Gelnique Gel (Oxybutynin Chloride)

Author , posted on July 6, 2017

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Med currently not available

Gelnique Gel (Oxybutynin Chloride) Dosage and Side Effects

GELNIQUE is used to relieve symptoms of overactive bladder which include the frequent and urgent need to urinate with or without urine leakage.

Proper Use of this medication

GELNIQUE is a gel which contains alcohol. Gels with alcohol are flammable. Avoid fire, flame or smoking until the gel has dried.

GELNIQUE should be applied to the skin only. GELNIQUE SHOULD NOT BE TAKEN BY MOUTH.

Important: Avoid contact with eyes, nose, open sores, recently shaved skin, and skin with rashes or other areas not approved for the application of GELNIQUE.

Overdose:

If you apply more than the recommended dose of GELNIQUE, contact your doctor or the nearest regional Poison Control Centre.

Missed dose:

If you miss a dose, take the next dose the following day. Do not try to make up for the missed dose.

Side Effects

Common side effects include dry mouth, constipation, headaches, dizziness, and a local skin reaction such as itching and redness. These reactions generally are mild and disappear after a few days. If they become worse or do not go away once you stop using GELNIQUE, tell your doctor.

Warnings and Precautions

Before you use GELNIQUE, tell your doctor about all your medical conditions, especially if you have any of the following:

  • Heart disease.

  • Liver disease.

  • Kidney disease.

  • Difficulty in emptying bladder completely.

  • Constipation or difficulty in emptying bowels.

  • Ulcerative colitis (inflamed bowels).

  • Gastric reflux disease or esophagitis (inflamed esophagus, the tube between your mouth and stomach), or are taking drugs to prevent bone thinning (bisphosphonates).

  • Skin problems such as eczema, seborrhea, or psoriasis. GELNIQUE has not been tested on patients with these skin disorders.

Angioedema (a swelling on the face, hands, throat, and tongue) required emergency treatment has been reported with the use of oral oxybutynin.

GELNIQUE may cause sleepiness or blurred vision. Do not driving or operate machinery until you know how GELNIQUE affects you. Drinking alcoholic beverages may increase these effects.

GELNIQUE treatment may decrease sweating. You may overheat or have fever, heat stroke, or heat prostration if you are in warm or hot temperatures.

Interactions with this medication

Before you use GELNIQUE, tell your doctor or pharmacist if you are taking other anticholinergic medicines, or certain antibiotic medicines such as erythromycin, clarithromycin, or certain antifungal medicines such as ketoconazole, itraconazole, and miconazole, or any other medicines, including non-prescription medicines and supplements. During your treatment with GELNIQUE, do not start taking a new medicine before checking with your doctor or pharmacist.

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Ganfort Eye Drops (Timolol Maleate/Bimatoprost)

Author , posted on July 5, 2017

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Ganfort Eye Drops

Bimatoprost, Timolol Maleate

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Ganfort Eye Drops (Timolol Maleate/Bimatoprost) Dosage and Side Effects

Ganfort is an eye drops solution that contains two active substances: bimatoprost (0.3 mg/ml) and timolol (5 mg/ml).

Ganfort is used to reduce the pressure inside the eye. It is used in adults with ‘open angle glaucoma’ or ocular hypertension who do not respond sufficiently to eye drops containing beta-blockers or prostaglandin analogues (other medicines used for these conditions).  Ocular hypertension’ is when the pressure in the eye is higher than normal. In open angle glaucoma the high pressure is caused by fluid being unable to drain out of the eye.

Proper Use of this medication

Ganfort is given as one drop in the affected eye(s) once a day, either in the morning or the evening. It should be given at the same time each day. If more than one type of eye drop is being used, each one should be given at least five minutes apart.

Side Effects

he most common side effect (seen in more than 1 patient in 10) is conjunctival hyperaemia (increased blood supply to the eye, leading to redness of the eye). For the full list of all side effects reported with Ganfort, see the package leaflet.

Ganfort must not be used in patients who have asthma or severe lung disease, or in patients with some heart conditions. See the package leaflet for the full list of restrictions.

Warnings and Precautions

Recommendations and precautions to be followed by healthcare professionals and patients for the safe and effective use of Ganfort have been included in the summary of product characteristics and the package leaflet.

Interactions with this medication

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Zantac (Ranitidine Hydrochloride)

Author , posted on July 5, 2017

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Ranitidine (Generic)

Ranitidine Hydrochloride

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Currently Not Available

Zantac (Ranitidine Hydrochloride) Dosage and Side Effects

ZANTAC is used to heal ulcers in the stomach.

Proper Use of this medication

The usual dose is either:

  • 150 mg in the morning and 150 mg in the evening or,
  • 300 mg at bedtime

Your exact dose will depend on your particular stomach condition. Your doctor will tell you the dose you should take.

Swallow each tablet whole with some water.

Overdose:

If you take too much ZANTAC, contact your doctor or pharmacist for advice. If possible, show them the ZANTAC pack.

In case of drug overdose, contact a health care practitioner, hospital emergency department or regional Poison Control Centre immediately, even if there are no symptoms.

Side Effects

Side effects may include:

  • allergic reactions
  • skin rash
  • inflammation of blood vessels (vasculitis)
  • inflammation of the pancreas (pancreatitis)
  • inflammation of the liver (hepatitis), sometimes with yellowing of the whites of the eyes or skin (jaundice)
  • inflammation in the kidney (interstitial nephritis)
  • slow, fast or irregular heartbeat
  • diarrhea, constipation, nausea, vomiting, stomach pain
  • feeling confused, depressed, or excited, or seeing or hearing things that are not really there (hallucinations), trouble sleeping (insomnia); feeling sleepy (somnolence)
  • joint or muscle pain, malaise, uncontrolled movement
  • headache, dizziness, blurred vision
  • unusual hair loss or thinning (alopecia)
  • unable to get or maintain an erection (impotence)
  • unusual secretion of breast milk or breast enlargement in men

If you have any concerns about the side effects, tell your doctor, nurse or pharmacist.

Side effects that may show up in your blood tests:

  • changes to liver function
  • low levels of white blood cells
  • decrease in number of blood platelets (cells that help blood to clot)
  • decrease in number of all types of blood cells
  • small increase in the level of creatinine (a waste product) in your blood

Warnings and Precautions

BEFORE you use ZANTAC talk to your doctor or pharmacist if you:

  • have stomach cancer
  • have kidney disease, your doctor may lower your dose of ZANTAC
  • have a rare condition called acute porphyria (a blood disease)
  • have lung disease
  • are diabetic
  • have any problems with your immune system
  • have had stomach ulcers before and you are taking Non-Steroidal Anti-Inflammatory (NSAID) medicines
  • are pregnant, planning to become pregnant, breastfeeding or planning to breastfeed
  • are taking any other medications including NSAIDs

Under rare circumstances supervised by the doctor, H2-receptor antagonists such as ZANTAC might be used for long periods. Long term use of H2-receptor antagonists may prevent normal absorption of vitamin B12 from the diet and could lead to vitamin B12 deficiency. Talk to your doctor.

Interactions with this medication

Tell your doctor or pharmacist if you're taking any other medicines, if you’ve taken any recently, or if you start taking new ones. This includes medicines bought without a prescription. Some medicines can affect how ZANTAC works, or make it more likely that you’ll have side effects. ZANTAC can also affect how some other medicines work.

Drugs that may interact with ZANTAC include:

  • procainamide or n-acetylprocainamide (used to treat heart problems)
  • warfarin (used to thin the blood)
  • triazolam (used to treat insomnia)
  • midazolam (a sedative that may be given just before an operation)
  • ketoconazole (used to treat fungal infections)
  • atazanavir or delaviridine (used to treat HIV)
  • gefitinib (used to treat lung cancer)
  • Non-Steroidal Anti-Inflammatory (NSAID) medicines (used to treat pain and inflammation)
  • sucralfate (used to treat ulcers). Your doctor may advise that you take high doses or oral sucralfate (e.g. 2 g) at least 2 hours after ZANTAC administration.

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Galvus (Vildagliptin)

Author , posted on July 5, 2017

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Galvus

Vildagliptin

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Galvus (Vildagliptin) Dosage and Side Effects

Galvus is used to treat type-2 diabetes mellitus. It can be used in the following ways:

  • on its own (monotherapy) in patients whose diabetes is not sufficiently controlled by diet and exercise and who cannot take metformin;
  • together with metformin, a thiazolidinedione or a sulphonylurea (dual therapy) when the patient’s diabetes is insufficiently controlled by this other medicine taken alone, but it is only used in combination with a sulphonylurea in patients who cannot take metformin;
  • together with a sulphonylurea and metformin (triple therapy) in patients whose diabetes is not sufficiently controlled by these medicines plus diet and exercise;
  • together with insulin (with or without metformin) in patients whose diabetes is not sufficiently controlled by diet and exercise plus a stable dose of insulin.

The medicine can only be obtained with a prescription.

Proper Use of this medication

In adults, the recommended dose of Galvus is:

  • one tablet in the morning and another in the evening (100 mg per day), when used alone, with metformin, with a thiazolidinedione, with metformin plus a sulphonylurea, or with insulin (with or without metformin);
  • one tablet in the morning (50 mg per day) when taken with a sulphonylurea. A lower dose of the sulphonylurea may also be considered to reduce the risk of hypoglycemia (low blood glucose levels).

Side Effects

The most common side effect with Galvus (seen in between 1 and 10 patients in 100) is dizziness. For the full list of all side effects reported with Galvus, including side effects occurring when Galvus is taken with other antidiabetes medicines, see the package leaflet.

Galvus must not be used in people who are hypersensitive (allergic) to vildagliptin or any of the other ingredients.

Because vildagliptin has been associated with liver problems, patients should have tests to check their liver function before treatment with Galvus and at regular intervals during treatment.

Warnings and Precautions

Interactions with this medication

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Relafen (Nabumetone)

Author , posted on July 5, 2017

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Relafen

Nabumetone

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Nabumetone (Generic)

Nabumetone

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Nabumetone (Generic)

Nabumetone

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Relafen (Nabumetone) Dosage and Side Effects

RELAFEN is used to treat pain and inflammation caused by osteoarthritis, rheumatoid arthritis, or gout.

Proper Use of this medication

You can take RELAFEN with or without food. You should not lie down for at least 10 minutes after taking this drug.

To lower your risk of side effects, you should take this medication at the lowest effective dose for the shortest amount of time possible.

RELAFEN Overdose

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

Missed Dose of RELAFEN

If you miss a dose of RELAFEN, take it as soon as you remember, unless it's almost time for your next dose. In that case, skip the missed dose and continue on your regular medication schedule. Do not double up on doses to make up for a missed one.

Side Effects

You may have a higher risk of suffering a heart attack or stroke when you take NSAIDs such as RELAFEN. The risk may be higher in those who take the drugs for a long period of time.

You should get emergency medical help right away if you experience any of the following symptoms while taking RELAFEN:

  • Shortness of breath
  • Chest pain
  • Weakness on one side or part of the body
  • Slurred speech

NSAIDs such as RELAFEN may also cause bleeding, ulcers, or holes in the stomach or intestine, which can happen without warning. These problems can be serious and can even cause death. The risk may be higher in people who are older, have poor health, drink large amounts of alcohol, or take NSAIDs for a long period of time.

You should stop taking RELAFEN and call your doctor immediately if you experience any of the following symptoms:

  • Heartburn
  • Stomach pain
  • Vomit that is bloody or looks like coffee grounds
  • Bloody stools
  • Black and tarry stools

The 'RELAFEN High' and Abuse

Some people may become physically dependent on NSAIDs such as RELAFEN to maintain their activity level. You should seek medical support if you become dependent on NSAIDs.

It's important to get appropriate medical treatment, because taking too much of this medication for too long can cause serious, unwanted side effects.

There are some anecdotal reports that taking higher doses of RELAFEN can cause a "high" effect in some people. Taking too much of this medication or abusing the drug to create a high can be extremely dangerous.

Warnings and Precautions

You may have a higher risk of suffering a heart attack or stroke when you take NSAIDs such as RELAFEN. The risk may be higher in those who take the drugs for a long period of time.

You should tell your doctor if you or anyone in your family has or has ever had heart disease, a heart attack, or a stroke. You should also alert your physician if you have or have ever had high cholesterol, diabetes, or high blood pressure.

You should get emergency medical help right away if you experience any of the following symptoms while taking RELAFEN:

  • Shortness of breath
  • Chest pain
  • Weakness on one side or part of the body
  • Slurred speech

NSAIDs such as RELAFEN may also cause bleeding, ulcers, or holes in the stomach or intestine, which can happen without warning. These problems can be serious and can even cause death. The risk may be higher in people who are older, have poor health, drink large amounts of alcohol, or take NSAIDs for a long period of time.

You should provide your doctor with a list of all medications you take. You should also tell your health care provider if you have or have ever had ulcers, bleeding in your stomach or intestines, or other bleeding issues.

You should stop taking RELAFEN and call your doctor immediately if you experience any of the following symptoms:

  • Heartburn
  • Stomach pain
  • Vomit that is bloody or looks like coffee grounds
  • Bloody stools
  • Black and tarry stools

You should not take RELAFEN right before or after a type of heart surgery known as coronary artery bypass graft (CABG).

Before taking RELAFEN, you should also tell your doctor if you have, or have ever:

  • Smoked
  • Had asthma
  • Had nasal polyps (swelling of the lining of the nose)
  • Had kidney disease
  • Had liver disease

The 'RELAFEN High' and Abuse

Some people may become physically dependent on NSAIDs such as RELAFEN to maintain their activity level. You should seek medical support if you become dependent on NSAIDs.

It's important to get appropriate medical treatment, because taking too much of this medication for too long can cause serious, unwanted side effects.

There are some anecdotal reports that taking higher doses of RELAFEN can cause a “high” effect in some people. Taking too much of this medication or abusing the drug to create a high can be extremely dangerous.

Pregnancy and RELAFEN

RELAFEN is an FDA Pregnancy Category C drug, which means it's unknown whether the medication will be harmful to an unborn baby. You should not take RELAFEN during pregnancy unless your doctor has told you to do so.

It's also unknown whether RELAFEN passes into human breast milk. You should talk to your doctor before breastfeeding while taking RELAFEN.

Interactions with this medication

You should not take any other cold, allergy, or pain medicines while on RELAFEN without first talking to your doctor or pharmacist.

Many over-the-counter (OTC) drugs contain aspirin or other medicines similar to RELAFEN. You can unknowingly take too much of these medications.

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

  • Anticoagulants (blood thinners) such as warfarin (Coumadin)
  • Aspirin
  • Other NSAIDs such as ibuprofen (Advil, Motrin) and naproxen (Aleve, Naprosyn)
  • Oral steroids such as dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), and prednisone (Deltasone)
  • Angiotensin-converting enzyme (ACE) inhibitors such as benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril (Aceon), quinapril (Accupril), ramipril (Altace), and trandolapril (Mavik)
  • Diuretics (water pills)
  • Lithium (Eskalith, Lithobid)
  • Oral medications for diabetes
  • Phenytoin (Dilantin, Phenytek)
  • Methotrexate (Rheumatrex)

RELAFEN and Alcohol

Consuming alcohol while taking this medicine can increase your risk of stomach bleeding. You should not drink alcohol while taking RELAFEN.

Relafen and Other Interactions

You should avoid unnecessary exposure to sunlight or tanning beds while taking RELAFEN. The medication can make your skin more sensitive to sunlight.

RELAFEN may also make you dizzy or drowsy. You should not drive, operate machinery, or perform any other activity that requires you to be alert until you are sure you can do so safely.

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Fucidin Ointment (Sodium Fusidate)

Author , posted on July 5, 2017

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Fucidin Ointment

Fusidate Sodium

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Fucidin (Sodium Fusidate) Dosage and Side Effects

Fusidic acid belongs to a class of medications known as antibiotics. It is used to treat various skin infections caused by certain kinds of bacteria. Such infections may include impetigo and secondary infections (infections that develop after the skin has been injured) to burns or broken skin.

Proper Use of this medication

Apply a small amount to the affected area 3 or 4 times daily until the infection has cleared. If your doctor has directed you to cover the lesion with a gauze dressing, you may be directed to apply the medication only 1 or 2 times daily.

Take care to avoid the eyes if the medication is being applied to the face.

Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here,do not change the way that you are using the medication without consulting your doctor.

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

Store this medication at room temperature and keep it 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 taking this medication. Many of these side effects can be managed, and some may go away on their own over time.

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

  • allergic reaction at the site of application, including redness, swelling, rash, and/or itching
  • mild irritation at area of application
  • pain (only when medication is applied to deep leg ulcers)

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 taking this medication.

Warnings and Precautions

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.

Organism overgrowth: The use of antibiotics applied to the skin occasionally allows organisms that are not killed by the antibiotic to grow to large numbers (overgrowth). If the infection does not improve within a few days or seems to get worse at any time, contact your doctor.

Severe skin infections, or infections that do not appear to heal with the use of a topical (skin-applied) medication, should be treated with a systemic (oral or injectable) antibiotic in addition to or instead of a topical medication.

Pregnancy: This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking this medication, contact your doctor immediately.

Breast-feeding: This medication may pass into breast milk. If you are a breast-feeding mother and are using fusidic acid, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

Interactions with this medication

There may be an interaction between fusidic acid or sodium fusidate and any of the following:

  • "statins" (e.g., atorvastatin, lovastatin, rosuvastatin, simvastatin)
  • penicillins (e.g., penicillin, amoxicillin)
  • protease inhibitors (e.g., atazanavir, indinavir, lopinavir, ritonavir, saquinavir)

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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Fucidin Cream (Sodium Fusidate)

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Fucidin Cream

Fusidic Acid

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Fucidin H Cream

Fusidic Acid, Hydrocortisone Acetate

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Fucidin Cream (Fusidic Acid) Medication Information

Uses

Fucidin Cream is used to treat skin infections.

Dosage

The cream is available in 2% cream. 

Side Effects

The most common side effects of Fucidin Cream include:

  • Pain
  • Application pain
  • Skin rash
  • Dermatitis
  • Pruritus 

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

Precautions

There is a risk of skin reactions when using Fucidin Cream, it should be discontinued if there is irritation.

There is a risk of developing a super infection when using Fucidin Cream.

Interactions

There are no significant drug interactions with Fucidin Cream.

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

Storage

Store at room temperature (77 ºF).

Pharmacist Tips

  • Fucidin Cream should be applied to the skin, not close to the eyes. 
  • Before applying Fucidin Cream to the skin, the crust of impetigo does not need to be removed. 
  • Fucidin Cream is applied 2-3 times a day.

Fucidin FAQs

How many times a day can you use Fucidin Cream?

It is recommended to use Fucidin Cream 2-3 times a day

 

How long can you use Fucidin Cream?

Fucidin Cream can be used for up to 14 days. 

 

How does Fucidin Cream work?

Fucidin Cream is an antibiotic that helps to kill bacteria. 

 

What is Fucidin used for?

Fucidin Cream is used to treat infections on the skin

 

Can you use too much Fucidin Cream?

It is unlikely that you can use too much Fucidin Cream, but stay to the recommended dose of Fucidin Cream prescribed by your doctor. 

 

Related Drugs

Reference:

Fucidin Cream {package insert}. Berkshire, UK: Leo Laboratories; 2019.

https://www.medicines.org.uk/emc/product/5510/smpc

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.

Sovaldi (Sofosbuvir)

Author , posted on July 5, 2017

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Sovaldi

Sofosbuvir

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Sovaldi (Sofosbuvir) Dosage and Side Effects

SOVALDI used with other medicines has been shown to cure chronic hepatitis C infection in the majority of patients.

Warnings and Precautions

BEFORE you use SOVALDI talk to your doctor, nurse, or pharmacist if you:

  • have liver problems other than hepatitis C infection
  • have hepatitis B or HIV
  • have severe kidney disease
  • have any other medical condition
  • are pregnant or planning to become pregnant
  • are breastfeeding. It is not known if SOVALDI passes into your breast milk. You are recommended NOT to breastfeed while taking SOVALDI.

SOVALDI should not be taken with any other medicine containing sofosbuvir (e.g. HARVONI).

Pregnancy:

SOVALDI must be used with ribavirin or peginterferon and ribavirin. Ribavirin may cause birth defects and death of the fetus. Extreme care must be taken to avoid becoming pregnant. This means:

  • You or your partner must not become pregnant while taking SOVALDI combination treatment or become pregnant within 6 months after you have stopped taking ribavirin.
  • If you or your partner become pregnant during this period, you must contact your doctor.
  • Read the package insert for ribavirin for information regarding pregnancy.

Contraception:

Male and female partners must use 2 effective methods of birth control during the entire treatment and for 6 months after you stop taking SOVALDI combination treatment.

Side Effects

The most common side effects of SOVALDI in combination with ribavirin include:

  • tiredness
  • low red blood cells
  • headache
  • difficulty sleeping
  • nausea
  • depression
  • irritability

The most common side effects of SOVALDI in combination with peginterferon alfa and ribavirin include:

  • tiredness
  • low red blood cells
  • low white blood cells
  • headache
  • difficulty sleeping
  • nausea
  • depression
  • rash
  • irritability

Interactions with this medication

Drugs that may interact with SOVALDI include:

Tell your healthcare provider about all the medicines you take, including prescription and nonprescription medicines, vitamins, and herbal supplements. Other medicines may affect how SOVALDI works.

Especially tell your healthcare provider if you take:

  • amiodarone (Cordarone)
  • carbamazepine (Tegretol)
  • oxcarbazepine (Trileptal)
  • phenytoin (Dilantin)
  • phenobarbital
  • rifabutin (Mycobutin)
  • rifampin (Rifadin, Rifater, Rofact)
  • St. John’s wort (Hypericum perforatum) or a product that contains St. John’s wort

Know the medicines you take. Keep a list of your medicines and show it to your healthcare provider and pharmacist when you get a new medicine.

Proper Use of this medication

Usual adult dose:

SOVALDI should not be used alone. Your healthcare provider will tell you what other medicines you should take with SOVALDI.

Take 1 tablet (400 mg) only once daily with or without food.

SOVALDI is taken for either 12 or 24 weeks. Your healthcare provider will tell you exactly how long you need to take SOVALDI.

Do not stop taking SOVALDI without first talking with your healthcare provider.

SOVALDI only works when it is used along with other antiviral medicines. You might not need to take interferon or you might be able to shorten your time on interferon. Your doctor will decide which other medicines you need to use along with SOVALDI.

Overdose:

In case of drug overdose, contact a health care practitioner, hospital emergency department or regional Poison Control Centre immediately, even if there are no symptoms.

Missed dose:

It is important not to miss a dose of SOVALDI.

  • If you do miss a dose of SOVALDI, you must take the tablet as soon as possible. Then take the next dose as usual.
  • If it is nearly time for your next dose, wait and take the next dose at your usual time. Do not take a double dose (two doses close together).

If you are sick (vomit) less than 2 hours after taking SOVALDI, take another tablet. If you vomit more than 2 hours after taking SOVALDIyou should not take another tablet until your next regularly scheduled tablet.

Do not take a double dose to make up for a missed dose.

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Zestril (Lisinopril)

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Zestril

Lisinopril

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Zestril

Lisinopril

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Zestril

Lisinopril

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Lisinopril (Generic)

Lisinopril

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Lisinopril (Generic)

Lisinopril

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Zestril (Lisinopril) Dosage and Side Effects

ZESTRIL is a medication prescribed to treat high blood pressure. Doctors also prescribe ZESTRIL in combination with other drugs to treat congestive heart failure. ZESTRIL is in a class of medications called angiotensin-converting enzyme inhibitors, or ACE inhibitors. It works by widening blood vessels, which allows blood to flow more smoothly and lets the heart function more efficiently. By lowering blood pressure, ZESTRIL also helps reduce the risk for stroke and heart attack.

Proper Use of this medication

Take ZESTRIL exactly as prescribed. It is recommended to take your dose at about the same time every day.

Swallow the tablet with a drink of water. It does not matter if you take ZESTRIL before or after food.

Do not stop taking your tablets if you are feeling well, unless your doctor tells you.

Usual dose:

Adults:

High blood pressure:

The usual recommended starting dose is 10 mg taken once daily.

Heart failure:

The usual recommended starting dose is 2.5 mg taken once a day. The usual long-term dose is 5 to 35 mg taken once daily.

Following a heart attack:

The usual recommended starting dose is 5 mg on day 1 and day 2, then 10 mg taken once a day.

Children (6 years of age or older):

Children weighing 20 to less than 50 kg:

The recommended starting dose is 2.5 mg. The maximum dose is 20 mg.

Children weighing 50 kg or more:

The recommended starting dose is 5 mg. The maximum dose is 40 mg.

Overdose

If you think you have taken too much ZESTRIL contact your doctor, nurse, pharmacist, hospital emergency department or regional Poison control Centre immediately, even if there are no symptoms.

Missed dose:

If you have forgotten to take your dose during the day, carry on with the next one at the usual time. Do not double dose.

Side Effects

Side effects may include:

  • dizziness (or light-headedness), drowsiness, fatigue, headache, tiredness, weakness (loss of strength)

  • cough, running nose

  • itching, psoriasis, sinus pain, skin rash, wheezing

  • abdominal pain, diarrhea, nausea, stomach pain and indigestion, vomiting

  • confusion, feeling sleepy or difficulty in going to sleep, mood changes (including signs of depression), seen and/or heard hallucinations, strange dreams

  • changes in the way things smell or taste, dry mouth, numbness or tingling in the fingers or toes

  • rapid heartbeat

  • impotence

  • hair loss

  • anemia

In patients with high blood pressure, fainting is uncommon. However, fainting may become common in patients with heart failure.

In patients with coronary heart disease, an excessive drop in blood pressure may be experienced.

If any of these affects you severely, tell your doctor, nurse or pharmacist.

ZESTRIL can cause abnormal blood test results. Your doctor will decide when to perform blood tests and will interpret the results.

This is not a complete list of side effects. For any unexpected effects while taking ZESTRIL, contact your doctor, nurse, or pharmacist.

Warnings and Precautions

Serious Warnings and Precautions—Pregnancy

ZESTRIL should not be used during pregnancy. If you discover that you are pregnant while taking ZESTRIL, stop the medication and contact your doctor, nurse, or pharmacist as soon as possible.

Before you use ZESTRIL talk to your doctor, nurse or pharmacist if you:

  • Are allergic to any drug used to lower blood pressure.

  • Have recently received or are planning to get allergy shots for bee or wasp stings.

  • Have narrowing of an artery or a heart valve.

  • Have had a heart attack or stroke.

  • Have heart failure.

  • Have diabetes, liver or kidney disease.

  • Are on dialysis.

  • Are dehydrated or suffer from excessive vomiting, diarrhea, or sweating.

  • Are taking a salt substitute that contains potassium, potassium supplements, or a potassium-sparing diuretic (a specific kind of “water pill”).

  • Are on a low-salt diet.

  • Are taking a medicine that contains aliskiren, such as Rasilez, used to lower high blood pressure. The combination with ZESTRIL is not recommended.

  • Are taking an angiotensin receptor blocker (ARB). You can recognize an ARB because its medicinal ingredient ends in “-SARTAN”.

  • Are receiving gold (sodium aurothiomalate) injections.

  • Are taking drugs such as:

    • Temsirolimus and everolimus (used to treat cancer),

    • Sirolimus (used to prevent organ rejection after a transplant).

    Taking ACE inhibitors, such as ZESTRIL with these types of drugs may increase your chances of having an allergic reaction (angioedema).

Your doctor may check your kidney function, blood pressure, and the amount of electrolytes (e.g. potassium) in your blood at regular intervals.

You may become sensitive to the sun while taking ZESTRIL. Exposure to sunlight should be minimized until you know how you respond.

If you are going to have surgery and will be given an anesthetic, be sure to tell your doctor or dentist that you are taking ZESTRIL.

Driving and using machines:

Before you perform tasks which may require special attention, wait until you know how you respond to ZESTRIL. Dizziness, lightheadedness, or fainting can especially occur after the first dose and when the dose is increased.

Interactions with this medication

As with most medicines, interactions with other drugs are possible. Tell your doctor, nurse, or pharmacist about all the medicines you take, including drugs prescribed by other doctors, vitamins, minerals, natural supplements, or alternative medicines.

The following may interact with ZESTRIL:

  • Agents increasing serum potassium, such as a salt substitute that contains potassium, potassium supplements, or a potassium-sparing diuretic (a specific kind of “water pill”).

  • Allopurinol used to treat gout.

  • Drugs to treat diabetes such as:

    • Insulin,

    • Oral medications (such as sulphonylureas).

    Your dose of these types of drugs may need to be changed when taking them in combination with ZESTRIL.

  • Temsirolimus and everolimus (drugs to treat cancer).

  • Gold for the treatment of rheumatoid arthritis.

  • Lithium used to treat bipolar disease.

  • Non-steroidal anti-inflammatory medicines (NSAIDs), used to reduce pain and swelling. Examples include ibuprofen, naproxen, and celecoxib.

  • Blood pressure-lowering drugs, including diuretics (“water pills”), aliskiren-containing products (e.g. Rasilez), or angiotensin receptor blockers (ARBs).

  • Sirolimus, a drug used to prevent the organ rejection after a transplant.

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Lipidil (Fenofibrate) Dosage and Side Effects

LIPIDIL EZ reduces levels of low density cholesterol (LDL-C or bad cholesterol), and other lipids called triglycerides (fatty substances found in the blood), while increasing levels of high density cholesterol (HDL-C or good cholesterol) in the blood.

Proper Use of this medication

  • LIPIDIL EZ (NanoCrystal Formulation) may be taken once daily, anytime, with or without food. Swallow the tablet with a glass of water. Do not crush or chew the tablet.

  • The recommended dose of LIPIDIL EZ is one 145 mg tablet daily.

  • In elderly patients and those with mild to moderate kidney disease, the doctor may initiate treatment with one 48 mg tablet daily, taken anytime, with or without food. The doctor may later decide to increase this dose.

  • Never change the dose unless directed by your doctor.

  • LIPIDIL EZ is not recommended for use in children.

  • The safety of using LIPIDIL EZ in combination with a statin has not been extensively studied in patients. Therefore, the combined use of fenofibrate with a statin should be avoided unless recommended by your doctor.

  • Another type of cholesterol lowering agent called ezetimibe can also be taken with LIPIDIL EZ.

  • Tell your doctor about any health problem that occurs while you are taking LIPIDIL EZ. If you need other medical treatment while taking LIPIDIL EZ, let your doctor know that you are taking LIPIDIL EZ.

  • If you forget a dose, take the next dose at the usual time. Do not take a double dose to make up for a forgotten dose.

Side Effects

In addition to its intended action, any medicine may cause side effects.

Tell your doctor if you feel in any way unwell while taking LIPIDIL EZ.

Some common side effects may include abdominal pain, constipation, diarrhea, flatulence, nausea, vomiting, headache, dizziness, skin reactions, fatigue and raised levels of liver enzymes in the blood. This is not a complete list of side effects. If you experience any unexpected symptoms while taking LIPIDIL EZ, contact your doctor or pharmacist.

Stop taking LIPIDIL EZ and see a doctor straight away, if you notice any of the following serious side effects—you may need urgent medical treatment:

  • allergic reaction—the signs may include swelling of the face, lips, tongue or throat, which may cause difficulty in breathing

  • stomach pain—this may be a sign that your pancreas is inflamed (pancreatitis)

  • chest pain and feeling breathless—these may be signs of a blood clot in the lung (pulmonary embolism)

  • pain, redness or swelling in the legs—these may be signs of a blood clot in the leg (deep vein thrombosis)

  • yellowing of the skin and whites of the eyes (jaundice), or an increase in liver enzymes—these may be signs of an inflamed liver (hepatitis).

Muscle pain or cramps, or muscle weakness, may indicate rare, but more serious, side effects. If you suffer any unexplained muscle pain, stop the drug and contact your doctor immediately.

Warnings and Precautions

Do Not Use LIPIDIL EZ if:

  • you have liver or kidney problems;

  • you have gallbladder problems;

  • you have pancreatitis (an inflamed pancreas which causes abdominal pain);

  • you are allergic to fenofibrate or similar drug or if you are allergic to any of the ingredients in LIPIDIL EZ tablets;

  • you are allergic (hypersensitive) to peanuts or arachis oil or soya lecithin or related products due to risk of allergic reaction;

  • you are pregnant, think you may be pregnant or are planning to have a baby; in the event of pregnancy during treatment, your doctor should be informed and LIPIDIL EZ should be discontinued;

  • you are breast-feeding or planning to breast-feed your baby;

  • you have a photoallergy (skin sensitivity to sunlight or UV light) when taking a fibrate (a class of drugs used for lowering cholesterol, which includes LIPIDIL EZ and gemfibrozol) or an anti-inflammatory drug called ketoprofen;

  • you are taking statins and have muscle problems or have potential risks of developing muscle problems;

  • you are under 18 years of age.

Before Starting Treatment with This Medicine:

Your doctor must know:

  • if you have had an allergic reaction to (or poorly tolerated) LIPIDIL EZ, any of its ingredients, or any other lipid treatment;

  • if you suffer from liver or kidney problems;

  • if you have an inflamed liver (hepatitis)—signs include yellowing of the skin and the whites of the eyes (jaundice) and an increase in liver enzymes (shown in blood tests);

  • if you have pancreas problems;

  • if you have a gallbladder or gallstone problem;

  • if you have an under-active thyroid gland (hypo-thyroidism);

  • if you are pregnant, or intend to become pregnant, or are breast-feeding, or intend to breast-feed;

  • if you are taking any other medicine, prescription or non-prescription. Of particular concern are:

    • Statins (a class of drugs, which includes atorvastatin, pravastatin, simvastatin, etc., used to lower cholesterol). Taking a statin at the same time as LIPIDIL EZ may increase the risk of muscle problems

    • Oral anticoagulants (blood thinning agents, such as warfarin)

    • Cyclosporine (a drug which may be taken following an organ transplant)

    • Cholestyramine or similar drug (another type of cholesterol lowering agent)

    • Estrogens (hormones which may be found in oral contraceptives or hormone replacement therapy)

    • A particular class of medicines to treat diabetes (such as rosiglitazone or pioglitazone)

Your doctor will ask you to have regular medical check-ups and appropriate laboratory tests. It is important to respect the dates proposed for these tests: we strongly recommend that you keep these appointments faithfully so that any abnormalities that may occur can be identified promptly. These problems can include muscle inflammation and breakdown, which can cause kidney damage or even death. The risk of muscle breakdown is higher in some patients. Tell your doctor if:

  • you are over 70 years old;

  • you have kidney problems;

  • you have thyroid problems;

  • you or a close family member has a muscle problem which runs in the family;

  • you drink large amounts of alcohol;

  • you are taking medicines called statins to lower cholesterol such as simvastatin, atorvastatin, pravastatin, rosuvastatin or fluvastatin;

  • you have ever had muscle problems during treatment with fibrates such as fenofibrate, bezafibrate or gemfibrozil.

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