immediate-release formulation: 20 mg orally 2 times a day Extended-release formulation: 60 mg orally once a day in the morning Use: for overactive bladder (OAB) with symptoms of urge urinary incontinence, urgency, and urinary frequency Usual Geriatric Dose for Urinary Incontinence: Immediate-release formulation: 75 years and older: 20 mg orally once a day based on tolerability Extended-release formulation: 60 mg orally once a day in the morning Use: for overactive bladder (OAB) with symptoms of urge urinary incontinence, urgency, and urinary frequency Usual Geriatric Dose for Urinary Frequency: Immediate-release formulation: 75 years and older: 20 mg orally once a day based on tolerability Extended-release formulation: 60 mg orally once a day in the morning Use: for overactive bladder (OAB) with symptoms of urge urinary incontinence, urgency, and urinary frequency   What other drugs will affect trospium? Before using trospium, tell your doctor if you regularly use other medicines that make you sleepy (such as cold or allergy medicine, sedatives, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety). They can add to sleepiness caused by trospium. Tell your doctor about all other medicines you use, especially: atropine (Atreza, Sal-Tropine, and others); belladonna (Donnatal, and others); benztropine (Cogentin); dimenhydrinate (Dramamine); metformin (Actoplus Met, Avandamet, Glucophage, Glucovance, Janumet, Kombiglyze, Metaglip, PrandiMet); morphine (Kadian, MS Contin, Oramorph); procainamide (Procanbid, Pronestyl); tenofovir (Viread); vancomycin (Vancocin); bronchodilators such as ipratropium (Atrovent) or tiotropium (Spiriva); bladder or urinary medications such as darifenacin (Enablex), flavoxate (Urispas), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or solifenacin (Vesicare); irritable bowel medications such as dicyclomine (Bentyl), hyoscyamine (Hyomax), or propantheline (Pro Banthine); or ulcer medications such as glycopyrrolate (Robinul) or mepenzolate (Cantil). This list is not complete and other drugs may interact with trospium. 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.

Uroxatral tablet

Prostate

What is Uroxatral? Uroxatral (alfuzosin) is an alpha-adrenergic (AL-fa ad-ren-ER-Jk) blocker. Uroxatral helps relax the muscles in the prostate and bladder neck, making it easier to urinate. Uroxatral is used to improve urination in men with benign prostatic hyperplasia (enlarged prostate). Warnings You should not take Uroxatral if you have moderate to severe liver disease. Many drugs can affect alfuzosin, and some should not be used at the same time. Tell your doctor about all your current medicines and any you start or stop using. Uroxatral lowers blood pressure and may cause dizziness or fainting, especially if you take heart or blood pressure medications. Avoid driving or hazardous activity until you know how alfuzosin will affect you. Call your doctor at once if you have a light-headed feeling, like you might pass out. Uroxatral can affect your pupils during cataract surgery. Tell your eye surgeon ahead of time that you are using this medication. Do not stop using this medicine before surgery unless your surgeon tells you to. There are many other drugs that can interact with alfuzosin. Tell your doctor about all medications you use. Before taking this medicine You should not take Uroxatral if you are allergic to alfuzosin, or if you have: moderate to severe liver disease. Some medicines can cause unwanted or dangerous effects when used with Uroxatral. Your doctor may change your treatment plan if you also use: an antibiotic; antifungal medicine; heart medication; antiviral medicine to treat hepatitis C or HIV/AIDS; or medicines similar to alfuzosin (doxazosin, prazosin, silodosin, tamsulosin, or terazosin). Tell your doctor if you have ever had: low blood pressure, especially if caused by taking medications; liver disease; kidney disease; prostate cancer; or long QT syndrome (in you or a family member). Uroxatral can affect your pupils. If you have cataract surgery, tell your surgeon ahead of time that you use this medicine. Alfuzosin is not for use in women, and the effects of this medicine during pregnancy or in breastfeeding women are unknown. Uroxatral is not approved for use by anyone younger than 18 years old. How should I take Uroxatral? Take Uroxatral 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. Your doctor may test your prostate specific antigen (PSA) to check for prostate cancer before you take this medicine. Uroxatral is usually taken once daily just after a meal, at the same time each day. Do not take the medicine on an empty stomach. Swallow the tablet whole and do not crush, chew, or break it. Alfuzosin lowers blood pressure and may cause dizziness or fainting, especially when you first start taking it. You may feel very dizzy when you first wake up. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Your blood pressure will need to be checked often. Some things can cause your blood pressure to get too low. This includes vomiting, diarrhea, or heavy sweating. Call your doctor if you are sick with vomiting or diarrhea. Store at room temperature away from moisture, heat, and light. Dosing information Usual Adult Dose for Benign Prostatic Hyperplasia: Extended-release tablet: 10 mg orally once a day immediately after the same meal each day   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 driving or hazardous activity until you know how this medicine will affect you. Your reactions could be impaired. Drinking alcohol with this medicine can cause side effects. Uroxatral side effects Get emergency medical help if you have signs of an allergic reaction to Uroxatral: 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; new or worsening chest pain; upper stomach pain, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes); or penis erection that is painful or lasts 4 hours or longer. Common Uroxatral side effects may include: dizziness; headache; or feeling tired. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.   What other drugs will affect Uroxatral? Tell your doctor about all your current medicines. Many drugs can increase your risk of very low blood pressure while taking Uroxatral, especially: heart or blood pressure medication; nitrate medication (such as nitroglycerin); or sildenafil (Viagra) and other erectile dysfunction medicines. This list is not complete. Many other drugs can interact with alfuzosin, and some drugs should not be used at the same time. Tell your doctor about all your current medicines and any medicine you start or stop using. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here.

Ursodiol capsule

Gallstones

What is ursodiol? Ursodiol capsules are used to dissolve small gallstones that cannot be removed with surgery, or to prevent gallstones that may occur during rapid weight loss. Ursodiol will not dissolve calcified gallstones. Ursodiol tablets are used to treat primary biliary cirrhosis, an autoimmune disorder that causes progressive destruction of the bile ducts in your liver. Ursodiol 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 ursodiol if you are allergic to it, or if you have an obstruction in your liver or gallbladder. Tell your doctor if: you have been coughing up blood; or you have gained weight rapidly, especially in your face and midsection. Tell your doctor if you are pregnant or breastfeeding. Not approved for use by anyone younger than 18 years old. How should I take ursodiol? Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. Take the ursodiol tablet with food. You may need to break a tablet in half to get your correct dose. Swallow each tablet piece whole with a glass of water. A broken tablet may have a bitter taste. After breaking a tablet, keep it separate from the whole tablets and use it within 28 days after breaking. Use ursodiol regularly for the best results. Doses are based on weight. Your dose may change if you gain or lose weight. You may need medical tests, including gallbladder ultrasound exams and blood tests to check your liver function. You may also need liver function tests every 6 months after you stop using ursodiol. Call your doctor if your symptoms do not improve, or if they get worse. To treat gallstones, you may have to take ursodiol for several months. Some gallstones may not completely dissolve, and you may develop new gallstones within 5 years after treatment. Ask your doctor about your risk. Store tightly closed 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. Get your prescription refilled before you run out of medicine completely. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. What should I avoid while taking ursodiol? Ask your doctor before taking an antacid, and take only the type your doctor recommends. Ursodiol 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: pain or burning when you urinate; 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 signs of a new infection--sudden weakness or ill feeling, fever, chills, sore throat, mouth sores, skin sores, trouble swallowing. Common side effects may include: upset stomach, nausea, vomiting; diarrhea, constipation; cough, sore throat; painful urination; hair loss; or back pain. 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.   Ursodiol dosing information Usual Adult Dose for Biliary Cirrhosis: Tablets: 13 to 15 mg/kg orally per day, given in 2 to 4 divided doses with food Comments: -The dose should be adjusted to the patient's needs. -Scored tablets may be broken in half to provide recommended doses. Use: Treatment of patients with primary biliary cirrhosis (PBC) Usual Adult Dose for Gallbladder Disease: Capsules: Gallstone dissolution: 8 to 10 mg/kg orally per day, given in 2 to 3 divided doses Gallstone prevention: 300 mg orally 2 times a day -Maximum dose: 600 mg/day Comments: -Safety in the dissolution of gallstones has not been established in patients using this drug beyond 24 months. -Ultrasound images should be obtained every 6 months for the first year. -If gallstones appear to have dissolved, treatment should be continued, and dissolution should be confirmed on a repeat ultrasound in 1 to 3 months. -Most patients who achieve complete dissolution show partial or complete dissolution at the first on-treatment reevaluation. -If partial stone dissolution is not observed after 12 months of treatment, the likelihood of treatment is significantly reduced. Uses: -Patients with radiolucent, noncalcified gallbladder stones less than 20 mm in greatest diameter in whom elective cholecystectomy would be undertaken except for the presence of increased surgical risk due to advanced age, idiosyncratic reaction to general anesthesia, systemic disease, or those who refuse surgery -For the prevention of gallstone formation in obese patients experiencing rapid weight loss   What other drugs will affect ursodiol? It may be harder for your body to absorb ursodiol if you take certain cholesterol-lowering medicines, such as: cholestyramine; or colestipol. Tell your doctor about all your other medicines, especially birth control pills and other estrogens. Other drugs may affect ursodiol, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Ursodiol tablet

Gallstones

What is ursodiol? Ursodiol capsules are used to dissolve small gallstones that cannot be removed with surgery, or to prevent gallstones that may occur during rapid weight loss. Ursodiol will not dissolve calcified gallstones. Ursodiol tablets are used to treat primary biliary cirrhosis, an autoimmune disorder that causes progressive destruction of the bile ducts in your liver. Ursodiol 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 ursodiol if you are allergic to it, or if you have an obstruction in your liver or gallbladder. Tell your doctor if: you have been coughing up blood; or you have gained weight rapidly, especially in your face and midsection. Tell your doctor if you are pregnant or breastfeeding. Not approved for use by anyone younger than 18 years old. How should I take ursodiol? Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. Take the ursodiol tablet with food. You may need to break a tablet in half to get your correct dose. Swallow each tablet piece whole with a glass of water. A broken tablet may have a bitter taste. After breaking a tablet, keep it separate from the whole tablets and use it within 28 days after breaking. Use ursodiol regularly for the best results. Doses are based on weight. Your dose may change if you gain or lose weight. You may need medical tests, including gallbladder ultrasound exams and blood tests to check your liver function. You may also need liver function tests every 6 months after you stop using ursodiol. Call your doctor if your symptoms do not improve, or if they get worse. To treat gallstones, you may have to take ursodiol for several months. Some gallstones may not completely dissolve, and you may develop new gallstones within 5 years after treatment. Ask your doctor about your risk. Store tightly closed 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. Get your prescription refilled before you run out of medicine completely. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. What should I avoid while taking ursodiol? Ask your doctor before taking an antacid, and take only the type your doctor recommends. Ursodiol 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: pain or burning when you urinate; 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 signs of a new infection--sudden weakness or ill feeling, fever, chills, sore throat, mouth sores, skin sores, trouble swallowing. Common side effects may include: upset stomach, nausea, vomiting; diarrhea, constipation; cough, sore throat; painful urination; hair loss; or back pain. 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.   Ursodiol dosing information Usual Adult Dose for Biliary Cirrhosis: Tablets: 13 to 15 mg/kg orally per day, given in 2 to 4 divided doses with food Comments: -The dose should be adjusted to the patient's needs. -Scored tablets may be broken in half to provide recommended doses. Use: Treatment of patients with primary biliary cirrhosis (PBC) Usual Adult Dose for Gallbladder Disease: Capsules: Gallstone dissolution: 8 to 10 mg/kg orally per day, given in 2 to 3 divided doses Gallstone prevention: 300 mg orally 2 times a day -Maximum dose: 600 mg/day Comments: -Safety in the dissolution of gallstones has not been established in patients using this drug beyond 24 months. -Ultrasound images should be obtained every 6 months for the first year. -If gallstones appear to have dissolved, treatment should be continued, and dissolution should be confirmed on a repeat ultrasound in 1 to 3 months. -Most patients who achieve complete dissolution show partial or complete dissolution at the first on-treatment reevaluation. -If partial stone dissolution is not observed after 12 months of treatment, the likelihood of treatment is significantly reduced. Uses: -Patients with radiolucent, noncalcified gallbladder stones less than 20 mm in greatest diameter in whom elective cholecystectomy would be undertaken except for the presence of increased surgical risk due to advanced age, idiosyncratic reaction to general anesthesia, systemic disease, or those who refuse surgery -For the prevention of gallstone formation in obese patients experiencing rapid weight loss   What other drugs will affect ursodiol? It may be harder for your body to absorb ursodiol if you take certain cholesterol-lowering medicines, such as: cholestyramine; or colestipol. Tell your doctor about all your other medicines, especially birth control pills and other estrogens. Other drugs may affect ursodiol, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Valacyclovir HCL tablet

Antiviral

What is valacyclovir? slows the growth and spread of the herpes virus to help the body fight the infection. Valacyclovir is used to treat infections caused by herpes viruses, including genital herpes, cold sores, and shingles (herpes zoster) in adults. Valacyclovir is used to treat cold sores in children who are at least 12 years old, or chickenpox in children who are at least 2 years old. Valacyclovir will not cure herpes and will not prevent you from spreading the virus to other people. However, this medicine can lessen the symptoms of an infection. Warnings Before taking valacyclovir, tell your doctor if you have HIV/AIDS, a weak immune system, kidney disease (or if you are on dialysis), or if you have had a kidney or bone marrow transplant. Valacyclovir can be harmful to the kidneys, and these effects are increased when it is used together with other medicines that can harm the kidneys. Tell your doctor about all other medications you are using. You may need dose adjustments or special tests when taking certain medications together with valacyclovir. Treatment with valacyclovir should be started as soon as possible after the first appearance of symptoms (such as tingling, burning, blisters). Valacyclovir will not prevent the spread of genital herpes. Herpes infections are contagious and you can infect other people even while you are taking this medicine. Stop taking valacyclovir and call your doctor right away if you have any signs of a serious side effect that can harm red blood cells, such as: fever, easy bruising or bleeding, red spots on the skin (not related to herpes or chickenpox), bloody diarrhea, vomiting, pale or yellowed skin, weakness, fainting, or urinating less than usual or not at all. Before taking this medicine You should not use this medicine if you are allergic to valacyclovir or acyclovir (Zovirax). To make sure valacyclovir is safe for you, tell your doctor if you have: kidney disease (or if you are on dialysis); HIV/AIDS, or other conditions that can weaken the immune system; or a history of kidney transplant or bone marrow transplant. It is not known whether this medicine will harm an unborn baby. However, herpes virus can be passed from an infected mother to her baby during childbirth. If you have genital herpes, it is very important to prevent herpes lesions during your pregnancy, so that you do not have a genital lesion when your baby is born. Valacyclovir can pass into breast milk and may harm a nursing baby. Tell your doctor if you are breast-feeding a baby. Do not give valacyclovir to a child without medical advice. How should I take valacyclovir? Take valacyclovir exactly as it was prescribed for you. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended. Start taking valacyclovir as soon as possible after the first appearance of symptoms (such as tingling, burning, blisters). This medicine might not be as effective if you first start taking it 1 or 2 days after the start of your symptoms. Some herpes infections need to be treated for longer than others. Use this medicine for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Skipping doses may increase the risk of your virus becoming resistant to antiviral medicine. You may take valacyclovir with or without food. Tell your doctor if a child taking this medicine cannot swallow the valacyclovir tablet. Drink plenty of water while you are taking valacyclovir to keep your kidneys working properly. Lesions caused by herpes viruses should be kept as clean and dry as possible. Wearing loose clothing may help to prevent irritation of the lesions. Store valacyclovir tablets at room temperature away from moisture and heat.   What happens if I miss a dose? Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. What to avoid Taking this medicine will not prevent you from passing genital herpes to other people. Herpes infections are contagious and you can infect other people even while you are taking with valacyclovir. Avoid sexual intercourse or use a latex condom to help keep you from spreading the virus to others. Avoid letting infected areas come into contact with other people. Avoid touching an infected area and then touching your eyes. Wash your hands frequently to prevent the spread of infection. Do not share valacyclovir with another person, even if they have the same symptoms you have. Valacyclovir side effects Get emergency medical help if you have signs of an allergic reaction to valacyclovir: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: confusion, aggression, or you feel shaky or unsteady; hallucinations (seeing or hearing things that are not real); problems with speech; a seizure (convulsions); or kidney problems--little or no urination, painful or difficult urination, swelling in your feet or ankles, feeling tired or short of breath. Stop taking valacyclovir and call your doctor right away if you have any of the following signs of a serious side effect that can harm red blood cells: fever, pale skin; unusual bleeding (nosebleeds, bleeding gums); red or pink urine, little or no urination; red spots on the skin (not related to herpes or chickenpox); feeling weak or tired; stomach pain, bloody diarrhea, vomiting; or swelling in your face, hands, or feet. Side effects may be more likely in adults who are 65 or older. Common valacyclovir side effects may include: nausea, stomach pain; 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 valacyclovir? Valacyclovir can harm your kidneys. This effect is increased when you also use certain other medicines, including: antivirals, chemotherapy, injected antibiotics, medicine for bowel disorders, medicine for high blood pressure, medicine to prevent organ transplant rejection, injectable osteoporosis medication, and some pain or arthritis medicines (including Advil, Motrin, and Aleve). Other drugs may interact with valacyclovir, 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.

Valproic Acid Capsule

Seizures

What is valproic acid? Valproic acid is used to treat various types of seizure disorders. Valproic acid is sometimes used together with other seizure medications. Valproic acid is also used to treat manic episodes related to bipolar disorder (manic depression), and to prevent migraine headaches. Valproic acid may also be used for purposes not listed in this medication guide. Warnings Valproic acid can cause liver failure that may be fatal, especially in children under age 2 and in people with liver problems caused by certain genetic disorders. You should not use valproic acid if you have liver disease, a urea cycle disorder, or a genetic disorder such as Alpers' disease or Alpers-Huttenlocher syndrome. Do not start or stop taking valproic acid during pregnancy without your doctor's advice. This medicine may harm an unborn baby or cause birth defects, but having a seizure during pregnancy could harm both mother and baby. Do not use valproic acid to prevent migraine headaches if you are pregnant. Call your doctor at once if the person taking this medicine has signs of liver or pancreas problems, such as: loss of appetite, upper stomach pain (that may spread to your back), ongoing nausea or vomiting, dark urine, swelling in the face, or jaundice (yellowing of the skin or eyes). Do not stop using valproic acid without your doctor's advice. Stopping suddenly may cause a serious, life-threatening type of seizure. Before taking this medicine You should not use valproic acid if you are allergic to it, or if you have: liver disease; a urea cycle disorder; or a genetic mitochondrial (MYE-toe-KON-dree-al) disorder such as Alpers' disease or Alpers-Huttenlocher syndrome, especially in a child younger than 2 years old. Valproic acid can cause liver failure that may be fatal, especially in children under age 2 and in people with liver problems caused by a genetic mitochondrial disorder. Tell your doctor if you have ever had: liver problems caused by a genetic mitochondrial disorder; depression, mental illness, or suicidal thoughts or actions; a family history of a urea cycle disorder or infant deaths with unknown cause; or HIV or CMV (cytomegalovirus) infection. Some young people have thoughts about suicide when first taking valproic acid. 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. Using valproic acid during pregnancy may increase the risk of serious birth defects that can develop early in pregnancy, even before you know you are pregnant. Using this medicine during pregnancy can also affect cognitive ability (reasoning, intelligence, problem-solving) later in your child's life. However, having a seizure during pregnancy could harm both the mother and the baby. If you take valproic acid for seizures or manic episodes: The benefit of preventing these conditions may outweigh any risks posed by this medicine. There may be other medications that are safer to use during pregnancy. Do not start or stop taking valproic acid without your doctor's advice. Do not use valproic acid to prevent migraine headaches if you are pregnant or you could become pregnant. If you are not pregnant, use effective birth control to prevent pregnancy while using valproic acid. Tell your doctor if you start or stop using hormonal contraception that contains estrogen (birth control pills, injections, implants, skin patches, and vaginal rings). Estrogen can interact with valproic acid and make it less effective in preventing seizures. It may not be safe to breastfeed while using this medicine. Ask your doctor about any risk. How should I take valproic acid? 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. Valproic acid oral is taken by mouth. Valproic acid injection is given as an infusion into a vein. A healthcare provider will give you this injection if you are unable to take the medicine by mouth. Drink plenty of water while you are taking this medication. Your dose may need to be changed if you do not get enough fluids each day. Take with food if valproic acid upsets your stomach. Measure liquid medicine with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one. Swallow the capsule whole and do not crush, chew, break, or open it. Tell your doctor if you notice a capsule shell in your stool that was not absorbed or melted in the body. Your blood levels of valproic acid may need to be checked. You may need frequent blood tests. If you need surgery, tell the surgeon ahead of time that you are using valproic acid. In case of emergency, wear or carry medical identification to let others know you use valproic acid. Do not stop using valproic acid suddenly, even if you feel fine. Stopping suddenly may cause a serious, life-threatening type of seizure. Follow your doctor's instructions about tapering your dose. 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 valproic acid? Drinking alcohol may increase certain side effects of valproic acid. Avoid driving or hazardous activity until you know how valproic acid will affect you. Your reactions could be impaired. Valproic acid side effects Get emergency medical help if you have signs of an allergic reaction (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning eyes, skin pain, red or purple skin rash with blistering and peeling). 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. Call your doctor at once if the person taking this medicine has signs of liver or pancreas problems, such as: loss of appetite, upper stomach pain (that may spread to your back), ongoing nausea or vomiting, dark urine, swelling in the face, or jaundice (yellowing of the skin or eyes). Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, depression, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), or have thoughts about suicide or hurting yourself. Call your doctor at once if you have any of these other side effects: confusion, tiredness, cold feeling, vomiting, change in your mental state; easy bruising, unusual bleeding (nose, mouth, or gums), purple or red pinpoint spots under your skin; severe drowsiness; or worsening seizures. Severe drowsiness may be more likely in older adults. Common side effects may include: nausea, vomiting, stomach pain, diarrhea; dizziness, drowsiness, weakness; headache; tremors, problems with walking or coordination; blurred vision, double vision; hair loss; or changes in appetite, weight gain. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.   What other drugs will affect valproic acid? 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. Many drugs can affect valproic acid. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here. Tell your doctor about all your current medicines and any medicine you start or stop using.

Valsartan tablet

Blood Pressure

What is valsartan? Valsartan is an angiotensin II receptor blocker (sometimes called an ARB). Valsartan is used to treat high blood pressure (hypertension) in adults and children who are at least 1 year old. Lowering blood pressure may lower your risk of a stroke or heart attack. Valsartan is also used in adults to treat heart failure and lower your risk of needing to be hospitalized, and to lower your risk of death after a heart attack. Valsartan may also be used for purposes not listed in this medication guide. Warnings Do not use if you are pregnant. Stop using valsartan and tell your doctor right away if you become pregnant. If you have diabetes, do not take valsartan with any medication that contains aliskiren (a blood pressure medicine). Before taking this medicine You should not use valsartan if you are allergic to it. If you have diabetes, do not take valsartan with any medication that contains aliskiren (a blood pressure medicine). You may also need to avoid taking valsartan with aliskiren if you have kidney disease. Tell your doctor if you have ever had: a heart condition other than one being treated with valsartan; kidney disease (or if you are on dialysis); or if you are on a low-salt diet. Do not use if you are pregnant. Stop using the medicine and tell your doctor right away if you become pregnant. Valsartan can cause injury or death to the unborn baby if you take the medicine during your second or third trimester. If you plan to get pregnant, ask your doctor for a safer medicine to use before and during pregnancy. Having high blood pressure during pregnancy may cause complications in the mother and the baby. You should not breastfeed while using valsartan. Valsartan is not approved for use by anyone younger than 1 year old. How should I take valsartan? Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed. Take valsartan at the same time(s) each day, with or without food. For a child who cannot swallow a tablet whole, a pharmacist can mix the medicine into a liquid. If your child switches from valsartan tablets to liquid, the dose will not be the same. Shake the liquid for 10 seconds before you measure a dose. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon). Valsartan doses are based on weight in children and/or teenagers. Your child's dose needs may change if the child gains or loses weight. Your blood pressure will need to be checked often. Your kidney function may also need to be checked. Call your doctor if you are sick with vomiting or diarrhea, or if you are sweating more than usual. You can easily become dehydrated while taking valsartan. It may take 2 to 4 weeks before your blood pressure is under control. Keep using this medicine as directed, even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medicine for the rest of your life. Treatment may also include diet, exercise, lowering cholesterol, not smoking, and controlling diabetes. Store the tablets or liquid at room temperature away from moisture and heat. Throw away any unused liquid after 30 days. The liquid may be stored for up to 75 days if kept in a refrigerator. Keep valsartan liquid in the original glass bottle, tightly closed when not in use. What happens if I miss a dose? Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Overdose symptoms may include fast heartbeats or fainting. What should I avoid while taking valsartan? Do not use potassium supplements or salt substitutes unless your doctor has told you to. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Valsartan side effects Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: a light-headed feeling, like you might pass out; little or no urination; or high potassium level--nausea, weakness, tingly feeling, chest pain, irregular heartbeats, loss of movement. Common side effects may include: high potassium; headache, dizziness, feeling light-headed; flu symptoms, tiredness; cough; stomach pain, diarrhea; back pain, joint pain; or abnormal kidney test. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.   Valsartan dosing information Usual Adult Dose for Congestive Heart Failure: Initial dose: 40 mg orally twice a day Maintenance dose: 80 to 160 mg twice a day. The dose should be increased to the highest dose tolerated by the patient. Usual Adult Dose for Hypertension: Initial dose: 80 to 160 mg orally once a day. Maintenance dose: 80 to 320 mg orally once a day Usual Adult Dose for Myocardial Infarction: Initial dose: 20 mg orally twice a day Maintenance dose: The initial dosage may be titrated upward within 7 days to 40 mg twice daily, with subsequent titrations to a target maintenance dose of 160 mg twice a day as tolerated by the patient. If symptomatic hypotension or renal dysfunction occurs, consideration should be given to a dosage reduction. Comment: Valsartan may be initiated as early as 12 hours after a myocardial infarction, and may be given with other standard postmyocardial infarction treatment, including thrombolytics, aspirin, beta blockers, and statins. Usual Pediatric Dose for Hypertension: 6 to 16 years: Initial dose: 1.3 mg/kg once a day (up to 40 mg) Maintenance dose: up to 2.7 mg/kg (up to 160 mg) once a day titrated according to patient response Comments: -If the calculated dosage does not correspond to the available tablet strengths, or if children are unable to swallow tablets, the use of a suspension (which can be prepared from the tablets) is recommended. The valsartan dose may need to be increased if the suspension is replaced by a tablet. -No data are available in pediatric patients either undergoing dialysis or with a glomerular filtration rate less than 30 mL/min.   What other drugs will affect valsartan? Tell your doctor about all your other medicines, especially: lithium; a diuretic (water pill) or other medicines that lower blood pressure; or NSAIDs (nonsteroidal anti-inflammatory drugs)--aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others; This list is not complete. Other drugs may affect valsartan, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Valsartan/HCTZ Tablet

Blood Pressure / Fluid Retention

What is hydrochlorothiazide and valsartan? Hydrochlorothiazide is a diuretic (water pill). Valsartan is an angiotensin II receptor blocker (sometimes called an ARB blocker). Hydrochlorothiazide and valsartan is a combination medicine used to treat high blood pressure (hypertension). Lowering blood pressure may lower your risk of a stroke or heart attack. Hydrochlorothiazide and valsartan is given after other blood pressure medicines did not work or have stopped working. Hydrochlorothiazide and valsartan may also be used for purposes not listed in this medication guide. Warnings You should not use hydrochlorothiazide and valsartan if you are unable to urinate, or if you are allergic to sulfa drugs. Do not use if you are pregnant. Stop using the medicine and tell your doctor right away if you become pregnant. If you have diabetes, do not use hydrochlorothiazide and valsartan together with any medication that contains aliskiren (a blood pressure medicine). Before taking this medicine You should not use this medicine if you are allergic to valsartan or hydrochlorothiazide, or if you have: decreased urination or are unable to urinate; or an allergy to sulfa drugs. If you have diabetes, do not use hydrochlorothiazide and valsartan together with any medication that contains aliskiren (a blood pressure medicine). You may also need to avoid taking hydrochlorothiazide and valsartan with aliskiren if you have kidney disease.   Tell your doctor if you have ever had: an electrolyte imbalance (such as low levels of potassium or magnesium, or high levels of calcium in your blood); liver disease; kidney disease; gallstones; lupus; congestive heart failure; gout, or high levels of uric acid in your blood; asthma or allergies; high cholesterol or triglyceride levels; an allergy to penicillin; glaucoma; or if you are on a low-salt diet. Do not use if you are pregnant. Stop using the medicine and tell your doctor right away if you become pregnant. Valsartan can cause injury or death to the unborn baby if you take the medicine during your second or third trimester. You should not breastfeed while using this medicine. Hydrochlorothiazide and valsartan is not approved for use by anyone younger than 18 years old. How should I take hydrochlorothiazide and valsartan? Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed. You may take hydrochlorothiazide and valsartan with or without food. 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. Your blood pressure will need to be checked often. Your blood and urine may also be tested if you have been vomiting or are dehydrated. If you need surgery, tell the surgeon ahead of time that you are using hydrochlorothiazide and valsartan. It may take up to 4 weeks for this medication to control your blood pressure. Keep using this medicine as directed, even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medication for the rest of your life. 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 hydrochlorothiazide and valsartan? 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 valsartan 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 valsartan side effects Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. In rare cases, hydrochlorothiazide and valsartan 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. Hydrochlorothiazide and valsartan may cause serious side effects. 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; little or no urinating; jaundice (yellowing of the skin or eyes); easy bruising, unusual bleeding; a seizure; kidney problems--little or no urination, painful or difficult urination, swelling in your feet or ankles, feeling tired or short of breath; or signs of an electrolyte imbalance--dry mouth, increased thirst, confusion, feeling restless, vomiting, muscle pain or weakness, drowsiness, lack of energy, fast heartbeats, decreased urination. Common side effects include: cold symptoms such as stuffy nose, sneezing, sore throat; dizziness; or headache. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.

Venlafaxine ER Capsule

Depression

What is venlafaxine? Venlafaxine is an antidepressant belonging to a group of drugs called selective serotonin and norepinephrine reuptake inhibitors (SSNRIs). Venlafaxine affects chemicals in the brain that may be unbalanced in people with depression. Venlafaxine is a prescription medicine used to treat major depressive disorder, anxiety, and panic disorder. Warnings You should not take venlafaxine if you have uncontrolled narrow-angle glaucoma. Do not use venlafaxine within 7 days before or 14 days after you have used an MAO inhibitor, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, or tranylcypromine. 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 behavioral 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. Do not stop using venlafaxine without first talking to your doctor. Do not give this medicine to anyone younger than 18 years old without the advice of a doctor. Venlafaxine is not FDA approved for use in children. Before taking this medicine You should not take this medicine if you are allergic to venlafaxine or desvenlafaxine (Pristiq), or if you have uncontrolled narrow-angle glaucoma. Do not use venlafaxine within 7 days before or 14 days after you have used an MAO inhibitor, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, or tranylcypromine. A dangerous drug interaction could occur. 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 venlafaxine could cause a serious condition called serotonin syndrome. To make sure venlafaxine is safe for you, tell your doctor if you have ever had: bipolar disorder (manic depression); liver disease; kidney disease; heart disease, high blood pressure, high cholesterol; diabetes; glaucoma; a thyroid disorder; a seizure; bleeding problems; or low blood levels of sodium. 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. Venlafaxine is not approved for use by anyone younger than 18 years old. Taking this medicine during pregnancy could harm the baby, but stopping the medicine may not be safe for you. Do not start or stop venlafaxine without asking your doctor. Do not breastfeed. How should I take venlafaxine? Take venlafaxine exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Take with food at the same time each day. Swallow the extended-release capsule or tablet whole and do not crush, chew, break, or open it. If you cannot swallow a capsule whole, open it and mix the medicine with applesauce. Swallow the mixture right away without chewing. Do not stop using venlafaxine suddenly, or you could have unpleasant symptoms (such as agitation, confusion, tingling or electric shock feelings). Ask your doctor how to safely stop using this medicine. Your symptoms may not improve for several weeks. Your blood pressure will need to be checked often. This medicine may cause false results on a drug-screening urine test. Tell the laboratory staff that you use venlafaxine. Store at room temperature away from moisture and heat. Dosing information Usual Adult Dose for Depression: Immediate release: -Initial dose: 37.5 mg orally twice a day OR 25 mg orally 3 times a day -Maintenance dose: 75 to 150 mg orally per day, given in divided doses -Maximum dose: ---Moderately depressed outpatients: 225 mg/day ---Severely depressed inpatients: 375 mg/day Extended release: -Initial dose: 75 mg orally once a day -Maintenance dose: 75 to 225 mg orally once a day -Maximum dose: ---Moderately depressed outpatients: 225 mg/day ---Severely depressed inpatients: 375 mg/day Comments: -The daily dosage of immediate-release formulations may be divided into 2 or 3 doses/day. -Healthcare providers should consider initial extended release doses of 37.5 mg orally once a day for 4 to 7 days (before increasing the dose to 75 mg/day) in patients who may require additional time to adjust to the drug. -Doses may be increased in daily increments of up to 75 mg orally at intervals of no less than 4 days. -Patients should be periodically reassessed for the continued need of maintenance treatment and for the appropriate dose of treatment. -Use of doses exceeding 225 mg/day is limited. Use: Treatment of major depressive disorder (MDD) Usual Adult Dose for Generalized Anxiety Disorder: Extended release: -Initial dose: 75 mg orally once a day -Maintenance dose: 75 to 225 mg orally once a day -Maximum dose: 225 mg/day Comments: -Healthcare providers should consider initial extended release doses of 37.5 mg orally once a day for 4 to 7 days (before increasing the dose to 75 mg/day) in patients who may require additional time to adjust to the drug. -Doses may be increased in daily increments of up to 75 mg orally at intervals of no less than 4 days. Use: Treatment of generalized anxiety disorder (GAD) Usual Adult Dose for Social Anxiety Disorder: Extended release: 75 mg orally once a day Comment: There is no evidence that doses greater than 75 mg/day confer additional benefit. Uses: -Treatment of social anxiety disorder (SAD) -Treatment of social phobia Usual Adult Dose for Panic Disorder: Extended release: -Initial dose: 37.5 mg orally once a day for 7 days, then 75 mg orally once a day thereafter -Maintenance dose: 75 to 225 mg orally once a day -Maximum dose: 225 mg/day Comment: Doses may be increased in daily increments of 75 mg orally at intervals of no less than 7 days. Use: Treatment of Panic Disorder (PD), with or without agoraphobia   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 venlafaxine? Do not drink alcohol. Ask your doctor before taking a nonsteroidal anti-inflammatory drug (NSAID) such as aspirin, ibuprofen, naproxen, Advil, Aleve, Motrin, and others. Using an NSAID with venlafaxine may cause you to bruise or bleed easily. Avoid driving or hazardous activity until you know how venlafaxine will affect you. Your reactions could be impaired. Venlafaxine side effects Get emergency medical help if you have signs of an allergic reaction to venlafaxine: skin rash or hives; difficulty 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, eye pain or redness, seeing halos around lights; cough, chest tightness, trouble breathing; a seizure (convulsions); unusual bleeding - nosebleeds, bleeding gums, abnormal vaginal bleeding, any bleeding that will not stop; low blood sodium - headache, confusion, problems with thinking or memory, weakness, feeling unsteady; or severe nervous system reaction - very stiff (rigid) muscles, high fever, sweating, confusion, fast or uneven heartbeats, tremors, feeling like you might pass out. 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 venlafaxine side effects may include: headache, dizziness, drowsiness, tiredness; feeling anxious, nervous, or jittery; sleep problems, unusual dreams; tremors; fast heartbeats; blurred vision; nausea, vomiting, diarrhea, constipation; changes in weight or appetite; dry mouth, yawning; increased sweating; or sexual problems. 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 venlafaxine? Using venlafaxine 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 current medicines. Many drugs can interact with venlafaxine, especially: any other antidepressant; cimetidine; tramadol; St. John's wort, tryptophan (sometimes called L-tryptophan); diet pills, weight loss medicine (such as phentermine); a blood thinner - warfarin, Coumadin, Jantoven; medicine to treat mood disorders, thought disorders, or mental illness - buspirone, lithium, and many others; or migraine headache medicine - sumatriptan, zolmitriptan, and others. This list is not complete and many other drugs may interact with venlafaxine. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Venlafaxine Tablet

Depression

What is venlafaxine? Venlafaxine is an antidepressant belonging to a group of drugs called selective serotonin and norepinephrine reuptake inhibitors (SSNRIs). Venlafaxine affects chemicals in the brain that may be unbalanced in people with depression. Venlafaxine is a prescription medicine used to treat major depressive disorder, anxiety, and panic disorder. Warnings You should not take venlafaxine if you have uncontrolled narrow-angle glaucoma. Do not use venlafaxine within 7 days before or 14 days after you have used an MAO inhibitor, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, or tranylcypromine. 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 behavioral 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. Do not stop using venlafaxine without first talking to your doctor. Do not give this medicine to anyone younger than 18 years old without the advice of a doctor. Venlafaxine is not FDA approved for use in children. Before taking this medicine You should not take this medicine if you are allergic to venlafaxine or desvenlafaxine (Pristiq), or if you have uncontrolled narrow-angle glaucoma. Do not use venlafaxine within 7 days before or 14 days after you have used an MAO inhibitor, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, or tranylcypromine. A dangerous drug interaction could occur. 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 venlafaxine could cause a serious condition called serotonin syndrome. To make sure venlafaxine is safe for you, tell your doctor if you have ever had: bipolar disorder (manic depression); liver disease; kidney disease; heart disease, high blood pressure, high cholesterol; diabetes; glaucoma; a thyroid disorder; a seizure; bleeding problems; or low blood levels of sodium. 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. Venlafaxine is not approved for use by anyone younger than 18 years old. Taking this medicine during pregnancy could harm the baby, but stopping the medicine may not be safe for you. Do not start or stop venlafaxine without asking your doctor. Do not breastfeed. How should I take venlafaxine? Take venlafaxine exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Take with food at the same time each day. Swallow the extended-release capsule or tablet whole and do not crush, chew, break, or open it. If you cannot swallow a capsule whole, open it and mix the medicine with applesauce. Swallow the mixture right away without chewing. Do not stop using venlafaxine suddenly, or you could have unpleasant symptoms (such as agitation, confusion, tingling or electric shock feelings). Ask your doctor how to safely stop using this medicine. Your symptoms may not improve for several weeks. Your blood pressure will need to be checked often. This medicine may cause false results on a drug-screening urine test. Tell the laboratory staff that you use venlafaxine. Store at room temperature away from moisture and heat. Dosing information Usual Adult Dose for Depression: Immediate release: -Initial dose: 37.5 mg orally twice a day OR 25 mg orally 3 times a day -Maintenance dose: 75 to 150 mg orally per day, given in divided doses -Maximum dose: ---Moderately depressed outpatients: 225 mg/day ---Severely depressed inpatients: 375 mg/day Extended release: -Initial dose: 75 mg orally once a day -Maintenance dose: 75 to 225 mg orally once a day -Maximum dose: ---Moderately depressed outpatients: 225 mg/day ---Severely depressed inpatients: 375 mg/day Comments: -The daily dosage of immediate-release formulations may be divided into 2 or 3 doses/day. -Healthcare providers should consider initial extended release doses of 37.5 mg orally once a day for 4 to 7 days (before increasing the dose to 75 mg/day) in patients who may require additional time to adjust to the drug. -Doses may be increased in daily increments of up to 75 mg orally at intervals of no less than 4 days. -Patients should be periodically reassessed for the continued need of maintenance treatment and for the appropriate dose of treatment. -Use of doses exceeding 225 mg/day is limited. Use: Treatment of major depressive disorder (MDD) Usual Adult Dose for Generalized Anxiety Disorder: Extended release: -Initial dose: 75 mg orally once a day -Maintenance dose: 75 to 225 mg orally once a day -Maximum dose: 225 mg/day Comments: -Healthcare providers should consider initial extended release doses of 37.5 mg orally once a day for 4 to 7 days (before increasing the dose to 75 mg/day) in patients who may require additional time to adjust to the drug. -Doses may be increased in daily increments of up to 75 mg orally at intervals of no less than 4 days. Use: Treatment of generalized anxiety disorder (GAD) Usual Adult Dose for Social Anxiety Disorder: Extended release: 75 mg orally once a day Comment: There is no evidence that doses greater than 75 mg/day confer additional benefit. Uses: -Treatment of social anxiety disorder (SAD) -Treatment of social phobia Usual Adult Dose for Panic Disorder: Extended release: -Initial dose: 37.5 mg orally once a day for 7 days, then 75 mg orally once a day thereafter -Maintenance dose: 75 to 225 mg orally once a day -Maximum dose: 225 mg/day Comment: Doses may be increased in daily increments of 75 mg orally at intervals of no less than 7 days. Use: Treatment of Panic Disorder (PD), with or without agoraphobia   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 venlafaxine? Do not drink alcohol. Ask your doctor before taking a nonsteroidal anti-inflammatory drug (NSAID) such as aspirin, ibuprofen, naproxen, Advil, Aleve, Motrin, and others. Using an NSAID with venlafaxine may cause you to bruise or bleed easily. Avoid driving or hazardous activity until you know how venlafaxine will affect you. Your reactions could be impaired. Venlafaxine side effects Get emergency medical help if you have signs of an allergic reaction to venlafaxine: skin rash or hives; difficulty 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, eye pain or redness, seeing halos around lights; cough, chest tightness, trouble breathing; a seizure (convulsions); unusual bleeding - nosebleeds, bleeding gums, abnormal vaginal bleeding, any bleeding that will not stop; low blood sodium - headache, confusion, problems with thinking or memory, weakness, feeling unsteady; or severe nervous system reaction - very stiff (rigid) muscles, high fever, sweating, confusion, fast or uneven heartbeats, tremors, feeling like you might pass out. 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 venlafaxine side effects may include: headache, dizziness, drowsiness, tiredness; feeling anxious, nervous, or jittery; sleep problems, unusual dreams; tremors; fast heartbeats; blurred vision; nausea, vomiting, diarrhea, constipation; changes in weight or appetite; dry mouth, yawning; increased sweating; or sexual problems. 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 venlafaxine? Using venlafaxine 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 current medicines. Many drugs can interact with venlafaxine, especially: any other antidepressant; cimetidine; tramadol; St. John's wort, tryptophan (sometimes called L-tryptophan); diet pills, weight loss medicine (such as phentermine); a blood thinner - warfarin, Coumadin, Jantoven; medicine to treat mood disorders, thought disorders, or mental illness - buspirone, lithium, and many others; or migraine headache medicine - sumatriptan, zolmitriptan, and others. This list is not complete and many other drugs may interact with venlafaxine. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.  

Verapamil ER capsule

Blood Pressure / Heart

What is verapamil? Verapamil is a calcium channel blocker. It works by relaxing the muscles of your heart and blood vessels. Verapamil is used to treat hypertension (high blood pressure), angina (chest pain), and certain heart rhythm disorders. Verapamil injection is used to rapidly or temporarily restore normal heartbeats in people with certain heart rhythm disorders. Warnings You should not use verapamil if you have a serious heart condition such as "sick sinus syndrome" or "AV block" (unless you have a pacemaker), severe heart failure, Wolff-Parkinson-White, Lown-Ganong-Levine syndrome, or slow heartbeats that have caused you to faint. Before taking this medicine You should not use verapamil if you are allergic to it, or if you have a serious heart condition such as: "sick sinus syndrome" or "AV block" (unless you have a pacemaker); very low blood pressure; or if your heart cannot pump blood properly. You may not be able to use verapamil if you have: severe congestive heart failure; certain heart rhythm disorders (such as "Afib," Wolff-Parkinson-White syndrome, Lown-Ganong-Levine syndrome); a heart condition that causes you to have very rapid heartbeats; or if you are receiving an intravenous beta-blocker (such as atenolol, metoprolol, or propranolol). To make sure verapamil is safe for you, tell your doctor if you have ever had: congestive heart failure; kidney disease; liver disease; or a nerve-muscle disorder such as myasthenia gravis or muscular dystrophy. It is not known whether verapamil will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. You should not breastfeed while using this medicine. Verapamil oral is not approved for use by anyone younger than 18 years old. How should I use verapamil? Verapamil injection is given as an infusion into a vein, usually in an emergency situation. A healthcare provider will give you this injection. Your heart rate will be constantly monitored to help determine when your heartbeats have returned to normal. Oral verapamil is taken by mouth. Follow all directions on your prescription label. Your doctor may occasionally change your dose. Do not use this medicine in larger or smaller amounts or for longer than recommended. Do not use the injection if it looks cloudy or has particles in it. Call your pharmacist for new medicine. Swallow a capsule or tablet whole and do not crush, chew, break, or open it. Your blood pressure will need to be checked often. Your liver function may also need to be checked. If you need surgery, tell the surgeon ahead of time that you take verapamil. If you have high blood pressure, keep using this medicine even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medicine for the rest of your life. Store at room temperature away from moisture, heat, and light.   What happens if I miss a dose? Verapamil injection: Call your doctor for instructions if you miss a dose. Verapamil oral: Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of verapamil can be fatal. What to avoid Drinking alcohol with verapamil can cause side effects. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Avoid driving or hazardous activity until you know how this medicine will affect you. Your reactions could be impaired. Grapefruit may interact with verapamil and lead to unwanted side effects. Avoid the use of grapefruit products. Verapamil 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, fast or slow heart rate; a light-headed feeling, like you might pass out; shortness of breath (even with mild exertion), swelling, rapid weight gain; fever, upper stomach pain, not feeling well; or lung problems--anxiety, sweating, pale skin, wheezing, gasping for breath, cough with foamy mucus. Common side effects may include: nausea, constipation; headache, dizziness; or low blood pressure. 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 verapamil? Many drugs can interact with verapamil. Some drugs can raise or lower your blood levels of verapamil, which may cause side effects or make it less effective. Not all possible interactions are listed here. Tell your doctor about all your current medicines and any you start or stop using, especially: aspirin, imatinib, lithium, nefazodone, St. John's wort; all other heart or blood pressure medicines, especially clonidine, digoxin, flecainide, ivabradine, nicardipine, or quinidine; an antibiotic - clarithromycin, telithromycin; antifungal medicine - itraconazole, ketoconazole, posaconazole, voriconazole; antiviral medicine to treat hepatitis or HIV/AIDS - atazanavir, boceprevir, cobicistat, delavirdine, efavirenz, fosamprenavir, indinavir, nelfinavir, ritonavir, saquinavir; a beta blocker - atenolol, carvedilol, labetalol, metoprolol, nadolol, nebivolol, propranolol, sotalol, and others; cholesterol lowering medicine - atorvastatin, fluvastatin, lovastatin, pitavastatin, pravastatin, rosuvastatin, simvastatin; drugs to treat high blood pressure or a prostate disorder - alfuzosin, doxazosin, prazosin, terazosin, silodosin, tamsulosin; seizure medicine - carbamazepine, phenobarbital, phenytoin; or tuberculosis medicine - isoniazid, rifampin. This list is not complete and many other drugs can interact with verapamil. 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.

Verapamil SR Tablet (12hr)

Blood Pressure / Heart

What is verapamil? Verapamil is a calcium channel blocker. It works by relaxing the muscles of your heart and blood vessels. Verapamil is used to treat hypertension (high blood pressure), angina (chest pain), and certain heart rhythm disorders. Verapamil injection is used to rapidly or temporarily restore normal heartbeats in people with certain heart rhythm disorders. Warnings You should not use verapamil if you have a serious heart condition such as "sick sinus syndrome" or "AV block" (unless you have a pacemaker), severe heart failure, Wolff-Parkinson-White, Lown-Ganong-Levine syndrome, or slow heartbeats that have caused you to faint. Before taking this medicine You should not use verapamil if you are allergic to it, or if you have a serious heart condition such as: "sick sinus syndrome" or "AV block" (unless you have a pacemaker); very low blood pressure; or if your heart cannot pump blood properly. You may not be able to use verapamil if you have: severe congestive heart failure; certain heart rhythm disorders (such as "Afib," Wolff-Parkinson-White syndrome, Lown-Ganong-Levine syndrome); a heart condition that causes you to have very rapid heartbeats; or if you are receiving an intravenous beta-blocker (such as atenolol, metoprolol, or propranolol). To make sure verapamil is safe for you, tell your doctor if you have ever had: congestive heart failure; kidney disease; liver disease; or a nerve-muscle disorder such as myasthenia gravis or muscular dystrophy. It is not known whether verapamil will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. You should not breastfeed while using this medicine. Verapamil oral is not approved for use by anyone younger than 18 years old. How should I use verapamil? Verapamil injection is given as an infusion into a vein, usually in an emergency situation. A healthcare provider will give you this injection. Your heart rate will be constantly monitored to help determine when your heartbeats have returned to normal. Oral verapamil is taken by mouth. Follow all directions on your prescription label. Your doctor may occasionally change your dose. Do not use this medicine in larger or smaller amounts or for longer than recommended. Do not use the injection if it looks cloudy or has particles in it. Call your pharmacist for new medicine. Swallow a capsule or tablet whole and do not crush, chew, break, or open it. Your blood pressure will need to be checked often. Your liver function may also need to be checked. If you need surgery, tell the surgeon ahead of time that you take verapamil. If you have high blood pressure, keep using this medicine even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medicine for the rest of your life. Store at room temperature away from moisture, heat, and light.   What happens if I miss a dose? Verapamil injection: Call your doctor for instructions if you miss a dose. Verapamil oral: Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of verapamil can be fatal. What to avoid Drinking alcohol with verapamil can cause side effects. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Avoid driving or hazardous activity until you know how this medicine will affect you. Your reactions could be impaired. Grapefruit may interact with verapamil and lead to unwanted side effects. Avoid the use of grapefruit products. Verapamil 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, fast or slow heart rate; a light-headed feeling, like you might pass out; shortness of breath (even with mild exertion), swelling, rapid weight gain; fever, upper stomach pain, not feeling well; or lung problems--anxiety, sweating, pale skin, wheezing, gasping for breath, cough with foamy mucus. Common side effects may include: nausea, constipation; headache, dizziness; or low blood pressure. 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 verapamil? Many drugs can interact with verapamil. Some drugs can raise or lower your blood levels of verapamil, which may cause side effects or make it less effective. Not all possible interactions are listed here. Tell your doctor about all your current medicines and any you start or stop using, especially: aspirin, imatinib, lithium, nefazodone, St. John's wort; all other heart or blood pressure medicines, especially clonidine, digoxin, flecainide, ivabradine, nicardipine, or quinidine; an antibiotic - clarithromycin, telithromycin; antifungal medicine - itraconazole, ketoconazole, posaconazole, voriconazole; antiviral medicine to treat hepatitis or HIV/AIDS - atazanavir, boceprevir, cobicistat, delavirdine, efavirenz, fosamprenavir, indinavir, nelfinavir, ritonavir, saquinavir; a beta blocker - atenolol, carvedilol, labetalol, metoprolol, nadolol, nebivolol, propranolol, sotalol, and others; cholesterol lowering medicine - atorvastatin, fluvastatin, lovastatin, pitavastatin, pravastatin, rosuvastatin, simvastatin; drugs to treat high blood pressure or a prostate disorder - alfuzosin, doxazosin, prazosin, terazosin, silodosin, tamsulosin; seizure medicine - carbamazepine, phenobarbital, phenytoin; or tuberculosis medicine - isoniazid, rifampin. This list is not complete and many other drugs can interact with verapamil. 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.  

Vitamin B-6 Tablet (OTC)

Vitamins / Minerals

Uses Vitamin B6 tablet is used to prevent or treat low levels of vitamin B6 in people who do not get enough of the vitamin from their diets. Most people who eat a normal diet do not need extra vitamin B6. However, some conditions (such as alcoholism, liver disease, overactive thyroid, heart failure) or medications (such as isoniazid, cycloserine, hydralazine, penicillamine) can cause low levels of vitamin B6. Vitamin B6 plays an important role in the body. It is needed to maintain the health of nerves, skin, and red blood cells. Vitamin B6 Tablet has been used to prevent or treat a certain nerve disorder (peripheral neuropathy) caused by certain medications (such as isoniazid). It has also been used to treat certain hereditary disorders (such as xanthurenic aciduria, hyperoxaluria, homocystinuria). How to use Vitamin B6 Tablet Take this vitamin by mouth with or without food, usually once daily. Follow all directions on the product package, or take as directed by your doctor. If you have any questions, ask your doctor or pharmacist. If you are taking the extended-release capsules, swallow them whole. Do not crush or chew extended-release capsules or tablets. Doing so can release all of the drug at once, increasing the risk of side effects. Also, do not split extended-release tablets unless they have a score line and your doctor or pharmacist tells you to do so. Swallow the whole or split tablet without crushing or chewing. If you are using the liquid form of this product, carefully measure the dose using a special measuring device/spoon. Do not use a household spoon because you may not get the correct dose. If your liquid form is a suspension, shake the container well before each use. If you are taking the powder, mix it thoroughly in the proper amount of liquid and stir well. Drink all of the liquid right away. Do not prepare a supply for future use. Dosage is based on your medical condition and response to treatment. Use this vitamin regularly to get the most benefit from it. To help you remember, take it at the same time each day. Tell your doctor if your condition lasts or gets worse. If you think you may have a serious medical problem, seek immediate medical attention. Side Effects Vitamin B6 tablet usually has no side effects when used in recommended doses. If your doctor has prescribed this medication, remember that 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. Vitamin B6 tablet can cause side effects when taken in large doses for a long time. Tell your doctor right away if any of these unlikely but serious side effects occur: headache, nausea, drowsiness, numbness/tingling of arms/legs. A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: 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.  

Vitamin D2 Capsule

Osteoporosis

What is Vitamin D2 Tablet? Vitamin D2 Tablet is vitamin D2. Vitamin D helps your body absorb calcium. Vitamin D2 Tablet is used to treat hypoparathyroidism (decreased functioning of the parathyroid glands). Vitamin D2 Tablet is also used to treat rickets (softening of the bones caused by vitamin D deficiency) or low levels of phosphate in the blood (hypophosphatemia). Vitamin D2 Tablet may also be used for purposes not listed in this medication guide. Warnings You should not take Vitamin D2 Tablet if you have had an allergic reaction to vitamin D, or if you have high levels of calcium or vitamin D in your body, or any condition that makes it hard for your body to absorb nutrients from food (malabsorption). Use only the recommended dose of Vitamin D2 Tablet. An overdose could cause serious or life-threatening side effects. Before taking this medicine You should not take Vitamin D2 Tablet if you have had an allergic reaction to vitamin D, or if you have: high levels of vitamin D in your body (hypervitaminosis D); high levels of calcium in your blood (hypercalcemia); or any condition that makes it hard for your body to absorb nutrients from food (malabsorption). Tell your doctor if you have ever had: heart disease; kidney disease; or an electrolyte imbalance. Certain forms of Vitamin D2 Tablet may contain ingredients you should know about, such as peanut or soybean oil, sugar, aspartame (phenylalanine), or certain food dyes. Ask a doctor before using Vitamin D2 Tablet if you have allergies, diabetes, or phenylketonuria (PKU). Too much vitamin D could harm an unborn baby, and your dose needs may be different during pregnancy. Tell your doctor if you are pregnant or if you become pregnant while taking Vitamin D2 Tablet. Vitamin D2 Tablet can pass into breast milk and may cause side effects in the nursing baby. Tell your doctor if you are breast-feeding. Do not give Vitamin D2 Tablet to a child without medical advice. Your child's dose will depend on age, weight, diet, and other factors. How should I take Vitamin D2 Tablet? Follow all directions on your prescription label and read all medication guides or instruction sheets. Use only the recommended dose of Vitamin D2 Tablet. It may be best to take Vitamin D2 Tablet after a meal, but you may take Vitamin D2 with or without food. Measure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon). You will need frequent medical tests. Your doctor may begin to reduce your Vitamin D2 Tablet dose as your condition improves. Carefully follow all instructions about adjusting your dose. In some cases, there may be a very small difference in amount between safe and dangerous doses of this medicine. Your doctor will determine how long to treat you with this medicine. Vitamin D2 Tablet may be only part of a complete program of treatment that also includes dietary changes and taking calcium and vitamin supplements. Follow your doctor's instructions very closely. Learn about the foods you should eat to make sure you get enough calcium and vitamin D in your diet. Your Vitamin D2 Tablet dose may need to be adjusted as you make changes to your diet. 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. An overdose of vitamin D can cause serious or life-threatening side effects. Overdose symptoms may include nausea, loss of appetite, thirst, urinating more or less than usual, body aches, stiffness, confusion, or irregular heartbeats. What should I avoid while taking Vitamin D2 Tablet? Ask a doctor or pharmacist before taking any multivitamins, mineral supplements, or antacids while you are taking Vitamin D2 Tablet. Vitamin D2 Tablet 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 taking Vitamin D2 and call your doctor at once if you have: chest pain, feeling short of breath; growth problems (in a child taking Vitamin D2 Tablet); or early signs of vitamin D overdose--weakness, metallic taste in your mouth, weight loss, muscle or bone pain, constipation, nausea, and vomiting. 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.   What other drugs will affect Vitamin D2 Tablet? Certain medications can make it harder for your body to absorb vitamin D. If you take other medications, take them at least 2 hours before or 2 hours after you take Vitamin D2 Tablet. Tell your doctor about all your other medicines, especially: a diuretic or "water pill"; or mineral oil (sometimes taken as a laxative). This list is not complete. Other drugs may affect Vitamin D2 Tablet, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.  

Vitamin D3 Capsule (OTC)

Vitamins / Minerals

Vitamin D is an essential vitamin that helps regulate calcium and phosphorus in the body. It also plays a role in maintaining proper bone structure. There are different forms of vitamin D, including ergocalciferol (vitamin D2) and cholecalciferol (vitamin D3). Vitamin D is found in fish, eggs, and fortified milk. It's also made in the skin when exposed to sunlight. During periods of sunlight, vitamin D is stored in fat and then released when sunlight is not available. Vitamin D supplements are commonly used to treat and prevent vitamin D deficiency. People who don't get enough sun and people who are 65 years or older are at risk for deficiency. People also use vitamin D for weak and brittle bones, heart disease, asthma, hay fever, and many other conditions, but there's no good scientific evidence to support many of these uses. There is also no strong evidence to support using vitamin D supplements for COVID-19. But it is important to maintain healthy levels of vitamin D. This can be done by taking 400-1000 IU of vitamin D daily or spending 15-30 minutes in the sun each day. USES Effective for A rare, inherited bone disorder marked by low levels of phosphate in the blood (familial hypophosphatemia). Taking specific forms of vitamin D, called calcitriol or dihydrotachysterol, by mouth along with phosphate supplements is effective for treating bone disorders in people with low levels of phosphate in the blood. Underactive parathyroid (hypoparathyroidism). Taking specific forms of vitamin D, called dihydrotachysterol, calcitriol, or ergocalciferol, by mouth is effective for increasing calcium blood levels in people with low parathyroid hormone levels. Softening of the bones (osteomalacia). Taking vitamin D3 by mouth is effective for treating this condition. A bone disorder that occurs in people with kidney disease (renal osteodystrophy). Taking a specific form of vitamin D, called calcitriol, by mouth helps to manage low calcium levels and prevent bone loss in people with kidney failure. Rickets. Taking vitamin D by mouth is effective for preventing and treating rickets. A specific form of vitamin D, called calcitriol, should be used in people with kidney failure. Vitamin D deficiency. Taking vitamin D by mouth is effective for preventing and treating vitamin D deficiency. Likely Effective for Bone loss in people taking drugs called corticosteroids. Taking vitamin D by mouth prevents bone loss in people taking drugs called corticosteroids. Also, taking vitamin D alone or with calcium seems to improve bone density in people with existing bone loss caused by using corticosteroids. Weak and brittle bones (osteoporosis). Taking vitamin D3 by mouth along with calcium seems to help prevent bone loss and bone breaks in people with osteoporosis. Psoriasis. Applying vitamin D in the form of calcitriol, calcipotriene, maxacalcitol, or paricalcitol to the skin can help treat plaque-type psoriasis. Applying vitamin D along with corticosteroids seems to work better than applying vitamin D or corticosteroids alone. But taking vitamin D by mouth doesn't seem to help. Side Effects When taken by mouth: Vitamin D is likely safe when taken in recommended amounts. Most people don't experience side effects with vitamin D, unless too much is taken. Some side effects of taking too much vitamin D include weakness, dry mouth, nausea, vomiting, and others. Taking vitamin D for long periods of time in doses higher than 4000 IU (100 mcg) daily is possibly unsafe and may cause very high levels of calcium in the blood.  

Vitamin D3 tablet (OTC) (Cholecalciferol)

Osteoporosis

Uses Vitamin D (ergocalciferol-D2, cholecalciferol-D3, alfacalcidol) is a fat-soluble vitamin that helps your body absorb calcium and phosphorus. Having the right amount of vitamin D, calcium, and phosphorus is important for building and keeping strong bones. Vitamin D is used to treat and prevent bone disorders (such as rickets, osteomalacia). Vitamin D is made by the body when skin is exposed to sunlight. Sunscreen, protective clothing, limited exposure to sunlight, dark skin, and age may prevent getting enough vitamin D from the sun.Vitamin D with calcium is used to treat or prevent bone loss (osteoporosis). Vitamin D is also used with other medications to treat low levels of calcium or phosphate caused by certain disorders (such as hypoparathyroidism, pseudohypoparathyroidism, familial hypophosphatemia). It may be used in kidney disease to keep calcium levels normal and allow normal bone growth. Vitamin D drops (or other supplements) are given to breast-fed infants because breast milk usually has low levels of vitamin D. How to use VITAMIN D3 Tablet Take vitamin D by mouth as directed. Vitamin D is best absorbed when taken after a meal but may be taken with or without food. Alfacalcidol is usually taken with food. Follow all directions on the product package. If you have any questions, ask your doctor or pharmacist. If your doctor has prescribed this medication, take as directed by your doctor. Your dosage is based on your medical condition, amount of sun exposure, diet, age, and response to treatment. If you are using the liquid form of this medication, carefully measure the dose using a special measuring device/spoon. Do not use a household spoon because you may not get the correct dose. If you are taking the chewable tablet or wafers, chew the medication thoroughly before swallowing. Do not swallow whole wafers. If you are taking the rapidly-dissolving tablets, dry your hands before handling the medication. Place each dose on the tongue, allow it to dissolve completely, and then swallow it with saliva or water. You do not need to take this medication with water. Certain medications (bile acid sequestrants such as cholestyramine/colestipol, mineral oil, orlistat) can decrease the absorption of vitamin D. Take your doses of these medications as far as possible from your doses of vitamin D (at least 2 hours apart, longer if possible). It may be easiest to take vitamin D at bedtime if you are also taking these other medications. Ask your doctor or pharmacist how long you should wait between doses and for help finding a dosing schedule that will work with all your medications. Take this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day if you are taking it once a day. If you are taking this medication only once a week, remember to take it on the same day each week. It may help to mark your calendar with a reminder. If your doctor has recommended that you follow a special diet (such as a diet high in calcium), it is very important to follow the diet to get the most benefit from this medication and to prevent serious side effects. Do not take other supplements/vitamins unless ordered by your doctor. Side Effects Vitamin D at normal doses usually has no side effects. If you have any unusual effects, contact your doctor or pharmacist promptly. If your doctor has directed you to use this medication, remember that 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. Too much vitamin D can cause harmful high calcium levels. Tell your doctor right away if any of these signs of high vitamin D/calcium levels occur: nausea/vomiting, constipation, loss of appetite, increased thirst, increased urination, mental/mood changes, unusual tiredness. A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.  

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