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a prolonged Alocril Generic Name: nedocromil sodium Dosage Form: ophthalmic solution Overview Side Effects Dosage Professional Pregnancy More Breastfeeding Warnings User Reviews Support Group Q & A Pricing & Coupons Alocril (nedocromil sodium ophthalmic solution) 2% sterile Slideshow Red, Irritated, Watering Eyes? Chances Are You ve Got Pink Eye Alocril Description Alocril (nedocromil sodium ophthalmic solution) 2% is a clear, yellow, sterile solution for topical ophthalmic use. Nedocromil sodium is represented by the following structural formula: Chemical Name: 4 H -Pyrano[3,2- g ]quinoline-2,8-dicarboxylic acid, 9-ethyl-6,9-dihydro-4,6-dioxo-10-propyl-, disodium salt. Each mL contains: Active: Nedocromil sodium 20 mg/mL (2%); Preservative: Benzalkonium chloride 0.01%; Inactives: Edetate disodium 0.05%, purified water, and sodium chloride 0.5%. It has a pH range of 4.0 to 5.5 and an osmolality range of 270 to 330 mOsm/kg. Alocril - Clinical Pharmacology Nedocromil sodium is a mast cell stabilizer. Nedocromil sodium inhibits the release of mediators from cells involved in hypersensitivity reactions. Decreased chemotaxis and decreased activation of eosinophils have also been demonstrated. In vitro studies with adult human bronchoalveolar cells showed that nedocromil sodium inhibits histamine release from a population of mast cells having been defined as belonging to the mucosal sub type and inhibits beta-glucuronidase release from macrophages. Pharmacokinetics and Bioavailability Nedocromil sodium exhibits low systemic absorption. When administered as a 2% ophthalmic solution in adult human volunteers, less than 4% of the total dose was systemically absorbed following multiple dosing. Absorption is mainly through the nasolacrimal duct rather than through the conjunctiva. It is not metabolized and is eliminated primarily unchanged in urine (70%) and feces (30%). Indications and Usage for Alocril Alocril ophthalmic solution is indicated for the treatment of itching associated with allergic conjunctivitis. Contraindications Alocril ophthalmic solution is contraindicated in those patients who have shown hypersensitivity to nedocromil sodium or to any of the other ingredients. Precautions Information for Patients Patients should be advised to follow the patient instructions listed on the Information for Patients sheet. Users of contact lenses should refrain from wearing lenses while exhibiting the signs and symptoms of allergic conjunctivitis. Patients should be instructed to avoid allowing the tip of the dispensing container to contact the eye, surrounding structures, fingers, or any other surface in order to avoid contamination of the solution by common bacteria known to cause ocular infections. Serious damage to the eye and subsequent loss of vision may result from using contaminated solutions. Carcinogenesis, Mutagenesis, and Impairment of Fertility A two-year inhalation carcinogenicity study of nedocromil sodium at a dose of 24 mg/kg/day (approximately 400 times the maximum recommended human daily ocular dose on a mg/kg basis) in Wistar rats showed no carcinogenic potential. Nedocromil sodium showed no mutagenic potential in the Ames Salmonella/microsome plate assay, mitotic gene conversion in Saccharomyces cerevisiae , mouse lymphoma forward mutation and mouse micronucleus assays. Reproduction and fertility studies in mice and rats showed no effects on male and female fertility at a subcutaneous dose of 100 mg/kg/day (more than 1600 times the maximum recommended human daily ocular dose). Pregnancy Teratogenic Effects: Pregnancy Category B Reproduction studies performed in mice, rats and rabbits using a subcutaneous dose of 100 mg/kg/day (more than 1600 times the maximum human daily ocular dose on a mg/kg basis) revealed no evidence of teratogenicity or harm to the fetus due to nedocromil sodium. There are, however, no adequate and well-controlled studies in pregnant women. Because animal reproduction studies are not always predictive of human response, Alocril ophthalmic solution should be used during pregnancy only if clearly needed. Nursing Mothers After intravenous administration to lactating rats, nedocromil was excreted in milk. It is not known whether this drug is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when Alocril ophthalmic solution is administered to a nursing woman. Pediatric Use Safety and effectiveness in children below the age of 3 years have not been established. Geriatric Use No overall differences in safety or effectiveness have been observed between elderly and younger patients. Adverse Reactions The most frequently reported adverse experience was headache (~40%). Ocular burning, irritation and stinging, unpleasant taste, and nasal congestion have been reported to occur in 10 30% of patients. Other events occurring between 1 10% included asthma, conjunctivitis, eye redness, photophobia, and rhinitis. Some of these events were similar to the underlying ocular disease being studied. Alocril Dosage and Administration The recommended dosage is one or two drops in each eye twice a day. Alocril ophthalmic solution should be used at regular intervals. Treatment should be continued throughout the period of exposure (i.e., until the pollen season is over or until exposure to the offending allergen is terminated), even when symptoms are absent. How is Alocril Supplied Alocril (nedocromil sodium ophthalmic solution) 2% is supplied sterile in opaque white LDPE plastic bottles with dropper tips and white high impact polystyrene (HIPS) caps as follows: 5 mL in 10 mL bottle NDC 0023-8842-05 Storage: Store at 2º 25º C (36º 77º F). Rx only Revised: 12/2012 2013 Allergan, Inc. Irvine, CA 92612, U.S.A. marks owned by Allergan, Inc. Made in the U.S.A. 71761US12 PHARMACIST - DETACH HERE AND GIVE INSTRUCTIONS TO PATIENTS Information for the Patient Alocril (nedocromil sodium ophthalmic solution) 2% sterile It is important to use Alocril ophthalmic solution regularly, as directed by your physician. Thoroughly wash your hands. Remove safety seal ( Figure 1 ). Remove cap ( Figure 2 ). Sit or stand comfortably, with your head tilted back ( Figure 3 ). Open eyes, look up, and draw the lower lid of your eye down gently with your index finger ( Figure 4 ). Hold the Alocril bottle upside down. Place tip as close as possible to the lower eyelid without touching the tip to the eye, and gently squeeze out the prescribed number of drops ( Figure 5 ). Do not touch the eye or eyelid with the bottle tip. Blink a few times to make sure the eye is covered with the solution. Close your eye and remove any excess solution with a clean tissue. Repeat process in the other eye. SPECIAL TIPS Avoid placing Alocril ophthalmic solution directly on the cornea (the area just over the pupil), because it is especially sensitive. You will find the administration of eye drops more comfortable if you place the drops just inside the lower eyelid as shown in Figure 5 on the previous page. To avoid contamination of the solution, do not touch dropper tip to the eye, fingers, or any other surface. Replace bottle cap after use. It is recommended that any remaining contents be discarded after treatment period prescribed by your physician. Store at 2º 25º C (36º 77º F). Store in original carton. Keep bottle tightly closed and out of the reach of children. Do not use with any other ocular medication unless directed by your physician. Do not wear contact lenses during treatment with Alocril ophthalmic solution. 2013 Allergan, Inc. Irvine, CA 92612, U.S.A. marks owned by Allergan, Inc. Made in the U.S.A. 71761US12 Figure 1 Figure 2 Figure 3 Figure 4 Figure 5 NDC 0023-8842-05 Alocril (nedocromil sodium ophthalmic solution) 2% STERILE For topical application in the eye 5 mL ALLERGAN Alocril nedocromil sodium solution/ drops Product Information Product Type HUMAN PRESCRIPTION DRUG LABEL Item Code (Source) NDC:0023-8842 Route of Administration OPHTHALMIC DEA Schedule Active Ingredient/Active Moiety Ingredient Name Basis of Strength Strength nedocromil sodium (nedocromil) nedocromil sodium 20 mg in 1 mL Inactive Ingredients Ingredient Name Strength edetate disodium water sodium chloride benzalkonium chloride Packaging # Item Code Package Description 1 NDC:0023-8842-05 1 BOTTLE, DROPPER in 1 CARTON 1 5 mL in 1 BOTTLE, DROPPER Marketing Information Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date NDA NDA021009 02/03/2000 Labeler - Allergan, Inc. (144796497) Establishment Name Address ID/FEI Operations Allergan, Inc. 144796497 MANUFACTURE(0023-8842) Revised: 12/2012 Allergan, Inc. Next Pregnancy Warnings Print this page Add to My Med List More about Alocril (nedocromil ophthalmic) Side Effects During Pregnancy or Breastfeeding Dosage Information Support Group Pricing & Coupons En Español 1 Review Add your own review/rating Generic Availability Drug class: ophthalmic antihistamines and decongestants Consumer resources Alocril Alocril (Advanced Reading) Professional resources Alocril eent (AHFS Monograph) Nedocromil Ophthalmic Solution (FDA) Related treatment guides Conjunctivitis, Allergic} FEATURED: CAR-T Cell Therapy Overview Mechanism of Action KTE-C19 Studies KTE-C19 Cancer Targets Adverse Events Manufacturing Drug Status Rx Availability Prescription only B Pregnancy Category No proven risk in humans N/A CSA Schedule Not a controlled drug Approval History Drug history at FDA Manufacturer Allergan plc Drug Class Ophthalmic antihistamines and decongestants Related Drugs ophthalmic antihistamines and decongestants azelastine ophthalmic , Pataday , Patanol , phenylephrine ophthalmic , olopatadine ophthalmic , Zaditor Conjunctivitis, Allergic prednisone , prednisolone ophthalmic , azelastine ophthalmic , Deltasone , Zaditor , cromolyn ophthalmic , doxylamine , Optivar , Alaway , ketotifen ophthalmic , Bepreve , Lastacaft , Sterapred , triprolidine , bepotastine ophthalmic , carbinoxamine , alcaftadine ophthalmic , Equate Sleep Aid , Carboxine , Elestat , epinastine ophthalmic , Prednicot , Palgic , More... 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friends Dextromethorphan and Chlorpheniramine Liquid and Syrup if you would like

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tousled Dextromethorphan and Chlorpheniramine Liquid and Syrup Generic Name: Dextromethorphan and Chlorpheniramine Liquid and Syrup (deks troe meth OR fan & klor fen IR a meen) Brand Name: Scot-Tussin DM, Tricodene SF Overview Side Effects Dosage Interactions Reviews More Drug Images Support Group Q & A Uses of Dextromethorphan and Chlorpheniramine Liquid and Syrup: It is used to ease allergy signs. It is used to relieve coughing. Slideshow Seasoned Pro: Be Mindful of These Winter Health Hazards What do I need to tell my doctor BEFORE I take Dextromethorphan and Chlorpheniramine Liquid and Syrup? If you have an allergy to dextromethorphan, chlorpheniramine, or any other part of dextromethorphan and chlorpheniramine liquid and syrup. If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs. If you have taken certain drugs used for low mood (depression) like isocarboxazid, phenelzine, or tranylcypromine or drugs used for Parkinson's disease like selegiline or rasagiline in the last 14 days. Taking this medicine within 14 days of those drugs can cause very bad high blood pressure. If you have a cough with a lot of mucous. If you have a long-term cough caused by smoking or being around smoke, or lung problems like asthma or emphysema. This is not a list of all drugs or health problems that interact with dextromethorphan and chlorpheniramine liquid and syrup. Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take this medicine with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor. What are some things I need to know or do while I take Dextromethorphan and Chlorpheniramine Liquid and Syrup? Tell all of your health care providers that you take dextromethorphan and chlorpheniramine liquid and syrup. This includes your doctors, nurses, pharmacists, and dentists. Do not take more than what your doctor told you to take. Taking more than you are told may raise your chance of very bad side effects. Do not take this medicine for longer than you were told by your doctor. Avoid driving and doing other tasks or actions that call for you to be alert until you see how dextromethorphan and chlorpheniramine liquid and syrup affects you. Avoid drinking alcohol while taking this medicine. Talk with your doctor before you use other drugs and natural products that slow your actions. Use with care in children. Talk with the doctor. Do not use to make a child sleepy. Talk with the doctor. Different brands of dextromethorphan and chlorpheniramine liquid and syrup may have different doses for children. Talk with the doctor before giving this medicine to a child. Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using dextromethorphan and chlorpheniramine liquid and syrup while you are pregnant. Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby. How is this medicine (Dextromethorphan and Chlorpheniramine Liquid and Syrup) best taken? Use this medicine as ordered by your doctor. Read all information given to you. Follow all instructions closely. Take with or without food. Take with food if it causes an upset stomach. Measure liquid doses carefully. Use the measuring device that comes with dextromethorphan and chlorpheniramine liquid and syrup. If there is none, ask the pharmacist for a device to measure this medicine. What do I do if I miss a dose? If you take dextromethorphan and chlorpheniramine liquid and syrup on a regular basis, take a missed dose as soon as you think about it. If it is close to the time for your next dose, skip the missed dose and go back to your normal time. Do not take 2 doses at the same time or extra doses. Many times this medicine is taken on an as needed basis. Do not take more often than told by the doctor. Dosage Information (comprehensive) What are some side effects that I need to call my doctor about right away? WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect: Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat. What are some other side effects of Dextromethorphan and Chlorpheniramine Liquid and Syrup? All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away: Feeling sleepy. Feeling nervous and excitable. These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch. Side Effects (complete list) If OVERDOSE is suspected: If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened. How do I store and/or throw out Dextromethorphan and Chlorpheniramine Liquid and Syrup? Store at room temperature. Protect from light. Store in a dry place. Do not store in a bathroom. Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets. Check with your pharmacist about how to throw out unused drugs. Consumer Information Use and Disclaimer If your symptoms or health problems do not get better or if they become worse, call your doctor. Do not share your drugs with others and do not take anyone else's drugs. Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor. Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins. Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about dextromethorphan and chlorpheniramine liquid and syrup, please talk with your doctor, nurse, pharmacist, or other health care provider. If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened. This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about dextromethorphan and chlorpheniramine liquid and syrup. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using dextromethorphan and chlorpheniramine liquid and syrup. Review Date: November 1, 2017 Next Side Effects Print this page Add to My Med List More about chlorpheniramine/dextromethorphan Side Effects Dosage Information Drug Images Drug Interactions Support Group En Español 7 Reviews Add your own review/rating Drug class: upper respiratory combinations Consumer resources Chlorpheniramine and dextromethorphan Dextromethorphan and Chlorpheniramine Chewable Tablets Dextromethorphan and Chlorpheniramine Tablets Other brands: Coricidin HBP Cough & Cold , Dimetapp Children's Long Acting Cough Plus Cold , QC Cough/Cold , Robitussin Children's Cough & Cold Long-Acting , ... +5 more Related treatment guides Cough and Nasal Congestion} Drug Status OTC Availability Over the counter C Pregnancy Category Risk cannot be ruled out N/A CSA Schedule Not a controlled drug Chlorpheniramine / dextromethorphan Rating 7 User Reviews 4.3 /10 7 User Reviews 4.3 Rate it! Drug Class Upper respiratory combinations Related Drugs Cough and Nasal Congestion Promethazine VC with Codeine , Bromfed DM , Mucinex D , Vanacof , Deconex , codeine / phenylephrine / promethazine , Resperal-DM , Vicks NyQuil Severe Cold & Flu , Coricidin HBP Cough & Cold , Vicks Nyquil Cough , Deconex DMX , Crantex , Robitussin Allergy & Cough , Tussin CF , Dimetapp Children's Cold & Cough , Relasin-HC , Mucinex Fast-Max Severe Congestion & Cough , Robitussin Nighttime Cough DM , More... Chlorpheniramine / dextromethorphan Images Chlorpheniramine / dextromethorphan systemic chlorpheniramine maleate 4 mg / dextromethorphan hydrobromide 30 mg (411 ) View larger images} } customer support


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difficulty Dexmedetomidine regularly

difficulty Dexmedetomidine regularly

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passionate about [36:<2 years: Median: 3.8 L/kg (range: 1.9 to 4.6 L/kg) (Vilo 2008) Children 2 to 11 years: Median: 2.2 L/kg (range: 1.3 to 2.8 L/kg) (Vilo 2008) Adults: ~118 L; rapid Metabolism Hepatic via N-glucuronidation, N-methylation, and CYP2A6 Excretion Urine (95%); feces (4%) Clearance: Note: Clearance following cardiac surgery was reduced by 27% in pediatric patients aged 1 week to 14 years (Potts 2009) Preterm Neonates (28 to> <36 weeks GA): 0.3 L/hour/kg (0.2 to 0.4 L/hour/kg) (Chrysostomou 2014) Term Neonates (36 to 44 weeks GA): 0.9 L/hour/kg (0.2 to 1.5 L/hour/kg) Infants and Children> <2 years: Median: 1 L/hour/kg (0.85 to 1.66 L/hour/kg) (Vilo 2008) Children 2 to 11 years: Median: 1 L/hour/kg (0.56 to 1.35 L/hour/kg) (Vilo 2008) Adults: ~39 L/hour; Hepatic impairment (Child-Pugh class A, B, or C): Mean clearance values were 74%, 64%, and 53% respectively, of those observed in healthy adults Onset of Action IV loading dose: 5 to 10 minutes Intranasal: 45 to 60 minutes (Yuen 2007), may be faster in pediatric patients when administered via an atomizing device (Talon 2009) Peak effect: IV loading dose: 15 to 30 minutes Intranasal: 90 to 105 minutes (Yuen 2007) Time to Peak Serum: Intranasal: Median: 38 minutes (range: 15 to 60 minutes) (Iirola 2011) Duration of Action Dose dependent: 60 to 120 minutes Half-Life Elimination Preterm Neonates (28 to> <36 weeks GA): Terminal: 7.6 hours (range: 3 to 9.1 hours) (Chrysostomou 2014) Term Neonates (36 to 44 weeks GA): Terminal: Median: 3.2 hours (range: 1 to 9.4 hours) (Chrysostomou 2014) Infants and Children> <2 years: Terminal: Median: 2.3 hours (range: 1.5 to 3.3 hours) (Vilo 2008) Children 2 to 11 years: Terminal: Median: 1.6 hours (range: 1.2 to 2.3 hours) (Vilo 2008) Adults: Distribution: ~6 minutes; Terminal: ~up to 3 hours (Venn 2002); significantly prolonged in patients with severe hepatic impairment (Cunningham 1999) Protein Binding ~94% Special Populations: Hepatic Function Impairment Clearance and plasma protein binding are decreased in patients with hepatic impairment. Use: Labeled Indications Intensive care unit sedation: Sedation of initially-intubated and mechanically-ventilated patients during treatment in an intensive care setting Procedural sedation: Procedural sedation prior to and/or during awake fiberoptic intubation; sedation prior to and/or during surgical or other procedures of nonintubated patients Off Label Uses Sedation during awake craniotomy Data from controlled studies indicate that dexmedetomidine can be used successfully to provide sedation during awake craniotomy and may help reduce length of stay as well as the need for other perioperative pharmacological interventions. Additional trials may be necessary to further define the role of dexmedetomidine in this condition. Additional Off-Label Uses Treatment of shivering Contraindications There are no contraindications listed in the U.S. manufacturer's labeling. Canadian labeling: Hypersensitivity to dexmedetomidine or any component of the formulation. Dosing: Adult Note: Errors have occurred due to misinterpretation of dosing information. Maintenance dose expressed as mcg/kg/ hour . Individualized and titrated to desired clinical effect. At recommended doses, dexmedetomidine does not provide adequate and reliable amnesia (when necessary); therefore, use of additional agents with amnestic properties (eg, benzodiazepines) may be necessary (Ebert 2000). ICU sedation: IV: Initial: Loading infusion (optional; see "Note" below) of 1 mcg/kg over 10 minutes, followed by a maintenance infusion (see "Note" below) of 0.2 to 0.7 mcg/kg/ hour ; adjust rate to desired level of sedation; titration no more frequently than every 30 minutes may reduce the incidence of hypotension (Gerlach 2009) Note: Loading infusion: The loading dose may be omitted for this indication if patient is either being converted from another sedative and patient is adequately sedated or there are concerns for hemodynamic compromise. Maintenance infusion: Dosing ranges between 0.2 to 1.5 mcg/kg/ hour have been reported during randomized controlled clinical trials (Pandharipande 2007; Riker 2009). Although infusion rates as high as 2.5 mcg/kg/ hour have been used, it is thought that doses> 1.5 mcg/kg/ hour do not add to clinical efficacy (Venn 2003). Manufacturer recommends duration of infusion should not exceed 24 hours; however, randomized clinical trials have demonstrated efficacy and safety comparable to lorazepam and midazolam with longer-term infusions of up to ~5 days (Pandharipande 2007; Riker 2009). Procedural sedation: IV: Initial: Loading infusion of 1 mcg/kg (or 0.5 mcg/kg for less invasive procedures [eg, ophthalmic]) over 10 minutes, followed by a maintenance infusion of 0.6 mcg/kg/ hour , titrate to desired effect; usual range: 0.2 to 1 mcg/kg/ hour Fiberoptic intubation (awake): IV: Initial: Loading infusion of 1 mcg/kg over 10 minutes, followed by a maintenance infusion of 0.7 mcg/kg/ hour until endotracheal tube is secured (Bergese 2010). Craniotomy (awake) (off-label use): IV: Initial: Loading infusion of 0.5 to 1 mcg/kg over 10 to 20 minutes, followed by a maintenance infusion of 0.5 mcg/kg/ hour , titrate to desired effect (Bekker 2001; Bekker, 2008; Piccioni 2008; Shen 2013); usual range: 0.1 to 0.7 mcg/kg/ hour (Piccioni 2008) Dosing: Geriatric ICU sedation: IV: Refer to adult dosing. Consider dosage reduction. No specific guidelines available. Dose selections should be cautious, at the low end of dosage range; titration should be slower, allowing adequate time to evaluate response. Procedural sedation: IV: Refer to adult dosing: Initial: Loading infusion of 0.5 mcg/kg over 10 minutes; Maintenance infusion: Dosage reduction should be considered. Dosing: Renal Impairment There are no dosage adjustments provided in the manufacturer s labeling; however, pharmacokinetics were not significantly different in patients with severe renal impairment (CrCl <30 mL/minute). Dosing: Hepatic Impairment There are no specific dosage adjustments provided in the manufacturer s labeling; however, consider a dose reduction. Clearance is reduced in varying degrees based on the level of impairment. Reconstitution Concentrated solution (100 mcg/mL): Must dilute in NS to achieve the required concentration (4 mcg/mL) prior to administration. Add 2 mL (200 mcg) of dexmedetomidine to 48 mL of NS for a total volume of 50 mL (4 mcg/mL) or 4 mL (400 mcg) of dexmedetomidine to 96 mL of NS for a total volume of 100 mL. Shake gently to mix. Administration Administer using a controlled infusion device. Advisable to use administration components made with synthetic or coated natural rubber gaskets. If loading dose used, administer over 10 minutes; may extend to 20 minutes to further reduce vasoconstrictive effects. Titration no more frequently than every 30 minutes may reduce the incidence of hypotension when used for ICU sedation (Gerlach 2009). Storage Bottles: Store at room temperature. Vials: Store unopened vials (single-dose and multi-dose) at room temperature. Diluted solutions using multi-dose vials may be stored for up to 4 hours at room temperature or up to 24 hours at 2 C to 8 C (35 F to 46 F) prior to use. Drug Interactions Alfuzosin: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Monitor therapy Amifostine: Blood Pressure Lowering Agents may enhance the hypotensive effect of Amifostine. Management: When amifostine is used at chemotherapy doses, blood pressure lowering medications should be withheld for 24 hours prior to amifostine administration. If blood pressure lowering therapy cannot be withheld, amifostine should not be administered. Consider therapy modification Antipsychotic Agents (Second Generation [Atypical]): Blood Pressure Lowering Agents may enhance the hypotensive effect of Antipsychotic Agents (Second Generation [Atypical]). Monitor therapy Barbiturates: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Monitor therapy Benperidol: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Monitor therapy Beta-Blockers: Alpha2-Agonists may enhance the AV-blocking effect of Beta-Blockers. Sinus node dysfunction may also be enhanced. Beta-Blockers may enhance the rebound hypertensive effect of Alpha2-Agonists. This effect can occur when the Alpha2-Agonist is abruptly withdrawn. Management: Closely monitor heart rate during treatment with a beta blocker and clonidine. Withdraw beta blockers several days before clonidine withdrawal when possible, and monitor blood pressure closely. Recommendations for other alpha2-agonists are unavailable. Exceptions: Levobunolol; Metipranolol. Consider therapy modification Blood Pressure Lowering Agents: May enhance the hypotensive effect of Hypotension-Associated Agents. Monitor therapy Bradycardia-Causing Agents: May enhance the bradycardic effect of other Bradycardia-Causing Agents. Monitor therapy Bretylium: May enhance the bradycardic effect of Bradycardia-Causing Agents. Bretylium may also enhance atrioventricular (AV) blockade in patients receiving AV blocking agents. Monitor therapy Brimonidine (Topical): May enhance the hypotensive effect of Blood Pressure Lowering Agents. Monitor therapy Ceritinib: Bradycardia-Causing Agents may enhance the bradycardic effect of Ceritinib. Management: If this combination cannot be avoided, monitor patients for evidence of symptomatic bradycardia, and closely monitor blood pressure and heart rate during therapy. Avoid combination CYP2A6 Inhibitors (Moderate): May decrease the metabolism of CYP2A6 Substrates (High risk with Inhibitors). Monitor therapy CYP2A6 Inhibitors (Strong): May decrease the metabolism of CYP2A6 Substrates (High risk with Inhibitors). Consider therapy modification Diazoxide: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Monitor therapy DULoxetine: Blood Pressure Lowering Agents may enhance the hypotensive effect of DULoxetine. Monitor therapy Herbs (Hypotensive Properties): May enhance the hypotensive effect of Blood Pressure Lowering Agents. Monitor therapy Hypotension-Associated Agents: Blood Pressure Lowering Agents may enhance the hypotensive effect of Hypotension-Associated Agents. Monitor therapy Iobenguane I 123: Alpha2-Agonists may diminish the therapeutic effect of Iobenguane I 123. Avoid combination Ivabradine: Bradycardia-Causing Agents may enhance the bradycardic effect of Ivabradine. Monitor therapy Lacosamide: Bradycardia-Causing Agents may enhance the AV-blocking effect of Lacosamide. Monitor therapy Levodopa: Blood Pressure Lowering Agents may enhance the hypotensive effect of Levodopa. Monitor therapy Lormetazepam: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Monitor therapy Mirtazapine: May diminish the antihypertensive effect of Alpha2-Agonists. Management: Consider avoiding concurrent use. If the combination cannot be avoided, monitor for decreased effects of alpha2-agonists if mirtazapine is initiated/dose increased, or increased effects if mirtazapine is discontinued/dose decreased. Consider therapy modification Molsidomine: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Monitor therapy Naftopidil: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Monitor therapy Nicergoline: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Monitor therapy Nicorandil: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Monitor therapy Nitroprusside: Blood Pressure Lowering Agents may enhance the hypotensive effect of Nitroprusside. Monitor therapy Obinutuzumab: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Management: Consider temporarily withholding blood pressure lowering medications beginning 12 hours prior to obinutuzumab infusion and continuing until 1 hour after the end of the infusion. Consider therapy modification Pentoxifylline: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Monitor therapy Pholcodine: Blood Pressure Lowering Agents may enhance the hypotensive effect of Pholcodine. Monitor therapy Phosphodiesterase 5 Inhibitors: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Monitor therapy Prostacyclin Analogues: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Monitor therapy Quinagolide: May enhance the hypotensive effect of Blood Pressure Lowering Agents. Monitor therapy Ruxolitinib: May enhance the bradycardic effect of Bradycardia-Causing Agents. Management: Ruxolitinib Canadian product labeling recommends avoiding use with bradycardia-causing agents to the extent possible. Monitor therapy Serotonin/Norepinephrine Reuptake Inhibitors: May diminish the antihypertensive effect of Alpha2-Agonists. Monitor therapy Terlipressin: May enhance the bradycardic effect of Bradycardia-Causing Agents. Monitor therapy Tofacitinib: May enhance the bradycardic effect of Bradycardia-Causing Agents. Monitor therapy Tricyclic Antidepressants: May diminish the antihypertensive effect of Alpha2-Agonists. Consider therapy modification Adverse Reactions Frequency dependent upon dose, duration, and indication.> 10%: Cardiovascular: Hypotension (24% to 56%), bradycardia (5% to 42%), systolic hypertension (28%), tachycardia (25%), hypertension (diastolic; 12%), hypertension (11%) Central nervous system: Agitation (5% to 14%) Gastrointestinal: Constipation (6% to 14%), nausea (3% to 11%) Respiratory: Respiratory depression (37%; placebo 32%) 1% to 10%: Cardiovascular: Atrial fibrillation (2% to 9%), peripheral edema (3% to 7%), hypovolemia (3%), edema (2%) Central nervous system: Anxiety (5% to 9%) Endocrine & metabolic: Hypokalemia (9%), hyperglycemia (7%), hypoglycemia (5%), increased thirst (2%), hypocalcemia (1%), hypomagnesemia (1%) Gastrointestinal: Xerostomia (3% to 4%) Genitourinary: Oliguria (2%) Hematologic & oncologic: Anemia (3%) Renal: Acute renal failure (2% to 3%), decreased urine output (1%) Respiratory: Respiratory failure (2% to 10%), adult respiratory distress syndrome (1% to 9%), pleural effusion (2%), wheezing ( 1%) Miscellaneous: Fever (5% to 7%), withdrawal syndrome (ICU sedation; 3% to 5%) Postmarketing and/or case reports (Limited to important or life-threatening): Abdominal pain, acidosis, apnea, atrioventricular block, bronchospasm, cardiac arrhythmia, cardiac disease, chills, confusion, convulsions, decreased visual acuity, delirium, diaphoresis, diarrhea, dizziness, drug tolerance (use >24 hours), dyspnea, extrasystoles, hallucination, headache, heart block, hemorrhage, hepatic insufficiency, hyperbilirubinemia, hypercapnia, hyperkalemia, hypernatremia, hyperpyrexia, hypoventilation, hypoxia, illusion, increased blood urea nitrogen, increased gamma-glutamyl transferase, increased serum alkaline phosphatase, increased serum ALT, increased serum AST, inversion T-wave on ECG, myocardial infarction, neuralgia, neuritis, pain, photopsia, polyuria, prolonged Q-T interval on ECG, pulmonary congestion, respiratory acidosis, rigors, seizure, sinoatrial arrest, speech disturbance, supraventricular tachycardia, tachyphylaxis (use >24 hours), variable blood pressure, ventricular arrhythmia, ventricular tachycardia, visual disturbance, vomiting Warnings/Precautions Concerns related to adverse effects: Cardiovascular effects: Episodes of bradycardia, hypotension, and sinus arrest have been associated with rapid IV administration (eg, bolus administration) or when given to patients with high vagal tone. When used for ICU sedation, use of a loading dose is optional; for the maintenance infusion, titration no more frequently than every 30 minutes may reduce the incidence of hypotension (Gerlach 2009). If medical intervention is required, treatment may include stopping or decreasing the infusion, increasing the rate of IV fluid administration, use of pressor agents, and elevation of the lower extremities. At low concentrations, mean arterial pressure (MAP) may be reduced without changes in other hemodynamic parameters (eg, pulmonary artery occlusion pressure [PAOP]); however, at higher concentrations (>1.9 ng/mL), MAP, CVP, PAOP, PVR, and SVR increase (Ebert 2000). Transient hypertension: Has been primarily observed during loading dose administration and is associated with the initial peripheral vasoconstrictive effects of dexmedetomidine. Treatment is generally unnecessary; however, reduction of infusion rate may be required. Disease-related concerns: Cardiovascular disease: Use with caution in patients with heart block, bradycardia, severe ventricular dysfunction, hypovolemia, or chronic hypertension. In a scientific statement from the American Heart Association, dexmedetomidine has been determined to be an agent that may exacerbate underlying myocardial dysfunction (magnitude: moderate) (AHA [Page 2016]). Diabetes: Use with caution in patients with diabetes mellitus; cardiovascular adverse events (eg, bradycardia, hypotension) may be more pronounced. Hepatic impairment: Use with caution in patients with hepatic impairment; dosage reductions recommended. Concurrent drug therapy issues: Drug-drug interactions: Potentially significant interactions may exist, requiring dose or frequency adjustment, additional monitoring, and/or selection of alternative therapy. Consult drug interactions database for more detailed information. Special populations: Elderly: Use with caution in the elderly; cardiovascular events (eg, bradycardia, hypotension) may be more pronounced. Dose reduction may be necessary. Other warnings/precautions: Arousability: Patients may be arousable and alert when stimulated. This alone should not be considered as lack of efficacy in the absence of other clinical signs/symptoms. Experienced personnel: Should be administered only by persons skilled in management of patients in intensive care setting or operating room. Patients should be continuously monitored. Tolerance and tachyphylaxis: Use of infusions >24 hours has been associated with tolerance and tachyphylaxis and dose-related increase in adverse reactions. Withdrawal: When withdrawn abruptly in patients who have received >24 hours of therapy, withdrawal symptoms may result (eg, hypertension, tachycardia, nervousness, nausea, vomiting, agitation, headaches). Use for >24 hours is not recommended by the manufacturer. Monitoring Parameters Level of sedation; heart rate, respiration, rhythm, blood pressure; pain control. Note: Dexmedetomidine causes minimal respiratory depression, inhibits salivation, and is analgesic-sparing. Critically-ill mechanically ventilated patients: Monitor depth of sedation with either the Richmond Agitation-Sedation Scale (RASS) or Sedation-Agitation Scale (SAS) (Barr 2013) Pregnancy Risk Factor C Pregnancy Considerations Adverse effects have been observed in some animal reproduction studies. Dexmedetomidine is expected to cross the placenta. Information related to use during pregnancy is limited (El-Tahan 2012). Patient Education Discuss specific use of drug and side effects with patient as it relates to treatment. (HCAHPS: During this hospital stay, were you given any medicine that you had not taken before? Before giving you any new medicine, how often did hospital staff tell you what the medicine was for? How often did hospital staff describe possible side effects in a way you could understand?) Patient may experience nausea. Have patient report immediately to prescriber severe dizziness, passing out, difficulty breathing, slow breathing, shallow breathing, bradycardia, abnormal heartbeat, agitation, severe anxiety, headache, confusion, constipation, diarrhea, salt cravings, abdominal pain, sweating a lot, weakness, or weight loss (HCAHPS). Educate patient about signs of a significant reaction (eg, wheezing; chest tightness; fever; itching; bad cough; blue skin color; seizures; or swelling of face, lips, tongue, or throat). Note: This is not a comprehensive list of all side effects. Patient should consult prescriber for additional questions. Intended Use and Disclaimer: Should not be printed and given to patients. This information is intended to serve as a concise initial reference for health care professionals to use when discussing medications with a patient. You must ultimately rely on your own discretion, experience, and judgment in diagnosing, treating, and advising patients. Next Interactions Print this page Add to My Med List More about dexmedetomidine Side Effects During Pregnancy Dosage Information Drug Interactions Support Group Pricing & Coupons En Español 0 Reviews Add your own review/rating Drug class: miscellaneous anxiolytics, sedatives and hypnotics Consumer resources Dexmedetomidine Professional resources Dexmedetomidine Hydrochloride (AHFS Monograph) Dexmedetomidine Hydrochloride Injection (FDA) Dexmedetomidine hydrochloride Injection, Concentrate (FDA) Other brands: Precedex Related treatment guides Sedation ]} Drug Status Rx Availability Prescription only C Pregnancy Category Risk cannot be ruled out N/A CSA Schedule Not a controlled drug Approval History Drug history at FDA Dexmedetomidine Rating No Reviews - Be the first! No Reviews - Be the first! Not Rated - Be the first! Manufacturers Akorn, Inc. Mylan Pharmaceuticals Inc. Sandoz Inc. Teva Pharmaceuticals USA, Inc. Sun Pharmaceutical Industries Inc. Fresenius Kabi USA, LLC More... Drug Class Miscellaneous anxiolytics, sedatives and hypnotics Related Drugs miscellaneous anxiolytics, sedatives and hypnotics zolpidem , Ambien , hydroxyzine , melatonin , buspirone , diphenhydramine Sedation trazodone , promethazine , lorazepam , hydroxyzine , Ativan , fentanyl , Vistaril , Phenergan , phenobarbital , Atarax , Desyrel , butabarbital , Precedex , Luminal , Promethegan , Talwin , pentazocine , Sublimaze , Nembutal , pentobarbital , chloral hydrate , Seconal , amobarbital , Phenadoz , More...} } it's your decision


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factor RhinaHist Generic Name: Dexchlorpheniramine/Phenylephrine Sustained-Release Tablets (DEX klor fen IR a meen/FEN il EF rin) Brand Name: NalDex, RhinaHist Overview Side Effects Interactions Pregnancy Reviews More Support Group Q & A Uses of RhinaHist: It is used to treat nose stuffiness. It is used to ease allergy signs. Slideshow Flonase: Avoid These Top 9 Mistakes What do I need to tell my doctor BEFORE I take RhinaHist? If you have an allergy to any part of RhinaHist (dexchlorpheniramine/phenylephrine sustained-release tablets). If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs. If you have taken certain drugs used for low mood (depression) like isocarboxazid, phenelzine, or tranylcypromine or drugs used for Parkinson's disease like selegiline or rasagiline in the last 14 days. Taking this medicine within 14 days of those drugs can cause very bad high blood pressure. This is not a list of all drugs or health problems that interact with RhinaHist. Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take this medicine with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor. What are some things I need to know or do while I take RhinaHist? Tell all of your health care providers that you take RhinaHist. This includes your doctors, nurses, pharmacists, and dentists. Do not take more than what your doctor told you to take. Taking more than you are told may raise your chance of very bad side effects. Do not take this medicine for longer than you were told by your doctor. Avoid driving and doing other tasks or actions that call for you to be alert until you see how RhinaHist affects you. Avoid drinking alcohol while taking this medicine. Talk with your doctor before you use other drugs and natural products that slow your actions. Use with care in children. Talk with the doctor. Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using RhinaHist while you are pregnant. Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby. How is this medicine (RhinaHist) best taken? Use this medicine as ordered by your doctor. Read all information given to you. Follow all instructions closely. Take with or without food. Take with food if it causes an upset stomach. Swallow whole. Do not chew, break, or crush. What do I do if I miss a dose? If you take RhinaHist on a regular basis, take a missed dose as soon as you think about it. If it is close to the time for your next dose, skip the missed dose and go back to your normal time. Do not take 2 doses at the same time or extra doses. Many times this medicine is taken on an as needed basis. Do not take more often than told by the doctor. What are some side effects that I need to call my doctor about right away? WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect: Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat. What are some other side effects of RhinaHist? All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away: Dizziness. Feeling nervous and excitable. Not able to sleep. Feeling sleepy. These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch. Side Effects (complete list) If OVERDOSE is suspected: If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened. How do I store and/or throw out RhinaHist? Store at room temperature. Store in a dry place. Do not store in a bathroom. Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets. Check with your pharmacist about how to throw out unused drugs. Consumer Information Use and Disclaimer If your symptoms or health problems do not get better or if they become worse, call your doctor. Do not share your drugs with others and do not take anyone else's drugs. Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor. Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins. Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about RhinaHist, please talk with your doctor, nurse, pharmacist, or other health care provider. If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened. This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about RhinaHist (dexchlorpheniramine/phenylephrine sustained-release tablets). It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using RhinaHist. Review Date: November 1, 2017 Next Side Effects Print this page Add to My Med List More about RhinaHist (dexchlorpheniramine / phenylephrine) Side Effects During Pregnancy Drug Interactions Support Group 0 Reviews Add your own review/rating Drug class: upper respiratory combinations Consumer resources Other brands: NalDex Professional resources Related treatment guides Allergic Rhinitis Allergic Urticaria Drug Status Rx OTC Availability Rx and/or OTC C Pregnancy Category Risk cannot be ruled out N/A CSA Schedule Not a controlled drug WADA Class Anti-Doping Classification RhinaHist Rating No Reviews - Be the first! No Reviews - Be the first! Not Rated - Be the first! Drug Class Upper respiratory combinations Related Drugs Allergic Rhinitis prednisone , Zyrtec , promethazine , fluticasone nasal , loratadine , cetirizine , Flonase , triamcinolone , montelukast , Claritin , Singulair , More... Allergic Urticaria hydroxyzine , Vistaril , Atarax , tetracaine topical , triprolidine , carbinoxamine , Carboxine , Pontocaine , Karbinal ER , Palgic , More... Related: Hay Fever (Allergic Rhinitis) one more


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almost about ADHD: A Guide for Parents Posted under Parents' Articles . Updated 21 March 2016. +Related Content Attention Deficit Hyperactivity Disorder (ADHD) is often diagnosed in childhood, but sometimes it s not identified until the teen years. Although both males and females can have ADHD, boys are about 3 times more likely to be diagnosed. Hyperactivity is more common in boys with ADHD than girls, making the diagnosis more apparent. Even if your son was diagnosed with ADHD as a child, management of the symptoms is likely to change in his teen years because of different academic and social demands. This guide is intended to help you understand and manage your teenage son s ADHD. What is ADHD? ADHD is a neurological condition which makes it difficult for a person to focus or pay attention. The different categories of ADHD are: Inattentive Type, Hyperactive Type, and Mixed Type. ADHD is a spectrum disorder, meaning that symptoms range from very mild to severe, and vary according to which type a teen has. Those with inattentive type only may have trouble paying attention in school, daydream, or lose attention when in a conversation or doing a task. They may have trouble focusing on homework and get easily distracted. If they also have hyperactivity, they may become restless often and have trouble sitting still. In a young child, this may take the form of not being able to sit still in a classroom and engaging in impulsive behavior. For a teen, this may involve impulsive or risky behavior. Your son may also notice an inner feeling of restlessness. What is executive functioning and how does it relate to ADHD? Executive functioning is a term that refers to the way we organize our lives. People with executive functioning problems may have trouble prioritizing, planning, and organizing their time and space. All of these can be problems for boys with ADHD. How did my son get ADHD? ADHD may be caused by a number of different things. There is often a genetic component, so a boy with ADHD may have a parent with similar behaviors and symptoms. Parents of today s teens were not likely diagnosed when they were young but may recognize some of their son s symptoms as things they struggle with also. Other possible causes of ADHD include head injury, pre-natal conditions, and maternal drug use. Usually there is no specific cause and no one is to blame. When does ADHD first show up? It is generally thought that ADHD is present from birth. However, there may not be symptoms that are easily recognized until much later. Hyperactivity is often recognized early in school and a teacher may be the first to suggest ADHD. Students with ADHD may be singled out for talking out of turn or being a class clown. Those without hyperactivity often go unnoticed in school because they don t cause trouble. Young people are often mistaken for being unmotivated, not working up to their potential, or being messy and disorganized. Teens with ADHD who have reached adolescence without being diagnosed will often recognize that they have poor attention and focus, and are too easily distracted. Sometimes teens may get to college or even graduate school without being identified or identifying for themselves that they are having more trouble than is normal. In fact, there are adults with ADHD who have never been diagnosed but have learned ways to adapt and work around their attention problems. Symptoms of ADHD may persist into adulthood or may resolve with growth and maturing. What are symptoms of ADHD in teens? Your son may exhibit some or all of the following symptoms and behaviors: Doesn t do or complete homework or takes a very long time doing homework Has to read things over and over because he loses focus and doesn t absorb what he read Becomes easily distracted, either by external noise or by his own thoughts Forgets to take important things to school or bring home things from school Copies down assignments wrong Gets into trouble in school for goofing off Has trouble waiting his turn Interrupts others when they are talking Does impulsive and sometimes risky things such as driving too fast Is attracted to things that are new or action oriented Has to be moving a lot of the time Has trouble holding onto to thoughts because he s thinking fast Has trouble transitioning from wake to sleep and vice versa What are possible consequences of ADHD? Trouble in school: Teens with ADHD may do poorly in school, even when they understand the material. They may also get into trouble for talking out of turn, clowning around, or behaving in other impulsive ways. Low Self-Esteem: If a teen has trouble in school, he may feel like he s not smart, and may suffer from low self-esteem. Harm/Injury: A teen with ADHD may also get injured in sports or other activities because he acts impulsively and without caution or planning. He may also put himself in harm s way by engaging in risky behaviors including drug and alcohol use. How can I have my son evaluated? There are many professionals who are considered qualified to diagnose ADHD. You can have your son evaluated by: Primary care provider (PCP): Many PCPs are knowledgeable about and comfortable with ADHD and can make a diagnosis. Neurologist: Neurologists may specialize in ADHD. Mental Health Provider: Mental health providers such as clinical psychologists and clinical social workers may be skilled at evaluating teens with ADHD. School psychologists: A school psychologist may perform learning disability evaluations which may include observation of a student s ability to pay attention. The most comprehensive evaluation for ADHD is performed by a neuropsychologist who does a series of tests that measure attention, distractibility, and impulsiveness. He or she will also test for general intelligence, memory, learning disabilities, and emotional problems. How is ADHD treated? By far the most effective treatment for ADHD is medication. Most medications prescribed for teens with ADHD are stimulants such as Ritalin, Concerta, or Adderall. These medications take effect shortly after taken and wear off several hours later. Although you may feel reluctant about having your son take medication, it s important to become educated about their benefits and possible side effects. Many teens with ADHD can benefit from behavior therapy or various behavioral interventions. These can be helpful whether or not the teen is taking medication. One intervention is to help the teen be more organized by making lists or using an app that helps organize tasks. Another is to break up tasks into manageable time frames, like 15-20 minute segments, so the teen is less likely to lose focus. There is training and/or coaching available for parents, teachers and teens with ADHD. Some strategies are especially helpful because they address organizational problems that are not necessarily helped by medication. Medication can improve your son s ability to focus, but it won t help him make good decisions. What are some helpful strategies? Here are some strategies that may be helpful for those with ADHD: Write things down, make lists, use reminders or alarms in cell phones. Create some schedules or routines that are the same every day. Repeat instructions or have your son repeat back what he heard. Don t try to do too much concentrating at once. Have your son take brief homework breaks every 20-30 minutes. Listen to a radio while doing homework, as it blocks out other external stimuli. For further strategies, ask your son s health care provider for names of ADHD coaches. How can I help and support my son? It s important to remember that ADHD is nobody s fault not your son s and not yours. It may be exasperating to have a son who doesn t seem to pay attention when you re talking to him, who forgets what you tell him, who can t settle down, or does risky things without thought of the consequences. Remember that he s not doing these things on purpose, but he can learn to be more aware of what he s doing and exert some self-control. It is useful to know that teens with ADHD may need more parental support than you may expect for people their age. They may need help getting places on time, completing tasks and remembering things and they need extra help in learning to do these things for themselves. You can help and support your son by: Making sure he gets the treatment he needs. Encouraging him to talk to teachers and get extra help in school. Setting limits about how much time he spends on video games or online. Encourage and reward him when he does well and makes progress. It s also very important to recognize his strengths and talents. He may be a fantastic athlete or artist, he may be funny and smart and creative. Those qualities should not go unnoticed! Recommended Reading: Reiff, Michael I. ed, The American Academy of Pediatrics ADHD A Complete and Authoritative Guide, 2004. locate


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capability [1%:] Drug Status Rx Availability Prescription only D Pregnancy Category Positive evidence of risk 2 CSA Schedule High potential for abuse Approval History Drug history at FDA Secobarbital Rating 7 User Reviews 10 /10 7 User Reviews 10 Rate it! Drug Class Barbiturates Related Drugs barbiturates phenobarbital , butabarbital , Luminal , Nembutal , pentobarbital Sedation trazodone , promethazine , lorazepam , hydroxyzine , Ativan , fentanyl , Vistaril , Phenergan , More... Insomnia melatonin , lorazepam , zolpidem , amitriptyline , Ambien , temazepam , Ativan , diphenhydramine , More... Light Sedation promethazine , diazepam , Valium , Phenergan , midazolam , chlordiazepoxide , Demerol , chlorpromazine , More... positively


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all at once Cardene IV Generic Name: Nicardipine Injection (nye KAR di peen) Brand Name: Cardene IV Overview Side Effects Dosage Professional Interactions More Pregnancy Warnings Breastfeeding Warnings User Reviews Support Group Q & A Pricing & Coupons Uses of Cardene IV: It is used to treat high blood pressure. It may be given to you for other reasons. Talk with the doctor. Slideshow Seasoned Pro: Be Mindful of These Winter Health Hazards What do I need to tell my doctor BEFORE I take Cardene IV? If you have an allergy to nicardipine or any other part of Cardene IV (nicardipine injection). If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs. If you have narrowing of the main artery from the heart (aorta) or very narrow heart valve (aortic stenosis). If you are breast-feeding. Do not breast-feed while you take this medicine. This is not a list of all drugs or health problems that interact with Cardene IV. Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take this medicine with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor. What are some things I need to know or do while I take Cardene IV? Tell all of your health care providers that you take Cardene IV. This includes your doctors, nurses, pharmacists, and dentists. Avoid driving and doing other tasks or actions that call for you to be alert until you see how this medicine affects you. To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down. Be careful going up and down stairs. Check blood pressure and heart rate as the doctor has told you. Talk with the doctor. Have blood work checked as you have been told by the doctor. Talk with the doctor. If you are taking Cardene IV and have high blood pressure, talk with your doctor before using OTC products that may raise blood pressure. These include cough or cold drugs, diet pills, stimulants, ibuprofen or like products, and some natural products or aids. Talk with your doctor before you drink alcohol. This medicine may affect how much of some other drugs are in your body. If you are taking other drugs, talk with your doctor. You may need to have your blood work checked more closely while taking this medicine with your other drugs. Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using Cardene IV while you are pregnant. How is this medicine (Cardene IV) best taken? Use this medicine as ordered by your doctor. Read all information given to you. Follow all instructions closely. It is given as an infusion into a vein over a period of time. What do I do if I miss a dose? Call your doctor to find out what to do. Dosage Information (comprehensive) What are some side effects that I need to call my doctor about right away? WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect: Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat. Very bad dizziness or passing out. A heartbeat that does not feel normal. A fast heartbeat. Chest pain that is new or worse. Shortness of breath, a big weight gain, or swelling in the arms or legs. This medicine may irritate the vein. It may burn the skin if the drug leaks from the vein when it is given. Tell your nurse if you have any redness, burning, pain, swelling, or leaking of fluid where the drug is going into your body. What are some other side effects of Cardene IV? All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away: Dizziness. Flushing. Headache. Feeling tired or weak. Upset stomach or throwing up. These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch. Side Effects (complete list) If OVERDOSE is suspected: If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened. How do I store and/or throw out Cardene IV? If you need to store Cardene IV at home, talk with your doctor, nurse, or pharmacist about how to store it. Consumer Information Use and Disclaimer If your symptoms or health problems do not get better or if they become worse, call your doctor. Do not share your drugs with others and do not take anyone else's drugs. Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor. Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins. Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets. Check with your pharmacist about how to throw out unused drugs. Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about this medicine, please talk with your doctor, nurse, pharmacist, or other health care provider. If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened. This information should not be used to decide whether or not to take Cardene IV or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to Cardene IV (nicardipine injection). This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using this medicine. Review Date: December 6, 2017 Next Side Effects Print this page Add to My Med List More about Cardene IV (nicardipine) Side Effects During Pregnancy or Breastfeeding Dosage Information Drug Interactions Support Group Pricing & Coupons 0 Reviews Add your own review/rating Drug class: calcium channel blocking agents Consumer resources Cardene IV (Advanced Reading) Professional resources Cardene Injection (FDA) Nicardipine (AHFS Monograph) Other Formulations Cardene Cardene SR Related treatment guides Angina Pectoris Prophylaxis Heart Failure High Blood Pressure Drug Status Rx Availability Prescription only C Pregnancy Category Risk cannot be ruled out N/A CSA Schedule Not a controlled drug Cardene IV Rating No Reviews - Be the first! No Reviews - Be the first! Not Rated - Be the first! Manufacturers Baxter International Inc. Chiesi USA, Inc. Drug Class Calcium channel blocking agents Related Drugs High Blood Pressure amlodipine , lisinopril , hydrochlorothiazide , furosemide , losartan , metoprolol , atenolol , More... Heart Failure amlodipine , lisinopril , furosemide , carvedilol , metoprolol , diltiazem , Lasix , spironolactone , More... Angina Pectoris Prophylaxis aspirin , metoprolol , atenolol , diltiazem , nitroglycerin , Nitrostat , nifedipine , More... Related: High Blood Pressure (Hypertension) work from home


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giving freely Alocril (Ophthalmic) Generic Name: nedocromil (Ophthalmic route) ne-DOK-ROE-mil Overview Side Effects Dosage Professional Pregnancy More Breastfeeding Warnings User Reviews Support Group Q & A Pricing & Coupons Commonly used brand name(s) In the U.S. Alocril Available Dosage Forms: Solution Therapeutic Class: Ophthalmologic Agent Pharmacologic Class: Mast Cell Stabilizer Slideshow Red, Irritated, Watering Eyes? Chances Are You ve Got Pink Eye Uses For Alocril Nedocromilis used to treat the itching in your eyes that happens with allergies. Nedocromil works by acting on certain inflammatory cells to prevent them from releasing substances that cause allergic symptom. This medicine is available only with your doctor's prescription. Before Using Alocril 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 Nedocromil has been tested in children 3 years of age and older. In effective doses, it is not expected to cause different side effects or problems in children than it does in adults. Geriatric No differences in safety or effectiveness have been observed between elderly and younger patients. Pregnancy Pregnancy Category Explanation All Trimesters B Animal studies have revealed no evidence of harm to the fetus, however, there are no adequate studies in pregnant women OR animal studies have shown an adverse effect, but adequate studies in pregnant women have failed to demonstrate a risk to the fetus. 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. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine. Interactions with Food/Tobacco/Alcohol Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco. Proper Use of Alocril 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. Nedocromil is used to help treat the itching that occurs with allergic conjunctivitis. To use the ophthalmic solution (eye drops)form of this medicine: First, wash your hands. Tilt the head back and, pressing your finger gently on the skin just beneath the lower eyelid, pull the lower eyelid away from the eye to make a space. Drop the medicine into this space. Let go of the eyelid and gently close the eyes. Blink a few times to make sure the eye is covered with the medicine. To keep the medicine as germ-free as possible, do not touch the applicator tip to any surface (including the eye). Also, keep the container tightly closed. 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 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 Alocril You should avoid wearing your contact lenses while your eyes are itching from your allergies. Alocril Side Effects Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: More common Blurred vision change in color vision cough difficulty breathing noisy breathing shortness of breath, tightness in chest, or wheezing difficulty seeing at night dry or itching eyes headache increased sensitivity of eyes to sunlight redness, pain, or swelling of eye, eyelid, or inner lining of the eye runny or stuffy nose sneezing stinging, irritation or burning of your eyes unpleasant taste unusual watering of eyes or discharge 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. Side Effects (complete list) The information contained in the Truven Health 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 Truven Health 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. Truven Health 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, TRUVEN HEALTH 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. Truven Health does not assume any responsibility or risk for your use of the Truven Health products. Copyright 2017 Truven Health Analytics, Inc. All Rights Reserved. Next Side Effects Print this page Add to My Med List More about Alocril (nedocromil ophthalmic) Side Effects During Pregnancy or Breastfeeding Dosage Information Support Group Pricing & Coupons En Español 1 Review Add your own review/rating Generic Availability Drug class: ophthalmic antihistamines and decongestants Consumer resources Alocril Professional resources Alocril eent (AHFS Monograph) Alocril (FDA) Related treatment guides Conjunctivitis, Allergic Drug Status Rx Availability Prescription only B Pregnancy Category No proven risk in humans N/A CSA Schedule Not a controlled drug Approval History Drug history at FDA Manufacturer Allergan plc Drug Class Ophthalmic antihistamines and decongestants Related Drugs Conjunctivitis, Allergic prednisone , prednisolone ophthalmic , azelastine ophthalmic , Deltasone , Zaditor , cromolyn ophthalmic , doxylamine , Optivar , Alaway , ketotifen ophthalmic , Bepreve , Lastacaft , Sterapred , triprolidine , bepotastine ophthalmic , carbinoxamine , alcaftadine ophthalmic , Equate Sleep Aid , Carboxine , Elestat , epinastine ophthalmic , Prednicot , Palgic , More... Alocril Rating 1 User Review 10 /10 1 User Review 10 Rate it! Help and Support Looking for answers? Ask a question or go join the Alocril support group to connect with others who have similar interests. newcomers


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that inaccurate Rhinall (Nasal) Generic Name: phenylephrine (Nasal route) fen-il-EF-rin Overview Side Effects Dosage Interactions Breastfeeding More User Reviews Support Group Q & A Commonly used brand name(s) In the U.S. Neo-Synephrine Nostril Pretz-D Rhinall Tur-Bi-Cal Vicks Sinex Available Dosage Forms: Solution Gel/Jelly Spray Therapeutic Class: Decongestant Pharmacologic Class: Sympathomimetic Chemical Class: Alkylarylamine Slideshow Seasonal Allergies: Top Prevention Tips Uses For Rhinall Phenylephrine is used for the temporary relief of congestion or stuffiness in the nose caused by hay fever or other allergies, colds, or sinus trouble. It may also be used in ear infections to relieve congestion. This medicine may also be used for other conditions as determined by your doctor. This medicine is available without a prescription. Do not give any over-the-counter (OTC) cough and cold medicine to a baby or child under 4 years of age. Using these medicines in very young children might cause serious or possibly life-threatening side effects . Before Using Rhinall 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 Children may be especially sensitive to the effects of nasal phenylephrine. This may increase the chance of side effects during treatment. Do not give any over-the-counter (OTC) cough and cold medicine to a baby or child under 4 years of age. Using these medicines in very young children might cause serious or possibly life-threatening side effects . Geriatric Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults or if they cause different side effects or problems in older people. There is no specific information comparing use of nasal phenylephrine in the elderly with use in other age groups. 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 not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take. Linezolid Rasagiline Selegiline 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. Amitriptyline Amoxapine Clomipramine Desipramine Dothiepin Doxepin Fentanyl Citrate Imipramine Iobenguane I 123 Lofepramine Midodrine Nortriptyline Opipramol Protriptyline Trimipramine 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. 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: Type 2 diabetes mellitus or Heart or blood vessel disease or High blood pressure or Overactive thyroid Nasal phenylephrine may make the condition worse Proper Use of phenylephrine This section provides information on the proper use of a number of products that contain phenylephrine. It may not be specific to Rhinall. Please read with care. To use the nose drops: Blow your nose gently. Tilt the head back while standing or sitting up, or lie down on a bed and hang head over the side. Place the drops into each nostril and keep the head tilted back for a few minutes to allow the medicine to spread throughout the nose. Rinse the dropper with hot water and dry with a clean tissue. Replace the cap right after use. To avoid spreading the infection, do not use the container for more than one person. To use the nose spray: Blow your nose gently. With the head upright, spray the medicine into each nostril. Sniff briskly while squeezing the bottle quickly and firmly. For best results, spray once or twice into each nostril and wait 3 to 5 minutes to allow the medicine to work. Then, blow your nose gently and thoroughly. Repeat until the complete dose is used. Rinse the tip of the spray bottle with hot water, taking care not to suck water into the bottle, and dry with a clean tissue. Replace the cap right after use. To avoid spreading the infection, do not use the container for more than one person. To use the nose jelly: Blow your nose gently. Wash your hands before applying the medicine. With your finger, place a small amount of jelly (about the size of a pea) up each nostril. Sniff it well back into the nose. Wipe the tip of the tube with a clean, damp tissue and replace the cap right after use. Use this medicine only as directed. Do not use more of it, do not use it more often, and do not use it for longer than 3 days without first checking with your doctor. To do so may make your runny or stuffy nose worse and may also increase the chance of side effects. 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 stuffy nose: For nose jelly dosage form: Adults Use a small amount in the nose every three or four hours as needed. Children Use is not recommended. For nose drops dosage form: Adults and children 12 years of age and older Use two or three drops of a 0.25 to 0.5% solution in the nose every four hours as needed. Children 6 to 12 years of age Use two or three drops of a 0.25% solution in the nose every four hours as needed. Children 4 to 6 years of age Use two or three drops of a 0.125 or 0.16% solution in the nose every four hours as needed. Children and infants up to 4 years of age Use is not recommended . For nose spray dosage form: Adults and children 12 years of age and older Use two or three sprays of a 0.25 to 0.5% solution in the nose every four hours as needed. Children 6 to 12 years of age Use two or three sprays of a 0.25% solution in the nose every four hours as needed. Children 4 to 6 years of age Use and dose must be determined by your doctor. Children and infants up to 4 years of age Use is not recommended . 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. Rhinall Side Effects Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor as soon as possible if any of the following side effects occur: Symptoms of too much medicine being absorbed into the body Note: The above side effects are more likely to occur in children because there is a greater chance that too much of this medicine may be absorbed into the body. Fast, irregular, or pounding heartbeat headache or dizziness increased sweating nervousness paleness trembling trouble in sleeping Increase in runny or stuffy nose 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: Burning, dryness, or stinging of inside of nose 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. Side Effects (complete list) The information contained in the Truven Health 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 Truven Health 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. Truven Health 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, TRUVEN HEALTH 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. Truven Health does not assume any responsibility or risk for your use of the Truven Health products. Copyright 2017 Truven Health Analytics, Inc. All Rights Reserved. Next Side Effects Print this page Add to My Med List More about Rhinall (phenylephrine nasal) Side Effects Breastfeeding Dosage Information Drug Interactions Support Group 0 Reviews Add your own review/rating Drug class: nasal antihistamines and decongestants Consumer resources Rhinall Other brands: Nasal Four , Neo-Synephrine Nasal , 4 Way Fast Acting Nasal Spray , 4-Way Menthol , ... +3 more Related treatment guides Nasal Congestion} Drug Status OTC Availability Over the counter C Pregnancy Category Risk cannot be ruled out N/A CSA Schedule Not a controlled drug WADA Class Anti-Doping Classification Drug Class Nasal antihistamines and decongestants Related Drugs Nasal Congestion sodium chloride nasal , epinephrine topical , pseudoephedrine , phenylephrine , Afrin , doxylamine , Sudafed Congestion , Claritin-D , loratadine / pseudoephedrine , Loratadine-D 24 Hour , Saline Nasal Mist , oxymetazoline nasal , Nostrilla , Neo-Synephrine , Sudafed 12-Hour , SudoGest , Loratadine-D 12 Hour , Ayr Saline Nasal , naphazoline nasal , tetrahydrozoline nasal , Ocean , More... Rhinall Rating No Reviews - Be the first! No Reviews - Be the first! Not Rated - Be the first! Help and Support Looking for answers? Ask a question or go join the Rhinall support group to connect with others who have similar interests.} } for toilet


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our kids Zinc Posted under Health Guides . Updated 4 October 2016. +Related Content Foods with Zinc mineral on a wooden table. Top view What is zinc? Zinc is a mineral that is important for your immune system. Zinc is also needed for wound healing and normal growth developement. How much zinc do I need? Because your body cannot make zinc, you must get it through your diet. The amount of zinc you need daily, or the recommended dietary allowance (RDA), depends on your age and gender. Males age 9 to 13 years old need 8 milligrams of zinc each day. Males age 14 to 18 years old need 11 milligrams each day. What are some good sources of zinc? There are many different foods that have zinc. Oysters contain the most zinc, but red meat and poultry are the most commonly eaten sources of zinc. Zinc is also found in: Dairy products Fortified breakfast cereals Legumes Meat, poultry, and shellfish Soy foods Whole grains The tables below list some foods that are rich in zinc. Dairy Foods Serving Milligrams of zinc per serving Cheddar Cheese 1 ounce 1.0 1% Milk 1 cup 1.0 Ricotta Cheese, part skim cup 1.7 Yogurt, plain, lowfat 1 cup 2.2 Grains and Cereals Serving Milligrams of zinc per serving Brown rice, cooked, long grain cup 0.7 Cheerios cereal 1 cup 4.7 Life cereal 3/4 cup 4.4 Wheat germ 1 tbsp 0.8 Legumes Serving Milligrams of zinc per serving Chickpeas cup 2.8 Lentils cup 1.3 Lima beans cup 0.8 Meat, Poultry, Shellfish, and Eggs Serving Milligrams of zinc per serving Chicken breast 3 ounces 0.8 Egg, large 1 egg 0.5 Hamburger, 95% lean 3 ounces 5.5 Shrimp 6 large 1.6 Sirloin steak 3 ounces 4.5 Turkey 3 ounces 1.8 Oysters 3 oysters 16.5 Soy Foods Serving Milligrams of zinc per serving Soybeans cup 0.8 Tempeh cup 1.3 Tofu, firm cup 1.1 Tags: nutrition , vitamins and minerals if you'd like


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