Glucotrol XL (Glipizide)

Author , posted on July 6, 2017

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Glucotrol XL

Glipizide

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Glucotrol (Glipizide) Dosage and Side Effects

It's used along with diet and exercise to help control blood-sugar levels in people who have type 2 diabetes.

Proper Use of this medication

GLUCOTROL comes as a tablet in regular and an extended-release form.

Your doctor may start you on a low dose of GLUCOTROL and gradually increase it.

The regular tablet is typically taken one or more times a day by mouth, about 30 minutes before meals.

The extended-release tablet is usually taken by mouth once a day before breakfast.

Swallow the extended-release tablets whole. Don't chew, crush, or divide them.

To help you remember to take it, try to take the drug around the same time each day.

Some forms of GLUCOTROL are made with a shell that's not absorbed in the body.

Part of the tablet may appear in your stool. This is normal and doesn't mean the drug is less effective.

Follow your doctor's instructions carefully when taking this medicine.

Don't take more or less of the drug than is prescribed.

GLUCOTROL Overdose

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

Missed Dose of GLUCOTROL

Ask your doctor what to do if you forget a dose of GLUCOTROL, and write down those instructions.

As a general rule, take the missed dose as soon as you remember.

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

Don't double up to make up for a missed one.

Side Effects

Common Side Effects of GLUCOTROL

Call your doctor if any of the following side effects become severe or don't go away:

  • Diarrhea
  • Gas

Tell your doctor if you have any of the following side effects, and get emergency help if they become severe:

  • Dizziness
  • Jittery feelings
  • Red or itchy skin
  • Rash, hives, or blisters
  • Uncontrollable shaking

Serious Side Effects of GLUCOTROL

Call your doctor right away if you experience any of the following serious side effects:

  • Dark urine
  • Light-colored stools
  • Yellowing of the eyes or skin
  • Mental or mood changes
  • Fever
  • Sore throat

If you have any of the following and can't reach your doctor, you may need emergency medical help:

  • Pain in the upper right area of the stomach
  • Unusual bleeding or bruising
  • Unusual or sudden weight gain
  • Extreme mental or mood changes
  • Seizures
  • Swelling of the eyes, face, lips, tongue, or throat

Warnings and Precautions

You shouldn't take GLUCOTROL if you have type 1 diabetes (the body doesn't produce any insulin) or diabetic ketoacidosis (a dangerous condition that can occur if high blood sugar is untreated).

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

  • G6PD deficiency (an inherited enzyme condition)
  • Hormone disorders involving the pituitary, adrenal, or thyroid gland
  • Heart, kidney, or liver disease
  • Short-bowel syndrome (part of the intestine is removed or missing)
  • Narrowing or a blockage of the intestines
  • Ongoing diarrhea

Tell your healthcare provider that you're taking GLUCOTROL before having any type of surgery, including a dental procedure.

Some diabetes drugs may increase your risk of serious heart problems.

However, blood sugars that are out of control can damage your heart, or other organs, too. Talk to your doctor about these risks.

Tell your physician if you experience an illness, fever, injury, or unusual stress while taking GLUCOTROL, because these can change your blood sugar and the GLUCOTROL dosage you need.

GLUCOTROL may cause changes in your blood sugar.

You should know the symptoms of high (hyperglycemic) or low (hypoglycemic) blood-sugar episodes and be prepared to treat them.

Your doctor will probably want to frequently check glucose levels while you're taking GLUCOTROL. Keep all healthcare appointments, including those for lab tests.

GLUCOTROL can help control blood sugar, but it doesn't cure diabetes.

Keep taking this medicine even if you feel well, and don't stop it without first talking to your doctor.

Always wear a diabetic ID bracelet to be sure you get proper treatment in an emergency.

Pregnancy and GLUCOTROL

GLUCOTROL harm to an unborn baby is possible.

Similar drugs have caused severe low blood sugar in newborn babies whose mothers used the medicine near the time of delivery.

Tell your physician if you are or plan to become pregnant.

It's not known whether GLUCOTROL passes into breast milk or could harm a breastfeeding baby. Tell your doctor if you are breastfeeding.

Interactions with this medication

You shouldn't take GLUCOTROL if you have type 1 diabetes (the body doesn't produce any insulin) or diabetic ketoacidosis (a dangerous condition that can occur if high blood sugar is untreated).

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

  • G6PD deficiency (an inherited enzyme condition)
  • Hormone disorders involving the pituitary, adrenal, or thyroid gland
  • Heart, kidney, or liver disease
  • Short-bowel syndrome (part of the intestine is removed or missing)
  • Narrowing or a blockage of the intestines
  • Ongoing diarrhea

Tell your healthcare provider that you're taking GLUCOTROL before having any type of surgery, including a dental procedure.

Some diabetes drugs may increase your risk of serious heart problems.

However, blood sugars that are out of control can damage your heart, or other organs, too. Talk to your doctor about these risks.

Tell your physician if you experience an illness, fever, injury, or unusual stress while taking GLUCOTROL, because these can change your blood sugar and the GLUCOTROL dosage you need.

GLUCOTROL may cause changes in your blood sugar.

You should know the symptoms of high (hyperglycemic) or low (hypoglycemic) blood-sugar episodes and be prepared to treat them.

Your doctor will probably want to frequently check glucose levels while you're taking GLUCOTROL. Keep all healthcare appointments, including those for lab tests.

GLUCOTROL can help control blood sugar, but it doesn't cure diabetes.

Keep taking this medicine even if you feel well, and don't stop it without first talking to your doctor.

Always wear a diabetic ID bracelet to be sure you get proper treatment in an emergency.

Pregnancy and GLUCOTROL

GLUCOTROL harm to an unborn baby is possible.

Similar drugs have caused severe low blood sugar in newborn babies whose mothers used the medicine near the time of delivery.

Tell your physician if you are or plan to become pregnant.

It's not known whether GLUCOTROL passes into breast milk or could harm a breastfeeding baby. Tell your doctor if you are breastfeeding.

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Glucotrol (Glipizide)

Author , posted on July 6, 2017

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Glipizide

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Glipizide

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Glucotrol (Glipizide) Dosage and Side Effects

It's used along with diet and exercise to help control blood-sugar levels in people who have type 2 diabetes.

Proper Use of this medication

GLUCOTROL comes as a tablet in regular and an extended-release form.

Your doctor may start you on a low dose of GLUCOTROL and gradually increase it.

The regular tablet is typically taken one or more times a day by mouth, about 30 minutes before meals.

The extended-release tablet is usually taken by mouth once a day before breakfast.

Swallow the extended-release tablets whole. Don't chew, crush, or divide them.

To help you remember to take it, try to take the drug around the same time each day.

Some forms of GLUCOTROL are made with a shell that's not absorbed in the body.

Part of the tablet may appear in your stool. This is normal and doesn't mean the drug is less effective.

Follow your doctor's instructions carefully when taking this medicine.

Don't take more or less of the drug than is prescribed.

GLUCOTROL Overdose

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

Missed Dose of GLUCOTROL

Ask your doctor what to do if you forget a dose of GLUCOTROL, and write down those instructions.

As a general rule, take the missed dose as soon as you remember.

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

Don't double up to make up for a missed one.

Side Effects

Common Side Effects of GLUCOTROL

Call your doctor if any of the following side effects become severe or don't go away:

  • Diarrhea
  • Gas

Tell your doctor if you have any of the following side effects, and get emergency help if they become severe:

  • Dizziness
  • Jittery feelings
  • Red or itchy skin
  • Rash, hives, or blisters
  • Uncontrollable shaking

Serious Side Effects of GLUCOTROL

Call your doctor right away if you experience any of the following serious side effects:

  • Dark urine
  • Light-colored stools
  • Yellowing of the eyes or skin
  • Mental or mood changes
  • Fever
  • Sore throat

If you have any of the following and can't reach your doctor, you may need emergency medical help:

  • Pain in the upper right area of the stomach
  • Unusual bleeding or bruising
  • Unusual or sudden weight gain
  • Extreme mental or mood changes
  • Seizures
  • Swelling of the eyes, face, lips, tongue, or throat

Warnings and Precautions

You shouldn't take GLUCOTROL if you have type 1 diabetes (the body doesn't produce any insulin) or diabetic ketoacidosis (a dangerous condition that can occur if high blood sugar is untreated).

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

  • G6PD deficiency (an inherited enzyme condition)
  • Hormone disorders involving the pituitary, adrenal, or thyroid gland
  • Heart, kidney, or liver disease
  • Short-bowel syndrome (part of the intestine is removed or missing)
  • Narrowing or a blockage of the intestines
  • Ongoing diarrhea

Tell your healthcare provider that you're taking GLUCOTROL before having any type of surgery, including a dental procedure.

Some diabetes drugs may increase your risk of serious heart problems.

However, blood sugars that are out of control can damage your heart, or other organs, too. Talk to your doctor about these risks.

Tell your physician if you experience an illness, fever, injury, or unusual stress while taking GLUCOTROL, because these can change your blood sugar and the GLUCOTROL dosage you need.

GLUCOTROL may cause changes in your blood sugar.

You should know the symptoms of high (hyperglycemic) or low (hypoglycemic) blood-sugar episodes and be prepared to treat them.

Your doctor will probably want to frequently check glucose levels while you're taking GLUCOTROL. Keep all healthcare appointments, including those for lab tests.

GLUCOTROL can help control blood sugar, but it doesn't cure diabetes.

Keep taking this medicine even if you feel well, and don't stop it without first talking to your doctor.

Always wear a diabetic ID bracelet to be sure you get proper treatment in an emergency.

Pregnancy and GLUCOTROL

GLUCOTROL harm to an unborn baby is possible.

Similar drugs have caused severe low blood sugar in newborn babies whose mothers used the medicine near the time of delivery.

Tell your physician if you are or plan to become pregnant.

It's not known whether GLUCOTROL passes into breast milk or could harm a breastfeeding baby. Tell your doctor if you are breastfeeding.

Interactions with this medication

You shouldn't take GLUCOTROL if you have type 1 diabetes (the body doesn't produce any insulin) or diabetic ketoacidosis (a dangerous condition that can occur if high blood sugar is untreated).

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

  • G6PD deficiency (an inherited enzyme condition)
  • Hormone disorders involving the pituitary, adrenal, or thyroid gland
  • Heart, kidney, or liver disease
  • Short-bowel syndrome (part of the intestine is removed or missing)
  • Narrowing or a blockage of the intestines
  • Ongoing diarrhea

Tell your healthcare provider that you're taking GLUCOTROL before having any type of surgery, including a dental procedure.

Some diabetes drugs may increase your risk of serious heart problems.

However, blood sugars that are out of control can damage your heart, or other organs, too. Talk to your doctor about these risks.

Tell your physician if you experience an illness, fever, injury, or unusual stress while taking GLUCOTROL, because these can change your blood sugar and the GLUCOTROL dosage you need.

GLUCOTROL may cause changes in your blood sugar.

You should know the symptoms of high (hyperglycemic) or low (hypoglycemic) blood-sugar episodes and be prepared to treat them.

Your doctor will probably want to frequently check glucose levels while you're taking GLUCOTROL. Keep all healthcare appointments, including those for lab tests.

GLUCOTROL can help control blood sugar, but it doesn't cure diabetes.

Keep taking this medicine even if you feel well, and don't stop it without first talking to your doctor.

Always wear a diabetic ID bracelet to be sure you get proper treatment in an emergency.

Pregnancy and GLUCOTROL

GLUCOTROL harm to an unborn baby is possible.

Similar drugs have caused severe low blood sugar in newborn babies whose mothers used the medicine near the time of delivery.

Tell your physician if you are or plan to become pregnant.

It's not known whether GLUCOTROL passes into breast milk or could harm a breastfeeding baby. Tell your doctor if you are breastfeeding.

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Rapaflo (Silodosin)

Author , posted on July 6, 2017

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Silodosin

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Rapaflo Dosage

The following dosages are available to order:

  • Rapaflo 4mg
  • Rapaflo 8mg

This medication is available in pack size of 30 or 90 capsules pending on the country source selected. The active medicinal ingredient is called Silodosin.

prescription drug prices

Rapaflo Cost

At PricePro Pharmacy the low cost of Rapaflo 8mg is:

  • $69.00 for 30 capsules

While, the average retail price of Rapaflo in the United States is:

  • $326.60 for 30 capsules

You can save up to 79% when  you order your Rapaflo medication from PricePro Pharmacy.  This price is available without coupons or insurance coverage.

Another way to save on your Rapaflo prescription is by placing an order for a 90-day supply of medication compared to a one-month supply.

Silodosin Cost

We offer generic Rapaflo at discount price as well:

  • $45.00 for 30 capsules of Solodosin 8mg

Rx Coupons

Rapaflo Coupon

Currently we do not have a Rapaflo coupon code for additional discount. However, we love helping our patients save money so for those placing their first order there are special offers available.

New customer coupon codes can be applied at checkout as follows:

  • PRICE10 - Save $10 on your first order (minimum $50 order value)
  • PRICE20 - Save $20 on your first order (minimum $100 order value)

Please note that these pharmacy coupon codes are one-time use only for new customers and cannot be combined with other coupons/offers. Be sure to check our Rx coupons page for future updates.

Lower cost generic drug alternative

Rapaflo Generic

We offer a generic for Rapaflo known as Silodosin in the following options:

  • Silodosin 4mg
  • Silodosin 8mg

Generic medications are typically 40-60% cheaper in price than the brand name medication.

prescription delivery across USA

Shipping Times

The estimated shipping time for your order is:

  • 7 to 10 business days (Product of Canada)
  • 7 to 12 business days (Product of United Kingdom)
  • 10-18 business days (Product Australia, India and Turkey)

The standard shipping cost $9.95 for all orders.

For drugs ordered from Canada, we offer an Express shipping option. The shipping fee is $25 with an estimated delivery time of 3 to 5 business days.

Once you order ships from the licensed pharmacy you will receive an email notification with the applicable shipping details.

online prescription refill

Prescription Refill

Our free refill reminder service is a great bonus when you register with us. We provide friendly reminders by phone or email.

You can login to your online pharmacy account and view your previous order history and see which active prescriptions you have on file.

A refill can be placed online, through chat, or by calling 1-855-776-0079.

Rapaflo (Silodosin) Medication Information

Uses

Rapaflo is a prescription medication used to treat the symptoms of benign prostatic hyperplasia (BPH). BPH is the medical term for enlargement of the prostate.  The prostate gland is part of the male reproductive system.  It functions to make fluid that becomes part of semen. The prostate also contains muscle tissue which helps propel semen through the penis during ejaculation.  In some men, the prostate gland becomes enlarged and causes problems with urination.

Symptoms of BPH begin when the enlarged prostate gland gets in the way of urine flow. BPH symptoms may include:

  • feeling of incomplete bladder emptying
  • weak or delayed urinary stream
  • sudden urges to urinate
  • having to urinate two or more times overnight
  • incontinence (leaking urine)
  • straining while urinating
  • painful urination
  • blood in the urine

Rapaflo contains the active ingredient silodosin, which relaxes the muscles of the prostate gland and bladder to help relieve BPH symptoms.

Dosage

Rapaflo comes as an oral capsule available in two strengths: 4 milligrams (mg) and 8 mg. 

The usual dosage of Rapaflo is one capsule taken once daily with a meal. Be sure to follow your healthcare provider’s directions exactly.

Precautions

Rapaflo may not be a safe treatment option for everyone with BPH.  Rapaflo should be used carefully in people with the following medical conditions or history:

  • Low blood pressure
  • Moderate to severe kidney disease
  • Severe liver disease
  • Rapaflo is not for use in females
  • Rapaflo is not a treatment for high blood pressure
  • Previous allergic reaction to silodosin or any other ingredients of Rapaflo

Side Effects

Rapaflo, like most medications, may cause mild or serious side effects.  For most people, the side effects are mild. 

The most common side effects of Rapaflo include: 

  • Dizziness 
  • Diarrhea 
  • Orthostatic hypotension (dizziness after standing or sitting up)
  • Headache
  • Stuffy nose
  • Retrograde ejaculation (when semen moves backward into the bladder instead of emerging through the penis during ejaculation)

Other side effects are possible.  If any side effects become severe or don’t go away, talk to your healthcare provider.

Interactions

Tell your doctors and pharmacist about all of your medications, including over-the-counter and herbal products, before taking them with Rapaflo. Some medications can cause harmful drug interactions with Silodosin, such as:

  • Clarithromycin
  • Itraconazole
  • Ketoconazole
  • Ritonavir

Taking Rapaflo with certain medications is usually not recommended but may be necessary for some situations. If so, your doctor will discuss the risks and benefits with you. Some examples include:

  • Cyclosporine
  • Diltiazem
  • Verapamil 

Storage

Rapaflo should be stored at room temperature (77°F or 25ºC) in a sealed container, protected from heat, light, and moisture.

Pharmacists Tips

  • Do not eat grapefruit or drink grapefruit juice with Rapaflo, which could increase your risk of side effects.
  • Dizziness or fainting can occur after taking Rapaflo. Do not drive or operate heavy machinery until you first see how Rapaflo affects you.
  • Make sure to tell your eye doctor that you take Rapaflo if you’re considering cataract surgery as serious eye problems can occur.

Rapaflo FAQs

What if I miss a dose of Rapaflo?

If you miss your dose, take it as soon as possible. But if it is almost time for your next dose, do not take a double dose to catch up.

 

What should I do if I have trouble swallowing Rapaflo capsules?

You can carefully open the capsule and sprinkle the powder on a tablespoonful of applesauce. Swallow the applesauce immediately, without chewing it, then drink an 8-ounce glass of water. 

 

Is Rapaflo a cure for BPH?

No, but it can reduce or eliminate your BPH symptoms. Rapaflo works by relaxing the muscles of the prostate and bladder.  Silodosin does not shrink the prostate, but it is effective at relieving some urinary symptoms.

 

Related Drugs

References

  1. Rapaflo Prescribing Information. Madison, NJ: Allergan USA, Inc.; 2020.

https://media.allergan.com/actavis/actavis/media/allergan-pdf-documents/product-prescribing/RAPAFLO-PLR-06-2017-(003).pdf, Accessed February 12, 2021.

      2.  Ng M, Baradhi KM. Benign Prostatic Hyperplasia. Treasure Island, FL: StatPearls Publishing; 2020 Jan. https://www.ncbi.nlm.nih.gov/books/NBK558920/, Accessed February 12, 2021.  

PharmD Medical Writer

Author: Dr. Patricia Weiser, PharmD

Patricia Weiser, PharmD, is a licensed pharmacist and medical writer.  She has clinical experience in community and hospital pharmacy.  Patricia is a 2007 graduate of the University of Pittsburgh. She resides in Pennsylvania with her husband and two daughters.

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Prandin (Repaglinide)

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Prandin

Repaglinide

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Prandin (Repaglinide) Dosage and Side Effects

PRANDIN is used to treat people with type 2 diabetes who can't manage their condition by diet and exercise alone. When you have type 2 diabetes, your body doesn't make or use the hormone insulin normally, so it can't control the amount of sugar, or glucose, in the blood.

Proper Use of this medication

PRANDIN comes as a tablet and is typically taken by mouth with meals.

If you skip a meal, skip your dose of PRANDIN. If you add a meal, take an extra dose.

Your doctor may start you on a low dose of this medicine and gradually increase it.

Follow the directions on your prescription label carefully. Don't take more or less than is prescribed.

PRANDIN Overdose

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

Missed Dose of PRANDIN

If you miss a dose of PRANDIN and you've just begun to eat a meal, take the missed dose as soon as you remember.

However, if you've finished eating your meal, skip the missed dose and continue on your regular dosing schedule.

Don't take extra medicine to make up for a missed dose.

Side Effects

Common Side Effects of PRANDIN

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

  • Headache
  • Constipation
  • Diarrhea
  • Nasal congestion
  • Sinus pain or pressure
  • Joint pain
  • Back pain

Serious Side Effects of PRANDIN

Seek medical assistance right away if you experience any of the symptoms listed in the Warning section or any of the following serious side effects:

  • Signs of an allergic reaction, which may include rash; hives; difficulty breathing; or swelling of the mouth, face, lips, or tongue
  • Chest pain
  • Seizures
  • Yellowing of the eyes or skin (jaundice)
  • Dark-colored urine
  • Fever, chills, or a persistent sore throat
  • Unusual bleeding or bruising

Warnings and Precautions

You shouldn't take PRANDIN if you have type 1 diabetes (the body doesn't produce any insulin) or diabetic ketoacidosis (a dangerous condition that can occur if high blood sugar is untreated).

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

  • Liver disease
  • Kidney disease
  • Adrenal or pituitary problems

Don't take PRANDIN if you are also taking NPH insulin or gemfibrozil (Lopid).

Tell your healthcare providers that you're taking PRANDIN before having any type of surgery, including a dental procedure.

PRANDIN should be used with caution in elderly people because they may be more sensitive to it.

Don't give this medicine to a child or anyone under 18 years old. Safety and effectiveness of PRANDIN in kids hasn't been established.

PRANDIN may cause changes in your blood sugar.

You should know the symptoms of high (hyperglycemic) or low (hypoglycemic) blood-sugar episodes and be prepared to treat them.

Low blood sugar is a common side effect of PRANDIN.

Symptoms can include headache, hunger, weakness, sweating, tremor or severe shaking, irritability, or trouble concentrating.

Drinking orange juice or eating a hard candy or glucose tablet can bring up blood sugar levels.

Tell your physician if you experience an illness, fever, injury, or unusual stress while taking PRANDIN, because these can change your blood sugar and the dosage you need.

PRANDIN controls diabetes, but it doesn't cure it. Continue to take it even if you feel well. Don't stop it without talking to your doctor.

Your doctor will probably want to frequently check your glucose levels while you are taking PRANDIN.

Always wear a diabetic ID bracelet to be sure you get proper treatment in case of an emergency.

Pregnancy and PRANDIN

This medicine is an FDA Pregnancy Category C drug, which means harm to an unborn baby can't be ruled out.

Tell your doctor if you're pregnant or plan to become pregnant while taking PRANDIN.

Your physician may recommend insulin during pregnancy to ensure that your blood sugar is well-controlled.

It's also not known if PRANDIN is found in breast milk. Don't breastfeed while taking this medicine without talking to your doctor first.

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 Warning section or any of the following:

  • Acetophenazine (Tindal)
  • Arthritis drugs
  • Aspirin
  • Blood-pressure medicines
  • Carbamazepine (Tegretol)
  • Chloramphenicol (Chloromycetin)
  • Chlorpromazine (Thorazine)
  • Contraceptives (such as birth-control pills)
  • Corticosteroids
  • Erythromycin
  • Estrogens
  • Fluphenazine (Prolixin)
  • Isoniazid (Nydrazid, Rifamate)
  • Ketoconazole (Nizoral)
  • Mesoridazine (Serentil)
  • Perphenazine (Trilafon)
  • Phenelzine (Nardil)
  • Phenobarbital (Luminal)
  • Phenytoin (Dilantin)
  • Probenecid (Benemid)
  • Prochlorperazine (Compazine)
  • Promazine (Sparine)
  • Promethazine (Phenergan)
  • Rifampin (Rifadin, Rimactane, Rifamate)
  • Thioridazine (Mellaril)
  • Tranylcypromine (Parnate)
  • Trifluoperazine (Stelazine)
  • Triflupromazine (Vesprin)
  • Trimeprazine (Temaril)
  • Troglitazone (Rezulin)
  • Warfarin (Coumadin)
  • Water pills (diuretics)
  • Vitamins

PRANDIN and Alcohol

Alcohol can cause a decrease in blood sugar.

Ask your doctor about consuming alcoholic beverages while you are taking PRANDIN.

PRANDIN and Other Interactions

You may experience dizziness while taking this medicine.

Don't drive or operate machinery until you know you can do so safely.

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Rapamune (Sirolimus)

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Rapamune (Sirolimus) Dosage and Side Effects

Rapamune belongs to a group of medicines called immunosuppressants. It is used to prevent your body from rejecting transplanted kidneys and is often used in combination with medicines called cyclosporine and corticosteroids.

Proper Use of this medication

  • Rapamune is for oral use only.

  • Your doctor will decide exactly what dose of Rapamune you must take and how often to take it.

  • Your doctor may need to monitor the quantity of the drug in your blood.

  • Always take the medicine exactly as your doctor tells you. Follow your doctor’s instructions exactly and never change the dose yourself.

  • Do not stop taking your medicine unless your doctor tells you to.

Usual dose:

  • Usually, for an adult, your doctor will give you an initial Rapamune dose of 6 mg at the time of your kidney transplant operation and then 2 mg each day.

  • Your doctor may adjust your dose depending on your age, certain other medications which you may be taking, and/or the presence of other medical conditions. A lower dose may be required by elderly patients (older than 65 years).

  • If you are also taking cyclosporine, Rapamune should be taken 4 hours after cyclosporine.

  • Take Rapamune once a day at about the same time each day.

  • Rapamune should be taken consistently, either with or without food.

  • Do NOT take Rapamune with grapefruit or grapefruit juice.

  • Do NOT take Rapamune after the expiry date printed on the container.

  • If you are taking Rapamune tablets, do not crush, chew, or split the tablets. Inform your doctor if you have difficulty taking the tablet.

  • After 2-4 months, your doctor may stop your dose of cyclosporine and increase your dose of Rapamune.

  • If taking Rapamune oral solution, avoid contact with the skin, mucous membranes or eyes. In case of accidental contact with the skin, wash with soap and water. In case of eye contact, rinse with plain water.

How to dilute Rapamune oral solution supplied in a bottle:

  1. Open the solution bottle. Remove the safety cap by squeezing the tabs on the cap and twisting counterclockwise.

  2. On first use, insert the adapter assembly (plastic tube with stopper) tightly into the bottle until it is even with the top of the bottle. Do not remove the adaptor assembly from the bottle once inserted.

  3. For each use, tightly insert one of the amber syringes with the plunger fully depressed into the opening in the adapter.

  4. Withdraw the prescribed amount of Rapamune oral solution by gently pulling out the plunger of the syringe until the bottom of the black line of the plunger is even with the appropriate mark on the syringe. Always keep the bottle in an upright position. If bubbles form in the syringe, empty the syringe into the bottle and repeat the procedure.

  5. You may have been instructed to carry your medication with you. If it is necessary to carry the filled syringe, place a cap securely on the syringe - the cap should snap into place.

  6. Then place the capped syringe in the enclosed carrying case. Once in the syringe, the medication may be kept at room temperature or refrigerated and should be used within 24 hours. Extreme temperatures below 2°C and above 30°C should be avoided.

  7. Empty the syringe into a glass or plastic cup containing at least 2 ounces (¼ cup; 60 mL) of water or orange juice, stir vigorously for one (1) minute and drink immediately. Refill the container with at least 4 ounces (½ cup; 120 mL) of water or orange juice, stir vigorously again and drink the rinse solution. Apple juice, grapefruit juice, or other liquids are NOT to be used. Only glass or plastic cups should be used to dilute Rapamune oral solution. The syringe and cap should be used once and then discarded.

  8. Always store the bottles of medication in the refrigerator. When refrigerated, a slight haze may develop in the solution. The presence of a haze dose not affect the quality of the product. If this happens, bring the Rapamune oral solution to room temperature and shake until the haze disappears. If it is necessary to wipe clean the mouth of the bottle before returning the medication to the refrigerator, wipe with a dry cloth to avoid introducing water, or any other liquid into the bottle.

Overdose:

In case of drug overdosage, contact a healthcare professional (e.g. doctor), hospital emergency department, or regional poison control centre, even if there are no symptoms.

  • Always take the labelled medicine bottle with you, even if it is empty.

Missed dose:

If you forget to take Rapamune:

  • If it is almost time for your next dose (within 4 hours), skip the dose you missed and take your next dose when you are meant to.

  • Otherwise, take it as soon as you remember.

  • After that, continue to take your medicine as usual.

  • Do not take a double dose to make up for a forgotten dose, and always take Rapamune approximately 4 hours after cyclosporine.

  • If you are not sure what to do, call your doctor or pharmacist.

Side Effects

Like all medicines, Rapamune can have side effects. However, since Rapamune is taken in combination with other medicines, Rapamunemay not have been the cause of the side effects experienced.

If you get any side effects, do not stop taking Rapamune without first talking to your doctor.

Tell your doctor if you have any of these symptoms and they concern you:

Very common side effects (occur in 10% or more of patients) include:

  • Abnormal healing
  • Abnormal vision
  • Acne
  • Constipation
  • Diarrhea
  • Headache
  • Insomnia
  • Joint, bone or back pain
  • Nausea or upset stomach
  • Stomach pain
  • Swelling of the hands, feet, ankles, or lower legs
  • Shaking (tremor)
  • Urinary tract infection
  • Weakness

Common side effects (occur in 1% to 9% of patients) include:

  • Abnormal bleeding or bruising
  • Cold or flu-like symptoms (lung infection)
  • Dizziness upon standing
  • Feeling anxious
  • Fever or chills
  • Fluid accumulation/retention
  • Increased heart rate or heart palpitations
  • Kidney infection
  • Leg pain or muscle pain
  • Menstrual disorders (absence of menstrual period or abnormal heavy and prolonged menstrual period)
  • Mouth ulcers or cold sores
  • Nose bleed
  • Ovarian Cysts
  • Rash
  • Shortness of breath
  • Skin cancer
  • Surgical wounds slow to heal
  • Swollen abdomen

Uncommon or rare side effects (occur in less than 1% of patients) include:

  • Melanoma (a type of skin cancer)
  • Pancreatitis (inflammation of the pancreas)
  • Severe allergic reaction including skin reaction

Unwanted side effects that you may not be aware of while taking your medicine include changes in levels of blood cells or substances in your blood (e.g. cholesterol, creatinine, or sugar). Your doctor may do blood tests to look for any changes.

Immunosupressive drugs may increase the risk of infections.

Immunosuppressive drugs like Rapamune may increase your risk of developing lymphoma (a type of cancer) or cancer of the skin. Contact your doctor immediately if you notice a lump in your neck, armpits, collarbone region, or groin, or unintended weight loss (may be signs of lymphoma). Talk to your doctor if you notice any new moles or any changes in the size, shape, or colour of moles you already have (may be a sign of skin cancer).

Other side effects not listed above may also occur in some patients. Tell your doctor if you notice anything that concerns you, even if you do not think the problem is connected with Rapamune or the problem is not listed in this leaflet.

Do NOT stop taking Rapamune without talking to your doctor.

Warnings and Precautions

Serious Warnings and Precautions

  • Rapamune may reduce the body's ability to fight infections.

  • The development of cancer of the lymphoid tissues (called lymphoma) and skin may result from using immunosuppressants such as Rapamune.

  • Cases of severe allergic reaction including skin reaction have been associated with Rapamune.

BEFORE you use Rapamune talk to your doctor or pharmacist if any of the following situations apply to you:

  • Allergies: Tell your doctor if you have any allergies to medicines or any other substances such as foods, preservatives, or dyes.

  • Pregnancy: Women must avoid pregnancy while taking Rapamune as it may cause damage to the unborn baby. Women must use effective contraception methods before taking Rapamune, during treatment with Rapamune and for 12 weeks after treatment has stopped. If you are unsure, or think you may become pregnant, talk to your doctor or pharmacist.

  • Breast-feeding: It is not known whether Rapamune passes into breast milk. Ask your doctor or pharmacist for advice before breast-feeding your baby.

  • Liver problems: You should inform your doctor if you have any liver problems or have had a disease which may have affected your liver, as this may affect the dose of Rapamune that you receive.

  • If you have high cholesterol or triglycerides (fat in blood). Your doctor may order blood tests for you.

  • If you are going to have an operation, or if you still have a wound that hasn’t healed completely after a surgery, you should tell your doctor before receiving this medicine, as Rapamune may prevent these wounds from healing properly.

  • Talk to your doctor before switching from the oral solution to the tablet, since your doctor may need to adjust the dose of Rapamuneyou receive.

  • Limit your exposure to sunlight and UV light by wearing protective clothing and using a sunscreen with a high protection factor.

  • Driving and operating machinery: No specific studies on the effects of Rapamune on the ability to drive and operate machines have been conducted. If you have any concerns please consult your doctor.

  • Alcohol: Rapamune oral solution contains 1.5-2.5% ethanol. Each 2 mg dose contains up to 50 mg of alcohol, approximately the same amount of alcohol as half a teaspoon of a light beer. If you have any concerns please consult your doctor.

  • Tell any other doctors, dentists, and pharmacists who are treating you that you are taking Rapamune.

Interactions with this medication

With drugs: Some medicines and Rapamune may interfere with each other. Your doctor or pharmacist should know if you are taking, or have recently taken, other medicines, even those not prescribed for you, including non-prescription (over-the-counter) drugs and herbal preparations. Drugs that may interact with Rapamune include:

  • Any other immunosuppressive agents.
  • Antibiotics or antifungal medicines used to treat infection e.g. rifampicin, clarithromycin, erythromycin, telithromycin, troleandomycin, rifabutin, rifapentine, clotrimazole, fluconazole, itraconazole, ketoconazole, voriconazole.
  • High blood pressure medicines or medicines for heart problems including nicardipine, verapamil and diltiazem.
  • Anti-convulsant medicines including carbamazepine, phenobarbital, phenytoin.
  • Cisapride (not marketed in Canada), metoclopramide, bromocriptine, cimetidine, danazol, protease inhibitors (eg, for HIV that include drugs such as ritonavir, indinavir, and hepatitis C drugs such as boceprevir, and telaprevir).
  • Immunosuppressive drugs like Rapamune may alter the effectiveness of vaccinations. If you plan on being vaccinated, inform your doctor that you are taking Rapamune.
  • Herbal preparations, such as St. John's Wort.

With food:

  • Grapefruit juice

These medicines/foods may be affected by Rapamune or may affect how well Rapamune works.

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Gleevec (Imatinib)

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Gleevec (Imatinib) Dosage and Side Effects

GLEEVEC is used to treat several SOLID TUMOUR or BLOOD CANCER indications.

Proper Use of this medication

Take GLEEVEC only as prescribed for you by your doctor.

If your dose is 800 mg a day, use only the 400 mg tablets to make up your dose. This will reduce how much iron you get.

Take GLEEVEC by mouth, with food and a large glass of water.

You can take GLEEVEC in one of these two ways:

  1. Swallow GLEEVEC:
    • Whole with a large glass of water.
    • If the 400 mg tablet is too large to swallow whole:
      • Break it in two pieces
      • Swallow each piece with water, one after the other
  2. If you cannot swallow a 400 mg tablet broken in two or a 100 mg tablet: Place the tablet in a glass with water or apple juice.
  3. 100 mg tablet: use 50 mL or one-quarter cup
  4. 400 mg tablet: use 200 mL or a little less than 1 cup
    • Stir with a spoon to completely dissolve the tablet
    • Drink the whole drink right away
    • Rinse the glass with a little more water or juice and drink that too
    • No trace of the dissolved tablet should be left behind in the glass

Usual Dose:

Your dose depends on if you are an adult or a child, and on your medical condition. Your healthcare professional will regularly monitor your condition. Your dose may change depending on how well GLEEVEC is working.

Overdose:

Warning:

If you think you have taken too much GLEEVEC, contact your healthcare professional, hospital emergency department or regional Poison Control Centre immediately, even if there are no symptoms.

Missed Dose:

If you or your child:

  • missed a dose OR threw up after taking the last dose. Do NOT take another dose or double dose. Instead, wait until it is time for your next dose.

Side Effects

Side effects may include:

  • weight loss, no appetite, change in taste, dry mouth, sores in mouth
  • heartburn, indigestion
  • constipation, gas, feel bloated
  • headache, dizziness
  • difficulty sleeping, drowsiness
  • weakness, feeling tired
  • nosebleeds
  • skin dry, itchy or less sensitive to touch
  • skin more sensitive to sun
  • night sweats, red in the face or other areas of the skin
  • unusual hair loss or thinning
  • muscle tension, cramps, pain
  • bone pain
  • joint pain and swelling
  • tingling, pain, or numbness in hands, feet, legs
  • cough

If any of these affects you severely, tell your healthcare professional.

GLEEVEC can cause abnormal blood test results. You may have blood thyroid hormone levels that are not normal. This occurs when your thyroid has been removed and you are on a drug such as levothyroxine.

Children who take GLEEVEC may have the following side effects more often than adults:

  • Low blood levels of calcium, sugar, phosphates, albumin protein and sodium
  • High blood levels of sugar

Your doctor will decide when to perform tests and will interpret the results.

While you are taking GLEEVEC, you will be weighed regularly.

Children and teenagers may grow more slowly when taking GLEEVEC. The healthcare professional will measure their growth at regular visits.

Your doctor may do blood and/or urine tests to check how well your kidneys are working. This will be done before you start taking GLEEVEC and during your treatment.

Warnings and Precautions

Take GLEEVEC only under the care of a doctor who knows how to use anti-cancer drugs. They should be trained in how to treat solid tumours or blood cancers.

GLEEVEC can cause severe side effects:

  • Heart disease or problems where your heart is unable to pump enough blood to meet the body’s needs. These include:
    • Left ventricular dysfunction
    • Congestive heart failure
    • Cardiogenic shock
  • Water retention: a build-up of water in your body
  • Side effects caused by water retention. These include:
    • Pleural effusion
    • Pulmonary edema
    • Pericardial effusion
    • Ascites
  • Rhabdomyolysis: a rapid breakdown of muscle. It may lead to sudden kidney failure
  • Severe bleeding
  • Liver disorder, jaundice, toxicity or failure. In some patients, liver failure has led to death.
  • Gastrointestinal perforation: a hole in the wall of your stomach, small or large bowel. In some patients, it has led to death.

Interactions with this medication

The following may interact with GLEEVEC:

  • some medicines used to treat fungal infections, like ketoconazole, itraconazole
  • some medicines used to treat bacterial infections, like erythromycin, or clarithromycin
  • some medicines used to treat epilepsy, like carbamazepine, oxcarbazepine, phenobarbital, phenytoin, fosphenytoin, or primidone
  • some medicines used to treat high cholesterol like simvastatin
  • some medicines used to treat mental health disorders like pimozide
  • some medicines used to treat high blood pressure or heart disorders. This includes metoprolol or a group of medicines called calcium channel blockers
  • rifampicin a medicine used to treat tuberculosis (TB)
  • St. John’s Wort (Hypericum perforatum), a herbal product used to treat depression and other conditions
  • dexamethasone, a medicine to treat inflammation
  • cyclosporine, a medicine that keeps the immune system from rejecting a new organ after a transplant
  • acetaminophen, a medicine used to reduce pain or fever—acetaminophen is also included in many cold and flu remedies, so check the label
  • warfarin, a medicine used to treat or prevent blood clots
  • levothyroxine, if you had your thyroid removed
  • Do NOT drink grapefruit juice at any time while you are on GLEEVEC
  • If you are already taking GLEEVEC, tell your healthcare professional if you are prescribed a new medicine.

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Rebetol (Ribavirin)

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Rebetol (Ribavirin) Dosage and Side Effects

REBETOL is an antiviral medication. REBETOL must be used together with an interferon alfa product (such as Pegasys, PegIntron, Sylatron, or Intron A) to treat chronic hepatitis C.

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.

REBETOL is not effective when used alone to treat hepatitis C. It must be used together with an interferon alfa product.

Take REBETOL with food.

Do not crush, chew, break, or open a REBETOL capsule. Swallow it whole. Tell your doctor if you have trouble swallowing the capsule.

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.

Use REBETOL regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

Drink extra fluids while you are taking REBETOL to keep from getting dehydrated, especially during exercise or in hot weather.

REBETOL can cause dry mouth, which could lead to tooth decay or gum disease. If you vomit while taking REBETOL, rinse your mouth out with water to prevent damage to your teeth or gums. Be sure to have regular dental exams while you are taking this medication.

Store REBETOL tablets or capsules at room temperature away from moisture, heat, and light.

Store REBETOL liquid (oral solution) in the refrigerator. Do not allow it to freeze.

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; difficulty breathing; swelling of your face, lips, tongue, or throat.

REBETOL can cause anemia. In rare cases, this can lead to fatal heart problems. Get emergency medical attention if you have chest pain.

Call your doctor at once if you have:

  • problems with your vision;
  • severe pain in your upper stomach spreading to your back, nausea, vomiting, diarrhea;
  • stabbing chest pain, wheezing, feeling short of breath;
  • severe depression, thoughts about suicide, or thoughts about hurting someone else;
  • signs of serious anemia--pale or yellowed skin, dark colored urine, confusion or weakness; or
  • other signs of low blood cell counts--fever, chills, flu-like symptoms, swollen gums, mouth sores, skin sores, easy bruising, unusual bleeding, feeling light-headed.

Common side effects may include:

  • nausea, flu-like symptoms, tiredness;
  • fever, chills or shaking;
  • headache;
  • mood changes, feeling irritable;
  • muscle pain; or
  • stomach pain, vomiting, loss of appetite.

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

You should not use REBETOL if you have autoimmune hepatitis, severe kidney disease, or a hemoglobin blood cell disorder.

REBETOL is not effective when used alone. It must be used together with an interferon alfa product. You should not take REBETOL with didanosine.

REBETOL can cause birth defects or death in an unborn baby. Do not use this medicine if you are pregnant, or if you are a man and your sexual partner is pregnant. Use 2 forms of birth control to prevent pregnancy while either sexual partner is taking REBETOL, and for at least 6 months after treatment ends.

In rare cases, REBETOL can cause fatal heart problems. Get emergency medical attention if you have chest pain.

You should not take REBETOL if you are allergic to it, or if you have:

  • a hemoglobin blood cell disorder such as sickle-cell anemia or thalassemia;
  • autoimmune hepatitis;
  • severe kidney disease;
  • if you are also taking didanosine (Videx); or
  • if you are pregnant, or if you are a man whose sexual partner is pregnant.

You should not take REBETOL with peginterferon alfa-2a if you have:

  • autoimmune hepatitis; or
  • severe liver disease (especially cirrhosis).

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

  • heart disease;
  • a blood cell disorder such as anemia (low red blood cells);
  • breathing problems;
  • vision problems;
  • liver problems other than hepatitis C;
  • a thyroid disorder;
  • kidney disease;
  • human immunodeficiency virus (HIV or AIDS);
  • diabetes;
  • a history of depression, mental illness, or suicide attempt;
  • a history of organ transplant; or
  • if you have ever received treatment for hepatitis C that did not work well.

REBETOL can cause birth defects or death in an unborn baby. You may need to have a negative pregnancy test before taking this medicine and every month during your treatment.

  • If you are a woman, do not take REBETOL if you are pregnant.
  • If you are a man, do not take REBETOL if your sexual partner is pregnant. An unborn baby could also be harmed if a man fathers the child while he is taking REBETOL.
  • Use at least 2 effective forms of birth control to prevent pregnancy while either sexual partner is taking REBETOL. Keep using 2 forms of birth control for at least 6 months after treatment ends.
  • Tell your doctor right away if a pregnancy occurs while either the mother or the father is taking REBETOL.

If a pregnancy occurs, your name may be listed on a pregnancy registry. This is to track the outcome of the pregnancy and to evaluate any effects of REBETOL on the baby.

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

REBETOL is not approved for use by anyone younger than 3 years old.

REBETOL can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using this medicine.

Interactions with this medication

Avoid drinking alcohol. It may increase your risk of liver damage.

Using this medicine will not prevent you from passing hepatitis to other people. Follow your doctor's instructions about how to prevent passing the disease to another person.

Tell your doctor about all your current medicines and any you start or stop using, especially:

  • azathioprine; or
  • medicines to treat HIV or AIDS.

This list is not complete. Other drugs may interact with REBETOL, 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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Reclast (Zoledronic Acid)

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Reclast (Zoledronic Acid) Dosage and Side Effects

RECLAST  is used to treat and prevent osteoporosis (a condition in which bones become weak and may break easily). It may also be used to increase bone mass in certain people without osteoporosis.

Proper Use of this medication

RECLAST is given as an injection into a vein. It's typically administered by a healthcare professional in a clinical setting.

Your dose will depend on your medical condition and response to treatment. Some people require an injection of RECLAST just once a year, while others may need more frequent doses.

Drink at least two glasses of water a few hours before your injection, to prevent dehydration. Follow your doctor's instructions about preparation and aftercare for your treatment.

RECLAST Overdose

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

Missed Dose of RECLAST

Call your doctor for instructions if you miss an injection of RECLAST.

Side Effects

Common Side Effects of RECLAST

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

  • Diarrhea or constipation
  • Nausea or vomiting
  • Stomach pain
  • Heartburn
  • Loss of appetite or weight loss
  • Vaginal discharge
  • Swelling, redness, irritation, itching, or burning of the vagina
  • Difficulty falling asleep or staying asleep
  • Hair loss
  • Redness, itching, pain, or swelling at the injection site
  • Red, swollen, itchy, or teary eyes

Serious Side Effects of RECLAST

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

  • Signs of an allergic reaction (may include rash, hives, itching, difficulty breathing or swallowing, or swelling of the face, eyes, lips, tongue, throat, hands, arms, feet, ankles, or lower legs)
  • Hoarseness
  • Irregular heartbeat
  • Upper chest pain
  • Signs of an infection, such as fever, chills, or cough
  • Muscle spasms, twitches, or cramps
  • Unusual pain in the thigh or groin
  • Pale skin
  • Painful or swollen gums
  • Loosening of the teeth
  • Numbness or heaviness in the jaw
  • A sore in the mouth or jaw that doesn't heal
  • Unusual bleeding or bruising
  • Numbness or tingling around the mouth, or in the fingers or toes
  • Little or no urination
  • Painful or difficult urination
  • Rapid weight gain
  • Extreme fatigue

Warnings and Precautions

RECLAST may damage your kidneys.

This risk is greater if you also use other medicines that are harmful to the kidneys, such as chemotherapy drugs, arthritis or pain medicines, injectable antibiotics, antiviral drugs, drugs to treat a bowel disorder, or drugs to prevent organ transplant rejection.

Before taking RECLAST, tell your doctor if you have, or have ever experienced:

  • Kidney disease
  • Dark-colored urine
  • Excessive sweating
  • Decreased sweating
  • Dry skin
  • Diarrhea or vomiting
  • Fever
  • Infection
  • Inability to drink enough fluids
  • Other signs of dehydration

If you're dehydrated, your doctor may want to wait to give you this treatment. Your doctor may also tell you to drink extra fluids before receiving your treatment of RECLAST. Follow these instructions carefully.

RECLAST contains the same active ingredient as the brand-name medicine Zometa. You shouldn't take both of these drugs at the same time.

RECLAST may cause severe bone, muscle, or joint pain. These symptoms can begin within days of starting your treatment, or they may not show up for some time. Call your doctor right away if you experience severe pain while taking RECLAST.

You may also experience a reaction during the first few days after receiving your treatment of RECLAST. Symptoms of this reaction can include fever, headache, or chills.

Your doctor may tell you to take a fever-reducing medicine to prevent or treat these symptoms.

RECLAST can also cause bone loss in the jaw (osteonecrosis of the jaw).

Osteonecrosis is more likely to occur if you have dental surgery or treatments while using RECLAST; if you have cancer or certain blood disorders; or if you've been treated with chemotherapy, radiation, or steroids.

Be sure to brush your teeth and keep your mouth clean while using RECLAST. A dentist should examine your mouth and perform any necessary treatments before you start on the medicine.

Don't have any dental procedures while taking this drug without first talking to your doctor.

Before using RECLAST, tell your doctor if you have, or have ever had:

  • Heart failure
  • Anemia or another blood disorder
  • Problems with your teeth, mouth, or gums
  • An infection
  • Asthma or wheezing (especially if it's caused by taking aspirin)
  • Parathyroid disease
  • Liver disease
  • Low levels of calcium, magnesium, or potassium in your blood
  • Surgery to remove part of your intestines
  • Thyroid or parathyroid surgery
  • Any condition that prevents your body from absorbing nutrients from food
  • Allergies to medications

Also, let your doctor know if you've been treated with RECLAST or another bisphosphonate drug in the past.

Your doctor may tell you to take calcium or vitamin D while using this medicine. Follow your doctor's instructions.

Bisphosphonate drugs such as RECLAST may raise the risk of breaking your thigh bone. Talk to your doctor about this potential risk.

Your doctor may order frequent tests to monitor your body's response to RECLAST. Keep all appointments with your doctor's office and laboratory.

Pregnancy and RECLAST

RECLAST can harm an unborn baby. Don't take this medicine if you're pregnant or might become pregnant.

Use an effective form of birth control while receiving RECLAST.

Tell your doctor right away if you become pregnant during your treatment, or if you might become pregnant in the future.

The medicine passes into breast milk and may hurt a nursing baby. Don't breastfeed while taking RECLAST without first talking to your doctor.

Interactions with this medication

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

  • Aminoglycoside antibiotics, such as Amikin (amikacin), Garamycin (gentamicin), Kantrex (kanamycin), Neo-Rx or Neo-Fradin (neomycin), Humatin (paromomycin), streptomycin, or Tobi or Nebcin (tobramycin)
  • Aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs), such as Advil or Motrin (ibuprofen) or Aleve (naproxen)
  • Chemotherapy drugs for cancer
  • Lanoxin or Digitek (digoxin)
  • Diuretics (water pills), such as Bumex (bumetanide), Edecrin (ethacrynic acid), or Lasix (furosemide)
  • Oral steroids, such as Decadron or Dexone (dexamethasone), Medrol (methylprednisolone), or Deltasone (prednisone)

RECLAST and Other Interactions

RECLAST may make you dizzy.

Don't drive or perform any activity that requires alertness until you know how this medicine affects you.

RECLAST and Alcohol

Alcohol may worsen certain side effects of RECLAST.

Talk to your doctor about how much alcohol is safe to drink while receiving this drug.

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Geodon (Ziprasidone) Dosage and Side Effects

GEODON is used to treat symptoms of schizophrenia and certain types of bipolar disorder.

Proper Use of this medication

GEODON comes as a capsule to take by mouth. It's typically taken twice a day with food.

Your doctor might start you on a low dose of GEODON and gradually increase it.

Try to take this medicine around the same time each day.

Follow the instructions on your prescription label carefully when taking this medicine. Don't use more or less GEODON than is prescribed.

Injection

GEODON may also be given as an injection at your doctor's office, clinic, or hospital.

A health care professional will inject the medication into your muscle.

The dose and injection frequency will depend on your condition and response to treatment.

GEODON Overdose

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

Missed Dose of GEODON

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

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

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

Call your doctor if you miss an injection of GEODON.

Side Effects

Common Side Effects of GEODON

Tell your doctor if any of the following symptoms become severe or don't go away:

  • Headache
  • Restlessness or anxiety
  • Lack of energy
  • Constipation
  • Diarrhea
  • Loss of appetite
  • Muscle pain
  • Stomach pain
  • Cough
  • Runny nose
  • Weight gain

Serious Side Effects of GEODON

Tell your doctor immediately if you experience any of the symptoms listed in the Warning section, as well as the following serious side effects:

  • Fast, irregular, or pounding heartbeat
  • Unusual movements of your face or body that you can't control
  • Rash, hives, or itching
  • Fever
  • Chills
  • Blisters or peeling skin
  • Muscle stiffness
  • Shaking
  • Confusion
  • Sweating
  • A painful erection that lasts for hours

Warnings and Precautions

GEODON includes a black-box warning highlighting the risk of death in older adults with dementia.

Some studies have shown antipsychotic medicines like GEODON can increase the risk of stroke, mini-stroke, or death in this population.

This drug isn't approved to treat behavior problems in older adults with dementia.

Before taking GEODON, tell your doctor if you have or have ever had any of the following conditions:

  • Heart failure, heart disease, or a heart attack

  • An irregular heartbeat

  • Long QT syndrome (a heart condition)

  • A stroke or mini-stroke

  • Breast cancer

  • Seizures

  • Diabetes

  • Liver disease

  • Kidney disease

  • Low levels of potassium or magnesium in your blood

  • Trouble swallowing

  • A history of suicidal thoughts

Also, be sure to tell your physician if you've ever used street drugs or abused prescription medications.

GEODON may make it harder for your body to cool down if it gets hot. Use caution and drink plenty of fluids if you're exposed to hot weather or if you plan to exercise.

This medicine may increase the amount of prolactin (a hormone) in your blood. Call your doctor right away if you experience enlarged breasts, a missed menstrual period, decreased sexual ability, or nipple discharge.

You might experience high blood sugar episodes while taking this medicine, even if you don't have diabetes. Tell your doctor if you have any of the following symptoms:

  • Extreme thirst or hunger

  • Frequent urination

  • Blurred vision

  • Weakness

This medicine might also cause dizziness or fainting if you get up too quickly from a lying position. To avoid this potential effect, get out of bed slowly and sit with your feet on the floor for a few minutes before standing up.

In 2014, the FDA issued a warning about a rare but serious skin reaction that's associated with GEODON. The condition is known as Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS).

Signs of DRESS include a fever with a rash and/or swollen lymph glands. Seek medical care immediately if you experience these symptoms.

Your health care provider might not want you to take GEODON if you're also using other medications. Make sure you tell your doctor if you're taking any of the following:

  • Amiodarone (Cordarone, Pacerone)

  • Arsenic trioxide (Trisenox)

  • Chlorpromazine

  • Disopyramide (Norpace)

  • Dofetilide (Tikosyn)

  • Dolasetron (Anzemet)

  • Droperidol (Inapsine)

  • Gatifloxacin (no longer available in the U.S.)

  • Halofantrine (Halfan) (no longer available in the U.S.)

  • Levomethadyl (ORLAAM) (no longer available in the U.S.)

  • Mefloquine (Lariam)

  • Mesoridazine (no longer available in the U.S.)

  • Moxifloxacin (Avelox)

  • Pentamidine (NebuPent, Pentam)

  • Pimozide (Orap)

  • Probucol (no longer available in the U.S.)

  • Procainamide

  • Quinidine (Nuedexta)

  • Sotalol (Betapace, Sorine, Sotylize)

  • Sparfloxacin (no longer available in the U.S.)

  • Tacrolimus (Astagraf, Prograf)

  • Thioridazine

It might take a few weeks or longer before you experience the full benefits of GEODON. Don't stop taking this medicine without first talking to your doctor.

GEODON 'High' and Abuse

Some people abuse GEODON to achieve a "high."

Online accounts and anecdotal reports state that the drug can give users a feeling much like what is experienced with marijuana.

Using GEODON for this purpose can be dangerous. Never take more of the drug or a higher dose than is prescribed by your doctor.

Pregnancy and GEODON

It's not known whether GEODON will harm an unborn baby. Tell your doctor if you're pregnant or plan to become pregnant before taking this drug.

Taking an antipsychotic medication during the last three months of pregnancy may cause problems in newborns.

However, don't stop taking GEODON if you become pregnant without first talking to your doctor.

It's not known whether this medicine passes into breast milk or could harm a breastfeeding baby. To avoid any risks, don't breastfeed while taking GEODON.

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 Warning section or any of the following:

  • Antidepressants

  • Certain antifungals such as ketoconazole (Nizoral)

  • Aprepitant (Emend)

  • Carbamazepine (Carbatrol, Tegretol, Teril)

  • Clarithromycin (Biaxin, Prevpac)

  • Cyclosporine (Gengraf, Neoral, Sandimmune)

  • Delavirdine (Rescriptor)

  • Diltiazem (Cardizem, Taztia, Tiazac)

  • Diuretics (water pills)

  • Dopamine agonists such as bromocriptine (Parlodel), cabergoline (Caberlin), levodopa (Sinemet), pergolide (Permax), and ropinirole (Requip)

  • Efavirenz (Sustiva in Atripla)

  • Fluoxetine (Prozac, Sarafem, Selfemra)

  • Fluvoxamine (Luvox)

  • HIV protease inhibitors including atazanavir (Reyataz), indinavir (Crixivan), lopinavir (Kaletra), nelfinavir (Viracept), ritonavir (Norvir, Kaletra), and saquinavir (Invirase)

  • Lovastatin (Altoprev, Advicor)

  • Medications for high blood pressure

  • Nefazodone

  • Sertraline (Zoloft)

  • Troleandomycin (TAO; no longer available in the U.S.)

  • Verapamil (Calan, Covera, Verelan, Tarka)

  • Zafirlukast (Accolate)

GEODON and Other Interactions

GEODON may make you drowsy. Don't drive or operate machinery until you know how this medicine affects you.

GEODON and Alcohol

Consuming alcohol while taking GEODON may make you drowsier. Avoid alcohol while taking this medicine.

GEODON and Grapefruit

Grapefruit or grapefruit juice may interact with GEODON. Ask your doctor if it's safe to consume grapefruit products while taking this medicine.

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Reglan (Metoclopramide)

Author , posted on July 6, 2017

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Reglan

Metoclopramide Hydrochloride

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Metoclopramide (Generic)

Metoclopramide Hydrochloride

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Metoclopramide (Generic)

Metoclopramide Hydrochloride

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Reglan (Metoclopramide) Dosage and Side Effects

REGLAN is used to treat heartburn and ulcers in people with gastroesophageal reflux disease (GERD). REGLAN can also help people with diabetes who have a condition known as gastroparesis (poor emptying of the stomach). It can also be used to treat nausea in certain patients and slowed stomach emptying in those who are recovering from surgery.

Proper Use of this medication

REGLAN comes as an oral tablet, dissolving tablet, and liquid to take by mouth. Follow your doctor's instructions carefully when taking this medication; don't take more or less of the drug than is prescribed.

If you take the disintegrating tablet, make sure you use dry hands to remove the tablet from the package. If the tablet breaks or crumbles, throw it away and remove a new tablet.

The following are typical dosage schedules:

For GERD: The typical dose of REGLAN for treating symptoms of GERD is 10-15 milligrams (mg), four times daily. Each dose is typically given 30 minutes before a meal.

For gastroparesis: The typical dose of REGLAN for treating gastroparesis is 10 mg, four times daily. Each dose is typically given 30 minutes before a meal and at bedtime.

REGLAN Overdose

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

Missed Dose of REGLAN

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

However, if it's almost time for your next dose, skip the missed dose and continue on your regular dosing schedule. Don't take extra doses to make up for a missed one.

Side Effects

Common Side Effects of REGLAN

You should tell your doctor if any of the following side effects are severe or don't go away:

  • Excessive fatigue
  • Drowsiness
  • Weakness
  • Headache
  • Dizziness
  • Diarrhea
  • Nausea or vomiting
  • Breast enlargement or discharge
  • Decreased sexual ability
  • Frequent urination or inability to control urination
  • Missed menstrual periods

Serious Side Effects of REGLAN

You should call your doctor immediately if you experience any of the following serious side effects:

  • Problems with speech
  • Tightening of the muscles, especially in the jaw or neck
  • Muscle stiffness
  • Slow or stiff movements
  • Uncontrollable shaking of a part of the body
  • Depression or thoughts of harming/killing yourself
  • Fever
  • Confusion
  • Agitation
  • Slow, fast, or irregular heartbeat
  • Sweating
  • Restlessness, nervousness, pacing, foot tapping, or jitteriness
  • Difficulty falling asleep or staying asleep
  • Difficulty with balance
  • Rash or hives
  • Swelling of the face, eyes, lips, tongue, mouth, throat, arms, hands, feet, ankles, or lower legs
  • Difficulty breathing or swallowing
  • Sudden weight gain
  • Vision trouble
  • High-pitched sounds while breathing

Warnings and Precautions

REGLAN may be used to prevent vomiting in dogs, especially chronic vomiting caused by kidney problems or vomiting after surgery. It can also be used to treat symptoms of acid reflux in dogs.

You should talk to your veterinarian before using this medication for your pet.

REGLAN and Tardive Dyskinesia

Taking REGLAN may increase your risk of developing tardive dyskinesia. Symptoms of this disorder include restlessness and uncontrollable muscle movements in the lips, tongue, eyes, face, arms, or legs.

The risk of developing tardive dyskinesia is higher in older adults, women, patients taking medicines for mental illness, and people with diabetes. Your risk for this condition is also greater if you take REGLAN for a longer period of time. Your doctor will probably tell you not to take REGLAN for longer than 12 weeks.

You should tell your doctor immediately if you experience any uncontrollable body movements including lip smacking, chewing, mouth puckering, frowning, scowling, blinking, sticking out your tongue, eye movements, or shaking arms or legs.

Other REGLAN Warnings

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

  • A blockage, bleeding, or tear in your stomach or intestines
  • Seizures
  • Pheochromocytoma (a tumor on the small gland near your kidneys)
  • Parkinson's disease
  • High blood pressure
  • Breast cancer
  • Asthma
  • Depression
  • Heart, liver, or kidney disease
  • G-6PD deficiency or NADH cytochrome B5 reductase deficiency (inherited blood disorders)

You should continue to take REGLAN even if you feel well. Don't stop taking this medicine without first talking to your doctor.

You should tell your doctor you are taking REGLAN before having any type of surgery, including dental procedures.

If you take REGLAN to relieve gastroparesis, your symptoms will not improve all at once. Your nausea, vomiting, and loss of appetite may improve early on, but it may take longer for your feeling of fullness to go away.

Pregnancy and REGLAN

REGLAN is an FDA Pregnancy Category B drug, which means it's not expected to be harmful to an unborn baby. You should tell your doctor if you are pregnant or plan to become pregnant before taking REGLAN.

The drug can pass into breast milk and may harm a breastfeeding baby. You should talk to your doctor before breastfeeding while taking REGLAN.

Interactions with this medication

You should tell your doctor about all prescription, non-prescription, illegal, recreational, herbal, nutritional, or dietary drugs you're taking, especially:

  • Acetaminophen (Tylenol, others)
  • Antihistamines
  • Aspirin
  • Atropine (in Lonox, in Lomotil)
  • Cyclosporine (Gengraf, Neoral, Sandimmune)
  • Barbiturates such as pentobarbital (Nembutal), phenobarbital (Luminal), and secobarbital (Seconal)
  • Digoxin (Lanoxicaps, Lanoxin)
  • Haloperidol (Haldol)
  • Insulin
  • Ipratropium (Atrovent)
  • Lithium (Eskalith, Lithobid)
  • Levodopa (in Sinemet, in Stalevo)
  • Medications for anxiety, blood pressure, irritable bowel disease, motion sickness, nausea, Parkinson's disease, ulcers, or urinary problems
  • Monoamine oxidase inhibitors (MAOIs) including isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), and tranylcypromine (Parnate)
  • Narcotic medications for pain
  • Sedatives
  • Sleeping pills
  • Tetracycline (Bristacycline, Sumycin)
  • Tranquilizers

REGLAN and Alcohol

You shouldn't consume alcohol while taking this medication. Drinking alcohol can increase your risk for developing side effects.

REGLAN and Other Interactions

REGLAN may make you drowsy, so avoid driving or operating machinery until you know how this medicine affects you.

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