Tuesday 9 October 2012

Tylenol Cold Relief Nighttime


Generic Name: acetaminophen and diphenhydramine (a SEET a MIN oh fen and DYE fen HYE dra meen)

Brand Names: Anacin P.M. Aspirin Free, Coricidin Night Time Cold Relief, Excedrin PM, Excedrin PM Caplet, Excedrin PM Express Gels, Headache Relief PM, Legatrin PM, Mapap PM, Midol PM, Night Time Pain, Percogesic Extra Strength, Percogesic Original Strength, Tylenol Cold Relief Caplet, Tylenol Cold Relief Nighttime, Tylenol Cold Relief Nighttime Caplet, Tylenol Extra Strength PM, Tylenol Extra Strength PM Rapid Release Gelcaps, Tylenol Extra Strength PM Vanilla Caplet, Tylenol PM, Tylenol Sore Throat Nighttime, Unisom with Pain Relief


What is Tylenol Cold Relief Nighttime (acetaminophen and diphenhydramine)?

Acetaminophen is a pain reliever and fever reducer.


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


The combination of acetaminophen and diphenhydramine is used to treat headache, fever, body aches, runny or stuffy nose, sneezing, itching, watery eyes, and sinus congestion caused by allergies, the common cold, or the flu.


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


What is the most important information I should know about Tylenol Cold Relief Nighttime (acetaminophen and diphenhydramine)?


Do not take more of this medication than is recommended. An overdose of acetaminophen can damage your liver or cause death. Do not take this medication without a doctor's advice if you have ever had alcoholic liver disease (cirrhosis) or if you drink more than 3 alcoholic beverages per day. You should not use this medicine if you have severe constipation, a blockage in your stomach or intestines, or if you are unable to urinate. Do not use this medicine if you have untreated or uncontrolled diseases such as glaucoma, asthma or COPD, heart disease, or overactive thyroid. Avoid drinking alcohol. It may increase your risk of liver damage while taking acetaminophen and can increase certain side effects of diphenhydramine. 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.

What should I discuss with my healthcare provider before taking Tylenol Cold Relief Nighttime (acetaminophen and diphenhydramine)?


You should not use this medicine if you have severe constipation, a blockage in your stomach or intestines, or if you are unable to urinate. Do not take this medication without a doctor's advice 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 use this medicine if you have untreated or uncontrolled diseases such as glaucoma, asthma or COPD, high blood pressure, heart disease, coronary artery disease, or overactive thyroid.

Ask a doctor or pharmacist if it is safe for you to take this medicine if you have:



  • liver disease, cirrhosis, or a history of alcoholism;




  • a blockage in your digestive tract (stomach or intestines);




  • kidney disease;




  • cough with mucus, or cough caused by smoking, emphysema, or chronic bronchitis;




  • enlarged prostate or urination problems;




  • low blood pressure; or




  • if you take potassium (Cytra, Epiklor, K-Lyte, K-Phos, Kaon, Klor-Con, Polycitra, Urocit-K).




It is not known whether acetaminophen and diphenhydramine will harm an unborn baby. Do not use this medicine without your doctor's advice if you are pregnant. This medication may pass into breast milk and may harm a nursing baby. Antihistamines and decongestants may also slow breast milk production. Do not use this medicine without your doctor's advice if you are breast-feeding a baby.

How should I take Tylenol Cold Relief Nighttime (acetaminophen and diphenhydramine)?


Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. This medicine is usually taken only for a short time until your symptoms clear up.


Do not take more of this medication than is recommended. An overdose of acetaminophen can damage your liver or cause death.

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.


Do not give this medication to a child younger than 4 years old. Always ask a doctor before giving a cough or cold medicine to a child. Death can occur from the misuse of cough and cold medicines in very young children.

Do not take for longer than 7 days in a row. Stop taking the medicine and call your doctor if you still have a fever after 3 days of use, you still have pain after 7 days (or 5 days if treating a child), if your symptoms get worse, or if you have a skin rash, ongoing headache, or any redness or swelling.


If you need surgery or medical tests, tell the surgeon or doctor ahead of time if you have taken this medicine within the past few days. Store at room temperature away from moisture and heat. Do not allow liquid medicine to freeze.

What happens if I miss a dose?


Since this medicine is taken when 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 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 acetaminophen 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 severe forms of some of the side effects listed in this medication guide.


What should I avoid while taking Tylenol Cold Relief Nighttime (acetaminophen and diphenhydramine)?


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, and can increase certain side effects of diphenhydramine. This medicine may cause blurred vision or impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly.

Tylenol Cold Relief Nighttime (acetaminophen and diphenhydramine) side effects


Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using this medication and call your doctor at once if you have a serious side effect such as:

  • chest pain, rapid pulse, fast or uneven heart rate;




  • confusion, hallucinations, severe nervousness;




  • tremor, seizure (convulsions);




  • easy bruising or bleeding, unusual weakness;




  • urinating less than usual or not at all; or




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



Less serious side effects may include:



  • dizziness, drowsiness;




  • mild headache;




  • dry mouth, nose, or throat;




  • constipation;




  • blurred vision;




  • feeling nervous; or




  • sleep problems (insomnia);



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 Tylenol Cold Relief Nighttime (acetaminophen and diphenhydramine)?


Ask a doctor or pharmacist before using this medicine if you regularly use other medicines that make you sleepy (such as narcotic pain medication, sedatives, sleeping pills, muscle relaxers, and medicine for seizures, depression or anxiety). They can add to sleepiness caused by diphenhydramine.

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



  • leflunomide (Arava);




  • topiramate (Topamax);




  • zonisamide (Zonegran);




  • diphenhydramine (Benadryl) applied to the skin;




  • an antibiotic, antifungal medicine, sulfa drug, or tuberculosis medicine;




  • an antidepressant;




  • birth control pills or hormone replacement therapy;




  • bladder or urinary medications;




  • blood pressure medication;




  • a bronchodilator;




  • cancer medicine;




  • cholesterol-lowering medications such as Lipitor, Niaspan, Zocor, Vytorin, and others;




  • gout or arthritis medications (including gold injections);




  • HIV/AIDS medication;




  • medication for nausea and vomiting, stomach ulcers, or irritable bowel syndrome;




  • medicines to treat psychiatric disorders;




  • an NSAID such as Advil, Aleve, Arthrotec, Cataflam, Celebrex, Indocin, Motrin, Naprosyn, Treximet, Voltaren, others; or




  • seizure medication.



This list is not complete and other drugs may interact with acetaminophen and diphenhydramine. 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 Tylenol Cold Relief Nighttime resources


  • Tylenol Cold Relief Nighttime Side Effects (in more detail)
  • Tylenol Cold Relief Nighttime Use in Pregnancy & Breastfeeding
  • Drug Images
  • Tylenol Cold Relief Nighttime Drug Interactions
  • Tylenol Cold Relief Nighttime Support Group
  • 13 Reviews for Tylenol Cold Relief Nighttime - Add your own review/rating


Compare Tylenol Cold Relief Nighttime with other medications


  • Headache
  • Insomnia
  • Pain


Where can I get more information?


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

See also: Tylenol Cold Relief Nighttime side effects (in more detail)


Sunday 7 October 2012

Hydrocodone/Pseudoephedrine


Generic Name: Hydrocodone/Pseudoephedrine (high-droe-KOE-dohn/soo-doe-e-FED-rin)
Brand Name: P-V Tussin


Hydrocodone/Pseudoephedrine is used for:

Relieving congestion and cough due to colds, flu, or hay fever. It may also be used for other conditions as determined by your doctor.


Hydrocodone/Pseudoephedrine is a decongestant and cough suppressant combination. It works by constricting blood vessels and reducing swelling in the nasal passages. This allows you to breathe more easily. The cough suppressant works in the brain to decrease the cough reflex to help decrease a dry cough.


Do NOT use Hydrocodone/Pseudoephedrine if:


  • you are allergic to any ingredient in Hydrocodone/Pseudoephedrine or any other codeine or morphine related medicine (eg, codeine, oxycodone).

  • you have severe high blood pressure, rapid heartbeat, or other severe heart problems (eg, heart blood vessel disease)

  • you take sodium oxybate (GHB) or if you have taken furazolidone or a monoamine oxidase (MAO) inhibitor (eg, phenelzine) within the last 14 days

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



Before using Hydrocodone/Pseudoephedrine:


Some medical conditions may interact with Hydrocodone/Pseudoephedrine. 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 an abnormal heartbeat or other heart problems

  • if you have a history of adrenal gland problems (eg, tumor), high blood pressure, diabetes, heart blood vessel problems, stroke, glaucoma, seizures or epilepsy, or an overactive thyroid

  • if you have or recently have had any head or brain injury, brain tumor, increased pressure in the brain, or infection of the brain or nervous system

  • if you have a history of any lung or breathing problems, asthma, stomach problems, bowel problems (eg, chronic inflammation or ulceration of the bowel), gallbladder problems (eg, gallstones), an enlarged prostate gland or other prostate problems, or you have had recent abdominal surgery

  • if you have a history of alcohol or substance abuse or suicidal thoughts or behavior

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


  • Naltrexone because it may decrease Hydrocodone/Pseudoephedrine's effectiveness

  • Beta-blockers (eg, propranolol), catechol-O-methyltransferase (COMT) inhibitors (eg, tolcapone), furazolidone, indomethacin, MAO inhibitors (eg, phenelzine), or tricyclic antidepressants (eg, amitriptyline) because they may increase the risk of Hydrocodone/Pseudoephedrine's side effects

  • Cimetidine and sodium oxybate (GHB) because the risk of severe drowsiness, breathing problems, and seizures may be increased

  • Digoxin and droxidopa because the risk of irregular heartbeat or heart attack may be increased

  • Bromocriptine because the risk of its side effects may be increased by Hydrocodone/Pseudoephedrine

  • Guanadrel, guanethidine, mecamylamine, methyldopa, or reserpine because their effectiveness may be decreased by Hydrocodone/Pseudoephedrine

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


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


  • Take Hydrocodone/Pseudoephedrine by mouth with or without food.

  • If you miss a dose of Hydrocodone/Pseudoephedrine, 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 Hydrocodone/Pseudoephedrine.



Important safety information:


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

  • Do not take appetite suppressants while you are taking Hydrocodone/Pseudoephedrine without checking with your doctor.

  • Hydrocodone/Pseudoephedrine has pseudoephedrine in it. Before you start any new medicine, check the label to see if it has pseudoephedrine in it too. If it does or if you are not sure, check with your doctor or pharmacist.

  • Do NOT take more than the recommended dose or take for longer than prescribed without checking with your doctor.

  • If your symptoms do not get better within 5 to 7 days or if they get worse, check with your doctor.

  • Hydrocodone/Pseudoephedrine may interfere with certain lab tests. Be sure your doctor and lab personnel know you are taking Hydrocodone/Pseudoephedrine.

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

  • Use Hydrocodone/Pseudoephedrine with caution in the ELDERLY; they may be more sensitive to its effects.

  • Hydrocodone/Pseudoephedrine should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.

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


Possible side effects of Hydrocodone/Pseudoephedrine:


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; drowsiness, excitability; headache; nausea; nervousness or anxiety; trouble sleeping; weakness.



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

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); difficulty urinating; fast or irregular heartbeat; hallucinations; seizures; severe dizziness, lightheadedness, or headache; severe drowsiness; tremor.



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


See also: Hydrocodone/Pseudoephedrine side effects (in more detail)


If OVERDOSE is suspected:


Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include blurred vision; confusion; hallucinations; seizures; severe dizziness, lightheadedness, or headache; severe drowsiness; unusually fast, slow, or irregular heartbeat; vomiting.


Proper storage of Hydrocodone/Pseudoephedrine:

Store Hydrocodone/Pseudoephedrine at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Hydrocodone/Pseudoephedrine out of the reach of children and away from pets.


General information:


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

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

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

This information is a summary only. It does not contain all information about Hydrocodone/Pseudoephedrine. 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 Hydrocodone/Pseudoephedrine resources


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


Compare Hydrocodone/Pseudoephedrine with other medications


  • Cough and Nasal Congestion

Sargramostim


Pronunciation: sar-GRA-moe-stim
Generic Name: Sargramostim
Brand Name: Leukine


Sargramostim is used for:

Reducing severe, life-threatening, or fatal infections after chemotherapy for acute myelogenous leukemia (AML). It is also used to help increase the success of autologous bone marrow transplant and to help increase survival in patients who have bone marrow transplant failure. It may also be used for other conditions as determined by your doctor.


Sargramostim is a hematopoietic agent. It works by stimulating production of white blood cells in bone marrow.


Do NOT use Sargramostim if:


  • you are allergic to any ingredient in Sargramostim or to yeast products

  • you have certain bone marrow disorders

  • you have received chemotherapy or radiation therapy within the last 24 hours or you will be receiving chemotherapy or radiation therapy within the next 24 hours

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



Before using Sargramostim:


Some medical conditions may interact with Sargramostim. 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 other types of cancer or unusual growths or tumors

  • if you have a history of fluid retention, irregular heartbeat, heart disease or congestive heart failure, a lung disorder or breathing problems, or liver or kidney problems

  • if you are undergoing radiation therapy or chemotherapy

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


  • Corticosteroids (eg, prednisone) or lithium because they may increase the risk of Sargramostim's side effects

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


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


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

  • Do not shake Sargramostim.

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

  • Continue using Sargramostim for the full course of treatment unless your doctor directs otherwise.

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

  • If you miss a dose of Sargramostim, contact your doctor right away.

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



Important safety information:


  • The first dose of Sargramostim may cause difficulty breathing, flushing, fainting, or fast or irregular heartbeat. These signs usually resolve and usually do not occur again. Contact your doctor for more information.

  • Sargramostim may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Sargramostim with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.

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

  • Lab tests, including liver function, kidney function, blood counts, body weight, and fluid and electrolyte tests, may be performed while you use Sargramostim. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.

  • Sargramostim may have benzyl alcohol in it. Do not use it in NEWBORNS or INFANTS. It may cause serious and sometimes fatal nervous system problems and other side effects.

  • PREGNANCY and BREAST-FEEDING: If you become pregnant while taking Sargramostim, contact your doctor. You will need to discuss the benefits and risks of using Sargramostim while you are pregnant. It is not known if Sargramostim is found in breast milk. If you are or will be breast-feeding while you are using Sargramostim, check with your doctor. Discuss any possible risks to your baby.


Possible side effects of Sargramostim:


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:



Bone, muscle, or joint pain; diarrhea; fever; general feeling of discomfort; hair loss; headache; loss of appetite; mild sweating of the hands, ankles, legs, or feet; nausea; sore mouth; stomach pain; vomiting; weakness.



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

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); anxiety; black or tarry stools; blood in urine; chest pain; emotional or mood changes; fainting; fast or irregular heartbeat; severe or persistent fever; severe stomach pain; severe swelling of the hands, ankles, legs, or feet; shortness of breath; unusual or excessive bleeding; unusual swelling; vomiting blood.



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


See also: Sargramostim 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 (http://www.aapcc.org ), or emergency room immediately. Symptoms may include chills; fast or irregular heartbeat; rash; severe or persistent fever, discomfort, headache, or nausea; shortness of breath.


Proper storage of Sargramostim:

Sargramostim is usually handled and stored by a health care provider. If you are using Sargramostim at home, store Sargramostim as directed by your pharmacist or health care provider. Keep Sargramostim out of the reach of children and away from pets.


General information:


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

  • Sargramostim 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 Sargramostim. 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 Sargramostim resources


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


  • Sargramostim Professional Patient Advice (Wolters Kluwer)

  • Sargramostim Monograph (AHFS DI)

  • sargramostim Intravenous Advanced Consumer (Micromedex) - Includes Dosage Information

  • Leukine Prescribing Information (FDA)

  • Leukine Consumer Overview



Compare Sargramostim with other medications


  • Aplastic Anemia
  • Bone Marrow Transplantation
  • Bone Marrow Transplantation, Failure or Engraftment Delay
  • Bone Marrow Transplantation, Myeloid Reconstruction
  • Neutropenia Associated with Chemotherapy

Saturday 6 October 2012

Unithroid


Generic Name: levothyroxine (Oral route)

lee-voe-thye-ROX-een

Oral route(Tablet)

Thyroid hormones, including levothyroxine, should not be used either alone or with other therapeutic agents for the treatment of obesity or weight loss. In euthyroid patients, doses within the range of daily hormonal requirements are ineffective for weight reduction. Larger doses may produce serious or even life-threatening manifestations of toxicity, particularly when given in association with sympathomimetic amines such as those used for their anorectic effects .



Commonly used brand name(s)

In the U.S.


  • Levothroid

  • Levoxyl

  • Synthroid

  • Tirosint

  • Unithroid

Available Dosage Forms:


  • Tablet

  • Capsule, Liquid Filled

Therapeutic Class: Thyroid Supplement


Uses For Unithroid


Levothyroxine is used to treat hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormone. Levothyroxine is also used to help decrease the size of enlarged thyroid glands (also called a goiter) and to treat thyroid cancer.


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


Importance of Diet


Certain foods may affect how levothyroxine works in the body. Dose adjustments may be needed if you or your child routinely consume any of the following:


  • Cotton seed meal.

  • Dietary fiber.

  • Soybean flour (infant formula).

  • Walnuts.

Before Using Unithroid


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 performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of levothyroxine in children.


Geriatric


Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of levothyroxine in the elderly. However, elderly patients are more likely to have age-related heart problems, which may require caution and an adjustment in the dose for patients receiving levothyroxine.


Pregnancy








Pregnancy CategoryExplanation
All TrimestersAAdequate studies in pregnant women have not shown an increased risk of fetal abnormalities.

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. 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 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.


  • Acenocoumarol

  • Aluminum Carbonate, Basic

  • Aluminum Hydroxide

  • Aluminum Phosphate

  • Anisindione

  • Calcium Acetate

  • Calcium Carbonate

  • Calcium Citrate

  • Cholestyramine

  • Chromium

  • Colesevelam

  • Conjugated Estrogens

  • Dicumarol

  • Dihydroxyaluminum Aminoacetate

  • Dihydroxyaluminum Sodium Carbonate

  • Eltrombopag

  • Esterified Estrogens

  • Estradiol

  • Estriol

  • Estrone

  • Estropipate

  • Imatinib

  • Iron

  • Kelp

  • Lanthanum Carbonate

  • Lopinavir

  • Magaldrate

  • Magnesium Carbonate

  • Magnesium Hydroxide

  • Magnesium Oxide

  • Magnesium Trisilicate

  • Phenindione

  • Phenprocoumon

  • Phenytoin

  • Rifampin

  • Rifapentine

  • Ritonavir

  • Sevelamer

  • Simvastatin

  • Sodium Polystyrene Sulfonate

  • Soybean

  • Warfarin

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.


  • Enteral Nutrition

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:


  • Abnormal heart rhythms (arrhythmias), history of or

  • Angina, history of or

  • Blood vessel disease, history of or

  • Heart disease, history of or

  • Osteoporosis, history of—Use with caution. May make these conditions worse.

  • Adrenal gland insufficiency (underactive adrenal gland), untreated or

  • Heart attack, recent or

  • Thyrotoxicosis (overactive thyroid), untreated—Should not use in patients with these conditions.

Proper Use of levothyroxine

This section provides information on the proper use of a number of products that contain levothyroxine. It may not be specific to Unithroid. Please read with care.


This medicine will need to be taken for the rest of your life or your child's life. Do not stop taking this medicine or change your dose without first checking with your doctor. It may take several weeks before you start to notice that your symptoms are better.


It is best to take this medicine on an empty stomach. Take it with a full glass of water at least 30 minutes to 1 hour before eating breakfast.


This medicine should be taken at least 4 hours before or 4 hours after these medicines: antacids (Maalox®, Mylanta®, or Tums®), calcium supplements, cholestyramine (Prevalite®, Questran®), colestipol (Colestid®), iron supplements, orlistat (Alli®, Xenical®), simethicone (Gas-X®, Mylicon®), and sucralfate (Carafate®).


For infants and children who cannot swallow the tablet form, the tablet can be crushed and mixed with a small amount of water (5 to 10 milliliters [mL] or 1 to 2 teaspoonfuls). You may use a spoon or dropper to give the mixture. Use the mixture right away and do not store it to use later.


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 (tablet):
    • For hypothyroidism:
      • Older adults—The dose is based on body weight and must be determined by your doctor. The usual dose is less than 1 microgram (mcg) per kilogram (kg) per day.

      • Adults and teenagers—The dose is based on body weight and must be determined by your doctor. The usual dose is 1.7 micrograms (mcg) per kilogram (kg) per day.

      • Children older than 12 years of age—The dose is based on body weight and must be determined by your doctor. The usual dose is 2 to 3 mcg per kg per day.

      • Children 6 to 12 years of age—The dose is based on body weight and must be determined by your doctor. The usual dose is 4 to 5 mcg per kg per day.

      • Children 1 to 5 years of age—The dose is based on body weight and must be determined by your doctor. The usual dose is 5 to 6 mcg per kg per day.

      • Children 6 to 12 months of age—The dose is based on body weight and must be determined by your doctor. The usual dose is 6 to 8 mcg per kg per day.

      • Children 3 to 6 months of age—The dose is based on body weight and must be determined by your doctor. The usual dose is 8 to 10 mcg per kg per day.

      • Children 0 to 3 months of age—The dose is based on body weight and must be determined by your doctor. The usual dose is 10 to 15 mcg per kg per day.



Missed Dose


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


Storage


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


Keep out of the reach of children.


Do not keep outdated medicine or medicine no longer needed.


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


Precautions While Using Unithroid


It is very important that your doctor check the progress of you or your child at regular visits. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to take it. Blood and urine tests will be needed to check for unwanted effects.


Levothyroxine should not be used for the treatment of obesity or for the purpose of losing weight. This medicine is not effective for weight reduction. If taken in large amounts, levothyroxine may cause serious unwanted effects.


Hypothyroidism can sometimes cause infertility in men and women. Levothyroxine should not be used for the treatment of infertility unless it is caused by hypothyroidism.


For patients with diabetes, it is very important that you keep track of your blood or urine sugar levels as instructed by your doctor. Check with your doctor right away if you notice any changes in your sugar levels.


If you think you have become pregnant while using this medicine, tell your doctor right away. You may need a larger dose of levothyroxine while you are pregnant.


Women who use this medicine for a long time may have some bone loss, which could lead to osteoporosis. Talk with your doctor if you have questions or concerns about this.


Call your doctor right away if you or your child start to have rapid or irregular heartbeats, chest pain, shortness of breath, leg cramps, headaches, nervousness, irritability, sleeplessness, tremors, a change in appetite, weight gain or loss, vomiting, diarrhea, excessive sweating, heat intolerance, a fever, changes in menstrual periods, hives, or a skin rash. These could be symptoms of too much medicine in your body.


Make sure any doctor or dentist who treats you knows that you or your child are using this medicine. You may need to stop using this medicine several days before having surgery or medical tests.


A temporary loss of hair may occur during the first few months of levothyroxine therapy. Ask your doctor about this if you have any concerns.


Unithroid 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:


Less common
  • Chest pain or discomfort

  • decreased urine output

  • difficult or labored breathing

  • difficulty with swallowing

  • dilated neck veins

  • extreme fatigue

  • fainting

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

  • fever

  • heat intolerance

  • hives or welts

  • increased blood pressure

  • increased pulse

  • irregular breathing

  • irritability

  • menstrual changes

  • nausea

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

  • shortness of breath

  • skin itching, rash, or redness

  • sweating

  • swelling of the eyes, face, lips, throat, or tongue

  • tightness in the chest

  • tremors

  • troubled breathing

  • wheezing

Rare
  • Blurred or double vision

  • dizziness

  • eye pain

  • lack or slowing of normal growth in children

  • limp or walk favoring one leg

  • pain in the hip or knee

  • seizures

  • severe headache

Get emergency help immediately if any of the following symptoms of overdose occur:


Symptoms of Overdose
  • Change in consciousness

  • cold clammy skin

  • confusion

  • disorientation

  • fast or weak pulse

  • lightheadedness

  • loss of consciousness

  • sudden headache

  • sudden loss of coordination

  • sudden slurring of speech

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
  • Abdominal cramps

  • change in appetite

  • crying

  • diarrhea

  • false or unusual sense of well-being

  • fear

  • feeling not well or unhappy

  • feeling of discomfort

  • feeling of warmth

  • feeling things are not real

  • feelings of suspicion and distrust

  • hair loss

  • headache

  • increased appetite

  • mental depression

  • muscle weakness

  • nervousness

  • quick to react or overreact emotionally

  • rapidly changing moods

  • redness of the face, neck, arms, and occasionally, upper chest

  • restlessness

  • sleeplessness

  • trouble getting pregnant

  • trouble sitting still

  • trouble sleeping

  • unable to sleep

  • unusual tiredness or weakness

  • vomiting

  • weight gain

  • 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: Unithroid 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 Unithroid resources


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


  • Levothyroxine MedFacts Consumer Leaflet (Wolters Kluwer)

  • Levothyroxine Prescribing Information (FDA)

  • Levothroid Prescribing Information (FDA)

  • Levothyroxine Sodium Monograph (AHFS DI)

  • Levoxyl Prescribing Information (FDA)

  • Levoxyl Consumer Overview

  • Synthroid Prescribing Information (FDA)

  • Synthroid Consumer Overview

  • Tirosint Prescribing Information (FDA)

  • Tirosint MedFacts Consumer Leaflet (Wolters Kluwer)



Compare Unithroid with other medications


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

CLARELUX cutaneous foam






CLARELUX 500 microgram/g cutaneous foam in pressurised container


(Clobetasol propionate)



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


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

  • If you have any further questions, ask your doctor or your 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 CLARELUX is and what it is used for

2. Before you use CLARELUX

3. How to use CLARELUX

4. Possible side effects

5. How to store CLARELUX

6. Further Information





What Clarelux Is And What It Is Used For


CLARELUX is a foam to be applied to the skin, containing 500 microgram/g clobetasol propionate as the active ingredient. Clobetasol propionate belongs to a group of medicines known as topical corticosteroids.


CLARELUX is one of the stronger corticosteroids and is used as a short-term treatment for scalp conditions, e.g. psoriasis of the scalp, which do not respond satisfactorily to weaker corticosteroids.




Before You Use Clarelux



Do not use CLARELUX:


  • If you are allergic to clobetasol propionate, to other corticosteroids or any of the other ingredients of CLARELUX

  • If you suffer from burns and other skin condition such as rosacea, acne, skin inflammation around the mouth, itching (pruritus) around the anus or genitals, or have a skin infection

  • On any area of your body or face, apart from your scalp.



Take special care with CLARELUX


As with all topical corticosteroids, CLARELUX can be absorbed through the skin and can cause side effects- see Section 4 for all possible side effects. Due to this:


  • Long-term treatment with CLARELUX should be avoided.

  • CLARELUX should not be applied to a large surface area.

  • The treated areas should not be bandaged or covered unless directed by your doctor

When your skin condition is better or after a maximum duration treatment of two weeks, your doctor should modify or change your treatment.



Inform your doctor:


  • If your condition does not improve after 2 weeks of treatment.

  • If an infection occurs, as this may require discontinuation of treatment with CLARELUX.

  • If you have a problem with your liver.

  • If you start to experience problems with your vision, as this type of medicine may increase the development of cataracts.



Children and adolescents: Treatment is not recommended in children and adolescents.



Driving and using machines: CLARELUX should not affect your ability to drive or operate machines.



Using other Medicines


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




Pregnancy and breast-feeding


Please inform your doctor if you are pregnant, planning to become pregnant, breast-feeding or planning to breast-feed. CLARELUX should not be used during pregnancy or breast-feeding unless advised by your doctor.




Important information about some of the ingredients in CLARELUX


CLARELUX contains propylene glycol, which may cause skin irritation. It also contains cetyl and stearyl alcohol, which may cause local skin reactions (e.g. contact dermatitis).





How To Use Clarelux



WARNINGS:



The canister contains a pressurised, flammable liquid.



Do not use or store near a naked flame, source of ignition, any heat generating material or electrical device in use.



Do not smoke whilst using or holding this can.


Always use CLARELUX exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.


Use this medication only for the condition for which it was prescribed. CLARELUX must only be applied to the scalp and should not be swallowed.


Dispensing directly onto hands is not recommended, as the foam will begin to melt immediately upon contact with warm skin.


Apply CLARELUX to the affected area of the scalp twice a day, once in the morning and once at night, as follows:


1. Shake the can well.



2. Turn the can upside down and squirt a small amount (the size of a walnut) either directly onto the scalp, or into the cap of the can, onto a saucer or other cool surface and then onto the scalp.


Clarelux should always be applied thinly, so use as little as possible when covering the affected areas. The exact amount you need depends on the size of the affected area.


Do not apply to the eyelids and take care to avoid contact with eyes, nose, and mouth.


Do not squirt CLARELUX onto your hands, as the foam will begin to melt immediately upon contact with warm skin.



3. Move the hair away from the foam and gently massage into the scalp, until it disappears and is absorbed. Repeat if necessary, to treat the entire affected area.



Wash your hands after applying CLARELUX and discard any unused foam.


Do not use CLARELUX on your face. If some foam accidentally gets into your eyes, nose or mouth, rinse immediately with cold water. You may feel a stinging sensation. Contact your doctor, if the pain continues.


The treated areas should not be bandaged or covered unless directed by your doctor.


Do not wash or rinse the treated scalp areas immediately after applying CLARELUX.


Do not use more than 50g of CLARELUX foam per week.


Treatment should not be given for more than 2 weeks. After this period CLARELUX may be used occasionally if needed. Alternatively your doctor may prescribe a weaker steroid to control your condition.



If you use more CLARELUX than you should


If you use CLARELUX Foam in a larger quantity or for a long period of time without your doctor’s knowledge you should tell your doctor immediately.



If you forget to use CLARELUX, use it as soon as you remember, then continue as before. If you only remember at the time of your next dose, use a single dose and continue as before (do not apply a double dose to make up for the forgotten dose). If you miss several doses, tell your doctor.




If you stop using CLARELUX


Do not stop using CLARELUX suddenly as this may harm you. Your doctor may need to discontinue the treatment gradually and you may need regular check-ups.



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




Possible Side Effects


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


Stop using CLARELUX and contact your doctor immediately if hypersensitivity reactions occur, such as local irritation.


The side effects may include:



Common side effects (occurring in less than 1 in 10 people but more than 1 in 100):


  • Burning sensation

  • Other skin reaction when applied to the skin


Very rare effects (occurring in less than 1 in 10,000 people):


  • Sensation of tingling or pricking

  • Eye irritation

  • Swollen veins

  • Skin irritation and tenderness

  • Skin tightness

  • Itchy skin rash (contact dermatitis)

  • Aggravated scaly skin rash (psoriasis aggravated)

  • Redness at the application site

  • Itching and sometimes with pain at the application site

  • Presence of blood, protein and nitrogen in your urine may be detected by a doctor


Additional side effects may include:


  • Changes in hair growth (abnormal hair growth away from the application site and on unusual parts of the body )

  • Changes in skin colour

  • Irritation of the hair follicules e.g. pain, heat and redness

  • Mouth rashes

  • Redness and eruptions on the face

  • Delay in wound healing

  • Effects on the eyes


Side effects caused by pronged use include:


  • White markings on skin (striae) and dilatation of the blood vessels of the skin

  • As with other topical corticosteroids, when CLARELUX is used in large amounts and for a long period of time, this can lead to a disorder called Cushing’s syndrome which symptoms include a red, puffy and rounded face (called a moon face), high blood pressure, weight gain and changes in sugar levels in the blood and urine.

  • Prolonged treatment with steroids may cause thinning of the skin.

In rare instances, treatment of psoriasis with corticosteroids (or on stopping treatment) may make the condition worse and a pustular form of the disease may occur. On stopping treatment with corticosteroids, sometimes, the scalp condition may return. Also pre-existing infections may worsen if CLARELUX is not used according to the instructions. 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 Clarelux



  • The canister contains a pressurised, flammable liquid.


  • Do not store near a naked flame, source of ignition, any heat generating material or electrical device in use.


  • Do not expose to temperatures higher than 50ÂșC or to direct sunlight.


  • Do not pierce or burn the can even when empty.


  • When you have finished your treatment, dispose of the can safely.

Keep out of the reach and sight of children.


Do not use CLARELUX after the expiry date which is stated on the can and the outer carton after EXP. The expiry date refers to the last day of that month.


Do not store above 25°C. Do not refrigerate. Store upright.


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 Clarelux Contains


1 g of CLARELUX contains 500 microgram of clobetasol propionate as active substance.


The other ingredients are: ethanol anhydrous, purified water, propylene glycol, cetyl alcohol, stearyl alcohol, polysorbate 60, citric acid anhydrous, potassium citrate and a propane/n-butane/isobutane propellant mixture.




What Clarelux Looks Like And Contents Of The Pack


CLARELUX is a cutaneous white foam. Each can of CLARELUX contains 50 or 100 grams.




Marketing Authorisation Holder :



Pierre Fabre Dermatologie

45 place Abel Gance

92100 Boulogne

France




Manufacturer :



Aerosol Service Italiana S.R.L. (ASI)

Via del Maglio,6

23868 Valmadrera (LC)

Italy




This medicinal product is authorised in the Member States of the EEA under the following names:


CLARELUX 500 microgram/g cutaneous foam in Austria, Belgium, Finland, Germany, Greece, Iceland, Ireland, Luxemburg, The Netherlands, Norway, Portugal, United-Kingdom and Spain.


OLUX 500 microgram/g cutaneous foam in Italy.


For any information on this product please contact:


Pierre Fabre Ltd Phone: + 44 (0)1962 874400


Other formats: To listen to or request a copy of this leaflet in Braille, large print or audio please call, free of charge: 0800 198 5000 (UK only).


Please be ready to give the following information:


United Kingdom: Clarelux PL20693/0004


Ireland: Clarelux PA1230/1/1


This is a service provided by the Royal National institute of the blind.


Clarelux is a trademark of Pierre Fabre Dermatologie.


Sold under Stiefel License - Patent n° GB 9504265


This leaflet was last approved in June 2008.





Melquin Cream


Pronunciation: hye-droe-KWIN-own
Generic Name: Hydroquinone
Brand Name: Examples include Esoterica and Melquin


Melquin Cream is used for:

Lightening freckles, age spots, and other skin discolorations associated with pregnancy, skin trauma, birth control pills, or hormone replacement therapy. It may also be used for other conditions as determined by your doctor.


Melquin Cream is a skin-bleaching agent. It works by inhibiting an enzyme reaction in skin cells.


Do NOT use Melquin Cream if:


  • you are allergic to any ingredient in Melquin Cream

  • you are pregnant

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



Before using Melquin Cream:


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


  • if you are 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

Some MEDICINES MAY INTERACT with Melquin Cream. However, no specific interactions with Melquin Cream are known at this time.


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


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


  • Before using Melquin Cream for the first time, apply a small amount to an unbroken patch of skin and check in 24 hours for itching, blistering, or excessive redness or irritation. If these effects develop, contact your doctor as soon as possible and do not use Melquin Cream on other areas.

  • Wash and completely dry the affected areas. Gently rub the medicine in until it is evenly distributed. Wash your hands immediately after using Melquin Cream, unless your hands are part of the treated area.

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

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



Important safety information:


  • Protect your skin from the sun during and after the use of Melquin Cream. Limit sun exposure, use a sunscreen, and wear protective clothing to cover the treated areas.

  • Melquin Cream is for external use only. Avoid getting Melquin Cream in your eyes, nose, or mouth, or on your lips. If you get Melquin Cream in your eyes, wash them out with water and contact your doctor. If you get Melquin Cream on your lips or in your nose or mouth, rinse with water.

  • Do not use Melquin Cream on irritated or injured skin.

  • Do not use Melquin Cream with products that contain hydrogen peroxide or benzoyl peroxide. This may cause a dark staining of your skin. The staining can be removed by stopping use of the peroxide and washing your skin with soap and water.

  • Do not use Melquin Cream with other medicines containing resorcinol, phenol, or salicylic acid unless otherwise directed by your doctor.

  • Some of these products contain sulfites, which can cause allergic reactions in certain individuals (eg, asthma patients). If you have previously had allergic reactions to sulfites, contact your pharmacist to determine if the product you are taking contains sulfites.

  • Melquin Cream is not recommended for use 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 Melquin Cream during pregnancy. It is unknown if Melquin Cream is excreted in breast milk. If you are or will be breast-feeding while you are using Melquin Cream, check with your doctor or pharmacist to discuss the risks to your baby.


Possible side effects of Melquin Cream:


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:



Dryness or cracking of the skin if applied around eyes or nose; minor redness or mild burning sensation at application site.



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); blistering; blue-black darkening of the skin; excessive redness, stinging, or irritation.



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


See also: Melquin 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 Melquin Cream:

Store Melquin Cream at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Keep Melquin Cream out of the reach of children and away from pets.


General information:


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

  • Melquin Cream 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 Melquin Cream. 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 Melquin resources


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


Compare Melquin with other medications


  • Dermatological Disorders

Friday 5 October 2012

PramOtic Drops


Pronunciation: klor-oh-ZYE-le-nole/pra-MOX-een
Generic Name: Chloroxylenol/Pramoxine
Brand Name: Examples include PramOtic and Uni-Otic


PramOtic Drops are used for:

Treating certain infections of the outer ear canal. It is also used to control itching caused by these infections. It may also be used for other conditions as determined by your doctor.


PramOtic Drops are an antibacterial and anesthetic combination. It works by killing sensitive bacteria or fungi and temporarily relieving ear pain.


Do NOT use PramOtic Drops if:


  • you are allergic to any ingredient in PramOtic Drops

  • your eardrum is perforated

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



Before using PramOtic Drops:


Some medical conditions may interact with PramOtic Drops. 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 other ear problems

Some MEDICINES MAY INTERACT with PramOtic Drops. Because little, if any, of PramOtic Drops are absorbed into the blood, the risk of it interacting with another medicine is low.


Ask your health care provider if PramOtic Drops 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 PramOtic Drops:


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


  • PramOtic Drops are only for the ear. Do not get it in your eyes, nose, or mouth. If you get PramOtic Drops in any of these areas, flush thoroughly with cool water.

  • Thoroughly clean and dry the outer ear before using PramOtic Drops.

  • Lie down or tilt your head so that the affected ear faces up. For adults, gently pull the earlobe up and back to straighten the ear canal. For children, gently pull the earlobe down and back to straighten the ear canal. Drop the medicine into the ear canal. Keep the ear facing up for 5 minutes so the medicine can run to the bottom of the ear canal. A clean cotton plug may be gently inserted into the ear canal to prevent medicine from leaking out. Repeat, if necessary, in the other ear.

  • To prevent germs from contaminating your medicine, do not touch the applicator to any surface, including the ear. Keep the container tightly closed.

  • Wash your hands immediately after using PramOtic Drops.

  • Using PramOtic Drops at the same times each day will help you remember to use it.

  • To clear up your infection completely, use PramOtic Drops for the full course of treatment. Keep using it even if you feel better in a few days.

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

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



Important safety information:


  • Do NOT use more than the recommended dose or use for longer than 10 days without checking with your doctor.

  • Do not use PramOtic Drops for other conditions than the one for which it was prescribed. Do not use it for other ear problems without first checking with your doctor.

  • Talk with your doctor before using any other medicines in your ear.

  • Be sure to use PramOtic Drops for the full course of therapy. If you do not, PramOtic Drops may not clear up your infection completely. The bacteria could also become less sensitive to this or other medicines. This could make the infection harder to treat in the future.

  • Long-term or repeated use of PramOtic Drops may cause a second infection. Tell your doctor if signs of a second infection occur. Your medicine may need to be changed to treat this.

  • PramOtic Drops may cause harm if it is swallowed. If you may have taken it by mouth, contact your poison control center or emergency room right away.

  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using PramOtic Drops while you are pregnant. It is not known if PramOtic Drops are found in breast milk. If you are or will be breast-feeding while you use PramOtic Drops, check with your doctor. Discuss any possible risks to your baby.


Possible side effects of PramOtic Drops:


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



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



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


See also: PramOtic 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 PramOtic Drops:

Store PramOtic Drops at room temperature, between 59 and 86 degrees F (15 and 30 degrees C), in the original container. Store away from heat and light. Keep PramOtic Drops out of the reach of children and away from pets.


General information:


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

  • PramOtic Drops are 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 PramOtic Drops. 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.

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