Monurol (Fosfomycin Tromethamine) 

Author , posted on July 6, 2017

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Monurol

Fosfomycin Tromethamine

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Monurol

Fosfomycin Tromethamine

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Monurol (Fosfomycin Tromethamine) Dosage and Side Effects

MONUROL is an antibiotic that fights infection caused by bacteria. MONUROL is used to treat bladder infections.

Proper Use of this medication

Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.

MONUROL is usually given in only one dose. Do not take more than a single dose unless your doctor tells you to.

You may take MONUROL with or without food.

MONUROL is a powder medicine that must be mixed with water before using it. Do not take the dry powder without adding water.

Dissolve the powder in 3 to 4 ounces (1/2 cup) of cold water. Stir this mixture and drink all of it right away. To make sure you get the entire dose, add a little more water to the same glass, swirl gently and drink right away.

Do not mix MONUROL oral powder with hot water.

It may take 2 or 3 days before your symptoms improve.

Call your doctor if your symptoms do not improve within 3 days after treatment, or if you have a fever or any other new symptoms.

To be sure MONUROL is the right antibiotic for the type of infection you have, your urine may need to be tested before and after you take this medicine.

Store at room temperature away from moisture and heat. Keep the powder in its original package until you are ready to mix your dose.

Seek emergency medical attention or call the Poison Help line.

Since MONUROL is used as a single dose, an overdose is unlikely to occur.

Since MONUROL is used as a single dose, it does not have a daily dosing schedule.

Side Effects

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.

Call your doctor at once if you have:

  • diarrhea that is watery or bloody; or
  • new or worsening bladder symptoms (burning, painful urination).

Common side effects may include:

  • nausea, upset stomach, mild diarrhea;
  • headache, dizziness;
  • weakness;
  • sore throat, runny nose;
  • back pain; or
  • vaginal itching or discharge.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.

Warnings and Precautions

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.

You should not use MONUROL if you are allergic to it.

FDA pregnancy category B. MONUROL is not expected to harm an unborn baby. Tell your doctor if you are pregnant.

It is not known whether MONUROL passes into breast milk or if it could harm a nursing baby. You should not breast-feed while using this medicine.

MONUROL should not be given to a child younger than 12 years old.

Do not share this medicine with another person, even if they have the same symptoms you have.

Interactions with this medication

Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or bloody, stop taking MONUROL and call your doctor. Do not use anti-diarrhea medicine unless your doctor tells you to.

Other drugs may interact with MONUROL, 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.

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Zaditen Eye Drops (Ketotifen)

Author , posted on July 6, 2017

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Zaditen (Ketotifen) Dosage and Side Effects

ZADITEN belongs to the classes of medications called antiallergics and asthma prophylactics. This medication is used in combination with other medications to treat mild allergic asthma in children.

ZADITEN is an anti-allergy medication that helps to reduce asthma symptoms by reducing the body's response to allergens (substances that cause allergic reactions). These allergens can often trigger an acute asthma attack.

Proper Use of this medication

For children 6 months to 3 years of age, the usual recommended dose is based on body weight, 0.05 mg per kilogram of weight twice daily, in the morning and evening.

For children over 3 years of age, the usual recommended dose is 1 mg twice daily, in the morning and evening.

To reduce side effects, your child's doctor may suggest you start with a lower dose and increase to the recommended dose after 5 days.

Many things can affect the dose of medication that a child needs, such as body weight, other medications, or medications. If you doctor has recommended a dose different from the one listed here, do not change the way that you are giving the medication to your child without consulting your doctor.

Use an oral syringe to measure each dose of the liquid, as it gives a more accurate measurement than household teaspoons.

ZADITEN tablets and liquid are both to be swallowed. It may be taken with or without food.

ZADITEN does not relieve symptoms of an asthma or allergic attack. It must be taken regularly for it to be effective.

It is important to use this medication exactly as prescribed by your doctor. If you miss giving your child a dose, give it as soon as possible and continue with the regular dosing schedule. If it is almost time for your child's next dose, skip the missed dose and continue with the regular dosing schedule. Do not give your child a double dose to make up for the missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Store both forms of ZADITEN at room temperature, protect from moisture, and keep out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

Side Effects

Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.

The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.

The following side effects have been reported by at least 1% of people using this medication. Many of these side effects can be managed, and some may go away on their own over time.

Contact your doctor if your child experiences these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

  • abdominal pain
  • drowsiness
  • dry mouth
  • headache
  • increased appetite
  • irritability
  • nausea
  • nervousness
  • sleep disturbances (e.g., trouble sleeping)
  • slight dizziness
  • weight gain

Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention.

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

  • flu-like symptoms (e.g., sudden lack of energy, fever, cough, sore throat)
  • nosebleeds
  • puffy eyelid(s)
  • respiratory infections
  • skin rashes and itching

Stop using the medication and seek immediate medical attention if any of the following occur:

  • signs of a severe skin reaction such as blistering, peeling, a rash covering a large area of the body, a rash that spreads quickly, or a rash combined with fever or discomfort

Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are using this medication.

Warnings and Precautions

Your doctor may have suggested this medication for conditions other than those listed in this drug information. As well, some forms of this medication may not be used for all of the conditions discussed here. If you have not discussed this with your doctor or are not sure why you are using this medication, speak to your doctor. Do not stop giving this medication to your child without consulting your doctor.

Do not give this medication to anyone else, even if they have the same symptoms as your child. It can be harmful for people to use this medication if their doctor has not prescribed it.

This medication should not be given to anyone who:

  • is allergic to ZADITEN or any ingredients of this medication
  • is sensitive to benzoate compounds

Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.

Diabetes: If you have diabetes, you should be aware that the syrup form of this medication contains 4 g of carbohydrates per 5 mL of syrup. There have also been rare reports of decreased blood cell counts in people taking antidiabetes medications and ZADITEN at the same time. Talk to your doctor if you have any concerns.

Drowsiness/reduced alertness: This medication may cause drowsiness. Parents and guardians should be aware that children may experience drowsiness in the early stages of therapy. They should not perform potentially hazardous tasks until you have determined how this medication affects them.

Other asthma medications: Medications used to treat and prevent asthma (e.g., b2-agonists such as salbutamol; sodium cromoglycate; corticosteroids such as beclomethasone, budesonide, and fluticasone) already in use should not be reduced immediately when treatment with ZADITEN is started. Follow your doctor's instructions closely.

Seizure: ZADITEN may increase the risk of seizures, particularly if your child has a history of seizures. If you or your child have seizures or a history of seizures, discuss with your doctor how this medication may affect this medical condition, how this medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Pregnancy and breast-feeding: ZADITEN should not be used by anyone who is pregnant or breast-feeding.

Interactions with this medication

There may be an interaction between ZADITEN and any of the following:

  • antidiabetes medications (e.g., glyburide, metformin)
  • medications that cause drowsiness (e.g. sleeping pills, antihistamines, alcohol)

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

  • stop taking one of the medications,
  • change one of the medications to another,
  • change how you are taking one or both of the medications, or
  • leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with this medication. Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

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Zaditen (Ketotifen)

Author , posted on July 6, 2017

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Zaditen (Ketotifen) Dosage and Side Effects

ZADITEN belongs to the classes of medications called antiallergics and asthma prophylactics. This medication is used in combination with other medications to treat mild allergic asthma in children.

ZADITEN is an anti-allergy medication that helps to reduce asthma symptoms by reducing the body's response to allergens (substances that cause allergic reactions). These allergens can often trigger an acute asthma attack.

Proper Use of this medication

For children 6 months to 3 years of age, the usual recommended dose is based on body weight, 0.05 mg per kilogram of weight twice daily, in the morning and evening.

For children over 3 years of age, the usual recommended dose is 1 mg twice daily, in the morning and evening.

To reduce side effects, your child's doctor may suggest you start with a lower dose and increase to the recommended dose after 5 days.

Many things can affect the dose of medication that a child needs, such as body weight, other medications, or medications. If you doctor has recommended a dose different from the one listed here, do not change the way that you are giving the medication to your child without consulting your doctor.

Use an oral syringe to measure each dose of the liquid, as it gives a more accurate measurement than household teaspoons.

ZADITEN tablets and liquid are both to be swallowed. It may be taken with or without food.

ZADITEN does not relieve symptoms of an asthma or allergic attack. It must be taken regularly for it to be effective.

It is important to use this medication exactly as prescribed by your doctor. If you miss giving your child a dose, give it as soon as possible and continue with the regular dosing schedule. If it is almost time for your child's next dose, skip the missed dose and continue with the regular dosing schedule. Do not give your child a double dose to make up for the missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Store both forms of ZADITEN at room temperature, protect from moisture, and keep out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

Side Effects

Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.

The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.

The following side effects have been reported by at least 1% of people using this medication. Many of these side effects can be managed, and some may go away on their own over time.

Contact your doctor if your child experiences these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

  • abdominal pain
  • drowsiness
  • dry mouth
  • headache
  • increased appetite
  • irritability
  • nausea
  • nervousness
  • sleep disturbances (e.g., trouble sleeping)
  • slight dizziness
  • weight gain

Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention.

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

  • flu-like symptoms (e.g., sudden lack of energy, fever, cough, sore throat)
  • nosebleeds
  • puffy eyelid(s)
  • respiratory infections
  • skin rashes and itching

Stop using the medication and seek immediate medical attention if any of the following occur:

  • signs of a severe skin reaction such as blistering, peeling, a rash covering a large area of the body, a rash that spreads quickly, or a rash combined with fever or discomfort

Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are using this medication.

Warnings and Precautions

Your doctor may have suggested this medication for conditions other than those listed in this drug information. As well, some forms of this medication may not be used for all of the conditions discussed here. If you have not discussed this with your doctor or are not sure why you are using this medication, speak to your doctor. Do not stop giving this medication to your child without consulting your doctor.

Do not give this medication to anyone else, even if they have the same symptoms as your child. It can be harmful for people to use this medication if their doctor has not prescribed it.

This medication should not be given to anyone who:

  • is allergic to ZADITEN or any ingredients of this medication
  • is sensitive to benzoate compounds

Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.

Diabetes: If you have diabetes, you should be aware that the syrup form of this medication contains 4 g of carbohydrates per 5 mL of syrup. There have also been rare reports of decreased blood cell counts in people taking antidiabetes medications and ZADITEN at the same time. Talk to your doctor if you have any concerns.

Drowsiness/reduced alertness: This medication may cause drowsiness. Parents and guardians should be aware that children may experience drowsiness in the early stages of therapy. They should not perform potentially hazardous tasks until you have determined how this medication affects them.

Other asthma medications: Medications used to treat and prevent asthma (e.g., b2-agonists such as salbutamol; sodium cromoglycate; corticosteroids such as beclomethasone, budesonide, and fluticasone) already in use should not be reduced immediately when treatment with ZADITEN is started. Follow your doctor's instructions closely.

Seizure: ZADITEN may increase the risk of seizures, particularly if your child has a history of seizures. If you or your child have seizures or a history of seizures, discuss with your doctor how this medication may affect this medical condition, how this medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Pregnancy and breast-feeding: ZADITEN should not be used by anyone who is pregnant or breast-feeding.

Interactions with this medication

There may be an interaction between ZADITEN and any of the following:

  • antidiabetes medications (e.g., glyburide, metformin)
  • medications that cause drowsiness (e.g. sleeping pills, antihistamines, alcohol)

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

  • stop taking one of the medications,
  • change one of the medications to another,
  • change how you are taking one or both of the medications, or
  • leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with this medication. Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

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Cantharone (Cantharidin)

Author , posted on July 6, 2017

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Cantharone (Cantharidin) Medication Information

Uses

Cantharone is used for the removal of benign epithelial growths such as common warts, molluscum contagiosum, and periungual warts. It is not approved for use in the US.

Dosage

The liquid is available with Cantharidin 0.7% strength in a film-forming vehicle in 7.5 mL packages.

Side Effects

The most common side effects of Cantharone include:

  • Tingling of skin
  • Burning sensation
  • Skin blister
  • Skin depigmentation
  • Lymphangitis
  • Local pain

Speak with your doctor or pharmacist for a full list of side effects that applies to you.

Precautions

Dermatologic: Strong vesicant that may cause blistering of normal skin or mucous membranes; reactions may be more severe in patients with fair complexion and/or blue eyes. Do not apply to irritated or inflamed skin. Residual pigmentation has been reported (rarely) with use.

Appropriate personnel: Should be applied only by a physician; not recommended for dispensing to patient.

Appropriate use: For external use only. Not for use near the eyes, on mucous membranes, in anogenital, intertriginous or axilla areas. Avoid treating multiple lesions during the first visit to determine patient tolerability. Delay re-treatment if area is inflamed.

Interactions

There are no known drug interactions.

Speak with your doctor or pharmacist for more information. 

Pharmacist Tips

  • For topical use only.
  • Avoid touching normal skin, or eye.

Cantharone FAQs

How is this used?

Product should be applied to lesion and once dried covered with a non porous tape.

 

Can I take this if I am pregnant?

Use is not recommended during pregnancy

 

How does Cantharidin work?

It is a vesicant that is thought to cause wart exfoliation via its acantholytic actions.

 

What should I monitor for?

Monitor the treated areas for adequate healing, as well as pain and tolerability of treatment.

 

Can this be used to treat multiple lesions?

Avoid treating multiple lesions during the first visit to determine patient tolerability. Delay re-treatment if area is inflamed.

 

Can this be used in the US?

Cantharone is not approved in the US.

 

Reference:

Canthacur solution (cantharidin) [prescribing information]. St-Laurent, Quebec: Paladin Labs, Inc.

https://www-uptodate-com.libproxy.unm.edu/contents/cantharidin-united-states-not-available-drug-information?search=Cantharone&source=search_result&selectedTitle=1~13&usage_type=panel&kp_tab=drug_general&display_rank=1#F15827758

PharmD Medical Writer

Author: Dr. Larisa Roybal, PharmD

Dr. Roybal is a board-certified pharmacotherapy specialist who has practiced in both ambulatory and acute care settings. Her pharmacy interests include oncology and general inpatient pharmacy.

Zymaxid (Gatifloxacin)

Author , posted on July 6, 2017

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Zymaxid (Gatifloxacin)

Side Effects

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Warnings and Precautions

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Interactions with this medication

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Proper Use of this medication

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Mysoline (Primidone)

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Mysoline

Primidone

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Mysoline (Primidone) Dosage and Side Effects

MYSOLINE is used to treat and prevent seizures.

Proper Use of this medication

MYSOLINE comes as a tablet to take by mouth. It’s typically taken three to four times daily.

Try to take this medicine around the same time each day. You can take it with or without food.

Follow the instructions on your prescription label carefully. Don’t take more or less MYSOLINE than is prescribed.

Your doctor will likely start you on a low dose of the drug and gradually increase it.

MYSOLINE Overdose

Symptoms of an overdose may include:

  • Confusion
  • Trouble breathing
  • Uncontrolled eye movements

If you suspect an overdose, contact a poison control center or emergency room immediately.

Missed Dose of MYSOLINE

If you miss a dose of MYSOLINE, take it as soon as you remember.

However, if it’s almost time for you next dose, skip the missed dose and continue on your regular dosing schedule.

Don’t double up on doses to make up for a missed one.

Side Effects

Common Side Effects of MYSOLINE

Tell your doctor if any of the following side effects are severe or don’t go away:

  • Dizziness
  • Tiredness
  • Difficulty coordinating movements
  • Nausea or vomiting
  • Loss of appetite

Serious Side Effects of MYSOLINE

Tell your doctor right away if you experience any of the symptoms listed in the MYSOLINE Warnings section above, or any of the following serious side effects:

  • New or worsening seizures
  • Double vision or unusual eye movements
  • Decrease in sexual ability
  • Severe tiredness or weakness
  • Signs of an allergic reaction, which may include rash, hives, itching, difficulty breathing, or swelling of the mouth, face, lips, or tongue

Warnings and Precautions

Some people may have suicidal thoughts or changes in mental health while taking anticonvulsants such as MYSOLINE.

Tell your doctor right away if you experience any of the following symptoms:

  • Panic attack
  • Anxiety
  • Agitation or restlessness
  • New or worsening irritability
  • Depression
  • Acting on dangerous impulses
  • Difficulty sleeping
  • Aggressive, angry, or violent behaviors
  • Abnormally excited mood
  • Suicidal thoughts or actions
  • Preoccupation with death
  • Withdrawing from family and friends
  • Other unusual changes in mood or behavior

Before taking MYSOLINE, tell your doctor if you have or have ever had:

  • Porphyria (a blood disease)
  • Allergies to any medications
  • A history of mental health disorders or substance abuse
  • Liver disease
  • Lung or breathing problems

Also, be sure to tell your doctor if you’re taking sodium oxybate (Xyrem) or the recreational drug GHB before starting MYSOLINE.

Tell your doctor that you take MYSOLINE before any type of surgery, including dental procedures.

It might take several weeks before you feel the full benefits of MYSOLINE.

Don’t stop taking the medicine without first talking to your doctor. Your seizures may become worse and you may experience unpleasant withdrawal symptoms if you stop taking MYSOLINE suddenly.

Be sure to keep all appointments with your doctor and laboratory while taking this medicine.

Pregnancy and MYSOLINE

MYSOLINE may harm an unborn baby. Don’t take this medicine if you’re pregnant or plan to become pregnant.

You should also know that hormonal birth control pills may not work as well if you’re taking MYSOLINE. Talk to your doctor about other birth control options.

The drug is found in breast milk and may hurt a breastfeeding baby. Don’t breastfeed while taking MYSOLINE.

Interactions with this medication

Tell your doctor about all prescription, non-prescription, illegal, recreational, herbal, nutritional, or dietary drugs you’re taking, especially those listed in the MYSOLINE Warnings section above, and any of the following:

  • Anticoagulants (blood thinners) such as warfarin (Coumadin, Jantoven)
  • Antidepressants
  • Disulfiram (Antabuse)
  • Doxycycline (Vibramycin)
  • Griseofulvin (Grifulvin)
  • Medications for anxiety, mental illness, or pain
  • Other medications for seizures such as oxcarbazepine (Trileptal), phenobarbital, phenytoin (Dilantin), and valproic acid (Depakene, Depakote)
  • Oral contraceptives (birth control pills)
  • Oral steroids such as dexamethasone (Decadron, Dexone) and prednisone (Deltasone)
  • Sedatives
  • Sleeping pills
  • Tranquilizers

MYSOLINE and Other Interactions

MYSOLINE may make you drowsy.

Don’t drive a car or operate machinery until you know how this medicine affects you.

MYSOLINE and Alcohol

Drinking alcohol may worsen certain side effects of MYSOLINE.

Talk to your doctor about this potential interaction.

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Pulmicort Flexhaler (Budesonide)

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Pulmicort Turbuhaler

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Pulmicort Flexhaler (Budesonide) Medication Information

Uses

Pulmicort Flexhaler is a inhaled corticosteroid (ICS) that is used to treat asthma.

Dosage

The Pulmicort Flexhaler contains several strengths of budesonide:

  • 90 mcg
  • 180 mcg

Side Effects

The most common side effects of Pulmicort include:

  • Nasopharyngitis
  • Pharyngitis 
  • Nasal congestion
  • Viral upper respiratory infection
  • Oral candidiasis 

Speak with your doctor for a full list of side effects that apply to you if you are taking Pulmicort.

Precautions

Pulmicort like other ICS can cause a localized fungal infection called thrush. It is important that following Flexhaler use that patients rinse their mouth with water. 

Pulmicort is a long acting ICS, so it cannot be used to treat acute symptoms of asthma. 

With all corticosteroids, there is a risk of adrenal suppression when using Pulmicort, so the medication should not be stopped unless recommended by a physician, and this risk is increased then taking oral steroids. 

Interactions

The most common drug interactions with Pulmicort include:

  • Ketoconazole
  • Ritonavir
  • Clarithromycin
  • Phenytoin
  • Carbamazepine

Speak with your doctor for more information and before starting a new medication with Pulmicort. 

Storage

Store at room temperature (68-77ºF). 

Pharmacist Tips

  • Pulmicort is not a rescue inhaler, and it is not for use with acute symptoms. 
  • Patients should rinse their mouths with water following Pulmicort use.  
  • Pulmicort Flexhaler should be used daily to control asthma symptoms. 

Budesonide FAQs

How many times a day can you use Pulmicort?

The typical recommended dose is to use the Flexhaler twice a day.

 

How do I know if my Pulmicort inhaler is working?

The flexhaler should have a dose indicator, it will move after administering 5 doses, when it reads 0 the canister is empty.

 

Is Pulmicort an anti-inflammatory?

Pulmicort is a corticosteroid which can reduce inflammation. 

 

What are the side effects of Pulmicort?

The most common side effects with Pulmicort include sore throat, runny nose, nose bleeds, sneezing, and cough. 

 

Is Pulmicort inhaler a steroid?

Yes, Pulmicort is an inhaled steroid.

 

Related Drugs

Reference:

Pulmicort Flexhaler {package insert}. Wilmington, DE: AstraZeneca LP; 2010.

https://www.accessdata.fda.gov/drugsatfda_docs/label/2010/021949s006lbl.pdf

PharmD Medical Writer

Author: Dr. Larisa Roybal, PharmD

Dr. Roybal is a board-certified pharmacotherapy specialist who has practiced in both ambulatory and acute care settings. Her pharmacy interests include oncology and general inpatient pharmacy.

Estragyn (Estrone)

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Estragyn

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Emadine (Emedastine)

Author , posted on July 6, 2017

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PRODUCT NOT AVAILABLE

Emadine (emedastine difumarate) Dosage and Side Effects

EMADINE is used to treat itchy or watery eyes caused by allergies.

Proper Use of this medication

Do not use this medicine while wearing contact lenses. EMADINE  may contain a preservative that can discolor soft contact lenses. Wait at least 10 minutes after using this medicine before putting in your contact lenses.

Wash your hands before using the eye drops.

To apply the eye drops:

  • Tilt your head back slightly and pull down your lower eyelid to create a small pocket. Hold the dropper above the eye with the tip down. Look up and away from the dropper and squeeze out a drop.
  • Close your eyes for 2 or 3 minutes with your head tipped down, without blinking or squinting. Gently press your finger to the inside corner of the eye for about 1 minute, to keep the liquid from draining into your tear duct.
  • Use only the number of drops your doctor has prescribed.

Do not touch the tip of the eye dropper or place it directly on your eye. A contaminated dropper can infect your eye, which could lead to serious vision problems.

Do not use the eye drops if the liquid has changed colors or has particles in it. Call your pharmacist for new medicine.

Store at room temperature away from moisture and heat. Do not freeze. Keep the bottle tightly closed when not in use.

An overdose of EMADINE  is not expected to be dangerous. Seek emergency medical attention or call the Poison Help line if anyone has accidentally swallowed the medication.

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.

Side Effects

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.

Common side effects may include:

  • headache;
  • mild burning or stinging after using the eye drops;
  • blurred vision, dry eyes; or
  • strange dreams.

Warnings and Precautions

You should not use EMADINE if you are allergic to it.

To make sure EMADINE is safe for you, tell your doctor if you have:

  • an infection in your eye (unless you are also using medicine to treat it).

FDA pregnancy category B. EMADINE is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

It is not known whether EMADINE passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

EMADINE is not approved for use by children younger than 3 years of age.

Interactions with this medication

Do not wear contact lenses while using this medicine if your eyes are red.

Do not use other eye medications unless your doctor tells you to.

It is not likely that other drugs you take orally or inject will have an effect on emedastine used in the eyes. But many drugs can interact with each other. Tell each of your healthcare providers about all medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products.

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Purinethol (Mercaptopurine)

Author , posted on July 6, 2017

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Purinethol (Mercaptopurine) Dosage and Side Effects

PURINETHOL is used to treat certain types of leukemia. PURINETHOL is sometimes given with other cancer medications.

Proper Use of this medication

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.

Shake 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.

PURINETHOL can lower blood cells that help your body fight infections and help your blood to clot. Your blood will need to be tested often. Your kidney and liver function may also need to be checked. Your cancer treatments may be delayed based on the results of these tests.

Store at room temperature away from moisture and heat.

Seek emergency medical attention or call the Poison Help line.

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.

Side Effects

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

Stop using PURINETHOL and call your doctor right away if you have any of these symptoms of lymphoma:

  • fever, night sweats, weight loss, tiredness;
  • feeling full after eating only a small amount;
  • pain in your upper stomach that may spread to your shoulder;
  • easy bruising or bleeding, pale skin, feeling light-headed or short of breath, rapid heart rate; or
  • nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

Also call your doctor at once if you have:

  • signs of infection (fever, swollen gums, painful mouth sores, pain when swallowing, skin sores, cold or flu symptoms, cough, trouble breathing);
  • unusual bleeding (nose, mouth, vagina, or rectum), purple or red pinpoint spots under your skin;
  • severe nausea, vomiting, or diarrhea;
  • pain or burning with urination; or
  • bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds.

Common side effects may include:

  • nausea, vomiting, loss of appetite;
  • diarrhea; or
  • skin rash.

Warnings and Precautions

Some people using PURINETHOL have developed a rare fast-growing type of lymphoma (cancer). This condition affects the liver, spleen, and bone marrow, and it can be fatal.

Call your doctor at once if you have symptoms of lymphoma, such as: fever, night sweats, weight loss, tiredness, feeling full after eating only a small amount, pain in your upper stomach, easy bruising or bleeding, dark urine, or jaundice (yellowing of the skin or eyes).

You should not use PURINETHOL if you are allergic to it, or if you have ever used PURINETHOL or thioguanine (Tabloid) and they were not effective in treating your condition.

Some people using PURINETHOL have developed a rare fast-growing type of lymphoma (cancer). This condition affects the liver, spleen, and bone marrow, and it can be fatal. This has occurred mainly in teenagers and young adults using PURINETHOL or similar medicines to treat Crohn's disease or ulcerative colitis.

However, people with autoimmune disorders (including rheumatoid arthritis, Crohn's disease, ankylosing spondylitis, and psoriasis) may have a higher risk of lymphoma. Talk to your doctor about your individual risk.

To make sure PURINETHOL is safe for you, tell your doctor if you have:

  • liver disease;
  • kidney disease;
  • any type of viral, bacterial, or fungal infection; or
  • ulcerative colitis (treated with mesalamine, sulfasalazine, or similar medicines).

Do not use PURINETHOL if you are pregnant. It could harm the unborn baby. Use effective birth control, and tell your doctor if you become pregnant during treatment.

It is not known whether PURINETHOL passes into breast milk or if it could harm a nursing baby. You should not breast-feed while taking PURINETHOL.

Interactions with this medication

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

This medicine 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.

Do not receive a "live" vaccine while using PURINETHOL, and avoid coming into contact with anyone who has recently received a live vaccine. There is a chance that the virus could be passed on to you. Live vaccines include measles, mumps, rubella (MMR), polio, rotavirus, typhoid, yellow fever, varicella (chickenpox), zoster (shingles), and nasal flu (influenza) vaccine.

Tell your doctor about all medicines you use, and those you start or stop using during your treatment with PURINETHOL, especially:

  • sulfamethoxazole and trimethoprim (Bactrim, Cotrim, Septra, SMX-TMP or SMZ-TMP);
  • warfarin (Coumadin, Jantoven); or
  • drugs that weaken the immune system such as cancer medicine, steroids, and medicines to prevent organ transplant rejection.

This list is not complete. Other drugs may interact with PURINETHOL, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

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