(519,'lorazepam','Take lorazepam exactly as it was prescribed for you. Follow the directions on your prescription label and read all medication guides. Never use lorazepam in larger amounts, or for longer than prescribed. Tell your doctor if you feel an increased urge to use more of this medicine.\nNever share this medicine with another person, especially someone with a history of drug abuse or addiction. MISUSE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep the medication in a place where others cannot get to it. Selling or giving away this medicine is against the law.\nMeasure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).\nDo not take lorazepam for longer than 4 months unless your doctor tells you to. Call your doctor if your symptoms do not improve, or if they get worse.\nIf you use this medicine long-term, you may need frequent medical tests.\nDo not stop using this medicine suddenly, or you could have unpleasant withdrawal symptoms. Follow your doctor\'s instructions about tapering your dose.\nStore at room temperature away from moisture and heat.\nStore the liquid form of lorazepam in the refrigerator. Throw away any liquid not used within 90 days.\nKeep track of your medicine. You should be aware if anyone is using it improperly or without a prescription.\n Detailed Lorazepam dosage information\nWhat happens if I miss a dose?\nTake the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of lorazepam can be fatal if you take it with alcohol, opioid medicine, or other drugs that cause drowsiness or slow your breathing.\nOverdose symptoms may include extreme drowsiness, confusion, slurred speech, feeling restless, muscle weakness, loss of balance or coordination, feeling light-headed, slow heartbeats, weak or shallow breathing, or coma.\n','Taking lorazepam with other drugs that make you sleepy or slow your breathing can cause dangerous side effects or death. Ask your doctor before using opioid medication, a sleeping pill, a muscle relaxer, prescription cough medicine, or medicine for depression or seizures.\nTell your doctor about all your other medicines, especially:\nprobenecid, aminophylline, or theophylline;\nany other medicines to treat anxiety;\nmedicine to treat mental illness;\nseizure medicine; or\nmedicine that contains an antihistamine (such as sleep medicine, cold or allergy medicine).\nThis list is not complete. Other drugs may interact with lorazepam, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.\n Lorazepam drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction to lorazepam: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.\nLorazepam can slow or stop your breathing, especially if you have recently used an opioid medication, alcohol, or other drugs that can slow your breathing. A person caring for you should seek emergency medical attention if you have weak or shallow breathing, if you are hard to wake up, or if you stop breathing.\nCall your doctor at once if you have:\nsevere drowsiness;\nunusual changes in mood or behavior;\nsudden restless feeling or excitement;\nthoughts of suicide or hurting yourself;\nconfusion, aggression, hallucinations;\nsleep problems;\nvision changes; or\ndark urine, or jaundice (yellowing of the skin or eyes).\nThe sedative effects of lorazepam may last longer in older adults. Accidental falls are common in elderly patients who take benzodiazepines. Use caution to avoid falling or accidental injury.\nCommon lorazepam side effects may include:\ndizziness, drowsiness;\nweakness; or\nfeeling unsteady.\nThis 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.\n Lorazepam side effects (more detail)\n','Lorazepam is a benzodiazepine (ben-zoe-dye-AZE-eh-peen) It is thought that benzodiazepines work by enhancing the activity of certain neurotransmitters in the brain.\nLorazepam is used to treat anxiety disorders.\nIt is dangerous to purchase lorazepam on the Internet or outside the United States. The sale and distribution of medicines outside the U.S. does not comply with safe-use regulations of the Food and Drug Administration (FDA). These medications may contain dangerous ingredients, or may not be distributed by a licensed pharmacy.\n','Do not use lorazepam if you are pregnant. This medicine can cause birth defects or life-threatening withdrawal symptoms in a newborn.\nLorazepam may be habit-forming and should be used only by the person it was prescribed for. Misuse of habit-forming medicine can cause addiction, overdose, or death. This medicine should never be shared with another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it.\nFatal side effects can occur if you take lorazepam with alcohol, opioid medicine, or other drugs that cause drowsiness or slow your breathing.\nYou should not use this medicine if you have narrow-angle glaucoma, severe respiratory insufficiency, myasthenia gravis, or if you are allergic to Valium or a similar medicine.\nBefore taking this medicine\nYou should not take lorazepam if you have:\nnarrow-angle glaucoma; or\na history of allergic reaction to any benzodiazepine (lorazepam, alprazolam, diazepam, Ativan, Klonopin, Restoril, Tranxene, Valium, Versed, Xanax, and others).\nTo make sure this medicine is safe for you, tell your doctor if you have ever had:\nbreathing problems such as COPD (chronic obstructive pulmonary disease) or sleep apnea (breathing that stops during sleep);\ndrug or alcohol addiction;\ndepression, mood problems, or suicidal thoughts or behavior;\nkidney or liver disease;\nseizures; or\nglaucoma.\nTell your doctor if you are pregnant or plan to become pregnant. Lorazepam may harm an unborn baby. Avoid taking this medicine during the first trimester of pregnancy.\nIf you use lorazepam while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on habit-forming medicine may need medical treatment for several weeks.\nIt may not be safe to breastfeed while using this medicine. Ask your doctor about any risk.\nIf you are breastfeeding, tell your doctor if you notice drowsiness or fussiness in the nursing baby.\nLorazepam is not approved for use by anyone younger than 12 years old.\n','Avoid drinking alcohol. Dangerous side effects or death could occur.\nAvoid driving or hazardous activity until you know how this medicine will affect you. Dizziness or drowsiness can cause falls, accidents, or severe injuries.\n'),(520,'lorlatinib','Usual Adult Dose for Non-Small Cell Lung Cancer:\n100 mg orally once a day until disease progression or unacceptable toxicity\nUse: For the treatment of patients with anaplastic lymphoma kinase (ALK)-positive metastatic non-small cell lung cancer (NSCLC) whose disease has progressed on crizotinib and at least one other ALK inhibitor for metastatic disease OR alectinib as the first ALK inhibitor therapy for metastatic disease\nOR ceritinib as the first ALK inhibitor therapy for metastatic disease.\n Detailed Lorlatinib dosage information\nWhat happens if I miss a dose?\nTake the medicine as soon as you can, but skip the missed dose if your next dose is due in less than 4 hours. Do not use two doses at one time.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\n','Sometimes it is not safe to use certain medications at the same time. Some drugs can affect your blood levels of other drugs you take, which may increase side effects or make the medications less effective.\nMany drugs can interact with lorlatinib. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here. Tell your doctor about all your current medicines and any medicine you start or stop using.\n Lorlatinib drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction to lorlatinib: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nCall your doctor at once if you have:\nsudden chest pain, wheezing, dry cough;\nshortness of breath or rapid breathing;\nfever, chills, cough with mucus;\nsudden dizziness (like you might pass out);\nnumbness, tingling, or burning pain in your hands or feet;\nunusual changes in mood or behavior, thoughts of hurting yourself;\nhallucinations; or\nproblems with speech, thought, or memory.\nYour cancer treatments may be delayed or permanently discontinued if you have certain side effects.\nCommon lorlatinib side effects may include:\nswelling in your arms, hands, legs, or feet;\nnumbness, tingling, or burning pain in your hands or feet;\nmood changes;\nfeeling tired;\nweight gain;\njoint pain; or\ndiarrhea.\nThis 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.\n Lorlatinib side effects (more detail)\n','Lorlatinib is a kinase inhibitor for oral administration used to treat cancer. A kinase inhibitor is an enzyme inhibitor that can block the action of protein kinases.\nLorlatinib is used to treat a certain type of non-small cell lung cancer that has spread to other parts of the body. It is used only if your cancer has a specific genetic marker (an abnormal \"ALK\" gene). Your doctor will test you for this gene.\nLorlatinib is given after other cancer treatments did not work or have stopped working.\nLorlatinib was approved by the US Food and Drug Administration (FDA) on an \"accelerated\" basis. In clinical studies, some people responded to lorlatinib, but further studies are needed.\n','Tell your doctor about all your current medicines and any you start or stop using. Many drugs can interact, and some drugs should not be used together.\nBefore taking this medicine\nSome medicines can cause unwanted or dangerous effects when used with lorlatinib. Tell your doctor about all your current medicines and any you start or stop using.\nTo make sure lorlatinib is safe for you, tell your doctor if you have:\nheart problems, such as \"AV block\" (unless you have a pacemaker);\nlung disease, breathing problems;\nliver disease;\ndepression;\nseizures; or\nhigh cholesterol or triglycerides (a type of fat in the blood).\nLorlatinib can harm an unborn baby or cause birth defects if the mother or the father is using this medicine.\nIf you are a woman, do not use lorlatinib if you are pregnant. You may need to have a negative pregnancy test before starting this treatment. Use effective birth control to prevent pregnancy while you are using this medicine and for at least 6 months after your last dose.\nIf you are a man, use effective birth control if your sex partner is able to get pregnant. Keep using birth control for at least 3 months after your last dose.\nTell your doctor right away if a pregnancy occurs while either the mother or the father is using lorlatinib.\nThis medicine may affect fertility (ability to have children) in men. However, it is important to use birth control to prevent pregnancy because lorlatinib can harm an unborn baby.\nLorlatinib can make hormonal birth control less effective (birth control pills, injections, implants, skin patches, vaginal rings). Ask your doctor about the best form of birth control to use during treatment with this medicine.\nDo not breastfeed while using this medicine, and for at least 7 days after your last dose.\nHow should I take lorlatinib?\nTake lorlatinib exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets.\nSwallow the tablet whole and do not crush, chew, or break it.\nTake the medicine at the same time each day, with or without food.\nDo not use a broken or cracked tablet.\nIf you vomit shortly after taking lorlatinib, do not take another dose. Wait until your next scheduled dose time to take the medicine again.\nStore at room temperature away from moisture and heat.\nDo not change your dose or stop taking lorlatinib without your doctor\'s advice.\n','Avoid taking an herbal supplement containing St. John\'s wort.\n'),(521,'losartan','Usual Adult Dose of Losartan for Diabetic Nephropathy:\nInitial dose: 50 mg orally once a day.\nMaintenance dose: 25 to 100 mg orally in 1 to 2 divided doses.\nUsual Adult Dose for Hypertension:\nInitial dose: 50 mg orally once a day.\nMaintenance dose: 25 to 100 mg orally in 1 to 2 divided doses.\n Detailed Losartan dosage information\n','Tell your doctor about all medicines you use, and those you start or stop using during your treatment with losartan, especially:\na diuretic or \"water pill\";\nother blood pressure medications;\nlithium;\ncelecoxib; or\naspirin or other NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others.\nThis list is not complete. Other drugs may interact with losartan, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.\n Losartan drug interactions (more detail)\n','Get emergency medical help if you have any of these signs of an allergic reaction to losartan: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nIn extremely rare cases, losartan can cause a condition that results in the breakdown of skeletal muscle tissue, leading to potential kidney failure. Call your doctor right away if you have unexplained muscle pain, tenderness, or weakness especially if you also have fever, unusual tiredness, and dark colored urine.\nCall your doctor at once if you have:\na feeling that you might pass out;\npain or burning when you urinate;\npale skin, feeling light-headed or short of breath, rapid heart rate, trouble concentrating;\nwheezing, chest pain;\ndrowsiness, confusion, mood changes, increased thirst, loss of appetite, nausea and vomiting;\nswelling, weight gain, feeling short of breath, urinating less than usual or not at all; or\nhigh potassium (slow heart rate, weak pulse, muscle weakness, tingly feeling).\nCommon losartan side effects may include:\ncold or flu symptoms such as stuffy nose, sneezing, sore throat, fever;\ndry cough;\nmuscle cramps;\npain in your legs or back;\nstomach pain, diarrhea;\nheadache, dizziness;\ntired feeling; or\nsleep problems (insomnia).\nThis 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.\n Losartan side effects (more detail)\n','Losartan (Cozaar) belongs to a group of drugs called angiotensin II receptor antagonists. It keeps blood vessels from narrowing, which lowers blood pressure and improves blood flow.\nLosartan is used to treat high blood pressure (hypertension). It is also used to lower the risk of stroke in certain people with heart disease.\nLosartan is used to slow long-term kidney damage in people with type 2 diabetes who also have high blood pressure.\nLosartan may also be used for purposes not listed in this medication guide.\n','Do not use if you are pregnant. Stop using and tell your doctor right away if you become pregnant. Losartan can cause injury or death to the unborn baby if you take the medicine during your second or third trimester. Use effective birth control.\nYou should not use this medication if you are allergic to losartan.\nIf you have diabetes, do not use losartan together with any medication that contains aliskiren (Amturnide, Tekturna, Tekamlo, Valturna).\nIn extremely rare cases, losartan can cause a condition that results in the breakdown of skeletal muscle tissue, potentially leading to kidney failure. Call your doctor right away if you have unexplained muscle pain, tenderness, or weakness especially if you also have fever, unusual tiredness, and dark colored urine.\nBefore taking this medicine\nYou should not use losartan if you are allergic to it.\nIf you have diabetes, do not use losartan together with any medication that contains aliskiren (Amturnide, Tekturna, Tekamlo, Valturna). You may also need to avoid taking this medicine with aliskiren if you have kidney disease.\nTo make sure losartan is safe for you, tell your doctor if you have:\nkidney disease;\nliver disease;\ncongestive heart failure;\nan electrolyte imbalance (such as low levels of potassium in your blood); or\nif you are dehydrated.\nFDA pregnancy category D. Do not use if you are pregnant. Stop using and tell your doctor right away if you become pregnant. Losartan can cause injury or death to the unborn baby if you take the medicine during your second or third trimester. Use effective birth control.\nIt is not known whether losartan passes into breast milk or if it could harm a nursing baby. You should not breast-feed while using this medicine.\n Losartan pregnancy and breastfeeding warnings (more detail)\nHow should I take losartan?\nTake losartan exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not take this medicine in larger or smaller amounts or for longer than recommended.\nYou may take losartan with or without food.\nCall your doctor if you have ongoing vomiting or diarrhea, or if you are sweating more than usual. You can easily become dehydrated while taking this medication, which can lead to severely low blood pressure or a serious electrolyte imbalance.\nYour blood pressure will need to be checked often. Visit your doctor regularly.\nIt may take 3 to 6 weeks of using losartan before your blood pressure goes down somewhat. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve after 3 weeks of treatment.\nIf you are being treated for high blood pressure, keep using this medication even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medication for the rest of your life.\nStore at room temperature away from moisture, heat, and light.\nWhat happens if I miss a dose?\nTake the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\n','Drinking alcohol can further lower your blood pressure and may increase certain side effects of losartan.\nDo not use potassium supplements or salt substitutes while you are taking this medicine, unless your doctor has told you to.\nAvoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.\n'),(522,'lovastatin','Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed.\nSwallow the tablet whole and do not crush, chew, or break it.\nIt may take up to 4 weeks before your cholesterol levels improve, and you may need frequent blood tests. Even if you have no symptoms, tests can help your doctor determine if  lovastatin is effective.\nYou may need to stop using lovastatin for a short time if you have surgery or a medical emergency. Do not stop taking this medicine unless your doctor tells you to.\nLovastatin is only part of a complete treatment program that may also include diet, exercise, and weight control. Follow your doctor\'s instructions very closely.\nStore at room temperature away from moisture, heat, and light.\n Detailed Lovastatin dosage information\nWhat happens if I miss a dose?\nTake the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\n','Some drugs can increase your risk of serious muscle problems if you take them together with lovastatin. Your doctor may need to change your treatment plan if you use any of the following drugs:\ncyclosporine;\ndanazol;\ngemfibrozil, fenofibric acid, fenofibrate; or\nmedicines that contain niacin (Advicor, Niaspan, Niacor, Simcor, Slo-Niacin, and others).\nThis list is not complete and many other drugs may affect lovastatin. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.\n Lovastatin drug interactions (more detail)\nDoes Lovastatin interact with my other drugs?\nEnter other medications to view a detailed report.\nDrug name\nAdd a drug to check interactions\nAdd\n','Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nLovastatin can cause the breakdown of muscle tissue, which can lead to kidney failure. Call your doctor right away if you have unexplained muscle pain, tenderness, or weakness especially if you also have fever, unusual tiredness, or dark colored urine.\nAlso call your doctor at once if you have:\nmuscle weakness in your hips, shoulders, neck, and back;\ntrouble lifting your arms, trouble climbing or standing;\nkidney problems--little or no urination, swelling in your feet or ankles, feeling tired or short of breath; or\nliver problems--loss of appetite, stomach pain (upper right side), tiredness, dark urine, jaundice (yellowing of the skin or eyes).\nCommon side effects may include:\ninfections;\nheadache; or\naccidental injury.\nThis 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.\n Lovastatin side effects (more detail)\n','Lovastatin is used together with diet to lower blood levels of \"bad\" cholesterol (low-density lipoprotein, or LDL), to increase levels of \"good\" cholesterol (high-density lipoprotein, or HDL), and to lower triglycerides (a type of fat in the blood).\nLovastatin is used to lower the risk of stroke, heart attack, and other heart complications in adults with diabetes, coronary heart disease, or other risk factors.\nLovastatin may also be used for purposes not listed in this medication guide.\n','You should not take lovastatin if you have active liver disease, or if you are pregnant or breastfeeding.\nTell your doctor about all your current medicines and any you start or stop using. Many drugs can interact, and some drugs should not be used together.\nStop taking  lovastatin and tell your doctor at once if you become pregnant.\nBefore taking this medicine\nYou should not use lovastatin if you are allergic to it, or if:\nyou are pregnant or breastfeeding; or\nyou have active liver disease.\nMany drugs can interact and cause dangerous effects. Some drugs should not be used together with lovastatin. Your doctor may change your treatment plan if you also use:\nnefazodone;\nan antibiotic--clarithromycin, erythromycin, telithromycin;\nantifungal medicine--itraconazole, ketoconazole, posaconazole, voriconazole; or\nantiviral medicine to treat HIV or hepatitis C--boceprevir, cobicistat, dasabuvir, elvitegravir, indinavir, lopinavir/ritonavir, nelfinavir, ombitasvir, paritaprevir saquinavir, telaprevir, tipranavir.\nTell your doctor if you have ever had:\nliver disease;\nmuscle pain or weakness;\nkidney disease;\na thyroid disorder; or\nif you drink large amounts of alcohol.\nLovastatin can cause the breakdown of muscle tissue, which can lead to kidney failure. This happens more often in older adults or people who have kidney disease or poorly controlled hypothyroidism (underactive thyroid).\nDo not use if you are pregnant. This medicine can harm an unborn baby. Use effective birth control to prevent pregnancy. Stop taking this medicine and tell your doctor at once if you become pregnant.\nDo not breastfeed while using this medicine.\nLovastatin is not approved for use by anyone younger than 18 years old.\n','Avoid eating foods high in fat or cholesterol, or lovastatin will not be as effective.\nAvoid drinking alcohol. It can raise triglyceride levels and may increase your risk of liver damage.\nGrapefruit may interact with lovastatin and lead to unwanted side effects. Avoid the use of grapefruit products.\n'),(523,'lovaza','Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.\nSwallow the capsule whole and do not crush, chew, break, or open it.\nTake with food.\nWhile using Lovaza, you may need frequent blood tests.\nYou may need to follow a special diet while using Lovaza. Follow all instructions of your doctor or dietitian. Learn about the foods to eat or avoid to help control your condition.\nIf you need surgery, tell your surgeon you currently use this medicine. You may need to stop for a short time.\nStore at room temperature away from moisture and heat. Do not freeze.\n Detailed Lovaza dosage information\nWhat happens if I miss a dose?\nTake the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\n','Tell your doctor about all your other medicines, especially:\na blood thinner--warfarin, Coumadin, Jantoven.\nThis list is not complete. Other drugs may affect Lovaza, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.\n Lovaza drug interactions (more detail)\nDoes Lovaza interact with my other drugs?\nEnter other medications to view a detailed report.\nDrug name\nAdd a drug to check interactions\nAdd\n','Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nCall your doctor at once if you have:\nchest pain; or\nuneven heartbeats.\nCommon side effects may include:\nloss of appetite;\ndiarrhea, constipation, upset stomach, belching;\nback pain; or\ndry mouth, altered sense of taste.\nThis 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.\n Lovaza side effects (more detail)\n','There are many brands and forms of omega-3 polyunsaturated fatty acids available. Not all brands are listed on this leaflet.\nLovaza is used together with diet and exercise to help lower triglyceride levels in the blood.\nIt is not known if Lovaza will prevent a heart attack or stroke. Talk to your doctor about your risk factors.\nLovaza may also be used for purposes not listed in this medication guide.\n','Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.\nBefore taking this medicine\nYou should not use  Lovaza if you are allergic to Lovaza or soybeans.\nTell your doctor if you have ever had:\nan allergy to fish or shellfish;\ndiabetes;\nliver disease;\na heart rhythm disorder;\na pancreas disorder; or\nunderactive thyroid.\nTell your doctor if you are pregnant or breastfeeding.\nLovaza is not approved for use by anyone younger than 18 years old.\n','Avoid eating foods high in fat or cholesterol, or Lovaza will not be as effective.\nAvoid drinking alcohol. It can increase triglycerides and may make your condition worse.\n'),(524,'lovenox','Lovenox is usually given every day until your bleeding condition improves. Follow all directions on your prescription label and read all medication guides or instruction sheets.\nLovenox is injected under the skin, or as an infusion into a vein. A healthcare provider may teach you how to properly use the medication by yourself.\nRead and carefully follow any Instructions for Use provided with your medicine. Do not use Lovenox if you don\'t understand all instructions for proper use. Ask your doctor or pharmacist if you have questions.\nPrepare your injection only when you are ready to give it. Do not use if the medicine has changed colors, or has particles in it. Call your pharmacist for new medicine.\nYou should be sitting or lying down during the injection. Do not inject this medicine into a muscle.\nYour care provider will show you where on your body to inject Lovenox. Use a different place each time you give an injection. Do not inject into the same place two times in a row.\nYou will need frequent medical tests to help your doctor determine how long to treat you with Lovenox.\nIf you need surgery or dental work, tell your surgeon or dentist you currently use this medicine. You may need to stop for a short time.\nStore at room temperature away from moisture and heat.\nEach single-use prefilled syringe is for one use only. Throw it away after one use, even if there is still medicine left inside.\nAfter your first use of an Lovenox vial (bottle), you must use the medicine within 28 days. Throw away the vial after 28 days.\nUse a needle and syringe only once and then place them in a puncture-proof \"sharps\" container. Follow state or local laws about how to dispose of this container. Keep it out of the reach of children and pets.\n Detailed Lovenox dosage information\nWhat happens if I miss a dose?\nUse the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not use two doses at one time.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222. Overdose may cause excessive bleeding.\n','Tell your doctor about all your other medicines, especially other medicines to treat or prevent blood clots, such as:\nabciximab, anagrelide, cilostazol, clopidogrel, dipyridamole, eptifibatide, ticlopidine, tirofiban;\nalteplase, reteplase, tenecteplase, urokinase;\napixaban, argatroban, bivalirudin, dabigatran, desirudin, fondaparinux, lepirudin, rivaroxaban, tinzaparin; or\nheparin.\nThis list is not complete. Other drugs may interact with enoxaparin, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.\n Lovenox drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction to Lovenox: hives; itching or burning skin; difficult breathing; swelling of your face, lips, tongue, or throat.\nAlso seek emergency medical attention if you have symptoms of a spinal blood clot: back pain, numbness or muscle weakness in your lower body, or loss of bladder or bowel control.\nCall your doctor at once if you have:\nunusual bleeding, or any bleeding that will not stop;\neasy bruising, purple or red spots under your skin;\nnosebleeds, bleeding gums;\nabnormal vaginal bleeding, blood in your urine or stools;\ncoughing up blood or vomit that looks like coffee grounds;\nsigns of bleeding in the brain - sudden weakness (especially on one side of the body), sudden severe headache, problems with speech or vision; or\nlow red blood cells (anemia) - pale skin, unusual tiredness, feeling light-headed or short of breath, cold hands and feet.\nCommon Lovenox side effects may include:\nnausea, diarrhea;\nanemia;\nconfusion; or\npain, bruising, redness, or irritation where the medicine was injected.\nThis 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.\n Lovenox side effects (more detail)\n','Lovenox (enoxaparin) is an anticoagulant that helps prevent the formation of blood clots.\nLovenox is used to treat or prevent a type of blood clot called deep vein thrombosis (DVT), which can lead to blood clots in the lungs (pulmonary embolism). A DVT can occur after certain types of surgery, or in people who are bed-ridden due to a prolonged illness.\nLovenox is also used to prevent blood vessel complications in people with certain types of angina (chest pain) or heart attack.\n','You should not use Lovenox if you have active bleeding, or a low level of platelets in your blood after testing positive for a certain antibody while using enoxaparin.\nLovenox can cause a very serious blood clot around your spinal cord if you undergo a spinal tap or receive spinal anesthesia (epidural), especially if you have a genetic spinal defect, a history of spinal surgery or repeated spinal taps, or if you are using other drugs that can affect blood clotting, including blood thinners or NSAIDs (ibuprofen, Advil, Aleve, and others). This type of blood clot can lead to long-term or permanent paralysis.\nGet emergency medical help if you have symptoms of a spinal cord blood clot such as back pain, numbness or muscle weakness in your lower body, or loss of bladder or bowel control.\nBefore taking this medicine\nYou should not use Lovenox if you are allergic to enoxaparin, heparin, benzyl alcohol, or pork products, or if you have:\nactive or uncontrolled bleeding; or\nif you had decreased platelets in your blood after testing positive for a certain antibody while using Lovenox within the past 100 days.\nLovenox may cause you to bleed more easily, especially if you have:\na bleeding disorder that is inherited or caused by disease;\nhemorrhagic stroke;\nan infection of the lining of your heart (also called bacterial endocarditis);\nstomach or intestinal bleeding or ulcer; or\nrecent brain, spine, or eye surgery.\nLovenox can cause a very serious blood clot around your spinal cord if you undergo a spinal tap or receive spinal anesthesia (epidural). This type of blood clot could cause long-term or permanent paralysis, and may be more likely to occur if:\nyou have a spinal cord injury;\nyou have a spinal catheter in place or if a catheter has been recently removed;\nyou have a history of spinal surgery or repeated spinal taps;\nyou have recently had a spinal tap or epidural anesthesia;\nyou take aspirin or an NSAID (nonsteroidal anti-inflammatory drug) - ibuprofen (Advil, Motrin), naproxen (Aleve), diclofenac, indomethacin, meloxicam, and others; or\nyou are using a blood thinner (warfarin, Coumadin) or other medicines to treat or prevent blood clots.\nTell your doctor if you have ever had:\na bleeding disorder such as hemophilia;\nkidney or liver disease;\nuncontrolled high blood pressure;\neye problems caused by diabetes;\na stomach ulcer; or\nlow blood platelets after receiving heparin.\nTell your doctor if you are pregnant. If you use Lovenox during pregnancy, make sure your doctor knows if you have a mechanical heart valve.\nIt may not be safe to breast-feed while using this medicine. Ask your doctor about any risk.\n','Avoid activities that may increase your risk of bleeding or injury. Use extra care to prevent bleeding while shaving or brushing your teeth.\n'),(525,'lunesta','Usual Adult Dose for Insomnia:\nInitial dose: 1 mg orally once a day immediately before bedtime\nMaintenance dose: 1 to 3 mg orally once a day immediately before bedtime\nMaximum dose: 3 mg/day\nComments:\n-The lowest effective dose should be used.\n-Patients should be monitored for cognitive and/or motor impairments, especially if this drug is used repeatedly.\n-Patients should be reevaluated if insomnia persists after 7 to 10 days of treatment.\nUsual Geriatric Dose for Insomnia:\nInitial dose: 1 mg orally once a day immediately before bedtime\nMaintenance dose: 1 to 2 mg orally once a day immediately before bedtime\nMaximum dose: 2 mg/day\nComments:\n-The lowest effective dose should be used.\n-Patients should be monitored for cognitive and/or motor impairments, especially if this drug is used repeatedly.\n-Patients should be reevaluated if insomnia persists after 7 to 10 days of treatment.\n Detailed Lunesta dosage information\nWhat happens if I miss a dose?\nSince Lunesta is taken only at bedtime, you will not be on a frequent dosing schedule. Never take this medicine if you do not have at least 7 to 8 hours to sleep before being active again.\nDo not take two doses at one time.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of eszopiclone can be fatal, especially when it is taken together with other medications that can cause drowsiness.\n','Using Lunesta with other drugs that make you drowsy or slow your breathing can cause dangerous side effects or death. Ask your doctor before using opioid medication, other sleep medicine, a muscle relaxer, or medicine for anxiety or seizures.\nOther drugs may interact with eszopiclone, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.\n Lunesta drug interactions (more detail)\n','Eszopiclone may cause a severe allergic reaction. Stop taking Lunesta and get emergency medical help if you have signs of an allergic reaction to Lunesta: hives; nausea, vomiting; difficulty breathing; swelling of your face, lips, tongue, or throat.\nSome people using this medicine have engaged in activity while not fully awake and later had no memory of it. This may include walking, driving, or making phone calls. If this happens to you, stop taking Lunesta and call your doctor right away.\nSerious injury or death could occur if you walk or drive while you are not fully awake.\nCall your doctor at once if you have:\nanxiety, depression, aggression, agitation;\nmemory problems, unusual thoughts or behavior;\nthoughts of hurting yourself; or\nconfusion, hallucinations (hearing or seeing things).\nCommon Lunesta side effects may include:\nday-time drowsiness, dizziness, \"hangover\" feeling;\nheadache, anxiety;\ndry mouth;\nunusual or unpleasant taste in your mouth;\nrash; or\ncold or flu symptoms such as fever, body aches, sore throat, cough, runny or stuffy nose.\nThis 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.\n Lunesta side effects (more detail)\n','Lunesta (eszopiclone) is a sedative, also called a hypnotic. It affects chemicals in your brain that may be unbalanced in people with sleep problems (insomnia).\nLunesta is used to treat insomnia.\nLunesta causes relaxation to help you fall asleep and stay asleep.\n','Lunesta may cause a severe allergic reaction. Stop taking this medicine and 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. Lunesta will make you fall asleep. Never take this medication during your normal waking hours, unless you have at least 8 hours to dedicate to sleeping.\nSome people using this medicine have engaged in activity such as driving, eating, or making phone calls and later having no memory of the activity. If this happens to you, stop taking Lunesta and talk with your doctor about another treatment for your sleep disorder.\nLunesta can cause sie effects that may impair your thinking or reactions. You may still feel sleepy the morning after taking the medication. Until you know how this medication will affect you during waking hours, be careful if you drive, operate machinery, pilot an airplane, or do anything that requires you to be awake and alert. Do not drink alcohol while you are taking this medication. It can increase some of the side effects, including drowsiness. Eszopiclone may be habit-forming and should be used only by the person it was prescribed for. Lunesta should never be shared with another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it.\nYou may have withdrawal symptoms if you stop taking this medication after taking it over several days in a row. Do not stop taking this medicine suddenly without first talking to your doctor. You may need to use less and less before you stop the medication completely.\nBefore taking this medicine\nYou should not use Lunesta if you are allergic to eszopiclone, or if you have ever taken sleep medicine and engaged in activity you later don\'t remember.\nLunesta is not approved for use by anyone younger than 18 years old.\nTo make sure Lunesta is safe for you, tell your doctor if you have ever had:\nliver disease;\na breathing disorder;\ndepression, mental illness, or suicidal thoughts; or\ndrug or alcohol addiction.\nTell your doctor if you are pregnant or breast-feeding.\nThe sedative effects of eszopiclone may be stronger in older adults. Accidental falls are common in elderly patients who take sedatives. Use caution to avoid falling or accidental injury while you are taking Lunesta.\nHow should I take Lunesta?\nTake Lunesta exactly as it was prescribed for you. Follow all directions on your prescription label and read all medication guides or instruction sheets.\nEszopiclone may be habit-forming. Misuse can cause addiction, overdose, or death. Keep the medication in a place where others cannot get to it. Selling or giving away this medicine is against the law.\nLunesta will make you fall asleep. Never take this medicine during your normal waking hours, unless you have at least 7 to 8 hours to dedicate to sleeping.\nCall your doctor if your symptoms do not improve after 7 to 10 days of treatment, or if they get worse.\nDo not stop using Lunesta suddenly after taking it over several days in a row, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using this medicine.\nStore at room temperature away from moisture and heat. Keep track of your medicine. You should be aware if anyone is using it improperly or without a prescription.\nInsomnia symptoms may also return after you stop taking Lunesta, and may be even worse than before. Tell your doctor if you still have worsened insomnia after the first few nights without taking Lunesta.\n','Avoid taking Lunesta during travel, such as to sleep on an airplane. You may be awakened before the effects of the medication have worn off. Amnesia (forgetfulness) is more common if you do not get at least 8 hours of sleep after taking Lunesta.\nAvoid drinking alcohol. Dangerous side effects or death could occur.\nAvoid taking eszopiclone within 1 hour after eating a high-fat or heavy meal. This will make it harder for your body to absorb the medication.\nEszopiclone can cause side effects that may impair your thinking or reactions. You may still feel sleepy the morning after taking this medicine. Until you know how this medicine will affect you during waking hours, be careful if you drive, operate machinery, pilot an airplane, or do anything that requires you to be awake and alert.\n'),(526,'lupron','Usual Adult Dose for Endometriosis:\n3.75 mg IM once a month for up to 6 months\nOR\n11.25 mg depot every 3 months\nComments:\n-In women receiving this drug for endometriosis, hormone replacement therapy is recommended to reduce bone mineral density loss and vasomotor symptoms.\nUses: Management of endometriosis (including pain relief and reduction of endometriotic lesions), preoperative hematologic improvement of patients with anemia caused by uterine leiomyomata\nUsual Adult Dose for Uterine Leiomyomata (Fibroids):\n3.75 mg IM once a month for up to 6 months\nOR\n11.25 mg depot every 3 months\nComments:\n-In women receiving this drug for endometriosis, hormone replacement therapy is recommended to reduce bone mineral density loss and vasomotor symptoms.\nUses: Management of endometriosis (including pain relief and reduction of endometriotic lesions), preoperative hematologic improvement of patients with anemia caused by uterine leiomyomata\n Detailed Lupron Depot dosage information\nWhat happens if I miss a dose?\nCall your doctor for instructions if you miss a dose.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\n','Lupron Depot can cause a serious heart problem. Your risk may be higher if you also use certain other medicines for infections, asthma, heart problems, high blood pressure, depression, mental illness, cancer, malaria, or HIV.\nOther drugs may interact with leuprolide, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.\n Lupron Depot drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction to Lupron Depot (hives, sweating, fast heartbeats, dizziness, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning in your eyes, skin pain, red or purple skin rash that spreads and causes blistering and peeling).\nCall your doctor at once if you have:\nproblems with your pituitary gland - sudden severe headache, vomiting, problems with your eyes or vision, changes in mood or behavior;\nbone pain, loss of movement in any part of your body;\nswelling, rapid weight gain;\na seizure;\nunusual changes in mood or behavior (crying spells, anger, feeling irritable);\nsudden chest pain or discomfort, wheezing, dry cough or hack;\npainful or difficult urination; or\nhigh blood sugar - increased thirst, increased urination, hunger, dry mouth, fruity breath odor.\nRare but serious side effects may occur. Call your doctor if you have:\npain or unusual sensations in your back, numbness, weakness, or tingly feeling in your legs or feet;\nmuscle weakness or loss of use, loss of bowel or bladder control;\nheart attack symptoms - chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating; or\nsigns of a stroke - sudden numbness or weakness (especially on one side of the body), sudden severe headache, slurred speech.\nCommon Lupron Depot side effects may include:\npituitary gland problems;\ncold symptoms such as stuffy nose, sneezing, sore throat, cough with or without mucus;\nfever, tiredness, not feeling well;\nstomach pain, nausea, vomiting, constipation;\nwheezing, chest tightness, trouble breathing;\nhot flashes, sweating;\ndizziness, mood changes;\nheadache, general pain;\nvaginal swelling, itching, or discharge;\nweight changes;\ndecreased testicle size;\ndecreased interest in sex; or\nredness, pain, swelling, or oozing where the shot was given.\nThis 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.\n Lupron Depot side effects (more detail)\n','Lupron Depot (leuprolide) overstimulates the body\'s own production of certain hormones, which causes that production to shut down temporarily. This medicine reduces the amount of testosterone in men or estrogen in women.\nLupron Depot is used in men to treat the symptoms of prostate cancer (but does not treat the cancer itself).\nLupron Depot is used in women to treat symptoms of endometriosis (overgrowth of uterine lining outside of the uterus) or uterine fibroids.\nLupron Depot-Ped is used to treat precocious (early-onset) puberty in both male and female children at least 2 years old.\n','Your symptoms may become temporarily worse when you first start using Lupron Depot. Tell your doctor if this continues for longer than 2 months.\nCall your doctor at once if you have a seizure, or unusual changes in mood or behavior.\nLupron Depot can harm an unborn baby or cause birth defects. Do not use if you are pregnant or breastfeeding.\nBefore taking this medicine\nYou should not use Lupron Depot if you are allergic to leuprolide or similar medicines such as buserelin, goserelin, histrelin, nafarelin, or if you have abnormal vaginal bleeding that has not been checked by a doctor.\nLupron Depot can cause birth defects. Do not use if you are pregnant. Tell your doctor right away if you become pregnant.\nCertain brands or strengths of leuprolide are used to treat only men and should not be used in women or children. Always check your medicine to make sure you have received the correct brand and strength. Ask the pharmacist if you have any questions about the medicine you receive at the pharmacy.\nTo make sure Lupron Depot is safe for you, tell your doctor if you have ever had:\ndepression, mental illness or psychosis;\nseizures or epilepsy;\na blood vessel disorder;\na brain tumor or spinal cord injury;\nheart disease, congestive heart failure, long QT syndrome;\nan electrolyte imbalance (such as low levels of potassium or magnesium in your blood); or\nrisk factors for bone loss (personal or family history of osteoporosis, smoking, alcohol use, taking steroid or seizure medicines long term).\nDo not give this medicine to any child without medical advice.\nLupron Depot usually causes women to stop ovulating or having menstrual periods. However, you may still be able to get pregnant. Use a condom or diaphragm with spermicide to prevent pregnancy. Lupron Depot can make hormonal birth control less effective (birth control pills, injections, implants, skin patches, vaginal rings).\nCall your doctor if your periods continue while you are being treated with this medicine.\nYou should not breast-feed while using Lupron Depot.\nHow should I use Lupron Depot?\nUse Lupron Depot exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets.\nDifferent brands or strengths of leuprolide are used to treat different conditions. It is very important that you receive exactly the brand and strength your doctor has prescribed. Always check your medication to make sure you have received the correct brand and type prescribed by your doctor.\nLupron Depot is injected under the skin or into a muscle, once every month or once every 3 to 6 months. A healthcare provider can teach you how to properly use the medication by yourself.\nRead and carefully follow any Instructions for Use provided with your medicine. Do not use Lupron Depot if you don\'t understand all instructions for proper use. Ask your doctor or pharmacist if you have questions.\nYour symptoms may become temporarily worse as your hormones adjust to leuprolide.\nKeep using the medicine as directed, and tell your doctor if your condition is still worse after 2 months of using Lupron Depot.\nYou may need frequent medical tests while using Lupron Depot.\nStore Lupron Depot in the original carton at room temperature, away from moisture and heat. Protect from light.\nUse a needle and syringe only once and then place them in a puncture-proof \"sharps\" container. Follow state or local laws about how to dispose of this container. Keep it out of the reach of children and pets.\n','Follow your doctor\'s instructions about any restrictions on food, beverages, or activity.\n'),(527,'lupron','This section provides information on the proper use of a number of products that contain leuprolide.  It may not be specific to Lupron. Please read with care.\nFor leuprolide injections (Eligard®, Lupron® injection, Lupron Depot®, Lupron Depot® 11.25 mg, Lupron Depot-Ped®, Lupron Depot®-3 month, Lupron Depot®-4 month, or Lupron Depot®-6 month):\nA nurse or other trained health professional may give you this medicine. It is given as a shot under your skin or into a muscle.\nThe long-acting form (depot) may be given once every month or once every 3 to 12 months. To stay on the right schedule, make sure you keep all appointments.\nYou may be taught how to give this medicine at home. Make sure you understand all of the instructions before giving yourself an injection. Do not use more medicine or use it more often than your doctor tells you to.\nYou will be shown the body areas where this shot can be given. Use a different body area each time you give yourself a shot. Keep track of where you give each shot to make sure you rotate body areas.\nUse a new needle and syringe each time you inject your medicine.\nCheck the medicine before each injection. Do not use it if it is discolored, if there are particles in it, or if there is clumping or caking of the powder present.\nIf you have any questions about any of these, check with your doctor.\nLeuprolide injection may contain a Medication Guide or patient instructions. Read and follow these instructions carefully and make sure you understand:\nHow to prepare the injection.\nHow to use and dispose of the syringes.\nHow to give the injection.\nHow long the injection can be stored.\nIf you are to receive the leuprolide implant (Viadur®):\nViadur® is an implant that is surgically placed under the skin of the upper arm. Your doctor will treat the arm with numbing medicine and then cut a small incision to insert the implant with a special tool. The incision will be closed with surgical strips. An adhesive bandage will be placed over the arm and should be left on for 24 hours.\nAfter the implant is put in place, you should keep the arm clean and dry, and should not swim or bathe for 24 hours. You should avoid any heavy lifting or strenuous exercise for 48 hours after the implant is put into the arm.\nThe surgical strips can be removed after at least 3 days or as soon as the incision is healed.\nThe implant will be left in place for one year and then removed. If needed, your doctor will then insert a new implant to continue treatment for another year.\nViadur® comes with patient instructions. Read and follow these instructions carefully. Ask your doctor if you have any questions.\nIf you are using Lupron Depot® 11.25 mg together with norethindrone acetate, you should also read and understand the information and instructions about using norethindrone. The warnings and precautions on norethindrone will also apply to Lupron Depot® 11.25 mg.\nUse only the brand of this medicine that your doctor prescribed. Different brands may not work the same way.\nDosing\nThe 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.\nThe 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.\nFor injection dosage form:\nFor anemia caused by tumors of the uterus or endometriosis:\nAdults—The dose given depends on the specific product used. Some examples are 3.75 milligrams (mg) injected into a muscle once a month for up to 3 months, or 11.25 mg injected into a muscle as a single injection to last for 3 months.\nChildren—Use and dose must be determined by your doctor.\nFor cancer of the prostate:\nAdults—The dose given depends on the specific product used. Some examples are 7.5 milligrams (mg) injected into a muscle or under the skin once a month, 22.5 mg injected into a muscle or under the skin as a single injection to last for 3 months, or 30 mg injected under the skin as a single injection to last for 4 months, or 45 mg injected under the skin as a single injection to last for 6 months.\nFor central precocious puberty:\nChildren 2 years of age and older—Dose is based on body weight and must be determined by your doctor. Your doctor may adjust the dose as needed.\nChildren younger than 2 years of age—Use and dose must be determined by your doctor.\nFor initial and retreatment of endometriosis:\nAdults—11.25 milligrams (mg) injected into a muscle given for 1 to 2 doses every 3 months. The total treatment duration will last for 12 months.\nChildren—Use and dose must be determined by your doctor.\nMissed dose\nThis medicine needs to be given on a fixed schedule. If you miss a dose or forget to use your medicine, call your doctor or pharmacist for instructions.\nStorage\nKeep out of the reach of children.\nDo not keep outdated medicine or medicine no longer needed.\nAsk your healthcare professional how you should dispose of any medicine you do not use.\nStore the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.\nAfter the injection is prepared, the solution must be used right away and not stored. Eligard® must be used within 30 minutes after mixing, and Lupron Depot® must be used within 2 hours after mixing.\nThrow away used needles in a hard, closed container that the needles cannot poke through. Keep this container away from children and pets.\n Detailed Lupron dosage information\n',NULL,'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.\nCheck with your doctor immediately if any of the following side effects occur:\nFor adults\nLess common\nFast or irregular heartbeat\nRare\nBone, muscle, or joint pain\nfainting\nfast or irregular breathing\nnumbness or tingling of the hands or feet\npuffiness or swelling of the eyelids or around the eyes\nskin rash, hives, or itching\nsudden, severe decrease in blood pressure and collapse\ntightness in the chest\ntrouble breathing\nFor males only (adults)\nMore common\nArm, back, or jaw pain\nbloody or cloudy urine\nblurred vision\nchest pain or discomfort\ndifficult, burning, or painful urination\ndifficulty with moving\ndizziness\nfrequent urge to urinate\nheadache\nincreased urge to urinate during the night\nmuscle pain or stiffness\nnausea\nnervousness\npain in the joints\npale skin\npounding in the ears\nslow or fast heartbeat\nsweating\nunusual bleeding or bruising\nunusual tiredness or weakness\nwaking to urinate at night\nRare\nPain in the groin or legs (especially in the calves)\nIncidence not known\nAltered mental status\ncold, clammy, pale skin\nconfusion\ndouble vision\nirregular heartbeat\nvisual changes\nvomiting\nFor females only (adults)\nRare\nAnxiety\ndeepening of voice\nincreased hair growth\nmental depression\nmood changes\nFor children\nMore common\nBody aches or pain\nchills\ncough\ncough producing mucus\ndifficulty in breathing\near congestion\nfever\nheadache\nloss of voice\nmuscle aches\nnoisy breathing\npain or redness at the injection site\nrunny or stuffy nose\nsneezing\nsore throat\ntightness in the chest\nunusual tiredness or weakness\nLess common\nIrritability\nmood or mental changes\nRare\nBurning, itching, or swelling at the injection site\nIncidence not known\nSeizures\nFor females only (children)—expected in first few weeks\nRare\nVaginal bleeding (continuing)\nwhite vaginal discharge (continuing)\nSome 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:\nFor adults\nMore common\nSudden sweating and feeling of warmth (hot flashes)\nLess common\nBleeding, bruising, burning, itching, pain, redness, or swelling at the injection site\ndecreased interest in sexual intercourse\nswelling of the feet or lower legs\nswelling or increased tenderness of the breasts\ntrouble sleeping\nweight gain\nFor females only (adults)\nMore common\nLight, irregular vaginal bleeding\nstopping of menstrual periods\nLess common\nBurning, dryness, or itching of the vagina\npelvic pain\nFor males only (adults)\nMore common\nBack pain\nchills\nconstipation\ncough\ndiarrhea\nfever\ngeneral feeling of discomfort or illness\nloss of appetite\npain or discomfort at the injection site\nredness of the face, neck, arms, and occasionally, upper chest\nrunny nose\nshivering\nsore throat\nunusual drowsiness, dullness, tiredness, weakness, or feeling of sluggishness\nLess common\nDecreased size of the testicles\ninability to have or keep an erection\nFor children\nMore common\nConstipation\nfeeling of warmth\nnausea\nredness of the face, neck, arms and occasionally, upper chest\nstomach pain\nvomiting\nOther side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.\nCall your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.\n Lupron side effects (more detail)\n','Leuprolide injection is a synthetic (man-made) hormone that is similar to a natural hormone that is produced in the brain. It is used to treat a number of medical problems including:\nAnemia caused by bleeding from uterine leiomyomas (fibroid tumors in the uterus), or\nCancer of the prostate that is advanced or late-stage, or\nCentral precocious puberty, a condition which causes early puberty in boys (before 9 years of age) and girls (before 8 years of age), or\nPain due to endometriosis.\nLupron Depot® 11.25 mg is used in combination with norethindrone acetate to initially relieve and manage the reoccurrence of the painful symptoms of endometriosis. It is also used together with iron to treat bleeding in women with anemia caused by uterine leiomyomas before a surgical procedure. It is given in women who need 3 months of hormonal suppression.\nWhen given regularly to men, leuprolide decreases testosterone levels. Reducing the amount of testosterone in the body helps treat cancer of the prostate.\nWhen given regularly to women, leuprolide decreases estrogen levels. Reducing the amount of estrogen in the body helps treat endometriosis. Leuprolide will also shrink tumors in the uterus, which decreases vaginal bleeding and helps prevent anemia.\nWhen given regularly to boys and girls who have early puberty, leuprolide slows the development of the genital area for both sexes. Leuprolide will also slow breast development in girls. This medicine will delay puberty only as long as the child continues to receive it.\nThis medicine is available only with your doctor\'s prescription.\n','It is very important that your doctor check the you or your child\'s progress at regular visits to make sure that this medicine is working properly. Blood and urine tests may be needed to check for unwanted effects.\nThis medicine may cause a serious type of allergic reaction called anaphylaxis, which can be life-threatening and requires immediate medical attention. Call your doctor right away if you have a rash, itching, hoarseness, trouble breathing, trouble swallowing, or any swelling of your hands, face, or mouth while you are using this medicine.\nFor female patients: You should not receive this medicine if you are pregnant or may become pregnant. Using this medicine while you are pregnant can harm your unborn baby. Use an effective form of birth control to keep from getting pregnant. If you think you have become pregnant while using the medicine, tell your doctor right away.\nPatients receiving leuprolide for central precocious puberty (CPP):\nIf you are a female patient, you may have occasional vaginal bleeding or spotting. If you continue to have heavy bleeding or regular periods after 2 months of using this medicine, call your doctor.\nIf you develop a rash or irritation at the injection site, check with your doctor right away.\nThis medicine may cause some people to be agitated, irritable, or display other abnormal behaviors. Make sure the doctor knows if you have trouble sleeping, get upset easily, have a big increase in energy, or start to act reckless. Also tell the doctor if you have sudden or strong feelings, such as feeling nervous, angry, restless, violent, or scared. If you or your caregiver notice any of these side effects, tell your doctor right away.\nUsing this medicine may increase your risk of having seizures. Check with your doctor right away if you start to have convulsions, muscle spasm or jerking of all extremities, sudden loss of consciousness, or loss of bladder control.\nPatients receiving leuprolide for endometriosis or for anemia caused by tumors of the uterus:\nFor the first few days of treatment, the symptoms of your condition may get worse. This is normal. Do not stop using this medicine. Talk with your doctor if you have concerns about this.\nDuring the time you are receiving leuprolide, your menstrual period may not be regular or you may not have a menstrual period at all. This is to be expected when being treated with this medicine. If regular menstruation does not begin within 60 to 90 days after you stop receiving this medicine, check with your doctor.\nThis medicine can cause your bone mineral density to decrease, which may lead to osteoporosis or weakened bones. Talk with your doctor about how this risk will affect you.\nDuring the time you are receiving leuprolide, you should use birth control methods that do not contain hormones (eg, condoms, spermicide). If you have any questions about this, check with your doctor.\nIf you suspect that you may have become pregnant, stop using this medicine and check with your doctor right away. There is a chance that continued use of leuprolide during pregnancy could cause birth defects or a miscarriage.\nThis medicine may cause some people to be agitated, irritable, or display other abnormal behaviors. Make sure the doctor knows if you have trouble sleeping, get upset easily, have a big increase in energy, or start to act reckless. Also tell the doctor if you have sudden or strong feelings, such as feeling nervous, angry, restless, violent, or scared. If you or your caregiver notice any of these side effects, tell your doctor right away.\nUsing this medicine may increase your risk of having seizures. Check with your doctor right away if you start to have convulsions, muscle spasm or jerking of the arms or legs, sudden loss of consciousness, or loss of bladder control.\nPatients receiving leuprolide for advanced prostate cancer:\nAt first, some of your symptoms might get worse for a short time or you might have new symptoms. You might have bone pain, back pain, a tingling or numbness in the body, blood in the urine, or trouble urinating. Tell your doctor if you have any new symptoms or if your symptoms get worse.\nThis medicine may affect blood sugar levels. If you notice a change in the results of your blood or urine sugar tests or if you have any questions, check with your doctor.\nThis medicine may increase your risk of having a heart attack or stroke. Check with your doctor right away if you are having chest pain or discomfort, nausea or vomiting, pain or discomfort in the arms, jaw, back, or neck, confusion, slurred speech, or weakness.\nThis medicine can cause changes in your heart rhythm, including a condition called QT prolongation. It may change the way your heart beats and cause fainting or serious side effects. Contact your doctor right away if you have any symptoms of heart rhythm problems, such as fast, pounding, or irregular heartbeats.\nThis medicine can cause your bone mineral density to decrease, which may lead to osteoporosis or weakened bones. Talk with your doctor about how this risk will affect you.\nIf you plan to have children, talk with your doctor before using this medicine. You might have to wait for a period of time after the medicine is stopped to attempt to have children.\nBefore you have any medical tests, tell the medical doctor in charge that you are using this medicine. The results of some tests may be affected by this medicine.\n',NULL),(528,'luxiq','Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.\nDo not take by mouth. Topical medicine is for use only on the skin. Do not use on open wounds or on sunburned, windburned, dry, or irritated skin. Rinse with water if this medicine gets in your eyes or mouth.\nRead and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions.\nWash your hands before and after using this medicine, unless you are using the medicine to treat the skin on your hands.\nApply a small amount to the affected area and rub it gently into the skin. Do not apply Luxiq over a large area of skin.\nDo not cover the treated skin area unless your doctor tells you to. Covering treated areas can increase the amount of medicine absorbed through your skin and may cause harmful effects.\nUse Luxiq regularly to get the most benefit. Stop using the medicine once your symptoms clear up.\nCall your doctor if your skin condition does not improve after 2 weeks, or if it gets worse.\nDo not use Diprolene for longer than 2 weeks in a row. Do not use Sernivo or Luxiq for longer than 4 weeks.\nStore at room temperature away from moisture and heat.\nThe foam is flammable. Do not use near high heat or open flame. Do not smoke until the foam has completely dried on your skin.\n Detailed Luxiq dosage information\nFree Drugs.com Discount Card\nSave up to 80% on your prescriptions.\nAccepted at over 65,000 pharmacies.\nGet Discount Card\nWhat happens if I miss a dose?\nApply the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not apply two doses at one time.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222 if anyone has accidentally swallowed the medication.\nLong term use of high doses can lead to thinning skin, easy bruising, changes in body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.\n','Medicine used on the skin is not likely to be affected by other drugs you use. But many drugs can interact with each other. Tell each of your health care providers about all medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products.\n Luxiq drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.\nStop using betamethasone and call your doctor at once if you have:\nsevere skin irritation where the medicine was applied; or\nsigns of skin infection (swelling, redness, warmth, oozing).\nYour skin can absorb topical steroid medicine, which may cause steroid side effects throughout the body. Stop using betamethasone and call your doctor if you have:\nblurred vision, tunnel vision, eye pain, or seeing halos around lights;\nslow wound healing, thinning skin, increased body hair;\nincreased thirst or urination, dry mouth, fruity breath odor;\nweight gain, puffiness in your face; or\nmuscle weakness, tired feeling, depression, anxiety, feeling irritable.\nSteroids can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using this medicine.\nCommon side effects may include:\nitching, redness, burning, stinging, or blistering of treated skin;\nskin bruising or shiny appearance; or\nfolliculitis (redness or crusting around your hair follicles).\nThis 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.\n Luxiq side effects (more detail)\n','Betamethasone is a highly potent steroid that prevents the release of substances in the body that cause inflammation.\nLuxiq (for the skin) is used to treat the inflammation and itching caused by a number of skin conditions such as eczema or psoriasis.\nLuxiq may also be used for purposes not listed in this medication guide.\n','Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.\nBefore taking this medicine\nYou should not use Luxiq if you are allergic to it.\nTell your doctor if you have ever had:\nskin irritation after using steroid medicine;\nthinning of the skin where you will apply  Luxiq;\ncataracts or glaucoma;\ndiabetes;\nliver disease;\nadrenal gland problems; or\nany type of skin infection.\nIt is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant.\nIt may not be safe to breast-feed a baby while you are using this medicine. Ask your doctor about any risks. If you apply betamethasone to your chest, avoid areas that may come into contact with the baby\'s mouth.\nDo not use Luxiq on a child without a doctor\'s advice. Children can absorb larger amounts of this medicine through the skin and may be more likely to have side effects.\nDiprolene is not approved for use by anyone younger than 13 years old. Sernivo and Luxiq are not approved for anyone younger than 18 years old.\n','Do not get  Luxiq in your eyes. If contact does occur, rinse with water.\nAvoid applying Luxiq to the skin of your face, underarms, or groin area without your doctor\'s instruction.\nDo not use Luxiq to treat any condition that has not been checked by your doctor.\n'),(529,'lyrica','Take Lyrica exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed.\nTake the medicine at the same time each day, with or without food.\nDo not crush, chew, or break an extended-release tablet. Swallow the tablet whole.\nMeasure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.\nCall your doctor if your symptoms do not improve, or if they get worse.\nDo not stop using Lyrica suddenly, even if you feel fine. Stopping suddenly may cause increased seizures or unpleasant withdrawal symptoms. Follow your doctor\'s instructions about tapering your dose for at least 1 week before stopping completely.\nIn case of emergency, wear or carry medical identification to let others know you take seizure medication.\nStore at room temperature away from moisture, heat, and light.\n Detailed Lyrica dosage information\nWhat happens if I miss a dose?\nTake the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\n','Using Lyrica with other drugs that slow your breathing can cause dangerous side effects or death. Ask your doctor before using opioid medication, a sleeping pill, cold or allergy medicine, a muscle relaxer, or medicine for anxiety or seizures.\nTell your doctor about all your other medicines, especially:\noral diabetes medicine - pioglitazone, rosiglitazone; or\nan ACE inhibitor - benazepril, captopril, enalapril, fosinopril, lisinopril, moexipril, perindopril, quinapril, ramipril, or trandolapril.\nany other seizure medications\nThis list is not complete. Other drugs may interact with pregabalin, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.\n Lyrica drug interactions (more detail)\n','Lyrica can cause a severe allergic reaction. Stop taking this medicine and get emergency medical help if you have: hives or blisters on your skin; difficult breathing; swelling of your face, lips, tongue, or throat.\nReport any new or worsening symptoms to your doctor, such as: mood or behavior changes, depression, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), or have thoughts about suicide or hurting yourself.\nCall your doctor at once if you have:\nweak or shallow breathing;\nblue-colored skin, lips, fingers, and toes;\nconfusion, extreme drowsiness or weakness;\nvision problems;\nskin sores (if you have diabetes);\neasy bruising, unusual bleeding;\nswelling in your hands or feet, rapid weight gain (especially if you have diabetes or heart problems); or\nunexplained muscle pain, tenderness, or weakness (especially if you also have fever or don\'t feel well).\nPregabalin can cause life-threatening breathing problems. A person caring for you should seek emergency medical attention if you have slow breathing with long pauses, blue colored lips, or if you are hard to wake up. Breathing problems may be more likely in older adults or in people with COPD.\nIf you have diabetes, tell your doctor right away if you have any new sores or other skin problems.\nCommon Lyrica side effects may include:\ndizziness, drowsiness;\nswelling in your hands and feet;\ntrouble concentrating;\nincreased appetite;\nweight gain;\ndry mouth; or\nblurred vision.\nThis 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.\n Lyrica side effects (more detail)\n','Lyrica (pregabalin) was originally FDA approved as an anti-epileptic drug, also called an anticonvulsant. It works by slowing down impulses in the brain that cause seizures. Pregabalin also affects chemicals in the brain that send pain signals across the nervous system.\nLyrica is used to treat pain caused by fibromyalgia, or nerve pain in people with diabetes (diabetic neuropathy), herpes zoster (post-herpetic neuralgia), or spinal cord injury.\nLyrica may also be used for purposes not listed in this medication guide.\n','Lyrica can cause a severe allergic reaction. Stop taking this medicine and seek emergency medical help if you have hives or blisters on your skin, trouble breathing, or swelling in your face, mouth, or throat.\nSome people have thoughts about suicide while taking Lyrica. Stay alert to changes in your mood or symptoms. Report any new or worsening symptoms to your doctor.\nIf you have diabetes or heart problems, call your doctor if you have weight gain or swelling in your hands or feet while taking Lyrica.\nDo not stop using this medicine suddenly, even if you feel fine. Stopping suddenly may cause withdrawal symptoms.\nDo not change your dose without your doctor\'s advice. Tell your doctor if the medication does not seem to work as well in treating your condition.\nBefore taking this medicine\nYou should not use Lyrica if you are allergic to pregabalin.\nTo make sure Lyrica is safe for you, tell your doctor if you have ever had:\nlung disease, such as chronic obstructive pulmonary disease (COPD);\na mood disorder, depression, or suicidal thoughts;\nheart problems (especially congestive heart failure);\na bleeding disorder, or low levels of platelets in your blood;\nkidney disease (or if you are on dialysis);\ndiabetes (unless you are taking pregabalin to treat diabetic neuropathy);\ndrug or alcohol addiction; or\na severe allergic reaction (angioedema).\nDo not give this medicine to a child without medical advice.\nPregabalin is not approved for use by anyone younger than 18 years old to treat nerve pain caused by fibromyalgia, diabetes, herpes zoster, or spinal cord injury.\nPregabalin is not approved for seizures in anyone younger than 1 month old.\nSome people have thoughts about suicide while taking Lyrica. Your doctor will need to check your progress at regular visits. Your family or other caregivers should also be alert to changes in your mood or symptoms.\nFollow your doctor\'s instructions about taking seizure medication if you are pregnant. Seizure control is very important during pregnancy, and having a seizure could harm both mother and baby. Do not start or stop taking this medicine without your doctor\'s advice, and tell your doctor right away if you become pregnant.\nIf you are pregnant, your name may be listed on a pregnancy registry to track the effects of pregabalin on the baby.\nPregabalin can temporarily decrease sperm count and may affect fertility in men (your ability to have children). In animal studies, pregabalin also caused birth defects in the offspring of males treated with this medicine. However, it is not known whether these effects would occur in humans. Ask your doctor about your risk.\nYou should not breastfeed while using pregabalin.\n','Avoid drinking alcohol. It may increase certain side effects of Lyrica.\nAvoid driving or hazardous activity until you know how this medicine will affect you. Your reactions could be impaired.\n'),(530,'lyumjev','Use Lyumjev exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets.\nLyumjev is injected under the skin with a syringe and needle or an injection pen (KwikPen or Tempo Pen). The Lyumjev Tempo Pen contains a component that allows for data connectivity when used with a compatible transmitter. A healthcare provider will teach you how to properly use Lyumjev by yourself.\nRead and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions.\nPrepare your injection only when you are ready to give it. Do not use if the medicine looks cloudy, has changed colors or has particles in it. Call your pharmacist for new medicine.\nLyumjev is given at the start of a meal or within 20 minutes after you start eating a meal.\nYour healthcare provider will show you where on your body to inject Lyumjev. Use a different place each time you give an injection. Do not inject into the same place two times in a row. Do not inject into skin that is damaged, tender, bruised, pitted, thickened, scaly, or has a scar or hard lump.\nDo not transfer Lyumjev U-200 from the KwikPen to a syringe as overdosage and severe hypoglycemia can\nNever share a Lyumjev injection pen, cartridge, or syringe with another person, even if the needle has been changed. Sharing these devices can allow infections or disease to pass from one person to another.\nYou may have low blood sugar (hypoglycemia) and feel very hungry, dizzy, irritable, confused, anxious, or shaky. To quickly treat hypoglycemia, eat or drink a fast-acting source of sugar (fruit juice, hard candy, crackers, raisins, or non-diet soda).\nYour doctor may prescribe a glucagon injection kit in case you have severe hypoglycemia. Be sure your family or close friends know how to give you this injection in an emergency.\nAlso watch for signs of high blood sugar (hyperglycemia) such as increased thirst or urination.\nBlood sugar levels can be affected by stress, illness, surgery, exercise, alcohol use, or skipping meals. Ask your doctor before changing your dose or medication schedule.\nKeep Lyumjev in its original container protected from heat and light. Do not freeze insulin or store it near the cooling element in a refrigerator. Throw away any insulin that has been frozen.\nStoring unopened (not in use) Lyumjev:\nRefrigerate and use until expiration date; or\nStore at room temperature and use within 28 days.\nStoring opened (in use) Lyumjev:\nStore the vial in a refrigerator or at room temperature and use within 28 days.\nStore the cartridge or injection pen (without a needle attached) at room temperature and use within 28 days.\nUse a needle and syringe only once and place them in a puncture-proof \"sharps\" container. Follow state or local laws about how to dispose of this container. Keep it out of the reach of children and pets.\n Detailed Lyumjev dosage information\nWhat happens if I miss a dose?\nSince Lyumjev is used with meals, you may not be on a timed dosing schedule. Whenever you use Lyumjev, follow the directions for your specific brand about whether to use the medicine before of after you eat. Do not use two doses at one time.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222. Insulin overdose can cause life-threatening hypoglycemia. Symptoms include drowsiness, confusion, blurred vision, numbness or tingling in your mouth, trouble speaking, muscle weakness, clumsy or jerky movements, seizure (convulsions), or loss of consciousness.\n','Many other medicines can affect your blood sugar, and some medicines can increase or decrease the effects of insulin. Some drugs can also cause you to have fewer symptoms of hypoglycemia, making it harder to tell when your blood sugar is low. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using. This includes prescription and over-the-counter medicines, vitamins, and herbal products.\n Lyumjev drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergy to Lyumjev: redness or swelling where an injection was given, itchy skin rash over the entire body, trouble breathing, fast heartbeats, feeling like you might pass out, or swelling in your tongue or throat.\nCall your doctor at once if you have:\nweight gain, swelling in your hands or feet, feeling short of breath;\nlow blood sugar - headache, hunger, sweating, irritability, dizziness, fast heart rate, and feeling anxious or shaky; or\nlow potassium - leg cramps, constipation, irregular heartbeats, fluttering in your chest, increased thirst or urination, numbness or tingling, muscle weakness or limp feeling.\nCommon Lyumjev side effects may include:\nlow blood sugar;\nweight gain;\nswelling in your hands or feet;\nitching; or\nthickening or hollowing of the skin where you injected the medicine.\nThis 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.\n Lyumjev side effects (more detail)\n','Insulin is a hormone that works by lowering levels of glucose (sugar) in the blood. Lyumjev is a man-made fast-acting insulin that starts to work about 15 minutes after injection, peaks in about 1 hour, and keeps working for 2 to 4 hours.\nLyumjev is used to improve blood sugar control in adults and children with diabetes mellitus.\nIt is not known if Lyumjev is safe and effective in children.\n','Never share an injection pen, cartridge, or syringe with another person, even if the needle has been changed.\nBefore taking this medicine\nYou should not use Lyumjev if you are allergic to insulin lispro, or if you are having an episode of hypoglycemia (low blood sugar).\nLyumjev should not be given to a child younger than 3 years old. This medicine should not be used to treat type 2 diabetes in a child of any age.\nTo make sure Lyumjev is safe for you, tell your doctor if you have ever had:\nliver or kidney disease;\nheart problems; or\nlow levels of potassium in your blood (hypokalemia).\nTell your doctor if you also take medicine that contains pioglitazone or rosiglitazone. Taking certain oral diabetes medicines while you are using insulin may increase your risk of serious heart problems.\nTell your doctor if you are pregnant or breastfeeding.\nFollow your doctor\'s instructions about using Lyumjev if you are pregnant or you become pregnant. Controlling diabetes is very important during pregnancy, and having high blood sugar may cause complications in both the mother and the baby.\n','Insulin can cause low blood sugar. Avoid driving or operating machinery until you know how Lyumjev will affect you.\nAvoid medication errors by always checking the medicine label before injecting your insulin.\nAvoid drinking alcohol.\n'),(531,'macrobid','Usual Adult Dose for Cystitis:\nRegular release: 50 to 100 mg orally 4 times a day for 1 week or for at least 3 days after urine sterility is obtained\nDual release: 100 mg orally twice a day for 7 days\nUsual Adult Dose for Cystitis Prophylaxis:\nRegular release: 50 to 100 mg orally once a day at bedtime\nUsual Pediatric Dose for Cystitis:\nRegular release:\n1 month or older: 5 to 7 mg/kg/day (up to 400 mg/day) orally in 4 divided doses\nDual release:\nGreater than 12 years: 100 mg orally twice a day for 7 days\nUsual Pediatric Dose for Cystitis Prophylaxis:\nRegular release:\n1 month or older: 1 to 2 mg/kg/day (up to 100 mg/day) orally in 1 to 2 divided doses\n Detailed Macrobid dosage information\n','Other drugs may interact with nitrofurantoin, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.\n Macrobid drug interactions (more detail)\n','Get emergency medical help if you have any of these signs of an allergic reaction to Macrobid: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nCall your doctor at once if you have:\ndiarrhea that is watery or bloody;\nsudden chest pain or discomfort, wheezing, dry cough or hack;\nnew or worsening cough, trouble breathing;\nfever, chills, body aches, tiredness, unexplained weight loss;\nnumbness, tingling, or pain in your hands or feet;\nliver problems--nausea, upper stomach pain, itching, tired feeling, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes); or\nlupus-like syndrome--joint pain or swelling with fever, swollen glands, muscle aches, chest pain, vomiting, unusual thoughts or behavior, and patchy skin color.\nSerious side effects may be more likely in older adults and those who are ill or debilitated.\nCommon Macrobid side effects may include:\nheadache, dizziness;\ngas, upset stomach;\nmild diarrhea; or\nvaginal itching or discharge.\nThis 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.\n Macrobid side effects (more detail)\n','Macrobid (nitrofurantoin) is an antibiotic that fights bacteria in the body.\nMacrobid is used to treat urinary tract infections.\nMacrobid may also be used for purposes not listed in this medication guide.\n','You should not take Macrobid if you have severe kidney disease, urination problems, or a history of jaundice or liver problems caused by nitrofurantoin.\nDo not take Macrobid if you are in the last 2 to 4 weeks of pregnancy.\nBefore taking this medicine\nYou should not take Macrobid if you are allergic to nitrofurantoin, or if you have:\nsevere kidney disease;\na history of jaundice or liver problems caused by taking nitrofurantoin;\nif you are urinating less than usual or not at all; or\nif you are in the last 2 to 4 weeks of pregnancy.\nDo not take Macrobid if you are in the last 2 to 4 weeks of pregnancy.\nTo make sure Macrobid is safe for you, tell your doctor if you have:\nkidney disease;\nanemia;\ndiabetes;\nan electrolyte imbalance or vitamin B deficiency;\nglucose-6-phosphate dehydrogenase (G6PD) deficiency; or\nany type of debilitating disease.\nFDA pregnancy category B. Macrobid is not expected to be harmful to an unborn baby during early pregnancy. Tell your doctor if you are pregnant or plan to become pregnant during treatment.\nNitrofurantoin can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are taking Macrobid.\nMacrobid should not be given to a child younger than 1 month old.\n Macrobid pregnancy and breastfeeding warnings (more detail)\nHow should I take Macrobid?\nTake Macrobid exactly as prescribed by your doctor. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.\nTake Macrobid with food.\nShake the oral suspension (liquid) well just before you measure a dose. Measure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.\nYou may mix your liquid dose with water, milk, or fruit juice to make it easier to swallow. Drink the entire mixture right away.\nUse this medicine for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Skipping doses may also increase your risk of further infection that is resistant to antibiotics. Macrobid will not treat a viral infection such as the common cold or flu.\nMacrobid is usually given for 5 days in females and 7 days in males for uncomplicated UTI.\nIf you use this medicine long-term, for prevention of UTI, you may need frequent medical tests at your doctor\'s office.\nMacrobid can cause unusual results with certain lab tests for glucose (sugar) in the urine. Tell any doctor who treats you that you are using Macrobid.\nStore at room temperature away from moisture, heat, and light.\nWhat happens if I miss a dose?\nTake the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\n','Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or has blood in it, call your doctor. Do not use any medicine to stop the diarrhea unless your doctor has told you to.\nAvoid using antacids without your doctor\'s advice. Use only the type of antacid your doctor recommends. Some antacids can make it harder for your body to absorb nitrofurantoin.\n'),(532,'magnesium-oxide','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.\nTake this medicine with a full glass of water.\nWhen using this medicine as a laxative, it may be best to take your dose at bedtime.\nMagnesium oxide may be taken with food if it upsets your stomach.\nCall your doctor if your symptoms do not improve after 7 days of treatment, or if symptoms get worse.\nStore at room temperature away from moisture and heat.\n Detailed Magnesium oxide dosage information\nWhat happens if I miss a dose?\nSince magnesium oxide is sometimes used when needed, you may not be on a dosing schedule. If you are on a schedule, take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\nOverdose symptoms may include nausea, vomiting, weakness, breathing problems, slow reflexes, weak pulse, extreme drowsiness, and feeling dizzy or light-headed.\n','Ask a doctor or pharmacist if it is safe for you to take magnesium oxide if you are also using any of the following drugs:\nan antibiotic;\na diuretic or \"water pill\";\npenicillamine;\na blood thinner--warfarin, Coumadin, Jantoven; or\nmedicine to treat osteoporosis or Paget\'s disease--alendronate, ibandronate, risedronate, Fosamax, Boniva, Actonel, and others.\nThis list is not complete. Other drugs may interact with magnesium oxide, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.\n Magnesium oxide drug interactions (more detail)\nDoes Magnesium oxide interact with my other drugs?\nEnter other medications to view a detailed report.\nDrug name\nAdd a drug to check interactions\nAdd\n','Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nStop using magnesium oxide and call your doctor at once if you have:\nrectal bleeding;\ncoughing up blood or vomit that looks like coffee grounds;\nbloody or tarry stools; or\nno bowel movement after using magnesium oxide as a laxative.\nCommon side effects may include:\ndiarrhea; or\nupset stomach.\nThis 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.\n Magnesium oxide side effects (more detail)\n','Magnesium is a naturally occurring mineral. Magnesium is important for many systems in the body especially the muscles and nerves.\nMagnesium oxide is used as a supplement to maintain adequate magnesium in the body.\nMagnesium oxide is also used as an antacid to treat indigestion, or as a laxative to relieve occasional constipation.\nMagnesium oxide may also be used for purposes not listed in this medication guide.\n','Before you take magnesium oxide, tell your doctor about all your medical conditions or allergies, and all the medicines you are using. Also make sure your doctor knows if you are pregnant or breast-feeding. In some cases, you may not be able to take magnesium oxide, or you may need a dose adjustment or special precautions.\nBefore taking this medicine\nYou should not use magnesium oxide if you are allergic to it.\nAsk a doctor or pharmacist if it is safe for you to use  magnesium oxide if you have other medical conditions, especially:\nkidney disease;\nheart disease;\nnausea, vomiting;\na blockage in your intestines;\nlow levels of calcium in your blood; or\na sudden change in bowel habits for 2 weeks or longer.\nIt is not known whether magnesium oxide will harm an unborn baby. Ask a doctor before using this medicine if you are pregnant.\nIt is not known whether magnesium oxide passes into breast milk or if it could affect a nursing baby. Ask a doctor before using this medicine if you are breast-feeding.\nDo not give this medicine to a child without medical advice.\nMagnesium oxide should not be given to a child younger than 6 years old.\n','Magnesium oxide can make it harder for your body to absorb other medicines you take by mouth. Avoid taking other medicines within 2 hours before or 2 hours after you take magnesium oxide. You may need to wait 4 hours to take your other medicines after taking magnesium oxide. Ask your doctor how to best schedule your medications.\n'),(533,'mavenclad','Take Mavenclad exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose.\nYour doctor will perform medical tests to make sure you do not have conditions that would prevent you from safely using Mavenclad.\nMavenclad is taken in 2 treatment courses separated by about a year. There are 2 treatment cycles in each course. During each cycle, you will take the medicine for 4 or 5 days in a row. The 2 cycles are separated by about a month. Follow your doctor\'s dosing instructions very carefully.\nYour doctor will determine how many treatment courses you should receive.\nTake this medicine with a full glass of water. You may take Mavenclad with or without food.\nUse dry hands to remove a tablet from the foil blister pack when you are ready to take the medicine.\nSwallow the tablet whole and do not crush, chew, or break it.\nWash your hands after handling the tablet.\nDo not use a broken tablet. The medicine from a broken pill can be dangerous if it gets in your eyes or nose, or on your skin. If this happens, rinse thoroughly with water. Ask your pharmacist how to safely dispose of a broken pill.\nYou may be given other medications to help prevent infections. Keep using these medicines for as long as your doctor has prescribed.\nYou will need frequent medical tests, and your next dose may be delayed based on the results.\nStore at room temperature away from moisture and heat.\nCladribine can have long lasting effects on your body. Your doctor will need to check your progress on a regular basis and for another 2 years after your last dose.\n Detailed Mavenclad dosage information\nWhat happens if I miss a dose?\nTake the missed dose on the same day you remember it. If the day is almost over before you remember your dose, wait until the next day to take it.\nDo not take 2 doses in one day. Take your next dose at the regular time and stay on your once-daily schedule, even if it adds an extra day to your treatment cycle for the week.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\n','If you take any other medicines by mouth, take your Mavenclad dose 3 hours before or 3 hours after you take the other medicine.\nOther drugs may interact with cladribine, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.\n Mavenclad drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction to Mavenclad: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nMavenclad may cause a serious brain infection that can lead to disability or death. Call your doctor right away if you have problems with speech, thought, vision, or muscle movement. These symptoms may start gradually and get worse quickly.\nAlso call your doctor at once if you have:\nheart problems - swelling, rapid weight gain, feeling short of breath;\nlow blood cell counts - fever, swollen glands, stomach pain, cough, runny nose, joint pain, mouth sores, skin sores or rash, easy bruising, unusual bleeding;\nsigns of hepatitis - right-sided upper stomach pain, vomiting, loss of appetite, yellowing of your skin or eyes, and not feeling well;\nsigns of shingles - flu-like symptoms, tingly or painful blistering rash on one side of your body; or\nsigns of tuberculosis: fever, cough, night sweats, loss of appetite, weight loss, and feeling very tired.\nCommon Mavenclad side effects may include:\nheadache;\nlow white blood cell counts; or\ncold symptoms such as stuffy nose, sneezing, sore throat.\nThis 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.\n Mavenclad side effects (more detail)\n','Mavenclad (cladribine) is a purine antimetabolite that interferes with enzymes that are necessary for DNA synthesis.\nMavenclad is used to treat relapsing multiple sclerosis (MS) in adults. This medicine will not cure MS, it will only decrease the frequency of relapse symptoms.\nMavenclad is usually given after other treatments have failed.\n','Do not take Mavenclad if you are pregnant. Both men and women should use effective birth control to prevent pregnancy while taking Mavenclad, and for 6 months after the last dose.\nIf you use birth control pills or other hormonal forms (implants, skin patches, vaginal rings), also use a barrier form of birth control (condom, diaphragm, cervical cap, contraceptive sponge) to prevent pregnancy while taking Mavenclad and for at least 4 weeks after your treatment course ends.\nTaking cladribine may increase your risk of developing certain cancers.\nBefore taking this medicine\nYou should not take Mavenclad if you are allergic to cladribine, or if you have:\ncancer;\nan active infection such as tuberculosis or hepatitis B or C;\nHIV or AIDS; or\nif you are pregnant or breastfeeding.\nTo make sure Mavenclad is safe for you, tell your doctor if you have ever had:\nan active or chronic infection;\nheart problems;\nweak immune system (caused by disease or by using certain medicine);\nliver or kidney disease;\ncancer; or\nif you receive blood transfusions.\nTell your doctor if you have recently received a vaccine (within 4 to 6 weeks before you take Mavenclad).\nTaking cladribine may increase your risk of developing certain cancers. Ask your doctor about this risk.\nDo not take Mavenclad if you are pregnant. Cladribine could harm the unborn baby. Use effective birth control, and tell your doctor if you become pregnant during treatment.\nCladribine can harm an unborn baby if the mother or the father is using this medicine.\nIf you are a woman taking Mavenclad, you may need to have a negative pregnancy test before starting this medicine. Use effective birth control to prevent pregnancy while you are using this medicine and for at least 6 months after your last dose.\nIf you are a man taking Mavenclad, use effective birth control if your sex partner is able to get pregnant. Keep using birth control for at least 6 months after your last dose.\nTell your doctor right away if a pregnancy occurs while either the mother or the father is taking this medicine.\nMavenclad can make hormonal birth control less effective, including birth control pills, injections, implants, skin patches, and vaginal rings. To prevent pregnancy while taking this medicine, use a barrier form of birth control: condom, diaphragm, cervical cap, or contraceptive sponge. Keep using the second form of birth control for at least 4 weeks after your Mavenclad treatment course ends.\nDo not breastfeed while taking cladribine, and for at least 10 days after your last dose.\n','Do not receive a \"live\" vaccine while using Mavenclad. You could develop a serious infection. Live vaccines include measles, mumps, rubella (MMR), rotavirus, typhoid, yellow fever, varicella (chickenpox), zoster (shingles), and nasal flu (influenza) vaccine. Your doctor will determine when it is safe for you to receive a vaccine.\nAvoid being near people who are sick or have infections. Tell your doctor at once if you develop signs of infection.\nCladribine can pass into body fluids (urine, feces, vomit). Caregivers should wear rubber gloves while cleaning up a patient\'s body fluids, handling contaminated trash or laundry or changing diapers. Wash hands before and after removing gloves. Wash soiled clothing and linens separately from other laundry.\n'),(534,'mavyret','Usual Adult Dose of Mavyret for Chronic Hepatitis C:\n3 tablets orally once a day with food\nDuration of Therapy:\nTHERAPY-NAIVE PATIENTS:\nHCV genotype 1, 2, 3, 4, 5, or 6:\n-No cirrhosis: 8 weeks\n-Compensated cirrhosis (Child-Pugh A): 12 weeks\nTHERAPY-EXPERIENCED PATIENTS:\nHCV genotype 1 (prior therapy with regimen containing an NS5A inhibitor without prior therapy with an NS3/4A protease inhibitor):\n-No cirrhosis: 16 weeks\n-Compensated cirrhosis (Child-Pugh A): 16 weeks\nHCV genotype 1 (prior therapy with regimen containing an NS3/4A protease inhibitor without prior therapy with an NS5A inhibitor):\n-No cirrhosis: 12 weeks\n-Compensated cirrhosis (Child-Pugh A): 12 weeks\nHCV genotype 1, 2, 4, 5, or 6 (prior therapy with regimen containing PRS):\n-No cirrhosis: 8 weeks\n-Compensated cirrhosis (Child-Pugh A): 12 weeks\nHCV genotype 3 (prior therapy with regimen containing PRS):\n-No cirrhosis: 16 weeks\n-Compensated cirrhosis (Child-Pugh A): 16 weeks\nComments:\n-Recommended for HCV mono-infected and HCV/HIV-1-coinfected patients with compensated liver disease (with or without cirrhosis)\n-NS5A: Nonstructural protein 5A; NS3/4A: Nonstructural protein 3/4A\n-In clinical trials, patients with prior NS5A inhibitor experience were treated with regimens containing ledipasvir-sofosbuvir or daclatasvir with pegylated interferon and ribavirin.\n-In clinical trials, patients with prior NS3/4A protease inhibitor experience were treated with regimens containing simeprevir with sofosbuvir, or simeprevir, boceprevir, or telaprevir with pegylated interferon and ribavirin.\n-PRS: Prior treatment experience with regimens containing interferon, pegylated interferon, ribavirin, and/or sofosbuvir without prior treatment experience with an HCV NS3/4A protease inhibitor or NS5A inhibitor\nUses:\n-For the treatment of patients with chronic HCV genotype 1, 2, 3, 4, 5, or 6 infection without cirrhosis or with compensated cirrhosis (Child-Pugh A)\n-For the treatment of HCV genotype 1-infected patients with prior treatment using a regimen containing an HCV NS5A inhibitor or an NS3/4A protease inhibitor, but not both\n Detailed Mavyret dosage information\nWhat happens if I miss a dose?\nUse the medicine as soon as you can, but skip the missed dose if you are more than 18 hours late for the dose. Do not use two doses at one time.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\n','Sometimes it is not safe to use certain medications at the same time. Some drugs can affect your blood levels of other drugs you take, which may increase side effects or make the medications less effective.\nOther drugs can interact with glecaprevir and pibrentasvir, and some drugs should not be used at the same time. Tell your doctor about all your current medicines and any medicine you start or stop using. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here.\n Mavyret drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nIn rare cases, Mavyret may cause serious liver injury. Call your doctor right away if you have symptoms such as:\nright-sided upper stomach pain;\nnausea, vomiting, loss of appetite;\nconfusion, tiredness, feeling light-headed;\neasy bruising or bleeding, vomiting blood;\ndiarrhea, black or bloody stools;\ndark urine; or\nyellowing of your skin or eyes.\nCommon side effects may include:\nheadache; or\nfeeling tired.\nThis 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.\n Mavyret side effects (more detail)\n','Mavyret contains a combination of glecaprevir and pibrentasvir. Glecaprevir and pibrentasvir are antiviral medications that prevent hepatitis C virus (HCV) from multiplying in your body.\nMavyret is used to treat chronic hepatitis C in adults and children over 12 years with HCV genotype 1, 2, 3, 4, 5, or 6.\nMavyret is usually given after other medicines have been tried without success.\n','You should not use Mavyret if you have severe liver disease, or if you also take atazanavir or rifampin.\nIf you\'ve ever had hepatitis B, it may become active or get worse after you stop using Mavyret.\nBefore taking this medicine\nYou should not use Mavyret if you are allergic to glecaprevir or pibrentasvir, or if:\nyou have severe liver disease; or\nyou also take atazanavir or rifampin.\nTo make sure Mavyret is safe for you, tell your doctor if you have ever had:\nhepatitis B;\nliver problems other than hepatitis;\na liver or kidney transplant;\nHIV (human immunodeficiency virus); or\nan opioid addiction or past use of injected drugs.\nTell your doctor if you are pregnant or breastfeeding.\nMavyret should not be given to a child younger than 12 years old, or weighing less than 99 pounds (45 kilograms).\nIt may not be safe to breast-feed while using this medicine. Ask your doctor about any risk.\nHow should I take Mavyret?\nTake Mavyret exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets.\nYour doctor will perform blood tests to make sure you do not have conditions that would prevent you from safely using Mavyret.\nMavyret is usually taken as 3 tablets daily, taken all at once, for 8 to 16 weeks.\nTake with food.\nYou will need frequent blood tests to check your liver function.\nYou should not stop using Mavyret suddenly. Stopping suddenly could make your condition harder to treat with hepatitis C antiviral medicine.\nUse all hepatitis C medications as directed and read all medication guides you receive. Do not change your dose or stop using a medicine without your doctor\'s advice. Every person with hepatitis C should remain under the care of a doctor.\nIf you\'ve ever had hepatitis B, this virus may become active or get worse in the months after you stop using Mavyret. You may need frequent liver function tests while using this medicine and for several months after your last dose.\nStore this medicine in the original container at room temperature away from moisture and heat. Keep each tablet in the foil blister pack until you are ready to take it.\n','Using this medicine will not prevent your disease from spreading. Do not have unprotected sex or share razors or toothbrushes. Talk with your doctor about safe ways to prevent HCV transmission during sex. Sharing drug or medicine needles is never safe, even for a healthy person.\n'),(535,'mayzent','Usual Adult Dose for Multiple Sclerosis:\nCYP450 2C9 Genotype *1/*1, *1/*2, or *2/*2:\n-Titration regimen: 0.25 mg orally once daily on Days 1 and 2, then 0.5 mg orally once daily on Day 3, then 0.75 mg orally once daily on Day 4, then 1.25 mg orally once daily on Day 5\n-Maintenance dose: 2 mg orally once daily beginning on Day 6\nNOTE: Use a starter pack for patients who will be titrated to the 2 mg maintenance dose.\nCYP450 2C9 Genotype *1/*3 or *2/*3:\n-Titration regimen: 0.25 mg orally once daily on Days 1 and 2, then 0.5 mg orally once daily on Day 3, then 0.75 mg orally once daily on Day 4\n-Maintenance dose: 1 mg orally once daily beginning on Day 5\nNOTE: Do not use the starter pack for patients who will be titrated to the 1 mg maintenance dose.\n-If one titration dose is missed for more than 24 hours, therapy needs to be reinitiated with Day 1 of the titration regimen.\nComments:\n-If one titration dose is missed for more than 24 hours, therapy needs to be reinitiated with Day 1 of the titration regimen.\n-First-dose monitoring is recommended for patients with sinus bradycardia, first- or second-degree atrioventricular (AV) block, or a history of myocardial infarction or heart failure.\n-Administer the first dose in a setting equipped to manage symptomatic bradycardia.\n-Monitor patients for 6 hours after the first dose for bradycardia with hourly pulse and blood pressure measurements. Obtain an ECG in these patients at the end of Day 1.\n-If any of the following abnormalities are present after 6 hours (even in the absence of symptoms), continue monitoring until the abnormality resolves: the heart rate 6 hours post dose is less than 45 bpm; the heart rate 6 hours post dose is at the lowest value post dose, suggesting that the maximum pharmacodynamic effect on the heart may not have occurred; the ECG 6 hours post\ndose shows new onset second-degree or higher AV block.\n-If post dose symptomatic bradycardia, bradyarrhythmia, or conduction related symptoms occur, or if ECG 6 hours post dose shows new onset second degree or higher AV block or QTc greater than or equal to 500 msec, initiate management, begin continuous ECG monitoring, and continue monitoring until the symptoms have resolved if no treatment is required. If treatment is required, continue monitoring overnight and repeat 6-hour monitoring after the second dose.\n-After the initial titration is complete, if treatment is interrupted for 4 or more consecutive daily doses, reinitiate therapy with Day 1 of the titration regimen; also complete first-dose monitoring in patients for whom it is recommended.\n Detailed Mayzent dosage information\nWhat happens if I miss a dose?\nCall your doctor for instructions. If you miss 1 or more of your first doses, or 4 or more of your maintenance doses, you may need to take your next dose under medical observation in a medical setting.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\n','Siponimod can cause a serious heart problem. Your risk may be higher if you also use certain other medicines for infections, asthma, heart problems, high blood pressure, depression, mental illness, cancer, malaria, or HIV.\nTell your doctor about all your other medicines, especially:\ndrugs that weaken the immune system such as cancer medicine, steroids, and medicines to prevent organ transplant rejection; or\nother medicines to treat MS symptoms (a beta interferon, glatiramer, Avonex, Betaseron, Copaxone, Extavia, Glatopa, Rebif).\nThis list is not complete and many other drugs may interact with siponimod. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.\nSiponimod can have long lasting effects on your body, especially on your immune system. For 3 or 4 weeks after your last dose, tell any doctor who treats you that you have used Mayzent.\n Mayzent drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction to Mayzent: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nCall your doctor at once if you have:\nslow or irregular heartbeats;\nvision problems, blurred vision, eye pain, or having a blind spot or shadows in the center of your vision (vision problems may occur 1 to 4 months after you start taking Mayzent);\nheadache, confusion, change in mental status;\na seizure;\nsores in your mouth and throat, cold sores, sores on your genital or anal area;\nskin changes, unusual moles that change in color or size;\nshortness of breath;\nliver problems - nausea, vomiting, upper stomach pain, tiredness, loss of appetite, dark urine, jaundice (yellowing of the skin or eyes).\nsymptoms of meningitis - fever, chills, body aches, tiredness, nausea and vomiting, neck stiffness, increased sensitivity to light.\nCommon Mayzent side effects may include:\nheadache;\nincreased blood pressure; or\nabnormal liver function tests.\nThis 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.\n Mayzent side effects (more detail)\n','Mayzent (siponimod) is a prescription medicine used to treat relapsing multiple sclerosis (MS) in adults.\nMayzent will not cure MS, it will only decrease the frequency of relapse symptoms.\nMayzent is used only if you have a specific genotype. Your doctor will test you for this genotype.\n','You should not use Mayzent if you have a serious heart condition such as \"AV block,\" sick sinus syndrome and no pacemaker, or if you\'ve recently had heart block, heart failure, a heart rhythm disorder, chest pain, heart attack, or stroke.\nMayzent can slow your heart rate when you start taking it. You will receive your first dose in a setting where your heart rhythm can be monitored. If you miss any doses, you may also need to restart Mayzent under medical observation.\nYou may get infections more easily, even serious or fatal infections. Call your doctor if you have a fever, chills, aches, tiredness, vomiting, confusion, neck stiffness, increased sensitivity to light, or problems with coordination, thought, vision, or muscle movement.\nBefore taking this medicine\nYou should not use Mayzent if you are allergic to siponimod, or if you have certain serious heart conditions, especially:\n\"AV block\" (2nd or 3rd degree);\nsick sinus syndrome (unless you have a pacemaker);\nrecent (within the past 6 months) heart failure, heart attack, stroke, \"mini-stroke\" or TIA, chest pain (unstable angina), or other serious heart problem.\nMayzent is not approved for use by anyone younger than 18 years old.\nSome heart rhythm medications can cause unwanted or dangerous effects when used with siponimod. Your doctor may change your treatment plan if you also use: amiodarone, disopyramide, dofetilide, dronedarone, flecainide, ibutilide, procainamide, propafenone, quinidine, or sotalol.\nBefore you take Mayzent, tell your doctor if you have never had chickenpox or if you have never received a varicella vaccine (Varivax). You may need to receive the vaccine and then wait 1 month before taking Mayzent.\nTo make sure Mayzent is safe for you, tell your doctor if you have ever had:\nweak immune system (caused by disease or by using certain medicine);\nan active or chronic infection;\na very slow heart rate;\nhigh blood pressure;\nheart problems, a heart attack, a stroke, or chest pain;\nasthma, sleep apnea, or other breathing disorder;\ndiabetes;\nliver disease; or\nan eye condition called uveitis.\nTell your doctor if you have recently received a vaccine, or if you are scheduled to receive a vaccine.\nSiponimod may harm an unborn baby. Use effective birth control to prevent pregnancy while you are using this medicine, and for at least 10 days after your last dose. Tell your doctor if you become pregnant during this time.\nIf you are pregnant, your name may be listed on a pregnancy registry to track the effects of siponimod on the baby.\nIt may not be safe to breastfeed while using this medicine. Ask your doctor about any risk.\nHow should I take Mayzent?\nTake Mayzent exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets.\nYour doctor will check your heart function before you start taking Mayzent.\nYour dose will be increased gradually during the first 5 to 6 days of taking Mayzent.\nSiponimod can slow your heart rate when you start taking it. You will receive your first dose in a medical setting. Your blood pressure and heart rate may be constantly monitored for at least 6 hours after your first dose of Mayzent.\nYou may take Mayzent with or without food.\nSiponimod affects your immune system. You may get infections more easily, even serious or fatal infections. Your doctor will need to examine you on a regular basis. Your risk of infection could last 3 to 4 weeks after you stop taking this medicine.\nAlways ask your doctor before you stop taking Mayzent for any reason. When you stop taking this medicine, your MS symptoms may return. In rare cases, some people who stopped taking Mayzent had MS symptoms that were worse than before or during treatment with this medicine.\nIf you stop taking this medicine, do not start taking it again without asking your doctor. You will need to be under medical observation when you restart this medication.\nStore unopened Mayzent in the refrigerator, do not freeze.\nAfter opening, store the medicine in the original package at room temperature away from moisture and heat.\nYou may keep the blister (Starter) pack at room temperature for up to 1 week after removing the first tablet.\nYou may keep the bottle of tablets at room temperature for up to 1 month after opening.\nIf you stop taking Mayzent, watch for signs of worsening MS, and call your doctor right away if any new or worsening symptoms appear.\n','Avoid getting a vaccine without first asking your doctor. While you are taking siponimod, some vaccines may not work as well and may not fully protect you from disease.\nReceiving a \"live\" vaccine while using siponimod may cause you to develop an infection. Live vaccines include measles, mumps, rubella (MMR), polio, rotavirus, typhoid, yellow fever, varicella (chickenpox), zoster (shingles), and nasal flu (influenza) vaccine.\nIf you need to receive a vaccine, you should stop taking siponimod for at least 1 week ahead of time. After receiving the vaccine, you should wait another 4 weeks before you start taking siponimod again. Do not stop taking siponimod without your doctor\'s advice.\nAlways ask your doctor before you stop or start taking Mayzent for any reason.\n'),(536,'meclizine','Use meclizine exactly as directed by your doctor. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.\nThe chewable tablet must be chewed before you swallow it.\nTo prevent motion sickness, take meclizine about 1 hour before you travel or engage in activity that causes motion sickness. You may take a dose once every 24 hours while you are traveling, to further prevent motion sickness.\nTo treat vertigo, you may need to take meclizine several times daily. Follow your doctor\'s instructions.\nThis medication can affect the results of allergy skin tests. Tell any doctor who treats you that you are using meclizine.\nStore at room temperature away from moisture, heat, and light.\n Detailed Meclizine dosage information\nWhat happens if I miss a dose?\nSince meclizine is sometimes taken only when needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\n','Taking meclizine with other drugs that make you sleepy or slow your breathing can increase these effects. Ask your doctor before taking meclizine with a sleeping pill, narcotic pain medicine, muscle relaxer, or medicine for anxiety, depression, or seizures.\nTell your doctor about all medicines you use, and those you start or stop using during your treatment with this medicine, especially:\ncinacalcet;\nquinidine;\nterbinafine; or\nthe antidepressants bupropion, duloxetine, fluoxetine, paroxetine, or sertraline.\nOther drugs may interact with meclizine, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your healthcare providers about all medicines you use now, and any medicine you start or stop using.\n Meclizine drug interactions (more detail)\n','Get emergency medical help if you have any of these signs of an allergic reaction to meclizine: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nCommon meclizine side effects may include:\nheadache;\nvomiting;\ndry mouth;\ntired feeling; or\ndrowsiness.\nThis 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.\n Meclizine side effects (more detail)\n','Meclizine is an antihistamine that reduces the effects of natural chemical histamine in the body.\nMeclizine is used to treat or prevent nausea, vomiting, and dizziness caused by motion sickness. It is also used to treat symptoms of vertigo (dizziness or spinning sensation) caused by disease that affects your inner ear.\nMeclizine may also be used for purposes not listed in this medication guide.\n','You should not take this medication if you are allergic to meclizine.\nBefore you take meclizine, tell your doctor if you have liver or kidney disease, asthma, glaucoma, an enlarged prostate, or urination problems.\nThis medication may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.\nDrinking alcohol can increase certain side effects of meclizine.\nCold or allergy medicine, sedatives, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression or anxiety can add to sleepiness caused by meclizine.\nBefore taking this medicine\nYou should not use meclizine if you are allergic to it.\nTo make sure meclizine is safe for you, tell your doctor if you have any of these conditions:\nliver disease;\nkidney disease;\nasthma;\nglaucoma;\nenlarged prostate; or\nurination problems.\nFDA pregnancy category B. Meclizine is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.\nIt is not known whether meclizine passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.\nThis medicine should not be given to a child younger than 12 years old.\n Meclizine pregnancy and breastfeeding warnings (more detail)\n','This medication may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.\nDrinking alcohol can increase certain side effects of meclizine.\n'),(537,'medrol','Follow all directions on your prescription label. Your doctor may occasionally change your dose. Do not use  Medrol in larger or smaller amounts or for longer than recommended.\nMedrol is sometimes taken every other day. Follow your doctor\'s dosing instructions very carefully.\nYour dose needs may change if you have unusual stress such as a serious illness, fever or infection, or if you have surgery or a medical emergency. Tell your doctor about any such situation that affects you.\nThis medicine can cause unusual results with certain medical tests. Tell any doctor who treats you that you are using Medrol.\nYou should not stop using Medrol suddenly. Follow your doctor\'s instructions about tapering your dose.\nWear a medical alert tag or carry an ID card stating that you take Medrol. Any medical care provider who treats you should know that you take steroid medication.\nIf you need surgery, tell the surgeon ahead of time that you are using Medrol. You may need to stop using the medicine for a short time.\nStore at room temperature away from moisture and heat.\n Detailed Medrol dosage information\nFree Drugs.com Discount Card\nSave up to 80% on your prescriptions.\nAccepted at over 65,000 pharmacies.\nGet Discount Card\nWhat happens if I miss a dose?\nCall your doctor for instructions if you miss a dose of  Medrol.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\nAn overdose of methylprednisolone is not expected to produce life threatening symptoms. However, long term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.\n','Other drugs may interact with methylprednisolone, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.\n Medrol drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nCall your doctor at once if you have:\nshortness of breath (even with mild exertion), swelling, rapid weight gain;\nbruising, thinning skin, or any wound that will not heal;\nblurred vision, tunnel vision, eye pain, or seeing halos around lights;\nsevere depression, changes in personality, unusual thoughts or behavior;\nnew or unusual pain in an arm or leg or in your back;\nbloody or tarry stools, coughing up blood or vomit that looks like coffee grounds;\nseizure (convulsions); or\nlow potassium--leg cramps, constipation, irregular heartbeats, fluttering in your chest, increased thirst or urination, numbness or tingling.\nSteroids can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using  Medrol.\nCommon side effects may include:\nfluid retention (swelling in your hands or ankles);\ndizziness, spinning sensation;\nchanges in your menstrual periods;\nheadache;\nmild muscle pain or weakness; or\nstomach discomfort, bloating.\nThis 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.\n Medrol side effects (more detail)\n','Medrol is a steroid that prevents the release of substances in the body that cause inflammation.\nMedrol is used to treat many different inflammatory conditions such as arthritis, lupus, psoriasis, ulcerative colitis, allergic disorders, gland (endocrine) disorders, and conditions that affect the skin, eyes, lungs, stomach, nervous system, or blood cells.\nMedrol may also be used for purposes not listed in this medication guide.\n','You should not use  Medrol if you have a fungal infection anywhere in your body.\nBefore taking this medicine\nYou should not use Medrol if you are allergic to it, or if you have:\na fungal infection anywhere in your body.\nMedrol can weaken your immune system, making it easier for you to get an infection. Steroids can also worsen an infection you already have, or reactivate an infection you recently had. Tell your doctor about any illness or infection you have had within the past several weeks.\nTo make sure Medrol is safe for you, tell your doctor if you have ever had:\na thyroid disorder;\nherpes infection of the eyes;\nstomach ulcers, ulcerative colitis, or diverticulitis;\ndepression, mental illness, or psychosis;\nliver disease (especially cirrhosis);\nhigh blood pressure;\nosteoporosis;\na muscle disorder such as myasthenia gravis; or\nmultiple sclerosis.\nAlso tell your doctor if you have diabetes. Steroid medicines may increase the glucose (sugar) levels in your blood or urine. You may also need to adjust the dose of your diabetes medications.\nIt is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.\nIt is not known whether methylprednisolone passes into breast milk or if it could affect the nursing baby. Tell your doctor if you are breast-feeding.\n','Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using steroid medication.\nDo not receive a \"live\" vaccine while using Medrol. The vaccine may not work as well during this time, and may not fully protect you from disease. Live vaccines include measles, mumps, rubella (MMR), polio, rotavirus, typhoid, yellow fever, varicella (chickenpox), zoster (shingles), and nasal flu (influenza) vaccine.\n'),(538,'medrol-dosepak','Follow all directions on your prescription label. Your doctor may occasionally change your dose. Do not use  Medrol Dosepak in larger or smaller amounts or for longer than recommended.\nMedrol Dosepak is sometimes taken every other day. Follow your doctor\'s dosing instructions very carefully.\nYour dose needs may change if you have unusual stress such as a serious illness, fever or infection, or if you have surgery or a medical emergency. Tell your doctor about any such situation that affects you.\nThis medicine can cause unusual results with certain medical tests. Tell any doctor who treats you that you are using Medrol Dosepak.\nYou should not stop using Medrol Dosepak suddenly. Follow your doctor\'s instructions about tapering your dose.\nWear a medical alert tag or carry an ID card stating that you take Medrol Dosepak. Any medical care provider who treats you should know that you take steroid medication.\nIf you need surgery, tell the surgeon ahead of time that you are using Medrol Dosepak. You may need to stop using the medicine for a short time.\nStore at room temperature away from moisture and heat.\n Detailed Medrol Dosepak dosage information\nWhat happens if I miss a dose?\nCall your doctor for instructions if you miss a dose of  Medrol Dosepak.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\nAn overdose of methylprednisolone is not expected to produce life threatening symptoms. However, long term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.\n','Other drugs may interact with methylprednisolone, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.\n Medrol Dosepak drug interactions (more detail)\nDoes Medrol Dosepak interact with my other drugs?\nEnter other medications to view a detailed report.\nDrug name\nAdd a drug to check interactions\nAdd\n','Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nCall your doctor at once if you have:\nshortness of breath (even with mild exertion), swelling, rapid weight gain;\nbruising, thinning skin, or any wound that will not heal;\nblurred vision, tunnel vision, eye pain, or seeing halos around lights;\nsevere depression, changes in personality, unusual thoughts or behavior;\nnew or unusual pain in an arm or leg or in your back;\nbloody or tarry stools, coughing up blood or vomit that looks like coffee grounds;\nseizure (convulsions); or\nlow potassium--leg cramps, constipation, irregular heartbeats, fluttering in your chest, increased thirst or urination, numbness or tingling.\nSteroids can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using  Medrol Dosepak.\nCommon side effects may include:\nfluid retention (swelling in your hands or ankles);\ndizziness, spinning sensation;\nchanges in your menstrual periods;\nheadache;\nmild muscle pain or weakness; or\nstomach discomfort, bloating.\nThis 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.\n Medrol Dosepak side effects (more detail)\n','Medrol Dosepak is a steroid that prevents the release of substances in the body that cause inflammation.\nMedrol Dosepak is used to treat many different inflammatory conditions such as arthritis, lupus, psoriasis, ulcerative colitis, allergic disorders, gland (endocrine) disorders, and conditions that affect the skin, eyes, lungs, stomach, nervous system, or blood cells.\nMedrol Dosepak may also be used for purposes not listed in this medication guide.\n','You should not use  Medrol Dosepak if you have a fungal infection anywhere in your body.\nBefore taking this medicine\nYou should not use Medrol Dosepak if you are allergic to it, or if you have:\na fungal infection anywhere in your body.\nMedrol Dosepak can weaken your immune system, making it easier for you to get an infection. Steroids can also worsen an infection you already have, or reactivate an infection you recently had. Tell your doctor about any illness or infection you have had within the past several weeks.\nTo make sure Medrol Dosepak is safe for you, tell your doctor if you have ever had:\na thyroid disorder;\nherpes infection of the eyes;\nstomach ulcers, ulcerative colitis, or diverticulitis;\ndepression, mental illness, or psychosis;\nliver disease (especially cirrhosis);\nhigh blood pressure;\nosteoporosis;\na muscle disorder such as myasthenia gravis; or\nmultiple sclerosis.\nAlso tell your doctor if you have diabetes. Steroid medicines may increase the glucose (sugar) levels in your blood or urine. You may also need to adjust the dose of your diabetes medications.\nIt is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.\nIt is not known whether methylprednisolone passes into breast milk or if it could affect the nursing baby. Tell your doctor if you are breast-feeding.\n','Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using steroid medication.\nDo not receive a \"live\" vaccine while using Medrol Dosepak. The vaccine may not work as well during this time, and may not fully protect you from disease. Live vaccines include measles, mumps, rubella (MMR), polio, rotavirus, typhoid, yellow fever, varicella (chickenpox), zoster (shingles), and nasal flu (influenza) vaccine.\n'),(539,'melatonin','Melatonin is considered an effective treatment for jet lag and can aid sleep during times when you would not normally be awake.\nEffective starting doses for jet lag range from 0.3 to 0.5 mg. One milligram tablets can be cut in half to achieve a 0.5 mg dose if smaller doses are not available for purchase. Higher doses are commonly marketed in the U.S. (up to 10 mg), but higher doses may be associated with more side effects such as headache, next day grogginess, or vivid dreams. Side effects may be worse in older adults.\nAlways start with the lowest dose. According to a Cochrane review, doses over 5 mg appear to be no more effective than lower doses. Higher doses may result in excessively high levels of physiologic melatonin.\nHow to Use Melatonin for Jet Lag?\nJet lag is an air travel problem that causes difficulty in sleeping, fatigue, trouble concentrating, constipation, and other symptoms. Jet lag is much more likely if you cross over several time zones, and can worsen the more time zones you cross.\nEffective starting doses for jet lag range from 0.3 to 0.5 mg. Smaller doses may work for some while others may need a higher dose. It may be more difficult to fly east, when time is lost, rather than to fly west, when you gain it back. High doses, such as 20 mg pills are available for purchase on the Internet, but such high doses are not normally recommended or needed, and may greatly increase side effects.\nEastbound: If you are traveling east, say from the US to Europe, take melatonin after dark, 30 minutes before bedtime in the new time zone or if you are on the plane. Then take it for the next 4 nights in the new time zone, after dark, 30 minutes before bedtime. If you are still feeling drowsy the day after using this medication, try a lower dose.\nWestbound: If you are heading west, for example, from the US to Australia, a dose is not needed for your first travel night, but you then may take it for the next 4 nights in the new time zone, after dark, 30 minutes before bedtime. Melatonin may not always be needed for westbound travel.\nGiven enough time (usually 3 to 5 days), jet lag will usually resolve on its own, but this is not always optimal when traveling.\nOther Uses\nHow to Take for Sleep (Insomnia):\nDosage: Take 0.1 mg to 0.5 mg thirty minutes before bedtime. Studies suggest melatonin for sleep may be effective in promoting but not maintaining sleep (early morning awakening).\nHow to Take for Shift-Work Sleep Disorders\nDosage: Take 1 to 3 mg thirty minutes prior to the desired onset of daytime sleep; melatonin may NOT lead to improved alertness during the nighttime work shift.\nHow to Take for Delayed Sleep-Wake Phase Disorder\nDelayed sleep-wake phase disorder (DSWPD) most often occurs in adolescents, possibly due to reduced production and melatonin deficiency at this age. Sleep onset is delayed by 3 to 6 hours compared with conventional bedtimes (10 to 11 pm). DSWPD can negatively affect school performance, daily activities, and lead to morning drowsiness which can be dangerous for teen drivers. Any sleep disorder in an adolescent should be evaluated by a physician.\nDosage: No consensus is available for dosing in DSWPS. Some clinicians recommend 3 to 5 mg taken in the early evening, at least 1.5 hours before the desired bedtime. Bright light therapy and behavioral management may enhance results. Be aware drowsiness may occur after the melatonin dose, so avoid hazardous activities such as driving.\nHow to Take for Non-24-Hour Sleep Wake Disorder (Non-24)\nMore than 70% of people who are totally blind have Non-24, a circadian rhythm disorder. For people who are totally blind, there are no light cues to help reset the biological clock. The sleep time and wake up time of people who have Non-24-Hour Sleep Wake Disorder shifts a little later every day. Sleep times go in and out of alignment compared to a normal sleep-wake phase. Extra minutes add up each day by day and disrupt the normal wake-sleep pattern.\nUse of melatonin in Non-24 is to aid in stimulation to reset the biological clock with one long sleep time at night and one long awake time during the day.\nDosage: Studies on people who are the blind suggest 0.5 mg/day, taken either at a fixed time before bed or one hour before bedtime.\nHetlioz, a prescription-only melatonin agonist is approved for use in Non-24-Hour Sleep Wake Disorder in adults and for the treatment of Nighttime Sleep Disturbances in Smith-Magenis Syndrome (SMS) in patients 3 years of age and older.\nHetlioz (tasimelteon)\nRozerem (ramelteon), also a melatonin agonist, has been approved to treat insomnia characterized by difficulty with sleep onset in adults.\nHetlioz (tasimelteon)\nRozerem (ramelteon)\nFast-dissolving Tablets\nSome melatonin tablets are available in fast-dissolving formulations in the U.S. To take the orally disintegrating tablet:\nUse dry hands to remove the tablet and place it in your mouth.\nDo not swallow the tablet whole. Allow it to dissolve in your mouth without chewing. If desired, you may drink liquid to help swallow the dissolved tablet.\nCall your doctor if the condition you are treating with this medication does not improve, or if it gets worse while using this product.\nStore at room temperature away from moisture and heat.\nMelatonin for Children\nParents may consider using melatonin to help their child who has a trouble falling asleep. Only use this medication for your child under the care of a pediatrician or other medical sleep specialist. Insomnia or other sleeping disorders in children should always be evaluated by a medical professional.\nMelatonin should not be used as a substitute for good sleep hygiene and consistent bedtime routines in children. According to Yale sleep specialist Dr. Craig Canapari, use of this medication results in less difficulty with falling asleep, earlier time of sleep onset, and more sleep at night.\nProducts containing lower-dose melatonin for kids do exist on the U.S. market. Long-term use of this medication has not been studied in children and possible side effects with prolonged use are not known. Use for children with autism spectrum disorder or attention-deficit hyperactivity disorder should involve behavioral interventions and should be directed by a physician.\nDelayed sleep phase disorder often occurs in teenagers and young adults, possibly due to alterations in endogenous production. Sleep onset is delayed by 3 to 6 hours compared with normal bedtime hours of 10 to 11 PM. Maintaining a consistent bedtime free of electronics for at least one hour prior to bedtime is especially important for children and adolescents.\n','Some important drug interactions can occur with melatonin even though it is a dietary supplement. Always review for drug, food and disease interactions with your healthcare provider anytime you start, or even stop, a medication.\nAlways tell your doctor and pharmacist about all of the medications you take, including prescription drugs, over-the-counter medicines, vitamins and herbal supplements. Do not stop using any medications without first talking to your doctor.\nTalk to your doctor before using melatonin if you take the blood thinner warfarin. Melatonin has been reported to increase the effects of warfarin in some patients. This is not a complete list of drug interactions that may occur with melatonin.\n Melatonin drug interactions (more detail)\nIs Melatonin Approved by the FDA?\nMelatonin is not approved by the FDA for any use. It falls under the FDA’s Dietary Health and Education Act as a dietary supplement. Dietary supplements may include vitamins, minerals, amino acids, and herbs or botanicals, plus other substances used to supplement the diet. As with other dietary supplements, melatonin isn\'t approved by the Food and Drug Administration (FDA) for safety or effectiveness.\nManufacturers must notify FDA about new ingredients prior to marketing. After the supplement is on the market, the FDA will monitor adverse events that are reported to them by the manufacturer, consumers or health care professionals. If a manufacturer makes an unproven health claim or if the supplement is found to be unsafe the FDA can remove the OTC from the market.\nAvoid buying dietary supplements from the Internet and from online pharmacies whose authenticity you cannot verify. It is important to remember that an OTC label that says “natural” supplement does not always mean it’s “safe” for consumption. Formulations that are United States Pharmacopeial (USP) Convention Verified can be considered most reliable in this regard; the label “USP” is found on the outside of the bottle. For example, all Nature Made products are verified by the USP. The safest way to purchase drugs online is through pharmacies accredited by the Verification of Internet Pharmacy Practice Sites (VIPPS) programs.\nDo Electronic Devices Alter Melatonin Levels?\nLight at night blocks the production of melatonin, and this has been shown to cause sleep disturbances in people who use electronics that emit light at night. Researchers have found that light from electronic devices can block the release of natural hormone melatonin at night. The effect was most significant for younger children, with nighttime levels reduced by up to 37 percent in certain cases. This can also be problematic for children between ages 9 and 16.\nStudies show that light after dark lowers melatonin levels which may lead to difficulty in initiating sleep. Electronic light-emitting devices such as the television, laptops, smartphones and tablets often find their way into the bedroom at night, or are used after dark. Children should not have electronics, including TVs, in their bedroom at bedtime and everyone should avoid use of light-emitting devices and screen time at least one hour before bedtime.\nMelatonin Reviews and Studies\nFor Sleep Disorders\nResearchers have conducted many studies on melatonin supplements for various conditions. Most studies have been conducted in sleep disorders, such as jet lag, shift work sleep disorders, delayed sleep phase disorder, and insomnia. Studies are often not consistent in their results and questions still remain about its usefulness, dosage, length of treatment and long-term safety for some sleep conditions.\nMelatonin can be effective for jet lag for many people when dosed at the appropriate time. Its effectiveness for insomnia might slightly hasten the amount of time needed to fall asleep, but may not increase the overall sleep time. This medication does appear to be safe for short-term use (less than three months).\nFor Other Conditions\nMultiple areas for melatonin use have been investigated, but not all uses may be accepted or have adequate research to determine appropriate clinical use. These include:\nCancer\nBoost the immune system\nSunburn\nIrritable Bowel Syndrome (IBS)\nFibromyalgia\nSystemic sclerosis\nAntioxidant and free radical scavenger\nAlzheimer’s disease\nOcular diseases\nSleep aid for children with autism spectrum disorder or attention deficit hyperactivity disorder (ADHD)\nAmyotrophic lateral sclerosis (ALS)\nNighttime blood pressure control\nSeasonal affective disorder (SAD)\nHow Does Melatonin Come at the Store?\nIn the U.S., melatonin pills can be purchased without a prescription in the pharmacy, grocery, or health food store. Pill strengths range from 1 milligram (mg) to 10 mg, but you should always start with the lowest dose to judge its effects. Some experts suggest to start with 0.3 to 0.5 mg thirty minutes before bedtime, instead of the higher doses. Cut a 1-mg immediate release tablet in half to get a 0.5 mg dose if lower doses are not available; don’t do this with time release products. Also, don\'t drink alcohol with the time-release preparation, as it can disrupt the time-release mechanism.\nDoes Food Contain Melatonin?\nA study published in Food and Nutrition Research notes that certain food products do contain various amounts of melatonin as measured by immunological and chromatographic laboratory techniques. How consumption of these various foods might affect endogenous production sleep or was not evaluated:\nTomatoes\nWalnuts\nRice/barley cereal\nStrawberries, tart cherries\nOlive oil\nWine, beer\nCow’s milk\nResearch finds that melatonin synthesis depends upon availability of the essential amino acid tryptophan, a needed component of the diet. If intake of tryptophan is severely restricted, synthesis of melatonin is significantly reduced in humans.\nIn the Nurses’ Health Study, no link was found between the consumption of various nutrients, such as folate, vitamin B6 and zinc and increased urinary excretion.\nDiets rich in vegetables, fruits and grain products will contain considerable levels of dietary melatonin. The overall effect of dietary consumption on nighttime levels of melatonin is very limited. Melatonin production is primarily driven by the effects of light and darkness and by age, declining as we get older.\nHow Much Does Melatonin Cost?\nOn average a 120-count bottle costs about $10.00, but prices can vary, depending upon the manufacturer and strengths purchased. Insurance usually will not pay for over-the-counter (OTC) products, although some plans may allow use of health savings account funds.\nBottom Line: Pros and Cons\nBenefits:\nWidely available in the U.S. over-the-counter (OTC) without a prescription\nShort-term use (less than 3 months) is relatively safe with little evidence of toxicity\nInexpensive product with generics or store brands available\nLower dose and orally-dissolvable products for children are available\nComes in a variety of dosage forms and doses\nDownsides:\nNot approved for any uses by the FDA (over-the-counter dietary supplement)\nQuality of some products cannot always be assured\nStudies for less common uses are not consistent\nDoses tend to vary between patients; always ask a medical professional for dosing advice in children\nEffective lower doses (0.1 to 1 mg) are not always commercially available\nHigher doses (2 to 10 mg) used over a prolonged period may lead to rebound insomnia and are not well studied.\nFor More Information\nJet Lag Disorder Disease Reference\nJet Lag Health Guide\nMelatonin Support Group\nSleep Disorders Support Group\nReferences\nPeuhkuri K, Sihvola N, Korpela R. Dietary factors and fluctuating levels of melatonin. Food & Nutrition Research. 2012;56:10.3402/fnr.v56i0.17252. doi:10.3402/fnr.v56i0.17252. Accessed May 3, 2021 at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3402070/\nHerxheimer A, Petrie KJ. Melatonin for the prevention and treatment of jet lag. Cochrane Database of Systematic Reviews 2002, Issue 2. Art. No.: CD001520. DOI: 10.1002/14651858.CD001520 Accessed May 3, 2021 at http://www.cochrane.org/CD001520/DEPRESSN_melatonin-for-the-prevention-and-treatment-of-jet-lag\nWurtman R. Cooper D. Martin K. Physiology and available preparations of melatonin. Up To Date. Accessed May 3, 2021 at www.uptodate.com/contents/physiology-and-available-preparations-of-melatonin\nPractice parameters for the clinical evaluation and treatment of circadian rhythm sleep disorders. An American Academy of Sleep Medicine report. Morgenthaler TI, et al. Standards of Practice Committee of the American Academy of Sleep Medicine. Sleep. 2007 Nov 1;30:1445-59. Accessed May 3, 2021 at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2082098/\nSleep Education. Non-24-Hour Sleep-Wake Rhythm – Overview & Risk Factors. Accessed May 3, 2021 at http://www.sleepeducation.org/sleep-disorders-by-category/circadian-rhythm-disorders/non-24-hour-sleep-wake-rhythm\nAuger R, Burgess H, Emens J, et al. Clinical Practice Guideline for the Treatment of Intrinsic Circadian Rhythm Sleep-Wake Disorders: Advanced SleepWake Phase Disorder (ASWPD), Delayed Sleep-Wake Phase Disorder (DSWPD), Non-24-Hour Sleep-Wake Rhythm Disorder (N24SWD), and Irregular Sleep-Wake Rhythm Disorder (ISWRD). An Update for 2015. Journal of Clinical Sleep Medicine. Accessed May 3, 2021 at http://www.aasmnet.org/Resources/clinicalguidelines/CRSWD-intrinsic.pdf\nBartlett D, Biggs S, Armstrong S. Circadian rhythm disorders among adolescents: assessment and treatment options. Med J Aust 2013; 199 (8): 16-20. Accessed May 3, 2021 at https://www.mja.com.au/journal/2013/199/8/circadian-rhythm-disorders-among-adolescents-assessment-and-treatment-options\nCanapari C. Melatonin For Children? A Guide for Parents. Accessed May 3, 2021 at http://drcraigcanapari.com/should-my-child-take-melatonin-a-guide-for-parents/\nBruni O, Alonso-Alconada D, Besag F, et al. Current role of melatonin in pediatric neurology: Clinical recommendations. European Journal of Paediatric Neurology 2015;19:122-33. Accessed May 3, 2021 at http://www.ejpn-journal.com/article/S1090-3798(14)00208-6/abstract\nDietary Supplements: What You Need to Know. U.S. Food and Drug Administration (FDA). Accessed May 3, 2021 at http://www.fda.gov/Food/DietarySupplements/UsingDietarySupplements/ucm109760.htm\nChang AM, Aeschbach D, Duffy JF, Czeisler CA. Evening use of light-emitting eReaders negatively affects sleep, circadian timing, and next-morning alertness. Proc Natl Acad Sci U S A 2015; 112:1232. Accessed May 3, 2021 at https://www.pnas.org/content/112/4/1232.full\nPeuhkuri K, Sihvola N, Korpela R. Dietary factors and fluctuating levels of melatonin. Food & Nutrition Research. 2012;56:10.3402/fnr.v56i0.17252. doi:10.3402/fnr.v56i0.17252. Accessed May 3, 2021 at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3402070/\nSchernhammer ES, Feskanich D, Niu C, Dopfel R, Holmes MD, Hankinson SE. Dietary correlates of urinary 6-sulfatoxymelatonin concentrations in the Nurses’ Health Study cohorts. Am J Clin Nutr. 2009;90:975–85. Accessed May 3, 2021 at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2744623/?tool=pubmed\nFDA 101: Dietary Supplements. U.S. Food and Drug Administration (FDA). Accessed May 3, 2021 at https://www.fda.gov/ForConsumers/ConsumerUpdates/ucm050803.htm\n','The most common melatonin side effect in children is morning drowsiness. Other common side effects in children include:\nBedwetting\nHeadache\nDizziness\nNausea\nDiarrhea\nPossible increased risk for seizures in children with severe neurological disorders.\nDietary melatonin supplements can still have drug interactions or health risks if you have certain medical conditions, upcoming surgery, or other health concerns.\n Melatonin side effects (more detail)\n','Melatonin is the natural hormone your body secretes that helps to maintain your wake-sleep cycle (also called “biological clock”). Melatonin is also made synthetically and available without a prescription as an over-the-counter (OTC) dietary supplement in the U.S.\nMelatonin is most commonly used to:\nhelp decrease jet lag\nadjust sleep cycles in the blind (non 24-Hour Sleep Wake Disorder, or Non-24)\ntreat shift-work sleep disorders in people with alternating work schedules\nfor general insomnias\nThe wake-sleep cycle is the process of sleep and wakefulness; in humans this averages 8 hours of nighttime sleep and 16 hours of daytime activity.\nMelatonin supplementation has been suggested to have many uses, from sleep disorders to cancer treatment, but adequate studies are lacking for many uses.\nIt has been widely studied for treatment of jet lag and other sleep disorders. Additional, early research to define melatonin suggests it has an anti-oxidative activity, a role in modulating immune responses, and possible anti-tumor activity.\nEndogenous melatonin release (made by our bodies) is increased each day in response to darkness, peaking between 11PM and 3AM at roughly 200 picograms (pg) per mL. Nighttime levels are roughly 10 times higher than in the daytime. Levels fall sharply before daylight, and are barely detectable in the daylight hours. The rise and fall in endogenous levels signal wake and sleep times, known as our circadian rhythm.\nNatural secretion starts from the amino acid tryptophan, with serotonin as an intermediary, and then is released to the receptors in the brain, eye and other areas to help control the sleep and wake cycles. The half-life is short, roughly 20 to 50 minutes. It is metabolized (broken down) by the CYP-450 enzyme system in the liver and then excreted in the urine or feces.\nShorter periods of production occur in the summer with longer days, and more prolonged periods of production occur in the winter. Light at night (such as from smartphones or the TV) blocks production and can lead to sleep disturbances. Age also suppresses the levels of nighttime melatonin that are released, which may contribute to the problem of insomnia and early awakening often seen in older adults.\nHow Does Melatonin Work?\nNatural melatonin is a highly lipid soluble hormone produced in the pineal gland in the brain. It is synthesized from the amino acid tryptophan and then released into the blood and cerebrospinal fluid, crossing the blood-brain barrier. It sends messages to the receptor agonist in the brain and other areas of the body to help control the sleep and wake cycles.\nDoes melatonin help you sleep? When taken as supplement, its function is to mimic the effects of the natural hormone. Drowsiness generally occurs within 30 minutes after taking a dose. Taking this medication right before bed may not be the best strategy for all sleep disorders. Ask your doctor about the best method of dosing. This medication does not work for everyone.\nIs Melatonin a Hormone?\nMelatonin is a natural hormone when produced in the body (the endogenous hormone). It is not a vitamin. Melatonin supplements (exogenous hormone) are made synthetically and all products and strengths on the U.S. market are available without a prescription at the pharmacy, nutrition stores, and other retail shops.\nBefore Taking This Medicine\nDo not use melatonin if you are allergic to it.\nBefore using this medication, talk to your healthcare provider. You may not be able to use this medication if you have certain medical conditions, such as:\ndiabetes\ndepression\na bleeding or blood clotting disorder such as hemophilia\ntaking a blood thinner like warfarin\nhigh or low blood pressure\nepilepsy or other seizure disorder\nif you are using any medicine to prevent organ transplant rejection\nan autoimmune condition\nusing other sedatives or tranquilizers\nIt is not known whether this medication will harm an unborn baby. Do not use this product without medical advice if you are pregnant.\nHigh doses of this medicine may affect ovulation, making it difficult for you to get pregnant.\nIt is not known whether melatonin passes into breast milk or if it could harm a nursing baby. Do not use this product without medical advice if you are breast-feeding a baby.\nDo not give any herbal/health supplement to a child without medical advice.\n',NULL,'\nAvoid driving or operating machinery for at least 4 hours after taking melatonin, or until the drowsy effects are no longer present.\nAvoid using this medication with other prescription medications, over-the-counter drugs, or dietary supplements without asking your doctor, pharmacist or other healthcare provider.\nAvoid alcohol while taking this medication.\nAvoid coffee, tea, cola, energy drinks, or other products that contain caffeine, as it may counteract the effects of the melatonin.\nWhat Happens if I Miss a Dose?\nIf you miss taking a dose there is no cause for concern, but melatonin may impair your thinking and reaction time. If you will be driving or doing any hazardous activity, skip your dose as melatonin can cause drowsiness.\nOtherwise, 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 or double your dose to make up the missed medication.\nCan You Overdose?\nMelatonin is thought to be very safe in the short-term with a low risk for overdose. If you suspect an overdose or serious adverse reactions, seek emergency medical attention or call the Poison Help Line at 1-800-222-1222.\nIs Melatonin Safe?\nMelatonin is a relatively safe supplement when used in the short-term, and melatonin side effects are uncommon. Its safety in the long-term has not been determined in randomized, controlled studies. In general this medication appears to be relatively nontoxic, even at higher doses such as 3 to 5 mg once a day.\nSome people can have side effects from melatonin that may include:\ndaytime drowsiness, dizziness, weakness, or confusion\nvivid dreams, nightmares\nfeeling depressed, anxious, irritable\nheadache\nloss of appetite, diarrhea, nausea, stomach pain\nblood pressure changes\njoint or back pain\nelevated risk for seizures\nHigher external doses(>1 mg to 10 mg) can worsen side effects like daytime drowsiness, impaired physical or mental ability, low body temperature, and elevated prolactin levels.\nRelated: Melatonin: Worth Losing Sleep Over?\n'),(540,'meloxicam','Take meloxicam exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not take this medicine in larger amounts or for longer than recommended. Use the lowest dose that is effective in treating your condition.\nMeloxicam oral is taken by mouth.\nThe injection is given as an infusion into a vein. A healthcare provider will give you this injection.\nYou may take the oral medicine with or without food.\nRemove an orally disintegrating tablet from the package only when you are ready to take the medicine. Place the tablet in your mouth and allow it to dissolve, without chewing. Swallow several times as the tablet dissolves.\nYour dose needs may change if you switch to a different brand, strength, or form of this medicine. Avoid medication errors by using only the form and strength your doctor prescribes.\nMeloxicam doses are based on weight (especially in children and teenagers). Your dose needs may change if you gain or lose weight.\nIf you use this medicine long-term, you may need frequent medical tests.\nStore meloxicam tablets or capsules at room temperature, away from moisture and heat. Keep the bottle tightly closed when not in use.\n Detailed Meloxicam dosage information\nWhat happens if I miss a dose?\nTake the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\n','Ask your doctor before using meloxicam if you take an antidepressant such as citalopram, escitalopram, fluoxetine (Prozac), fluvoxamine, paroxetine, sertraline (Zoloft), trazodone, or vilazodone. Taking any of these medicines with an NSAID may cause you to bruise or bleed easily.\nTell your doctor about all your current medicines and any you start or stop using, especially:\ncyclosporine;\nlithium;\nmethotrexate;\nsodium polystyrene sulfonate (Kayexalate);\na blood thinner (warfarin, Coumadin, Jantoven);\nheart or blood pressure medication, including a diuretic or \"water pill\" and ACE inhibitors; or\nsteroid medicine (such as prednisone).\nThis list is not complete. Other drugs may interact with meloxicam, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.\n Meloxicam drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction to meloxicam: sneezing, runny or stuffy nose; wheezing or trouble breathing; hives; swelling of your face, lips, tongue, or throat.\nGet emergency medical help if you have signs of a heart attack or stroke: chest pain spreading to your jaw or shoulder, sudden numbness or weakness on one side of the body, slurred speech, feeling short of breath.\nStop using this medicine and call your doctor at once if you have:\nthe first sign of any skin rash, no matter how mild;\nshortness of breath (even with mild exertion);\nswelling or rapid weight gain;\nsigns of stomach bleeding - bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds;\nliver problems - nausea, upper stomach pain, itching, tired feeling, flu-like symptoms, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);\nkidney problems - little or no urinating, painful or difficult urination, swelling in your feet or ankles, feeling tired or short of breath;\nlow red blood cells (anemia) - pale skin, feeling light-headed or short of breath, rapid heart rate, trouble concentrating; or\nsevere skin reaction - fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.\nCommon meloxicam side effects may include:\nupset stomach, nausea, vomiting, heartburn;\ndiarrhea, constipation, gas;\ndizziness; or\ncold symptoms, flu symptoms.\nThis 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.\n Meloxicam side effects (more detail)\n','Meloxicam is a nonsteroidal anti-inflammatory drug (NSAID). It works by reducing hormones that cause inflammation and pain in the body.\nMeloxicam is used to treat pain or inflammation caused by rheumatoid arthritis and osteoarthritis in adults.\nMeloxicam is also used to treat juvenile rheumatoid arthritis in children who are at least 2 years old.\nThe Anjeso brand of meloxicam is used to treat moderate to severe pain in adults.\nVivlodex is for use only in adults. Qmiiz is for adults and children weighing at least 132 pounds (60 kilograms).\n','Meloxicam can increase your risk of fatal heart attack or stroke, especially if you use it long term or take high doses, or if you have heart disease. Do not use this medicine just before or after heart bypass surgery (coronary artery bypass graft, or CABG).\nGet emergency medical help if you have chest pain, weakness, shortness of breath, slurred speech, or problems with vision or balance.\nMeloxicam may also cause stomach or intestinal bleeding, which can be fatal. These conditions can occur without warning while you are using this medicine, especially in older adults.\nCall your doctor at once if you have symptoms of stomach bleeding such as black, bloody, or tarry stools, or coughing up blood or vomit that looks like coffee grounds.\nAvoid smoking and drinking alcohol as they also increase your risk of stomach bleeding.\nAsk a doctor or pharmacist before using any other cold, allergy, or pain medicine. Medicines similar to meloxicam are contained in many combination medicines. Check the label to see if a medicine contains an NSAID (non-steroidal anti-inflammatory drug) such as aspirin, ibuprofen, ketoprofen, or naproxen.\nMeloxicam can increase your risk of fatal heart attack or stroke, especially if you use it long term or take high doses, or if you have heart disease. Even people without heart disease or risk factors could have a stroke or heart attack while taking this medicine.\nDo not use this medicine just before or after heart bypass surgery (coronary artery bypass graft, or CABG).\nMeloxicam may also cause stomach or intestinal bleeding, which can be fatal. These conditions can occur without warning while you are using this medicine, especially in older adults.\nYou should not use meloxicam if you are allergic to it, or if you have ever had an asthma attack or severe allergic reaction after taking aspirin or an NSAID.\nTo make sure this medicine is safe for you, tell your doctor if you have:\nheart disease, high blood pressure, high cholesterol, diabetes, or if you smoke;\na history of heart attack, stroke, or blood clot;\na history of stomach ulcers or bleeding;\nasthma;\nkidney disease (or if you are on dialysis);\nliver disease; or\nfluid retention.\nIf you are pregnant, you should not take meloxicam unless your doctor tells you to. Taking a NSAID during the last 20 weeks of pregnancy can cause serious heart or kidney problems in the unborn baby and possible complications with your pregnancy.\nMeloxicam may cause a delay in ovulation (the release of an egg from an ovary). You should not take this medicine if you are undergoing fertility treatment, or are otherwise trying to get pregnant.\nMeloxicam can pass into breast milk and may harm a nursing baby. Talk to your doctor before breastfeeding while using this medicine.\nMeloxicam is not FDA approved for use by anyone younger than 2 years old.\n','Avoid alcohol. Heavy drinking can increase your risk of stomach bleeding.\nAvoid taking aspirin while you are taking meloxicam, unless your doctor tells you to.\nAsk a doctor or pharmacist before using other medicines for pain, fever, swelling, or cold/flu symptoms. They may contain ingredients similar to meloxicam (such as aspirin, ibuprofen, ketoprofen, or naproxen).\n'),(541,'memantine','Usual Adult Dose for Alzheimer\'s Disease:\nIMMEDIATE-RELEASE:Week 1: 5 mg orally once a day.Week 2: 10 mg orally/day (Administer 5 mg twice a day.)Week 3: 15 mg orally/day (Administer 5 mg and 10 mg as separate doses.)Week 4/Maintenance Dose: 20 mg orally/day (Administer 10 mg twice a day.)EXTENDED-RELEASE:-Initial Dose: 7 mg orally once a day.-Maintenance and Maximum Dose: 28 mg orally once a day; increase the initial dose in 7 mg increments to the recommended maintenance dose.Comments: The minimum recommended interval between dose increases is one week; only increase dosage if the previous dose has been well tolerated.Use: Treatment of moderate to severe dementia of the Alzheimer\'s type.\n Detailed Memantine dosage information\nFree Drugs.com Discount Card\nSave up to 80% on your prescriptions.\nAccepted at over 65,000 pharmacies.\nGet Discount Card\n','Tell your doctor about all your current medicines and any you start or stop using, especially:\namantadine;\nzonisamide;\ncough medicine that contains dextromethorphan (Delsym, Robitussin Maximum Strength, Vicks 44, and others);\nmedicines to make the urine alkaline--urine sodium bicarbonate, potassium citrate (K-Lyte, Urocit-K), sodium citrate and citric acid (Bicitra, Oracit), or sodium citrate and potassium (Citrolith, Polycitra); or\nmedicine to treat glaucoma or increased pressure inside the eyes--acetazolamide, methazolamide.\nThis list is not complete. Other drugs may interact with memantine, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.\n Memantine drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.\nCall your doctor at once if you have:\nsevere headache, blurred vision, pounding in your neck or ears;\nseizure (convulsions); or\nunusual changes in mood or behavior.\nCommon side effects may include:\ndiarrhea;\ndizziness; or\nheadache.\nThis 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.\n Memantine side effects (more detail)\n','Memantine reduces the actions of chemicals in the brain that may contribute to the symptoms of Alzheimer\'s disease.\nMemantine is used to treat moderate to severe dementia of the Alzheimer\'s type.\nMemantine may also be used for purposes not listed in this medication guide.\n','Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.\nBefore taking this medicine\nYou should not use memantine if you are allergic to it.\nTo make sure memantine is safe for you, tell your doctor if you have:\nepilepsy or other seizure disorder;\nliver disease;\nkidney disease;\nurination problems; or\na bladder or kidney infection.\n memantine is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.\nIt is not known whether memantine passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.\nHow should I take memantine?\nFollow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not take this medicine in larger or smaller amounts or for longer than recommended.\nMemantine can be taken with or without food.\nDo not crush, chew, break, or open an extended-release capsule. Swallow it whole.\nTo make swallowing easier, you may open the extended-release capsule and sprinkle the medicine into a spoonful of applesauce. Swallow right away without chewing. Do not save the mixture for later use.\nMeasure liquid medicine (oral solution) with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.\nDo not mix the oral solution with any other liquids.\nRinse the empty oral syringe with clean water and allow it to air dry after every use.\nUse memantine regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.\nYour doctor will need to check your progress while you are using memantine.\nStore memantine at room temperature away from moisture and heat. Keep the liquid medicine bottle tightly closed with the cap provided. Do not store the bottle with the oral syringe in it.\nRead all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.\nWhat happens if I miss a dose?\nTake the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.\nIf you miss doses or forget to take your medicine for several days, call your doctor before starting the medicine again.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\n','Memantine can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.\n'),(542,'meropenem','Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.\nMeropenem is given as an infusion into a vein. A healthcare provider will give your first dose and may teach you how to properly use the medication by yourself.\nMeropenem must be mixed with a liquid (diluent) before using it. Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you don\'t understand all instructions.\nPrepare an injection only when you are ready to give it. Do not mix other injectable medications in the same IV bag or tubing with meropenem. Do not use if the medicine has changed colors or has particles in it. Call your pharmacist for new medicine.\nUse this medicine for the full prescribed length of time, even if your symptoms quickly improve. Skipping doses can increase your risk of infection that is resistant to medication. Meropenem will not treat a viral infection such as the flu or a common cold.\nIf you use meropenem long-term, you may need frequent medical tests.\nStore unopened vials at cool room temperature away from moisture and heat.\nAfter mixing your medicine, you must use it within a certain number of hours. This will depend on the diluent and how you store the mixture (at cool room temperature, or in a refrigerator). Carefully follow the mixing and storage instructions provided with your medicine. Ask your pharmacist if you have questions.\nUse a needle and syringe only once and then place them in a puncture-proof \"sharps\" container. Follow state or local laws about how to dispose of this container. Keep it out of the reach of children and pets.\n Detailed Meropenem dosage information\nWhat happens if I miss a dose?\nUse the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not use two doses at one time.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\n','Tell your doctor about all your other medicines, especially:\ndivalproex sodium;\nprobenecid; or\nvalproic acid.\nThis list is not complete. Other drugs may affect meropenem, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.\n Meropenem drug interactions (more detail)\nDoes Meropenem interact with my other drugs?\nEnter other medications to view a detailed report.\nDrug name\nAdd a drug to check interactions\nAdd\n','Get emergency medical help if you have signs of an allergic reaction (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning in your eyes, skin pain, red or purple skin rash that spreads and causes blistering and peeling).\nSeek medical treatment if you have a serious drug reaction that can affect many parts of your body. Symptoms may include: skin rash, fever, swollen glands, muscle aches, severe weakness, unusual bruising, or yellowing of your skin or eyes.\nCall your doctor at once if you have:\nsevere stomach pain, diarrhea that is watery or bloody;\na seizure (convulsions);\nsores or white patches in your mouth or throat (yeast infection or \"thrush\");\nsevere tingling or numbness; or\nlow red blood cells (anemia)--pale skin, unusual tiredness, feeling light-headed or short of breath, cold hands and feet.\nCommon side effects may include:\nheadache;\nnausea, vomiting, diarrhea, constipation;\nrash; or\nanemia.\nThis 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.\n Meropenem side effects (more detail)\n','Meropenem is an antibiotic that is used to treat severe infections of the skin or stomach.\nMeropenem is also used to treat bacterial meningitis (infection that causes inflammation of the tissue that covers the brain and spinal cord).\nMeropenem may also be used for purposes not listed in this medication guide.\n','Tell your doctor if you have a history of allergies to any antibiotic medications.\nBefore taking this medicine\nYou may not be able to use  meropenem if you have ever had a severe allergic reaction to meropenem or to certain antibiotics, such as:\ncefaclor, cefdinir, cefixime, cefpodoxime, cefprozil, cephalexin, Keflex, Omnicef, and others;\navibactam, relebactam, sulbactam, tazobactam, vaborbactam, and others; or\namoxicillin (Amoxil, Augmentin, Moxatag), ampicillin, dicloxacillin, oxacillin, penicillin, and others.\nTell your doctor if you have ever had:\nan allergy to any penicillin antibiotic;\na head injury or brain tumor;\nepilepsy or other seizure disorder; or\nkidney disease (or if you are on dialysis).\nTell your doctor if you are pregnant or breastfeeding.\n','Avoid driving or hazardous activity until you know how  meropenem will affect you. Your reactions could be impaired.\nAntibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or bloody, call your doctor. Do not use anti-diarrhea medicine unless your doctor tells you to.\n'),(543,'mesalamine','Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.\nThis medicine can affect the results of certain medical tests. Tell any doctor who treats you that you are using mesalamine.\nTake Asacol HD on an empty stomach, at least 1 hour before or 2 hours after a meal.\nLialda should be taken with a meal.\nYou may take Apriso with or without food.\nDrink plenty of liquids to help prevent kidney stones.\nOther brands of mesalamine can be taken with or without food. Follow your doctor\'s instructions or the directions on your medicine label.\nSwallow the capsule or tablet whole and do not crush, chew, or break it. Tell your doctor if you have trouble swallowing the pill.\nIf you cannot swallow a Pentasa capsule whole, open it and sprinkle the medicine into a spoonful of yogurt or applesauce. Swallow the mixture right away without chewing. Do not save it for later use.\nTell your doctor if you find undissolved mesalamine tablets in your stool.\nCall your doctor if your ulcerative colitis symptoms do not improve, or if they get worse.\nThis medicine can affect the results of certain medical tests. Tell any doctor who treats you that you are using mesalamine.\nYou may need frequent blood tests to check your blood cells or kidney function.\nStore at room temperature away from moisture and heat.\n Detailed Mesalamine dosage information\nFree Drugs.com Discount Card\nSave up to 80% on your prescriptions.\nAccepted at over 65,000 pharmacies.\nGet Discount Card\nWhat happens if I miss a dose?\nTake the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\n','Mesalamine can harm your kidneys, especially if you also use certain medicines for infections, cancer, osteoporosis, organ transplant rejection, bowel disorders, high blood pressure, or pain or arthritis (including Advil, Motrin, and Aleve).\nTell your doctor about all your other medicines, especially:\nazathioprine or 6-mercaptopurine.\nThis list is not complete. Other drugs may affect mesalamine, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.\n Mesalamine drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.\nStop using mesalamine and call your doctor at once if you have:\nsevere stomach pain, stomach cramping, bloody diarrhea;\nfever, headache, general ill feeling;\nrash, itching, eye redness;\nbloody or tarry stools, coughing up blood or vomit that looks like coffee grounds;\nlow white blood cell counts--fever, chills, mouth sores, skin sores, sore throat, cough, feeling light-headed, trouble breathing;\nsigns of a kidney stone--severe pain in your side and back, frequent need to urinate, foul-smelling urine, dark or cloudy urine;\nkidney problems--increased or decreased urination, swelling, weight gain; or\nliver problems--loss of appetite, upper stomach pain, tiredness, easy bruising or bleeding, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).\nLow white blood cell counts may be more likely in older adults.\nCommon side effects may include:\nburping, constipation, nausea, vomiting, stomach pain, diarrhea, gas;\ndizziness;\ncold symptoms such as stuffy nose, sneezing, sore throat;\nback pain;\nheadache;\nrash; or\nabnormal liver function tests.\nThis 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.\n Mesalamine side effects (more detail)\n','Mesalamine is used to treat mild to moderate ulcerative colitis. Mesalamine is also used to prevent the symptoms of ulcerative colitis from recurring.\nSome brands of mesalamine are for use only in adults, and some brands are for use in children who are at least 5 years old.\nMesalamine may also be used for purposes not listed in this medication guide.\n','Stop using mesalamine and call your doctor at once if you have severe stomach pain, stomach cramping, bloody diarrhea (may occur with fever, headache, and skin rash).\nBefore taking this medicine\nYou should not use  mesalamine if you are allergic to mesalamine, aspirin, sulfasalazine, or salicylates (such as Disalcid, Doans Pills, Dolobid, Kaopectate, Nuprin Backache, Pepto-Bismol, Tricosal, Trilisate, and others).\nTell your doctor if you have ever had:\na kidney stone or kidney disease;\nliver disease;\na blockage in your stomach or intestines (such as pyloric stenosis); or\na skin condition such as eczema.\nSome forms of mesalamine contain phenylalanine. Tell your doctor if you have phenylketonuria (PKU).\nTell your doctor if you are pregnant or plan to become pregnant. It is not known whether mesalamine will harm an unborn baby. However, having untreated or uncontrolled ulcerative colitis during pregnancy may cause complications such as low birth weight or premature birth. The benefit of treating ulcerative colitis may outweigh any risks to the baby.\nIt may not be safe to breastfeed while using this medicine. Ask your doctor about any risk. If you are breastfeeding, tell your doctor if you notice diarrhea in the nursing baby.\nDo not give this medicine to a child without medical advice. Some brands of mesalamine are not approved for use in anyone younger than 18 years old. Delzicol should not be given to a child younger than 5 years old.\n','If you have a skin condition such as eczema, mesalamine could make you sunburn more easily. Avoid sunlight or tanning beds. Wear protective clothing and use sunscreen (SPF 30 or higher) when you are outdoors.\nAsk your doctor before using an antacid, and use only the type your doctor recommends. Some antacids can make it harder for your body to absorb mesalamine.\n'),(544,'metamucil','Use exactly as directed on the label, or as prescribed by your doctor.\nMetamucil can swell in your throat and cause choking if you don\'t take it with enough liquid. Drink plenty of fluids each day to help improve bowel regularity.\nTake Metamucil with a full glass (at least 8 ounces) of water or other liquid.\nSwallow Metamucil capsules one at a time.\nMetamucil powder must be mixed with liquid before you take it. Do not swallow the dry powder. Mix with at least 8 ounces of liquid such as water or fruit juice. Stir and drink this mixture right away. Add a little more water to the glass, swirl gently and drink right away.\nMetamucil usually produces a bowel movement within 12 to 72 hours.\nCall your doctor if your symptoms do not improve, or if they get worse.\nMetamucil may be only part of a complete program of treatment that also includes diet, exercise, and weight control. Follow your doctor\'s instructions very closely.\nStore at room temperature away from moisture and heat. Keep the container tightly closed when not in use.\n Detailed Metamucil dosage information\nWhat happens if I miss a dose?\nSince  Metamucil is used when needed, you may not be on a dosing schedule. Skip any missed dose if it\'s almost time for your next dose. Do not use two doses at one time.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\n','Metamucil can make it harder for your body to absorb other medicines you take by mouth, possibly making them less effective. If you take any oral medicines, take them 2 hours before or 2 hours after you take this medicine.\nOther drugs may affect Metamucil, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.\n Metamucil drug interactions (more detail)\nDoes Metamucil interact with my other drugs?\nEnter other medications to view a detailed report.\nDrug name\nAdd a drug to check interactions\nAdd\n','Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nStop using Metamucil and call your doctor at once if you have:\nconstipation that lasts longer than 7 days;\nrectal bleeding; or\nsevere stomach pain.\nCommon side effects may include:\nbloating; or\nminor change in your bowel habits.\nThis 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.\n Metamucil side effects (more detail)\n','Metamucil is a bulk-forming fiber laxative that is used to treat occasional constipation or bowel irregularity.\nMetamucil may also help lower cholesterol when used together with a diet low in cholesterol and saturated fat.\nMetamucil may also be used for purposes not listed in this medication guide.\n','Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.\nBefore taking this medicine\nYou should not take Metamucil if you have ever had an allergic reaction to it.\nAsk a doctor or pharmacist if  Metamucil is safe to use if you have ever had:\nstomach pain, nausea, or vomiting;\ntrouble swallowing; or\na sudden change in bowel habits lasting longer than 2 weeks.\nThis medicine may contain sugar, sodium, or phenylalanine. Check the medication label if you have diabetes, high blood pressure, phenylketonuria (PKU), or if you are on a low-salt diet.\nAsk a doctor before using this medicine if you are pregnant or breastfeeding. Your dose needs may be different during pregnancy or while you are nursing.\nDo not give Metamucil to a child younger than 6 years old without medical advice.\n','Avoid breathing in the dust from Metamucil powder when mixing. Inhaling this medicine dust may cause an allergic reaction.\nIf you take Metamucil as part of a cholesterol-lowering treatment plan, avoid eating foods high in fat or cholesterol or your overall treatment will not be as effective.\n'),(545,'metformin','Take metformin exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed.\nTake metformin with a meal, unless your doctor tells you otherwise. Some forms of metformin are taken only once daily with the evening meal. Follow your doctor\'s instructions.\nDo not crush, chew, or break an extended-release tablet. Swallow it whole.\nMeasure liquid medicine carefully. Shake the oral suspension before you measure a dose. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).\nSome tablets are made with a shell that is not absorbed or melted in the body. Part of this shell may appear in your stool. This is normal and will not make the medicine less effective.\nYou may have low blood sugar (hypoglycemia) and feel very hungry, dizzy, irritable, confused, anxious, or shaky. To quickly treat hypoglycemia, eat or drink a fast-acting source of sugar (fruit juice, hard candy, crackers, raisins, or non-diet soda).\nYour doctor may prescribe a glucagon injection kit in case you have severe hypoglycemia. Be sure your family or close friends know how to give you this injection in an emergency.\nBlood sugar levels can be affected by stress, illness, surgery, exercise, alcohol use, or skipping meals. Ask your doctor before changing your dose or medication schedule.\nMetformin is only part of a complete treatment program that may also include diet, exercise, weight control, regular blood sugar testing, and special medical care. Follow your doctor\'s instructions very closely.\nStore at room temperature away from moisture, heat, and light.\nYour doctor may have you take extra vitamin B12 while you are taking this medicine. Take only the amount of vitamin B12 that your doctor has prescribed.\n Detailed Metformin dosage information\nWhat happens if I miss a dose?\nTake the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose can cause severe hypoglycemia or lactic acidosis.\n','Many drugs can interact with metformin, making it less effective or increasing your risk of lactic acidosis. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here. Tell your doctor about all your current medicines and any medicine you start or stop using.\n Metformin drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction to metformin: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nSome people using this medicine develop lactic acidosis, which can be fatal. Get emergency medical help if you have even mild symptoms such as:\nunusual muscle pain;\nfeeling cold;\ntrouble breathing;\nfeeling dizzy, light-headed, tired, or very weak;\nstomach pain, vomiting; or\nslow or irregular heart rate.\nCommon metformin side effects may include:\nlow blood sugar;\nnausea, upset stomach; or\ndiarrhea.\nThis 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.\n Metformin side effects (more detail)\n','Metformin is an oral diabetes medicine that helps control blood sugar levels.\nMetformin is used together with diet and exercise to improve blood sugar control in adults with type 2 diabetes mellitus.\nMetformin is sometimes used together with insulin or other medications, but it is not for treating type 1 diabetes.\nMetformin is also used off-label to treat polycystic ovary syndrome (PCOS).\n','You should not use metformin if you have severe kidney disease, metabolic acidosis, or diabetic ketoacidosis (call your doctor for treatment).\nIf you need to have any type of x-ray or CT scan using a dye that is injected into your veins, you may need to temporarily stop taking metformin.\nThough extremely rare, you may develop lactic acidosis, a dangerous build-up of lactic acid in your blood. Call your doctor or get emergency medical help if you have unusual muscle pain, trouble breathing, stomach pain, dizziness, feeling cold, or feeling very weak or tired.\nBefore taking this medicine\nYou should not use metformin if you are allergic to it, or if you have:\nsevere kidney disease; or\nmetabolic acidosis or diabetic ketoacidosis (call your doctor for treatment).\nIf you need to have surgery or any type of x-ray or CT scan using a dye that is injected into your veins, you may need to temporarily stop taking metformin. Be sure your caregivers know ahead of time that you are using this medication.\nTell your doctor if you have ever had:\nkidney disease (your kidney function may need to be checked before you take this medicine);\nhigh ketone levels in your blood or urine;\nheart disease, congestive heart failure;\nliver disease; or\nif you also use insulin, or other oral diabetes medications.\nYou may develop lactic acidosis, a dangerous build-up of lactic acid in your blood. This may be more likely if you have other medical conditions, a severe infection, chronic alcoholism, or if you are 65 or older. Ask your doctor about your risk.\nFollow your doctor\'s instructions about using metformin if you are pregnant or you become pregnant. Controlling diabetes is very important during pregnancy, and having high blood sugar may cause complications in both the mother and the baby. Tell your doctor if you become pregnant while taking metformin.\nMetformin may stimulate ovulation in a premenopausal woman and may increase the risk of unintended pregnancy. Talk to your doctor about your risk.\nYou should not breastfeed while using this medicine.\nMetformin should not be given to a child younger than 10 years old. Some forms of metformin are not approved for use by anyone younger than 18 years old.\n','Avoid drinking alcohol. It lowers blood sugar and may increase your risk of lactic acidosis.\n'),(546,'methadone','Follow the directions on your prescription label and read all medication guides. Never use methadone in larger amounts, or for longer than prescribed. Tell your doctor if you feel an increased urge to take more of methadone.\nNever share opioid medicine with another person, especially someone with a history of drug abuse or addiction. MISUSE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep the medication in a place where others cannot get to it. Selling or giving away opioid medicine is against the law.\nMethadone oral is taken by mouth. Methadone injection is injected into a muscle or under the skin, or given as an infusion into a vein. A healthcare provider may teach you how to properly use an injection by yourself.\nMeasure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).\nDissolve the dispersible tablet in water, orange juice, or other citrus-flavored non-alcoholic beverage.\nNever use methadone tablets or liquid to make a mixture for injecting the drug into your vein. This practice has resulted in death with the misuse of prescription drugs.\nWhen methadone is used as part of a treatment program for drug addiction or detoxification, your doctor may recommend that your dose be given to you by a family member or other caregiver.\nYou should not stop using this medicine suddenly. Follow your doctor\'s instructions about tapering your dose.\nStore at room temperature away from moisture, heat, and light. Keep track of your medicine. Methadone is a drug of abuse and you should be aware if anyone is using it improperly.\nDo not keep leftover opioid medication. Just one dose can cause death in someone using this medicine accidentally or improperly. Ask your pharmacist where to locate a drug take-back disposal program. If there is no take-back program, flush the unused medicine down the toilet.\n Detailed Methadone dosage information\nWhat happens if I miss a dose?\nIf you take methadone for pain: Take the missed dose as soon as you remember, then take your next dose 8 to 12 hours later.\nIf you take methadone for drug addiction: Take your missed dose the next day at the regular time. If you miss your doses for longer than 3 days in a row, call your doctor for instructions. You may need to restart at a lower dose.\nDo not take two doses at one time.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose can be fatal, especially in a child or other person using methadone without a prescription.\nOverdose symptoms may include slow heart rate, severe drowsiness, muscle weakness, cold and clammy skin, pinpoint pupils, very slow breathing, or coma.\n','You may have breathing problems or withdrawal symptoms if you start or stop taking certain other medicines. Tell your doctor if you also use an antibiotic, antifungal medication, heart or blood pressure medication, seizure medication, or medicine to treat HIV or hepatitis C.\nOpioid medication can interact with many other drugs and cause dangerous side effects or death. Be sure your doctor knows if you also use:\nother narcotic medications - opioid pain medicine or prescription cough medicine;\na sedative like Valium - diazepam, alprazolam, lorazepam, Ativan, Klonopin, Restoril, Tranxene, Versed, Xanax, and others;\ndrugs that make you sleepy or slow your breathing - a sleeping pill, muscle relaxer, tranquilizer, antidepressant, or antipsychotic medicine; or\ndrugs that affect serotonin levels in your body - a stimulant, or medicine for depression, Parkinson&aposs disease, migraine headaches, serious infections, or prevention of nausea and vomiting.\nThis list is not complete. Other drugs may interact with methadone, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here.\n Methadone drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction to methadone: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nOpioid medicine can slow or stop your breathing, and death may occur. A person caring for you should seek emergency medical attention if you have slow breathing with long pauses, blue colored lips, or if you are hard to wake up.\nCall your doctor at once if you have:\nweak or shallow breathing, breathing that stops during sleep;\nsevere constipation;\na light-headed feeling, like you might pass out;\nfast or pounding heartbeats, fluttering in your chest, shortness of breath; or\nnausea, vomiting, loss of appetite, dizziness, worsening tiredness or weakness.\nSeek medical attention right away if you have symptoms of serotonin syndrome, such as: agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, or diarrhea.\nSerious side effects may be more likely in older adults and those who are malnourished or debilitated.\nLong-term use of opioid medication may affect fertility (ability to have children) in men or women. It is not known whether opioid effects on fertility are permanent.\nCommon methadone side effects may include:\ndizziness, drowsiness;\nnausea, vomiting;\nincreased sweating, or\npain, redness, or swelling where the medicine was injected.\nThis 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.\n Methadone side effects (more detail)\n','Methadone is an opioid medication. An opioid is sometimes called a narcotic.\nMethadone reduces withdrawal symptoms in people addicted to heroin or other narcotic drugs without causing the \"high\" associated with the drug addiction.\nMethadone is used as a pain reliever and as part of drug addiction detoxification and maintenance programs. It is available only from a certified pharmacy.\n','You should not use methadone if you have severe asthma or breathing problems, or a blockage in your stomach or intestines.\nMISUSE OF METHADONE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH, especially in a child or other person using the medicine without a prescription. Keep the medication in a place where others cannot get to it.\nTaking opioid medicine during pregnancy may cause life-threatening withdrawal symptoms in the newborn.\nFatal side effects can occur if you use opioid medicine with alcohol, or with other drugs that cause drowsiness or slow your breathing.\nMethadone may cause a life-threatening heart rhythm disorder. Call your doctor at once if you have a headache with chest pain and severe dizziness, and fast or pounding heartbeats. Your heart function may need to be checked during treatment.\nBefore taking this medicine\nYou should not use methadone if you are allergic to it, or if you have:\nsevere asthma or breathing problems; or\na blockage in your stomach or intestines.\nTo make sure this medicine is safe for you, tell your doctor if you have ever had:\nheart problems, long QT syndrome (in you or a family member);\nbreathing problems, sleep apnea;\na head injury, brain tumor, or seizures;\ndrug or alcohol addiction, or mental illness;\nliver or kidney disease;\nurination problems; or\nproblems with your gallbladder, pancreas, or thyroid.\nIf you use opioid medicine while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on opioids may need medical treatment for several weeks.\nDo not breast-feed. Methadone can pass into breast milk and cause drowsiness, breathing problems, or death in a nursing baby.\n','Do not drink alcohol. Dangerous side effects or death could occur.\nAvoid driving or operating machinery until you know how this medicine will affect you. Dizziness or severe drowsiness can cause falls, accidents, or severe injuries.\nGrapefruit may interact with methadone and lead to unwanted side effects. Avoid the use of grapefruit products.\n'),(547,'methimazole','Usual Adult Dose for Hyperthyroidism:\nInitial dose: Mild hyperthyroidism: 15 mg orally per dayModerately severe hyperthyroidism: 30 to 40 mg orally per daySevere hyperthyroidism: 60 mg orally per day Maintenance dose:5 to 15 mg orally per day Comments: Daily doses are usually given in 3 divided doses at approximately 8 hour intervalsUses: -For the treatment of Graves\' disease with hyperthyroidism or toxic multinodular goiter in whom surgery or radioactive iodine therapy is not an appropriate treatment option.-To ameliorate symptoms of hyperthyroidism in preparation for thyroidectomy or radioactive iodine therapy.\nUsual Pediatric Dose for Hyperthyroidism:\nInitial dose: 0.4 mg/kg orally per dayMaintenance dose: 0.2 mg/kg orally per day (approximately half the initial dose) Comments: Daily doses are usually given in 3 divided doses at approximately 8 hour intervals\n Detailed Methimazole dosage information\n','Tell your doctor about all your current medicines and any you start or stop using, especially:\ndigoxin, digitalis, theophylline;\na blood thinner--warfarin, Coumadin, Jantoven; or\na beta blocker--atenolol, carvedilol, labetalol, metoprolol, nadolol, propranolol, sotalol, and others.\nThis list is not complete. Other drugs may interact with methimazole, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.\n Methimazole drug interactions (more detail)\nDoes Methimazole interact with my other drugs?\nEnter other medications to view a detailed report.\nDrug name\nAdd a drug to check interactions\nAdd\n','Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nSerious and sometimes fatal infections may occur during treatment with methimazole. Stop using  methimazole and call your doctor right away if you have signs of infection such as:\nsudden weakness or ill feeling, fever, chills, sore throat, cold or flu symptoms;\npainful mouth sores, pain when swallowing, red or swollen gums; or\npale skin, easy bruising, unusual bleeding.\nCall your doctor at once if you have:\nswollen glands in your neck or jaw; or\nliver problems--nausea, upper stomach pain, itching, tiredness, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).\nCommon side effects may include:\nnausea, vomiting, upset stomach;\nheadache, dizziness, drowsiness;\nnumbness or tingly feeling;\nrash, itching, skin discoloration;\nmuscle or joint pain;\nhair loss; or\ndecreased sense of taste.\nThis 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.\n Methimazole side effects (more detail)\n','Methimazole prevents the thyroid gland from producing too much thyroid hormone.\nMethimazole is used to treat hyperthyroidism (overactive thyroid). It is also used before thyroid surgery or radioactive iodine treatment.\nMethimazole may also be used for purposes not listed in this medication guide.\n','You should not breast-feed while using  methimazole.\nBefore taking this medicine\nYou should not use methimazole if you are allergic to it, or:\nif you are pregnant or breast-feeding.\nTo make sure methimazole is safe for you, tell your doctor if you have:\nliver disease;\na blood cell disorder; or\na weak immune system.\nUsing methimazole during pregnancy could harm the unborn baby. Tell your doctor if you are pregnant or if you become pregnant while using this medicine.\nMethimazole can pass into breast milk and may harm a nursing baby. You should not breast-feed while using this medicine.\nDo not give this medicine to a child without medical advice.\nHow should I take methimazole?\nFollow all directions on your prescription label. Your doctor may occasionally change your dose. Do not use  methimazole in larger or smaller amounts or for longer than recommended.\nMethimazole is usually taken every 8 hours. Take your doses at regular intervals to keep a steady amount of the drug in your body at all times.\nIf a child is using this medicine, tell your doctor if the child has any changes in weight. Methimazole doses are based on weight in children, and any changes may affect your child\'s dose.\nMethimazole can lower blood cells that help your body fight infections and help your blood to clot. 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.\nUse methimazole regularly to get the most benefit, even if you feel fine or have no symptoms of hyperthyroidism. Get your prescription refilled before you run out of medicine completely.\nIf you need surgery, tell the surgeon ahead of time that you are using methimazole.\nStore at room temperature away from moisture and heat.\nWhat happens if I miss a dose?\nTake the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\nOverdose symptoms may include nausea, vomiting, upset stomach, headache, joint pain, fever, itching, swelling, or pale skin and easy bruising or bleeding.\n','Avoid being near people who are sick or have infections. Tell your doctor at once if you develop signs of infection.\n'),(548,'methocarbamol','Usual Adult Dose for Muscle Spasm:\nORAL:\nInitial Dose: 1500 mg orally 4 times a day\n-Doses of 6000 mg per day are generally used for the first 48 to 72 hours\n-In severe cases, doses up to 8000 mg per day may be used\nMaintenance dose:\n500 mg tablets: 1000 mg orally 4 times a day\n750 mg Tablets: 750 mg orally every 4 hours OR 1500 mg orally 3 times a day\nPARENTERAL:\n-For the relief of moderate symptoms: 1 g IV or IM once, then switch to oral\n-For relief of severe symptoms or postoperative conditions: 1 g IV or IM every 8 hours\nMaximum Dose: 3 g in 24-hours\nMaximum Duration: 3 consecutive days; may repeat after a drug-free interval of 48 hours\nComments:\n-Higher doses are recommended in the first 48 to 72 hours of treatment, then doses can usually be reduced to approximately 4000 mg per day.\n-Oral tablets should be administered whenever feasible; IV/IM therapy should not be administered for more than 3 consecutive days without a drug-free interval of 48 hours.\nUse: As an adjunct to rest and physical therapy for the relief of discomfort associated with acute, painful musculoskeletal conditions.\nUsual Adult Dose for Tetanus:\nInitial dose: 1 to 2 g IV followed by an additional 1 to 2 g via IV infusion\nMaximal Initial Dose: 3 g\nRepeat initial IV dose every 6 hours until NG tube or oral therapy is possible\nOnce NG tube is in place, may crush tablets, suspend in water or saline and administer through tube\n-Total oral doses of up to 24 g may be needed based on patient response\nComments:\n-There is clinical evidence to suggest this drug may have a beneficial effect in the control of the neuromuscular manifestations of tetanus.\n-This drug should not replace the usual procedure of debridement, tetanus antitoxin, penicillin, tracheotomy, attention to fluid balance, and supportive care; if used, this drug should be added to the regimen as soon as possible.\nUse: To control the neuromuscular manifestations of tetanus.\nUsual Pediatric Dose for Tetanus:\nInitial dose: 15 mg/kg or 500 mg/m2 IV; repeat initial dose every 6 hours as needed\nMaximum dose: 1.8 g/m2/day IV for 3 consecutive days\nMaintenance dose: May be given by injection into tubing or by IV infusion with an appropriate quantity of fluid\nComments:\n-There is clinical evidence to suggest this drug may have a beneficial effect in the control of the neuromuscular manifestations of tetanus.\n-This drug should not replace the usual procedure of debridement, tetanus antitoxin, penicillin, tracheotomy, attention to fluid balance, and supportive care; if used, this drug should be added to the regimen as soon as possible.\nUse: To control the neuromuscular manifestations of tetanus.\nTake the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.\n Detailed Methocarbamol dosage information\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\nOverdose symptoms may include nausea, extreme drowsiness, fainting, seizure, or coma.\n','Using methocarbamol with other drugs that make you sleepy or slow your breathing can cause dangerous side effects or death. Ask your doctor before using opioid medication, a sleeping pill, a muscle relaxer, or medicine for anxiety or seizures.\nOther drugs may interact with methocarbamol, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.\n Methocarbamol drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction to methocarbamol: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nStop using methocarbamol and call your doctor at once if you have:\na light-headed feeling, like you might pass out;\nslow heartbeats;\na seizure;\njaundice (yellowing of your skin or eyes); or\npain, bruising, swelling, or skin changes where the injection was given.\nCommon methocarbamol side effects may include:\nheadache, dizziness, drowsiness;\nfever;\nconfusion, problems with memory;\nnausea, vomiting, upset stomach;\nblurred vision, double vision;\nflushing (warmth, redness, or tingly feeling);\nsleep problems (insomnia); or\nlack of coordination.\nThis 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.\n Methocarbamol side effects (more detail)\n','Methocarbamol is a muscle relaxer. It works by blocking nerve impulses (or pain sensations) that are sent to your brain.\nMethocarbamol is used together with rest and physical therapy to treat skeletal muscle conditions such as pain or injury.\nMethocarbamol injection is sometimes used in the treatment of tetanus, (lockjaw) which causes painful tightening of the muscles.\n','You should not use this medication if you are allergic to methocarbamol.\nBefore using methocarbamol, tell your doctor if you have myasthenia gravis.\nYou may need to reduce your dose after the first 2 or 3 days of treatment. Follow your doctor\'s instructions regarding the number of tablets you take each day.\nMethocarbamol may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Drinking alcohol can increase certain side effects of this medicine.\nBefore taking this medicine\nYou should not use methocarbamol if you are allergic to it.\nTo make sure this medicine is safe for you, tell your doctor if you have:\nkidney disease;\na seizure; or\nmyasthenia gravis.\nMethocarbamol may harm an unborn baby. Use effective birth control to prevent pregnancy, and tell your doctor if you become pregnant.\nIt may not be safe to breastfeed while using this medicine. Ask your doctor about any risk.\nMethocarbamol is not approved for use by anyone younger than 16 years old unless to treat tetanus.\nHow should I use methocarbamol?\nTake methocarbamol exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Methocarbamol is only part of a complete treatment program that may also include rest, physical therapy, or other pain relief measures.\nMethocarbamol oral is taken by mouth. You may need to reduce your dose after the first 2 or 3 days of treatment. Carefully follow your doctor\'s dosing instructions.\nMethocarbamol injection is injected into a muscle or given as an infusion into a vein. A healthcare provider will give you this injection.\nThe injection is usually given as a single dose before you start taking the oral form.\nTell your caregivers if you feel any burning, pain, or swelling around the IV needle when methocarbamol is injected.\nThis medicine can affect the results of certain medical tests. Tell any doctor who treats you that you are using this medicine.\nStore at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use.\n','Avoid driving or hazardous activity until you know how methocarbamol will affect you. Dizziness or drowsiness can cause falls, accidents, or severe injuries.\nDrinking alcohol with this medicine can cause side effects.\n'),(549,'methotrexate','YOU MAY NOT NEED TO TAKE METHOTREXATE EVERY DAY. This medicine is sometimes taken only once per week, or 2 to 4 times per week. Some conditions are treated daily for just a few days followed by a rest period of 1 week or longer before taking the medicine again.\nYou must use the correct dose. Some people have died after incorrectly taking methotrexate every day.\nTake methotrexate exactly as it was prescribed for you. Follow all directions on your prescription label and read all medication guides or instruction sheets.\nMeasure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).\nMethotrexate can be toxic to your organs, and may lower your blood cell counts. You will need frequent medical tests, and you may need an occasional liver biopsy or chest X-ray. Your cancer treatments may be delayed based on the results.\nIf you need to be sedated for dental work, tell your dentist you currently use methotrexate.\nStore methotrexate at room temperature away from moisture, heat, and light.\nYou may store Xatmep in a refrigerator or at room temperature. Avoid freezing or high heat. Throw away any unused Xatmep after 60 days if kept at room temperature.\n Detailed Methotrexate dosage information\nWhat happens if I miss a dose?\nCall your doctor for instructions if you miss a dose of methotrexate.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of methotrexate can be fatal.\nOverdose symptoms may include bruising or unusual bleeding, mouth sores, vomiting, little or no urination, bloody or tarry stools, or coughing up blood or vomit that looks like coffee grounds.\n','Tell your doctor about all your other medicines, especially:\nan antibiotic or sulfa drug;\nfolic acid;\nmercaptopurine;\ntheophylline;\nNSAIDs> (nonsteroidal anti-inflammatory drugs) - aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others;\nstomach acid reducers - esomeprazole, lansoprazole, omeprazole, pantoprazole, Nexium, Prilosec, Protonix, and others.\nMany drugs can interact with methotrexate. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here. Tell your doctor about all your current medicines and any medicine you start or stop using.\n Methotrexate drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction to methotrexate: (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning in your eyes, skin pain, red or purple skin rash that spreads and causes blistering and peeling).\nMethotrexate can cause serious or fatal side effects. Call your doctor at once if you have:\nsudden chest pain, wheezing, dry cough, cough with mucus, chest pain, feeling short of breath;\nfever, chills, swollen lymph glands, night sweats, weight loss;\nblisters or ulcers in your mouth, red or swollen gums, trouble swallowing;\nvomiting, diarrhea, blood in your urine or stools;\nskin changes such as redness, warmth, swelling, or oozing;\nlow blood cell counts - fever, chills, tiredness, mouth sores, skin sores, easy bruising, unusual bleeding, pale skin, cold hands and feet, feeling light-headed or short of breath;\nkidney problems - little or no urination, swelling in your feet or ankles;\nliver problems - swelling around your midsection, right-sided upper stomach pain, nausea, loss of appetite, dark urine, jaundice (yellowing of the skin or eyes);\nnerve problems - confusion, weakness, drowsiness, coordination problems, feeling irritable, headache, neck stiffness, vision problems, loss of movement in any part of your body, seizure; or\nsigns of tumor cell breakdown - tiredness, weakness, muscle cramps, nausea, vomiting, diarrhea, fast or slow heart rate, tingling in your hands and feet or around your mouth.\nCommon methotrexate side effects may include:\nfever, chills, tiredness, not feeling well;\nlow blood cell counts;\nmouth sores;\nnausea, stomach pain;\nabnormal liver function tests;\nhair loss;\nburning skin lesions; or\nbeing more sensitive to light.\nThis 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.\n Methotrexate side effects (more detail)\n','Methotrexate interferes with the growth of certain cells of the body, especially cells that reproduce quickly, such as cancer cells, bone marrow cells, and skin cells.\nMethotrexate is used to treat leukemia and certain types of cancer of the breast, skin, head and neck, lung, or uterus.\nMethotrexate is also used to treat severe psoriasis and rheumatoid arthritis in adults. It is also used to treat active polyarticular-course juvenile rheumatoid arthritis in children.\nMethotrexate is sometimes given when other medicines have not been effective.\n','Methotrexate may cause injury or death to an unborn baby and should not be used during pregnancy to treat arthritis or psoriasis. Methotrexate is sometimes used to treat cancer during pregnancy. Tell your doctor if you are pregnant or plan to become pregnant.\nDo not use this medicine to treat psoriasis or rheumatoid arthritis if you have low blood cell counts, a weak immune system, alcoholism or chronic liver disease, or if you are breastfeeding.\nYOU MAY NOT NEED TO TAKE METHOTREXATE EVERY DAY. Some people have died after incorrectly taking methotrexate every day. You must use the correct dose for your condition.\nMethotrexate can cause serious or fatal side effects. Tell your doctor if you have diarrhea, mouth sores, cough, shortness of breath, upper stomach pain, dark urine, numbness or tingling, muscle weakness, confusion, seizure, or skin rash that spreads and causes blistering and peeling.\nBefore taking this medicine\nYou should not use methotrexate if you are allergic to it. You may not be able to take this medicine if you have:\nalcoholism, cirrhosis, or chronic liver disease;\nlow blood cell counts;\na weak immune system or bone marrow disorder; or\nif you are pregnant or breastfeeding.\nMethotrexate is sometimes used to treat cancer in people who have a condition listed above. Your doctor will decide if this treatment is right for you.\nTo make sure this medicine is safe for you, tell your doctor if you have ever had:\nliver problems, especially fluid in your stomach (ascites);\nkidney disease;\nlung problems, especially fluid in the lungs (pleural effusion);\nradiation treatments; or\na stomach ulcer or ulcerative colitis.\nTell your doctor if you are pregnant or plan to become pregnant. Methotrexate may cause injury or death to an unborn baby and should not be used during pregnancy to treat arthritis or psoriasis. However, methotrexate is sometimes used to treat cancer during pregnancy.\nMethotrexate can harm an unborn baby if the mother or the father is using this medicine.\nIf you are a woman, you may need to have a negative pregnancy test before starting this treatment. Use effective birth control to prevent pregnancy while you are using methotrexate and for at least 6 months after your last dose.\nIf you are a man, use effective birth control if your sex partner is able to get pregnant. Keep using birth control for at least 3 months after your last dose.\nTell your doctor right away if a pregnancy occurs while either the mother or the father is using methotrexate.\nThis medicine may affect fertility (ability to have children) in both men and women. However, it is important to use birth control to prevent pregnancy because methotrexate may harm the baby if a pregnancy does occur.\nDo not breastfeed while using this medicine, and for at least 1 week after your last dose.\nDo not give this medicine to a child without the advice of a doctor.\n','Avoid drinking alcohol. It may increase your risk of liver damage.\nDo not receive a \"live\" vaccine while using methotrexate, or you could develop a serious infection. Live vaccines include measles, mumps, rubella (MMR), rotavirus, typhoid, yellow fever, varicella (chickenpox), zoster (shingles), and nasal flu (influenza) vaccine.\nMethotrexate could make you sunburn more easily. Avoid sunlight or tanning beds. Wear protective clothing and use sunscreen (SPF 30 or higher) when you are outdoors.\n'),(550,'methylphenidate','Take methylphenidate exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose. Do not take this medicine in larger or smaller amounts or for longer than recommended.\nYour dose needs may change if you switch to a different brand, strength, or form of this medicine. Avoid medication errors by using only the form and strength your doctor prescribes.\nMethylphenidate may be habit-forming. Never share this medicine with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it. Selling or giving away this medicine is against the law.\nRead all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.\nTo prevent sleep problems, take this medicine in the morning.\nSome brands of methylphenidate should be taken at least 30 minutes before a meal. Extended-release methylphenidate can be taken with or without food. Follow the directions on your medicine label\nDo not crush, chew, or break an extended-release tablet. Swallow it whole. Breaking the pill may cause too much of the drug to be released at one time.\nTo make swallowing easier, you may open the capsule and sprinkle the medicine into a spoonful of pudding or applesauce. Swallow right away without chewing. Do not save the mixture for later use.\nThe chewable tablet must be chewed before you swallow it.\nShake the oral suspension (liquid) well just before use and measure the dose very carefully using the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.\nTo take the orally disintegrating tablet (Cotempla XR-ODT):\nKeep the tablet in its blister pack until you are ready to take it. Open the package and peel back the foil. Do not push a tablet through the foil or you may damage the tablet.\nUse dry hands to remove the tablet and place it in your mouth.\nDo not swallow the tablet whole. Allow it to dissolve in your mouth without chewing.\nWhile using methylphenidate, your doctor will need to check your progress at regular visits. Tell any doctor who treats you that you are using this medicine.\nIf you need surgery, tell the surgeon ahead of time that you are using methylphenidate. You may need to stop using the medicine for a short time.\nStore at room temperature away from moisture and heat.\nKeep track of your medicine. Methylphenidate is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.\n Detailed Methylphenidate dosage information\nWhat happens if I miss a dose?\nTake the missed dose as soon as you remember. Skip the missed dose if it is later than 6:00 p.m. Do not take extra medicine to make up the missed dose.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of methylphenidate could be fatal.\n','Ask your doctor before using a stomach acid medicine (including Alka-Seltzer or sodium bicarbonate). Some of these medicines can change the way your body absorbs methylphenidate, and may increase side effects.\nDo not use methylphenidate if you are taking a MAO inhibitor, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, or tranylcypromine.\nMany drugs can interact with methylphenidate. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide. Tell your doctor about all your current medicines and any medicine you start or stop using.\n Methylphenidate drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction to methylphenidate: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.\nCall your doctor at once if you have:\nsigns of heart problems - chest pain, trouble breathing, feeling like you might pass out;\nsigns of psychosis - hallucinations (seeing or hearing things that are not real), new behavior problems, aggression, hostility, paranoia;\nsigns of circulation problems - numbness, pain, cold feeling, unexplained wounds, or skin color changes (pale, red, or blue appearance) in your fingers or toes;\na seizure (convulsions);\nmuscle twitches (tics);\nchanges in your vision; or\npenis erection that is painful or lasts 4 hours or longer (rare).\nMethylphenidate can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using this medicine.\nCommon methylphenidate side effects may include:\nexcessive sweating;\nmood changes, feeling nervous or irritable, sleep problems (insomnia);\nfast heart rate, pounding heartbeats or fluttering in your chest, increased blood pressure;\nloss of appetite, weight loss;\ndry mouth, nausea, stomach pain; or\nheadache.\nThis 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.\n Methylphenidate side effects (more detail)\n','Methylphenidate is a central nervous system stimulant. It affects chemicals in the brain and nerves that contribute to hyperactivity and impulse control.\nMethylphenidate is used to treat attention deficit disorder (ADD), attention deficit hyperactivity disorder (ADHD), and narcolepsy.\nMethylphenidate may also be used for purposes not listed in this medication guide.\n','Methylphenidate may be habit-forming, and this medicine is a drug of abuse. Tell your doctor if you have had problems with drug or alcohol abuse.\nStimulants have caused stroke, heart attack, and sudden death in people with high blood pressure, heart disease, or a heart defect.\nDo not use methylphenidate if you have used an MAO inhibitor in the past 14 days, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, or tranylcypromine.\nMethylphenidate may cause new or worsening psychosis (unusual thoughts or behavior), especially if you have a history of depression, mental illness, or bipolar disorder.\nYou may have blood circulation problems that can cause numbness, pain, or discoloration in your fingers or toes.\nCall your doctor right away if you have: signs of heart problems - chest pain, feeling light-headed or short of breath; signs of psychosis - paranoia, aggression, new behavior problems, seeing or hearing things that are not real; signs of circulation problems - unexplained wounds on your fingers or toes.\nBefore taking this medicine\nDo not use methylphenidate if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.\nYou may not be able to use methylphenidate if you are allergic to it, or if you have:\nglaucoma;\na personal or family history of tics (muscle twitches) or Tourette\'s syndrome; or\nsevere anxiety, tension, or agitation (stimulant medicine can make these symptoms worse).\nYou should not use Metadate CD if you have:\nsevere hypertension; or\nheart failure; or\nirregular heart rhythms; or\nhigh thyroid levels; or\nrecent heart attack or related chest pain; or\nhereditary problems of fructose intolerance, glucose-galactose malabsorption, or sucrose-isomaltase insufficiency\nStimulants have caused stroke, heart attack, and sudden death in certain people. Tell your doctor if you have:\nheart problems or a congenital heart defect;\nhigh blood pressure; or\na family history of heart disease or sudden death.\nTo make sure this medicine is safe for you, tell your doctor if you or anyone in your family has ever had:\ndepression, mental illness, bipolar disorder, psychosis, or suicidal thoughts or actions;\nmotor tics (muscle twitches) or Tourette\'s syndrome;\nblood circulation problems in the hands or feet;\nseizures or epilepsy;\nproblems with the esophagus, stomach, or intestines;\nan abnormal brain wave test (EEG); or\na history of drug or alcohol addiction.\nIt is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.\nIf you are pregnant, your name may be listed on a pregnancy registry to track the effects of methylphenidate on the baby.\nIt is not known whether methylphenidate passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.\nMethylphenidate is not approved for use by anyone younger than 6 years old.\n','Avoid drinking alcohol, especially if you take extended-release methylphenidate. Alcohol may cause the medicine to be released into the bloodstream too fast.\nMethylphenidate may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.\n'),(551,'methylprednisolone','Take methylprednisolone exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose. Do not use this medicine in larger or smaller amounts or for longer than recommended.\nMethylprednisolone is sometimes taken every other day. Follow your doctor\'s dosing instructions very carefully.\nYour dose needs may change if you have unusual stress such as a serious illness, fever or infection, or if you have surgery or a medical emergency. Tell your doctor about any such situation that affects you.\nThis medicine can cause unusual results with certain medical tests. Tell any doctor who treats you that you are using methylprednisolone.\nYou should not stop using this medicine suddenly. Follow your doctor\'s instructions about tapering your dose.\nWear a medical alert tag or carry an ID card stating that you take methylprednisolone. Any medical care provider who treats you should know that you take steroid medication.\nIf you need surgery, tell the surgeon ahead of time that you are using this medicine. You may need to stop using the medicine for a short time.\nStore at room temperature away from moisture and heat.\n Detailed Methylprednisolone dosage information\nWhat happens if I miss a dose?\nCall your doctor for instructions if you miss a dose.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\nAn overdose of methylprednisolone is not expected to produce life threatening symptoms. However, long term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.\n','Other drugs may interact with methylprednisolone, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.\n Methylprednisolone drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction to methylprednisolone: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nCall your doctor at once if you have:\nshortness of breath (even with mild exertion), swelling, rapid weight gain;\nbruising, thinning skin, or any wound that will not heal;\nblurred vision, tunnel vision, eye pain, or seeing halos around lights;\nsevere depression, changes in personality, unusual thoughts or behavior;\nnew or unusual pain in an arm or leg or in your back;\nbloody or tarry stools, coughing up blood or vomit that looks like coffee grounds;\nseizure (convulsions); or\nlow potassium - leg cramps, constipation, irregular heartbeats, fluttering in your chest, increased thirst or urination, numbness or tingling.\nSteroids can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using this medicine.\nCommon methylprednisolone side effects may include:\nfluid retention (swelling in your hands or ankles);\ndizziness, spinning sensation;\nchanges in your menstrual periods;\nheadache;\nmild muscle pain or weakness; or\nstomach discomfort, bloating.\nThis 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.\n Methylprednisolone side effects (more detail)\n','Methylprednisolone is a corticosteroid medicine that prevents the release of substances in the body that cause inflammation.\nMethylprednisolone is used to treat many different inflammatory conditions such as arthritis, lupus, psoriasis, ulcerative colitis, allergic disorders, gland (endocrine) disorders, and conditions that affect the skin, eyes, lungs, stomach, nervous system, or blood cells.\nMethylprednisolone may also be used for purposes not listed in this medication guide.\n','You should not use this medicine if you have a fungal infection anywhere in your body.\nBefore taking methylprednisolone, tell your doctor about all of your medical conditions, and about all other medicines you are using. There are many other diseases that can be affected by steroid use, and many other medicines that can interact with steroids.\nSteroid medication can weaken your immune system, making it easier for you to get an infection or worsening an infection you already have or have recently had. Tell your doctor about any illness or infection you have had within the past several weeks.\nAvoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. Do not receive a \"live\" vaccine while using this medicine. The vaccine may not work as well during this time, and may not fully protect you from disease.\nDo not stop using methylprednisolone suddenly, or you could have unpleasant withdrawal symptoms. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication. Any doctor, dentist, or emergency medical professional who treats you should know that you take steroid medication.\nBefore taking this medicine\nYou should not use methylprednisolone if you are allergic to it, or if you have:\na fungal infection anywhere in your body.\nMethylprednisolone can weaken your immune system, making it easier for you to get an infection. Steroids can also worsen an infection you already have, or reactivate an infection you recently had. Tell your doctor about any illness or infection you have had within the past several weeks.\nTo make sure this medicine is safe for you, tell your doctor if you have ever had:\na thyroid disorder;\nherpes infection of the eyes;\nstomach ulcers, ulcerative colitis, or diverticulitis;\ndepression, mental illness, or psychosis;\nliver disease (especially cirrhosis);\nhigh blood pressure;\nosteoporosis;\na muscle disorder such as myasthenia gravis; or\nmultiple sclerosis.\nAlso tell your doctor if you have diabetes. Steroid medicines may increase the glucose (sugar) levels in your blood or urine. You may also need to adjust the dose of your diabetes medications.\nIt is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.\nIt is not known whether methylprednisolone passes into breast milk or if it could affect the nursing baby. Tell your doctor if you are breast-feeding.\n','Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using steroid medication.\nDo not receive a \"live\" vaccine while using methylprednisolone. The vaccine may not work as well during this time, and may not fully protect you from disease. Live vaccines include measles, mumps, rubella (MMR), polio, rotavirus, oral typhoid, yellow fever, varicella (chickenpox), and nasal flu (influenza) vaccine.\n'),(552,'metoclopramide','Usual Adult Dose for Nausea/Vomiting:\nPostoperative nausea and vomiting:\nParenteral: 10 to 20 mg IM at or near the end of surgery\nUsual Adult Dose for Gastroesophageal Reflux Disease:\nOral: 10 to 15 mg up to 4 times a day 30 minutes before meals and at bedtime, depending upon symptoms being treated and clinical response. Therapy should not exceed 12 weeks.\nUsual Adult Dose for Small Intestine Intubation:\nIf the tube has not passed the pylorus with conventional methods in 10 minutes, a single (undiluted) dose may be administered IV slowly over 1 to 2 minutes:\nAdults and pediatric patients greater than or equal to 14 years: 10 mg IV as a single dose administered over 1 to 2 minutes.\nUsual Adult Dose for Radiographic Exam:\nAdults and pediatric patients greater than or equal to 14 years: 10 mg IV as a single dose administered over 1 to 2 minutes to facilitate gastric emptying where delayed gastric emptying interferes with radiological examination of the stomach and/or small intestine.\nUsual Adult Dose for Gastroparesis:\nDuring the earliest manifestations of diabetic gastric stasis, oral administration may be initiated. If severe symptoms are present, therapy should begin with IM or IV administration for up to 10 days until symptoms subside at which time the patient can be switched to oral therapy. Since diabetic gastric stasis is often recurrent, therapy should be reinstituted at the earliest manifestation.\nParenteral: 10 mg 4 times daily, IV (slowly over a 1 to 2 minute period) or IM for up to 10 days.\nOral: 10 mg 4 times daily, 30 minutes before meals and at bedtime, for 2 to 8 weeks depending on clinical response.\nUsual Adult Dose for Nausea/Vomiting -- Chemotherapy Induced:\nIV infusion: 1 to 2 mg/kg/dose (depending on the emetogenic potential of the agent) IV (infused over a period of not less than 15 minutes) 30 minutes before administration of chemotherapy. The dose may be repeated twice at 2 hour intervals following the initial dose. If vomiting is still not suppressed, the same dose may be repeated 3 more times at 3 hour intervals.\nFor doses higher than 10 mg, the injection should be diluted in 50 mL of a parenteral solution. Normal saline is the preferred diluent.\nIf acute dystonic reactions occur, 50 mg of diphenhydramine hydrochloride may be injected IM.\nUsual Adult Dose for Migraine:\nUse for treatment of migraine headaches is not an FDA approved indication; however, metoclopramide has shown efficacy in studies at a dose of 10 to 20 mg IV once (used in combination with analgesics or ergot derivatives).\nUsual Pediatric Dose for Gastroesophageal Reflux Disease:\nMetoclopramide is not approved by the FDA for gastroesophageal reflux disease in pediatric patients; however, the following doses have been studied:\nOral, IM, IV:\nInfants and Children: 0.4 to 0.8 mg/kg/day in 4 divided doses\nUsual Pediatric Dose for Small Intestine Intubation:\nMetoclopramide IV is approved by the FDA for pediatric use to facilitate small bowel intubation by causing gastric emptying where delayed gastric emptying interferes with radiological examination of the stomach and/or small intestine.\nIf the tube has not passed the pylorus with conventional methods in 10 minutes, a single (undiluted) dose may be administered IV slowly over 1 to 2 minutes:\nLess than 6 years: 0.1 mg/kg IV as a single dose\n6 to 14 years: 2.5 to 5 mg IV as a single dose\nChildren greater than 14 years: 10 mg as a single dose\nUsual Pediatric Dose for Nausea/Vomiting -- Chemotherapy Induced:\nMetoclopramide is not approved by the FDA for chemotherapy induced nausea and vomiting in pediatric patients; however, the following doses have been studied:\nIV:\n1 to 2 mg/kg/dose IV every 30 minutes before chemotherapy and every 2 to 4 hours\nUsual Pediatric Dose for Nausea/Vomiting -- Postoperative:\nMetoclopramide is not approved by the FDA for postoperative nausea and vomiting in pediatric patients; however, the following doses have been studied:\nIV:\nChildren less than or equal to 14 years: 0.1 to 0.2 mg/kg/dose (maximum dose: 10 mg/dose); repeat every 6 to 8 hours as needed\nChildren greater than 14 years and Adults: 10 mg; repeat every 6 to 8 hours as needed\n Detailed Metoclopramide dosage information\nWhat happens if I miss a dose?\nTake the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222. Overdose symptoms may include drowsiness, confusion, or uncontrolled muscle movements.\n','Using metoclopramide with other drugs that make you drowsy can worsen this effect. Ask your doctor before you take opioid pain medication, a sleeping pill, a muscle relaxer, or medicine for anxiety, depression, or seizures.\nTell your doctor about all your current medicines. Many drugs can affect metoclopramide, especially:\nacetaminophen (Tylenol);\ncyclosporine (Gengraf, Neoral, Sandimmune);\ndigoxin (digitalis, Lanoxin);\nglycopyrrolate (Robinul);\ninsulin;\nlevodopa (Larodopa, Atamet, Parcopa, Sinemet);\nmepenzolate (Cantil);\ntetracycline (Ala-Tet, Brodspec, Panmycin, Sumycin, Tetracap);\natropine (Donnatal, and others), benztropine (Cogentin), dimenhydrinate (Dramamine), methscopolamine (Pamine), or scopolamine (Transderm-Scop);\nbladder or urinary medications such as darifenacin (Enablex), flavoxate (Urispas), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or solifenacin (Vesicare);\nblood pressure medications;\nbronchodilators such as ipratroprium (Atrovent) or tiotropium (Spiriva);\nirritable bowel medications such as dicyclomine (Bentyl), hyoscyamine (Anaspaz, Cystospaz, Levsin), or propantheline (Pro-Banthine);\nan MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate); or\nmedicines to treat psychiatric disorders, such as chlorpromazine (Thorazine), clozapine (Clozaril, FazaClo), haloperidol (Haldol), olanzapine (Zyprexa, Symbyax), prochlorperazine (Compazine), risperidone (Risperdal), thiothixene (Navane), and others.\nThis list is not complete and there are many other drugs that can interact with metoclopramide. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.\n Metoclopramide drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction to metoclopramide: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nStop taking metoclopramide and call your doctor at once if you have any of these SIGNS OF A SERIOUS MOVEMENT DISORDER, which may occur within the first 2 days of treatment:\ntremors or shaking in your arms or legs;\nuncontrolled muscle movements in your face (chewing, lip smacking, frowning, tongue movement, blinking or eye movement); or\nany new or unusual muscle movements you cannot control.\nCall your doctor at once if you have:\nconfusion, depression, thoughts of suicide or hurting yourself;\nslow or jerky muscle movements, problems with balance or walking;\nmask-like appearance in your face;\na seizure;\nanxiety, agitation, jittery feeling, trouble staying still, trouble sleeping;\nswelling, feeling short of breath, rapid weight gain; or\nsevere nervous system reactionvery stiff (rigid) muscles, high fever, sweating, confusion, fast or uneven heartbeats, tremors, feeling like you might pass out.\nCommon metoclopramide side effects may include:\nfeeling restless;\nfeeling drowsy or tired;\nlack of energy;\nnausea, vomiting;\nheadache, confusion; or\nsleep problems (insomnia).\nThis 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.\n Metoclopramide side effects (more detail)\n','Metoclopramide increases muscle contractions in the upper digestive tract. This speeds up the rate at which the stomach empties into the intestines.\nMetoclopramide oral (taken by mouth) is used for 4 to 12 weeks to treat heartburn caused by gastroesophageal reflux in people who have used other medications without relief.\nMetoclopramide oral is also used to treat gastroparesis (slow stomach emptying) in people with diabetes, which can cause heartburn and stomach discomfort after meals.\nMetoclopramide injection is used to treat severe diabetic gastroparesis. The injection is also used to prevent nausea and vomiting caused by chemotherapy or surgery, or to aid in certain medical procedures involving the stomach or intestines.\n','Do not use this medicine if you\'ve ever had muscle movement problems after using metoclopramide or similar medicines, or if you\'ve had a movement disorder called tardive dyskinesia. You also should not use this medicine if you\'ve had stomach or intestinal problems (a blockage, bleeding, or a hole or tear), epilepsy or other seizure disorder, or an adrenal gland tumor (pheochromocytoma).\nNEVER USE METOCLOPRAMIDE IN LARGER AMOUNTS THAN RECOMMENDED, OR FOR LONGER THAN 12 WEEKS. High doses or long-term use can cause a serious movement disorder that may not be reversible. The longer you use metoclopramide, the more likely you are to develop this movement disorder. The risk of this side effect is higher in diabetics and older adults (especially women).\nBefore you take metoclopramide, tell your doctor if you have kidney or liver disease, congestive heart failure, high blood pressure, diabetes, Parkinson\'s disease, or a history of depression.\nDo not drink alcohol. It can increase some of the side effects of metoclopramide.\nStop using metoclopramide and call your doctor at once if you have tremors or uncontrolled muscle movements, fever, stiff muscles, confusion, sweating, fast or uneven heartbeats, rapid breathing, depressed mood, thoughts of suicide or hurting yourself, hallucinations, anxiety, agitation, seizure, or jaundice (yellowing of your skin or eyes).\nBefore taking this medicine\nYou should not use metoclopramide if you are allergic to it, or if you have:\ntardive dyskinesia (a disorder of involuntary movements);\nstomach or intestinal problems such as a blockage, bleeding, or perforation (a hole or tear in your stomach or intestines);\nepilepsy or other seizure disorder;\nan adrenal gland tumor (pheochromocytoma); or\nif you\'ve ever had muscle movement problems after using metoclopramide or similar medicines.\nTell your doctor if you have ever had:\nliver or kidney disease;\nproblems with muscle movements;\ncongestive heart failure or a heart rhythm disorder;\nhigh blood pressure;\nseizures;\nbreast cancer;\nParkinson\'s disease;\ndiabetes; or\ndepression or mental illness.\nThis medicine may contain phenylalanine. Check the medication label if you have phenylketonuria (PKU).\nTell your doctor if you are pregnant. Metoclopramide may harm an unborn baby if you use the medicine during late pregnancy.\nIt may not be safe to breast-feed a baby while you are using this medicine. Ask your doctor about any risks.\nMetoclopramide is not approved for use by anyone younger than 18 years old.\nHow should I use metoclopramide?\nTake metoclopramide exactly as prescribed by your doctor. Follow the directions on your prescription label and read all medication guides. Use the medicine exactly as directed.\nA metoclopramide injection is given into a muscle or as an infusion into a vein. A healthcare provider will give the injection, usually during surgery, chemotherapy, or a medical procedure.\nMetoclopramide oral is taken for only 4 to 12 weeks.\nNEVER USE METOCLOPRAMIDE IN LARGER AMOUNTS THAN RECOMMENDED, OR FOR LONGER THAN 12 WEEKS. High doses or long-term use of metoclopramide can cause a serious movement disorder that may not be reversible. The longer you use metoclopramide, the more likely you are to develop this movement disorder. The risk of this side effect is higher in diabetics and older adults (especially women).\nMetoclopramide is usually taken 30 minutes before meals and at bedtime, or only with meals that usually cause heartburn. Follow your doctor\'s dosing instructions very carefully.\nDo not use two different forms of metoclopramide (such as tablets and oral syrup) at the same time.\nMeasure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).\nTo take the orally disintegrating tablet (ODT):\nRemove a tablet from its blister pack only when you are ready to take the tablet. Use dry hands and take care not to damage a tablet while pushing it out of the blister.\nPlace the tablet in your mouth and allow it to dissolve, without chewing or swallowing it whole. You may sip liquid if needed to help swallow the dissolved tablet.\nStore at room temperature in a tightly-closed container, away from moisture and heat. Keep the bottle tightly closed.\nAfter you stop taking metoclopramide, you may have unpleasant withdrawal symptoms such as headache, dizziness, or nervousness.\n','Drinking alcohol with this medicine can cause side effects.\nAvoid driving or hazardous activity until you know how this medicine will affect you. Your reactions could be impaired.\n'),(553,'metolazone','Usual Adult Dose for Hypertension:\nInitial dose:  2.5 mg orally once a day (Zaroxolyn) or0.5 mg orally once a day (Mykrox).\nUsual Adult Dose for Edema:\nInitial dose:  5 mg orally once a day (Zaroxolyn) or0.5 mg orally once a day (Mykrox).\n Detailed Metolazone dosage information\n','Taking  metolazone with other drugs that make you make you light-headed can worsen this effect. Ask your doctor before taking metolazone with a narcotic pain medicine, muscle relaxer, or medicine for anxiety or seizures.\nTell your doctor about all your current medicines and any you start or stop using, especially:\nany other blood pressure medication;\ndigoxin, digitalis;\nfurosemide or other diuretics (water pills);\ninsulin or oral diabetes medicine;\nlithium;\nmethenamine;\nvitamin D (at high doses);\na blood thinner--warfarin, Coumadin, Jantoven;\nNSAIDs (nonsteroidal anti-inflammatory drugs)--ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others;\nsalicylates--aspirin, Nuprin Backache Caplet, Kaopectate, KneeRelief, Pamprin Cramp Formula, Pepto-Bismol, Tricosal, Trilisate, and others; or\nsteroid medicine--prednisone and others.\nThis list is not complete. Other drugs may interact with metolazone, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.\n Metolazone drug interactions (more detail)\nDoes Metolazone interact with my other drugs?\nEnter other medications to view a detailed report.\nDrug name\nAdd a drug to check interactions\nAdd\n','Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nCall your doctor at once if you have:\nchest pain;\npounding heartbeats or fluttering in your chest;\neasy bruising or bleeding;\na light-headed feeling, like you might pass out;\nliver problems--nausea, upper stomach pain, itching, tiredness, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);\nlow potassium--leg cramps, constipation, irregular heartbeats, fluttering in your chest, increased thirst or urination, numbness or tingling, muscle weakness or limp feeling;\nlow levels of sodium in the body--headache, confusion, slurred speech, severe weakness, vomiting, loss of coordination, feeling unsteady;\nother signs of an electrolyte imbalance--dry mouth, nausea, vomiting, weakness, drowsiness, lack of energy, muscle pain, little or no urination, or feeling restless; or\nsevere skin reaction--fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.\nCommon side effects may include:\ndizziness, spinning sensation;\ndrowsiness, tiredness;\ndepressed mood;\nmuscle or joint pain;\nnumbness or tingly feeling;\nnausea, stomach pain, loss of appetite; or\ndiarrhea, constipation.\nThis 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.\n Metolazone side effects (more detail)\n','Metolazone is a thiazide diuretic (water pill) that helps prevent your body from absorbing too much salt, which can cause fluid retention.\nMetolazone is used to treat fluid retention (edema) in people with congestive heart failure, or a kidney disorder such as nephrotic syndrome. Metolazone is also used to treat high blood pressure (hypertension).\nMetolazone may also be used for purposes not listed in this medication guide.\n','You should not use metolazone if you are unable to urinate, or if you have severe liver disease.\nWhat should I discuss with my doctor before taking metolazone?\nYou should not use metolazone if you are allergic to it, or if you have:\nsevere liver disease; or\nif you are unable to urinate.\nTo make sure metolazone is safe for you, tell your doctor if you have:\nan electrolyte imbalance (such as low levels of potassium or magnesium in your blood);\na heart rhythm disorder;\nan allergy to sulfa drugs;\nliver disease;\nkidney disease;\ndiabetes;\ngout; or\nsystemic lupus erythematosus.\nUsing metolazone during pregnancy could cause side effects in the newborn baby, such as blood cell problems, or jaundice (yellowing of the skin or eyes). Tell your doctor if you are pregnant or if you become pregnant while using  metolazone.\nMetolazone can pass into breast milk and may harm a nursing baby. You should not breast-feed while using this medicine.\nMetolazone is not approved for use by anyone younger than 18 years old.\nHow should I take metolazone?\nFollow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not use this medicine in larger or smaller amounts or for longer than recommended.\nMetolazone is usually taken only once per day.\nYou may need to limit salt in your diet while taking this medicine. Follow your doctor\'s instructions carefully.\nWhile using metolazone, you may need frequent blood tests. Your blood and urine may both be tested if you have been vomiting or are dehydrated.\nMetolazone can cause unusual results with certain medical tests. Tell any doctor who treats you that you are using metolazone.\nIf you need surgery, tell the surgeon ahead of time that you are using metolazone. You may need to stop using the medicine for a short time.\nIf you are being treated for high blood pressure, keep using this medicine even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medicine for the rest of your life.\nStore the tablets at room temperature away from heat, light, and moisture.\nWhat happens if I miss a dose?\nTake the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\nOverdose symptoms may include severe dizziness or drowsiness, dry mouth, thirst, muscle weakness, feeling light-headed, or fainting.\n','Drinking alcohol with  metolazone can cause side effects.\nAvoid becoming overheated or dehydrated during exercise, in hot weather, or by not drinking enough fluids. Follow your doctor\'s instructions about the type and amount of liquids you should drink. In some cases, drinking too much liquid can be as unsafe as not drinking enough.\n'),(554,'metoprolol','Take metoprolol exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose.\nMetoprolol should be taken with a meal or just after a meal.\nTake the medicine at the same time each day.\nSwallow the capsule whole and do not crush, chew, break, or open it.\nA Toprol XL tablet can be divided in half if your doctor has told you to do so. Swallow the half-tablet whole, without chewing or crushing.\nMeasure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).\nYou will need frequent medical tests, and your blood pressure will need to be checked often.\nIf you need surgery, tell the surgeon ahead of time that you are using this medicine.\nYou should not stop using this medicine suddenly. Stopping suddenly may make your condition worse.\nIf you have high blood pressure, keep using metoprolol even if you feel well. High blood pressure often has no symptoms. You may need to use this medicine for the rest of your life.\nStore at room temperature away from moisture and heat.\nMetoprolol injection is given as an infusion into a vein. A healthcare provider will give you this injection in a medical setting where your heart and blood pressure can be monitored. Metoprolol injections are given for only a short time before switching you to the oral form of this medicine.\n Detailed Metoprolol dosage information\nWhat happens if I miss a dose?\nSkip the missed dose and use your next dose at the regular time. Do not use two doses at one time.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\n','Tell your doctor about all your current medicines. Many drugs can interact with metoprolol, especially:\nany other heart or blood pressure medications;\nepinephrine (Epi-Pen);\nan antidepressant;\nan ergot medicine--dihydroergotamine, ergonovine, ergotamine, methylergonovine; or\nan MAO inhibitor--isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, tranylcypromine.\nThis list is not complete and many other drugs may interact with metoprolol. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.\n Metoprolol drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction to metoprolol: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.\nCall your doctor at once if you have:\nvery slow heartbeats;\na light-headed feeling, like you might pass out;\nshortness of breath (even with mild exertion), swelling, rapid weight gain; or\ncold feeling in your hands and feet.\nCommon metoprolol side effects may include:\ndizziness, tired feeling;\ndepression, confusion, memory problems;\nnightmares, trouble sleeping;\ndiarrhea; or\nmild itching or rash.\nThis 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.\n Metoprolol side effects (more detail)\n','Metoprolol is a beta-blocker that affects the heart and circulation (blood flow through arteries and veins).\nMetoprolol is used to treat angina (chest pain) and hypertension (high blood pressure).\nMetoprolol is also used to lower your risk of death or needing to be hospitalized for heart failure.\nMetoprolol injection is used during the early phase of a heart attack to lower the risk of death.\n','You should not use metoprolol if you have a serious heart problem (heart block, sick sinus syndrome, slow heart rate), severe circulation problems, severe heart failure, or a history of slow heart beats that caused fainting.\nBefore taking this medicine\nYou should not use this medicine if you are allergic to metoprolol, or other beta-blockers (atenolol, carvedilol, labetalol, nadolol, nebivolol, propranolol, sotalol, and others), or if you have:\na serious heart problem such as heart block, sick sinus syndrome, or slow heart rate;\nsevere circulation problems;\nsevere heart failure (that required you to be in the hospital); or\na history of slow heart beats that have caused you to faint.\nTo make sure this medicine is safe for you, tell your doctor if you have:\nasthma, chronic obstructive pulmonary disease (COPD), sleep apnea, or other breathing disorder;\ndiabetes (taking metoprolol may make it harder for you to tell when you have low blood sugar);\nliver disease;\ncongestive heart failure;\nproblems with circulation (such as Raynaud\'s syndrome);\na thyroid disorder; or\npheochromocytoma (tumor of the adrenal gland).\nDo not give this medicine to a child without medical advice.\nTell your doctor if you are pregnant or plan to become pregnant. It is not known whether metoprolol will harm an unborn baby. However, having high blood pressure during pregnancy may cause complications such as diabetes or eclampsia (dangerously high blood pressure that can lead to medical problems in both mother and baby). The benefit of treating hypertension may outweigh any risks to the baby.\nAsk a doctor before using this medicine if you are breast-feeding. Metoprolol can pass into breast milk and may cause dry skin, dry mouth, diarrhea, constipation, or slow heartbeats in your baby.\n','Avoid driving or hazardous activity until you know how this medicine will affect you. Your reactions could be impaired.\nDrinking alcohol can increase certain side effects of metoprolol.\n'),(555,'metronidazole','Take metronidazole exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets.\nMetronidazole injection is given as an infusion into a vein. A healthcare provider will give you this injection if you are unable to take the medicine by mouth.\nShake the oral suspension (liquid) before you measure a dose. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).\nDo not crush, chew, or break an extended-release tablet. Swallow it whole.\nIf you are treating a vaginal infection, your sexual partner may also need to take metronidazole so you don\'t become reinfected.\nMetronidazole is usually given for up to 10 days in a row. You may need to repeat this dosage several weeks later.\nUse this medicine for the full prescribed length of time, even if your symptoms quickly improve. Skipping doses can increase your risk of infection that is resistant to medication. Metronidazole will not treat a viral infection such as the flu or a common cold.\nDo not share this medicine with another person, even if they have the same symptoms you have.\nThis medicine can affect the results of certain medical tests. Tell any doctor who treats you that you are using this medicine.\nMetronidazole will not treat a vaginal yeast infection. You may even develop a new vaginal yeast infection, which may need to be treated with antifungal medication. Tell your doctor if you have symptoms such as itching or discharge during or after treatment with this medicine.\nStore at room temperature away from moisture and heat.\n Detailed Metronidazole dosage information\nWhat happens if I miss a dose?\nTake the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\nOverdose symptoms may include nausea, vomiting, and loss of balance or coordination.\n','Sometimes it is not safe to use certain medications at the same time. Some drugs can affect your blood levels of other drugs you take, which may increase side effects or make the medications less effective.\nTell your doctor about all your current medicines. Many drugs can affect metronidazole, especially:\nan antidepressant;\nasthma medication;\ncancer medicine;\nheart or blood pressure medication;\nlithium or other antipsychotic medicine;\nmedicine to treat malaria, HIV, or other infection; or\na blood thinner - warfarin, Coumadin, Jantoven.\nThis list is not complete and many other drugs may interact with metronidazole. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.\n Metronidazole drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction to metronidazole (hives, itching, warmth or tingling; fever, joint pain; dry mouth, dry vagina; stuffy nose, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning eyes, skin pain, red or purple skin rash with blistering and peeling).\nCall your doctor at once if you have:\nnew or worsening symptoms of infection;\npainful or difficult urination;\nconfusion;\na light-headed feeling (like you might pass out); or\nblisters or ulcers in your mouth, red or swollen gums, trouble swallowing.\nStop taking the medicine and call your doctor right away if you have neurologic side effects (more likely to occur while taking metronidazole long term):\nnumbness, tingling, or burning pain in your hands or feet;\nvision problems, pain behind your eyes, seeing flashes of light;\nmuscle weakness, problems with speech or coordination;\ntrouble speaking or understanding what is said to you;\na seizure; or\nfever, neck stiffness, and increased sensitivity to light.\nMetronidazole can cause life-threatening liver problems in people with Cockayne syndrome. If you have this condition, stop taking this medicine and contact your doctor if you have signs of liver failure--nausea, stomach pain (upper right side), dark urine, clay-colored stools, or jaundice (yellowing of the skin or eyes).\nSide effects may be more likely in older adults.\nCommon metronidazole side effects may include:\ndepression, trouble sleeping, feeling irritable;\nheadache, dizziness, weakness;\nnausea, vomiting, loss of appetite, stomach pain;\ndiarrhea, constipation;\nunpleasant metallic taste;\nrash, itching;\nvaginal itching or discharge, pain during sex;\nmouth sores; or\nswollen, red, or \"hairy\" tongue.\nThis 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.\n Metronidazole side effects (more detail)\n','Metronidazole is an antibiotic that is used to treat bacterial infections of the vagina, stomach, liver, skin, joints, brain and spinal cord, lungs, heart, or bloodstream.\nMetronidazole is also used to treat trichomoniasis, a sexually transmitted disease caused by a parasite. Usually both sexual partners are treated at the same time, even if one has no symptoms.\nDo not use metronidazole to treat any condition that has not been checked by your doctor.\n','You should not use metronidazole if you recently drank alcohol, or have taken disulfiram (Antabuse) within the past 2 weeks.\nDo not use metronidazole to treat any condition that has not been checked by your doctor.\nDo not drink alcohol or consume foods or medicines that contain propylene glycol while you are taking metronidazole and for at least 3 days after you stop taking it.\nSeizures and other nervous system abnormalities have been reported in patients treated with metronidazole. You should stop using this medicine immediately if you experience any neurological symptoms such as seizures, headaches, visual changes, weakness, numbness, or tingling.\nThis medicine will not treat a viral infection such as the common cold or flu.\nIn animal studies (mice and rats), this medicine caused certain types of cancers or tumors. It is not known whether these effects would occur in people using this medicine. Ask your doctor about your risk\nBefore taking this medicine\nYou should not use this medicine if you are allergic to metronidazole, secnidazole, or tinidazole, or if:\nyou recently drank alcohol; or\nyou took disulfiram (Antabuse) within the past 14 days.\nDo not take metronidazole during the first trimester of pregnancy. This medicine can harm an unborn baby. Tell your doctor if you are pregnant.\nTo make sure this medicine is safe for you, tell your doctor if you have ever had:\nliver disease;\nkidney disease (or if you are on dialysis);\na heart rhythm disorder;\nCockayne syndrome (a rare genetic disorder);\na stomach or intestinal disease such as Crohn\'s disease;\na blood cell disorder such as anemia (lack of red blood cells) or low white blood cell (WBC) counts;\na fungal infection anywhere in your body; or\na nerve disorder.\nIn animal studies, metronidazole caused certain types of tumors, some of which were cancerous. However, it is not known whether these effects would occur in humans. Ask your doctor about your risk.\nYou should not breastfeed within 24 hours after using metronidazole. If you use a breast pump during this time, throw out any milk you collect. Do not feed it to your baby.\nMetronidazole is not approved for use in children younger than 12 years old, or in girls who have not begun having menstrual periods.\n','While you are taking metronidazole and for 3 days after your last dose: Avoid drinking alcohol or consuming foods or other products that contain alcohol or propylene glycol. Drinking alcohol may cause unpleasant effects such as headaches, nausea, vomiting, stomach cramps, and warmth or tingling under your skin.\n'),(556,'midazolam','Midazolam is usually given as a single dose just before your surgery or procedure.\nMidazolam can slow or stop your breathing, especially if you have recently used an opioid medication. Midazolam should be used only in a hospital, dentist office, or other clinic setting where any serious side effects can be quickly treated.\nAfter you take midazolam, you will be watched closely to make sure the medicine is working and does not cause harmful side effects.\nYour breathing, blood pressure, oxygen levels, and other vital signs will be watched closely while you are in surgery.\n Detailed Midazolam dosage information\nWhat happens if I miss a dose?\nBecause you will receive midazolam in a clinical setting, you are not likely to miss a dose.\nWhat happens if I overdose?\nSince this medication is given by a healthcare professional in a medical setting, an overdose is unlikely to occur.\n','Shortly after you are treated with midazolam, using other drugs that make you sleepy or slow your breathing can cause dangerous side effects or death. Ask your doctor before using opioid medication, a sleeping pill, a muscle relaxer, or medicine for anxiety or seizures.\nSometimes it is not safe to use certain medications at the same time. Some drugs can affect your blood levels of other drugs you take, which may increase side effects or make the medications less effective.\nOther drugs may affect midazolam, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.\n Midazolam drug interactions (more detail)\nDoes Midazolam interact with my other drugs?\nEnter other medications to view a detailed report.\nDrug name\nAdd a drug to check interactions\nAdd\n','Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nMidazolam can slow or stop your breathing, especially if you have recently used an opioid medication, alcohol, or other drugs that can slow your breathing. Your caregivers will watch you for symptoms such as weak or shallow breathing.\nTell your caregivers right away if you have:\ncough, wheezing, trouble breathing;\nslow heart rate;\na light-headed feeling, like you might pass out;\ntremors; or\nconfusion, agitation, hallucinations, unusual thoughts or behavior.\nThe sedative effects of midazolam may last longer in older adults. You may need help getting out of bed for at least the first 8 hours. Accidental falls are common in elderly patients who take benzodiazepines. Use caution to avoid falling or accidental injury.\nCommon side effects may include:\namnesia or forgetfulness after your procedure;\ndrowsiness, dizziness;\nnausea, vomiting; or\nblurred vision.\nThis 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.\n Midazolam side effects (more detail)\n','Midazolam is a benzodiazepine (ben-zoe-dye-AZE-eh-peen) that is used to sedate a person who is having a minor surgery, dental work, or other medical procedure.\nMidazolam may also be used for purposes not listed in this medication guide.\n','Midazolam can slow or stop your breathing, especially if you have recently used an opioid medication. Midazolam is given in a hospital, dentist office, or other clinic setting where your vital signs can be watched closely.\nBefore taking this medicine\nYou should not use midazolam if you are allergic to it, or if you have:\nnarrow-angle glaucoma;\nuntreated or uncontrolled open-angle glaucoma; or\nan allergy to cherries.\nTell your doctor if you have ever had:\nglaucoma;\nbreathing problems; or\ncongestive heart failure.\nTell your doctor if you are pregnant or breastfeeding.\n','Do not drink alcohol shortly after taking midazolam.  midazolam can increase the effects of alcohol, which could be dangerous.\nGrapefruit and grapefruit juice may interact with midazolam and lead to potentially dangerous effects. Avoid the use of grapefruit products for a short time after taking midazolam.\nMidazolam can cause extreme drowsiness that may last for 24 to 48 hours after the injection. Older adults may feel sleepy for even longer.\nAvoid driving or hazardous activity until the effects of midazolam have worn off completely. Dizziness or drowsiness can cause falls, accidents, or severe injuries.\n'),(557,'midodrine','Usual Adult Dose for Hypotension:\n10 mg orally 3 times a day during daytime hours when the patient needs to be uprightComments:-The three daily doses may be given at 3-hour intervals, if needed, but not more frequently.-This drug should not be given after the evening meal or less than 4 hours before bedtime.-This drug should only be continued in patients who appear to attain symptomatic improvement during initial treatment.Use: Treatment of symptomatic orthostatic hypotension (OH) in patients whose lives are considerably impaired despite standard clinical care, including non-pharmacologic treatment such as support stockings, fluid expansion, and lifestyle alterations.\n Detailed Midodrine dosage information\nFree Drugs.com Discount Card\nSave up to 80% on your prescriptions.\nAccepted at over 65,000 pharmacies.\nGet Discount Card\n','Taking midodrine with other drugs that constrict blood vessels can further increase your blood pressure. Tell your doctor about all your current medicines and any you start or stop using, especially:\ndigoxin, digitalis, droxidopa, fludrocortisone\nan antidepressant;\nasthma medicine;\nheart or blood pressure medicine;\nmigraine headache medicine;\nthyroid medicine such as levothyroid or Synthroid;\ndrugs to treat high blood pressure or a prostate disorder--prazosin, terazosin, or doxazosin; or\nan MAO inhibitor--isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine.\nThis list is not complete. Other drugs may interact with midodrine, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.\n Midodrine drug interactions (more detail)\n','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.\nStop taking midodrine and call your doctor at once if you have:\nseverely slowed heart rate--weak pulse, severe dizziness or light-headed feeling; or\ndangerously high blood pressure--severe headache, pounding sensation in your ears (\"hearing\" your heartbeats), blurred vision, buzzing in your ears, anxiety, confusion, chest pain, shortness of breath, uneven heartbeats, seizure.\nCommon side effects may include:\nchills, goosebumps;\nnumbness, tingling, or itching (especially in your scalp);\nheadache, dizziness, tired feeling;\nnausea; or\nincreased urination, painful or difficult urination, or sudden urge to urinate.\nThis 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.\n Midodrine side effects (more detail)\n','Midodrine works by constricting (narrowing) the blood vessels and increasing blood pressure.\nMidodrine is used to treat low blood pressure (hypotension) that causes severe dizziness or a light-headed feeling, like you might pass out.  midodrine is for use only when low blood pressure affects daily life. Midodrine may not improve your ability to perform daily activities.\nMidodrine may also be used for purposes not listed in this medication guide.\n','You should not use midodrine if you have severe heart disease, overactive thyroid, an adrenal gland tumor, kidney disease, if you are unable to urinate, or if your blood pressure is high even while lying down.\nMidodrine can increase blood pressure even when you are at rest. This medicine should be used only if you have severely low blood pressure that affects your daily life. Midodrine may not improve your ability to perform daily activities.\nBefore taking this medicine\nYou should not use midodrine if you are allergic to it, or if you have:\nsevere heart disease;\nkidney disease, or if you are unable to urinate;\npheochromocytoma (tumor of the adrenal gland);\noveractive thyroid; or\nhigh blood pressure even while lying down.\nTo make sure midodrine is safe for you, tell your doctor if you have:\ndiabetes;\nglaucoma or a history of vision problems;\nliver disease; or\na history of kidney disease.\nIt is not known whether  midodrine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.\nIt is not known whether midodrine passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.\nHow should I take midodrine?\nFollow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.\nMidodrine is usually taken 3 times per day, with doses spaced at least 3 hours apart. Take your last dose of the day within 3 or 4 hours before bedtime.\nYou may take midodrine with or without food.\nTake this medicine during your normal waking hours, when your are most likely to be upright and not lying down or napping. Ask your doctor about how to take this medicine if you normally lie down during the day.\nMidodrine can increase your blood pressure even while you are lying down or sleeping (when blood pressure is usually lowest). Long-term high blood pressure (hypertension) can lead to serious medical problems.\nFollow your doctor\'s instructions about the best way to position your body while you are laying down or sleeping. You may need to keep your head elevated to help prevent high blood pressure.\nYour blood pressure will need to be checked before and during treatment with midodrine. Check your blood pressure while you are lying down, and check it again with your head elevated.\nYour kidney and liver function may also need to be checked.\nMidodrine is only part of a treatment program that may also include lifestyle changes, wearing support stockings on your legs, and possibly special medical care. Follow your doctor\'s instructions very closely.\nStore at room temperature away from moisture and heat.\nWhat happens if I miss a dose?\nTake the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.\nYou may need to skip a dose if you will be resting or lying down for a long period of time during your normal waking hours. Talk to your doctor about how to adjust your dose schedule if needed.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\nSymptoms of a midodrine overdose may include increased blood pressure (flushing, headache, pounding heartbeat, blurred vision), goosebumps, feeling cold, or trouble urinating.\n','Avoid taking a dose within less than 3 hours before your normal bedtime.\nAsk a doctor or pharmacist before using any over-the-counter diet pills, or cough/cold medicine that contains phenylephrine or pseudoephedrine. These medicines may raise your blood pressure.\n'),(558,'minocycline','Take minocycline exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets.\nTake this medicine with a full glass of water.\nYou may take minocycline with or without food.\nDo not crush, chew, or break an extended-release capsule or tablet. Swallow it whole.\nUse this medicine for the full prescribed length of time, even if your symptoms quickly improve. Skipping doses can increase your risk of infection that is resistant to medication. This medicine will not treat a viral infection such as the flu or a common cold.\nIf you use this medicine long-term, you may need frequent medical tests. You may also need to stop taking minocycline for a short time if you need surgery.\nThis medicine can affect the results of certain medical tests. Tell any doctor who treats you that you are using minocycline.\nStore at room temperature away from moisture, heat, and light.\nThrow away any minocycline not used before the expiration date on the medicine label.\n Detailed Minocycline dosage information\nWhat happens if I miss a dose?\nTake the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\nOverdose symptoms may include dizziness, nausea, or vomiting.\n','Tell your doctor about all your other medicines, especially:\nisotretinoin;\na penicillin antibiotic - amoxicillin, ampicillin, dicloxacillin, oxacillin, penicillin, ticarcillin, Amoxil, Moxatag, Augmentin, Principen, and others;\na blood thinner - warfarin, Coumadin, Jantoven; or\nergot medicine - dihydroergotamine, ergotamine, ergonovine, methylergonovine.\nThis list is not complete. Other drugs may interact with minocycline, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.\n Minocycline drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction to minocycline (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning in your eyes, skin pain, red or purple skin rash that spreads and causes blistering and peeling).\nSeek medical treatment if you have a serious drug reaction that can affect many parts of your body. Symptoms may include: skin rash, fever, swollen glands, flu-like symptoms, muscle aches, severe weakness, unusual bruising, or yellowing of your skin or eyes. This may be more likely with long-term use of minocycline, and the reaction may occur several weeks after you began using this medicine.\nCall your doctor at once if you have:\nlittle or no urination, swelling in your feet or ankles, feeling tired or short of breath (signs of kidney problems);\nloss of appetite, upper stomach pain (that may spread to your back), nausea or vomiting, loss of appetite, easy bruising or bleeding, dark urine, yellowing of the skin or eyes (signs of liver or pancreas problems);\njoint pain or swelling with fever, swollen glands, muscle aches, chest pain, vomiting, unusual thoughts or behavior, and patchy skin color;\nsevere headaches, ringing in your ears, dizziness, vision problems, pain behind your eyes; or\nswollen glands, flu symptoms, easy bruising or bleeding, severe tingling or numbness, muscle weakness, chest pain, new or worsening cough with fever, trouble breathing.\nCommon minocycline side effects may include:\nnumbness, tingling, burning pain;\nhair loss;\ndiscoloration of you skin or nails.\ndizziness, spinning sensation;\nmuscle or joint pain;\nnausea, diarrhea, loss of appetite;\nswollen tongue, cough, trouble swallowing;\nrash, itching; or\nheadache.\nThis 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.\n Minocycline side effects (more detail)\n','Minocycline is a tetracycline antibiotic that fights bacteria in the body.\nMinocycline is used to treat many different bacterial infections, such as urinary tract infections, respiratory infections, skin infections, severe acne, chlamydia, tick fever, and others. It is also used for gonorrhoea, syphilis, and other infections as a second-line drug in those with a penicillin allergy.\nMinocycline may also be used for purposes not listed in this medication guide.\n','Minocycline can make birth control pills less effective. Ask your doctor about using a non hormonal method of birth control (such as a condom, diaphragm, spermicide) to prevent pregnancy while using this medicine.\nMinocycline can cause fetal harm and pass into breast milk. Minocycline may affect bone and tooth development in a fetus or nursing baby. Do not take this medication without telling your doctor if you are pregnant or breast-feeding a baby.\nChildren should not take this medication. Minocycline can cause permanent yellowing or graying of the teeth in children younger than 8 years old.\nMinocycline can cause a severe skin rash that can be fatal. Stop taking minocycline if you experience fever, sore throat, burning in your eyes, skin pain, red or purple skin rash that spreads and causes blistering and peeling.\nDo not take iron supplements, multivitamins, calcium supplements, antacids, or laxatives within 2 hours before or after taking this medicine. These products can make this medicine less effective.\nThrow away any unused medicine after the expiration date on the label has passed. Using expired minocycline can cause damage to your kidneys.\nBefore taking this medicine\nYou should not take this medicine if you are allergic to minocycline or to similar antibiotics such as demeclocycline, doxycycline, or tetracycline.\nIf you are using minocycline to treat gonorrhea, your doctor may test you to make sure you do not also have syphilis, another sexually transmitted disease.\nTo make sure this medicine is safe for you, tell your doctor if you have ever had:\nliver disease;\nkidney disease; or\nasthma or sulfite allergy.\nYou should not use this medicine if you are pregnant. It could harm the unborn baby or cause permanent tooth discoloration later in life. Use effective birth control to prevent pregnancy while you are using this medicine, whether you are a man or a woman.\nTell your doctor right away if a pregnancy occurs while either the mother or the father is taking minocycline. The use of this medicine by either parent may cause tooth discoloration later in the baby\'s life.\nMinocycline can make birth control pills less effective. Ask your doctor about using a non-hormonal birth control (condom, diaphragm with spermicide) to prevent pregnancy.\nMinocycline passes into breast milk and may affect bone and tooth development in a nursing baby. You should not breast-feed while you are taking this medicine.\nDo not give this medicine to a child without medical advice. Minocycline can cause permanent yellowing or graying of the teeth in children younger than 8 years old.\n','For 2 hours before or after you take minocycline: Avoid taking antacids, laxatives, multivitamins, or supplements that contain calcium, magnesium, or iron. These other medicines can make it harder for your body to absorb minocycline.\nAvoid driving or hazardous activity until you know how this medicine will affect you. Your reactions could be impaired.\nAntibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or bloody, call your doctor. Do not use anti-diarrhea medicine unless your doctor tells you to.\nMinocycline could make you sunburn more easily. Avoid sunlight or tanning beds. Wear protective clothing and use sunscreen (SPF 30 or higher) when you are outdoors.\n'),(559,'minoxidil','Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not use  minoxidil in larger or smaller amounts or for longer than recommended.\nYour doctor may want to give your first dose of this medicine in a hospital or clinic setting to quickly treat any serious side effects that occur.\nRead all patient information, medication guides, and instruction sheets provided to you. Do not change your doses or medication schedule without your doctor\'s advice.\nWhile taking minoxidil, you will need to measure your heart rate by checking your pulse. Your doctor or nurse can show you how to check your pulse.\nWeigh yourself each day while you are taking minoxidil. Call your doctor if you gain more than 5 pounds quickly.\nYour blood pressure will need to be checked often. Your heart function may also need to be checked using an electrocardiograph or ECG (sometimes called an EKG).\nKeep using this medicine as directed, even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medicine for the rest of your life.\nDo not share this medicine with another person, even if they have the same symptoms you have.\nStore minoxidil at room temperature away from moisture and heat.\n Detailed Minoxidil dosage information\nWhat happens if I miss a dose?\nTake the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\nOverdose symptoms may include dizziness or fainting.\n','Other drugs may interact with minoxidil, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.\n Minoxidil drug interactions (more detail)\nDoes Minoxidil interact with my other drugs?\nEnter other medications to view a detailed report.\nDrug name\nAdd a drug to check interactions\nAdd\n','Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.\nCall your doctor at once if you have:\nnew or worsening chest pain;\nchest pain spreading to your jaw or shoulder;\nfast or pounding heartbeats;\nswelling in your legs, ankles, or feet;\nrapid weight gain, especially in your face and midsection;\nshortness of breath;\na light-headed feeling, like you might pass out;\nfluid build-up in the lungs--pain when you breathe, feeling short of breath while lying down, wheezing, gasping for breath, cough with foamy mucus; or\nsevere skin reaction--fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.\nCommon side effects may include:\nchanges in color, length, or thickness of body or facial hair;\nnausea, vomiting;\nrash; or\nbreast pain or tenderness.\nThis 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.\n Minoxidil side effects (more detail)\n','Minoxidil is a vasodilator that relaxes (widens) blood vessels and improves blood flow.\nMinoxidil is used to treat severely high blood pressure (hypertension) that is causing symptoms or damaging your vital organs. Minoxidil is usually given together with two other medicines to help prevent serious side effects.\nMinoxidil tablets should not be used to promote scalp hair growth. Only the topical form of minoxidil (Rogaine) is recommended for that use.\nMinoxidil may also be used for purposes not listed in this medication guide.\n','You should not use  minoxidil if you have pheochromocytoma (adrenal gland tumor).\nMinoxidil is usually given together with two other medicines to help prevent serious side effects. Use all medications as directed by your doctor.\nCall your doctor at once if you have new or worsening chest pain, shortness of breath (even while lying down), pain when you breathe, or fast heartbeats.\nBefore taking this medicine\nYou should not use minoxidil if you are allergic to it, or if you have:\npheochromocytoma (tumor of the adrenal gland).\nTo make sure minoxidil is safe for you, tell your doctor if you have:\ncongestive heart failure;\nangina (chest pain), or if you have recently had a heart attack;\nkidney disease (or if you are on dialysis);\nasthma;\nmigraine headaches; or\nepilepsy or other seizure disorder.\nIt is not known whether this medicine will harm an unborn baby. However, a newborn baby could have excessive hair growth if the mother has taken minoxidil during pregnancy. Tell your doctor if you are pregnant or plan to become pregnant.\nMinoxidil can pass into breast milk and may harm a nursing baby. You should not breast-feed while using this medicine.\nDo not give this medicine to a child without medical advice.\n','You may need to limit or reduce the salt in your diet while taking minoxidil. Do not use potassium supplements or salt substitutes, unless your doctor has told you to.\nAvoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.\nAsk your doctor or pharmacist before taking a cough or cold medicine that contains a decongestant such as phenylephrine.\n'),(560,'miralax','Usual Adult Dose of MiraLAX for Constipation:\n17 g (diluted in 8 fluid ounces water, juice, soda or coffee) orally once a day\nUsual Pediatric Dose for Bowel Preparation:\nOccasional constipation:\nChildren greater than 6 months of age: 0.5 to 1.5 g/kg daily (initial dose 0.5 g/kg; titrate to effect)\nMaximum dose: 17 g/day\nFecal impaction:\nChildren greater than 3 years of age: 1 to 1.5 g/kg daily for 3 days\nMaximum dose: 100 g daily\nBowel preparation:\nChildren greater than 2 years of age: 1.5 g/kg/day\nMaximum dose: 100 g daily\nUsual Pediatric Dose of MiraLAX for Constipation -- Acute:\nOccasional constipation:\nChildren greater than 6 months of age: 0.5 to 1.5 g/kg daily (initial dose 0.5 g/kg; titrate to effect)\nMaximum dose: 17 g/day\nFecal impaction:\nChildren greater than 3 years of age: 1 to 1.5 g/kg daily for 3 days\nMaximum dose: 100 g daily\nBowel preparation:\nChildren greater than 2 years of age: 1.5 g/kg/day\nMaximum dose: 100 g daily\n Detailed MiraLAX dosage information\nWhat happens if I miss a dose?\nTake the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\n','Other drugs may interact with MiraLAX, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.\n MiraLAX drug interactions (more detail)\n','Get emergency medical help if you have any signs of an allergic reaction to MiraLAX: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nStop taking this medicine and call your doctor at once if you have:\nsevere or bloody diarrhea;\nrectal bleeding;\nblood in your stools; or\nsevere and worsening stomach pain.\nCommon MiraLAX side effects may include:\nbloating, gas, upset stomach;\ndizziness; or\nincreased sweating.\nThis 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.\n MiraLAX side effects (more detail)\n','MiraLAX (polyethylene glycol 3350) is a laxative solution that increases the amount of water in the intestinal tract to stimulate bowel movements.\nMiraLAX is used as a laxative to treat occasional constipation or irregular bowel movements.\nMiraLAX may also be used for purposes not listed in this medication guide.\n','You should not use MiraLAX if you have a bowel obstruction or intestinal blockage. If you have any of these conditions, you could have dangerous or life-threatening side effects from MiraLAX.\nPeople with eating disorders (such as anorexia or bulimia) should not use MiraLAX without the advice of a doctor.\nBefore taking MiraLAX, tell your doctor if you are allergic to any drugs, or if you have ulcerative colitis, irritable bowel syndrome, kidney disease, nausea or vomiting with severe stomach pain, or if you have had a sudden change in bowel habits that has lasted 2 weeks or longer.\nMiraLAX should produce a bowel movement within 1 to 3 days of using the medication. Polyethylene glycol 3350 normally causes loose or even watery stools.\nDo not use MiraLAX more than once per day. Call your doctor if you are still constipated or irregular after using this medication for 7 days in a row.\nBefore taking this medicine\nYou should not use MiraLAX if you are allergic to polyethylene glycol, or if you have a bowel obstruction or intestinal blockage. If you have any of these conditions, you could have dangerous or life-threatening side effects from polyethylene glycol 3350.\nPeople with eating disorders (such as anorexia or bulimia) should not use this medication without the advice of a doctor.\nTo make sure this medicine is safe for you, tell your doctor if you have:\nnausea, vomiting, or severe stomach pain;\nulcerative colitis;\nirritable bowel syndrome;\nkidney disease; or\nif you have had a sudden change in bowel habits that has lasted 2 weeks or longer.\nFDA pregnancy category C. It is not known whether MiraLAX will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.\nIt is not known whether polyethylene glycol 3350 passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.\n MiraLAX pregnancy and breastfeeding warnings (more detail)\nHow should I take MiraLAX?\nUse MiraLAX exactly as directed on the label, or as it has been prescribed by your doctor. Do not use this medicine in larger or smaller amounts or for longer than recommended.\nTo use MiraLAX powder, measure your dose with the medicine cap on the bottle. This cap should contain dose marks on the inside of it. Pour the powder into 4 to 8 ounces of a cold or hot beverage such as water, juice, soda, coffee, or tea. Stir this mixture and drink it right away. Do not save for later use.\nMiraLAX should produce a bowel movement within 1 to 3 days of using the medication. Polyethylene glycol 3350 normally causes loose or even watery stools.\nDo not use MiraLAX more than once per day. Call your doctor if you are still constipated or irregular after using this medication for 7 days in a row.\nStore at room temperature away from moisture and heat.\n','Follow your doctor\'s instructions about any restrictions on food, beverages, or activity.\n'),(561,'mirtazapine','Usual Adult Dose for Depression:\nInitial dose: 15 mg orally once a day at bedtime\nMaintenance dose: 15 to 45 mg orally once a day\nMaximum dose: 45 mg/day\nComments:\n-May increase the dose every 1 to 2 weeks to a maximum 45 mg/day according to patient response.\n-Patients should be periodically reassessed to determine the need for continued use of this drug.\nUse: Treatment of major depressive disorder\n Detailed Mirtazapine dosage information\nWhat happens if I miss a dose?\nTake the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\nOverdose symptoms may include confusion, memory problems, drowsiness, and fast heart rate.\n','Using mirtazapine with other drugs that make you drowsy can worsen this effect. Ask your doctor before using opioid medication, a sleeping pill, a muscle relaxer, or medicine for anxiety or seizures.\nTell your doctor about all your current medicines. Many drugs can affect mirtazapine, especially:\ncimetidine;\ndiazepam;\nSt. John\'s wort;\ntramadol;\ntryptophan (sometimes called L-tryptophan);\nan antibiotic - clarithromycin, rifampin, rifampicin, telithromycin;\nantifungal medicine - itraconazole, ketoconazole;\nantiviral medicine to treat HIV/AIDS - indinavir, nelfinavir, ritonavir, saquinavir;\nmedicine to treat mood disorders, thought disorders, or mental illness - such as lithium, other antidepressants, or antipsychotics;\nmigraine headache medicine - sumatriptan, rizatriptan, Imitrex, Maxzalt, and others; or\nseizure medicine - carbamazepine, phenytoin.\nThis list is not complete and many Other drugs may interact with mirtazapine. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.\n Mirtazapine drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction to mirtazapine (hives, joint pain, fever, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning eyes, skin pain, red or purple skin rash with blistering and peeling).\nReport any new or worsening symptoms to your doctor, such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.\nCall your doctor at once if you have:\nracing thoughts, decreased need for sleep, unusual risk-taking behavior, feelings of extreme happiness or sadness, being more talkative than usual;\nblurred vision, tunnel vision, eye pain or swelling, or seeing halos around lights;\na light-headed feeling, like you might pass out;\nsevere rash, blisters, or swelling on the palms of your hands or the soles of your feet;\na seizure;\nlow white blood cell counts - fever, chills, sore throat, cough, sores in your mouth or nose, flu-like symptoms, trouble breathing; or\nlow sodium level - headache, confusion, slurred speech, severe weakness, vomiting, loss of coordination, feeling unsteady.\nSeek medical attention right away if you have symptoms of serotonin syndrome, such as: agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, or diarrhea.\nCommon mirtazapine side effects include:\ndrowsiness, dizziness;\nincreased appetite; or\nweight gain.\nThis 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.\n Mirtazapine side effects (more detail)\n','Mirtazapine is an antidepressant. The way this medication works is still not fully understood. It is thought to positively affect communication between nerve cells in the central nervous system and/or restore chemical balance in the brain.\nMirtazapine is used to treat major depressive disorder in adults.\nIt is not known if mirtazapine is safe and effective for use to treat MDD in children.\n','You should not take mirtazapine if you are also taking tryptophan (sometimes called L-tryptophan).\nDo not use mirtazapine if you have used an MAO inhibitor in the past 14 days, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, tranylcypromine and others.\nSome people have thoughts about suicide when first taking an antidepressant. Your doctor will need to check your progress at regular visits while you are using mirtazapine. Your family or other caregivers should also be alert to changes in your mood or symptoms.\nDo not give this medicine to anyone younger than 18 years old without the advice of a doctor. This medicine is not approved for use in children.\nIt may take up to several weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve after 4 weeks of treatment.\nDrinking alcohol can increase certain side effects of mirtazapine.\nMirtazapine may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.\nDo not stop taking this medicine abruptly. Talk to your doctor before stopping this medicine.\nBefore taking this medicine\nYou should not take this medicine if you are allergic to mirtazapine.\nDo not use mirtazapine if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, tranylcypromine, and others.\nTo make sure this medicine is safe for you, tell your doctor if you have ever had:\nlow white blood cell counts;\nglaucoma;\nliver or kidney disease;\nlow sodium levels in your blood;\na seizure;\ndepression, suicidal thoughts or actions;\nbipolar disorder (manic depression) in you or a family member;\nheart problems or stroke;\nhigh cholesterol or triglycerides;\nlong QT syndrome (in you or a family member); or\nlow blood pressure.\nBe sure your doctor knows if you also take stimulant medicine, opioid medicine, herbal products, or medicine for depression, mental illness, Parkinson\'s disease, migraine headaches, serious infections, or prevention of nausea and vomiting. These medicines may interact with mirtazapine and cause a serious condition called serotonin syndrome.\nSome young people have thoughts about suicide when first taking an antidepressant. Your doctor should check your progress at regular visits. Your family or other caregivers should also be alert to changes in your mood or symptoms.\nTell your doctor if you are pregnant or breastfeeding.\nThe orally disintegrating tablet may contain phenylalanine and could be harmful if you have phenylketonuria (PKU).\nMirtazapine is not approved for use by anyone younger than 18 years old.\nHow should I take mirtazapine?\nTake mirtazapine exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose.\nTake the medicine at the same time each day, usually at bedtime.\nTake the regular tablet form of mirtazapine with water.\nYou may take mirtazapine with or without food.\nRemove an orally disintegrating tablet from the package only when you are ready to take the medicine. Place the tablet on your tongue and allow it to dissolve, without chewing. Swallow several times as the tablet dissolves.\nIt may take a few weeks for your symptoms to improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve after 4 weeks of treatment.\nDo not stop using mirtazapine suddenly, or you could have unpleasant symptoms (such as dizziness, vomiting, agitation, sweating, confusion, numbness, tingling, or electric shock feelings). Ask your doctor how to safely stop using this medicine.\nStore at room temperature away from moisture, heat, and light.\n','Drinking alcohol with mirtazapine can cause side effects.\nAvoid driving or hazardous activity until you know how this medicine will affect you. Your reactions could be impaired.\n'),(562,'misoprostol','Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.\nDo not share this medicine with another person.\nMisoprostol is usually taken with meals and at bedtime. Follow your doctor\'s instructions.\nYou may have nausea, stomach cramps, or diarrhea while taking this medicine, especially during the first few weeks after you start taking misoprostol. These symptoms usually last for about a week.\nCall your doctor if you have severe nausea, stomach pain, or diarrhea lasting longer than 8 days.\nRead all medication guides or patient instructions provided with this medicine each time your receive a new supply.\nStore at room temperature away from moisture and heat.\n Detailed Misoprostol dosage information\nWhat happens if I miss a dose?\nTake the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\n','Other drugs may interact with misoprostol, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.\n Misoprostol drug interactions (more detail)\nDoes Misoprostol interact with my other drugs?\nEnter other medications to view a detailed report.\nDrug name\nAdd a drug to check interactions\nAdd\n','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.\nCall your doctor at once if you have:\nsevere ongoing stomach discomfort or diarrhea; or\ndehydration symptoms--feeling very thirsty or hot, being unable to urinate, heavy sweating, or hot and dry skin.\nCommon side effects may include:\ndiarrhea;\nstomach pain, nausea, upset stomach, gas;\nvaginal bleeding or spotting, heavy menstrual flow; or\nmenstrual cramps.\nThis 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.\n Misoprostol side effects (more detail)\n','Misoprostol reduces stomach acid and helps protect the stomach from damage that can be caused by taking a nonsteroidal anti-inflammatory drug (NSAID) such as aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others.\nMisoprostol is used to prevent stomach ulcers during treatment with aspirin or an NSAID.\nMisoprostol may also be used for purposes not listed in this medication guide.\n','Misoprostol can cause birth defects, premature birth, uterine rupture, miscarriage, or incomplete miscarriage and dangerous uterine bleeding. Do not use misoprostol if you are pregnant.\nIf you are able to become pregnant, you will need to have a negative pregnancy test before starting this treatment. You will also need to use effective birth control to prevent pregnancy during treatment.\nBefore taking this medicine\nYou should not use  misoprostol if you are allergic to misoprostol or other prostaglandins, or if you are pregnant.\nTo make sure misoprostol is safe for you, tell your doctor if you have:\ninflammatory bowel disease (IBD), irritable bowel syndrome (IBS), or other intestinal problems;\nheart disease; or\nif you are dehydrated.\nFDA pregnancy category X. Misoprostol can cause birth defects, premature birth, uterine rupture, miscarriage, or incomplete miscarriage and dangerous uterine bleeding. Do not use misoprostol if you are pregnant. Use effective birth control to prevent pregnancy while you are using this medicine, and for at least 1 month after your treatment ends.\nIf you are able to become pregnant, you will need to have a negative pregnancy test before you start taking misoprostol. Treatment with this medicine should begin on the second or third day of your menstrual period.\nStop taking this medicine and tell your doctor right away if you become pregnant during treatment.\nIt is not known whether misoprostol passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.\n','Ask your doctor before using an antacid, and use only the type your doctor recommends. Some antacids can increase your risk of diarrhea while you are taking misoprostol.\n'),(563,'mobic','It is recommended to use the lowest dose of medication that is needed for the shortest amount of time necessary.\nUsual Adult Dose of Mobic for Osteoarthritis or Rheumatoid Arthritis:\nInitial dose: 7.5 mg orally once daily\nMaintenance dose: 7.5 mg orally once daily\nMaximum dose: 15 mg orally daily\nUsual Pediatric Dose for Juvenile Rheumatoid Arthritis:\nGreater than or equal to 2 years: 0.125 mg/kg orally once daily\nMaximum dose: 7.5 mg orally daily\nThere was no additional benefit demonstrated by increasing the dose above 0.125 mg/kg once daily in clinical trials.\n Detailed Mobic dosage information\n','Ask your doctor before using Mobic if you take an antidepressant such as citalopram, escitalopram, fluoxetine (Prozac), fluvoxamine, paroxetine, sertraline (Zoloft), trazodone, or vilazodone. Taking any of these medicines with an NSAID may cause you to bruise or bleed easily.\nTell your doctor about all your current medicines and any you start or stop using, especially:\ncyclosporine;\nlithium;\nmethotrexate;\nsodium polystyrene sulfonate (Kayexalate);\na blood thinner (warfarin, Coumadin, Jantoven);\nheart or blood pressure medication, including a diuretic or \"water pill\"; or\nsteroid medicine (such as prednisone).\nAsk a doctor or pharmacist before using any cold, allergy, or pain medication. Many medicines available over the counter contain aspirin or other medicines similar to Mobic. Taking certain products together can cause you to get too much of this type of medication. Check the label to see if a medicine contains aspirin, ibuprofen, ketoprofen, or naproxen.\nThis list is not complete. Other drugs may interact with meloxicam, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.\n Mobic drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction to Mobic: sneezing, runny or stuffy nose; wheezing or trouble breathing; hives; swelling of your face, lips, tongue, or throat.\nGet emergency medical help if you have signs of a heart attack or stroke: chest pain spreading to your jaw or shoulder, sudden numbness or weakness on one side of the body, slurred speech, feeling short of breath.\nStop using Mobic and call your doctor at once if you have:\nthe first sign of any skin rash, no matter how mild;\nshortness of breath (even with mild exertion);\nswelling or rapid weight gain;\nsigns of stomach bleeding - bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds;\nsigns of liver problems - nausea, upper stomach pain, itching, tired feeling, flu-like symptoms, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);\nsigns of kidney problems - little or no urinating, painful or difficult urination, swelling in your feet or ankles, feeling tired or short of breath;\nlow red blood cells (anemia) - pale skin, feeling light-headed or short of breath, rapid heart rate, trouble concentrating; or\nsigns of a severe skin reaction - fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.\nCommon Mobic side effects may include:\nupset stomach, nausea, vomiting, heartburn;\ndiarrhea, constipation, gas;\ndizziness; or\ncold symptoms, flu symptoms.\nThis 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.\n Mobic side effects (more detail)\n','Mobic (meloxicam) is a nonsteroidal anti-inflammatory drug (NSAID). Meloxicam works by reducing hormones that cause inflammation and pain in the body.\nMobic is used to treat pain or inflammation caused by rheumatoid arthritis and osteoarthritis in adults. Mobic is also used to treat juvenile rheumatoid arthritis in children who are at least 2 years old.\nMobic may also be used for purposes not listed in this medication guide.\n','Mobic can increase your risk of fatal heart attack or stroke, especially if you use it long term or take high doses, or if you have heart disease. Do not use this medicine just before or after heart bypass surgery (coronary artery bypass graft, or CABG).\nGet emergency medical help if you have chest pain, weakness, shortness of breath, slurred speech, or problems with vision or balance.\nMobic may also cause stomach or intestinal bleeding, which can be fatal. These conditions can occur without warning while you are using Mobic, especially in older adults.\nCall your doctor at once if you have symptoms of stomach bleeding such as black, bloody, or tarry stools, or coughing up blood or vomit that looks like coffee grounds.\nAvoid drinking alcohol. It may increase your risk of stomach bleeding.\nAsk a doctor or pharmacist before using any other cold, allergy, or pain medicine with Mobic. Medicines similar to Mobic are contained in many combination medicines. Check the label to see if a medicine contains an NSAID (non-steroidal anti-inflammatory drug) such as aspirin, ibuprofen, ketoprofen, or naproxen.\nYou should not use Mobic if you are allergic to meloxicam, or if you have ever had an asthma attack or severe allergic reaction after taking aspirin or an NSAID.\nTo make sure Mobic is safe for you, tell your doctor if you have:\nheart disease, high blood pressure, high cholesterol, diabetes, or if you smoke;\na history of heart attack, stroke, or blood clot;\na history of stomach ulcers or bleeding;\nasthma;\nkidney disease (or if you are on dialysis);\nliver disease; or\nfluid retention.\nIf you are pregnant, you should not take Mobic unless your doctor tells you to. Taking a NSAID during the last 20 weeks of pregnancy can cause serious heart or kidney problems in the unborn baby and possible complications with your pregnancy.\nMobic may cause a delay in ovulation (the release of an egg from an ovary). You should not take Mobic if you are undergoing fertility treatment, or are otherwise trying to get pregnant.\nMobic can pass into breast milk. It is unknown whether or not Mobic can harm a nursing baby. Tell your doctor if you are breastfeeding before using this medication.\nMobic is not approved for use by anyone younger than 2 years old.\nHow should I take Mobic?\nTake Mobic exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not take this medicine in larger amounts or for longer than recommended. Use the lowest dose that is effective in treating your condition.\nYou may take Mobic with or without food.\nShake the oral suspension (liquid) well just before you measure a dose. Measure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.\nIf a child is taking this medication, tell your doctor if the child has any changes in weight. Mobic doses are based on weight in children.\nIf you use this medicine long-term, you may need frequent medical tests.\nStore Mobic at room temperature, away from moisture and heat. Keep the bottle tightly closed when not in use.\nRead all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.\nWhat happens if I miss a dose?\nTake the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\n','Avoid drinking alcohol. It may increase your risk of stomach bleeding.\nAvoid taking aspirin or other NSAIDs, such as ibuprofen, ketoprofen, or naproxen, while you are taking Mobic.\nAsk a doctor or pharmacist before using any cold, allergy, or pain medication. Many medicines available over the counter contain aspirin or other medicines similar to Mobic. Taking certain products together can cause you to get too much of this type of medication. Check the label to see if a medicine contains aspirin, ibuprofen, ketoprofen, or naproxen.\n'),(564,'modafinil','Usual Adult Dose for Narcolepsy:\n200 mg orally once a day in the morningComments: -In obstructive sleep apnea (OSA), this drug is not a treatment for the underlying obstruction.  -If continuous positive airway pressure (CPAP) is the treatment of choice for excessive sleepiness, a maximal effort to treat with CPAP for an adequate period of time should be made prior to and during treatment with this drug.Use: Treatment to improve wakefulness in patients with excessive sleepiness associated with narcolepsy and OSA.\nUsual Adult Dose for Obstructive Sleep Apnea/Hypopnea Syndrome:\n200 mg orally once a day in the morningComments: -In obstructive sleep apnea (OSA), this drug is not a treatment for the underlying obstruction.  -If continuous positive airway pressure (CPAP) is the treatment of choice for excessive sleepiness, a maximal effort to treat with CPAP for an adequate period of time should be made prior to and during treatment with this drug.Use: Treatment to improve wakefulness in patients with excessive sleepiness associated with narcolepsy and OSA.\nUsual Adult Dose for Shift Work Sleep Disorder:\n200 mg orally once a day, approximately 1 hour prior to the start of the work shiftUse: Treatment to improve wakefulness in patients with excessive sleepiness associated with shift work disorder.\n Detailed Modafinil dosage information\nFree Drugs.com Discount Card\nSave up to 80% on your prescriptions.\nAccepted at over 65,000 pharmacies.\nGet Discount Card\n','Other drugs may interact with modafinil, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.\n Modafinil drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.\nModafinil can cause skin reactions that may be severe enough to need treatment in a hospital. Stop taking this medicine and get emergency medical help if you have:\nskin rash or hives, blisters or peeling;\nmouth sores, trouble swallowing;\nfever, shortness of breath;\nswelling in your legs;\ndark urine, jaundice (yellowing of the skin or eyes); or\nswelling in your face, eyes, lips, tongue, or throat.\nStop using modafinil and call your doctor at once if you have:\ndepression, anxiety, suicidal thoughts or actions;\nhallucinations, unusual thoughts or behavior, aggression, being more active or talkative than usual;\nchest pain, trouble breathing, uneven heart beats; or\nthe first sign of any skin rash, no matter how minor you think it might be.\nCommon side effects may include:\nheadache, dizziness;\nfeeling nervous or anxious;\nback pain;\nnausea, diarrhea, upset stomach;\nsleep problems (insomnia); or\nstuffy nose.\nThis 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.\n Modafinil side effects (more detail)\n','Modafinil is a medication that promotes wakefulness.\nModafinil is used to treat excessive sleepiness caused by sleep apnea, narcolepsy, or shift work sleep disorder.\nModafinil may also be used for purposes not listed in this medication guide.\n','You should not use  modafinil if you have ever had an allergic reaction or skin rash while taking modafinil or armodafinil (Nuvigil).\nModafinil can cause skin reactions that may be severe enough to need treatment in a hospital. Stop taking this medicine and get emergency medical help if you have a skin rash or hives, blisters or peeling, mouth sores, trouble breathing or swallowing, fever, swelling in your legs, dark urine, yellowing of your skin or eyes, or swelling in your face.\nBefore taking this medicine\nYou should not use this medicine if you have ever had an allergic reaction or skin rash while taking modafinil or armodafinil (Nuvigil).\nTo make sure modafinil is safe for you, tell your doctor if you have:\nangina (chest pain);\ncirrhosis or other liver problem;\nkidney disease;\nhigh blood pressure, heart disease, or history of heart attack;\na history of mental illness or psychosis; or\nhistory of alcoholism or drug addiction.\nIt is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.\nModafinil can make certain birth control less effective. Hormonal contraception (birth control pills, injections, implants, skin patches, and vaginal rings) may not be effective enough to prevent pregnancy during your treatment. Talk with your doctor about the best methods of birth control to use while taking modafinil.\nIt is not known whether modafinil passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.\nModafinil is not approved for use by anyone younger than 17 years old.\nHow should I take modafinil?\nFollow all directions on your prescription label. Do not take  modafinil in larger or smaller amounts or for longer than recommended.\nModafinil may be habit-forming. Never share modafinil with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it. Selling or giving away modafinil is against the law.\nModafinil is usually taken each morning to prevent daytime sleepiness, or 1 hour before the start of a work shift to treat work-time sleep disorders.\nRead all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.\nYou may take modafinil with or without food.\nModafinil is usually given for 12 weeks or less.\nIf you are taking modafinil to treat sleepiness caused by obstructive sleep apnea, you may also be treated with a continuous positive airway pressure (CPAP) machine. This machine is an air pump connected to a mask that gently blows pressurized air into your nose while you sleep. The pump does not breathe for you, but the gentle force of air helps keep your airway open to prevent obstruction.\nDo not stop using your CPAP machine during sleep unless your doctor tells you to. The combination of treatment with CPAP and modafinil may be necessary to best treat your condition.\nModafinil will not cure obstructive sleep apnea or treat its underlying causes. Follow your doctor\'s instructions about all your other treatments for this disorder.\nCall your doctor if you continue to have excessive sleepiness even while taking modafinil.\nTaking modafinil does not take the place of getting enough sleep.\nStore at room temperature away from moisture and heat.\nKeep track of the amount of medicine used from each new bottle. Modafinil is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.\nWhat happens if I miss a dose?\nTalk with your doctor about what to do if you miss a dose of modafinil. Avoid taking the medicine if you do not plan to be awake for several hours. Skip the missed dose if it is almost bedtime. Do not take extra medicine to make up the missed dose.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\n',' modafinil may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.\nAvoid other dangerous activities until you know how modafinil will affect your level of wakefulness.\nAvoid drinking alcohol while taking modafinil.\n'),(565,'mometasone','General\nAdjust dosage carefully according to individual requirements and response.  \nAfter a satisfactory response is obtained, decrease dosage gradually to the lowest dosage that maintains an adequate clinical response.   Achieve the lowest effective dosage, particularly in children, since inhaled corticosteroids have the potential to affect growth.   (See Pediatric Use under Cautions.)\nBase initial and maximum dosages in adults and children ≥12 years of age on previous asthma therapy.  \nConversion to Orally Inhaled Therapy in Patients Receiving Systemic Corticosteroids\nWhen switching from systemic corticosteroids to orally inhaled corticosteroids, including mometasone, asthma should be reasonably stable before initiating oral inhalation treatment. \nInitially, administer oral inhalation concurrently with the maintenance dosage of the systemic corticosteroid.  After at least 1 week, gradually withdraw the systemic corticosteroid. \nDecrements of the systemic corticosteroid usually should not exceed 2.5 mg daily of prednisone (or its equivalent) each week in patients receiving an orally inhaled corticosteroid. Once oral corticosteroids are discontinued and symptoms of asthma have been controlled, titrate dosage of the orally inhaled drug to the lowest effective level. \nDeath has occurred in some individuals in whom systemic corticosteroids were withdrawn too rapidly.   (See Withdrawal of Systemic Corticosteroids under Cautions.)\nAdministration\nOral Inhalation\nMometasone (Asmanex Twisthaler): Administer by oral inhalation as an oral inhalation powder using the Twisthaler breath-actuated dry powder inhalation device. \nMometasone (Asmanex HFA): Administer by oral inhalation as an oral inhalation suspension using metered-dose aerosol inhaler with hydrofluoroalkane (HFA; non-chlorofluorocarbon) propellant.\nMometasone/formoterol fixed combination (Dulera): Administer by oral inhalation as an oral inhalation suspension using metered-dose aerosol inhaler with HFA propellant. \nFollowing each mometasone or mometasone/formoterol dose, rinse the mouth thoroughly with water without swallowing.  \nOral Inhalation Powder\nAdminister as a single oral inhalation once or twice daily. When administered once daily, use at the same time each day, preferably in the evening for optimal efficacy.\nRemoval of the cap from the Twisthaler device (by twisting in a counterclockwise direction) releases a single dose of drug from the drug storage unit into the inhalation channel, making the dose available for administration via oral inhalation through the mouthpiece. The dose counter will decrease by 1 each time the cap is removed. Remove the Twisthaler cap with the inhaler in an upright position. Before inhaling the dose, exhale as completely as possible, but not into the Twisthaler device. Place the mouthpiece of the inhaler between the lips and inhale quickly and deeply through the inhaler. Do not cover the ventilation holes on either side of the inhaler while inhaling the dose. Remove the inhaler from the mouth, hold breath for about 10 seconds, then exhale slowly.\nWipe mouthpiece dry with a dry cloth or tissue. Close and reload the Twisthaler device for the next dose by twisting the cap in a clockwise direction until a click is heard. Do not wash the inhaler; store in a dry place. Discard the inhaler when every inhalation is used (when the dose indicator reads “00”) or 45 days after removal from its foil overwrap pouch, whichever comes first.\nOral Inhalation Aerosol\nAdminister as 2 oral inhalations twice daily (morning and evening).\nUse only with actuator supplied with the product.\nMometasone (Asmanex HFA): Test spray 4 times into the air (away from the face) before first use or if not used for >5 days; shake well before each test spray and each inhalation. Remove the cap from the mouthpiece of the actuator before use. Do not wash inhaler in water; clean the mouthpiece using a dry wipe every 7 days.\nMometasone/formoterol fixed combination (Dulera): Test spray 4 times into the air (away from the face) before first use or if not used for >5 days; shake well before each test spray and each inhalation. Clean inhaler every 7 days by wiping mouthpiece with a dry cloth; do not wash inhaler in water.\nDosage\nAvailable as mometasone furoate; dosage expressed in terms of the salt. \nAlso available as fixed combination containing mometasone furoate and formoterol fumarate dihydrate (mometasone/formoterol); dosage of mometasone component expressed in terms of the salt and dosage of formoterol component expressed in terms of hydrated salt.\nStrength and dosage of mometasone furoate administered as an oral inhalation powder (Asmanex Twisthaler) is expressed as the nominal (labeled) dose contained in the Twisthaler device. Amount of drug delivered to the lungs depends on several factors, such as the patient’s inspiratory flow. Each actuation of the Twisthaler device contains 110 or 220 mcg of mometasone furoate oral inhalation powder and delivers approximately 100 or 200 mcg of mometasone furoate from the mouthpiece, depending on preparation used.\nEach actuation of the oral aerosol inhaler containing mometasone furoate (Asmanex HFA) delivers 115 or 225 mcg of mometasone furoate from the valve and 100 or 200 mcg of mometasone furoate from the actuator, depending on preparation used. Strength and dosage of the preparation expressed in terms of drug delivered from mouthpiece of the actuator. Actual amount of drug delivered to the lungs depends on several factors, such as coordination between actuation of the device and patient’s inspiratory flow. Asmanex HFA aerosol inhaler delivers 120 actuations per 13-g canister.\nEach actuation of the oral aerosol inhaler containing the mometasone/formoterol fixed combination (Dulera) delivers 115 or 225 mcg of mometasone furoate and 5.5 mcg of formoterol fumarate dihydrate from the valve and delivers 100 or 200 mcg of mometasone furoate and 5 mcg of formoterol fumarate dihydrate from the actuator, depending on preparation used. Strength and dosage of the preparation expressed in terms of drug delivered from mouthpiece of the actuator. Actual amount of drug delivered to the lungs depends on several factors, such as coordination between actuation of the device and patient’s inspiratory flow. Dulera aerosol inhaler delivers 60 or 120 metered sprays per 8.8- or 13-g canister, respectively.\nPediatric Patients\nAsthma\nMometasone\nChildren 4–11 years of age: Initial and maximum dosage is 110 mcg once daily in the evening, regardless of prior therapy.\nAdolescents ≥12 years of age previously receiving bronchodilators alone or inhaled corticosteroids: Initially, 220 mcg once daily in the evening. If control of asthma inadequate after 2 weeks of therapy at initial dosage, a higher dosage may provide additional asthma control. If required, dosage may be increased to a maximum 440 mcg daily (440 mcg once daily or 220 mcg twice daily).\nAdolescents ≥12 years of age previously receiving oral corticosteroids: Initial and maximum dosage is 440 mcg twice daily.\nAdolescents ≥12 years of age previously receiving inhaled medium-dose corticosteroids: 200 mcg (2 inhalations of preparation containing 100 mcg) twice daily.\nAdolescents ≥12 years of age previously receiving inhaled high-dose corticosteroids or oral corticosteroids: 400 mcg (2 inhalations of preparation containing 200 mcg) twice daily.\nIf control of asthma inadequate after 2 weeks at lower dosage, consider switching to the higher strength preparation, initiating therapy with an oral corticosteroid, or initiating oral inhalation therapy with a fixed combination containing a corticosteroid and a long-acting β2-agonist.\nMometasone/Formoterol Fixed Combination\nAdolescents ≥12 years of age: 200 or 400 mcg of mometasone furoate and 10 mcg of formoterol fumarate dihydrate (2 inhalations of preparation containing 100 or 200 mcg of mometasone furoate/5 mcg of formoterol fumarate dihydrate) twice daily. Select initial dosage based on asthma severity, previous asthma therapy (including previous inhaled corticosteroid dosage), current control of asthma symptoms, and risk of future asthma exacerbations.\nIf control of asthma inadequate after 2 weeks at lower dosage, switching to higher strength preparation of the fixed combination (higher strengths contain higher dosages of mometasone only) may provide additional asthma control.\nAdults\nAsthma\nMometasone\nPreviously receiving bronchodilators alone or inhaled corticosteroids: Initially, 220 mcg once daily in the evening. If control of asthma inadequate after 2 weeks of therapy at initial dosage, a higher dosage may provide additional asthma control. If required, dosage may be increased to a maximum of 440 mcg daily (440 mcg once daily or 220 mcg twice daily).\nPreviously receiving oral corticosteroids: Initial and maximum dosage is 440 mcg twice daily.\nPreviously receiving inhaled medium-dose corticosteroids: 200 mcg (2 inhalations of preparation containing 100 mcg) twice daily.\nPreviously receiving inhaled high-dose corticosteroids or oral corticosteroids: 400 mcg (2 inhalations of preparation containing 200 mcg) twice daily.\nIf control of asthma inadequate after 2 weeks of therapy at lower dosage, consider switching to the higher strength preparation, initiating therapy with an oral corticosteroid, or initiating oral inhalation therapy with a fixed combination containing a corticosteroid and a long-acting β2-agonist.\nMometasone/Formoterol Fixed Combination\n200 or 400 mcg of mometasone furoate and 10 mcg of formoterol fumarate dihydrate (2 inhalations of preparation containing 100 or 200 mcg of mometasone furoate/5 mcg of formoterol fumarate dihydrate) twice daily. Select initial dosage based on asthma severity, previous asthma therapy (including previous inhaled corticosteroid dosage), current control of asthma symptoms, and risk of future exacerbations.\nIf control of asthma inadequate after 2 weeks of therapy at lower dosage, switching to higher strength preparation of the fixed combination (higher strengths contain higher dosages of mometasone only) may provide additional asthma control.\nPrescribing Limits\nPediatric Patients\nAsthma\nMometasone\nChildren 4–11 years of age: Maximum 110 mcg daily.\nAdolescents ≥12 years of age previously receiving bronchodilators alone or inhaled corticosteroids: Maximum 440 mcg daily.\nAdolescents ≥12 years of age previously receiving oral corticosteroids: Maximum 880 mcg daily.\nAdolescents ≥12 years of age: Maximum 800 mcg daily.\nMometasone/Formoterol Fixed Combination\nAdolescents ≥12 years of age: Maximum 800 mcg of mometasone furoate and 20 mcg of formoterol fumarate dihydrate daily.\nAdults\nAsthma\nMometasone\nPreviously receiving bronchodilators alone or inhaled corticosteroids: Maximum 440 mcg daily.\nPreviously receiving oral corticosteroids: Maximum 880 mcg daily.\nMaximum 800 mcg daily.\nMometasone/Formoterol Fixed Combination\nMaximum 800 mcg of mometasone furoate and 20 mcg of formoterol fumarate dihydrate daily.\nSpecial Populations\nHepatic Impairment\nMonitor patients for signs of increased drug exposure.  \nRenal Impairment\nNo specific dosage recommendations at this time.  \n Detailed Mometasone dosage information\n','The following information addresses potential interactions with mometasone.   No formal drug interactions studies performed to date using mometasone/formoterol. When the fixed combination used, also consider interactions associated with formoterol.\nMometasone metabolized by CYP3A4 isoenzyme.  \nDrugs Affecting Hepatic Microsomal Enzymes\nPotent inhibitors of CYP3A4: Potential pharmacokinetic interaction (increased plasma mometasone concentrations).  \nSpecific Drugs\nDrug\nInteraction\nComments\nAntifungals, azoles (itraconazole, ketoconazole)\nIncreased mometasone concentrations and the potential for adverse systemic corticosteroid effects  \nUse with caution; if concomitant use necessary, monitor for adverse systemic corticosteroid effects  \nAntiretrovirals, HIV protease inhibitors (atazanavir, indinavir, nelfinavir, ritonavir, saquinavir)\nIncreased mometasone concentrations and the potential for adverse systemic corticosteroid effects  \nUse with caution; if concomitant use necessary, monitor for adverse systemic corticosteroid effects  \nCobicistat-containing preparations\nIncreased mometasone concentrations and the potential for adverse systemic corticosteroid effects  \nUse with caution; if concomitant use necessary, monitor for adverse systemic corticosteroid effects  \nMacrolides (clarithromycin)\nIncreased mometasone concentrations and the potential for adverse systemic corticosteroid effects  \nUse with caution; if concomitant use necessary, monitor for adverse systemic corticosteroid effects   \nNefazodone\nIncreased mometasone concentrations and the potential for adverse systemic corticosteroid effects  \nUse with caution; if concomitant use necessary, monitor for adverse systemic corticosteroid effects  \n Mometasone drug interactions (more detail)\n',NULL,'Asthma\nMometasone: Maintenance treatment of asthma as prophylactic therapy.  \nMometasone in fixed combination with formoterol (mometasone/formoterol): Treatment of asthma in patients not responding adequately to long-term asthma controller therapy (e.g., inhaled corticosteroids) or whose disease severity warrants initiation of treatment with both an inhaled corticosteroid and a long-acting β2-adrenergic agonist.\nMometasone alone or in fixed combination with formoterol: Not indicated for treatment of acute bronchospasm (i.e., as rescue therapy for treatment of acute episodes of bronchospasm).  \n',NULL,NULL),(566,'montelukast','Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.\nMontelukast is not a fast-acting rescue medicine for asthma attacks. Seek medical attention if your breathing problems get worse quickly, or if you think your medications are not working.\nMontelukast is usually taken once every evening, with or without food.\nFor exercise-induced bronchoconstriction, take a single dose at least 2 hours before exercise, and do not take another dose for at least 24 hours.\nSwallow the regular tablet whole, with a glass of water.\nYou must chew the chewable tablet before you swallow it.\nPlace the oral granules directly in your mouth and swallow, or mix them with applesauce, mashed carrots, rice, or ice cream. The granules may also be mixed with baby formula or breast milk. Do not use any other type of liquid. Use the mixture within 15 minutes. Do not save for later use.\nIf you also use an oral steroid medication, you should not stop using it suddenly. Follow your doctor\'s instructions about tapering your dose.\nDo not change your dose or stop using asthma medication without your doctor\'s advice.\nStore at room temperature away from moisture and heat. Do not open a packet of oral granules until you are ready to use the medicine.\n Detailed Montelukast dosage information\nFree Drugs.com Discount Card\nSave up to 80% on your prescriptions.\nAccepted at over 65,000 pharmacies.\nGet Discount Card\nWhat happens if I miss a dose?\nSkip the missed dose and use your next dose at the regular time. Do not use two doses at one time.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\n','Other drugs may affect montelukast, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all other medicines you use.\n Montelukast drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction: hives, blisters, severe itching; difficult breathing; swelling of your face, lips, tongue, or throat.\nTell your doctor right away if you have signs of blood vessel inflammation: flu-like symptoms, severe sinus pain, a skin rash, numbness or a \"pins and needles\" feeling in your arms or legs.\nSome people using montelukast have had new or worsening mental problems. Stop taking  montelukast and call your doctor right away if you have unusual changes in mood or behavior, such as:\nagitation, aggression, feeling restless or irritable;\nanxiety, depression, confusion, problems with memory or attention;\nstuttering, tremors, uncontrolled muscle movements;\nsuicidal thoughts or actions;\nhallucinations, sleep problems, vivid, dreams, sleep-walking; or\ncompulsive or repetitive behaviors.\nCommon side effects may include:\nstomach pain, diarrhea;\nfever or other flu symptoms;\near pain or full feeling, trouble hearing;\nheadache; or\ncold symptoms such as runny or stuffy nose, sinus pain, cough, sore throat.\nThis 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.\n Montelukast side effects (more detail)\n','Montelukast is a leukotriene (loo-koe-TRY-een) inhibitor that is used to prevent asthma attacks in adults and children at least 2 years old. Montelukast is also used to prevent exercise-induced bronchoconstriction (narrowing of the air passages in the lungs) in adults and children who are at least 6 years old.\nMontelukast is also used to treat symptoms of seasonal or year-round (perennial) allergies in adults and children at least 2 years old, after other treatments did not work.\nIf you already take montelukast to prevent asthma or allergy symptoms, do not use an extra dose to treat exercise-induced bronchoconstriction.\nMontelukast may also be used for purposes not listed in this medication guide.\n','Tell your doctor right away if you have signs of blood vessel inflammation: flu-like symptoms, severe sinus pain, a skin rash, numbness or a \"pins and needles\" feeling in your arms or legs.\nStop taking  montelukast and call your doctor right away if you have any unusual changes in mood or behavior (such as agitation, confusion, depression, sleep problems, compulsive behaviors, hallucinations, or suicidal thoughts or actions).\nBefore taking this medicine\nYou should not use montelukast if you are allergic to it.\nTell your doctor if you have ever had:\nmental illness or psychosis; or\nasthma, or a history of severe allergic reaction (sneezing, runny or stuffy nose, wheezing, shortness of breath) after taking aspirin or another NSAID.\nThe chewable tablet may contain phenylalanine and could be harmful if you have phenylketonuria (PKU).\nTell your doctor if you are pregnant or breastfeeding.\nDo not give this medicine to a child without a doctor\'s advice.\n','Avoid situations or activities that may trigger an asthma attack.\nIf your asthma symptoms get worse when you take aspirin, avoid taking aspirin or other NSAIDs (nonsteroidal anti-inflammatory drugs) such as ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others.\n'),(567,'morphine','Take morphine exactly as prescribed by your doctor. Follow the directions on your prescription label and read all medication guides. Never use morphine in larger amounts, or for longer than prescribed. Tell your doctor if you feel an increased urge to take more of this medicine.\nNever share opioid medicine with another person, especially someone with a history of drug addiction. MISUSE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep the medicine where others cannot get to it. Selling or giving away this medicine is against the law.\nStop taking all other around-the-clock narcotic pain medications when you start taking morphine.\nSwallow the capsule or tablet whole to avoid exposure to a potentially fatal overdose. Do not crush, chew, break, open, or dissolve.\nMeasure liquid medicine with the supplied syringe or a dose-measuring device (not a kitchen spoon).\nYou may have withdrawal symptoms if you stop using morphine suddenly. Ask your doctor before stopping the medicine.\nNever crush a pill to inhale the powder or inject it into your vein. This could result in death.\nStore at room temperature, away from heat, moisture, and light. Keep track of your medicine. You should be aware if anyone is using it improperly or without a prescription.\nDo not keep leftover opioid medication. Just one dose can cause death in someone using this medicine accidentally or improperly. Ask your pharmacist where to locate a drug take-back disposal program. If there is no take-back program, flush the unused medicine down the toilet.\n Detailed Morphine dosage information\nWhat happens if I miss a dose?\nSince morphine is used for pain, you are not likely to miss a dose. If you do miss a dose, take the medicine as soon as you remember. Then take your next dose as follows:\nIf you take morphine 1 time per day: Take your next dose 24 hours after taking the missed dose.\nIf you take morphine 2 times per day: Take your next dose 12 hours after taking the missed dose.\nIf you take morphine 3 times per day: Take your next dose 8 hours after taking the missed dose.\nDo not take two doses at one time. Do not take more than your prescribed dose in a 24-hour period.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose can be fatal, especially in a child or person using opioid medicine without a prescription. Overdose symptoms may include severe drowsiness, pinpoint pupils, slow breathing, or no breathing.\nYour doctor may recommend you get naloxone (a medicine to reverse an opioid overdose) and keep it with you at all times. A person caring for you can give the naloxone if you stop breathing or don\'t wake up. Your caregiver must still get emergency medical help and may need to perform CPR (cardiopulmonary resuscitation) on you while waiting for help to arrive.\nAnyone can buy naloxone from a pharmacy or local health department. Make sure any person caring for you knows where you keep naloxone and how to use it.\n','Many other drugs can be dangerous when used with opioid medicine. Tell your doctor if you also use:\nother opioid medicines;\na benzodiazepine sedative like Valium, Klonopin, or Xanax;\nsleep medicine, muscle relaxers, or other drugs that make you drowsy; or\ndrugs that affect serotonin, such as antidepressants, stimulants, or medicine for migraines or Parkinson\'s disease.\nThis list is not complete. Many drugs may interact with morphine, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here.\n Morphine drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction to morphine: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nOpioid medicine can slow or stop your breathing, and death may occur. A person caring for you should seek emergency medical attention if you have slow breathing with long pauses, blue colored lips, or if you are hard to wake up.\nCall your doctor at once if you have:\nslow heart rate, sighing, weak or shallow breathing, breathing that stops;\nchest pain, fast or pounding heartbeats;\nextreme drowsiness, feeling like you might pass out;\nserotonin syndrome - agitation, hallucinations, fever, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, diarrhea; or\nlow cortisol levels - nausea, vomiting, loss of appetite, dizziness, worsening tiredness or weakness.\nSerious breathing problems may be more likely in older adults and people who are debilitated or have wasting syndrome or chronic breathing disorders.\nCommon morphine side effects may include:\ndrowsiness, dizziness, tiredness;\nconstipation, stomach pain, nausea, vomiting;\nsweating; or\nfeelings of extreme happiness or sadness.\nThis 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.\n Morphine side effects (more detail)\n','Morphine is an opioid medication. An opioid is sometimes called a narcotic. Morphine works by blocking pain signals from travelling along the nerves to the brain.\nMorphine is used to treat moderate to severe pain. The extended-release form of morphine is for around-the-clock treatment of pain. Short-acting formulations are taken as needed for pain.\nExtended-release morphine is not for use on an as-needed basis for pain.\n','You should not take morphine if you have severe asthma or breathing problems, a blockage in your stomach or intestines, or a bowel obstruction called paralytic ileus.\nMorphine can slow or stop your breathing, and may be habit-forming MISUSE OF OPIOID MEDICINE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH, , especially in a child or other person using the medicine without a prescription. Keep the medication in a place where others cannot get to it.\nTaking opioid medicine during pregnancy may cause life-threatening withdrawal symptoms in the newborn.\nFatal side effects can occur if you use morphine with alcohol, or with other drugs that cause drowsiness or slow your breathing.\nBefore taking this medicine\nYou should not take this medicine if you have ever had an allergic reaction to morphine or other narcotic medicines, or if you have:\nsevere asthma or breathing problems;\na stomach or bowel obstruction (including paralytic ileus); or\nif you have taken an MAO inhibitor in the past 14 days, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, or tranylcypromine.\nTo make sure morphine is safe for you, tell your doctor if you have ever had:\nbreathing problems, sleep apnea (breathing stops during sleep);\na head injury, brain tumor, or seizures;\na drug or alcohol addiction, or mental illness;\nurination problems;\nliver or kidney disease; or\nproblems with your gallbladder, pancreas, or thyroid.\nIf you use opioid medicine while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on opioids may need medical treatment for several weeks.\nAsk a doctor before using opioid medicine if you are breastfeeding. Tell your doctor if you notice severe drowsiness or slow breathing in the nursing baby.\n','Do not drink alcohol. Dangerous side effects or death could occur.\nAvoid driving or hazardous activity until you know how morphine will affect you. Dizziness or drowsiness can cause falls, accidents, or severe injuries.\n'),(568,'motrin','This section provides information on the proper use of a number of products that contain ibuprofen.  It may not be specific to Motrin. Please read with care.\nFor safe and effective use of this medicine, do not take more of it, do not take it more often, and do not take it for a longer time than ordered by your doctor. Taking too much of this medicine may increase the chance of unwanted effects, especially in elderly patients .\nWhen used for severe or continuing arthritis, this medicine must be taken regularly as ordered by your doctor in order for it to help you. This medicine usually begins to work within one week, but in severe cases up to two weeks or even longer may pass before you begin to feel better. Also, several weeks may pass before you feel the full effects of this medicine .\nTo lessen stomach upset, you may take this medicine with food or milk .\nDosing\nThe 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.\nThe 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.\nFor oral dosage form (tablets and suspension):\nFor fever:\nChildren over 2 years of age—Use and dose must be determined by your doctor.\nChildren 6 months of age up to 2 years—Dose is based on body weight and body temperature, and must be determined by your doctor. For fever lower than 102.5 °F (39.2 °C), the dose usually is 5 milligrams (mg) per kilogram (kg) (about 2.2 mg per pound) of body weight. For higher fever, the dose usually is 10 mg per kg (about 4.5 mg per pound) of body weight. The medicine may be given every six to eight hours, as needed, up to 40 mg per kg per day.\nInfants younger than 6 months of age—Use and dose must be determined by your doctor .\nFor menstrual cramps:\nAdults—400 milligrams (mg) every four hours, as needed.\nChildren—Use and dose must be determined by your doctor .\nFor mild to moderate pain:\nAdults and teenagers—400 milligrams (mg) every four to six hours, as needed.\nChildren over 6 months of age—Dose is based on body weight and must be determined by your doctor. The dose usually is 10 milligrams (mg) per kilogram (kg) of body weight every six to eight hours, as needed, up to 40 mg per kg per day.\nInfants younger than 6 months of age—Use and dose must be determined by your doctor .\nFor osteoarthritis and rheumatoid arthritis:\nAdults and teenagers—1200 milligrams (mg) up to 3200 mg per day divided into three or four equal doses.\nChildren—Dose is based on body weight and must be determined by your doctor. The dose usually is 30 milligrams (mg) to 40 mg per kilogram (kg) of body weight per day, divided into three or four doses.\nInfants younger than 6 months of age—Use and dose must be determined by your doctor .\nMissed dose\nIf 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.\nStorage\nStore the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.\nAsk your healthcare professional how you should dispose of any medicine you do not use.\nKeep out of the reach of children.\nDo not keep outdated medicine or medicine no longer needed.\n Detailed Motrin dosage information\n',NULL,'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.\nCheck with your doctor immediately if any of the following side effects occur:\nMore common\nAbdominal pain\nacid or sour stomach\nbelching\nbloating\ncloudy urine\ndecrease in amount of urine\ndecrease in urine output or decrease in urine-concentrating ability\ndiarrhea\ndifficulty having a bowel movement (stool)\nexcess air or gas in stomach or intestines\nfull feeling\nheartburn\nindigestion\nitching skin\npain or discomfort in chest, upper stomach, or throat\npale skin\npassing gas\nnausea\nnoisy, rattling breathing\nrash with flat lesions or small raised lesions on the skin\nshortness of breath\nswelling of face, fingers, hands, feet, lower legs, or ankles\ntroubled breathing at rest\ntroubled breathing with exertion\nunusual bleeding or bruising\nunusual tiredness or weakness\nvomiting\nweight gain\nLess common\nAbdominal cramps\nstomach soreness or discomfort\nRare\nAgitation\nback, leg, or stomach pains\nbleeding gums\nblistering, peeling, loosening of skin\nblood in urine or stools\nbloody, black, or tarry stools\nblurred vision\nburning feeling in chest or stomach\nchange in vision\nchest pain\nchills\nclay-colored stools\ncoma\nconfusion\nconstipation\ncough or hoarseness\ndark urine\ndecreased urine output\ndepression\ndifficulty breathing\ndifficulty swallowing\ndilated neck veins\ndizziness\ndry mouth\nextreme fatigue\nfast, irregular, pounding, or racing heartbeat or pulse\nfever with or without chills\nfrequent urination\ngeneral body swelling\ngeneral feeling of tiredness or weakness\nhair loss, thinning of hair\nheadache\nhives or welts\nhostility\nimpaired vision\nincreased blood pressure\nincreased volume of pale, dilute urine\nirregular breathing\nirritability\nitching\njoint or muscle pain\nlab results that show problems with liver\nlethargy\nlight-colored stools\nloss of appetite\nlower back or side pain\nmuscle twitching\nnosebleeds\npainful or difficult urination\npains in stomach, side, or abdomen, possibly radiating to the back\npinpoint red spots on skin\npuffiness or swelling of the eyelids or around the eyes, face, lips, or tongue\nrash\nred skin lesions, often with a purple center\nred, irritated eyes\nredness of skin\nseizures\nsevere abdominal pain, cramping, burning\nsevere and continuing nausea\nsore throat\nsores, ulcers, or white spots in mouth or on lips\nstiff neck or back\nstomach upset\nstupor\nswollen or painful glands\ntenderness in stomach area\nthirst\ntightness in chest\nunpleasant breath odor\nupper right abdominal pain\nvomiting of blood\nvomiting of material that looks like coffee grounds\nwheezing\nyellow eyes and skin\nSymptoms of overdose\nBluish lips or skin\ndifficulty sleeping\ndisorientation\ndizziness, faintness, or lightheadedness when getting up from a lying or sitting position suddenly\ndrowsiness to profound coma\nhallucination\nlightheadedness or fainting\nmood or other mental changes\nmuscle tremors\nnot breathing\nrapid, deep breathing\nrestlessness\nslow or irregular heartbeat\nstomach cramps\nsudden fainting\nsweating\nSome 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:\nMore common\nContinuing ringing or buzzing or other unexplained noise in ears\nhearing loss\nnervousness\nRare\nCrying\ndepersonalization\ndiscouragement\ndry eyes\ndysphoria\neuphoria\nfeeling sad or empty\nlack of appetite\nloss of interest or pleasure\nmental depression\nparanoia\nquick to react or overreact\nrapidly changing moods\nrunny nose\nsleepiness or unusual drowsiness\nsleeplessness\nsneezing\nstuffy nose\ntrouble concentrating\ntrouble sleeping\nunable to sleep\nOther side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.\nCall your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.\n Motrin side effects (more detail)\n','Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) used to treat mild to moderate pain, and helps to relieve symptoms of arthritis (osteoarthritis, rheumatoid arthritis, or juvenile arthritis), such as inflammation, swelling, stiffness, and joint pain. This medicine does not cure arthritis and will help you only as long as you continue to take it .\nIn addition, ibuprofen can be used to treat fever, menstrual cramps, and other conditions as determined by your doctor .\nThis medicine is available both over-the-counter (OTC) and with your doctor\'s prescription .\n','It is very important that your doctor check your progress at regular visits. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to take it. Blood and urine tests may be needed to check for unwanted effects .\nThis medicine may raise your risk of having a heart attack or stroke. This is more likely in people who already have heart disease. People who use this medicine for a long time might also have a higher risk .\nThis medicine may cause bleeding in your stomach or intestines. These problems can happen without warning signs. This is more likely if you have had a stomach ulcer in the past, if you smoke or drink alcohol regularly, if you are over 60 years old, if you are in poor health, or if you are using certain other medicines (a steroid or a blood thinner) .\nSerious skin reactions can occur during treatment with this medicine. Check with your doctor right away if you have any of the following symptoms while taking this medicine: blistering, peeling, loosening of skin, chills, cough, diarrhea, fever, itching, joint or muscle pain, red skin lesions, sore throat, sores, ulcers, white spots in mouth or on lips, or unusual tiredness or weakness .\nPossible warning signs of some serious side effects that can occur during treatment with this medicine may include swelling of the face, fingers, feet, and/or lower legs; severe stomach pain, black, tarry stools, and/or vomiting of blood or material that looks like coffee grounds; unusual weight gain; yellow skin or eyes; decreased urination; bleeding or bruising; and/or skin rash. Also, signs of serious heart problems could occur such as chest pain, tightness in chest, fast or irregular heartbeat, unusual flushing or warmth of skin, weakness, or slurring of speech. Stop taking this medicine and check with your doctor immediately if you notice any of these warning signs .\nThis medicine may also cause a serious type of allergic reaction called anaphylaxis. Although this is rare, it may occur often in patients who are allergic to aspirin or other nonsteroidal anti-inflammatory drugs. Anaphylaxis requires immediate medical attention. The most serious signs of this reaction are very fast or irregular breathing, gasping for breath, wheezing, or fainting. Other signs may include changes in skin color of the face; very fast but irregular heartbeat or pulse; hive-like swellings on the skin; and puffiness or swelling of the eyelids or around the eyes. If these effects occur, get emergency help at once .\nSome people who have used this medicine had symptoms of meningitis. If you have fever, headache, nausea, vomiting, and stiff neck or back while using this medicine, check with your doctor right away .\nUsing this medicine while you are pregnant can harm your unborn baby. If you think you have become pregnant while using this medicine, tell your doctor right away .\nCheck with your doctor immediately if blurred vision, difficulty in reading, or any other change in vision occurs during or after your treatment. Your doctor may want you to have your eyes checked by an ophthalmologist (eye doctor) .\nBefore having any kind of surgery or medical tests, tell your doctor that you are taking this medicine. It may be necessary for you to stop treatment for a while, or to change to a different nonsteroidal anti-inflammatory drug before your procedure .\n',NULL),(569,'mucinex','Usual Adult Dose of Mucinex for Cough:\nImmediate release formulation: 200 to 400 mg orally every 4 hours as needed, not to exceed 2.4 g/day\nSustained release formulation: 600 to 1200 mg orally every 12 hours, not to exceed 2.4 g/day\nUsual Pediatric Dose of Mucinex for Cough:\nImmediate release formulation:\nless than 2 years: 12 mg/kg/day orally in 6 divided doses\n2 to 5 years: 50 to 100 mg orally every 4 hours as needed, not to exceed 600 mg/day\n6 to 11 years: 100 to 200 mg orally every 4 hours as needed, not to exceed 1.2 g/day\n12 years or older: 200 to 400 mg orally every 4 hours as needed, not to exceed 2.4 g/day\nSustained release formulation:\n2 to 5 years: 300 mg orally every 12 hours, not to exceed 600 mg/day\n6 to 11 years: 600 mg orally every 12 hours, not to exceed 1.2 g/day\n12 years or older: 600 to 1200 mg orally every 12 hours, not to exceed 2.4 g/day\n Detailed Mucinex dosage information\nWhat happens if I miss a dose?\nSince cough or cold medicine is taken when needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\n','Other drugs may interact with guaifenesin, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.\n','Get emergency medical help if you have signs of an allergic reaction to Mucinex: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nCommon Mucinex side effects may include:\ndizziness, headache;\nrash; or\nnausea, vomiting, stomach upset.\nThis 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.\n Mucinex side effects (more detail)\n','Mucinex (guaifenesin) is an expectorant. It helps loosen congestion in your chest and throat, making it easier to cough out through your mouth.\nMucinex is used to reduce chest congestion caused by the common cold, infections, or allergies.\nMucinex may also be used for purposes not listed in this medication guide.\n','Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.\nBefore taking this medicine\nYou should not use Mucinex if you are allergic to guaifenesin.\nAsk a doctor or pharmacist if it is safe for you to use Mucinex if you have other medical conditions.\nIt is not known whether Mucinex will harm an unborn baby. Ask a doctor before using this medicine if you are pregnant.\nIt is not known whether guaifenesin passes into breast milk or if it could harm a nursing baby. Ask a doctor before using this medicine if you are breast-feeding a baby.\nDo not give Mucinex to a child without medical advice.\nHow should I take Mucinex?\nUse Mucinex 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. Cough medicine is usually taken only for a short time until your symptoms clear up.\nTake Mucinex with food if it upsets your stomach.\nMeasure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.\nDrink extra fluids to help loosen the congestion and lubricate your throat while you are taking this medication.\nStore at room temperature away from moisture, heat, and light.\n','Mucinex may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.\nAsk a doctor or pharmacist before using any other cold, or cough medicine. Many combination medicines contain Mucinex. Taking certain products together can cause you to get too much of a certain drug. Check the label to see if a medicine contains an expectorant.\n'),(570,'mupirocin',NULL,NULL,NULL,NULL,NULL,NULL),(571,'mupirocin-topical','Usual Adult Dose for Secondary Cutaneous Bacterial Infections:\nTopical cream: Apply a small amount to the affected area 3 times a day for 10 days.Use: For the treatment of secondarily infected traumatic skin lesions (up to 10 cm in length or 100 cm2 in area) due to susceptible strains of Staphylococcus aureus and Streptococcus pyogenes\nUsual Adult Dose for Nasal Carriage of Staphylococcus aureus:\nNasal ointment: Apply about one-half of the tube contents into 1 nostril and the other half into the other nostril twice a day (morning and evening).Duration of therapy: 5 daysUse: For the eradication of nasal colonization with methicillin-resistant S aureus (MRSA) in patients and healthcare workers as part of a comprehensive infection control program to reduce risk of MRSA infection among high-risk patients during institutional outbreaks of MRSA infections\nUsual Adult Dose for Impetigo:\nTopical ointment: Apply a small amount to the affected area 3 times a day.Use: For the topical treatment of impetigo due to S aureus and S pyogenes\nUsual Pediatric Dose for Secondary Cutaneous Bacterial Infections:\n3 months or older:Topical cream: Apply a small amount to the affected area 3 times a day for 10 days.Use: For the treatment of secondarily infected traumatic skin lesions (up to 10 cm in length or 100 cm2 in area) due to susceptible strains of S aureus and S pyogenes\nUsual Pediatric Dose for Nasal Carriage of Staphylococcus aureus:\n12 years or older:Nasal ointment: Apply about one-half of the tube contents into 1 nostril and the other half into the other nostril twice a day (morning and evening).Duration of therapy: 5 daysUse: For the eradication of nasal colonization with MRSA in patients and healthcare workers as part of a comprehensive infection control program to reduce risk of MRSA infection among high-risk patients during institutional outbreaks of MRSA infections\nUsual Pediatric Dose for Impetigo:\n2 months or older:Topical ointment: Apply a small amount to the affected area 3 times a day.Use: For the topical treatment of impetigo due to S aureus and S pyogenes\n Detailed Mupirocin topical dosage information\n','It is not likely that other drugs you take orally or inject will have an effect on topically applied mupirocin. But many drugs can interact with each other. Tell each of your health care providers about all medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products.\nDoes Mupirocin topical interact with my other drugs?\nEnter other medications to view a detailed report.\nDrug name\nAdd a drug to check interactions\nAdd\n','Get emergency medical help if you have signs of an allergic reaction: hives; dizziness, fast or pounding heartbeats; wheezing, difficult breathing; swelling of your face, lips, tongue, or throat.\nStop using this medicine and call your doctor at once if you have:\nsevere stomach pain, diarrhea that is watery or bloody;\nsevere itching, rash, or other irritation of treated skin;\nunusual skin blistering or peeling; or\nany signs of a new skin infection.\nCommon side effects may include:\nburning, stinging;\nitching; or\npain.\nThis 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.\n Mupirocin topical side effects (more detail)\n','Mupirocin is an antibiotic that prevents bacteria from growing on your skin.\nMupirocin topical (for use on the skin) is used to treat skin infections such as impetigo (IM-pe-TYE-go) or a \"Staph\" infection of the skin.\nMupirocin topical may also be used for purposes not listed in this medication guide.\n','Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.\nBefore taking this medicine\nYou should not use  mupirocin topical if you are allergic to mupirocin.\nTo make sure mupirocin topical is safe for you, tell your doctor if you have ever had:\nkidney disease.\nDo not use mupirocin topical on a child without medical advice. The cream should not be used on a child younger than 3 months old. The ointment may be used on a child as young as 2 months old.\nIt is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant.\nIt is not known whether mupirocin topical passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby. If you apply this medicine to your breast or nipple, wash the areas thoroughly before nursing your baby.\nHow should I use mupirocin topical?\nFollow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.\nDo not take by mouth. Topical medicine is for use only on the skin. If this medicine gets in your eyes, nose, or mouth, rinse with water.\nWash your hands before and after applying mupirocin topical.\nClean and dry the affected skin area. Use a cotton swab or gauze pad to apply a small amount of mupirocin topical as directed.\nDo not spread mupirocin topical over large areas of skin.\nMupirocin topical is usually applied 3 times per day for 10 days. Use only a small amount of the medicine.\nUse a sterile gauze pad to cover the treated skin. Do not cover treated areas with a bandage, plastic wrap, or other covering that does not allow air to circulate.\nCall your doctor if your symptoms do not improve within 3 to 5 days, or if your skin condition gets worse.\nUse this medicine for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Skipping doses may also increase your risk of further infection that is resistant to antibiotics.\nStore at room temperature away from moisture and heat. Do not freeze. Keep the medicine tube tightly closed when not in use.\nWhat happens if I miss a dose?\nApply the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next dose. Do not use extra medicine to make up the missed dose.\nWhat happens if I overdose?\nAn overdose of mupirocin topical is not expected to be dangerous. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222 if anyone has accidentally swallowed the medication.\n','Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or bloody, call your doctor. Do not use anti-diarrhea medicine unless your doctor tells you to.\nAvoid getting  mupirocin topical in your eyes, mouth, or nose. A separate product called mupirocin nasal is made for use in the nose. Mupirocin topical is for use only on the skin.\nAvoid using other medications on the areas you treat with mupirocin topical unless your doctor tells you to.\n'),(572,'mycapssa','\nTake Mycapssa exactly as your healthcare provider tells you to take it.\nTake the capsules with a glass of water on an empty stomach.\nTake the capsules at least 1 hour before a meal or at least 2 hours after a meal (for example, you could take your morning dose 1 hour before breakfast and your evening dose at bedtime).\nSwallow the capsules whole. Do not crush or chew the capsules before swallowing.\n Detailed Mycapssa dosage information\n',NULL,'\ngallbladder problems. Mycapssa may cause problems with the gallbladder. Tell your healthcare provider if you have sudden pain in your upper right stomach (abdomen), sudden pain in your right shoulder or between your shoulder blades, yellowing of your skin or the whites of your eyes, fever with chills, nausea\nblood sugar problems. Mycapssa may cause you to have high blood sugar (hyperglycemia), low blood sugar (hypoglycemia), or diabetes. Tell your healthcare provider if you have problems with high or low blood sugar. Your healthcare provider will check your blood sugar when you start taking Mycapssa or when your dose is changed.\nthyroid problems. Mycapssa may keep your thyroid from releasing thyroid hormones leading to hypothyroidism. Your thyroid function will be checked regularly during treatment.\nheart rhythm problems. Tell your healthcare provider if you have an irregular heartbeat (your heart is not beating normally).\nlow vitamin B12 levels in your blood. Your healthcare provider may check your vitamin B12 levels during treatment.\nThe most common side effects include:\nheadache\nnausea\ndiarrhea\njoint pain\nweakness\nsweating a lot\nThese are not all the possible side effects. For more information, ask your healthcare provider or pharmacist.\nCall your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.\n Mycapssa side effects (more detail)\nHow should I store Mycapssa?\nBefore first use, store unopened wallets of Mycapssa in a refrigerator between 36°F to 46°F (2°C to 8°C).\nDo not freeze.\nAfter first use, store opened wallets at room temperature between 68°F to 77°F (20°C to 25°C) for up to 1 month.\nKeep all medicines out of the reach of children and pets.\nGeneral information about the safe and effective use of Mycapssa.\nMedicines are sometimes prescribed for purposes other than those listed in a Patient Information. Do not use this medicine for a condition for which it was not prescribed. Do not give it to other people, even if they have the same symptoms you have. It may harm them. You can ask your pharmacist or healthcare provider for information that is written for health professionals.\nWhat are the ingredients in Mycapssa?\nActive ingredient: octreotide acetate\nInactive ingredients: polyvinylpyrrolidone (PVP-12), sodium caprylate, magnesium chloride, polysorbate 80, glyceryl monocaprylate, glyceryl tricaprylate, gelatin, gelatin capsules, and Acryl-EZE® (methacrylate).\n','\nMycapssa is an oral prescription medicine used in the long-term maintenance treatment of acromegaly in people for whom initial treatment with octreotide or lanreotide has been effective and tolerated.\nIt is not known if this medicine is safe and effective in children.\nWho should not take Mycapssa?\nDo not take Mycapssa if you:\nare allergic to octreotide acetate or any of the other ingredients. Mycapssa can cause a serious allergic reaction including anaphylactic shock. Stop treatment right away and get emergency help if you have any of these symptoms:\nswelling of your tongue, throat, lips, eyes or face\nsevere itching of the skin with rash or raised bumps\nchest pain\ntrouble swallowing or breathing\nfeeling faint\nrapid heart beat\nSee the end of this page for a complete list of ingredients.\nBefore you take Mycapssa\nBefore you take Mycapssa, tell your healthcare provider about all of your medical conditions, including if you:\nhave liver cirrhosis or liver problems\nhave kidney problems\nare pregnant or plan to become pregnant. It is not known if Mycapssa will harm your unborn baby. Mycapssa may increase your chance of becoming pregnant.\nare breastfeeding or plan to breastfeed. It is not known if Mycapssa passes into your breast milk. Talk to your healthcare provider about the best way to feed your baby if you take Mycapssa.\nTell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.\nMycapssa may affect the way other medicines work, and other medicines may affect how Mycapssa works.\nEspecially tell your healthcare provider if you take oral contraceptives. Use an alternative non-hormonal method of contraception or a back-up method while taking Mycapssa.\nKnow the medicines you take. Keep a list of them to show your healthcare provider and pharmacist when you get a new medicine.\n',NULL,NULL),(573,'mylotarg','Usual Adult Dose for of Mylotarg Acute Myeloid Leukemia:\nNewly-diagnosed CD33-positive acute myeloid leukemia (AML):\nCOMBINATION REGIMEN (therapy consists of 1 induction cycle and 2 consolidation cycles in combination with chemotherapy):\n-Induction: 3 mg/m2 (maximum 4.5 mg/dose) IV on Days 1, 4, and 7 in combination with daunorubicin and cytarabine (for patients who require a second induction cycle, gemtuzumab is NOT given during the second induction cycle)\n-Consolidation (2 cycles): 3 mg/m2 (maximum 4.5 mg/dose) IV on Day 1 in combination with daunorubicin and cytarabine\nNewly-diagnosed CD33-positive acute myeloid leukemia (AML):\nSINGLE AGENT REGIMEN (MONOTHERAPY) (therapy consists of 1 induction cycle and up to 8 continuation cycles):\n-Induction: 6 mg/m2 IV on Day 1 and 3 mg/m2 IV on Day 8\n-Continuation: 2 mg/m2 IV on Day 1 every 4 weeks\nRelapsed or Refractory CD33-positive AML:\nSINGLE AGENT REGIMEN (MONOTHERAPY):\n3 mg/m2 (maximum 4.5 mg/dose) IV on Days 1, 4, and 7\n-Treatment in the relapsed or refractory setting consists of a single course of gemtuzumab.\nComments:\n-Premedicate with acetaminophen 650 mg orally and diphenhydramine 50 mg orally or IV one hour prior to infusion, and methylprednisolone (or equivalent) 1 mg/kg orally or IV within 30 minutes prior to infusion. Repeat the same dose of methylprednisolone (or equivalent) for any sign of an infusion reaction (e.g., fever, chills, hypotension, dyspnea) during the infusion or within 4 hours of the infusion.\n-Monitor vital signs during infusion and for 4 hours following infusion.\n-For patients with hyperleukocytosis (leukocyte count greater than or equal to 30 Gi/L), cytoreduction is recommended prior to administration of this drug.\nUsual Pediatric Dose of Mylotarg for Acute Myeloid Leukemia:\nNewly Diagnosed De Novo CD33-positive AML (Combination Regimen):\nONE MONTH AND OLDER:\n-Body surface area (BSA) less than 0.6 m2: 0.1 mg/kg\n-BSA 0.6 m2 or greater: 0.3 mg/m2\nINDUCTION 1:\n-For Induction 1, gemtuzumab is given once in combination with standard chemotherapy; no gemtuzumab is given in the second induction cycle.\nINTENSIFICATION:\n-No gemtuzumab is given in the first or third intensification cycles; for Intensification 2, gemtuzumab is given once in combination with standard chemotherapy; consider the risks and potential benefits before giving gemtuzumab during Intensification 2.\nRelapsed or Refractory CD33-positive AML:\nSINGLE AGENT REGIMEN (MONOTHERAPY):\n2 YEARS AND OLDER:\n3 mg/m2 (maximum 4.5 mg/dose) IV on Days 1, 4, and 7\n-Treatment in the relapsed or refractory setting consists of a single course of gemtuzumab.\nComments:\n-Premedicate children 1 month and older with acetaminophen 15 mg/kg (maximum of 650 mg) orally and diphenhydramine 1 mg/kg (maximum of 50 mg) orally or IV within 1 hour of infusion, and methylprednisolone 1 mg/kg orally or IV within 30 minutes of infusion. Additional doses of acetaminophen and diphenhydramine may be administered every 4 hours if needed. Repeat with the same dose of methylprednisolone (or equivalent) for an infusion reaction (e.g., fever, chills, hypotension, dyspnea) during the infusion or within 4 hours of the infusion.\n-Monitor vital signs during infusion and for 4 hours following infusion.\n-For patients with hyperleukocytosis (leukocyte count greater than or equal to 30 Gi/L), cytoreduction is recommended prior to administration of this drug.\n Detailed Mylotarg dosage information\nWhat happens if I miss a dose?\nCall your doctor for instructions if you miss an appointment for your Mylotarg.\nWhat happens if I overdose?\nSince Mylotarg is given by a healthcare professional in a medical setting, an overdose is unlikely to occur.\n','Mylotarg can cause a serious heart problem. Your risk may be higher if you also use certain other medicines for infections, asthma, heart problems, high blood pressure, depression, mental illness, cancer, malaria, or HIV.\nOther drugs interact with gemtuzumab ozogamicin, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.\n Mylotarg drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction to Mylotarg: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nSome side effects may occur during or shortly after the injection. Tell your caregiver right away if you feel cold, itchy, feverish, light-headed, or short of breath. These symptoms could also occur up to 1 hour after your Mylotarg injection.\nCall your doctor at once if you have:\nsores or white patches in or around your mouth, trouble swallowing or talking, dry mouth, bad breath, altered sense of taste;\nsigns of liver problems - right-sided upper stomach pain, jaundice (yellowing of the skin or eyes), rapid weight gain, swelling in your arms or legs, painful swelling in your midsection;\nlow blood cell counts - fever, flu symptoms, swollen gums, skin sores, cough, trouble breathing, pale skin, unusual tiredness;\nunusual bleeding - bleeding gums, abnormal vaginal bleeding, blood in your urine or stools, coughing up blood or vomit that looks like coffee grounds; or\nsigns of bleeding in the brain - sudden numbness or weakness (especially on one side of the body), sudden severe headache, problems with speech or vision.\nMylotarg can increase your risk of bleeding or liver damage, either of which may be life-threatening. Your cancer treatments may be delayed or permanently discontinued if you have certain side effects.\nCommon Mylotarg side effects may include:\nbleeding;\nfever, infection;\nmouth sores;\nnausea, vomiting, constipation;\nheadache; or\nabnormal liver function tests.\nThis 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.\n Mylotarg side effects (more detail)\n','Mylotarg (gemtuzumab ozogamicin) is a monoclonal antibody linked to a chemotherapy drug. Monoclonal antibodies are made to target and destroy only certain cells in the body. This may help to protect healthy cells from damage.\nMylotarg is used to treat a certain type (CD33-positive) of newly-diagnosed acute myeloid leukemia in adults and children at least 1 month old.\nMylotarg is also used to treat CD33-positive acute myeloid leukemia after other treatments did not work or have stopped working in adults and children at least 2 years old.\n','Mylotarg can increase your risk of bleeding or liver damage, either of which may be life-threatening.\nCall your doctor at once if you have upper stomach pain, yellowing of your skin or eyes, rapid weight gain, swelling in your midsection, sudden numbness or weakness, problems with speech or vision, severe headache, or unusual bleeding (bleeding gums, vaginal bleeding, blood in your urine or stools, coughing up blood).\nBefore taking this medicine\nYou should not be treated with Mylotarg if you are allergic to gemtuzumab ozogamicin.\nTo make sure Mylotarg is safe for you, tell your doctor if you have:\nliver disease;\nlong QT syndrome (in you or a family member);\na stem cell transplant; or\nan electrolyte imbalance (such as low levels of potassium or magnesium in your blood).\nGemtuzumab ozogamicin can harm an unborn baby or cause birth defects if the mother or the father is using Mylotarg.\nIf you are a woman, you may need to have a negative pregnancy test before starting this treatment. Use effective birth control to prevent pregnancy while you are using Mylotarg and for at least 6 months after your last dose.\nIf you are a man, use effective birth control if your sex partner is able to get pregnant. Keep using birth control for at least 3 months after your last dose.\nTell your doctor right away if a pregnancy occurs while either the mother or the father is using Mylotarg.\nMylotarg may affect fertility (ability to have children) in both men and women. However, it is important to use birth control to prevent pregnancy because gemtuzumab ozogamicin may harm the baby if a pregnancy does occur.\nDo not breastfeed while using Mylotarg, and for at least 1 month after your last dose.\nHow is Mylotarg given?\nMylotarg is given as an infusion into a vein. A healthcare provider will give you this injection.\nMylotarg is given in a treatment cycle, and you will receive it only on certain days of each cycle. Your doctor will determine how long to treat you with this medicine.\nYou will be given other medications to help prevent serious side effects or an infusion reaction. Start and keep taking these medications exactly as your doctor has prescribed.\nMylotarg must be given slowly, and the infusion can take at least 2 hours to complete.\nYou will be watched closely for at least 1 hour after receiving Mylotarg, to make sure you do not have an infusion reaction.\nGemtuzumab ozogamicin may cause serious or life-threatening liver problems, including veno-occlusive disease (blocked blood vessels in the liver that can lead to liver damage).\nYou will need frequent medical tests. Your cancer treatments may be delayed based on the results.\n','Avoid activities that may increase your risk of bleeding or injury. Use extra care to prevent bleeding while shaving or brushing your teeth.\n'),(574,'myrbetriq','Take Myrbetriq exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets.\nIf you take Myrbetriq with solifenacin, take both medicines at the same time each day.\nTake the Myrbetriq tablet with a full glass of water. Swallow the tablet whole and do not crush, chew, or break it.\nAn adult may take a Myrbetriq tablet with or without food. However, a child should take the tablet with food.\nBoth adults and children should take Myrbetriq granules with food.\nA pharmacist will mix the granules into a suspension (liquid) before you receive the medicine.\nShake the suspension before you measure a dose. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).\nIf the suspension will not be used for 2 days or longer, shake the bottle vigorously for 1 minute each day to keep the granules thoroughly mixed.\nRead and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions.\nYour dose needs may change if you switch from using tablets to using the suspension. Avoid medication errors by using only the form and strength your doctor prescribes.\nYour blood pressure will need to be checked often.\nIt may take up to 8 weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve.\nStore at room temperature away from moisture and heat. Throw away any unused Myrbetriq suspension after the expiration date on the medicine label has passed.\n Detailed Myrbetriq dosage information\nWhat happens if I miss a dose?\nUse the medicine as soon as you can, but skip the missed dose if you are more than 12 hours late for the dose. Do not use two doses at one time.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\nAn overdose may cause pounding heartbeats or fluttering in your chest.\n','Tell your doctor about all your other medicines, especially:\ndigoxin;\nflecainide;\npropafenone;\nsolifenacin; or\nthioridazine.\nThis list is not complete. Other drugs may interact with mirabegron, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.\n Myrbetriq drug interactions (more detail)\n','Stop using Myrbetriq and get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nCall your doctor at once if you have:\npain or burning when you urinate; or\ndangerously high blood pressure - severe headache, blurred vision, pounding in your neck or ears.\nCommon Myrbetriq side effects may include:\npainful urination;\nincreased blood pressure;\nsinus pain, sore throat;\nconstipation;\nheadache; or\ndry mouth or fast heartbeats (when taken with solifenacin).\nThis 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.\n Myrbetriq side effects (more detail)\n','Myrbetriq (mirabegron) relaxes the muscles of the urinary bladder, reducing bladder spasms. It is used alone or with solifenacin succinate to treat the symptoms of overactive bladder, such as frequent or urgent urination and urinary incontinence.\nMyrbetriq is used in adults to treat overactive bladder with symptoms of frequent or urgent urination and urinary incontinence. It is sometimes used together with another medicine called solifenacin (Vesicare).\nMyrbetriq is used in children to treat neurogenic detrusor overactivity (NDO). Urinary incontinence caused by NDO is related to permanent nerve damage from conditions such as multiple sclerosis or spinal injury.\nMyrbetriq tablets may be used in children at least 3 years old. Myrbetriq granules are for use in children at least 3 years old who also weigh at least 77 pounds (35 kilograms).\n','You should not use Myrbetriq if you have\nend stage renal disease (kidney failure)\nsevere kidney disease; or\nsevere uncontrolled high blood pressure.\nA condition called angioedema can occur after taking Myrbetriq. Angioedema is a condition that leads to face, lip, tongue, throat swelling, difficulty breathing and can be fatal. Seek emergency attention immediately if these symptoms occur.\nIt may take up to 8 weeks before your symptoms improve. Keep using this medicine as directed and tell your doctor if your symptoms do not improve after 8 weeks of treatment.\nBefore taking this medicine\nYou should not use Myrbetriq if you are allergic to mirabegron.\nTo make sure this medicine is safe for you, tell your doctor if you have:\nhigh blood pressure;\na bladder obstruction;\ntrouble emptying your bladder (very little urine or a weak stream of urine);\nkidney disease; or\nliver disease.\nTell your doctor if you are pregnant or breastfeeding.\nMyrbetriq should not be given to a child younger than 3 years old.\n','Follow your doctor\'s instructions about any restrictions on food, beverages, or activity.\n'),(575,'nabumetone','Usual Adult Dose for Osteoarthritis:\nInitial dose: 1000 mg orally once a dayMaintenance dose: 1500 to 2000 mg orally per day in 1 or 2 divided dosesMaximum dose: 2000 mg/dayComments:-Patients weighing less than 50 kg may be less likely to require dosages beyond 1000 mg.-Once response to therapy is determined, dose and frequency should be adjusted to the lowest effective dose for the shortest duration possible to suit the individual patient\'s treatment goals.Use: For the relief of signs and symptoms of osteoarthritis and rheumatoid arthritis.\nUsual Adult Dose for Rheumatoid Arthritis:\nInitial dose: 1000 mg orally once a dayMaintenance dose: 1500 to 2000 mg orally per day in 1 or 2 divided dosesMaximum dose: 2000 mg/dayComments:-Patients weighing less than 50 kg may be less likely to require dosages beyond 1000 mg.-Once response to therapy is determined, dose and frequency should be adjusted to the lowest effective dose for the shortest duration possible to suit the individual patient\'s treatment goals.Use: For the relief of signs and symptoms of osteoarthritis and rheumatoid arthritis.\n Detailed Nabumetone dosage information\n','Ask your doctor before using nabumetone if you take an antidepressant. Taking certain antidepressants with an NSAID may cause you to bruise or bleed easily.\nTell your doctor about all your other medicines, especially:\nlithium;\nmethotrexate;\na blood thinner (warfarin, Coumadin, Jantoven);\nheart or blood pressure medication, including a diuretic or \"water pill\"; or\nsteroid medicine (such as prednisone).\nThis list is not complete. Other drugs may affect nabumetone, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.\n Nabumetone drug interactions (more detail)\nDoes Nabumetone interact with my other drugs?\nEnter other medications to view a detailed report.\nDrug name\nAdd a drug to check interactions\nAdd\n','Get emergency medical help if you have signs of an allergic reaction (hives, sneezing, runny or stuffy nose, wheezing, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning eyes, skin pain, red or purple skin rash with blistering and peeling).\nGet emergency medical help if you have signs of a heart attack or stroke: chest pain spreading to your jaw or shoulder, sudden numbness or weakness on one side of the body, slurred speech, feeling short of breath.\nStop using nabumetone and call your doctor at once if you have:\nshortness of breath (even with mild exertion);\nswelling or rapid weight gain;\nthe first sign of any skin rash, no matter how mild;\nsigns of stomach bleeding--bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds;\nliver problems--nausea, upper stomach pain, itching, tired feeling, flu-like symptoms, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);\nkidney problems--little or no urinating, painful or difficult urination, swelling in your feet or ankles, feeling tired or short of breath; or\nlow red blood cells (anemia)--pale skin, unusual tiredness, feeling light-headed or short of breath, cold hands and feet.\nCommon side effects may include:\nstomach pain, indigestion, nausea;\ndiarrhea, constipation, gas;\nswelling in your hands and feet;\nheadache, dizziness;\nitching, skin rash; or\nringing in your ears.\nThis 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.\n Nabumetone side effects (more detail)\n','Nabumetone is a nonsteroidal anti-inflammatory drug (NSAID). Nabumetone works by reducing hormones that cause inflammation and pain in the body.\nNabumetone is used to relieve the symptoms of rheumatoid arthritis or osteoarthritis.\nNabumetone may also be used for purposes not listed in this medication guide.\n','Nabumetone can increase your risk of fatal heart attack or stroke. Do not use  nabumetone just before or after heart bypass surgery (coronary artery bypass graft, or CABG). Nabumetone may also cause stomach or intestinal bleeding, which can be fatal.\nBefore taking this medicine\nNabumetone can increase your risk of fatal heart attack or stroke, even if you don\'t have any risk factors. Do not use this medicine just before or after heart bypass surgery (coronary artery bypass graft, or CABG).\nNabumetone may also cause stomach or intestinal bleeding, which can be fatal. These conditions can occur without warning while you are using nabumetone, especially in older adults.\nYou should not use nabumetone if you are allergic to it, or if you have ever had an asthma attack or severe allergic reaction after taking aspirin or an NSAID.\nTell your doctor if you have ever had:\nheart disease, high blood pressure, high cholesterol, diabetes, or if you smoke;\na heart attack, stroke, or blood clot;\nstomach ulcers or bleeding;\nasthma;\nliver or kidney disease; or\nfluid retention.\nIf you are pregnant, you should not take nabumetone unless your doctor tells you to. Taking an NSAID during the last 20 weeks of pregnancy can cause serious heart or kidney problems in the unborn baby and possible complications with your pregnancy.\nYou should not breastfeed while using this medicine.\nNabumetone is not approved for use by anyone younger than 18 years old.\nHow should I take nabumetone?\nFollow all directions on your prescription label and read all medication guides. Your doctor may occasionally change your dose. Use the lowest dose that is effective in treating your condition.\nYou may take nabumetone with or without food.\nIf you use  nabumetone long-term, you may need frequent medical tests.\nStore at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use.\nWhat happens if I miss a dose?\nTake the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\n','Avoid drinking alcohol. It may increase your risk of stomach bleeding.\nAsk a doctor or pharmacist before using other medicines for pain, fever, swelling, or cold/flu symptoms. They may contain ingredients similar to nabumetone (such as aspirin, ibuprofen, ketoprofen, or naproxen).\nNabumetone could make you sunburn more easily. Avoid sunlight or tanning beds. Wear protective clothing and use sunscreen (SPF 30 or higher) when you are outdoors.\n'),(576,'nadolol','Usual Adult Dose for Angina Pectoris:\nInitial dose: 40 mg orally once a day; may be increased by 40 to 80 mg every 3 to 7 days until optimum response is obtained or pronounced heart rate reduction occursMaintenance dose: 40 to 80 mg orally once a day; up to 240 mg once a day may be requiredMaximum dose: 240 mg/day\nUsual Adult Dose for Hypertension:\nInitial dose: 40 mg orally once a day; may be increased in 40 to 80 mg increments until optimum blood pressure reduction is achievedMaintenance dose: 40 to 80 mg orally once a day; up to 320 mg once a day may be required\n Detailed Nadolol dosage information\nFree Drugs.com Discount Card\nSave up to 80% on your prescriptions.\nAccepted at over 65,000 pharmacies.\nGet Discount Card\n','Tell your doctor about all your current medicines and any you start or stop using, especially:\ndigoxin, digitalis;\ninsulin or oral diabetes medicine; or\nreserpine, or other blood pressure medications.\nThis list is not complete. Other drugs may interact with nadolol, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.\n Nadolol drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.\nCall your doctor at once if you have:\na light-headed feeling, like you might pass out;\nslow heartbeats;\nshortness of breath (even with mild exertion), swelling, rapid weight gain; or\nbronchospasm (wheezing, chest tightness, trouble breathing).\nCommon side effects may include:\nnumbness or cold feeling in your hands or feet;\ndizziness;\nfeeling tired;\nupset stomach, vomiting, diarrhea, constipation;\nvision problems; or\nmood changes, confusion, memory problems.\nThis 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.\n Nadolol side effects (more detail)\n','Nadolol is a beta-blocker that affects the heart and circulation (blood flow through arteries and veins).\nNadolol is used to treat angina (chest pain) or hypertension (high blood pressure).\nNadolol may also be used for other purposes not listed in this medication guide.\n','You should not use nadolol if you have asthma, a serious heart condition, severe heart failure, or if your heart cannot pump blood properly.\nBefore taking this medicine\nYou should not use nadolol if you are allergic to it, or if you have:\nasthma;\na serious heart condition such as \"AV block\" (2nd or 3rd degree) or severe heart failure; or\nif your heart cannot pump blood properly.\nTo make sure nadolol is safe for you, tell your doctor if you have:\ncoronary artery disease (clogged arteries);\ncongestive heart failure;\na thyroid disorder;\nkidney disease;\ndiabetes (taking nadolol can make it harder for you to tell when you have low blood sugar); or\na history of allergies.\nIt is not known whether nadolol will harm an unborn baby. Nadolol may cause heart or lung problems in a newborn if the mother takes the medicine during pregnancy. Tell your doctor if you are pregnant or plan to become pregnant while using nadolol.\nNadolol can pass into breast milk and may harm a nursing baby. You should not breast-feed while taking nadolol.\nHow should I take nadolol?\nFollow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not use  nadolol in larger or smaller amounts or for longer than recommended.\nNadolol is usually taken once per day. Follow your doctor\'s dosing instructions very carefully.\nDo not skip doses or stop using nadolol suddenly. Stopping suddenly may make your condition worse. Follow your doctor\'s instructions about tapering your dose.\nYour blood pressure will need to be checked often.\nThis medicine can cause unusual results with certain medical tests. Tell any doctor who treats you that you are using nadolol.\nIf you need surgery, tell the surgeon ahead of time that you are using nadolol.\nIf you are being treated for high blood pressure, keep using this medicine even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medicine for the rest of your life.\nNadolol is only part of a complete program of treatment for hypertension that may also include diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely if you are being treated for hypertension.\nStore at room temperature away from moisture, heat, and light. Keep the bottle tightly closed when not in use.\nWhat happens if I miss a dose?\nTake the missed dose as soon as you remember. Skip the missed dose if your next dose is less than 8 hours away. Do not take extra medicine to make up the missed dose.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\nOverdose symptoms may include slow heart rate, extreme dizziness, or fainting.\n',' nadolol may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.\nDrinking alcohol can further lower your blood pressure and may increase certain side effects of nadolol.\n'),(577,'naloxone','Usual Adult Dose for Opioid Overdose:\nInitial dose: 0.4 mg to 2 mg IV; alternatively, may give IM or subcutaneously\n-If desired response is not obtained, doses should be repeated at 2 to 3 minute intervals\n-If no response is observed with a total dose of 10 mg, the diagnosis of opioid-induced or partial opioid-induced toxicity should be questioned\n-Administer 0.4 mg (1 actuation) IM or subcutaneously into the anterolateral aspect of the thigh (through clothing if necessary)\n-If desired response is not achieved, a second dose may be administered after 2 or 3 minutes; additional doses may be administered every 2 to 3 minutes until emergency medical assistance arrives\nComments:\n-IV route is recommended in emergency situations since it has the most rapid onset of action.\n-The duration of action of some opioids exceed that of this drug, therefore, repeat doses may be needed; the need for repeat doses will depend on the amount, type, and route of administration of the opioid being antagonized.\nUsual Adult Dose for Reversal of Opioid Sedation:\nInitial dose: 0.1 to 0.2 mg IV at 2 to 3 minute intervals to the desired degree of reversal\n-Supplemental doses administered IM have been shown to produce a longer lasting effect\nIntravenous Infusion:\n-A concentration of 0.004 mg/mL may be administered by IV infusion; titrate in accordance with patient\'s response\nComments:\n-For the partial reversal of opioid depression following the use of opioids during surgery, smaller doses of naloxone are usually sufficient; larger than necessary doses may result in significant reversal of analgesia and increases in blood pressure.\nUsual Pediatric Dose for Opioid Overdose:\nNeonates:\nInitial dose: 0.01 mg/kg IV, IM, or subcutaneously; repeat dose every 2 to 3 minutes as needed\nChildren:\nInitial dose: 0.01 mg/kg IV; if desired response is not obtained, may give 0.1 mg/kg IV\n-If IV route is not available may give IM or subcutaneously in divided doses\n-Administer 0.4 mg (1 actuation) IM or subcutaneously into the anterolateral aspect of the thigh (through clothing if necessary); if desired response is not achieved, a second dose may be administered after 2 or 3 minutes; additional doses may be administered every 2 to 3 minutes until emergency medical assistance arrives\n-Under 1 year of age: Thigh muscle should be pinched while administering injection\nComments:\n-Neonatal opioid withdrawal syndrome may be life-threatening and should be treated according to protocols developed by neonatology experts.\n- To avoid precipitating opioid withdrawal symptoms, consider use of a naloxone product that can be dosed according to weight and titrated to effect.\n-The duration of action of some opioids will exceed that of this drug, therefore, repeat doses may be needed; the need for repeat doses will depend on the amount, type, and route of administration of the opioid being antagonized.\n-Patients should remain under continued surveillance; if a patients responds and relapses back into respiratory depression, additional doses should be given.\n-Additional supportive and/or resuscitative measures may be helpful while awaiting emergency medical assistance.\nUsual Pediatric Dose for Reversal of Opioid Sedation:\nNeonates:\nInitial dose: 0.01 mg/kg IV, IM or subcutaneously at 2 to 3 minute intervals to the desired degree of reversal\nChildren: 0.005 mg to 0.01 mg IV at 2 to 3 minute intervals to the desired degree of reversal\nIntravenous Infusion:\n-A concentration of 0.004 mg/mL may be administered by IV infusion; titrate in accordance with patient\'s response\nComments:\n-For the partial reversal of opioid depression following the use of opioids during surgery, smaller doses of naloxone are usually sufficient; larger than necessary doses may result in significant reversal of analgesia and increases in blood pressure.\n Detailed Naloxone dosage information\nWhat happens if I miss a dose?\nSince this medicine is used when needed, naloxone has no dosing schedule.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\n','Other drugs may interact with naloxone, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.\n Naloxone drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction to naloxone: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nBecause naloxone reverses opioid effects, administration may cause sudden withdrawal symptoms such as:\nnausea, vomiting, diarrhea, stomach pain;\nfever, sweating, body aches, weakness;\ntremors or shivering, fast heart rate, pounding heartbeats, increased blood pressure;\ngoose bumps, shivering;\nrunny nose, yawning; or\nfeeling nervous, restless, or irritable.\nSudden withdrawal symptoms in a baby younger than 4 weeks old may be life-threatening if not treated the right way. Symptoms include crying, stiffness, overactive reflexes, and seizures. Call your doctor or get emergency medical help if you are not sure how to properly give this medicine to a baby.\nThis 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.\n Naloxone side effects (more detail)\n','Naloxone blocks or reverses the effects of opioid medication, including extreme drowsiness, slowed breathing, or loss of consciousness. An opioid is sometimes called a narcotic.\nNaloxone is used in an emergency situation to treat a possible opioid overdose in an adult or child.\nNaloxone should not be used in place of emergency medical care for an overdose.\nNaloxone is also used to help diagnose whether a person has used an overdose of an opioid.\n','Naloxone is used to treat a possible opioid overdose. An opioid overdose can be fatal, and symptoms may include severe drowsiness, pinpoint pupils, slow breathing, or no breathing.\nIn an emergency situation it may not be possible before you are treated to tell your caregivers about your health conditions or if you are pregnant or breast feeding. Make sure any doctor caring for you afterward knows that you have received naloxone.\nA person caring for you can give the naloxone if you stop breathing or don\'t wake up. Make sure any person caring for you knows where you keep naloxone and how to use it.\nYour caregiver must get emergency help after giving a naloxone injection. You may need another injection every 2 to 3 minutes until emergency help arrives.\nDrinking alcohol can increase certain side effects of naloxone.\nNaloxone may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.\nIf you are using any narcotic pain medication, the pain-relieving effects of the narcotic will be reversed while you are also receiving this medicine.\nBefore taking this medicine\nYou should not be treated with this medicine if you are allergic to naloxone.\nIf possible before you receive a naloxone injection, tell your doctor if:\nyou have heart problems; or\nyou are pregnant or breastfeeding.\nUsing naloxone while you are pregnant may cause opioid withdrawal effects in your unborn baby. However, having an opioid overdose can be fatal to both mother and baby. It is much more important to treat an overdose in the mother. You must get emergency medical help after using this medicine. Be sure all emergency medical caregivers know that you are pregnant.\nIf you use opioid medicine while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on opioids may need medical treatment for several weeks.\nIn an emergency, you may not be able to tell caregivers if you are pregnant or breastfeeding. Make sure any doctor caring for your pregnancy or your baby knows you received naloxone.\nHow is naloxone given?\nUse naloxone exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets.\nNaloxone is injected into a muscle or under the skin. The injection may be given by a healthcare provider, emergency medical provider, or a family member or caregiver who is trained to properly give the injection.\nIf you are a caregiver or family member read all instructions when you first get this medicine. If provided, use the \"trainer\" device to practice giving an injection so you will know how to do it in an emergency. Ask your doctor or pharmacist if you have any questions.\nBe sure you know how to recognize the signs of an opioid overdose in the person you are caring for. Overdose symptoms may include:\nslowed breathing, or no breathing;\nvery small or pinpoint pupils in the eyes;\nslow heartbeats; or\nextreme drowsiness, especially if you are unable to wake the person from sleep.\nEven if you are not sure an opioid overdose has occurred, if the person is not breathing or is unresponsive, give the naloxone injection right away and then seek emergency medical care.\nDo not assume that an overdose episode has ended if symptoms improve. You must get emergency help after giving a naloxone injection, even if the person wakes up. You may need to perform CPR (cardiopulmonary resuscitation) on the person while you are waiting for emergency help to arrive.\nNaloxone injected into a muscle is given in the outer thigh. In an emergency, you may give an injection through the person\'s clothing.\nAfter injecting naloxone, stay with the person and watch for continued signs of overdose. You may need to give another injection every 2 to 3 minutes until emergency help arrives. Follow all medication instructions carefully.\nStore at room temperature away from moisture and heat. Do not use the medicine if it has changed colors or has particles in it. Call your pharmacist for new medication.\n','Avoid leaving a person alone after giving him or her a naloxone injection. An overdose can impair a person\'s thinking or reactions.\n'),(578,'naltrexone','Usual Adult Dose for Alcohol Dependence:\nInjection:\n380 mg intramuscularly every 4 weeks/once a month\nUsual Adult Dose for Opiate Addiction:\nInjection:\n380 mg intramuscularly every 4 weeks/once a month\nComments:\n-There is no data specifically addressing switching from buprenorphine or methadone to naltrexone, however some patients have reported severe manifestations of precipitated withdrawal when switched from an opioid agonist to opioid antagonist therapy.\n-Patients switching from buprenorphine or methadone may be vulnerable to precipitated withdrawal for up to 2 weeks.\n-Be prepared to manage withdrawal symptomatically with non-opioid medications.\n-This drug is of value only as a part of a comprehensive management plan that includes measures to ensure the patient takes this medication.\nUse(s): Blockade of the effects of exogenously administered opioids\n Detailed Naltrexone dosage information\nWhat happens if I miss a dose?\nCall your doctor for instructions if you miss an appointment for your injection.\nWhat happens if I overdose?\nSince this injection is given by a healthcare professional in a medical setting, an overdose is unlikely to occur. However, overdose symptoms may include nausea, stomach pain, drowsiness, dizziness, or a reaction where an injection was given (such as severe pain or skin changes).\n','Other drugs may interact with naltrexone, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.\n Naltrexone drug interactions (more detail)\nAlternatives to naltrexone\nThere are alternative drugs in different forms available to treat opioid use disorder.\nTalk with your healthcare provider which option would be best suited to you.\nMedicines used to treat opioid addiction:\nBuprenorphine\nIM injection (Sublocade), Implant (Probuphine), Sublingual (Subutex)\nBuprenorphine and naloxone\nSublingual (Bunavail, Suboxone, Zubsolv)\nLofexidine\nTablets (Lucemyra)\nMethadone\nTablets (Dolophine)\nFor opioid overdose in an emergency situation:\nNaloxone\nNasal spray (Narcan, Kloxxado), Naloxone injection\nOther Medicines used to treat alcohol addiction:\nCampral\nAntabuse\nOther related medicines:\nBuprenorphine for severe pain:\nIM injection (Buprenex), Sublingual (Belbuca), Transdermal patch (Butrans)\n','Get emergency medical help if you have signs of an allergic reaction to naltrexone: hives; chest pain, wheezing, difficult breathing; feeling light-headed; swelling of your face, lips, tongue, or throat.\nUsing opioid medicine while you are receiving this medicine could stimulate opioid withdrawal symptoms. Common withdrawal symptoms are yawning, sweating, fever, stomach pain, vomiting, diarrhea, watery eyes, runny nose, goose bumps, body aches, shaking, muscle twitching, trouble sleeping, and feeling restless or anxious.\nCall your doctor at once if you have:\nweak or shallow breathing;\nnew or worsening cough, wheezing, trouble breathing;\nsevere pain, swelling, blistering, skin changes, a dark scab, or a hard lump where the medicine was injected;\nliver problems - stomach pain (upper right side), dark urine, tiredness, jaundice (yellowing of the skin or eyes); or\nsymptoms of depression - unusual mood or behavior changes, loss of interest in things you once enjoyed, crying, new sleep problems, thoughts about hurting yourself.\nYou may feel nauseated the first time you receive this medicine. You may also have a headache, tiredness, joint and muscle pain, loss of appetite, and vomiting.\nCommon naltrexone side effects may include:\nnausea, vomiting, loss of appetite;\njoint pain, muscle cramps;\ndizziness, drowsiness;\nsleep problems (insomnia);\ntooth pain; or\ncold symptoms such as stuffy nose, sneezing, sore throat.\nThis 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.\n Naltrexone side effects (more detail)\n','Naltrexone blocks the effects of opioid medication, including pain relief or feelings of well-being that can lead to opioid abuse. An opioid is sometimes called a narcotic. Vivitrol is used as part of a treatment program for drug or alcohol dependence.\nNaltrexone injection is used to prevent relapse in adults who became dependent on opioid medicine and then stopped using it. Naltrexone can help keep you from feeling a \"need\" to use the opioid.\nNaltrexone injection is also used to treat alcoholism by reducing your urge to drink alcohol. This may help you drink less or stop drinking altogether. You should not be drinking at the time you receive your first injection.\nNaltrexone is not a permanent cure for drug addiction or alcoholism.\n','You should be treated with naltrexone only if you have not recently used: any opioid medicine, buprenorphine, methadone, or medicine to treat a cold, cough, diarrhea, or pain. Using these medicines in the 7 to 14 days before starting naltrexone can cause sudden opioid withdrawal symptoms.\nDo not use opioid medication, heroin, or other street drugs while you are receiving this medicine. Doing so could result in dangerous effects, including coma and death.\nCall your doctor if you have ongoing or worsening pain, redness, itching, bruising, swelling, or a hard lump where the medicine was injected.\nNaltrexone can harm your liver. Tell your doctor if you have upper stomach pain, dark urine, or yellowing in the whites of your eyes.\nAfter receiving naltrexone, your body will be more sensitive to opioids if you use an opioid medicine in the future. Using the same amount you used before could lead to overdose or death.\nBefore taking this medicine\nYou should not receive a naltrexone injection if you still use opioid medicine, or you could have sudden and severe withdrawal symptoms.\nYou should not be treated with naltrexone if you are allergic to it, or if:\nyou are currently addicted to opioids;\nyou are having withdrawal symptoms from opioid addiction;\nyou have used any opioid medicine within the past 7 to 14 days (including fentanyl, Vicodin, OxyContin, and many others);\nyou have used methadone or buprenorphine (Subutex, Butrans, Suboxone, Zubsolv) in the past 14 days; or\nyou have used any medicine to treat a cold, cough, diarrhea, or pain in the past 7 to 14 days.\nTo make sure naltrexone is safe for you, tell your doctor if you have ever had:\nliver disease;\nkidney disease; or\nbleeding problems such as hemophilia.\nTell your doctor if you are pregnant or breastfeeding.\nIt is not known whether naltrexone will harm an unborn baby. However, if you use opioid medicine while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on opioids may need medical treatment for several weeks.\nHow is naltrexone given?\nNaltrexone is injected into a muscle. This injection is usually given once a month (every 4 weeks) and can be given only by a healthcare professional. Get your naltrexone injection regularly to get the most benefit.\nYou may notice pain, redness, itching, bruising, swelling, or a hard lump where the medicine was injected. Call your doctor if you have this type of reaction, especially if it gets worse or does not clear up within 2 weeks.\nNaltrexone injections are only part of a complete treatment program that may also include additional forms of counseling and/or monitoring. Follow your doctor\'s instructions very closely.\nIn case of emergency, wear or carry medical identification to let others know you are using this medicine.\nAfter using naltrexone, your body will be more sensitive to opioids. If you use an opioid medicine in the future, you will need to use less than before naltrexone treatment. Using the same amount you used before could lead to overdose or death.\n','Do not use opioid medication, heroin, or other street drugs while you are receiving naltrexone. Once naltrexone is injected, it cannot be removed from your body. Never try to overcome the effects of naltrexone by taking large doses of opioids. Doing so could result in dangerous effects, including coma and death.\nAsk your doctor before using any medicine to treat a cold, cough, diarrhea, or pain. These medicines may contain opioids and may not work as well while you are using this medicine.\nAvoid driving or hazardous activity until you know how this medicine will affect you. Dizziness or drowsiness can cause falls, accidents, or severe injuries.\n'),(579,'namenda','Usual Adult Dose for Alzheimer\'s Disease:\nIMMEDIATE-RELEASE:\nInitial dose: 5 mg orally once a day, then titrated upwards by 5 mg per week\nMaintenance dose: 5 mg once a day up to 10 mg twice a day\nMaximum dose: 20 mg per day\nEXTENDED-RELEASE:\nInitial dose: 7 mg orally once a day, then titrated upwards by 7 mg per week\nMaintenance dose: 7 mg once a day up to 28 mg once a day\nMaximum dose: 28 mg orally once a day\nApproved indication: For use in the treatment of moderate to severe dementia of the Alzheimer\'s type.\n Detailed Namenda dosage information\nWhat happens if I miss a dose?\nTake the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.\nIf you miss doses or forget to take your medicine for several days, call your doctor before starting the medicine again.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\n','Tell your doctor about all your current medicines and any you start or stop using, especially:\namantadine;\nzonisamide;\ncough medicine that contains dextromethorphan (Delsym, Robitussin Maximum Strength, Vicks 44, and others);\nmedicines to make the urine alkaline - urine sodium bicarbonate, potassium citrate (K-Lyte, Urocit-K), sodium citrate and citric acid (Bicitra, Oracit), or sodium citrate and potassium (Citrolith, Polycitra); or\nmedicine to treat glaucoma or increased pressure inside the eyes - acetazolamide, methazolamide.\nThis list is not complete. Other drugs may interact with memantine, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.\n Namenda drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction to Namenda: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.\nCall your doctor at once if you have:\nsevere headache, blurred vision, pounding in your neck or ears;\nseizure (convulsions); or\nunusual changes in mood or behavior.\nCommon Namenda side effects may include:\ndiarrhea;\ndizziness; or\nheadache.\nThis 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.\n Namenda side effects (more detail)\n','Namenda (memantine) reduces the actions of chemicals in the brain that may contribute to the symptoms of Alzheimer\'s disease.\nNamenda is used to treat moderate to severe dementia of the Alzheimer\'s type.\nNamenda may also be used for purposes not listed in this medication guide.\n','Before using Namenda, tell your doctor if you are allergic to any drugs, or if you have a seizure disorder, cataracts, liver or kidney disease, or a bladder or kidney infection.\nNamenda can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.\nBefore taking this medicine\nYou should not use Namenda if you are allergic to memantine.\nTo make sure Namenda is safe for you, tell your doctor if you have:\nepilepsy or other seizure disorder;\nliver disease;\nkidney disease;\nurination problems; or\na bladder or kidney infection.\nNamenda is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.\nIt is not known whether memantine passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.\nHow should I take Namenda?\nTake Namenda exactly as it was prescribed for you. Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not take this medicine in larger or smaller amounts or for longer than recommended.\nNamenda can be taken with or without food.\nDo not crush, chew, break, or open an extended-release capsule. Swallow it whole.\nTo make swallowing easier, you may open the extended-release capsule and sprinkle the medicine into a spoonful of applesauce. Swallow right away without chewing. Do not save the mixture for later use.\nMeasure liquid medicine (oral solution) with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.\nDo not mix the oral solution with any other liquids.\nRinse the empty oral syringe with clean water and allow it to air dry after every use.\nUse Namenda regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.\nYour doctor will need to check your progress while you are using Namenda.\nStore Namenda at room temperature away from moisture and heat. Keep the liquid medicine bottle tightly closed with the cap provided. Do not store the bottle with the oral syringe in it.\nRead all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.\n','Namenda can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.\n'),(580,'namzaric','Take Namzaric exactly as prescribed by your doctor. Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.\nTake Namzaric at bedtime unless your doctor tells you otherwise.\nYou may take Namzaric with or without food.\nDo not crush, chew, or break an extended-release Namzaric capsule. Swallow it whole.\nTo make swallowing easier, you may open the capsule and sprinkle the medicine into a spoonful of applesauce. Swallow right away without chewing. Do not save the mixture for later use.\nDo not use a broken or damaged capsule.\nIf you need surgery or dental work, tell the surgeon ahead of time that you are using Namzaric. You may need to stop using the medicine for a short time.\nYou should not stop using Namzaric suddenly. Stopping suddenly may make your condition worse.\nStore Namzaric at room temperature away from moisture, heat, and light.\n Detailed Namzaric dosage information\nWhat happens if I miss a dose?\nTake the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\nOverdose symptoms may include severe dizziness, drowsiness, weakness, trouble walking, slow or fast heart rate, sweating, confusion, agitation, hallucinations, unusual thoughts or behavior, weak or shallow breathing, fainting, or seizure.\n','Many drugs can interact with Namzaric. Tell your doctor about all your current medicines and any you start or stop using, especially:\nParkinson’s disease drugs including amantadine;\nketamine;\nover-the-counter cough and cold medication including dextromethorphan;\nantifungal medication (ketoconazole, others);\nseizure medications (phenytoin, carbamazepine, phenobarbital, others);\nrifampin;\nsteroids, including dexamethasone;\nmedications for urge urinary incontinence;\nother medications called anti-cholinergics, including medication to treat excess stomach acid, stomach ulcer, motion sickness, nausea and vomiting, or irritable bowel syndrome.\nOther drugs may interact with donepezil and memantine, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.\n Namzaric drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction to Namzaric: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nStop using this medicine and call your doctor at once if you have:\nsevere or ongoing vomiting;\na light-headed feeling, like you might pass out;\nslow heartbeats or chest pain;\nseizure (convulsions);\npainful or difficult urination;\nnew or worsening breathing problems; or\nsigns of stomach bleeding - severe heartburn or stomach pain, bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds.\nCommon Namzaric side effects may include:\nnausea, vomiting, diarrhea, loss of appetite;\nheadache;\ndizziness; or\neasy bruising.\nThis 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.\n Namzaric side effects (more detail)\n','Namzaric contains a combination of donepezil and memantine. Donepezil improves the function of nerve cells in the brain. It works by preventing the breakdown of a chemical called acetylcholine. People with dementia usually have lower levels of this chemical, which is important for the processes of memory, thinking, and reasoning. Memantine reduces the actions of chemicals in the brain that may contribute to the symptoms of Alzheimer\'s disease.\nNamzaric is used to treat moderate to severe dementia of the Alzheimer\'s type.\nNamzaric is not a cure for Alzheimer\'s disease. This condition will progress over time.\n','Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.\nNamzaric could affect some of the medications used in general anesthesia. Make sure you tell your doctor you are taking Namzaric if you need surgery or dental work.\nNamzaric can lead to heart problems, including a slow heart rate. Call your doctor immediately if you have chest pain, trouble breathing, or if you feel unusually tired, short of breath, or dizzy, like you might faint.\nNamzaric can lead to bleeding in the stomach or intestines. Call your doctor immediately if you notice dark or tarry stools or vomit that is blood-tinged or looks like coffee grounds.\nBefore taking this medicine\nYou should not use Namzaric if you are allergic to donepezil or memantine.\nTo make sure Namzaric is safe for you, tell your doctor if you have:\nasthma or other breathing disorder;\nheart disease, or heart rhythm disorder;\na history of seizures;\nstomach ulcer, or a history of stomach or intestinal bleeding;\nbladder obstruction or other urination problems;\nliver disease; or\nkidney disease.\nIt is not known whether Namzaric will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.\nIt is not known whether Namzaric passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.\n','Follow your doctor\'s instructions about any restrictions on food, beverages, or activity.\n'),(581,'naprosyn','Use Naprosyn exactly as directed on the label, or as prescribed by your doctor. Do not take this medicine in larger amounts or for longer than recommended. Use the lowest dose that is effective in treating your condition.\nShake the oral suspension (liquid) well just before you measure a dose. Measure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.\nIf you change brands, strengths, or forms of naproxen, your dosage needs may change. Ask your pharmacist if you have any questions about the kind of naproxen you are using.\nIf a child is using this medicine, tell your doctor if the child has any changes in weight. Naproxen doses are based on weight in children, and any changes may affect your child\'s dose.\nIf you use Naprosyn long-term, you may need frequent medical tests.\nThis medicine can cause unusual results with certain medical tests. Tell any doctor who treats you that you are using Naprosyn.\nStore at room temperature away from moisture, heat, and light. Keep the bottle tightly closed when not in use.\nRead all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.\n Detailed Naprosyn dosage information\nWhat happens if I miss a dose?\nSince Naprosyn is sometimes used only when needed, you may not be on a dosing schedule. If you are on a schedule, 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.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\n','Ask your doctor before using Naprosyn if you take an antidepressant such as citalopram, escitalopram, fluoxetine (Prozac), fluvoxamine, paroxetine, sertraline (Zoloft), trazodone, or vilazodone. Taking any of these medicines with an NSAID may cause you to bruise or bleed easily.\nAsk a doctor or pharmacist if it is safe for you to use Naprosyn if you are also using any of the following drugs:\ncholestyramine;\ncyclosporine;\ndigoxin;\nlithium;\nmethotrexate;\npemetrexed;\nphenytoin or similar seizure medications;\nprobenecid;\nwarfarin (Coumadin, Jantoven) or similar blood thinners;\na diuretic or \"water pill\";\nheart or blood pressure medication; or\ninsulin or oral diabetes medicine.\nThis list is not complete. Other drugs may interact with naproxen, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.\n Naprosyn drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction to Naprosyn: sneezing, runny or stuffy nose; wheezing or trouble breathing; hives; swelling of your face, lips, tongue, or throat.\nGet emergency medical help if you have signs of a heart attack or stroke: chest pain, sudden numbness or weakness on one side of the body, slurred speech, feeling short of breath.\nStop using Naprosyn and call your doctor at once if you have:\nshortness of breath (even with mild exertion);\nswelling or rapid weight gain;\nthe first sign of any skin rash, no matter how mild;\nsigns of stomach bleeding - bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds;\nliver problems - nausea, upper stomach pain, itching, tired feeling, flu-like symptoms, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);\nkidney problems - little or no urinating, painful or difficult urination, swelling in your feet or ankles, feeling tired or short of breath;\nlow red blood cells (anemia) - fatigue, pale skin, feeling light-headed or short of breath, rapid heart rate, trouble concentrating; or\nsevere skin reaction - fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.\nCommon Naprosyn side effects may include:\nindigestion, heartburn, stomach pain, nausea;\nheadache, dizziness, drowsiness;\nbruising, itching, rash;\nswelling; or\nringing in your ears.\nThis 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.\n Naprosyn side effects (more detail)\n','Naprosyn (naproxen) is a nonsteroidal anti-inflammatory drug (NSAID). Naproxen works by reducing hormones that cause inflammation and pain in the body.\nNaprosyn is used to treat pain or inflammation caused by conditions such as rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, tendinitis, bursitis, gout, or menstrual cramps.\nNaprosyn delayed-release tablets are slower-acting forms of naproxen that are used only for treating chronic conditions such as arthritis or ankylosing spondylitis. These forms of naproxen will not work fast enough to treat acute pain.\n','You should not use Naprosyn if you have a history of allergic reaction to aspirin or other NSAID (nonsteroidal anti-inflammatory drug).\nNaproxen can increase your risk of fatal heart attack or stroke, especially if you use it long term or take high doses, or if you have heart disease. Even people without heart disease or risk factors could have a stroke or heart attack while taking this medicine.\nDo not use Naprosyn just before or after heart bypass surgery (coronary artery bypass graft, or CABG).\nGet emergency medical help if you have chest pain, weakness, shortness of breath, slurred speech, or problems with vision or balance.\nNaproxen may also cause stomach or intestinal bleeding, which can be fatal. These conditions can occur without warning while you are using this medicine, especially in older adults.\nBefore taking this medicine\nNaprosyn may also cause stomach or intestinal bleeding, which can be fatal. These conditions can occur without warning while you are using Naprosyn, especially in older adults.\nYou should not use Naprosyn if you are allergic to naproxen, or if you have ever had an asthma attack or severe allergic reaction after taking aspirin or an NSAID.\nAsk a doctor before giving naproxen to a child younger than 12 years old.\nAsk a doctor or pharmacist if it is safe for you to use this medicine if you have:\nheart disease, high blood pressure, high cholesterol, diabetes, or if you smoke;\na history of heart attack, stroke, or blood clot;\na history of stomach ulcers or bleeding;\nasthma;\nliver or kidney disease;\nfluid retention: or\nif you take aspirin to prevent heart attack or stroke.\nIf you are pregnant, you should not take Naprosyn unless your doctor tells you to. Taking a NSAID during the last 20 weeks of pregnancy can cause serious heart or kidney problems in the unborn baby and possible complications with your pregnancy.\nIt may not be safe to breastfeed while using Naprosyn. Ask your doctor about any risk.\nNaprosyn is not approved for use by anyone younger than 2 years old. Do not give this medicine to a child without medical advice.\n','Avoid drinking alcohol. It may increase your risk of stomach bleeding.\nAvoid taking aspirin unless your doctor tells you to.\nAsk your doctor before taking any other medication for pain, arthritis, fever, or swelling. Many medicines available over the counter contain aspirin, salicylates, or other medicines similar to naproxen (such as ibuprofen or ketoprofen). Taking certain products together can cause you to get too much of this type of medication.\nAsk your doctor before using an antacid, and use only the type your doctor recommends. Some antacids can make it harder for your body to absorb naproxen.\n'),(582,'naproxen','Use naproxen exactly as directed on the label, or as prescribed by your doctor. Do not take this medicine in larger amounts or for longer than recommended. Use the lowest dose that is effective in treating your condition.\nShake the oral suspension (liquid) well just before you measure a dose. Measure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.\nIf you change brands, strengths, or forms of this medicine, your dosage needs may change. Ask your pharmacist if you have any questions about the kind of naproxen you are using.\nIf a child is using this medicine, tell your doctor if the child has any changes in weight. Doses are based on weight in children, and any changes may affect your child\'s dose.\nIf you use this medicine long-term, you may need frequent medical tests.\nThis medicine can cause unusual results with certain medical tests. Tell any doctor who treats you that you are using naproxen.\nStore at room temperature away from moisture, heat, and light. Keep the bottle tightly closed when not in use.\nRead all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.\n Detailed Naproxen dosage information\nWhat happens if I miss a dose?\nSince naproxen is sometimes used only when needed, you may not be on a dosing schedule. If you are on a schedule, 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.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\n','Ask your doctor before using naproxen if you take an antidepressant such as citalopram, escitalopram, fluoxetine (Prozac), fluvoxamine, paroxetine, sertraline (Zoloft), trazodone, or vilazodone. Taking any of these medicines with an NSAID may cause you to bruise or bleed easily.\nAsk a doctor or pharmacist if it is safe for you to use this medicine if you are also using any of the following drugs:\ncholestyramine;\ncyclosporine;\ndigoxin;\nlithium;\nmethotrexate;\npemetrexed;\nphenytoin or similar seizure medications;\nprobenecid;\nwarfarin (Coumadin, Jantoven) or similar blood thinners;\na diuretic or \"water pill\";\nheart or blood pressure medication; or\ninsulin or oral diabetes medicine.\nThis list is not complete. Other drugs may interact with naproxen, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.\n Naproxen drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction to naproxen: wheezing or trouble breathing; hives; swelling of your face, lips, tongue, or throat.\nGet emergency medical help if you have signs of a heart attack or stroke: chest pain spreading to your jaw or shoulder, sudden numbness or weakness on one side of the body, slurred speech, feeling short of breath.\nStop using naproxen and call your doctor at once if you have:\nshortness of breath (even with mild exertion);\nswelling or rapid weight gain;\nthe first sign of any skin rash, no matter how mild;\nsigns of stomach bleeding - bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds;\nliver problems - nausea, upper stomach pain, itching, tired feeling, flu-like symptoms, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);\nkidney problems - little or no urinating, painful or difficult urination, swelling in your feet or ankles, feeling tired or short of breath;\nlow red blood cells (anemia) - pale skin, feeling light-headed or short of breath, rapid heart rate, trouble concentrating; or\nsevere skin reaction - fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.\nCommon naproxen side effects may include:\nindigestion, heartburn, stomach pain, nausea;\nheadache, dizziness, drowsiness;\nbruising, itching, rash;\nswelling; or\nringing in your ears.\nThis 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.\n Naproxen side effects (more detail)\n','Naproxen is a nonsteroidal anti-inflammatory drug (NSAID). It works by reducing hormones that cause inflammation and pain in the body.\nNaproxen is used to treat pain or inflammation caused by conditions such as arthritis, ankylosing spondylitis, tendinitis, bursitis, gout, or menstrual cramps. It can also be used to treat acute pain caused by other conditions not listed in this medication guide.\nThe delayed-release or extended-release tablets are slower-acting forms of naproxen that are used only for treating chronic conditions such as arthritis or ankylosing spondylitis. These forms will not work fast enough to treat acute pain.\n','You should not use naproxen if you have a history of allergic reaction to aspirin or other NSAID (nonsteroidal anti-inflammatory drug).\nNaproxen can increase your risk of fatal heart attack or stroke, especially if you use it long term or take high doses, or if you have heart disease. Even people without heart disease or risk factors could have a stroke or heart attack while taking this medicine.\nDo not use this medicine just before or after heart bypass surgery (coronary artery bypass graft, or CABG).\nGet emergency medical help if you have swelling of the face or throat, chest pain, weakness, shortness of breath, slurred speech, or problems with vision or balance. Stop taking naproxen and notify your physician if you notice stomach pain, tiredness or weakness, yellow skin or eyes, nausea, vomiting, bloody or black and sticky bowel movements, skin rash, unexplained weight loss or weight gain, or swelling of the hands and feet.\nNaproxen may also cause stomach or intestinal bleeding, which can be fatal. These conditions can occur without warning while you are using this medicine, especially in older adults.\nBefore taking this medicine\nNaproxen may also cause stomach or intestinal bleeding, which can be fatal. These conditions can occur without warning while you are using this medicine, especially in older adults.\nYou should not use naproxen if you are allergic to it, or if you have ever had an asthma attack or severe allergic reaction after taking aspirin or an NSAID.\nAsk a doctor before giving naproxen to a child younger than 12 years old.\nAsk a doctor or pharmacist if it is safe for you to use this medicine if you have:\nheart disease, high blood pressure, high cholesterol, diabetes, or if you smoke;\na history of heart attack, stroke, or blood clot;\na history of stomach ulcers or bleeding;\nasthma;\nliver or kidney disease;\nfluid retention: or\nif you take aspirin to prevent heart attack or stroke.\nIf you are pregnant, you should not take naproxen unless your doctor tells you to. Taking a NSAID during the last 20 weeks of pregnancy can cause serious heart or kidney problems in the unborn baby and possible complications with your pregnancy.\nIt may not be safe to breastfeed while using naproxen. Ask your doctor about any risk.\nNaproxen is not approved for use by anyone younger than 2 years old. Do not give this medicine to a child without medical advice.\n','Avoid drinking alcohol. It may increase your risk of stomach bleeding.\nAvoid taking aspirin unless your doctor tells you to.\nAsk your doctor before taking any other medication for pain, arthritis, fever, or swelling. Many medicines available over the counter contain aspirin, salicylates, or other medicines similar to naproxen (such as ibuprofen or ketoprofen). Taking certain products together can cause you to get too much of this type of medication.\nAsk your doctor before using an antacid, and use only the type your doctor recommends. Some antacids can make it harder for your body to absorb naproxen.\n'),(583,'narcan','This section provides information on the proper use of a number of products that contain naloxone.  It may not be specific to Narcan. Please read with care.\nA home health caregiver or a family member will give you or your child this medicine. It is given as a shot under your skin or into a muscle.\nThis medicine comes with patient instructions and a training device. Let your home health caregiver or family member read and follow the directions carefully. Ask your doctor if you have any questions.\nTo use:\nThis medicine is available as an autoinjector and can only be used one time. It is available in 2 dosage strengths: 0.4 milligram (mg)/0.4 milliliter (mL) autoinjector or 2 mg/0.4mL autoinjector.\nIt also contains printed instructions on the device label and a speaker that provides electronic instructions which guides the user through each step of the injection.\nInject the medicine into the outer thighs, through clothing, if needed. If you are giving this medicine to a child younger than 1 year of age, you should pinch the thigh muscle while giving the medicine.\nDo not use the medicine if it is cloudy, discolored, or has large particles in it.\nDo not remove the red safety guard until you are ready to use it.\nAfter giving the first dose of Evzio® to the patient, get emergency medical help right away.\nClosely watch the patient for signs and symptoms of opioid emergency may return after several minutes.\nGive a new naloxone injection every 2 to 3 minutes if symptoms returned and monitor the patient until emergency help is received.\nDosing\nThe 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.\nThe 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.\nFor injection dosage form:\nFor opioid emergency:\nAdults and children—0.4 or 2 milligrams (mg) injected under the skin or into a muscle.\nStorage\nStore the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.\nKeep out of the reach of children.\nDo not keep outdated medicine or medicine no longer needed.\nAsk your healthcare professional how you should dispose of any medicine you do not use.\n Detailed Narcan Nasal Spray dosage information\n',NULL,'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.\nCheck with your doctor immediately if any of the following side effects occur:\nIncidence not known\nAbdominal or stomach cramps\nbody aches\nconvulsions\ndiarrhea\ndifficult or troubled breathing\nexcessive crying\nfast, pounding, or irregular heartbeat or pulse\nfever\ngoosebumps\nincreased or excessive unconscious or jerking movements\nirregular, fast or slow, or shallow breathing\nirritability\nnausea or vomiting\nnervousness\npale or blue lips, fingernails, or skin\nrestlessness\nrunny nose\nshivering\nsneezing\nsweating\ntrembling\nweakness\nyawning\nOther side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.\nCall your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.\n Narcan Nasal Spray side effects (more detail)\n','Naloxone injection is used to treat an opioid emergency such as an overdose or a possible overdose of a narcotic medicine. Some signs and symptoms of an opioid emergency are breathing problems (which can range from slow or shallow breathing to no breathing), extreme sleepiness, slow heartbeat, or not being able to respond.\nThis medicine is available only with your doctor\'s prescription.\n','This medicine should be given immediately after a suspected or known overdose of an opioid or narcotic medicine. This is to prevent a serious condition called respiratory or central nervous system depression.\nSevere opioid withdrawal symptoms may happen suddenly after receiving this medicine. These include body aches, a fever, sweating, runny nose, sneezing, goose bumps, yawning, weakness, shivering or trembling, nervousness, restlessness or irritability, diarrhea, nausea or vomiting, stomach cramps, fast heartbeat, and increased blood pressure.\nDo 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.\n',NULL),(584,'nasacort','This section provides information on the proper use of a number of products that contain triamcinolone.  It may not be specific to Nasacort. Please read with care.\nUse this medicine only as directed by your doctor. Do not use more of it and do not use it more often than your doctor ordered. To do so may increase the chance of side effects.\nThis medicine comes with patient information leaflet. Read and follow these instructions carefully. Ask your doctor if you have any questions.\nThis medicine is only used in the nose. Do not get this medicine in your eyes or mouth. If it does get on these areas, rinse it off right away with water and call your doctor right away.\nDo not use this medicine for any other nose problem without checking with your doctor first.\nTo use the spray:\nShake the bottle gently before each use.\nWhen you use the triamcinolone nasal spray for the first time, you must prime the spray. Press down fully on the top of the pump 5 times or until a fine spray comes out. Prime the spray if it has not been used for 14 days or more.\nGently blow your nose before using the spray if needed. Tilt your head back slightly and insert the tip of the nose piece into your nostril.\nClose the opposite nostril with a finger. Release 1 spray and at the same time, breathe in gently through the nostril.\nHold your breath for a few seconds then breathe out slowly through your mouth.\nSpray the opposite nostril using the same steps.\nDo not blow your nose for 15 minutes after using the spray.\nWipe the tip of the spray bottle with a clean, dry tissue or cloth and put the cap back on.\nUse the check-off chart that is included in the package to help you monitor the number of sprays you used.\nThrow this medicine away after you use 120 sprays.\nDosing\nThe 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.\nThe 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.\nFor nasal dosage form (spray):\nFor treatment of seasonal and perennial allergic rhinitis\nAdults and teenagers—Two sprays in each nostril once a day. Your doctor may adjust your dose if needed. Each spray contains 55 micrograms (mcg) of triamcinolone.\nChildren 6 to 12 years of age—One spray in each nostril once a day. Some children may need two sprays in each nostril once a day. Your doctor may adjust your dose if needed.\nChildren 2 to 5 years of age—One spray in each nostril once a day.\nChildren younger than 2 years of age—Use is not recommended.\nMissed dose\nIf 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.\nStorage\nStore the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.\nKeep out of the reach of children.\nDo not keep outdated medicine or medicine no longer needed.\nAsk your healthcare professional how you should dispose of any medicine you do not use.\n Detailed Nasacort dosage information\n',NULL,'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.\nCheck with your doctor immediately if any of the following side effects occur:\nMore common\nBody aches or pain\nchills\ncongestion\ndiarrhea\ndryness or soreness of the throat\nfever\ngeneral feeling of discomfort or illness\nheadache\nhoarseness\nincreased cough\njoint pain\nloss of appetite\nmuscle aches and pains\nnausea\nrunny nose\nshivering\nsweating\ntender, swollen glands in the neck\ntrouble sleeping\ntrouble with swallowing\nunexplained nosebleeds\nunusual tiredness or weakness\nvoice changes\nvomiting\nLess common\nCough producing mucus\ndifficulty with breathing\nnoisy breathing\nshortness of breath\ntightness in the chest\nIncidence not known\nBlindness\nbloody mucus\nblurred vision\nchanges in vision\ndarkening of the skin\ndecreased vision\neye pain\nfainting\nfast heartbeat\nhives\nirritation\nitching\njoint stiffness or swelling\nloss of appetite\nlower back or side pain\nmental depression\npainful or difficult urination\nrash\nredness of the skin\nslowing of normal growth in children\nswelling of the eyelids, face, lips, hands, or feet\ntearing\ntrouble healing\nwhite patches in the throat\nSome 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:\nLess common\nAcid or sour stomach\nbelching\nheartburn\nindigestion\nstomach discomfort, upset, or pain\ntooth problems\nupper abdominal or stomach pain\nIncidence not known\nChange in sense of smell or taste\nOther side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.\nCall your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.\n Nasacort side effects (more detail)\n','Triamcinolone nasal spray is used to treat an itchy or runny nose, sneezing, or other symptoms caused by seasonal and perennial hay fever (allergic rhinitis).\nTriamcinolone is a steroid (cortisone-like medicine). It works by preventing the inflammation that occurs with allergic reactions.\nThis medicine is available only with your doctor\'s prescription.\n','It is very important that your doctor check the progress of you or your child at regular visits. This will allow your doctor to see if the medicine is working properly and to decide if you or your child should continue to use it.\nIf your or your child\'s symptoms do not improve within 3 weeks or if they become worse, check with your doctor.\nThis medicine may increase your risk of having some unwanted effects in the nose. Check with your doctor right away if you or your child have bloody mucus, sores inside the nose, unexplained nosebleeds, or a whistling sound when you breathe while you are using this medicine.\nThis medicine may cause thrush (a type of fungus infection) in the nose or throat. Tell your doctor right away if you or your child have white patches in the throat, or pain when you eat or swallow.\nCheck with your doctor immediately if you have changes in vision, such as blurred vision, difficulty reading, or eye pain during or after treatment. Your doctor may want your eyes checked by an eye doctor.\nYou may get infections more easily while you are using this medicine. Avoid being around people who are sick or have infections such as chickenpox or measles or if you have never had these infections or been immunized. This is especially important for children. Tell your doctor right away if you think you have been exposed to chickenpox or measles.\nThis medicine may increase your risk of having an adrenal gland that is less active than normal. The adrenal gland makes steroids for your body. This is more likely for people who use steroids for a long time or use high doses. Check with your doctor right away if you or your child have any of the following symptoms: darkening of the skin, diarrhea, dizziness, fainting, loss of appetite, mental depression, nausea, skin rash, unusual tiredness or weakness, or vomiting.\nThis medicine may cause children to grow more slowly than normal. This would cause a child not to gain weight or get taller. Talk with your doctor if you think your child is not growing properly or if you have any questions about this.\n',NULL),(585,'nasonex','Usual Adult Dose of Nasonex for Allergic Rhinitis:\n2 sprays in each nostril once a day.\nWhen used for the prevention of allergic rhinitis, treatment should begin 2-4 weeks prior to pollen season.\nUsual Adult Dose of Nasonex for Nasal Polyps:\n2 sprays in each nostril twice daily. 2 sprays in each nostril once daily may be effective in some patients.\nUsual Pediatric Dose of Nasonex for Allergic Rhinitis:\n2 years to 11 years:\n1 spray in each nostril once a day.\n12 years or older:\n2 sprays in each nostril once a day.\nWhen used for the prevention of allergic rhinitis, treatment should begin 2 to 4 weeks prior to pollen season.\n Detailed Nasonex dosage information\nWhat happens if I miss a dose?\nUse the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not use two doses at one time.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\nAn overdose of mometasone nasal spray is not expected to produce life threatening symptoms. Long term use of high doses can lead to thinning skin, easy bruising, changes in body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.\n','Sometimes it is not safe to use certain medications at the same time. Some drugs can affect your blood levels of other drugs you take, which may increase side effects or make the medications less effective.\nTell your doctor about all your other medicines, especially:\nan antibiotic;\nantifungal medicine;\nan antidepressant; or\nantiviral medicine to treat HIV/AIDS.\nThis list is not complete. Other drugs may interact with mometasone nasal, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.\n Nasonex drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction to Nasonex: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nCall your doctor at once if you have:\nsevere bleeding or increased drainage from your nose;\nnose pain or discomfort, headache;\nwhite patches or sores in the nose that won\'t heal;\nwheezing, trouble breathing;\nvision problems;\near pain or full feeling, trouble hearing, drainage from the ear.\nSteroid medicine can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using Nasonex.\nAlthough the risk of serious side effects is low when mometasone is used in the nose, side effects can occur if the medicine is absorbed into your bloodstream. Tell your doctor if you have possible signs of long-term steroid use:\nweight gain (especially in your face or your upper back and torso);\nslow wound healing, thinning skin, increased body hair;\nirregular menstrual periods, changes in sexual function; or\nmuscle weakness, tired feeling, depression, anxiety, or feeling irritable.\nCommon Nasonex side effects may include:\nnosebleeds;\nheadache;\nstuffy nose, sore throat, cough; or\nflu-like symptoms.\nThis 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.\n Nasonex side effects (more detail)\n','Nasonex (mometasone) is a steroid. It prevents the release of substances in the body that cause inflammation.\nNasonex nasal spray is used to treat nasal symptoms of seasonal or year-round allergies, including congestion, sneezing, and runny nose. This medicine is approved for this use in adults and children who are at least 2 years old.\nNasonex is also used to prevent seasonal allergy symptoms in adults and children who are at least 12 years old.\nNasonex nasal spray is used to treat nasal polyps only in adults.\n','Before using Nasonex, tell your doctor if you have been sick or had an infection of any kind. Also tell your doctor if you have glaucoma or cataracts, herpes simplex infection of your eyes, tuberculosis, sores or ulcers in your nose, or if you have recently had injury of or surgery on your nose.\nIt may take up to 2 weeks of using this medicine before your symptoms improve. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve after a week of treatment.\nMometasone can lower the blood cells that help your body fight infections. Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using Nasonex.\nAvoid getting Nasonex in your eyes. If this does happen, rinse with water and call your doctor\nBefore taking this medicine\nYou should not use Nasonex nasal spray if you are allergic to mometasone.\nTell your doctor if you have ever had:\nan active or chronic infection;\nglaucoma or cataracts;\nherpes simplex virus of your eyes;\ntuberculosis or any other infection or illness;\nsores or ulcers inside your nose; or\nnasal surgery or injury to your nose.\nTell your doctor if you are pregnant or plan to become pregnant.\nIt may not be safe to breast-feed a baby while you are using this medicine. Ask your doctor about any risks.\nNasonex nasal spray is not approved to treat allergy symptoms in anyone younger than 2 years old, or to prevent allergy symptoms in anyone younger than 12 years old.\nHow should I use Nasonex?\nUse Nasonex nasal spray exactly as it was prescribed for you. Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.\nDo not take by mouth. Nasonex nasal spray is for use only in your nose.\nYour doctor may recommend you start using Nasonex 2 to 4 weeks before the start of allergy season.\nRead and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions.\nShake the nasal spray well just before each use. Before your first use, prime the nasal spray pump by spraying the medicine into the air until a fine mist appears. If the nasal spray has not been used for longer than 1 week, prime it by spraying the medicine into the air until a fine mist appears.\nTo use the Nasonex nasal spray:\nBlow your nose gently. Keep your head upright and insert the tip of the bottle into one nostril. Press your other nostril closed with your finger. Breathe in quickly and gently spray the medicine into your nose. Then use the spray in your other nostril.\nDo not blow your nose for at least a few minutes after using the nasal spray.\nUse only the number of sprays your doctor has prescribed.\nIf the spray gets in your eyes or mouth or on your skin, rinse with water.\nIf the nasal spray has not been used for longer than 1 week, prime it by spraying the medicine into the air until a fine mist appears.\nRead all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.\nIt may take up to 2 weeks before your symptoms improve. Keep using Nasonex as directed and tell your doctor if your symptoms do not improve.\nWhile you are using Nasonex, your doctor may need to examine you to make sure the medicine is not harming your nose or sinuses.\nIt may take up to 2 weeks before your symptoms improve. Keep using the medicine as directed and tell your doctor if your symptoms do not improve.\nStore Nasonex in an upright position at room temperature, away from moisture and heat. Throw the medicine away after you have used 120 sprays, even if there is still medicine left in the bottle.\n','Rinse with water if this medicine gets in your eyes.\nAvoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chickenpox or measles. These conditions can be serious or even fatal in people who are using steroid medicine.\n'),(586,'nateglinide','Usual Adult Dose for Diabetes Type 2:\nInitial dose: 60 to 120 mg orally 3 times a day before mealsMaintenance dose: 60 to 120 mg orally 3 times a day before mealsComments:-For patients who are near HbA1c goal when therapy is initiated, initial dose should be 60 mg orally 3 times.-Patients should take this drug 1 to 30 minutes before a meal; if a meal is skipped, the dose scheduled to be given with that meal should be skipped to avoid hypoglycemia.  -This drug should not be used in patients with type 1 diabetes mellitus or for the treatment of diabetic ketoacidosis.  Use: As an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus.\n Detailed Nateglinide dosage information\n','Nateglinide may not work as well when you use other medicines at the same time. Some drugs can also cause you to have fewer symptoms of hypoglycemia, making it harder to tell when your blood sugar is low. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here. Tell your doctor about all medicines you start or stop using.\n Nateglinide drug interactions (more detail)\nDoes Nateglinide interact with my other drugs?\nEnter other medications to view a detailed report.\nDrug name\nAdd a drug to check interactions\nAdd\n','Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.\nCall your doctor at once if you have:\nseizure (convulsions); or\njaundice (yellowing of the skin or eyes).\nCommon side effects may include:\nrunny or stuffy nose, sneezing, cough, cold or flu symptoms;\ndiarrhea;\nback pain;\ndizziness; or\njoint pain or stiffness.\nThis 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.\n Nateglinide side effects (more detail)\n','Nateglinide is used together with diet and exercise to improve blood sugar control in adults with type 2 diabetes mellitus.  nateglinide is not for treating type 1 diabetes.\nOther diabetes medicines are sometimes used in combination with nateglinide if needed.\nNateglinide may also be used for purposes not listed in this medication guide.\n','You should not use nateglinide if you have diabetic ketoacidosis (call your doctor for treatment).\nBefore taking this medicine\nYou should not use nateglinide if you are allergic to it, or if you have:\ndiabetic ketoacidosis (call your doctor for treatment).\nTell your doctor if you have ever had:\nliver disease; or\ngout.\nFollow your doctor\'s instructions about using  nateglinide if you are pregnant or you become pregnant. Controlling diabetes is very important during pregnancy, and having high blood sugar may cause complications in both the mother and the baby.\nYou should not breastfeed while using this medicine.\nNateglinide is not approved for use by anyone younger than 18 years old.\nHow should I take nateglinide?\nFollow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.\nNateglinide is usually taken 3 times daily, within 1 to 30 minutes before a meal. If you skip a meal, do not take your dose of nateglinide. Wait until your next meal.\nYou may have low blood sugar (hypoglycemia) and feel very hungry, dizzy, irritable, confused, anxious, or shaky. To quickly treat hypoglycemia, eat or drink a fast-acting source of sugar (fruit juice, hard candy, crackers, raisins, or non-diet soda).\nYour doctor may prescribe a glucagon injection kit in case you have severe hypoglycemia. Be sure your family or close friends know how to give you this injection in an emergency.\nAlso watch for signs of high blood sugar (hyperglycemia) such as increased thirst or urination.\nBlood sugar levels can be affected by stress, illness, surgery, exercise, alcohol use, or skipping meals. Ask your doctor before changing your dose or medication schedule.\nNateglinide is only part of a treatment program that may also include diet, exercise, weight control, blood sugar testing, and special medical care. Follow your doctor\'s instructions very closely.\nStore at room temperature away from moisture and heat.\nWhat happens if I miss a dose?\nTake your dose as soon as you can, but only if you are getting ready to eat a meal. If you skip a meal, skip the missed dose and wait until your next meal. Do not take two doses at one time.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222. You may have signs of low blood sugar, such as extreme weakness, blurred vision, sweating, trouble speaking, tremors, stomach pain, confusion, and seizure (convulsions).\n','Avoid drinking alcohol. It lowers blood sugar and may interfere with your diabetes treatment.\n'),(587,'nayzilam','Usual Adult Dose for Seizures:\nNasal:\n-Initial dose: 5 mg (1 spray) intranasally in 1 nostril ONCE\n-Subsequent dose: 5 mg (1 spray) intranasally in the opposite nostril after 10 minutes if the patient has not responded to the initial dose\n-Maximum dose: 10 mg/day.\nUsual Pediatric Dose for Seizures:\nNasal:\n12 years and older:\n-Initial dose: 5 mg (1 spray) intranasally in 1 nostril ONCE\n-Subsequent dose: 5 mg (1 spray) intranasally in the opposite nostril after 10 minutes if the patient has not responded to the initial dose\n-Maximum dose: 10 mg/day\nComments:\n-This drug should not be used to treat more than 1 episode every 3 days, and no more than 5 episodes/month.\n-The subsequent dose should not be administered if the patient has difficulty breathing OR if the patient has sedation that is not typically observed during a seizure cluster episode.\nUse: Acute treatment of intermittent, stereotypic episodes of frequent seizure activity (e.g., acute repetitive seizures, seizure clusters) that are distinct from a patient\'s usual seizure pattern\n Detailed Nayzilam dosage information\nWhat happens if I miss a dose?\nSince Nayzilam is used when needed, it does not have a daily dosing schedule. Call your doctor if your symptoms do not improve after using this medicine.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of midazolam can be fatal.\nOverdose symptoms may include severe drowsiness, confusion, muscle weakness, loss of coordination, or coma.\n','Using Nayzilam nasal spray with other drugs that slow your breathing can cause dangerous side effects or death. Ask your doctor before using opioid medication, a sleeping pill, a muscle relaxer, or medicine for anxiety or seizures.\nSometimes it is not safe to use certain medications at the same time. Some drugs can affect your blood levels of other drugs you take, which may increase side effects or make the medications less effective.\nMany drugs can interact with midazolam. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here. Tell your doctor about all your current medicines and any medicine you start or stop using.\n Nayzilam drug interactions (more detail)\n','Get emergency medical help if you have signs of an allergic reaction to Nayzilam: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nMidazolam can slow or stop your breathing, especially if you have recently used an opioid medication, alcohol, or other drugs that can slow your breathing. A person caring for you should seek emergency medical attention if you have slow breathing with long pauses, if you are hard to wake up, or if you stop breathing.\nCall your doctor right away or seek emergency medical help if you have the following symptoms while using Nayzilam or after you stop using it:\nextreme drowsiness;\nunusual muscle movements, or a seizure;\nsudden mood or behavior changes, hallucinations;\nagitation, anxiety, panic, trouble sleeping, feeling irritable; or\ndepression, thoughts about suicide or hurting yourself.\nSome people who stopped using this medicine suddenly had withdrawal symptoms lasting up to a year or longer, including: anxiety, problems with thinking or memory, depression, ringing in your ears, trouble sleeping, muscle twitching, or a burning, prickling, or crawling sensation. Ask your doctor how to safely stop using this medicine.\nCommon Nayzilam side effects may include:\ndrowsiness;\nheadache;\nrunny nose, discomfort in your nose; or\nthroat irritation.\nThis 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.\n Nayzilam side effects (more detail)\n','Nayzilam nasal spray contains midazolam, a benzodiazepine (ben-zoe-dye-AZE-eh-peen).\nNayzilam nasal spray is a prescription medicine used short term to treat seizure clusters (also called \"acute repetitive seizures\") in adults and children at least 12 years old.\nNayzilam is a federal controlled substance (C-IV) because it can be abused or lead to dependence. Keep in a safe place to prevent misuse and abuse. Selling or giving away this medicine may harm others and is against the law. Tell your healthcare provider if you have abused or been dependent on alcohol, prescription drugs, or street drugs.\nIt is not known if Nayzilam is safe and effective in children under 12 years of age.\n','You should not use Nayzilam if you have narrow-angle glaucoma.\nMISUSE OF NAYZILAM CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep the medication in a place where others cannot get to it.\nNayzilam can slow or stop your breathing, especially if you have recently used an opioid medication, alcohol, or other drugs that can slow your breathing. A person caring for you should seek emergency medical attention if you have slow breathing with long pauses, if you are hard to wake up, or if you stop breathing.\nDo not stop using Nayzilam suddenly, or you could have dangerous withdrawal symptoms that could last for several weeks to months.\nSome people have thoughts about suicide while using Nayzilam. Stay alert to changes in your mood or symptoms. Report any new or worsening symptoms to your doctor.\nBefore taking this medicine\nYou should not use Nayzilam nasal spray if you are allergic to midazolam, or if you have:\nnarrow-angle glaucoma.\nTo make sure Nayzilam is safe for you, tell your doctor if you have ever had:\nopen-angle glaucoma;\ndepression, or a mood disorder;\nsuicidal thoughts or actions;\nliver or kidney disease;\nasthma, emphysema, bronchitis, chronic obstructive pulmonary disorder (COPD), or other breathing problems;\ncongestive heart failure;\ndrug or alcohol addiction; or\nif you use opioid medicine.\nSome people have thoughts about suicide while using seizure medicine. Your doctor will need to check your progress at regular visits. Your family or other caregivers should also be alert to changes in your mood or symptoms.\nTell your doctor if you are pregnant or plan to become pregnant. Your name may be listed on a pregnancy registry to track the effects of midazolam on the baby.\nIf you use Nayzilam while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on habit-forming medicine may need medical treatment for several weeks.\nUsing Nayzilam nasal spray right before childbirth may cause breathing problems, feeding problems, or dangerously low body temperature in the newborn baby.\nIt may not be safe to breastfeed while using Nayzilam. Ask your doctor about any risk.\nHow should I use Nayzilam nasal spray?\nUse Nayzilam exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets.\nMidazolam may be habit-forming. Misuse can cause addiction, overdose, or death. Keep the medication in a place where others cannot get to it. Selling or giving away this medicine is against the law.\nDo not take by mouth. This medicine is for use only in the nose.\nBefore using Nayzilam nasal spray, be sure you know how to recognize what is and is not a seizure cluster and when it is best to use this medicine. Ask your doctor or pharmacist if you have questions.\nRead and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions.\nNayzilam nasal spray is usually given as a single spray into one nostril. If you still have seizures 10 minutes after using 1 spray, use a second spray in the opposite nostril.\nGet emergency medical help if you have still have seizures after using Nayzilam.\nYou should not use a second spray if you have very slow breathing after using the first spray.\nDo not use more than 2 sprays of Nayzilam nasal spray to treat a seizure cluster. Do not use this medicine to treat more than 1 seizure cluster every 3 days, or more than 5 seizure clusters in one month (30 days).\nDo not stop using this medicine suddenly, or you could have dangerous withdrawal symptoms. Follow your doctor\'s instructions about tapering your dose.\nStore at room temperature away from moisture and heat. Keep the spray bottle in the blister pack until you are ready to use the medicine.\n','Do not drink alcohol. Dangerous side effects or death could occur.\nAvoid driving or hazardous activity until you know how this medicine will affect you. Dizziness or drowsiness can cause falls, accidents, or severe injuries.\n'),(588,'nebivolol','Usual Adult Dose for Hypertension:\nInitial dose: 5 mg orally once a dayDose adjustment: Titrate dose at 2-week intervals up to 40 mg once a day as needed.Maximum dose: 40 mg per dayComments:-Titrating doses more frequently than every 2 weeks is unlikely to be beneficial.-The dose should be individualized to patient requirements.   Use: For the management of hypertension, alone or with another antihypertensive agent.\n Detailed Nebivolol dosage information\n','Sometimes it is not safe to use certain medications at the same time. Some drugs can affect your blood levels of other drugs you take, which may increase side effects or make the medications less effective.\nMany drugs can affect nebivolol. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here. Tell your doctor about all your current medicines and any medicine you start or stop using.\n Nebivolol drug interactions (more detail)\nDoes Nebivolol interact with my other drugs?\nEnter other medications to view a detailed report.\nDrug name\nAdd a drug to check interactions\nAdd\n','Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.\nCall your doctor at once if you have:\na light-headed feeling, like you might pass out;\nrapid weight gain;\nshortness of breath;\nslow or uneven heartbeats; or\nnumbness or cold feeling in your hands and feet.\nCommon side effects may include:\ndizziness;\nswelling in your legs;\nslow heartbeats;\ntiredness; or\nheadache.\nThis 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.\n Nebivolol side effects (more detail)\n','Nebivolol is a beta-blocker that is used to treat hypertension (high blood pressure). Lowering blood pressure may lower your risk of a stroke or heart attack.\nNebivolol may also be used for purposes not listed in this medication guide.\n','Do not skip doses or stop taking nebivolol without first talking to your doctor.\nBefore taking this medicine\nYou should not take nebivolol if you are allergic to it, or if you have:\na serious heart condition such as heart failure, \"AV block\" (2nd or 3rd degree), or sick sinus syndrome (unless you have a pacemaker);\nvery slow heartbeats;\nsevere liver disease; or\nif your heart cannot pump blood properly.\nTell your doctor if you have ever had:\nasthma, bronchitis, emphysema;\na heart attack;\nproblems with circulation (especially in your feet and legs);\ndiabetes (taking nebivolol can make it harder for you to tell when you have low blood sugar);\na thyroid disorder;\nliver or kidney disease;\nallergies; or\npheochromocytoma (tumor of the adrenal gland).\nTell your doctor if you are pregnant or plan to become pregnant. It is not known whether nebivolol will harm an unborn baby. However, having high blood pressure during pregnancy may cause complications such as diabetes or eclampsia (dangerously high blood pressure that can lead to medical problems in both mother and baby). The benefit of treating hypertension may outweigh any risks to the baby.\nYou should not breastfeed while using nebivolol.\nHow should I take nebivolol?\nFollow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed.\nYou may take nebivolol with or without food.\nYour blood pressure will need to be checked often.\nIf you need surgery, tell the surgeon ahead of time that you are using nebivolol.\nYou should not skip doses or stop using nebivolol suddenly. Stopping suddenly may make your condition worse or cause serious heart problems, including heart attack. Follow your doctor\'s instructions about tapering your dose.\nKeep using  nebivolol as directed, even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medicine for the rest of your life.\nStore at room temperature away from moisture and heat.\nWhat happens if I miss a dose?\nTake the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\nOverdose symptoms may include slow heart rate, dizziness, vomiting, trouble breathing, or feeling like you might pass out.\n','Avoid driving or hazardous activity until you know how  nebivolol will affect you. Your reactions could be impaired.\n'),(589,'neomycin','Never take neomycin in larger amounts than recommended, or for longer than 2 weeks. High doses or long-term use of neomycin can cause serious kidney problems, or hearing loss that may not be reversible. The longer you take neomycin, the more likely you are to develop these serious side effects. Follow the directions on your prescription label.\nMeasure liquid medicine with a special dose-measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.\nTake  neomycin for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Skipping doses may also increase your risk of further infection that is resistant to antibiotics. Neomycin will not treat a viral infection such as the common cold or flu.\nTo be sure this medication is not causing harmful effects, your kidney function, and your nerve and muscle function will need to be tested often. You may also need hearing tests. Neomycin can have long lasting effects on your body. Do not miss any follow up visits to your doctor for blood or urine tests.\nIf you are taking neomycin for hepatic coma, your treatment may also include a special diet. It is very important to follow the diet plan created for you by your doctor. You should become very familiar with the list of foods you should avoid to help control your condition.\nIf you need surgery, tell the surgeon ahead of time that you are using neomycin. Neomycin can interact with certain medicines that may be given during surgery.\nStore at room temperature away from moisture and heat. Do not allow the liquid form of this medicine to freeze.\n Detailed Neomycin dosage information\nWhat happens if I miss a dose?\nTake the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.\nWhat happens if I overdose?\nSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.\nOverdose symptoms may include severe forms of some of the side effects listed in this medication guide.\n','Neomycin can harm your kidneys, and this effect is increased when you also use certain other medicines harmful to the kidneys. Before using neomycin, tell your doctor about all other medicines you use. Many other drugs (including some over-the-counter medicines) can be harmful to the kidneys.\nBefore you take neomycin, tell your doctor if you are using any other antibiotics, such as\namikacin (Amikin)\namphotericin-B (Amphotec);\nbacitracin (Baci IM);\ncolistimethate (Coly Mycin M);\ngentamicin (Garamycin);\nkanamycin (Kantrex);\nparomomycin (Humatin, Paromycin);\npolymyxin B sulfate;\npenicillin V (PC Pen VK);\nstreptomycin;\ntobramycin (Nebcin, Tobi); or\nvancomycin (Vancocin, Vancoled).\nTell your doctor about all other medicines you use, especially:\ncisplatin (Platinol);\ndigoxin (digitalis, Lanoxin, Lanoxicaps);\nmethotrexate (Rheumatrex, Trexall);\nvitamin B-12;\nantiviral medicines such as adefovir (Hepsera), cidofovir (Vistide), or tenofovir (Viread);\na blood thinner such as warfarin (Coumadin, Jantoven);\na botulism toxin medication (Botox, Dysport, Myobloc, Xeomin, and others); or\na diuretic (water pill) such as bumetanide (Bumex), ethacrynic acid (Edecrin), furosemide (Lasix), or torsemide (Demadex).\nThis list is not complete and other drugs may interact with neomycin. 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.\n Neomycin drug interactions (more detail)\nDoes Neomycin interact with my other drugs?\nEnter other medications to view a detailed report.\nDrug name\nAdd a drug to check interactions\nAdd\n','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.\nCall your doctor at once if you have a serious side effect such as:\nhearing problems, ringing in your ears, or a feeling of fullness in the ears;\nspinning sensation, nausea, feeling like you might pass out;\nloss of balance or coordination, trouble walking;\nnumbness or tingly feeling under your skin;\nmuscle twitching, seizure (convulsions);\nurinating less than usual or not at all;\ndrowsiness, confusion, mood changes, increased thirst, loss of appetite, nausea and vomiting;\nswelling, weight gain, feeling short of breath;\nweak or shallow breathing; or\nsevere stomach cramps, diarrhea that is watery or bloody.\nLess serious side effects may include:\nmild nausea, vomiting; or\nmild diarrhea.\nThis 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.\n Neomycin side effects (more detail)\n','Neomycin is an antibiotic that fights bacteria in the body.\nNeomycin is used to reduce the risk of infection during surgery of your intestines. Neomycin is also used to reduce the symptoms of hepatic coma.\nNeomycin may also be used for purposes not listed in this medication guide.\n','You should not take  neomycin if you are allergic to neomycin or similar antibiotics such as amikacin (Amikin), gentamicin (Garamycin), kanamycin (Kantrex), paromomycin (Humatin, Paromycin), streptomycin, or tobramycin (Nebcin, Tobi).\nYou should not take neomycin if you have ulcerative colitis, Crohn\'s disease, a blockage in your intestines, or other inflammatory bowel disease.\nDo not use neomycin if you are pregnant. It could harm the unborn baby.\nBefore you take neomycin, tell your doctor if you have kidney disease, myasthenia gravis, or Parkinson\'s disease.\nNever take neomycin in larger amounts than recommended, or for longer than 2 weeks. High doses or long-term use of neomycin can cause serious kidney problems, or hearing loss that may not be reversible. The longer you take neomycin, the more likely you are to develop these serious side effects.\nTo be sure this medication is not causing harmful effects, your kidney function, and your nerve and muscle function will need to be tested often. You may also need hearing tests. Neomycin can have long lasting effects on your body. Do not miss any follow up visits to your doctor for blood or urine tests.\nNeomycin can harm your kidneys, and this effect is increased when you also use certain other medicines harmful to the kidneys. Before using neomycin, tell your doctor about all other medicines you use. Many other drugs (including some over-the-counter medicines) can be harmful to the kidneys.\nIf you are being treated for hepatic coma, avoid eating foods that are high in protein. Follow your doctor\'s instructions about any other restrictions on food, beverages, or activity.\nBefore taking this medicine\nYou should not take this medicine if you are allergic to neomycin or similar antibiotics such as amikacin (Amikin), gentamicin (Garamycin), kanamycin (Kantrex), paromomycin (Humatin, Paromycin), streptomycin, or tobramycin (Nebcin, Tobi).\nYou should not take neomycin if you have ulcerative colitis, Crohn\'s disease, a blockage in your intestines, or other inflammatory bowel disease.\nTo make sure you can safely take neomycin, tell your doctor if you have any of these other conditions:\nkidney disease;\nmyasthenia gravis; or\nParkinson\'s disease.\nFDA pregnancy category D. Do not use neomycin if you are pregnant. It could harm the unborn baby. Use effective birth control, and tell your doctor if you become pregnant during treatment.\nIt is not known whether neomycin passes into breast milk or if it could harm a nursing baby. You should not breast-feed while you are using neomycin.\n','If you are being treated for hepatic coma, avoid eating foods that are high in protein. Follow your doctor\'s instructions about any other restrictions on food, beverages, or activity.\n'),(590,'neosporin','This section provides information on the proper use of a number of products that contain neomycin, polymyxin b, and gramicidin.  It may not be specific to Neosporin. Please read with care.\nThe bottle is only partially full to provide proper drop control.\nTo use:\nFirst, wash your hands. Tilt the head back and, pressing your finger gently on the skin just beneath the lower eyelid, pull the lower eyelid away from the eye to make a space. Drop the medicine into this space. Let go of the eyelid and gently close the eyes. Do not blink. Keep the eyes closed for 1 or 2 minutes to allow the medicine to come into contact with the infection.\nIf you think you did not get the drop of medicine into your eye properly, use another drop.\nTo keep the medicine as germ-free as possible, do not touch the applicator tip or dropper to any surface (including the eye). Also, keep the container tightly closed.\nTo help clear up your infection completely, keep using this medicine for the full time of treatment, even if your symptoms have disappeared. Do not miss any doses.\nDosing\nThe 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.\nThe 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.\nFor eye infections:\nFor eye drops dosage form:\nAdults and children—Use one drop in the eye two to four times a day for seven to ten days. If you have a more serious infection, your doctor may want you to use one drop in the eye every fifteen to thirty minutes at first. Then your doctor may have you use the medicine less often.\nMissed dose\nIf you miss a dose of this medicine, apply 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.\nStorage\nStore the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.\nKeep out of the reach of children.\nDo not keep outdated medicine or medicine no longer needed.\n Detailed Neosporin Ophthalmic dosage information\n',NULL,'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.\nCheck with your doctor immediately if any of the following side effects occur:\nMore common\nItching, rash, redness, swelling, or other sign of irritation in or around the eye not present before use of this medicine\nSome 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:\nLess common\nBurning or stinging sensation in the eye\nOther side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.\nCall your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.\n Neosporin Ophthalmic side effects (more detail)\n','Neomycin, polymyxin B, and gramicidin is a combination antibiotic medicine used to treat infections of the eye.\nNeomycin, polymyxin B, and gramicidin combination is available only with your doctor\'s prescription.\n','If your symptoms do not improve within a few days, or if they become worse, check with your doctor.\n',NULL),