Thursday, 29 September 2016

Bronchicum




Bronchicum may be available in the countries listed below.


Ingredient matches for Bronchicum



Codeine

Codeine phosphate hemihydrate (a derivative of Codeine) is reported as an ingredient of Bronchicum in the following countries:


  • Bahrain

  • Germany

  • Luxembourg

  • Netherlands

International Drug Name Search

Zazole



terconazole

Dosage Form: vaginal suppositories

Rx only



Zazole Description


Zazole® Vaginal Suppositories (terconazole vaginal suppositories, 80 mg) are white to off-white suppositories for intravaginal administration containing 80 mg of the antifungal agent terconazole, cis - 1 - [p - [[2 - (2,4 - Dichlorophenyl) - 2 - (1H - 1,2,4 - triazol - 1 - ylmethyl) - 1,3 - dioxolan - 4 - yl]methoxy]phenyl] - 4 - Isopropylpiperazine, in triglycerides derived from coconut and/or palm kernel oil (a base of hydrogenated vegetable oils) and butylated hydroxyanisole. The structural formula of terconazole is as follows:



Terconazole, a triazole derivative, is a white to almost white powder with a molecular weight of 532.47. It is insoluble in water; sparingly soluble in ethanol; and soluble in butanol.



Zazole - Clinical Pharmacology


Following intravaginal administration of terconazole in humans, absorption ranged from 5-8% in three hysterectomized subjects and 12-16% in two non-hysterectomized subjects with tubal ligations.


Following oral (30 mg) administration of 14C-labeled terconazole, the harmonic half-life of elimination from the blood for the parent terconazole was 6.9 hours (range 4.0-11.3). Terconazole is extensively metabolized; the plasma AUC for terconazole compared to the AUC for total radioactivity was 0.6%. Total radioactivity was eliminated from the blood with a harmonic half-life of 52.2 hours (range 44-60). Excretion of radioactivity was both by renal (32-56%) and fecal (47-52%) routes.


In vitro, terconazole is highly protein bound (94.9%) and the degree of binding is independent of drug concentration.


Photosensitivity reactions were observed in some normal volunteers following repeated dermal application of terconazole 2.0% and 0.8% creams under conditions of filtered artificial ultraviolet light.


Photosensitivity reactions have not been observed in U.S. and foreign clinical trials in patients who were treated with Zazole® Vaginal Suppositories.



Microbiology


Terconazole exhibits fungicidal activity in vitro against Candida albicans. Antifungal activity has also been demonstrated against other fungi. The MIC values of terconazole against most Lactobacillus spp. typically found in the human vagina were ≥128 mcg/mL; therefore these beneficial bacteria were not affected by drug treatment.


The exact pharmacologic mode of action of terconazole is uncertain; however, it may exert its antifungal activity by the disruption of normal fungal cell membrane permeability. No resistance to terconazole has developed during successive passages of C. albicans.



Indications and Usage for Zazole


Zazole® Vaginal Suppositories are indicated for the local treatment of vulvovaginal candidiasis (monilasis). As Zazole® Vaginal Suppositories are effective only for vulvovaginitis caused by the genus Candida, the diagnosis should be confirmed by KOH smears and/or cultures.



Contraindications


Patients known to be hypersensitive to terconazole or to any of the components of the suppositories.



Warnings


None.



Precautions



General


Discontinue use and do not retreat with terconazole if sensitization, irritation, fever, chills, or flu-like symptoms are reported during use.


The base contained in the suppository formulation may interact with certain rubber or latex products, such as those used in vaginal contraceptive diaphragms, therefore concurrent use is not recommended.



Laboratory Tests


If there is lack of response to terconazole, appropriate microbiologic studies (standard KOH smear and/or cultures) should be repeated to confirm the diagnosis and rule out other pathogens.



Drug Interactions


The therapeutic effect of this product is not affected by oral contraceptive usage.



Carcinogenesis, Mutagenesis, Impairment of Fertility


Carcinogenesis

Studies to determine the carcinogenic potential of terconazole have not been performed.


Mutagenicity

Terconazole was not mutagenic when tested in vitro for induction of microbial point mutations (Ames test), or for inducing cellular transformation, or in vivo for chromosome breaks (micronucleus test) or dominant lethal mutations in mouse germ cells.


Impairment of Fertility

No impairment of fertility occurred when female rats were administered terconazole orally up to 40 mg/kg/day for a three month period.



Pregnancy


Teratogenic Effects: Pregnancy Category C;

There was no evidence of teratogencity when terconazole was administered orally up to 40 mg/kg/day (25× the recommended intravaginal human dose of the suppository formulation) in rats, or 20 mg/kg/day in rabbits, or subcutaneously up to 20 mg/kg/day in rats.


Dosages at or below 10 mg/kg/day produced no embryotoxicity; however, there was a delay in fetal ossification at 10 mg/kg/day in rats. There was some evidence of embryotoxicity in rabbits and rats at 20-40 mg/kg. In rats, this was reflected as a decrease in litter size and number of viable young and reduced fetal weight. There was also delay in ossification and an increased incidence of skeletal variants.


The no-effect dose of 10 mg/kg/day resulted in a mean peak plasma level of terconazole in pregnant rats of 0.176 mcg/mL which exceeds by 17 times the mean peak plasma level (0.010 mcg/mL) seen in normal subjects after intravaginal administration of terconazole vaginal suppositories. This safety assessment does not account for possible exposure of the fetus through direct transfer to terconazole from the irritated vagina by diffusion across amniotic membranes. Since terconazole is absorbed from the human vagina, it should not be used in the first trimester of pregnancy unless the physician considers it essential to the welfare of the patient.



Nursing Mothers


It is not known whether this drug is excreted in human milk. Animal studies have shown that rat offspring exposed via the milk of treated (40 mg/kg/orally) dams showed decreased survival during the first few post-partum days, but overall pup weight and weight gain were comparable to or greater than controls throughout lactation. Because many drugs are excreted in human milk, and because of the potential for adverse reaction in nursing infants from terconazole, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.



Pediatric Use


Safety and efficacy in children have not been established.



Geriatric Use


Clinical studies of terconazole did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other reported clinical experience has not identified differences in responses between the elderly and younger patients.



Adverse Reactions


During controlled clinical studies conducted in the United States, 284 patients with vulvovaginal candidiasis were treated with terconazole vaginal suppositories 80 mg.


Based on comparative analyses with placebo (295 patients), the adverse experiences considered adverse reactions most likely related to terconazole vaginal suppositories 80 mg were headache (30.3% vs. 20.7% with placebo) and pain of the female genitalia (4.2% vs. 0.7% with placebo). Adverse reactions that were reported but were not statistically significantly different from placebo were burning (15.2% vs. 11.2% with placebo) and body pain (3.9% vs. 1.7% with placebo). Fever (2.8% v. 1.4% with placebo) and chills (1.8% vs. 0.7% with placebo) have also been reported. The therapy-related dropout rate was 3.5% and the placebo therapy-related dropout rate was 2.7%. The adverse drug experience on terconazole most frequently causing discontinuation was burning (2.5% vs. 1.4% with placebo) and pruritus (1.8% vs. 1.4% with placebo).



Overdosage


Overdose of terconazole in humans has not been reported to date. In the rat, the oral LD 50 values were found to be 1741 and 849 mg/kg for the male and female, respectively.


The oral LD 50 values for the male and female dog were 1280 and ≥ 640 mg/kg, respectively.



Zazole Dosage and Administration


One Zazole® Vaginal Suppository (terconazole vaginal suppositories 80 mg) should be administered intravaginally once daily at bedtime for three consecutive days.


Before prescribing another course of therapy, the diagnosis should be reconfirmed by smears and/or cultures and other pathogens commonly associated with vulvovaginitis ruled out. The therapeutic effect of terconazole vaginal suppositories is not affected by menstruation.



How is Zazole Supplied


Zazole® Vaginal Suppositories (terconazole vaginal suppositories 80 mg are available in 2.5 g, elliptically shaped white to off-white suppositories in packages of three with a vaginal applicator.


NDC 0462-0348-03


Store at 20°-25° C (68°-77° F) [see USP Controlled Room Temperature].


PharmaDerm®

a division of ALTANA Inc

Duluth, GA 30096 USA

www.pharmaderm.com


IF8384A

R12/05

#34


--------------------


Zazole®Vaginal Suppositories (terconazole vaginal suppositories, 80 mg)



PATIENT INSTRUCTIONS


Three oval suppositories, for use inside the vagina only.

Designed to be inserted into the vagina.


HOW TO USE:


Place one suppository into the vagina each night at bedtime, for 3 nights, as directed by your doctor. The Zazole® Vaginal Suppository is self-lubricating and may be inserted with or without the applicator.


  1. Insertion with the applicator:
    1. Filling the applicator
      • Break off suppository from the plastic strip.

      • Pull the plastic completely apart at the notched end.


      • Place the flat end of the suppository into the open end of the applicator as shown. You are now ready to insert the suppository into the vagina.



    2. Using the applicator:
      • Lie on your back with your knees drawn up toward your chest.

      • Holding the applicator by the ribbed end of the barrel, gently insert the filled applicator into the vagina as far as it will comfortably go.

      • Slowly press the plunger to release the suppository into the vagina.

      • Remove the applicator from the vagina.



    3. Cleaning the applicator (Does not apply to sample applicators, which are for one time use only)

      After each use, you should thoroughly clean the applicator by following the procedure below:
      • Pull the plunger out of the barrel.


      • Wash both pieces with lukewarm, soapy water, and dry them thoroughly.

      • Put the applicator back together by gently pushing the plunger into the barrel as far as it will go.



  2. Insertion without the applicator
    • Lie on your back with your knees drawn up toward your chest.

    • Place the suppository on the tip of your finger as shown.

    • Insert the suppository gently into the vagina as far as it will comfortably go.



NOTE: Store the suppositories at at 20°-25° C (68°-77° F) [see USP Controlled Room Temperature]. See end flap for lot number and expiration date.


A WORD ABOUT YEAST INFECTIONS


Why do yeast infections occur?


Yeast infections are caused by an organism called Candida (KAN di duh). It may be present in small and harmless amounts in the mouth, digestive tract, and vagina.


Sometimes the natural balance of the vagina becomes upset. This may lead to rapid growth of Candida, which results in a yeast infection. Symptoms of a yeast infection include itching, burning, redness, and an abnormal discharge. Your doctor can make the diagnosis of a yeast infection by evaluating your symptoms and looking at a sample of the discharge under the microscope.


How can I prevent yeast infections?


Certain factors may increase your chance of developing a yeast infection. These factors don't actually cause the problem, but they may create a situation that allows the yeast to grow rapidly.


  • Clothing: Tight jeans, nylon underwear, pantyhose, and wet bathing suits can hold in heat and moisture (two conditions in which yeast organisms thrive). Looser pants or skirts, 100% cotton underwear, and stockings may help avoid this problem.

  • Diet: Cutting down on sweets, milk products, and artificial sweeteners may reduce the risk of yeast infections.

  • Antibiotics: Antibiotics work by eliminating disease-causing organisms. While they are helpful in curing other problems, antibiotics may lead to an overgrowth of Candida in the vagina.

  • Pregnancy: Hormonal changes in the body during pregnancy encourage the growth of yeast. This is a very common time for an infection to occur. Until the baby is born, it may be hard to completely eliminate yeast infections. If you believe you are pregnant, tell your doctor.

  • Menstruation: Sometimes monthly changes in hormone levels may lead to yeast infections.

  • Diabetes: In addition to heat and moisture, yeast thrives on sugar. Because diabetics often have sugar in their urine, their vaginas are rich in this substance. Careful control of diabetes may help prevent yeast infections.

Controlling these factors can help eliminate yeast infections and may prevent them from coming back.


Some other helpful tips:


  1. For best results, be sure to use the medication as prescribed by your doctor, even if you feel better quickly.

  2. Avoid sexual intercourse, if your doctor advises you to do so. The suppository formulation may damage the diaphragm. Therefore, use of the diaphragm during therapy with the suppository is not recommended. Consult your physician.

  3. If your partner has any penile itching, redness, or discomfort, he should consult his physician and mention that you are being treated for a yeast infection.

  4. You can use the medication even if you are having your menstrual period. However, you should not use tampons because they may absorb the medication. Instead, use external pads or napkins until you have finished your medication. You may also wish to wear a sanitary napkin if the vaginal medication leaks.

  5. Dry the genital area thoroughly after showering, bathing, or swimming. Change out of a wet bathing suit or damp exercise clothes as soon as possible. A dry environment is less likely to encourage the growth of yeast.

  6. Wipe from front to rear (away from the vagina) after a bowel movement.

  7. Don't douche unless your doctor specifically tells you to do so. Douching may disturb the vaginal balance.

  8. Don't scratch if you can help it. Scratching can cause more irritation and spread the infection.

  9. Discuss with your physician any medication you are already taking. Certain types of medication can make your vagina more susceptible to infection.

  10. Eat nutritious meals to promote your general health.

PharmaDerm®

a division of ALTANA Inc

Duluth, GA 30096 USA

www.pharmaderm.com


R12/05








Zazole 
terconazole  suppository










Product Information
Product TypeHUMAN PRESCRIPTION DRUGNDC Product Code (Source)0462-0348
Route of AdministrationVAGINALDEA Schedule    











INGREDIENTS
Name (Active Moiety)TypeStrength
terconazole (terconazole)Active80 MILLIGRAM  In 1 SUPPOSITORY
triglyceridesInactive 


















Product Characteristics
Color    Score    
ShapeSize
FlavorImprint Code
Contains      










Packaging
#NDCPackage DescriptionMultilevel Packaging
10462-0348-033 SUPPOSITORY In 1 PACKAGENone

Revised: 10/2007PharmaDerm

More Zazole resources


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


  • Zazole Concise Consumer Information (Cerner Multum)

  • Zazole Cream MedFacts Consumer Leaflet (Wolters Kluwer)

  • Terazol 3 Suppositories MedFacts Consumer Leaflet (Wolters Kluwer)



Compare Zazole with other medications


  • Vaginal Yeast Infection

Wednesday, 28 September 2016

Maxidone


Generic Name: acetaminophen and hydrocodone (a SEET a MIN oh fen and hye droe KOE done)

Brand Names: Anexsia, Co-Gesic, Hycet, Liquicet, Lorcet 10/650, Lorcet Plus, Lortab 10/500, Lortab 2.5/500, Lortab 5/500, Lortab 7.5/500, Lortab Elixir, Maxidone, Norco, Polygesic, Stagesic, Vicodin, Vicodin ES, Vicodin HP, Xodol, Zamicet, Zolvit, Zydone


What is Maxidone (acetaminophen and hydrocodone)?

Hydrocodone is in a group of drugs called narcotic pain relievers.


Acetaminophen is a less potent pain reliever that increases the effects of hydrocodone.


The combination of acetaminophen and hydrocodone is used to relieve moderate to severe pain.


Acetaminophen and hydrocodone may also be used for purposes not listed in this medication guide.


What is the most important information I should know about Maxidone (acetaminophen and hydrocodone)?


Tell your doctor if you have ever had alcoholic liver disease (cirrhosis) or if you drink more than 3 alcoholic beverages per day. You may not be able to take medicine that contains acetaminophen. Do not take more of this medication than is recommended. An overdose of acetaminophen can damage your liver or cause death. Tell your doctor if the medicine seems to stop working as well in relieving your pain. Hydrocodone may be habit-forming and should be used only by the person it was prescribed for. Keep the medication in a secure place where others cannot get to it. Ask a doctor or pharmacist before using any other cold, allergy, pain, or sleep medication. Acetaminophen (sometimes abbreviated as APAP) is contained in many combination medicines. Taking certain products together can cause you to get too much acetaminophen which can lead to a fatal overdose. Check the label to see if a medicine contains acetaminophen or APAP. This medication may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Avoid drinking alcohol. It may increase your risk of liver damage while taking acetaminophen.

What should I discuss with my healthcare provider before taking Maxidone (acetaminophen and hydrocodone)?


Do not use this medication if you are allergic to acetaminophen (Tylenol) or hydrocodone. Tell your doctor if you have ever had alcoholic liver disease (cirrhosis) or if you drink more than 3 alcoholic beverages per day. You may not be able to take medicine that contains acetaminophen.

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



  • asthma, COPD, sleep apnea, or other breathing disorders;




  • liver or kidney disease;




  • a history of head injury or brain tumor;




  • low blood pressure;




  • a stomach or intestinal disorder;




  • underactive thyroid;




  • Addison's disease or other adrenal gland disorder;




  • curvature of the spine;




  • mental illness; or




  • a history of drug or alcohol addiction.




Hydrocodone may be habit forming and should be used only by the person it was prescribed for. Never share acetaminophen and hydrocodone with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it. FDA pregnancy category C. It is not known whether this medication is harmful to an unborn baby, but it could cause breathing problems or addiction/withdrawal symptoms in a newborn. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. Acetaminophen and hydrocodone 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 Maxidone (acetaminophen and hydrocodone)?


Take exactly as prescribed. Never take acetaminophen and hydrocodone in larger amounts, or for longer than recommended by your doctor. An overdose of acetaminophen can damage your liver or cause death.

One acetaminophen and hydrocodone tablet may contain up to 750 mg of acetaminophen. Know the amount of acetaminophen in the specific product you are taking.


Follow the directions on your prescription label. Tell your doctor if the medicine seems to stop working as well in relieving your pain.


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


Drink 6 to 8 full glasses of water daily to help prevent constipation while you are taking acetaminophen and hydrocodone. Ask your doctor about ways to increase the fiber in your diet. Do not use a stool softener (laxative) without first asking your doctor. Do not stop using this medicine suddenly after long-term use, or you could have unpleasant withdrawal symptoms. Ask your doctor how to avoid withdrawal symptoms when you stop using acetaminophen and hydrocodone.

Acetaminophen can cause false results with certain lab tests for glucose (sugar) in the urine. Talk to your doctor if you are diabetic and you notice changes in your glucose levels during treatment.


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


Store at room temperature away from moisture and heat.

Keep track of the amount of medicine used from each new bottle. Oxycodone is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.


Always check your bottle to make sure you have received the correct pills (same brand and type) of medicine prescribed by your doctor. Ask the pharmacist if you have any questions about the medicine you receive at the pharmacy.


What happens if I miss a dose?


Since acetaminophen and hydrocodone is taken 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. Skip the missed dose if it is almost time for your next scheduled dose. 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 acetaminophen and hydrocodone can be fatal.

The first signs of an acetaminophen overdose include loss of appetite, nausea, vomiting, stomach pain, sweating, and confusion or weakness. Later symptoms may include pain in your upper stomach, dark urine, and yellowing of your skin or the whites of your eyes.


Overdose symptoms may also include extreme drowsiness, pinpoint pupils, cold and clammy skin, muscle weakness, fainting, weak pulse, slow heart rate, coma, blue lips, shallow breathing, or no breathing


What should I avoid while taking Maxidone (acetaminophen and hydrocodone)?


This medication may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Ask a doctor or pharmacist before using any other cold, allergy, pain, or sleep medication. Acetaminophen (sometimes abbreviated as APAP) is contained in many combination medicines. Taking certain products together can cause you to get too much acetaminophen which can lead to a fatal overdose. Check the label to see if a medicine contains acetaminophen or APAP. Avoid drinking alcohol. It may increase your risk of liver damage while taking acetaminophen.

Maxidone (acetaminophen and hydrocodone) 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:

  • shallow breathing, slow heartbeat;




  • feeling light-headed, fainting;




  • confusion, fear, unusual thoughts or behavior;




  • seizure (convulsions);




  • problems with urination; or




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



Less serious side effects may include:



  • anxiety, dizziness, drowsiness;




  • mild nausea, vomiting, upset stomach, constipation;




  • headache, mood changes;




  • blurred vision;




  • ringing in your ears; or




  • dry 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 Maxidone (acetaminophen and hydrocodone)?


Do not take acetaminophen and hydrocodone with any other narcotic pain medications, sedatives, tranquilizers, sleeping pills, muscle relaxers, or other medicines that can make you sleepy or slow your breathing. Dangerous side effects may result.

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



  • an antidepressant such as amitriptyline (Elavil, Vanatrip, Limbitrol), doxepin (Sinequan), nortriptyline (Pamelor), and others;




  • an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate);




  • atropine (Donnatal, and others), benztropine (Cogentin), dimenhydrinate (Dramamine), glycopyrrolate (Robinul), mepenzolate (Cantil), methscopolamine (Pamine), or scopolamine (Transderm-Scop);




  • bladder or urinary medications such as darifenacin (Enablex), flavoxate (Urispas), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or solifenacin (Vesicare);




  • a bronchodilator such as ipratropium (Atrovent) or tiotropium (Spiriva); or




  • irritable bowel medications such as dicyclomine (Bentyl), hyoscyamine (Anaspaz, Cystospaz, Levsin, and others), or propantheline (Pro-Banthine).



This list is not complete and other drugs may interact with acetaminophen and hydrocodone. 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 Maxidone resources


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


  • Maxidone Advanced Consumer (Micromedex) - Includes Dosage Information

  • Maxidone Prescribing Information (FDA)

  • Co-gesic Prescribing Information (FDA)

  • Dolacet MedFacts Consumer Leaflet (Wolters Kluwer)

  • Hycet Prescribing Information (FDA)

  • Hycet Liquid MedFacts Consumer Leaflet (Wolters Kluwer)

  • Liquicet Prescribing Information (FDA)

  • Lorcet Plus Prescribing Information (FDA)

  • Lortab Prescribing Information (FDA)

  • Lortab Consumer Overview

  • Lortab MedFacts Consumer Leaflet (Wolters Kluwer)

  • Norco Consumer Overview

  • Norco Prescribing Information (FDA)

  • Vicodin Consumer Overview

  • Vicodin Prescribing Information (FDA)

  • Vicodin ES Prescribing Information (FDA)

  • Vicodin HP Prescribing Information (FDA)

  • Xodol Prescribing Information (FDA)

  • Zolvit Prescribing Information (FDA)

  • Zydone Prescribing Information (FDA)



Compare Maxidone with other medications


  • Back Pain
  • Cough
  • Pain
  • Rheumatoid Arthritis


Where can I get more information?


  • Your pharmacist can provide more information about acetaminophen and hydrocodone.

See also: Maxidone side effects (in more detail)


Co-Quinapril EG




Co-Quinapril EG may be available in the countries listed below.


Ingredient matches for Co-Quinapril EG



Hydrochlorothiazide

Hydrochlorothiazide is reported as an ingredient of Co-Quinapril EG in the following countries:


  • Belgium

  • Luxembourg

Quinapril

Quinapril is reported as an ingredient of Co-Quinapril EG in the following countries:


  • Luxembourg

Quinapril hydrochloride (a derivative of Quinapril) is reported as an ingredient of Co-Quinapril EG in the following countries:


  • Belgium

International Drug Name Search

Tuesday, 27 September 2016

Dioxodin




Dioxodin may be available in the countries listed below.


Ingredient matches for Dioxodin



Povidone Iodine

Povidone-Iodine is reported as an ingredient of Dioxodin in the following countries:


  • Colombia

International Drug Name Search

Bucanest Sans Vasoconstricteur




Bucanest Sans Vasoconstricteur may be available in the countries listed below.


Ingredient matches for Bucanest Sans Vasoconstricteur



Articaine

Articaine hydrochloride (a derivative of Articaine) is reported as an ingredient of Bucanest Sans Vasoconstricteur in the following countries:


  • France

International Drug Name Search

Zovirax Lip




Zovirax Lip may be available in the countries listed below.


Ingredient matches for Zovirax Lip



Acyclovir

Aciclovir is reported as an ingredient of Zovirax Lip in the following countries:


  • Switzerland

International Drug Name Search

Covera-HS




In the US, Covera-HS (verapamil systemic) is a member of the following drug classes: calcium channel blocking agents, group IV antiarrhythmics and is used to treat Angina, Arrhythmia, Bipolar Disorder, Cluster Headaches, High Blood Pressure, Idiopathic Hypertrophic Subaortic Stenosis, Migraine Prevention, Nocturnal Leg Cramps and Supraventricular Tachycardia.

US matches:

  • Covera-HS Sustained-Release Tablets (Controlled Onset)

  • Covera-HS

Ingredient matches for Covera-HS



Verapamil

Verapamil hydrochloride (a derivative of Verapamil) is reported as an ingredient of Covera-HS in the following countries:


  • Canada

  • United States

International Drug Name Search

Bronal




Bronal may be available in the countries listed below.


Ingredient matches for Bronal



Prednisolone

Prednisolone 21-(disodium phosphate) (a derivative of Prednisolone) is reported as an ingredient of Bronal in the following countries:


  • Dominican Republic

Terfenadine

Terfenadine is reported as an ingredient of Bronal in the following countries:


  • Bosnia & Herzegowina

  • Serbia

International Drug Name Search

Bromophar




Bromophar may be available in the countries listed below.


Ingredient matches for Bromophar



Codeine

Codeine phosphate hemihydrate (a derivative of Codeine) is reported as an ingredient of Bromophar in the following countries:


  • Belgium

  • Luxembourg

International Drug Name Search

dantrolene


DAN-troe-leen


Oral route(Capsule)

Dantrolene has a potential for hepatotoxicity and symptomatic hepatitis (fatal and non-fatal) has been reported at various dose levels of the drug. Risk of hepatic injury appears to be greater in patients taking a higher dosage (800 mg or more per day), in females, in patients over 35 years of age, and in patients taking other medication(s) in addition to dantrolene. Monitor hepatic function including frequent determination of SGOT or SGPT during therapy. Discontinue therapy after 45 days if no observable benefit is derived from therapy .



Commonly used brand name(s)

In the U.S.


  • Dantrium

Available Dosage Forms:


  • Capsule

Therapeutic Class: Skeletal Muscle Relaxant, Direct Acting


Uses For dantrolene


Dantrolene is used to help relax certain muscles in your body. It relieves the spasms, cramping, and tightness of muscles caused by certain medical problems such as multiple sclerosis (MS), cerebral palsy, stroke, or injury to the spine. Dantrolene does not cure these problems, but it may allow other treatment, such as physical therapy, to be more helpful in improving your condition. Dantrolene acts directly on the muscles to produce its relaxant effects.


Dantrolene is also used to prevent or treat a medical problem called malignant hyperthermia that may occur in some patients during or following surgery or anesthesia. Malignant hyperthermia consists of a group of symptoms including very high fever, fast and irregular heartbeat, and breathing problems. It is believed that the tendency to develop malignant hyperthermia is inherited.


dantrolene is available only with your doctor's prescription.


Before Using dantrolene


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 dantrolene, the following should be considered:


Allergies


Tell your doctor if you have ever had any unusual or allergic reaction to dantrolene 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 dantrolene in children below 5 years of age. Safety and efficacy have not been established.


Geriatric


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


Pregnancy








Pregnancy CategoryExplanation
All TrimestersCAnimal 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 dantrolene, 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 dantrolene 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.


  • Adinazolam

  • Alfentanil

  • Alprazolam

  • Amlodipine

  • Amobarbital

  • Anileridine

  • Aprobarbital

  • Bromazepam

  • Brotizolam

  • Butabarbital

  • Butalbital

  • Carisoprodol

  • Chloral Hydrate

  • Chlordiazepoxide

  • Chlorzoxazone

  • Clobazam

  • Clonazepam

  • Clorazepate

  • Codeine

  • Dantrolene

  • Diazepam

  • Diltiazem

  • Estazolam

  • Ethchlorvynol

  • Felodipine

  • Fentanyl

  • Flunitrazepam

  • Flurazepam

  • Halazepam

  • Hydrocodone

  • Hydromorphone

  • Isradipine

  • Ketazolam

  • Levorphanol

  • Lorazepam

  • Lormetazepam

  • Medazepam

  • Meperidine

  • Mephenesin

  • Mephobarbital

  • Meprobamate

  • Metaxalone

  • Methocarbamol

  • Methohexital

  • Methotrexate

  • Midazolam

  • Morphine

  • Morphine Sulfate Liposome

  • Nicardipine

  • Nifedipine

  • Nisoldipine

  • Nitrazepam

  • Nordazepam

  • Oxazepam

  • Oxycodone

  • Oxymorphone

  • Pentobarbital

  • Phenobarbital

  • Prazepam

  • Primidone

  • Propoxyphene

  • Quazepam

  • Remifentanil

  • Secobarbital

  • Sodium Oxybate

  • Sufentanil

  • Temazepam

  • Thiopental

  • Triazolam

  • Verapamil

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 dantrolene. Make sure you tell your doctor if you have any other medical problems, especially:


  • Heart disease or

  • Liver disease, history of or

  • Lung disease (e.g., emphysema, asthma, bronchitis)—The chance of serious side effects may be increased.

  • Liver disease, active (e.g., hepatitis, cirrhosis) or

  • Muscle spasms caused by rheumatic disorders—Should not be used in patients with these conditions.

Proper Use of dantrolene


Dantrolene may be taken with or without food or on a full or empty stomach. However, if your doctor tells you to take the medicine a certain way, take it exactly as directed.


Take dantrolene only as directed by your doctor. Do not take more of it and do not take it more often than your doctor ordered.


Dosing


The dose of dantrolene 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 dantrolene. 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 (capsules):
    • For prevention or treatment of malignant hyperthermia:
      • Adults—Dose is based on body weight and must be determined by your doctor. The usual dose is 4 to 8 milligrams (mg) per kilogram (kg) of body weight each day, and is divided in 3 or 4 doses. Your doctor will tell you exactly when and how often to take your medicine.

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


    • To relieve muscle spasms:
      • Adults—At first, 25 milligrams (mg) once a day. Your doctor may adjust your dose as needed. However, the dose is usually not more than 100 mg four times a day.

      • Children—Dose is based on body weight and must be determined by your doctor. At first, 0.5 milligram (mg) per kilogram (kg) of body weight twice a day. Your doctor may adjust the dose as needed. However, the dose is usually not more than 3 mg per kg four times a day or 100 mg four times a day.



Missed Dose


If you miss a dose of dantrolene, 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 dantrolene


If you will be taking dantrolene for a long time (e.g., several months at a time), your doctor should check your progress at regular visits. Blood tests will be needed to check for unwanted effects.


dantrolene 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; barbiturates; medicine for seizures; other muscle relaxants; or anesthetics, including some dental anesthetics. Therefore, do not drink alcoholic beverages, and check with your doctor before taking any of the medicines listed above, while you are using dantrolene.


dantrolene may cause drowsiness, dizziness or lightheadedness, vision problems, or muscle weakness in some people. Make sure you know how you react to dantrolene before you drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert, well-coordinated, and able to see well.


dantrolene may make your skin more sensitive to sunlight. Use a sunscreen when you are outdoors. Avoid sunlamps and tanning beds.


dantrolene 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. Serious side effects are very rare when dantrolene is taken for a short time, for example, when it is used for a few days before, during, or after surgery or anesthesia to prevent or treat malignant hyperthermia. However, serious side effects may occur, especially when the medicine is taken for a long time.


Check with your doctor immediately if any of the following side effects occur:


Less common
  • Bloody or black, tarry stools

  • bloody or dark urine

  • bluish color changes in skin color

  • changes in speech

  • chest pain

  • confusion

  • constipation

  • convulsions (seizures)

  • decrease in frequency of urination

  • decrease in urine volume

  • difficult urination

  • difficulty in moving

  • difficulty in passing urine (dribbling)

  • difficulty in swallowing

  • fast, pounding, or irregular heartbeat or pulse

  • increased frequency of urination

  • increased urge to urinate during the night

  • joint pain

  • light-colored stools

  • lightheadedness

  • loss of bladder control

  • mental depression

  • muscle aching or cramping

  • muscle pains or stiffness

  • muscle spasm or jerking of all extremities

  • nausea and vomiting

  • pain in lower back

  • pain or burning while urinating

  • pain, tenderness, or changes in skin color

  • painful urination

  • severe stomach pain

  • shortness of breath

  • skin rash, hives, or itching

  • slow or troubled breathing

  • sudden decrease in amount of urine

  • sudden loss of consciousness

  • swelling of foot or leg

  • swollen joints

  • unusual tiredness or weakness

  • upper right abdominal pain

  • vomiting of blood or material that looks like coffee grounds

  • waking to urinate at night

  • yellow eyes or skin

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
  • Diarrhea

  • dizziness

  • drowsiness

  • general feeling of discomfort or illness

  • muscle weakness

Less common
  • Abdominal or stomach cramps or discomfort

  • abnormal hair growth

  • acne-like rash

  • blurred or double vision or any change in vision

  • change in taste

  • chills and fever

  • disturbed color perception

  • excessive tearing

  • halos around lights

  • headache

  • itching skin

  • loss of appetite

  • night blindness

  • overbright appearance of lights

  • redness of skin

  • seeing double

  • skin rash, encrusted, scaly and oozing

  • sleeplessness

  • slurring of speech or other speech problems

  • sudden decrease in amount of urine

  • sweating

  • trouble in sleeping

  • tunnel vision

  • unable to sleep

  • unusual nervousness

  • weight loss

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: dantrolene 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 dantrolene resources


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


  • dantrolene Concise Consumer Information (Cerner Multum)

  • Dantrolene MedFacts Consumer Leaflet (Wolters Kluwer)

  • Dantrolene Prescribing Information (FDA)

  • Dantrium Prescribing Information (FDA)

  • Dantrium Monograph (AHFS DI)

  • Dantrium Intravenous Prescribing Information (FDA)



Compare dantrolene with other medications


  • Malignant Hyperthermia
  • Spasticity

Monday, 26 September 2016

Cinkamin




Cinkamin may be available in the countries listed below.


Ingredient matches for Cinkamin



Amikacin

Amikacin is reported as an ingredient of Cinkamin in the following countries:


  • Peru

International Drug Name Search

Itraconazole 100mg Capsules






Itraconazole 100mg Capsules, Hard



Read all of this leaflet carefully before you start taking this medicine.


  • Keep this leaflet. You may need to read it again.

  • If you have any further questions, ask your doctor or pharmacist.

  • This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.

  • If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.



In this leaflet:



  • 1 What Itraconazole capsules are and what they are used for


  • 2 Before you take


  • 3 How to take


  • 4 Possible side effects


  • 5 How to store


  • 6 Further information




What Itraconazole capsules are and what they are used for


Itraconazole capsules are indicated for the treatment of fungal infections of the vagina, skin, mouth, eyes, nails and internal organs.


The active substance is itraconazole, a member of the following pharmaco-therapeutic class of drugs: Antimycotic for systemic use, triazole derivatives.


Itraconazole is very effective against a variety of infections caused by yeasts and fungi.


It has great affinity for highly keratinized tissues such as skin and nails, as well as for the vaginal wall lining.


Therapeutic levels of itraconazole remain in the skin for two to four weeks following the end of treatment, depending on its duration.


In vaginal tissue, itraconazole can be found for a period of two to three days, again depending on the duration of treatment.




Before you take



Do not take Itraconazole capsules if you:


  • are pregnant (only your doctor is in a position to decide if you need this drug).

  • suffer from congestive heart failure.

  • are hypersensitive to the active ingredient or any of the other ingredients of the formulation.



Children:


Children should not be given itraconazole, except for exceptional situations as assessed by the doctor.




Take special care with Itraconazole capsules


Please inform your doctor if you:


  • have any type of liver disease

    The dose may have to be adjusted. Consult your doctor immediately if you show any of the following symptoms when taking itraconazole: lack of appetite, nausea, vomiting, tiredness, abdominal pain or very dark urine. If you are taking itraconazole continuously for periods in excess of one month your doctor may ask for regular blood tests. The purpose of these tests is to check for the appearance of very rare liver problems resulting from drug use.

  • have any type of kidney disease.

The dose may have to be adjusted if you:


  • have a history of any reaction to antifungal medication.

  • have Acquired Immunodeficiency Syndrome (AIDS) or your immune system is not working as well as it should.



Taking other medicines


Please inform your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.



Examples of drugs that should never be taken with itraconazole include:


  • Certain allergy medications, especially terfenadine, astemizole and mizolastine

  • Cisapride, a drug used to treat certain digestive problems

  • Certain cholesterol lowering drugs such as, for example, atorvastatin, simvastatin and lovastatin

  • Sleep inducing drugs midazolam and oral triazolam

  • Pimozide and sertindole, drugs to treat psychotic conditions

  • Cardiac arrhythmia drugs quinidine and dofetilide

  • Medicines used to treat angina (crushing chest pain) and high blood pressure called bepridil and nisoldipine

  • Medicines for migraine headaches called eletriptan, dihydroergotamine and ergotamine

  • Ergometrine (ergonovine) and methyl-ergometrine (methylergonovine) - used after giving birth

  • Levacetylmethadol - for treatment of drug abuse (opioid-dependency)


Certain drugs can drastically decrease the action of itraconazole. This is particularly true of certain drugs used to treat epilepsy (carbamazepine, phenytoin and phenobarbital) and tuberculosis (rifampicin, riphabutin and isoniazid).


Inform your doctor if you are taking any of these drugs so that proper measures may be taken.



Examples of drug combinations that may require adjusting the dose of itraconazole or of the other drugs:


  • Antibiotics clarithromycin and erythromycin

  • Antineoplastic agents

  • Certain drugs that act on the heart and blood vessels (digoxin, disopyramide and some calcium channel blockers)

  • Certain drugs used to regulate blood circulation

  • Methylprednisolone, an oral or injectable anti-inflammatory

  • Ciclosporin A, tracolimus and rapamycin, normally used following organ transplantation

  • Certain HIV Protease inhibitors (ritonavir, indinavir, saquinavir)

  • Carbamazepine, rapamycin, alfentanil, alprazolam

  • Certain drugs used to treat cancer

  • Certain anti-anxiety drugs, especially buspirone and alprazolam

  • Halofantrine – used for malaria

Proper absorption of itraconazole by the human body requires an adequate level of acidity. Therefore, drugs that inhibit stomach acid must not be taken for a period of two hours preceding itraconazole. For the same reason, if you are taking medication to decrease the formation of stomach acids, take itraconazole with a cola drink.


Bear in mind that these instructions may also apply to medication you took before or may take after.




Pregnancy


Ask your doctor or pharmacist for advice before taking any medicine.


Do not take Itraconazole capsules if you are pregnant. Women of childbearing age who may become pregnant must use proper contraception to ensure they do not get pregnant while under treatment with itraconazole.


Contraception should be used through the first normal menstrual cycle following termination of itraconazole treatment, as the drug can remain in the system for some time.




Breast-feeding


Ask your doctor or pharmacist for advice before taking any medicine.


Inform your doctor if you are breast-feeding and are prescribed Itraconazole capsules, as small amounts of the drug may be present in milk.




Taking Itraconazole capsules with food and drink


For maximum drug absorption itraconazole should be taken immediately following a meal.




Driving and using machines


No studies on the effects on the ability to drive and use machines have been performed.




Important information about one of the ingredients of Itraconazole capsules


This medicine contains the sugar sucrose. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.





How to take


Always take Itraconazole capsules exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.



Method and route of administration


Itraconazole must be taken immediately following a meal for optimum absorption. Capsules should be swallowed with a small amount of water.




Frequency and duration of treatment


The number of capsules and the duration of treatment will depend on the fungus and on the location of infection. Your doctor will tell you exactly what dose to take.


The following table lists some of the more frequent dosages:



For nail infections, depending on your specific requirements, your doctor may opt for continuous or pulse treatment:






When you should expect the results


Drug effects are not immediate.


In skin infections, lesions normally disappear a few weeks after treatment is suspended. This is characteristic of fungus lesions as the drug will eliminate the fungus but the lesions will remain until new skin grows.


Nail lesions will disappear six to nine months after treatment, as the drug will eliminate the fungus but new nail growth takes several months.


Do not worry if you see no improvement during the treatment. The drug will remain in your nails for several months and is doing its job.


Suspend treatment as soon as your doctor tells you to, even if you see no visible signs of improvement.


For infections of internal organs higher doses and longer treatment times may be required.


Do not forget to take your medication.


Follow these instructions unless your doctor tells you otherwise. Your doctor will tell you how long you should take Itraconazole capsules.


Do not interrupt treatment before being advised to do so by your doctor or cure may not be complete.




If you take more Itraconazole capsules than you should


Immediately consult your doctor or pharmacist if you take more Itraconazole capsules than you should.




If you forget to take Itraconazole capsules


Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for forgotten individual doses.



If you have any further questions on the use of this product, ask your doctor or pharmacist.




Possible side effects


Like all medicines, Itraconazole capsules can cause side effects, although not everybody gets them.


The following side effects can occur:



Common (affects 1 to 10 users in 100):


  • distortion or decrease of the sense of taste (dysgeusia)


Uncommon (affects 1 to 10 users in 1,000):


  • inflammation of the liver (hepatitis), jaundice

  • localised swelling (oedema)


Very rare (affects less than 1 user in 10,000):


  • reduced number of white blood cells (leukopenia, neutropenia)

  • reduced number of thrombocytes (thrombocytopenia)

  • severe allergic reactions

  • too less potassium in the blood (hypokalemia)

  • increase of triglycerides (a type of fat) in your blood (hypertriglyceridemia )

  • headache, dizziness

  • pain, loss of sensation, and inability to control muscles

  • visual disorders, including blurred or double vision (diplopia)

  • ear buzzing (tinnitus)

  • abdominal pain, vomiting, nausea, diarrhoea, uncomfortable fullness after meals (dyspepsia), constipation

  • hepatic enzyme increased

  • rash, itching (pruritus), severe skin diseases, hair loss, increased sensitivity to sunlight

  • muscular weakness, muscular pain and joint pain

  • frequent daytime urination, urinary incontinence

  • menstrual disorders, erectile dysfunction


Not known (frequency cannot be estimated from the available data):


  • allergic reactions

  • numbness and tingling (paraesthesia), loss of sensitivity to pain or touch (hypoaesthesia)

  • loss of heart ability to pump blood efficiently (congestive heart failure)

  • abnormal build up of fluid in the lungs, which leads to swelling (pulmonary oedema)

  • hepatotoxicity, acute hepatic failure

If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.




How to store


Keep out of the reach and sight of children.


Do not store above 25°C.


Do not use Itraconazole capsules after the expiry date which is stated on the carton. The expiry date refers to the last day of that month.


Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.




Further information



What Itraconazole capsules contain


Itraconazole capsules is presented in the form of hard gelatin capsules containing micro-granules.


The active substance is itraconazole. Each capsule contains 100mg of itraconazole (I.N.N.).


The other ingredients are:


Capsule contents: sugar spheres (maize starch and sucrose), poloxamer 188 and hypromellose


Capsule shell: indigo carmine (E 132), quinoline yellow (E 104), titanium dioxide (E 171) and gelatin.




What Itraconazole capsules look like and contents of the pack


Itraconazole capsules are opaque green and are available in blister packs of 15




Marketing authorisation holder:



Actavis Group PTC ehf.

Reykjavíkurvegur 76-78

220 Hafnarfjörður

Iceland




Manufacturer:



Laboratorios LICONSA, S.A.

Avda. Miralcampo

Nº 7, Polígono Industrial Miralcampo

19200 Azuqueca de Henares (Guadalajara)

SPAIN




This leaflet was last revised in: June 2009




Actavis

Barnstaple

EX32 8NS

UK


LICPL007





Brumeton Colloidale S




Brumeton Colloidale S may be available in the countries listed below.


Ingredient matches for Brumeton Colloidale S



Betamethasone

Betamethasone is reported as an ingredient of Brumeton Colloidale S in the following countries:


  • Italy

Sulfacetamide Sodium

Sulfacetamide sodium salt (a derivative of Sulfacetamide) is reported as an ingredient of Brumeton Colloidale S in the following countries:


  • Italy

International Drug Name Search

Patriot Insecticide Ear Tag




Patriot Insecticide Ear Tag may be available in the countries listed below.


In some countries, this medicine may only be approved for veterinary use.

Ingredient matches for Patriot Insecticide Ear Tag



Dimpylate

Dimpylate is reported as an ingredient of Patriot Insecticide Ear Tag in the following countries:


  • Australia

International Drug Name Search

Bercetina




Bercetina may be available in the countries listed below.


Ingredient matches for Bercetina



Flunarizine

Flunarizine dihydrochloride (a derivative of Flunarizine) is reported as an ingredient of Bercetina in the following countries:


  • Argentina

International Drug Name Search

Friday, 23 September 2016

Bromocriptine




In some countries, this medicine may only be approved for veterinary use.


In the US, Bromocriptine (bromocriptine systemic) is a member of the following drug classes: dopaminergic antiparkinsonism agents, prolactin inhibitors and is used to treat Acromegaly, Diabetes - Type 2, Hyperprolactinemia and Parkinson's Disease.

US matches:

  • Bromocriptine

  • Bromocriptine Mesylate

Scheme

Rec.INN

ATC (Anatomical Therapeutic Chemical Classification)

G02CB01,N04BC01

CAS registry number (Chemical Abstracts Service)

0025614-03-3

Chemical Formula

C32-H40-Br-N5-O5

Molecular Weight

654

Therapeutic Categories

Prolactin inhibitor

Treatment of Parkinson's disease: Dopaminergic

Chemical Name

Ergotaman-3',6',18-trione, 2-bromo-12'-hydroxy-2'-(1-methylethyl)-5'-(2-methylpropyl)-, (5'α)-

Foreign Names

  • Bromocriptinum (Latin)
  • Bromocriptin (German)
  • Bromocriptine (French)
  • Bromocriptina (Spanish)

Generic Names

  • Bromocriptina (OS: DCIT)
  • Bromocriptine (OS: BAN, USAN, DCF)
  • CB-154 (IS: Novartis)
  • Bromocriptine Mesilate (OS: JAN, BANM)
  • Bromocriptine Mesylate (OS: USAN)
  • Bromocriptine methanesulfonate (IS)
  • CB 154 (IS: Sandoz)
  • Bromocriptine (mésilate de) (PH: Ph. Eur. 6)
  • Bromocriptine Mesilate (PH: BP 2010, JP XV, Ph. Eur. 6)
  • Bromocriptine Mesylate (PH: USP 32)
  • Bromocriptini mesilas (PH: Ph. Eur. 6)
  • Bromocriptinmesilat (PH: Ph. Eur. 6)

Brand Names

  • Aprolac
    AC Farma, Peru


  • Aspen Bromocriptine
    Aspen Pharmacare, South Africa


  • Brocriptin
    Biofarm, Romania


  • Bromocriptina Generis
    Generis, Portugal


  • Bromocriptina
    Farmindustria, Peru; Iqfarma, Peru; Medicalex, Colombia


  • Bromocriptine
    Teriak, Tunisia


  • Bromokriptin
    Zdravlje, Serbia


  • Kriptonal
    Chemopharma, Chile


  • Parlodel
    Novartis, Turkey; Novartis Pharmaceuticals, Peru


  • Pravidel
    Meda, Luxembourg


  • Ronalin
    Hikma, United Arab Emirates; Hikma, Bahrain; Hikma, Egypt; Hikma, Iraq; Hikma, Jordan; Hikma, Kuwait; Hikma, Lebanon; Hikma, Libya; Hikma, Oman; Hikma, Qatar; Hikma, Saudi Arabia; Hikma, Sudan; Hikma, Syria; Hikma, Tunisia; Hikma, Yemen; IBN, Tunisia


  • Alpha Bromocriptine
    Apotex, New Zealand


  • Apo-Bromocriptine
    Apotex, Canada; Apotex, Hong Kong; Apotex, Singapore


  • Bomoting
    Gedeon Richter, China


  • Brameston
    Remedica, Kenya; Remedica, Sudan; Remedica, Zimbabwe


  • Bromergon
    Lek, Croatia (Hrvatska); Lek, Poland; Lek, Slovenia; Novartis, Bangladesh


  • Bromocorn
    Filofarm, Poland


  • Bromocriptin AbZ
    AbZ, Germany


  • Bromocriptin beta
    Betapharm, Germany


  • Bromocriptin Hexal
    Hexal, Germany


  • Bromocriptin Richter
    Gedeon Richter, Estonia; Gedeon Richter, Georgia; Gedeon Richter, Hong Kong; Gedeon Richter, Hungary; Gedeon Richter, Lithuania; Gedeon Richter, Latvia; Gedeon Richter, Russian Federation


  • Bromocriptina Dorom
    Dorom, Italy; Poli, Romania


  • Bromocriptin-CT
    CT Arzneimittel, Germany


  • Bromocriptine Mesylate
    Lek, United States; Mylan, United States; Paddock, United States; Rosemont, United States; Sandoz, United States; Zydus, United States


  • Bromocriptine Poli
    Poli, Lithuania


  • Bromocriptine Sopharma
    Sopharma, Bulgaria


  • Bromocriptine
    Gedeon Richter, Bangladesh; Gedeon Richter, Ethiopia


  • Bromocriptine-Richter
    Gedeon Richter, Singapore


  • Bromocriptin-ratiopharm
    Ratiopharm, Germany


  • Bromodel
    Opsonin, Bangladesh


  • Bromo-Kin
    Sanofi-Aventis, France


  • Bromtine
    Duopharma, Bangladesh; Duopharma, Hong Kong


  • Corpadel
    Kyowa Yakuhin, Japan


  • Cripsa
    Caprifarmindo, Indonesia


  • Criptine
    Renata, Bangladesh


  • Criten
    Tecnofarma, Chile


  • Cycloset
    VeroScience, United States


  • Deparo
    Towa Yakuhin, Japan


  • Erenant
    Sandoz, Japan


  • Grifocriptina
    Chile, Chile


  • Gynodel
    Il-Ko, Turkey


  • Kirim
    Hormosan, Germany


  • Kripton
    Alphapharm, Australia


  • Lactafal (veterinary use)
    Eurovet, Netherlands


  • Medocriptine
    Medochemie, Bangladesh; Medochemie, Czech Republic; Medochemie, Hong Kong; Medochemie, Sri Lanka; Medochemie, Slovakia


  • Melen
    Tatsumi Kagaku, Japan


  • Padoparine
    Kotobuki Seiyaku, Japan


  • Palolactin
    Fuji Yakuhin, Japan


  • Parilac
    Teva, Israel


  • Parlodel
    Euro, Netherlands; Med Pharm, Italy; Meda, Austria; Meda, Denmark; Meda, Finland; Meda, France; Meda, France; Meda, United Kingdom; Meda, Ireland; Meda, Netherlands; Meda, Norway; Meda, Portugal; Meda Pharma Sau, Spain; Novartis, United Arab Emirates; Novartis, Argentina; Novartis, Australia; Novartis, Bangladesh; Novartis, Belgium; Novartis, Bahrain; Novartis, Brazil; Novartis, Switzerland; Novartis, Chile; Novartis, China; Novartis, Colombia; Novartis, Czech Republic; Novartis, Estonia; Novartis, Ethiopia; Novartis, Ghana; Novartis, Greece; Novartis, Hong Kong; Novartis, Indonesia; Novartis, Israel; Novartis, Iceland; Novartis, Jordan; Novartis, Japan; Novartis, Kenya; Novartis, Kuwait; Novartis, Lebanon; Novartis, Sri Lanka; Novartis, Libya; Novartis, Malaysia; Novartis, Nigeria; Novartis, Oman; Novartis, Philippines; Novartis, Poland; Novartis, Qatar; Novartis, Russian Federation; Novartis, Saudi Arabia; Novartis, Sudan; Novartis, Singapore; Novartis, Syria; Novartis, Thailand; Novartis, Taiwan; Novartis, Tanzania; Novartis, United States; Novartis, Venezuela; Novartis, Yemen; Novartis, South Africa; Novartis, Zimbabwe; Novartis Consumer Health, Egypt; Novartis Pharmaceuticals, Peru; Sandoz, Mexico


  • Parlodel (veterinary use)
    Novartis Animal Health, United Kingdom


  • Parloder
    Novartis, Slovakia


  • Parlomin
    Daito, Japan


  • Parukizone
    Medisa Shinyaku, Japan


  • PMS-Bromocriptine
    Pharmascience, Canada


  • Pravidel
    Meda, Germany; Meda, Sweden; Novartis, Luxembourg


  • Prigost
    Rider, Chile


  • Prospeline
    Sawai Seiyaku, Japan


  • Pseudogravin (veterinary use)
    Alvetra u. Werfft, Austria


  • Sicriptin
    Serum Institute, India


  • Umprel
    Meda, Austria


  • Upnol B
    Takata Seiyaku, Japan

International Drug Name Search

Glossary

BANBritish Approved Name
BANMBritish Approved Name (Modified)
DCFDénomination Commune Française
DCITDenominazione Comune Italiana
ISInofficial Synonym
JANJapanese Accepted Name
OSOfficial Synonym
PHPharmacopoeia Name
Rec.INNRecommended International Nonproprietary Name (World Health Organization)
USANUnited States Adopted Name

Click for further information on drug naming conventions and International Nonproprietary Names.

Calcianta




Calcianta may be available in the countries listed below.


Ingredient matches for Calcianta



Nifedipine

Nifedipine is reported as an ingredient of Calcianta in the following countries:


  • Indonesia

International Drug Name Search

Xazal




Xazal may be available in the countries listed below.


Ingredient matches for Xazal



Levocetirizine

Levocetirizine dihydrochloride (a derivative of Levocetirizine) is reported as an ingredient of Xazal in the following countries:


  • Spain

International Drug Name Search

Fluoridex Daily Defense


Generic Name: sodium fluoride (Oral route, Dental route, Oromucosal route)


SOE-dee-um FLOOR-ide


Commonly used brand name(s)

In the U.S.


  • APF Gel

  • Aquafresh

  • CaviRinse

  • Control Rx

  • Denta 5000 Plus

  • Dentagel

  • Dentall 1100 Plus

  • EtheDent

  • Fluorabon

  • Fluor-A-Day

  • Fluoridex Daily Defense

  • Fluoridex Daily Defense Enhanced Whitening

In Canada


  • Fluorosol

  • Koala Pals Fluoride Tooth Gel - Berrylicious Flavor

  • Pdf

  • Pedi-Dent

Available Dosage Forms:


  • Gel/Jelly

  • Tablet, Chewable

  • Paste

  • Solution

  • Liquid

  • Tablet, Enteric Coated

  • Tablet

  • Lozenge/Troche

  • Cream

Therapeutic Class: Cariostatic


Uses For Fluoridex Daily Defense


Fluoride has been found to be helpful in reducing the number of cavities in the teeth. It is usually present naturally in drinking water. However, some areas of the country do not have a high enough level in the water to prevent cavities. To make up for this, extra fluoride may be added to the diet. Some children may require both dietary fluoride and topical fluoride treatments by the dentist. Use of a fluoride toothpaste or rinse may be helpful as well.


Taking extra oral fluoride does not replace good dental habits. These include eating a good diet, brushing and flossing the teeth often, and having regular dental checkups.


Fluoride may also be used for other conditions as determined by your doctor.


This medicine is available only with a prescription.


Importance of Diet


For good health, it is important that you eat a balanced and varied diet. Follow carefully any diet program your health care professional may recommend. For your specific dietary vitamin and/or mineral needs, ask your health care professional for a list of appropriate foods. If you think that you are not getting enough vitamins and/or minerals in your diet, you may choose to take a dietary supplement.


People get needed fluoride from fish, including the bones, tea, and drinking water that has fluoride added to it. Food that is cooked in water containing fluoride or in Teflon-coated pans also provides fluoride. However, foods cooked in aluminum pans provide less fluoride.


The daily amount of fluoride needed is defined in several different ways.


  • For U.S.—

  • Recommended Dietary Allowances (RDAs) are the amount of vitamins and minerals needed to provide for adequate nutrition in most healthy persons. RDAs for a given nutrient may vary depending on a person's age, sex, and physical condition (e.g., pregnancy).

  • Daily Values (DVs) are used on food and dietary supplement labels to indicate the percent of the recommended daily amount of each nutrient that a serving provides. DV replaces the previous designation of United States Recommended Daily Allowances (USRDAs).

  • For Canada—

  • Recommended Nutrient Intakes (RNIs) are used to determine the amounts of vitamins, minerals, and protein needed to provide adequate nutrition and lessen the risk of chronic disease.

There is no RDA or RNI for fluoride. Daily recommended intakes for fluoride are generally defined as follows:


  • Infants and children—

  • Birth to 3 years of age: 0.1 to 1.5 milligrams (mg).

  • 4 to 6 years of age: 1 to 2.5 mg.

  • 7 to 10 years of age: 1.5 to 2.5 mg.

  • Adolescents and adults—

  • 1.5 to 4 mg.

Remember:


  • The total amount of fluoride you get every day includes what you get from the foods and beverages that you eat and what you may take as a supplement.

  • This total amount should not be greater than the above recommendations, unless ordered by your health care professional. Taking too much fluoride can cause serious problems to the teeth and bones.

Before Using Fluoridex Daily Defense


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


Problems in children have not been reported with intake of normal daily recommended amounts. Doses of sodium fluoride that are too large or are taken for a long time may cause bone problems and teeth discoloration in children.


Geriatric


Problems in older adults have not been reported with intake of normal daily recommended amounts. Older people are more likely to have joint pain, kidney problems, or stomach ulcers which may be made worse by taking large doses of sodium fluoride. You should check with your health care professional.


Breast Feeding


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. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.


Interactions with Food/Tobacco/Alcohol


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


  • Dairy 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:


  • Brown, white, or black discoloration of teeth or

  • Joint pain or

  • Kidney problems (severe) or

  • Stomach ulcer—Sodium fluoride may make these conditions worse.

Proper Use of sodium fluoride

This section provides information on the proper use of a number of products that contain sodium fluoride. It may not be specific to Fluoridex Daily Defense. Please read with care.


Take this medicine only as directed by your health care professional. Do not take more of it and do not take it more often than ordered. Taking too much fluoride over a period of time may cause unwanted effects.


For individuals taking the chewable tablet form of this medicine:


  • Tablets should be chewed or crushed before they are swallowed.

  • This medicine works best if it is taken at bedtime, after the teeth have been thoroughly brushed. Do not eat or drink for at least 15 minutes after taking sodium fluoride.

For individuals taking the oral liquid form of this medicine:


  • This medicine is to be taken by mouth even though it comes in a dropper bottle. The amount to be taken is to be measured with the specially marked dropper.

  • Always store this medicine in the original plastic container. Fluoride will affect glass and should not be stored in glass containers.

  • This medicine may be dropped directly into the mouth or mixed with cereal, fruit juice, or other food. However, if this medicine is mixed with foods or beverages that contain calcium, the amount of sodium fluoride that is absorbed may be reduced.

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 (lozenges, solution, tablets, or chewable tablets):
    • To prevent cavities in the teeth (not enough fluoride in the water):
      • Children—Dose is based on the amount of fluoride in drinking water in your area. Dose is also based on the child's age and must be determined by your health care professional.



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 Fluoridex Daily Defense


The level of fluoride present in the water is different in different parts of the U.S. If you move to another area, check with a health care professional in the new area as soon as possible to see if this medicine is still needed or if the dose needs to be changed. Also, check with your health care professional if you change infant feeding habits (e.g., breast-feeding to infant formula), drinking water (e.g., city water to nonfluoridated bottled water), or filtration (e.g., tap water to filtered tap water).


Do not take calcium supplements or aluminum hydroxide–containing products and sodium fluoride at the same time. It is best to space doses of these two products 2 hours apart, to get the full benefit from each medicine.


Inform your health care professional as soon as possible if you notice white, brown, or black spots on the teeth. These are signs of too much fluoride in children when it is given during periods of tooth development.


Fluoridex Daily Defense 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:


Sodium fluoride in drinking water or taken as a supplement does not usually cause any side effects. However, taking an overdose of fluoride may cause serious problems.


  • Sores in the mouth and on the lips (rare)

Stop taking this medicine and get emergency help immediately if any of the following effects occur:


  • Black, tarry stools

  • bloody vomit

  • diarrhea

  • drowsiness

  • faintness

  • increased watering of the mouth

  • nausea or vomiting

  • shallow breathing

  • stomach cramps or pain

  • tremors

  • unusual excitement

  • watery eyes

  • weakness

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


  • Pain and aching of bones

  • stiffness

  • white, brown, or black discoloration of the teeth—occurs only during periods of tooth development in children

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.



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