Flumadine Syrup

Generic Name: Rimantadine (ri-MAN-ta-deen)
Brand Name: Flumadine

Flumadine Syrup is used for:

Preventing and treating certain types of flu in adults. It is also used to prevent certain types of flu in children. It may also be used for other conditions as determined by your doctor.

Flumadine Syrup is an antiviral agent. How Flumadine Syrup works is not known. It may block reproduction of the virus.

Do NOT use Flumadine Syrup if:

• you are allergic to any ingredient in Flumadine Syrup or to any adamantane medicine (eg, amantadine)

Contact your doctor or health care provider right away if any of these apply to you.

Before using Flumadine Syrup:

Some medical conditions may interact with Flumadine Syrup. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding


• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement


• if you have a history of liver or kidney problems or seizures


• if you will be receiving a live nasal flu vaccine, or have received one within the past 14 days

Some MEDICINES MAY INTERACT with Flumadine Syrup. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Acetaminophen or aspirin because they may decrease the amount of Flumadine Syrup in your blood


• Cimetidine because it may increase the risk of Flumadine Syrup's side effects

This may not be a complete list of all interactions that may occur. Ask your health care provider if Flumadine Syrup may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Flumadine Syrup:

Use Flumadine Syrup as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Flumadine Syrup may be taken with or without food.


• Use a measuring device marked for medicine dosing. Ask your pharmacist for help if you are unsure of how to measure your dose.


• If you are taking Flumadine Syrup to treat the flu, start taking it as soon as possible. It works best if you begin taking it within 48 hours after you start having flu symptoms.


• Take Flumadine Syrup for the full course of treatment. Do not miss any doses.


• If you miss a dose of Flumadine Syrup, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Flumadine Syrup.

Important safety information:

• Flumadine Syrup may cause dizziness or drowsiness. These effects may be worse if you take it with alcohol or certain medicines. Use Flumadine Syrup with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.


• Flumadine Syrup only works against certain types of the flu; it does not treat other viral infections (eg, the common cold).


• Be sure to use Flumadine Syrup for the full course of treatment. If you do not, the medicine may not work as well. The virus could also become less sensitive to this or other medicines. This could make the infection harder to treat in the future.


• Check with your doctor if you will be receiving a live nasal flu vaccine or have received one within the past 14 days. You should usually not start taking Flumadine Syrup until 2 weeks after you receive a live nasal flu vaccine. You should usually not receive a live nasal flu vaccine within 48 hours after you stop taking Flumadine Syrup.


• Use Flumadine Syrup with caution in the ELDERLY; they may be more sensitive to its effects. These include dizziness, headache, anxiety, weakness, tiredness, nausea, vomiting, and stomach pain.


• Flumadine Syrup should be used with extreme caution in CHILDREN younger than 1 year of age; safety and effectiveness in these children have not been confirmed.


• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Flumadine Syrup while you are pregnant. It is not known if Flumadine Syrup is found in breast milk. Do not breast-feed while taking Flumadine Syrup.

Possible side effects of Flumadine Syrup:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Dizziness; dry mouth; headache; loss of appetite; nausea; nervousness; stomach pain; tiredness; trouble sleeping; vomiting; weakness.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); confusion; depression; fast or irregular heartbeat; hallucinations; seizures; swelling of the hands, ankles, or feet; tremor; trouble walking.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Flumadine side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include agitation; hallucination; irregular heartbeat.

Proper storage of Flumadine Syrup:

Store Flumadine Syrup at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Flumadine Syrup out of the reach of children and away from pets.

General information:

• If you have any questions about Flumadine Syrup, please talk with your doctor, pharmacist, or other health care provider.


• Flumadine Syrup is to be used only by the patient for whom it is prescribed. Do not share it with other people.


• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Flumadine Syrup. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Flumadine resources

• Flumadine Side Effects (in more detail)
• Flumadine Use in Pregnancy & Breastfeeding
• Drug Images
• Flumadine Drug Interactions
• Flumadine Support Group
• 0 Reviews for Flumadine - Add your own review/rating

Compare Flumadine with other medications

• Influenza A
• Influenza Prophylaxis

Ferocon

Generic Name: multivitamin with iron (MUL tee VYE ta mins with i ron)

Brand Names:

What is Ferocon (multivitamin with iron)?

Multivitamin are a combination of many different vitamins that are normally found in foods and other natural sources.

Iron is normally found in foods like red meat. In the body, iron becomes a part of your hemoglobin (HEEM o glo bin) and myoglobin (MY o glo bin). Hemoglobin carries oxygen through your blood to tissues and organs. Myoglobin helps your muscle cells store oxygen.

Multivitamin and iron are used to provide vitamins and iron that are not taken in through the diet. They are also used to treat iron or vitamin deficiencies caused by illness, pregnancy, poor nutrition, digestive disorders, and many other conditions.

Multivitamin and iron may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Ferocon (multivitamin with iron)?

Never take more than the recommended dose of a multivitamin. Avoid taking any other multivitamin product within 2 hours before or after you take multivitamin with iron. Taking similar vitamin products together at the same time can result in a vitamin overdose or serious side effects. Seek emergency medical attention if you think you have used too much of this medicine. An overdose of vitamins A, D, E, or K can cause serious or life-threatening side effects. Iron and other minerals contained in a multivitamin can also cause serious overdose symptoms if you take too much.

Overdose symptoms may include severe stomach pain, vomiting, bloody diarrhea, coughing up blood, constipation, loss of appetite, hair loss, peeling skin, warmth or tingly feeling, changes in menstrual periods, weight loss, severe headache, muscle or joint pain, severe back pain, blood in your urine or stools, black and tarry stools, pale skin, easy bruising or bleeding, weakness, shallow breathing, weak and rapid pulse, pale skin, blue lips, and seizure (convulsions).

Do not take this medication with milk, other dairy products, calcium supplements, or antacids that contain calcium. Calcium may make it harder for your body to absorb certain ingredients of the multivitamin with iron.

What should I discuss with my healthcare provider before taking Ferocon (multivitamin with iron)?

Iron and certain vitamins can cause serious or life-threatening side effects if taken in large doses. Do not take more of this medication than directed on the label or prescribed by your doctor.

If you have any medical conditions, ask your doctor before taking a multivitamin with iron. If you have certain conditions, you may need a certain vitamin formulation or special tests while taking this product.

Do not take multivitamin with iron without telling your doctor if you are pregnant or plan to become pregnant. Some vitamins and minerals can harm an unborn baby if taken in large doses. You may need to use a prenatal vitamin specially formulated for pregnant women. Multivitamin can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take Ferocon (multivitamin with iron)?

Use this medication as directed on the label, or as your doctor has prescribed. Do not use the medication in larger amounts or for longer than recommended.

Never take more than the recommended dose of multivitamin with iron. Avoid taking any other multivitamin product within 2 hours before or after you take multivitamin with iron. Taking similar vitamin products together at the same time can result in a vitamin overdose or serious side effects.

Many multivitamin products also contain minerals such as calcium, magnesium, potassium, and zinc. Minerals (especially taken in large doses) can cause side effects such as tooth staining, increased urination, stomach bleeding, uneven heart rate, confusion, and muscle weakness or limp feeling. Read the label of any multivitamin product you take to make sure you are aware of what it contains.

Take your multivitamin with a full glass of water. You may take the multivitamin with food if it upsets your stomach.

The chewable tablet must be chewed or allowed to dissolve in the mouth before swallowing.

Measure the liquid form of this multivitamin using a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.

Liquid multivitamin may sometimes be mixed with water, fruit juice, or infant formula (but not milk or other dairy products). Follow the directions on the medicine label.

Do not crush, chew, break, or open an extended-release tablet or capsule. Swallow the pill whole. Breaking or opening the pill may cause too much of the drug to be released at one time.

It is important to take multivitamin with iron regularly to get the most benefit.

Store this medication at room temperature away from moisture and heat. Keep the liquid medicine from freezing.

Store multivitamin in their original container. Storing multivitamin in a glass container can ruin the medication.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. An overdose of vitamins A, D, E, or K can cause serious or life-threatening side effects. Iron and other minerals contained in a multivitamin can also cause serious overdose symptoms.

Overdose symptoms may include severe stomach pain, vomiting, bloody diarrhea, coughing up blood, constipation, loss of appetite, hair loss, peeling skin, warmth or tingly feeling, changes in menstrual periods, weight loss, severe headache, muscle or joint pain, severe back pain, blood in your urine or stools, black and tarry stools, pale skin, easy bruising or bleeding, weakness, shallow breathing, weak and rapid pulse, pale skin, blue lips, and seizure (convulsions).

What should I avoid while taking Ferocon (multivitamin with iron)?

Avoid taking any other multivitamin product within 2 hours before or after you take multivitamin with iron. Taking similar vitamin products together at the same time can result in a vitamin overdose or serious side effects.

Avoid the regular use of salt substitutes in your diet if your multivitamin contains potassium. If you are on a low-salt diet, ask your doctor before taking a vitamin or mineral supplement.

Avoid taking an antibiotic medicine within 2 hours before or after you take multivitamin with iron. This is especially important if you are taking an antibiotic such as ciprofloxacin (Cipro), demeclocycline (Declomycin), doxycycline (Adoxa, Doryx, Oracea, Vibramycin), levofloxacin (Levaquin), lomefloxacin (Maxaquin), minocycline (Dynacin, Minocin, Solodyn, Vectrin), norfloxacin (Noroxin), ofloxacin (Floxin), or tetracycline (Brodspec, Panmycin, Sumycin, Tetracap).

Certain foods can also make it harder for your body to absorb iron. Avoid taking this multivitamin within 1 hour before or 2 hours after eating fish, meat, liver, and whole grain or "fortified" breads or cereals.

Do not take this medication with milk, other dairy products, calcium supplements, or antacids that contain calcium. Calcium may make it harder for your body to absorb certain ingredients of the multivitamin.

Ferocon (multivitamin with iron) 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. Call your doctor if you have serious side effects such as:

• 
  

  bright red blood in your stools; or

  
  


• 
  

  pain in your chest or throat when swallowing a ferrous fumarate tablet.

  
  

When taken as directed, multivitamin are not expected to cause serious side effects. Less serious side effects may include:

• 
  

  constipation, diarrhea;

  
  


• 
  

  nausea, vomiting, heartburn;

  
  


• 
  

  stomach pain, upset stomach;

  
  


• 
  

  black or dark-colored stools or urine;

  
  


• 
  

  temporary staining of the teeth;

  
  


• 
  

  headache; or

  
  


• 
  

  unusual or unpleasant taste in your mouth.

  
  

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.

What other drugs will affect Ferocon (multivitamin with iron)?

Vitamin and mineral supplements can interact with certain medications, or affect how medications work in your body. Before taking multivitamin with iron, tell your doctor if you also use:

• 
  

  acetohydroxamic acid (Lithostat);

  
  


• 
  

  cimetidine (Tagamet);

  
  


• 
  

  deferoxamine (Desferal);

  
  


• 
  

  etidronate (Didronel);

  
  


• 
  

  diuretics (water pills);

  
  


• 
  

  heart or blood pressure medications;

  
  


• 
  

  tretinoin (Vesanoid);

  
  


• 
  

  isotretinoin (Accutane, Amnesteen, Clavaris, Sotret);

  
  


• 
  

  dimercaprol (an injection used to treat poisoning by arsenic, lead, or mercury);

  
  


• 
  

  penicillamine (Cuprimine);

  
  


• 
  

  pancrelipase (Cotazym, Creon, Ilozyme, Pancrease, Ultrase);

  
  


• 
  

  trimethoprim and sulfamethoxazole (Cotrim, Bactrim, Septra, TMP/SMX); or

  
  


• 
  

  an NSAID (non-steroidal anti-inflammatory drug) such as ibuprofen (Motrin, Advil), naproxen (Aleve, Naprosyn), diclofenac (Cataflam, Voltaren), etodolac (Lodine), indomethacin (Indocin), ketoprofen (Orudis), and others.

  
  

This list is not complete and there may be other medications that can interact with or be affected by multivitamin with iron. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

More Ferocon resources

• Ferocon Side Effects (in more detail)
• Ferocon Use in Pregnancy & Breastfeeding
• Ferocon Drug Interactions
• Ferocon Support Group
• 0 Reviews for Ferocon - Add your own review/rating

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• Integra F Prescribing Information (FDA)


• Integra Plus Prescribing Information (FDA)


• Integra Plus MedFacts Consumer Leaflet (Wolters Kluwer)


• Irospan 24/6 Prescribing Information (FDA)


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• Anemia
• Vitamin/Mineral Supplementation and Deficiency

Where can I get more information?

• Your pharmacist can provide more information about multivitamin with iron.

See also: Ferocon side effects (in more detail)

Tedral

Generic Name: theophylline, ephedrine, and phenobarbital (Oral route)

thee-OF-i-lin, e-FED-rin hye-droe-KLOR-ide, fee-noe-BAR-bi-tal

Commonly used brand name(s)

In Canada

• Tedral

Available Dosage Forms:

• Tablet


• Tablet, Extended Release

Therapeutic Class: Bronchodilator, Xanthine Combination

Pharmacologic Class: Ephedrine

Chemical Class: Methylxanthine

Uses For Tedral

Theophylline, ephedrine, and phenobarbital combination is used to treat the symptoms of bronchial asthma, asthmatic bronchitis, and other lung diseases. This medicine relieves cough, wheezing, shortness of breath, and troubled breathing. It works by opening up the bronchial tubes (air passages) of the lungs and increasing the flow of air through them.

Products containing theophylline, ephedrine, and phenobarbital were withdrawn from the U.S. market by Parke Davis in April, 1993.

Before Using Tedral

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

Newborn infants may be especially sensitive to the effects of theophylline, ephedrine, and phenobarbital combination. This may increase the chance of side effects during treatment.

Geriatric

Patients older than 60 years of age may be especially sensitive to the effects of theophylline, ephedrine, and phenobarbital combination. This may increase the chance of side effects during treatment.

Pregnancy

	Pregnancy Category	Explanation
All Trimesters	D	Studies in pregnant women have demonstrated a risk to the fetus. However, the benefits of therapy in a life threatening situation or a serious disease, may outweigh the potential risk.

Breast Feeding

PhenobarbitalEphedrine

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Theophylline

Studies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding.

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. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

• Boceprevir


• Cyclopropane


• Halothane


• Isocarboxazid


• Nifedipine


• Praziquantel


• Ranolazine


• Rasagiline


• Rilpivirine


• Selegiline


• Voriconazole

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

• Abiraterone


• Acenocoumarol


• Adinazolam


• Alfentanil


• Alprazolam


• Amobarbital


• Anileridine


• Anisindione


• Aprobarbital


• Bortezomib


• Bromazepam


• Brotizolam


• Bupropion


• Butabarbital


• Butalbital


• Cabazitaxel


• Carisoprodol


• Chloral Hydrate


• Chlordiazepoxide


• Chlorzoxazone


• Cimetidine


• Ciprofloxacin


• Clobazam


• Clonazepam


• Clorazepate


• Clorgyline


• Codeine


• Crizotinib


• Dantrolene


• Dasatinib


• Deferasirox


• Delavirdine


• Desogestrel


• Diazepam


• Dicumarol


• Dienogest


• Dronedarone


• Drospirenone


• Enoxacin


• Erlotinib


• Erythromycin


• Estazolam


• Estradiol Cypionate


• Estradiol Valerate


• Ethchlorvynol


• Ethinyl Estradiol


• Ethynodiol Diacetate


• Etintidine


• Etonogestrel


• Etravirine


• Everolimus


• Fentanyl


• Flunitrazepam


• Flurazepam


• Fluvoxamine


• Furazolidone


• Halazepam


• Halothane


• Hydrocodone


• Hydromorphone


• Idrocilamide


• Imatinib


• Imipenem


• Iproniazid


• Irinotecan


• Ixabepilone


• Ketazolam


• Ketorolac


• Lapatinib


• Levofloxacin


• Levonorgestrel


• Levorphanol


• Linagliptin


• Lopinavir


• Lorazepam


• Lormetazepam


• Maraviroc


• Medazepam


• Medroxyprogesterone Acetate


• Meperidine


• Mephenesin


• Mephobarbital


• Meprobamate


• Mestranol


• Metaxalone


• Methocarbamol


• Methohexital


• Methoxyflurane


• Mexiletine


• Midazolam


• Midodrine


• Morphine


• Morphine Sulfate Liposome


• Naproxen


• Nialamide


• Nilotinib


• Nitrazepam


• Nordazepam


• Norelgestromin


• Norethindrone


• Norgestimate


• Norgestrel


• Oxazepam


• Oxycodone


• Oxymorphone


• Pargyline


• Pefloxacin


• Peginterferon Alfa-2a


• Pentobarbital


• Phenelzine


• Phenindione


• Phenobarbital


• Phenprocoumon


• Prazepam


• Primidone


• Procarbazine


• Propoxyphene


• Quazepam


• Quetiapine


• Remifentanil


• Rivaroxaban


• Rofecoxib


• Roflumilast


• Romidepsin


• Secobarbital


• Sirolimus


• Sodium Oxybate


• Sufentanil


• Sunitinib


• Tacrolimus


• Tapentadol


• Temazepam


• Temsirolimus


• Teniposide


• Thiabendazole


• Thiopental


• Ticagrelor


• Tolvaptan


• Tranylcypromine


• Triazolam


• Troleandomycin


• Vandetanib


• Vemurafenib


• Zileuton


• Zolpidem

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

• Adenosine


• Adinazolam


• Alprazolam


• Aminoglutethimide


• Amiodarone


• Amprenavir


• Azithromycin


• Betamethasone


• Bexarotene


• Bromazepam


• Brotizolam


• Cannabis


• Carbamazepine


• Chlordiazepoxide


• Chlorpromazine


• Clobazam


• Clonazepam


• Clorazepate


• Clozapine


• Cortisone


• Desogestrel


• Dexamethasone


• Diazepam


• Dienogest


• Digitoxin


• Disulfiram


• Drospirenone


• Estazolam


• Estradiol Cypionate


• Estradiol Valerate


• Ethinyl Estradiol


• Ethosuximide


• Ethynodiol Diacetate


• Etonogestrel


• Febuxostat


• Felodipine


• Flunitrazepam


• Flurazepam


• Fosphenytoin


• Ginkgo


• Granisetron


• Griseofulvin


• Halazepam


• Interferon Alfa-2a


• Ipriflavone


• Isoproterenol


• Itraconazole


• Ketazolam


• Lamotrigine


• Leucovorin


• Levomethadyl


• Levonorgestrel


• Lorazepam


• Lormetazepam


• Medazepam


• Medroxyprogesterone Acetate


• Mestranol


• Methotrexate


• Methylprednisolone


• Metoprolol


• Midazolam


• Nilutamide


• Nimodipine


• Nitrazepam


• Norelgestromin


• Norethindrone


• Norgestimate


• Norgestrel


• Oxazepam


• Oxcarbazepine


• Pancuronium


• Pentoxifylline


• Phenobarbital


• Phenytoin


• Piperine


• Prazepam


• Prednisone


• Propafenone


• Quazepam


• Quinidine


• Quinine


• Rifampin


• Rifapentine


• Riluzole


• Risperidone


• Ritonavir


• Rufinamide


• Secobarbital


• St John's Wort


• Tacrine


• Tacrolimus


• Telithromycin


• Temazepam


• Theophylline


• Thioridazine


• Tiagabine


• Ticlopidine


• Tipranavir


• Topiramate


• Triazolam


• Valproic Acid


• Verapamil


• Viloxazine


• Warfarin


• Zafirlukast

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. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following may cause an increased risk of certain side effects but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.

• Caffeine


• food

Other Medical Problems

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:

• Angle-closure glaucoma or


• Convulsions (seizures) or


• Heart or blood vessel disease or


• High blood pressure or


• Underactive adrenal gland—May make these conditions worse.

• Diabetes mellitus—Phenobarbital may make the condition worse; your doctor may need to change the dose of your diabetes medicine.

• History of drug abuse or


• Liver disease—The effects of phenobarbital or theophylline may be increased.

• Kidney disease—The effects of phenobarbital may be increased.

• Pain—Phenobarbital may cause unusual excitement in the presence of pain.

Proper Use of Tedral

This medicine works best when taken with a glass of water on an empty stomach (either 30 minutes to 1 hour before meals or 2 hours after meals) since that way it will get into the blood sooner. However, in some cases your doctor may want you to take this medicine with meals or right after meals to lessen stomach upset. If you have any questions about how you should be taking this medicine, check with your doctor.

Take this medicine only as directed. Do not take more of it and do not take it more often than recommended on the label, unless otherwise directed by your doctor. To do so may increase the chance of serious side effects. Also, if too much is taken, the phenobarbital in this medicine may become habit-forming.

In order for this medicine to help your medical problem, it must be taken every day in regularly spaced doses as recommended. This is necessary to keep a constant amount of this medicine in the blood. To help keep the amount constant, do not miss any doses.

Make certain your health care professional knows if you are on any special diet, such as a high-protein, low-carbohydrate or low-protein, high-carbohydrate diet.

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 bronchial asthma, asthmatic bronchitis, and other lung diseases:
  
  • For oral dosage form (tablets):
    
    • Adults—1 or 2 tablets every 4 hours.
    
    
    • Children weighing more than 27 kilograms (kg)—1/2 or 1 tablet every 4 hours.
    
    
    • Children weighing less than 27 kg—Use and dose must be determined by your doctor.
    
    
  
  

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.

Precautions While Using Tedral

The theophylline in this medicine may add to the central nervous system stimulant effects of caffeine-containing foods or beverages such as chocolate, cocoa, tea, coffee, and cola drinks. Avoid eating or drinking large amounts of these foods or beverages while taking this medicine. If you have any questions about this, check with your doctor.

The phenobarbital in this medicine will add to the effects of alcohol and other CNS depressants (medicines that slow down the nervous system, possibly causing drowsiness). Some examples of CNS depressants are antihistamines or medicine for hay fever, other allergies, or colds; sedatives, tranquilizers, or sleeping medicine; prescription pain medicine or narcotics; other barbiturates; medicine for seizures; muscle relaxants; or anesthetics, including some dental anesthetics. Check with your doctor before taking any of the above while you are using this medicine.

A change in your usual behavior or physical well-being may affect the way this medicine works in your body. Check with your doctor if you:

• have a fever of 102 °F or higher for at least 24 hours or higher than 100 °F for longer than 24 hours.


• start or stop smoking.


• start or stop taking another medicine.


• change your diet for a long time.

Before you have myocardial perfusion studies (a medical test that shows how well blood is flowing to your heart), tell the medical doctor in charge that you are taking this medicine. The results of the test may be affected by this medicine.

This medicine may cause some people to become dizzy, lightheaded, drowsy, or less alert than they are normally. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert.

Tedral Side Effects

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

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

Less common or rare

• Heartburn and/or vomiting

Symptoms of toxicity

• Abdominal pain, continuing or severe


• confusion or change in behavior


• convulsions (seizures)


• dark or bloody vomit


• diarrhea


• dizziness or lightheadedness


• fast and/or irregular heartbeat, continuing


• nervousness or restlessness, continuing


• trembling, continuing

Some 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 medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Less common

• Chest discomfort or pain


• drowsiness


• fast heartbeat


• headache


• muscle cramps


• nausea


• nervousness or restlessness


• trembling


• trouble in sleeping

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

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.

More Tedral resources

• Tedral Drug Interactions
• Tedral Support Group
• 0 Reviews · Be the first to review/rate this drug

Synthroid

Pronunciation: LEE-voe-thye-ROX-een
Generic Name: Levothyroxine
Brand Name: Examples include Levoxyl and Synthroid

Do not use Synthroid alone or with other medicines to treat obesity or to lose weight. Incorrect use of Synthroid may cause serious and sometimes fatal side effects.

Synthroid is used for:

Treating low thyroid hormone levels and certain types of goiters. It is also used with surgery and other medicines for managing certain types of thyroid cancer. It may also be used for other conditions as determined by your doctor.

Synthroid is a thyroid hormone. It works by replacing thyroid hormone when your body does not make enough on its own.

Do NOT use Synthroid if:

• you are allergic to any ingredient in Synthroid


• you have untreated adrenal gland problems or high thyroid hormone levels


• you have had a recent heart attack

Contact your doctor or health care provider right away if any of these apply to you.

Before using Synthroid:

Some medical conditions may interact with Synthroid. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding


• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement


• if you have allergies to medicines, foods, or other substances


• if you have trouble swallowing, heart or blood vessel problems (eg, coronary artery disease), high blood pressure, blood clotting or bleeding problems, pernicious anemia, diabetes, bone problems (eg, osteoporosis), fertility problems, pituitary problems, adrenal gland problems, or other thyroid problems


• if you have problems absorbing nutrition from your stomach or intestines into your body


• if you had a recent surgery or have an upcoming surgery

Some MEDICINES MAY INTERACT with Synthroid. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Many prescription and nonprescription medicines (eg, used for infections, inflammation, aches and pains, nasal congestion, asthma, high blood pressure, irregular heartbeat or other heart problems, blood thinning, mental or mood problems, depression, diabetes, other thyroid problems, high cholesterol, hepatitis, weight loss, heartburn, birth control, hormone replacement therapy, growth hormone deficiency, cancer, seizures), and multivitamin products may interact with Synthroid, increasing the risk of side effects or decreasing effectiveness.

This may not be a complete list of all interactions that may occur. Ask your health care provider if Synthroid may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Synthroid:

Use Synthroid as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take Synthroid by mouth on an empty stomach at least one-half to one hour before breakfast.


• Some brands of Synthroid must be taken with a full glass of water (8 oz/240 mL). Ask your pharmacist how you should take your brand of Synthroid.


• Do not take an antacid or a product that has iron or calcium in it within 4 hours of taking Synthroid.


• If the patient is a child or if you cannot swallow the tablet whole, you may crush the correct dose of the medicine. Add the crushed medicine to 1 to 2 teaspoons (5 to 10 mL) of water. Mix well. Use a spoon or dropper to give the medicine as soon as possible. Do not store the mixture for later use. Do not mix crushed tablets in soybean infant formula. Ask your pharmacist if you have any questions.


• Synthroid works best if it is taken at the same time each day.


• Continue to take Synthroid even if you feel well. Do not miss any doses.


• It may take several weeks before you notice an improvement in your symptoms. Do not stop or change your dose of Synthroid without first checking with your doctor.


• If you miss a dose of Synthroid, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Synthroid.

Important safety information:

• Some brands of Synthroid may cause choking, gagging, or trouble swallowing. Ask your pharmacist if your brand may cause these effects. If your brand may cause these effects, be sure to take your medicine with a full glass of water. Tell your doctor if you have trouble swallowing.


• It is important to take Synthroid exactly as prescribed. Do not take more than the prescribed dose without checking with your doctor.


• Tell your doctor or dentist that you take Synthroid before you receive any medical or dental care, emergency care, or surgery.


• Diabetes patients - Synthroid may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.


• Foods that contain soybean flour (including infant formula), cottonseed meal, walnuts, or dietary fiber may decrease the absorption of Synthroid. Tell your doctor if your diet includes any of these foods. Your doctor may need to change your dose of Synthroid.


• Mild hair loss may rarely occur during the first few months of treatment with Synthroid. This is usually temporary. Contact your doctor if hair loss is severe or persistent.


• Lab tests, including thyroid hormone level and growth checks, may be performed while you use Synthroid. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.


• Use Synthroid with caution in the ELDERLY; they may be more sensitive to its effects, especially heart problems.


• CHILDREN and teenagers may need regular growth checks while they take Synthroid.


• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. Your doctor may need to change your dose of Synthroid. Synthroid is found in breast milk. If you are or will be breast-feeding while you use Synthroid, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Synthroid:

All medicines may cause side effects, but many people have no, or minor, side effects. No COMMON side effects have been reported with the use of Synthroid. Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; flushing; tightness in the chest; swelling of the mouth, face, lips, or tongue; unusual hoarseness); changes in appetite; changes in menstrual periods; chest pain; diarrhea; excessive sweating; fast or irregular heartbeat; fever; heat intolerance; joint pain; leg cramps; mental or mood changes (eg, anxiety, irritability, nervousness); muscle weakness; seizures; severe or persistent headache or fatigue; shortness of breath; stomach cramps; tremors; trouble sleeping; unusual weight gain or weight loss; vomiting; wheezing.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Synthroid side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include coma; confusion; disorientation; seizures.

Proper storage of Synthroid:

Store Synthroid between 68 and 77 degrees F (20 and 25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Protect from heat, light, and moisture. Do not store in the bathroom. Keep Synthroid out of the reach of children and away from pets.

General information:

• If you have any questions about Synthroid, please talk with your doctor, pharmacist, or other health care provider.


• Synthroid is to be used only by the patient for whom it is prescribed. Do not share it with other people.


• If your symptoms do not improve or if they become worse, check with your doctor.


• Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Synthroid. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Synthroid resources

• Synthroid Side Effects (in more detail)
• Synthroid Dosage
• Synthroid Use in Pregnancy & Breastfeeding
• Drug Images
• Synthroid Drug Interactions
• Synthroid Support Group
• 51 Reviews for Synthroid - Add your own review/rating

• Synthroid Prescribing Information (FDA)


• Synthroid Advanced Consumer (Micromedex) - Includes Dosage Information


• Synthroid Consumer Overview


• Levothyroxine Prescribing Information (FDA)


• Levothroid Prescribing Information (FDA)


• Levothyroxine Sodium Monograph (AHFS DI)


• Levoxyl Prescribing Information (FDA)


• Levoxyl Consumer Overview


• Tirosint Prescribing Information (FDA)

Compare Synthroid with other medications

• Hashimoto's disease
• Hypothyroidism, After Thyroid Removal
• Myxedema Coma
• Thyroid Suppression Test
• TSH Suppression
• Underactive Thyroid

Carbofed DM Drops

Generic Name: carbinoxamine, dextromethorphan, and pseudoephedrine (kar bi NOX a meen/dex troe meh THOR fan/soo doe eh FEH drin)

Brand Names: Andehist DM NR, Carb PSE 12 DM, Carbaxef-DM, Carbodex DM, Carbofed DM Drops, Cordron-12 DM, Cordron-DM NR, Mintex DM, Pediatex 12 DM, Pediatex-DM, PSE Allergy DM, PSE Carb DM Drops, PSE Carbinoxamine DM, Pseudo Carb DM

What is Carbofed DM Drops (carbinoxamine, dextromethorphan, and pseudoephedrine)?

Carbinoxamine is an antihistamine that reduces the natural chemical histamine in the body. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose.

Dextromethorphan is a cough suppressant. It suppresses an area in the brain that causes coughing.

Pseudoephedrine is a decongestant that shrinks blood vessels in the nasal passages. Dilated blood vessels can cause nasal congestion (stuffy nose).

The combination of carbinoxamine, dextromethorphan, and pseudoephedrine is used to treat sneezing, cough, runny or stuffy nose, itchy or watery eyes, hives, skin rash, itching, and other symptoms of allergies and the common cold.

Carbinoxamine, dextromethorphan, and pseudoephedrine may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Carbofed DM Drops (carbinoxamine, dextromethorphan, and pseudoephedrine)?

Always ask a doctor before giving a cold or allergy medicine to a child, even if the medicine label provides dosing instructions for children. Death can occur from the misuse of cough and cold medicines in very young children. Do not use carbinoxamine, dextromethorphan, and pseudoephedrine if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take carbinoxamine, dextromethorphan, and pseudoephedrine before the MAO inhibitor has cleared from your body. Carbinoxamine, dextromethorphan, and pseudoephedrine can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Avoid drinking alcohol. It can increase some of the side effects of this medication.

Call your doctor if you have a fever, or if your symptoms get worse or do not improve after taking this medicine for 7 days.

Do not take this product for cough caused by smoking, asthma, or emphysema. Do not take this medicine if your cough produces a lot of mucus, unless your doctor has told you to.

What should I discuss with my healthcare provider before taking Carbofed DM Drops (carbinoxamine, dextromethorphan, and pseudoephedrine)?

Do not use carbinoxamine, dextromethorphan, and pseudoephedrine if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take carbinoxamine, dextromethorphan, and pseudoephedrine before the MAO inhibitor has cleared from your body.

Before taking this medication, tell your doctor if you are allergic to carbinoxamine, dextromethorphan, or pseudoephedrine, or if you have:

• kidney disease;


• liver disease;


• 
  

  diabetes;

  
  


• 
  

  glaucoma;

  
  


• 
  

  heart disease or high blood pressure;

  
  


• 
  

  thyroid disease;

  
  


• 
  

  a stomach ulcer or a stomach obstruction,

  
  


• 
  

  emphysema or chronic bronchitis; or

  
  


• 
  

  an enlarged prostate or urination problems.

  
  

If you have any of these conditions, you may need a dose adjustment or special tests to safely take this medication.

FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Carbinoxamine, dextromethorphan, and pseudoephedrine can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Artificially-sweetened liquid forms of cold medicine may contain phenylalanine. This would be important to know if you have phenylketonuria (PKU). Check the ingredients and warnings on the medication label if you are concerned about phenylalanine.

How should I take Carbofed DM Drops (carbinoxamine, dextromethorphan, and pseudoephedrine)?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label. Cold medicine is usually taken only for a short time until your symptoms clear up.

Always ask a doctor before giving a cold or allergy medicine to a child, even if the medicine label provides dosing intructions for children. Death can occur from the misuse of cough and cold medicines in very young children.

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

Call your doctor if you have a fever, or if your symptoms get worse or do not improve after taking this medicine for 7 days.

Store the medication at room temperature away from moisture and heat.

What happens if I miss a dose?

Since cough and cold medicine is usually taken only as needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include extreme drowsiness, confusion, feeling restless or nervous, blurred vision, dry mouth, nausea, vomiting, restlessness, hallucinations, fainting, and seizure (convulsions).

What should I avoid while taking Carbofed DM Drops (carbinoxamine, dextromethorphan, and pseudoephedrine)?

This medication can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Avoid drinking alcohol. It can increase some of the side effects of this medication. Do not use any other over-the-counter cough, cold, allergy, or sleep medication without first asking your doctor or pharmacist. Antihistamines, decongestants, and cough suppressants are contained in many medicines available over the counter. If you take certain products together you may accidentally take too much of one or more types of medicine. Read the label of any other medicine you are using to see if it contains an antihistamine, decongestant, or cough suppressant. Tell your doctor if you regularly use other medicines that make you sleepy (such as narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety). They can add to sleepiness caused by carbinoxamine or dextromethorphan.

Avoid taking diet pills, caffeine pills, or other stimulants (such as ADHD medications) without your doctor's advice. Taking a stimulant together with a decongestant can increase your risk of unpleasant side effects.

Carbofed DM Drops (carbinoxamine, dextromethorphan, and pseudoephedrine) 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 this medication and call your doctor at once if you have any of these serious side effects:

• 
  

  feeling light-headed, fainting;

  
  


• 
  

  urinating less than usual or not at all;

  
  


• 
  

  wheezing, tightness in your chest;

  
  


• 
  

  severe dizziness, anxiety, restless feeling, or nervousness;

  
  


• 
  

  easy bruising or bleeding, unusual weakness, fever, chills, body aches, flu symptoms; or

  
  


• 
  

  increased blood pressure (severe headache, blurred vision, trouble concentrating, chest pain, numbness, seizure).

  
  

Less serious side effects may include:

• 
  

  drowsiness, dizziness;

  
  


• 
  

  lack of coordination;

  
  


• 
  

  upset stomach;

  
  


• 
  

  stuffy nose, chest congestion;

  
  


• 
  

  sleep problems (insomnia);

  
  


• 
  

  feeling restless or excited (especially in children);

  
  


• 
  

  dry mouth or nose; or

  
  


• 
  

  blurred vision.

  
  

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

What other drugs will affect Carbofed DM Drops (carbinoxamine, dextromethorphan, and pseudoephedrine)?

Before taking carbinoxamine, dextromethorphan, and pseudoephedrine, tell your doctor if you are using any of the following drugs:

• 
  

  a diuretic (water pill), or blood pressure medicine;

  
  


• 
  

  medication to treat irritable bowel syndrome;

  
  


• 
  

  bladder or urinary medications such as oxybutynin (Ditropan, Oxytrol) or tolterodine (Detrol);

  
  


• 
  

  aspirin or salicylates (such as Disalcid, Doan's Pills, Dolobid, Salflex, Tricosal, and others);

  
  


• 
  

  a beta-blocker such as atenolol (Tenormin), carteolol (Cartrol), metoprolol (Lopressor, Toprol), nadolol (Corgard), propranolol (Inderal), sotalol (Betapace), timolol (Blocadren), and others; or

  
  


• 
  

  antidepressants such as amitriptyline (Elavil), clomipramine (Anafranil), imipramine (Janimine, Tofranil), and others.

  
  

This list is not complete and there may be other drugs that can interact with carbinoxamine, dextromethorphan, and pseudoephedrine. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

More Carbofed DM Drops resources

• Carbofed DM Drops Side Effects (in more detail)
• Carbofed DM Drops Use in Pregnancy & Breastfeeding
• Carbofed DM Drops Drug Interactions
• Carbofed DM Drops Support Group
• 1 Review for Carbofed DM - Add your own review/rating

• Andehist DM NR Drops MedFacts Consumer Leaflet (Wolters Kluwer)


• Cordron-12 DM Suspension MedFacts Consumer Leaflet (Wolters Kluwer)


• Cordron-DM Liquid MedFacts Consumer Leaflet (Wolters Kluwer)

Compare Carbofed DM Drops with other medications

• Cough
• Nasal Congestion

Where can I get more information?

• Your pharmacist can provide more information about carbinoxamine, dextromethorphan, and pseudoephedrine.

See also: Carbofed DM side effects (in more detail)

Novacort

Generic Name: hydrocortisone and pramoxine topical (HYE droe KOR ti sone and pra MOX een)

Brand Names: Analpram E, Analpram-HC, Epifoam, HC Pramoxine, Hydropram, Novacort, Pramosone, Proctofoam HC, Rectocort HC, ZyPram

What is Novacort (hydrocortisone and pramoxine topical)?

Pramoxine is an anesthetic. It works by interfering with pain signals sent from the nerves to the brain.

Hydrocortisone is a steroid. It reduces the actions of chemicals in the body that cause inflammation, redness, and swelling.

The combination of hydrocortisone and pramoxine topical is used to treat pain, itching, or inflammation of the skin caused by a number of conditions such as allergic reactions, eczema, psoriasis, insect bites, and minor burns or scrapes. This medication is also used on the rectal area to treat itching and inflammation caused by hemorrhoids, anal fissures, or other rectal irritation.

Hydrocortisone and pramoxine topical may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Novacort (hydrocortisone and pramoxine topical)?

You should not use this medication if you are allergic to hydrocortisone or pramoxine, or if you have chickenpox or measles.

Before using hydrocortisone and pramoxine topical, tell your doctor if you are allergic to any drugs or any other anesthetics or "numbing medicines."

Hydrocortisone and pramoxine topical will not treat a bacterial, fungal, or viral skin infection. If you have a skin infection, you should not use this medication until your infection is treated and clears up.

Avoid using this medication on your face, near your eyes, or on body areas where you have skin folds or thin skin.

Do not use this medication on a child without a doctor's advice. Children are more sensitive to the effects of topical hydrocortisone. Do not cover treated skin areas with a bandage or other covering unless your doctor has told you to. If you are treating the diaper area of a baby, do not use plastic pants or tight-fitting diapers. Covering the skin that is treated with hydrocortisone topical can increase the amount of the drug your skin absorbs, which may lead to unwanted side effects. Follow your doctor's instructions. Contact your doctor if your condition does not improve or if it gets worse after using this medication for several days.

Do not use hydrocortisone and pramoxine topical for any condition that has not been checked by a doctor.

What should I discuss with my health care provider before using Novacort (hydrocortisone and pramoxine topical)?

You should not use this medication if you are allergic to hydrocortisone or pramoxine, or if you have chickenpox or measles.

Before using hydrocortisone and pramoxine topical, tell your doctor if you are allergic to any drugs or any other anesthetics or "numbing medicines." Also tell your doctor if you have:

• 
  

  liver disease;

  
  


• 
  

  diabetes;

  
  


• 
  

  problems with your eyes;

  
  


• 
  

  a stomach or intestinal disorder;

  
  


• 
  

  a rectal sore or infection; or

  
  


• 
  

  if you use any drugs that weaken the immune system, including steroids.

  
  

Hydrocortisone and pramoxine topical will not treat a bacterial, fungal, or viral skin infection. If you have a skin infection, you should not use this medication until your infection is treated and clears up.

FDA pregnancy category C. It is not known whether this medication is harmful to an unborn baby. Before using hydrocortisone and pramoxine topical, tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether hydrocortisone and pramoxine topical passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not use this medication on a child without a doctor's advice. Children are more sensitive to the effects of topical hydrocortisone.

How should I use Novacort (hydrocortisone and pramoxine topical)?

Use this medication exactly as directed on the label, or as prescribed by your doctor. Do not use it in larger amounts or for longer than recommended. Follow the directions on your prescription label.

Hydrocortisone and pramoxine topical is usually applied 3 or more times daily, depending on which form of this medication you use. Follow the label directions or your doctor's instructions about how much of this medication to use and how often. Do not use hydrocortisone and pramoxine topical for any condition that has not been checked by a doctor.

Wash your hands before and after applying this medication, unless you are using hydrocortisone and pramoxine topical to treat a hand condition.

When using this medication on the skin, apply just enough of the medication to cover the area to be treated. Rub in gently.

Avoid using this medication on your face, near your eyes or mouth, or on body areas where you have skin folds or thin skin.

Do not cover treated skin areas with a bandage or other covering unless your doctor has told you to. If you are treating the diaper area of a baby, do not use plastic pants or tight-fitting diapers. Covering the skin that is treated with hydrocortisone topical can increase the amount of the drug your skin absorbs, which may lead to unwanted side effects. Follow your doctor's instructions.

Before apply the rectal form of this medication (cream, lotion, or foam), clean the rectal area with mild soap and pat dry.

Use only a small amount of medicine when applying hydrocortisone and pramoxine around the outside of the rectum. You may first place the medicine onto a clean tissue and then wipe it gently onto your rectum.

When using this medication inside the rectum, insert only the applicator tip of the medicine tube or foam can into the anus, no deeper than 1 inch.

Shake the hydrocortisone and pramoxine rectal foam before each use. Contact your doctor if your condition does not improve or if it gets worse after using this medication for several days, or if your condition clears up and then comes back. Do not stop using hydrocortisone and pramoxine topical suddenly after long-term use, or you could have unpleasant withdrawal symptoms. Talk to your doctor about how to avoid withdrawal symptoms when you stop using the medication. Store this medication at room temperature away from moisture and heat. Keep the rectal foam canister away from open flame or high heat. The canister may explode if it gets too hot. Do not puncture or burn an empty canister.

What happens if I miss a dose?

Use the medication as soon as you remember. If it is almost time for the next dose, skip the missed dose and use the medicine at the next regularly scheduled time. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

An overdose of hydrocortisone and pramoxine 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.

What should I avoid while using Novacort (hydrocortisone and pramoxine topical)?

Avoid using this medication on your face, near your eyes, or on body areas where you have skin folds or thin skin. If it does get into any of these areas, wash with water. Do not use hydrocortisone and pramoxine topical on deep skin wounds, blistered skin, severe burns, irritated skin, or large skin areas. Also avoid using this medication in open wounds.

Avoid applying other skin medications on the same treatment area with hydrocortisone and pramoxine topical, unless your doctor has told you to.

Using a steroid can lower the blood cells that help your body fight infections. This can make it easier for you to get sick from being around others who are ill. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using steroid medicines.

Hydrocortisone pramoxine topical 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 this medication and call your doctor at once if you have any of these serious side effects:

• 
  

  blurred vision, or seeing halos around lights;

  
  


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  uneven heartbeats;

  
  


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  sleep problems (insomnia);

  
  


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  ongoing headache;

  
  


• 
  

  weight gain, puffiness in your face;

  
  


• 
  

  increased thirst or urination, weight loss, unusual weakness;

  
  


• 
  

  fever, sore throat, tired feeling;

  
  


• 
  

  severe pain, burning, or irritation of treated skin;

  
  


• 
  

  rectal bleeding;

  
  


• 
  

  any new redness or swelling where the medicine was applied; or

  
  


• 
  

  itching, oozing, or other signs of infection.

  
  

Less serious side effects may include:

• 
  

  mild skin redness, burning, itching, dryness, or peeling;

  
  


• 
  

  acne;

  
  


• 
  

  changes in the color of treated skin;

  
  


• 
  

  thinning of your skin;

  
  


• 
  

  blistering skin; or

  
  


• 
  

  stretch marks.

  
  

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.

What other drugs will affect Novacort (hydrocortisone and pramoxine topical)?

It is not likely that other drugs you take orally or inject will have an effect on topically applied hydrocortisone and pramoxine. But many drugs can interact with each other. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

More Novacort resources

• Novacort Side Effects (in more detail)
• Novacort Use in Pregnancy & Breastfeeding
• Novacort Drug Interactions
• Novacort Support Group
• 0 Reviews for Novacort - Add your own review/rating

• Novacort MedFacts Consumer Leaflet (Wolters Kluwer)


• Analpram-HC Cream MedFacts Consumer Leaflet (Wolters Kluwer)


• Epifoam Prescribing Information (FDA)


• Epifoam Foam MedFacts Consumer Leaflet (Wolters Kluwer)


• Pramosone Prescribing Information (FDA)


• Pramosone Lotion MedFacts Consumer Leaflet (Wolters Kluwer)


• Proctocream HC Prescribing Information (FDA)


• Proctofoam HC Prescribing Information (FDA)


• Proctofoam HC Foam MedFacts Consumer Leaflet (Wolters Kluwer)

Compare Novacort with other medications

• Dermatitis
• Dermatological Disorders
• Hemorrhoids
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Where can I get more information?

• Your pharmacist can provide more information about hydrocortisone and pramoxine topical.

See also: Novacort side effects (in more detail)

Tigan Solution

Pronunciation: trye-METH-oh-BENZ-a-mide
Generic Name: Trimethobenzamide
Brand Name: Tigan

Tigan Solution is used for:

Treating nausea and vomiting.

Tigan Solution is an antiemetic. It works by blocking one of the chemical messengers that stimulates nausea and vomiting.

Do NOT use Tigan Solution if:

• you are allergic to any ingredient in Tigan Solution


• you are taking sodium oxybate (GHB)


• the patient is a child

Contact your doctor or health care provider right away if any of these apply to you.

Before using Tigan Solution:

Some medical conditions may interact with Tigan Solution. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding


• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement


• if you have allergies to medicines, foods, or other substances


• if you have a brain disease, dehydration, electrolyte disturbance, fever, persistent diarrhea, or Reye syndrome


• if you have a history of kidney problems

Some MEDICINES MAY INTERACT with Tigan Solution. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Ethanol (alcohol-containing beverages or medicines) because side effects, such as increased drowsiness, may occur


• Sodium oxybate (GHB) because side effects, such as drowsiness and increased sleep duration, may occur

This may not be a complete list of all interactions that may occur. Ask your health care provider if Tigan Solution may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Tigan Solution:

Use Tigan Solution as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Tigan Solution is usually given as an injection at your doctor's office, hospital, or clinic. If you will be using Tigan Solution at home, a health care provider will teach you how to use it. Be sure you understand how to use Tigan Solution. Follow the procedures you are taught when you use a dose. Contact your health care provider if you have any questions.


• Do not use Tigan Solution if it contains particles, is cloudy or discolored, or if the vial is cracked or damaged.


• Keep this product, as well as syringes and needles, out of the reach of children and pets. Do not reuse needles, syringes, or other materials. Ask your health care provider how to dispose of these materials after use. Follow all local rules for disposal.


• If you miss a dose of Tigan Solution and you are taking it regularly, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use Tigan Solution.

Important safety information:

• Tigan Solution may cause drowsiness or dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Tigan Solution with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.


• Do not drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Tigan Solution; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.


• If your symptoms do not get better within a few days or if they get worse, check with your doctor.


• Do not use Tigan Solution for future conditions without checking with your doctor.


• Use Tigan Solution with caution in the ELDERLY; they may be more sensitive to its effects.


• Tigan Solution should not be used in CHILDREN; safety and effectiveness in children have not been confirmed.


• PREGNANCY and BREAST-FEEDING: It is not known if Tigan Solution is found in breast milk. If you are or will be breast-feeding while you use Tigan Solution, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Tigan Solution:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Blurred vision; depression; diarrhea; disorientation; dizziness; drowsiness; headache; muscle cramps; pain, redness, or swelling at the injection site.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); convulsions; fever; loss of balance; seizures; shuffling walk; sore throat; uncontrolled movements of the arms or legs; yellowing of the skin or eyes.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Tigan side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.

Proper storage of Tigan Solution:

Store Tigan Solution at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Tigan Solution out of the reach of children and away from pets.

General information:

• If you have any questions about Tigan Solution, please talk with your doctor, pharmacist, or other health care provider.


• Tigan Solution is to be used only by the patient for whom it is prescribed. Do not share it with other people.


• If your symptoms do not improve or if they become worse, check with your doctor.


• Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Tigan Solution. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Tigan resources

• Tigan Side Effects (in more detail)
• Tigan Use in Pregnancy & Breastfeeding
• Drug Images
• Tigan Drug Interactions
• Tigan Support Group
• 0 Reviews for Tigan - Add your own review/rating

Compare Tigan with other medications

• Nausea/Vomiting