Cafergot (Caffeine/Ergotamine)

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Cafergot

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Cafergot (Ergotamine Tartrate and Caffeine) Medication Information

Uses

Indicated as therapy to abort or prevent vascular headache, e.g., migraine, migraine variants or so-called “histaminic cephalalgia’’. 

Dosage

 The suppository is available in 2/100 mg tablets

Side Effects

 The most common side effects of Cafergot include:

  • Headache
  • Muscle pains
  • Numbness
  • Coldness and pallor of the digits

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

Precautions

 There have been a few reports of patients on Cafergot therapy developing retroperitoneal and/or pleuropulmonary fibrosis. There have also been rare reports of fibrotic thickening of the aortic, mitral, tricuspid, and/or pulmonary valves with long-term continuous use of Cafergot. Cafergot suppositories should not be used for chronic daily administration. 

Rare cases of a solitary rectal or anal ulcer have occurred from abuse of ergotamine suppositories usually in higher than recommended doses or with continual use at the recommended dose for many years. Spontaneous healing occurs within usually 4-8 weeks after drug withdrawal. 

Interactions

 Some of the common drug interactions with Cafergot:

  • Propranolol
  • Bupropion
  • Clozapine
  • Macrolides
  • Itraconazole
  • Phenytoin
  • Protease inhibitors

Speak with your doctor or pharmacist for more information.

Storage

Store at controlled room temperature (77ºF). Protect from moisture. 

Pharmacist Tips

  • Cafergot should be taken at the first sign of a migraine headache.
  •  Administration of Cafergot suppositories should not exceed the dosing guidelines and should not be used for chronic daily administration
  • Report to your physician immediately any of the following: numbness or tingling in the fingers and toes, muscle pain in the arms and legs, weakness in the legs, pain in the chest or temporary speeding or slowing of the heart rate, swelling or itching.

Cafergot FAQs

How should I use this?

For best results, dosage should start at the first sign of an attack.

 

Can I take this if I am pregnant?

Cafergot is contraindicated in pregnancy due to the oxytocic effects of ergotamine.

 

Can I take this while breastfeeding?

Because of the potential for serious adverse reactions in nursing infants from Cafergot, a decision should be made whether to discontinue nursing or discontinue the drug, taking into account the importance of the drug to the mother.

 

Can children take this?

Safety and effectiveness in pediatric patients have not been established.

 

What is the maximal dosage for an attack?

Two suppositories is the maximum dose for an individual attack. Total weekly dosage should not exceed 5 suppositories.

 

Can I take this to prevent migraines?

In carefully selected patients, with due consideration of maximum dosage recommendations, administration of the drug at bedtime may be an appropriate short-term preventive measure.

 

Related Drugs

Reference:

Cafergot {package insert}. East Hanover, NJ: Novartis Pharmaceuticals Corporation; 2002.

https://www.accessdata.fda.gov/drugsatfda_docs/label/2002/9000s22s23lbl.pdf

PharmD Medical Writer

Author: Dr. Larisa Roybal, PharmD

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

Buspar (Buspirone)

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Buspirone (Generic)

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Buspar (Buspirone) Product Information

Buspar is also marketed as buspirone. It is an anti-anxiety medication.

Buspar is able to remove anxiety symptoms by altering some chemicals in the sufferer’s brain. If you show up in your doctor’s office having symptoms like fear, irritability, pounding heartbeat, tension, dizziness and related physical symptoms, your doctor might prescribe Buspar.

Order Generic Buspirone Online

PricePro Pharmacy is proud to be your trusted source for safe and affordable prescription medication.

We offer both generic Buspirone 5mg and 10mg tablets. The 5mg tablets are available as a product of Turkey with the lowest price starting at $28 for 50 tablets and $48 for 100 tablets. This dosage is also available as product of UK when you select "Also available from".

Buspirone 10mg is available as a product of India, manufactured by Sava Medica. The cost for this generic product starts at $22 for 100 tablets. You can also order the product of Canada which is manufactured by Teva for $91 for 100 tablets.

There is standard shipping charge of $9.95 per order.

A prescription for Buspar is required to place an order online. The prescription can be mailed, faxed, emailed, or directly uploaded on the website. If you require further assistance you can contact our customer support at 1-855-776-0079.

Dosage

The best way to take Buspar is exactly as prescribed by your doctor. Buspar dosage can be altered by your doctor and it is so important to follow their new dosage. If you are taking your medicines properly, there will not be a situation where you are taking more or less medication than needed.

Buspar can be taken with or without food. However, remember to take it in the same manner every day. As some Buspar tablets can be broken or split into two or three pieces, you divide your daily dose in to smaller portions. If your tablets are not broken correctly (so that they are too big or too small) when you receive them, don’t take them.

If you want to switch to Buspar from a different anti-anxiety medicine, you should reduce the dose of this medicine gradually instead of abruptly. This is because your medication could trigger withdrawal side effects that are difficult to cope with. If there are some medical tests that you are waiting to do, tell your doctor that you are taking Buspar.

This is because it can cause false positive results in some medical tests. Your doctor may stop you from taking any more Buspar at least two days before the test.

Side Effects

If you are about to start taking Buspar, you should be aware of the side effects it could cause. Although rare, severe side effects can occur when taking Buspar. These can include hives, swelling of the face, tongue and throat and shortness of breath. If you notice these severe side effects, call your doctor right away.

Also report that you are feeling pain in your chest or having dizziness. Common side effects of Buspar may include:

  • Dizziness
  • Sleepiness
  • Headache
  • Insomnia
  • Nausea
  • Upset stomach
  • Nervousness or excitement

Precautions

If you want to start taking Buspar, make sure you tell your doctor about some problems you are having. For instance, tell them that you suffer from any of these health problems:

  • An allergy to buspirone
  • Kidney disease
  • Liver disease

If you are pregnant, or wishing to conceive, let your doctor know before you start taking Buspar. Likewise, let them know that you are breastfeeding a baby as it is not known whether buspirone can pass into breast milk and harm the baby. If you have taken a MAO inhibitor in the last fourteen days, don’t take Buspar as it can cause a fatal drug interaction.

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Bumex (Bumetanide)

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Bumex (Bumetanide) Product Information

Bumex is a diuretic (water pill). It is prescribed when one has a fluid retention problem or edema. This is usually common in people who suffer from congestive heart failure, a kidney condition like nephritic syndrome, or heart failure. Besides edema, doctors are able to prescribe Bumex for treatment of other health conditions such as blood pressure.

Order Bumex Online

If you want to save money by buying Bumex online, then consider checking our low prices here at PricePro Pharmacy. You can simply click on "CHECK PRICES" to view more product details.

We carry both brand and generic Bumex. The dosages available are 1mg and 5mg.

Brand 1mg product is available as a product of Canada, manufactured by Leo Pharmaceutical. The lowest price starts at $37 for 30 tablets and up to $105 for 90 tablets. The generic Bumetanide 1mg is a product of the United Kingdom and the cost starts at $22 for 28 tablets and $39 for 84 tablets. It is important to note that Bumex is also marketed under the alternative name Burinex in Canada and UK.

The brand 5mg product is available as both a product of UK and Canada, which is manufactured by Leo Pharmaceutical. The price for the 5mg dosage starts at $29 for 28 tablets and $104 for 112 tablets. Generic Bumetanide 5mg starts at $22 for 28 tablets and $45 for 84 tablets.

Estimated shipping time from Canada or UK to the United States would be 7-10 business days.

A prescription is required to place an order online which can be faxed, emailed, or uploaded directly on the website. If you require further assistance you can contact 1-855-776-0079 for customer support.

Dosage

Bumetanide should be taken exactly as prescribed by your doctor. Make sure you listen to them when giving prescription guidelines.  If your doctor alters your dose, follow their new instructions properly.

Note that more urination is possible when taking this medicine and this can cause dehydration. So, drink adequate fluids and tell your doctor if you are on potassium salt supplements. If you ever get ill during treatment, ensure that you call your doctor immediately. This includes vomiting, diarrhea or profuse sweating.

Due to dehydration, you can develop low blood pressure and this is why you should be monitored regularly. It is also possible to have severe electrolyte imbalance or kidney failure. So it is necessary to be totally sure that this is a safe medication to begin taking and also to do frequent medical tests. If you miss a dose, take it the soonest you can recall.

It is also necessary to avoid taking the missed dose if you are about to take your next scheduled dose to avoid taking an overdose. If you feel extremely dizzy, weak, confused, or crampy in your stomach area, there is a possibility that you took an overdose. As a result, you should seek emergency medical help the soonest possible.

Side Effects

If taking this water pill, you should expect some common side effects. These are not serious, luckily, and can go away without treatment. These include:

  • Muscle cramps
  • Dizziness
  • Nausea
  • Low blood pressure
  • Headache

If you notice severe side effects, such as signs of an allergic reaction, mental confusion, seizures, low magnesium symptoms and low potassium symptoms, call your doctor right away.

Precautions

Before you start taking this medication, make sure you are not allergic to it. Also, let your doctor know if you suffer from the following:

  • Serious kidney disease
  • Urination difficulty
  • Severe liver disease such as liver cirrhosis
  • Serious dehydration
  • Low potassium and low magnesium levels in your blood
  • A heart rhythm disorder
  • Gout
  • An allergic to known sulfa drugs
  • If you have been instructed to eat a low potassium diet

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Trintellix (Vortioxetine)

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We offer this medication from both Canada and the United Kingdom with an estimated shipping time of 7-10 business days. It is important to note that Trintellix is also marketed as Brintellix in the UK and Australia.

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Trintellix (Vortioxetine) - Product Information

Trintellix is an antidepressant medicine that is reserved for those with a MDD(major depressive disorder). It targets the brain chemicals that might have changed due to depression.  A prescription is required to buy Trintellix with PricePro Pharmacy and an order can be placed online, on the phone, or over our live chat.

Should you need more assistance with how to buy this medication then you can browse our how to order section for more details of how to place an order and the steps required to submit your prescription.

Manufactured by Lundbeck, Trintellix is offered in these dosages: 5mg, 10mg and 20mg. The active medicinal ingredient is called vortioxetine.

What is Trintellix used for?

Trintellix is an oral drug that is designed for those who suffer from a major depressive disorder (MDD). It is an antidepressant that works by affecting brain chemicals that could be disturbed. Made for adults, Trintellix can also be prescribed for other health problems.

Dosage

If you have a major depressive disorder you can take Trintellix. However, it’s best to take it just as instructed by your healthcare professional.

The initial dose should be 10mg and should be taken orally one time per day. After that there will be a maintenance dose of 5 to 20mg one time per day. You can only take 20mg per day, maximum. This drug takes six to eight weeks to deliver anticipated results, according to trial studies.

If one is treating an acute case of depression, it is advisable to continue taking their maintenance dose for several months. This is a recommended way to avoid recurrence of disease symptoms.

If your doctor alters your current dosage, make sure you follow the new instructions. You can take this medication with or without food. Another point to keep in mind is that vortioxetine should not be stopped suddenly. It is likely to cause bad withdrawal symptoms when discontinued abruptly.

If you wish to stop, do so under the guidance of your doctor. In case you forget to take one dose, take it as soon as you remember. However, ignore the skipped dose if you are about to take your next scheduled dose. If you take more than required, go to the emergency room immediately.

Side Effects

If you have been prescribed to take Trintellix for your depression, take note of the following side effects:

  • Nausea
  • Interrupted vision
  • Constipation
  • Loss of libido, sexual dysfunction or inability to reach an orgasm
  • Occasional vomiting

If you show signs of an allergic reaction, call your doctor right away. If any of these common side effects worsen, call your physician the soonest possible.

Precautions

Consider these precautions to be on the safer side:

  • Avoid this antidepressant drug if you have taken a MAO inhibitor in the last two weeks.
  • If your mind is occupied by suicidal thoughts after taking Trintellix, report this to your health care provider. Look for signs such as panic attacks, insomnia, mood swings, hostility, irritability or restlessness.
  • Trintellix is designed for adults only. Anyone below eighteen years should not take it unless their doctor permits it.
  • Tell your doctor if you are allergic to vortioxetine, the key ingredient.
  • Inform your healthcare expert about having a liver disease, seizures, bipolar disorder, a blood clotting disorder, a history of abusing drugs, low sodium levels or glaucoma (narrow-angle).

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Symmetrel (Amantadine)

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Symmetrel (Amantadine) Dosage and Side Effects

SYMMETREL is used to treat and prevent respiratory infections caused by the influenza A virus. It can also treat symptoms of Parkinson's disease, such as stiffness and shaking, and conditions that are similar to Parkinson's disease.

Proper Use of this medication

You should follow your doctor's orders or the directions on the prescription label when taking SYMMETREL. The following are average doses of this medicine for oral dosage forms (capsules, syrup, and tablets):

For treatment or prevention of flu:

  • Adults and teens: 200 milligrams (mg) or four teaspoons, once a day as a single dose.
  • Older adults: 100 mg, once a day as a single dose.
  • Children ages 9 to 12: 100 mg or two teaspoons, two times a day.
  • Children ages 1 to 9: Dose is based on body weight and must be determined by your doctor. The usual dose is 4.4 to 8.8 mg per kilogram (kg) of body weight per day. The dose is divided evenly and given two times a day. However, the dose is usually not more than 150 mg per day.
  • Children up to 1 year of age: Use and dose must be determined by your doctor.

For treatment of Parkinson's disease or movement conditions:

  • Adults: 100 mg, two times a day. Your doctor may adjust your dose.
  • Older adults: Begin with 100 mg, once a day, as a single dose. Your doctor may adjust your dose.
  • Children: Use and dose must be determined by the doctor.

SYMMETREL may cause an upset stomach. You should take this medication with food or milk to avoid this side effect.

SYMMETREL Overdose

Contact a poison control center or emergency room immediately if you suspect an overdose.

Missed Dose of SYMMETREL

If you miss a dose of SYMMETREL, take it as soon as you remember. If it is almost time for the next dose, skip the missed dose and continue on your regular medication schedule. Don't "double up" to make up for a missed one.

Side Effects

Common Side Effects of SYMMETREL:

Tell your doctor if you experience any of the following common side effects.

  • Blurred vision
  • Lightheadedness
  • Trouble sleeping
  • Dizziness
  • Feeling as if you are going to faint

Serious Side Effects of SYMMETREL:

Call your doctor immediately if you experience any of the following serious side effects.

  • Swelling of the hands, legs, or feet
  • Shortness of breath
  • Depression or anxiety
  • Difficulty urinating
  • Rash

Warnings and Precautions

SYMMETREL should not be used as a substitute for a flu vaccine and it should not be used with the flu vaccine that is inhaled through the nose because a serious interaction may occur.

This medicine may cause some people to become irritable, agitated, or display other abnormal behaviors. It may also cause suicidal thoughts or tendencies in some patients.

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

  • Epilepsy or any other type of seizures
  • Heart disease
  • Heart failure
  • Kidney disease
  • Liver disease
  • Low blood pressure
  • Recurring skin rash
  • Mental illness
  • Untreated closed-angle glaucoma (a type of eye disease)

You should not take more or less of SYMMETREL than your doctor prescribes. Don't stop taking this drug without first talking with your doctor.

In patients with Parkinson's disease, the effects of SYMMETREL may not be noticed for several weeks. If this medicine causes insomnia, take your last dose several hours before bedtime.

Pregnancy and SYMMETREL

There are no well-controlled studies to evaluate SYMMETREL's safety in pregnancy, so the risks and benefits should be taken into consideration to determine if this medication should be used in pregnant women.

SYMMETREL is excreted into human breast milk in low concentrations. The manufacturer recommends that this drug should be used cautiously in nursing mothers.

Interactions with this medication

SYMMETREL and Alcohol

Drinking alcoholic beverages while taking SYMMETREL may cause issues such as circulation problems, dizziness, lightheadedness, fainting, or confusion. Don't drink alcohol while you are taking this medicine.

SYMMETREL and Drug Interactions

Tell your doctor about all prescription, non-prescription, illicit, recreational, herbal, nutritional, or dietary drugs you are taking, especially:

  • Benztropine (Cogentin)
  • Hydrochlorothiazide with triamterene (Maxzide, Dyazide)
  • Drugs for depression
  • Other drugs for Parkinson's disease
  • Drugs for spasms of the stomach or intestines
  • Stimulants
  • Trihexyphenidyl (Artane)
  • Vitamins

SYMMETREL and Other Interactions

SYMMETREL may cause blurred vision. Be careful when driving or performing activities that require alertness.

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Brilinta (Ticagrelor)

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Buy Canadian Pharmacy Brilinta (Ticagrelor) Here

This prescription medication used in conjunction with low-dose aspirin to help prevent stroke and heart attacks in patients with heart problems.

It may also be used after specific heart surgeries like stent placements, coronary artery bypass grafts (CABG), and angioplasty.

This medicine works by preventing platelets from forming clots by blocking them from sticking together. An antiplatelet medication, it works to keep optimize and regulate steady blood flow throughout the body.

This medication can be taken with and without food, as directed by your physician, and should be taken regularly. Of note, the tablets may be crushed into a powder and drank with water for those who have difficulty swallowing pills. It is usually taken twice daily, as directed by your doctor.

To place an order and buy online with our Canadian Pharmacy a prescription is required to be submitted. The prescription can be sent in by fax, e-mail, or directly uploaded on our site.

The active medicinal ingredient is Ticagrelor and it is manufactured by AstraZeneca. It is available in the following dosages: 60 mg which is a round pink color film-coated tablet and 90 mg which is a young yellow color film-coated tablet.  The pack sizes available are blisters of 56 or 60 tablets per box.

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The cost for 56 tablets of 60mg tablets start at $110. While the 90mg tablets start $105 for 56 tablets. The estimated shipping time from Canada or UK is 7-10 business days compared to 10-18 business days elsewhere. At PricePro Pharmacy we help lower the price of your prescription with our Brilinta coupon code which can be applied at checkout for bonus savings.

For more information, click on the blue below to find more details on dosing, side effects, and precautions.

Brilinta Generic - Ticagrelor Available at Lower Cost

The generic for Brilinta is known a Ticagrelor. It is available in both Ticagrelor 60mg and 90mg dosage. Generic Ticagrelor cost is cheaper than brand Brilinta as shown below:

  • $138 for 168 tablets of Ticagrelor 60mg
  • $153 for 180 tablets of Ticagrelor 90mg

There are greater price savings when you order a 3-month supply of medication vs. 1-month.

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Brilinta Medication

The following Brilinta doses are are available to order:

  • Brilinta 60mg
  • Brilinta 90mg

This medication is manufactured by AstraZeneca and available in pack sizes of 56 or 60 tablets depending on the product source.

Brilinta is marketed under the name Brilique in the the United Kingdom. The active medicinal ingredient is known as Ticagrelor.

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Brilinta Cost

The cost of Brilinta 90mg at PricePro Pharmacy is:

  • $99 for 56 tablets 
  • As low as $1.30 per tablet

To further save on Brilinta price it is better value to order a 3-month supply of medication than 1-month supply.

The prices listed above are without insurance or patient assistance programs.

 

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This pharmacy coupon for Brilinta can be redeemed on any dose and it is for single-use only.

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Lower cost generic drug alternative

Brilinta Generic

We offer the generic for Brilinta known as Ticagrelor in the following doses:

  • Ticagrelor 60mg
  • Ticagrelor 90mg

Generic drugs work the same way as the brand name alternative and contain the same active ingredient. They are available at a much lower cost which can be discussed with your doctor if substitution is permitted on your prescription. Ticagrelor generic is often 40-60% cheaper than the brand name alternative.

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Shipping Times

The estimated shipping times depend on the medication ordered:

  • Product of Canada or UK - 7 to 10 business days
  • Product of India or Sweden - 10 to 18 business days

There is a standard shipping charge of $9.95 applied to each order.

Once you medication ships you will receive an email alert with the applicable tracking information.

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Rx Refill Online

Our free refill reminder service is a great bonus when you register with us. We provide friendly reminders by phone or email as the optimal time to place a refill based on your prescription history and estimated shipping times.

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.

Brilinta (Ticagrelor) Medication Information

Uses

Brilinta attaches to platelets and stopped them from clumping together and forming clots. It is used in people with a history of acute coronary syndrome (ACS) or myocardial infarction (MI). It can also reduce stent thrombosis in patients who have received a stent to treat ACS.

ACS describes several conditions where blood flow to the heart is deceased. After experiencing ACS, you are at an increased risk for stroke, heart attack, and cardiovascular death.

Brilinta works by preventing the formation of clots that would cause these events.

Dosage

The first dose is 180 mg by mouth and is usually given in an acute care setting like a hospital.

After the first dose, take 90 mg by mouth twice daily for one year. After the first year, reduce the dose to 60 mg by mouth twice daily.

Brilinta should be used with 75-100 mg of aspirin every day.

Side Effects

Side effects of Brilinta may include:

  • Angioedema
  • Dizziness
  • Dyspnea
  • ECG abnormality
  • Gout
  • Hemorrhage
  • Increased creatinine
  • Increased uric acid
  • Nausea
  • Skin rash

Precautions

Aspirin can be used while taking Brilinta, but it must be dosed less than 100 mg per day. Doses higher than this can decrease the effectiveness of Brilinta. 

Recently, Brilinta has been linked to an increased risk of central sleep apnea. Brilinta has also been associated with slow heart rate and second-degree and third-degree atrioventricular blocks. 

Do not use Brilinta if you have a history of intracranial hemorrhage (ICH) or an ongoing active bleed.

Brilinta and other antiplatelet agents can significantly increase the risk of bleeding events. Risk factors for bleed include a history of GI bleed, liver impairment, advanced age, recent trauma, or the use of other medications that increase the risk of bleeding.

Interactions

Brilinta has many possible drug interactions, including: 

  • Amiodarone
  • Aprepitant
  • Carbamazepine
  • Cyclosporine
  • Digoxin
  • Diltiazem
  • Erythromycin
  • Grapefruit
  • Indinavir
  • Itraconazole
  • Ketoconazole
  • Lovastatin
  • Phenobarbital
  • Phenytoin
  • Posaconazole
  • Rifampin
  • Ritonavir
  • Simvastatin
  • St. John’s Wort
  • Verapamil
  • Voriconazole

Tell your doctor and pharmacist about all of the medications you are taking before starting Brilinta.

Storage

Store at room temperature, or approximately 25°C (77°F).

Pharmacist Tips

  • Brilinta can be crushed or mixed with water instead of swallowed whole.
  • People taking Brilinta can experience shortness of breath, which should go away within one week after stopping the medication.
  • Avoid non-steroidal anti-inflammatory agents while taking Brilinta, except for aspirin 75-100 mg once daily.

Brilinta FAQs

If I have bleeding side effects, should I stop Brilinta?

When possible, your doctor should manage bleeding without stopping Brilinta because stopping increases the risk of cardiovascular events like heart attack, stroke, and death.

 

If I feel better, can I stop taking Brilinta?

No, do not stop taking the medication unless directed by your doctor. Typically it should be used for at least one year after ACS.

 

Should I take Brilinta with or without food?

You can take Brilinta with food or on an empty stomach.

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References

  1. Brilinta [package insert]. Wilmington, DE: AstraZeneca; 2016.

Medication Review by a Clinical Pharmacist - PharmD

Author: Dr. Conor Sheehy, PharmD, BCPS

Dr. Sheehy is a board-certified pharmacotherapy specialist. He has worked in multiple practice settings, including retail and hospital pharmacies, and in medical clinics.  He specializes in anticoagulation, psychiatric medications, and diabetes medications. He strives to empower his patients to understand their medications and improve their overall medical care.

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Brevicon (Norethindrone/Ethinyl Estradiol)

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Brevicon

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Brevicon (Norethindrone/Ethinyl Estradiol) Dosage and Side Effects

BREVICON is a birth control pill (oral contraceptive) that contains two female sex hormones (ethinyl estradiol and norethindrone).

Warnings and Precautions

There are also conditions that your doctor will want to watch closely or that might cause your doctor to recommend a method of contraception other than birth controls.

If you see a different doctor, inform him or her that you are taking BREVICON 0.5/35 or BREVICON 1/35.

BEFORE you use BREVICON talk to your doctor or pharmacist if the following apply to you:

  • Pregnant or breastfeeding

  • History of jaundice or other liver disease

  • High blood pressure

  • Migraines and headaches

  • Diabetes or family history of diabetes

  • Wear contact lenses

  • Family history of breast disease (e.g. breast lumps) or a family history of breast cancer

  • Fibroid tumours on the uterus

  • History of emotional disorders, especially depression

  • Metabolic or endocrine diseases and abnormal metabolism of calcium and phosphorus

  • Rheumatoid arthritis or synovitis

  • Hereditary or history of angioedema (episodes of swelling in body parts such as hands, feet, face, or airway passage)

  • Abnormal level of fat in the blood stream (high cholesterol or triglycerides)

  • Smoke cigarettes

  • Heart or kidney disease

  • Epilepsy/seizures

  • Gallbladder or pancreatic disease

  • Family history of blood clots, heart attacks or strokes

  • Persistent irregular vaginal bleeding

  • Overweight

  • Systemic lupus erythematosus

  • Inflammatory bowel disease such as Crohn’s disease or ulcerative colitis

  • Hemolytic uremic syndrome

  • Sickle cell disease

  • Problems with the valves in your heart and/or have an irregular heart rhythm

If you detect any new masses on your breasts while taking BREVICON you should advise your doctor.

If you have to undergo a major elective surgery, you should advise your surgeon that you are taking BREVICON. You should consult your doctor about stopping the use of BREVICON four weeks before surgery and not use BREVICON for a time period after surgery or during bed rest.

Tell your doctor if you are scheduled for any laboratory tests since certain blood tests may be affected by hormonal contraceptives.

BREVICON should be used only under the supervision of a doctor, with regular follow-up to identify side effects associated with its use. Your visits may include a blood pressure check, a breast exam, an abdominal exam and a pelvic exam, including a Pap smear. Visit your doctor three months or sooner after the initial examination. Afterward, visit your doctor at least once a year. Use BREVICON only on the advice of your doctor and carefully follow all directions given to you. You must use the birth control pill exactly as prescribed. Otherwise, you may become pregnant.

Breakthrough bleeding/spotting may occur while you are taking an oral contraceptive, especially during the first three months of use. If this bleeding persists or recurs, you should advise your doctor. Women with history of amenorrhea (absence of menstrual periods) or oligomenorrhea (irregular or infrequent menstrual periods) may remain anovulatory or become amenorrheic following discontinuation of oral contraceptives.

The Risks of Using Birth Control Pills:

  1. Circulatory disorders (including blood clots in legs, lungs, heart, eyes or brain)

    Blood clots are the most common serious side effect of birth control pills. Clots can occur in many areas of the body.

    • In the brain, a clot can result in a stroke.

    • In a blood vessel of the heart, a clot can result in a heart attack.

    • In the legs and pelvis, a clot can break off and travel to the lung resulting in a pulmonary embolus.

    • In a blood vessel leading to an arm or leg, a clot can result in damage to or loss of a limb.

    Any of these conditions can cause death or disability. Clots also occur rarely in the blood vessels of the eye, resulting in blindness or impaired vision.

    Women who use birth control pills have a higher incidence of blood clots. While the risk of blood clots increases with age in both pill users and non users, the increased risk from the pill appears to be present at all ages. The risk of clotting seems to increase with higher estrogen doses. It is important, therefore, to use as low a dosage of estrogen as possible.

  2. Breast Cancer

    The most significant risk factors for breast cancer are increasing age and a history of breast cancer in the family (mother or sister). Other established risk factors include obesity, never having children, and having your first full-term pregnancy at a late age.

    Some women who use birth control pills may be at increased risk of developing breast cancer before menopause which occurs around age 50. These women may be long-term users of birth control pills (more than eight years) or women who start using birth control pills at an early age. In a few women, the use of birth control pills may accelerate the growth of an existing but undiagnosed breast cancer. Early diagnosis, however, can reduce the effect of breast cancer on a woman's life expectancy. The potential risks related to birth control pills seem to be small, however a yearly breast examination by a doctor is recommended for all women.

    Women with the following conditions should be examined yearly by their doctors no matter what method of contraception they use:

    • a history of breast cancer in the family

    • breast nodules or thickenings

    • discharge from the nipple

    ASK YOUR DOCTOR FOR ADVICE AND INSTRUCTIONS ON REGULAR SELF-EXAMINATION OF YOUR BREASTS.

  3. Cervical cancer

    Some studies have found an increase of cancer of the cervix in women who use hormonal contraceptives, although this finding may be related to factors other than the use of oral contraceptives. However, there is insufficient evidence to rule out the possibility that oral contraceptives may cause such cancers.

  4. Dangers to developing child if birth control pills are used during pregnancy

    Oral contraceptives should not be taken by pregnant women because they may damage the developing child. An increased risk of heart and limb and other defects has been associated with the use of sex hormones, including oral contraceptives, during pregnancy. In addition, the developing female child whose mother has received DES (diethylstilbestrol), an estrogen, during pregnancy has a risk of developing cancer of the vagina or cervix in her teens or young adulthood. Abnormalities of the urinary tract and sex organs have been reported in male offspring so exposed. It is possible, although this has not been demonstrated, that other estrogens such as those in oral contraceptives could have the same effect in the child if the mother takes them during pregnancy.

    There is also no conclusive evidence that the use of birth control pills immediately before a pregnancy will adversely affect a baby's development. When a woman stops taking birth control pills to become pregnant, she should be aware that pregnancy may be delayed for some months. However, her doctor may recommend a different method of contraception until she has a period on her own. In this way, the pregnancy can be more accurately dated.

  5. Gallbladder disease and liver tumours

    Users of birth control pills have a greater risk of developing gallbladder disease requiring surgery within the first year of use. The risk may double after four or five years of use.

    The short and long-term use of birth control pills also has been linked with the growth of benign or malignant liver tumours. Such tumours are extremely rare. Benign tumours do not spread but they may rupture and produce internal bleeding which may cause death.

  6. Use during pregnancy

    Birth control pills should never be taken if you think you are pregnant. They will not prevent the pregnancy from continuing and may interfere with the normal development of the baby.

  7. Pregnancy after stopping taking birth control pills

    You will have a menstrual period when you stop taking birth control pills. You should delay pregnancy until another menstrual period occurs within four to six weeks. Contact your doctor for recommendations on alternate methods of contraception during this time.

  8. Use after pregnancy, miscarriage or abortion

    Your doctor will advise you of the appropriate time to start the use of birth control pills after childbirth, miscarriage, or therapeutic abortion.

  9. Use while breastfeeding

    If you are breast feeding, consult your doctor before starting the birth control pill. The hormones in birth control pills are known to appear in breast milk. These hormones may decrease the flow of breast milk. The long-term effects on the developing child are not known. However, cases of breast enlargement have been reported in breast-fed infants. You should use another method of contraception and only consider starting the birth control pill once you have weaned your child completely.

  10. Increase in epileptic seizures

    Stop taking BREVICON 0.5/35 and BREVICON 1/35 and notify your doctor if you are having seizures more often.

Side Effects

Some users of birth control pills have unpleasant side effects. These side effects are temporary and are not hazardous to health. There may be tenderness of the breasts or liquid leaking from your breasts. You can have nausea, and vomiting and tremors. Some users will experience weight gain or loss, change in appetite. Many of these side effects occurred with high dose combination birth control pills. These side effects are less common with the low dose pills prescribed today.

Unexpected vaginal bleeding or spotting and changes in the usual menstrual period also may occur. These side effects usually disappear after the first few cycles. They are NOT an indication to stop taking birth control pills. Unless more significant complications occur, a decision to stop using the pill or to change the brand of pill should be made only after three consecutive months of use.

Occasionally, users develop high blood pressure that may require stopping the use of birth control pills. High blood pressure may persist after stopping the pill and may lead to serious disease of the kidney and circulatory system.

Other side effects may include:

  • Growth of pre-existing fibroid tumours of the uterus

  • Mental depression, nervousness

  • Increased blood sugar levels, tell your doctor if you are drinking or urinating more frequently

  • Liver problems with jaundice (yellowing of the skin)

  • An increase or decrease in hair growth (hirsutism, loss of scalp hair), sex drive and appetite

  • Skin pigmentation (brown spots that may not go away). Avoid exposure to the sun, especially if you have a history of brown spots.

  • Headaches, dizziness

  • Migraines

  • Changes or loss of hearing

  • Cloudy vision, sore eyes

  • Rash

  • Vaginal infections

  • Difficult or painful urination, blood in the urine

Infrequently, there is a need to change contact lens prescription or an inability to use contact lenses.

A woman's menstrual period may be delayed after stopping birth control pills. There is no evidence that the use of the pill leads to a decrease in fertility. As mentioned, it is wise to delay starting a pregnancy for one menstrual period after stopping birth control pills.

Interactions with this medication

The concurrent administration of BREVICON with other drugs may result in an altered effectiveness of either drug. It is important to advise your doctor of any drug you are taking, both prescription and non-prescription, before you take BREVICON.

Drugs that may interact with BREVICON include:

  • Anticonvulsants (carbamazepine, ethosuximide, felbamate, oxcarbazepine, phenobarbital, phenytoin, primidone, topiramate, lamotrigine)

  • Antibiotics (ampicillin, cotrimoxazole, penicillin, rifampin, chloramphenicol, metronidazole, neomycin, nitrofurantoin, sulfonamides, tetracyclines, troleandomycin, rifabutin)

  • Antifungals (griseofulvin, fluconazole)

  • Cholesterol Lowering Agents (clofibrate, atorvastatin)

  • Sedatives and Hypnotics (benzodiazepines, barbiturates, chloral hydrate, glutethimide, meprobamate, chlordiazepoxide, lorazepam, oxazepam, diazepam)

  • Antacids

  • Alpha-II Adrenoreceptor Agents (clonidine)

  • Antidiabetic Drugs (oral hypoglycemics and insulin)

  • Antihypertensive Agents (guanethidine, methyldopa and beta blockers)

  • Antipyretics (acetaminophen, antipyrine, ASA)

  • Betamimetic Agents (isoproterenol)

  • Corticosteroids (prednisone, dexamethasone)

  • Phenothiazine Tranquilizers (all phenothiazines, reserpine and similar drugs)

  • HIV infection (ritonavir, indinavir, nevirapine)

  • Hepatitis C virus (HCV) (boceprevir, telaprevir)

  • Bronchodilator (theophylline)

  • Stimulants (modafinil)

  • Tricyclic antidepressants (clomipramine)

  • Bosentan

  • Others: phenylbutazone, antihistamines, analgesics, antimigraine preparations, anticoagulants, aminocaproic acid, vitamin E, vitamin B12, vitamin C, cyclosporine, folic acid, meperidine, St John's wort, flunarizine

Caffeine and alcohol may also affect the efficacy of Oral Contraceptives.

During concomitant use of BREVICON and substances that may affect its effectiveness, it is recommended that you use a non-hormonal back-up method of birth control in addition to the regular intake of BREVICON. In the case of prolonged use of such substances, oral contraceptive should not be considered the primary contraceptive. You should consult your doctor or pharmacist for guidance if you are taking drugs that interact with BREVICON.

This is not a complete list of possible drug interactions with BREVICON. Talk to your doctor for more information about drug interactions.

Proper Use of this medication

Usual dose:

  1. Read these directions

    • Before you start taking your pills, and

    • Any time you are not sure what to do.

  2. Look at your pill pack to see if it has 21 or 28 pills:

    • 21-PILL PACK: 21 active pills (with hormones) taken daily for three weeks, and then no pills for one week

      OR

    • 28-PILL PACK: 21 active pills (with hormones) taken daily for three weeks, and then seven “reminder pills (no hormones) taken daily for one week

    Note: Diagrams apply to both BREVICON 0.5/35 and BREVICON 1/35.

    (See package insert for illustrations.)

  3. It is recommended that you use a second method of birth control (e.g. latex condoms and spermicidal foam or gel) for the first seven days of the first cycle of pill use. This will provide a back-up in case pills are forgotten while you are getting used to taking them.

  4. When receiving any medical treatment, be sure to tell your doctor that you are using birth control pills.

  5. Many women have spotting or light bleeding, or may feel sick to their stomach during the first three months on the pill. If you do feel sick, do not stop taking the pill. The problem will usually go away. If it does not go away, check with your doctor or clinic.

  6. Missing pills also can cause some spotting or light bleeding, even if you make up the missed pills. You also could feel a little sick to your stomach on the days you take two pills to make up for missed pills.

  7. If you miss pills at any time, you could get pregnant. The greatest risks for pregnancy are:

    • When you start a pack late, or

    • When you miss pills at the beginning or at the very end of the pack.

  8. Always be sure you have ready:

    • Another kind of birth control (such as latex condoms and spermicidal foam or gel) to use as back-up in case you miss pills, and

    • An extra, full pack of pills.

  9. If you experience vomiting or diarrhea, or if you take certain medicines, such as antibiotics, you pills may not work as well. Use a back-up method, such as latex condoms and spermicidal foam or gel, until you can check with your doctor or clinic.

  10. If you forget more than one pill two months in a row, talk to your doctor or clinic about how to make pill-taking easier or about using another method of birth control.

  11. If your questions are not answered here, call your doctor or clinic.

There is no need to stop taking birth control pills for a rest period.

When to start the first pack of BREVICON pills:

Be sure to read these instructions:

  • before you start taking your pills, and

  • any time you are not sure what to do.

Decide with your doctor or clinic what is the best day for you to start taking your first pack of pills. Your pills may be either a 21-day or a 28-day type.

  1. 21-day combination:

    With this type of birth control pill, you are on pills for 21 days and off pills for seven days. You must not be off the pills for more than seven days in a row.

    1. The first day of your menstrual period (bleeding) is day 1 of your cycle. Your doctor may advise you to start taking the pills on Day 1, on Day 5, or on the first Sunday after your period begins. If your period starts on Sunday, start that same day.

    2. Take one pill at approximately the same time every day for 21 days. Then take no pills for seven days. Start a new pack on the eighth day. You will probably have a period during the seven days off the pill. (This bleeding may be lighter and shorter than your usual period.)

  2. 28-day combination

    With this type of birth control pill, you take 21 pills that contain hormones and seven pills that contain no hormones.

    1. The first day of your menstrual period (bleeding) is day 1 of your cycle. Your doctor may advise you to start taking the pills on Day 1, on Day 5, or on the first Sunday after your period begins. If your period starts on Sunday, start that same day.

    2. Take one pill at approximately the same time every day for 28 days. Begin a new pack the next day, not missing any days. Your period should occur during the last seven days of using the pills.

What to do during the month:

  1. Take a pill at approximately the same time every day until the pack is empty.

    • Try to associate taking your pill with some regular activity such as eating a meal or going to bed.

    • Do not skip pills even if you have bleeding between monthly periods or feel sick to your stomach (nausea).

    • Do not skip pills even if you do not have sex very often.

  2. When you finish a pack

    • 21 Pills: Wait seven days to start the next pack. You will have your period during that week.

    • 28 Pills: Start the next pack on the next day. Take one pill every day. Do not wait any days between packs.

Overdose:

Numerous cases of the ingestion, by children, of estrogen progestogen combinations have been reported. Although mild nausea may occur in case of overdosage, there appears to be no other reaction.

NOTE: 28-DAY PACK: If you forget any of the seven reminder pills (without hormones) in Week 4, just safely dispose of the pills you missed. Then keep taking one pill each day until the pack is empty. You do not need to use a back-up method.

Always be sure you have on hand:

  • A back-up method of birth control (such as latex condoms and spermicidal foam or gel) in case you miss pills, and

  • An extra, full pack of pills.

If you forget more than one pill two months in a row, talk to your doctor or clinic. Talk about ways to make pill-taking easier or about using another method of birth control.

Non-Contraceptive Benefits of Birth Control Pills:

Several health advantages have been linked to the use of birth control pills.

  • Effects of menses: increased menstrual cycle regularity; decreased menstrual blood loss; decreased incidence of iron deficiency anemia secondary to reduced menstrual blood loss; decreased incidence of dysmenorrhea (painful periods) and premenstrual syndrome (PMS)

  • Effects related to ovulation inhibition: decreased incidence of functional ovarian cysts; decreased incidence of ectopic pregnancy

  • Effects on other organs of the reproductive tract: decreased incidence of acute uterine tube inflammation; decreased incidence of endometrial cancer (50 per cent); decreased incidence of ovarian cancer (40 per cent); potential beneficial effects on endometriosis; decreased incidence of acne, excessive hair growth and other male hormone-related disorders

  • Effects on breasts: decreased incidence of benign (non-cancerous) breast disease; decreased incidence of breast biopsies

Other related products

Bricanyl (Terbutaline)

Author , posted on June 27, 2017

Category:


Bricanyl

Terbutaline Sulfate
Select Quantity:

Bricanyl Turbuhaler

Terbutaline Sulfate
Select Quantity:

Bricanyl (Terbutaline) Product Information

Bricanyl is a prescription medicine used to treat diseases that cause bronchospasm. These include asthma, bronchitis and emphysema.

Order Bricanyl Online

If you are searching for this medicine online, the best source to try  PricePro Pharmacy. You can either call us or chat live with us directly on our website.

We offer the Bricanyl Turbuhaler 0.5mg as product of Canada, that is manufactured by Astra Pharma. The lowest price is $32 for 100 doses. The typical shipping time for this product would be 7-10 business days.

Bricanyl 2.5mg tablets are also available as a product of Turkey, manufactured by AstraZeneca. The lowest price would be $26 for 50 tablets and $36 for 100 tablets. The shipping time for this medication would be 10-18 business days.

A Bricanyl prescription is required to order online from our pharmacy. The prescription can be faxed, emailed or uploaded directly on the website.

If you require assistance or would like place an order on the phone, you can contact our customer support at 1-855-776-0079.

What is Bricanyl used for?

Bricanyl or terbutaline is a medicine that is used to dilate muscles in the airways. It is a bronchodilator, therefore, and is helpful to people who suffer from diseases that cause breathing difficulties. Recommended for those with bronchitis, asthma or emphysema, Bricanyl can prevent or treat bronchospasm. It is characterized by chest tightness, wheezing and breathing difficulties. By opening air passages, Bricanyl improves breathing. Being a beta adrenergic receptor agonist, terbutaline gets rid of anything that is blocking the airways.

This can be swelling of the airways, a mucus buildup or muscles spasm (bronchospasm). Once the airway gets narrower, wheezing, breathing difficulties and cough can occur. Since Bricanyl is a bronchodilator, it is able to widen the air passages that have become narrow.  It attaches itself to beta adrenergic receptors on the muscles that are close to the air passages. So the muscles begin to relax and widen the passages.

Needless to say, wide air passages enable air to circulate freely in the lungs and this improves breathing.

Dosage

A bronchospasm problem caused by bronchitis, asthma or emphysema should be treated with a dose of 2.5mg to 5mg three to four times a day. This adult dose should be taken every six hours, approximately. The largest amount you can take per day is 15mg. The advised subcutaneous or under skin dosage is 0.25mg each fifteen to thirty minutes for 2 doses. Do not take more than 0.5mg in four hours.

If taken as an inhaler, two inhalations every four to six hours are fine. When used to stop preterm labor, then the right dosage is 2.5mcg to 10mcg per minute through intravenous infusion. The amount should be increased every ten to twenty minutes. Usually, a dose of 17.5mcg to 30mcg per minute will be effective to stop preterm labor and treatment should not go beyond three days.

Always follow your doctor’s prescription guidelines properly to avoid skipping doses or taking them incorrectly. Take your Bricanyl medicine with or without food. If using other asthma medicines, update your doctor.

Side Effects

Bricanyl can trigger some side effects and you should be aware of these. The most common ones are:

  • Headache
  • Drowsiness
  • Dizziness
  • Weakness
  • Nausea
  • Dry mouth
  • Nervousness
  • Fatigue
  • Insomnia

Precautions

When you start taking Bricanyl, ensure that you follow some simple measures. Don’t take this medicine without consulting your doctor if you have the following diseases:

  • Heart disease
  • High blood pressure
  • Epilepsy
  • Diabetes
  • Coronary artery disease
  • Overactive thyroid gland
  • Glaucoma
  • Drug allergies, including terbutaline allergy
  • Low potassium levels

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Synalar Ointment (Fluocinolone)

Author , posted on June 27, 2017

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Synalar Ointment

Fluocinolone Acetonide
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Synalar Ointment (Fluocinolone) Dosage and Side Effects

This medication is used to treat a variety of skin conditions (e.g., eczema, dermatitis, allergies, rash). Fluocinolone reduces the swelling, itching, and redness that can occur in these types of conditions. This medication is a medium-strength corticosteroid.

Proper Use of this medication

Use this medication on the skin only. However, do not use it on the face, groin, or underarms unless directed to do so by your doctor.

Wash and dry your hands before using. Clean and dry the affected area. Apply a thin film of medication to the affected area and gently rub in, usually 3-4 times daily or as directed by your doctor. Do not bandage, cover, or wrap the area unless directed to do so by your doctor. If used in the diaper area on an infant, do not use tight-fitting diapers or plastic pants.

After applying the medication, wash your hands unless you are using this medication to treat the hands. When applying this medication near the eyes, avoid getting it in the eyes because this may worsen or cause glaucoma. Also, avoid getting this medication in the nose or mouth. If you get the medication in these areas, rinse with plenty of water.

Use this medication only for the condition for which it was prescribed. Do not use it for longer than prescribed.

Inform your doctor if your condition persists or worsens after 2 weeks.

Side Effects

Stinging, burning, itching, irritation, dryness, or redness at the application site may occur when this medication is first applied to the skin. These effects should disappear in a few days as your body adjusts to the medication. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if any of these unlikely but serious side effects occur: stretch marks, skin thinning/discoloration, acne, extreme/unwanted hair growth, "hair bumps" (folliculitis).

Skin infections can become worse when this medication is used. Notify your doctor promptly if redness, swelling, or irritation does not improve.

Rarely, it is possible this medication will be absorbed from the skin into the bloodstream. This can lead to side effects of too much corticosteroid. These side effects are more likely in children, and in people who use this medication for a long time or over large areas of the skin. Tell your doctor right away if any of the following side effects occur: unusual/extreme tiredness, weight loss, headache, swelling ankles/feet, increased thirst/urination, vision problems.

A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US -

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Warnings and Precautions

Before using fluocinolone, tell your doctor or pharmacist if you are allergic to it; or to other corticosteroids (e.g., hydrocortisone, prednisone); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: poor blood circulation, diabetes, immune system problems.

Do not use if there is an infection or sore in the area to be treated.

Rarely, using corticosteroid medications for a long time or over large areas of skin can make it more difficult for your body to respond to physical stress. Therefore, before having surgery or emergency treatment, or if you get a serious illness/injury, tell your doctor or dentist that you are using this medication or have used this medication within the past few months.

Though it is unlikely, this medication may slow down a child's growth if used for a long time. The effect on final adult height is unknown. See the doctor regularly so your child's height can be checked.

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

It is not known whether this drug passes into breast milk when applied to the skin. Similar medications pass into breast milk when taken by mouth. Consult your doctor before breast-feeding.

Interactions with this medication

Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.

Before using this medication, tell your doctor or pharmacist of all prescription or nonprescription/herbal products you may use, especially of: corticosteroids taken by mouth (e.g., prednisone), other corticosteroids applied to the skin (e.g., hydrocortisone), drugs that lower the immune system (e.g., cyclosporine).

This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

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Synalar Cream (Fluocinolone)

Author , posted on June 27, 2017

Category:


Synalar Cream

Fluocinolone Acetonide
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Fluocinolone Acetonide (Generic)

Fluocinolone Acetonide
Select Quantity:

Synalar Cream (Fluocinolone) Usage and Side Effects

This medication is used to treat a variety of skin conditions (e.g., eczema, dermatitis, allergies, rash). Fluocinolone reduces the swelling, itching, and redness that can occur in these types of conditions. This medication is a medium-strength corticosteroid.

Proper Use of this medication

Use this medication on the skin only. However, do not use it on the face, groin, or underarms unless directed to do so by your doctor.

Wash and dry your hands before using. Clean and dry the affected area. Apply a thin film of medication to the affected area and gently rub in, usually 3-4 times daily or as directed by your doctor. Do not bandage, cover, or wrap the area unless directed to do so by your doctor. If used in the diaper area on an infant, do not use tight-fitting diapers or plastic pants.

After applying the medication, wash your hands unless you are using this medication to treat the hands. When applying this medication near the eyes, avoid getting it in the eyes because this may worsen or cause glaucoma. Also, avoid getting this medication in the nose or mouth. If you get the medication in these areas, rinse with plenty of water.

Use this medication only for the condition for which it was prescribed. Do not use it for longer than prescribed.

Inform your doctor if your condition persists or worsens after 2 weeks.

Side Effects

Stinging, burning, itching, irritation, dryness, or redness at the application site may occur when this medication is first applied to the skin. These effects should disappear in a few days as your body adjusts to the medication. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if any of these unlikely but serious side effects occur: stretch marks, skin thinning/discoloration, acne, extreme/unwanted hair growth, "hair bumps" (folliculitis).

Skin infections can become worse when this medication is used. Notify your doctor promptly if redness, swelling, or irritation does not improve.

Rarely, it is possible this medication will be absorbed from the skin into the bloodstream. This can lead to side effects of too much corticosteroid. These side effects are more likely in children, and in people who use this medication for a long time or over large areas of the skin. Tell your doctor right away if any of the following side effects occur: unusual/extreme tiredness, weight loss, headache, swelling ankles/feet, increased thirst/urination, vision problems.

A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US -

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Warnings and Precautions

Before using fluocinolone, tell your doctor or pharmacist if you are allergic to it; or to other corticosteroids (e.g., hydrocortisone, prednisone); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: poor blood circulation, diabetes, immune system problems.

Do not use if there is an infection or sore in the area to be treated.

Rarely, using corticosteroid medications for a long time or over large areas of skin can make it more difficult for your body to respond to physical stress. Therefore, before having surgery or emergency treatment, or if you get a serious illness/injury, tell your doctor or dentist that you are using this medication or have used this medication within the past few months.

Though it is unlikely, this medication may slow down a child's growth if used for a long time. The effect on final adult height is unknown. See the doctor regularly so your child's height can be checked.

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

It is not known whether this drug passes into breast milk when applied to the skin. Similar medications pass into breast milk when taken by mouth. Consult your doctor before breast-feeding.

Interactions with this medication

Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.

Before using this medication, tell your doctor or pharmacist of all prescription or nonprescription/herbal products you may use, especially of: corticosteroids taken by mouth (e.g., prednisone), other corticosteroids applied to the skin (e.g., hydrocortisone), drugs that lower the immune system (e.g., cyclosporine).

This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

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