Lustra Cream (Hydroquinone)

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Lustra Cream

Hydroquinone

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Lustra Cream (Hydroquinone) Dosage and Side Effects

LUSTRA decreases the formation of melanin in the skin. Melanin is the pigment in skin that gives it a brown color. LUSTRA topical (for the skin) is used to lighten areas of darkened skin such as freckles, age spots, melasma (sun damage), or chloasma (darkened skin caused by hormonal changes).

Warnings and Precautions

Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.

You should not use this medicine if you are allergic to hydroquinone or peroxide.

Ask a doctor or pharmacist if it is safe for you to use this medicine if you have other medical conditions, especially:

  • liver or kidney disease;
  • asthma or sulfite allergy; or
  • if you are using any antibiotic medicine.

It is not known whether LUSTRA topical will harm an unborn baby. Do not use this medicine without a doctor's advice if you are pregnant.

It is not known whether LUSTRA topical passes into breast milk or if it could harm a nursing baby. Do not use this medicine without a doctor's advice if you are breast-feeding a baby.

Do not give this medicine to anyone under 12 years old without medical advice.

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.

Stop using LUSTRA topical and call your doctor at once if you have:

  • severe skin redness, burning, or stinging;
  • severe skin dryness, cracking, or bleeding;
  • blisters or oozing; or
  • blue or black discoloration of the skin (especially if you are Hispanic or African-American).

Common side effects may include:

  • mild burning or stinging of treated skin; or
  • mild itching, redness, or other irritation.

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

Avoid exposure to sunlight or tanning beds. LUSTRA topical can make you sunburn more easily. Wear protective clothing and use sunscreen (SPF 30 or higher) when you are outdoors. Some LUSTRA products may contain sunscreen. Check the medicine label or ask your doctor to be sure.

Avoid getting this medicine in your eyes.

LUSTRA topical may make your skin more sensitive to weather extremes such as cold and wind. Protect your skin with clothing and use a moisturizing lotion as needed.

Using LUSTRA topical together with benzoyl peroxide, hydrogen peroxide, or other peroxide products may stain your skin. This staining can usually be removed with soap and water.

Avoid using skin products that can cause irritation, such as harsh soaps, shampoos, or skin cleansers, hair coloring or permanent chemicals, hair removers or waxes, or skin products with alcohol, spices, astringents, or lime.

It is not likely that other drugs you take orally or inject will have an effect on topically applied LUSTRA. 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

LUSTRA topical is usually applied each morning and at bedtime. Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.

LUSTRA topical is for use only on the skin. Avoid getting this medicine on your lips or inside your nose or mouth. LUSTRA may cause numbness of these areas.

Before you start using LUSTRA topical, you may choose to apply a "test dose" to see if you have an allergic reaction to this medicine. Apply a very small amount of the medicine to a small area of healthy skin, and check the area within 24 hours. If there is no reaction other than minor redness, begin using the full prescribed amount of the medicine.

Do not use LUSTRA topical on open wounds or on sunburned, windburned, dry, chapped, or irritated skin.

Wash your hands before and after applying this medicine, unless you are using it to treat the skin on your hands.

Apply this medicine only to the affected skin areas that need to be lightened. Try not to get any medicine on the skin around these areas.

Call your doctor if your symptoms do not improve after 2 months of treatment with LUSTRA topical.

Use LUSTRA topical regularly to get the most benefit.

Store at room temperature away from moisture and heat. Keep the container tightly closed when not in use.

An overdose of LUSTRA topical is not expected to be dangerous. Seek emergency medical attention or call the Poison Help line if anyone has accidentally swallowed the medication.

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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Urso (Ursodiol)

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Ursofalk

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Urso

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Urso DS

Ursodiol (Ursodeoxycholic Acid)

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Ursodiol (Ursodeoxycholic Acid)

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Ursodiol (Ursodeoxycholic Acid)

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Ursodiol (Ursodeoxycholic Acid)

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Urso (Ursodiol) Dosage and Side Effects

URSO has been prescribed for you by your physician for the management of cholestatic liver disease.

Proper Use of this medication

Usual adult dose:

Your doctor would have prescribed the amount of URSO you should take each day for your medical condition. URSO should be taken in 2 to 4 divided doses with food. It is easier to remember to take your medication, if it is taken at the same time each day. Setting up a routine to take your medication helps this activity become a normal part of your day.

Take URSO for the full duration of treatment, even if you begin to feel better.

To prevent leakage of the active medicinal ingredient (ursodiol) from the cut tablets onto the surface of whole tablets and spreading the bitter taste, it is recommended that cut tablets be stored separately from whole tablets.

This medication should only be used as instructed by your doctor. Follow your doctor's instructions. Do not change the dose or stop the treatment without your doctor's advice.

Your doctor will ask you to have regular medical checkups, and will likely require liver tests. It is important to respect the dates proposed.

Overdose:

If you take more medication than you have been told to take, you should contact your doctor, hospital emergency department, or nearest poison control center immediately, even if you do not feel sick or you have no other symptoms.

The most severe symptom of overdosage would likely be diarrhea.

Missed dose:

If you miss a dose, take the missed dose as soon as you remember. If it is almost time for your next dose, skip the dose you missed and take your next regularly scheduled dose. Do not take a double dose.

Side Effects

Common Side Effects of URSO

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

  • Diarrhea or constipation
  • Upset stomach, indigestion, or vomiting
  • Dizziness
  • Cough or sore throat
  • Runny nose
  • Back pain
  • Muscle or joint pain
  • Hair loss
  • Dry skin or skin rash
  • Headache
  • Metallic taste in mouth
  • Tiredness

Serious Side Effects of URSO

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

  • Cough with fever
  • Painful or frequent urination
  • Signs of an allergic reaction (may include hives, rash, itching, chest tightness, or swelling of the face, lips, tongue, or throat)

Warnings and Precautions

Before you take URSO tell your doctor if:

  • You have taken URSO before and it was not well-tolerated or caused an allergy.
  • You have liver problems, or are in need of a liver transplant.
  • You have a partial blockage of bile flow due to disease outside of the liver.
  • You have variceal bleeding (bleeding from swollen veins, arteries, or lymph vessels).
  • You have ascites (swelling in the abdomen).
  • You are taking other prescription or non-prescription medicines.
  • You are using any new medicine (prescription or non-prescription) such as bile reduction medicines (cholestyramine or colestipol), aluminum based antacids (Rolaids, Maalox, Mylanta, and many others), and cyclosporine, nitrendipine, or dapsone.
  • You develop any new medical problem while using this medicine.
  • You have severe stomach pain.
  • You are pregnant, plan to become pregnant, are breast-feeding or plan to breast-feed.
  • You need other medical treatment by another doctor, let him or her know that you are taking URSO.

URSO is not recommended for use in children.

You should discuss with your doctor the benefits and risks of taking URSO  for your medical condition.

This medication is prescribed for a particular health problem and for your personal use only. Do not give it to another person.

Keep this and all other medicines out of the reach of children.

Interactions with this medication

The following medicines may decrease the amount of ursodiol that is absorbed into your body:

  • Medicines that reduce the amount of bile acids such as cholestyramine or colestipol
  • Antacids that contain aluminum such as Rolaids, Maalox, Mylanta, and many others.

The absorption and metabolism of the following medicines may be affected by taking ursodiol:

  • Cyclosporine
  • Dapsone
  • Nitrendipine

Use of these medicines with URSO  may require patients to be closely monitored and the dose of their medicines adjusted.

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Derma Smoothe FS (Fluocinolone Acetonide)

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Derma Smoothe FS Scalp Oil

Fluocinolone Acetonide

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Derma Smoothe FS (flucinolone acetonide) Dosage and Side Effects

DERMA SMOOTHE FS is used to relieve inflammation and itching associated with skin conditions such as moderate-to-severe allergic dermatitis, eczema of the outer ear in children, eczema in adults, and seborrheic dermatitis.

Warnings and Precautions

Do not use fluocinolone acetonide if you:

  • are allergic fluocinolone acetonide or any ingredients of this medication
  • are allergic to peanuts
  • have skin infections caused by viruses, including herpes simplex, vaccinia, and varicella (chickenpox)
  • have tuberculous skin lesions
  • have untreated infected skin lesions caused by an infection with fungi or bacteria

Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.

Absorption: When fluocinolone is used over extensive areas for prolonged periods and under dressings that don't breathe, it is possible that enough medication will absorb into the bloodstream to give rise to unwanted side effects. Therefore, it is advisable to use fluocinolone for brief periods only and to stop using it as soon as the problem clears.

Adverse effects: Although adverse effects associated with the use of this medication are uncommon and not to be expected from ordinary use, sensitization, irritation, and failure of therapeutic response have been noticed in rare instances. If you don't notice an improvement in your skin condition after using this medication for one week, contact your doctor.

Eyes: Use this medication with caution on lesions close to the eye. Take care to ensure that it does not enter the eye, as glaucoma may result. Cataracts have been reported following internal use of corticosteroids.

Infection: Topical corticosteroids may increase the risk of developing a skin infection. Contact your doctor if you notice any increased redness, swelling, heat or pain around the area where the medication is applied as these are possible signs of infection.

Peanut allergy: This medication contains refined peanut oil. People with peanut allergy should discuss with their doctor how this medication may affect their medical condition, how their medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Thinning of skin: Using topical corticosteroid medications for a long period of time can cause skin to thin or soften or cause stretch marks. Your doctor may recommend you stop using this medication once in a while or to apply to one area of the body at a time. Suddenly stopping corticosteroid medication may cause psoriasis to return.

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

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

Children: The safety and effectiveness of using fluocinolone acetonide topical oil have not been established for children under 1 year old. The safety and effectiveness of fluocinolone acetonide ear drops has not been established in children under 12 years old.

The active ingredient in these medications, fluocinolone, belongs to the family of medications known as corticosteroids. Children may be more likely to experience the side effects encountered by using large amounts of this class of medication for long periods of time (e.g., slowing down of growth, delayed weight gain). The use of this medication by children should be limited to the smallest amount that will be effective. Discuss with your doctor the risks and benefits of the use of this medication by children. The use of this medication on children should be limited to a 4 week duration.

Side Effects

Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.

The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.

The following side effects have been reported by at least 1% of people taking this medication. Many of these side effects can be managed, and some may go away on their own over time.

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

  • burning, dryness, irritation, itching, or redness of the skin (usually mild and temporary)
  • ear disconfort
  • increased redness or scaling of skin sores (usually mild and temporary)
  • skin rash (usually mild and temporary)

Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

  • blood-containing blisters on the skin
  • burning and itching of the skin
  • lack of healing of the skin condition
  • numbness in the fingers
  • painful, red or itchy, pus-containing blisters in hair follicles
  • raised, dark red, wart-like spots on the skin, especially when used on the face
  • skin infection
  • thinning of the skin with easy bruising

Stop taking the medication and seek immediate medical attention if any of the following occur:

  • flare-up or worsening of existing skin condition

Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are using this medication.

Interactions with this medication

There may be an interaction between fluocinolone acetonide and any of the following:

  • other topical medications that contain corticosteroids
  • other topical medications that have irritating effects

If you are using any medications that fit this description, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

  • stop taking one of the medications,
  • change one of the medications to another,
  • change how you are taking one or both of the medications, or
  • leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with this medication. Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription) and herbal medications that you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the nicotine from cigarettes, or illegal drugs can affect the action of many medications, you should let your prescriber know if you use them.

Proper Use of this medication

Shampoo: Approximately one ounce (about 30 mL) or less of shampoo should be applied to wet hair and scalp once daily. Work into a lather and leave on the scalp for 5 minutes before rinsing twice with clear water.

Otic (ear) solution: Tilt the head so the affected ear is facing up. Gently pull the earlobe backward and upward to open the ear canal. Apply 5 drops of solution into the ear and keep head tilted for one minute to let the drops run into the ear canal. This should be repeated twice daily. Improvement should occur within 7 days. Contact your physician if your condition does not begin to improve within 7 days.

Do not use the ear solution if the eardrum is perforated.

Oil: After wetting or dampening the affected area, apply a thin film of oil 2 to 3 times daily as prescribed by your doctor. Massage the oil into the skin gently.

The affected area should not be covered with dressings that do not allow the skin to breathe, including diapers when applied to small children. This medication should not be applied to the face, groin, or underarm areas. Applying the oil to these areas may cause enough medication to be absorbed into the body to cause side effects.

Use the oil for the minimum length of time necessary to heal the skin condition.

Avoid getting this medication into your eyes. If contact does occur, flush your eyes immediately with plenty of water.

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

It is important to use this medication exactly as prescribed by your doctor. If you miss a dose, continue with your regular dosing schedule. Do not apply a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Safely discard any remaining shampoo 3 months after it is prepared by the pharmacist.

Store all forms of this medication at room temperature, protect it from light and moisture, and keep it out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

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Ultrase MT (Pancrelipase)

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Ultrase MT (Pancrelipase) Dosage and Side Effects

This medication contains digestive enzymes to help break down and digest fats, starch, and proteins in food. It is used in conditions where the pancreas cannot make or does not release enough digestive enzymes into the small intestines to digest the food (e.g., chronic pancreatitis, cystic fibrosis, cancer of the pancreas, post-pancreatectomy, post-gastrointestinal bypass surgery).

Warnings and Precautions

Before taking pancrelipase, tell your doctor or pharmacist if you are allergic to it; or to pork protein; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: sudden/severe swelling of the pancreas (acute pancreatitis), sudden worsening of long-term disease of the pancreas, gout, kidney disease, high uric acid level in the blood (hyperuricemia), intestinal problems (such as blockage).

If you have diabetes, pancrelipase may affect your blood sugar. Check your blood sugar regularly as directed and share the results with your doctor. Your doctor may need to adjust your diabetes medication, exercise program, or diet.

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

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

It is not known whether this drug passes into breast milk. Consult your doctor before breast-feeding.

Side Effects

Diarrhea, constipation, headache, abdominal pain/cramps/bloating, gas, cough, nausea, or vomiting 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 any of these rare but very serious side effects occur: severe constipation, severe stomach/abdominal discomfort, frequent/painful urination, joint pain.

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.

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: acarbose, miglitol.

Proper Use of this medication

Some brands of this medication have a Medication Guide provided by your pharmacist. If one is available, read the Medication Guide before your start taking this medication and each time you get a refill. If you have any questions, consult your doctor or pharmacist.

Take this medication by mouth with meals and snacks as directed by your doctor. Swallow the capsule whole. Do not crush or chew the capsules or keep the capsules in your mouth. Doing so can irritate the mouth and also change the way the medication works.

If swallowing is difficult, then the capsule may be opened and the contents mixed in a small amount of liquid or soft food that does not need to be chewed (such as room-temperature applesauce). Do not mix the contents of the capsule with alkaline food or liquid (such as milk, ice cream, tea). Consult your doctor or pharmacist for more information about what foods/liquids (such as infant formula, breast milk) to avoid when mixing. Swallow the food or liquid right away, making sure not to chew the medication. Drink a glass of water or juice after swallowing the food to make sure all the medication is swallowed. Do not save the medication mixture for later.

Dosage is based on your medical condition, diet, weight, and response to treatment. Do not take more capsules in a day than prescribed by your doctor. Your condition will not improve any faster, and your risk of side effects will increase.

Drink plenty of fluids while taking this medication unless your doctor tells you otherwise.

Use this medication regularly to get the most benefit from it. Take it with every meal or snack.

If your doctor has recommended that you follow a special diet, it is very important to follow the diet to get the most benefit from this medication.

Do not change brands or dosage forms of pancrelipase without consulting your doctor or pharmacist. Different products may contain different amounts of the digestive enzymes.

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Prolensa (Bromfenac)

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Prolensa

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Prolensa (Bromfenac Ophthalmic Solution) Medication Information

Uses

Prolensa is a nonsteroidal anti-inflammatory drug (NSAID) used to treat ophthalmic pain and inflammation in patients that have undergone cataract surgery. 

Dosage

Prolensa is an ophthalmic solution that comes in 0.07% strength. 

Side Effects

The most common side effects of Prolensa include:

  • anterior chamber inflammation
  • photophobia
  • foreign body sensation 
  • blurred vision
  • eye pain 

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

Precautions

Using NSAIDs and topical steroids at the same time  may cause increases in healing time. 

Prolensa may cause keratitis. 

Prolensa contains sodium sulfite which may result in anaphylactic symptoms in patients with sensitivity to sulfite.

Interactions

There are no known drug interactions with Prolensa. 

Storage

This medication should be stored 59°F - 77°F.

Pharmacist Tips

  • To avoid contamination, do not touch the dropper tip to any surfaces and immediately recap the bottle after administration. 
  • Prolensa should be administered 5 minutes apart from any other eye drops you may be taking. 
  • Contact lenses should be removed prior to Prolensa administration. 10 minutes post Prolensa administration, you may reinsert lenses. 

Bromfenac FAQs

 

How long should you use Prolensa after cataract surgery? 

Prolensa is typically used for 14 days after surgery. 

What should I avoid while using Prolensa?

Prolensa can cause blurred vision and impair your reaction and you should avoid driving until you know how Prolensa will affect your vision. 

What happens if I miss a dose?

Use Prolensa as soon as you remember you missed a dose. If it is almost time for your next dose, only take one dose. It is important to not take two doses of Prolensa at the same time.

 

Is there a substitute to Prolensa? 

There are currently no medications with therapeutic equivalence to Prolensa approved in the United States.

Is Prolensa an antibiotic? 

No, Prolensa is a NSAID that is used to help alleviate pain and swelling from cataract surgery. 

 

Related Drugs

References:

https://www.accessdata.fda.gov/drugsatfda_docs/label/2013/203168s000lbl.pdf

Prolensa. Lexi-Drugs. Hudson, OH: Lexicomp, 2015. http://online.lexi.com/. Updated July 27, 2015. Accessed March 3, 2021.

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.

Denavir (Penciclovir)

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Denavir Cream

Penciclovir Sodium

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Denavir (Penciclovir) Dosage and Side Effects

DENAVIR is an antiviral medication. DENAVIR is used topically for the treatment of recurrent cold sores.

Warnings and Precautions

DENAVIR topical is in the FDA pregnancy category B. This means that it is unlikely to harm an unborn baby. Do not use DENAVIR topical during pregnancy without first talking to your doctor.

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

Side Effects

Serious side effects have not been reported with the use of DENAVIR topical.

Other less serious side effects may be more likely to occur. Continue to use DENIVIR topical and talk to your doctor if you experience:

  • headache;
  • local numbness or tingling where the cream is applied;
  • changes in taste;
  • rash; or
  • irritation at the application site.

Interactions with this medication

There are no restrictions on food, beverages, or activity during treatment with DENAVIR topical, unless otherwise directed by your doctor.  Do not use other topical medications to treat the same area at them same time as DENAVIR topical, unless otherwise directed by your doctor.

Proper Use of this medication

DENAVIR topical should be applied to cold sore lesions every 2 hours while awake for a period of four days, unless otherwise directed by your doctor.

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Uniphyl (Theophylline)

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Uniphyl (Theophylline) Dosage and Side Effects

UNIPHYL is used to treat airflow obstruction symptoms such as wheezing, shortness of breath, and chest tightness related to asthma and lung diseases, including emphysema and chronic bronchitis.

Warnings and Precautions

You should not use UNIPHYL if you're hypersensitive to the drug or its components.

UNIPHYL can also worsen some conditions, so you shouldn't use it if you have:

  • Ulcers
  • Seizure disorders
  • Some forms of cardiac arrhythmias (abnormal heart rate)

Under certain conditions, the drug can remain in your body longer than normal and build up to unsafe levels, resulting in fatal toxic reactions.

In these cases, you should not take UNIPHYL unless the benefits clearly outweigh the risk, and then your doctor will have to carefully decide on your dosage and monitor your blood for levels of the drug.

The conditions that can lead to a deadly toxic reaction include:

  • Being younger than 1 year old, or older than 60 years
  • Congestive heart failure and right-sided heart failure (cor pulmonale) that typically arises from high blood pressure
  • A buildup of fluid in the lungs (acute pulmonary edema)
  • Liver disease, acute hepatitis, or cirrhosis (scarring of the liver)
  • Reduced kidney function
  • Cystic fibrosis
  • A fever of 102 Fahrenheit or more that lasts 24 hours, or a low fever that lasts longer than a day
  • A high-carbohydrate, low-protein diet
  • Thyroid disease
  • A state of physical shutdown called shock
  • Sepsis (blood infection) with multi-organ failure
  • The flu
  • Tobacco and marijuana smoking
  • Stopping smoking
  • Taking or stopping certain drugs while on UNIPHYL

You need to be very careful about other drugs you are on or stop taking because of the same potentially fatal toxic reaction.

Pregnancy and UNIPHYL

UNIPHYL should only be used during pregnancy if the potential benefits to the mother outweigh the risks to her unborn child.

UNIPHYL is excreted in breast milk, potentially causing irritability and other signs of mild toxicity in breastfeeding infants.

It's not likely to cause serious side effects in infants unless the breastfeeding mother has very high concentrations of the drug in her body.

Nonetheless, if you are breastfeeding your child, you shouldn't take UNIPHYL unless the potential benefits outweigh the risks, and then only under the guidance of your doctor.

Side Effects

Common Side Effects of UNIPHYL

Although these effects are common, they can be serious and are likely to mean your doctor should change your dosage.

Tell your doctor if you experience any of the following, and if the effect becomes severe, get immediate medical help:

  • Nausea and vomiting
  • Headache
  • Upset stomach
  • Loss of appetite
  • Fast, strong heartbeat
  • Irregular heartbeat (arrhythmia): usually there are no symptoms, but it can cause a fluttering feeling, dizziness, shortness of breath, chest pain, heartbeats that feel too fast or slow, or fainting
  • Symptoms similar to how you feel when you've had too much coffee, such as trouble falling asleep (insomnia), restlessness, and irritability.
  • Skin rash

Severe Side Effects of UNIPHYL

You need immediate emergency medical treatment if you are experiencing:

  • Seizures

Rare Side Effects of UNIPHYL

Tell your doctor right away or get emergency medical help if you experience any of the following more rare side effects:

  • Stomach pain
  • Anxiety
  • Diarrhea
  • Dizziness
  • Tremors
  • Urination issues, including frequent or infrequent urination and hyperuricemia (high levels of uric acid)
  • Allergic reaction
  • Reflux

Interactions with this medication

Some drugs can affect your body's ability to process UNIPHYL, potentially causing it to build up to unsafe levels and become toxic.

In addition, UNIPHYL interacts with a wide variety of other drugs, so it's especially important to tell your doctor about any medications, illegal or recreational drugs, herbal remedies, and supplements you're taking, even if you are smoking tobacco.

The following drugs are especially important to tell your doctor about before you take UNIPHYL:

  • Adenosine (Adenoscan)
  • Allopurinol (Zyloprim)
  • Aminoglutethimide (Cytadren)
  • Carbamazepine (Tegretol)
  • Cimetidine
  • Ciprofloxacin (Cipro)
  • Clarithromycin (Biaxin)
  • Diazepam (Valium)
  • Disulfiram (Antabuse)
  • Enoxacin
  • Ephedrine
  • Erythromycin (Ery-tab)
  • Estrogen-containing oral contraceptives
  • Flurazepam (Dalmane)
  • Fluvoxamine (Luvox)
  • Halothane (Fluothane)
  • Interferon
  • Isoproterenol (Isuprel)
  • Ketamine (Ketalar)
  • Lithium
  • Lorazepam (Ativan)
  • Methotrexate (Trexall)
  • Mexiletine (Mexitil)
  • Midazolam
  • Moricizine
  • Pancuronium (Pavulon)
  • Pentoxifylline (Trenal)
  • Phenobarbital
  • Phenytoin (Dilantin)
  • Propafenone (Rythmol)
  • Propranolol (Inderal)
  • Rifampin (Rifadin)
  • Ritonavir
  • Roflumilast (Daliresp)
  • St. John's wort
  • Sulfinpyrazone (Anturane)
  • Tacrine (Cognex)
  • Thiabendazole (Mintezol)
  • Ticlopidine (Ticlid)
  • Troleandomycin (Tao)
  • Verapamil (Calan)

UNIPHYL and Alcohol

Drinking alcohol while taking UNIPHYL may cause the drug to remain in your body for up to 30 percent longer, which can lead to serious toxic effects.

Therefore, you should not drink alcohol when taking UNIPHYL.

Proper Use of this medication

Your doctor may start you on a low dose of UNIPHYL then gradually increase it while monitoring your symptoms and blood levels for the drug.

UNIPHYL (Uniphyl and Theo-24) comes as controlled-release tablets, which are generally taken once a day with food or within one to two hours of mealtime.

UNIPHYL also can be taken multiple times per day in an oral solution form.

Tablets must be swallowed whole. You must not chew, split, or crush them.

UNIPHYL Overdose

A sudden overdose from taking too much UNIPHYL all at once is rare.

A chronic overdose, however, is not rare, especially if you have been taking a dose that is a little too high for a long time, or if your dose has recently been increased.

An overdose of UNIPHYL may cause slow heart rate, abnormal heart rate, seizures, circulatory system failure, and death.

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

Missed Dose of UNIPHYL

Missing a dose of UNIPHYL may cause your asthma or bronchitis symptoms to reappear.

If you remember your missed dose within 6 hours of your regular dosing time, take your missed dose immediately.

Take half a dose if you remember the missed dose between 6 and 18 hours after your regular time.

If more than 18 hours have passed since your missed dose, skip it and take your next dose at your regular dosing time.

Never double-up a dose of UNIPHYL.

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Podofilm (Podophyllin)

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Podofilm

Podophyllin

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Podofilm (Podophyllin) Dosage and Side Effects

Podophyllum is used to remove benign (not cancer) growths, such as certain kinds of warts. It works by destroying the tissue of the growth.

A few hours after podophyllum is applied to a wart, the wart becomes blanched (loses all color). In 24 to 48 hours, the medicine causes death of the tissue. After about 72 hours, the wart begins to slough or come off and gradually disappears.  Podophyllum is usually applied only in a doctor's office because it is a poison and can cause serious side effects if not used properly. However, your doctor may ask you to apply this medicine at home. If you do apply it at home, be sure you understand exactly how to use it.

Warnings and Precautions

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Although there is no specific information comparing use of topical podophyllum in children with use in other age groups, this medicine is not expected to cause different side effects or problems in children than it does in adults.

Geriatric

Many medicines 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. Although there is no specific information comparing use of topical podophyllum in the elderly with use in other age groups, this medicine is not expected to cause different side effects or problems in older people than it does in younger adults.

Side Effects

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially crumbling or bleeding warts or warts that have recently had surgery on them—Using podophyllum on these warts may increase the chance of absorption of the medicine through the skin.

Interactions with this medication

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Proper Use of this medication

Podophyllum is a poison. Keep it away from the mouth because it is harmful if swallowed.

Also, keep podophyllum away from the eyes and other mucous membranes, such as the inside of the nose, mouth, or vagina. This medicine may cause severe irritation. If you get some in your eyes, immediately flush the eyes with water for 15 minutes. If you get some on your normal skin, thoroughly wash the skin with soap and water to remove the medicine. However, if this medicine contains tincture of benzoin, it may be removed more easily from the skin by swabbing with rubbing alcohol.

This medicine may contain alcohol and therefore may be flammable. Do not use near heat, near open flame, or while smoking.

Use podophyllum only as directed. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. To do so may increase the chance of too much medicine being absorbed into the body and the chance of side effects.

Do not use podophyllum on moles or birthmarks. To do so may cause severe irritation.

Also, do not apply this medicine to crumbling or bleeding warts or to warts that have recently had surgery on them. To do so may increase the chance of absorption through the skin.

To use:

  • Podophyllum can cause severe irritation of normal skin. Therefore, apply petrolatum around the affected area before you apply podophyllum, and/or apply talcum powder to the treated area immediately after you apply podophyllum. This is to prevent the medicine from spreading to the normal skin.
  • Use a toothpick or a cotton-tipped or glass applicator to apply this medicine. Apply 1 drop at a time, allowing time for drying between drops, until the affected area is covered.
  • After podophyllum is applied, allow it to remain on the affected area for 1 to 6 hours as directed by your doctor. Then, remove the medicine by thoroughly washing the affected area with soap and water. If this medicine contains tincture of benzoin, it may be removed more easily by swabbing the affected area with rubbing alcohol. However, this may be more irritating than washing with soap and water.
  • Immediately after applying this medicine, wash your hands to remove any medicine that may be on them.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For topical solution dosage form:
    • For venereal warts:
      • Adults and children—Apply to the affected area(s) of the skin and leave on the skin for one to six hours. Treatment may be repeated every week for up to six weeks.
    • For other warts or benign growths:
      • Adults and children—Apply to the affected area(s) of the skin once a day.

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Other related products

Demulen 30 (Ethynodiol/ Ethinyl Estradiol)

Author , posted on June 20, 2017

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Demulen 30 (Ethynodiol-Ethinyl Estradiol) Dosage and Side Effects

DEMULEN 30 is used for the prevention of pregnancy.

Warnings and Precautions

Serious Warnings and Precautions

Cigarette smoking increases the risk of serious adverse effects on the heart and blood vessels. This risk increases with age and becomes significant in OC-users over 35 years of age. You should not use birth control pills while smoking.

Oral contraceptives do not protect against sexually transmitted infections (STIs) including HIV/AIDS. For protection against STIs, it is advisable to use latex condoms in combination with oral contraceptives.

If you see a different doctor, inform him or her that you are taking DEMULEN 30.

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

  • Pregnant or breastfeeding

  • History of jaundice or other liver disease

  • High blood pressure

  • Migraines and headaches

  • Diabetes or family history of diabetes

  • Wear contact lenses

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

  • Fibroid tumours on the uterus

  • History of emotional disorders, especially depression

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

  • Rheumatoid arthritis or synovitis

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

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

  • Smoke cigarettes

  • Heart or kidney disease

  • Epilepsy

  • Gallbladder or pancreatic disease

  • Family history of blood clots, heart attacks or strokes

  • Persistent irregular vaginal bleeding

  • Overweight

  • Systemic lupus erythematosus

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

  • Hemolytic uremic syndrome

  • Sickle cell disease

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

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

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

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

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

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

The Risks of Using Birth Control Pills:

  1. Circulatory disorders (including blood clots in legs, lungs, heart, eyes or brain): Blood clots are the most common serious side effect of birth control pills. Clots can occur in many areas of the body.

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

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

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

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

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

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

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

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

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

    • a history of breast cancer in the family

    • breast nodules or thickenings

    • discharge from the nipple

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

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

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

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

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

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

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

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

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

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

Side Effects

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

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

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

Other side effects may include:

  • growth of pre-existing fibroid tumours of the uterus

  • mental depression

  • liver problems with jaundice (yellowing of the skin)

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

  • skin pigmentation

  • headaches

  • migraines

  • rash

  • vaginal infections

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

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

Interactions with this medication

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

Drugs that may interact with DEMULEN include:

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

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

  • Antifungals (griseofulvin, fluconazole)

  • Cholesterol Lowering Agents (clofibrate, atorvastatin)

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

  • Antacids

  • Alpha-II Adrenoreceptor Agents (clonidine)

  • Antidiabetic Drugs (oral hypoglycemics and insulin)

  • Antihypertensive Agents (guanethidine, methyldopa and beta blockers)

  • Antipyretics (acetaminophen, antipyrine, ASA)

  • Betamimetic Agents (isoproterenol)

  • Corticosteroids (prednisone, dexamethasone)

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

  • HIV infection (ritonavir, indinavir)

  • Bronchodilator (theophylline)

  • Stimulants (modafinil)

  • Tricyclic antidepressants (clomipramine)

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

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

During concomitant use of DEMULEN and substances that may affect its effectiveness, it is recommended that you use a non-hormonal back-up method of birth control in addition to the regular intake of DEMULEN. In the case of prolonged use of such substances, oral contraceptive should not be considered the primary contraceptive. After discontinuation of substances that interact with DEMULEN, use of a non-hormonal back-up method is recommended for at least 7 days.

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

Proper Use of this medication

Usual dose:

  1. Read these directions

    • Before you start taking your pills, and

    • Any time you are not sure what to do.

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

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

      OR

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

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

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

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

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

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

    • When you start a pack late, or

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

  8. Always be sure you have ready:

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

    • An extra, full pack of pills.

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

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

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

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

When to start the first pack of DEMULEN pills:

Be sure to read these instructions:

  • before you start taking your pills, and

  • any time you are not sure what to do.

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

  1. 21-day combination:

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

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

    2. Label your pack correctly before starting. The pack is pre-printed with a Sunday starting day. If you are starting on a day other than a Sunday, use the sticker labels provided. Peel off the label with the chosen starting day and apply over the pre-printed days on top of the card.

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

  2. 28-day combination

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

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

    2. Label your pack correctly before starting. The pack is pre-printed with a Sunday starting day. If you are starting on a day other than a Sunday, use the sticker labels provided. Peel off the label with the chosen starting day and apply over the pre-printed days on top of the card.

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

What to do during the month:

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

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

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

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

  2. When you finish a pack

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

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

Numerous cases of the ingestion, by children, of estrogen progestogen combinations have been reported. Although mild nausea may occur, there appears to be no other reaction. Treatment should be limited to a laxative such as citrate of magnesia with the aim of removing unabsorbed material as rapidly as possible.

Missed dose:

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

Always be sure you have on hand:

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

  • An extra, full pack of pills.

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

Non-Contraceptive Benefits of Birth Control Pills:

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

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

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

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

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

Other related products

Kombiglyze XR (Saxagliptin/Metformin)

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Kombiglyze XR

Saxagliptin Hydrochloride, Metformin Hydrochloride

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Kombiglyze XR

Saxagliptin Hydrochloride, Metformin Hydrochloride

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Buy Kombiglyze XR Online

Kombiglyze XR is the brand name of the drug that is a combination of two active medicinal ingredients named Saxagliptin and Metformin. Doctors normally recommend this tablet together with diet and exercise to control blood sugar in adults (at least 18 years old) who are facing problems with type-2 diabetes mellitus. 

If you have diabetes and your medical doctor recommends this tablet for you, and you are worried about the cost, you have come to the right place. PricePro Pharmacy is here to deliver you affordable prescription medication at discount prices.

PricePro Pharmacy is providing you the opportunity to order from the comforts of your home. You can visit our user-friendly website by typing www.pricepropharmacy.com on your browser address bar and it will direct you to a number of options we have by which you can place your order easily. You can contact us by phone call dialing toll-free number 1-855-776-0079 and request to talk to our customer service team, who will guide you through the steps by which you can successfully place your order. 

Please bear in mind that, Kombiglyze XR is available for sale by prescription only. If you want to place an order you will need to submit a valid prescription, which can be uploaded online to your account. You can email or fax your Rx, or connect us with your doctor to speed up your order process.

Available Products

prescription drugs

The following dosages are available to order:

  • Kombiglyze XR 2.5mg/10000 mg (2.5mg Saxagliptin and 1000mg Metformin)
  • Kombiglyze XR 5mg/1000mg (5mg Saxagliptin and 1000mg Metformin)
  • Kombiglyze XR 5mg/500mg (5mg Saxagliptin and 500mg Metformin)

The brand medication is produced by AstraZeneca. The pack sizes are varied from one dose to another. For 2.5mg/1000mg dose, the pack size comes of 56, 112 and 168 tablets; while for 5mg/1000mg and 5mg/500mg doses have the pack size made of 28, 56 and 84 tablets.

There is no generic Kombiglyze XR currently available on the market.

Kombiglyze XR Price Comparison

save money on prescription drugs

The average retail price of Kombiglyze XR 2.5mg/1000mg in the United States is:

  • $508.00 for 60 tablets

At PricePro Pharmacy, the cost-savings are clear:

  • $145.00 for 56 tablets

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You can also maximize your savings when you order 3-month supply of medication.

Shipping Times

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The estimated delivery time for your order will vary depending on the option selected:

  • Product of Australia - 10 to 18 business days
  • Product of India and Turkey - 10 to 21 business days

The standard shipping cost is $9.95 for all orders. You will receive an email notification with tracking details when your order has been dispensed and shipped from the licensed pharmacy.

Prescription Refill Reminder

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PricePro Pharmacy has been working hard to earn your trust and be a leader amongst other online pharmacies. We believe we can ensure this reliability if we can provide user-friendly services to our customers. Our commitment to your care is that that you will be kindly reminded of the optimal time to place a refill order to ensure you won't go without your meds. We will have an email or phone update as for the best time to place your next order.

You can also sign into your online pharmacy account and view previous orders and place a re-order directly if you have an active prescription on file.

We make it simple to manage your medications.

Kombiglyze XR (Saxagliptin and Metformin Extended-Release) Medication Information

Uses

Kombiglyze XR is a prescription medication for type 2 diabetes that contains two medicines in one pill: saxagliptin (Onglyza) and metformin extended-release (Glucophage XR). 

It is prescribed to reduce blood sugar levels in adults with type 2 diabetes along with a healthy diet and exercise.

In type 2 diabetes, your blood sugar (glucose) becomes too high.  Insulin is a hormone made by the pancreas that typically helps sugar get into your cells. But, if your body doesn’t recognize insulin properly, too much sugar stays in your blood.  Over time, high blood sugar can lead to many health problems and increase your risk of having a heart attack or stroke. 

The good news is you can take control of your diabetes by eating healthy foods, exercising, and taking your medications as prescribed.

Dosage

Kombiglyze XR (saxagliptin/metformin ER) oral tablets are available in three combination strengths: 5 mg/500 mg, 5 mg/1,000 mg, and 2.5 mg/1,000 mg.  

Your doctor may prescribe a low starting dose, then gradually increase it.  This gradual approach helps to prevent or reduce stomach side effects.  Stomach upset is a common (but usually temporary) side effect after starting or stepping up the metformin dose.

Kombiglyze XR is taken once daily with a meal.  Your doctor will decide the dosage that is best for you.

Precautions

Kombiglyze XR may not be safe for people with the following medical history or conditions:

  • Kidney or liver problems
  • Heart disease
  • Pancreas problems
  • Drink alcohol often, or occasionally drink large amounts of alcohol (“binge drink”)
  • Age 80 years or older (due to reduced kidney function with older age)
  • Pregnant or plan to become pregnant
  • Breastfeeding
  • Type 1 diabetes
  • History of an allergic reaction to Kombiglyze XR, saxagliptin (Onglyza), or metformin

Side Effects

Like all medications, Kombiglyze XR may cause side effects.  The most common side effects of Kombiglyze XR are mild, but severe side effects are also possible.  The most common side effects are stomach-related and go away after one to two weeks for most people.  

Common side effects may include:

  • Diarrhea
  • Nausea and vomiting
  • Headache
  • Cold-like symptoms (runny nose, stuffy nose, or sore throat)
  • Upper respiratory tract infections
  • Urinary tract infections

Serious side effects can rarely occur with Kombiglyze XR.  These side effects require emergency medical care and may include:

  • Lactic acidosis (build-up of acid in the blood)
  • Pancreatitis (inflammation of the pancreas)
  • Heart failure (heart doesn’t pump blood well)
  • Kidney damage
  • Dehydration
  • Joint pain
  • Low blood levels of vitamin B12
  • Skin reaction involving skin blisters 
  • Allergic reaction

Your doctor will prescribe Kombiglyze XR if the benefits of treatment outweigh your risks for serious side effects.  For more information about the side effects, talk with your doctor or pharmacist.

Interactions

Some potentially harmful drug interactions can happen with Kombiglyze XR. A few examples include:

  • Acetazolamide
  • Cimetidine
  • Clarithromycin
  • Digoxin
  • Diuretics (water pills)
  • Insulin or other medicines that lower blood sugar
  • Ketoconazole
  • Nefazodone
  • Ranolazine 
  • Ritonavir
  • Topiramate
  • Zonisamide

Talk with your doctor or pharmacist before taking any other medications or herbal supplements with Kombiglyze XR.

Storage

Store Kombiglyze XR at room temperature between 68°F and 77°F (20°C and 25°C).

Pharmacist Tips

  • Take each dose of Kombiglyze XR with a meal to reduce stomach upset.  
  • If you miss a dose, take it with food as soon as possible.  If it is almost time for your next dose, skip the missed dose.  Don’t take two doses at the same time.
  • Swallow Kombiglyze XR tablets whole; Don’t crush, chew, or cut in half.

Kombiglyze XR FAQs

Can I drink alcohol with Kombiglyze XR?

Drinking alcohol can increase the risk of dangerous side effects of Kombiglyze XR.  Talk with your doctor to decide if modest alcohol use is safe for you while taking Kombiglyze XR.   

 

I noticed Kombiglyze XR tablets in my stool.  Should I be concerned?

No.  The inactive (“filler”) ingredients of Kombiglyze XR tablets sometimes don’t completely dissolve.  If you notice the tablets intact in your stool, there is no need to worry.  Your body is still absorbing the active ingredients (saxagliptin and metformin ER).

 

What should I do if Kombiglyze XR upsets my stomach?

At first, Kombiglyze can cause diarrhea or nausea until your body gets used to it.   You can prevent or lessen stomach upset by always taking Kombiglyze with a meal, and don’t skip any doses.  If your symptoms become severe or don’t go away within two weeks, talk with your doctor.

Related Medication

References

  1. Kombiglyze XR Prescribing Information.  Wilmington, DE: AstraZeneca Pharmaceuticals LP; 2019. https://www.azpicentral.com/kombiglyzexr/kombiglyzexr.pdf#page=1 Accessed November 20, 2020.
  2. Goyal R, Jialal I. Diabetes Mellitus Type 2. Treasure Island, FL: StatPearls Publishing; 2020. https://www.ncbi.nlm.nih.gov/books/NBK513253/ Accessed November 20, 2020.

PharmD Medical Writer

Author: Dr. Patricia Weiser, PharmD

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

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