Sunday, October 7, 2012

Sargramostim


Pronunciation: sar-GRA-moe-stim
Generic Name: Sargramostim
Brand Name: Leukine


Sargramostim is used for:

Reducing severe, life-threatening, or fatal infections after chemotherapy for acute myelogenous leukemia (AML). It is also used to help increase the success of autologous bone marrow transplant and to help increase survival in patients who have bone marrow transplant failure. It may also be used for other conditions as determined by your doctor.


Sargramostim is a hematopoietic agent. It works by stimulating production of white blood cells in bone marrow.


Do NOT use Sargramostim if:


  • you are allergic to any ingredient in Sargramostim or to yeast products

  • you have certain bone marrow disorders

  • you have received chemotherapy or radiation therapy within the last 24 hours or you will be receiving chemotherapy or radiation therapy within the next 24 hours

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



Before using Sargramostim:


Some medical conditions may interact with Sargramostim. 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 other types of cancer or unusual growths or tumors

  • if you have a history of fluid retention, irregular heartbeat, heart disease or congestive heart failure, a lung disorder or breathing problems, or liver or kidney problems

  • if you are undergoing radiation therapy or chemotherapy

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


  • Corticosteroids (eg, prednisone) or lithium because they may increase the risk of Sargramostim's side effects

This may not be a complete list of all interactions that may occur. Ask your health care provider if Sargramostim 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 Sargramostim:


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


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

  • Do not shake Sargramostim.

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

  • Continue using Sargramostim for the full course of treatment unless your doctor directs otherwise.

  • 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 Sargramostim, contact your doctor right away.

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



Important safety information:


  • The first dose of Sargramostim may cause difficulty breathing, flushing, fainting, or fast or irregular heartbeat. These signs usually resolve and usually do not occur again. Contact your doctor for more information.

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

  • Diabetes patients - Sargramostim may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.

  • Lab tests, including liver function, kidney function, blood counts, body weight, and fluid and electrolyte tests, may be performed while you use Sargramostim. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.

  • Sargramostim may have benzyl alcohol in it. Do not use it in NEWBORNS or INFANTS. It may cause serious and sometimes fatal nervous system problems and other side effects.

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


Possible side effects of Sargramostim:


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:



Bone, muscle, or joint pain; diarrhea; fever; general feeling of discomfort; hair loss; headache; loss of appetite; mild sweating of the hands, ankles, legs, or feet; nausea; sore mouth; stomach pain; vomiting; weakness.



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); anxiety; black or tarry stools; blood in urine; chest pain; emotional or mood changes; fainting; fast or irregular heartbeat; severe or persistent fever; severe stomach pain; severe swelling of the hands, ankles, legs, or feet; shortness of breath; unusual or excessive bleeding; unusual swelling; vomiting blood.



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: Sargramostim 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 (http://www.aapcc.org ), or emergency room immediately. Symptoms may include chills; fast or irregular heartbeat; rash; severe or persistent fever, discomfort, headache, or nausea; shortness of breath.


Proper storage of Sargramostim:

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


General information:


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

  • Sargramostim 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 Sargramostim. 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 Sargramostim resources


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


  • Sargramostim Professional Patient Advice (Wolters Kluwer)

  • Sargramostim Monograph (AHFS DI)

  • sargramostim Intravenous Advanced Consumer (Micromedex) - Includes Dosage Information

  • Leukine Prescribing Information (FDA)

  • Leukine Consumer Overview



Compare Sargramostim with other medications


  • Aplastic Anemia
  • Bone Marrow Transplantation
  • Bone Marrow Transplantation, Failure or Engraftment Delay
  • Bone Marrow Transplantation, Myeloid Reconstruction
  • Neutropenia Associated with Chemotherapy


Thursday, October 4, 2012

Novacort


Generic Name: hydrocortisone and pramoxine topical (HYE droe KOR ti sone and pra MOX een)

Brand Names: Analpram E, Analpram-HC, Epifoam, HC Pramoxine, Hydropram, Novacort, Pramosone, Proctofoam HC, Rectocort HC, ZyPram


What is Novacort (hydrocortisone and pramoxine topical)?

Pramoxine is an anesthetic. It works by interfering with pain signals sent from the nerves to the brain.


Hydrocortisone is a steroid. It reduces the actions of chemicals in the body that cause inflammation, redness, and swelling.


The combination of hydrocortisone and pramoxine topical is used to treat pain, itching, or inflammation of the skin caused by a number of conditions such as allergic reactions, eczema, psoriasis, insect bites, and minor burns or scrapes. This medication is also used on the rectal area to treat itching and inflammation caused by hemorrhoids, anal fissures, or other rectal irritation.


Hydrocortisone and pramoxine topical may also be used for other purposes not listed in this medication guide.


What is the most important information I should know about Novacort (hydrocortisone and pramoxine topical)?


You should not use this medication if you are allergic to hydrocortisone or pramoxine, or if you have chickenpox or measles.

Before using hydrocortisone and pramoxine topical, tell your doctor if you are allergic to any drugs or any other anesthetics or "numbing medicines."


Hydrocortisone and pramoxine topical will not treat a bacterial, fungal, or viral skin infection. If you have a skin infection, you should not use this medication until your infection is treated and clears up.


Avoid using this medication on your face, near your eyes, or on body areas where you have skin folds or thin skin.


Do not use this medication on a child without a doctor's advice. Children are more sensitive to the effects of topical hydrocortisone. Do not cover treated skin areas with a bandage or other covering unless your doctor has told you to. If you are treating the diaper area of a baby, do not use plastic pants or tight-fitting diapers. Covering the skin that is treated with hydrocortisone topical can increase the amount of the drug your skin absorbs, which may lead to unwanted side effects. Follow your doctor's instructions. Contact your doctor if your condition does not improve or if it gets worse after using this medication for several days.

Do not use hydrocortisone and pramoxine topical for any condition that has not been checked by a doctor.


What should I discuss with my health care provider before using Novacort (hydrocortisone and pramoxine topical)?


You should not use this medication if you are allergic to hydrocortisone or pramoxine, or if you have chickenpox or measles.

Before using hydrocortisone and pramoxine topical, tell your doctor if you are allergic to any drugs or any other anesthetics or "numbing medicines." Also tell your doctor if you have:



  • liver disease;




  • diabetes;




  • problems with your eyes;




  • a stomach or intestinal disorder;




  • a rectal sore or infection; or




  • if you use any drugs that weaken the immune system, including steroids.



Hydrocortisone and pramoxine topical will not treat a bacterial, fungal, or viral skin infection. If you have a skin infection, you should not use this medication until your infection is treated and clears up.


FDA pregnancy category C. It is not known whether this medication is harmful to an unborn baby. Before using hydrocortisone and pramoxine topical, tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether hydrocortisone and pramoxine topical passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not use this medication on a child without a doctor's advice. Children are more sensitive to the effects of topical hydrocortisone.

How should I use Novacort (hydrocortisone and pramoxine topical)?


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. Follow the directions on your prescription label.


Hydrocortisone and pramoxine topical is usually applied 3 or more times daily, depending on which form of this medication you use. Follow the label directions or your doctor's instructions about how much of this medication to use and how often. Do not use hydrocortisone and pramoxine topical for any condition that has not been checked by a doctor.


Wash your hands before and after applying this medication, unless you are using hydrocortisone and pramoxine topical to treat a hand condition.

When using this medication on the skin, apply just enough of the medication to cover the area to be treated. Rub in gently.


Avoid using this medication on your face, near your eyes or mouth, or on body areas where you have skin folds or thin skin.


Do not cover treated skin areas with a bandage or other covering unless your doctor has told you to. If you are treating the diaper area of a baby, do not use plastic pants or tight-fitting diapers. Covering the skin that is treated with hydrocortisone topical can increase the amount of the drug your skin absorbs, which may lead to unwanted side effects. Follow your doctor's instructions.

Before apply the rectal form of this medication (cream, lotion, or foam), clean the rectal area with mild soap and pat dry.


Use only a small amount of medicine when applying hydrocortisone and pramoxine around the outside of the rectum. You may first place the medicine onto a clean tissue and then wipe it gently onto your rectum.


When using this medication inside the rectum, insert only the applicator tip of the medicine tube or foam can into the anus, no deeper than 1 inch.


Shake the hydrocortisone and pramoxine rectal foam before each use. Contact your doctor if your condition does not improve or if it gets worse after using this medication for several days, or if your condition clears up and then comes back. Do not stop using hydrocortisone and pramoxine topical suddenly after long-term use, or you could have unpleasant withdrawal symptoms. Talk to your doctor about how to avoid withdrawal symptoms when you stop using the medication. Store this medication at room temperature away from moisture and heat. Keep the rectal foam canister away from open flame or high heat. The canister may explode if it gets too hot. Do not puncture or burn an empty canister.

What happens if I miss a dose?


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


What happens if I overdose?


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

An overdose of hydrocortisone and pramoxine topical is not expected to produce life-threatening symptoms. However, long-term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.


What should I avoid while using Novacort (hydrocortisone and pramoxine topical)?


Avoid using this medication on your face, near your eyes, or on body areas where you have skin folds or thin skin. If it does get into any of these areas, wash with water. Do not use hydrocortisone and pramoxine topical on deep skin wounds, blistered skin, severe burns, irritated skin, or large skin areas. Also avoid using this medication in open wounds.

Avoid applying other skin medications on the same treatment area with hydrocortisone and pramoxine topical, unless your doctor has told you to.


Using a steroid can lower the blood cells that help your body fight infections. This can make it easier for you to get sick from being around others who are ill. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using steroid medicines.


Hydrocortisone pramoxine topical side effects


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

  • blurred vision, or seeing halos around lights;




  • uneven heartbeats;




  • sleep problems (insomnia);




  • ongoing headache;




  • weight gain, puffiness in your face;




  • increased thirst or urination, weight loss, unusual weakness;




  • fever, sore throat, tired feeling;




  • severe pain, burning, or irritation of treated skin;




  • rectal bleeding;




  • any new redness or swelling where the medicine was applied; or




  • itching, oozing, or other signs of infection.



Less serious side effects may include:



  • mild skin redness, burning, itching, dryness, or peeling;




  • acne;




  • changes in the color of treated skin;




  • thinning of your skin;




  • blistering skin; or




  • stretch marks.



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 Novacort (hydrocortisone and pramoxine topical)?


It is not likely that other drugs you take orally or inject will have an effect on topically applied hydrocortisone and pramoxine. But many drugs can interact with each other. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.



More Novacort resources


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


  • Novacort MedFacts Consumer Leaflet (Wolters Kluwer)

  • Analpram-HC Cream MedFacts Consumer Leaflet (Wolters Kluwer)

  • Epifoam Prescribing Information (FDA)

  • Epifoam Foam MedFacts Consumer Leaflet (Wolters Kluwer)

  • Pramosone Prescribing Information (FDA)

  • Pramosone Lotion MedFacts Consumer Leaflet (Wolters Kluwer)

  • Proctocream HC Prescribing Information (FDA)

  • Proctofoam HC Prescribing Information (FDA)

  • Proctofoam HC Foam MedFacts Consumer Leaflet (Wolters Kluwer)



Compare Novacort with other medications


  • Dermatitis
  • Dermatological Disorders
  • Hemorrhoids
  • Psoriasis


Where can I get more information?


  • Your pharmacist can provide more information about hydrocortisone and pramoxine topical.

See also: Novacort side effects (in more detail)



Wednesday, October 3, 2012

SunVanish Cream




Generic Name: hydroquinone

Dosage Form: cream
Glytone skin Bleaching sunvanish



Dosage Apply SunVanish in the morning to the affected area or as directed by your physician.





Warnings Contains sodium Metabisulfite, a sulfite that may cause serious allergic type reactions (eg hives, itching, wheezing, anaphylaxis, severe asthma attack) in certain susceptible persons.


For external use only





Distributed by


Genesis Pharmaceuticals Inc


Parsippany, NJ  07054


Made in USA


18004598663


www.glytone.com





Keep out of reach of children





Contains Each gram of SunVanish contains 40 mg of hydroquinone USP, 75 mg of octinoxate and 50 mg of oxybenzone in a cream base of purified water, proplyene glycol, cetostearyl alcohol, glycerin, isopropyl palmitate, sodium metabisulfite, sodium lauryl sulfate, and sorbic acid






Glytone skin bleaching sunvanish with sunscreen


hydroquinone USP, 4%


RX only


Net wt 2 oz (56 g)









SUNVANISH 
hydroquinone  cream










Product Information
Product TypeHUMAN PRESCRIPTION DRUGNDC Product Code (Source)64760-201
Route of AdministrationTOPICALDEA Schedule    








Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
Hydroquinone (Hydroquinone)Hydroquinone40 mg  in 1 g




















Inactive Ingredients
Ingredient NameStrength
WATER 
PROPYLENE GLYCOL 
CETOSTEARYL ALCOHOL 
GLYCERIN 
ISOPROPYL PALMITATE 
SODIUM METABISULFITE 
SODIUM LAURYL SULFATE 
SORBIC ACID 


















Product Characteristics
Color    Score    
ShapeSize
FlavorImprint Code
Contains      














Packaging
#NDCPackage DescriptionMultilevel Packaging
164760-201-011 TUBE In 1 BOXcontains a TUBE
156 g In 1 TUBEThis package is contained within the BOX (64760-201-01)










Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart358A10/01/2009


Labeler - Glytone (117196928)
Revised: 01/2011Glytone




More SunVanish Cream resources


  • SunVanish Cream Side Effects (in more detail)
  • SunVanish Cream Use in Pregnancy & Breastfeeding
  • 0 Reviews for SunVanish - Add your own review/rating


Compare SunVanish Cream with other medications


  • Dermatological Disorders


Sentry SA Dritail





Dosage Form: FOR ANIMAL USE ONLY
Treatment for Diarrhea ("Wet Tail")

Indications and Usage for Sentry SA Dritail


SYMPTOMS:     

  • Diarrhea

  • Wet or matted tail

  • Dehydration

  • Obvious changes in appearance or behavior


Concentrated formula

Easily administered in water

Designed to appeal to small animals' tastes

Treats symptoms in hamsters, gerbils, mice, rats , and guinea pigs.

DOSAGE & ADMINISTRATION


Treat animal with full recommended dosage.  Discontinue feeding greens and roughage to animals that have diarrhea.  Treat for a minimum of 5 days.  Repeat the treatment if necessary.  If condition persists and no improvement is noted during treatment, consult your veterinarian.  Sick animals should be separated from healthy animals.  If more than one animal is caged together, all animals should be treated for a period of 5 days to prevent infection.


Oral Dropper Method (for hamsters and guinea pigs only):

Weigh your pet and use the weight chart to determine the amount of DriTail to use.  Young animals (six months old or less) should be given 1/2 the recommended adult dosage.  Allow the animal to lap medicine from the dropper; be careful not to force medicine into the mouth faster than your pet can lap it up.






















Common NameWeightAmount of DriTail
Siberian Hamster25-35g (1 oz)1/4 mL (8 drops) once daily
Chinese Hamster30-50g (1 1/2 oz)1/4 mL (8 drops) once daily
Golden Hamster
110-140g (4-5 oz)1/2 mL (16 drops) once daily
Guinea Pig800-1200g (2-2 1/2 lbs)3/4 mL (24 drops) once daily







Oral Drinking Water Method (gerbils, mice, rats, hamsters, guinea pigs):

Add 3 teaspoons (15 mL) of DriTail to 4 oz. (120 mL) of water.  The water should be changed daily and should be your pet's only source of water. 

Precautions


Do not use for nonrodents such as rabbits.  For pet animal use only.

KEEP OUT OF REACH OF CHILDREN





ACTIVE INGREDIENT


Neomycin sulfate equivalent to not less than 20 mg/mL of neomycin base.

How is Sentry SA Dritail Supplied


Net Contents:


1 fl. oz. (29.5 mL) Dropper


16 fl. oz. (473 mL)

PACKAGE LABEL PRINCIPLE DISPLAY PANEL


Distributed by:


Sergeant's Pet Care Products, Inc., Omaha NE 68130


Made in USA


www.sentrypetcare.com










Sentry SA Dritail 
neomycin sulfate  liquid










Product Information
Product TypeOTC ANIMAL DRUGNDC Product Code (Source)21091-932
Route of AdministrationORALDEA Schedule    








Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
NEOMYCIN SULFATE (NEOMYCIN)NEOMYCIN SULFATE20 mg  in 1 mL





Inactive Ingredients
Ingredient NameStrength
No Inactive Ingredients Found


















Product Characteristics
Color    Score    
ShapeSize
FlavorImprint Code
Contains      


















Packaging
#NDCPackage DescriptionMultilevel Packaging
121091-932-011 BOTTLE In 1 BLISTER PACKcontains a BOTTLE, PLASTIC
129.5 mL In 1 BOTTLE, PLASTICThis package is contained within the BLISTER PACK (21091-932-01)
221091-932-16473 mL In 1 BOTTLE, PLASTICNone










Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
unapproved drug other12/08/2008


Labeler - Sergeant's Pet Care Products, Inc. (876995171)
Revised: 12/2009Sergeant's Pet Care Products, Inc.




Sunday, September 30, 2012

Triaminic Flu Cough & Fever


Generic Name: acetaminophen, chlorpheniramine, dextromethorphan, and pseudoephedrine (a SEET a MIN oh fen, KLOR fen EER a meen, DEX troe meth OR fan, SOO doe ee FED rin)

Brand Names: Alka-Seltzer Plus Cough and Cold Liquigel, Children's Tylenol Flu, Comtrex Cold and Flu Maximum Strength Liquid, Comtrex Cold and Flu Maximum Strength Tablet, Robitussin Flu, Robitussin Honey Flu Nighttime, Theraflu (pseudoephedrine) Cold & Cough, Theraflu Flu & Cough, Theraflu Night Cough and Cold and Flu, Theraflu Nightime Maximum Strength, Theraflu Severe Cold & Congestion, Triaminic Cold and Fever, Triaminic Flu, Cough & Fever, Vicks 44 Cold, Flu and Cough, Vicks Formula 44M


What is Triaminic Flu, Cough & Fever (acetaminophen, chlorpheniramine, dextromethorphan, and pseudoephedrine)?

Acetaminophen is a pain reliever and fever reducer.


Chlorpheniramine is an antihistamine that reduces the natural chemical histamine in the body. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose.


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


Pseudoephedrine is a decongestant that shrinks blood vessels in the nasal passages. Dilated blood vessels can cause nasal congestion (stuffy nose).


The combination of acetaminophen, chlorpheniramine, dextromethorphan, and pseudoephedrine is used to treat headache, fever, body aches, runny or stuffy nose, sneezing, itching, watery eyes, and sinus congestion caused by allergies, the common cold, or the flu.


Dextromethorphan will not treat a cough that is caused by smoking.

Acetaminophen, chlorpheniramine, dextromethorphan, and pseudoephedrine may also be used for purposes not listed in this medication guide.


What is the most important information I should know about this medication?


Do not take more of this medication than is recommended. An overdose of acetaminophen can damage your liver or cause death. Do not take this medication without a doctor's advice if you have ever had alcoholic liver disease (cirrhosis) or if you drink more than 3 alcoholic beverages per day. Do not use cold medicine if you have untreated or uncontrolled diseases such as glaucoma, asthma, emphysema, chronic bronchitis, high blood pressure, heart disease, coronary artery disease, or overactive thyroid. Avoid drinking alcohol. It may increase your risk of liver damage while taking acetaminophen. Do not use this medication if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects. Ask a doctor or pharmacist before using any other cold, allergy, pain, or sleep medication. Acetaminophen (sometimes abbreviated as APAP) is contained in many combination medicines. Taking certain products together can cause you to get too much acetaminophen which can lead to a fatal overdose.

What should I discuss with my healthcare provider before taking this medication?


Do not take this medication without a doctor's advice if you have ever had alcoholic liver disease (cirrhosis) or if you drink more than 3 alcoholic beverages per day. You may not be able to take medicine that contains acetaminophen. Do not use cold medicine if you have untreated or uncontrolled diseases such as glaucoma, asthma, emphysema, chronic bronchitis, high blood pressure, heart disease, coronary artery disease, or overactive thyroid. You should not use this medication if you have severe constipation, a blockage in your stomach or intestines, or if you are unable to urinate. Do not use a cold medicine if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects.

Ask a doctor or pharmacist if it is safe for you to take this medicine if you have:



  • liver disease, cirrhosis, or a history of alcoholism;




  • a blockage in your digestive tract (stomach or intestines);




  • diabetes;




  • kidney disease;




  • epilepsy or other seizure disorder;




  • cough with mucus, or cough caused by emphysema or chronic bronchitis;




  • enlarged prostate or urination problems;




  • pheochromocytoma (an adrenal gland tumor); or




  • if you take potassium (Cytra, Epiklor, K-Lyte, K-Phos, Kaon, Klor-Con, Polycitra, Urocit-K).




It is not known whether acetaminophen, chlorpheniramine, dextromethorphan, and pseudoephedrine will harm an unborn baby. Do not use cold medicine without medical advice if you are pregnant. This medication may pass into breast milk and may harm a nursing baby. Do not use cold medicine without medical advice if you are breast-feeding a baby.

How should I take Triaminic Flu, Cough & Fever (acetaminophen, chlorpheniramine, dextromethorphan, and pseudoephedrine)?


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. Cold medicine is usually taken only for a short time until your symptoms clear up.


Do not take more of this medication than is recommended. An overdose of acetaminophen can damage your liver or cause death.

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


The chewable tablet must be chewed thoroughly before you swallow it.


Dissolve one packet of the powder in at least 4 ounces of water. Stir this mixture and drink all of it right away.


Do not give this medication to a child younger than 4 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 take for longer than 7 days in a row. Stop taking the medicine and call your doctor if you still have a fever after 3 days of use, you still have pain after 7 days (or 5 days if treating a child), if your symptoms get worse, or if you have a skin rash, ongoing headache, or any redness or swelling.


If you need surgery or medical tests, tell the surgeon or doctor ahead of time if you have taken a cold medicine within the past few days. Store at room temperature away from moisture and heat. Do not allow liquid medicine to freeze.

What happens if I miss a dose?


Since cold medicine is taken when 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. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.


What happens if I overdose?


Seek emergency medical attention or call the Poison Help line at 1 800 222 1222. An overdose of acetaminophen can be fatal.

The first signs of an acetaminophen overdose include loss of appetite, nausea, vomiting, stomach pain, sweating, and confusion or weakness. Later symptoms may include pain in your upper stomach, dark urine, and yellowing of your skin or the whites of your eyes.


What should I avoid while taking this medication?


Ask a doctor or pharmacist before using any other cold, allergy, pain, or sleep medication. Acetaminophen (sometimes abbreviated as APAP) is contained in many combination medicines. Taking certain products together can cause you to get too much acetaminophen which can lead to a fatal overdose. Check the label to see if a medicine contains acetaminophen or APAP. Avoid drinking alcohol. It may increase your risk of liver damage while taking acetaminophen. This medicine may cause blurred vision or impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly.

This medication 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 a serious side effect such as:

  • fast or pounding heartbeats, severe restless feeling or nervousness;




  • mood changes, confusion, hallucinations, unusual thoughts or behavior;




  • tremor, seizure (convulsions);




  • easy bruising or bleeding, unusual weakness;




  • urinating less than usual or not at all;




  • feeling short of breath;




  • nausea, pain in your upper stomach, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of your skin or eyes); or




  • dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, chest pain, shortness of breath, uneven heartbeats, seizure).



Less serious side effects may include:



  • dizziness, drowsiness;




  • dry mouth, nose, or throat;




  • constipation or diarrhea;




  • blurred vision; or




  • feeling nervous or restless.



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 Triaminic Flu, Cough & Fever (acetaminophen, chlorpheniramine, dextromethorphan, and pseudoephedrine)?


Ask a doctor or pharmacist before using this medicine if you regularly use other medicines that make you sleepy (such as narcotic pain medication, sedatives, sleeping pills, muscle relaxers, and medicine for seizures, depression or anxiety). They can add to sleepiness caused by chlorpheniramine.

Tell your doctor about all other medicines you use, especially:



  • leflunomide (Arava);




  • topiramate (Topamax);




  • zonisamide (Zonegran);




  • an antibiotic, antifungal medicine, sulfa drug, or tuberculosis medicine;




  • an antidepressant;




  • birth control pills or hormone replacement therapy;




  • bladder or urinary medications;




  • blood pressure medication;




  • a bronchodilator;




  • cancer medicine;




  • cholesterol-lowering medications such as Lipitor, Niaspan, Zocor, Vytorin, and others;




  • gout or arthritis medications (including gold injections);




  • HIV/AIDS medication;




  • medication for nausea and vomiting, stomach ulcers, or irritable bowel syndrome;




  • medicines to treat psychiatric disorders;




  • an NSAID such as Advil, Aleve, Arthrotec, Cataflam, Celebrex, Indocin, Motrin, Naprosyn, Treximet, Voltaren, others; or




  • seizure medication.



This list is not complete and other drugs may interact with acetaminophen, chlorpheniramine, dextromethorphan, and pseudoephedrine. 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 Triaminic Flu, Cough & Fever resources


  • Triaminic Flu, Cough & Fever Side Effects (in more detail)
  • Triaminic Flu, Cough & Fever Use in Pregnancy & Breastfeeding
  • Triaminic Flu, Cough & Fever Drug Interactions
  • Triaminic Flu, Cough & Fever Support Group
  • 1 Review for Triaminic Flu, Cough & Fever - Add your own review/rating


Compare Triaminic Flu, Cough & Fever with other medications


  • Cold Symptoms
  • Influenza


Where can I get more information?


  • Your pharmacist can provide more information about acetaminophen, chlorpheniramine, dextromethorphan, and pseudoephedrine.

See also: Triaminic Flu, Cough & Fever side effects (in more detail)



Wednesday, September 26, 2012

Supartz


Generic Name: hyaluronate sodium (Injection route)


hye-al-ure-ON-ate SOE-dee-um


Commonly used brand name(s)

In the U.S.


  • Euflexxa

  • Hyalgan

  • Hyalgan L/L

  • Supartz

Available Dosage Forms:


  • Solution

Therapeutic Class: Cartilaginous Defect Repair Agent


Uses For Supartz


Hyaluronate is similar to a substance that occurs naturally in joints and that helps joints work properly by acting like a lubricant and shock absorber. This medicine is injected directly into the knee to relieve pain caused by osteoarthritis.


This medicine is to be administered only by or under the immediate supervision of your doctor.


Before Using Supartz


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


Studies on this medicine have been done only in adult patients, and there is no specific information comparing use of hyaluronate in children with use in other age groups.


Geriatric


Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults or if they cause different side effects or problems in older people. There is no specific information comparing use of hyaluronate in the elderly with the use in other age groups.


Breast Feeding


There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while 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. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.


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:


  • Skin infection or other problems at the place where the injection is to be given—This medicine should not be injected there.

Proper Use of hyaluronate sodium

This section provides information on the proper use of a number of products that contain hyaluronate sodium. It may not be specific to Supartz. Please read with care.


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 parenteral dosage form (injection):
    • For knee pain caused by osteoarthritis:
      • Adults—By injection into the knee, 20 milligrams (mg) once a week (one week apart) for a total of five injections.

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



Precautions While Using Supartz


For the first 48 hours after you receive this medicine, avoid strenuous activities or prolonged (more than 1 hour) activities that put a lot of weight on your legs, such as jogging, heavy lifting, playing tennis, or standing on your feet for a long period of time.


Supartz 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
  • Blue color or flushing or redness of skin

  • cough

  • difficulty in swallowing

  • dizziness or feeling faint (severe)

  • fever

  • redness or pain at place of injection

  • skin rash, hives, and/or itching

  • stuffy nose

  • swelling of eyelids, face, or lips

  • tightness in chest, troubled breathing, and/or wheezing

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:


More common
  • Diarrhea

  • headache

  • itching of the skin

  • large, nonelevated blue or purplish patches in the skin

  • loss of appetite

  • nausea and/or vomiting

  • stomach pain

  • swelling of the knee

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: Supartz side effects (in more detail)



The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.


The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.


More Supartz resources


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


  • Supartz injection Concise Consumer Information (Cerner Multum)

  • Supartz MedFacts Consumer Leaflet (Wolters Kluwer)

  • Sodium Hyaluronate Gel MedFacts Consumer Leaflet (Wolters Kluwer)

  • Euflexxa MedFacts Consumer Leaflet (Wolters Kluwer)

  • Hyalgan MedFacts Consumer Leaflet (Wolters Kluwer)



Compare Supartz with other medications


  • Osteoarthritis


Sunday, September 23, 2012

Slow Release Iron


Generic Name: ferrous sulfate (FARE us SUL fate)

Brand Names: Feosol, Fer-Gen-Sol, Fer-In-Sol, Fer-in-Sol, Fer-Iron, Feratab, FeroSul, Ferra T.D. Caps, Ferro-Bob, Lydia E. Pinkham, MyKidz Iron 10, Slow Fe, Slow Release Iron


What is Slow Release Iron (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 (HEEM o glo bin) and myoglobin (MY o glo bin). Hemoglobin carries oxygen through your blood to tissues and organs. Myoglobin helps your muscle cells store oxygen.


Ferrous sulfate is used to treat iron deficiency anemia (a lack of red blood cells caused by having too little iron in the body).


Ferrous sulfate may also be used for purposes not listed in this medication guide.


What is the most important information I should know about Slow Release Iron (ferrous sulfate)?


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


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


What should I discuss before taking Slow Release Iron (ferrous sulfate)?


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




It is not known whether this medication could be harmful to an unborn baby. Tell your doctor if you become pregnant during treatment. It is not known whether ferrous sulfate 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.

Do not give ferrous sulfate to a child without the advice of a doctor.


How should I take Slow Release Iron (ferrous sulfate)?


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.


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 . Take this medication with a full glass of water. Do not crush, chew, break, or open an extended-release tablet or capsule. Swallow the pill whole. Breaking or opening the pill may cause too much of the drug to be released at one time. Shake the oral suspension (liquid) well just before you measure a dose. Measure the liquid with a special dose-measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

Ferrous sulfate can stain your teeth, but this effect is temporary. To prevent tooth staining, mix the liquid form of ferrous sulfate with water or fruit juice (not with milk) and drink the mixture through a straw. You may also clean your teeth with baking soda once per week to treat any tooth staining.


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.


Store at room temperature, away from moisture and heat.

What happens if I miss a dose?


Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.


What happens if I overdose?


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222, especially if a child has accidentally swallowed it. An overdose of ferrous sulfate can be fatal to a 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).


What should I avoid while taking Slow Release Iron (ferrous sulfate)?


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

Avoid taking an antibiotic medicine within 2 hours before or after you take ferrous sulfate. This is especially important if you are taking an antibiotic such as ciprofloxacin (Cipro), demeclocycline (Declomycin), doxycycline (Adoxa, Doryx, Oracea, Vibramycin), levofloxacin (Levaquin), lomefloxacin (Maxaquin), minocycline (Dynacin, Minocin, Solodyn, Vectrin), norfloxacin (Noroxin), ofloxacin (Floxin), or tetracycline (Brodspec, Panmycin, Sumycin, Tetracap).


Certain foods can also make it harder for your body to absorb ferrous sulfate. Avoid taking this medication within 1 hour before or 2 hours after eating fish, meat, liver, and whole grain or "fortified" breads or cereals.


Avoid using antacids without your doctor's advice. Use only the type of antacid your doctor recommends. Some antacids can make it harder for your body to absorb ferrous sulfate.

Slow Release Iron (ferrous sulfate) 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.

Less serious side effects may include:



  • constipation;




  • upset stomach;




  • black or dark-colored stools; or




  • temporary staining of the teeth.



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 Slow Release Iron (ferrous sulfate)?


Tell your doctor about all other medicines you use, especially:



  • acetohydroxamic acid (Lithostat);




  • chloramphenicol;




  • cimetidine (Tagamet);




  • etidronate (Didronel);




  • dimercaprol (an injection used to treat poisoning by arsenic, lead, or mercury);




  • levodopa (Larodopa, Dopar, Sinemet);




  • methyldopa (Aldomet); or




  • penicillamine (Cuprimine).



This list is not complete and other drugs may interact with ferrous sulfate. 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 Slow Release Iron resources


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


  • FeoSol MedFacts Consumer Leaflet (Wolters Kluwer)

  • Feosol MedFacts Consumer Leaflet (Wolters Kluwer)

  • Feosol Advanced Consumer (Micromedex) - Includes Dosage Information

  • Fer-Gen-Sol Drops MedFacts Consumer Leaflet (Wolters Kluwer)

  • Slow Fe Controlled-Release Capsules MedFacts Consumer Leaflet (Wolters Kluwer)



Compare Slow Release Iron with other medications


  • Anemia Associated with Chronic Renal Failure
  • Iron Deficiency Anemia
  • Vitamin/Mineral Supplementation and Deficiency
  • Vitamin/Mineral Supplementation during Pregnancy/Lactation


Where can I get more information?


  • Your pharmacist can provide more information about ferrous sulfate.

See also: Slow Release Iron side effects (in more detail)