Saturday, June 30, 2012

Neocidin


Generic Name: gramicidin, neomycin, and polymyxin B ophthalmic (gram i SYE din, NEE oh MYE sin, POL ee MIX in B off THAL mik)

Brand Names: Neosporin Ophthalmic, Ocu-Spore-G


What is Neocidin (gramicidin, neomycin, and polymyxin B ophthalmic)?

Gramicidin, neomycin, and polymyxin B are all antibiotics. They are used to treat bacterial infections.


The ophthalmic form of gramicidin, neomycin, and polymyxin B is used to treat bacterial infections of the eyes.

Gramicidin, neomycin, and polymyxin B ophthalmic may also be used for purposes other than those listed in this medication guide.


What is the most important information I should know about Neocidin (gramicidin, neomycin, and polymyxin B ophthalmic)?


Contact your doctor if your symptoms begin to get worse or if you do not see any improvement in your condition after a few days.


Do not touch the dropper to any surface, including your eyes or hands. The dropper is sterile. If it becomes contaminated, it could cause an infection in your eye.

Apply light pressure to the inside corner of your eye (near your nose) after each drop to prevent the liquid from draining down your tear duct.


Who should not use Neocidin (gramicidin, neomycin, and polymyxin B ophthalmic)?


Do not use gramicidin, neomycin, and polymyxin B ophthalmic if you have a viral or fungal infection in your eye. It is used to treat infections caused by bacteria only. It is not known whether gramicidin, neomycin, and polymyxin B ophthalmic will harm an unborn baby. Do not use this medication without first talking to your doctor if you are pregnant. It is not known whether gramicidin, neomycin, and polymyxin B ophthalmic passes into breast milk. Do not use this medication without first talking to your doctor if you are breast-feeding a baby.

How should I use Neocidin (gramicidin, neomycin, and polymyxin B ophthalmic)?


Use gramicidin, neomycin, and polymyxin B eyedrops exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.


Wash your hands before and after using your eyedrops.

To apply the eyedrops:



  • Tilt your head back slightly and pull down on your lower eyelid. Position the dropper above your eye. Look up and away from the dropper. Squeeze out a drop and close your eye. Apply gentle pressure to the inside corner of your eye (near your nose) for about 1 minute to prevent the liquid from draining down your tear duct. If you are using more than one drop in the same eye or drops in both eyes, repeat the process with about 5 minutes between drops.




Do not touch the dropper to any surface, including your eyes or hands. The dropper is sterile. If it becomes contaminated, it could cause an infection in your eye. Do not use any eyedrop that is discolored or has particles in it. Store gramicidin, neomycin, and polymyxin B ophthalmic at room temperature away from moisture and heat. Keep the bottle properly capped.

What happens if I miss a dose?


Apply the missed dose as soon as you remember. However, if it is almost time for your next regularly scheduled dose, skip the missed dose and apply the next one as directed. Do not use a double dose of this medication.


What happens if I overdose?


An overdose of this medication is unlikely to occur. If you do suspect an overdose, wash the eye with water and call an emergency room or poison control center near you. If the drops have been ingested, drink plenty of fluid and call an emergency center for advice.


What should I avoid while using Neocidin (gramicidin, neomycin, and polymyxin B ophthalmic)?


Do not touch the dropper to any surface, including your eyes or hands. The dropper is sterile. If it becomes contaminated, it could cause an infection in your eye. Use caution when driving, operating machinery, or performing other hazardous activities. Gramicidin, neomycin, and polymyxin B ophthalmic may cause blurred vision. If you experience blurred vision, avoid these activities.

Use caution with contact lenses. Wear them only if your doctor approves. After applying this medication, wait at least 15 minutes before inserting contact lenses.


Avoid other eye medications unless your doctor approves.


Neocidin (gramicidin, neomycin, and polymyxin B ophthalmic) side effects


Serious side effects are not expected with this medication.


Commonly, some burning, stinging, irritation, itching, redness, blurred vision, eyelid itching, eyelid swelling or crusting, tearing, or sensitivity to light may occur.


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 Neocidin (gramicidin, neomycin, and polymyxin B ophthalmic)?


Avoid other eye medications unless they are approved by your doctor.


Drugs other than those listed here may also interact with gramicidin, neomycin, and polymyxin B ophthalmic. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.



More Neocidin resources


  • Neocidin Use in Pregnancy & Breastfeeding
  • 0 Reviews for Neocidin - Add your own review/rating


  • Neocidin Prescribing Information (FDA)

  • Neocidin Advanced Consumer (Micromedex) - Includes Dosage Information



Compare Neocidin with other medications


  • Conjunctivitis, Bacterial


Where can I get more information?


  • Your pharmacist has additional information about gramicidin, neomycin, and polymyxin B written for health professionals that you may read.


Nalfon 200


Generic Name: fenoprofen (fen oh PROE fen)

Brand Names: Nalfon


What is Nalfon 200 (fenoprofen)?

Fenoprofen is in a group of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs). Fenoprofen works by reducing hormones that cause inflammation and pain in the body.


Fenoprofen is used to treat pain or inflammation caused by arthritis.


Fenoprofen may also be used for other purposes not listed in this medication guide.


What is the most important information I should know about Nalfon 200 (fenoprofen)?


This medicine can increase your risk of life-threatening heart or circulation problems, including heart attack or stroke. Do not use this medicine just before or after having heart bypass surgery (also called coronary artery bypass graft, or CABG).


Seek emergency medical help if you have symptoms of heart or circulation problems, such as chest pain, weakness, shortness of breath, slurred speech, or problems with vision or balance.


This medicine can also increase your risk of serious effects on the stomach or intestines, including bleeding or perforation (forming of a hole). These conditions can be fatal and gastrointestinal effects can occur without warning at any time while you are taking fenoprofen. Older adults may have an even greater risk of these serious gastrointestinal side effects.


Call your doctor at once if you have symptoms of bleeding in your stomach or intestines. This includes black, bloody, or tarry stools, or coughing up blood or vomit that looks like coffee grounds.


What should I discuss with my healthcare provider before taking Nalfon 200 (fenoprofen)?


Taking an NSAID can increase your risk of life-threatening heart or circulation problems, including heart attack or stroke. This risk will increase the longer you use an NSAID. Do not use this medicine just before or after having heart bypass surgery (also called coronary artery bypass graft, or CABG).


NSAIDs can also increase your risk of serious effects on the stomach or intestines, including bleeding or perforation (forming of a hole). These conditions can be fatal and gastrointestinal effects can occur without warning at any time while you are taking an NSAID. Older adults may have an even greater risk of these serious gastrointestinal side effects.


Do not use this medication if you are allergic to fenoprofen, or if you have:

  • severe kidney disease;




  • a stomach ulcer or inflammatory bowel disease; or




  • a history of allergic reaction to aspirin or other NSAIDs.



If you have any of these other conditions, you may need a dose adjustment or special tests to safely take fenoprofen:



  • a history of heart attack, stroke, or blood clot;




  • heart disease, congestive heart failure, high blood pressure;




  • a history of stomach ulcers or bleeding, bowel problems, diverticulosis;



  • liver or kidney disease;


  • asthma;




  • polyps in your nose; or




  • if you smoke.




FDA pregnancy category C. It is not known whether fenoprofen is harmful to an unborn baby. Before taking this medication, tell your doctor if you are pregnant or plan to become pregnant during treatment. Taking fenoprofen during the last 3 months of pregnancy may result in birth defects. Do not take fenoprofen during pregnancy unless your doctor has told you to. Fenoprofen can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not give this medicine to a child younger than 14 years old without the advice of a doctor.

How should I take Nalfon 200 (fenoprofen)?


Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label. The maximum amount of fenoprofen for adults is 3 grams (3000 mg) per day. Know the amount of fenoprofen in the specific product you are taking.


If you take fenoprofen for a long period of time, your doctor may want to check you on a regular basis to make sure this medication is not causing harmful effects. Do not miss any scheduled visits to your doctor.


This medication can cause you to have unusual results with certain medical tests. Tell any doctor who treats you that you are using fenoprofen.


Store fenoprofen at room temperature, away from moisture, heat, and light.

What happens if I miss a dose?


Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose.


What happens if I overdose?


Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include nausea, vomiting, confusion, dizziness, drowsiness, black or bloody stools, coughing up blood, fever, urinating less than usual or not at all, shallow breathing, fainting, or coma.


What should I avoid while taking Nalfon 200 (fenoprofen)?


Do not use any other over-the-counter cold, allergy, or pain medication without first asking your doctor or pharmacist. Many medicines available over the counter contain medicines similar to fenoprofen (such as aspirin, ibuprofen, ketoprofen, or naproxen). If you take certain products together you may accidentally take too much of this type of medication. Read the label of any other medicine you are using to see if it contains aspirin, ibuprofen, ketoprofen, or naproxen. Do not drink alcohol while taking fenoprofen. Alcohol can increase the risk of stomach bleeding. Fenoprofen can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

Nalfon 200 (fenoprofen) side effects


Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop taking fenoprofen and seek medical attention or call your doctor at once if you have any of these serious side effects:

  • chest pain, weakness, shortness of breath, slurred speech, problems with vision or balance;




  • black, bloody, or tarry stools, coughing up blood or vomit that looks like coffee grounds;




  • confusion, tremors or shaking;




  • urinating less than usual or not at all;




  • pain, burning, or bleeding when you urinate;




  • nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);




  • fever, sore throat, and headache with a severe blistering, peeling, and red skin rash; or




  • bruising, severe tingling, numbness, pain, muscle weakness.



Less serious side effects may include:



  • upset stomach, mild heartburn or stomach pain, diarrhea, constipation; bloating, gas;




  • dizziness, headache, nervousness;




  • skin itching or rash;




  • dry mouth;




  • increased sweating, runny nose;




  • blurred vision; or




  • ringing in your ears.



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 Nalfon 200 (fenoprofen)?


Tell your doctor if you are taking an antidepressant such as citalopram (Celexa), duloxetine (Cymbalta), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, Symbyax), fluvoxamine (Luvox), paroxetine (Paxil), sertraline (Zoloft), or venlafaxine (Effexor). Taking any of these drugs with fenoprofen may cause you to bruise or bleed easily.


Before taking fenoprofen, tell your doctor if you are taking:



  • cyclosporine (Gengraf, Neoral, Sandimmune);




  • lithium (Eskalith, Lithobid);




  • diuretics (water pills) such as furosemide (Lasix);




  • aspirin or salicylates such as Doan's Pills, Dolobid, and others;




  • a blood thinner such as warfarin (Coumadin);




  • steroids (prednisone and others);




  • seizure medication such as phenobarbital (Luminal, Solfoton) or phenytoin (Dilantin);




  • a sulfa drug such as Bactrim or Septra;




  • oral diabetes medications such as glipizide (Glucotrol), glimepiride (Amaryl, Duetact, Avandaryl), and others; or




  • aspirin or other NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen (Motrin, Advil), diclofenac (Cataflam, Voltaren), etodolac (Lodine), indomethacin (Indocin), nabumetone (Relafen), naproxen (Aleve, Naprosyn), meloxicam (Mobic), piroxicam (Feldene), and others.



This list is not complete and there may be other drugs that can interact with fenoprofen. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.



More Nalfon 200 resources


  • Nalfon 200 Side Effects (in more detail)
  • Nalfon 200 Use in Pregnancy & Breastfeeding
  • Drug Images
  • Nalfon 200 Drug Interactions
  • Nalfon 200 Support Group
  • 1 Review for Nalfon 200 - Add your own review/rating


  • Fenoprofen Prescribing Information (FDA)

  • Fenoprofen MedFacts Consumer Leaflet (Wolters Kluwer)

  • fenoprofen Advanced Consumer (Micromedex) - Includes Dosage Information

  • Fenoprofen Calcium Monograph (AHFS DI)

  • Nalfon Prescribing Information (FDA)

  • Nalfon MedFacts Consumer Leaflet (Wolters Kluwer)



Compare Nalfon 200 with other medications


  • Gout, Acute
  • Osteoarthritis
  • Pain
  • Rheumatoid Arthritis


Where can I get more information?


  • Your pharmacist can provide more information about fenoprofen.

See also: Nalfon 200 side effects (in more detail)


Sunday, June 24, 2012

Hycodan


Pronunciation: hoe-MA-troe-peen/HIGH-droe-KOE-dohn
Generic Name: Homatropine/Hydrocodone
Brand Name: Tussigon


Hycodan is used for:

Temporary relief of cough. It may also be used for other conditions as determined by your doctor.


Hycodan is an anticholinergic and narcotic cough suppressant combination. The anticholinergic works by drying up secretions and the narcotic depresses the cough reflex in the brain.


Do NOT use Hycodan if:


  • you are allergic to any ingredient in Hycodan or any morphine-related medicine (eg, codeine, oxycodone)

  • you have diarrhea due to food poisoning or pseudomembranous colitis

  • you are taking sodium oxybate (GHB)

Contact your doctor or health care provider right away if any of these apply to you.



Before using Hycodan:


Some medical conditions may interact with Hycodan. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:


  • if you are pregnant, planning to become pregnant, or are breast-feeding

  • if you are taking any prescription or nonprescription medicine (including any cough-and-cold products or medicines that cause drowsiness), herbal preparation, or dietary supplement

  • if you have allergies to medicines, foods, or other substances

  • if you have arteriosclerosis (hardening of the arteries) or other heart problems (eg, congestive heart failure)

  • if you have high blood pressure, thyroid problems, stomach problems (eg, surgery, severe inflammatory bowel disease, chronic constipation, obstruction), or liver disease

  • if you use alcohol or are dependent on drugs

  • if you have lung disease (eg, asthma, history of severe breathing problems), a seizure disorder, serious head injury or brain disease, psychiatric problems (eg, suicidal thoughts), glaucoma, or sleep apnea

Some MEDICINES MAY INTERACT with Hycodan. Tell your health care provider if you are taking any other medicines, especially any of the following:


  • Barbiturate anesthetics (eg, thiopental), cimetidine, monoamine oxidase inhibitors (MAOIs) (eg, phenelzine), narcotic pain medicines (eg, codeine), and sodium oxybate (GHB) because they may increase the risk of Hycodan's side effects

  • Naltrexone because it may decrease Hycodan's effectiveness

This may not be a complete list of all interactions that may occur. Ask your health care provider if Hycodan may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.


How to use Hycodan:


Use Hycodan as directed by your doctor. Check the label on the medicine for exact dosing instructions.


  • Take Hycodan by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.

  • If you miss a dose of Hycodan and you are taking it regularly, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Hycodan.



Important safety information:


  • Hycodan may cause dizziness, drowsiness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Hycodan with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.

  • If your symptoms do not get better within 7 days or if you develop a high fever or persistent headache, check with your doctor.

  • Hycodan may interfere with certain lab tests. Be sure your doctor and lab personnel know you are taking Hycodan.

  • Use Hycodan with caution in the ELDERLY; they may be more sensitive to its effects.

  • Hycodan should be used with extreme caution in CHILDREN younger than 6 years old; safety and effectiveness in these children have not been confirmed.

  • PREGNANCY and BREAST-FEEDING: It is not known if Hycodan can cause harm to the fetus. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Hycodan while you are pregnant. It is not known if Hycodan is found in breast milk. Do not breast-feed while taking Hycodan.

Some people who use Hycodan for a long time may develop a need to continue taking it. People who take high doses are also at risk. This is known as DEPENDENCE or addiction. If you stop taking Hycodan suddenly, you may have WITHDRAWAL symptoms. These may include feeling unwell or unhappy, anxious or irritable, dizzy, confused, or agitated. You may also have nausea, unusual skin sensations, mood swings, headache, trouble sleeping, or sweating. If you need to stop Hycodan, your doctor will lower your dose over time.



Possible side effects of Hycodan:


All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:



Blurred vision; constipation; dizziness; drowsiness; dry mouth, throat, or nose; excitement; nausea; stomach upset; thickening or mucus in nose or throat.



Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); difficulty urinating; flushing; rapid or pounding heartbeat; redness of face; severe drowsiness or dizziness.



This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.


See also: Hycodan side effects (in more detail)


If OVERDOSE is suspected:


Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include agitation; coma; confusion; deep sleep or loss of consciousness; difficulty breathing; diminished mental alertness; hallucinations; hot or cold skin; large and unchanging pupils; sedation; seizures; shaking; sleeplessness; slow heartbeat; slowed breathing.


Proper storage of Hycodan:

Store Hycodan at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Hycodan out of the reach of children and away from pets.


General information:


  • If you have any questions about Hycodan, please talk with your doctor, pharmacist, or other health care provider.

  • Hycodan is to be used only by the patient for whom it is prescribed. Do not share it with other people.

  • If your symptoms do not improve or if they become worse, check with your doctor.

  • Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Hycodan. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.



Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Hycodan resources


  • Hycodan Side Effects (in more detail)
  • Hycodan Dosage
  • Hycodan Use in Pregnancy & Breastfeeding
  • Drug Images
  • Hycodan Drug Interactions
  • Hycodan Support Group
  • 23 Reviews for Hycodan - Add your own review/rating


  • Hycodan Concise Consumer Information (Cerner Multum)

  • Hycodan Prescribing Information (FDA)

  • Hydromet Prescribing Information (FDA)

  • Tussigon Prescribing Information (FDA)



Compare Hycodan with other medications


  • Cough

Friday, June 22, 2012

Hytone Cream


Pronunciation: hye-droe-KOR-ti-sone
Generic Name: Hydrocortisone
Brand Name: Examples include Cortizone-10 and Hytone


Hytone Cream is used for:

Reducing itching, redness, and swelling associated with many skin conditions.


Hytone Cream is a topical corticosteroid. It works by depressing the formation, release, and activity of different cells and chemicals that cause swelling, redness, and itching.


Do NOT use Hytone Cream if:


  • you are allergic to any ingredient in Hytone Cream

Contact your doctor or health care provider right away if any of these apply to you.



Before using Hytone Cream:


Some medical conditions may interact with Hytone Cream. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:


  • if you are pregnant, planning to become pregnant, or are breast-feeding

  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

  • if you have allergies to medicines, foods, or other substances

  • if you have a skin infection, measles, thinning of the skin, tuberculosis (TB), chicken pox, shingles, a positive TB skin test, or have recently had a vaccination

  • if you have anal itching or bleeding or genital itching

Some MEDICINES MAY INTERACT with Hytone Cream. Because little, if any, of Hytone Cream is absorbed into the blood, the risk of it interacting with another medicine is low.


Ask your health care provider if Hytone Cream may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.


How to use Hytone Cream:


Use Hytone Cream as directed by your doctor. Check the label on the medicine for exact dosing instructions.


  • Apply a small amount of medicine to the affected area. Gently rub it in until it is evenly distributed. Wash your hands after applying Hytone Cream, unless your hands are part of the treated area.

  • Do not bandage or wrap the affected area unless directed otherwise by your doctor.

  • If you miss a dose of Hytone Cream, apply it as soon as possible. If you do not remember until the next day, skip the missed dose and go back to your regular dosing schedule.

Ask your health care provider any questions you may have about how to use Hytone Cream.



Important safety information:


  • Do not use Hytone Cream for other skin conditions at a later time.

  • If you are using Hytone Cream for a rectal condition, do not put Hytone Cream in the rectum using your fingers or any mechanical device or applicator.

  • If Hytone Cream was prescribed to treat the diaper area of a child, avoid using tight-fitting diapers or plastic pants.

  • Check with your doctor before having vaccinations while you are using Hytone Cream.

  • Hytone Cream is for external use only. If you get Hytone Cream in your eyes, immediately flush them with cool tap water.

  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Hytone Cream while you are pregnant. It is not known if Hytone Cream is found in breast milk. If you are or will be breast-feeding while you use Hytone Cream, check with your doctor. Discuss any possible risks to your baby.


Possible side effects of Hytone Cream:


All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:



Acne; cracking, softening, or streaking of the skin; excessive sweating; inflammation of the hair follicles; mild skin irritation or dryness.



Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); infection; itching, burning, pain, redness, or swelling of the skin not present before using Hytone Cream; skin thinning and discoloration.



This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.


See also: Hytone side effects (in more detail)


If OVERDOSE is suspected:


Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Hytone Cream may be harmful if swallowed.


Proper storage of Hytone Cream:

Store Hytone Cream at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Hytone Cream out of the reach of children and away from pets.


General information:


  • If you have any questions about Hytone Cream, please talk with your doctor, pharmacist, or other health care provider.

  • Hytone Cream is to be used only by the patient for whom it is prescribed. Do not share it with other people.

  • If your symptoms do not improve or if they become worse, check with your doctor.

  • Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Hytone Cream. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.



Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Hytone resources


  • Hytone Side Effects (in more detail)
  • Hytone Use in Pregnancy & Breastfeeding
  • Hytone Drug Interactions
  • Hytone Support Group
  • 0 Reviews for Hytone - Add your own review/rating


Compare Hytone with other medications


  • Anal Itching
  • Aphthous Stomatitis, Recurrent
  • Atopic Dermatitis
  • Dermatitis
  • Eczema
  • Gingivitis
  • Proctitis
  • Pruritus
  • Psoriasis
  • Seborrheic Dermatitis
  • Skin Rash
  • Ulcerative Colitis, Active

Thursday, June 21, 2012

Complete Natal DHA


Generic Name: prenatal multivitamins (PRE nay tal VYE ta mins)

Brand Names: Advance Care Plus, Bright Beginnings, Cavan Folate, Cavan One, Cavan-Heme OB, Cenogen Ultra, CitraNatal Rx, Co Natal FA, Complete Natal DHA, Complete-RF, CompleteNate, Concept OB, Docosavit, Dualvit OB, Duet, Edge OB, Elite OB 400, Femecal OB, Folbecal, Folcaps Care One, Folivan-OB, Foltabs, Gesticare, Icar Prenatal, Icare Prenatal Rx, Inatal Advance, Infanate DHA, Kolnatal DHA, Lactocal-F, Marnatal-F, Maternity, Maxinate, Mission Prenatal, Multi-Nate 30, Multinatal Plus, Nata 29 Prenatal, Natachew, Natafort, Natelle, Neevo, Nestabs, Nexa Select with DHA, Novanatal, NovaStart, O-Cal Prenatal, OB Complete, OB Natal One, Ob-20, Obtrex DHA, OptiNate, Paire OB Plus DHA, PNV Select, PNV-Total, PR Natal 400, Pre-H-Cal, Precare, PreferaOB, Premesis Rx, PrenaCare, PrenaFirst, PrenaPlus, Prenatabs OBN, Prenatabs Rx, Prenatal 1 Plus 1, Prenatal Elite, Prenatal Multivitamins, Prenatal Plus, Prenatal S, Prenatal-U, Prenate Advanced Formula, Prenate DHA, Prenate Elite, Prenavite FC, PreNexa, PreQue 10, Previte Rx, PrimaCare, Pruet DHA, RE OB Plus DHA, Renate, RightStep, Rovin-NV, Se-Care, Se-Natal One, Se-Plete DHA, Se-Tan DHA, Select-OB, Seton ET, Strongstart, Stuart Prenatal with Beta Carotene, Tandem OB, Taron-BC, Tri Rx, TriAdvance, TriCare, Trimesis Rx, Trinate, Triveen-PRx RNF, UltimateCare Advance, Ultra-Natal, Vemavite PRX 2, VeNatal FA, Verotin-BY, Verotin-GR, Vinacal OR, Vinatal Forte, Vinate Advanced (New Formula), Vinate AZ, Vinate Care, Vinate Good Start, Vinate II (New Formula), Vinate III, Vinate One, Vitafol-OB, VitaNatal OB plus DHA, Vitaphil, Vitaphil Aide, Vitaphil Plus DHA, Vitaspire, Viva DHA, Vol-Nate, Vol-Plus, Vol-Tab Rx, Vynatal F.A., Zatean-CH, Zatean-PN


What are Complete Natal DHA (prenatal multivitamins)?

There are many brands and forms of prenatal vitamin available and not all brands are listed on this leaflet.


Prenatal vitamins are a combination of many different vitamins that are normally found in foods and other natural sources.


Prenatal vitamins are used to provide the additional vitamins needed during pregnancy. Minerals may also be contained in prenatal multivitamins.


Prenatal vitamins may also be used for purposes not listed in this medication guide.


What is the most important information I should know about prenatal vitamins?


There are many brands and forms of prenatal vitamin available and not all brands are listed on this leaflet.


Never take more than the recommended dose of a multivitamin. Avoid taking any other multivitamin product within 2 hours before or after you take your prenatal vitamins. Taking similar vitamin products together at the same time can result in a vitamin overdose or serious side effects.

Many multivitamin products also contain minerals such as calcium, iron, magnesium, potassium, and zinc. Minerals (especially taken in large doses) can cause side effects such as tooth staining, increased urination, stomach bleeding, uneven heart rate, confusion, and muscle weakness or limp feeling. Read the label of any multivitamin product you take to make sure you are aware of what it contains.


Seek emergency medical attention if you think you have used too much of this medicine. An overdose of vitamins A, D, E, or K can cause serious or life-threatening side effects and can also harm your unborn baby. Certain minerals contained in a prenatal multivitamin may also cause serious overdose symptoms or harm to the baby if you take too much.

Overdose symptoms may include stomach pain, vomiting, diarrhea, constipation, loss of appetite, hair loss, peeling skin, tingly feeling in or around your mouth, changes in menstrual periods, weight loss, severe headache, muscle or joint pain, severe back pain, blood in your urine, pale skin, and easy bruising or bleeding.


Do not take this medication with milk, other dairy products, calcium supplements, or antacids that contain calcium. Calcium may make it harder for your body to absorb certain ingredients of the multivitamin.

What should I discuss with my healthcare provider before taking prenatal vitamins?


Many vitamins can cause serious or life-threatening side effects if taken in large doses. Do not take more of this medication than directed on the label or prescribed by your doctor.

Before taking prenatal vitamins, tell your doctor about all of your medical conditions.


You may need to continue taking prenatal vitamins if you breast-feed your baby. Ask your doctor about taking this medication while breast-feeding.

How should I take prenatal vitamins?


Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.


Never take more than the recommended dose of prenatal vitamins.

Many multivitamin products also contain minerals such as calcium, iron, magnesium, potassium, and zinc. Minerals (especially taken in large doses) can cause side effects such as tooth staining, increased urination, stomach bleeding, uneven heart rate, confusion, and muscle weakness or limp feeling. Read the label of any multivitamin product you take to make sure you are aware of what it contains.


Take your prenatal vitamin with a full glass of water.

Swallow the regular tablet or capsule whole. Do not break, chew, crush, or open it.


The chewable tablet must be chewed or allowed to dissolve in your mouth before swallowing. You may also allow the chewable tablet to dissolve in drinking water, fruit juice, or infant formula (but not milk or other dairy products). Drink this mixture right away.


Use prenatal vitamins regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.


Store at room temperature away from moisture and heat. Keep prenatal vitamins in their original container. Storing vitamins in a glass container can ruin the medication.

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 if you think you have used too much of this medicine. An overdose of vitamins A, D, E, or K can cause serious or life-threatening side effects and can also harm your unborn baby. Certain minerals contained in a prenatal multivitamin may also cause serious overdose symptoms or harm to the baby if you take too much.

Overdose symptoms may include stomach pain, vomiting, diarrhea, constipation, loss of appetite, hair loss, peeling skin, tingly feeling in or around your mouth, changes in menstrual periods, weight loss, severe headache, muscle or joint pain, severe back pain, blood in your urine, pale skin, and easy bruising or bleeding.


What should I avoid while taking prenatal vitamins?


Avoid taking any other multivitamin product within 2 hours before or after you take your prenatal vitamins. Taking similar vitamin products together at the same time can result in a vitamin overdose or serious side effects.

Avoid the regular use of salt substitutes in your diet if your multivitamin contains potassium. If you are on a low-salt diet, ask your doctor before taking a vitamin or mineral supplement.


Do not take this medication with milk, other dairy products, calcium supplements, or antacids that contain calcium. Calcium may make it harder for your body to absorb certain ingredients of the prenatal vitamin.

Prenatal vitamins side effects


Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

When taken as directed, prenatal vitamins are not expected to cause serious side effects. Less serious side effects may include:



  • upset stomach;




  • headache; or




  • unusual or unpleasant taste in your mouth.



This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.


What other drugs will affect prenatal vitamins?


Vitamin and mineral supplements can interact with certain medications, or affect how medications work in your body. Before taking a prenatal vitamin, tell your doctor if you also use:



  • diuretics (water pills);




  • heart or blood pressure medications;




  • tretinoin (Vesanoid);




  • isotretinoin (Accutane, Amnesteen, Clavaris, Sotret);




  • trimethoprim and sulfamethoxazole (Cotrim, Bactrim, Gantanol, Gantrisin, Septra, TMP/SMX); or




  • an NSAID (non-steroidal anti-inflammatory drug) such as ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn, Naprelan, Treximet), celecoxib (Celebrex), diclofenac (Cataflam, Voltaren), indomethacin (Indocin), meloxicam (Mobic), and others.



This list is not complete and other drugs may interact with prenatal vitamins. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.



More Complete Natal DHA resources


  • Complete Natal DHA Use in Pregnancy & Breastfeeding
  • Complete Natal DHA Drug Interactions
  • 0 Reviews for Complete Natal DHA - Add your own review/rating


  • Cal-Nate MedFacts Consumer Leaflet (Wolters Kluwer)

  • CareNatal DHA MedFacts Consumer Leaflet (Wolters Kluwer)

  • CitraNatal 90 DHA MedFacts Consumer Leaflet (Wolters Kluwer)

  • CitraNatal Assure Prescribing Information (FDA)

  • CitraNatal Harmony Prescribing Information (FDA)

  • Concept DHA Prescribing Information (FDA)

  • Docosavit Prescribing Information (FDA)

  • Duet DHA with Ferrazone MedFacts Consumer Leaflet (Wolters Kluwer)

  • Folbecal MedFacts Consumer Leaflet (Wolters Kluwer)

  • Folcal DHA Prescribing Information (FDA)

  • Folcaps Care One Prescribing Information (FDA)

  • Gesticare DHA Prescribing Information (FDA)

  • Gesticare DHA MedFacts Consumer Leaflet (Wolters Kluwer)

  • Inatal Advance Prescribing Information (FDA)

  • Inatal Ultra Prescribing Information (FDA)

  • Multi-Nate DHA Prescribing Information (FDA)

  • Multi-Nate DHA Extra Prescribing Information (FDA)

  • MultiNatal Plus MedFacts Consumer Leaflet (Wolters Kluwer)

  • Natelle One Prescribing Information (FDA)

  • Neevo Caplets MedFacts Consumer Leaflet (Wolters Kluwer)

  • Neevo DHA MedFacts Consumer Leaflet (Wolters Kluwer)

  • OB Complete 400 MedFacts Consumer Leaflet (Wolters Kluwer)

  • Paire OB Plus DHA Prescribing Information (FDA)

  • PreNexa MedFacts Consumer Leaflet (Wolters Kluwer)

  • PreNexa Prescribing Information (FDA)

  • PreferaOB Prescribing Information (FDA)

  • Prenatal Plus Prescribing Information (FDA)

  • Prenatal Plus Iron Prescribing Information (FDA)

  • Prenate Elite Prescribing Information (FDA)

  • Prenate Elite MedFacts Consumer Leaflet (Wolters Kluwer)

  • Prenate Elite tablets

  • Prenate Essential Prescribing Information (FDA)

  • PrimaCare Advantage MedFacts Consumer Leaflet (Wolters Kluwer)

  • PrimaCare ONE capsules

  • PrimaCare One MedFacts Consumer Leaflet (Wolters Kluwer)

  • Renate DHA Prescribing Information (FDA)

  • Se-Natal 19 Chewable Tablets MedFacts Consumer Leaflet (Wolters Kluwer)

  • Se-Natal 19 Prescribing Information (FDA)

  • Tandem DHA Prescribing Information (FDA)

  • Tandem OB Prescribing Information (FDA)

  • TriAdvance Prescribing Information (FDA)

  • Triveen-One MedFacts Consumer Leaflet (Wolters Kluwer)

  • Triveen-PRx RNF Prescribing Information (FDA)

  • UltimateCare ONE NF Prescribing Information (FDA)

  • Ultra NatalCare MedFacts Consumer Leaflet (Wolters Kluwer)

  • Vinate AZ Prescribing Information (FDA)

  • Vitafol-One MedFacts Consumer Leaflet (Wolters Kluwer)

  • Zatean-CH Prescribing Information (FDA)



Compare Complete Natal DHA with other medications


  • Vitamin/Mineral Supplementation during Pregnancy/Lactation


Where can I get more information?


  • Your pharmacist can provide more information about prenatal vitamins.


Wednesday, June 20, 2012

Hyaluronate Sodium


Pronunciation: HYE-al-ure-ON-ate SOE-dee-um
Generic Name: Hyaluronate Sodium
Brand Name: Examples include Hyalgan and Supartz


Hyaluronate Sodium is used for:

Treating knee pain in patients with osteoarthritis who have not received relief from other treatments.


Hyaluronate Sodium is a hyaluronic acid derivative. It works by increasing the effectiveness of the fluid within the knee joint to act as a lubricant and shock absorber.


Do NOT use Hyaluronate Sodium if:


  • you are allergic to any ingredient in Hyaluronate Sodium

  • you have an infection or skin disease near the joint or injection site

Contact your doctor or health care provider right away if any of these apply to you.



Before using Hyaluronate Sodium:


Some medical conditions may interact with Hyaluronate Sodium. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:


  • if you are pregnant, planning to become pregnant, or are breast-feeding

  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

  • if you have allergies to medicines, foods, or other substances

  • if you are allergic to birds or bird products (eg, eggs, feathers, poultry)

Some MEDICINES MAY INTERACT with Hyaluronate Sodium. Tell your health care provider if you are taking any other medicines, especially any of the following:


  • Quaternary ammonium salts because side effects may occur

This may not be a complete list of all interactions that may occur. Ask your health care provider if Hyaluronate Sodium may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.


How to use Hyaluronate Sodium:


Use Hyaluronate Sodium as directed by your doctor. Check the label on the medicine for exact dosing instructions.


  • Hyaluronate Sodium comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Hyaluronate Sodium refilled.

  • Hyaluronate Sodium is usually given as an injection at your doctor's office, hospital, or clinic. If you will be using Hyaluronate Sodium at home, a health care provider will teach you how to use it. Be sure you understand how to use Hyaluronate Sodium. Follow the procedures you are taught when you use a dose. Contact your health care provider if you have any questions.

  • Hyaluronate Sodium is usually given as a series of injections 1 week apart for a total of 3 to 5 injections depending upon the particular product you are using. You may not experience relief until you have received several injections.

  • Do not use Hyaluronate Sodium if it contains particles, is cloudy or discolored, or if the vial is cracked or damaged.

  • Do not use disinfectants containing ammonium salts to prepare the skin for injection because side effects may occur.

  • Keep this product, as well as syringes and needles, out of the reach of children and pets. Do not reuse needles, syringes, or other materials. Ask your health care provider how to dispose of these materials after use. Follow all local rules for disposal.

  • If you miss a dose of Hyaluronate Sodium, contact your doctor to establish a new dosing schedule.

Ask your health care provider any questions you may have about how to use Hyaluronate Sodium.



Important safety information:


  • Hyaluronate Sodium may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Hyaluronate Sodium with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.

  • You may experience a temporary inflammation in your knee after using Hyaluronate Sodium. If the inflammation is severe or continues, contact your doctor.

  • Avoid strenuous activity or prolonged (more than 1 hour) weight-bearing activity (eg, running, tennis, heavy lifting) for at least 48 hours after you are injected with Hyaluronate Sodium.

  • Hyaluronate Sodium should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.

  • PREGNANCY and BREAST-FEEDING: If you become pregnant while taking Hyaluronate Sodium, contact your doctor. You will need to discuss the benefits and risks of using Hyaluronate Sodium while pregnant. It is not known if Hyaluronate Sodium is found in breast milk. If you are or will be breast-feeding while you are using Hyaluronate Sodium, check with your doctor. Discuss any possible risks to your baby.


Possible side effects of Hyaluronate Sodium:


All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:



Back pain; mild bruising, heat, redness, swelling, or pain at the injection site; temporary achy feeling; temporary knee inflammation.



Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue).



This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.



If OVERDOSE is suspected:


Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.


Proper storage of Hyaluronate Sodium:

Hyaluronate Sodium is usually handled and stored by a health care provider. If you are using Hyaluronate Sodium at home, store Hyaluronate Sodium as directed by your pharmacist or health care provider. Keep Hyaluronate Sodium out of the reach of children and away from pets.


General information:


  • If you have any questions about Hyaluronate Sodium, please talk with your doctor, pharmacist, or other health care provider.

  • Hyaluronate Sodium is to be used only by the patient for whom it is prescribed. Do not share it with other people.

  • If your symptoms do not improve or if they become worse, check with your doctor.

  • Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Hyaluronate Sodium. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.



Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Hyaluronate Sodium resources


  • Hyaluronate Sodium Use in Pregnancy & Breastfeeding
  • Hyaluronate Sodium Drug Interactions
  • Hyaluronate Sodium Support Group
  • 28 Reviews for Hyaluronate Sodium - Add your own review/rating


Compare Hyaluronate Sodium with other medications


  • Osteoarthritis

Tuesday, June 19, 2012

Augmentin



Generic Name: amoxicillin and clavulanate (Oral route)


a-mox-i-SIL-in, KLAV-ue-la-nate poe-TAS-ee-um


Commonly used brand name(s)

In the U.S.


  • Amoclan

  • Augmentin

  • Augmentin ES-600

  • Augmentin XR

In Canada


  • Alti-Amoxi Clav

  • Apo-Amoxi Clav

  • Novo-Clavamoxin 125

  • Novo-Clavamoxin 250

  • Ratio-Amoxi Clav 250f

Available Dosage Forms:


  • Tablet

  • Tablet, Extended Release

  • Powder for Suspension

  • Tablet, Chewable

Therapeutic Class: Antibiotic


Pharmacologic Class: Penicillin, Aminopenicillin


Uses For Augmentin


Amoxicillin and clavulanate combination is used to treat bacterial infections in many different parts of the body.


Amoxicillin and clavulanate combination is an antibiotic that belongs to the group of medicines known as penicillins and beta-lactamase inhibitors. It works by killing the bacteria and preventing their growth. However, this medicine will not work for colds, flu, or other virus infections.


This medicine is available only with your doctor's prescription.


Before Using Augmentin


In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:


Allergies


Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.


Pediatric


Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of amoxicillin and clavulanate chewable tablets and oral suspension in children.


Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of amoxicillin and clavulanate tablets in children weighing 40 kilograms (kg) or more. However, safety and efficacy have not been established in children weighing less than 40 kg.


Appropriate studies have not been performed on the relationship of age to the effects of amoxicillin and clavulanate extended-release tablets in teenagers and children younger than 16 years of age. Safety and efficacy have not been established.


Geriatric


Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of amoxicillin and clavulanate combination in the elderly. However, elderly patients are more likely to have age-related kidney problems, which may require an adjustment in the dose for patients receiving amoxicillin and clavulanate combination.


Pregnancy








Pregnancy CategoryExplanation
All TrimestersBAnimal studies have revealed no evidence of harm to the fetus, however, there are no adequate studies in pregnant women OR animal studies have shown an adverse effect, but adequate studies in pregnant women have failed to demonstrate a risk to the fetus.

Breast Feeding


Studies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding.


Interactions with Medicines


Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.


Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.


  • Methotrexate

  • Venlafaxine

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.


  • Acenocoumarol

  • Desogestrel

  • Dienogest

  • Drospirenone

  • Estradiol Cypionate

  • Estradiol Valerate

  • Ethinyl Estradiol

  • Ethynodiol Diacetate

  • Etonogestrel

  • Khat

  • Levonorgestrel

  • Medroxyprogesterone Acetate

  • Mestranol

  • Norelgestromin

  • Norethindrone

  • Norgestimate

  • Norgestrel

  • Probenecid

  • Warfarin

Interactions with Food/Tobacco/Alcohol


Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.


Other Medical Problems


The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:


  • Diarrhea or

  • Liver disease—Use with caution. May make these conditions worse.

  • Kidney disease—Use with caution. The effects may be increased because of slower removal of the medicine from the body.

  • Kidney disease, severe—The extended-release tablets should not be used in patients with this condition.

  • Liver disease, history of with amoxicillin and clavulanate combination or

  • Mononucleosis ("mono")—Should not be used in patients with these conditions.

  • Phenylketonuria (PKU)—The chewable tablet and oral suspension contain phenylalanine, which can make this condition worse.

Proper Use of amoxicillin and clavulanate

This section provides information on the proper use of a number of products that contain amoxicillin and clavulanate. It may not be specific to Augmentin. Please read with care.


Take this medicine exactly as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered.


You may take this medicine with or without meals. However, it is best to take this medicine at the start of a meal or snack to avoid an upset stomach.


Swallow the extended-release tablet whole. Do not crush, break, or chew it.


If you are using the chewable tablets, chew the tablet completely before swallowing.


There are certain flavors that can be mixed with the oral suspension to make it taste better. If you or your child do not like the taste of this medicine, ask your pharmacist about these flavorings.


Keep the oral suspension refrigerated. Shake it well before measuring the dose. Use a dosing spoon or medicine dropper to measure the dose. The average household teaspoon may not hold the right amount of liquid. Rinse the dosing spoon or dropper with water after each use.


Do not change brands or dosage forms of amoxicillin and clavulanate combination without first checking with your doctor. Different products may not work the same way. If you refill your medicine and it looks different, ask your pharmacist about the change.


Dosing


The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.


The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.


  • For bacterial infections:
    • For oral dosage form (chewable tablets, suspension):
      • Adults, teenagers, and children weighing 40 kilograms (kg) or more—250 to 500 milligrams (mg) every eight hours or 500 to 875 mg every twelve hours.

      • Children and infants above 3 months of age and weighing less than 40 kilograms (kg)—Dose is based on body weight and must be determined by your doctor. The usual dose is 20 to 40 milligrams (mg) per kilogram (kg) of body weight per day (mg/kg/day), divided and given every 8 hours, or 25 to 90 mg/kg/day, divided and given every 12 hours.

      • Infants younger than 3 months of age—Dose is based on body weight and must be determined by your doctor. The usual dose is 30 milligrams (mg) per kilogram (kg) of body weight per day, divided and given every 12 hours.


    • For oral dosage form (extended-release tablets):
      • Adults—2000 milligrams (mg) every 12 hours.

      • Children—Use and dose must be determined by your doctor.


    • For oral dosage form (tablets):
      • Adults, teenagers, and children weighing 40 kilograms (kg) or more—250 to 500 milligrams (mg) every eight hours or 500 to 875 mg every twelve hours.

      • Children weighing less than 40 kilograms (kg)—Use and dose must be determined by your doctor.



Missed Dose


If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.


Storage


Keep out of the reach of children.


Do not keep outdated medicine or medicine no longer needed.


Ask your healthcare professional how you should dispose of any medicine you do not use.


Store the chewable tablets, regular tablets, and extended-release tablets at room temperature, away from heat, moisture, and direct light. Keep from freezing.


Store the oral suspension in the refrigerator. Throw away any unused portion after 10 days. Keep from freezing.


Precautions While Using Augmentin


If your symptoms do not improve within a few days, or if they become worse, check with your doctor.


This medicine may cause serious allergic reactions, including anaphylaxis, which can be life-threatening and require immediate medical attention. Call your doctor right away if you or your child have itching; hives; hoarseness; shortness of breath; trouble with breathing; trouble with swallowing; or any swelling of your hands, face, or mouth after you receive this medicine.


Amoxicillin and clavulanate combination may cause diarrhea, and in some cases it can be severe. Do not take any medicine to treat diarrhea without first checking with your doctor. Diarrhea medicines may make the diarrhea worse or make it last longer. If you have any questions about this or if mild diarrhea continues or gets worse, check with your doctor.


In some young patients, tooth discoloration may occur while using this medicine. The teeth may appear to have brown, yellow, or gray stains. To help prevent this, brush and floss your teeth regularly or have a dentist clean your teeth.


Amoxicillin and clavulanate combination may decrease the effects of some oral contraceptives (birth control pills). To avoid an unwanted pregnancy, it is a good idea to use additional contraceptive measures with your pills (e.g., condoms, a diaphragm, or a contraceptive foam or jelly) while using this medicine.


Before you or your child have any medical tests, tell the doctor in charge that you are taking this medicine. The results of some tests may be affected by this medicine.


Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.


Augmentin Side Effects


Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.


Check with your doctor immediately if any of the following side effects occur:


Less common
  • Hives or welts

  • itching

  • itching of the vagina or genital area

  • pain during sexual intercourse

  • redness of the skin

  • skin rash

  • thick, white vaginal discharge with no odor or with a mild odor

Rare
  • Bloody or cloudy urine

  • fever

  • greatly decreased frequency of urination or amount of urine

  • seizures

  • swelling of the feet or lower legs

Incidence not known
  • Abdominal or stomach cramps or tenderness

  • back, leg, or stomach pains

  • black, hairy tongue

  • black, tarry stools

  • bleeding gums

  • blistering, peeling, or loosening of the skin

  • bloating

  • blood in the stools

  • bloody nose

  • chest pain

  • chills

  • clay-colored stools

  • cough or hoarseness

  • cracks in the skin

  • dark urine

  • diarrhea

  • diarrhea, watery and severe, which may also be bloody

  • difficulty with breathing

  • difficulty with moving

  • difficulty with swallowing

  • dizziness

  • fast heartbeat

  • fever with or without chills

  • general body swelling

  • general feeling of tiredness or weakness

  • headache

  • heavier menstrual periods

  • increased thirst

  • joint or muscle pain

  • large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs

  • light-colored stools

  • loss of appetite

  • loss of heat from the body

  • lower back or side pain

  • muscle stiffness

  • nausea or vomiting

  • pain

  • pain, swelling, or redness in the joints

  • painful or difficult urination

  • pale skin

  • pinpoint red spots on the skin

  • puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue

  • rash

  • red skin lesions, often with a purple center

  • red, irritated eyes

  • red, swollen skin

  • scaly skin

  • shortness of breath

  • sore throat

  • sores, ulcers, or white spots on the lips or in the mouth

  • swollen glands

  • tightness in the chest

  • troubled breathing with exertion

  • unpleasant breath odor

  • unusual bleeding or bruising

  • unusual tiredness or weakness

  • unusual weight loss

  • upper right abdominal pain

  • vomiting of blood

  • wheezing

  • white patches in the mouth or throat or on the tongue

  • white patches with diaper rash

  • yellow eyes or skin

Get emergency help immediately if any of the following symptoms of overdose occur:


Symptoms of overdose
  • Abdominal or stomach pain

  • bloody or cloudy urine

  • diarrhea

  • fever

  • greatly decreased frequency of urination or amount of urine

  • pain or burning while urinating

  • skin rash

  • sleepiness

  • swelling of the feet or lower legs

  • vomiting

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:


Rare
  • Anxiety

  • dry mouth

  • hyperventilation

  • irregular heartbeats

  • irritability

  • nervousness

  • restlessness

  • shaking

  • sleeplessness

  • tooth discoloration

  • trouble sitting still

  • trouble with sleeping

  • unable to sleep

Incidence not known
  • Burning feeling in the chest or stomach

  • indigestion

  • redness, swelling, or soreness of the tongue

  • stomach upset

  • swelling or inflammation of the mouth

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.


Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

See also: Augmentin side effects (in more detail)



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More Augmentin resources


  • Augmentin Side Effects (in more detail)
  • Augmentin Use in Pregnancy & Breastfeeding
  • Drug Images
  • Augmentin Drug Interactions
  • Augmentin Support Group
  • 55 Reviews for Augmentin - Add your own review/rating


  • Augmentin Consumer Overview

  • Augmentin MedFacts Consumer Leaflet (Wolters Kluwer)

  • Augmentin Prescribing Information (FDA)

  • Augmentin ES-600 Prescribing Information (FDA)

  • Augmentin ES-600 Suspension MedFacts Consumer Leaflet (Wolters Kluwer)

  • Augmentin XR Prescribing Information (FDA)

  • Augmentin XR Extended-Release Tablets MedFacts Consumer Leaflet (Wolters Kluwer)



Compare Augmentin with other medications


  • Aspiration Pneumonia
  • Bacterial Infection
  • Bronchitis
  • Febrile Neutropenia
  • Kidney Infections
  • Melioidosis
  • Otitis Media
  • Pneumonia
  • Sinusitis
  • Skin and Structure Infection
  • Skin Infection
  • Small Bowel Bacterial Overgrowth
  • Strep Throat
  • Upper Respiratory Tract Infection
  • Urinary Tract Infection

Monday, June 18, 2012

Tussi-Bid


Generic Name: dextromethorphan and guaifenesin (DEX troe me THOR fan and gwye FEN e sin)

Brand Names: Allfen DM, Altarussin DM, Aquatab DM, Benylin Expectorant, Drituss DM, Extuss LA, Fenesin DM IR, Glycotuss-DM, Guaifen DM, Mucinex Children's Cough, Mucinex DM, MucusRelief DM, Naldecon DX Liquigel, Relacon LAX, Respa-DM, Robitussin Cough & Congestion, Tussi-Bid, Tussi-Organidin DM NR, Vicks 44E


What is Tussi-Bid (dextromethorphan and guaifenesin)?

Dextromethorphan is a cough suppressant. It affects the signals in the brain that trigger cough reflex.


Guaifenesin is an expectorant. It helps loosen congestion in your chest and throat, making it easier to cough out through your mouth.


The combination of dextromethorphan and guaifenesin is used to treat cough and chest congestion caused by the common cold, infections, or allergies.


Dextromethorphan will not treat a cough that is caused by smoking, asthma, or emphysema.

Dextromethorphan and guaifenesin may also be used for other purposes not listed in this medication guide.


What is the most important information I should know about Tussi-Bid (dextromethorphan and guaifenesin)?


Do not give this medication to a child younger than 2 years old. Always ask a doctor before giving a cough or cold medicine to a child. Death can occur from the misuse of cough and cold medicines in very young children. Do not use a cough or cold medicine if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take cough or cold medicine before the MAO inhibitor has cleared from your body. Do not use any other over-the-counter cough or cold medication without first asking your doctor or pharmacist. If you take certain products together you may accidentally take too much of one or more types of medicine. Read the label of any other medicine you are using to see if it contains dextromethorphan or guaifenesin. Dextromethorphan will not treat a cough that is caused by smoking, asthma, or emphysema.

What should I discuss with my healthcare provider before taking Tussi-Bid (dextromethorphan and guaifenesin)?


Do not use a cough or cold medicine if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take cough or cold medicine before the MAO inhibitor has cleared from your body.

Ask a doctor or pharmacist if it is safe for you to take this medication if you have emphysema or chronic bronchitis.


FDA pregnancy category C. It is not known whether dextromethorphan and guaifenesin is harmful to an unborn baby. Before you take this medication, tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether this medication passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Artificially-sweetened liquid forms of cold medicine may contain phenylalanine. This would be important to know if you have phenylketonuria (PKU). Check the ingredients and warnings on the medication label if you are concerned about phenylalanine.


How should I take Tussi-Bid (dextromethorphan and guaifenesin)?


Use this medication exactly as directed on the label, or as prescribed by your doctor. Do not use it in larger amounts or for longer than recommended. Cold medicine is usually taken only for a short time until your symptoms clear up.


Do not give this medication to a child younger than 2 years old. Always ask a doctor before giving a cough or cold medicine to a child. Death can occur from the misuse of cough and cold medicines in very young children.

Measure the liquid form of this medicine with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.


Do not crush, chew, or break an extended-release tablet. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time.

Dextromethorphan and guaifenesin granules should be sprinkled directly onto the tongue and swallowed right away.


Drink extra fluids to help loosen the congestion and lubricate your throat while you are taking this medication. Talk with your doctor if your symptoms do not improve after 7 days of treatment, or if you have a fever with a headache, cough, or skin rash.

If you need to have any type of surgery, tell the surgeon ahead of time if you have taken a cold medicine within the past few days.


Store this medicine at room temperature, away from heat, light, and moisture.

What happens if I miss a dose?


Since cough or cold medicine is usually taken only as needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose.


What happens if I overdose?


Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include feeling restless or nervous.


What should I avoid while taking Tussi-Bid (dextromethorphan and guaifenesin)?


This medication can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Avoid drinking alcohol. It can increase some of the side effects of this medication.

Avoid taking diet pills, caffeine pills, or other stimulants (such as ADHD medications) without your doctor's advice. Taking a stimulant together with cough or cold medicine can increase your risk of unpleasant side effects.


Do not use any other over-the-counter cough or cold medication without first asking your doctor or pharmacist. Dextromethorphan and guaifenesin are contained in many medicines available over the counter. If you take certain products together you may accidentally take too much of one or more types of medicine. Read the label of any other medicine you are using to see if it contains dextromethorphan or guaifenesin.

Tussi-Bid (dextromethorphan and guaifenesin) side effects


Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using this medication and call your doctor at once if you have any of these serious side effects:

  • severe dizziness, anxiety, restless feeling, or nervousness;




  • confusion, hallucinations; or




  • slow, shallow breathing.



Less serious side effects may include:



  • dizziness;




  • headache;




  • skin rash or itching; or




  • nausea, vomiting, or stomach upset.



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 Tussi-Bid (dextromethorphan and guaifenesin)?


Before taking this medication, tell your doctor if you are using any of the following drugs:



  • celecoxib (Celebrex);




  • cinacalcet (Sensipar);




  • darifenacin (Enablex);




  • imatinib (Gleevec);




  • quinidine (Quinaglute, Quinidex);




  • ranolazine (Ranexa);




  • ritonavir (Norvir);




  • sibutramine (Meridia);




  • terbinafine (Lamisil);




  • medicines to treat high blood pressure; or




  • an antidepressant such as amitriptyline (Elavil, Etrafon), bupropion (Wellbutrin, Zyban), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), imipramine (Janimine, Tofranil), paroxetine (Paxil), sertraline (Zoloft), and others.



This list is not complete and there may be other drugs that can interact with dextromethorphan and guaifenesin. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.



More Tussi-Bid resources


  • Tussi-Bid Side Effects (in more detail)
  • Tussi-Bid Use in Pregnancy & Breastfeeding
  • Tussi-Bid Drug Interactions
  • Tussi-Bid Support Group
  • 0 Reviews for Tussi-Bid - Add your own review/rating


  • Atuss-12 DX Extended-Release Liquid MedFacts Consumer Leaflet (Wolters Kluwer)

  • Bidex-A Extended-Release Tablets MedFacts Consumer Leaflet (Wolters Kluwer)

  • Duratuss DM 12 Suspension MedFacts Consumer Leaflet (Wolters Kluwer)

  • Guaifenesin DM Elixir MedFacts Consumer Leaflet (Wolters Kluwer)

  • Humibid CS MedFacts Consumer Leaflet (Wolters Kluwer)

  • Mucinex DM Prescribing Information (FDA)

  • Mucinex DM Maximum Strength Prescribing Information (FDA)

  • Robitussin DM infant drops

  • Scot-Tussin DM Liquid MedFacts Consumer Leaflet (Wolters Kluwer)

  • Tussin DM Prescribing Information (FDA)



Compare Tussi-Bid with other medications


  • Cough
  • Expectoration


Where can I get more information?


  • Your pharmacist can provide more information about dextromethorphan and guaifenesin.

See also: Tussi-Bid side effects (in more detail)


Sunday, June 10, 2012

Cadexomer Iodine Gel Pad


Pronunciation: kad-EX-oh-mer EYE-oh-dine
Generic Name: Cadexomer Iodine
Brand Name: Iodoflex


Cadexomer Iodine Gel Pad is used for:

Cleansing and protecting wounds and sores (eg, wet ulcers, venous stasis ulcers, pressure sores, infected surgical wounds). It may also be used for other conditions as determined by your doctor.


Cadexomer Iodine Gel Pad is an antibacterial and absorbent agent. It works by absorbing fluid and bacteria from the surface of the wound, which helps it to heal.


Do NOT use Cadexomer Iodine Gel Pad if:


  • you are allergic to any ingredient in Cadexomer Iodine Gel Pad, including iodine

  • you have Hashimoto thyroiditis, a history of Graves disease or nontoxic nodular goiter, or other thyroid problems

  • you are pregnant or breast-feeding

Contact your doctor or health care provider right away if any of these apply to you.



Before using Cadexomer Iodine Gel Pad:


Some medical conditions may interact with Cadexomer Iodine Gel Pad. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:


  • if you are pregnant, planning to become pregnant, or are breast-feeding

  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

  • if you have allergies to medicines, foods, or other substances

  • if you have a history of thyroid or kidney problems

Some MEDICINES MAY INTERACT with Cadexomer Iodine Gel Pad. However, no specific interactions with Cadexomer Iodine Gel Pad are known at this time.


Ask your health care provider if Cadexomer Iodine Gel Pad may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.


How to use Cadexomer Iodine Gel Pad:


Use Cadexomer Iodine Gel Pad as directed by your doctor. Check the label on the medicine for exact dosing instructions.


  • An additional patient leaflet is available with Cadexomer Iodine Gel Pad. Talk to your pharmacist if you have questions about this information.

  • Wash your hands before and after using Cadexomer Iodine Gel Pad, unless your hands are a part of the treated area.

  • Clean the wound and surrounding area with a gentle stream of sterile water or saline. Gently blot away excess fluid, leaving the surface slightly moist.

  • With gloved hands, remove the carrier gauze on one or both sides of the pad. Place the pad in contact with the wound surface as directed by your doctor. If there is any remaining medicine, throw it away.

  • Cover the wound with dry, sterile gauze or other dressing as directed by your doctor.

  • Apply a compression bandage as directed if your doctor has told you to do so.

  • Change the pad when the medicine changes from brown to yellow/gray or as directed by your doctor.

  • To change the pad, peel the gauze away from the wound. You may soak the gauze for a few minutes as directed if needed to help remove it.

  • Remove the medicine with sterile water or saline. Gently blot away excess fluid, leaving the surface slightly moist. Reapply a new pad as directed.

  • If you miss a dose of Cadexomer Iodine Gel Pad, use it as soon as you remember. Continue to use Cadexomer Iodine Gel Pad as directed by your doctor.

Ask your health care provider any questions you may have about how to use Cadexomer Iodine Gel Pad.



Important safety information:


  • Cadexomer Iodine Gel Pad is for external use only. Do not get Cadexomer Iodine Gel Pad in your eyes, nose, or mouth. If you get Cadexomer Iodine Gel Pad in any of these areas, rinse immediately with cool water.

  • Cadexomer Iodine Gel Pad is not effective in cleaning dry wounds.

  • The wound may appear larger during the first few days of treatment, due to decreased swelling.

  • Do not use more of Cadexomer Iodine Gel Pad than prescribed.

  • Do not use Cadexomer Iodine Gel Pad for longer than 3 months without checking with your doctor.

  • Cadexomer Iodine Gel Pad may interfere with certain lab tests, including thyroid function tests. Be sure your doctor and lab personnel know you are using Cadexomer Iodine Gel Pad.

  • Use Cadexomer Iodine Gel Pad with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.

  • PREGNANCY and BREAST-FEEDING: Do not use Cadexomer Iodine Gel Pad if you are pregnant. If you think you may be pregnant, contact your doctor immediately. Cadexomer Iodine Gel Pad is found in breast milk. Do not breast-feed while taking Cadexomer Iodine Gel Pad.


Possible side effects of Cadexomer Iodine Gel Pad:


All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:



Mild irritation, pain, redness, or swelling at the application site.



Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); severe or persistent irritation, pain, redness, or swelling at the application site.



This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.


See also: Cadexomer Iodine side effects (in more detail)


If OVERDOSE is suspected:


Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.


Proper storage of Cadexomer Iodine Gel Pad:

Store Cadexomer Iodine Gel Pad at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Keep Cadexomer Iodine Gel Pad out of the reach of children and away from pets.


General information:


  • If you have any questions about Cadexomer Iodine Gel Pad, please talk with your doctor, pharmacist, or other health care provider.

  • Cadexomer Iodine Gel Pad is to be used only by the patient for whom it is prescribed. Do not share it with other people.

  • If your symptoms do not improve or if they become worse, check with your doctor.

  • Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Cadexomer Iodine Gel Pad. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.



Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Cadexomer Iodine resources


  • Cadexomer Iodine Side Effects (in more detail)
  • Cadexomer Iodine Use in Pregnancy & Breastfeeding
  • Cadexomer Iodine Support Group
  • 0 Reviews · Be the first to review/rate this drug