Isopto Atropine (Atropine Sulfate)

Author , posted on June 23, 2017

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Isopto Atropine

Atropine Sulfate

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Isopto Atropine

Atropine Sulfate

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Isopto Atroprine (Atropine Sulfate) Dosage and Side Effects

ISOPTO ATROPINE (for the eye) is used to dilate your pupils when you have an inflammatory condition or in post surgery situations in which this effect may be helpful. ISOPTO ATROPINE is also used in people with a condition called amblyopia (sometimes called "lazy eye").

Warnings and Precautions

You should not use this medicine if you are allergic to atropine. You should not use the ointment form of this medicine if you have glaucoma.

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

  • high blood pressure;
  • glaucoma.

It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant.

ISOPTO ATROPINE can pass into breast milk and may harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

Do not give this medicine to a child younger than 3 months old.

Side Effects

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

Although the risk of serious side effects is low when atropine is used in the eyes, side effects can occur if the medicine is absorbed into your bloodstream.

Children can absorb larger amounts of the medicine and may be more likely to have side effects.

Call a doctor at once if the person using ISOPTO ATROPINE has:

  • severe burning or stinging of the eyes;
  • severe eye redness or irritation;
  • fast heart rate, restlessness or irritability;
  • flushing (warmth, redness, or tingly feeling); or
  • increased blood pressure--severe headache, blurred vision, pounding in your neck or ears, nosebleed, anxiety.

This medicine will cause blurred vision that could last up to 2 weeks. This may impair your reactions while driving or doing anything that requires you to be able to see clearly.

Common side effects may include:

  • mild stinging or pain when the drops are placed into your eye;
  • mild eye pain;
  • dry mouth, nose, or throat;
  • puffy or watery eyes;
  • blurred vision; or
  • your eyes may be more sensitive to light.

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

Interactions with this medication

Do not use atropine eye drops while wearing contact lenses. The medicine may contain a preservative that can discolor soft contact lenses. Wait at least 15 minutes after using the eye drops before putting in your contact lenses.

ISOPTO ATROPINE may make your eyes more sensitive to light. Wear sunglasses to protect your eyes whenever you are outdoors or in bright light.

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

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

  • an MAO inhibitor--isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.

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

Proper Use of this medication

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

Wash your hands before using eye medication.

To apply the eye drops:

  • Tilt your head back slightly and pull down your lower eyelid to create a small pocket. Hold the dropper above the eye with the tip down. Look up and away from the dropper and squeeze out a drop.
  • Close your eyes for 2 or 3 minutes with your head tipped down, without blinking or squinting. Gently press your finger to the inside corner of the eye for about 1 minute, to keep the liquid from draining into your tear duct.
  • Use only the number of drops your doctor has prescribed. If you use more than one drop, wait about 5 minutes between drops.
  • Wait at least 10 minutes before using any other eye drops your doctor has prescribed.

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

To apply the ointment:

  • Tilt your head back slightly and pull down your lower eyelid to create a small pocket. Hold the ointment tube with the tip pointing toward this pocket. Look up and away from the tip.
  • Squeeze out a ribbon of ointment into the lower eyelid pocket without touching the tip of the tube to your eye. Blink your eye gently and then keep it closed for 1 or 2 minutes.
  • Use a tissue to wipe excess ointment from your eyelashes.
  • After opening your eyes, you may have blurred vision for a short time. Avoid driving or doing anything that requires you to be able to see clearly.

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

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

Seek emergency medical attention or call the Poison Help line if you have used too much ISOPTO ATROPINE, or if anyone has accidentally swallowed the medication.

Apply the missed dose as soon as you remember. However, if it is almost time for your next regularly scheduled dose, skip the missed dose and apply the next one as directed. Do not use a double dose of this medication.

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Tobradex Ophthalmic Suspension (Dexamethasone/Tobramycin)

Author , posted on June 23, 2017

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Tobradex Ophthalmic Suspension

Tobramycin, Dexamethasone

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Tobradex Ophthalmic Suspension

Dexamethasone, Tobramycin

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Tobradex Ophthalmic Suspension

Dexamethasone, Tobramycin

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Tobradex (tobramycin/dexamethasone) Dosage and Side Effects

TOBRADEX is used to treat bacterial infections of the eyes.

Warnings and Precautions

Contact your doctor if the symptoms begin to get worse or if you do not see any improvement in the condition after a few days.

Do not touch the dropper or tube opening to any surface, including your eyes or hands. The dropper or tube opening is sterile. If it becomes contaminated, it could cause an infection in the eye.

Apply light pressure to the inside corner of your eye (near your nose) after each drop to prevent the fluid from draining down your tear duct.

Do not use TOBRADEX ophthalmic if you have a viral or fungal infection in the eye. It is used to treat infections caused by bacteria only.

It is not known whether TOBRADEX ophthalmic will be harmful to an unborn baby. Do not use this medication without first talking to your doctor if you are pregnant.

It is not known whether TOBRADEX ophthalmic passes into breast milk. Do not use this medication without first talking to your doctor if you are breast-feeding a baby.

Side Effects

Serious side effects are not expected to occur with the use of this medication.

Some burning, stinging, irritation, itching, redness, blurred vision, eyelid itching, eyelid swelling, or sensitivity to light may occur.

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

Interactions with this medication

Do not touch the dropper or tube opening to any surface, including your eyes or hands. The dropper or tube opening is sterile. If it becomes contaminated, it could cause an infection in the eye.

Use caution when driving, operating machinery, or performing other hazardous activities. TOBRADEX ophthalmic may cause blurred vision. If you experience blurred vision, avoid these activities.

If you wear contact lenses, ask your doctor if you should wear them during treatment with TOBRADEX ophthalmic. After applying the medication, wait at least 15 minutes before inserting contact lenses, unless otherwise directed by your doctor.

Do not use other eye drops or medications during treatment with TOBRADEX ophthalmic unless otherwise directed by your doctor.

Do not use other eye drops or medications during treatment with TOBRADEX ophthalmic unless otherwise directed by your doctor.

Before using this medication, tell your doctor if you are taking an oral steroid medication such as prednisone (Deltasone, Orasone, others).

Drugs other than those listed here may also interact with TOBRADEX ophthalmic. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Proper Use of this medication

Use TOBRADEX ophthalmic eye drops or ointment exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Wash your hands before and after using the eye drops or ointment.

To apply the eye drops:

  • Shake the drops gently to be sure the medicine is well mixed. Tilt your head back slightly and pull down on your lower eyelid. Position the dropper above your eye. Look up and away from the dropper. Squeeze out a drop and close your eye. Apply gentle pressure to the inside corner of your eye (near your nose) for about 1 minute to prevent the liquid from draining down your tear duct. If you are using more than one drop in the same eye, repeat the process with about 5 minutes between drops. If you are using drops in both eyes, repeat the process in the other eye.

To apply the ointment:

  • Hold the tube in your hand for a few minutes to warm it up so that the ointment comes out easily. Tilt your head back slightly and pull down gently on your lower eyelid. Apply a thin film of the ointment into your lower eyelid. Close your eye and roll your eyeball around in all directions for 1 to 2 minutes. If you are applying another eye medication, allow at least 10 minutes before application of the other medication.

Do not touch the dropper or tube opening to any surface, including your eyes or hands. The dropper or tube opening is sterile. If it becomes contaminated, it could cause an infection in the eye.

Do not use any eyedrop that is discolored or has particles in it.

Store TOBRADEX ophthalmic at room temperature away from moisture and heat. Keep the bottle or tube properly capped.

An overdose of this medication is unlikely to occur. If you do suspect an overdose or if the medication has been ingested, contact an emergency room or poison control center for advice.

Apply the missed dose as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the missed dose and apply the next one as directed. Do not use a double dose of this medication.

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Atarax Syrup (Hydroxyzine)

Author , posted on June 23, 2017

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Atarax Syrup

Hydroxyzine Hydrochloride

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Atarax Syrup (Hydroxyzine) Dosage and Side Effects

ATARAX is used as a sedative to treat anxiety and tension. It is also used together with other medications given for anesthesia. ATARAX may also be used to control nausea and vomiting.  ATARAX is also used to treat allergic skin reactions such as hives or contact dermatitis.

Proper Use of this medication

Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Take this medicine with a full glass of water.

Measure liquid medicine with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

Store at room temperature away from moisture and heat.

Seek emergency medical attention or call the Poison Help line.

Overdose symptoms may include extreme drowsiness, nausea, vomiting, feeling like you might pass out.

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

Side Effects

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

Stop using ATARAX and call your doctor at once if you have a serious side effect such as:

  • restless muscle movements in your eyes, tongue, jaw, or neck;
  • tremor (uncontrolled shaking);
  • confusion; or
  • seizure (convulsions).

Less serious side effects may include:

  • dizziness, drowsiness;
  • blurred vision, dry mouth; or

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Warnings and Precautions

You should not use this medication if you are allergic to ATARAX, or if you are pregnant.

Before you take ATARAX, tell your doctor if you have a seizure disorder, liver disease, or kidney disease.

This medication may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Stop using ATARAX and call your doctor at once if you have a serious side effect such as tremors, confusion, seizures, or restless muscle movements in your eyes, tongue, jaw, or neck.

Drinking alcohol can increase certain side effects of ATARAX.

You should not use this medication if you are allergic to ATARAX, or if you are pregnant.

To make sure you can safely take ATARAX, tell your doctor if you have any of these other conditions:

  • epilepsy or other seizure disorder;
  • asthma, emphysema, or other breathing problem;
  • glaucoma;
  • heart disease or high blood pressure;
  • stomach ulcer, blockage in your stomach or intestines;
  • thyroid disorder;
  • enlarged prostate or problems with urination;
  • liver disease; or
  • kidney disease.

Do not use ATARAX without telling your doctor if you are pregnant. It could harm the unborn baby. Use effective birth control, and tell your doctor if you become pregnant during treatment.

It is not known whether ATARAX passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Older adults may be more likely to have side effects from this medication.

Interactions with this medication

This medication may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Drinking alcohol can increase certain side effects of ATARAX.

Before using ATARAX, tell your doctor if you regularly use other medicines that make you sleepy (such as cold or allergy medicine, sedatives, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety). They can add to sleepiness caused by ATARAX.

This list is not complete and other drugs may interact with ATARAX. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

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Tobradex Ophthalmic Ointment (Dexamethasone/Tobramycin)

Author , posted on June 23, 2017

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Tobradex Ophthalmic Ointment

Dexamethasone, Tobramycin

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Tobrex (tobramycin) Dosage and Side Effects

TOBREX ophthalmic is an antibiotic. TOBREX ophthalmic is used to treat bacterial infections of the eyes.

Proper Use of this medication

Use TOBREX ophthalmic eyedrops or ointment exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Wash your hands before using your eyedrops or ointment.

To apply the eyedrops:

  • Shake the drops gently to be sure the medicine is well mixed. Tilt your head back slightly and pull down on your lower eyelid. Position the dropper above your eye. Look up and away from the dropper. Squeeze out a drop and close your eye. Apply gentle pressure to the inside corner of your eye (near your nose) for about 1 minute to prevent the liquid from draining down your tear duct. If you are using more than one drop in the same eye, repeat the process with about 5 minutes between drops. If you are using drops in both eyes, repeat the process in the other eye.

To apply the ointment:

  • Hold the tube in your hand for a few minutes to warm it up so that the ointment comes out easily. Tilt your head back slightly and pull down gently on your lower eyelid. Apply a thin film of the ointment into your lower eyelid. Close your eye and roll your eyeball around in all directions for 1 to 2 minutes. If you are applying another eye medication, allow at least 10 minutes before applying the other medication.

Do not touch the dropper or tube opening to any surface, including your eyes or hands. The dropper or tube opening is sterile. If it becomes contaminated, it could cause an infection in the eye.

Do not use any eyedrop that is discolored or has particles in it.

Store TOBREX ophthalmic at room temperature away from moisture and heat. Keep the bottle or tube properly capped.

An overdose of this medication is unlikely to occur. If you do suspect an overdose or if the medication has been ingested, call an emergency room or poison control center for advice.

Apply the missed dose as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the missed dose and apply the next one as directed. Do not use a double dose of this medication.

Warnings and Precautions

Do not touch the dropper or tube opening to any surface, including your eyes or hands. The dropper or tube opening is sterile. If it becomes contaminated, it could cause an infection in the eye.

Apply light pressure to the inside corner of your eye (near your nose) after each drop to prevent the fluid from draining down the tear ducts.

Do not use TOBREX ophthalmic if you have a viral or fungal infection in the eye. It is used to treat infections caused by bacteria only.

TOBREX ophthalmic is in the FDA pregnancy category B. This means that it is unlikely to be harmful to an unborn baby. Do not use TOBREX ophthalmic without first talking to your doctor if you are pregnant.

It is not known whether TOBREX ophthalmic passes into breast milk. Do not use TOBREX ophthalmic without first talking to your doctor if you are breast-feeding a baby.

Side Effects

Serious side effects are not expected with this medication.

Commonly, some eye burning, stinging, irritation, itching, redness, blurred vision, eyelid itching, eyelid swelling, or sensitivity to light may occur.

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

Interactions with this medication

Do not touch the dropper or tube opening to any surface, including your eyes or hands. The dropper or tube opening is sterile. If it becomes contaminated, it could cause an infection in the eye.

Use caution when driving, operating machinery, or performing other hazardous activities. TOBREX ophthalmic may cause blurred vision. If you experience blurred vision, avoid these activities.

If you wear contact lenses, ask your doctor if you should wear them during treatment with TOBREX ophthalmic. After applying the medication, wait at least 15 minutes before inserting contact lenses, unless otherwise directed by your doctor.

Do not use other eye drops or medications during treatment with TOBREX ophthalmic unless otherwise directed by your doctor.

Do not use other eye drops or medications during treatment with TOBREX ophthalmic unless otherwise directed by your doctor.

Drugs other than those listed here may also interact with TOBREX ophthalmic. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

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Tobrex (Tobramycin)

Author , posted on June 23, 2017

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Tobrex Ophthalmic Drops

Tobramycin

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Tobrex Ophthalmic Drops

Tobramycin

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Tobramycin (Generic)

Tobramycin

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Tobramycin (Generic)

Tobramycin

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Tobrex (tobramycin) Dosage and Side Effects

TOBREX ophthalmic is an antibiotic. TOBREX ophthalmic is used to treat bacterial infections of the eyes.

Warnings and Precautions

Do not touch the dropper or tube opening to any surface, including your eyes or hands. The dropper or tube opening is sterile. If it becomes contaminated, it could cause an infection in the eye.

Apply light pressure to the inside corner of your eye (near your nose) after each drop to prevent the fluid from draining down the tear ducts.

Do not use TOBREX ophthalmic if you have a viral or fungal infection in the eye. It is used to treat infections caused by bacteria only.

TOBREX ophthalmic is in the FDA pregnancy category B. This means that it is unlikely to be harmful to an unborn baby. Do not use TOBREX ophthalmic without first talking to your doctor if you are pregnant.

It is not known whether TOBREX ophthalmic passes into breast milk. Do not use TOBREX ophthalmic without first talking to your doctor if you are breast-feeding a baby.

Side Effects

Serious side effects are not expected with this medication.

Commonly, some eye burning, stinging, irritation, itching, redness, blurred vision, eyelid itching, eyelid swelling, or sensitivity to light may occur.

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

Interactions with this medication

Do not touch the dropper or tube opening to any surface, including your eyes or hands. The dropper or tube opening is sterile. If it becomes contaminated, it could cause an infection in the eye.

Use caution when driving, operating machinery, or performing other hazardous activities. TOBREX ophthalmic may cause blurred vision. If you experience blurred vision, avoid these activities.

If you wear contact lenses, ask your doctor if you should wear them during treatment with TOBREX ophthalmic. After applying the medication, wait at least 15 minutes before inserting contact lenses, unless otherwise directed by your doctor.

Do not use other eye drops or medications during treatment with TOBREX ophthalmic unless otherwise directed by your doctor.

Do not use other eye drops or medications during treatment with TOBREX ophthalmic unless otherwise directed by your doctor.

Drugs other than those listed here may also interact with TOBREX ophthalmic. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Proper Use of this medication

Use TOBREX ophthalmic eyedrops or ointment exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Wash your hands before using your eyedrops or ointment.

To apply the eyedrops:

  • Shake the drops gently to be sure the medicine is well mixed. Tilt your head back slightly and pull down on your lower eyelid. Position the dropper above your eye. Look up and away from the dropper. Squeeze out a drop and close your eye. Apply gentle pressure to the inside corner of your eye (near your nose) for about 1 minute to prevent the liquid from draining down your tear duct. If you are using more than one drop in the same eye, repeat the process with about 5 minutes between drops. If you are using drops in both eyes, repeat the process in the other eye.

To apply the ointment:

  • Hold the tube in your hand for a few minutes to warm it up so that the ointment comes out easily. Tilt your head back slightly and pull down gently on your lower eyelid. Apply a thin film of the ointment into your lower eyelid. Close your eye and roll your eyeball around in all directions for 1 to 2 minutes. If you are applying another eye medication, allow at least 10 minutes before applying the other medication.

Do not touch the dropper or tube opening to any surface, including your eyes or hands. The dropper or tube opening is sterile. If it becomes contaminated, it could cause an infection in the eye.

Do not use any eyedrop that is discolored or has particles in it.

Store TOBREX ophthalmic at room temperature away from moisture and heat. Keep the bottle or tube properly capped.

An overdose of this medication is unlikely to occur. If you do suspect an overdose or if the medication has been ingested, call an emergency room or poison control center for advice.

Apply the missed dose as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the missed dose and apply the next one as directed. Do not use a double dose of this medication.

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Tofranil (Imipramine Hydrochloride)

Author , posted on June 23, 2017

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Tofranil

Imipramine Hydrochloride

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Imipramine (Generic)

Imipramine Hydrochloride

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Imipramine (Generic)

Imipramine Hydrochloride

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Tofranil (imipramine) Dosage and Side Effects

TOFRANIL is the generic name of a prescription drug used to treat depression. It may also be prescribed off-label as a non-narcotic medicine to relieve chronic pain.

Warnings and Precautions

Like all antidepressants, TOFRANIL carries a black-box warning because some people may become severely depressed and suicidal while taking the drug.

Talk to your doctors about the risks of suicide ideation before taking TOFRANIL or any other antidepressant.

You shouldn't take TOFRANIL if:

  • You're allergic to TOFRANIL or any of the drug's inactive ingredients
  • You just had a heart attack

Ask your doctor about TOFRANIL if you:

  • Have glaucoma or other issues with increased pressure in the eye
  • Have seizures
  • Suffer from hormonal disorders like diabetes or thyroid disease
  • Have Parkinson's disease
  • Have mood disorders, like schizophrenia or bipolar disorder
  • Live in an extremely warm climate
  • Have heart conditions, including congestive heart failure (CHF) or a slow or irregular heartbeat
  • Just had a heart attack
  • You're younger than 25 or older than 65

Also, don't expect to notice a big difference in your mood when you first start taking TOFRANIL. 

Regardless of the dose prescribed, TOFRANIL — like most antidepressants — can take up to three or four weeks before you either notice a change or see the maximum effect of the dose you're taking. 

Side Effects

Common Side Effects of TOFRANIL

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

  • Difficulty sleeping
  • Weakness
  • Confusion
  • Dry mouth
  • Increased appetite
  • Nausea, vomiting
  • Constipation
  • Racing or fast heartbeat
  • Rash or itching
  • Blurry vision
  • Sweatiness

Serious Side Effects of TOFRANIL

You should stop using this medicine and call your doctor if you experience any of the following serious side effects:

  • Dizziness upon standing, fainting
  • Stroke, heart attack, or changes in heart rhythm
  • Seizures
  • Parkinson's-like signs, such as hand tremors, pill-rolling of the hands, or dragging of the feet
  • Blood abnormalities, like low white blood cell count and low levels of platelets, white blood cells, and red blood cells
  • Suicidal thoughts
  • Syndrome of inappropriate antidiuretic hormone (SIADH)

Interactions with this medication

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

Don't take TOFRANIL if you are taking the following drugs:

  • KlorCon (potassium phosphate)
  • Drugs for bowel preparation, like potassium phosphate or potassium citrate
  • Flumazenil
  • Drugs for irregular heartbeat like dronedarone, Norpace or Norpace CR (disopyramide), and procainamide
  • Parnate (tranylcypromine)
  • Zyvox (linezolid)
  • Emsam (selegiline transdermal)

Like most TCAs, TOFRANIL interacts with many drugs, so please discuss any concerns with your doctor or pharmacist before taking it.

Other drugs that interact with TOFRANIL include:

  • Cordarone, Nexterone, or Pacerone (amiodarone)
  • Drugs for irregular heartbeat, like Tikosyn (dofetilide), dobutamine, and Betapace or Betapace AF (sotalol)
  • Tagamet (cimetidine)
  • Ephedra and ephedrine
  • Epi-Pen, Epi-Pen, Jr. (epinephrine)
  • Methadose and Dolophine (methadone)
  • Biaxin (clarithromycin)

TOFRANIL and Alcohol

Impramine and alcohol can both cause dry mouth, dry eyes, dizziness, and confusion.

Drinking alcohol while taking TOFRANIL may worsen these side effects, so you might want to avoid, or at least limit, alcohol while taking TOFRANIL.

TOFRANIL and Grapefruit Juice

Try to avoid eating grapefruit and drinking grapefruit juice while taking TOFRANIL.

Grapefruit juice slows down how quickly the body is able to break down the TOFRANIL, which could cause TOFRANIL levels in the blood to rise dangerously high.

Proper Use of this medication

Generic imipramine is available in tablet form in the same doses as those found in TOFRANIL and TOFRANIL PM.

The brand name TOFRANIL comes in 10 milligram (mg), 25 mg, and 50 mg tablets, while the injection comes in vials containing 12.5 mg of TOFRANIL per milliliter of liquid (12.5 mg/ml).

Generic imipramine for injection is no longer available.

TOFRANIL -PM tablets come in strengths of 75 mg, 100 mg, 125 mg, and 150 mg.

The dose of TOFRANIL varies based on the condition your doctor is treating.

For depression, your doctor may start you at a dose ranging anywhere from 25 mg to 75 mg a day for 3 to 4 days, and slowly increase the dose based on how you respond to treatment.

Unless your doctor has told you otherwise, you shouldn't take more than 300 mg of TOFRANIL a day. 

People 65 and older generally shouldn't take more than 100 mg of TOFRANIL a day. 

Higher doses of TOFRANIL may cause confusion, bladder problems, loss of balance, and possibly increase the risk of falling in people ages 65 and over. 

If your doctor prescribes TOFRANIL for pain management, your doctor will determine how much you should take based on your weight and other factors. 

Still, you shouldn't take more than 300 mg of TOFRANIL day.

TOFRANIL Overdose

If you think you or someone else might have overdosed on TOFRANIL, contact an emergency room at 911 or a poison control center.

Missed Dose of TOFRANIL   

If you miss a dose of TOFRANIL, try to take it as soon as you remember.

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

Don't take extra doses to make up for a missed one.

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Cambia (Diclofenac Potassium)

Author , posted on June 23, 2017

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Cambia Solution

Diclofenac Potassium

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Buy Cambia Online from PricePro Pharmacy

Are you worried about the exorbitant drug prices in the US and wish to lower your spending, while still getting the same quality drug? If yes, PricePro Pharmacy is the place for you. 

We offer you the same brand and generic name medicines that you would find in your US pharmacy and charge 70-80% less. 

You can place an order online through our user-friendly website or by calling 1-855-776-0079 and speaking to a knowledgeable customer service agent.  We also have a live chat feature for instant messaging with our customer support team.

Please note a Cambia prescription is required to be submitted in order to process your order. 

The prescription (Rx) can be uploaded to your online account or you can email it to us at [email protected] or faxed to 1-855-776-006. If you need, we can ask your doctor to send us a new prescription if you provide the doctor contact details in your order notes when placing the order.

prescription drugs

What Cambia dosages are available?

The following dosage is available to order:

  • Cambia 50mg Solution

This medication comes in pack size of 9 packets of 50mg each, so 450mg of medication per pack. It is manufactured by Tribute Pharmaceutical Canada Inc. and dispensed from our Canadian pharmacy.

You can select the dosage box above to view more product details.

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How much does Cambia cost?

At PricePro Pharmacy the low cost of Cambia is:

  • $122.00 for 9 packets of 50mg (1 box)

While, the average retail price of Cambia 50mg in the United States is:

  • $919.00 for 9 packets of 50mg

You can save up to 87% ($797.00) when  you order your Cambia medication from PricePro Pharmacy.  This price is available without coupons or insurance coverage. 

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

 

Canadian Pharmacy Coupon

Is a Cambia coupon Available?

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

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

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

Please note that these coupon codes are one-time use only for new customers and cannot be combined with other coupons/offers.

 

Generic Drug Bottle

Is there a Cambia generic available?

Currently, no generic for Cambia is available on the market.

prescription delivery

How long will it take for your order to arrive?

The estimated shipping time for your order is:

  • 7 to 10 business days (Product of Canada)

We charge a standard shipping fee of $9.95 per order. Since this product is shipped from Canada it does qualify for express shipping option at a cost of $25.00 per order. The express shipments take about 3 to 5 business days to arrive once shipped.

Once your medication ships, you will receive an email updating you with the tracking details of your order.

online prescription refill

How to refill your prescription?

Do you ever find yourself thinking you're forgetting something but can’t quite piece it together, well with our friendly refill reminders you won’t have to worry about missing a dose.

We offer a prescription refill reminder service where we send you an email or call you, informing you about the optimal time of placing a new order all while taking in account shipping times.

You can view your prescription details and order history online. Also, for placing a reorder online, simply sign into your online user account and click reorder. If your prescription is valid, you do not need to upload a new one. If not, we will require a newly issued prescription to process your order.

We pride ourselves on our excellent customer service. If you have any questions you connect with our live chat or directly call us toll-free at 1-855-776-0079.

Cambia (Diclofenac Potassium) Medication Information

Uses

Cambia is a non-steroidal anti-inflammatory drug (NSAID) indicated for the acute treatment of migraine attacks with or without aura in adults 18 years of age or older.

Dosage

The soluble powder is available in 50 mg single packet doses. 

Side Effects

The most common side effects of Cambia include:

  • Nausea
  • Dizziness
  • Urticaria
  • Flushing 

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

Precautions

Hepatotoxicity: Inform patients of warning signs and symptoms of hepatotoxicity. Discontinue if abnormal liver tests persist or worsen or if clinical signs and symptoms of liver disease develop.

Hypertension: Patients taking some antihypertensive medications may have impaired response to these therapies when taking NSAIDs. Monitor blood pressure.

Heart Failure and Edema: Avoid use of Cambia in patients with severe heart failure unless benefits are expected to outweigh risk of worsening heart failure.

Renal Toxicity: Monitor renal function in patients with renal or hepatic impairment, heart failure, dehydration, or hypovolemia. Avoid use of Cambia in patients with advanced renal disease unless benefits are expected to outweigh risk of worsening renal function.

Anaphylactic Reactions: Seek emergency help if an anaphylactic reaction occurs.

Exacerbation of Asthma Related to Aspirin Sensitivity: Cambia is contraindicated in patients with aspirin-sensitive asthma. Monitor patients with preexisting asthma (without aspirin sensitivity).

Serious Skin Reactions: Discontinue Cambia at first appearance of skin rash or other signs of hypersensitivity.

Medication Overuse Headache: Detoxification may be necessary. 

Hematologic Toxicity: Monitor hemoglobin or hematocrit in patients with any signs or symptoms of anemia.

Interactions

Some of the common drug interactions with Cambia:

  • Warfarin
  • SSRIs
  • SNRIs
  • Aspirin
  • ACEi
  • ARBs
  • Diuretics
  • Digoxin

Speak with your doctor or pharmacist for more information. 

Storage

Store at controlled room temperature (59º–86ºF). 

Pharmacist Tips

  • Use the lowest effective dose for the shortest duration consistent with individual patient treatment goals. The safety and effectiveness of a second dose have not been established.
  • Do not use liquids other than water.
  • Do not use if allergic to NSAIDs

Cambia FAQs

Can I take this with food?

Taking Cambia with food may cause a reduction in effectiveness compared to taking Cambia on an empty stomach.

 

Can I take this if I am pregnant?

Based on animal data, may cause fetal harm. Based on human data, starting at 30 weeks gestation, Cambia should be avoided as premature closure of the ductus arteriosus in the fetus may occur

 

Can I take this while breastfeeding?

Use with caution, as it is not known if diclofenac is excreted in human milk.

 

How do I take Cambia?

Administer one packet (50 mg) of Cambia for the acute treatment of migraine. Empty the contents of one packet into a cup containing 1 to 2 ounces or 2 to 4 tablespoons (30 to 60 mL) of water, mix well and drink immediately.

 

Can I take Cambia to prevent a migraine?

Cambia is not indicated for the prophylactic therapy of migraine.

 

Can Cambia be used in cluster headaches?

The safety and effectiveness of Cambia have not been established for cluster headache, which is present in an older, predominantly male population.

Related Drugs

Reference:

Cambia {package insert}. Newark, CA: Depomed, Inc; 2015.

https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/022165s012lbl.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.

Emla Patches (Prilocaine/Lidocaine)

Author , posted on June 23, 2017

Category:


Emla Patches

Lidocaine, Prilocaine Hydrochloride

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Lidocaine/Prilocaine (Generic)

Lidocaine, Prilocaine Hydrochloride

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Emla Patches (Prilocaine/Lidocaine) Dosage and Side Effects

This medication is a patch that contains 2 amide-type anesthetics for numbing a small area, lidocaine and prilocaine. It is used on normal, unbroken skin to prevent pain before certain procedures such as inserting a needle for injections or drawing blood. It is also used before certain vaccinations (measles/mumps/rubella-MMR, diphtheria/pertussis/tetanus/poliovirus-DPTP, H. influenzae b, hepatitis B). It works by temporarily numbing the skin and surrounding area.

Proper Use of this medication

This medicine comes with a Patient Information Leaflet. Read it carefully for instructions on how to use this product. Ask your doctor, nurse, or pharmacist any questions that you may have about this medicine.

Clean and dry the skin before applying the patch. Peel away the protective liner and place the disc on the procedure site, usually 1 hour before the procedure or as directed by your doctor. Do not touch the white round part that contains the medication. Firmly press down on the edges of the patch to make sure it is well attached. Gently press on the center of the patch. Using a ballpoint pen, mark on the patch the time it was placed.

Remove the patch and clean the area thoroughly, usually shortly before the procedure or as directed by your doctor. The length of time for the medication to stay on the skin depends on your age and the type of procedure you are having. Do not leave it in place for longer than directed since the chance for side effects may be increased. Carefully fold the patch in half with the sticky sides together and discard out of reach of children and pets. Do not re-use the patch. Wash hands immediately after use unless you are treating an area on the hands.

This patch may be harmful if placed in the mouth or swallowed. If you are applying this product on a child, make sure the patch stays in place and that your child does not put the patch in his/her mouth. You may want to use a second covering to prevent the child from touching the patch.

Use this medication only on normal, intact skin. Do not use on open wounds/cuts/scrapes/burns/rashes (including diaper rash) or mucous membranes. Do not use this product in the ears or near the eyes. Avoid getting the product in your eyes, nose, ears, or mouth. If this medication gets in the eyes, rinse the affected eye right away and completely with water or saline. Numbness in the eye can lead to injury because you cannot feel particles in the eye or other dangers. Therefore, protect the eye until feeling returns.

The numbing effect should start within 1 hour. The area may be numb for several hours after removing the patch. Protect the area from injury. Be careful not to bump, rub, or scratch the area or expose it to heat/cold until feeling returns.

 

Warnings and Precautions

Before using this product, tell your doctor or pharmacist if you are allergic to lidocaine or prilocaine; or to any other amide anesthetics (e.g., bupivacaine); 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.

This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: certain blood disorder (methemoglobinemia), an infant younger than 1 year who is being treated with medication that can cause methemoglobinemia (see Drug Interactions section).

Before using this medication, tell your doctor or pharmacist your medical history, especially of: certain blood disorder (G6PD deficiency, especially in children), heart disease (e.g., irregular heartbeat), kidney disease, liver disease, skin problems (e.g., infection, dermatitis, eczema).

If you are going to have an MRI test, tell testing personnel that you are using this patch. Some patches may contain metals that can cause serious burns during an MRI. Ask your doctor whether you will need to remove your patch before the test and apply a new patch afterward, and how to do so properly.

Caution is advised when using this drug in the elderly because they may be more sensitive to the effects of the drug, especially dizziness.

Caution is advised when using this drug in children, especially if your child is younger than 3 months or small for their age. These children are at greater risk for a certain rare blood problem (methemoglobinemia). Contact the doctor right away in the unlikely event your child has symptoms such as pale/bluish skin around the mouth/lips or fast heartbeat. The risk for serious side effects (including methemoglobinemia) is increased if this medication is applied for too long or too often or if too many patches are used in young children.

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

Lidocaine passes into breast milk. It is unknown if prilocaine passes into breast milk. Consult your doctor before breast-feeding.

Side Effects

Redness, swelling, tingling, burning, or lightening of the skin may occur. If any of these effects persist or worsen, tell 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 you develop: blistering of the skin where the patch is applied.

Remove the patch and get medical help right away if any of these rare but very serious side effects occur: slow/shallow breathing, pale/bluish skin around the mouth/lips/fingernails, dizziness, fainting, fast/slow/irregular heartbeat, mental/mood changes (such as confusion, nervousness), seizure, severe drowsiness.

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.

Interactions with this medication

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

Some products that may interact with this drug include: drugs that may rarely cause a certain blood disorder called methemoglobinemia (e.g., acetaminophen, benzocaine, phenobarbital, antimalarials such as chloroquine/primaquine/quinine, nitrates such as nitroglycerin, certain antibiotics such as sulfonamides/nitrofurantoin/dapsone).

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Emla Cream (Prilocaine/Lidocaine)

Author , posted on June 23, 2017

Category:


Emla Cream

Lidocaine, Prilocaine Hydrochloride

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Emla Cream

Lidocaine, Prilocaine Hydrochloride

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Lidocaine/Prilocaine (Generic)

Lidocaine, Prilocaine Hydrochloride

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Emla Cream (Prilocaine/Lidocaine) Dosage and Side Effects

EMLA Cream is used to create a temporary loss of feeling or numbness of the skin.

Warnings and Precautions

Serious Warnings and Precautions

EMLA Cream is for use on healthy, unbroken skin. Do not apply to open wounds, nor to burns or rashes or other skin conditions, including diaper rash.

BEFORE you use EMLA Cream talk to your doctor or pharmacist if:

  • you/your child have glucose-6-phosphate dehydrogenase deficiency;
  • you/your child have ever had a bad, unusual or allergic reaction to lidocaine or prilocaine, also available under brand names such as Xylocaine (lidocaine) and Citanest (prilocaine);
  • you think you/your child may be sensitive or allergic to other ingredients of the cream or Tegaderm dressing
  • there is an infection, skin rash or cut at, or near, the area where you want to apply EMLA Cream;
  • you/your child have atopic dermatitis, eczema or any other skin problems or diseases;
  • you/your child have severe kidney or liver disease
  • you are pregnant, trying to become pregnant or are breast-feeding;
  • you would like to use EMLA Cream prior to treatment of a leg ulcer(s);
  • you would like to use EMLA Cream on the genital area of children.

Side Effects

Serious Warnings and Precautions

EMLA Cream is for use on healthy, unbroken skin. Do not apply to open wounds, nor to burns or rashes or other skin conditions, including diaper rash.

BEFORE you use EMLA Cream talk to your doctor or pharmacist if:

  • you/your child have glucose-6-phosphate dehydrogenase deficiency;
  • you/your child have ever had a bad, unusual or allergic reaction to lidocaine or prilocaine, also available under brand names such as Xylocaine (lidocaine) and Citanest (prilocaine);
  • you think you/your child may be sensitive or allergic to other ingredients of the cream or Tegaderm dressing
  • there is an infection, skin rash or cut at, or near, the area where you want to apply EMLA Cream;
  • you/your child have atopic dermatitis, eczema or any other skin problems or diseases;
  • you/your child have severe kidney or liver disease
  • you are pregnant, trying to become pregnant or are breast-feeding;
  • you would like to use EMLA Cream prior to treatment of a leg ulcer(s);
  • you would like to use EMLA Cream on the genital area of children.

Interactions with this medication

Tell your doctor or pharmacist about any other drugs you take or have recently taken, including the ones you can buy without a prescription, including:

  • antiarrhythmic drugs for heart problems (e.g. mexilitine, amiodarone);
  • other anesthetics;
  • other drugs which may trigger methomoglobin formation, including: sulfonamides, acetanilide, aniline dyes, benzocaine (or other “-caine” type anesthetics), chloroquine, dapsone, naphthalene, nitrates or nitrites, nitrofurantoin, nitroglycerin, nitroprusside, pamaquine, para-aminosalicylic acid, phenacetin, phenobarbital, phenytoin, primaquine, quinine and high doses of acetaminophen.

Proper Use of this medication

Usual dose:

If your doctor tells you to use EMLA Cream, follow your doctor's instructions for use. In any other situation, follow the directions below.

Do not put EMLA Cream near the eyes, as it may cause some irritation. If you accidentally get EMLA in the eye, rinse it well with lukewarm water and protect it until sensation returns.

Do not apply EMLA Cream inside the ear. Do not put EMLA Cream in the mouth, or swallow it. If EMLA Cream is accidentally swallowed, call your doctor.

Do not re-use EMLA Cream dressings once applied.

The numbing effect of EMLA starts working about 1 hour after it is applied. You may still feel pressure and touch in the area where you apply EMLA. The numbness of the skin may continue to increase after the cream is removed, and will last for at least 2 hours following a 1-2 hour application.

If you feel that the effect of EMLA Cream is too strong or too weak, tell your doctor or pharmacist.

Conditions where adjustments in dose may be required

  • elderly patients
  • acutely ill patients
  • patients with severe liver disease
  • patients with severe kidney disease
  • patients also treated with other anesthetics or certain antiarrhythmic drugs (e.g. mexilitine, amiodarone)
  • patients with skin conditions such as atopic dermatitis or molluscum contagiosum

EMLA should be used with caution in these patients, who may be more sensitive to the effects of lidocaine and prilocaine.

Talk to your doctor if you have skin problems such as atopic dermatitis or eczema.

Adults:

Be careful to apply no more than the maximum recommended dose of EMLA Cream.

Serious and life threatening side effects have occurred when EMLA Cream was used on large areas of skin for topical analgesia during cosmetic procedures.

Dosage of EMLA Cream on Healthy Skin:

For minor procedures on skin such as surgical treatment of lesions or when getting a needle or having blood taken, apply a thick layer of cream, about half of a 5 g tube (2 g), on an area slightly larger than a two dollar coin or “toonie”. After covering EMLA Cream with an air-tight dressing, leave on for at least 1 hour. It is important to cover EMLA Cream with an air-tight dressing to ensure that the cream penetrates the skin properly and numbness of the area is felt.

Your doctor may use EMLA Cream on larger areas for such procedures as split-skin grafting. If you are instructed by the doctor to apply EMLA Cream yourself for this procedure, apply a thick layer of cream to the area to be treated (about 1.5 to 2 g/10 cm2; 1.5 to 2 g is about half of a 5 g tube; a 10 cm2 area is a little larger than the size of a two dollar coin or "toonie"). Make sure your doctor has clearly explained the size of the area to be treated. Leave the EMLA Cream on for at least 2 hours.

You will not get any added benefit from leaving EMLA Cream on for longer than 5 hours.

1 g of EMLA Cream administered from the 30 g aluminium tube is equivalent to a ribbon of cream of approximately 3.5 cm (or approximately 1.5 inches).

Dosage of EMLA Cream on Leg Ulcers:

Talk to your doctor before using EMLA Cream on leg ulcers.

For topical anesthesia before cleansing of leg ulcer(s), apply a thick layer of EMLA Cream over the leg ulcer(s), about 1 to 2 g/10 cm2 (a little larger than the size of a two dollar coin or "toonie"). Use no more than 10 g (two 5 g tubes).

After covering EMLA Cream with an air-tight dressing, leave on the leg ulcer for at least 30 minutes. Leaving EMLA Cream on for 60 minutes may improve the anesthesia. The cleansing of the leg ulcer should begin within 10 minutes after removing the cream.

When used on leg ulcers, discard the tube of EMLA Cream with any remaining contents after each treatment.

Dosage of EMLA Cream on Genital Mucosa:

Talk to your doctor before using EMLA Cream on the genital mucosa. For best results, do not apply EMLA Cream on the genital mucosa until you are with your doctor.

For needle insertion, use half of a 5 g tube (2 g) at the selected site before the procedure.

For the surgical treatment of small lesions, such as the removal of genital warts or when having a biopsy, use about half of a 5 g tube (2 g) per lesion 5 to 10 minutes before the procedure.

You do not need an airtight dressing when using EMLA Cream on the genital mucosa. Your doctor should begin the surgical procedure immediately after removing the cream.

Pediatrics:

Be careful to apply no more than the maximum recommended dose of EMLA Cream.

Children should be closely observed during and after use of topical anesthetics, as they are at greater risk than adults for serious side effects, such as methemoglobinemia (a blood disorder that causes the skin, especially around lips and nails, to turn brownish or greyish).

For children under the age of 6: take care not to apply more EMLA Cream or give it more frequently than the doctor recommended. Please make sure that your child does not ingest any of the cream.

When using EMLA Cream for your child's pain relief, remember it is also very important to provide comfort and emotional support.

For minor skin procedures. It is important to cover EMLA Cream with an air-tight dressing to ensure that the cream penetrates the skin properly and numbness of the area is felt.

In children, EMLA Cream should only be applied to healthy, unbroken skin.

Do not apply EMLA Cream to infants under 3 months of age unless a doctor tells you to do so. Infants under 3 months of age are at a higher risk than older children for methemoglobinemia. This is a condition in which there is not enough oxygen in the blood, and it can be caused by an overdose of EMLA.

Neonates Under the Age of 3 Months (ONLY IF INSTRUCTED BY A DOCTOR):

Apply up to 1 g of cream on a skin area not larger than 10 cm2 (a little larger than the size of a two dollar coin or “toonie”). After covering EMLA Cream with an air-tight dressing, leave on for 1 hour. DO NOT LEAVE EMLA ON THE SKIN FOR LONGER THAN 1 HOUR.

Infants Between 3 and 12 Months of Age:

Apply up to 2 g of cream on a total skin area not larger than 20 cm2 (a little larger than the size of a credit card). After covering EMLA Cream with an air-tight dressing, leave on for at least 1 hour. Do not leave on the skin for more than 4 hours.

Children Between 1-6 Years:

Apply up to 10 g of cream on a total skin area not larger than 100 cm2 (a little larger than the size of two credit cards). After covering EMLA Cream with an air-tight dressing, leave on for at least 1 hour. Do not leave on the skin for more than 5 hours.

Children Between 7-12 Years:

Apply up to 20 g of cream on a total skin area not larger than 200 cm2 (a little larger than a standard postcard). After covering EMLA Cream with an air-tight dressing, leave on for at least 1 hour. Do not leave on the skin for more than 5 hours.

Overdose:

In case of EMLA overdose or if you think you, or anyone else, are experiencing any of the side effects described below or methemoglobinemia, contact your doctor, hospital emergency department or regional Poison Control Centre immediately. You may require medical attention.

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Xylocaine Viscous (Lidocaine)

Author , posted on June 23, 2017

Category:


Xylocaine (Lidocaine) Dosage and Side Effects

XYLOCAINE relieves pain when applied to the skin via cream, gel, or patch.

XYLOCAINE can also be given through the veins before surgical procedures to numb the surrounding area where medication is being administered and to help with irregular heartbeat.

Warnings and Precautions

You should not take XYLOCAINE if you have any of the following:

  • Heart conditions like Adams-Stokes syndrome or heart blocks without a pacemaker
  • Congestive heart failure (CHF) or heart shock

Talk to your doctor before taking XYLOCAINE if you are taking drugs called beta-blockers, including Inderal (propranolol), Bystolic (nebivolol), Lopressor (metoprolol tartrate), and Toprol XL (metoprolol succinate).

To date, whether XYLOCAINE can help prevent a heart attack remains much-debated. If you have any concerns about this issue, talk to your doctor.

XYLOCAINE Warnings

In 2014, the Food and Drug Administration (FDA) issued a black-box warning for XYLOCAINE because of its danger in small children.

The FDA warns that XYLOCAINE should not be used to relieve tooth pain in teething babies, because XYLOCAINE is easily absorbed into the bloodstream and may cause death.

Pregnancy and XYLOCAINE

XYLOCAINE is an FDA Pregnancy Category B drug, which means it is generally safe to use during pregnancy because there is low risk of harm for your developing baby.

Regardless, you should tell your doctor if you are pregnant or plan to become pregnant before taking this medication.

You should also alert your physician if you are breastfeeding or plan to breastfeed before using XYLOCAINE.

Side Effects

Common Side Effects of XYLOCAINE

  • High blood pressure
  • Swelling or swelling or redness of the skin at the site of injection if receiving XYLOCAINE via injection into the veins
  • Constipation, nausea, and/or vomiting
  • Confusion, dizziness, headache, funny feeling or tingling in the toes, fingers, or hands

Serious Side Effects

  • Changes in heart rhythm
  • Methemoglobinemia, a very rare-yet-serious blood disorder caused by the blood not being able to carry as much oxygen as it normally would
  • A condition called malignant hyperthermia where body temperature can rise as high as 113 degrees Fahrenheit with fever, sweating, racing, heartbeat, muscle pain
  • Seizures
  • Anaphylaxis, a sudden, severe, and life-threatening allergic reaction where your tongue and throat swell, your throat may close, you break out in hives, your blood drops to a dangerously low level, and you have trouble breathing

Rare Side Effects

XYLOCAINE may cause some unpredictable side effects including baldness and dizziness.

Interactions with this medication

It is always important to share with your doctor and pharmacist all prescription, non-prescription, illegal, recreational, herbal, nutritional, or dietary drugs you're taking.

You should not take XYLOCAINE if you are taking the following drugs:

  • Exparel (bupivacaine liposome)
  • Tikosyn (dofetilide)
  • Cerdelga (eliglustat)
  • Juxtapid (Lomitapide)

Talk to your doctor first about taking XYLOCAINE if you are taking any of the following:

  • Inlyta (axitinib)
  • Bosulif (bosutinib)
  • Luvox (fluvoxamine)
  • Lexiva (fosamprenavir)
  • Kalydeco (Ivacaftor)
  • Mefloquine
  • Dilantin (phenytoin)
  • Orap (pimozide)
  • Pomalyst (pomalidomide)

XYLOCAINE and Alcohol

Since there is a possibility that XYLOCAINE may enter the bloodstream when using the patch or the cream forms, people wearing the patch, and those undergoing surgeries and other procedures for which they receive XYLOCAINE, should avoid drinking.

XYLOCAINE and Grapefruit Juice

XYLOCAINE may interact with grapefruit juice, so for best results, avoid drinking grapefruit juice while taking XYLOCAINE.

Proper Use of this medication

Apply XYLOCAINE patches directly to the affected area and leave it on for 12 hours. Then remove the patch and wait 12 hours before applying a new patch.

XYLOCAINE is also available over-the-counter in creams for pain relief or in combination with other medications via prescription.

XYLOCAINE solution for injection should only be administered by appropriate medical professionals.

XYLOCAINE Overdose

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

Missed Dose of XYLOCAINE

If you miss a dose of XYLOCAINE, try to take it as soon as you remember.

However, if it is almost time for the next dose, skip the missed dose and resume your regular dosing schedule. Don't double up to make up for a missed dose.

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