Miconazole



Dosage Form: vaginal suppositories

PHYSICIAN’S INSERT

Miconazole Nitrate Vaginal Suppositories USP, 200 mg

Rx Only

Miconazole Description

Miconazole Nitrate Vaginal Suppositories USP, 200 mg are white to off-white suppositories, each containing the antifungal agent, Miconazole nitrate, 1-[2,4-Dichloro-?-[(2,4- dichlorobenzyl)oxy] phenethyl]-imidazole mononitrate, 200 mg, in a hydrogenated vegetable oil base. The molecular formula is C18H14Cl4N2O•HNO3; the molecular weight is 479.14 and the structural formula may be represented as follows:

Miconazole - Clinical Pharmacology

Miconazole nitrate exhibits fungicidal activity in vitro against species of the genus Candida. The pharmacologic mode of action is unknown. Following intravaginal administration of Miconazole nitrate, small amounts are absorbed. Administration of a single dose of Miconazole nitrate vaginal suppositories (100 mg) to healthy subjects resulted in total recovery from the urine and feces of 0.85% (±0.43%) of the administered dose.

Animal studies indicate that the drug crossed the placenta and doses above those used in humans result in embryo and fetotoxicity (80 mg/kg, orally), although this has not been reported in human subjects (See PRECAUTIONS).

In multi-center clinical trials in 440 women with vulvovaginal candidiasis, the efficacy of treatment with the Miconazole Nitrate Vaginal Suppositories USP, 200 mg for 3 days was compared with treatment for 7 days with Miconazole Nitrate Vaginal Cream 2%. The clinical cure rates (free of microbiological evidence and clinical signs and symptoms of candidiasis at 8 - 10 days and 30 - 35 days post therapy) were numerically lower, although not statistically different, with the 3-Day Suppository when compared with the 7-Day Cream.

Indications and Usage for Miconazole

Miconazole Nitrate Vaginal Suppositories USP, 200 mg are indicated for the local treatment of vulvovaginal candidiasis (moniliasis). Effectiveness in pregnancy has not been established. As Miconazole nitrate is effective only for candidal vulvovaginitis, the diagnosis should be confirmed by KOH smear and/or cultures. Other pathogens commonly associated with vulvovaginitis (Trichomonas and Haemophilus vaginalis [Gardnerella]) should be ruled out by appropriate laboratory methods.

Contraindications

Patients known to be hypersensitive to this drug.

Precautions General

Discontinue drug if sensitization or irritation is reported during use. The base contained in the suppository formulation may interact with certain latex products, such as that used in vaginal contraceptive diaphragms. Concurrent use is not recommended. Miconazole Nitrate Vaginal Cream USP, 2% may be considered for use under these conditions.

Laboratory Tests

If there is a lack of response to Miconazole Nitrate Vaginal Suppositories, appropriate microbiological studies (standard KOH smear and/or cultures) should be repeated to confirm the diagnosis and rule out other pathogens.

Carcinogenesis, Mutagenesis, Impairment of Fertility

Long-term animal studies to determine carcinogenic potential have not been performed.

Fertility (Reproduction): Oral administration of Miconazole nitrate in rats has been reported to produce prolonged gestation. However, this effect was not observed in oral rabbit studies. In addition, signs of fetal and embryo toxicity were reported in rat and rabbit studies, and dystocia was reported in rat studies after oral doses at and above 80 mg per kg. Intravaginal administration did not produce these effects in rats.

Pregnancy

Since imidazoles are absorbed in small amounts from the human vagina, they should not be used in the first trimester of pregnancy unless the physician considers it essential to the welfare of the patient.

Clinical studies, during which Miconazole nitrate vaginal cream and suppositories were used for up to 14 days, were reported to include 541 pregnant patients. Follow-up reports available in 471 of these patients reveal no adverse effects or complications attributable to Miconazole nitrate therapy in infants born to these women.

Nursing Mothers

It is not known whether Miconazole is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when Miconazole nitrate is administered to a nursing woman.

Adverse Reactions

During clinical studies with Miconazole Nitrate Vaginal Suppositories USP, 200 mg, 301 patients were treated. The incidence of vulvovaginal burning, itching or irritation was 2%. Complaints of cramping (2%) and headaches (1.3%) were also reported. Other complaints (hives, skin rash) occurred with less than a 0.5% incidence. The therapy-related dropout rate was 0.3%.

Overdosage

Overdosage of Miconazole nitrate in humans has not been reported to date. In mice, rats, guinea pigs and dogs, the oral LD 50 values were found to be 578.1, >640, 275.9 and >160 mg/kg, respectively.

Miconazole Dosage and Administration

Miconazole Nitrate Vaginal Suppositories USP, 200 mg: One suppository (Miconazole nitrate, 200 mg) is inserted intravaginally once daily at bedtime for three consecutive days. Before prescribing another course of therapy, the diagnosis should be reconfirmed by smears and/or cultures to rule out other pathogens.

How is Miconazole Supplied

Miconazole Nitrate Vaginal Suppositories USP, 200 mg are available as elliptically shaped white to off-white suppositories in packages of three with a vaginal applicator. Store at controlled room temperature 15°-30°C (59°-86°F).

Manufactured by
Alpharma USPD Inc.
Baltimore, MD 21244

FORM NO. 1738

Rev. 12/05

VC2723

PATIENT’S INSTRUCTIONS

Miconazole Nitrate Vaginal Suppositories USP, 200 mg

3-DAY THERAPY

Three oval suppositories, for use inside the vagina only.

Designed to be inserted into the vagina.

HOW TO USE:

Place one suppository into the vagina each night at bedtime for 3 nights, as directed by your doctor. The Miconazole nitrate vaginal suppository is self-lubricating and may be inserted with or without the applicator
A. Insertion with the applicator

1. Filling the applicator:

Tear off one suppository from the strip. Separate the plastic wrap at the pointed end of your thumb. With thumb and forefinger of each hand, hold the plastic tabs and pull apart. Gently remove the suppository from the plastic wrap.

Place the flat end of the suppository into the open end of the applicator as shown. You are now ready to insert the suppository into the vagina.

2. Using the applicator:

Lie on your back with your knees drawn up toward your chest.

Holding the applicator by the ribbed end of the barrel, gently insert it into the vagina as far as it will comfortably go. Press the plunger to release the suppository into the vagina.

Remove the applicator from the vagina.

3. Cleaning the applicator:

After each use, you should thoroughly clean the applicator by the following procedure:.

Pull the plunger out of the barrel. Wash both pieces with lukewarm, soapy water, and dry them thoroughly. Put the applicator back together by gently pushing the plunger into the barrel as far as it will go.

B. Insertion without the applicator

Lie on your back with your knees drawn up toward your chest. Place the suppository on the tip of your finger as shown. Insert the suppository gently into the vagina as far as it will comfortably go.

NOTE: Store at controlled room temperature 15°-30°C (59°-86°F).

See end flap for lot number and expiration date.

A WORD ABOUT YEAST INFECTIONS

Why do yeast infections occur?

Yeast infections are caused by an organism called Candida (KAN di duh). It may be present in small and harmless amounts in the mouth, digestive track, and vagina. Sometimes the natural balance of the vagina becomes upset. This may lead to rapid growth of Candida, which results in a yeast infection. Symptoms of yeast infection include itching, burning, redness, and an abnormal discharge. Your doctor can make the diagnosis of a yeast infection by evaluating your symptoms and looking at a sample of the discharge under the microscope.

How can I prevent yeast infections?

Certain factors may increase your chance of developing a yeast infection. These factors don’t actually cause the problem, but they may create a situation that allows the yeast to grow rapidly.

Clothing: Tight jeans, nylon underwear, pantyhose, and wet bathing suits can hold in heat and moisture (two conditions in which yeast organisms thrive). Looser pants or skirts, 100% cotton underwear, and stockings may help avoid this problem.

Diet: Cutting down on sweets, milk products, and artificial sweeteners reduce the risk of yeast infections.

Antibiotics: Antibiotics work by eliminating disease-causing organisms. While they are helpful in curing other problems, antibiotics may lead to an overgrowth of Candida in the vagina.

Pregnancy: Hormonal changes in the body during pregnancy encourage the growth of yeast. This is a very common time for an infection to occur. Until the baby is born, it may be hard to completely eliminate yeast infections. If you believe you are pregnant, tell your doctor.

Menstruation: Sometimes, monthly changes in hormone levels may lead to yeast infections.

Diabetes: In addition to heat and moisture, yeast thrives on sugar. Because diabetics often have sugar in their urine, their vaginas are rich in this substance. Careful control of diabetes may help prevent yeast infection.

Controlling these factors can help eliminate yeast infections and may prevent them from coming back.

Some other helpful tips:

For best results, be sure to use the medication as prescribed by your doctor, even if you feel better very quickly.

Avoid sexual intercourse, if your doctor advises you to do so. The suppository formulation (not the cream) may damage the diaphragm. Therefore, use of the diaphragm during therapy with the suppository is not recommended. Consult your physician.

If your partner has any penile itching, redness, or discomfort, he should consult his physician and mention that you are being treated for a yeast infection.

You can use the medication even if you are having your menstrual period. However, you should not use tampons because they may absorb the medication. Instead, use external sanitary pads or napkins until you have finished your medication or if the vaginal medication leaks.

Dry the genital area thoroughly after showering, bathing, or swimming. Change out of a wet bathing suit or damp exercise clothes as soon as possible. A dry environment is less likely to encourage the growth of yeast.

Wipe from front to rear (away from the vagina) after a bowel movement.

Don’t douche unless your doctor specifically tells you to do so. Douching may disturb the vaginal balance.

Don’t scratch if you can help it. Scratching can cause more irritation and spread the infection.

Discuss with your physician any medication you are already taking. Certain types of medication can make your vagina more susceptible to infection.

Eat nutritious meals to promote your general health.

Manufactured by

Alpharma USPD Inc.

Baltimore, MD 21244

FORM NO. 1738

Rev. 12/05

VC2723


Miconazole NITRATE 
Miconazole nitrate  suppository Product Information Product Type HUMAN PRESCRIPTION DRUG NDC Product Code (Source) 0472-1738 Route of Administration VAGINAL DEA Schedule      INGREDIENTS Name (Active Moiety) Type Strength Miconazole Nitrate (Miconazole) Active 200 MILLIGRAM  In 1 SUPPOSITORY Product Characteristics Color      Score      Shape Size Flavor Imprint Code Contains          Packaging # NDC Package Description Multilevel Packaging 1 0472-1738-03 3 SUPPOSITORY In 1 CARTON None
Revised: 01/2008Actavis Mid Atlantic LLC More Miconazole resources Miconazole Use in Pregnancy & Breastfeeding Miconazole Drug Interactions Miconazole Support Group 8 Reviews for Miconazole - Add your own review/rating Aloe Vesta Concise Consumer Information (Cerner Multum) Baza Antifungal Topical Advanced Consumer (Micromedex) - Includes Dosage Information Cruex Prescription Strength Topical Advanced Consumer (Micromedex) - Includes Dosage Information Lotrimin AF Lotion MedFacts Consumer Leaflet (Wolters Kluwer) M-Zole Dual Pack Concise Consumer Information (Cerner Multum) Micatin Cream MedFacts Consumer Leaflet (Wolters Kluwer) Monistat 3 Cream MedFacts Consumer Leaflet (Wolters Kluwer) Monistat 7 Cream MedFacts Consumer Leaflet (Wolters Kluwer) Zeasorb-AF Gel MedFacts Consumer Leaflet (Wolters Kluwer) Compare Miconazole with other medications Cutaneous Candidiasis Oral Thrush Tinea Corporis Tinea Cruris Tinea Pedis Tinea Versicolor Vaginal Yeast Infection
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Progesterone Insert


Pronunciation: proe-JES-ter-one
Generic Name: Progesterone
Brand Name: Endometrin
Progesterone Insert is used for:

Supporting embryo implants and early pregnancy in certain women. It is also used as part of an assisted reproductive technology (ART) treatment program. It may also be used for other conditions as determined by your doctor.

Progesterone Insert is a hormone. It works by changing the lining of the uterus.

Do NOT use Progesterone Insert if: you are allergic to any ingredient in Progesterone Insert you have vaginal bleeding of an unknown cause, you have had a recent miscarriage, or the embryo is implanted outside the uterus (ectopic pregnancy) you know or suspect that you have breast cancer you have bleeding in the brain or severe blood vessel problems you have a history of bleeding or blood clotting problems (eg, blood clots in the legs, lungs, or eyes), heart attack, stroke, or liver disease you are using other vaginal products (eg, vaginal antifungal creams)

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

Before using Progesterone Insert:

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

if you are pregnant, planning to become pregnant, or are breast-feeding if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement if you have allergies to medicines, foods, or other substances if you have a history of heart or blood vessel problems, depression or other mental/mood problems, or cancer

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

Carbamazepine or rifampin because they may decrease Progesterone Insert's effectiveness Other vaginal products (eg, vaginal antifungal creams) because they may alter Progesterone Insert's actions

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

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

An extra patient leaflet is available with Progesterone Insert. Talk to your pharmacist if you have questions about this information. Wash your hands before and after using Progesterone Insert. Unwrap the applicator and place one insert in the space provided at the end of the applicator. You may use Progesterone Insert while standing, sitting, or when lying on your back with your knees bent. Gently place the thin end of the applicator well into the vagina. Push the plunger to release the insert, then remove the applicator and throw it away in the trash. If you miss a dose of Progesterone Insert, 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 Progesterone Insert.

Important safety information: Progesterone Insert may cause drowsiness, dizziness, blurred vision, or lightheadedness. These effects may be worse if you take it with alcohol or certain medicines. Use Progesterone Insert with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it. Do not use Progesterone Insert at the same time as other vaginal therapy without checking with your doctor. Progesterone Insert 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. Progesterone Insert should not be used in CHILDREN; safety and effectiveness in children have not been confirmed. PREGNANCY and BREAST-FEEDING: Progesterone Insert is used to support early pregnancy. Progesterone Insert is found in breast milk. If you are or will be breast-feeding while you use Progesterone Insert, check with your doctor. Discuss any possible risks to your baby. Possible side effects of Progesterone Insert:

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:

Bloating; breast tenderness; constipation; cramping; drowsiness; fluid retention; headache; nausea; stomach pain; tiredness; vaginal burning or irritation; vomiting.

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

Severe allergic reactions (eg, rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); abnormal vaginal bleeding; calf or leg pain, swelling, or tenderness; change in emotions, mood, or behavior; chest pain; coughing up blood; fainting; one-sided weakness; pain in the groin; partial or complete loss of vision; stomach pain, swelling, or tenderness; sudden, severe headache, vomiting, dizziness, or fainting; sudden shortness of breath; swelling of hands, ankles, or feet; unusual vaginal itching, discharge, or odor; visual or speech disturbances; weakness or numbness in 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: Progesterone 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 Progesterone Insert:

Store Progesterone Insert at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat and light. Do not remove from the sealed foiled pouch until just before use. Keep Progesterone Insert out of the reach of children and away from pets.

General information: If you have any questions about Progesterone Insert, please talk with your doctor, pharmacist, or other health care provider. Progesterone Insert 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 Progesterone Insert. 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 Progesterone resources Progesterone Side Effects (in more detail) Progesterone Use in Pregnancy & Breastfeeding Progesterone Drug Interactions Progesterone Support Group 15 Reviews for Progesterone - Add your own review/rating Compare Progesterone with other medications Amenorrhea Endometrial Hyperplasia, Prophylaxis Perimenopausal Symptoms Premature Labor Progesterone Insufficiency Seizures Uterine Bleeding
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Entocort Enema


Entocort Enema

budesonide 0.02 mg/ml

Read all of this leaflet carefully before you start using this medicine. Keep this leaflet. You may need to read it again. If you have any further questions, ask your doctor or pharmacist. This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours. If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist. In this leaflet: 1. What Entocort Enema is and what it is used for 2. Before you use Entocort Enema 3. How to use Entocort Enema 4. Possible side effects 5. How to store Entocort Enema 6. Further information What Entocort Enema is and what it is used for

Entocort Enema contains a medicine called budesonide. This belongs to a group of medicines called ‘corticosteroids’. These are used to reduce inflammation.

An enema is a liquid that is inserted into the back passage (rectum). Entocort Enema is used to treat inflammation and ulcers in the large intestine (colon) and rectum. This is known as ulcerative colitis. Before you use Entocort Enema Do not use Entocort Enema if:

You are allergic (hypersensitive) to budesonide or any of the other ingredients of Entocort Enema (listed in Section 6: Further information).

Take special care with Entocort Enema

Check with your doctor or pharmacist before using Entocort Enema if:

You have recently had a bowel infection. You or a member of your family has ever had mental health problems. Taking other medicines

Please tell your doctor or pharmacist before using Entocort Enema if you are taking, or have recently taken, any other medicines. This includes medicines that you buy without a prescription and herbal medicines. This is because Entocort Enema can affect the way some medicines work and some medicines can have an effect on Entocort Enema.

In particular, tell your doctor or pharmacist if you are taking any of the following medicines:

Steroid medicines, such as prednisolone or dexamethasone. Ketoconazole or itraconazole, used to treat infections caused by a fungus. Medicines that contain oestrogen, such as hormone replacement therapy (HRT) and some oral contraceptives. Pregnancy and breast-feeding

Talk to your doctor before using Entocort Enema if you are pregnant, may become pregnant or are breast-feeding.

Driving and using tools and machines

Entocort Enema is not likely to affect you being able to drive or use any tools or machines.

Important information about some of the ingredients

Entocort Enema contains propyl parahydroxybenzoate (E216) and methyl parahydroxybenzoate (E218), these may cause allergic reactions (possibly delayed).

How to use Entocort Enema

Always use Entocort Enema exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.

Entocort Enema should only be used in your back passage (rectum), as directed by your doctor.

Entocort Enema is not recommended for use by children.

When to use Entocort Enema and how long to use it for It is important to use each enema at the right time. Usually this will be once a day, just before bedtime. Normally, your treatment will last for 4 weeks. However, your doctor may decide that you need to use Entocort Enema for longer. Preparing Entocort Enema for use

To prepare one enema, dissolve one tablet in one bottle of liquid. To do this, follow the instructions below:

1. Take one of the plastic bottles containing a liquid. Unscrew the complete nozzle section and protective cap in one piece. 2. Take one of the tablets from its foil strip. Then drop it into the bottle. 3. Put the nozzle and protective cap back onto the bottle. Then screw them up until they are tight. 4. Shake the bottle well for at least 15 seconds, or until you cannot see the tablet in the liquid any more.
5. The enema is now ready. Use it straight away. You will find it more comfortable to use Entocort Enema if you empty your bowels and bladder before using it. Entocort Enema can stain your bedclothes. It is best to protect your bedclothes with a plastic sheet in case any liquid is spilled. Inserting the enema into your back passage

To insert the enema into your back passage, follow the instructions below:

1. Shake the bottle again. Then only take off the protective cap. This will reveal the nozzle.
2. Undress from the waist down, then lie down on your side.
Choose whichever side is most comfortable.
Try to lie down so that your bottom is slightly higher than the rest of your body. For example, you can raise the bottom of the bed onto blocks or place one or two pillows under your bottom. This will help to keep the liquid in your back passage.
3. If you wish, hold the bottle using one of the plastic bags. 4. Gently ease the nozzle into your back passage as far as is comfortable.
5. Squeeze the bottle, this will push most of the liquid into your back passage. However, you will not be able to empty the whole bottle. It has been designed to keep some liquid after being used.
6. Then remove the nozzle from your back passage.
7. If you used a plastic bag, remove it from your hand by pulling it forward over the bottle. This will leave the bottle inside the bag, ready to be disposed of. 8. Now, roll over onto your stomach. Stay like this for 5 minutes to stop any liquid coming out of your back passage.
9. Then, find a comfortable position to sleep in that helps you to keep the liquid in your back passage for as long as possible.

Entocort Enema is a ‘retention enema’. This means that the liquid is meant to be held in the back passage for as long as possible. The longer it is kept there the more time it has to work and the better the results should be.

If you use more Entocort Enema than you should

If you use more enemas than prescribed by your doctor, talk to a doctor or pharmacist straight away.

If you forget to use Entocort Enema If you forget a dose of Entocort Enema, use it as soon as you remember. However, if it is nearly time for the next dose, skip the missed dose. Do not use a double dose (two doses at the same time) to make up for a forgotten dose. If you stop using Entocort Enema

Do not stop using Entocort Enema without talking to your doctor first. If you stop using your enema suddenly it may make you ill.

Entocort Enema Side Effects

Like all medicines, Entocort Enema can cause side effects, although not everybody gets them.

If you have an allergic reaction, see a doctor straight away. The signs may include raised lumps on your skin (weals), or swelling of your face, lips, mouth, tongue or throat. This may make it difficult to breathe.

The most common side effects are:

Feeling sick. Diarrhoea. Trapped wind. Skin rash.

Less common side effects are:

Feeling agitated. Difficulty sleeping.

Rarely, medicines like Entocort Enema (corticosteroids) can affect the normal production of steroid hormones in your body.

The effects include:

Changes in bone mineral density (thinning of the bones). Glaucoma (increased pressure in the eye). A slowing of the rate of growth of children and adolescents. An effect on the adrenal gland (a small gland near the kidney).

A very rare side effect is:

A severe allergic reaction (called anaphylaxis) which may cause difficulty in breathing or shock.

Mental health problems can happen while taking steroids like Entocort Enema. Talk to a doctor if you (or someone taking this medicine), show any signs of mental health problems. This is particularly important if you are depressed, or might be thinking about suicide. Very rarely mental health problems have happened when high doses have been taken for a long time.

Do not be concerned by this list of possible side effects. You may not get any of them. If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

How to store Entocort Enema Do not use your enemas after the expiry date shown on the bottle or foil. Keep your medicine in a safe place where children cannot reach or see it. Do not store this medicine above 30°C. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help to protect the environment. Further information What Entocort Enema contains

The active ingredient is budesonide. Each bottle provides a dose of approximately 2 mg of budesonide at a concentration of 0.02 mg of budesonide per ml of solution.

The other ingredients are lactose anhydrous, polyvidone, riboflavine sodium phosphate, lactose monohydrate, magnesium stearate, colloidal anhydrous silica, sodium chloride, methyl parahydroxybenzoate (E218), propyl parahydroxybenzoate (E216) and water purified.

What Entocort Enema looks like and contents of the pack

Entocort Enema, once prepared, is a whitish yellow liquid.

Entocort Enema comes in a box containing the following:

7 tablets wrapped in foil, inside a small box. 7 plastic bottles containing solution. 7 plastic bags to be used when giving the enema. Marketing Authorisation Holder and Manufacturer

The Marketing Authorisation for Entocort Enema is held by

AstraZeneca UK Ltd 600 Capability Green Luton LU1 3LU UK

Entocort Enema is manufactured by

Nycomed Pharma AS Solbaervegen 5 N-2409 Elverum Norway

To listen to or request a copy of this leaflet in Braille, large print or audio please call, free of charge:

0800 198 5000 (UK only)

Please be ready to give the following information:

Product name Entocort Enema

Reference number 17901/0123

This is a service provided by the Royal National Institute of Blind People.

Leaflet prepared: September 2009

© AstraZeneca 2009

Entocort is a trade mark of the AstraZeneca group of companies.

GI 09 0008a

6001897-4


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Lamisil Tablets 250mg


LAMISIL Tablets 250 mg

(terbinafine)

Patient Information Leaflet

What you need to know about Lamisil Tablets

Your doctor has decided that you need this medicine to help treat your condition.

Please read this leaflet carefully before you start to take your medicine. It contains important information. Keep the leaflet in a safe place because you may want to read it again.

If you have any other questions, or if there is something you don’t understand, please ask your doctor or pharmacist.

This medicine has been prescribed for you. Never give it to someone else. It may not be the right medicine for them even if their symptoms seem to be the same as yours.

If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

In this leaflet: 1. What Lamisil Tablets are, and what they are used for 2. Things to consider before you start to take Lamisil Tablets 3. How to take Lamisil Tablets 4. Possible side effects 5. How to store Lamisil Tablets 6. Further information What Lamisil Tablets are and what they are used for

Terbinafine, the active ingredient in Lamisil Tablets, is an antifungal medicine.

Lamisil Tablets are used to treat a number of fungal infections of the skin and nails.

Things to consider before you start to take Lamisil Tablets Some people MUST NOT take Lamisil Tablets. Talk to your doctor if: you think you may be allergic to terbinafine or to any of the other ingredients of Lamisil Tablets. (These are listed in Section 6.) you are breast-feeding.

You should also ask yourself these questions before taking Lamisil Tablets. If the answer to any of these questions is YES, tell your doctor or pharmacist because Lamisil Tablets might not be the right medicine for you.

Are you pregnant or trying to become pregnant? Do you have any problems with your kidneys or liver? Do you have psoriasis?

Children should not normally be given Lamisil Tablets.

Are you taking other medicines?

Some medicines can interfere with your treatment. Tell your doctor if you are taking any of the following:

Rifampicin for infections Cimetidine for gastric problems such as indigestion or ulcer Antidepressants including tricyclic antidepressants, SSRIs (selective serotonin reuptake inhibitors), or MAOIs (monoamine oxidase inhibitors) Oral contraceptives (as irregular periods and breakthrough bleeding may occur in some female patients) Beta-blockers or anti-arrhythmics for heart problems Warfarin, a medicine used to thin your blood Medicines to treat heart problems (eg propafenone) Ciclosporin, a medicine used to control your body’s immune system in order to prevent rejection of transplanted organs Caffeine

Always tell your doctor about all the medicines you are taking. This means medicines you have bought yourself as well as medicines on prescription from your doctor.

Will there be any problems with driving or using machinery?

Some people have reported feeling dizzy or giddy while they are taking Lamisil Tablets. If you feel like this you should not drive or operate machinery.

How to take Lamisil Tablets

The doctor will decide what dose of Lamisil Tablets you should take. Always take the tablets exactly as your doctor has told you to. The dose will be on the pharmacist’s label. Check the label carefully. It should tell you how many tablets to take, and how often. If you are not sure, ask your doctor or pharmacist. Keep taking the tablets for as long as you have been told unless you have any problems. In that case, check with your doctor.

The usual dose for adults, including the elderly, is 250 mg once a day. For skin infections continue taking the tablets for 2 to 6 weeks. For nail infections treatment usually lasts for between 6 weeks and 3 months, although some patients with toenail infections may need to be treated for 6 months or longer. If your kidneys are not working very well, your doctor may reduce the dose of Lamisil Tablets you take. Swallow the tablets whole with a glass of water. What if you forget to take a dose?

If you miss taking a Lamisil Tablet, do not worry. Take it as soon as you remember. Take your next tablet at the usual time, then carry on as normal until you have finished all the tablets. It is important that you finish all the tablets you have been given unless your doctor tells you to stop taking them.

What if you take too many tablets?

All tablets can be risky if you take too many. If you take too many Lamisil Tablets at once, tell your doctor or hospital casualty department as soon as possible. Take your medicine pack with you so that people can see what you have taken.

Possible side effects

Lamisil Tablets are suitable for most people, but, like all medicines, they can sometimes cause side effects. Any side effects are usually mild or moderate and don’t last for too long.

Some side effects can be serious

Stop taking the tablets and tell your doctor immediately if you notice any of the following rare symptoms:

Yellowing of your skin or eyes. Unusually dark urine or pale faeces, unexplained persistent nausea, stomach problems, loss of appetite or unusual tiredness or weakness (this may indicate liver problems) Severe skin reactions including rash, light sensitivity, blistering or wheals, and swelling, mainly of the face or throat. Weakness, unusual bleeding, bruising or frequent infections (this may be a sign of blood disorders)

The most common side effects are:-

Headache Stomach problems such as loss of appetite, ache, indigestion, feeling bloated or sick Diarrhoea Itching, rash or swelling Pains in the muscles and joints. The side effects listed below have also been reported.

Up to 1 in 100 people have experienced:

Taste loss and taste disturbance. This usually disappears when you stop taking the medicine. However, a very small number of people, (less than 1 in 10,000), have reported that the taste disturbance lasts for some time and, as a result, they go off their food and lose weight.

Up to 1 in 1,000 people have experienced:

Feeling unwell, dizzy. Numbness or tingling.

Up to 1 in 10,000 people have experienced:

Feeling tired. Decrease in the number of some blood cells. You may notice that you seem to bleed or bruise more easily than normal, or you may catch infections easily and these might be more severe than usual. Depression and anxiety. Psoriasis like skin eruptions, or worsening of any psoriasis. Vertigo. Onset or worsening of a condition called lupus (a long-term illness with symptoms including skin rash and pain in the muscles and joints).

The following have also been reported:

Psoriasis like skin eruptions, or worsening of psoriasis, severe skin reactions including a rash or eruption of small pus containing blisters. Signs of blood disorders: weakness, unusual bleeding, bruising or frequent infections.

If any of the symptoms become troublesome, or if you notice anything else not mentioned here, please go and see your doctor. He/she may want to give you a different medicine.

How to store Lamisil Tablets

Store the tablets in their original pack away from direct light. Do not store above 25?C.

Keep all medicines out of the reach and sight of children.

Do not take the tablets after their expiry date which is printed on the outside of the pack.

If your doctor tells you to stop taking Lamisil Tablets, please take any unused tablets back to your pharmacist to be destroyed. Only keep the tablets if the doctor tells you to. Do not throw them away with your normal household water or waste. This will help to protect the environment.

Further information

Lamisil Tablets are round, whitish or very pale yellow tablets marked with a score line on one side and ‘LAMISIL 250’ on the other, and they contain 250 mg of the active ingredient terbinafine. They also contain the inactive ingredients magnesium stearate, colloidal anhydrous silica, hydroxypropylmethylcellulose, sodium carboxymethyl starch and microcrystalline cellulose.

They come in blister packs of 7, 14 or 28 tablets. Not all pack sizes are marketed.

The product licence holder is Novartis Pharmaceuticals UK Limited Frimley Business Park Frimley Camberley Surrey GU16 7SR England Lamisil Tablets are made by Novartis Pharmaceuticals UK Ltd Wimblehurst Road Horsham West Sussex RH12 5AB England

The leaflet was revised in November 2009.

If you would like any more information, or would like the leaflet in a different format, please contact Medical Information at Novartis Pharmaceuticals UK Ltd, telephone number 01276 698370.

LAMISIL is a registered trade mark

Copyright Novartis Pharmaceuticals UK Limited


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Boots Clotrimazole 500mg Vaginal Tablet


Boots Clotrimazole 500 mg Vaginal Tablet

Read all of this leaflet carefully because it contains important information for you.

This medicine is available without prescription to treat thrush. However, you still need to use it carefully to get the best results from it.

Keep this leaflet, you may need to read it again Ask your pharmacist if you need more information or advice You must contact a pharmacist or doctor if your symptoms worsen or do not go away after 3 days What this medicine is for

This medicine contains Clotrimazole which belongs to a group of medicines called antifungals, which act to treat infections caused by fungi. It can be used to treat thrush (vaginal candidiasis). Thrush is a common infection caused by a yeast (or fungus), which may live harmlessly in the vagina without you even noticing it. However, in certain circumstances, it may develop into an infection in the vagina and symptoms may spread to the surrounding area. These symptoms may include one or more of the following:

Itching of the vagina and surrounding area (the vulva) Redness and swelling of the tissues of the vagina and vulva Soreness of the vagina and vulva A white non-smelling discharge from the vagina

Thrush may be aggravated by sexual intercourse, but it is not a sexually transmitted disease. Sometimes however, thrush can be passed to your partner through sexual intercourse.

If your partner has penile thrush he may have one or more of the following symptoms:

Soreness and redness of the penis Tightness of the foreskin An abnormal penile discharge Before you use this medicine

This medicine can be used by women between the ages of 16 and 60 years. However, some people should not use this medicine or should seek the advice of their pharmacist or doctor first.

Do not use: If you are allergic to any of the ingredients If you are pregnant, unless your doctor tells you to – if your doctor tells you to use the pessary do not use the applicator to insert it Talk to your pharmacist or doctor: If this is the first time you have had these symptoms If you are under 16 years, or 61 years or older If you have had thrush more than twice in the last 6 months If you or your partner have been exposed to a sexually transmitted disease If you have lower stomach pain, or pain or a burning sensation on passing urine If you have abnormal or irregular vaginal bleeding, or a blood-stained discharge If you have sores, ulcers or blisters on your vulva or vagina Other important information

The ingredients in the pessary may affect the latex used in contraceptives such as condoms and diaphragms. This may reduce the effectiveness of the contraceptives. You should therefore use other methods of contraception for at least 5 days after using the pessary.

You can help the treatment to work if you follow these simple self-help tips:

Although the infected area will itch, do not scratch as this will damage the surface of the skin and cause the infection to spread further Keep the affected areas of skin clean Pay particular attention to drying the skin but avoid excessive rubbing

To help prevent thrush from coming back once you have treated it, follow these simple steps:

Wash daily Wear cotton underwear and loose fitting clothing Try to avoid wearing tights, nylon underwear and tight fitting clothing After going to the toilet, wipe yourself from the front to the back, as a thrush infection may be transferred from the bowel Try to avoid washing with perfumed soaps or using vaginal deodorants Do not rub hard with sponges or flannels and avoid hot baths with strong perfumed oils Change your sanitary protection regularly If you take other medicines

Before you use this medicine, make sure that you tell your pharmacist about ANY other medicines you might be using at the same time. If you are unsure about interactions with any other medicines, talk to your pharmacist. This includes medicines prescribed by your doctor and medicine you have bought for yourself, including herbal and homeopathic remedies.

How to use this medicine

The carton contains a single pessary held inside a foil blister pack and an applicator for insertion of the pessary into the vagina. Check the foil is not broken before use. If it is, do not use the pessary.

Women aged 16 to 60 years: Insert the pessary into the vagina at night using the applicator provided.

If you are pregnant do not use the applicator. Wash and dry your hands, and insert the pessary with your fingers.

Directions for inserting the pessary Remove the applicator from the packaging Pull out the plunger until it stops Remove the pessary from the blister pack and place the pessary firmly into the applicator To fit the pessary into the applicator, squeeze the applicator lightly on either side. The pessary fits tightly into the applicator and needs to be pushed into the holder about 1 cm Carefully put the applicator as deep as is comfortable into the vagina (this is easiest when laying on your back with your knees bent up) Holding the applicator in place, slowly press the plunger until it stops so that the pessary is deposited into the vagina. Remove the applicator Dispose of the applicator in a safe place, out of the reach of children The applicator cannot be flushed down the toilet Wash your hands thoroughly after use

For use in the vagina only.

Do not use the pessary at the same time as you are having a period. Wait until your period has finished.

Do not use for children under 16 years, or if you are an adult of 61 years or older, unless your doctor tells you to.

Do not use more than one pessary.

After you use the pessary the symptoms of thrush (itching, burning, discharge) should go away within 3 days.

If symptoms worsen or do not go away after 3 days talk to your doctor.

If anyone accidentally swallows the pessary: Talk to a doctor straight away or go to your nearest hospital casualty department. Take your medicine and this leaflet with you.

Possible side effects

Most people will not have problems, but some may get some.

If you get these side effects see a doctor:

Allergic reaction (e.g. skin rash, red or itchy skin)

These other effects are less serious.

If they bother you talk to a pharmacist:

Mild burning or irritation straight after inserting the pessary

The side effects of this medicine can be very similar to the symptoms that you are treating.

If any side effect becomes severe, or you notice any side effect not listed here, please tell your pharmacist or doctor.

How to store this medicine

Do not store above 25°C.

Protect from moisture.

Keep this medicine in a safe place out of the sight and reach of children, preferably in a locked cupboard.

Use by the date on the end flap of the carton.

What is in this medicine

This vaginal tablet contains Clotrimazole 500 mg, which is the active ingredient.

As well as the active ingredient, the vaginal tablet also contains lactose, adipic acid, pregelatinised maize starch, sodium hydrogen carbonate, microcrystalline cellulose, magnesium stearate, maize starch, stearic acid, colloidal silicon dioxide, polysorbate 80.

The pack contains 1 vaginal tablet with an applicator.

Who makes this medicine

Manufactured for

The Boots Company PLC Nottingham NG2 3AA

Marketing Authorisation Holder and Manufacturer:

Tillomed Laboratories Ltd 3 Howard Road Eaton Socon St Neots Cambridgeshire PE19 3ET

Leaflet prepared February 2008

If you would like any further information about this medicine, please contact

The Boots Company PLC Nottingham NG2 3AA

3379eMC


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spermicide Vaginal


Class Name: spermicide (Vaginal route)

Commonly used brand name(s)

In the U.S.

Advantage-S Conceptrol Crinone Delfen Foam Emko Encare Endometrin First-Progesterone VGS Gynol II Prochieve Today Sponge Vagi-Gard Douche Non-Staining

Available Dosage Forms:

Gel/Jelly Sponge Suppository Foam Liquid Film Cream Uses For This Medicine

Vaginal spermicides are a type of contraceptive (birth control). These products are inserted into the vagina before any genital contact occurs or sexual intercourse begins. They work by damaging and killing sperm in the vagina. Therefore, the sperm are not able to travel from the vagina into the uterus and fallopian tubes, where fertilization takes place.

Vaginal spermicides, when used alone, are much less effective in preventing pregnancy than birth control pills, an intrauterine device (IUD), or spermicides used together with another form of birth control, such as cervical caps, condoms, or diaphragms. Studies have shown that when spermicides are used alone, pregnancy usually occurs in 21 of each 100 women during the first year of spermicide use. The number of pregnancies is reduced when spermicides are used with another method, especially the condom. Discuss with your doctor what your options are for birth control and the risks and benefits of each method.

The most effective way to protect yourself against HIV (AIDS) and other sexually transmitted diseases (STDs) is by abstinence (not having sexual intercourse) or by having only one partner who you can be sure is not already infected or is not going to get an STD. However, if either of these methods is not likely or possible, using latex (rubber) condoms with a spermicide is the best way of protecting yourself.

The use of a spermicide is recommended even when you are using nonbarrier methods of birth control, such as birth control pills (the pill) or intrauterine devices (IUDs), since these do not offer any protection from STDs.

Vaginal spermicides are available without a prescription.

Before Using This Medicine Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to medicines in this group 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

These products have been used by teenagers and have not been shown to cause different side effects or problems than they do in adults. However, some younger users may need extra counseling and information on the importance of using spermicides exactly as they are supposed to be used so they will work properly.

Pregnancy

Many studies have shown that the use of vaginal spermicides does not increase the risk of birth defects or miscarriage.

Breast Feeding

It is not known if vaginal spermicides pass into breast milk in humans. However, their use has not been reported to cause problems in nursing babies.

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 medicines in this class. Make sure you tell your doctor if you have any other medical problems, especially:

Allergies, irritations, or infections of the genitals—Using vaginal spermicides may cause moderate to severe irritation in these conditions. Also, benzalkonium suppositories may be less effective in women with vaginal infections. Conditions or medical problems where it is important that pregnancy does not occur—Vaginal spermicides, when used alone, are much less effective than birth control pills, an intrauterine device (IUD), or spermicides used together with another form of birth control, such as cervical caps, condoms, or diaphragms. Discuss with your doctor what your options are for birth control and the risks and benefits of each method. Recent childbirth or abortion or Toxic shock syndrome, history of—Cervical caps or diaphragms should not be used in these cases because there is an increased chance of developing toxic shock syndrome. Sores on the genitals (sex organs) or Irritation of the vagina or rectum—Do not use this medicine if you or your sex partner have HIV or AIDS. This medicine can irritate the vagina and rectum, which may increase the risk of getting HIV or AIDS. Discuss this with your doctor if you have any questions.

If you develop any medical problem or begin using any new medicine (prescription or nonprescription) while you are using this medicine, you may want to check with your doctor.

Proper Use of This Medicine

Make sure you carefully read and follow the directions that come with each spermicide product. Each product may have different directions for using the product. The directions tell you how much to use, how long you must wait before having intercourse, and how long you must leave it in the vagina after intercourse.

Spermicide products are for vaginal use only and are not for rectal (anal) use.

Vaginal douching is not needed or advised after using these medicines. When using a spermicide, douching within 6 to 8 hours after the last sexual intercourse (even with just water) may stop the spermicide from working properly. Also, washing or rinsing the vaginal or rectal area may wash the spermicide away before it has had time to work properly.

Cervical caps and diaphragms are not recommended for use during your menstrual period because of an increased chance of developing toxic shock syndrome. Your doctor may advise you to use condoms with a spermicide instead during your menstrual periods when protection is needed.

For proper use of spermicide when used alone:

Follow directions carefully to make sure the spermicide is properly placed in the vagina. The spermicide should be inserted deep into the vagina and directly on the cervix (opening to the uterus). Use the correct amount, according to the product directions. Use another dose for each act of intercourse. After you have applied or inserted the spermicide, wait the correct amount of time before having intercourse so that the spermicide can begin to work. If you do not have intercourse within half an hour, read the product directions to see if you need to apply more spermicide.

For proper use of spermicide with cervical caps, condoms, or diaphragms:

Make sure the directions for the spermicide you choose state that it is safe for use with latex cervical caps, condoms, or diaphragms. If the directions do not say the spermicide is safe to use with latex products, the spermicide may cause cervical caps, condoms, or diaphragms to weaken and leak or cause condoms to break during intercourse. If there is a leak or break during intercourse, it may be a good idea for the female partner to immediately place more spermicide in the vagina. If you need an extra lubricant, make sure it is a water-based product safe for use with cervical caps, condoms, or diaphragms. Spermicides, especially gels and jellies, provide some lubrication during sexual intercourse. Oil-based products such as hand, face, or body cream; petroleum jelly; cooking oils or shortenings; or baby oil should not be used because they weaken the latex rubber. (Even some products that easily rinse away with water are oil-based and should not be used.) Use of oil-based products increases the chances of the condom breaking during sexual intercourse. These products can also cause the rubber in cervical caps or diaphragms to break down faster and wear out sooner.

For patients using spermicides with a cervical cap:

To be most effective at preventing pregnancy, the cervical cap must always be used with a spermicide. Both must be used every time you have sexual intercourse. Before inserting the cervical cap, inspect it for holes, tears, or cracks. If there are holes or defects, the cervical cap will not work effectively, even with a spermicide. It must be replaced. Before you put the cervical cap over the cervix (opening to the uterus), a spermicide cream, foam, gel, or jelly should be put into the cup of the cervical cap. Follow the manufacturer's directions on how long before sexual intercourse you may apply the spermicide. Fill the cervical cap one-third full with spermicide. To insert the cervical cap, squeeze the rim between your thumb and forefinger so that it is narrow enough to fit into the vagina. While in a comfortable position, push the cervical cap as deeply into the vagina as it will go. Release the rim and press it into place around the cervix with your finger. The rim should be round again and be directly on the cervix. The cervical cap is held onto the cervix by suction. Some doctors may recommend that you put more spermicide into the vagina each time you repeat sexual intercourse using a cervical cap. You should also check to make sure the cervical cap is in the proper position on the cervix before and after each time you have intercourse. You may wear the cervical cap for up to 48 hours (2 days). Do not remove the cervical cap if it has been less than 8 hours since the last time you had sexual intercourse To remove the cervical cap, use 1 or 2 fingers to push the rim away from the cervix. This will break the suction seal with the cervix. Then gently pull the cervical cap out of the vagina. Call your doctor if you have trouble removing the cervical cap.

For patients using spermicides with condoms

Condoms do not have to be used with spermicides, but the spermicide may provide a back-up birth control method in case the condom breaks or leaks. Spread some spermicide on the outside of the condom, after it is unrolled over the penis. It is even more important that the female partner also use a spermicide inside the vagina. Each time you repeat intercourse, a new condom must be used. Condoms should never be reused. Spermicide should also be applied to the outside of the new condom. The female partner must also put more spermicide in the vagina each time she has intercourse.

For patients using spermicides with a diaphragm:

To be most effective at preventing pregnancy, diaphragms must always be used with a spermicide. Some women may choose to insert a diaphragm every night to avoid the chance of having unprotected sexual intercourse and an unplanned pregnancy. Inspect the diaphragm for holes by holding it up to a light. If there are holes or defects, the diaphragm will not work effectively, even with a spermicide. It must be replaced. Before you put the diaphragm over the cervix (opening to the uterus), a spermicide cream, foam, gel, or jelly should be put into the cup of the diaphragm. Follow the manufacturer's directions on how much spermicide to use and how long before sexual intercourse you may apply the spermicide. Also, spread some spermicide all around the rim of the diaphragm that will be touching the cervix. Some doctors also advise spreading more spermicide on the outside of the cup of the diaphragm. To insert the diaphragm, squeeze the rim between your thumb and forefinger so that it is narrow enough to fit into the vagina. While in a comfortable position, push the diaphragm as deeply into the vagina as it will go and release the rim. Some women use a special applicator that makes it easier to insert the diaphragm. The diaphragm rim should be round again and be directly on the cervix. Each time you repeat sexual intercourse, you should put more spermicide into the vagina. Do not remove the diaphragm if it has been less than 6 or 8 hours (depending upon which brand of spermicide you use) since the last sexual intercourse. For the diaphragm to be most effective at preventing pregnancy, it must remain in the vagina for at least 6 or 8 hours (depending upon which brand of spermicide you use) after sexual intercourse. Be careful not to move the diaphragm out of place while you are applying more spermicide. Do not wear the diaphragm for more than 24 hours, since doing so increases the risk of getting toxic shock syndrome or a urinary tract (bladder) infection. To remove the diaphragm, hook one finger over the rim nearest the front. Pull the diaphragm downward and out of the vagina. Call your doctor if you have trouble removing the diaphragm. Dosing

The dose medicines in this class 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 these medicines. 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 benzalkonium chloride For preventing pregnancy: For vaginal dosage form (suppositories): Adults and teenagers— For use alone—One suppository inserted into the vagina at least ten minutes, but not longer than four hours, before each time you have sexual intercourse. It may help to wet the suppository before inserting it into the vagina. For use with a diaphragm—After the diaphragm with spermicide has been placed into the vagina, insert one suppository at least ten minutes, but not longer than four hours, before each time you have sexual intercourse. It may help to wet the suppository before inserting it into the vagina. Also, insert another suppository before sexual intercourse if six hours have passed since you inserted the diaphragm. For nonoxynol 9 For preventing pregnancy: For vaginal dosage form (cream): Adults and teenagers— For use alone—One applicatorful of a 5% cream inserted into the vagina just before each time you have sexual intercourse. For use with a diaphragm—One applicatorful of a 2 or 5% cream inserted into the cup of the diaphragm. Spread more spermicide along the rim of the diaphragm. Insert the diaphragm into the vagina just before, but not longer than six hours before, sexual intercourse. Also, insert one applicatorful just before each time you have intercourse or if six hours have passed since you inserted the diaphragm. For vaginal dosage form (film): Adults and teenagers—One film inserted into the vagina from five to fifteen minutes (but not longer than one and one-half hours) before each time you have sexual intercourse. For vaginal dosage form (foam): Adults and teenagers— For use alone—One applicatorful inserted into the vagina just before, but not longer than one hour before, each time you have sexual intercourse. For use with a diaphragm—One applicatorful inserted into either the vagina or into the cup of the diaphragm, depending on the product. Spread more spermicide along the rim of the diaphragm. Insert the diaphragm into the vagina just before, but not longer than one hour before, sexual intercourse. Also, insert another applicatorful into the vagina just before, but not longer than one hour before, each time you have sexual intercourse. For vaginal dosage form (gel): Adults and teenagers— For use alone—One applicatorful of a 3.5, 4, or 5% gel inserted into the vagina before each time you have sexual intercourse. The 3.5% gel may be used up to twenty-four hours before each act of intercourse. The 4% gel may be used up to one hour before each act of intercourse. The 5% gel must used just before intercourse. For use with a diaphragm—One or two teaspoonfuls (depending on the product) or the contents of one packet of gel is placed into the cup of the diaphragm. Spread more spermicide along the rim of the diaphragm. Insert the diaphragm into the vagina just before, or up to six hours before, sexual intercourse. Also, insert another applicatorful or the contents of one packet into the vagina before each time you have sexual intercourse or if six hours have passed since you inserted the diaphragm. For vaginal dosage form (jelly): Adults and teenagers— For use alone—One applicatorful of 2.2 or 3% jelly inserted into the vagina just before each time you have sexual intercourse. The contraceptive effect of the 2.2 or 3% jelly will last one hour. For use with a diaphragm—One applicatorful or two teaspoonfuls of jelly (depending on the product) placed into the cup of the diaphragm. Spread more spermicide along the rim of the diaphragm. Insert the diaphragm into the vagina just before, but not longer than six hours before, sexual intercourse. Also, insert another applicatorful before each time you have sexual intercourse or if six hours have passed since you inserted the diaphragm. For vaginal dosage form (suppositories): Adults and teenagers— For use alone—One suppository inserted into the vagina from ten to fifteen minutes (depending on the product) before, but not longer than one hour before, each time you have sexual intercourse. For use with a diaphragm—After the diaphragm with spermicide has been placed into the vagina, insert one suppository into the vagina from ten to fifteen minutes (depending on the product) before, but not longer than one hour before, sexual intercourse. Also, insert another suppository before each time you have sexual intercourse or if six hours have passed since you have inserted the diaphragm. For octoxynol 9 For preventing pregnancy: For vaginal dosage form (cream): Adults and teenagers— For use with a diaphragm—Two teaspoonfuls placed into the cup of the diaphragm. Spread more spermicide along the rim of the diaphragm. Insert the diaphragm into the vagina just before, but not longer than six hours before, sexual intercourse. Also, insert one applicatorful of the vaginal cream just before each time you have sexual intercourse or if six hours have passed since you inserted the diaphragm. For vaginal dosage form (jelly): Adults and teenagers— For use with a diaphragm—One applicatorful placed into the cup of the diaphragm. Spread more spermicide along the rim of the diaphragm. Insert the diaphragm into the vagina just before, but not longer than six hours before, sexual intercourse. Also, insert another applicatorful just before each time you have sexual intercourse or if six hours have passed since you inserted the diaphragm. Storage

Keep out of the reach of children.

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Do not keep outdated medicine or medicine no longer needed.

Precautions While Using This Medicine

Do not use this medicine if you or your sex partner have HIV or AIDS. This medicine can irritate the vagina and rectum, which may increase the risk of getting HIV or AIDS. Discuss this with your doctor if you have any questions.

This medicine will not protect you from getting HIV or AIDS, or other sexually transmitted diseases (STDs). If this is a concern for you, discuss this with your doctor.

If you have a rash or burning, itching, or other irritation of the genitals, discontinue use of the spermicide and contact your doctor. .

Side Effects of This Medicine

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:

RareSigns of toxic shock syndrome—for cervical caps or diaphragms Chills confusion dizziness fever lightheadedness muscle aches sunburn-like skin rash that is followed by peeling of the skin unusual redness of the inside of the nose, mouth, throat, vagina, or eyelids

Check with your doctor as soon as possible if any of the following side effects occur:

RareFor females and males Skin rash, redness, irritation, or itching that does not go away within a short period of time For females only Cloudy or bloody urine increased frequency of urination pain in the bladder or lower abdomen thick, white, or curd-like vaginal discharge—with use of cervical caps or diaphragms only vaginal irritation, redness, rash, dryness, or whitish discharge

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:

Less common Vaginal discharge (temporary)—with use of creams, foams, and suppositories vaginal dryness or odor

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.

The information contained in the Thomson Healthcare (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 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 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 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 HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Healthcare does not assume any responsibility or risk for your use of the Thomson Healthcare products.


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Nasalcrom nasal


Generic Name: cromolyn sodium (nasal) (KRO mo lin SO dee um)
Brand Names: Nasalcrom

What is Nasalcrom (cromolyn sodium (nasal))?

Cromolyn sodium is an anti-inflammatory medication. It works by preventing the release of substances in the body that cause inflammation.

Cromolyn sodium nasal is used to prevent allergy symptoms such as runny nose, stuffy nose, sneezing, itching, and post-nasal drip.

Cromolyn sodium nasal will not treat allergy symptoms that have already begun. The medication works best if used at least 1 week before you come into contact with things you are allergic to (pollen, dust, pets, etc).

Cromolyn sodium nasal will not treat the symptoms of asthma, sinus infections, or the common cold.

Cromolyn sodium nasal may also be used for purposes not listed in this medication guide.

What is the most important information I should know about Nasalcrom (cromolyn sodium (nasal))? You should not use this medication if you are allergic to cromolyn sodium.

Before you use cromolyn sodium nasal, tell your doctor if you have asthma, drug allergies, or polyps in your nose.

Cromolyn sodium nasal will not treat allergy symptoms that have already begun. The medication works best if used at least 1 week before you come into contact with things you are allergic to (pollen, dust, pets, etc).

Stop using this medication and call your doctor if you have severe burning, stinging, or irritation in your nose, nosebleeds, sinus pain, sores in your nose, wheezing, chest tightness, fever, or green/yellow mucus from your nose.

Do not use cromolyn sodium nasal more than 6 times in a 24-hour period. Do not use this medication for longer than 12 weeks unless your doctor has told you to. What should I discuss with my healthcare provider before using Nasalcrom (cromolyn sodium (nasal))? You should not use this medication if you are allergic to cromolyn sodium.

To make sure you can safely use cromolyn sodium nasal, tell your doctor if you have any of these other conditions:

asthma;

drug allergies; or

polyps in your nose.

FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether cromolyn sodium 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. How should I use Nasalcrom (cromolyn sodium (nasal))?

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

This medicine is usually given as 1 spray into each nostril every 4 to 6 hours during allergy season or within 1 week before you will be exposed to an allergen. Follow your doctor's instructions.

Do not use cromolyn sodium nasal more than 6 times in a 24-hour period. Do not use this medication for longer than 12 weeks unless your doctor has told you to.

To use the nasal spray:

Blow your nose gently before each use.

Keeping your head upright, insert just the tip of the spray bottle into your nostril. Hold your other nostril closed with one finger. Spray the medicine into the nostril while inhaling, then sniff deeply a few times to make sure the medicine gets up into your nasal passages.

Repeat these steps in your other nostril.

After using the nasal spray, rinse the tip with hot water or wipe it with a clean tissue and recap. Avoid getting water into the nasal spray tip.

It may take up to 2 weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve after 2 weeks of treatment.

Store at room temperature away from moisture, heat, and light. Keep the bottle capped when not in use. What happens if I miss a dose?

Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. 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. What should I avoid while using Nasalcrom (cromolyn sodium (nasal))? Avoid getting this medication in your eyes. If this does happen, rinse with water. Nasalcrom (cromolyn sodium (nasal)) side effects Get emergency medical help if you have any of these signs of an allergic reaction: hives or itching; difficulty breathing; severe dizziness; swelling of your face, lips, tongue, or throat. Stop using this medication and call your doctor if you have any of these serious side effects:

severe burning, stinging, or irritation in your nose;

nosebleeds, sinus pain, or sores in your nose;

wheezing, tight feeling in your chest; or

fever, green or yellow mucus from the nose.

Less serious side effects may include mild burning or stinging inside your nose after use.

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 Nasalcrom (cromolyn sodium (nasal))?

There may be other drugs that can interact with cromolyn sodium nasal. 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 Nasalcrom resources Nasalcrom Side Effects (in more detail) Nasalcrom Use in Pregnancy & Breastfeeding Nasalcrom Support Group 0 Reviews for Nasalcrom - Add your own review/rating Compare Nasalcrom with other medications Hay Fever Where can I get more information? Your pharmacist can provide more information about cromolyn sodium nasal.

See also: Nasalcrom side effects (in more detail)


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Boots Dual Action Athlete's Foot Powder


Boots Dual Action Athlete's Foot Powder

(Chlorhexidine Hydrochloride, Tolnaftate)

Effectively treats athlete's foot

Relieves skin irritation

75 g e

Please read this label carefully. It contains important information for you. Keep this label you may need to read it again Ask your pharmacist if you need more information or advice What this medicine is for

An anti-fungal and antibacterial powder for the treatment and prevention of athlete's foot. Also effective for other skin conditions where tenderness and sweating cause skin irritation, such as dhobie itch (groin ringworm).

Before you use this medicine Do not use: If you are allergic to any of the ingredients

You can use this medicine if you are pregnant or breastfeeding.

How to use this medicine Wash and thoroughly dry the affected area Apply the powder liberally to the affected area If suffering from athlete's foot, apply the powder between the toes and also dust socks and inside of shoes with powder Adults and children:

Apply morning and night.

Continue treatment for at least one week after the condition has cleared up, to stop it coming back.

If you are treating athlete's foot it is recommended that an athlete's foot cream is used together with this product.

For use on the skin only.

Possible side effects

Most people will not have problems, but some may get some of these:

Allergic reactions (red, itchy skin) Skin irritation Contact dermatitis (redness and swelling of the skin)

If any side effect becomes severe, or you notice any side effect not listed here, please tell your pharmacist or doctor.

What is in this medicine

This powder contains Chlorhexidine Hydrochloride 0.25% w/w, Tolnaftate 1% w/w.

Also contains: purified talc, maize starch, colloidal silicon dioxide.

This pack contains 75 g powder

Who makes this medicine

Manufactured by the Marketing Authorisation Holder

The Boots Company PLC Nottingham NG2 3AA

Leaflet prepared July 2007

If you would like any further information about this medicine please contact

The Boots Company PLC Nottingham NG2 3AA

Keep all medicines out of the sight and reach of children.

Use by the date on the label edge.

PL 00014/0456

The Boots Company PLC Nottingham NG2 3AA

If you need more advice ask your pharmacist.

BTC13414 vC 03-12-07


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Flumadine


Generic Name: rimantadine (ri MAN ta deen)
Brand Names: Flumadine

What is Flumadine (rimantadine)?

Rimantadine is an antiviral medication. It blocks the actions of viruses in your body.

Rimantadine is used to treat and prevent influenza A (a viral infection) in adults. It is also used to prevent influenza A in children.

There may be some flu seasons during which rimantadine is not recommended because certain flu strains may be resistant to this drug.

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

What is the most important information I should know about Flumadine (rimantadine)? Do not use this medicine if you are allergic to rimantadine or a similar medicine called amantadine (Symmetrel).

Before taking rimantadine, tell your doctor if you are allergic to any drugs, or if you have a seizure disorder, kidney disease, or liver disease.

Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Do not use FluMist nasal influenza "live vaccine" while you are being treated with rimantadine and for at least 48 hours after you stop taking rimantadine. The nasal vaccine may not be as effective if you receive it while you are taking rimantadine. Before taking rimantadine, tell your doctor if you have received a nasal flu vaccine within the past 14 days.

Avoid coming into close contact with someone who has a weak immune system, such as a person who is taking steroids, being treated for cancer, or has a bone marrow disorder or an illness such as HIV or AIDS. If you have a type of influenza that is resistant to rimantadine, your body may actually shed that virus and a person with a weak immune system could easily become ill from being near you.

What should I discuss with my healthcare provider before taking Flumadine (rimantadine)? Do not use this medicine if you are allergic to rimantadine or a similar medicine called amantadine (Symmetrel).

Before taking rimantadine, tell your doctor if you are allergic to any drugs, or if you have:

epilepsy or other seizure disorder;

kidney disease; or liver disease.

If you have any of these conditions, you may need a dose adjustment or special tests to safely take this medication.

FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether rimantadine 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. How should I take Flumadine (rimantadine)?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

If you are taking rimantadine to treat influenza A, take it within 48 hours of when you notice your first flu symptoms.

Take this medication with a full glass of water.

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

Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Store rimantadine 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 your next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose? Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include agitation, confusion, hallucinations, or uneven heart rate.

What should I avoid while taking Flumadine (rimantadine)? Do not use FluMist nasal influenza "live vaccine" while you are being treated with rimantadine and for at least 48 hours after you stop taking rimantadine. The nasal vaccine may not be as effective if you receive it while you are taking rimantadine. Before taking rimantadine, tell your doctor if you have received a nasal flu vaccine within the past 14 days.

Avoid coming into close contact with someone who has a weak immune system, such as a person who is taking steroids, being treated for cancer, or has a bone marrow disorder or an illness such as HIV or AIDS. If you have a type of influenza that is resistant to rimantadine, your body may actually shed that virus and a person with a weak immune system could easily become ill from being near you.

Flumadine (rimantadine) 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 rimantadine and call your doctor at once if you have a seizure (black-out or convulsions).

Less serious side effects may include:

nausea, vomiting, diarrhea, loss of appetite, stomach pain;

dry mouth;

sleep problems (insomnia);

dizziness;

headache; or

anxiety, trouble concentrating.

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 Flumadine (rimantadine)?

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

cimetidine (Tagamet);

aspirin or acetaminophen (Tylenol); or

nasal flu vaccine (FluMist).

This list is not complete and there may be other drugs that can interact with rimantadine. 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 Flumadine resources Flumadine Side Effects (in more detail) Flumadine Use in Pregnancy & Breastfeeding Drug Images Flumadine Drug Interactions Flumadine Support Group 0 Reviews for Flumadine - Add your own review/rating Flumadine Prescribing Information (FDA) Flumadine MedFacts Consumer Leaflet (Wolters Kluwer) Flumadine Monograph (AHFS DI) Flumadine Advanced Consumer (Micromedex) - Includes Dosage Information Rimantadine Prescribing Information (FDA) Compare Flumadine with other medications Influenza A Influenza Prophylaxis Where can I get more information? Your pharmacist can provide more information about rimantadine.

See also: Flumadine side effects (in more detail)


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Boots Dual Action Athlete's Foot Spray


Boots Dual Action Athlete’s Foot Spray

(Tolnaftate)

Effectively treats athlete’s foot

Relieves skin irritation

Fast drying

150 ml e

Read all of this label for full instructions.

What this medicine is for

An anti-fungal spray for the treatment and prevention of athlete’s foot. Also effective for other skin conditions where tenderness and sweating cause skin irritation, such as dhobie itch (groin ringworm), prickly heat.

Before you use this medicine Do not use: If you are allergic to any of the ingredients

You can use this medicine if you are pregnant or breastfeeding.

How to use this medicine

Shake well before use. Hold the can 15 cm (6 inches) from the skin before spraying.

Wash and thoroughly dry the affected area Spray the affected area liberally If suffering from athlete’s foot, spray the socks and inside of shoes with powder as well Adults and children of 2 years and over:

Apply morning and night.

Continue treatment for at least one week after the condition has cleared up, to stop it coming back.

For use on the skin only.

Avoid contact with eyes.

Do not use on children under 2 years, unless your doctor tells you to.

If symptoms worsen talk to your doctor.

If symptoms do not go away within 10 days, talk to your doctor.

Possible side effects

Most people will not have problems, but some may get some.

If you get any of these stop using the spray and see a doctor: Skin irritation Contact dermatitis (redness and swelling of the skin)

If you notice any side effect not listed here, please tell your pharmacist or doctor.

Do not store above 25°C.

Keep all medicines out of the sight and reach of children.

Use by the date on the base of can.

Active ingredients

This spray powder contains Tolnaftate 1% w/w.

Also contains: dimethyl ether, denatured alcohol, talc, disteardimonium hectorite.

PL 00014/0520

Text prepared 8/07

Manufactured for the Marketing Authorisation holder The Boots Company PLC Nottingham NG2 3AA

by

ColepCCL UK Limited Atkinson’s Way Foxhills Industrial Park Scunthorpe North Lincolnshire DN15 8QJ

Caution: Pressurised container. Protect from sunlight and do not expose to temperatures exceeding 50°C. Do not pierce or burn even when empty. Do not use in confined areas. Do not use near or place on painted or polished surfaces. Avoid inhalation.

EXTREMELY FLAMMABLE

SOLVENT ABUSE CAN KILL INSTANTLY

210

Э

Do not spray on or near naked flame or any incandescent material.

Keep away from sources of ignition. No smoking.

If you need more advice ask your pharmacist.

BTC29774 vA 14/04/08


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Caladryl Clear


Generic Name: pramoxine topical (pra MOX een TOP i kal)
Brand Names: Anest Hemor, Blistex Pro Relief, Calaclear, Caladryl Clear, Callergy Clear, Curasore, Fleet Pain Relief Pad, Gold Bond Anti-Itch, Itch-X, PrameGel, Pramox, Prax, Proctofoam, Proctozone-P, Sarna Sensitive, Sarna Sensitive Eczema Itch Relief, Sarna Ultra, Soothe-It Plus Hemmorhoidal Pad, Summers Eve Anti-Itch, Tronolane

What is Caladryl Clear (pramoxine topical)?

Pramoxine is an anesthetic, or "numbing medicine." It works by interfering with pain signals sent from the nerves to the brain.

Pramoxine topical (for the skin) is used to treat pain or itching caused by insect bites, minor burns or scrapes, hemorrhoids, and minor skin rash, dryness, or itching. Pramoxine topical is also used to treat chapped lips, and pain or skin irritation caused by coming into contact with poison ivy, poison oak, or poison sumac.

Pramoxine topical may also be used for purposes not listed in this medication guide.

What is the most important information I should know about Caladryl Clear (pramoxine topical)?

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.

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

Less serious side effects are more likely, and you may have none at all.

What should I discuss with my health care provider before using Caladryl Clear (pramoxine topical)? You should not use this medication if you are allergic to pramoxine.

Ask a doctor or pharmacist if it is safe for you to take this medicine if you are allergic to any drugs or any other numbing medicines.

FDA pregnancy category C. It is not known whether pramoxine topical will harm an unborn baby. Do not use this medication without medical advice if you are pregnant. It is not known whether pramoxine topical passes into breast milk or if it could harm a nursing baby. Do not use this medication without medical advice if you are breast-feeding a baby. How should I use Caladryl Clear (pramoxine topical)?

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.

Pramoxine is usually applied to the affected area 3 to 5 times daily, depending on which form of this medication you use. Follow the label directions or your doctor's instructions about how much medication to use and how often.

Pramoxine hemorrhoid cream, lotion, foam, or medicated wipe may be used on the rectum after each bowel movement to treat hemorrhoid pain and itching.

Wash your hands before and after applying pramoxine topical. Wash the affected skin area with warm water and a mild soap. Rinse and dry the area thoroughly.

To use pramoxine on the skin, (spray, lotion, gel, or stick), apply just enough of the medication to cover the area to be treated.

To use the pramoxine medicated wipe to treat the hemorrhoid area, apply the medication by patting the wipe onto the rectal area. Avoid harsh rubbing. You may fold the wipe and leave it in place for up to 15 minutes. Each pramoxine medicated wipe is for one use only. Throw the wipe away after using.

Shake the pramoxine rectal foam before each use. Squirt only a small amount of the medicine onto a clean tissue and apply it to your rectum. Do not insert this medication or the medicated wipe into your rectum. Use pramoxine topical only on the outside of the area.

Stop using pramoxine and call your doctor if your symptoms do not improve after 7 days of treatment, or if your condition clears up and then comes back.

Store at room temperature away from moisture and heat. What happens if I miss a dose?

Since pramoxine topical is used on an as needed basis, you are not likely to miss a dose.

What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. What should I avoid while using Caladryl Clear (pramoxine topical)? Avoid getting this medication in your eyes or nose. If this does happen, rinse with water. Do not use pramoxine topical on deep skin wounds, blistered skin, severe burns, or large skin areas. Seek medical attention for more severe skin irritation or injury.

Avoid using other medications on the areas you treat with pramoxine topical unless you doctor tells you to.

Caladryl Clear (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 pramoxine topical and call your doctor at once if you have a serious side effect such as:

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

severe pain, burning, or stinging where the medicine is applied.

Less serious side effects are more likely, and you may have none at all.

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

What other drugs will affect Caladryl Clear (pramoxine topical)?

It is not likely that other drugs you take orally or inject will have an effect on topically applied 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 Caladryl Clear resources Caladryl Clear Side Effects (in more detail) Caladryl Clear Use in Pregnancy & Breastfeeding Caladryl Clear Support Group 0 Reviews for Caladryl Clear - Add your own review/rating Caladryl Clear MedFacts Consumer Leaflet (Wolters Kluwer) Itch-X Foam MedFacts Consumer Leaflet (Wolters Kluwer) PrameGel Gel MedFacts Consumer Leaflet (Wolters Kluwer) Pramoxine Hydrochloride Monograph (AHFS DI) Prax Lotion MedFacts Consumer Leaflet (Wolters Kluwer) Proctofoam Foam MedFacts Consumer Leaflet (Wolters Kluwer) Sarna Sensitive Lotion MedFacts Consumer Leaflet (Wolters Kluwer) Tronolane Cream MedFacts Consumer Leaflet (Wolters Kluwer) Compare Caladryl Clear with other medications Pruritus Where can I get more information? Your pharmacist can provide more information about pramoxine topical.

See also: Caladryl Clear side effects (in more detail)


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Fleet Pain Relief Pad


Generic Name: pramoxine topical (pra MOX een TOP i kal)
Brand Names: Anest Hemor, Blistex Pro Relief, Calaclear, Caladryl Clear, Callergy Clear, Curasore, Fleet Pain Relief Pad, Gold Bond Anti-Itch, Itch-X, PrameGel, Pramox, Prax, Proctofoam, Proctozone-P, Sarna Sensitive, Sarna Sensitive Eczema Itch Relief, Sarna Ultra, Soothe-It Plus Hemmorhoidal Pad, Summers Eve Anti-Itch, Tronolane

What is Fleet Pain Relief Pad (pramoxine topical)?

Pramoxine is an anesthetic, or "numbing medicine." It works by interfering with pain signals sent from the nerves to the brain.

Pramoxine topical (for the skin) is used to treat pain or itching caused by insect bites, minor burns or scrapes, hemorrhoids, and minor skin rash, dryness, or itching. Pramoxine topical is also used to treat chapped lips, and pain or skin irritation caused by coming into contact with poison ivy, poison oak, or poison sumac.

Pramoxine topical may also be used for purposes not listed in this medication guide.

What is the most important information I should know about Fleet Pain Relief Pad (pramoxine topical)?

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.

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

Less serious side effects are more likely, and you may have none at all.

What should I discuss with my health care provider before using Fleet Pain Relief Pad (pramoxine topical)? You should not use this medication if you are allergic to pramoxine.

Ask a doctor or pharmacist if it is safe for you to take this medicine if you are allergic to any drugs or any other numbing medicines.

FDA pregnancy category C. It is not known whether pramoxine topical will harm an unborn baby. Do not use this medication without medical advice if you are pregnant. It is not known whether pramoxine topical passes into breast milk or if it could harm a nursing baby. Do not use this medication without medical advice if you are breast-feeding a baby. How should I use Fleet Pain Relief Pad (pramoxine topical)?

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.

Pramoxine is usually applied to the affected area 3 to 5 times daily, depending on which form of this medication you use. Follow the label directions or your doctor's instructions about how much medication to use and how often.

Pramoxine hemorrhoid cream, lotion, foam, or medicated wipe may be used on the rectum after each bowel movement to treat hemorrhoid pain and itching.

Wash your hands before and after applying pramoxine topical. Wash the affected skin area with warm water and a mild soap. Rinse and dry the area thoroughly.

To use pramoxine on the skin, (spray, lotion, gel, or stick), apply just enough of the medication to cover the area to be treated.

To use the pramoxine medicated wipe to treat the hemorrhoid area, apply the medication by patting the wipe onto the rectal area. Avoid harsh rubbing. You may fold the wipe and leave it in place for up to 15 minutes. Each pramoxine medicated wipe is for one use only. Throw the wipe away after using.

Shake the pramoxine rectal foam before each use. Squirt only a small amount of the medicine onto a clean tissue and apply it to your rectum. Do not insert this medication or the medicated wipe into your rectum. Use pramoxine topical only on the outside of the area.

Stop using pramoxine and call your doctor if your symptoms do not improve after 7 days of treatment, or if your condition clears up and then comes back.

Store at room temperature away from moisture and heat. What happens if I miss a dose?

Since pramoxine topical is used on an as needed basis, you are not likely to miss a dose.

What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. What should I avoid while using Fleet Pain Relief Pad (pramoxine topical)? Avoid getting this medication in your eyes or nose. If this does happen, rinse with water. Do not use pramoxine topical on deep skin wounds, blistered skin, severe burns, or large skin areas. Seek medical attention for more severe skin irritation or injury.

Avoid using other medications on the areas you treat with pramoxine topical unless you doctor tells you to.

Fleet Pain Relief Pad (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 pramoxine topical and call your doctor at once if you have a serious side effect such as:

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

severe pain, burning, or stinging where the medicine is applied.

Less serious side effects are more likely, and you may have none at all.

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

What other drugs will affect Fleet Pain Relief Pad (pramoxine topical)?

It is not likely that other drugs you take orally or inject will have an effect on topically applied 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 Fleet Pain Relief Pad resources Fleet Pain Relief Pad Side Effects (in more detail) Fleet Pain Relief Pad Use in Pregnancy & Breastfeeding Fleet Pain Relief Pad Support Group 1 Review for Fleet Pain Relief - Add your own review/rating Caladryl Clear MedFacts Consumer Leaflet (Wolters Kluwer) Itch-X Foam MedFacts Consumer Leaflet (Wolters Kluwer) PrameGel Gel MedFacts Consumer Leaflet (Wolters Kluwer) Pramoxine Hydrochloride Monograph (AHFS DI) Prax Lotion MedFacts Consumer Leaflet (Wolters Kluwer) Proctofoam Foam MedFacts Consumer Leaflet (Wolters Kluwer) Sarna Sensitive Lotion MedFacts Consumer Leaflet (Wolters Kluwer) Tronolane Cream MedFacts Consumer Leaflet (Wolters Kluwer) Compare Fleet Pain Relief Pad with other medications Hemorrhoids Where can I get more information? Your pharmacist can provide more information about pramoxine topical.

See also: Fleet Pain Relief side effects (in more detail)


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Anest Hemor


Generic Name: pramoxine topical (pra MOX een TOP i kal)
Brand Names: Anest Hemor, Blistex Pro Relief, Calaclear, Caladryl Clear, Callergy Clear, Curasore, Fleet Pain Relief Pad, Gold Bond Anti-Itch, Itch-X, PrameGel, Pramox, Prax, Proctofoam, Proctozone-P, Sarna Sensitive, Sarna Sensitive Eczema Itch Relief, Sarna Ultra, Soothe-It Plus Hemmorhoidal Pad, Summers Eve Anti-Itch, Tronolane

What is Anest Hemor (pramoxine topical)?

Pramoxine is an anesthetic, or "numbing medicine." It works by interfering with pain signals sent from the nerves to the brain.

Pramoxine topical (for the skin) is used to treat pain or itching caused by insect bites, minor burns or scrapes, hemorrhoids, and minor skin rash, dryness, or itching. Pramoxine topical is also used to treat chapped lips, and pain or skin irritation caused by coming into contact with poison ivy, poison oak, or poison sumac.

Pramoxine topical may also be used for purposes not listed in this medication guide.

What is the most important information I should know about Anest Hemor (pramoxine topical)?

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.

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

Less serious side effects are more likely, and you may have none at all.

What should I discuss with my health care provider before using Anest Hemor (pramoxine topical)? You should not use this medication if you are allergic to pramoxine.

Ask a doctor or pharmacist if it is safe for you to take this medicine if you are allergic to any drugs or any other numbing medicines.

FDA pregnancy category C. It is not known whether pramoxine topical will harm an unborn baby. Do not use this medication without medical advice if you are pregnant. It is not known whether pramoxine topical passes into breast milk or if it could harm a nursing baby. Do not use this medication without medical advice if you are breast-feeding a baby. How should I use Anest Hemor (pramoxine topical)?

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.

Pramoxine is usually applied to the affected area 3 to 5 times daily, depending on which form of this medication you use. Follow the label directions or your doctor's instructions about how much medication to use and how often.

Pramoxine hemorrhoid cream, lotion, foam, or medicated wipe may be used on the rectum after each bowel movement to treat hemorrhoid pain and itching.

Wash your hands before and after applying pramoxine topical. Wash the affected skin area with warm water and a mild soap. Rinse and dry the area thoroughly.

To use pramoxine on the skin, (spray, lotion, gel, or stick), apply just enough of the medication to cover the area to be treated.

To use the pramoxine medicated wipe to treat the hemorrhoid area, apply the medication by patting the wipe onto the rectal area. Avoid harsh rubbing. You may fold the wipe and leave it in place for up to 15 minutes. Each pramoxine medicated wipe is for one use only. Throw the wipe away after using.

Shake the pramoxine rectal foam before each use. Squirt only a small amount of the medicine onto a clean tissue and apply it to your rectum. Do not insert this medication or the medicated wipe into your rectum. Use pramoxine topical only on the outside of the area.

Stop using pramoxine and call your doctor if your symptoms do not improve after 7 days of treatment, or if your condition clears up and then comes back.

Store at room temperature away from moisture and heat. What happens if I miss a dose?

Since pramoxine topical is used on an as needed basis, you are not likely to miss a dose.

What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. What should I avoid while using Anest Hemor (pramoxine topical)? Avoid getting this medication in your eyes or nose. If this does happen, rinse with water. Do not use pramoxine topical on deep skin wounds, blistered skin, severe burns, or large skin areas. Seek medical attention for more severe skin irritation or injury.

Avoid using other medications on the areas you treat with pramoxine topical unless you doctor tells you to.

Anest Hemor (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 pramoxine topical and call your doctor at once if you have a serious side effect such as:

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

severe pain, burning, or stinging where the medicine is applied.

Less serious side effects are more likely, and you may have none at all.

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

What other drugs will affect Anest Hemor (pramoxine topical)?

It is not likely that other drugs you take orally or inject will have an effect on topically applied 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 Anest Hemor resources Anest Hemor Side Effects (in more detail) Anest Hemor Use in Pregnancy & Breastfeeding Anest Hemor Support Group 0 Reviews for Anest Hemor - Add your own review/rating Caladryl Clear MedFacts Consumer Leaflet (Wolters Kluwer) Itch-X Foam MedFacts Consumer Leaflet (Wolters Kluwer) PrameGel Gel MedFacts Consumer Leaflet (Wolters Kluwer) Pramoxine Hydrochloride Monograph (AHFS DI) Prax Lotion MedFacts Consumer Leaflet (Wolters Kluwer) Proctofoam Foam MedFacts Consumer Leaflet (Wolters Kluwer) Sarna Sensitive Lotion MedFacts Consumer Leaflet (Wolters Kluwer) Tronolane Cream MedFacts Consumer Leaflet (Wolters Kluwer) Compare Anest Hemor with other medications Anal Itching Hemorrhoids Where can I get more information? Your pharmacist can provide more information about pramoxine topical.

See also: Anest Hemor side effects (in more detail)


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Summers Eve Anti-Itch


Generic Name: pramoxine topical (pra MOX een TOP i kal)
Brand Names: Anest Hemor, Blistex Pro Relief, Calaclear, Caladryl Clear, Callergy Clear, Curasore, Fleet Pain Relief Pad, Gold Bond Anti-Itch, Itch-X, PrameGel, Pramox, Prax, Proctofoam, Proctozone-P, Sarna Sensitive, Sarna Sensitive Eczema Itch Relief, Sarna Ultra, Soothe-It Plus Hemmorhoidal Pad, Summers Eve Anti-Itch, Tronolane

What is Summers Eve Anti-Itch (pramoxine topical)?

Pramoxine is an anesthetic, or "numbing medicine." It works by interfering with pain signals sent from the nerves to the brain.

Pramoxine topical (for the skin) is used to treat pain or itching caused by insect bites, minor burns or scrapes, hemorrhoids, and minor skin rash, dryness, or itching. Pramoxine topical is also used to treat chapped lips, and pain or skin irritation caused by coming into contact with poison ivy, poison oak, or poison sumac.

Pramoxine topical may also be used for purposes not listed in this medication guide.

What is the most important information I should know about Summers Eve Anti-Itch (pramoxine topical)?

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.

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

Less serious side effects are more likely, and you may have none at all.

What should I discuss with my health care provider before using Summers Eve Anti-Itch (pramoxine topical)? You should not use this medication if you are allergic to pramoxine.

Ask a doctor or pharmacist if it is safe for you to take this medicine if you are allergic to any drugs or any other numbing medicines.

FDA pregnancy category C. It is not known whether pramoxine topical will harm an unborn baby. Do not use this medication without medical advice if you are pregnant. It is not known whether pramoxine topical passes into breast milk or if it could harm a nursing baby. Do not use this medication without medical advice if you are breast-feeding a baby. How should I use Summers Eve Anti-Itch (pramoxine topical)?

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.

Pramoxine is usually applied to the affected area 3 to 5 times daily, depending on which form of this medication you use. Follow the label directions or your doctor's instructions about how much medication to use and how often.

Pramoxine hemorrhoid cream, lotion, foam, or medicated wipe may be used on the rectum after each bowel movement to treat hemorrhoid pain and itching.

Wash your hands before and after applying pramoxine topical. Wash the affected skin area with warm water and a mild soap. Rinse and dry the area thoroughly.

To use pramoxine on the skin, (spray, lotion, gel, or stick), apply just enough of the medication to cover the area to be treated.

To use the pramoxine medicated wipe to treat the hemorrhoid area, apply the medication by patting the wipe onto the rectal area. Avoid harsh rubbing. You may fold the wipe and leave it in place for up to 15 minutes. Each pramoxine medicated wipe is for one use only. Throw the wipe away after using.

Shake the pramoxine rectal foam before each use. Squirt only a small amount of the medicine onto a clean tissue and apply it to your rectum. Do not insert this medication or the medicated wipe into your rectum. Use pramoxine topical only on the outside of the area.

Stop using pramoxine and call your doctor if your symptoms do not improve after 7 days of treatment, or if your condition clears up and then comes back.

Store at room temperature away from moisture and heat. What happens if I miss a dose?

Since pramoxine topical is used on an as needed basis, you are not likely to miss a dose.

What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. What should I avoid while using Summers Eve Anti-Itch (pramoxine topical)? Avoid getting this medication in your eyes or nose. If this does happen, rinse with water. Do not use pramoxine topical on deep skin wounds, blistered skin, severe burns, or large skin areas. Seek medical attention for more severe skin irritation or injury.

Avoid using other medications on the areas you treat with pramoxine topical unless you doctor tells you to.

Summers Eve Anti-Itch (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 pramoxine topical and call your doctor at once if you have a serious side effect such as:

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

severe pain, burning, or stinging where the medicine is applied.

Less serious side effects are more likely, and you may have none at all.

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

What other drugs will affect Summers Eve Anti-Itch (pramoxine topical)?

It is not likely that other drugs you take orally or inject will have an effect on topically applied 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 Summers Eve Anti-Itch resources Summers Eve Anti-Itch Side Effects (in more detail) Summers Eve Anti-Itch Use in Pregnancy & Breastfeeding Summers Eve Anti-Itch Support Group 0 Reviews for Summers Eve Anti-Itch - Add your own review/rating Caladryl Clear MedFacts Consumer Leaflet (Wolters Kluwer) Itch-X Foam MedFacts Consumer Leaflet (Wolters Kluwer) PrameGel Gel MedFacts Consumer Leaflet (Wolters Kluwer) Pramoxine Hydrochloride Monograph (AHFS DI) Prax Lotion MedFacts Consumer Leaflet (Wolters Kluwer) Proctofoam Foam MedFacts Consumer Leaflet (Wolters Kluwer) Sarna Sensitive Lotion MedFacts Consumer Leaflet (Wolters Kluwer) Tronolane Cream MedFacts Consumer Leaflet (Wolters Kluwer) Compare Summers Eve Anti-Itch with other medications Anal Itching Pruritus Where can I get more information? Your pharmacist can provide more information about pramoxine topical.

See also: Summers Eve Anti-Itch side effects (in more detail)


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hypromellose Intraocular


hye-PROE-me-lose

Available Dosage Forms:

Solution

Therapeutic Class: Lubricant, Ocular

Uses For hypromellose

Hypromellose is used as a surgical aid in certain eye surgeries, such as cataract removal and lens implantation procedures. It helps maintain the shape of the eye during surgery as well as protect the tissues of the eye from damage due to surgical instruments.

hypromellose is available only with your doctor's prescription.

Before Using hypromellose

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 hypromellose, the following should be considered:

Allergies

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

Pediatric

Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of hypromellose in children.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of hypromellose in the elderly.

Pregnancy Pregnancy Category Explanation All Trimesters C Animal 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 hypromellose. Make sure you tell your doctor if you have any other medical problems, especially:

Diabetes—May cause side effects to become worse. Glaucoma, history of—May make this condition worse. Proper Use of hypromellose

A doctor will give you hypromellose during your eye surgery.

Precautions While Using hypromellose

Your doctor will want to check your progress at regular visits during the first few weeks after you receive hypromellose.

Serious eye problems may occur after treatment with hypromellose. Check with your doctor right away if your eye becomes red, sensitive to light, or painful, or you develop a change in vision several days after your treatment. Also tell your doctor if you are having headaches, nausea, or excessive eye tearing.

hypromellose 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 Blurred vision change in vision decreased vision loss of vision Less common Pain in the eye redness of the white part of the eye or inside of the eyelid sensitivity of the eye to light tearing of the eye throbbing eye pain Rare Pooling of a whitish fluid visible on the colored part of the eye

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.

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 hypromellose Intraocular resources Hypromellose Intraocular Support Group 0 Reviews for Hypromellose Intraocular - Add your own review/rating Compare hypromellose Intraocular with other medications Eye Dryness/Redness
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Sarna Sensitive Eczema Itch Relief


Generic Name: pramoxine topical (pra MOX een TOP i kal)
Brand Names: Anest Hemor, Blistex Pro Relief, Calaclear, Caladryl Clear, Callergy Clear, Curasore, Fleet Pain Relief Pad, Gold Bond Anti-Itch, Itch-X, PrameGel, Pramox, Prax, Proctofoam, Proctozone-P, Sarna Sensitive, Sarna Sensitive Eczema Itch Relief, Sarna Ultra, Soothe-It Plus Hemmorhoidal Pad, Summers Eve Anti-Itch, Tronolane

What is Sarna Sensitive Eczema Itch Relief (pramoxine topical)?

Pramoxine is an anesthetic, or "numbing medicine." It works by interfering with pain signals sent from the nerves to the brain.

Pramoxine topical (for the skin) is used to treat pain or itching caused by insect bites, minor burns or scrapes, hemorrhoids, and minor skin rash, dryness, or itching. Pramoxine topical is also used to treat chapped lips, and pain or skin irritation caused by coming into contact with poison ivy, poison oak, or poison sumac.

Pramoxine topical may also be used for purposes not listed in this medication guide.

What is the most important information I should know about Sarna Sensitive Eczema Itch Relief (pramoxine topical)?

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.

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

Less serious side effects are more likely, and you may have none at all.

What should I discuss with my health care provider before using Sarna Sensitive Eczema Itch Relief (pramoxine topical)? You should not use this medication if you are allergic to pramoxine.

Ask a doctor or pharmacist if it is safe for you to take this medicine if you are allergic to any drugs or any other numbing medicines.

FDA pregnancy category C. It is not known whether pramoxine topical will harm an unborn baby. Do not use this medication without medical advice if you are pregnant. It is not known whether pramoxine topical passes into breast milk or if it could harm a nursing baby. Do not use this medication without medical advice if you are breast-feeding a baby. How should I use Sarna Sensitive Eczema Itch Relief (pramoxine topical)?

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.

Pramoxine is usually applied to the affected area 3 to 5 times daily, depending on which form of this medication you use. Follow the label directions or your doctor's instructions about how much medication to use and how often.

Pramoxine hemorrhoid cream, lotion, foam, or medicated wipe may be used on the rectum after each bowel movement to treat hemorrhoid pain and itching.

Wash your hands before and after applying pramoxine topical. Wash the affected skin area with warm water and a mild soap. Rinse and dry the area thoroughly.

To use pramoxine on the skin, (spray, lotion, gel, or stick), apply just enough of the medication to cover the area to be treated.

To use the pramoxine medicated wipe to treat the hemorrhoid area, apply the medication by patting the wipe onto the rectal area. Avoid harsh rubbing. You may fold the wipe and leave it in place for up to 15 minutes. Each pramoxine medicated wipe is for one use only. Throw the wipe away after using.

Shake the pramoxine rectal foam before each use. Squirt only a small amount of the medicine onto a clean tissue and apply it to your rectum. Do not insert this medication or the medicated wipe into your rectum. Use pramoxine topical only on the outside of the area.

Stop using pramoxine and call your doctor if your symptoms do not improve after 7 days of treatment, or if your condition clears up and then comes back.

Store at room temperature away from moisture and heat. What happens if I miss a dose?

Since pramoxine topical is used on an as needed basis, you are not likely to miss a dose.

What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. What should I avoid while using Sarna Sensitive Eczema Itch Relief (pramoxine topical)? Avoid getting this medication in your eyes or nose. If this does happen, rinse with water. Do not use pramoxine topical on deep skin wounds, blistered skin, severe burns, or large skin areas. Seek medical attention for more severe skin irritation or injury.

Avoid using other medications on the areas you treat with pramoxine topical unless you doctor tells you to.

Sarna Sensitive Eczema Itch Relief (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 pramoxine topical and call your doctor at once if you have a serious side effect such as:

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

severe pain, burning, or stinging where the medicine is applied.

Less serious side effects are more likely, and you may have none at all.

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

What other drugs will affect Sarna Sensitive Eczema Itch Relief (pramoxine topical)?

It is not likely that other drugs you take orally or inject will have an effect on topically applied 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 Sarna Sensitive Eczema Itch Relief resources Sarna Sensitive Eczema Itch Relief Side Effects (in more detail) Sarna Sensitive Eczema Itch Relief Use in Pregnancy & Breastfeeding 0 Reviews for Sarna Sensitive Eczema Itch Relief - Add your own review/rating Caladryl Clear MedFacts Consumer Leaflet (Wolters Kluwer) Itch-X Foam MedFacts Consumer Leaflet (Wolters Kluwer) PrameGel Gel MedFacts Consumer Leaflet (Wolters Kluwer) Pramoxine Hydrochloride Monograph (AHFS DI) Prax Lotion MedFacts Consumer Leaflet (Wolters Kluwer) Proctofoam Foam MedFacts Consumer Leaflet (Wolters Kluwer) Sarna Sensitive Lotion MedFacts Consumer Leaflet (Wolters Kluwer) Tronolane Cream MedFacts Consumer Leaflet (Wolters Kluwer) Compare Sarna Sensitive Eczema Itch Relief with other medications Anal Itching Atopic Dermatitis Hemorrhoids Pain Pruritus Where can I get more information? Your pharmacist can provide more information about pramoxine topical.

See also: Sarna Sensitive Eczema Itch Relief side effects (in more detail)


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Gelato Chlorhexidine Rinse


Generic Name: chlorhexidine gluconate
Dosage Form: oral rinse
Gelato Chlorhexidine Distilled Water, Glycerin, Polysorbate 20, Poloxamer 407, Sodium Saccharin, Mint Flavor, FD and C Blue #1

The effect of Chlohexidrine Gluconate Oral Rinse on periodontitis has not been determined. An increase in supragingival calculus was not noted in clinical testing in chlohexidine gluconate oral rinse users compared with control users. It is not known if Chlorhexidine Gluconate oral rinse use results in an increase in subgingival calculus. Calculus deposits should be removed by a dental prophylaxis at intervals not greater than six months. Hypersensitivity and generalized allergic reactions have occured. read CONTRAINDICATIONS indicated on the insert inside the box.

To open, press down while turning cap. To seal, turn until cap clicks and is tight. Fill dosage cup to the fill like (150ml). Swish in your mouth undiluted for 30 seconds, the spit out. Use after breakfast and before bedtime. Or, use as prescribed by your dentist.

Chlorhexidine Gluconate Oral Rinse is indicated for use between dental visits as part of a professional program for the treatment of gingivitis as characterized by redness and swelling of the gingivae, including gingival bleeding upon probing. For patients having coexisting gingivitis and periodontitis, read PRECAUTIONS indicated on the insert inside the box.

Store at controlled room temperature 68-77F (20-25C). Protect from freezing.

0.12% Chlorhexidine Gluconate

Antigingivitis


GELATO CHLOROHEXIDINE 
chlorhexidine gluconate  rinse Product Information Product Type HUMAN PRESCRIPTION DRUG NDC Product Code (Source) 68400-500 Route of Administration DENTAL, TOPICAL, ORAL DEA Schedule      Active Ingredient/Active Moiety Ingredient Name Basis of Strength Strength CHLORHEXIDINE GLUCONATE (CHLORHEXIDINE) CHLORHEXIDINE GLUCONATE 56.76 mL  in 473 mL Inactive Ingredients Ingredient Name Strength Water   Glycerin   FD&C BLUE NO. 1   SACCHARIN SODIUM   POLYSORBATE 20   POLOXAMER 407   Product Characteristics Color      Score      Shape Size Flavor MINT Imprint Code Contains          Packaging # NDC Package Description Multilevel Packaging 1 68400-500-16 473 mL In 1 BOTTLE None
Marketing Information Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date unapproved drug other 03/31/2010
Labeler - Deepak Products, inc. (124886743) Establishment Name Address ID/FEI Operations Deepak Products, inc. 124886743 manufacture Revised: 04/2011Deepak Products, inc.
More Gelato Chlorhexidine Rinse resources Gelato Chlorhexidine Rinse Side Effects (in more detail) Gelato Chlorhexidine Rinse Use in Pregnancy & Breastfeeding Gelato Chlorhexidine Rinse Support Group 1 Review for Gelato Chlorhexidine - Add your own review/rating Compare Gelato Chlorhexidine Rinse with other medications Gingivitis Mucositis Periodontitis
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Hycamtin


Generic Name: topotecan (TOE poe TEE kan)
Brand Names: Hycamtin

What is Hycamtin (topotecan)?

Topotecan is a cancer medication that interferes with the growth and spread of cancer cells in the body.

Topotecan is used to treat ovarian cancer, small cell lung cancer, and certain types of cervical cancer.

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

What is the most important information I should know about Hycamtin (topotecan)? Do not use topotecan if you are pregnant. It could harm the unborn baby.

Topotecan can lower blood cells that help your body fight infections. This can make it easier for you to bleed from an injury or get sick from being around others who are ill. Your blood may need to be tested often. Visit your doctor regularly.

Avoid being near people who are sick or have infections. Tell your doctor at once if you develop signs of infection.

Do not receive a "live" vaccine while using topotecan, and avoid coming into contact with anyone who has recently received a live vaccine. There is a chance that the virus could be passed on to you. Call your doctor at once if you have fever, chills, body aches, flu symptoms, pale skin, easy bruising or bleeding, severe diarrhea with fever or stomach pain, unusual weakness, white patches or sores inside your mouth or on your lips, or other signs of infection. What should I discuss with my healthcare provider before using Hycamtin (topotecan)? You should not use topotecan if you have:

severe bone marrow depression; or

if you are pregnant or breast-feeding.

To make sure you can safely use topotecan, tell your doctor if you have any of these other conditions:

kidney disease;

lung disease or lung cancer; or

if you have had a chest x-ray or radiation treatment of your chest area.

FDA pregnancy category D. Do not use topotecan if you are pregnant. It could harm the unborn baby. Use effective birth control, and tell your doctor if you become pregnant during treatment. It is not known whether topotecan passes into breast milk or if it could harm a nursing baby. You should not breast-feed while you are using topotecan. How should I use Hycamtin (topotecan)?

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

Topotecan is usually given once daily for 5 days in a row. This treatment is then repeated every 21 days, usually for at least 4 treatments. It may take several weeks for your body to respond to the medication.

Topotecan capsules are taken by mouth. You may need to take two different colored capsules at one time. Make sure you know the difference between capsules because one contains 4 times as much topotecan as the other, even though they may look the same in size.

Take the topotecan capsule with a full glass (8 ounces) of water. You may take the medicine with or without food.

If you vomit after taking a topotecan capsule, do not take another dose that same day. Call your doctor for instructions.

Do not crush or break a topotecan capsule, or use a capsule that has been accidentally broken. The medicine from a broken capsule can be dangerous if it gets in your eyes or on your skin. If this occurs, wash your skin with soap and water or rinse the eyes for at least 15 minutes with plain water. Ask your doctor or pharmacist how to safely handle and dispose of a broken tablet or capsule. Store topotecan capsules in the refrigerator and protect them from light.

Topotecan injection is injected into a vein through an IV. You will receive this injection in a clinic or hospital setting. Topotecan must be given slowly, and the IV infusion can take up to 30 minutes to complete.

Tell your doctor right away if any of this medicine gets on your skin during the injection. If this does happen, the exposed skin should be rinsed thoroughly with soap and warm water.

Topotecan can lower blood cells that help your body fight infections. This can make it easier for you to bleed from an injury or get sick from being around others who are ill. Your blood may need to be tested often. Visit your doctor regularly.

What happens if I miss a dose?

Call your doctor for instructions if you miss any of your topotecan doses.

What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose can cause bone marrow depression (fever, chills, body aches, flu symptoms, sores or white patches in your mouth, or other signs of infection).

What should I avoid while using Hycamtin (topotecan)?

Avoid being near people who are sick or have infections. Tell your doctor at once if you develop signs of infection.

Do not receive a "live" vaccine while using topotecan, and avoid coming into contact with anyone who has recently received a live vaccine. There is a chance that the virus could be passed on to you. Live vaccines include measles, mumps, rubella (MMR), oral polio, typhoid, chickenpox (varicella), BCG (Bacillus Calmette and Gu?rin), and nasal flu vaccine. Topotecan may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Hycamtin (topotecan) 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. Call your doctor at once if you have a serious side effect such as:

wheezing, feeling short of breath, chest pain, dry cough;

fever, chills, flu symptoms, mouth and throat ulcers, rapid and shallow breathing, fainting;

pale skin, feeling light-headed, rapid heart rate, trouble concentrating;

easy bruising, unusual bleeding (nose, mouth, vagina, or rectum), purple or red pinpoint spots under your skin;

diarrhea with fever and stomach cramps;

pain or burning when you urinate; or

skin changes or severe irritation where the needle is placed.

Less serious side effects may include:

nausea, diarrhea, vomiting;

tired feeling; or

temporary hair loss.

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

What other drugs will affect Hycamtin (topotecan)?

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

filgrastim (Neupogen), pegfilgrastim (Neulasta), or sargramostim (Leukine); or

cisplatin (Platinol), carboplatin (Paraplatin), or oxaliplatin (Eloxatin).

This list is not complete and other drugs may interact with topotecan. 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 Hycamtin resources Hycamtin Side Effects (in more detail) Hycamtin Use in Pregnancy & Breastfeeding Hycamtin Drug Interactions Hycamtin Support Group 0 Reviews for Hycamtin - Add your own review/rating Hycamtin Prescribing Information (FDA) Hycamtin MedFacts Consumer Leaflet (Wolters Kluwer) Hycamtin Monograph (AHFS DI) Hycamtin Advanced Consumer (Micromedex) - Includes Dosage Information Topotecan Prescribing Information (FDA) Compare Hycamtin with other medications Cancer Cervical Cancer Ovarian Cancer Small Cell Lung Cancer Where can I get more information? Your doctor or pharmacist can provide more information about topotecan.

See also: Hycamtin side effects (in more detail)


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Emla


Generic Name: lidocaine and prilocaine topical (LY doh kayn and PRIL oh kayn TOP ik al)
Brand Names: Emla

What is lidocaine and prilocaine topical?

Lidocaine and prilocaine topical is a local anesthetic (numbing medication). It works by blocking nerve signals in your body.

Lidocaine and prilocaine topical is used to numb the skin, or surfaces of the penis or vagina, in preparation for a medical procedure or to lessen the pain of inserting a medical instrument such as a tube or speculum.

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

What is the most important information I should know about lidocaine and prilocaine? An overdose of numbing medications can cause fatal side effects if too much of the medicine is absorbed through your skin and into your blood. This is more likely to occur when using a numbing medicine without the advice of a medical doctor (such as during a cosmetic procedure like laser hair removal). However, overdose has also occurred in women treated with a numbing medicine before having a mammography. Overdose symptoms may include uneven heartbeats, seizure (convulsions), coma, slowed breathing, or respiratory failure (breathing stops). Your body may absorb more of this medication if you use too much, if you apply it over large skin areas, or if you apply heat, bandages, or plastic wrap to treated skin areas. Skin that is cut or irritated may also absorb more topical medication than healthy skin.

Use the smallest amount of this medication needed to numb the skin or relieve pain. Do not use large amounts of lidocaine and prilocaine topical, or cover treated skin areas with a bandage or plastic wrap without medical advice. Be aware that many cosmetic procedures are performed without a medical doctor present.

Do not use lidocaine and prilocaine topical if you have had an allergic reaction to a numbing medicine in the past.

Before lidocaine and prilocaine topical is applied, tell your doctor if you have liver disease, a history of allergic reaction to lidocaine or prilocaine, or a personal or family history of methemoglobinemia, or any genetic enzyme deficiency.

Lidocaine and prilocaine topical is for use only on the surface of your body. Avoid getting this medication in your eyes.

Avoid accidentally injuring treated skin areas while they are numb. Avoid coming into contact with very hot or very cold surfaces.

What should I discuss with my health care provider before using lidocaine and prilocaine topical? An overdose of numbing medications can cause fatal side effects if too much of the medicine is absorbed through your skin and into your blood.

Overdose is more likely to occur when using a numbing medicine without the advice of a medical doctor (such as during a cosmetic procedure like laser hair removal). However, overdose has also occurred in women treated with a numbing medicine before having a mammography. Symptoms may include uneven heartbeats, seizure (convulsions), coma, slowed breathing, or respiratory failure (breathing stops).

Do not use lidocaine and prilocaine topical if you have a blood cell disorder called methemoglobinemia.

Before lidocaine and prilocaine topical is applied, tell your doctor if you have:

liver disease;

a history of allergic reaction to lidocaine or prilocaine; or

a personal or family history of methemoglobinemia, or any genetic enzyme deficiency.

If you have any of these conditions, you may need a dose adjustment or special tests to safely use lidocaine and prilocaine topical.

FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Lidocaine and prilocaine topical 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. How should I use lidocaine and prilocaine topical?

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

Your body may absorb more of this medication if you use too much, if you apply it over large skin areas, or if you apply heat, bandages, or plastic wrap to treated skin areas. Skin that is cut or irritated may also absorb more topical medication than healthy skin.

Use the smallest amount of medicine needed to numb the skin or relieve pain. Do not use large amounts of lidocaine and prilocaine topical, or cover treated skin areas with a bandage or plastic wrap without medical advice. Be aware that many cosmetic procedures are performed without a medical doctor present.

This medication comes with instructions for safe and effective application. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

You should be lying down when lidocaine and prilocaine topical cream is applied.

Your medicine may have been supplied with bandages to cover the cream when it is applied to a small area on your skin. If using a bandage dressing, first apply a thick layer of the cream to the skin, taking care not to spread the cream out. Place the bandage over the cream and smooth down the edges until it is completely sealed around the cream.

Lidocaine and prilocaine topical is usually applied 1 to 2 hours before the start of a procedure that requires the treated area to be numb. Follow your doctor's instructions about the length of time the cream should be left on the skin.

Store lidocaine and prilocaine topical at room temperature away from moisture and heat. Do not allow the cream to freeze. What happens if I miss a dose?

Since lidocaine and prilocaine topical is used as needed, it is not likely that you will be on a dosing schedule.

What happens if I overdose? Seek emergency medical attention if you think you have used too much of this medicine. An overdose of lidocaine and prilocaine topical applied to the skin can cause life-threatening side effects such as uneven heartbeats, seizure (convulsions), coma, slowed breathing, or respiratory failure (breathing stops). What should I avoid while taking lidocaine and prilocaine topical? Lidocaine and prilocaine topical is for use only on the surface of your body. Avoid getting this medication in your eyes.

Avoid accidentally injuring treated skin areas while they are numb. Avoid coming into contact with very hot or very cold surfaces.

Lidocaine and prilocaine 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 lidocaine and prilocaine topical and call your doctor at once if you have any of these serious side effects:

severe burning, stinging, or sensitivity where the medicine is applied;

swelling or redness;

sudden dizziness or sleepiness after medicine is applied;

bruising or purple appearance of the skin; or

unusual sensations of temperature.

Less serious side effects may include:

mild burning where the medicine is applied;

skin redness; or

changes in skin color where the medicine was applied.

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 lidocaine and prilocaine topical?

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

heart rhythm medication such as mexiletine (Mexitil);

acetaminophen (Tylenol);

chloroquine (Aralen);

dapsone;

nitrates or nitrites such as Imdur, Isordil, Monoket;

nitrofurantoin (Furadantin, Macrodantin, Macro-Bid);

phenobarbital (Luminal, Solfoton);

primaquine;

quinine; or

a sulfa drug (Bactrim, Gantanol, Gantrisin, Septra, SMX-TMP, and others).

This list is not complete and there may be other drugs that can interact with lidocaine and prilocaine topical. 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 Emla resources Emla Side Effects (in more detail) Emla Use in Pregnancy & Breastfeeding Emla Support Group 0 Reviews for Emla - Add your own review/rating Emla Topical Advanced Consumer (Micromedex) - Includes Dosage Information Emla Consumer Overview EMLA Prescribing Information (FDA) EMLA Cream MedFacts Consumer Leaflet (Wolters Kluwer) Compare Emla with other medications Anesthesia Where can I get more information? Your pharmacist can provide more information about lidocaine and prilocaine topical.

See also: Emla side effects (in more detail)


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Pulmicort Oral


Generic Name: budesonide (Oral route)

bue-DES-oh-nide

Commonly used brand name(s)

In the U.S.

Entocort EC

In Canada

Pulmicort Pulmicort Spacer

Available Dosage Forms:

Capsule, Delayed Release Capsule, Extended Release

Therapeutic Class: Endocrine-Metabolic Agent

Pharmacologic Class: Adrenal Glucocorticoid

Uses For Pulmicort

Budesonide is used to treat an inflammatory bowel disease called Crohn's disease. This medicine works inside the intestine (bowel) to reduce inflammation and symptoms of the disease. It also helps keep the symptoms of Crohn's disease from coming back. Budesonide is a steroid (cortisone-like) medicine.

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

Before Using Pulmicort

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

Allergies

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

Pediatric

Appropriate studies have not been performed on the relationship of age to the effects of budesonide in the pediatric population. Safety and efficacy have not been established.

Geriatric

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

Pregnancy Pregnancy Category Explanation All Trimesters C Animal 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. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

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

Boceprevir Bupropion Telaprevir

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

Erythromycin Itraconazole Ketoconazole 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. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following may cause an increased risk of certain side effects but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.

Grapefruit Juice 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:

Cataracts (eye disease) or Diabetes, or a family history of or Glaucoma, or a family history of or Hypertension (high blood pressure) or Infection (e.g., bacteria, virus, fungus) or Osteoporosis (thin bones) or Stomach ulcer, active or history of or Tuberculosis, active or history of or Weakened immune system—Use with caution. May make these conditions worse. Liver disease (including cirrhosis), moderate to severe—Use with caution. The effects may be increased because of slower removal of the medicine from the body. Proper Use of budesonide

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

Take this medicine exactly as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. Also, do not stop taking this medicine without first checking with your doctor.

This medicine comes with a patient information insert. Read and follow the instructions in the insert carefully. Ask your doctor if you have any questions.

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

Keep using this medicine for the full time of treatment, even if you begin to feel better after a few days. Do not miss any doses.

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 oral dosage form (capsules): For mild to moderate Crohn's disease: Adults—9 milligrams (mg) once a day in the morning for up to 8 weeks. Your doctor may adjust your dose as needed. Children—Use and dose must be determined by your doctor. For prevention of symptoms of Crohn's disease from coming back: Adults—6 milligrams (mg) once a day in the morning for up to 3 months. Your doctor may adjust your dose as needed. Children—Use and dose must be determined by your doctor. Missed Dose

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

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

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

Precautions While Using Pulmicort

It is very important that your doctor check your progress at regular visits for any problems or unwanted effects that may be caused by this medicine.

If your condition does not improve or if it become worse, check with your doctor.

Using too much of this medicine or using it for a long time may increase your risk of having adrenal gland problems. Talk to your doctor if you have more than one of these symptoms while you are using this medicine: darkening of the skin; diarrhea; dizziness; fainting; loss of appetite; mental depression; nausea; skin rash; unusual tiredness or weakness; or vomiting.

You may get infections more easily while using this medicine. Avoid people who are sick or have infections. Tell your doctor right away if you have been exposed to someone with chickenpox or measles.

Make sure any doctor or dentist who treats you knows that you are using this medicine. You may need to stop using this medicine several days before having surgery or medical tests.

Grapefruits and grapefruit juice may increase the effects of budesonide by increasing the amount of this medicine in your body. You should not eat grapefruit or drink grapefruit juice while you are taking this medicine.

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

Pulmicort 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:

More common Bruising easily chills colds cough or hoarseness fever flu-like symptoms sneezing sore throat Less common Abdominal or stomach pain bleeding after defecation blurred vision burning while urinating burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings chest pain convulsions cough producing mucus decreased urine diarrhea difficult or labored breathing difficult or painful urination dizziness dry mouth eye pain fast, irregular, pounding, or racing heartbeat or pulse feeling of warmth general feeling of discomfort or illness headache heartburn increase in body movements increased thirst increased urge to urinate during the night irregular heartbeat joint pain loss of appetite mood changes muscle aches and pains nausea or vomiting nervousness numbness or tingling in the hands, feet, or lips pain or discomfort in the chest, upper stomach, or throat pounding in the ears rectal bleeding redness of the face, neck, arms, and occasionally, upper chest runny nose severe constipation shakiness in the legs, arms, hands, or feet shivering shortness of breath slow or fast heartbeat stomach cramps sweating swelling of the legs and feet swelling or puffiness of the face tightness in the chest trouble sleeping uncomfortable swelling around the anus unusual tiredness or weakness waking to urinate at night weight gain weight loss wheezing Incidence not known Bulging soft spot on the head of an infant change in the ability to see colors, especially blue or yellow difficulty with swallowing hives itching puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue skin rash

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 Acid or sour stomach belching blemishes on the skin heartburn indigestion pain or tenderness around the eyes and cheekbones pimples rounded or moon face stomach discomfort, upset, or pain stuffy nose Less common Accumulation of pus agitation blistering, crusting, irritation, itching, or reddening of the skin change in hearing changes in vision cracked, dry, or scaly skin cracks in the skin at the corners of mouth difficulty with moving dizziness or lightheadedness ear drainage earache or pain in the ear feeling of constant movement of self or surroundings hair loss or thinning of the hair increased appetite increased hair growth, especially on the face lack or loss of strength loss of memory muscle pains or stiffness nervousness pain, swelling, or redness in the joints pinpoint red or purple spots on the skin problems with memory redness, swelling, or soreness of the tongue sensation of spinning skin rash skin rash, encrusted, scaly, and oozing sleepiness or unusual drowsiness sleeplessness soreness or redness around the fingernails and toenails swollen joints unable to sleep uterine bleeding between menstrual periods

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: Pulmicort Oral 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 Pulmicort Oral resources Pulmicort Oral Side Effects (in more detail) Pulmicort Oral Use in Pregnancy & Breastfeeding Pulmicort Oral Drug Interactions Pulmicort Oral Support Group 3 Reviews for Pulmicort Oral - Add your own review/rating Compare Pulmicort Oral with other medications Asthma, Maintenance
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