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Umbrella Health Care Systems - Medicines

Our pharmacy offers prescription drugs at discounted prices.

Fenofibric Acid DR capsule

Heart Disease

What is fenofibrate? Fenofibrate belongs to a group of drugs known as "fibrates." It helps reduce cholesterol and triglycerides (fatty acids) in the blood. High levels of these types of fat in the blood are associated with an increased risk of atherosclerosis (clogged arteries). Fenofibrate is used along with a proper diet to help to treat high cholesterol and high triglyceride levels. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help fenofibrate work better include exercising, losing weight if overweight, and stopping smoking. Warnings You should not take fenofibrate if you have liver disease, gallbladder disease, severe kidney disease, or if you are breast-feeding a baby. Fenofibrate can cause the breakdown of muscle tissue, which can lead 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 urine. Before taking this medicine You should not take fenofibrate if you are allergic to it, or if you have: severe kidney disease (or if you are on dialysis); liver disease; or gallbladder disease. Do not breast-feed while using this medicine, and for at least 5 days after your last dose. To make sure this medicine is safe for you, tell your doctor if you have ever had: kidney disease; liver disease; or gallbladder problems. Fenofibrate can cause the breakdown of muscle tissue, which can lead to kidney failure. This happens more often in women, in older adults, or people who have kidney disease, diabetes, or poorly controlled hypothyroidism (underactive thyroid). It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. Fenofibrate is not approved for use by anyone younger than 18 years old. How should I take fenofibrate? Take fenofibrate 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. Some brands of fenofibrate should be taken with meals to help your body better absorb the medicine. Other brands may be taken with or without food. Follow the directions on your medicine label. Swallow the tablet or capsule whole and do not crush, chew, dissolve, or open it. You may need frequent medical tests. Even if you have no symptoms, tests can help your doctor determine if this medicine is effective. Fenofibrate is only part of a complete program of treatment that may also include diet, exercise, weight control, and other medications. Follow your diet, medication, and exercise routines very closely. Store at room temperature away from moisture, heat, and light. Dosing information Usual Adult Dose of Fenofibrate for Hyperlipoproteinemia Type IIa (Elevated LDL): Tricor: 145 mg orally once a day. Lofibra and others: 160 mg to 200 mg orally once a day with food. Antara: 130 mg orally once a day. Triglide: 160 mg orally once a day. Lipofen: 150 mg orally once a day with food. Fenoglide: 120 mg orally once a day with food. Usual Adult Dose for Hyperlipoproteinemia Type IIb (Elevated LDL + VLDL): Tricor: 145 mg orally once a day. Lofibra and others: 160 mg to 200 mg orally once a day with food. Antara: 130 mg orally once a day. Triglide: 160 mg orally once a day. Lipofen: 150 mg orally once a day with food. Fenoglide: 120 mg orally once a day with food. Usual Adult Dose of Fenofibrate for Hyperlipoproteinemia Type IV (Elevated VLDL): Tricor: 48 to 145 mg orally once a day. Lofibra and others: 54 mg to 200 mg orally once a day with food. Antara: 43 mg to 130 mg orally once a day. Triglide: 50 mg to 160 mg orally once a day. Lipofen: 50 mg to 150 mg orally once a day with food. Fenoglide: 40 mg to 120 mg orally once a day with food. Usual Adult Dose for Hyperlipoproteinemia Type V (Elevated Chylomicrons + VLDL): Tricor: 48 to 145 mg orally once a day. Lofibra and others: 54 mg to 200 mg orally once a day with food. Antara: 43 mg to 130 mg orally once a day. Triglide: 50 mg to 160 mg orally once a day. Lipofen: 50 mg to 150 mg orally once a day with food. Fenoglide: 40 mg to 120 mg orally once a day with food. Usual Geriatric Dose of Fenofibrate for Hyperlipoproteinemia: Tricor: 48 mg orally once a day. Increases in dosage should occur only after evaluating the effects on renal function and lipid levels at this dose, with a maximum recommended dose of 145 mg/24 hours. Lofibra and others: 54 mg to 67 mg orally once a day with food. Individualize dosage according to patient response and adjust if necessary following repeat lipid determinations at 4 to 8 week intervals. Antara: 43 mg orally once a day. Individualize dosage according to patient response and adjust if necessary following repeat lipid determinations at 4 to 8 week intervals. Triglide: 50 mg orally once a day. Individualize dosage according to patient response and adjust if necessary following repeat lipid determinations at 4 to 8 week intervals. Lipofen: 50 mg orally once a day with food. Individualize dosage according to patient response and adjust if necessary following repeat lipid determinations at 4 to 8 week intervals. Fenoglide: 40 mg to 120 mg orally once a day with food   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 eating foods high in fat or cholesterol, or fenofibrate will not be as effective. Avoid drinking alcohol. It can raise triglyceride levels and may increase your risk of liver damage. Fenofibrate side effects Get emergency medical help if you have signs of an allergic reaction to fenofibrate (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning in your eyes, skin pain, red or purple skin rash that spreads and causes blistering and peeling). In rare cases, fenofibrate can cause a condition that results in the breakdown of skeletal muscle tissue, leading to kidney failure. Call your doctor right away if you have unexplained muscle pain, tenderness, or weakness especially if you also have fever, unusual tiredness, or dark colored urine. Also call your doctor at once if you have: sharp stomach pain spreading to your back or shoulder blade; loss of appetite, stomach pain just after eating a meal; jaundice (yellowing of the skin or eyes); fever, chills, weakness, sore throat, mouth sores, unusual bruising or bleeding; chest pain, sudden cough, wheezing, rapid breathing, coughing up blood; or swelling, warmth, or redness in an arm or leg. Common fenofibrate side effects may include: runny nose, sneezing; or abnormal laboratory tests. 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.

Ferrous Sulfate EC tablet

Iron Supplement

What is ferrous sulfate? Ferrous sulfate is a type of iron. You normally get iron from the foods you eat. In your body, iron becomes a part of your hemoglobin and myoglobin. Hemoglobin carries oxygen through your blood to tissues and organs. Myoglobin helps your muscle cells store oxygen. Ferrous Sulfate is an essential body mineral. Ferrous sulfate is used to treat iron deficiency anemia (a lack of red blood cells caused by having too little iron in the body). Warnings Ask a doctor or pharmacist if it is safe for you to take ferrous sulfate if you have iron overload syndrome, hemolytic anemia (a lack of red blood cells), porphyria (a genetic enzyme disorder that causes symptoms affecting the skin or nervous system), thalassemia (a genetic disorder of red blood cells), if you are an alcoholic, or if you receive regular blood transfusions. Seek emergency medical attention if you think you have used too much of this medicine, or if anyone has accidentally swallowed it. An overdose of iron can be fatal, especially in a young child. Overdose symptoms may include nausea, severe stomach pain, bloody diarrhea, coughing up blood or vomit that looks like coffee grounds, shallow breathing, weak and rapid pulse, pale skin, blue lips, and seizure (convulsions). Take ferrous sulfate on an empty stomach, at least 1 hour before or 2 hours after a meal. Avoid taking antacids or antibiotics within 2 hours before or after taking ferrous sulfate. Ferrous sulfate is only part of a complete program of treatment that may also include a special diet. It is very important to follow the diet plan created for you by your doctor or nutrition counselor. You should become very familiar with the list of foods you should eat to make sure you get enough iron from both your diet and your medication. Before taking this medicine Ask a doctor or pharmacist if ferrous sulfate is safe to use if you have ever had: iron overload syndrome; a red blood cell disorder such as thalassemia; or a condition for which you receive regular blood transfusions. Ask a doctor before using this medicine if you are pregnant or breastfeeding. Do not give ferrous sulfate to a child without medical advice. How should I take ferrous sulfate? Use ferrous sulfate exactly as directed on the label, or as prescribed by your doctor. Take on an empty stomach, at least 1 hour before or 2 hours after a meal. Measure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon). Swallow the tablet whole and do not crush, chew, or break it. You may need to follow a special diet. Follow all instructions of your doctor or dietitian. Learn about the foods you should eat or avoid. 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. Get emergency medical help if a child has accidentally swallowed a tablet. An overdose of iron can be fatal to a young child. Overdose symptoms may include severe vomiting, coughing up blood, bloody diarrhea, urinating less, thirst, dry skin, muscle cramps, dizziness, or fainting. What should I avoid while taking ferrous sulfate? Avoid taking other iron supplements. Do not take any vitamin or mineral supplements without asking a doctor or pharmacist. Ferrous sulfate side effects Get emergency medical help if you have signs of an allergic reaction to ferrous sulfate: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: severe stomach pain or vomiting; cough with bloody mucus or vomit that looks like coffee grounds; fever; or bloody or tarry stools. Common ferrous sulfate side effects may include: diarrhea, constipation; nausea, stomach pain; green-colored stools; or loss of appetite. 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.   Ferrous sulfate dosing information Usual Adult Dose for Iron Deficiency Anemia: Initial dose: 600 mg/day ferrous sulfate (120 mg/day elemental iron) for 3 months -Give in divided doses (1 to 3 times daily) Usual Adult Dose for Anemia Associated with Chronic Renal Failure: Initial dose: 1000 mg/day ferrous sulfate (200 mg/day elemental iron) orally in divided doses (1 to 3 times daily) Comments: -If goals are not met with oral iron after 1 to 3 months, consider IV iron supplementation. -Smaller daily doses may be better tolerated. Usual Adult Dose for Vitamin/Mineral Supplementation: Initial dose: 1 tablet orally once a day or Initial dose: 30 to 90 mg/day ferrous sulfate (FeSO4) (6 to 18 mg/day elemental iron) orally, in divided doses (1 to 3 times daily) 51 and over: 25 to 40 mg/day FeSO4 (5 to 8 mg/day elemental) orally, in divided doses (1 to 3 times daily) Usual Pediatric Dose for Iron Deficiency Anemia: 0 to 5 years: 15 to 30 mg/kg/day ferrous sulfate (FeSO4) (3 to 6 mg/kg/day elemental iron) 5 to 12 years: 300 mg FeSO4 (60 mg/day elemental) 12-18 years male: Two 300 mg FeSO4 (60 mg elemental) tablets orally daily 12-18 years female: 300 to 600 mg/day FeSO4 (60 to 120 mg/day elemental) -Give in divided doses (1 to 3 times daily) Usual Pediatric Dose for Vitamin/Mineral Supplementation: Preterm infant (less than 37 weeks gestation), 0 to 12 months: 10 mg/kg/day ferrous sulfate (FeSO4) (2 mg/kg/day elemental iron) 0 to 6 months: 1 to 1.35 mg/day FeSO4 (0.2 to 0.27 mg/day elemental) 7 to 12 months: 35 to 55 mg/day FeSO4 (7 to 11 mg/day elemental) 1 to 3 years: 20 to 45 mg/day FeSO4 (4 to 9 mg/day elemental) 4 to 8 years: 20 to 50 mg/day FeSO4 (4 to 10 mg/day elemental) 9 to 13 years: 30 to 40 mg/day FeSO4 (6 to 8 mg/day elemental) 14 to 18 years: 40 to 75 mg/day FeSO4 (8 to 15 mg/day elemental) -Give in divided doses (1 to 3 times daily) or Tablets (325 mg FeSO4, 65 mg elemental iron) 12 years and older: 1 tablet orally once a day   What other drugs will affect ferrous sulfate? Take your ferrous sulfate dose 2 to 6 hours before or after taking any of the following: an antacid; an antibiotic; or a laxative. This list is not complete. Other drugs may interact with ferrous sulfate, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Fexofenadine OTC tablet

Allergies / Anxiety / Itching

What is fexofenadine? Fexofenadine is an antihistamine that is used to treat the symptoms of seasonal allergies (hay fever) in adults and children. Fexofenadine is also used to treat skin itching and hives caused by a condition called chronic idiopathic urticaria in adults and children at least 6 years old. There are many brands and forms of fexofenadine available. Not all brands are listed on this leaflet. Fexofenadine may also be used for purposes not listed in this medication guide. Warnings Do not take fexofenadine with fruit juice (such as apple, orange, or grapefruit). Before taking this medicine You should not use fexofenadine if you are allergic to it. Ask a doctor or pharmacist if fexofenadine is safe to use if you have: kidney disease. Ask a doctor before using this medicine if you are pregnant or breastfeeding. Older adults may be more sensitive to the effects of this medicine. If you are 65 or older, ask a doctor before taking fexofenadine. This medicine may contain phenylalanine. Tell your doctor if you have phenylketonuria (PKU). How should I take fexofenadine? Use exactly as directed on the label, or as prescribed by your doctor. Always follow directions on the medicine label about giving cough or cold medicine to a child. Ask a doctor before giving fexofenadine liquid to a child younger than 2 years old. The disintegrating (melting) tablets are not for use in a child younger than 6 years old. The 12-hour and 24-hour forms of fexofenadine are not for use in a child younger than 12 years old. Take this medicine only with water. Take the disintegrating tablet on an empty stomach. Shake the oral suspension (liquid) before you measure a dose. Use the dosing cup provided, or use a medicine dose-measuring device (not a kitchen spoon). Remove an orally disintegrating tablet from the package only when you are ready to take the medicine. Place the tablet on your tongue and allow it to dissolve, without chewing. Swallow several times as the tablet dissolves. Call your doctor if your symptoms do not improve, or if they get worse. Store fexofenadine in its original package at room temperature, away from moisture and heat. Do not allow liquid medicine to freeze.   What happens if I miss a dose? Since allergy medicine is used when needed, you may not be on a dosing schedule. Skip any missed dose if it's almost time for your next dose. Do not use two doses at one time. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Overdose symptoms may include dry mouth, dizziness, or drowsiness. What should I avoid while taking fexofenadine? Do not take fexofenadine with fruit juice (such as apple, orange, or grapefruit). These juices can make it harder for your body to absorb fexofenadine. Avoid taking an antacid within 2 hours before or after you take fexofenadine. Certain antacids can make it harder for your body to absorb fexofenadine. Ask a doctor or pharmacist before using other cough or cold medicines that may contain similar ingredients. Fexofenadine side effects Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Stop using fexofenadine and call your doctor at once if you have: flu-like symptoms (fever, chills, unusual tiredness); new or worsening cough; pain; or signs of an ear infection--fever, ear pain or full feeling, trouble hearing, drainage from the ear, fussiness in a child. Common side effects may include: headache; back pain; or cold symptoms such as stuffy nose, sinus pain, sore throat. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.   What other drugs will affect fexofenadine? Using fexofenadine 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. Ask a doctor or pharmacist before using fexofenadine with any other medications, especially: ketoconazole; or erythromycin. This list is not complete. Other drugs may affect fexofenadine, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Finasteride Tablet

Male Hair Loss / Mens Health

What is finasteride? Finasteride is used alone or with other medication to treat symptoms of benign prostatic hyperplasia (BPH) in men with enlarged prostate. Finasteride is also used to treat male pattern hair loss in men. finasteride is for use in men only. Finasteride may also be used for purposes not listed in this medication guide. Warnings Finasteride should never be taken by a woman or a child. Before taking this medicine You should not use finasteride if you are allergic to it. Using finasteride may increase your risk of developing a serious form of prostate cancer. Ask your doctor about this risk. Tell your doctor if you have ever had: prostate cancer; or liver disease or abnormal liver function tests. finasteride should never be taken by a woman or a child. Finasteride can cause birth defects if a woman is exposed to it during pregnancy. A broken finasteride tablet should not be handled by a woman who is pregnant or may become pregnant. The medicine from a broken tablet could be absorbed through the skin. If a woman accidentally comes into contact with a broken or crushed tablet, wash the area with soap and water right away. How should I take finasteride? Your doctor will perform tests to make sure finasteride is the right treatment for you. Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. Take with a full glass of water at the same time each day, with or without food. You may not fully benefit from this medicine for up to 3 months or longer. Use finasteride regularly for the best results. Your doctor will need to check your progress on a regular basis. You will need frequent prostate specific antigen (PSA) tests to check for prostate cancer. Tell your doctor if you stop taking finasteride on a regular basis because this could affect your PSA test results. Store this medicine at room temperature, away from moisture, heat, and light. Keep the tablets in the original container, tightly closed when not in use. What happens if I miss a dose? Skip the missed dose and use your next dose at the regular time. Do not use two doses at one time. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. What should I avoid while taking finasteride? Do not share finasteride with another person, even if they have the same symptoms you have. Finasteride side effects Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you notice any signs of male breast cancer, such as: breast pain or lumps; nipple discharge; or any other breast changes. Tell your doctor right away if you have: blood in your semen; pain in your testicles; or depression. It may be harder for you to get a woman pregnant while you are using finasteride. Common side effects may include: decreased interest in sex; trouble getting or keeping an erection; trouble having an orgasm; abnormal ejaculation; or breast swelling or tenderness. The sexual side effects of finasteride may continue after you stop taking this medicine. Talk to your doctor if you have concerns about these side effects. 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. Finasteride side effects (more detail) Finasteride dosing information Usual Adult Dose for Benign Prostatic Hyperplasia: 5 mg orally once a day Comments: -Dosing is the same both in monotherapy and in combination therapy. Usual Adult Dose for Androgenetic Alopecia: 1 mg orally once a day For the treatment of male pattern hair loss (androgenetic alopecia) in men only. (Safety and efficacy have been demonstrated in men between 18 to 41 years of age with mild to moderate hair loss of the vertex and anterior mid scalp area): Comments: -Daily use for 3 months or more is necessary before benefit is observed. Continued use is recommended to sustain benefit. -Withdrawal of treatment leads to reversal of effect within 12 months. Use: For the treatment of male pattern hair loss (androgenetic alopecia) in men only. (Safety and efficacy have been demonstrated in men between 18 to 41 years of age with mild to moderate hair loss of the vertex and anterior mid scalp area). Detailed Finasteride dosage information What other drugs will affect finasteride? Other drugs may affect finasteride, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all other medicines you use.

Finasteride tablet 1mg

Male Hair Loss / Mens Health

What is finasteride? Finasteride is used alone or with other medication to treat symptoms of benign prostatic hyperplasia (BPH) in men with enlarged prostate. Finasteride is also used to treat male pattern hair loss in men. finasteride is for use in men only. Finasteride may also be used for purposes not listed in this medication guide. Warnings Finasteride should never be taken by a woman or a child. Before taking this medicine You should not use finasteride if you are allergic to it. Using finasteride may increase your risk of developing a serious form of prostate cancer. Ask your doctor about this risk. Tell your doctor if you have ever had: prostate cancer; or liver disease or abnormal liver function tests. finasteride should never be taken by a woman or a child. Finasteride can cause birth defects if a woman is exposed to it during pregnancy. A broken finasteride tablet should not be handled by a woman who is pregnant or may become pregnant. The medicine from a broken tablet could be absorbed through the skin. If a woman accidentally comes into contact with a broken or crushed tablet, wash the area with soap and water right away. How should I take finasteride? Your doctor will perform tests to make sure finasteride is the right treatment for you. Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. Take with a full glass of water at the same time each day, with or without food. You may not fully benefit from this medicine for up to 3 months or longer. Use finasteride regularly for the best results. Your doctor will need to check your progress on a regular basis. You will need frequent prostate specific antigen (PSA) tests to check for prostate cancer. Tell your doctor if you stop taking finasteride on a regular basis because this could affect your PSA test results. Store this medicine at room temperature, away from moisture, heat, and light. Keep the tablets in the original container, tightly closed when not in use. What happens if I miss a dose? Skip the missed dose and use your next dose at the regular time. Do not use two doses at one time. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. What should I avoid while taking finasteride? Do not share finasteride with another person, even if they have the same symptoms you have. Finasteride side effects Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you notice any signs of male breast cancer, such as: breast pain or lumps; nipple discharge; or any other breast changes. Tell your doctor right away if you have: blood in your semen; pain in your testicles; or depression. It may be harder for you to get a woman pregnant while you are using finasteride. Common side effects may include: decreased interest in sex; trouble getting or keeping an erection; trouble having an orgasm; abnormal ejaculation; or breast swelling or tenderness. The sexual side effects of finasteride may continue after you stop taking this medicine. Talk to your doctor if you have concerns about these side effects. 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.   Finasteride dosing information Usual Adult Dose for Benign Prostatic Hyperplasia: 5 mg orally once a day Comments: -Dosing is the same both in monotherapy and in combination therapy. Usual Adult Dose for Androgenetic Alopecia: 1 mg orally once a day For the treatment of male pattern hair loss (androgenetic alopecia) in men only. (Safety and efficacy have been demonstrated in men between 18 to 41 years of age with mild to moderate hair loss of the vertex and anterior mid scalp area): Comments: -Daily use for 3 months or more is necessary before benefit is observed. Continued use is recommended to sustain benefit. -Withdrawal of treatment leads to reversal of effect within 12 months. Use: For the treatment of male pattern hair loss (androgenetic alopecia) in men only. (Safety and efficacy have been demonstrated in men between 18 to 41 years of age with mild to moderate hair loss of the vertex and anterior mid scalp area).   What other drugs will affect finasteride? Other drugs may affect finasteride, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all other medicines you use.

Flecainide Acetate tablet

Heart Disease

What is flecainide? Flecainide is a Class IC anti-arrhythmic that is used in certain situations to prevent serious heart rhythm disorders. Flecainide may also be used for purposes not listed in this medication guide. Warnings You should not use flecainide if you have a serious heart condition such as bundle branch block or AV block (without a pacemaker), or if your heart cannot pump blood properly. You may receive your first dose in a hospital or clinic setting to quickly treat any serious side effects. Before taking this medicine You should not use flecainide if you are allergic to it, or if: you have a serious heart condition such as bundle branch block or AV block (unless you have a pacemaker); or your heart cannot pump blood properly. Tell your doctor if you have ever had: a heart attack; chronic atrial fibrillation, or "AFib"; congestive heart failure; a heart condition called "sick sinus syndrome"; an electrolyte imbalance (such as low levels of potassium or magnesium in your blood); or liver disease. It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. It may not be safe to breast-feed while using this medicine. Ask your doctor about any risk. How should I take flecainide? 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 receive your first few doses in a hospital or clinic setting to quickly treat any serious side effects. Your heart rate will be monitored using an electrocardiograph or ECG (sometimes called an EKG). This will help your doctor determine how long to treat you with flecainide. You may also need frequent blood tests to check your liver or kidney function. 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 nausea, vomiting, slow heart rate, fainting, or seizure (convulsions). What should I avoid while taking flecainide? Follow your doctor's instructions about any restrictions on food, beverages, or activity. Flecainide side effects Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: fast or pounding heartbeats; fluttering in your chest, shortness of breath, and sudden dizziness (like you might pass out); slow heart rate, weak pulse, slow breathing (breathing may stop); feeling short of breath; swelling, rapid weight gain; pale skin, easy bruising or bleeding, unusual weakness; fever, flu-like symptoms; or jaundice (yellowing of the skin or eyes). Common side effects may include: dizziness; vision problems; trouble breathing; headache; nausea; or feeling weak or 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.   Flecainide dosing information Usual Adult Dose for Ventricular Tachycardia: Initial dose: 100 mg orally every 12 hours. Maintenance dose: May be increased in increments of 50 mg bid every 4 days until efficacy is achieved. Most patients with SUSTAINED VT do not require more than 150 mg every 12 hours (300 mg/day), and the maximum dose recommended is 400 mg/day. Usual Adult Dose for Atrial Fibrillation: Initial dose: 50 mg orally every 12 hours. Maintenance dose: May be increased in increments of 50 mg bid every 4 days until efficacy is achieved. Usual Adult Dose for Atrial Flutter: Initial dose: 50 mg orally every 12 hours. Maintenance dose: May be increased in increments of 50 mg bid every 4 days until efficacy is achieved. Usual Adult Dose for Wolff-Parkinson-White Syndrome: Initial dose: 50 mg orally every 12 hours. Maintenance dose: May be increased in increments of 50 mg bid every 4 days until efficacy is achieved. Usual Adult Dose for Paroxysmal Supraventricular Tachycardia: Initial dose: 50 mg orally every 12 hours. Maintenance dose: May be increased in increments of 50 mg bid every 4 days until efficacy is achieved. Usual Pediatric Dose for Supraventricular Tachycardia: less than 1 month: Supraventricular tachycardia: Limited data available: Initial: 2 mg/kg/day orally divided every 12 hours; titrate to clinical response, monitor serum concentration; mean dose required to suppress SVT: 3.35 ± 1.35 mg/kg/day in 17 neonates (n=20 treated neonates; mean PNA: 11.5 days; mean GA: 36.8 weeks; mean birthweight: 2.8 kg); study did not report resultant serum concentrations. 1 month or older: Initial: 1 to 3 mg/kg/day orally or 50 to 100 mg/m2/day orally in 3 divided doses; usual: 3 to 6 mg/kg/day or 100 to 150 mg/m2/day in 3 divided doses; up to 8 mg/kg/day or 200 mg/m2/day for uncontrolled patients with subtherapeutic levels; higher doses have been reported, however they may be associated with an increased risk of proarrhythmias; a review of world literature reports the average effective dose to be 4 mg/kg/day or 140 mg/m2/day.   What other drugs will affect flecainide? Tell your doctor about all your other medicines, especially: digoxin; a diuretic or "water pill"; a beta-blocker (atenolol, metoprolol, propranolol, sotalol, and others); other heart medications such as amiodarone, diltiazem, disopyramide, nifedipine, quinidine, or verapamil; or seizure medication. This list is not complete. Other drugs may affect flecainide, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Fluconazole tablet

Antifungal

What is fluconazole? Fluconazole is an antifungal medicine that is used to treat infections caused by fungus, which can invade any part of the body including the mouth, throat, esophagus, lungs, bladder, genital area, and the blood. Fluconazole is also used to prevent fungal infection in people who have a weak immune system caused by cancer treatment, bone marrow transplant, or diseases such as AIDS. Fluconazole is also used to treat a certain type of meningitis in people with HIV or AIDS. Fluconazole may also be used for purposes not listed in this medication guide. Warnings Tell your doctor about all your current medicines and any you start or stop using. Many drugs can interact, and some drugs should not be used together. Before taking this medicine You should not use fluconazole if you are allergic to it. Many drugs can interact and cause dangerous effects. Some drugs should not be used together with fluconazole. Your doctor may change your treatment plan if you also use: cisapride, fentanyl, methadone, pimozide, tofacitinib, tolvaptan, or a vitamin A supplement; an antibiotic, antifungal, or antiviral medicine; a blood thinner; cancer medicine; cholesterol medication; oral diabetes medicine; heart or blood pressure medication; medicine for malaria or tuberculosis; medicine to prevent organ transplant rejection; medicine to treat depression or mental illness; an NSAID (nonsteroidal anti-inflammatory drug); seizure medicine; or steroid medicine. Tell your doctor if you have ever had: liver disease; heart problems; or if you are allergic to other antifungal medicine (such as ketoconazole, itraconazole, miconazole, posaconazole, voriconazole, and others). The liquid form of fluconazole contains sucrose. Talk to your doctor before using this form of fluconazole if you have a problem digesting sugars or milk. Fluconazole may harm an unborn baby. Use effective birth control to prevent pregnancy while taking fluconazole and for at least 1 week after your last dose. It may not be safe to breastfeed while using this medicine. Ask your doctor about any risk. How should I take fluconazole? Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. Your dose will depend on the infection you are treating. Vaginal infections are often treated with only one pill. For other infections, your first dose may be a double dose. Carefully follow your doctor's instructions. Fluconazole oral is taken by mouth. Fluconazole injection is given as an infusion into a vein. You may take fluconazole oral with or without food. Shake the oral suspension (liquid) before you measure a dose. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon). Fluconazole injection is given as an infusion into a vein. A healthcare provider will give your first dose and may teach you how to properly use the medication by yourself. Prepare an injection only when you are ready to give it. Do not use if the medicine looks cloudy, has changed colors, or has particles in it. Call your pharmacist for new medicine. Use fluconazole for the full prescribed length of time, even if your symptoms quickly improve. Skipping doses can increase your risk of infection that is resistant to medication. Fluconazole will not treat a viral infection such as the flu or a common cold. Call your doctor if your symptoms do not improve, or if they get worse. Store fluconazole at room temperature away from moisture and heat. Do not freeze. You may store the oral suspension in a refrigerator, but do not allow it to freeze. Throw away any leftover liquid that is more than 2 weeks old.   What happens if I miss a dose? Use the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not use two doses at one time. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Overdose symptoms may include confusion or unusual thoughts or behavior. What should I avoid while using fluconazole? Avoid driving or hazardous activity until you know how fluconazole will affect you. Your reactions could be impaired. Fluconazole 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). Call your doctor at once if you have: fast or pounding heartbeats, fluttering in your chest, shortness of breath, and sudden dizziness (like you might pass out); seizure (convulsions); skin rash or skin lesions; or liver problems--loss of appetite, stomach pain (upper right side), dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes). Common side effects may include: nausea, stomach pain, diarrhea, upset stomach; headache; dizziness; or changes in your sense of taste. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.   What other drugs will affect fluconazole? 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. Fluconazole can cause a serious heart problem. Your risk may be higher if you also use certain other medicines for infections, asthma, heart problems, high blood pressure, depression, mental illness, cancer, malaria, or HIV. Many drugs can affect fluconazole, 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.

Fluocinonide solution 0.05%

Dermatology

What is fluocinonide? Fluocinonide is a potent corticosteroid that prevents the release of substances in the body that cause inflammation. Fluocinonide topical (for the skin) is used to treat inflammation and itching caused by plaque psoriasis and skin conditions that respond to steroid medication. Fluocinonide topical is available in a cream, gel, ointment, and solution. Warnings Fluocinonide may affect growth in children and teens in some cases. They may need regular growth checks. Talk with your doctor. Use care when using fluocinonide topical on a large part of the skin or where there are open wounds. Do not use fluocinonide on cuts, scrapes, damaged skin, or on open wounds. Do not use tight-fitting diapers or plastic pants if treated part is in the diaper area. This may cause more of the medicine to be absorbed into the body. Before taking this medicine You should not use fluocinonide topical if you are allergic to it. To make sure fluocinonide is safe for you, tell your doctor if you have ever had: any type of skin infection; a skin reaction to any steroid medicine; liver disease; or an adrenal gland disorder. Steroid medicines can increase the glucose (sugar) levels in your blood or urine. Tell your doctor if you have diabetes. It is not known whether fluocinonide topical will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. It may not be safe to breastfeed while using fluocinonide. Ask your doctor about any risk. If you apply fluocinonide to your chest, avoid areas that may come into contact with the baby's mouth. Do not give fluocinonide to a child without medical advice. Some brands or forms of this medicine are not approved for use by anyone younger than 12 years old. Children can absorb larger amounts of fluocinonide through the skin and may be more likely to have side effects. How should I use fluocinonide topical? Use fluocinonide exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. Do not take by mouth. Topical medicine is for use only on the skin. Do not use on open wounds or on sunburned, windburned, dry, or irritated skin. Rinse with water if this medicine gets in your eyes or mouth. Wash your hands before and after using fluocinonide, unless you are using this medicine to treat the skin on your hands. Apply a thin layer of medicine to the affected skin and rub it in gently. Do not apply fluocinonide over a large area of skin unless your doctor has told you to. Do not cover the treated skin area with a bandage or other covering unless your doctor tells you to. Covering treated areas can increase the amount of medicine absorbed through your skin and may cause harmful effects. If you are treating the diaper area, do not use plastic pants or tight-fitting diapers. If you are treating your scalp, part the hair and apply the medicine directly to the scalp, rubbing in gently. Avoid washing or rubbing the treated scalp area right away. Wait until the medicine has dried thoroughly. Call your doctor if your symptoms do not improve after 2 weeks of treatment, or if they get worse. If you need surgery, tell your surgeon you currently use this medicine. You should not stop using fluocinonide suddenly. Follow your doctor's instructions about tapering your dose. Store at room temperature away from moisture and heat. Do not freeze. Dosing information Usual Adult Dose for Dermatitis: 0.05% cream, gel, ointment: Apply a thin layer to affected area two to four times a day 0.1% cream: Apply a thin layer to affected area once or twice a day. Usual Adult Dose for Eczema: 0.05% cream, gel, ointment: Apply a thin layer to affected area two to four times a day 0.1% cream: Apply a thin layer to affected area once or twice a day. Usual Adult Dose for Atopic Dermatitis: 0.1% cream: Apply a thin layer to affected area once a day. Usual Adult Dose for Psoriasis: 0.1% cream: Apply a thin layer to affected area once or twice a day. Usual Pediatric Dose for Dermatitis: 12 years or older: 0.05% cream, gel, ointment: Apply a thin layer to affected area two to four times a day 0.1% cream: Apply a thin layer to affected area once or twice a day. Usual Pediatric Dose for Eczema: 12 years or older: 0.05% cream, gel, ointment: Apply a thin layer to affected area two to four times a day 0.1% cream: Apply a thin layer to affected area once or twice a day. Usual Pediatric Dose for Psoriasis: 12 years or older: 0.1% cream: Apply a thin layer to affected area once or twice a day. Usual Pediatric Dose for Atopic Dermatitis: 12 years or older: 0.1% cream: Apply a thin layer to affected area once a day.   What happens if I miss a dose? Apply the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not apply two doses at one time. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222 if anyone has accidentally swallowed the medication. High doses or long-term use of fluocinonide topical can lead to thinning skin, easy bruising, changes in body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex. What should I avoid while using fluocinonide topical? Do not get fluocinonide topical in your eyes. If contact does occur, rinse with water. Avoid applying fluocinonide to your face, scalp, underarms, or groin area. Do not use fluocinonide topical to treat any skin condition that has not been checked by your doctor. Avoid using other topical steroid medications on the areas you treat with fluocinonide unless your doctor tells you to. Fluocinonide topical side effects Get emergency medical help if you have signs of an allergic reaction to fluocinonide: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: redness, warmth, swelling, oozing, or severe irritation of any treated skin; worsening of your skin condition; or possible signs of absorbing fluocinonide through your skin - weight gain (especially in your face or your upper back and torso), slow wound healing, thinning or discolored skin, increased body hair, muscle weakness, nausea, diarrhea, tiredness, mood changes, menstrual changes, sexual changes. Steroid medicine can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using this medicine. Common fluocinonide side effects may include: burning, stinging, itching, or dryness of treated skin; redness or crusting around your hair follicles; stretch marks; spider veins; acne; lightened color of treated skin; headache; or stuffy nose, sore throat. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.   What other drugs will affect fluocinonide 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 healthcare providers about all medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products.

Fluoxetine Capsule

Depression

What is fluocinonide? Fluocinonide is a potent corticosteroid that prevents the release of substances in the body that cause inflammation. Fluocinonide topical (for the skin) is used to treat inflammation and itching caused by plaque psoriasis and skin conditions that respond to steroid medication. Fluocinonide topical is available in a cream, gel, ointment, and solution. Warnings Fluocinonide may affect growth in children and teens in some cases. They may need regular growth checks. Talk with your doctor. Use care when using fluocinonide topical on a large part of the skin or where there are open wounds. Do not use fluocinonide on cuts, scrapes, damaged skin, or on open wounds. Do not use tight-fitting diapers or plastic pants if treated part is in the diaper area. This may cause more of the medicine to be absorbed into the body. Before taking this medicine You should not use fluocinonide topical if you are allergic to it. To make sure fluocinonide is safe for you, tell your doctor if you have ever had: any type of skin infection; a skin reaction to any steroid medicine; liver disease; or an adrenal gland disorder. Steroid medicines can increase the glucose (sugar) levels in your blood or urine. Tell your doctor if you have diabetes. It is not known whether fluocinonide topical will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. It may not be safe to breastfeed while using fluocinonide. Ask your doctor about any risk. If you apply fluocinonide to your chest, avoid areas that may come into contact with the baby's mouth. Do not give fluocinonide to a child without medical advice. Some brands or forms of this medicine are not approved for use by anyone younger than 12 years old. Children can absorb larger amounts of fluocinonide through the skin and may be more likely to have side effects. How should I use fluocinonide topical? Use fluocinonide exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. Do not take by mouth. Topical medicine is for use only on the skin. Do not use on open wounds or on sunburned, windburned, dry, or irritated skin. Rinse with water if this medicine gets in your eyes or mouth. Wash your hands before and after using fluocinonide, unless you are using this medicine to treat the skin on your hands. Apply a thin layer of medicine to the affected skin and rub it in gently. Do not apply fluocinonide over a large area of skin unless your doctor has told you to. Do not cover the treated skin area with a bandage or other covering unless your doctor tells you to. Covering treated areas can increase the amount of medicine absorbed through your skin and may cause harmful effects. If you are treating the diaper area, do not use plastic pants or tight-fitting diapers. If you are treating your scalp, part the hair and apply the medicine directly to the scalp, rubbing in gently. Avoid washing or rubbing the treated scalp area right away. Wait until the medicine has dried thoroughly. Call your doctor if your symptoms do not improve after 2 weeks of treatment, or if they get worse. If you need surgery, tell your surgeon you currently use this medicine. You should not stop using fluocinonide suddenly. Follow your doctor's instructions about tapering your dose. Store at room temperature away from moisture and heat. Do not freeze. Dosing information Usual Adult Dose for Dermatitis: 0.05% cream, gel, ointment: Apply a thin layer to affected area two to four times a day 0.1% cream: Apply a thin layer to affected area once or twice a day. Usual Adult Dose for Eczema: 0.05% cream, gel, ointment: Apply a thin layer to affected area two to four times a day 0.1% cream: Apply a thin layer to affected area once or twice a day. Usual Adult Dose for Atopic Dermatitis: 0.1% cream: Apply a thin layer to affected area once a day. Usual Adult Dose for Psoriasis: 0.1% cream: Apply a thin layer to affected area once or twice a day. Usual Pediatric Dose for Dermatitis: 12 years or older: 0.05% cream, gel, ointment: Apply a thin layer to affected area two to four times a day 0.1% cream: Apply a thin layer to affected area once or twice a day. Usual Pediatric Dose for Eczema: 12 years or older: 0.05% cream, gel, ointment: Apply a thin layer to affected area two to four times a day 0.1% cream: Apply a thin layer to affected area once or twice a day. Usual Pediatric Dose for Psoriasis: 12 years or older: 0.1% cream: Apply a thin layer to affected area once or twice a day. Usual Pediatric Dose for Atopic Dermatitis: 12 years or older: 0.1% cream: Apply a thin layer to affected area once a day.   What happens if I miss a dose? Apply the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not apply two doses at one time. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222 if anyone has accidentally swallowed the medication. High doses or long-term use of fluocinonide topical can lead to thinning skin, easy bruising, changes in body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex. What should I avoid while using fluocinonide topical? Do not get fluocinonide topical in your eyes. If contact does occur, rinse with water. Avoid applying fluocinonide to your face, scalp, underarms, or groin area. Do not use fluocinonide topical to treat any skin condition that has not been checked by your doctor. Avoid using other topical steroid medications on the areas you treat with fluocinonide unless your doctor tells you to. Fluocinonide topical side effects Get emergency medical help if you have signs of an allergic reaction to fluocinonide: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: redness, warmth, swelling, oozing, or severe irritation of any treated skin; worsening of your skin condition; or possible signs of absorbing fluocinonide through your skin - weight gain (especially in your face or your upper back and torso), slow wound healing, thinning or discolored skin, increased body hair, muscle weakness, nausea, diarrhea, tiredness, mood changes, menstrual changes, sexual changes. Steroid medicine can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using this medicine. Common fluocinonide side effects may include: burning, stinging, itching, or dryness of treated skin; redness or crusting around your hair follicles; stretch marks; spider veins; acne; lightened color of treated skin; headache; or stuffy nose, sore throat. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.   What other drugs will affect fluocinonide 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 healthcare providers about all medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products.

Fluticasone / Salmeterol diskus

Asthma / COPD

What is fluticasone and salmeterol inhalation? Fluticasone and salmeterol inhalation is a steroid and bronchodilator combination medicine that is used to prevent asthma attacks. It is also used to prevent flare-ups or worsening of chronic obstructive pulmonary disease (COPD) associated with chronic bronchitis and/or emphysema. In people with COPD, fluticasone and salmeterol is for long-term treatment. In people with asthma, fluticasone and salmeterol is for short-term treatment until symptoms are well controlled with with other medicines. Advair Diskus is for use in adults and children who are at least 4 years old. Advair HFA and AirDuo Respiclick are for use in adults and children who are at least 12 years old. Fluticasone and salmeterol may also be used for purposes not listed in this medication guide. Warnings Fluticasone and salmeterol is not a rescue medicine. It will not work fast enough to treat an asthma or bronchospasm attack. Seek medical attention you have worsening breathing problems, or if you think your medications are not working as well. Before taking this medicine You should not use fluticasone and salmeterol if you are allergic to fluticasone or salmeterol, or: if you have a severe allergy to milk proteins; or if you are having an asthma attack or severe COPD symptoms. Fluticasone 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. Tell your doctor if you have ever had: glaucoma or cataracts; heart disease or high blood pressure; a seizure; diabetes; a food or drug allergy; a weak immune system; any type of infection (bacterial, fungal, viral, or parasitic); osteoporosis; a thyroid disorder; or liver or kidney disease. Long-term use of steroids may lead to bone loss (osteoporosis), especially if you smoke, if you do not exercise, if you do not get enough vitamin D or calcium in your diet, or if you have a family history of osteoporosis. Talk with your doctor about your risk. Tell your doctor if you are pregnant. It is not known whether this medicine will harm an unborn baby. However, having untreated or uncontrolled asthma during pregnancy may cause complications such as low birth weight, premature birth, or eclampsia (dangerously high blood pressure that can lead to medical problems in both mother and baby). The benefit of treating asthma may outweigh any risks to the baby. It may not be safe to breast-feed while using this medicine. Ask your doctor about any risk. Do not give this medicine to a child without medical advice. How should I use fluticasone and salmeterol? Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. Using too much of this medicine can cause life-threatening side effects. Fluticasone and salmeterol is not a rescue medicine for asthma or bronchospasm attacks. Use only fast-acting inhalation medicine for an attack. Seek medical attention if your breathing problems get worse quickly, or if you think your asthma medications are not working as well. Advair Diskus is a powder form of fluticasone and salmeterol that comes with a special inhaler device pre-loaded with blister packs containing measured doses of the medicine. Advair HFA and AirDuo Respiclick each come in a canister that is used with an actuator inhaler device. Use the medicine at the same time each day. Use only the inhaler device provided with your medication. Shake the Advair HFA inhaler for at least 5 seconds before each spray. Do not allow a young child to use this medicine without help from an adult. Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions. Rinse your mouth with water without swallowing after each use of your inhaler. Your dose needs may change due to surgery, illness, stress, or a recent asthma attack. Do not change your medication dose or schedule without your doctor's advice. If you also use an oral steroid medication, you should not stop using it suddenly. Follow your doctor's instructions about tapering your dose. If you use a peak flow meter at home, tell your doctor if your numbers are lower than normal. Your vision and your bone mineral density may need to be checked often. Store your medicine at room temperature, away from moisture, heat, and sunlight. Avoid high heat, such as open flame or in a car on a hot day. Carefully follow all storage and disposal directions provided with your medicine. Once your asthma is under control, your doctor may want you to stop using this medicine. Do not stop using the medicine unless your doctor tells you to.   What happens if I miss a dose? Skip the missed dose and use your next dose at the regular time. Do not use two doses at one time. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Overdose symptoms may include chest pain, fast heart rate, and feeling shaky or short of breath. Long term use of an inhaled steroid can lead to glaucoma, cataracts, thinning skin, changes in body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex. What should I avoid while using fluticasone and salmeterol? Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chickenpox or measles. These conditions can be serious or even fatal in people who are using a steroid such as fluticasone. Do not use a second inhaled bronchodilator unless your doctor tells you to. This includes formoterol (Perforomist, Symbicort, Bevespi, Dulera), arformoterol (Brovana), indacaterol (Arcapta), olodaterol (Striverdi, Stiolto Respimat), salmeterol (Serevent), or vilanterol (Anoro Ellipta, Breo Ellipta, Trelegy Ellipta). Fluticasone and salmeterol side effects Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: wheezing, choking, or other breathing problems after using fluticasone and salmeterol; fever, chills, cough with mucus, feeling short of breath; chest pain, fast or irregular heartbeats, severe headache, pounding in your neck or ears; tremors, nervousness; blurred vision, tunnel vision, eye pain, or seeing halos around lights; signs of thrush (a fungal infection)--sores or white patches in your mouth or throat, trouble swallowing; high blood sugar--increased thirst, increased urination, dry mouth, fruity breath odor; low potassium level--leg cramps, constipation, irregular heartbeats, fluttering in your chest, increased thirst or urination, numbness or tingling, muscle weakness or limp feeling; or signs of a hormonal disorder--worsening tiredness or weakness, feeling light-headed, nausea, vomiting. Fluticasone can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using this medication. Common side effects may include: headache, muscle pain, bone pain, back pain; nausea, vomiting; thrush, throat irritation; ongoing cough, hoarseness or deepened voice; cold symptoms such as stuffy nose, sneezing, sore throat; or ear infection (in a child)--fever, ear pain or full feeling, trouble hearing, drainage from the ear, fussiness. 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 fluticasone and salmeterol? Sometimes it is not safe to use certain medications at the same time. Some drugs can affect your blood levels of other drugs you take, which may increase side effects or make the medications less effective. Tell your doctor about all your other medicines, especially: antifungal medicine; or medicine to treat HIV or AIDS. This list is not complete and many other drugs may affect fluticasone and salmeterol. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Fluticasone / Salmeterol Inhaler

Asthma

What is fluticasone and salmeterol inhalation? Fluticasone and salmeterol inhalation is a ster oid and bronchodilator combination medicine that is used to prevent asthma attacks. It is also used to prevent flare-ups or worsening of chronic obstructive pulmonary disease (COPD) associated with chronic bronchitis and/or emphysema. In people with COPD, fluticasone and salmeterol is for long-term treatment. In people with asthma, fluticasone and salmeterol is for short-term treatment until symptoms are well controlled with with other medicines. Advair Diskus is for use in adults and children who are at least 4 years old. Advair HFA and AirDuo Respiclick are for use in adults and children who are at least 12 years old. Fluticasone and salmeterol may also be used for purposes not listed in this medication guide. Warnings Fluticasone and salmeterol is not a rescue medicine. It will not work fast enough to treat an asthma or bronchospasm attack. Seek medical attention you have worsening breathing problems, or if you think your medications are not working as well. Before taking this medicine You should not use fluticasone and salmeterol if you are allergic to fluticasone or salmeterol, or: if you have a severe allergy to milk proteins; or if you are having an asthma attack or severe COPD symptoms. Fluticasone 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. Tell your doctor if you have ever had: glaucoma or cataracts; heart disease or high blood pressure; a seizure; diabetes; a food or drug allergy; a weak immune system; any type of infection (bacterial, fungal, viral, or parasitic); osteoporosis; a thyroid disorder; or liver or kidney disease. Long-term use of steroids may lead to bone loss (osteoporosis), especially if you smoke, if you do not exercise, if you do not get enough vitamin D or calcium in your diet, or if you have a family history of osteoporosis. Talk with your doctor about your risk. Tell your doctor if you are pregnant. It is not known whether this medicine will harm an unborn baby. However, having untreated or uncontrolled asthma during pregnancy may cause complications such as low birth weight, premature birth, or eclampsia (dangerously high blood pressure that can lead to medical problems in both mother and baby). The benefit of treating asthma may outweigh any risks to the baby. It may not be safe to breast-feed while using this medicine. Ask your doctor about any risk. Do not give this medicine to a child without medical advice. How should I use fluticasone and salmeterol? Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. Using too much of this medicine can cause life-threatening side effects. Fluticasone and salmeterol is not a rescue medicine for asthma or bronchospasm attacks. Use only fast-acting inhalation medicine for an attack. Seek medical attention if your breathing problems get worse quickly, or if you think your asthma medications are not working as well. Advair Diskus is a powder form of fluticasone and salmeterol that comes with a special inhaler device pre-loaded with blister packs containing measured doses of the medicine. Advair HFA and AirDuo Respiclick each come in a canister that is used with an actuator inhaler device. Use the medicine at the same time each day. Use only the inhaler device provided with your medication. Shake the Advair HFA inhaler for at least 5 seconds before each spray. Do not allow a young child to use this medicine without help from an adult. Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions. Rinse your mouth with water without swallowing after each use of your inhaler. Your dose needs may change due to surgery, illness, stress, or a recent asthma attack. Do not change your medication dose or schedule without your doctor's advice. If you also use an oral steroid medication, you should not stop using it suddenly. Follow your doctor's instructions about tapering your dose. If you use a peak flow meter at home, tell your doctor if your numbers are lower than normal. Your vision and your bone mineral density may need to be checked often. Store your medicine at room temperature, away from moisture, heat, and sunlight. Avoid high heat, such as open flame or in a car on a hot day. Carefully follow all storage and disposal directions provided with your medicine. Once your asthma is under control, your doctor may want you to stop using this medicine. Do not stop using the medicine unless your doctor tells you to.   What happens if I miss a dose? Skip the missed dose and use your next dose at the regular time. Do not use two doses at one time. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Overdose symptoms may include chest pain, fast heart rate, and feeling shaky or short of breath. Long term use of an inhaled steroid can lead to glaucoma, cataracts, thinning skin, changes in body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex. What should I avoid while using fluticasone and salmeterol? Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chickenpox or measles. These conditions can be serious or even fatal in people who are using a steroid such as fluticasone. Do not use a second inhaled bronchodilator unless your doctor tells you to. This includes formoterol (Perforomist, Symbicort, Bevespi, Dulera), arformoterol (Brovana), indacaterol (Arcapta), olodaterol (Striverdi, Stiolto Respimat), salmeterol (Serevent), or vilanterol (Anoro Ellipta, Breo Ellipta, Trelegy Ellipta). Fluticasone and salmeterol side effects Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: wheezing, choking, or other breathing problems after using fluticasone and salmeterol; fever, chills, cough with mucus, feeling short of breath; chest pain, fast or irregular heartbeats, severe headache, pounding in your neck or ears; tremors, nervousness; blurred vision, tunnel vision, eye pain, or seeing halos around lights; signs of thrush (a fungal infection)--sores or white patches in your mouth or throat, trouble swallowing; high blood sugar--increased thirst, increased urination, dry mouth, fruity breath odor; low potassium level--leg cramps, constipation, irregular heartbeats, fluttering in your chest, increased thirst or urination, numbness or tingling, muscle weakness or limp feeling; or signs of a hormonal disorder--worsening tiredness or weakness, feeling light-headed, nausea, vomiting. Fluticasone can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using this medication. Common side effects may include: headache, muscle pain, bone pain, back pain; nausea, vomiting; thrush, throat irritation; ongoing cough, hoarseness or deepened voice; cold symptoms such as stuffy nose, sneezing, sore throat; or ear infection (in a child)--fever, ear pain or full feeling, trouble hearing, drainage from the ear, fussiness. 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 fluticasone and salmeterol? Sometimes it is not safe to use certain medications at the same time. Some drugs can affect your blood levels of other drugs you take, which may increase side effects or make the medications less effective. Tell your doctor about all your other medicines, especially: antifungal medicine; or medicine to treat HIV or AIDS. This list is not complete and many other drugs may affect fluticasone and salmeterol. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Fluticasone Nasal Spray

Allergies

What is fluticasone nasal? Fluticasone nasal (for the nose) is a steroid medicine that is used to treat nasal congestion, sneezing, runny nose, and itchy or watery eyes caused by seasonal or year-round allergies. The Xhance brand of fluticasone nasal is for use only in adults. Veramyst may be used in children as young as 2 years old. Flonase is for use in adults and children who are at least 4 years old. Fluticasone nasal may also be used for purposes not listed in this medication guide. Warnings Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use. Before taking this medicine You should not use fluticasone nasal if you are allergic to it. Fluticasone can weaken your immune system, making it easier for you to get an infection or worsening an infection you already have or recently had. Tell your doctor about any illness or infection you have had within the past several weeks. Tell your doctor if you have ever had: sores or ulcers inside your nose; injury of or surgery on your nose; glaucoma or cataracts; liver disease; diabetes; a weak immune system; or any type of infection (bacterial, fungal, viral, or parasitic). If you use fluticasone nasal without a prescription and you have any medical conditions, ask a doctor or pharmacist if fluticasone nasal is safe for you. Tell your doctor if you are pregnant or breast-feeding. How should I use fluticasone nasal? Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. Do not share this medicine with another person, even if they have the same symptoms you have. Your dose will depend on the fluticasone brand or strength you use, and your dose may change once your symptoms improve. Follow all dosing instructions very carefully. A child using the nasal spray should be supervised by an adult. Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions. Shake the nasal spray just before each use. If you switched to fluticasone from another steroid medicine, you should not stop using it suddenly. Follow your doctor's instructions about tapering your dose. It may take several days before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve after a week of treatment. Store fluticasone nasal in an upright position at room temperature, away from moisture and heat. Throw the spray bottle away after you have used 120 sprays, even if there is still medicine left in the bottle. What happens if I miss a dose? Use the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not use two doses at one time. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of fluticasone nasal is not expected to produce life threatening symptoms. Long term use of steroid medicine can lead to glaucoma, cataracts, thinning skin, easy bruising, changes in body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex. What should I avoid while using fluticasone nasal? Avoid getting the spray in your eyes or mouth. If this does happen, rinse with water. Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chickenpox or measles. These conditions can be serious or even fatal in people who are using fluticasone nasal. Fluticasone nasal side effects Get emergency medical help if you have signs of an allergic reaction: hives, rash; feeling light-headed; difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: severe or ongoing nosebleeds; noisy breathing, runny nose, or crusting around your nostrils; redness, sores, or white patches in your mouth or throat; fever, chills, body aches; blurred vision, eye pain, or seeing halos around lights; any wound that will not heal; or signs of a hormonal disorder--worsening tiredness or muscle weakness, feeling light-headed, nausea, vomiting. Steroid medicine can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using fluticasone nasal. Common side effects may include: minor nosebleed, burning or itching in your nose; sores or white patches inside or around your nose; cough, trouble breathing; headache, back pain; sinus pain, sore throat, fever; or nausea, vomiting. 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.   Fluticasone nasal dosing information Usual Adult Dose for Rhinitis: Fluticasone furoate: 2 sprays (27.5 mcg/spray) in each nostril once a day Fluticasone propionate: 1 or 2 sprays (50 mcg/spray) in each nostril once a day as needed Comments: Fluticasone furoate: -When maximum benefit has been achieved and symptoms have been controlled, reducing the dosage to 55 mcg (1 spray in each nostril) once a day may be effective. Use: Treatment of symptoms of seasonal and perennial allergic rhinitis Usual Pediatric Dose for Rhinitis: 2 to 11 years: Fluticasone furoate: 1 spray (27.5 mcg/spray) in each nostril once a day 4 to 11 years: Fluticasone propionate: 1 spray (50 mcg/spray) in each nostril once a day 12 years or older: Fluticasone furoate: 2 sprays (27.5 mcg/spray) in each nostril once a day Fluticasone propionate: 1 or 2 sprays (50 mcg/spray) in each nostril once a day as needed Comments: Fluticasone furoate: -Children between 2 to 11 years not adequately responding to 55 mcg may use 110 mcg (2 sprays in each nostril) once a day. -When maximum benefit has been achieved and symptoms have been controlled, reducing the dosage to 55 mcg (1 spray in each nostril) once a day may be effective. Use: Treatment of symptoms of seasonal and perennial allergic rhinitis   What other drugs will affect fluticasone nasal? Tell your doctor about all your other medicines, especially: antifungal medicine; or antiviral medicine to treat hepatis C or HIV/AIDS. This list is not complete. Other drugs may affect fluticasone nasal, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Fluvoxamine Maleate tablet

Depression / Smoking Cessation /Substance Abuse Disorder

What is fluvoxamine? Fluvoxamine is a selective serotonin reuptake inhibitor (SSRI). Fluvoxamine is used to treat symptoms of obsessive compulsive disorder (OCD) in adults and children at least 8 years old. Fluvoxamine may also be used for purposes not listed in this medication guide. Warnings People with depression or mental illness may have thoughts about suicide. Some young people may have increased suicidal thoughts when first starting a medicine to treat depression. Tell your doctor right away if you have any sudden changes in mood or behavior, or thoughts about suicide. Do not stop using fluvoxamine without first asking your doctor. Before taking this medicine You should not take fluvoxamine if you are allergic to it. Do not use fluvoxamine within 14 days before or 14 days after you have taken an MAO inhibitor. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, tranylcypromine, and others. Some drugs should not be used with fluvoxamine. Your treatment plan may change if you also use: alosetron; ramelteon; thioridazine; or tizanidine. Tell your doctor if you have ever had: bipolar disorder (manic depression); a seizure; glaucoma; sexual problems; liver or kidney disease; heart disease, high blood pressure, or a stroke; bleeding problems; or low levels of sodium in your blood (an electrolyte imbalance). People with depression or mental illness may have thoughts about suicide. Some young people may have increased suicidal thoughts when first starting a medicine to treat depression. Stay alert to changes in your mood or symptoms. Your family or caregivers should also watch for sudden changes in your behavior. Tell your doctor if you also use 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 fluvoxamine could cause a serious condition called serotonin syndrome. Taking fluvoxamine during pregnancy could harm the baby, but stopping the medicine may not be safe for you. Do not start or stop fluvoxamine without asking your doctor. Do not breastfeed. How should I take fluvoxamine? 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 fluvoxamine at bedtime, with or without food. Swallow the capsule whole and do not crush, chew, break, or open it. Tell your doctor if you have any changes in sexual function, such as loss of interest in sex, trouble having an orgasm, or (in men) problems with erections or ejaculation. Some sexual problems can be treated. Do not stop using fluvoxamine suddenly, or you could have unpleasant symptoms (such as agitation, confusion, tingling or electric shock feelings). Ask your doctor before stopping the medicine. 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. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Overdose may cause vomiting, diarrhea, breathing problems, slow heartbeats, or seizure. What should I avoid while taking fluvoxamine? Drinking alcohol can increase certain side effects. 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 fluvoxamine may cause you to bruise or bleed easily. Avoid driving or hazardous activity until you know how fluvoxamine will affect you. Your reactions could be impaired. Fluvoxamine side effects Get emergency medical help if you have signs of an allergic reaction: skin rash, blisters, or hives; fever, joint pain; difficult breathing; swelling of your face, lips, tongue, or throat. Tell your doctor right away if you have new or sudden changes in mood or behavior, including new or worse depression or anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, more active or talkative, or have thoughts about suicide or hurting yourself. Call your doctor at once if you have; anxiety, racing thoughts, risk-taking behavior, sleep problems (insomnia), feelings of extreme happiness or irritability; blurred vision, eye pain or redness, seeing halos around lights; a seizure; changes in weight or appetite; easy bruising or unusual bleeding; or low blood sodium--headache, confusion, problems with thinking or memory, weakness, feeling unsteady. 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 Fluvoxamine can affect growth in children. Your child's height and weight should be checked often. Common side effects may include: drowsiness, dizziness, weakness; anxiety, depression, agitation, trouble sleeping; shaking, increased muscle movements; upset stomach, gas, loss of appetite; nausea, vomiting, diarrhea; dry mouth, yawning, sore throat; muscle pain; sweating, rash; heavy menstrual periods; 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.   Fluvoxamine dosing information Usual Adult Dose for Obsessive Compulsive Disorder: Initial immediate-release tablet dose: 50 mg orally once a day at bedtime Initial extended-release capsule dose: 100 mg orally once a day at bedtime Maintenance dose: 100 to 300 mg orally per day Maximum dose: 300 mg/day Comments: -The dose may be increased in 50 mg increments every 4 to 7 days, as tolerated, until maximum therapeutic benefit is achieved. -A total daily dose of more than 100 mg should be given in two divided doses. If the doses are not equal, the larger dose should be given at bedtime. Use: Treatment of obsessions and compulsions in patients with obsessive compulsive disorder (OCD), as defined in DSM-III-R or DSM-IV Usual Pediatric Dose for Obsessive Compulsive Disorder: 8 to 11 years: -Initial dose: 25 mg orally once a day at bedtime -Maintenance dose: 25 to 200 mg orally per day -Maximum dose: 200 mg/day 11 to 17 years: -Initial dose: 25 mg orally once a day at bedtime -Maintenance dose: 25 to 300 mg orally per day -Maximum dose: 300 mg/day Comments: The dose may be increased in 25 mg increments every 4 to 7 days, as tolerated, up to a maximum daily dose. -Total daily doses of more than 50 mg should be given in two divided doses. If the two divided doses are not equal, the larger dose should be given at bedtime. -Lower doses may be effective in female versus male patients. Use: Treatment of obsessions and compulsions in patients with OCD, as defined in DSM-III-R or DSM-IV   What other drugs will affect fluvoxamine? Using fluvoxamine 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 affect fluvoxamine, especially: methadone, mexiletine, St. John's wort, theophylline, tramadol; a benzodiazepine sedative like Valium, Klonopin, or Xanax; a blood thinner (warfarin, Coumadin, Jantoven); a diuretic or "water pill"; a "triptan" migraine headache medicine, such as Imitrex or Maxalt; or medicine to treat anxiety, mood disorders, thought disorders, or mental illness (such as clozapine, lithium, antidepressants, or antipsychotics). This list is not complete and many other drugs may affect fluvoxamine. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Folic Acid Tablet

Vitamins / Minerals

What is folic acid? Folic acid is a type of B vitamin that is normally found in foods such as dried beans, peas, lentils, oranges, whole-wheat products, liver, asparagus, beets, broccoli, brussels sprouts, and spinach. Folic acid helps your body produce and maintain new cells, and also helps prevent changes to DNA that may lead to cancer. As a medication, folic acid is used to treat folic acid deficiency and certain types of anemia (lack of red blood cells) caused by folic acid deficiency. Folic acid is sometimes used with other medications to treat pernicious anemia. Folic acid used alone will not treat pernicious anemia and other anemias not related to Vitamin B12 deficiency. Take all of your medications as directed. Warnings You should not use this medication if you have ever had an allergic reaction to folic acid. Before you take folic acid, tell your doctor if you have kidney disease (or if you are on dialysis), an infection, if you are an alcoholic, or if you have any type of anemia that has not been diagnosed by a doctor and confirmed with laboratory testing. Talk to your doctor about taking folic acid during pregnancy or while breast-feeding. Folic acid is sometimes used in combination with other medications to treat pernicious anemia. Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use. Before taking this medicine You should not use this medicine if you have ever had an allergic reaction to folic acid. Ask a doctor or pharmacist if this medicine is safe to use if you have ever had: epilepsy or other seizure disorder; cirrhosis or other liver disease; kidney disease (or if you are on dialysis); hemolytic anemia; pernicious anemia; anemia that has not been diagnosed by a doctor and confirmed with laboratory testing; an infection; or alcoholism. Tell your doctor if you are pregnant or breastfeeding. Your dose needs may be different during pregnancy or while you are breastfeeding. How should I use folic acid? Take folic acid exactly as prescribed by your doctor. Do not take it in larger amounts or for longer than recommended. Follow the directions on your prescription label. Folic acid oral is taken by mouth. Folic acid injection is given into a muscle, under the skin, or into a vein. A healthcare provider will give you this injection. Take folic acid tablets with a full glass of water. Your doctor may occasionally change your dose to make sure you get the best results from this medication. Store folic acid at room temperature away from moisture and heat. Dosing information Usual Adult Dose for Megaloblastic Anemia: 1 mg orally, intramuscularly, subcutaneously or IV once a day. May continue until clinical symptoms of folate deficiency and the hematological profile have normalized. Usual Adult Dose for Folic Acid Deficiency: 400 to 800 mcg orally, intramuscularly, subcutaneously or IV once a day. Women of childbearing age, pregnant, and lactating women: 800 mcg orally, intramuscularly, subcutaneously or IV once a day. Usual Pediatric Dose for Folic Acid Deficiency: Infant: 0.1 mg orally, intramuscularly, subcutaneously or IV once a day. Child: Initial dose: 1 mg orally, intramuscularly, subcutaneously or IV once a day. Maintenance dose: 1 to 10 years: 0.1 to 0.4 mg orally, intramuscularly, subcutaneously or IV once a day. > 10 years: 0.5 orally, intramuscularly, subcutaneously or IV once a 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 should I avoid while taking folic acid? Follow your doctor's instructions about any restrictions on food, beverages, or activity. Folic acid side effects Get emergency medical help if you have signs of an allergic reaction to folic acid: hives, rash, itching, skin redness; wheezing, difficult breathing; swelling of your face, lips, tongue, or throat. Common folic acid side effects may include: nausea, loss of appetite; bloating, gas, stomach pain; bitter or unpleasant taste in your mouth; confusion, trouble concentrating; sleep problems; depression; or feeling excited or irritable.  

Furosemide Tablet

Blood Pressure / Fluid Retention

What is furosemide? Furosemide is a loop diuretic (water pill) that prevents your body from absorbing too much salt. This allows the salt to instead be passed in your urine. Furosemide is used to treat fluid retention (edema) in people with congestive heart failure, liver disease, or a kidney disorder such as nephrotic syndrome. Furosemide is also used to treat high blood pressure (hypertension). Warnings You should not use furosemide if you are unable to urinate. Do not take more than your recommended dose. High doses of furosemide may cause irreversible hearing loss. Before using furosemide, tell your doctor if you have kidney disease, enlarged prostate, urination problems, cirrhosis or other liver disease, an electrolyte imbalance, high cholesterol, gout, lupus, diabetes, or an allergy to sulfa drugs. Tell your doctor if you have recently had an MRI (magnetic resonance imaging) or any type of scan using a radioactive dye that is injected into your veins. Do not take more of this medication than is recommended. If you are being treated for high blood pressure, keep using this medication even if you feel fine. High blood pressure often has no symptoms. Before taking this medicine You should not use furosemide if you are allergic to it, or if you are unable to urinate. Tell your doctor if you have ever had: kidney disease; enlarged prostate, bladder obstruction, urination problems; cirrhosis or other liver disease; an electrolyte imbalance (such as low levels of potassium or magnesium in your blood); gout; lupus; diabetes; or a sulfa drug allergy. Tell your doctor if you have an MRI (magnetic resonance imaging) or any type of scan using a radioactive dye that is injected into your veins. Both contrast dyes and furosemide can harm your kidneys. It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. It may not be safe to breastfeed while using this medicine. Ask your doctor about any risk. Furosemide may slow breast milk production. How should I take furosemide? Take furosemide 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. Furosemide oral is taken by mouth. The injection is injected into a muscle or 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. You may receive your first dose in a hospital or clinic setting if you have severe liver disease. Do not take more than your recommended dose. High doses of furosemide may cause irreversible hearing loss. Measure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon). Furosemide doses are based on weight in children. Your child's dose needs may change if the child gains or loses weight. Furosemide will make you urinate more often and you may get dehydrated easily. Follow your doctor's instructions about using potassium supplements or getting enough salt and potassium in your diet. Your blood pressure will need to be checked often and you may need other medical tests. 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. If you need surgery, tell the surgeon ahead of time that you are using this medicine. Store at room temperature away from moisture, heat, and light. Throw away any unused oral liquid after 90 days.   What happens if I miss a dose? Furosemide is sometimes used only once, so you may not be on a dosing schedule. If you are using the medication regularly, 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 feeling very thirsty or hot, heavy sweating, hot and dry skin, extreme weakness, or fainting. What to avoid Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Avoid becoming dehydrated. Follow your doctor's instructions about the type and amount of liquids you should drink while you are taking furosemide. Drinking alcohol with furosemide can cause side effects. If you have high blood pressure, ask a doctor or pharmacist before taking any medicines that can raise your blood pressure, such as diet pills or cough-and-cold medicine. Furosemide side effects Get emergency medical help if you have signs of an allergic reaction to furosemide (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning in your eyes, skin pain, red or purple skin rash that spreads and causes blistering and peeling). To make sure this medicine is safe for you, tell your doctor if you have: a light-headed feeling, like you might pass out; ringing in your ears, hearing loss; muscle spasms or contractions; pale skin, easy bruising, unusual bleeding; high blood sugar - increased thirst, increased urination, dry mouth, fruity breath odor; kidney problems - little or no urination, swelling in your feet or ankles, feeling tired or short of breath; signs of liver or pancreas problems - loss of appetite, upper stomach pain (that may spread to your back), nausea or vomiting, dark urine, jaundice (yellowing of the skin or eyes); or signs of an electrolyte imbalance - dry mouth, thirst, weakness, drowsiness, feeling jittery or unsteady, vomiting, irregular heartbeats, fluttering in your chest, numbness or tingling, muscle cramps, muscle weakness or limp feeling. Common furosemide side effects may include: diarrhea, constipation, loss of appetite; numbness or tingling; headache, dizziness; or blurred vision. 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 furosemide? Sometimes it is not safe to use certain medications at the same time. Some drugs can affect your blood levels of other drugs you take, which may increase side effects or make the medications less effective. If you also take sucralfate, take your furosemide dose 2 hours before or 2 hours after you take sucralfate. Tell your doctor about all your other medicines, especially: another diuretic, especially ethacrynic acid; chloral hydrate; lithium; phenytoin; an injected antibiotic; cancer medicine, such as cisplatin; heart or blood pressure medicine; or salicylates such as aspirin, Nuprin Backache Caplet, Kaopectate, KneeRelief, Pamprin Cramp Formula, Pepto-Bismol, Tricosal, Trilisate, and others. This list is not complete. Other drugs may interact with furosemide, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Gabapentin capsule

Seizures / Bipolar Disorder

What is gabapentin? Gabapentin is an anti-epileptic drug, also called an anticonvulsant. It affects chemicals and nerves in the body that are involved in the cause of seizures and some types of pain. Gabapentin is used together with other medicines to treat partial seizures in adults and children at least 3 years old. Gabapentin is also used to treat neuropathic pain (nerve pain) caused by herpes virus or shingles (herpes zoster) in adults. Use only the brand and form of gabapentin your doctor has prescribed. Check your medicine each time you get a refill to make sure you receive the correct form. The Gralise brand of gabapentin is indicated for the management of neuropathic pain only. It is not used for epilepsy. Horizant is used to treat nerve pain and restless legs syndrome (RLS). The Neurontin brand is used to treat seizures in adults and children who are at least 3 years old, in addition to neuropathic pain. Warnings Gabapentin can cause life-threatening breathing problems, especially if you already have a breathing disorder or if you use other medicines that can make you drowsy or slow your breathing. Seek emergency medical attention if you have very slow breathing. Some people have thoughts about suicide or behavior changes while taking gabapentin. Stay alert to changes in your mood or symptoms. Report any new or worsening symptoms to your doctor. Avoid driving or hazardous activity until you know how gabapentin will affect you. Dizziness or drowsiness can cause falls, accidents, or severe injuries. Do not stop using gabapentin suddenly, even if you feel fine. Before taking this medicine You should not use gabapentin if you are allergic to it. To make sure gabapentin is safe for you, tell your doctor if you have ever had: breathing problems or lung disease, such as chronic obstructive pulmonary disease (COPD); kidney disease (or if you are on dialysis); diabetes; depression, a mood disorder, or suicidal thoughts or actions; a drug addiction; a seizure (unless you take gabapentin to treat seizures); liver disease; heart disease; or (for patients with RLS) if you are a day sleeper or work a night shift. Some people have thoughts about suicide while taking this medicine. Children taking gabapentin may have behavior changes. Stay alert to changes in your mood or symptoms. Report any new or worsening symptoms to your doctor. It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. Seizure control is very important during pregnancy, and having a seizure could harm both mother and baby. Do not start or stop taking gabapentin for seizures without your doctor's advice, and tell your doctor right away if you become pregnant. If you are pregnant, your name may be listed on a pregnancy registry to track the effects of gabapentin on the baby. It may not be safe to breastfeed while using this medicine. Ask your doctor about any risk. How should I take gabapentin? Take gabapentin exactly as prescribed by your doctor. Follow all directions on your prescription label. Do not take in larger or smaller amounts or for longer than recommended. If your doctor changes your brand, strength, or type of gabapentin, your dosage needs may change. Ask your pharmacist if you have any questions about the new kind of gabapentin you receive at the pharmacy. Both Gralise and Horizant should be taken with food. Neurontin can be taken with or without food. If you break a Neurontin tablet and take only half of it, take the other half at your next dose. Any tablet that has been broken should be used as soon as possible or within a few days. Swallow the capsule or tablet whole and do not crush, chew, break, or open it. Measure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon). Do not stop taking this medicine suddenly, even if you feel fine. Stopping suddenly may cause increased seizures. Follow your doctor's instructions about tapering your dose. In case of emergency, wear or carry medical identification to let others know you have seizures. This medicine can cause unusual results with certain medical tests. Tell any doctor who treats you that you are using gabapentin. Store both the tablets and capsules at room temperature away from light and moisture. Store the liquid medicine in the refrigerator. Do not freeze. Dosing information Usual Adult Dose for Epilepsy: Initial dose: 300 mg orally on day one, 300 mg orally 2 times day on day two, then 300 mg orally 3 times a day on day three Maintenance dose: 300 to 600 mg orally 3 times a day Maximum dose: 3600 mg orally daily (in 3 divided doses) -Maximum time between doses in the 3 times a day schedule should not exceed 12 hours -The safety and effectiveness of gabapentin available under the trade name Gralise or Horizant in patients with epilepsy has not been studied. Use: Adjunctive therapy in the treatment of partial onset seizures, with and without secondary generalization Usual Adult Dose for Postherpetic Neuralgia: -Initial dose: 300 mg orally on day one, 300 mg orally 2 times day on day two, then 300 mg orally 3 times a day on day three -Titrate up as needed for pain relief -Maximum dose: 1800 mg per day (600 mg orally 3 times a day) Gabapentin available under the trade name Gralise: -Maintenance dose: Gralise should be titrated to 1800 mg orally once daily with the evening meal. -Recommended titration schedule: Day 1: 300 mg orally with the evening meal Day 2: 600 mg orally with the evening meal Days 3 through 6: 900 mg orally with the evening meal Days 7 through 10: 1200 mg orally with the evening meal Days 11 through 14: 1500 mg orally with the evening meal Day 15: 1800 mg orally with the evening meal COMMENT: -Gralise is not interchangeable with other gabapentin products because of differing pharmacokinetic profiles that affect the frequency of administration. Gabapentin enacarbil extended release tablets are available under the trade name Horizant: -The recommended dosage is 600 mg orally 2 times a day. Therapy should be initiated at a dose of 600 mg orally in the morning for 3 days of therapy, then increased to 600 mg 2 times a day (1200 mg/day) on day four. COMMENT: Gabapentin enacarbil extended release tablets available under the trade name Horizant and gabapentin are not interchangeable. Use: Postherpetic neuralgia Usual Adult Dose for Restless Legs Syndrome: Gabapentin enacarbil available under the trade name Horizant: 600 mg orally once daily with food at about 5 PM Use: For the treatment of moderate-to-severe primary Restless Legs Syndrome (RLS) in adults Usual Pediatric Dose for Epilepsy: Less than 3 years: Not recommended Greater than or equal to 3 and less than 12 years: Starting Dose: Ranges from 10 to 15 mg/kg/day in 3 divided doses Effective Dose: Reached by upward titration over a period of approximately 3 days; the effective dose in patients 5 years of age and older is 25 to 35 mg/kg/day in divided doses (3 times a day). The effective dose in pediatric patients ages 3 and 4 years is 40 mg/kg/day and given in divided doses (3 times a day). Gabapentin may be administered as the oral solution, capsule, or tablet, or using combinations of these formulations. Dosages up to 50 mg/kg/day have been well tolerated in a long term clinical study. The maximum time interval between doses should not exceed 12 hours. Greater than 12 years: -Initial dose: 300 mg orally on day one, 300 mg orally 2 times a day on day two, then 300 mg orally 3 times a day on day three -Maintenance dose: 900 to 1800 mg orally in 3 divided doses; the dose may be increased up to 1800 mg/day. Dosages up to 2400 mg/day have been well tolerated in long term clinical studies. Doses of 3600 mg/day have also been administered to a small number of patients for a relatively short duration, and have been well tolerated. The maximum time between doses in the three times a day schedule should not exceed 12 hours. Use: Adjunctive therapy in the treatment of partial onset seizures, with and without secondary generalization in patients 3 years of age and older   What happens if I miss a dose? Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time. If you take Horizant: Skip the missed dose and use your next dose at the regular time. Do not use two doses of Horizant 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 gabapentin will affect you. Your reactions could be impaired. Dizziness or drowsiness can cause falls, accidents, or severe injuries. Avoid taking an antacid within 2 hours before you take gabapentin. Antacids can make it harder for your body to absorb gabapentin. Avoid drinking alcohol while taking gabapentin. Gabapentin side effects Get emergency medical help if you have signs of an allergic reaction to gabapentin: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Seek medical treatment if you have a serious drug reaction that can affect many parts of your body. Symptoms may include: skin rash, fever, swollen glands, muscle aches, severe weakness, unusual bruising, upper stomach pain, or yellowing of your skin or eyes. 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), depressed, or have thoughts about suicide or hurting yourself. Call your doctor at once if you have: weak or shallow breathing; blue-colored skin, lips, fingers, and toes; confusion, extreme drowsiness or weakness; problems with balance or muscle movement; unusual or involuntary eye movements; or increased seizures. Gabapentin can cause life-threatening breathing problems. A person caring for you should seek emergency medical attention if you have slow breathing with long pauses, blue colored lips, or if you are hard to wake up. Breathing problems may be more likely in older adults or in people with COPD. Some side effects are more likely in children taking gabapentin. Contact your doctor if the child taking this medicine has any of the following side effects: changes in behavior; memory problems; trouble concentrating; or acting restless, hostile, or aggressive. Common gabapentin side effects may include: fever, chills, sore throat, body aches, unusual tiredness; jerky movements; headache; double vision; swelling of your legs and feet; tremors; trouble speaking; dizziness, drowsiness, tiredness; problems with balance or eye movements; or nausea, vomiting. 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 gabapentin? Using gabapentin with other drugs that make you drowsy or slow your breathing can cause dangerous side effects or death. Ask your doctor before using opioid medication, a sleeping pill, cold or allergy medicine, a muscle relaxer, or medicine for anxiety or seizures. other drugs may interact with gabapentin, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.

Gabapentin tablet

Seizures / Pain

What is gabapentin? Gabapentin is an anti-epileptic drug, also called an anticonvulsant. It affects chemicals and nerves in the body that are involved in the cause of seizures and some types of pain. Gabapentin is used together with other medicines to treat partial seizures in adults and children at least 3 years old. Gabapentin is also used to treat neuropathic pain (nerve pain) caused by herpes virus or shingles (herpes zoster) in adults. Use only the brand and form of gabapentin your doctor has prescribed. Check your medicine each time you get a refill to make sure you receive the correct form. The Gralise brand of gabapentin is indicated for the management of neuropathic pain only. It is not used for epilepsy. Horizant is used to treat nerve pain and restless legs syndrome (RLS). The Neurontin brand is used to treat seizures in adults and children who are at least 3 years old, in addition to neuropathic pain. Warnings Gabapentin can cause life-threatening breathing problems, especially if you already have a breathing disorder or if you use other medicines that can make you drowsy or slow your breathing. Seek emergency medical attention if you have very slow breathing. Some people have thoughts about suicide or behavior changes while taking gabapentin. Stay alert to changes in your mood or symptoms. Report any new or worsening symptoms to your doctor. Avoid driving or hazardous activity until you know how gabapentin will affect you. Dizziness or drowsiness can cause falls, accidents, or severe injuries. Do not stop using gabapentin suddenly, even if you feel fine. Before taking this medicine You should not use gabapentin if you are allergic to it. To make sure gabapentin is safe for you, tell your doctor if you have ever had: breathing problems or lung disease, such as chronic obstructive pulmonary disease (COPD); kidney disease (or if you are on dialysis); diabetes; depression, a mood disorder, or suicidal thoughts or actions; a drug addiction; a seizure (unless you take gabapentin to treat seizures); liver disease; heart disease; or (for patients with RLS) if you are a day sleeper or work a night shift. Some people have thoughts about suicide while taking this medicine. Children taking gabapentin may have behavior changes. Stay alert to changes in your mood or symptoms. Report any new or worsening symptoms to your doctor. It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. Seizure control is very important during pregnancy, and having a seizure could harm both mother and baby. Do not start or stop taking gabapentin for seizures without your doctor's advice, and tell your doctor right away if you become pregnant. If you are pregnant, your name may be listed on a pregnancy registry to track the effects of gabapentin on the baby. It may not be safe to breastfeed while using this medicine. Ask your doctor about any risk. How should I take gabapentin? Take gabapentin exactly as prescribed by your doctor. Follow all directions on your prescription label. Do not take in larger or smaller amounts or for longer than recommended. If your doctor changes your brand, strength, or type of gabapentin, your dosage needs may change. Ask your pharmacist if you have any questions about the new kind of gabapentin you receive at the pharmacy. Both Gralise and Horizant should be taken with food. Neurontin can be taken with or without food. If you break a Neurontin tablet and take only half of it, take the other half at your next dose. Any tablet that has been broken should be used as soon as possible or within a few days. Swallow the capsule or tablet whole and do not crush, chew, break, or open it. Measure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon). Do not stop taking this medicine suddenly, even if you feel fine. Stopping suddenly may cause increased seizures. Follow your doctor's instructions about tapering your dose. In case of emergency, wear or carry medical identification to let others know you have seizures. This medicine can cause unusual results with certain medical tests. Tell any doctor who treats you that you are using gabapentin. Store both the tablets and capsules at room temperature away from light and moisture. Store the liquid medicine in the refrigerator. Do not freeze. Dosing information Usual Adult Dose for Epilepsy: Initial dose: 300 mg orally on day one, 300 mg orally 2 times day on day two, then 300 mg orally 3 times a day on day three Maintenance dose: 300 to 600 mg orally 3 times a day Maximum dose: 3600 mg orally daily (in 3 divided doses) -Maximum time between doses in the 3 times a day schedule should not exceed 12 hours -The safety and effectiveness of gabapentin available under the trade name Gralise or Horizant in patients with epilepsy has not been studied. Use: Adjunctive therapy in the treatment of partial onset seizures, with and without secondary generalization Usual Adult Dose for Postherpetic Neuralgia: -Initial dose: 300 mg orally on day one, 300 mg orally 2 times day on day two, then 300 mg orally 3 times a day on day three -Titrate up as needed for pain relief -Maximum dose: 1800 mg per day (600 mg orally 3 times a day) Gabapentin available under the trade name Gralise: -Maintenance dose: Gralise should be titrated to 1800 mg orally once daily with the evening meal. -Recommended titration schedule: Day 1: 300 mg orally with the evening meal Day 2: 600 mg orally with the evening meal Days 3 through 6: 900 mg orally with the evening meal Days 7 through 10: 1200 mg orally with the evening meal Days 11 through 14: 1500 mg orally with the evening meal Day 15: 1800 mg orally with the evening meal COMMENT: -Gralise is not interchangeable with other gabapentin products because of differing pharmacokinetic profiles that affect the frequency of administration. Gabapentin enacarbil extended release tablets are available under the trade name Horizant: -The recommended dosage is 600 mg orally 2 times a day. Therapy should be initiated at a dose of 600 mg orally in the morning for 3 days of therapy, then increased to 600 mg 2 times a day (1200 mg/day) on day four. COMMENT: Gabapentin enacarbil extended release tablets available under the trade name Horizant and gabapentin are not interchangeable. Use: Postherpetic neuralgia Usual Adult Dose for Restless Legs Syndrome: Gabapentin enacarbil available under the trade name Horizant: 600 mg orally once daily with food at about 5 PM Use: For the treatment of moderate-to-severe primary Restless Legs Syndrome (RLS) in adults Usual Pediatric Dose for Epilepsy: Less than 3 years: Not recommended Greater than or equal to 3 and less than 12 years: Starting Dose: Ranges from 10 to 15 mg/kg/day in 3 divided doses Effective Dose: Reached by upward titration over a period of approximately 3 days; the effective dose in patients 5 years of age and older is 25 to 35 mg/kg/day in divided doses (3 times a day). The effective dose in pediatric patients ages 3 and 4 years is 40 mg/kg/day and given in divided doses (3 times a day). Gabapentin may be administered as the oral solution, capsule, or tablet, or using combinations of these formulations. Dosages up to 50 mg/kg/day have been well tolerated in a long term clinical study. The maximum time interval between doses should not exceed 12 hours. Greater than 12 years: -Initial dose: 300 mg orally on day one, 300 mg orally 2 times a day on day two, then 300 mg orally 3 times a day on day three -Maintenance dose: 900 to 1800 mg orally in 3 divided doses; the dose may be increased up to 1800 mg/day. Dosages up to 2400 mg/day have been well tolerated in long term clinical studies. Doses of 3600 mg/day have also been administered to a small number of patients for a relatively short duration, and have been well tolerated. The maximum time between doses in the three times a day schedule should not exceed 12 hours. Use: Adjunctive therapy in the treatment of partial onset seizures, with and without secondary generalization in patients 3 years of age and older   What happens if I miss a dose? Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time. If you take Horizant: Skip the missed dose and use your next dose at the regular time. Do not use two doses of Horizant 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 gabapentin will affect you. Your reactions could be impaired. Dizziness or drowsiness can cause falls, accidents, or severe injuries. Avoid taking an antacid within 2 hours before you take gabapentin. Antacids can make it harder for your body to absorb gabapentin. Avoid drinking alcohol while taking gabapentin. Gabapentin side effects Get emergency medical help if you have signs of an allergic reaction to gabapentin: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Seek medical treatment if you have a serious drug reaction that can affect many parts of your body. Symptoms may include: skin rash, fever, swollen glands, muscle aches, severe weakness, unusual bruising, upper stomach pain, or yellowing of your skin or eyes. 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), depressed, or have thoughts about suicide or hurting yourself. Call your doctor at once if you have: weak or shallow breathing; blue-colored skin, lips, fingers, and toes; confusion, extreme drowsiness or weakness; problems with balance or muscle movement; unusual or involuntary eye movements; or increased seizures. Gabapentin can cause life-threatening breathing problems. A person caring for you should seek emergency medical attention if you have slow breathing with long pauses, blue colored lips, or if you are hard to wake up. Breathing problems may be more likely in older adults or in people with COPD. Some side effects are more likely in children taking gabapentin. Contact your doctor if the child taking this medicine has any of the following side effects: changes in behavior; memory problems; trouble concentrating; or acting restless, hostile, or aggressive. Common gabapentin side effects may include: fever, chills, sore throat, body aches, unusual tiredness; jerky movements; headache; double vision; swelling of your legs and feet; tremors; trouble speaking; dizziness, drowsiness, tiredness; problems with balance or eye movements; or nausea, vomiting. 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 gabapentin? Using gabapentin with other drugs that make you drowsy or slow your breathing can cause dangerous side effects or death. Ask your doctor before using opioid medication, a sleeping pill, cold or allergy medicine, a muscle relaxer, or medicine for anxiety or seizures. other drugs may interact with gabapentin, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.

Galantamine ER capsule

Alzheimers / Dementia

What is galantamine? Galantamine improves the function of nerve cells in the brain. It works by preventing the breakdown of a chemical called acetylcholine (ah see til KO leen). People with dementia usually have lower levels of this chemical, which is important for the processes of memory, thinking, and reasoning. Galantamine is used to treat mild to moderate Alzheimer's type dementia. Galantamine may also be used for purposes not listed in this medication guide. Warnings Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use. Before taking this medicine You should not use galantamine if you are allergic to it. To make sure galantamine is safe for you, tell your doctor if you have: urination problems; heart disease or a heart rhythm disorder; a history of stomach ulcer or bleeding; seizures or epilepsy; kidney disease; liver disease; or a history of asthma or chronic obstructive pulmonary disease (COPD). It is not known whether galantamine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. It is not known whether galantamine passes into breast milk or if it could affect the nursing baby. Tell your doctor if you are breast-feeding. How should I take galantamine? Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not use this medicine in larger or smaller amounts or for longer than recommended. The galantamine extended-release capsule is usually taken once per day in the morning. Follow your doctor's instructions. The galantamine short-acting tablet or the oral solution (liquid) are usually given two times per day, with meals. Follow your doctor's instructions. The extended-release capsule works best if you take it with food. Do not crush, chew, break, or open an extended-release capsule. Swallow it whole. Measure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one. Read all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions. Take galantamine with a full glass of water. Drink 6 to 8 full glasses of water each day to keep from getting dehydrated while taking this medication. If you need surgery, tell the surgeon ahead of time that you are using galantamine. You may need to stop using the medicine for a short time. If you have stopped taking galantamine for any reason, talk with your doctor before you start taking it again. You may need to restart the medication at a lower dose. Store at room temperature away from moisture and heat. Do not allow the liquid medicine to freeze. What happens if I miss a dose? Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Overdose symptoms may include severe nausea, vomiting, stomach cramps, muscle weakness or spasm, watery eyes, drooling, increased urination or bowel movements, sweating, slow heart rate, feeling light-headed or fainting, and seizure (convulsions). What should I avoid while taking galantamine? This medication may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Galantamine 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. Galantamine can cause serious skin reactions. Stop using galantamine and call your doctor at once if you have the first signs of any skin rash, no matter how mild. Call your doctor at once if you have: chest pain, slow heart rate; little or no urinating; blood in your urine; signs of stomach bleeding--bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds; liver problems--nausea, upper stomach pain, itching, tired feeling, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes); dehydration symptoms--feeling very thirsty or hot, being unable to urinate, heavy sweating, or hot and dry skin; a light-headed feeling, like you might pass out; or severe skin reaction--fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling. Common side effects may include: nausea, vomiting, diarrhea, loss of appetite; headache, dizziness; or weight loss. 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.   Galantamine dosing information Usual Adult Dose for Alzheimer's Disease: Immediate release tablet and oral solution: Initial dose: 4 mg orally twice a day, preferably with morning and evening meals -After a minimum of four weeks, increase to 8 mg twice a day, then after an additional 4 weeks, may increase to 12 mg twice a day Maintenance dose: 16 to 24 mg per day given in 2 divided doses Maximum dose: 24 mg/day Extended release capsule: Initial dose: 8 mg orally once a day, preferably with the morning meal -After 4 weeks, dose should be increased to 16 mg once a day, a further increase to 24 mg once a day may be considered after a minimum of 4 weeks of taking 16 mg/day Maintenance dose: 16 to 24 mg orally once a day based on clinical benefit and tolerability Maximum dose: 24 mg/day Conversion from Immediate-Release (IR) Tablets or Oral Solution to Extended-Release (ER) Capsules: -Take the last dose of IR formulation n in the evening prior to starting ER capsule; start ER capsule following morning at once a day dosing -Converting from IR to ER should occur at the same total daily dosage Comments: -During clinical trials, an immediate-release dose of 32 mg per day was found to be less well tolerated and did not increase clinical benefit; dosing at 24 mg/day was not found to provide statistically significant increased clinical benefit from 16 mg/day; however, it might provide additional benefit for some patients. -Dose increases should be based upon assessment of clinical benefit and tolerability of the previous dose. -If therapy is interrupted for more than 3 days, the patient should be restarted at the lowest dosage and the dosage escalated to current dose. Use: For the treatment of mild to moderate dementia of the Alzheimer's type.   What other drugs will affect galantamine? Tell your doctor about all your current medicines and any you start or stop using, especially: atropine; cold or allergy medicine that contains an antihistamine (Benadryl and others); medicine to treat Parkinson's disease; medicine to treat excess stomach acid, stomach ulcer, motion sickness, or irritable bowel syndrome; bladder or urinary medicines--darifenacin, fesoterodine, oxybutynin, tolterodine, solifenacin; bronchodilators--aclidinium, ipratropium, or tiotropium; This list is not complete. Other drugs may interact with galantamine, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

Galantamine tablet

Alzheimers / Dementia

What is galantamine? Galantamine improves the function of nerve cells in the brain. It works by preventing the breakdown of a chemical called acetylcholine (ah see til KO leen). People with dementia usually have lower levels of this chemical, which is important for the processes of memory, thinking, and reasoning. Galantamine is used to treat mild to moderate Alzheimer's type dementia. Galantamine may also be used for purposes not listed in this medication guide. Warnings Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use. Before taking this medicine You should not use galantamine if you are allergic to it. To make sure galantamine is safe for you, tell your doctor if you have: urination problems; heart disease or a heart rhythm disorder; a history of stomach ulcer or bleeding; seizures or epilepsy; kidney disease; liver disease; or a history of asthma or chronic obstructive pulmonary disease (COPD). It is not known whether galantamine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. It is not known whether galantamine passes into breast milk or if it could affect the nursing baby. Tell your doctor if you are breast-feeding. How should I take galantamine? Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not use this medicine in larger or smaller amounts or for longer than recommended. The galantamine extended-release capsule is usually taken once per day in the morning. Follow your doctor's instructions. The galantamine short-acting tablet or the oral solution (liquid) are usually given two times per day, with meals. Follow your doctor's instructions. The extended-release capsule works best if you take it with food. Do not crush, chew, break, or open an extended-release capsule. Swallow it whole. Measure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one. Read all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions. Take galantamine with a full glass of water. Drink 6 to 8 full glasses of water each day to keep from getting dehydrated while taking this medication. If you need surgery, tell the surgeon ahead of time that you are using galantamine. You may need to stop using the medicine for a short time. If you have stopped taking galantamine for any reason, talk with your doctor before you start taking it again. You may need to restart the medication at a lower dose. Store at room temperature away from moisture and heat. Do not allow the liquid medicine to freeze. What happens if I miss a dose? Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Overdose symptoms may include severe nausea, vomiting, stomach cramps, muscle weakness or spasm, watery eyes, drooling, increased urination or bowel movements, sweating, slow heart rate, feeling light-headed or fainting, and seizure (convulsions). What should I avoid while taking galantamine? This medication may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Galantamine 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. Galantamine can cause serious skin reactions. Stop using galantamine and call your doctor at once if you have the first signs of any skin rash, no matter how mild. Call your doctor at once if you have: chest pain, slow heart rate; little or no urinating; blood in your urine; signs of stomach bleeding--bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds; liver problems--nausea, upper stomach pain, itching, tired feeling, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes); dehydration symptoms--feeling very thirsty or hot, being unable to urinate, heavy sweating, or hot and dry skin; a light-headed feeling, like you might pass out; or severe skin reaction--fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling. Common side effects may include: nausea, vomiting, diarrhea, loss of appetite; headache, dizziness; or weight loss. 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. Galantamine side effects (more detail) Galantamine dosing information Usual Adult Dose for Alzheimer's Disease: Immediate release tablet and oral solution: Initial dose: 4 mg orally twice a day, preferably with morning and evening meals -After a minimum of four weeks, increase to 8 mg twice a day, then after an additional 4 weeks, may increase to 12 mg twice a day Maintenance dose: 16 to 24 mg per day given in 2 divided doses Maximum dose: 24 mg/day Extended release capsule: Initial dose: 8 mg orally once a day, preferably with the morning meal -After 4 weeks, dose should be increased to 16 mg once a day, a further increase to 24 mg once a day may be considered after a minimum of 4 weeks of taking 16 mg/day Maintenance dose: 16 to 24 mg orally once a day based on clinical benefit and tolerability Maximum dose: 24 mg/day Conversion from Immediate-Release (IR) Tablets or Oral Solution to Extended-Release (ER) Capsules: -Take the last dose of IR formulation n in the evening prior to starting ER capsule; start ER capsule following morning at once a day dosing -Converting from IR to ER should occur at the same total daily dosage Comments: -During clinical trials, an immediate-release dose of 32 mg per day was found to be less well tolerated and did not increase clinical benefit; dosing at 24 mg/day was not found to provide statistically significant increased clinical benefit from 16 mg/day; however, it might provide additional benefit for some patients. -Dose increases should be based upon assessment of clinical benefit and tolerability of the previous dose. -If therapy is interrupted for more than 3 days, the patient should be restarted at the lowest dosage and the dosage escalated to current dose. Use: For the treatment of mild to moderate dementia of the Alzheimer's type. Detailed Galantamine dosage information What other drugs will affect galantamine? Tell your doctor about all your current medicines and any you start or stop using, especially: atropine; cold or allergy medicine that contains an antihistamine (Benadryl and others); medicine to treat Parkinson's disease; medicine to treat excess stomach acid, stomach ulcer, motion sickness, or irritable bowel syndrome; bladder or urinary medicines--darifenacin, fesoterodine, oxybutynin, tolterodine, solifenacin; bronchodilators--aclidinium, ipratropium, or tiotropium; This list is not complete. Other drugs may interact with galantamine, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

Gemfibrozil tablet

Heart Disease

What is gemfibrozil? Gemfibrozil helps reduce cholesterol and triglycerides (fatty acids) in the blood. High levels of these types of fat in the blood are associated with an increased risk of atherosclerosis (clogged arteries). Gemfibrozil is used together with diet to treat very high cholesterol and triglyceride levels in people with pancreatitis. Gemfibrozil is also used to lower the risk of stroke, heart attack, or other heart complications in certain people with high cholesterol and triglycerides who have not been helped by other treatment methods. Warnings You should not take gemfibrozil if you have severe liver or kidney disease, gallbladder disease, or if you are also taking repaglinide, dasabuvir, or simvastatin. Before taking this medicine You should not use gemfibrozil if you are allergic to it, if you have: severe liver disease; severe kidney disease; gallbladder disease; or if you are also taking repaglinide, dasabuvir, or simvastatin. To make sure gemfibrozil is safe for you, tell your doctor if you have ever had:: gallstones; or if you also take warfarin (Coumadin, Jantoven). It is not known whether gemfibrozil will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. It may not be safe to breastfeed while using this medicine. Ask your doctor about any risk. How should I take gemfibrozil? Take gemfibrozil exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Gemfibrozil is usually taken 30 minutes before breakfast and dinner. Follow your doctor's dosing instructions very carefully. Gemfibrozil is only part of a complete treatment program that may also include diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely. You may need frequent medical tests. Even if you have no symptoms, tests can help your doctor determine if this medicine is effective. Store at room temperature away from moisture, heat, and light. Dosing information Usual Adult Dose of Gemfibrozil for Hyperlipidemia: 600 mg orally twice a day, 30 minutes before the morning and evening meals Uses: As an adjunct to diet in the following situations: to treat hypertriglyceridemia in Types IV and V hyperlipidemia in patients who present at risk for pancreatitis and who do not respond adequately to diet; to reduce the risk for coronary heart disease (CHD) only in Type IIb patients without a history of or symptoms of existing CHD who have not responded adequately to other pharmacologic agents and nonpharmacologic interventions and who have low high density lipoprotein (HDL), elevated low density lipoprotein (LDL), and elevated triglycerides Usual Adult Dose of Gemfibrozil for Hyperlipoproteinemia Type IIb (Elevated LDL + VLDL): 600 mg orally twice a day, 30 minutes before the morning and evening meals Uses: As an adjunct to diet in the following situations: to treat hypertriglyceridemia in Types IV and V hyperlipidemia in patients who present at risk for pancreatitis and who do not respond adequately to diet; to reduce the risk for coronary heart disease (CHD) only in Type IIb patients without a history of or symptoms of existing CHD who have not responded adequately to other pharmacologic agents and nonpharmacologic interventions and who have low high density lipoprotein (HDL), elevated low density lipoprotein (LDL), and elevated triglycerides Usual Adult Dose of Gemfibrozil for Hyperlipoproteinemia Type IV (Elevated VLDL): 600 mg orally twice a day, 30 minutes before the morning and evening meals Uses: As an adjunct to diet in the following situations: to treat hypertriglyceridemia in Types IV and V hyperlipidemia in patients who present at risk for pancreatitis and who do not respond adequately to diet; to reduce the risk for coronary heart disease (CHD) only in Type IIb patients without a history of or symptoms of existing CHD who have not responded adequately to other pharmacologic agents and nonpharmacologic interventions and who have low high density lipoprotein (HDL), elevated low density lipoprotein (LDL), and elevated triglycerides Usual Adult Dose for Hyperlipoproteinemia Type V (Elevated Chylomicrons + VLDL): 600 mg orally twice a day, 30 minutes before the morning and evening meals Uses: As an adjunct to diet in the following situations: to treat hypertriglyceridemia in Types IV and V hyperlipidemia in patients who present at risk for pancreatitis and who do not respond adequately to diet; to reduce the risk for coronary heart disease (CHD) only in Type IIb patients without a history of or symptoms of existing CHD who have not responded adequately to other pharmacologic agents and nonpharmacologic interventions and who have low high density lipoprotein (HDL), elevated low density lipoprotein (LDL), and elevated triglycerides Usual Adult Dose for Hypertriglyceridemia: 600 mg orally twice a day, 30 minutes before the morning and evening meals Uses: As an adjunct to diet in the following situations: to treat hypertriglyceridemia in Types IV and V hyperlipidemia in patients who present at risk for pancreatitis and who do not respond adequately to diet; to reduce the risk for coronary heart disease (CHD) only in Type IIb patients without a history of or symptoms of existing CHD who have not responded adequately to other pharmacologic agents and nonpharmacologic interventions and who have low high density lipoprotein (HDL), elevated low density lipoprotein (LDL), and elevated triglycerides Usual Adult Dose for Prevention of Cardiovascular Disease: 600 mg orally twice a day, 30 minutes before the morning and evening meals Uses: As an adjunct to diet in the following situations: to treat hypertriglyceridemia in Types IV and V hyperlipidemia in patients who present at risk for pancreatitis and who do not respond adequately to diet; to reduce the risk for coronary heart disease (CHD) only in Type IIb patients without a history of or symptoms of existing CHD who have not responded adequately to other pharmacologic agents and nonpharmacologic interventions and who have low high density lipoprotein (HDL), elevated low density lipoprotein (LDL), and elevated triglycerides   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 gemfibrozil? Avoid eating foods high in fat or cholesterol, or gemfibrozil will not be as effective. Avoid drinking alcohol. It may interfere with your treatment. Gemfibrozil side effects Get emergency medical help if you have signs of an allergic reaction to gemfibrozil: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. In rare cases, gemfibrozil 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, and dark colored urine. Also call your doctor at once if you have: sharp pain in your upper stomach (especially after eating); jaundice (yellowing of your skin or eyes); pain or burning when you urinate; blurred vision, eye pain, or seeing halos around lights; or low blood cell counts - pale skin, easy bruising, unusual bleeding, unusual tiredness, feeling light-headed or short of breath, cold hands and feet. Common gemfibrozil side effects may include: stomach pain, indigestion, diarrhea; numbness or tingly feeling; dizziness, drowsiness; blurred vision; muscle or joint pain; or loss of interest in sex, impotence. 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 gemfibrozil? Using certain medicines together with gemfibrozil can increase your risk of serious muscle problems. It is very important to tell your doctor about all medicines you use, and those you start or stop using, especially: colchicine; or a "statin" cholesterol-lowering medicine - atorvastatin, fluvastatin, lovastatin, pitavastatin, pravastatin, rosuvastatin, simvastatin, Crestor, Lipitor, Zocor, Vytorin, and others. This list is not complete and many other drugs may interact with gemfibrozil. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Glimepiride Tablet

Diabetes

What is glimepiride? Glimepiride is an oral diabetes medicine that is used together with diet and exercise to improve blood sugar control in adults with type 2 diabetes mellitus. glimepiride is not for treating type 1 diabetes. Glimepiride may also be used for purposes not listed in this medication guide. Warnings You should not use glimepiride if you have diabetic ketoacidosis, or if you are allergic to sulfa drugs. Before taking this medicine You should not use glimepiride if you are allergic to it, or if you have: an allergy to sulfa drugs; or diabetic ketoacidosis (call your doctor for treatment). Tell your doctor if you have ever had: heart disease; liver or kidney disease; or an enzyme deficiency called glucose-6-phosphate dehydrogenase deficiency (G6PD). Glimepiride may increase your risk of serious heart problems, but not treating your diabetes can also damage your heart and other organs. Talk to your doctor about the risks and benefits of glimepiride. Follow your doctor's instructions about using this medicine if you are pregnant or you become pregnant. Controlling diabetes is very important during pregnancy, and having high blood sugar may cause complications in both the mother and the baby. However, you may need to stop taking glimepiride for a short time just before your due date. Medications similar to glimepiride have caused severe hypoglycemia in newborn babies whose mothers used the medicine near the time of delivery. If you take glimepiride during pregnancy, stop taking this medicine at least 2 weeks before your due date. If you breastfeed while taking glimepiride, call your doctor if your baby shows signs of hypoglycemia (extreme drowsiness, feeding problems, mottled skin, blue lips, feeling cold or jittery, or having a seizure). Glimepiride is not approved for use by anyone younger than 18 years old. How should I take glimepiride? 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. Glimepiride is usually taken once a day with breakfast or the first main meal of the day. Follow your doctor's instructions. Take glimepiride with a full glass of water. Your blood sugar will need to be checked often, and you may need other blood tests at your doctor's office. You may have low blood sugar (hypoglycemia) and feel very hungry, dizzy, irritable, confused, anxious, or shaky. To quickly treat hypoglycemia, eat or drink a fast-acting source of sugar (fruit juice, hard candy, crackers, raisins, or non-diet soda). Your doctor may prescribe a glucagon injection kit in case you have severe hypoglycemia. Be sure your family or close friends know how to give you this injection in an emergency. Blood sugar levels can be affected by stress, illness, surgery, exercise, alcohol use, or skipping meals. Ask your doctor before changing your dose or medication schedule. Glimepiride is only part of a treatment program that may also include diet, exercise, weight control, blood sugar testing, and special medical care. Follow your doctor's instructions very closely. 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. A glimepiride overdose can cause life-threatening hypoglycemia. Symptoms of severe hypoglycemia include extreme weakness, confusion, tremors, sweating, fast heart rate, trouble speaking, nausea, vomiting, rapid breathing, fainting, and seizure (convulsions). What should I avoid while taking glimepiride? Avoid drinking alcohol. It lowers blood sugar and may interfere with your diabetes treatment. Avoid exposure to sunlight or tanning beds. Glimepiride can make you sunburn more easily. Wear protective clothing and use sunscreen (SPF 30 or higher) when you are outdoors. Glimepiride 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). Call your doctor at once if you have: pale or yellowed skin, dark colored urine; confusion, weakness; or fever. Common side effects may include: headache; dizziness, weakness; nausea; or low blood sugar. 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.   Glimepiride dosing information Usual Adult Dose for Diabetes Type 2: Initial dose: 1 to 2 mg orally once a day Maintenance dose: Increase in 1 or 2 mg increments no more frequently than every 1 to 2 weeks based on glycemic response Maximum dose: 8 mg per day Comments: -Administer with breakfast or first main meal of the day. -In patients who are at increased risk for hypoglycemia, start with 1 mg orally once a day and titrate slowly. -When patients are being transferred to this drug from a longer half-life sulfonylurea, monitor 1 to 2 weeks for overlapping drug effect. Use: As an adjunct to diet and exercise to improve glycemic control in patients with type 2 diabetes mellitus. Usual Geriatric Dose for Diabetes Type 2: Initial dose: 1 mg orally once a day; titrate slowly and monitor closely Usual Pediatric Dose for Diabetes Type 2: Not recommended because of adverse effects on body weight and hypoglycemia.   What other drugs will affect glimepiride? Glimepiride may not work as well when you use other medicines at the same time. Some drugs can affect your blood levels of other drugs you take, which may increase side effects or make the medications less effective. If you also take colesevelam, take your glimepiride dose at least 4 hours before you take colesevelam. Other drugs may affect glimepiride, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.

Glipizide ER Tablet

Diabetes

What is glipizide? Glipizide is an oral diabetes medicine that helps control blood sugar levels by helping your pancreas produce insulin. Glipizide is used together with diet and exercise to improve blood sugar control in adults with type 2 diabetes mellitus. Glipizide is not for treating type 1 diabetes. Warnings You should not use glipizide if you have diabetic ketoacidosis (call your doctor for treatment). Before taking this medicine You should not use this medicine if you are allergic to glipizide, or if you have diabetic ketoacidosis (call your doctor for treatment). Tell your doctor if you have ever had: liver or kidney disease; chronic diarrhea, or a blockage in your intestines; or an enzyme deficiency called glucose-6-phosphate dehydrogenase deficiency (G6PD). Follow your doctor's instructions about using glipizide if you are pregnant or you become pregnant. Controlling diabetes is very important during pregnancy, and having high blood sugar may cause complications in both the mother and the baby. You should not take glipizide during the last 2 weeks of pregnancy. Agents other than glipizide are currently recommended to treat diabetes in pregnant women. It may not be safe to breastfeed while using this medicine. Ask your doctor about any risk. How should I take glipizide? Take glipizide exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose. Do not take this medicine in larger or smaller amounts or for longer than recommended. Take the regular tablet 30 minutes before your first meal of the day. Take the glipizide extended-release tablet with your first meal of the day. Swallow the tablet whole and do not crush, chew, or break it. Your blood sugar may need to be checked often, and you may need other blood tests at your doctor's office. Low blood sugar (hypoglycemia) can happen to anyone who has diabetes. Symptoms include headache, hunger, sweating, irritability, dizziness, nausea, fast heart rate, and feeling anxious or shaky. To quickly treat low blood sugar, always keep a fast-acting source of sugar with you such as fruit juice, hard candy, crackers, raisins, or non-diet soda. Your doctor can prescribe a glucagon emergency injection kit to use in case you have severe hypoglycemia and cannot eat or drink. Be sure your family and close friends know how to give you this injection in an emergency. Also watch for signs of high blood sugar (hyperglycemia) such as increased thirst or urination, blurred vision, headache, and tiredness. Blood sugar levels can be affected by stress, illness, surgery, exercise, alcohol use, or skipping meals. Ask your doctor before changing your dose or medication schedule. Some forms of glipizide are made with a shell that is not absorbed or melted in the body. Part of the tablet shell may appear in your stool. This is a normal side effect and will not make the medication less effective. Store at room temperature away from moisture, heat, and light.   What happens if I miss a dose? Take your dose as soon as you can, but only if you are getting ready to eat a meal. If you skip a meal, skip the missed dose and wait until your next meal. 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. A glipizide overdose can cause life-threatening hypoglycemia. Symptoms of severe hypoglycemia include extreme weakness, blurred vision, sweating, trouble speaking, tremors, stomach pain, confusion, and seizure (convulsions). What to avoid Avoid drinking alcohol. It lowers blood sugar and can cause side effects. Avoid driving or operating machinery until you know how this medicine will affect you. Glipizide side effects Get emergency medical help if you have signs of an allergic reaction to glipizide: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have symptoms of low blood sugar: headache, irritability sweating, fast heart rate; dizziness, nausea; or hunger, feeling anxious or shaky. Common glipizide side effects may include: diarrhea, constipation, gas; dizziness, drowsiness; tremors; or skin rash, redness, or itching. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.   What other drugs will affect glipizide? 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 interact with glipizide. 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.

Glipizide Tablet

Diabetes

What is glipizide? Glipizide is an oral diabetes medicine that helps control blood sugar levels by helping your pancreas produce insulin. Glipizide is used together with diet and exercise to improve blood sugar control in adults with type 2 diabetes mellitus. Glipizide is not for treating type 1 diabetes. Warnings You should not use glipizide if you have diabetic ketoacidosis (call your doctor for treatment). Before taking this medicine You should not use this medicine if you are allergic to glipizide, or if you have diabetic ketoacidosis (call your doctor for treatment). Tell your doctor if you have ever had: liver or kidney disease; chronic diarrhea, or a blockage in your intestines; or an enzyme deficiency called glucose-6-phosphate dehydrogenase deficiency (G6PD). Follow your doctor's instructions about using glipizide if you are pregnant or you become pregnant. Controlling diabetes is very important during pregnancy, and having high blood sugar may cause complications in both the mother and the baby. You should not take glipizide during the last 2 weeks of pregnancy. Agents other than glipizide are currently recommended to treat diabetes in pregnant women. It may not be safe to breastfeed while using this medicine. Ask your doctor about any risk. How should I take glipizide? Take glipizide exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose. Do not take this medicine in larger or smaller amounts or for longer than recommended. Take the regular tablet 30 minutes before your first meal of the day. Take the glipizide extended-release tablet with your first meal of the day. Swallow the tablet whole and do not crush, chew, or break it. Your blood sugar may need to be checked often, and you may need other blood tests at your doctor's office. Low blood sugar (hypoglycemia) can happen to anyone who has diabetes. Symptoms include headache, hunger, sweating, irritability, dizziness, nausea, fast heart rate, and feeling anxious or shaky. To quickly treat low blood sugar, always keep a fast-acting source of sugar with you such as fruit juice, hard candy, crackers, raisins, or non-diet soda. Your doctor can prescribe a glucagon emergency injection kit to use in case you have severe hypoglycemia and cannot eat or drink. Be sure your family and close friends know how to give you this injection in an emergency. Also watch for signs of high blood sugar (hyperglycemia) such as increased thirst or urination, blurred vision, headache, and tiredness. Blood sugar levels can be affected by stress, illness, surgery, exercise, alcohol use, or skipping meals. Ask your doctor before changing your dose or medication schedule. Some forms of glipizide are made with a shell that is not absorbed or melted in the body. Part of the tablet shell may appear in your stool. This is a normal side effect and will not make the medication less effective. Store at room temperature away from moisture, heat, and light.   What happens if I miss a dose? Take your dose as soon as you can, but only if you are getting ready to eat a meal. If you skip a meal, skip the missed dose and wait until your next meal. 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. A glipizide overdose can cause life-threatening hypoglycemia. Symptoms of severe hypoglycemia include extreme weakness, blurred vision, sweating, trouble speaking, tremors, stomach pain, confusion, and seizure (convulsions). What to avoid Avoid drinking alcohol. It lowers blood sugar and can cause side effects. Avoid driving or operating machinery until you know how this medicine will affect you. Glipizide side effects Get emergency medical help if you have signs of an allergic reaction to glipizide: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have symptoms of low blood sugar: headache, irritability sweating, fast heart rate; dizziness, nausea; or hunger, feeling anxious or shaky. Common glipizide side effects may include: diarrhea, constipation, gas; dizziness, drowsiness; tremors; or skin rash, redness, or itching. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.   What other drugs will affect glipizide? 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 interact with glipizide. 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.

Glyburide micronized Tablet

Diabetes

What is glyburide? Glyburide is an oral diabetes medicine that helps control blood sugar levels. Glyburide is used together with diet and exercise to improve blood sugar control in adults with type 2 diabetes mellitus. Glyburide is not for treating type 1 diabetes. Warnings You should not use glyburide if you are being treated with bosentan (Tracleer), or if you have diabetic ketoacidosis (call your doctor for treatment). Glyburide is not for treating type 1 diabetes. Before taking glyburide, tell your doctor if you are allergic to sulfa drugs, if you have been using insulin or chlorpropamide (Diabinese), or if you have hemolytic anemia (a lack of red blood cells), an enzyme deficiency (G6PD), a nerve disorder, liver disease, or kidney disease. Take care not to let your blood sugar get too low. Low blood sugar (hypoglycemia) can occur if you skip a meal, exercise too long, drink alcohol, or are under stress. Symptoms include headache, hunger, weakness, sweating, tremor, irritability, or trouble concentrating. Carry hard candy or glucose tablets with you in case you have low blood sugar. Other sugar sources include orange juice and milk. Be sure your family and close friends know how to help you in an emergency. Before taking this medicine You should not use glyburide if you are allergic to it, or if: you are being treated with bosentan (Tracleer); you have type 1 diabetes; or you have diabetic ketoacidosis (call your doctor for treatment). Tell your doctor if you have ever had: hemolytic anemia (a lack of red blood cells); an enzyme deficiency called glucose-6-phosphate dehydrogenase deficiency (G6PD); a nerve disorder affecting bodily functions; liver or kidney disease; or an allergy to sulfa drugs. Before taking glyburide, tell your doctor if you have taken another oral diabetes medicine or used insulin during the past 2 weeks. Glyburide may increase your risk of serious heart problems, but not treating your diabetes can also damage your heart and other organs. Talk to your doctor about the risks and benefits of this medicine. Tell your doctor if you are pregnant or breastfeeding. Follow your doctor's instructions about using glyburide if you are pregnant or you become pregnant. Controlling diabetes is very important during pregnancy, and having high blood sugar may cause complications in both the mother and the baby. How should I take glyburide? Glyburide is usually taken with breakfast or the first main meal of the day. Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed. Your blood sugar may need to be checked often, and you may need other blood tests at your doctor's office. Low blood sugar (hypoglycemia) can happen to anyone who has diabetes. Symptoms include headache, hunger, sweating, irritability, dizziness, nausea, fast heart rate, and feeling anxious or shaky. To quickly treat low blood sugar, always keep a fast-acting source of sugar with you such as fruit juice, hard candy, crackers, raisins, or non-diet soda. Your doctor can prescribe a glucagon emergency injection kit to use in case you have severe hypoglycemia and cannot eat or drink. Be sure your family and close friends know how to give you this injection in an emergency. Also watch for signs of high blood sugar (hyperglycemia) such as increased thirst or urination. Blood sugar levels can be affected by stress, illness, surgery, exercise, alcohol use, or skipping meals. Ask your doctor before changing your dose or medication schedule. If your doctor changes your brand, strength, or type of glyburide, your dosage needs may change. Ask your pharmacist if you have any questions about the new kind of glyburide you receive at the pharmacy. Store at room temperature away from moisture and heat. Keep the 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. A glyburide overdose can cause life-threatening hypoglycemia. Symptoms of severe hypoglycemia include extreme weakness, nausea, tremors, sweating, confusion, trouble speaking, fast heartbeats, or seizure. What to avoid Avoid drinking alcohol. It lowers blood sugar and may interfere with your diabetes treatment. Glyburide could make you sunburn more easily. Avoid sunlight or tanning beds. Wear protective clothing and use sunscreen (SPF 30 or higher) when you are outdoors. Glyburide side effects Get emergency medical help if you have signs of an allergic reaction to glyburide (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning in your eyes, skin pain, red or purple skin rash that spreads and causes blistering and peeling). Call your doctor at once if you have: dark urine, jaundice (yellowing of the skin or eyes); severe skin rash, redness, or itching; pale skin, easy bruising or bleeding; fever, chills, sore throat, mouth sores; or low levels of sodium in the bodyheadache, confusion, slurred speech, severe weakness, vomiting, loss of coordination, feeling unsteady. Older adults may be more likely to have low blood sugar while taking glyburide. Common glyburide side effects may include: low blood sugar; nausea, heartburn, feeling full; muscle or joint pain; blurred vision; or mild rash or skin redness. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.   Dosing information Usual Adult Dose for Diabetes Type 2: Standard glyburide: -Initial dose: 2.5 mg to 5 mg orally once a day -Dose titration: Increase in increments of no more than 2.5 mg at weekly intervals based upon blood glucose response -Maintenance dose: 1.25 to 20 mg orally as a single dose or in divided doses -Maximum dose: 20 mg/day Micronized glyburide: -Initial dose: 1.5 mg to 3 mg orally once a day -Dose titration: Increase in increments of no more than 1.5 mg at weekly intervals based upon blood glucose response -Maintenance dose: 0.75 to 12 mg orally as a single dose or in divided doses -Maximum dose: 12 mg/day Comments: -Administer with breakfast or the first main meal of the day -Lower initial doses may be used in patients who are sensitive to hypoglycemic drugs -Once a day therapy is generally satisfactory, however, some patients may have a more satisfactory response with twice-a-day dosing, especially those receiving higher doses. TRANSFER FROM OTHER HYPOGLYCEMIC THERAPY: -Oral Antidiabetic Therapy: No exact dosage relationships exists between standard glyburide, micronized glyburide, or other oral hypoglycemic agents; when transferring patients from other oral hypoglycemic therapy, the maximum starting doses should be observed. -Insulin: --If the insulin dose is less than 20 units per day substitute 2.5 to 5 mg (standard) OR 1.5 to 3 mg (micronized) orally once a day. --If the insulin dose is between 20 and 40 units per day, substitute 5 mg (standard) OR 3 mg (micronized) orally once a day. --If the insulin dose is more than 40 units per day; transition the patient by concomitantly decreasing insulin by 50% and starting glyburide at 5 mg (standard) OR 3 mg (micronized) orally once a day; as insulin is progressively withdrawn, titrate in increments of 1.25 to 2.5 mg (standard) OR 0.75 to 1.5 mg (micronized) orally once a day every 2 to 10 days. Use: As an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. Usual Geriatric Dose for Diabetes Type 2: Initial dose: 1.25 to 2.5 mg (standard) orally or 0.75 to 1.5 mg (micronized) orally once a day.   What other drugs will affect glyburide? If you also take colesevelam, take your glyburide dose 4 hours before you take colesevelam. Glyburide may not work as well when you use other medicines at the same time. Many other drugs can also affect blood sugar control. 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.

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