Potiga

Generic Name: ezogabine (Oral route)

e-ZOG-a-been

Commonly used brand name(s)

In the U.S.

• Potiga

Available Dosage Forms:

• Tablet

Uses For Potiga

Ezogabine is used together with other medicines to control partial seizures (convulsions) in the treatment of epilepsy.

Ezogabine belongs to a class of medicines called anticonvulsants. It acts in the brain to prevent seizures. However, this medicine cannot cure epilepsy and will only work to control seizures for as long as you continue to take it.

This medicine is available only with your doctor's prescription.

Before Using Potiga

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

Appropriate studies have not been performed on the relationship of age to the effects of ezogabine in the pediatric population. Safety and efficacy have not been established.

Geriatric

Although appropriate studies on the relationship of age to the effects of ezogabine have not been performed in the geriatric population, no geriatric-specific problems have been documented to date. However, elderly patients are more likely to have age-related prostate and kidney problems, which may require caution and an adjustment in the dose for patients receiving ezogabine.

Pregnancy

	Pregnancy Category	Explanation
All Trimesters	C	Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

Breast Feeding

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.

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 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.

• Carbamazepine


• Digoxin


• Lamotrigine


• Phenytoin

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.

• Ethanol

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:

• Congestive heart failure or


• Depression or


• Drug abuse or dependence, history of or


• Electrolyte imbalance (e.g., low magnesium or potassium in the blood) or


• Enlarged prostate or


• Heart disease or


• Heart rhythm problems (e.g., QT prolongation, long QT syndrome) or


• Mental illness or


• Urinating problems (e.g., urinary retention, benign prostatic hypertrophy)—Use with caution. May make these conditions worse.

• Kidney disease, moderate to severe or receiving dialysis or


• Liver disease, moderate to severe—Use with caution. The effects may be increased because of slower removal of the medicine from the body. Your doctor will adjust your dose if you have this condition.

Proper Use of Potiga

Take this medicine only as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. To do so may increase the chance of side effects.

This medicine comes with a Medication Guide. It is very important that you read and understand this information. Be sure to ask your doctor about anything you do not understand.

You may take this medicine with or without food.

Swallow the tablet whole. Do not break, crush, dissolve, or chew it.

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 oral dosage form (tablets):
  
  • For seizures:
    
    • Adults—At first, 100 milligrams (mg) three times a day (300 mg per day). Your doctor may gradually increase your dose over several weeks as needed and tolerated. However, the dose is usually not more than 400 mg three times a day (1200 mg per day).
    
    
    • Older Adults—At first, 50 mg three times a day (150 mg per day). Your doctor may gradually increase your dose over several weeks as needed and tolerated. However, the dose is usually not more than 250 mg three times a day (750 mg per day).
    
    
    • Children—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.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Precautions While Using Potiga

It is very important that your doctor check your progress at regular visits. This is necessary to allow dose adjustments and to check for serious unwanted effects. Blood tests may also be needed to check for unwanted effects.

If you develop any unusual or strange thoughts and behavior while using this medicine, be sure to discuss it with your doctor. Other changes might be confusion, worsening of depression, hallucinations (seeing, hearing, or feeling things that are not there), suicidal thoughts, and unusual excitement, nervousness, or irritability.

This medicine may cause problems with urination. Call you doctor right away if you have trouble emptying your bladder, a weak urine system, pain while urinating, or if you are unable to start urinating.

Ezogabine may cause some people to become dizzy, drowsy, or have blurred or double vision. 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 not alert or not able to see well. If these reactions are especially bothersome, check with your doctor.

This medicine can cause changes in heart rhythms, such as a condition called QT prolongation. It may change the way your heart beats and cause fainting or serious side effects in some patients. Contact your doctor right away if you have any symptoms of heart rhythm problems, such as fast, pounding, or uneven heartbeats.

Do not suddenly stop taking this medicine without checking first with your doctor. If you have been instructed to stop taking ezogabine, ask your doctor how to slowly decrease the dose. This will decrease your chance of having more seizures to occur again.

This medicine may be habit-forming. If you feel that the medicine is not working as well, do not use more than your prescribed dose. Call your doctor for instructions.

It is important to tell your doctor if you become pregnant while taking this medicine. Your doctor may want you to join the North American Antiepileptic Drug Pregnancy Registry. The registry is used by pregnant patients who are taking this medicine.

Avoid drinking alcohol while you are using this medicine.

Before you have any medical tests, tell the medical doctor in charge that you are taking this medicine. The results of some tests (e.g., serum and urine bilirubin) may be affected by this medicine.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

Potiga 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 immediately if any of the following side effects occur:

More common

• Decrease in the frequency of urination


• decrease in the urine volume


• difficulty with passing urine (dribbling)


• painful urination


• shakiness in the legs, arms, hands, or feet

Less common

• Bloating or swelling of the face, arms, hands, lower legs, or feet


• blood in the urine


• burning while urinating


• burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings


• difficult urination


• general feeling of discomfort or illness


• muscle twitching or jerking


• rapid weight gain


• rhythmic movement of the muscles


• tingling of the hands or feet


• trouble with urinating


• unusual tiredness or weakness


• unusual weight gain or loss

Incidence not known

• Agitation


• back pain


• black, tarry stools


• bleeding gums


• blurred vision


• change in consciousness


• chest pain


• chills


• cloudy urine


• confusion


• cough


• difficult or labored breathing


• dizziness


• drowsiness


• fainting


• fever


• headache


• irritability


• loss of consciousness


• pain in the lower back or side


• pinpoint red spots on the skin


• shortness of breath


• sore throat


• sores, ulcers, or white spots on the lips or in the mouth


• stiff neck


• swollen glands


• tightness in the chest


• unusual bleeding or bruising


• vomiting


• wheezing

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:

More common

• Being forgetful


• clumsiness or unsteadiness


• dizziness or lightheadedness


• double vision


• feeling of constant movement of self or surroundings


• seeing double


• sensation of spinning


• sleepiness or unusual drowsiness

Less common

• Absence of or decrease in the body movement


• acid or sour stomach


• belching


• changes in patterns and rhythms of speech


• confusion about identity, place, and time


• cough


• diarrhea


• difficulty having a bowel movement (stool)


• difficulty with swallowing


• dry mouth


• fear or nervousness


• feeling that others are watching you or controlling your behavior


• feeling that others can hear your thoughts


• feeling, seeing, or hearing things that are not there


• heartburn


• increased appetite


• increased sweating


• indigestion


• joint pain


• lack or loss of strength


• loss of appetite


• loss of memory


• muscle aches and pains


• problems with memory problems with speech or speaking


• runny nose


• severe mood or mental changes


• shivering


• slurred speech


• stomach discomfort, upset, or pain


• sweating


• trouble with sleeping


• trouble with speaking


• trouble with walking


• unusual behavior


• weight gain

Incidence not known

• False or unusual sense of well-being


• hair loss or thinning of the hair


• muscle spasms


• rash


• uncontrolled eye movements

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.

Allfen

Pronunciation: gwye-FEN-eh-sin/poe-TASS-ee-um gwye-a-kole-SUL-foe-nate
Generic Name: Guaifenesin/Potassium Guaiacolsulfonate
Brand Name: Allfen and Humibid LA

Allfen is used for:

Relieving symptoms of cough and mucus in the chest due to respiratory infections, asthma, colds, or hay fever. It may also be used for other conditions as determined by your doctor.

Allfen is a combination of 2 expectorants. It works by thinning mucus (phlegm) in the lungs and making it less sticky and easier to cough up. This reduces chest congestion by making coughs more productive.

Do NOT use Allfen if:

• you are allergic to any ingredient in Allfen

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

Before using Allfen:

Some medical conditions may interact with Allfen. 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 chronic cough that occurs with smoking, asthma, chronic bronchitis, or emphysema, or if cough occurs with large amounts of mucus

Some MEDICINES MAY INTERACT with Allfen. Tell your health care provider if you are taking any other medicines. However, no specific interactions with Allfen are known at this time.

This may not be a complete list of all interactions that may occur. Ask your health care provider if Allfen 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 Allfen:

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

• Allfen may be taken with or without food.


• Drinking extra fluids while you are taking Allfen is recommended. Check with your doctor for instructions.


• Swallow Allfen whole. Do not break, crush, or chew before swallowing.


• If you miss a dose of Allfen and you are taking it regularly, 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 Allfen.

Important safety information:

• Allfen may cause dizziness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Allfen. Using Allfen alone, with certain other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks.


• If cough persists for more than 1 week or is accompanied by a fever, contact your health care provider. A persistent cough could be a sign of a serious condition.


• Allfen may interfere with some lab tests. Make sure your doctor and lab personnel know you are taking Allfen.


• Use Allfen with extreme caution in CHILDREN younger than 12 years of age. Safety and effectiveness in this age group have not been confirmed.


• PREGNANCY and BREAST-FEEDING: If you become pregnant, discuss with your doctor the benefits and risks of using Allfen during pregnancy. It is unknown if Allfen is excreted in breast milk. If you are or will be breast-feeding while you are using Allfen, check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of Allfen:

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; headache; nausea; upset stomach; vomiting.

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

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); lower back or side pain.

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. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch .

See also: Allfen 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 Allfen:

Store Allfen at room temperature between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Allfen out of the reach of children and away from pets.

General information:

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


• Allfen 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 Allfen. 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 Allfen resources

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

• Allfen Advanced Consumer (Micromedex) - Includes Dosage Information


• Guaifenesin Monograph (AHFS DI)


• Guaifenesin NR Prescribing Information (FDA)


• Mucinex Prescribing Information (FDA)


• Mucinex Consumer Overview


• Organidin NR Prescribing Information (FDA)


• Tussin Consumer Overview

Compare Allfen with other medications

• Cough

ipratropium and albuterol Inhalation, oral/nebulization

ip-ra-TROE-pee-um BROE-mide, al-BUE-ter-ol SUL-fate

Commonly used brand name(s)

In the U.S.

• Combivent


• Combivent Respimat


• Duoneb

In Canada

• Ratio-Ipra Sal Udv

Available Dosage Forms:

• Aerosol Powder


• Solution


• Spray


• Aerosol Liquid

Therapeutic Class: Bronchodilator

Pharmacologic Class: Ipratropium

Uses For ipratropium and albuterol

Ipratropium and albuterol combination is used to help control the symptoms of lung diseases, such as asthma, chronic bronchitis, and emphysema. It is also used to treat air flow blockage and prevent the worsening of chronic obstructive pulmonary disease (COPD) in patients who need another medicine.

Ipratropium and albuterol belong to the family of medicines known as bronchodilators. Bronchodilators are medicines that are breathed in through the mouth to open up the bronchial tubes (air passages) in the lungs.

ipratropium and albuterol is available only with your doctor's prescription.

Before Using ipratropium and albuterol

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 ipratropium and albuterol, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to ipratropium and albuterol 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

Appropriate studies have not been performed on the relationship of age to the effects of ipratropium and albuterol combination in the pediatric population. Safety and efficacy have not been established.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of Combivent® Respimat® spray in the elderly.

No information is available on the relationship of age to the effects of Combivent® in geriatric patients.

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 ipratropium and albuterol, 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 ipratropium and albuterol 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.

• Acebutolol


• Alprenolol


• Arotinolol


• Atenolol


• Atomoxetine


• Befunolol


• Betaxolol


• Bevantolol


• Bisoprolol


• Bopindolol


• Brofaromine


• Bucindolol


• Bupranolol


• Carteolol


• Carvedilol


• Celiprolol


• Clorgyline


• Dilevalol


• Esmolol


• Furazolidone


• Iproniazid


• Isocarboxazid


• Labetalol


• Landiolol


• Lazabemide


• Levobetaxolol


• Levobunolol


• Linezolid


• Mepindolol


• Metipranolol


• Metoprolol


• Moclobemide


• Nadolol


• Nebivolol


• Nialamide


• Nipradilol


• Oxprenolol


• Pargyline


• Penbutolol


• Phenelzine


• Pindolol


• Procarbazine


• Propranolol


• Rasagiline


• Selegiline


• Sotalol


• Talinolol


• Tertatolol


• Timolol


• Toloxatone


• Tranylcypromine

Using ipratropium and albuterol 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.

• Betel Nut

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.

Other Medical Problems

The presence of other medical problems may affect the use of ipratropium and albuterol. Make sure you tell your doctor if you have any other medical problems, especially:

• Allergy to soya lecithin, soybean, or peanuts, history of—Combivent® brand should not be used in patients with this condition.

• Blood circulation problems or


• Heart or blood vessel disease or


• Heart rhythm problems (e.g., arrhythmia) or


• Hypertension (high blood pressure)—Use with caution. May increase risk for serious side effects.

• Diabetes or


• Difficult urination or


• Enlarged prostate or


• Hyperthyroidism (an overactive thyroid) or


• Hypokalemia (low potassium in the blood) or


• Narrow-angle glaucoma or


• Seizures or


• Urinary bladder blockage—Use with caution. May make these conditions worse.

Proper Use of ipratropium and albuterol

ipratropium and albuterol usually comes with patient directions or instructions. Read them carefully before using the medicine. If you do not understand the directions or you are not sure how to use the inhaler or nebulizer, ask your doctor to show you how to use it.

Use ipratropium and albuterol only as directed by your doctor. Do not use more of it and do not use it more often than your doctor ordered. Also, do not stop using ipratropium and albuterol without telling your doctor. To do so may cause your lung condition to become worse.

When you use the inhalation solution, make sure you use a jet nebulizer that is connected to an air compressor with a good air flow. Use a face mask or mouthpiece to inhale the medicine.

Keep the spray away from your eyes. ipratropium and albuterol may cause eye pain or discomfort, irritation, blurred vision, or start seeing halos or odd colors when you look at things. If it does come into contact with your eyes, check with your doctor right away.

To use the Combivent® inhaler:

• Insert the metal canister firmly and fully into the clear end of the Combivent® Inhalation Aerosol mouthpiece. This mouthpiece should not be used with other inhaled medicines.


• Remove the cap and look at the mouthpiece to make sure it is clean.


• Shake the inhaler for at least 10 seconds and test spray it in the air 3 times before using it for the first time or if the inhaler has not been used for 24 hours.


• To inhale ipratropium and albuterol, breathe out fully, trying to get as much air out of the lungs as possible. Put the mouthpiece just in front of your mouth with the canister upright.


• Open your mouth and breathe in slowly and deeply (like yawning), and at the same time firmly press down once on the top of the canister.


• Hold your breath for about 10 seconds, then breathe out slowly.


• If you are supposed to use more than one puff, wait 1 to 2 minutes before inhaling the second puff. Repeat these steps for the second puff, starting with shaking the inhaler.


• When you have finished all of your doses, rinse your mouth with water.


• Clean the inhaler mouthpiece every day with hot water. Dry it thoroughly before use.

To use the Combivent® Respimat® spray:

• Insert the cartridge into the Combivent® Respimat® inhaler.


• Before using the inhaler, prime it by spraying the medicine towards the ground (away from your face), until an aerosol cloud is visible. Repeat 3 more times. The inhaler is now ready for use.


• If the inhaler is not used for more than 3 days, prime the inhaler once to prepare it for use. If it not used for more than 21 days, prime the inhaler 3 times.


• To inhale ipratropium and albuterol, breathe out fully, trying to get as much air out of the lungs as possible.


• Open your mouth and breathe in slowly and deeply (like yawning), and at the same time firmly press down once the release button of the inhaler.


• Hold your breath for about 10 seconds, then breathe out slowly.


• After using the inhaler, clean the mouthpiece with a damp cloth or tissue at least once a week.


• This inhaler has a dose indicator window that shows how much medicine is left. When the pointer enters the red area of the scale, it is time that you need to refill your prescription.


• Throw away the inhaler 3 months from its first use or when the inhaler is locked (after 120 puffs).

Use only the brand of ipratropium and albuterol that your doctor prescribed. Different brands may not work the same way.

Dosing

The dose of ipratropium and albuterol 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 ipratropium and albuterol. 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 symptoms of chronic obstructive pulmonary disease (COPD):
  
  • For inhalation aerosol dosage form (used with an inhaler):
    
    • Adults—2 puffs four times a day and as needed. Do not use more than 12 puffs in any 24-hour period.
    
    
    • Children—Use and dose must be determined by your doctor.
    
    
  
  
  • For inhalation solution dosage form (used with a nebulizer):
    
    • Adults—Use one 3 milliliter (mL) vial in the nebulizer four times a day. You may use 2 additional treatments per day if needed.
    
    
    • Children—Use and dose must be determined by your doctor.
    
    
  
  
  • For inhalation spray dosage form (used with an inhaler):
    
    • Adults—One puff four times a day. You may take additional doses per day if needed. Do not use more than 6 puffs in any 24-hour period.
    
    
    • Children—Use and dose must be determined by your doctor.
    
    
  
  

Missed Dose

If you miss a dose of ipratropium and albuterol, 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 canister at room temperature, away from heat and direct light. Do not freeze. Do not keep ipratropium and albuterol inside a car where it could be exposed to extreme heat or cold. Do not poke holes in the canister or throw it into a fire, even if the canister is empty.

Keep the medicine in the foil pouch until you are ready to use it. Store at room temperature, away from heat and direct light. Do not freeze.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Precautions While Using ipratropium and albuterol

It is very important that your doctor check your progress closely while you are using ipratropium and albuterol to see if it is working properly and to help reduce any unwanted effects.

ipratropium and albuterol may cause paradoxical bronchospasm, which means your breathing or wheezing will get worse. Paradoxical bronchospasm may be life-threatening. Stop using ipratropium and albuterol and check with your doctor right away if you have coughing, difficulty breathing, shortness of breath, or wheezing after using ipratropium and albuterol.

Check with your doctor at once if difficulty with breathing continues after using a dose of ipratropium and albuterol or if your condition gets worse.

ipratropium and albuterol may cause serious types of allergic reactions, including anaphylaxis. Anaphylaxis can be life-threatening and requires immediate medical attention. Call your doctor right away if you have a rash; itching; hives; hoarseness; trouble with breathing; trouble with swallowing; or any swelling of your hands, face, or mouth while you are using ipratropium and albuterol.

Tell your doctor right away if you feel chest pain, notice any changes in your blood pressure (such as feeling lightheaded or changes in vision), or notice your heart beating faster or slower .

Take all of your COPD medicines as your doctor ordered. If you use any type of corticosteroid medicine to control your breathing, keep using it as ordered by your doctor. This includes corticosteroid medicines that are taken by mouth or inhaled (such as prednisone, Azmacort®, or Flovent®). If any of your COPD medicines do not seem to be working as well as usual, call your doctor right away. Do not change your doses or stop using your medicines without asking your doctor.

ipratropium and albuterol may cause dizziness, blurred vision, or trouble in seeing clearly. Make sure you know how you react to ipratropium and albuterol before you drive, use machines, or do other jobs that require you to be alert, well-coordinated, or able to see well.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines for appetite control, asthma, colds, cough, hay fever, or sinus problems, and herbal or vitamin supplements. .

ipratropium and albuterol 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 immediately if any of the following side effects occur:

More common

• Body aches or pain


• chills


• cough


• cough producing mucus


• difficulty with breathing


• ear congestion


• fever


• headache


• loss of voice


• runny nose


• shortness of breath


• sneezing


• sore throat


• stuffy nose


• tightness in the chest


• unusual tiredness or weakness


• wheezing

Less common

• Bladder pain


• bloody or cloudy urine


• blurred vision


• burning while urinating burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings


• chest pain


• congestion


• diarrhea


• difficult, burning, or painful urination


• dizziness


• fainting


• fast, slow, irregular, pounding, or racing heartbeat or pulse


• frequent urge to urinate


• general feeling of discomfort or illness


• hoarseness


• increased sputum


• joint pain


• loss of appetite


• lower back or side pain


• muscle aches and pains


• nausea


• nervousness


• noisy breathing


• pain


• pain or tenderness around the eyes and cheekbones


• pounding in the ears


• shakiness in the legs, arms, hands, or feet


• shivering


• sweating


• swelling


• tender, swollen glands in the neck


• trembling or shaking of the hands or feet


• trouble with sleeping


• trouble with swallowing


• voice changes


• vomiting

Rare

• Skin rash or hives


• swelling of the face, lips, eyelids, mouth, or throat

Incidence not known

• Chest discomfort


• decrease in the frequency of urination


• decrease in urine volume


• difficulty in passing urine (dribbling)


• difficulty with swallowing


• itching skin


• large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs


• pain or discomfort in the arms, jaw, back, or neck


• puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue


• redness of the skin


• welts

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

• Acid or sour stomach


• bad, unusual, or unpleasant (after) taste


• belching


• change in taste


• diarrhea


• difficulty with moving


• dry mouth


• heartburn


• hoarseness


• indigestion


• muscle pain or stiffness


• sleeplessness


• stomach discomfort, upset, or pain


• trouble sleeping


• unable to sleep


• voice changes

Less common or rare

• Nervousness


• tremor

Incidence not known

• Bigger, dilated, or enlarged pupils (black part of the eye)


• blindness


• change in near or distance vision


• decreased vision


• difficulty in focusing eyes


• dry throat


• eye pain


• increased sensitivity of the eyes to light


• itching, redness, tearing, or other sign of eye irritation not present before use of ipratropium and albuterol or becoming worse during use


• lack or loss of strength


• noisy breathing


• redness of the white part of the eyes or inside of the eyelids


• swelling of the eye


• swelling or inflammation of the mouth


• tearing

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.

See also: ipratropium and albuterol Inhalation,/nebulization side effects (in more detail)

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 ipratropium and albuterol Inhalation, oral/nebulization resources

• Ipratropium and albuterol Inhalation, oral/nebulization Side Effects (in more detail)
• Ipratropium and albuterol Inhalation, oral/nebulization Use in Pregnancy & Breastfeeding
• Ipratropium and albuterol Inhalation, oral/nebulization Drug Interactions
• Ipratropium and albuterol Inhalation, oral/nebulization Support Group
• 9 Reviews for Ipratropium and albuterol Inhalation,/nebulization - Add your own review/rating

Compare ipratropium and albuterol Inhalation, oral/nebulization with other medications

• COPD, Maintenance

Yocon

Generic Name: yohimbine (yo HIM bean)

Brand Names: Erex, Testomar, Yocon, Yohimar, Yohimbe, Yohimex

What is Yocon (yohimbine)?

Yohimbine increases the amount of blood that is allowed to flow into the penis and prevents blood from flowing out of the penis. It can cause an erection.

Yohimbine is used to treat and diagnose some types of impotence.

Yohimbine may also be used for purposes other than those listed in this product guide.

What is the most important information I should know about Yocon (yohimbine)?

Use caution when driving, operating machinery, or performing other hazardous activities. Yohimbine may cause dizziness. If you experience dizziness, avoid these activities.

Use caution when rising from a sitting or lying position. Yohimbine may be more likely to cause dizziness when changing positions.

What should I discuss with my healthcare provider before taking Yocon (yohimbine)?

Before taking this medication, tell your doctor if you

• have kidney disease;


• 
  

  have peptic ulcer disease (stomach ulcers);

  
  


• 
  

  are suffering from depression;

  
  


• 
  

  are being treated for a psychiatric condition; or

  
  


• 
  

  have any type of heart disease.

  
  

You may not be able to take yohimbine, or you may require a lower dose or special monitoring during therapy if you have any of the conditions listed above.

Yohimbine should not be used by women. Do not take this medication if you are pregnant or are breast-feeding. Yohimbine should not be used by children.

How should I take Yocon (yohimbine)?

Take yohimbine exactly as directed. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Take each dose with a full glass of water.

Yohimbine is usually taken three times a day. Follow your doctor's instructions.

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

What happens if I miss a dose?

Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra yohimbine 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.

Symptoms of a yohimbine overdose include increased blood pressure (severe headache, blurred vision, flushing); a fast heart rate; numbness or tingling; runny nose; tremor; anxiety; poor coordination; and confusion or abnormal behavior.

What should I avoid while taking Yocon (yohimbine)?

Use caution when driving, operating machinery, or performing other hazardous activities. Yohimbine may cause dizziness. If you experience dizziness, avoid these activities.

Use caution when rising from a sitting or lying position. Yohimbine may be more likely to cause dizziness when you change positions.

Yocon (yohimbine) side effects

If you experience any of the following serious side effects, stop taking yohimbine and seek emergency medical attention:

• 
  

  an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);

  
  


• 
  

  a very irregular or fast heartbeat; or

  
  


• 
  

  confusion or unusual behavior.

  
  

Other, less serious side effects are more likely to occur. Continue to take yohimbine and talk to your doctor if you experience

• 
  

  dizziness;

  
  


• 
  

  anxiety, irritability, or nervousness;

  
  


• 
  

  tremor (shaking);

  
  


• 
  

  headache; or

  
  


• 
  

  skin flushing.

  
  

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 Yocon (yohimbine)?

Before taking this medication, tell your doctor if you are taking a medicine for depression, mania, or another psychiatric condition. Generally, yohimbine should not be used with these medicines.

Drugs other than those listed here may also interact with yohimbine or affect your condition. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

More Yocon resources

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

• Yocon MedFacts Consumer Leaflet (Wolters Kluwer)


• yohimbine Advanced Consumer (Micromedex) - Includes Dosage Information


• Yohimbe Natural MedFacts for Professionals (Wolters Kluwer)


• Yohimbe Natural MedFacts for Consumers (Wolters Kluwer)

Compare Yocon with other medications

• Erectile Dysfunction
• Sexual Dysfunction, SSRI Induced

Where can I get more information?

• Consult with a licensed healthcare professional before using any herbal/health supplement. Whether you are treated by a medical doctor or a practitioner trained in the use of natural medicines/supplements, make sure all your healthcare providers know about all of your medical conditions and treatments.

See also: Yocon side effects (in more detail)

Anorexia Medications

Definition of Anorexia: Anorexia is a condition marked by a diminished appetite and aversion to food. Often results in physical signs of wasting. More...

Drugs associated with Anorexia

The following drugs and medications are in some way related to, or used in the treatment of Anorexia. This service should be used as a supplement to, and NOT a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners.

Topics under Anorexia

• Anorexia Nervosa (1 drug)

Learn more about Anorexia

Medical Encyclopedia:

• Anorexia nervosa

Drug List:

Marinol

Megace-Suspension

Megace_Es

Periactin

Zyprexa

Zyprexa-Intramuscular

Zyprexa-Relprevv

Zyprexa-Zydis-Orally-Disintegrating-Tablets

Cartia XT

Generic Name: diltiazem (dil TYE a zem)

Brand Names: Cardizem, Cardizem CD, Cardizem LA, Cartia XT, Dilacor XR, Dilt-CD, Dilt-XR, Diltia XT, Diltiazem Hydrochloride CD, Diltiazem Hydrochloride SR, Diltiazem Hydrochloride XR, Diltiazem Hydrochloride XT, Diltzac, Taztia XT, Tiazac

What is Cartia XT (diltiazem)?

Diltiazem is in a group of drugs called calcium channel blockers. It works by relaxing the muscles of your heart and blood vessels.

Diltiazem is used to treat hypertension (high blood pressure), angina (chest pain), and certain heart rhythm disorders.

Diltiazem may also be used for purposes not listed in this medication guide.

What is the most important information I should know about Cartia XT (diltiazem)?

Do not use this medication if you have certain heart conditions such as "sick sinus syndrome" or "AV block" (unless you have a pacemaker), low blood pressure, or if you have recently had a heart attack.

Before taking diltiazem, tell your doctor if you have kidney disease, liver disease, or congestive heart failure.

Diltiazem may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Do not stop taking this medication without first talking to your doctor. If you stop taking diltiazem suddenly, your condition may become worse.

Diltiazem may be only part of a complete program of treatment that also includes diet, exercise, and other medications. Follow your diet, medication, and exercise routines very closely.

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

What should I discuss with my healthcare provider before taking Cartia XT (diltiazem)?

You should not use this medication if you are allergic to diltiazem, or if you have:

• 
  

  certain heart conditions, especially "sick sinus syndrome" or "AV block" (unless you have a pacemaker);

  
  


• 
  

  low blood pressure; or

  
  


• 
  

  if you have recently had a heart attack.

  
  

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

• kidney disease;


• liver disease;


• 
  

  congestive heart failure; or

  
  


• 
  

  if you are also taking clonidine (Catapres).

  
  

FDA pregnancy category C. It is not known whether diltiazem will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. Diltiazem 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 Cartia XT (diltiazem)?

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

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

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

If you have trouble swallowing a diltiazem capsule whole, ask your doctor or pharmacist if it is safe for you to open the capsule and sprinkle the medicine into a spoonful of applesauce to make swallowing easier. Swallow this mixture right away without chewing. Do not save the mixture for later use. Discard the empty capsule.

Use diltiazem regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

Do not stop taking this medication without first talking to your doctor. If you stop taking diltiazem suddenly, your condition may become worse.

If you are being treated for high blood pressure, keep using this medication even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medication for the rest of your life.

Diltiazem may be only part of a complete program of treatment that also includes diet, exercise, and other medications. Follow your diet, medication, and exercise routines very closely.

To be sure this medicine is helping your condition and is not causing harmful effects, your blood pressure will need to be checked often. Your liver and kidney function may also need to be tested. Visit your doctor regularly.

Store at room temperature away from moisture and heat.

What happens if I miss a dose?

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

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of diltiazem can be fatal.

Overdose symptoms may include slow heartbeat, weakness, chest pain, shortness of breath, feeling light-headed, or fainting.

What should I avoid while taking Cartia XT (diltiazem)?

Diltiazem may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Avoid drinking alcohol while taking diltiazem.

Grapefruit and grapefruit juice may interact with diltiazem and lead to potentially dangerous effects. Discuss the use of grapefruit products with your doctor.

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

Cartia XT (diltiazem) 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 at once if you have a serious side effect such as:

• 
  

  a red, blistering skin rash;

  
  


• 
  

  swelling in your hands or feet;

  
  


• 
  

  trouble breathing;

  
  


• 
  

  slow heartbeats;

  
  


• 
  

  dizziness, fainting, fast or pounding heartbeat;

  
  


• 
  

  upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes); or

  
  


• 
  

  severe skin reaction -- fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.

  
  

Less serious side effects may include:

• 
  

  headache;

  
  


• 
  

  dizziness, weakness, tired feeling;

  
  


• 
  

  upset stomach, nausea;

  
  


• 
  

  sore throat, cough, stuffy nose; or

  
  


• 
  

  flushing (warmth, redness, or tingly feeling).

  
  

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 Cartia XT (diltiazem)?

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

• 
  

  amiodarone (Cordarone, Pacerone);

  
  


• 
  

  buspirone (BuSpar);

  
  


• 
  

  carbamazepine (Carbatrol, Tegretol);

  
  


• 
  

  cimetidine (Tagamet);

  
  


• 
  

  cyclosporine (Gengraf, Neoral, Sandimmune);

  
  


• 
  

  digoxin (digitalis, Lanoxin, Lanoxicaps);

  
  


• 
  

  quinidine (Quin-G);

  
  


• 
  

  rifampin (Rifadin, Rimactane, Rifater);

  
  


• 
  

  an antibiotic such as clarithromycin (Biaxin), dalfopristin/quinupristin (Synercid), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin, Pediazole), or telithromycin (Ketek);

  
  


• 
  

  antifungal medication such as itraconazole (Sporanox), ketoconazole (Extina, Ketozole, Nizoral, Xolegal), miconazole (Oravig), or voriconazole (Vfend);

  
  


• 
  

  a beta-blocker such as atenolol (Tenormin, Tenoretic), carvedilol (Coreg), labetalol (Normodyne, Trandate), metoprolol (Dutoprol, Lopressor, Toprol), nadolol (Corgard), propranolol (Inderal, InnoPran), sotalol (Betapace), and others;

  
  


• 
  

  cholesterol medications such as atorvastatin (Lipitor, Caduet), fluvastatin (Lescol), lovastatin (Mevacor, Altoprev, Advicor), pravastatin (Pravachol), rosuvastatin (Crestor), or simvastatin (Zocor, Simcor, Vytorin);

  
  


• 
  

  HIV/AIDS medicine such as atazanavir (Reyataz), delavirdine (Rescriptor), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), or ritonavir (Norvir, Kaletra); or

  
  


• 
  

  a sedative such as midazolam (Versed) or triazolam (Halcion).

  
  

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

More Cartia XT resources

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

• Cartia XT 24-Hour Sustained-Release Beads Capsules MedFacts Consumer Leaflet (Wolters Kluwer)


• Cartia XT Advanced Consumer (Micromedex) - Includes Dosage Information


• Cartia XT Prescribing Information (FDA)


• Diltiazem Prescribing Information (FDA)


• Cardizem Prescribing Information (FDA)


• Cardizem Consumer Overview


• Cardizem MedFacts Consumer Leaflet (Wolters Kluwer)


• Cardizem CD Prescribing Information (FDA)


• Cardizem LA 24-Hour Extended-Release Beads Tablets MedFacts Consumer Leaflet (Wolters Kluwer)


• Cardizem LA Prescribing Information (FDA)


• DILT-CD Prescribing Information (FDA)


• Dilacor XR 24-Hour Sustained-Release Capsules MedFacts Consumer Leaflet (Wolters Kluwer)


• Dilacor XR Prescribing Information (FDA)


• Dilt-XR Prescribing Information (FDA)


• Diltia XT Prescribing Information (FDA)


• Diltiazem Hydrochloride Monograph (AHFS DI)


• Matzim LA Prescribing Information (FDA)


• Taztia XT Prescribing Information (FDA)


• Taztia XT 24-Hour Extended-Release Beads Capsules MedFacts Consumer Leaflet (Wolters Kluwer)


• Tiazac Prescribing Information (FDA)


• Tiazac Consumer Overview

Compare Cartia XT with other medications

• Angina Pectoris Prophylaxis
• Atrial Fibrillation
• Atrial Flutter
• Heart Failure
• High Blood Pressure
• Raynaud's Syndrome
• Supraventricular Tachycardia

Where can I get more information?

• Your pharmacist can provide more information about diltiazem.

See also: Cartia XT side effects (in more detail)

Femiron Multi with Iron

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

Brand Names:

What is Femiron Multi with Iron (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 Femiron Multi with Iron (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 Femiron Multi with Iron (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 Femiron Multi with Iron (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 Femiron Multi with Iron (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.

Femiron Multi with Iron (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 Femiron Multi with Iron (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 Femiron Multi with Iron resources

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

• Multivitamin with Iron Suspension MedFacts Consumer Leaflet (Wolters Kluwer)


• Anemagen MedFacts Consumer Leaflet (Wolters Kluwer)


• BiferaRx MedFacts Consumer Leaflet (Wolters Kluwer)


• Chromagen Forte MedFacts Consumer Leaflet (Wolters Kluwer)


• Ferocon MedFacts Consumer Leaflet (Wolters Kluwer)


• Ferotrin Prescribing Information (FDA)


• Ferralet 90 Prescribing Information (FDA)


• Ferralet 90 MedFacts Consumer Leaflet (Wolters Kluwer)


• Ferrex 150 Forte Prescribing Information (FDA)


• Ferrex 150 Forte Plus Prescribing Information (FDA)


• Ferrex 150 Forte Plus MedFacts Consumer Leaflet (Wolters Kluwer)


• Ferrex 28 Prescribing Information (FDA)


• FerroGels Forte MedFacts Consumer Leaflet (Wolters Kluwer)


• FerroGels Forte Prescribing Information (FDA)


• FoliTab 500 MedFacts Consumer Leaflet (Wolters Kluwer)


• Fumatinic MedFacts Consumer Leaflet (Wolters Kluwer)


• Hematogen Forte Prescribing Information (FDA)


• Integra MedFacts Consumer Leaflet (Wolters Kluwer)


• Integra F MedFacts Consumer Leaflet (Wolters Kluwer)


• Integra F Prescribing Information (FDA)


• Integra Plus MedFacts Consumer Leaflet (Wolters Kluwer)


• Integra Plus Prescribing Information (FDA)


• Irospan 24/6 MedFacts Consumer Leaflet (Wolters Kluwer)


• Irospan 24/6 Prescribing Information (FDA)


• NovaFerrum Prescribing Information (FDA)


• NovaFerrum MedFacts Consumer Leaflet (Wolters Kluwer)


• Proferrin-Forte MedFacts Consumer Leaflet (Wolters Kluwer)


• Tricon Prescribing Information (FDA)

Compare Femiron Multi with Iron with other medications

• Anemia
• Vitamin/Mineral Supplementation and Deficiency

Where can I get more information?

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

See also: Femiron Multi with Iron side effects (in more detail)

FIRST-Progesterone VGS 100

Generic Name: progesterone vaginal (proe JESS te role VAJ in ul)

Brand Names: Crinone, Endometrin, FIRST-Progesterone VGS 100, FIRST-Progesterone VGS 200, FIRST-Progesterone VGS 25, FIRST-Progesterone VGS 400, FIRST-Progesterone VGS 50, Menopause Formula Progesterone, Prochieve

What is FIRST-Progesterone VGS 100 (progesterone vaginal)?

Progesterone is a female hormone important for ovulation and menstruation. Progesterone causes changes in the lining of your uterus, making it easier for a fertilized egg to attach to the uterus at the beginning of pregnancy. Progesterone then helps your body maintain the pregnancy.

Progesterone vaginal is used in fertility treatment as part of Assisted Reproductive Technology (ART) for women unable to get pregnant due to a lack of natural progesterone in the body.

Progesterone vaginal is also used to cause menstrual periods in women who have not yet reached menopause but are not having periods due to a lack of progesterone in the body.

This medication also prevents overgrowth in the lining of the uterus in postmenopausal women who are receiving estrogen hormone replacement therapy.

Progesterone vaginal may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about FIRST-Progesterone VGS 100 (progesterone vaginal)?

Do not use progesterone vaginal without your doctor's consent if you are pregnant, unless you are using the medication as part of your fertility treatment. Tell your doctor if you become pregnant during treatment. If you are not being treated for infertility, use an effective form of birth control while you are using this medication. Some forms of this medication may contain plant-based oils. Do not use progesterone vaginal without telling your doctor if you have any type of food allergy. Using progesterone vaginal can increase your risk of blood clots, stroke, heart attack, or breast cancer. You should not use this medication if you have: a history of stroke or blood clot, circulation problems, severe liver disease, a hormone-related cancer such as breast or uterine cancer, abnormal vaginal bleeding, or if you have recently had a tubal pregnancy or an incomplete abortion.

Progesterone vaginal is sometimes given for only 6 to 12 days at a time. When used as part of fertility treatment, progesterone vaginal may be given for up to 12 weeks into a pregnancy. Following your dosing schedule is very important for this medication to be effective. Try not to miss any doses.

This medication comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

Progesterone vaginal 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.

What should I discuss with my healthcare provider before using FIRST-Progesterone VGS 100 (progesterone vaginal)?

Some forms of this medication may contain plant-based oils. Do not use progesterone vaginal without telling your doctor if you have any type of food allergy. You should not use progesterone vaginal if you have ever had an allergic reaction to it, or if you have:

• 
  

  a history of stroke, blood clot, or circulation problems;

  
  


• 
  

  breast or uterine cancer;

  
  


• 
  

  abnormal vaginal bleeding;

  
  


• 
  

  liver disease; or

  
  


• 
  

  if you have recently had a tubal pregnancy or an incomplete or "missed" abortion.

  
  

Before using this medication, tell your doctor if you have any of the following conditions. You may need a dose adjustment or special tests to safely use progesterone:

• 
  

  high blood pressure, heart disease, congestive heart failure;

  
  


• 
  

  migraines,

  
  


• 
  

  asthma;

  
  


• 
  

  kidney disease;

  
  


• 
  

  seizures or epilepsy;

  
  


• 
  

  diabetes; or

  
  


• 
  

  a history of depression.

  
  

Do not use progesterone vaginal without your doctor's consent if you are pregnant, unless you are using the medication as part of your fertility treatment. Tell your doctor if you become pregnant during treatment. If you are not being treated for infertility, use an effective form of birth control while you are using this medication. Progesterone vaginal 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 use FIRST-Progesterone VGS 100 (progesterone vaginal)?

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

Progesterone vaginal is sometimes given for only 6 to 12 days at a time. When used as part of fertility treatment, progesterone vaginal may be given for up to 12 weeks into a pregnancy. Following your dosing schedule is very important for this medication to be effective. Try not to miss any doses.

This medication comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

Do not use other vaginal medications within 6 hours before or after using progesterone vaginal. Use only vaginal products that your doctor has recommended.

Progesterone vaginal gel should be applied directly into the vagina using only the applicator provided with the medicine. A disposable applicator should be used only once and then thrown away.

Progesterone vaginal suppositories are made at the pharmacy and provided to you in a dispensing cup fitted with a mold and a special tool to push each suppository out through the bottom of the mold. Your pharmacist can show you how to dispense the suppositories from the mold.

Before inserting the vaginal suppository, remove the wrapping and throw it away. Avoid handling the suppository too long or it will begin to melt in your hand.

It is normal to have vaginal discharge for several days after using this medication. Talk with your doctor if you have concerns about any vaginal discharge.

Store progesterone vaginal at room temperature away from moisture and heat. Some brands of progesterone vaginal suppositories should be stored in a refrigerator. Follow the instructions provided with your medication.

What happens if I miss a dose?

Use the missed dose as soon as you remember. If it is almost time for your 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.

Call your doctor if you miss more than one dose of this medication.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a progesterone vaginal overdose are not known.

What should I avoid while using FIRST-Progesterone VGS 100 (progesterone vaginal)?

Progesterone 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.

FIRST-Progesterone VGS 100 (progesterone vaginal) 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 at once if you have any of these serious side effects:

• 
  

  sudden headache, numbness or weakness (especially on one side of the body), shortness of breath, or problems with vision, speech, or balance;

  
  


• 
  

  chest pain or heavy feeling, pain spreading to the arm or shoulder;

  
  


• 
  

  pain or swelling in one or both legs;

  
  


• 
  

  nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);

  
  


• 
  

  swelling in your hands, ankles, or feet;

  
  


• 
  

  fever, chills, body aches, flu symptoms;

  
  


• 
  

  a breast lump; or

  
  


• 
  

  symptoms of depression (sleep problems, weakness, mood changes).

  
  

Less serious side effects may include:

• 
  

  mild nausea, vomiting, bloating, stomach cramps;

  
  


• 
  

  diarrhea, constipation, bloating;

  
  


• 
  

  dizziness, drowsiness, tired feeling;

  
  


• 
  

  pain in your vaginal or rectal area;

  
  


• 
  

  pain during intercourse;

  
  


• 
  

  loss of interest in sex;

  
  


• 
  

  breast pain, swelling, or tenderness;

  
  


• 
  

  joint or muscle pain;

  
  


• 
  

  increased night-time urination; or

  
  


• 
  

  vaginal itching, burning, or discharge.

  
  

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect FIRST-Progesterone VGS 100 (progesterone vaginal)?

There may be other drugs that can interact with progesterone vaginal. 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 FIRST-Progesterone VGS 100 resources

• FIRST-Progesterone VGS 100 Side Effects (in more detail)
• FIRST-Progesterone VGS 100 Use in Pregnancy & Breastfeeding
• FIRST-Progesterone VGS 100 Drug Interactions
• FIRST-Progesterone VGS 100 Support Group
• 15 Reviews for FIRST-Progesterone VGS00 - Add your own review/rating

• Progesterone Natural MedFacts for Professionals (Wolters Kluwer)


• Progesterone Professional Patient Advice (Wolters Kluwer)


• Progesterone Prescribing Information (FDA)


• progesterone Advanced Consumer (Micromedex) - Includes Dosage Information


• Progesterone Monograph (AHFS DI)


• Progesterone MedFacts Consumer Leaflet (Wolters Kluwer)


• Crinone Prescribing Information (FDA)


• Crinone Gel MedFacts Consumer Leaflet (Wolters Kluwer)


• Crinone Advanced Consumer (Micromedex) - Includes Dosage Information


• Endometrin Prescribing Information (FDA)


• Endometrin Insert MedFacts Consumer Leaflet (Wolters Kluwer)


• Endometrin Consumer Overview


• Prochieve Gel MedFacts Consumer Leaflet (Wolters Kluwer)


• Prochieve Prescribing Information (FDA)


• Progestins Monograph (AHFS DI)


• Prometrium Prescribing Information (FDA)

Compare FIRST-Progesterone VGS 100 with other medications

• Amenorrhea
• Endometrial Hyperplasia, Prophylaxis
• Perimenopausal Symptoms
• Premature Labor
• Progesterone Insufficiency
• Seizures
• Uterine Bleeding

Where can I get more information?

• Your pharmacist can provide more information about progesterone.

See also: FIRST-Progesterone VGS00 side effects (in more detail)