Thursday, 29 September 2016

Lidokain SAD




Lidokain SAD may be available in the countries listed below.


Ingredient matches for Lidokain SAD



Lidocaine

Lidocaine hydrochloride (a derivative of Lidocaine) is reported as an ingredient of Lidokain SAD in the following countries:


  • Denmark

International Drug Name Search

Wednesday, 28 September 2016

Climara Pro Weekly Patch


Pronunciation: ESS-truh-DIE-ole/LEE-voe-nor-jes-trel
Generic Name: Estradiol/Levonorgestrel
Brand Name: Climara Pro

Estrogens have been reported to increase the chance of womb (endometrial) cancer. Estrogen-containing products should not be used to prevent heart disease or dementia. Estrogen given alone or in combination with another hormone (progestin) for replacement therapy may increase your risk for heart disease (eg, heart attacks), stroke, serious blood clots in the legs (deep vein thrombosis) or lungs (pulmonary embolism), dementia, or breast cancer. These risks appear to depend on the length of time Climara Pro Weekly Patch is used and the amount of estrogen per dose. Therefore, Climara Pro Weekly Patch should be used for the shortest possible length of time at the lowest effective dose, so that you obtain the benefits and minimize the chance of serious side effects from long-term treatment. Consult your doctor or pharmacist for details.





Climara Pro Weekly Patch is used for:

Treating certain symptoms of menopause (eg, hot flashes). It is used to prevent osteoporosis (weak bones) after menopause in certain patients. It may also be used for other conditions as determined by your doctor.


Climara Pro Weekly Patch is an estrogen hormone used to provide the female hormone when the body no longer produces enough.


Do NOT use Climara Pro Weekly Patch if:


  • you are allergic to any ingredient in Climara Pro Weekly Patch

  • you are pregnant or suspect you may be pregnant, have recently given birth or are breast-feeding, have vaginal bleeding of abnormal or unknown cause, or have cancer of the uterus

  • you have known or suspected breast cancer (unless directed by your doctor) or other cancer that is estrogen-dependent

  • you have blood clots, circulation disorders, liver problems, or the blood disease porphyria

  • you have had a recent heart attack or stroke

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



Before using Climara Pro Weekly Patch:


Some medical conditions may interact with Climara Pro Weekly Patch. 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

  • you have breast lumps or disease, an abnormal mammogram, or a family history of breast cancer

  • if you have yellowing of the whites of the eyes or skin during pregnancy or with past estrogen use, or high blood pressure during pregnancy (toxemia)

  • if you have a vaginal infection or womb problems (eg, uterine fibroids/endometriosis, abnormal vaginal bleeding, other uterine problems)

  • if you have abnormal calcium levels in the blood, asthma, cancer, cholesterol or lipid problems, depression, diabetes, epilepsy, excessive weight gain, gallbladder disease, heart disease or other heart problems, high blood pressure, kidney or liver disease, low thyroid hormone levels, lupus, migraine headaches, pancreas disease, seizures, or yellowing of the skin or eyes

  • if you smoke or will be having surgery

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


  • Anticoagulants (eg, warfarin), corticosteroids (eg, prednisone), tacrine, or succinylcholine because their actions and side effects may be increased by Climara Pro Weekly Patch

  • Anticoagulants (eg, warfarin) because their effectiveness may be decreased by Climara Pro Weekly Patch

  • Hydantoins (eg, phenytoin), barbiturates (eg, phenobarbital), or rifampin because they may decrease Climara Pro Weekly Patch's effectiveness

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


Use Climara Pro Weekly Patch as directed by your doctor. Check the label on the medicine for exact dosing instructions. Check the label on the medicine for exact dosing instructions.


  • If you are switching from oral estrogen to Climara Pro Weekly Patch, stop taking the oral estrogen and wait 1 week before using Climara Pro Weekly Patch. However, if symptoms return, you may start using Climara Pro Weekly Patch sooner.

  • An extra patient leaflet is available with Climara Pro Weekly Patch. Talk to your pharmacist if you have questions about this information.

  • One patch is usually applied to the skin and worn for 1 week and then replaced. Follow the dosing schedule carefully.

  • Do not open the sealed pouch containing the patch until ready to use. Open the pouch and remove the patch from the protective liner. Apply to an area of clean, dry skin on the lower stomach area below the belly button. Press the patch firmly against the skin for about 10 seconds to be sure the patch stays on. If the system lifts, press down to reapply. Wear only 1 system at any one time.

  • Do not place the patch on the breast. Make sure the application site is not oily, damaged, or irritated. Avoid applying to the waistline because tight clothing may rub the patch off. Do not put the patch on areas where sitting may loosen it. Do not apply to a site that is exposed to sunlight. Contact with water while bathing, showering, or swimming will not affect the patch.

  • When it is time to change the patch, remove it slowly, fold in half (sticky sides together), and throw it away out of the reach of children and away from pets.

  • Apply a new patch to a different area to prevent skin irritation. Use a different site when replacing the patch and do not repeat the same site for at least 1 week. If the area around the patch becomes red, itchy, or irritated, try a new site. If the irritation continues or becomes worse, notify your doctor promptly.

  • Do not eat grapefruit or drink grapefruit juice while you use Climara Pro Weekly Patch.

  • If you forget to change the patch as scheduled, change it as soon as possible and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use Climara Pro Weekly Patch.



Important safety information:


  • Climara Pro Weekly Patch may cause dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Climara Pro Weekly Patch with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.

  • Talk to your doctor before you take Climara Pro Weekly Patch if you drink more than 3 drinks with alcohol per day.

  • Climara Pro Weekly Patch may cause dark skin patches on your face (melasma). Exposure to the sun may make these patches darker and you may need to avoid prolonged sun exposure and sunlamps. Consult your doctor regarding the use of sunscreens and protective clothing.

  • Climara Pro Weekly Patch may increase the risk of stroke, heart attack, blood clots, high blood pressure, or similar problems. The risk may be greater if you smoke, especially if you are older than 35 years old.

  • Contact your doctor if vaginal bleeding of unknown cause occurs. This could be a sign of a serious condition requiring immediate medical attention.

  • Contact your doctor if vaginal discomfort occurs or if you suspect you have developed an infection while taking Climara Pro Weekly Patch.

  • Follow your doctor's instructions for examining your breasts and report any lumps immediately.

  • If you wear contact lenses and you develop problems with them, contact your doctor.

  • If you will be having surgery or will be confined to a chair or bed for a long period of time (eg, a long plane flight), notify your doctor beforehand. Special precautions may need to be taken in these circumstances while you are taking Climara Pro Weekly Patch.

  • Nonprescription therapy to help prevent bone loss includes a weight-bearing exercise plan, as well as adequate daily calcium and vitamin D intake. Consult your doctor or pharmacist for more details.

  • Climara Pro Weekly Patch may increase the risk of breast and endometrial cancer.

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

  • Climara Pro Weekly Patch may affect certain lab test results. Make sure laboratory personnel and your doctors know you take Climara Pro Weekly Patch.

  • Lab tests, including complete physical exams, breast and pelvic exams, periodic mammograms, Pap smears, and blood pressure measurements, may be performed while you use Climara Pro Weekly Patch. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.

  • Climara Pro Weekly Patch should not be used in CHILDREN; safety and effectiveness in children have not been confirmed.

  • PREGNANCY and BREAST-FEEDING: Do not use Climara Pro Weekly Patch if you are pregnant. If you think you may be pregnant, contact your doctor right away. It is not known if Climara Pro Weekly Patch if found in breast milk. If you are or will be breast-feeding while you use Climara Pro Weekly Patch, check with your doctor. Discuss any possible risks to your baby.


Possible side effects of Climara Pro Weekly Patch:


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:



Headache; irregular vaginal bleeding or spotting; mild breast pain; mild hair loss; nausea; stomach cramps or bloating; vomiting.



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); breast lumps; breast pain; calf pain or tenderness; changes in vision or speech (eg, change in contact lens fit, loss of vision); chest pain; coughing of blood; dizziness; fainting; mental or mood changes (eg, severe depression, memory loss); pain, swelling, or tenderness in the stomach; severe headache or vomiting; severe, persistent, or unusual vaginal bleeding; slurred speech; sudden shortness of breath; swelling of hands or feet; unusual vaginal discharge, itching, or odor; weakness or numbness of an arm or leg; yellowing of the skin or eyes.



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: Climara Pro 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 excessive vaginal bleeding; severe nausea; vomiting.


Proper storage of Climara Pro Weekly Patch:

Store Climara Pro Weekly Patch at room temperature, between 59 and 86 degrees F (15 and 30 degrees C), in the original sealed pouch. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Climara Pro Weekly Patch out of the reach of children and away from pets.


General information:


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

  • Climara Pro Weekly Patch 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 Climara Pro Weekly Patch. 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 Climara Pro resources


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


Compare Climara Pro with other medications


  • Postmenopausal Symptoms
  • Prevention of Osteoporosis

RespiVent DF


Pronunciation: KLOR-fen-IR-a-meen/METH-skoe-POL-a-meen
Generic Name: Chlorpheniramine/Methscopolamine
Brand Name: Examples include AlleRx DF and RespiVent DF


RespiVent DF is used for:

Relieving sneezing, runny nose, and watery eyes due to colds, flu, or hay fever. It may also be used for other conditions as determined by your doctor.


RespiVent DF is an antihistamine and anticholinergic combination. It works by blocking a substance in the body that causes sneezing, runny nose, and watery eyes. It also dries the nose and chest.


Do NOT use RespiVent DF if:


  • you are allergic to any ingredient in RespiVent DF

  • you are taking sodium oxybate (GHB), a monamine oxidase inhibitor (MAOI) (eg, phenelzine), or phosphodiesterase type 5 inhibitors (eg, sildenafil)

  • you have severe heart blood vessel disease, severe high blood pressure, narrow-angle glaucoma, severe bleeding, severe irritation or other serious problems with the esophagus (eg, esophageal achalasia), peptic ulcer, a blockage of the stomach or bowel, bowel motility problems, severe bowel inflammation (eg, ulcerative colitis), or muscle problems (eg, myasthenia gravis)

  • you are unable to urinate or you are having an asthma attack

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



Before using RespiVent DF:


Some medical conditions may interact with RespiVent DF. 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 hernia, diabetes, kidney or liver problems, high blood pressure, nerve problems, prostate gland problems, blockage of your bladder, irregular heartbeat, congestive heart failure or other heart problems, trouble urinating, sleep apnea, asthma, increased eye pressure, or glaucoma, or you are at risk of developing glaucoma

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


  • Anticholinergic medicines (eg, benztropine), barbiturates (eg, phenobarbital), or tricyclic antidepressants (eg, amitriptyline) because they may increase the risk of RespiVent DF's side effects

  • MAOIs (eg, phenelzine) or sodium oxybate (GHB) because the risk of serious side effects, such as high blood pressure or severe drowsiness, may be increased

  • Phosphodiesterase type-5 inhibitors (eg, sildenafil) because the risk of low blood pressure or severe drowsiness, may be increased

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


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


  • Take RespiVent DF by mouth with or without food.

  • RespiVent DF comes in AM tablets and PM tablets. Take the AM tablet in the morning and the PM tablet in the evening as directed by your doctor. Ask your doctor or pharmacist if you have any questions about how to take RespiVent DF.

  • Do not take an antacid or medicine for diarrhea within 1 hour before or 2 hours after you take RespiVent DF.

  • If you miss a dose of RespiVent DF 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 RespiVent DF.



Important safety information:


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

  • Do not drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are taking RespiVent DF; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.

  • RespiVent DF may cause dry mouth. Do not become overheated in hot weather or while you are being active; heatstroke may occur.

  • RespiVent DF may reduce sweating. Do not become overheated in hot weather or during exercise or during other activities; heatstroke may occur.

  • RespiVent DF may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to RespiVent DF. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.

  • Do NOT take more than the recommended dose without checking with your doctor.

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

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

  • RespiVent DF should not be used in CHILDREN younger than 12 years old; safety and effectiveness in these children have not been confirmed.

  • Caution is advised when using RespiVent DF in CHILDREN; they may be more sensitive to its effects, especially excitability.

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


Possible side effects of RespiVent DF:


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; change in appetite; constipation; dizziness; drowsiness; dry mouth; fast heartbeat; nausea; nervousness; ringing in the ears; stomach upset or pain; sun sensitivity; trouble sleeping.



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); confusion; difficulty urinating; fainting or feeling faint; fever; flushing; hallucinations; seizures; severe clumsiness; severe drowsiness; shortness of breath; sore throat; unusual bruising or bleeding; unusual tiredness or weakness.



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: RespiVent DF 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 difficulty breathing; extreme dizziness; extreme drowsiness; fixed/large pupils; hot, dry skin; irregular heartbeat; loss of consciousness; mental or mood changes; persistent vomiting; ringing in the ears; seizures.


Proper storage of RespiVent DF:

Store RespiVent DF at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep RespiVent DF out of the reach of children and away from pets.


General information:


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

  • RespiVent DF 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 RespiVent DF. 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 RespiVent DF resources


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


Compare RespiVent DF with other medications


  • Rhinitis

Eperbel-S


Generic Name: belladonna, ergotamine, and phenobarbital (bel uh DON uh, er GOT uh meen, and feen oh BAR bit al)

Brand Names: Bel-Phen-Ergot, Bellamine, Bellamor, Bellaphen-S, Bellaspas, Bellergal-S, Duragal-S, Eperbel-S, Spastrin


What is Eperbel-S (belladonna, ergotamine, and phenobarbital)?

Belladonna is a naturally occurring mixture that produces many effects in the body. It reduces spasms within the stomach and intestines, the bladder, and the biliary (liver) system. Belladonna also reduces the secretions of many organs, which helps control conditions such as excess stomach acid.


Ergotamine narrows the blood vessels involved in circulation to the head. Ergotamine can also alter blood flow patterns involved in vascular headaches, such as migraines.


Phenobarbital is a barbiturate that reduces brain and nervous system activity.


The combination of belladonna, ergotamine, and phenobarbital is used to treat symptoms of menopause including hot flashes, sweating, increased heart rate, dizziness, restlessness, headache, anxiety, and trouble sleeping.


Belladonna, ergotamine, and phenobarbital may also be used for purposes other than those listed in this medication guide.


What is the most important information I should know about Eperbel-S (belladonna, ergotamine, and phenobarbital)?


Do not use this medication if you have a history of stroke or blood clots, or if you have glaucoma, heart disease, liver disease, kidney disease, porphyria, or high blood pressure. This medication can cause birth defects in an unborn baby. Do not use if you are pregnant. Use an effective form of birth control, and tell your doctor if you become pregnant during treatment. This medication contains phenobarbital, which may be habit-forming. You may have withdrawal symptoms when you stop using this medication after using it over a long period of time. Do not stop using this medication suddenly without first talking to your doctor. You may need to gradually reduce the dose. Avoid drinking alcohol, which can increase some of the side effects of belladonna, ergotamine, and phenobarbital.

Avoid using other medicines that make you sleepy (such as cold medicine, pain medication, muscle relaxers, and medicine for seizures, depression or anxiety). They can add to sleepiness caused by belladonna, ergotamine, and phenobarbital.


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.

What should I discuss with my health care provider before taking Eperbel-S (belladonna, ergotamine, and phenobarbital)?


Do not use this medication if you have:

  • narrow-angle glaucoma;




  • heart disease;




  • liver disease;




  • kidney disease;




  • porphyria;




  • a history of circulation problems, stroke, or blood clots;




  • high blood pressure; or




  • if you are pregnant or breast-feeding.



Before using belladonna, ergotamine, and phenobarbital, tell your doctor if you have:



  • a stomach problem called pyloric obstruction; or




  • angina (chest pain).



If you have any of these conditions, you may not be able to use this medication, or you may need a dosage adjustment or special tests during treatment.


FDA pregnancy category X. This medication can cause birth defects. Do not use belladonna, ergotamine, and phenobarbital if you are pregnant. Tell your doctor right away if you become pregnant during treatment. Use an effective form of birth control while you are using this medication. This medication 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. This medication contains phenobarbital, which may be habit-forming. You may have withdrawal symptoms when you stop using this medication after using it over a long period of time. Do not stop using this medication suddenly without first talking to your doctor. You may need to gradually reduce the dose.

How should I take Eperbel-S (belladonna, ergotamine, and phenobarbital)?


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.


To be sure this medication is helping your condition, your doctor may need to check your progress on a regular basis. It is important that you not miss any scheduled visits to your doctor.


Do not stop using this medication without first talking to your doctor. You may need to use less and less before you stop the medication completely. Store this medicine at room temperature away from moisture and heat.

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 the 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. Symptoms of a belladonna, ergotamine, and phenobarbital overdose may include extremely dry mouth, nausea, vomiting, stomach pain, problems with vision, numbness or pain, blue fingers or toes, cold feeling, extreme drowsiness, confusion, feeling light-headed, fainting, or seizure (convulsions).

What should I avoid while taking Eperbel-S (belladonna, ergotamine, and phenobarbital)?


Avoid drinking alcohol, which can increase some of the side effects of belladonna, ergotamine, and phenobarbital.

Avoid using other medicines that make you sleepy (such as cold medicine, pain medication, muscle relaxers, and medicine for seizures, depression or anxiety). They can add to sleepiness caused by belladonna, ergotamine, and phenobarbital.


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.

Eperbel-S (belladonna, ergotamine, and phenobarbital) 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.

Other less serious side effects are more likely to occur, such as:



  • blurred vision;




  • dry mouth;




  • warmth or tingly feeling;




  • drowsiness; or




  • changes in behavior (in children).



Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.


What other drugs will affect Eperbel-S (belladonna, ergotamine, and phenobarbital)?


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



  • a blood thinner such as warfarin (Coumadin);




  • birth control pills;




  • erythromycin (E-Mycin, Ery-Tab, Erythrocin, E.E.S.); or




  • troleandomycin (Tao).



If you are using any of these drugs, you may not be able to use belladonna, ergotamine, and phenobarbital, or you may need dosage adjustments or special tests during treatment.


There may be other drugs not listed that can affect belladonna, ergotamine, and phenobarbital. 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 Eperbel-S resources


  • Eperbel-S Use in Pregnancy & Breastfeeding
  • Eperbel-S Drug Interactions
  • Eperbel-S Support Group
  • 0 Reviews for Eperbel-S - Add your own review/rating


  • Bellamine S MedFacts Consumer Leaflet (Wolters Kluwer)



Compare Eperbel-S with other medications


  • Hot Flashes
  • Menopausal Disorders
  • Perimenopausal Symptoms
  • Postmenopausal Symptoms


Where can I get more information?


  • Your pharmacist has more information about belladonna, ergotamine, and phenobarbital written for health professionals that you may read.

What does my medication look like?


Belladonna, ergotamine, and phenobarbital is available with a prescription under the brand names Bellergal, Bellamine, Bellaspas, Duragal-S, and Spastrin. Other brand or generic forms may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.



Tuesday, 27 September 2016

MembraneBlue


MembraneBlue is a brand name of trypan blue ophthalmic, approved by the FDA in the following formulation(s):


MEMBRANEBLUE (trypan blue - solution; ophthalmic)



  • Manufacturer: DORC

    Approval date: February 20, 2009

    Strength(s): 0.15% [RLD]

Has a generic version of MembraneBlue been approved?


No. There is currently no therapeutically equivalent version of MembraneBlue available.


Note: Fraudulent online pharmacies may attempt to sell an illegal generic version of MembraneBlue. These medications may be counterfeit and potentially unsafe. If you purchase medications online, be sure you are buying from a reputable and valid online pharmacy. Ask your health care provider for advice if you are unsure about the online purchase of any medication.

See also: About generic drugs.




Related Patents

There are no current U.S. patents associated with MembraneBlue.

Related Exclusivities

Exclusivity is exclusive marketing rights granted by the FDA upon approval of a drug and can run concurrently with a patent or not. Exclusivity is a statutory provision and is granted to an NDA applicant if statutory requirements are met.

  • Exclusivity expiration dates:
    • December 16, 2011 - ORPHAN DRUG EXCLUSIVITY

See also...

  • MembraneBlue Advanced Consumer Information (Micromedex)
  • Vision Blue Consumer Information (Drugs.com)
  • Trypan blue Intraocular Advanced Consumer Information (Micromedex)

cholecalciferol, genistein, and zinc chelazome


Generic Name: cholecalciferol, genistein, and zinc chelazome (KOE le kal SIF er ol, GEN i styne, and ZINK KEE la zome)

Brand names: Fosteum, Fosteum (obsolete)


What is cholecalciferol, genistein, and zinc chelazome?

Cholecalciferol is vitamin D3. Vitamin D is important for the absorption of calcium from the stomach and for the functioning of calcium in the body.


Genistein is an isoflavone derived from a plant source. Genistein reduces cells that break down bone and stimulates cells that build bone in the body. It also reverses the bone effects of estrogen loss in postmenopausal women. Genistein also works with zinc to promote bone mineralization, which hardens and strengthens bone tissue.


Zinc is a naturally occurring mineral. Zinc is important for growth and for the development and health of body tissues.


The combination of cholecalciferol, genistein, and zinc chelazome is a medical food product. It is used to slow the metabolic processes that cause bone loss and may lead to osteoporosis.


Cholecalciferol, genistein, and zinc chelazome may be used for other purposes not listed in this medication guide.


What is the most important information I should know about cholecalciferol, genistein, and zinc chelazome?


You should not use this medication if you are allergic to cholecalciferol, genistein, or zinc chelazome, or if you have ever had cancer of the breast, cervix, uterus, or ovary.

Before you take cholecalciferol, genistein, and zinc chelazome, tell your doctor if you have liver disease, a gallbladder disorder, a blood cell cancer such as leukemia or lymphoma, sarcoidosis (an autoimmune disorder), an electrolyte imbalance, or any condition that makes it hard for your body to absorb nutrients from food (malabsorption).


Use this medication exactly as prescribed by your doctor. Do not use it in larger amounts or for longer than recommended. An overdose of cholecalciferol or zinc can cause serious side effects. Do not take other vitamin or mineral supplements unless your doctor has told you to. Before using this medication, tell your doctor if you are pregnant or breast-feeding. Cholecalciferol, genistein, and zinc is not for use in children.

What should I discuss with my health care provider before taking cholecalciferol, genistein, and zinc chelazome?


You should not use this medication if you are allergic to cholecalciferol, genistein, or zinc chelazome, or if you have ever had cancer of the breast, cervix, uterus, or ovary.

If you have certain conditions, you may need a dose adjustment or special tests to safely use this medication. Before you take cholecalciferol, genistein, and zinc chelazome, tell your doctor if you have:



  • liver disease;




  • a gallbladder disorder;




  • a blood cell cancer such as leukemia or lymphoma;




  • sarcoidosis (an autoimmune disorder);




  • an electrolyte imbalance; or




  • any condition that makes it hard for your body to absorb nutrients from food (malabsorption).




It is not known whether using cholecalciferol, genistein, and zinc during pregnancy is harmful to an unborn baby. Before using 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 cholecalciferol, genistein, and zinc without telling your doctor if you are breast-feeding a baby. Cholecalciferol, genistein, and zinc is not for use in children.

How should I take cholecalciferol, genistein, and zinc chelazome?


Use this medication exactly as prescribed by your doctor. Do not use it in larger amounts or for longer than recommended. Follow the directions on your prescription label.


Take this medication with water or another liquid.

Cholecalciferol, genistein, and zinc chelazome is usually taken twice daily, spaced 12 hours apart. Follow your doctor's instructions.


You may take cholecalciferol, genistein, and zinc chelazome with or without food. Take it with food if it upsets your stomach.


To be sure this medication is helping your condition, your blood and urine may need to be tested on a regular basis. Do not miss any scheduled appointments.


Cholecalciferol, genistein, and zinc chelazome is only part of a complete program of treatment that may also include diet, exercise, and calcium or other mineral supplementation. Follow your diet, medication, and exercise routines very closely.


Store cholecalciferol, genistein, and zinc chelazome 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, wait until then to take the medicine and skip the missed 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 cholecalciferol or zinc can cause serious side effects.

Overdose symptoms may include headache, weakness, drowsiness, dry mouth, increased thirst, muscle weakness, confusion, feeling tired or restless, nausea, vomiting, increased urination, constipation, muscle or bone pain, metallic taste in the mouth, loss of appetite, weight loss, itchy skin, changes in heart rate, unusual thoughts or behavior, problems with speech or balance, or severe pain in your upper stomach spreading to your back.


What should I avoid while taking cholecalciferol, genistein, and zinc chelazome?


Avoid using food products that contain a fat substitute called olestra (Olean). Olestra can make it harder for your body to absorb cholecalciferol.


Do not take any vitamin or mineral supplements that your doctor has not recommended or prescribed for your condition.

Avoid using antacids without your doctor's advice. Use only the specific type of antacid your doctor recommends.


Cholecalciferol, genistein, and zinc chelazome 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 the overdose symptoms listed above in "What happens if I overdose?"

Less serious side effects are more likely to occur, such as:



  • stomach pain or upset;




  • vomiting; or




  • constipation.



This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.


What other drugs will affect cholecalciferol, genistein, and zinc chelazome?


The following drugs can interact with cholecalciferol, genistein, and zinc chelazome. Tell your doctor if you are using any of these:



  • cold medicine or throat lozenges that contain zinc;




  • cimetidine (Tagamet);




  • mineral oil;




  • orlistat (alli, Xenical);




  • seizure medication;




  • cholesterol-lowering medication such as cholestyramine (Prevalite, Questran), colesevelam (Welchol), colestipol (Colestid), eplerenone (Inspra), or spironolactone (Aldactazide, Aldactone); or




  • a diuretic (water pill) such as chlorothiazide (Diuril), hydrochlorothiazide (HCTZ, HydroDiuril, Hyzaar, Lopressor, Vasoretic, Zestoretic), chlorthalidone (Hygroton, Thalitone), indapamide (Lozol), metolazone (Mykrox, Zaroxolyn), and others.



This list is not complete and there may be other drugs that can interact with cholecalciferol, genistein, and zinc chelazome. 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 cholecalciferol, genistein, and zinc chelazome resources


  • Cholecalciferol, genistein, and zinc chelazome Side Effects (in more detail)
  • Cholecalciferol, genistein, and zinc chelazome Use in Pregnancy & Breastfeeding
  • Cholecalciferol, genistein, and zinc chelazome Drug Interactions
  • Cholecalciferol, genistein, and zinc chelazome Support Group
  • 0 Reviews for Cholecalciferol, genistein, and zinc chelazome - Add your own review/rating


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Where can I get more information?


  • Your pharmacist can provide more information about cholecalciferol, genistein, and zinc chelazome.

See also: cholecalciferol, genistein, and zinc chelazome side effects (in more detail)


Chlorcyclizine/Codeine Liquid


Pronunciation: klor-SYE-klih-zeen/KOE-deen
Generic Name: Chlorcyclizine/Codeine
Brand Name: Notuss-NX


Chlorcyclizine/Codeine Liquid is used for:

Relieving runny nose; sneezing; itching of the nose or throat; itching, watery eyes; and cough caused by colds, upper respiratory infections, and allergies. It may also be used for other conditions as determined by your doctor.


Chlorcyclizine/Codeine Liquid is an antihistamine and narcotic cough suppressant combination. The antihistamine works by blocking the action of histamine, which helps reduce symptoms, such as watery eyes and sneezing. The cough suppressant works in the brain to help decrease the cough reflex, which reduces a dry cough.


Do NOT use Chlorcyclizine/Codeine Liquid if:


  • you are allergic to any ingredient in Chlorcyclizine/Codeine Liquid or any other codeine- or morphine-related medicine (eg, oxycodone)

  • you are unable to urinate or are having an asthma attack

  • you are taking sodium oxybate (GHB) or you have taken furazolidone or a monoamine oxidase inhibitor (MAOI) (eg, phenelzine) within the last 14 days

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



Before using Chlorcyclizine/Codeine Liquid:


Some medical conditions may interact with Chlorcyclizine/Codeine Liquid. 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 heart blood vessel problems, irregular heartbeat, or any other heart problems (eg, cor pulmonale)

  • if you have a history of high blood pressure, diabetes, liver or kidney problems, low blood volume, a stroke, glaucoma or increased pressure in the eye, or thyroid problems

  • if you have shortness of breath; a history of asthma, chronic cough, lung or breathing problems (eg, chronic bronchitis, emphysema, sleep apnea, slow or irregular breathing), or chronic obstructive pulmonary disease (COPD); or if your cough occurs with large amounts of mucus

  • if you have severe drowsiness, recent head or brain injury, brain tumor or lesions, increased pressure in the brain, infection of the brain or nervous system, or a seizure disorder (eg, epilepsy)

  • if you have a history of constipation, stomach problems (eg, ulcers), bowel problems (eg, chronic inflammation, ulceration of the bowel, diarrhea caused by antibiotic use), or gallbladder problems (eg, gallstones); a blockage of your bladder, stomach, or bowel; trouble urinating; an enlarged prostate or other prostate problems; or if you have had recent stomach, bowel, or urinary surgery

  • if you have a history of alcohol abuse, drug abuse, mental or mood problems (eg, depression), or suicidal thoughts or behavior, or if you are in poor health or are very overweight

  • if you are taking medicine for high blood pressure or depression

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


  • Anticholinergics (eg, scopolamine) because a serious bowel problem (paralytic ileus) may occur

  • Cimetidine, furazolidone, HIV protease inhibitors (eg, ritonavir), MAOIs (eg, phenelzine), sodium oxybate (GHB), or tricyclic antidepressants (eg, amitriptyline) because they may increase the risk of Chlorcyclizine/Codeine Liquid's side effects

  • Buprenorphine, naltrexone, quinidine, or rifamycins (eg, rifampin) because they may decrease Chlorcyclizine/Codeine Liquid's effectiveness

  • Narcotic pain medicines (eg, hydrocodone) because the risk of their side effects may be increased by Chlorcyclizine/Codeine Liquid

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


Use Chlorcyclizine/Codeine Liquid as directed by your doctor. Check the label on the medicine for exact dosing instructions.


  • Take Chlorcyclizine/Codeine Liquid by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.

  • Use a measuring device marked for medicine dosing. Ask your pharmacist for help if you are unsure of how to measure your dose.

  • If you miss a dose of Chlorcyclizine/Codeine Liquid 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 Chlorcyclizine/Codeine Liquid.



Important safety information:


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

  • Do not drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Chlorcyclizine/Codeine Liquid; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.

  • Chlorcyclizine/Codeine Liquid may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.

  • Do not use Chlorcyclizine/Codeine Liquid for a cough with a lot of mucus. Do not use it for a long-term cough (eg, caused by asthma, emphysema, smoking). However, you may use it for these conditions if your doctor tells you to.

  • Before you start any new medicine, check the label to see if it has an antihistamine or a cough suppressant in it too. If it does or if you are not sure, check with your doctor or pharmacist.

  • Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor.

  • If your cough or other symptoms do not get better within 1 week; if they come back; or if you also have a fever, rash, or persistent headache, check with your doctor.

  • Chlorcyclizine/Codeine Liquid may interfere with skin allergy tests. If you are scheduled for a skin test, talk to your doctor. You may need to stop taking Chlorcyclizine/Codeine Liquid for a few days before the tests.

  • Chlorcyclizine/Codeine Liquid may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Chlorcyclizine/Codeine Liquid. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.

  • Tell your doctor or dentist that you take Chlorcyclizine/Codeine Liquid before you receive any medical or dental care, emergency care, or surgery.

  • Use Chlorcyclizine/Codeine Liquid with caution in the ELDERLY; they may be more sensitive to its effects, especially confusion, dizziness, drowsiness, low blood pressure, excitability, dry mouth, and trouble urinating.

  • Caution is advised when using Chlorcyclizine/Codeine Liquid in CHILDREN; they may be more sensitive to its effects, especially excitability.

  • Chlorcyclizine/Codeine Liquid should not be used in CHILDREN younger than 12 years old without first checking with the child's doctor; safety and effectiveness in these children have not been confirmed.

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

When used for long periods of time or at high doses, Chlorcyclizine/Codeine Liquid may not work as well and may require higher doses to obtain the same effect as when originally taken. This is known as TOLERANCE. Talk with your doctor if Chlorcyclizine/Codeine Liquid stops working as well. Do not take more than prescribed.


When used for long periods of time or at high doses, some people develop a need to continue taking Chlorcyclizine/Codeine Liquid. This is known as DEPENDENCE or addiction.


If you suddenly stop taking Chlorcyclizine/Codeine Liquid, you may experience WITHDRAWAL symptoms including anxiety; diarrhea; fever, runny nose, or sneezing; goose bumps and abnormal skin sensations; nausea; vomiting; pain; rigid muscles; rapid heartbeat; seeing, hearing, or feeling things that are not there; shivering or tremors; sweating; and trouble sleeping.



Possible side effects of Chlorcyclizine/Codeine Liquid:


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:



Constipation; diarrhea; dizziness; drowsiness; dry mouth, nose, or throat; excitability; headache; loss of appetite; nausea; upset stomach; vomiting.



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); blurred vision, double vision, or other vision changes; confusion; difficulty urinating or inability to urinate; fast, slow, or irregular heartbeat; loss of coordination; mood or mental changes; nervousness; ringing in the ears; seizures; severe dizziness, lightheadedness, or headache; severe drowsiness; shallow breathing; tremor; trouble sleeping; uncontrolled muscle movements; unusual weakness or tiredness.



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: Chlorcyclizine/Codeine 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 blurred vision; chest pain; cold or clammy skin; confusion; difficult or very slow breathing; hallucinations; seizures; severe dizziness, lightheadedness, or headache; severe drowsiness; unusually fast, slow, or irregular heartbeat; vomiting.


Proper storage of Chlorcyclizine/Codeine Liquid:

Store Chlorcyclizine/Codeine Liquid 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 Chlorcyclizine/Codeine Liquid out of the reach of children and away from pets.


General information:


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

  • Chlorcyclizine/Codeine Liquid 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 Chlorcyclizine/Codeine Liquid. 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.

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Carbofed DM



brompheniramine maleate, dextromethorphan hydrobromide and pseudoephedrine hydrochloride

Dosage Form: syrup
BROMPHENIRAMINE-PSEUDOEPHEDRINE-DEXTROMETHORPHAN SYRUP

(Carbofed DM Syrup)

Carbofed DM Description


Antihistamine/Decongestant/Antitussive for oral use


For adults and pediatric patients (2 years and older)


Carbofed DM Syrup


Each teaspoonful (5 mL) contains brompheniramine maleate, 4 mg; pseudoephedrine hydrochloride, 45 mg; dextromethorphan hydrobromide, 15 mg.


Inactive ingredients: Citric acid, FD&C blue #1, FD&C red #33, glycerin, natural & artificial grape flavor, purified water, sodium benzoate, sodium citrate, sorbitol.



Brompheniramine maleate (2-Pyridinepropanamine, γ-(4-bromophenyl)-N,N-dimethyl-, (±)-, (Z)-2-butenedioate).



Pseudoephedrine hydrochloride (Benzenemethol, α-[1-methylamino)ethyl]-,[S-(R*,R*)]-, hydrochloride) is the hydrochloride of pseudoephedrine, a naturally occurring dextrorotatory stereoisomer of ephedrine.



Dextromethorphan hydrobromide (Morphinan, 3-methoxy-17-methyl-, (9α, 13α, 14α)-, hydrobromide monohydrate) is the hydrobromide of d-form race methorphan.



Carbofed DM - Clinical Pharmacology


Antihistaminic, decongestant and antitussive actions.


Brompheniramine maleate possesses H1 antihistaminic activity and mild anticholinergic and sedative effects. Peak plasma concentration is reached in 5 hours. Urinary excretion is the major route of elimination. The liver is assumed to be the major site of metabolic transformation.


Pseudoephedrine hydrochloride is an oral sympathomimetic amine that acts as a decongestant to respiratory tract mucous membranes. While its vasoconstrictor action is similar to that of ephedrine, pseudoephedrine has less pressor effect in normotensive adults. Serum half-life for pseudoephedrine is 6 to 8 hours. Acidic urine is associated with faster elimination of the drug. About one-half of the administered dose is excreted in the urine.


Dextromethorphan hydrobromide is a nonnarcotic antitussive with effectiveness equal to codeine. It acts in the medulla oblongata to elevate the cough threshold. Dextromethorphan does not produce analgesia or induce tolerance, and has no potential for addiction. At usual doses, it will not depress respiration or inhibit ciliary activity. Dextromethorphan is rapidly metabolized with trace amounts of the parent compound in blood and urine. About onehalf of the administered dose is excreted in the urine as conjugated metabolites.



Indications and Usage for Carbofed DM


For relief of coughs and upper respiratory symptoms, including nasal congestion, associated with allergy or the common cold.



Contraindications


Patients with hypersensitivity or idiosyncrasy to any of its ingredients. Sympathomimetic amines are contraindicated in patients with severe hypertension, severe coronary artery disease and patients on monoamine oxidase (MAO) inhibitor therapy. Antihistamines are contraindicated in patients with narrow-angle glaucoma, urinary retention, peptic ulcer, and during an asthma attack. Dextromethorphan should not be used in patients receiving a monoamine oxidase inhibitor (MAOI) or for 2 weeks after stopping the MAOI drug.



Warnings


Sympathomimetic amines should be used judiciously and sparingly in patients with hypertension, diabetes, ischemic heart disease, hyperthyroidism, increased intraocular pressure or prostatic hypertrophy. See CONTRAINDICATIONS. Sympathomimetic amines may produce CNS stimulation with convulsions or cardiovascular collapse with accompanying hypotension. The elderly (60 years and older) are more likely to exhibit adverse reactions. Antihistamines may cause excitability, especially in children. At doses higher than the recommended dose, nervousness, dizziness or sleeplessness may occur. Do not exceed recommended dosage. Administration of dextromethorphan may be accompanied by histamine release and should be used with caution in atopic children.



Precautions



General


Before prescribing medication to suppress or modify cough, identify and provide therapy for the underlying cause of the cough and take caution that modification of cough does not increase the risk of clinical or physiologic complications. Dextromethorphan should be used with caution in sedated or debilitated patients and in patients confined to supine positions.


Use with caution in patients with hypertension, heart disease, asthma, hyperthyroidism, increased intraocular pressure, diabetes mellitus and prostatic hypertrophy.



Information for patients


Avoid alcohol and other CNS depressants while taking this product. Patients sensitive to antihistamines may experience moderate to severe drowsiness. Patients sensitive to sympathomimetics amines may note CNS stimulation.



Drug interactions


Antihistamines may enhance the effects of tricyclic antidepressants, barbiturates, alcohol, and other CNS depressants. MAO inhibitors prolong and intensify the anticholinergic effects of antihistamines. Sympathomimetic amines may reduce the antihypertensive effects of reserpine, veratrum alkaloids, methyldopa and mecamylamine. Effects of sympathomimetics are increased with MAO inhibitors and beta-adrenergic blockers. The cough-suppressant action of dextromethorphan and narcotic antitussives are additive. Dextromethorphan is contraindicated with monoamine oxidase inhibitors (MAOI). (See CONTRAINDICATIONS section.)



Pregnancy


Preganncy Category C

Animal reproduction studies have not been concluded with Carbofed DM Syrup. It is not known whether these products can cause fetal harm when administered to a pregnant woman or affect reproductive capacity. Give to pregnant women only if clearly needed.



Nursing mothers


It is not known if the drugs in Carbofed DM Syrup are excreted in human milk. Since many drugs may be excreted into human milk and because of the potential for serious side effects in the nursing infant, this product should only be given to nursing mothers if clearly needed.



Pediatric use


Safety and effectiveness of Carbofed DM Syrup in pediatric patients below the age of two years have not been established.



Adverse Reactions


Antihistamines: Sedation, dizziness, diplopia, vomiting, diarrhea, dry mouth, headache, nervousness, nausea, anorexia, heartburn, weakness, polyuria and dysuria and, rarely, excitability in children. Urinary retention may occur in patients with prostatic hypertrophy.


Sympathomimetic amines: Convulsions, CNS stimulation, cardiac arrhythmia, respiratory difficulties, increased heart rate or blood pressure, hallucinations, tremors, nervousness, insomnia, pallor and dysuria.


Dextromethorphan: Drowsiness, dizziness, and GI disturbance.


To report SUSPECTED ADVERSE REACTIONS, contact Hi-Tech Pharmacal Co., Inc at 1-800-262-9010.


The signs, symptoms and treatment described below are those for H1 antihistamines, pseudoephedrine and dextromethorphan overdose.



Overdosage


The signs, symptoms and treatment described below are those for H1 antihistamines, pseudoephedrine and dextromethorphan overdose.



Symptoms


Should antihistamine effects predominate, central action constitutes the greatest danger. In the small child, predominate symptoms are excitation, hallucination, ataxia, incoordination, tremors, flushed face and fever. Convulsions, fixed and dilated pupils, coma and death may occur in severe cases. In the adult, fever and flushing are uncommon; excitement leading to convulsions and postictal depression is often preceded by drowsiness and coma. Respiration is usually not seriously depressed; blood pressure is usually stable.


Should sympathomimetic symptoms predominate, central effects include restlessness, dizziness, tremor, hyperactive reflexes, talkativeness, irritability and insomnia. Cardiovascular and renal effects include difficulty in micturition, headache, flushing, palpitation, cardiac arrhythmia, hypertension with subsequent hypotension and circulatory collapse. Gastrointestinal effects include dry mouth, metallic taste, anorexia, nausea, vomiting, diarrhea and abdominal cramps.


Dextromethorphan may cause respiratory depression with a large overdose.



Treatment


a) Evacuate stomach as condition warrants. Activated charcoal may be useful.


b) Maintain a nonstimulated environment.


c) Monitor cardiovascular status.


d) Do not give stimulants.


e) Reduce fever with sponging.


f) Treat respiratory depression with naloxone if dextromethorphan toxicity is suspected.


g) Use sedatives or anticonvulsants to control CNS excitation and convulsions.


h) Physostigmine may reverse anticholinergic symptoms.


i) Ammonium chloride may acidify the urine to increase urinary excretion of pseudoephedrine.


j) Further care is symptomatic and supportive.



Carbofed DM Dosage and Administration














*

In mild cases or in particularly sensitive patients, less frequent or reduced doses may be adequate.

AGEDOSE*FREQUENCY
2-6 years1/2 teaspoonful (2.5 mL)QID
adults and pediatric patients 6 years and over1 teaspoonful (5 mL)QID

How is Carbofed DM Supplied


Carbofed DM Syrup, grape flavored, in 16-fl-oz bottles. Dispense in USP tight, light-resistant, glass container. Store between 46º-86ºF (8º-30ºC). Avoid exposure to heat. Keep tightly closed.




Rx only.





Manufactured by:


Hi-Tech Pharmacal Co., Inc.


Amityville, NY 11701




Rev. 575:01 3/09


MG# 16623





PRINCIPAL DISPLAY PANEL



NDC 50383-575-16


 


Carbofed DM Syrup


Antihistamine/Decongestant/Antitussive


Sugar Free • Alcohol Free


 


EACH 5mL (ONE TEASPOONFUL) CONTAINS:


Brompheniramine..........................................4 mg


Pseudoephedrine Hydrochloride..................45 mg


Dextromethorphan Hydrobromide...............15 mg


DOSAGE AND ADMINISTATION:


USUAL DOSAGE*:


2 to 6 years, 1/2 teaspoonful (2.5 mL), 4 times a day. Adults and pediatric patients 6 years and over, 1 teaspoonful (5 mL), 4 times a day.


*In mild cases or in particularly sensitive patients, less frequent or reduced doses may be adequate. See package insert for full prescribing information.


KEEP THIS AND ALL DRUGS OUT OF REACH OF CHILDREN.


In case of accidental overdose, seek professional assistance or contact a Poison Control Center Immediately.


IMPORTANT: Use safety closures when dispensing this product unless otherwise directed by the physician or requested by purchaser.


STORE BETWEEN 46°-86°F (8°-30°C)


AVOID EXPOSURE TO HEAT


CAP SEALED WITH BREAKAWAY BAND


DO NOT USE IF BROKEN OR MISSING


16 fl oz (473 mL)


HI-TECH PHARMACAL CO., INC.


Amityville, NY 11701









Carbofed DM 
brompheniramine pseudoephedrine and dextromethorphan  syrup










Product Information
Product TypeHUMAN PRESCRIPTION DRUGNDC Product Code (Source)50383-575
Route of AdministrationORALDEA Schedule    














Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
BROMPHENIRAMINE MALEATE (BROMPHENIRAMINE)BROMPHENIRAMINE MALEATE4 mg  in 5 mL
DEXTROMETHORPHAN HYDROBROMIDE (DEXTROMETHORPHAN)DEXTROMETHORPHAN HYDROBROMIDE15 mg  in 5 mL
PSEUDOEPHEDRINE HYDROCHLORIDE (PSEUDOEPHEDRINE)PSEUDOEPHEDRINE HYDROCHLORIDE45 mg  in 5 mL






















Inactive Ingredients
Ingredient NameStrength
ANHYDROUS CITRIC ACID 
D&C RED NO. 33 
FD&C BLUE NO. 1 
GLYCERIN 
GRAPE 
SODIUM BENZOATE 
SODIUM CITRATE 
SORBITOL 
WATER 


















Product Characteristics
Color    Score    
ShapeSize
FlavorImprint Code
Contains      










Packaging
#NDCPackage DescriptionMultilevel Packaging
150383-575-16473 mL In 1 BOTTLENone










Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
Unapproved drug other09/03/200111/03/2011


Labeler - Hi-Tech Pharmacal Co., Inc. (101196749)
Revised: 11/2009Hi-Tech Pharmacal Co., Inc.

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  • Carbofed DM Drug Interactions
  • Carbofed DM Support Group
  • 0 Reviews for Carbofed DM - Add your own review/rating


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  • Cough and Nasal Congestion

Coal Tar Foam


Pronunciation: kole tar
Generic Name: Coal Tar
Brand Name: Scytera


Coal Tar Foam is used for:

Relieving itching, irritation, redness, dryness, scaling, and flaking of the skin caused by psoriasis. It may also be used for other conditions as determined by your doctor.


Coal Tar Foam is a keratolytic. It works by slowing bacterial growth and loosening and softening scales and crust.


Do NOT use Coal Tar Foam if:


  • you are allergic to any ingredient in Coal Tar Foam

  • you have a condition that makes you sensitive to sunlight (eg, lupus, allergy to sunlight)

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



Before using Coal Tar Foam:


Some medical conditions may interact with Coal Tar Foam. 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 using any other treatment for psoriasis, including ultraviolet radiation or a prescription medicine

  • if you are using Coal Tar Foam for psoriasis or seborrhea and you also have eczema

Some MEDICINES MAY INTERACT with Coal Tar Foam. However, no specific interactions with Coal Tar Foam are known at this time.


Ask your health care provider if Coal Tar Foam 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 Coal Tar Foam:


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


  • Wash your hands before using Coal Tar Foam.

  • Shake well before each use.

  • Hold the canister upside down to dispense the medicine. Apply the smallest amount necessary to cover the entire area with a thin layer as directed by your doctor. Gently rub the medicine in until it is evenly distributed.

  • Wash your hands after using Coal Tar Foam, unless your hands are part of the treated area.

  • If you miss a dose of Coal Tar Foam, use 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 use 2 doses at once.

Ask your health care provider any questions you may have about how to use Coal Tar Foam.



Important safety information:


  • Avoid getting Coal Tar Foam in your eyes, nose, or mouth. If you get Coal Tar Foam in your eyes, immediately wash them out with cool tap water.

  • Coal Tar Foam may cause harm if it is swallowed. If you may have taken it by mouth, contact your poison control center or emergency room right away.

  • Coal Tar Foam may stain hair, skin, contact lenses, and clothing.

  • Do not use any other medicine or special cleanser on your skin unless directed by your doctor.

  • Do not use Coal Tar Foam on open, raw, inflamed, or infected skin.

  • Do not use Coal Tar Foam in or around the genital area, groin, or rectum unless you doctor tells you otherwise.

  • Do not use Coal Tar Foam over a large area of your body without first talking to your doctor.

  • Do not use Coal Tar Foam for a prolonged period of time without consulting your doctor.

  • Coal Tar Foam may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Coal Tar Foam. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.

  • Different brands of Coal Tar Foam may have different dosing instructions for CHILDREN on the package labeling. Follow the dosing instructions provided on the package labeling or by your doctor. If you are unsure of how to use Coal Tar Foam on a child, check with your doctor or pharmacist.

  • Coal Tar Foam is flammable. Do not store or use near an open flame or while smoking.

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


Possible side effects of Coal Tar Foam:


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:



Itching, burning, tenderness, or redness; sensitivity to sunlight.



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); irritation.



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: Coal Tar 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 Coal Tar Foam:

Store Coal Tar Foam at room temperature, between 68 and 77 degrees F (20 and 25 degrees C), in a tightly closed container. Store away from heat, moisture, and light. Do not expose to heat or store at temperatures above 120 degrees F (49 degrees C). Do not store in the bathroom. Do not puncture, break, or burn the canister even if it appears to be empty. Keep Coal Tar Foam out of the reach of children and away from pets.


General information:


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

  • Coal Tar Foam 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 Coal Tar Foam. 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 Coal Tar resources


  • Coal Tar Side Effects (in more detail)
  • Coal Tar Use in Pregnancy & Breastfeeding
  • Coal Tar Support Group
  • 4 Reviews for Coal Tar - Add your own review/rating


Compare Coal Tar with other medications


  • Dermatitis
  • Psoriasis
  • Seborrheic Dermatitis

Monday, 26 September 2016

Comvax


Generic Name: haemophilus b conjugate and hepatitis b vaccine (Intramuscular route)


hee-MOF-i-lus B KON-joo-gate VAX-een, hep-a-TYE-tis B VAX-een re-KOM-bin-ant


Commonly used brand name(s)

In the U.S.


  • Comvax

Available Dosage Forms:


  • Suspension

Therapeutic Class: Vaccine


Uses For Comvax


Haemophilus b conjugate vaccine and hepatitis B vaccine is a combination immunizing agent that is used to prevent infection caused by the Haemophilus influenzae type b (Hib) bacteria and hepatitis B virus. The vaccine works by causing your body to produce its own protection (antibodies) against the disease.


Infections with Haemophilus influenza type b (Hib) bacteria can cause life-threatening illnesses, such as meningitis (a brain disease), epiglottitis (a throat disease that can cause suffocation), pericarditis (a heart disease), pneumonia (a lung disease), and septic arthritis (a bone and joint disease). Hib meningitis may cause death or leave the child with serious and permanent damage, such as mental retardation, deafness, epilepsy, or partial blindness.


HBV infection is a major cause of serious liver diseases, such as hepatitis and cirrhosis, and a type of liver cancer called primary hepatocellular carcinoma.


Pregnant women who have hepatitis B infection or are carriers of hepatitis B virus can give the disease to their babies when they are born. These babies often suffer serious long-term illnesses from the disease.


Immunization against hepatitis B disease is recommended for all newborn babies, infants, and young children.


This vaccine is to be administered only by or under the direct supervision of your doctor.


Before Using Comvax


In deciding to use a vaccine, the risks of taking the vaccine must be weighed against the good it will do. This is a decision you and your doctor will make. For this vaccine, 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 have not been performed on the relationship of age to the effects of Comvax® vaccine in infants younger than 6 weeks and older than 15 months of age. Safety and efficacy have not been established.


Geriatric


Comvax® vaccine is not recommended for adult or geriatric patients.


Pregnancy








Pregnancy CategoryExplanation
All TrimestersCAnimal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

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 vaccine. Make sure you tell your doctor if you have any other medical problems, especially:


  • Allergy to yeast—Should not be used in patients with this condition.

  • Bleeding problems (e.g., hemophilia, thrombocytopenia)—Use with caution. May have an increased risk of bleeding at the injection site.

  • Severe illness with a fever—Your child's dose may need to be given at a later time.

  • Weak immune system from a disease or medicine (e.g., those who are receiving a steroid, chemotherapy for cancer, or who have HIV infection)—May not work as well in patients with this condition.

Proper Use of Comvax


A nurse or other trained health professional will give your child this vaccine. This vaccine is given as a shot into one of your child's muscles, usually in the thighs.


This vaccine is usually given as 3 doses. It is usually given at 2, 4, and 12 to 15 months of age, unless your child's doctor tells you otherwise.


It is important that your child receive all of the doses of vaccine in this series. Try to keep all of your scheduled appointments. If your child does miss a dose of this vaccine, make another appointment as soon as possible.


Precautions While Using Comvax


It is very important that your child return to your doctor’s office at the right time for the second and third dose. Be sure to notify your child's doctor of any unwanted effects that occur after he or she receives the vaccine.


If your child develops a skin rash, hives, or any allergic reaction after receiving this vaccine, tell your child's doctor right away.


Tell your child's doctor right away if your child is allergic to latex rubber. The vaccine vials may contain dry natural latex rubber. This may cause an allergic reaction in patients who are sensitive to latex.


Before your child have any medical tests, tell the medical doctor in charge that your child is receiving this vaccine. The results of some tests may be affected by this vaccine.


This vaccine may not protect your child against diseases caused by haemophilus influenzae type b or hepatitis B infection if your child is already infected with the virus at the time he or she receives the shot.


Comvax 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 or nurse immediately if any of the following side effects occur:


More common
  • Fever more than 103 degrees F

Less common
  • Body aches or pain

  • chills

  • cough

  • difficulty with breathing

  • ear congestion

  • fever

  • headache

  • loss of voice

  • nasal congestion

  • runny nose

  • sneezing

  • sore throat

  • unusual tiredness or weakness

Incidence not known
  • Black, tarry stools

  • bleeding gums

  • blistering, peeling, or loosening of the skin

  • blood in the urine or stools

  • convulsions

  • diarrhea

  • difficulty with swallowing

  • dizziness

  • fast heartbeat

  • hives

  • itching

  • joint or muscle pain

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

  • pinpoint red spots on the skin

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

  • red, irritated eyes

  • shortness of breath

  • skin rash

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

  • tightness in the chest

  • unusual bleeding or bruising

  • 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
  • Hard lumps, pain, redness, soreness, swelling, or warmth at the injection site

  • irritability

  • sleepiness or unusual drowsiness

  • unusual, high-pitched crying

Less common
  • Earache

  • loss of appetite

  • redness or swelling in the ear

  • vomiting

  • weight loss

Rare
  • Sore mouth or tongue

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

  • white patches with diaper rash

Incidence not known
  • Hives or welts

  • redness of the skin

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: Comvax 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 Comvax resources


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


  • Comvax Concise Consumer Information (Cerner Multum)

  • Comvax Vaccine MedFacts Consumer Leaflet (Wolters Kluwer)



Compare Comvax with other medications


  • Haemophilus influenzae Prophylaxis
  • Hepatitis B Prevention