Desowen Ointment (Desonide)

Author , posted on June 21, 2017

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Desonide Oinment (Generic)

Desonide

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Desowen (Desonide) Dosage and Side Effects

DESOWEN is used to treat the inflammation and itching caused by a number of skin conditions such as allergic reactions, eczema, and psoriasis.

Warnings and Precautions

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

  • any type of skin infection.

Also tell your doctor if you have diabetes. Steroid medicines may increase the glucose (sugar) levels in your blood or urine. You may also need to adjust the dose of your diabetes medications.

It is not known whether DESOWEN topical will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medicine.  It is not known whether DESOWEN topical passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

DESOWEN topical is not approved for use by anyone younger than 18 years old. Children can absorb larger amounts of this medication through the skin and may be more likely to have unwanted side effects.

Side Effects

Topical steroid medicine can be absorbed through the skin, which may cause steroid side effects throughout the body. Stop using DESOWEN topical and call your doctor if you have:

  • blurred vision, or seeing halos around lights;
  • uneven heartbeats;
  • sleep problems (insomnia);
  • weight gain, puffiness in your face; or
  • tired feeling.

Also stop using DESOWEN topical and call your doctor at once if you have:

  • severe skin redness where the medicine was applied; or
  • signs of skin infection (swelling, redness, warmth, oozing).

Common side effects may include:

  • stinging or burning of treated skin;
  • skin itching or irritation;
  • dry, scaly, or peeling skin;
  • acne, skin rash;
  • stretch marks;
  • lightened color of treated skin; or
  • folliculitis (redness or crusting around your hair follicles).

Interactions with this medication

Avoid getting this medicine in your eyes. If contact does occur, rinse with water. Do not use DESOWEN topical on broken or infected skin. Also avoid using this medicine in open wounds.  Do not use DESOWEN topical to treat any condition that has not been checked by your doctor.

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

Proper Use of this medication

This medicine is usually applied 2 or 3 times daily. Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.

Do not take by mouth. DESOWEN topical is for use only on the skin.

Wash your hands before and after using DESOWEN topical, unless you are using the medicine to treat the skin on your hands.  Apply a small amount to the affected area and rub it gently into the skin. Do not apply DESOWEN topical over a large area of skin.  Do not cover the treated skin area unless your doctor tells you to.

Use DESOWEN topical regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.  Call your doctor if your skin condition does not improve after 2 weeks of treatment, or if it gets worse while using DESOWEN topical.

An overdose of DESOWEN topical is not expected to produce life threatening symptoms. However, long term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.

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

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Desowen Lotion (Desonide)

Author , posted on June 21, 2017

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Desowen Lotion

Desonide

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Desowen (Desonide) Dosage and Side Effects

DESOWEN is used to treat the inflammation and itching caused by a number of skin conditions such as allergic reactions, eczema, and psoriasis.

Warnings and Precautions

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

  • any type of skin infection.

Also tell your doctor if you have diabetes. Steroid medicines may increase the glucose (sugar) levels in your blood or urine. You may also need to adjust the dose of your diabetes medications.

It is not known whether DESOWEN topical will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medicine.  It is not known whether DESOWEN topical passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

DESOWEN topical is not approved for use by anyone younger than 18 years old. Children can absorb larger amounts of this medication through the skin and may be more likely to have unwanted side effects.

Side Effects

Topical steroid medicine can be absorbed through the skin, which may cause steroid side effects throughout the body. Stop using DESOWEN topical and call your doctor if you have:

  • blurred vision, or seeing halos around lights;
  • uneven heartbeats;
  • sleep problems (insomnia);
  • weight gain, puffiness in your face; or
  • tired feeling.

Also stop using DESOWEN topical and call your doctor at once if you have:

  • severe skin redness where the medicine was applied; or
  • signs of skin infection (swelling, redness, warmth, oozing).

Common side effects may include:

  • stinging or burning of treated skin;
  • skin itching or irritation;
  • dry, scaly, or peeling skin;
  • acne, skin rash;
  • stretch marks;
  • lightened color of treated skin; or
  • folliculitis (redness or crusting around your hair follicles).

Interactions with this medication

Avoid getting this medicine in your eyes. If contact does occur, rinse with water. Do not use DESOWEN topical on broken or infected skin. Also avoid using this medicine in open wounds.  Do not use DESOWEN topical to treat any condition that has not been checked by your doctor.

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

Proper Use of this medication

This medicine is usually applied 2 or 3 times daily. Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.

Do not take by mouth. DESOWEN topical is for use only on the skin.

Wash your hands before and after using DESOWEN topical, unless you are using the medicine to treat the skin on your hands.  Apply a small amount to the affected area and rub it gently into the skin. Do not apply DESOWEN topical over a large area of skin.  Do not cover the treated skin area unless your doctor tells you to.

Use DESOWEN topical regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.  Call your doctor if your skin condition does not improve after 2 weeks of treatment, or if it gets worse while using DESOWEN topical.

An overdose of DESOWEN topical is not expected to produce life threatening symptoms. However, long term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.

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

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Elavil (Amitriptyline)

Author , posted on June 21, 2017

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Elavil

Amitriptyline Hydrochloride

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Amitriptyline (Generic)

Amitriptyline Hydrochloride

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Amitriptyline (Generic)

Amitriptyline Hydrochloride

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Elavil (Amitriptyline) Dosage and Side Effects

ELAVIL is a prescription drug that's used to treat depression.ELAVIL can be used "off-label" to treat post-herpetic neuralgia (a condition that occurs after having shingles), attention deficit hyperactivity disorder (ADHD), fibromyalgia, and certain eating disorders. It may also be used to prevent symptoms of migraines.

Warnings and Precautions

The FDA requires ELAVIL to carry a black-box warning because of the risk of suicide.

In short-term studies, a small number of children, teen-agers and young adults (up to 24 years old) who took antidepressants such as ELAVIL became suicidal shortly after starting treatment.

You may have suicidal thoughts while taking an antidepressant, especially if you are younger than 24 years old.

Your family members or other caregivers should watch for changes in your mood or other symptoms.

You, a family member, or caregiver should tell your doctor right away if you experience any of the following symptoms while taking ELAVIL (especially during the first weeks of treatment or any time you change your dose):

  • Thoughts of harming or killing yourself
  • Worsening depression
  • Extreme worry or other new feelings of anxiousness
  • Agitation
  • Panic attacks
  • Difficulty falling asleep or staying asleep
  • Aggressive behavior
  • Irritability
  • Unusual restlessness
  • Unusual mood or behavior changes
  • Unusual excitement or hyperactivity
  • Agitation, hostility, or aggressiveness
  • Unusually impulsive behavior

Children under age 18 should not take ELAVIL, but in rare cases, a doctor may decide the benefits outweigh the risks.

Before having any type of surgery, you should tell your surgeon that you are taking ELAVIL.

You may also need to make a plan with the doctor who prescribed the drug to carefully taper off before surgery.

You should not stop taking ELAVIL suddenly, as you could experience withdrawal symptoms.

It may take a few weeks before you feel the full effects of this medication.

Use this drug as directed, stay in touch with your doctor during your treatment for depression, and tell your doctor if ELAVIL isn't helping after four weeks.

Before taking ELAVIL, you should tell your doctor if you have any of the following conditions:

  • Heart disease
  • A history of heart attack, stroke, or seizures
  • A history of drinking large amounts of alcohol
  • Bipolar disorder (manic depression), schizophrenia, or any other mental illness
  • Diabetes
  • Glaucoma
  • Overactive thyroid
  • An enlarged prostate
  • Urination problems

Pregnancy and ELAVIL

ELAVIL might harm an unborn baby.

Tell your doctor if you're pregnant or might become pregnant while using this medicine.

You should not breastfeed while using this drug. ELAVIL can also pass into breast milk and may harm a breastfeeding baby.

ELAVIL 'High' and Abuse

There have been some anecdotal reports that consuming larger doses of ELAVIL can lead to a "high" or hallucinations in some people.

Trying to get a high off of ELAVIL or any prescription medication is extremely dangerous and could lead to severe side effects or a life-threatening overdose.

Because of its abuse potential, and the risk of serious side effects, keep this and all medications away from children, teenagers, and anyone for whom it was not prescribed.

ELAVIL for Dogs and Cats

ELAVIL is commonly used in dogs and cats to treat behavior issues, such as separation anxiety, fear of noises, or other types of anxiousness.

The medicine requires a prescription from your pet's veterinarian, and should only be used under a veterinarian's care..

ELAVIL and Weight Gain

Weight gain is a common side effect of ELAVIL.

However, you can make adjustments to your eating habits and engage in regular physical activity to counter this effect.

ELAVIL and Sleep

ELAVIL is often used as an "off-label" treatment for insomnia.

However, some doctors believe there are safer, more effective sleep therapies available, so the drug is rarely prescribed for insomnia anymore.

Side Effects

Common Side Effects of ELAVIL

You should tell your doctor if any of the following side effects are severe or do not go away:

  • Nausea or vomiting
  • Drowsiness or tiredness
  • Nightmares
  • Excessive sweating
  • Weakness
  • Headaches
  • Dry mouth
  • Constipation
  • Difficulty urinating
  • Blurred vision
  • Pain, burning, or tingling in the hands or feet
  • Changes in sex drive or ability
  • Changes in appetite or weight
  • Confusion
  • Unsteadiness

Serious Side Effects of ELAVIL

Tell your doctor or go to an emergency room right away if you experience any of the following serious side effects:

  • Slow or difficult speech
  • Dizziness or faintness
  • Weakness or numbness of an arm or a leg
  • Crushing or heavy chest pain
  • Rapid, pounding, or irregular heartbeat
  • Severe skin rash or hives
  • Swelling of the face and tongue
  • Yellowing of the skin or eyes (jaundice)
  • Jaw, neck, and back muscle spasms
  • Uncontrollable shaking of a part of the body
  • Fainting
  • Unusual bleeding or bruising
  • Seizures
  • Hallucinations

Interactions with this medication

You should tell your doctor if you are taking a monoamine oxidase inhibitor (MAOI), such as isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), and tranylcypromine (Parnate); or if you have taken an MAOI in the past 14 days.

If you have used MAOIs recently, your doctor will probably tell you not to take ELAVIL.

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

  • Antihistamines
  • Cimetidine (Tagamet)
  • Diet pills
  • Disulfiram (Antabuse)
  • Guanethidine (Ismelin)
  • Ipratropium (Atrovent)
  • Quinidine (Quinidex)
  • Medications for irregular heartbeats such as flecainide (Tambocor) and propafenone (Rythmol)
  • Medications for anxiety, asthma, colds, irritable bowel disease, mental illness, nausea, Parkinson's disease, seizures, ulcers, or urinary problems
  • Other antidepressants
  • Phenobarbital (Bellatal, Solfoton)
  • Sedatives, sleeping pills, or any drug that makes you sleepy, including cold medicines
  • Selective serotonin reuptake inhibitors (SSRIs) such as citalopram (Celexa), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), and sertraline (Zoloft)
  • Thyroid medications
  • Tranquilizers

You should also tell your doctor if you have stopped taking fluoxetine (Prozac, Sarafem) in the past five weeks.

Your doctor may need to change the doses of your medications or monitor you carefully for side effects.

ELAVIL and Alcohol

Alcohol may block the antidepressant action of this medication and increase its sedative effect.

You should talk to your doctor about this risk.

ELAVIL and Other Interactions

ELAVIL may make you drowsy.

You should not drive, operate machinery, or perform any other activity that requires alertness until you know how this medicine will affect you.

Proper Use of this medication

ELAVIL comes in a tablet form.

The recommended dose is 100-300 milligrams (mg) for most adults, and 25 mg for elderly patients. The initial dose is typically between 50-100 mg.

This medicine can be taken with or without food.

ELAVIL Overdose

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

You can get in touch with a poison-control center.

Missed Dose of ELAVIL

If you miss a dose of ELAVIL, take it as soon as you remember, unless it's almost time for your next dose.

Then you should skip the missed dose and continue on your regular medication schedule.

Do not double up on doses to make up for a missed one.

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Desowen Cream (Desonide)

Author , posted on June 21, 2017

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Desowen Cream

Desonide

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Desonide Cream (Generic)

Desonide

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Desowen (Desonide) Dosage and Side Effects

DESOWEN is used to treat the inflammation and itching caused by a number of skin conditions such as allergic reactions, eczema, and psoriasis.

Warnings and Precautions

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

  • any type of skin infection.

Also tell your doctor if you have diabetes. Steroid medicines may increase the glucose (sugar) levels in your blood or urine. You may also need to adjust the dose of your diabetes medications.

It is not known whether DESOWEN topical will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medicine.  It is not known whether DESOWEN topical passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

DESOWEN topical is not approved for use by anyone younger than 18 years old. Children can absorb larger amounts of this medication through the skin and may be more likely to have unwanted side effects.

Side Effects

Topical steroid medicine can be absorbed through the skin, which may cause steroid side effects throughout the body. Stop using DESOWEN topical and call your doctor if you have:

  • blurred vision, or seeing halos around lights;
  • uneven heartbeats;
  • sleep problems (insomnia);
  • weight gain, puffiness in your face; or
  • tired feeling.

Also stop using DESOWEN topical and call your doctor at once if you have:

  • severe skin redness where the medicine was applied; or
  • signs of skin infection (swelling, redness, warmth, oozing).

Common side effects may include:

  • stinging or burning of treated skin;
  • skin itching or irritation;
  • dry, scaly, or peeling skin;
  • acne, skin rash;
  • stretch marks;
  • lightened color of treated skin; or
  • folliculitis (redness or crusting around your hair follicles).

Interactions with this medication

Avoid getting this medicine in your eyes. If contact does occur, rinse with water. Do not use DESOWEN topical on broken or infected skin. Also avoid using this medicine in open wounds.  Do not use DESOWEN topical to treat any condition that has not been checked by your doctor.

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

Proper Use of this medication

This medicine is usually applied 2 or 3 times daily. Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.

Do not take by mouth. DESOWEN topical is for use only on the skin.

Wash your hands before and after using DESOWEN topical, unless you are using the medicine to treat the skin on your hands.  Apply a small amount to the affected area and rub it gently into the skin. Do not apply DESOWEN topical over a large area of skin.  Do not cover the treated skin area unless your doctor tells you to.

Use DESOWEN topical regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.  Call your doctor if your skin condition does not improve after 2 weeks of treatment, or if it gets worse while using DESOWEN topical.

An overdose of DESOWEN topical is not expected to produce life threatening symptoms. However, long term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.

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

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Efudex Cream (Fluorouracil)

Author , posted on June 21, 2017

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Efudex Cream

Fluorouracil

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Efudex Cream

Fluorouracil

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Efudex Cream

Fluorouracil

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Fluorouracil (Generic)

Fluorouracil

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Efudex Cream (fluorouracil) Dosage and Side Effects

When applied to the skin, it is used to treat certain skin problems, including cancer or conditions that could become cancerous if not treated.  Efudex interferes with the growth of abnormal cells, which are eventually destroyed. 

Warnings and Precautions

Before Using EFUDEX:

For EFUDEX (fluorouracil), the following should be considered and discussed with your physician before using this medication:

Allergies:

Tell your physician if you have ever had any unusual or allergic reaction to fluorouracil or any of EFUDEX components.

Pregnancy:

Tell your physician if you are pregnant or if you intend to become pregnant. Although EFUDEX applied to the skin has not been shown to cause problems in humans, some of it is absorbed through the skin and there is a chance that it could cause birth defects. Be sure that you have discussed this with your doctor before using this medication.

Breast-feeding:

Although EFUDEX applied to the skin has not been shown to cause problems in nursing babies, some of it is absorbed through the skin.

Children:

There is no specific information comparing the use of EFUDEX on the skin in children with the use in other age groups.

Older adults:

Many medications have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults or if they cause different side effects or problems in older people. Although there is no specific information comparing the use of EFUDEX on the skin in the elderly with the use in other age groups, this medication is not expected to cause different side effects or problems in older people than it does in younger adults.

Other medical problems:

The presence of other medical problems may affect the use of EFUDEX on the skin. Make sure you tell your physician if you have any other medical problems, especially since other skin problems may be aggravated.

It is very important that your doctor checks your progress at regular visits to make sure that EFUDEX is working properly and to check for unwanted effects.

Apply EFUDEX very carefully when using it on your face. Avoid getting any into your eyes, nostrils, or mouth.

While using EFUDEX, and for 1 or 2 months after you stop using it, your skin becomes more sensitive to sunlight than usual and too much sunlight may increase the effect of EFUDEX. During this period of time:

Stay out of direct sunlight, especially between the hours of 10:00 a.m. and 3:00 p.m., if possible.

  • Wear protective clothing, including a hat and sunglasses.
  • Apply a sun block product that has a skin protection factor (SPF) of at least 15. Some patients may require a product with a higher SPF number, especially if they have a fair complexion. If you have any questions about this, check with your physician or pharmacist.
  • Do not use a sunlamp or tanning bed or booth.

If you have a severe reaction from the sun, consult with your doctor.

Side Effects

Along with its needed effects, a medication may cause some unwanted side effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if the following side effects occur: redness and swelling of normal skin.

Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medication. However, check with your doctor if any of the following side effects continue, worsen, or are bothersome: More common: burning sensation where medication is applied; increased sensitivity of skin to sunlight; oozing; skin rash; soreness or tenderness of skin. Less common or rare: darkening of skin; scaling; watery eyes.

Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.

Proper Use of this medication

Keep using EFUDEX (fluorouracil) for the full length of treatment. However, do not use EFUDEX more often or for a longer time than your doctor ordered. Apply enough medication each time to cover the entire affected area with a thin layer.

After washing the area with soap and water and drying carefully, use a cotton-tipped applicator or wear suitable gloves to apply the medication in a thin layer to your skin. EFUDEX should be applied with care near the eyes, nostrils and mouth.

EFUDEX may cause redness, soreness, scaling, and peeling of affected skin after 1 or 2 weeks of use. This effect may last for several weeks after you stop using EFUDEX and is to be expected. Sometimes a pink, smooth area is left when the skin treated with EFUDEX heals. This area will usually fade after 1 to 2 months. Do not stop using EFUDEX without first checking with your doctor. If the reaction is very uncomfortable, check with your doctor.

The dose of Efudex (fluorouracil) will vary for different patients. Follow your doctor's recommendations or the directions on the label. The following information includes only the average doses of fluorouracil. If your dose is different, do not change it unless your doctor tells you to do so.

Efudex (fluorouracil) 5 %:

Efudex is recommended for the topical treatment of premalignant keratoses and superficial basal cell carcinoma.

  • Adults: Apply 5 % cream on the affected areas of skin two times daily.

  • Children: Use and dose must be determined by your doctor.

Missed Dose:

If you miss a dose of Efudex (fluorouracil), apply it as soon as you remember. However, if more than a few hours have passed, skip the missed dose and go back to your regular dosing schedule. If you miss more than one dose, check with your doctor.

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Apidra Insulin Vial (Insulin Glulisine)

Author , posted on June 21, 2017

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Apidra Insulin Vial Dosage (Insulin Glulisine) and Side Effects

APIDRA is used to reduce high blood sugar in adults and children (6 years or older) with diabetes mellitus.

Proper Use of this medication

Usual dose:

The dosage of APIDRA should be individualized and determined based on your health professional’s advice in accordance with your needs.

APIDRA should be given by subcutaneous injection within 15 minutes before a meal or within 20 minutes after starting a meal.

Many factors may affect your usual APIDRA dose, which may include changes in your diet, activity, or work schedule. Follow your health professional’s instructions carefully. Consult your health professional if you notice your insulin requirements changing markedly. Other factors that may affect your dose of insulin or your need to do additional blood/urine testing are:

Illness:

Illness, especially with nausea and vomiting, diarrhea and/or fever, may change how much insulin you need. Even if you are not eating, you will still require insulin. You and your health professional should establish a sick day plan for you to use in case of illness. When you are sick, test your blood/urine frequently and call your health professional as instructed.

Pregnancy:

If you are planning to have a baby, are pregnant, or are nursing a baby, consult your health professional. Good control of diabetes is especially important for you and your unborn baby. Pregnancy may make managing your diabetes more difficult.

Medication:

Always discuss any medications you are taking, prescription or “over-the-counter”, with your health professional. To prevent drug interactions, volunteer the names of everything you are taking even before they ask if there have been any changes. Insulin requirements may be increased in the presence of drugs with hyperglycemic activity, such as contraceptives (for example, birth control pills, injections and patches) and hormone replacement therapies, corticosteroids, thyroid replacement therapy, and sympathomimetic agents such as decongestants and diet pills. Insulin requirements may be reduced in the presence of drugs with hypoglycemic activity, such as oral antidiabetic agents, salicylates (for example, aspirin), sulfa antibiotics, blood pressure medications including ACE inhibitors, and certain psychiatric medications including MAO inhibitors or antidepressants and anti-anxiety medications.

Substances including beta-blockers, used for conditions including blood pressure, heart arrhythmias, palpitations and headache, and alcohol may enhance or weaken the blood-glucose-lowering effect of insulins, and signs of hypoglycemia may be reduced or absent.

Exercise:

If your exercise routine changes, discuss with your health professional the possible need to adjust your insulin regimen. Exercise may lower your body's need for insulin during and for some time after the activity. As for all insulins, the rate of absorption, and consequently the onset and duration of action, may be affected by exercise and other variables.

Travel:

Consult your health professional concerning possible adjustments in your insulin schedule if you will be traveling across time zones. You may want to take along extra insulin and supplies whenever you travel.

Missed dose:

If you have missed a dose of APIDRA or if you have not injected enough insulin, your blood sugar level may become too high (hyperglycemia). Check your blood sugar frequently. Do not take a double dose to make up for a forgotten dose.

Overdose:

If you have injected too much APIDRA, your blood sugar level may become too low (hypoglycemia). Check your blood sugar frequently. In general, to prevent hypoglycemia you must eat more food and monitor your blood sugar.

Hypoglycemia may occur as a result of an excess of insulin relative to food intake, energy expenditure, or both.

In severe cases, coma, seizure and brain disorders may be seen and treated with glucagon (injected in the muscle or subcutaneous tissue) or glucose (injected in the vein).

You should continue checking your blood sugar even if you feel better because hypoglycemia may recur.

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

Side Effects

Hyperglycemia (too much glucose in the blood) may develop if your body has too little insulin.

Hyperglycemia can be brought about by:

  • intercurrent conditions (illness, stress, or emotional disturbances),
  • not taking your insulin or taking less than recommended by your health professional,
  • malfunction and/or misuse of medical devices,
  • eating significantly more than your meal plan suggests,
  • a new insulin type or schedule,
  • some new medications, including prescriptions, over-the-counter medications, herbs, vitamins and street drugs.

Symptoms of hyperglycemia include:

  • confusion or drowsiness,
  • increased thirst,
  • decreased appetite, nausea, or vomiting,
  • rapid heart rate,
  • increased urination and dehydration (too little fluid in your body),
  • blurred vision,
  • flushed dry skin,
  • acetone odour of breath.

Hyperglycemia can be mild or severe. It can progress to high glucose levels, diabetic ketoacidosis (DKA), and result in unconsciousness and death.

Diabetic ketoacidosis (DKA):

The first symptoms of diabetic ketoacidosis usually come on over a period of hours or days. With ketoacidosis, urine tests show large amounts of glucose and acetone.

Symptoms of diabetic ketoacidosis include:

First symptoms:

  • drowsiness,
  • flushed face,
  • thirst,
  • loss of appetite,
  • fruity smelling breath,
  • rapid, deep breathing,
  • abdominal (stomach area) pain.

Severe symptoms:

  • heavy breathing,
  • rapid pulse.

Prolonged hyperglycemia or diabetic ketoacidosis can lead to:

  • nausea,
  • vomiting,
  • dehydration,
  • loss of consciousness,
  • death.

Severe or continuing hyperglycemia or DKA requires prompt evaluation and treatment by your health professional.

Allergic reactions:

In rare cases, a patient may be allergic to an insulin product. Severe insulin allergies may be life-threatening. If you think you are having an allergic reaction, seek medical help immediately.

Signs of insulin allergy include:

  • a rash all over your body,
  • shortness of breath,
  • wheezing (trouble breathing),
  • a fast pulse,
  • sweating,
  • low blood pressure.

Possible reactions on the skin at the injection site:

Injecting insulin can cause the following reactions on the skin at the injection site:

  • a little depression in the skin (lipoatrophy),
  • skin thickening (lipohypertrophy),
  • redness, itching, swelling, or hemorrhage at injection site.

In some instances, these reactions may be related to factors other than insulin, such as irritants in the skin cleansing agent or poor injection technique. You can reduce the chance of getting an injection site reaction if you change the injection site each time. If you have local injection site reactions, contact your health professional.

This is not a complete list of side effects. For any unexpected effects while taking APIDRA, contact your health professional.

Interactions with this medication

Other medicines, including non-prescription medicines, and dietary supplements (such as vitamins) can change the way insulin works. Your dose of insulin or other medications may need to be changed in consultation with your healthcare professional.

Warnings and Precautions

Serious Warnings and Precautions

  • Hypoglycemia (low blood sugar) is the most common adverse effect of insulin, including APIDRA.
  • Blood glucose (blood sugar) monitoring is recommended for all patients with diabetes.
  • Uncorrected hypoglycemic (low blood sugar) or hyperglycemic (high blood sugar) reactions can cause loss of consciousness, coma, or death.
  • Any change of insulin should be made cautiously and only under medical supervision. This may result in dosage adjustment.
  • When used as a meal time insulin, the dose of APIDRA should be given within 15 minutes before or within 20 minutes after starting a meal.
  • APIDRA given by subcutaneous injection should generally be used in regimens with an intermediate or long-acting insulin. APIDRA can also be used alone in insulin infusion pump therapy to maintain adequate glucose control.
  • APIDRA can be mixed with NPH human insulin (except when administered with pump).
  • Insulin products shall not be used if it is not water-clear and colourless or if it has formed a deposit of solid particles on the wall of the vial or cartridge.

In some situations, your need in insulin may change, for example if you are stress or suffering from other illnesses (e.g. infections).

Your diabetes may also be more difficult to control if you suffer from acromegaly (too much growth hormone), Cushing’s syndrome (too much cortisol hormone), hyperthyroidism (too much thyroid hormone) or have a pheochromocytoma (tumor of the adrenal glands).

If you also take other oral drugs to reduce your blood sugar, their dose may need to be adjusted.

The use of thiazolidinediones (such as rosiglitazone and pioglitazone), alone or in combination with other antidiabetic agents (including insulin), has been associated with heart failure and swelling of the lower extremities. Please contact your physician immediately if you develop symptoms of shortness of breath, fatigue, exercise intolerance, or swelling of the lower extremities while you are on these agents.

Hypokalemia (low potassium) is a possible side effect. You might be more at risk if you are on potassium lowering drugs or losing potassium (e.g. diarrhea).

Always keep an extra supply of insulin as well as the appropriate injection supplies on hand. Always wear medical alert identification and carry information about your diabetes so that appropriate treatment can be given if complications occur away from home.

Accidental mix-ups between insulin glulisine and other insulins, particularly long-acting insulins, have been reported. To avoid medication errors between insulin glulisine and other insulins, patients should be instructed to always check the insulin label before each injection.

Your needles and syringes are only for you and must not be shared to avoid disease transmission.

BEFORE you use APIDRA talk to your health professional if:

  • you are planning to have a baby, are pregnant, or are nursing a baby;
  • you drink alcohol;
  • you are ill;
  • you exercise more than usual or if you want to change your usual diet;
  • you are traveling;
  • you drive or use tools or machine;
  • you have trouble with your kidneys or liver;
  • you are taking any other medication.

Your ability to concentrate or react may be reduced if you have hypoglycemia (low blood sugar) or hyperglycemia (high blood sugar). Please keep these possible problems in mind in all situations where you might put yourself or others at risk (for example driving a car or operating machinery).

You should contact your doctor about the advisability of driving if you have:

  • frequent episodes of hypoglycemia
  • reduced or absent warning signs of hypoglycemia.

Other related products

Dymista Nasal Spray (Azelastine/Fluticasone)

Author , posted on June 21, 2017

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Dymista Nasal Spray

Azelastine Hydrochloride, Fluticasone Propionate

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Dymista Nasal Spray

Azelastine Hydrochloride, Fluticasone Propionate

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Dymista Nasal Spray

Azelastine Hydrochloride, Fluticasone Propionate

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Azelastine Hydrochloride, Fluticasone Propionate

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Dymista Coupon

Dymista Coupon

Save $10 Now with Dymista Coupon Code DYM10

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Enter Dymista coupon code DYM10 at checkout for additional savings.

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Dymista Nasal Spray (Azelastine/Fluticasone) – Product Information

Dymista Nasal Spray is a prescription medication for the treatment of seasonal allergies. To buy Dymista Nasal Spray online simply select your quantity add the medication to your shopping cart. After you complete the checkout then you can submit your prescription by fax, email, or direct upload on our PricePro Pharmacy website.

This medication is manufactured by Mylan. We offer it in this dosage: 137ug/50ug. We have this medication available from the United Kingdom and from Canada, with an estimated shipping time of 7-10 business days for a flat shipping fee of $9.95. There are 120 doses per spray and our low Dymista prices start at $115 for one spray compared to $259 at your local US pharmacy. To start the shopping process, simply select the dosage box above and choose from a product of Canada or the UK.

What is Dymista Nasal Spray used for?

Dymista Nasal Spray is approved for treatment of seasonal allergies that affect the nasal passage. It can be used by adults and children who are at least twelve years or older.

Some people’s immune system reacts to harmless substances in a way that leads to inflammation or allergies. There are two active ingredients, fluticasone and azelastine, that are able to change the inflammation of the nasal passage. Fluticasone is a corticosteroid with anti-inflammatory effects and this makes it ideal for curing allergies.

On the other hand, azelastine is an antihistamine. It works in two different ways. First, it stops the release of histamine from the mast cells. If histamine is released still, azelastine stops it from binding to histamine receptors. Histamine causes most allergy symptoms, making azelastine blocking role extremely important.

Directions

If you have been prescribed to use this nasal spray, the recommended dosage for seasonal allergic rhinitis is just one spray in each nostril two times a day. If it is for pediatric use, Dymista should only be used by kids who six years and over.  Just like adults, they should use just one spray per nostril twice a day.

Prior to releasing the spray, shake the container gently. When using it for the first time, test the pump by spraying it at least six times or until you see a fine mist. In case you stop using your spray for two weeks, retest it in the same manner. A fine mist is a clear sign that your Dymista Nasal Spray will work effectively without causing side effects.

Ensure that you blow your nose prior to applying your daily dose. As you spray the medicine, inhale gently as you want it to reach only the inner surfaces of your nose instead of the throat and lungs. If you want to avoid nose bleeds, don’t spray this medicine toward your nasal septum. So, hold the bottle in your right hand to spray into the left nostril and vice-versa.

Side Effects

You might note some side effects. The strong ones are rare while the mild ones are likely to happen to anyone without causing them harm. Mild side effects are common too, and they include:

  • Bad taste in the mouth
  • Nose bleeding
  • Headache

Precautions

Prior to using, make sure you have a discussion with your doctor. Tell them if there are some health issues you struggle with. Let them know if you have:

  • Chickenpox
  • Measles
  • Glaucoma
  • Cataracts
  • Tuberculosis
  • Ulcers in the nose
  • Herpes sores in your eyes
  • Nasal injury or surgery

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Dyazide (Triamterene/HCTZ)

Author , posted on June 21, 2017

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Triamterene/HCTZ (Generic)

Hydrochlorothiazide, Triamterene

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Dyazide (Triamterine/HCTZ) Dosage and Side Effects

DYAZIDE is a thiazide diuretic (water pill) that helps prevent your body from absorbing too much salt, which can cause fluid retention.

DYAZIDE is used to treat fluid retention (edema) and high blood pressure (hypertension).

Warnings and Precautions

You should not use this medication if you are allergic to hydrochlorothiazide or triamterene, or if you have kidney disease, urination problems, high levels of potassium in your blood, or if you are taking other diuretics similar to triamterene. Do not use potassium supplements unless your doctor has told you to.

Before using this medication, tell your doctor if you have heart or liver disease, glaucoma, diabetes, a breathing disorder, gout, lupus, kidney stones, a pancreas disorder, or an allergy to sulfa drugs or penicillin.

Drinking alcohol can further lower your blood pressure and may increase certain side effects of DYAZIDE.

Avoid a diet high in salt. Too much salt will cause your body to retain water and can make this medication less effective.

Do not use potassium supplements, salt substitutes, or low-sodium milk while you are taking DYAZIDE, unless your doctor has told you to.

Avoid becoming overheated or dehydrated during exercise and in hot weather. Follow your doctor's instructions about the type and amount of liquids you should drink. In some cases, drinking too much liquid can be as unsafe as not drinking enough.

If you are being treated for high blood pressure, keep using this medication even if you feel fine. High blood pressure often has no symptoms.

You should not use this medication if you are allergic to hydrochlorothiazide (HCTZ, HydroDiuril, Lotensin HCT, Prinzide, Zestoretic, Ziac, and others) or triamterene (Dyrenium), or if you have:

  • kidney disease or are unable to urinate;
  • high potassium levels (hyperkalemia);
  • if you are taking diuretics similar to triamterene, such as amiloride (Midamor, Moduretic), spironolactone (Aldactone, Aldactazide); or
  • if you are taking potassium supplements (unless your doctor tells you to).

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

  • diabetes;
  • heart disease;
  • cirrhosis or other liver disease;
  • glaucoma;
  • a breathing disorder;
  • gout;
  • lupus;
  • a history of kidney stones;
  • a pancreas disorder; or
  • an allergy to sulfa drugs or penicillin.
  •  It is not known whether DYAZIDE will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.

DYAZIDE can pass into breast milk and may harm a nursing baby. You should not breast-feed while taking DYAZIDE.

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

  • eye pain, vision problems;
  • slow, fast, or uneven heartbeat;
  • feeling like you might pass out;
  • swelling or rapid weight gain;
  • urinating less than usual or not at all;
  • headache, trouble concentrating, memory problems, weakness, loss of appetite, feeling unsteady, hallucinations, fainting, seizure, shallow breathing or breathing that stops;
  • low potassium (confusion, uneven heart rate, extreme thirst, increased urination, leg discomfort, muscle weakness or limp feeling);
  • high potassium (irregular heart rate, weak pulse, muscle weakness, tingly feeling);
  • severe pain in your upper stomach spreading to your back, nausea and vomiting, fast heart rate;
  • easy bruising, unusual bleeding (nose, mouth, vagina, or rectum), purple or red pinpoint spots under your skin;
  • patchy skin color, red spots, or a butterfly-shaped skin rash over your cheeks and nose (worsens in sunlight);
  • fever, sore throat, and headache with a severe blistering, peeling, and red skin rash; or
  • jaundice (yellowing of the skin or eyes).

Less serious side effects may include:

  • mild nausea, diarrhea, constipation;
  • dizziness, headache;
  • blurred vision;
  • dry mouth;
  • skin rash.

Interactions with this medication

Drinking alcohol can further lower your blood pressure and may increase certain side effects of DYAZIDE.

Avoid a diet high in salt. Too much salt will cause your body to retain water and can make this medication less effective.

Do not use potassium supplements, salt substitutes, or low-sodium milk while you are taking DYAZIDE, unless your doctor has told you to.

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

Avoid becoming overheated or dehydrated during exercise and in hot weather. Follow your doctor's instructions about the type and amount of liquids you should drink. In some cases, drinking too much liquid can be as unsafe as not drinking enough.

Before using DYAZIDE, 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 DYAZIDE.

Tell your doctor about all other medicines you use, especially:

  • lithium (Eskalith, LithoBid);
  • amphotericin B (Amphotec, AmBisome, Abelcet);
  • methenamine (Hiprex, Mandelamine, Urex);
  • gout medication such as allopurinol (Zyloprim), colchicine (Colcrys), or probenecid (Benemid);
  • steroid medication (prednisone and others);
  • a blood thinner such as warfarin (Coumadin, Jantoven);
  • insulin or oral diabetes medication;
  • laxatives;
  • an ACE inhibitor such as benazepril (Lotensin), enalapril (Vasotec), lisinopril (Prinivil, Zestril), quinapril (Accupril), ramipril (Altace), and others; or
  • indomethacin (Indocin) or other NSAIDs (non-steroidal anti-inflammatory drugs) such as aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn, Naprelan, Treximet), celecoxib (Celebrex), diclofenac (Arthrotec, Cambia, Cataflam, Voltaren, Flector Patch, Pennsaid, Solareze), indomethacin (Indocin), meloxicam (Mobic), and others.

This list is not complete and other drugs may interact with DYAZIDE. 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.

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.

Your doctor may occasionally change your dose to make sure you get the best results.

You will need regular medical tests to be sure this medication is not causing harmful effects. Visit your doctor regularly.

If you need surgery or medical tests, tell the doctor ahead of time that you are taking medication that contains hydrochlorothiazide. You may need to stop using the medicine for a short time.

Keep using this medicine as directed, even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medication for the rest of your life.

Store at room temperature away from moisture, heat, and light.

Seek emergency medical attention or call the Poison Help line.

Overdose symptoms may include increased urination, nausea, vomiting, weakness, fever, warmth or flushing in your face, or muscle spasms.

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.

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Trilafon (Perphenazine)

Author , posted on June 21, 2017

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Perphenazine (Generic)

Perphenazine

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Trilafon (perphenazine) Dosage and Side Effects

TRILAFON is an anti-psychotic medicine in a group of drugs called phenothiazines (FEEN-oh-THYE-a-zeens). It works by changing the actions of chemicals in your brain. TRILAFON is used to treat psychotic disorders such as schizophrenia. It is also used to control severe nausea and vomiting.

Warnings and Precautions

You should not use TRILAFON if you have liver disease, brain damage, bone marrow depression, a blood cell disorder, or if you are also using large amounts of alcohol or medicines that make you sleepy.

Call your doctor at once if you have twitching or uncontrollable movements of your eyes, lips, tongue, face, arms, or legs. These could be early signs of dangerous side effects.

You should not use this medicine if you are allergic to any phenothiazine (TRILAFON, chlorpromazine, prochlorperazine, promethazine, thioridazine, Compazine, Phenergan, Mellaril, Thorazine, and others), or if you have:

  • liver disease;
  • brain damage;
  • bone marrow depression;
  • a blood cell disorder (such as low platelets or low red or white blood cell counts); or
  • if you are also using large amounts of alcohol or medicines that make you sleepy.

TRILAFON is not approved for use in psychotic conditions related to dementia. TRILAFON may increase the risk of death in older adults with dementia-related conditions.

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

  • severe or untreated depression;
  • heart disease or high blood pressure;
  • kidney disease;
  • severe asthma, emphysema, or other breathing problem;
  • a history of seizures;
  • Parkinson's disease;
  • past or present breast cancer;
  • adrenal gland tumor (pheochromocytoma);
  • enlarged prostate or urination problems;
  • low levels of calcium in your blood (hypocalcemia);
  • glaucoma; or
  • if you have ever had a serious side effect while using TRILAFON or another phenothiazine.

Tell your doctor if you will be exposed to extreme heat or cold, or to insecticide poisons while you are taking TRILAFON.

Tell your doctor if you are pregnant or plan to become pregnant while using this medication.

Taking antipsychotic medication during the last 3 months of pregnancy may cause problems in the newborn, such as withdrawal symptoms, breathing problems, feeding problems, fussiness, tremors, and limp or stiff muscles. However, you may have withdrawal symptoms or other problems if you stop taking your medicine during pregnancy. If you become pregnant while taking TRILAFON, do not stop taking it without your doctor's advice.

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

Side Effects

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

Call your doctor at once if you have any of these signs of a serious movement disorder:

  • tremors or shaking in your arms or legs;
  • uncontrolled muscle movements in your face (chewing, lip smacking, frowning, tongue movement, blinking or eye movement); or
  • any new or unusual muscle movements you cannot control.

Also call your doctor at once if you have:

  • feeling restless, jittery, or agitated;
  • confusion, unusual thoughts or behavior;
  • seizure (convulsions);
  • extreme drowsiness or dizziness, feeling like you might pass out;
  • severe bloating or stomach cramps;
  • little or no urinating;
  • slow heart rate, weak pulse, weak or shallow breathing;
  • sudden weakness or ill feeling, fever, chills, sore throat, mouth sores, red or swollen gums, trouble swallowing; or
  • severe nervous system reaction--very stiff (rigid) muscles, high fever, sweating, fast or uneven heartbeats.

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

Common side effects may include:

  • mild dizziness or drowsiness;
  • blurred vision, headache;
  • sleep problems (insomnia), strange dreams;
  • loss of appetite, vomiting, diarrhea, constipation;
  • increased sweating or urination;
  • dry mouth or stuffy nose;
  • breast swelling or discharge; or
  • mild itching or skin rash.

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

This medication may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.

Avoid drinking alcohol. It can increase some of the side effects of TRILAFON.

Avoid exposure to sunlight or tanning beds. TRILAFON can make you sunburn more easily. Wear protective clothing and use sunscreen (SPF 30 or higher) when you are outdoors.

Taking this medicine with other drugs that make you sleepy can worsen this effect. Ask your doctor before taking TRILAFON with a sleeping pill, narcotic pain medicine, muscle relaxer, or medicine for anxiety, depression, or seizures.

Many drugs can interact with TRILAFON. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here. Tell your doctor about all your medications and any you start or stop using during treatment with TRILAFON.

Proper Use of this medication

Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results.

Do not take this medicine in larger amounts than recommended, or for longer than prescribed. High doses or long-term use of TRILAFON can cause a serious muscle movement disorder that may not be reversible. The longer you take TRILAFON, the more likely you are to develop a serious movement disorder. The risk of this side effect is higher in older adults, especially women.

While using TRILAFON, you may need frequent blood tests.

If you need surgery, tell the surgeon ahead of time that you are using TRILAFON. You may need to stop using the medicine for a short time.

Do not stop using TRILAFON suddenly after long-term use, or you could have unpleasant withdrawal symptoms. Ask your doctor how to avoid withdrawal symptoms when you stop using TRILAFON.

Store at room temperature away from moisture, heat, and light.

Seek emergency medical attention or call the Poison Help line. An overdose of TRILAFON can be fatal.

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.

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Humalog Cartridge (Insulin Lispro)

Author , posted on June 21, 2017

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Humalog (Insulin lispro) Dosage and Side Effects

HUMALOG (insulin lispro) is a rapid-acting human insulin analog used to lower blood glucose. Insulin lispro is produced by recombinant DNA technology utilizing a non-pathogenic laboratory strain of Escherichia coli.

Proper Use of this medication

Use Humalog exactly as it was prescribed for you. Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.

Humalog is injected under the skin, or into a vein through an IV. You will be shown how to use injections at home. Do not give yourself this medicine if you do not understand how to use the injection and properly dispose of needles, IV tubing, and other items used.

After using Humalog, eat a meal within 15 minutes. If you did not use an injection before the meal, use the medicine right after you eat.

If you use this medicine with an insulin pump, do not mix or dilute Humalog with any other insulin. Infusion pump tubing, catheters, and the needle location on your skin should be changed every 3 days. Change the medicine in the reservoir every 7 days.

Concentrated Humalog (200 units/ml) must not be given with an insulin pump, or mixed with other insulins. Do not inject concentrated Humalog into a vein.

If you use an injection pen, use only the injection pen that comes with Humalog. A dose counter on the injection pen shows your dose in units. Do not convert your dose. Attach a new needle before each use. Do not transfer the insulin from the pen into a syringe or infusion pump.

Never share an injection pen, cartridge, or syringe with another person, even if the needle has been changed. Sharing these devices can allow infections or disease to pass from one person to another.

Use a disposable needle and syringe only once. Follow any state or local laws about throwing away used needles and syringes. Use a puncture-proof "sharps" disposal container (ask your pharmacist where to get one and how to throw it away). Keep this container out of the reach of children and pets.

Low blood sugar (hypoglycemia) can happen to everyone who has diabetes. Symptoms include headache, hunger, sweating, irritability, dizziness, nausea, fast heart rate, and feeling anxious or shaky. To quickly treat low blood sugar, always keep a fast-acting source of sugar with you such as fruit juice, hard candy, crackers, raisins, or non-diet soda.

Your doctor can prescribe a glucagon emergency injection kit to use in case you have severe hypoglycemia and cannot eat or drink. Be sure your family and close friends know how to give you this injection in an emergency.

Also watch for signs of high blood sugar (hyperglycemia) such as increased thirst or urination, blurred vision, headache, and tiredness.

Blood sugar levels can be affected by stress, illness, surgery, exercise, alcohol use, or skipping meals. Ask your doctor before changing your insulin dose or schedule.

Humalog is only part of a complete treatment program that may also include diet, exercise, weight control, regular blood sugar testing, and special medical care. Follow your doctor's instructions very closely.

Keep this medicine in its original container protected from heat and light. Do not draw insulin from a vial into a syringe until you are ready to give an injection. Do not freeze insulin or store it near the cooling element in a refrigerator. Throw away any insulin that has been frozen.

Storing unopened (not in use) insulin lispro:

  • Refrigerate and use until expiration date; or

  • Store at room temperature and use within 28 days.

Storing opened (in use) Humalog:

  • Store the vial in a refrigerator or at room temperature and use within 28 days.

  • Store the cartridge or injection pen at room temperature (do not refrigerate) and use within 28 days. Do not store the injection pen with a needle attached.

Do not use the medicine if it looks cloudy, has changed colors, or has any particles in it. Call your pharmacist for new medicine.

Read all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.

Wear a diabetes medical alert tag in case of emergency. Any medical care provider who treats you should know that you have diabetes.

Side Effects

Get emergency medical help if you have signs of insulin allergy to Humalog: redness or swelling where an injection was given, itchy skin rash over the entire body, trouble breathing, fast heartbeats, feeling like you might pass out, or swelling in your tongue or throat.

Call your doctor at once if you have:

  • fluid retention--weight gain, swelling in your hands or feet, feeling short of breath; or

  • low potassium--leg cramps, constipation, irregular heartbeats, fluttering in your chest, increased thirst or urination, numbness or tingling, muscle weakness or limp feeling.

Common Humalog side effects may include:

  • low blood sugar;

  • itching, mild skin rash; or

  • thickening or hollowing of the skin where you injected the medicine.

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.

Interactions with this medication

Drugs That May Increase The Risk Of Hypoglycemia

The risk of hypoglycemia associated with HUMALOG use may be increased when co-administered with antidiabetic agents, salicylates, sulfonamide antibiotics, monoamine oxidase inhibitors, fluoxetine, pramlintide, disopyramide, fibrates, propoxyphene, pentoxifylline, ACE inhibitors, angiotensin II receptor blocking agents, and somatostatin analogs (e.g., octreotide). Dose adjustment and increased frequency of glucose monitoring may be required when HUMALOG is co-administered with these drugs.

Drugs That May Decrease The Blood Glucose Lowering Effect Of HUMALOG

The glucose lowering effect of HUMALOG may be decreased when co-administered with corticosteroids, isoniazid, niacin, estrogens, oral contraceptives, phenothiazines, danazol, diuretics, sympathomimetic agents (e.g., epinephrine, albuterol, terbutaline), somatropin, atypical antipsychotics, glucagon, protease inhibitors, and thyroid hormones. Dose adjustment and increased frequency of glucose monitoring may be required when HUMALOG is co-administered with these drugs.

Drugs That May Increase Or Decrease The Blood Glucose Lowering Effect Of HUMALOG

The glucose lowering effect of HUMALOG may be increased or decreased with co-administered with beta-blockers, clonidine, lithium salts, and alcohol. Pentamidine may cause hypoglycemia, which may sometimes be followed by hyperglycemia. Dose adjustment and increased frequency of glucose monitoring may be required when HUMALOG is co-administered with these drugs.

Drugs That May Blunt Signs And Symptoms Of Hypoglycemia

The signs and symptoms of hypoglycemia [see WARNINGS AND PRECAUTIONS] may be blunted when beta-blockers, clonidine, guanethidine, and reserpine are co-administered with HUMALOG.

Warnings and Precautions

Humalog is a fast-acting insulin that begins to work very quickly. If you use this medication with meal, use it within 15 minutes before or just after you eat.

Never share an injection pen, cartridge, or syringe with another person, even if the needle has been changed.
 

You should not use Humalog if you are having an episode of hypoglycemia (low blood sugar).

Humalog is only part of a complete program of treatment that may also include diet, exercise, weight control, foot care, eye care, dental care, and testing your blood sugar. Follow your diet, medication, and exercise routines very closely. Changing any of these factors can affect your blood sugar levels.

Before taking this medicine

You should not use Humalog if you are allergic to insulin, or if you are having an episode of hypoglycemia (low blood sugar).

Humalog should not be given to a child younger than 3 years old. Humalog should not be used to treat type 2 diabetes in a child of any age.

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

  • liver or kidney disease; or

  • low levels of potassium in your blood (hypokalemia).

Tell your doctor if you also take pioglitazone or rosiglitazone (sometimes contained in combinations with glimepiride or metformin). Taking certain oral diabetes medicines while you are using insulin may increase your risk of serious heart problems.

Follow your doctor's instructions about using insulin if you are pregnant or breast-feeding a baby. Blood sugar control is very important during pregnancy, and your dose needs may be different during each trimester of pregnancy. Your dose needs may also be different while you are breast-feeding.

Other related products

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