Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet

Pronunciation: a-SEET-a-MIN-oh-fen/DYE-fen-HYE-dra-meen/FEN-il-EF-rin
Generic Name: Acetaminophen/Diphenhydramine/Phenylephrine
Brand Name: Theraflu Nighttime Severe Cough and Cold

Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet is used for:

Relieving symptoms such as cough, fever, pain, sinus congestion and irritation, runny nose, sneezing, and itchy, watery eyes due to colds, upper respiratory infections, and allergies. It may also used for other conditions as determined by your doctor.

Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet is an analgesic, antihistamine, and decongestant combination. The analgesic works in the brain to help decrease pain and fever. The antihistamine works by blocking the action of histamine, which helps reduce symptoms such as watery eyes and sneezing. The decongestant works by constricting blood vessels and reducing swelling in the nasal passages, which decreases stuffiness.

Do NOT use Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet if:

• you are allergic to any ingredient in Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet


• you have severe high blood pressure, severe heart blood vessel disease, rapid heartbeat, or severe heart problems


• you are unable to urinate or are having an asthma attack


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


• you use other medicines containing diphenhydramine, including those used on the skin or acetaminophen

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

Before using Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet:

Some medical conditions may interact with Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

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


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


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


• if you have a history of heart problems; blood vessel problems; high blood pressure; stroke; or fast, slow, or irregular heartbeat


• if you have a history of blockage of your stomach, bladder, or intestines; asthma; lung problems (eg, chronic bronchitis, emphysema); trouble breathing when you sleep (apnea); ulcers; trouble urinating; or an enlarged prostate or other prostate problems


• if you have a history of severe kidney problems, liver problems (eg, hepatitis), adrenal gland problems (eg, adrenal gland tumor), diabetes, glaucoma, seizures, the blood disease porphyria, an overactive thyroid, or if you consume more than 3 alcohol-containing drinks per day

Some MEDICINES MAY INTERACT with Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Catechol-o-methyltransferase (COMT) inhibitors (eg, tolcapone), furazolidone, indomethacin, isoniazid, MAOIs (eg, phenelzine), sodium oxybate (GHB), or tricyclic antidepressants (eg, amitriptyline) because they may increase the risk of Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet's side effects


• Anticoagulants (eg, warfarin), digoxin, or droxidopa because the risk of bleeding, irregular heartbeat, or heart attack may be increased


• Beta-blockers (eg, propranolol), bromocriptine, or hydantoins (eg, phenytoin) because the risk of their side effects may be increased by Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet


• Guanadrel, guanethidine, mecamylamine, methyldopa, or reserpine because their effectiveness may be decreased by Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet

This may not be a complete list of all interactions that may occur. Ask your health care provider if Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet 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 Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet:

Use Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet by mouth with or without food.


• To prepare Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet, place the contents of one packet in a glass (8 oz/240 mL) of hot water and allow the powder to dissolve completely.


• To prepare using a microwave, add the powder from one packet to a glass (8 oz/240 mL) of cold water, stir briskly, and then heat. Stir contents again after heating, making sure the powder has dissolved completely. Do not overheat.


• Sip the liquid over 10 to 15 minutes while it is warm. Rinse the container with an additional small amount of water and drink the contents to ensure the entire dose is taken.


• If you miss a dose of Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet and you are taking it regularly, take it as soon as possible. If several hours have passed or if it is nearing time for the next dose, do not double the dose to catch up, unless advised by your health care provider. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet.

Important safety information:

• Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet may cause dizziness, drowsiness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.


• Check with your doctor before you drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.


• Do not take diet or appetite control medicines while you are taking Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet without checking with your doctor.


• Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet has acetaminophen, diphenhydramine, and phenylephrine in it. Before you start any new medicine, check the label to see if it has these or similar medicines in it too. If it does or if you are not sure, check with your doctor or pharmacist.


• Some of these products contain phenylalanine. If you must have a diet that is low in phenylalanine, ask your pharmacist if it is in your product.


• Do NOT take more than the recommended dose without checking with your doctor.


• Do not use Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet for a cough with a lot of mucus. Do not use it for a long-term cough (eg, caused by asthma, emphysema, smoking). However, you may use it for these conditions if your doctor tells you to.


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


• If you have a fever that becomes worse or lasts for more than 3 days, contact your doctor.


• Contact your doctor if you have a sore throat that becomes severe, last for more than 2 days, or occurs with fever, headache, rash, nausea, or vomiting.


• Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.


• Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet may harm your liver. Your risk may be greater if you drink alcohol while you are using Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet or if you use more than 6 packets in 24 hours. Talk to your doctor before you take Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet or other fever reducers if you drink more than 3 drinks with alcohol per day.


• Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet may interfere with skin allergy tests. If you are scheduled for a skin test, talk to your doctor. You may need to stop taking Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet for a few days before the tests.


• Tell your doctor or dentist that you take Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet before you receive any medical or dental care, emergency care, or surgery.


• Use Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet with caution in the ELDERLY; they may be more sensitive to its effects.


• Caution is advised when using Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet in CHILDREN; they may be more sensitive to its effects, especially excitability.


• Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet should not be used in CHILDREN younger than 12 years old without first checking with the child's doctor; safety and effectiveness in these children have not been confirmed.


• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet while you are pregnant. Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet is found in breast milk. Do not breast-feed while taking Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet.

Possible side effects of Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet:

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:

Constipation; diarrhea; dizziness; drowsiness; excitability; headache; loss of appetite; nausea; nervousness or anxiety; trouble sleeping; upset stomach; 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); dark urine; difficulty urinating or inability to urinate; fast or irregular heartbeat; hallucinations; mood or mental changes; pale stools; seizures; severe drowsiness; severe or persistent dizziness, nervousness, lightheadedness, or headache; severe or persistent trouble sleeping; stomach pain; tremor; vision changes; yellowing of skin or eyes.

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

See also: Acetaminophen/Diphenhydramine/Phenylephrine 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 Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet:

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

General information:

• If you have any questions about Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet, please talk with your doctor, pharmacist, or other health care provider.


• Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet 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 Acetaminophen/Diphenhydramine/Phenylephrine Powder Packet. 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 Acetaminophen/Diphenhydramine/Phenylephrine resources

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

Compare Acetaminophen/Diphenhydramine/Phenylephrine with other medications

• Cold Symptoms

Aminolevulinic acid

Generic Name: aminolevulinic acid (a MEE no le vue lih nick)

Brand Names: Levulan Kerastick

What is aminolevulinic acid?

Aminolevulinic acid causes skin cells to become much more sensitive to certain types of light. Skin cells treated with aminolevulinic acid and exposed to a special light die and then slough off.

Aminolevulinic acid is used to treat warty overgrowths of skin (actinic keratoses) on sun-exposed areas of the face and scalp. Treatment involves application of aminolevulinic acid, followed 14 to 18 hours later by exposure to a special blue light.

Aminolevulinic acid may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about aminolevulinic acid?

Only a qualified doctor or other healthcare professional should apply aminolevulinic acid. Aminolevulinic acid is not intended for application by the patient.

After aminolevulinic acid has been applied, wear sunlight-protective clothing such as a wide-brimmed hat or similar head covering. Sunscreens will not protect you. Avoid exposure to sunlight or bright indoor light (examination lamps, operating room lamps, tanning beds, or very close lights). If you experience stinging or burning of the treated skin, reduce your exposure to light. It has not been determined if perspiration can spread aminolevulinic acid outside the treatment site to the eyes or surrounding skin.

Who should not use aminolevulinic acid?

Before using aminolevulinic acid, tell your doctor if you have

• 
  

  porphyria, or

  
  


• 
  

  a bleeding or blood clotting disorder.

  
  

You may not be able to use aminolevulinic acid, or you may require a dosage adjustment or special monitoring during your treatment.

Aminolevulinic acid is the FDA pregnancy category C. This means that it is not known whether aminolevulinic acid will harm an unborn baby. Do not use aminolevulinic acid without first talking to your doctor if you are pregnant. It is unknown whether aminolevulinic acid passes into breast milk. Do not use aminolevulinic acid without first talking to your doctor if you are breast feeding a baby.

How should I use aminolevulinic acid?

Only a qualified doctor or other healthcare professional should apply aminolevulinic acid. Aminolevulinic acid is not intended for application by the patient.

Your doctor or other health care professional will prepare the aminolevulinic acid solution in the applicator. Aminolevulinic acid solution application will be completed within 2 hours of preparation.

Application of aminolevulinic acid involves either scalp or face lesions, but not both at the same time. It will be applied directly to the individual areas and not to the surrounding skin.

After aminolevulinic acid has been applied, wear sunlight-protective clothing such as a wide-brimmed hat or similar head covering. Sunscreens will not protect you. Avoid exposure to sunlight or bright indoor light (examination lamps, operating room lamps, tanning beds, or very close lights). If you experience stinging or burning of the treated skin, reduce your exposure to light. It has not been determined if perspiration can spread aminolevulinic acid outside the treatment site to the eyes or surrounding skin.

Fourteen to eighteen hours after application of aminolevulinic acid, you must return to the doctor's office to receive a special blue light treatment. Prior to the blue light treatment, the lesions will be rinsed with water. You will be given special goggles to wear during the treatment which will last about 17 minutes. The blue light is of low intensity and will not heat the skin. However, you may experience tingling, stinging, prickling, or burning of the treated skin. These feelings of discomfort should improve at the end of the light treatment.

Following the treatment, you will experience some redness, swelling, and scaling of the lesions, and to some degree, the surrounding skin. These changes are temporary and should completely resolve by 4 weeks after treatment. If these side effects are excessive, talk to your doctor.

Aminolevulinic acid and light treatment is usually done once to each area with lesions. The procedure may be repeated after 8 weeks on lesions that have not completely resolved.

Store aminolevulinic acid at room temperature away from moisture and heat.

What happens if I miss a dose?

If for any reason you cannot return for the blue light treatment during the prescribed period of time after application of the aminolevulinic acid solution, call your doctor. Also, continue to avoid exposure of the treated areas to sunlight or prolonged or intense light for at least 40 hours. If you experience stinging or burning of the treated area(s), reduce your exposure to light.

What happens if I overdose?

An overdose of this medication is unlikely to occur. If you do suspect an overdose, or if aminolevulinic acid has been ingested, call an emergency room or poison control center near you. Avoid exposure to intense light sources for at least 40 hours.

What should I avoid while using aminolevulinic acid?

After aminolevulinic acid has been applied, wear sunlight-protective clothing such as a wide-brimmed hat or similar head covering. Sunscreens will not protect you. Avoid exposure to sunlight or bright indoor light (examination lamps, operating room lamps, tanning beds, or very close lights). If you experience stinging or burning of the treated skin, reduce your exposure to light. It has not been determined if perspiration can spread aminolevulinic acid outside the treatment site to the eyes or surrounding skin.

Aminolevulinic acid side effects

Serious side effects are not likely to occur. Stop using aminolevulinic acid and seek emergency medical attention if you experience an allergic reaction (shortness of breath; closing of your throat; swelling of your lips, face, or tongue; or hives).

You may experience some tingling, stinging, prickling, or burning of the area treated with aminolevulinic acid during the special light treatment. These feelings of discomfort should improve at the end of the light treatment. Following treatment, you will experience some redness, swelling, and scaling of the lesions, and to some degree, the surrounding skin. These changes are temporary and should completely resolve by 4 weeks after treatment. If these side effects are excessive, talk to your doctor.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect aminolevulinic acid?

Before treatment with aminolevulinic acid, tell your doctor if you are taking any other medicines, especially any of the following:

• 
  

  griseofulvin (Fulvicin, Grifulvin, Grisactin, others);

  
  


• 
  

  an oral diabetes medicine such as glimepiride (Amaryl), glipizide (Glucotrol), glyburide (Diabeta, Micronase, Glynase, others), tolbutamide (Orinase), and others;

  
  


• 
  

  a phenothiazine including chlorpromazine (Thorazine), fluphenazine (Prolixin), perphenazine (Trilafon), mesoridazine (Serentil), thioridazine (Mellaril), and others;

  
  


• 
  

  a sulfa drug (sulfonamide) such as sulfamethoxazole (Gantanol, others), sulfamethoxazole and trimethoprim (Bactrim, Cotrim, Septra, Septra DS, others), sulfisoxazole (Gantrisin), and others;

  
  


• 
  

  a tetracycline antibiotic such as tetracycline (Sumycin, Achromycin), minocycline (Minocin), doxycycline (Monodox, Doryx, Vibramycin, Vibra-Tabs), and others; or

  
  


• 
  

  a diuretic (water pill) such as hydrochlorothiazide (HCTZ, HydroDiuril, Esidrix, Oretic, Microzide, others), chlorthalidone (Hygroton, Thalitone), chlorothiazide (Diuril), indapamide (Lozol), metolazone (Mykrox, Zaroxolyn), and others.

  
  

You may not be able to use aminolevulinic acid, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.

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

More aminolevulinic acid resources

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

Compare aminolevulinic acid with other medications

• Actinic Keratosis

Where can I get more information?

• Your pharmacist has additional information about aminolevulinic acid written for health professionals that you may read.

See also: aminolevulinic acid side effects (in more detail)

Albuterol Solution

Pronunciation: al-BUE-ter-ol
Generic Name: Albuterol
Brand Name: Generic only. No brands available.

Albuterol Solution is used for:

Treating breathing problems in patients who have asthma or certain other airway diseases. It may also be used for other conditions as determined by your doctor.

Albuterol Solution is a sympathomimetic (beta agonist) bronchodilator. It works by relaxing the smooth muscle in the airway, which allows air to flow in and out of the lungs more easily.

Do NOT use Albuterol Solution if:

• you are allergic to any ingredient in Albuterol Solution


• you are using another short-acting sympathomimetic bronchodilator (eg, metaproterenol) or epinephrine

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

Before using Albuterol Solution:

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

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


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


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


• if you have a history of heart problems (eg, fast or irregular heartbeat, heart failure), blood vessel problems, high blood pressure, or low blood potassium levels


• if you have a history of seizures, diabetes, an overactive thyroid, kidney problems, or an adrenal gland tumor (pheochromocytoma)


• if you have ever had an unusual reaction to another sympathomimetic medicine (eg, pseudoephedrine)


• if you are taking a monoamine oxidase inhibitor (MAOI) (eg, phenelzine) or tricyclic antidepressant (eg, amitriptyline), or if you have taken either of these medicines within the last 14 days

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

• Diuretics (eg, furosemide, hydrochlorothiazide) because the risk of low blood potassium levels may be increased


• Catechol-O-methyltransferase (COMT) inhibitors (eg, entacapone), epinephrine, MAOIs (eg, phenelzine), short-acting sympathomimetic bronchodilators (eg, metaproterenol), stimulants (eg, amphetamine), sympathomimetics (eg, pseudoephedrine), or tricyclic antidepressants (eg, amitriptyline) because they may increase the risk of Albuterol Solution's side effects


• Beta-blockers (eg, propranolol) because they may decrease Albuterol Solution's effectiveness


• Digoxin because its effectiveness may be decreased by Albuterol Solution

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

How to use Albuterol Solution:

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

• An extra patient leaflet is available with Albuterol Solution. Talk to your pharmacist if you have questions about this information.


• Albuterol Solution is for inhalation only. Do not get it in the eyes. If you get Albuterol Solution in the eyes, rinse immediately with cool tap water.


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


• Draw the prescribed amount of medicine into the specially marked dropper that comes with each bottle. Squeeze the medicine into the nebulizer reservoir through the appropriate opening, taking care not to touch the tip of the dropper.


• Add sterile saline solution or other medicine as directed by your doctor. Gently swirl the nebulizer to mix the contents.


• Connect the nebulizer reservoir to the mouthpiece or face mask. Connect the nebulizer to the compressor.


• Sit in a comfortable, upright position. Place the mouthpiece in your mouth (or put on the face mask) and turn on the nebulizer.


• Breathe as calmly, deeply, and evenly as possible until no more mist is formed in the nebulizer chamber (about 5 to 15 minutes).


• Clean the nebulizer according to the instructions. Failure to properly clean the nebulizer could lead to bacteria entering the medicine. This may lead to an infection.


• Do not stop using Albuterol Solution without checking with your doctor.


• Do not mix Albuterol Solution with other medicines in the nebulizer unless directed otherwise by your doctor.


• If you miss a dose of Albuterol Solution and you are using it regularly, use it as soon as possible. If several hours have passed or if it is nearing time for the next dose, do not double the dose to catch up, unless advised by your health care provider. Do not use 2 doses at once.

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

Important safety information:

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


• Albuterol Solution may sometimes cause severe breathing problems right after you use a dose. If this happens, seek medical care at once.


• If your usual dose does not work well, your symptoms become worse, or you need to use it more often than normal, contact your doctor at once. This may be a sign of seriously worsening asthma. Your doctor may need to change your dose or medicine.


• Albuterol Solution should work for up to 6 hours. Do NOT use more than the recommended dose or use more often than prescribed without checking with your doctor. The risk of severe heart problems and sometimes death may be increased with overuse of Albuterol Solution.


• Albuterol Solution may cause dry mouth or an unpleasant taste in your mouth. Rinsing your mouth with water after each dose may help relieve these effects.


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


• Check with your doctor before using any other inhaled medicines while you are using Albuterol Solution.


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


• When your medicine supply begins to run low, call your doctor or pharmacy as soon as possible for a refill.


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


• Albuterol Solution should be used with extreme caution in CHILDREN younger than 2 years old; safety and effectiveness in these children have not been confirmed.


• Caution is advised when using Albuterol Solution in CHILDREN; they may be more sensitive to its effects.


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

Possible side effects of Albuterol Solution:

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

Cough; dizziness; headache; nausea; nervousness; sinus inflammation; sore or dry throat; tremor; trouble sleeping; unusual taste in mouth; vomiting.

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); chest pain; ear pain; fast or irregular heartbeat; new or worsened trouble breathing; pounding in the chest; severe headache or dizziness; unusual hoarseness; wheezing.

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

See also: Albuterol 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 chest pain; fast or irregular heartbeat; seizures; severe headache or dizziness; severe or persistent nervousness or trouble sleeping; tremor.

Proper storage of Albuterol Solution:

Store Albuterol Solution between 36 and 77 degrees F (2 and 25 degrees C). Store in the protective foil pouch at all times. Store away from heat, moisture, and light. Do not store in the bathroom. Do not use after the expiration date on the container or box. Keep Albuterol Solution out of the reach of children and away from pets.

General information:

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


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


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


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

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

Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Albuterol resources

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

Compare Albuterol with other medications

• Asthma, acute
• Asthma, Maintenance
• Bronchospasm Prophylaxis
• COPD, Acute
• COPD, Maintenance

Pergolide Mesylate

Generic Name: Pergolide Mesylate (PER-go-lide)
Brand Name: Permax

Pergolide Mesylate is used for:

Treating Parkinson disease when used with levodopa/carbidopa.

Pergolide Mesylate is dopamine agonist. It works by stimulating dopamine receptors in the brain.

Do NOT use Pergolide Mesylate if:

• you are allergic to any ingredient in Pergolide Mesylate


• you are allergic to ergot-type medicines (eg, ergotamine)

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

Before using Pergolide Mesylate:

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

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


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


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


• if you have a history of heart or kidney problems, irregular heartbeat, lung problems, low blood pressure, or hallucinations

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

• Butyrophenones (eg, haloperidol), metoclopramide, phenothiazines (eg, thioridazine), or thioxanthenes (eg, thiothixene) because the effectiveness of Pergolide Mesylate may be decreased

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

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

• Pergolide Mesylate may be taken with or without food.


• If Pergolide Mesylate needs to be stopped or if a different medicine is added to therapy by your doctor, this will be done gradually. The risk of side effects may be increased if Pergolide Mesylate is suddenly stopped.


• If you miss a dose of Pergolide Mesylate, 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 Pergolide Mesylate.

Important safety information:

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


• Pergolide Mesylate may cause dizziness, lightheadedness, or fainting. Alcohol, hot weather, exercise, and fever can increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Also, sit or lie down at the first sign of dizziness, lightheadedness, or weakness.


• Avoid drinking alcohol or taking other medications that cause drowsiness (eg, sedatives, tranquilizers) while taking Pergolide Mesylate. Pergolide Mesylate will add to the effects of alcohol and other depressants. Ask your pharmacist if you have questions about which medicines are depressants.


• Neuroleptic malignant syndrome (NMS) is a potentially deadly syndrome associated with Pergolide Mesylate if you suddenly stop taking it or if your dose is lowered too quickly. Symptoms may include increased body heat; rigid muscles; altered mental abilities, including lack of response to your surroundings; fast or irregular heartbeat; sweating. Contact your doctor at once if any of these symptoms occur. Do not stop taking Pergolide Mesylate without first talking with your doctor.


• Use Pergolide Mesylate with caution in the ELDERLY because they may be more sensitive to its effects, especially confusion.


• Pergolide Mesylate is not recommended for use in CHILDREN. Safety and effectiveness have not been confirmed.


• PREGNANCY and BREAST-FEEDING: It is unknown if Pergolide Mesylate can cause harm to the fetus. If you become pregnant while taking Pergolide Mesylate, discuss with your doctor the benefits and risks of using Pergolide Mesylate during pregnancy. It is unknown if Pergolide Mesylate is excreted in breast milk. Do not breast-feed while taking Pergolide Mesylate.

If you suddenly stop taking Pergolide Mesylate, you may experience WITHDRAWAL symptoms, including anxiety, muscle twitching, trembling hands and fingers, weakness, dizziness, hallucinations, nausea, vomiting, sleeplessness, lightheadedness, or seizures.

Possible side effects of Pergolide Mesylate:

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:

Anxiety; constipation; diarrhea; difficulty sleeping; dizziness; drowsiness; dry mouth; lightheadedness; loss of appetite; nausea; pain; runny nose; stomach pain; stomach upset.

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); chest pain; confusion; fainting; increased jerking movements; leg or foot swelling; seeing or hearing strange things (hallucinations); severe dizziness or lightheadedness; trouble breathing; unusual weakness; unusually slow, fast, or irregular heartbeat.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

See also: Pergolide Mesylate 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/DNN/), or emergency room immediately. Symptoms may include agitation; fast or irregular heartbeat; hallucinations; nausea; seizures; tingling or uncontrolled movement of the arms and legs; unusual dizziness or fainting; vomiting

Proper storage of Pergolide Mesylate:

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

General information:

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


• Pergolide Mesylate 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 Pergolide Mesylate. 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 Pergolide Mesylate resources

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

• Pergolide Mesylate Monograph (AHFS DI)


• Pergolide Prescribing Information (FDA)


• pergolide Concise Consumer Information (Cerner Multum)


• pergolide Advanced Consumer (Micromedex) - Includes Dosage Information


• Permax Prescribing Information (FDA)

Compare Pergolide Mesylate with other medications

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Amdry-D Extended-Release Tablets

Pronunciation: meth-skoe-POL-a-meen/soo-doe-e-FED-rin
Generic Name: Methscopolamine/Pseudoephedrine
Brand Name: Examples include Amdry-D and Extendryl PSE

Amdry-D Extended-Release Tablets are used for:

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

Amdry-D Extended-Release Tablets are a decongestant and anticholinergic combination. It works by relieving nasal congestion by shrinking the nasal mucous membranes, which promotes nasal drainage, and decreasing lung secretions, which dries the chest.

Do NOT use Amdry-D Extended-Release Tablets if:

• you are allergic to any ingredient in Amdry-D Extended-Release Tablets or to similar medicines (eg, ephedrine)


• you have taken furazolidone or a monoamine oxidase inhibitor (MAOI) (eg, phenelzine) within the last 14 days


• you have severe heart blood vessel disease; severe high blood pressure; severe heart problems; a rapid heartbeat; narrow-angle glaucoma; severe or uncontrolled bleeding; severe irritation of the esophagus or other serious problems with the esophagus (eg, esophageal achalasia); peptic ulcer; a blockage of your stomach, bowel, or bladder; bowel motility problems; severe bowel inflammation (eg, ulcerative colitis); or certain muscle problems (eg, myasthenia gravis)


• you are unable to urinate or you are having an asthma attack

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

Before using Amdry-D Extended-Release Tablets:

Some medical conditions may interact with Amdry-D Extended-Release Tablets. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

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


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


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


• if you have a history of diabetes, an enlarged prostate or other prostate problems, bladder or kidney problems, severe bowel problems, high blood pressure, asthma, nerve problems, heart problems, blood vessel problems, blood clots, trouble urinating, a hiatal hernia, an adrenal gland tumor, glaucoma or increased eye pressure, breathing problems during sleep, stroke, seizures, or an overactive thyroid


• if you have diarrhea

Some MEDICINES MAY INTERACT with Amdry-D Extended-Release Tablets. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Beta-blockers (eg, propranolol), furazolidone, indomethacin, MAO inhibitors (eg, phenelzine), or methyldopa because the risk of severe high blood pressure, fever, fast heartbeat, and seizures may be increased


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


• Anticholinergic medicines (eg, benztropine, hyoscyamine, trihexyphenidyl), certain medicines for mental or mood disorders (eg, thioridazine), tricyclic antidepressants (eg, amitriptyline), or urinary alkalinizers (eg, sodium bicarbonate) because they may increase the risk of Amdry-D Extended-Release Tablets's side effects


• Bromocriptine because the risk of its side effects may be increased by Amdry-D Extended-Release Tablets


• Guanadrel, guanethidine, mecamylamine, or reserpine because their effectiveness may be decreased by Amdry-D Extended-Release Tablets

This may not be a complete list of all interactions that may occur. Ask your health care provider if Amdry-D Extended-Release Tablets 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 Amdry-D Extended-Release Tablets:

Use Amdry-D Extended-Release Tablets as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take Amdry-D Extended-Release Tablets by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.


• Swallow Amdry-D Extended-Release Tablets whole. Do not break, crush, or chew before swallowing. Some brands of Amdry-D Extended-Release Tablets may be broken in half before taking. If you have difficulty swallowing the whole tablet, ask your pharmacist if your brand of medicine may be broken in half.


• If you miss a dose of Amdry-D Extended-Release Tablets and you are taking it regularly, take it as soon as possible. If it is almost time for the 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 Amdry-D Extended-Release Tablets.

Important safety information:

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


• If your symptoms do not get better within 7 days or if they get worse, or if you develop a high fever or persistent headache, check with your doctor.


• Amdry-D Extended-Release Tablets may cause dry mouth. To relieve dry mouth, suck on sugarless hard candy or ice chips, chew sugarless gum, drink water, or use a saliva substitute.


• Avoid large amounts of food or drink that have caffeine (eg, coffee, tea, cocoa, cola, chocolate).


• Amdry-D Extended-Release Tablets may make your eyes more sensitive to sunlight. It may help to wear sunglasses.


• Amdry-D Extended-Release Tablets may reduce sweating. Do not become overheated in hot weather or during exercise or other activities; heatstroke may occur.


• Do not take diet or appetite control medicines while you are taking Amdry-D Extended-Release Tablets without checking with your doctor first.


• Amdry-D Extended-Release Tablets 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.


• If you have trouble sleeping, ask your doctor or pharmacist about the best time of the day to take Amdry-D Extended-Release Tablets.


• Tell your doctor or dentist that you take Amdry-D Extended-Release Tablets before you receive any medical or dental care, emergency care, or surgery.


• Diabetes patients - Amdry-D Extended-Release Tablets may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.


• Amdry-D Extended-Release Tablets may interfere with certain lab tests. Be sure your doctor and lab personnel know you are taking Amdry-D Extended-Release Tablets.


• Use Amdry-D Extended-Release Tablets with caution in the ELDERLY; they may be more sensitive to its effects.


• Amdry-D Extended-Release Tablets should not be used in CHILDREN younger than 6 years old; safety and effectiveness in these children have not been confirmed.


• PREGNANCY and BREAST-FEEDING: It is not known if Amdry-D Extended-Release Tablets can cause harm to the fetus. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Amdry-D Extended-Release Tablets while you are pregnant. Amdry-D Extended-Release Tablets are found in breast milk. Do not breast-feed while taking Amdry-D Extended-Release Tablets.

Possible side effects of Amdry-D Extended-Release Tablets:

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:

Constipation; diarrhea; dizziness; drowsiness; dry mouth, nose, or throat; excitability; headache; loss of appetite; nausea; nervousness or anxiety; restlessness; trouble sleeping; upset stomach; 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); difficulty urinating or inability to urinate; fast or irregular heartbeat; hallucinations; mental or mood changes; seizures; severe dizziness, lightheadedness, or headache; tremor; vision changes.

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: Amdry-D 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 deep sleep or loss of consciousness; hot or cool skin; irregular heartbeat; irritability, anxiety, or panic; large pupils; numbness or tingling in the arms or legs; seizures; slowed or shallow breathing.

Proper storage of Amdry-D Extended-Release Tablets:

Store Amdry-D Extended-Release Tablets at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store in a tightly closed container. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Amdry-D Extended-Release Tablets out of the reach of children and away from pets.

General information:

• If you have any questions about Amdry-D Extended-Release Tablets, please talk with your doctor, pharmacist, or other health care provider.


• Amdry-D Extended-Release Tablets 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 Amdry-D Extended-Release Tablets. 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 Amdry-D resources

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

Compare Amdry-D with other medications

• Cold Symptoms
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• Sinus Symptoms
• Sinusitis

Amaryl

Generic Name: glimepiride (Oral route)

glye-MEP-ir-ide

Commonly used brand name(s)

In the U.S.

• Amaryl

Available Dosage Forms:

• Tablet

Therapeutic Class: Hypoglycemic

Chemical Class: 2nd Generation Sulfonylurea

Uses For Amaryl

Glimepiride is used to treat high blood sugar levels caused by a type of diabetes mellitus (sugar diabetes) called type 2 diabetes. In type 2 diabetes, your body does not work properly to store excess sugar and the sugar remains in your bloodstream. Chronic high blood sugar can lead to serious health problems in the future.

Proper diet is the first step in managing type 2 diabetes, but often medicines are needed to help your body. Glimepiride belongs to a class of drugs called sulfonylureas. It causes your pancreas to release more insulin into the blood stream. This medicine may be used alone, or in combination with insulin or another oral medicine such as metformin.

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

Before Using Amaryl

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

Allergies

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

Pediatric

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

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of glimepiride in the elderly. However, elderly patients are more likely to have age-related liver or kidney problems, which may require an adjustment of dosage in patients receiving glimepiride.

Pregnancy

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

Breast Feeding

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

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

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

• Alatrofloxacin


• Balofloxacin


• Ciprofloxacin


• Clinafloxacin


• Disopyramide


• Enoxacin


• Fleroxacin


• Flumequine


• Gatifloxacin


• Gemifloxacin


• Grepafloxacin


• Levofloxacin


• Lomefloxacin


• Moxifloxacin


• Norfloxacin


• Ofloxacin


• Pefloxacin


• Prulifloxacin


• Rufloxacin


• Sparfloxacin


• Temafloxacin


• Tosufloxacin


• Trovafloxacin Mesylate


• Voriconazole

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.

• Acebutolol


• Aceclofenac


• Acemetacin


• Alclofenac


• Alprenolol


• Apazone


• Atenolol


• Benoxaprofen


• Betaxolol


• Bevantolol


• Bisoprolol


• Bitter Melon


• Bromfenac


• Bucindolol


• Bufexamac


• Carprofen


• Carteolol


• Carvedilol


• Celiprolol


• Clometacin


• Clonixin


• Clorgyline


• Dexketoprofen


• Diclofenac


• Diflunisal


• Dilevalol


• Dipyrone


• Droxicam


• Esmolol


• Etodolac


• Etofenamate


• Felbinac


• Fenbufen


• Fenofibrate


• Fenoprofen


• Fentiazac


• Fenugreek


• Floctafenine


• Fluconazole


• Flufenamic Acid


• Flurbiprofen


• Glucomannan


• Guar Gum


• Ibuprofen


• Indomethacin


• Indoprofen


• Iproniazid


• Isocarboxazid


• Isoxicam


• Ketoprofen


• Ketorolac


• Labetalol


• Levobunolol


• Lornoxicam


• Meclofenamate


• Mefenamic Acid


• Meloxicam


• Mepindolol


• Metipranolol


• Metoprolol


• Moclobemide


• Nabumetone


• Nadolol


• Naproxen


• Nebivolol


• Nialamide


• Niflumic Acid


• Nimesulide


• Oxaprozin


• Oxprenolol


• Oxyphenbutazone


• Pargyline


• Penbutolol


• Phenelzine


• Phenylbutazone


• Pindolol


• Pirazolac


• Piroxicam


• Pirprofen


• Procarbazine


• Propranolol


• Propyphenazone


• Proquazone


• Psyllium


• Selegiline


• Sotalol


• Sulindac


• Suprofen


• Talinolol


• Tenidap


• Tenoxicam


• Tertatolol


• Tiaprofenic Acid


• Timolol


• Tolmetin


• Toloxatone


• Tranylcypromine


• Zomepirac

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

• Alcohol intoxication or


• Underactive adrenal glands or


• Underactive pituitary gland or


• Undernourished condition or


• Weakened physical condition or


• Any other condition that causes low blood sugar—Patients with these conditions may be more likely to develop low blood sugar while taking glimepiride.

• Diabetic ketoacidosis (ketones in the blood)—Should not be used in patients with this condition.

• Fever or


• Infection or


• Surgery or


• Trauma—These conditions may cause temporary problems with blood sugar control and your doctor may want to treat you temporarily with insulin.

• Heart disease—Use with caution. May make this condition worse.

• Kidney disease or


• Liver disease—Higher blood levels of this medicine may occur, which may cause serious problems.

Proper Use of Amaryl

Follow carefully the special meal plan your doctor gave you. This is the most important part of controlling your condition, and is necessary if the medicine is to work properly. Also, exercise regularly and test for sugar in your blood or urine as directed.

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 type 2 diabetes:
  
  • For oral dosage form (tablets):
    
    • Adults—At first, 1 to 2 milligrams (mg) once a day taken with breakfast or the first main meal. Your doctor may adjust your dose if needed. The dose is usually not more than 8 mg per day.
    
    
    • Children—Use and dose must be determined by your doctor.
    
    
  
  

Missed Dose

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

Storage

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

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

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

Precautions While Using Amaryl

It is very important that your doctor check your progress at regular visits to make sure that this medicine is working properly. Blood tests may be needed to check for unwanted effects.

It is very important to follow carefully any instructions from your health care team about:

• Alcohol—Drinking alcohol may cause severe low blood sugar. Discuss this with your health care team.


• Counseling—Other family members need to learn how to prevent side effects or help with side effects if they occur. Also, patients with diabetes may need special counseling about diabetes medicine dosing changes that might occur because of lifestyle changes, such as changes in exercise and diet. Furthermore, counseling on contraception and pregnancy may be needed because of the problems that can occur in patients with diabetes during pregnancy.


• Travel—Keep your recent prescription and your medical history with you. Be prepared for an emergency as you would normally. Make allowances for changing time zones and keep your meal times as close as possible to your usual meal times.


• In case of emergency—There may be a time when you need emergency help for a problem caused by your diabetes. You need to be prepared for these emergencies. It is a good idea to wear a medical identification (ID) bracelet or neck chain at all times. Also, carry an ID card in your wallet or purse that says you have diabetes and a list of all of your medicines.

Check with your doctor right away if you start having chest pain or discomfort; nausea; pain or discomfort in arms, jaw, back, or neck; shortness of breath; sweating; or vomiting while you are using this medicine. These may be symptoms of a serious heart problem, including a heart attack.

Too much glimepiride can cause low blood sugar (hypoglycemia) when it is used under certain conditions. Symptoms of low blood sugar must be treated before they lead to unconsciousness (passing out). Different people may feel different symptoms of low blood sugar. It is important that you learn which symptoms of low blood sugar you usually have so that you can treat it quickly and call someone on your health care team right away when you need advice.

Symptoms of low blood sugar include anxiety; behavior change similar to being drunk; blurred vision; cold sweats; confusion; cool, pale skin; difficulty in thinking; drowsiness; excessive hunger; fast heartbeat; headache (continuing); nausea; nervousness; nightmares; restless sleep; shakiness; slurred speech; or unusual tiredness or weakness.

If symptoms of low blood sugar occur, eat glucose tablets or gel, corn syrup, honey, or sugar cubes; or drink fruit juice, non-diet soft drink, or sugar dissolved in water. Also, check your blood for low blood sugar. Glucagon is used in emergency situations when severe symptoms such as seizures (convulsions) or unconsciousness occur. Have a glucagon kit available, along with a syringe or needle, and know how to use it. Members of your household also should know how to use it.

Amaryl 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:

Rare

• Difficulty swallowing


• dizziness


• fast heartbeat


• hives


• itching


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


• shortness of breath


• skin rash


• tightness in the chest


• unusual tiredness or weakness


• wheezing

Incidence not known

• Abdominal pain


• agitation


• bleeding gums


• bloating of abdomen


• blood in urine or stools


• bloody, black, or tarry stools


• chest pain


• chills


• coma


• confusion


• cough or hoarseness


• dark urine


• decreased urine output


• depression


• fever with or without chills


• fluid-filled skin blisters


• general tiredness and weakness


• headache


• high fever


• hostility


• irritability


• lethargy


• light-colored stools


• lower back or side pain


• muscle twitching


• nausea and vomiting


• painful or difficult urination


• pale skin


• pinpoint red spots on skin


• rapid weight gain


• seizures


• sensitivity to the sun


• skin thinness


• sore throat


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


• stupor


• swelling of face, ankles, or hands


• swollen or painful glands


• unusual bleeding or bruising


• upper right abdominal pain


• yellow eyes or skin

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

Symptoms of overdose

• Anxiety


• blurred vision


• cold sweats


• cool, pale skin


• increased hunger


• nervousness


• nightmares


• shakiness


• slurred 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

• Lack or loss of strength

Incidence not known

• Diarrhea


• redness or other discoloration of skin


• severe sunburn

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: Amaryl 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 Amaryl resources

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

• Amaryl Prescribing Information (FDA)


• Amaryl Consumer Overview


• Amaryl Monograph (AHFS DI)


• Amaryl MedFacts Consumer Leaflet (Wolters Kluwer)


• Glimepiride Prescribing Information (FDA)


• Glimepiride Professional Patient Advice (Wolters Kluwer)

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Acetazolamide Solution

Pronunciation: a-set-a-ZOLE-a-mide
Generic Name: Acetazolamide
Brand Name: Generic only. No brands available.

Acetazolamide Solution is used for:

Treating certain types of glaucoma, epilepsy, or edema (fluid buildup) in combination with other medicines. It may also be used for other conditions as determined by your doctor.

Acetazolamide Solution is a carbonic anhydrase inhibitor. It reduces fluid pressure in the eyeball by decreasing fluid formation in the eyeball. It also increases the removal of water from the body by the kidney. It also may block certain nerve discharges that may contribute to seizures.

Do NOT use Acetazolamide Solution if:

• you are allergic to any ingredient in Acetazolamide Solution


• you have adrenal gland problems, low blood levels of potassium or sodium, kidney problems, liver problems (eg, cirrhosis), high blood levels of chloride, or other electrolyte problems

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

Before using Acetazolamide Solution:

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

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


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


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


• if you have kidney stones, a lung disease, glaucoma (eg, chronic non-congestive angle-closure glaucoma), diabetes, or difficulty breathing


• if you have had a severe allergic reaction (eg, a severe rash, hives, breathing difficulties, or dizziness) to any other sulfonamide medicine such as acetazolamide, celecoxib, certain diuretics (eg, hydrochlorothiazide), glyburide, probenecid, sulfamethoxazole, valdecoxib, or zonisamide

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

• Salicylates (eg, aspirin) because they may increase the risk of Acetazolamide Solution's side effects


• Other carbonic anhydrase inhibitors (eg, methazolamide), cyclosporine, quinidine, phenytoin, amphetamine, or sodium bicarbonate because the risk of their side effects may be increased by Acetazolamide Solution


• Primidone, salicylates (eg, aspirin), lithium, or methenamine because their effectiveness may be decreased by Acetazolamide Solution

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

How to use Acetazolamide Solution:

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

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


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


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


• If you miss a dose of Acetazolamide Solution, 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 Acetazolamide Solution.

Important safety information:

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


• Acetazolamide Solution may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Acetazolamide Solution. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.


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


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


• Acetazolamide Solution may interfere with certain lab tests. Be sure your doctor and lab personnel know you are using Acetazolamide Solution.


• Lab tests, including blood electrolyte levels, complete blood cell count, or platelet levels, may be performed while you use Acetazolamide Solution. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.


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


• Acetazolamide Solution 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 Acetazolamide Solution while you are pregnant. It is not known if Acetazolamide Solution is found in breast milk. Do not breast-feed while using Acetazolamide Solution.

Possible side effects of Acetazolamide Solution:

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

Blurred vision; changes in taste; constipation; diarrhea; drowsiness; frequent urination; loss of appetite; nausea; vomiting.

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); blood in urine; changes in hearing; convulsions; dark, bloody stools; dark urine; fast breathing; fever; lack of energy; lower back pain; pain, redness, or swelling at the injection site; red, swollen, or blistered skin; ringing in the ears; sore throat; tingling of the arms or legs; unusual bleeding or bruising; vision changes; yellowing of the skin or eyes.

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

See also: Acetazolamide 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 abnormal skin sensations (eg, tingling, tickling, itching, burning); buzzing, ringing, or whistling in the ears; drowsiness; loss of appetite; loss of coordination; nausea; tremors; unsteady movements; vomiting.

Proper storage of Acetazolamide Solution:

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

General information:

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


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


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


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

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

Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Acetazolamide resources

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

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• Edema
• Epilepsy
• Glaucoma
• Hydrocephalus
• Mountain Sickness / Altitude Sickness
• Pseudotumor Cerebri
• Seizure Prevention