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first rate Emtricitabine leading
 
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weighing machine [4%:<3 months: Solution: 3 mg/kg/dose once daily Infants 3 months, Children, and Adolescents 17 years: Capsule: Children >33 kg and able to swallow capsule whole: 200 mg once daily Solution: 6 mg/kg once daily; maximum: 240 mg/day Adolescents 18 years: Refer to adult dosing. HIV-1 nonoccupational postexposure prophylaxis (nPEP) (off-label use) (HHS [nPEP] 2016): Oral: Note: Initiate therapy within 72 hours of exposure and continue for 28 days in combination with other antiretroviral agents. Infants 1 to> <3 months: Solution: 3 mg/kg/dose once daily Infants 3 months and Children: Capsules: Patient weight >33 kg and able to swallow capsule whole: 200 mg once daily Solution: 6 mg/kg/dose once daily; maximum daily dose: 240 mg/ day Adolescents: Refer to adult dosing. Dosing: Renal Impairment Adolescents 18 years and Adults: CrCl 50 mL/minute: No dosage adjustment necessary. CrCl 30 to 49 mL/minute: Capsule: 200 mg every 48 hours; solution: 120 mg every 24 hours CrCl 15 to 29 mL/minute: Capsule: 200 mg every 72 hours; solution: 80 mg every 24 hours CrCl> <15 mL/minute: Capsule: 200 mg every 96 hours; solution: 60 mg every 24 hours Hemodialysis: Capsule: 200 mg every 96 hours; solution: 60 mg every 24 hours; administer after hemodialysis on dialysis days (~30% removed during a 3-hour dialysis) Infants, Children, and Adolescents> <18 years: There are no specific dosage adjustments provided in the manufacturer's labeling; however, may consider a reduction in the dose and/or an increase in the dosing interval similar to dosage adjustments for adults. Dosing: Hepatic Impairment There are no dosage adjustments provided in the manufacturer s labeling; however, not hepatically metabolized, so impact of hepatic impairment would be minimal. Administration Administer with or without food. Storage Capsules: Store at 25 C (77 F); excursions permitted to 15 C to 30 C (59 F to 86 F). Oral solution: Store at 2 C to 8 C (36 F to 46 F). Use within 3 months if stored at 25 C (77 F) with excursions permitted to 15 C to 30 C (59 F to 86 F). Drug Interactions LamiVUDine: May enhance the adverse/toxic effect of Emtricitabine. Avoid combination Orlistat: May decrease the serum concentration of Antiretroviral Agents. Monitor therapy Adverse Reactions Clinical trials were conducted in patients receiving other antiretroviral agents, and it is not possible to correlate frequency of adverse events with emtricitabine alone. The range of frequencies of adverse events is generally comparable to comparator groups, with the exception of hyperpigmentation, which occurred more frequently in patients receiving emtricitabine. Unless otherwise noted, percentages are as reported in adults. >10%: Central nervous system: Dizziness (4% to 25%), headache (6% to 22%), insomnia (5% to 16%), abnormal dreams (2% to 11%) Dermatologic: Hyperpigmentation (children: 32%; adults: 2% to 4%; primarily of palms and/or soles but may include tongue, arms, lip and nails; generally mild and nonprogressive without associated local reactions such as pruritus or rash), skin rash (17% to 30%; includes hypersensitivity reaction, maculopapular rash, pruritus, pustular rash, vesiculobullous rash) Gastrointestinal: Diarrhea (children: 20%; adults: 9% to 23%), vomiting (children: 23%; adults: 9%), nausea (13% to 18%), abdominal pain (8% to 14%), gastroenteritis (children: 11%) Infection: Infection (children: 44%) Neuromuscular & skeletal: Weakness (12% to 16%), increased creatine phosphokinase (grades 3/4: 11% to 12%) Otic: Otitis media (children: 23%) Respiratory: Cough (children: 28%; adults; 14%), rhinitis (children: 20%; adults: 12% to 18%), pneumonia (children: 15%) Miscellaneous: Fever (children: 18%) 1% to 10%: Central nervous system: Depression (6% to 9%), paresthesia (5% to 6%), neuritis ( 4%), neuropathy ( 4%) Endocrine & metabolic: Increased serum triglycerides (grades 3/4: 4% to 10%), increased amylase (grades 3/4: children: 9%; adults: 2% to 5%), hyperglycemia (grades 3/4: 2% to 3%) Gastrointestinal: Dyspepsia (4% to 8%), increased serum lipase (grades 3/4: 1%) Genitourinary: Hematuria (grades 3/4: 3%) Hematologic & oncologic: Anemia (children: 7%), neutropenia (grades 3/4: children: 2%; adults: 5%) Hepatic: Increased serum transaminases (grades 3/4: 2% to 6%), increased serum alkaline phosphatase (>550 units/L: 1%), increased serum bilirubin (grades 3/4: 1%) Neuromuscular & skeletal: Myalgia (4% to 6%), arthralgia (3% to 5%) Respiratory: Sinusitis (8%), upper respiratory tract infection (8%), pharyngitis (5%)> <1% (Limited to important or life-threatening): Immune reconstitution syndrome ALERT: U.S. Boxed Warning Posttreatment exacerbation of hepatitis B: Emtricitabine is not approved for the treatment of chronic hepatitis B virus (HBV) infection, and the safety and efficacy of emtricitabine have not been established in patients coinfected with HBV and HIV-1. Severe acute exacerbations of hepatitis B have been reported in patients who have discontinued emtricitabine. Closely monitor hepatic function with clinical and laboratory follow-up for at least several months in patients who are coinfected with HIV-1 and HBV and discontinue emtricitabine. If appropriate, initiation of anti-HBV therapy may be warranted. Warnings/Precautions Concerns related to adverse effects: Immune reconstitution syndrome: Patients may develop immune reconstitution syndrome resulting in the occurrence of an inflammatory response to an indolent or residual opportunistic infection during initial HIV treatment or activation of autoimmune disorders (eg, Graves disease, polymyositis, Guillain-Barré syndrome) later in therapy; further evaluation and treatment may be required. Lactic acidosis/hepatomegaly: Lactic acidosis and severe hepatomegaly with steatosis, sometimes fatal, have been reported with use of nucleoside analogs, alone or in combination with other antiretrovirals. Suspend treatment in any patient who develops clinical or laboratory findings suggestive of lactic acidosis or pronounced hepatotoxicity (marked transaminase elevation may/may not accompany hepatomegaly and steatosis). Disease-related concerns: Chronic hepatitis B: [US Boxed Warning]: Safety and efficacy during coinfection of HIV-1 and HBV have not been established; acute, severe exacerbations of HBV have been reported following discontinuation of antiretroviral therapy. Not indicated for treatment of chronic hepatitis B. Closely monitor hepatic function with clinical and laboratory follow-up for at least several months in patients who are coinfected with HIV-1 and HBV and discontinue this therapy. If appropriate, anti-hepatitis B therapy may be warranted. All patients with HIV should be tested for HBV prior to initiation of treatment. Renal impairment: Use with caution in patients with renal impairment; dosage adjustment required. 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. Duplicate therapy: Concomitant use of other emtricitabine-containing products should be avoided. Dosage form specific issues : Propylene glycol: Some dosage forms may contain propylene glycol; large amounts are potentially toxic and have been associated with hyperosmolality, lactic acidosis, seizures, and respiratory depression; use caution (AAP 1997; Zar 2007). Monitoring Parameters Viral load, CD4, liver function tests; serum creatinine; hepatitis B testing is recommended prior to initiation of therapy. Pregnancy Risk Factor B Pregnancy Considerations Adverse events were not observed in animal reproduction studies. Emtricitabine has a high level of transfer across the human placenta; no increased risk of overall birth defects has been observed according to data collected by the antiretroviral pregnancy registry. Maternal antiretroviral therapy may increase the risk of preterm delivery, although available information is conflicting possibly due to variability of maternal factors (disease severity; initiation of therapy); however, maternal antiretroviral medication should not be withheld due to concerns of preterm birth. Information related to stillbirth, low birth weight, and small for gestational age infants is limited. Long-term follow-up is recommended for all infants exposed to antiretroviral medications; children who develop significant organ system abnormalities of unknown etiology (particularly of the CNS or heart) should be evaluated for potential mitochondrial dysfunction. Cases of lactic acidosis and hepatic steatosis related to mitochondrial toxicity have been reported with use of nucleoside reverse transcriptase inhibitors (NRTIs). These adverse events are similar to other rare but life-threatening syndromes which occur during pregnancy (eg, HELLP syndrome). In general nucleoside reverse transcriptase inhibitors are well tolerated and the benefits of use generally outweigh potential risk. Combination antiretroviral therapy (cART) therapy is recommended for all HIV-infected pregnant women to keep the viral load below the limit of detection and reduce the risk of perinatal transmission. When HIV is diagnosed during pregnancy in a woman who has never received antiretroviral therapy, cART should begin as soon as possible after diagnosis. The Health and Human Services (HHS) Perinatal HIV Guidelines consider emtricitabine with tenofovir disoproxil fumarate to be a preferred NRTI backbone for initial therapy in antiretroviral-naive pregnant women. The guidelines also consider emtricitabine plus tenofovir disoproxil fumarate a recommended dual NRTI backbone in regimens for HIV/HBV-coinfected pregnant women. Use caution with hepatitis B coinfection; hepatitis B flare may occur if emtricitabine is discontinued. The pharmacokinetics of emtricitabine are not significantly altered during pregnancy. In general, women who become pregnant on a stable cART regimen may continue that regimen if viral suppression is effective, appropriate drug exposure can be achieved, contraindications for use in pregnancy are not present, and the regimen is well tolerated. Monitoring during pregnancy is more frequent than in non-pregnant adults; cART should be continued postpartum. For HIV-infected couples planning a pregnancy, maximum viral suppression with cART is recommended prior to conception for the HIV-infected partner(s) and expert consultation is recommended; modification of therapy (if needed) and optimization of the woman s health should be done prior to conception. HIV-infected women not planning a pregnancy may use any available type of contraception, considering possible drug interactions and contraindications of the specific method. In addition, consistent use of condoms is also recommended (even during pregnancy) to prevent transmission of HIV or other sexually transmitted diseases. Health care providers are encouraged to enroll pregnant women exposed to antiretroviral medications as early in pregnancy as possible in the Antiretroviral Pregnancy Registry (1-800-258-4263 or www.APRegistry.com ). Health care providers caring for HIV-infected women and their infants may contact the National Perinatal HIV Hotline (888-448-8765) for clinical consultation (HHS [perinatal] 2016). 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 dizziness, nightmares, loss of strength and energy, headache, insomnia, abdominal pain, nausea, vomiting, diarrhea, or rhinorrhea. Have patient report immediately to prescriber signs of lactic acidosis (fast breathing, tachycardia, abnormal heartbeat, vomiting, fatigue, shortness of breath, severe loss of strength and energy, severe dizziness, feeling cold, or muscle pain or cramps), signs of liver problems (dark urine, fatigue, lack of appetite, nausea, abdominal pain, light-colored stools, vomiting, or jaundice), depression, skin discoloration, or signs of infection (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 emtricitabine Side Effects During Pregnancy or Breastfeeding Dosage Information Drug Interactions Support Group En Español 0 Reviews Add your own review/rating Drug class: nucleoside reverse transcriptase inhibitors (NRTIs) Consumer resources Emtricitabine ... +3 more Professional resources Emtricitabine (AHFS Monograph) Other brands: Emtriva Related treatment guides HIV Infection Nonoccupational Exposure Occupational Exposure> ]} 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 Emtricitabine Rating No Reviews - Be the first! No Reviews - Be the first! Not Rated - Be the first! Drug Class Nucleoside reverse transcriptase inhibitors (NRTIs) Related Drugs nucleoside reverse transcriptase inhibitors (NRTIs) Viread , lamivudine , abacavir , entecavir , tenofovir , Baraclude HIV Infection Truvada , Atripla , Norvir , Viread , Isentress , Prezista , Stribild , lamivudine , More... Occupational Exposure Truvada , Atripla , Viread , Isentress , lamivudine , abacavir , tenofovir , Epzicom , More... Nonoccupational Exposure Truvada , Atripla , Viread , lamivudine , abacavir , tenofovir , Reyataz , Epzicom , More...} } is essential


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a great way 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. is normally


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own family All Day Allergy-D Side Effects Generic Name: cetirizine / pseudoephedrine Overview Side Effects Dosage Professional Interactions More Pregnancy Warnings User Reviews Support Group Q & A Pricing & Coupons Note: This document contains side effect information about cetirizine / pseudoephedrine. Some of the dosage forms listed on this page may not apply to the brand name All Day Allergy-D. For the Consumer Applies to cetirizine / pseudoephedrine: oral tablet extended release Along with its needed effects, cetirizine / pseudoephedrine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Get emergency help immediately if any of the following symptoms of overdose occur while taking cetirizine / pseudoephedrine: Symptoms of Overdose Changes in mood, irrational behavior, depersonalization hallucinations convulsions (seizures) extreme sleepiness or unusual drowsiness fast, slow, pounding, or irregular heartbeat or pulse feeling anxious giddiness headache irritability muscle weakness or tenderness nausea restlessness shallow, irregular, fast, or slow breathing sleeplessness or trouble in sleeping abdominal and/or chest pain thirst Check with your doctor as soon as possible if any of the following side effects occur while taking cetirizine / pseudoephedrine: Rare Breathing, troubled back, leg, or stomach pain blurred vision bloody, cloudy, or dark urine, sudden decrease in amount of urine black, tarry stools, diarrhea, light-colored stools confusion dizziness, feeling faint, or lightheaded fever or chills increased blood pressure rapid weight gain skin rash or hives swelling of face, mouth, throat, fingers, glands, feet, and/or lower legs stillbirth twitching, twisting, or uncontrolled repetitive movements of the face sudden sweating vomiting blood, bleeding gums, nosebleeds, unusual bleeding or bruising pale or yellow eyes or skin unusual tiredness or weakness Some side effects of cetirizine / pseudoephedrine 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 Sleepiness or unusual drowsiness, extreme tiredness Less common Dry mouth weakness Rare Dizziness sore throat For Healthcare Professionals Applies to cetirizine / pseudoephedrine: oral tablet extended release Dermatologic Dermatologic side effects have included maculopapular and urticarial eruptions. [ Ref ] Gastrointestinal Gastrointestinal side effects of cetirizine have included dry mouth (5.7%) and nausea or vomiting (2.2%). Pharyngitis, dyspepsia, and increased appetite have occasionally been reported. Gastrointestinal adverse effects of pseudoephedrine have included anorexia and gastric irritation (5%). Dry mouth, nose, or throat have occurred in up to 15% of patients. [ Ref ] Hepatic Hepatic side effects have included rare liver function test abnormalities which resolved spontaneously following discontinuation of cetirizine therapy. [ Ref ] Nervous system Cetirizine appears to be more sedating than terfenadine, astemizole, and loratadine. [ Ref ] Nervous system side effects of cetirizine administration have included headache (16%), fatigue (5.6%), and somnolence (5% to 20%). Somnolence tends to be dose-related and generally occurs more frequently with doses higher than 10 mg per day. Other nervous system side effects include dizziness (1.8%), insomnia (1.5%), and nervousness (1.1%). Post marketing reports have included aggression reaction and convulsions. Nervous system side effects of pseudoephedrine have included insomnia in up to 30% of patients. Tremor, anxiety, nervousness, and headache have also been reported. [ Ref ] Respiratory Respiratory side effects have included wheezing, coughing, bronchitis, sinusitis, and asthma. [ Ref ] Hypersensitivity Hypersensitivity reactions have included fixed drug eruptions with pseudoephedrine use. [ Ref ] Cardiovascular Cardiovascular side effects have included tachycardia. Some patients have developed hypertension and/or arrhythmias. [ Ref ] General General side effects have included epistaxis (1.1%) and accidental injury (1.1%). [ Ref ] References 1. "Product Information. Zyrtec (cetirizine)." Pfizer US Pharmaceuticals, New York, NY. Some side effects of All Day Allergy-D may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA . Next Dosage Print this page More about All Day Allergy-D (cetirizine / pseudoephedrine) Side Effects During Pregnancy Dosage Information Drug Interactions Support Group Pricing & Coupons En Español 0 Reviews Add your own review/rating Drug class: upper respiratory combinations Consumer resources All Day Allergy-D Other brands: Zyrtec-D Professional resources Good Neighbor All Day Allergy D (FDA) Sunmark All Day Allergy-D (FDA) Topcare All Day Allergy D (FDA) Other Formulations All Day Allergy All Day Allergy Children's Related treatment guides Allergic Rhinitis Disclaimer: Every effort has been made to ensure that the information provided is accurate, up-to-date and complete, but no guarantee is made to that effect. In addition, the drug information contained herein may be time sensitive and should not be utilized as a reference resource beyond the date hereof. This material does not endorse drugs, diagnose patients, or recommend therapy. This information is a reference resource designed as supplement to, and not a substitute for, the expertise, skill , knowledge, and judgement of healthcare practitioners in patient care. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate safety, effectiveness, or appropriateness for any given patient. Drugs.com does not assume any responsibility for any aspect of healthcare administered with the aid of materials provided. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the substances you are taking, check with your doctor, nurse, or pharmacist. 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 Drug Class Upper respiratory combinations Related Drugs Allergic Rhinitis prednisone , Zyrtec , promethazine , fluticasone nasal , loratadine , cetirizine , Flonase , triamcinolone , montelukast , Claritin , Singulair , diphenhydramine , Benadryl , fexofenadine , budesonide nasal , Medrol , dexamethasone , Nasonex , methylprednisolone , azelastine nasal , mometasone nasal , levocetirizine , Allegra , More... All Day Allergy-D Rating No Reviews - Be the first! No Reviews - Be the first! Not Rated - Be the first! despite the fact that


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concept Cuvitru Generic Name: immune globulin (Intramuscular route, Intravenous route, Subcutaneous route) i-MUNE GLOB-ue-lin Intravenous route(Powder for Solution;Solution) Thrombosis may occur with or without known risk factors, including advanced age, prolonged immobilization, hypercoagulable conditions, history of venous or arterial thrombosis, estrogen use, indwelling central vascular catheters, hyperviscosity, and cardiovascular risk factors . For patients at risk of thrombosis, administer immune globulin at the minimum dose and infusion rate practicable. Ensure adequate hydration in patients before administration; monitor for signs and symptoms of thrombosis and assess blood viscosity in patients at risk for hyperviscosity . Renal dysfunction, acute renal failure, osmotic nephrosis, and death may occur in predisposed patients who receive immune globulin IV (IGIV) products. Patients predisposed to renal dysfunction include those with any degree of pre-existing renal insufficiency, diabetes mellitus, age greater than 65, volume depletion, sepsis, paraproteinemia, or patients receiving known nephrotoxic drugs. Higher rates of renal failure were associated with IGIV products that contain sucrose . The following products do not contain sucrose: Gammaplex(R), Bivigam(R), Octagam(R) 10%, Gamunex(R)-C, Gammagard Liquid(R), Gammagard S/D, Gammaked(TM), Flebogamma(R) 5% DIF, Flebogamma(R) 10% DIF, Privigen(R), and Hizentra(R) . Overview Side Effects Dosage Interactions Pregnancy More User Reviews Support Group Q & A Commonly used brand name(s) In the U.S. Baygam Bivigam Carimune Cuvitru Flebogamma 10% DIF Flebogamma 5% Flebogamma 5% DIF Gamastan S/D Gamimune N Gammagard Gammagard S/D Gammaplex Gammaplex 10% Gammar-P Gamunex Hizentra Iveegam EN Octagam Octagam 10% Panglobulin NF Polygam S/D Privigen Sandoglobulin Venoglobulin-S Vivaglobin Available Dosage Forms: Solution Powder for Solution Therapeutic Class: Immune Serum Slideshow 2016 New Drug Approvals: The Year That Was Uses For Cuvitru Immune globulin injection is used to prevent or treat diseases that occur when your body has a weak immune system. Immune globulin contains antibodies that make your immune system stronger. It is used for patients who have primary humoral immunodeficiency (PI), idiopathic thrombocytopenic purpura (ITP), chronic immune thrombocytopenic purpura, or chronic inflammatory demyelinating polyneuropathy (CIDP). It is also used to improve muscle strength and disability in patients with multifocal motor neuropathy (MMN). Immune globulin injection belongs to a group of medicines known as immunizing agents. This medicine is to be given only by or under the supervision of your doctor. Before Using Cuvitru In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered: Allergies Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully. Pediatric Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of immune globulin injection in children. Some of the products are only used in children who are 2 or 3 years of age and older, and other products are not approved for use in children. Immune globulin injection is used to treat primary humoral immunodeficiency (PI), idiopathic thrombocytopenic purpura (ITP), and chronic immune thrombocytopenic purpura in children. Safety and efficacy have not been established for use in chronic inflammatory demyelinating polyneuropathy (CIDP) or multifocal motor neuropathy (MMN). Geriatric Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of immune globulin injection in the elderly. However, elderly patients are more likely to have age-related blood clotting problems, kidney disease, or heart disease, which may require caution for patients receiving immune globulin injection. 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 Studies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding. Interactions with Medicines Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine. Interactions with Food/Tobacco/Alcohol Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. 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: Allergy to corn Use with caution. May cause an allergic reaction to occur again. Anemia, history of or Bleeding problems, history of or Hyponatremia (low sodium in the blood) or Kidney problems Use with caution. May make these conditions worse. Atherosclerosis (hardening of the arteries), history of or Blood clotting problems, history of or Diabetes or Heart attack or stroke, recent or Heart or blood vessel disease or Hyperproteinemia (high protein in the blood) or Hyperviscosity (thick blood), known or suspected or Hypovolemia (low blood volume or major loss of body fluids) or IgA (immunoglobulin A) deficiency with antibodies against IgA or Paraproteinemia (paraproteins in the blood) or Sepsis (serious infection in the body) Use with caution. May cause side effects to become worse. Hereditary intolerance to fructose or sucrose or IgA (immunoglobulin A) deficiency with antibodies against IgA Gammaplex should not be used in patients with these conditions. Hyperprolinemia (too much proline in the blood) or IgA (immunoglobulin A) deficiency with antibodies against IgA Hizentra should not be used in patients with these conditions. IgA (immunoglobulin A) deficiency with antibodies against IgA Octagam should not be used in patients with this condition. Proper Use of immune globulin This section provides information on the proper use of a number of products that contain immune globulin. It may not be specific to Cuvitru. Please read with care. A doctor or other trained health professional will give you this medicine. This medicine is given through a needle placed in one of your veins, as a shot into one of your muscles, or as a shot under your skin. This medicine comes with a patient information insert. Read and follow the instructions carefully. Ask your doctor if you have any questions. While you are being treated with immune globulin injection, do not have any immunizations (vaccines) without your doctor's approval . Live virus vaccines should not be given for 3 months after receiving immune globulin. The Gammagard Liquid, Gammaked , Gamunex -C, and Hizentra products may be given at home to patients who do not need to be in the hospital or clinic. They are given as an infusion under your skin once every week. The Hizentra product may also be given once every 2 weeks. If you are using this medicine at home, your doctor will teach you how to prepare and infuse the medicine. You will be shown the body areas where the medicine can be given. Use a different body area for each infusion. Keep track of where you give an infusion to make sure you rotate sites. This will help prevent skin problems. Do not change the brand or type of your immune globulin unless your doctor tells you to. If you must change the brand of medicine, talk to your doctor before giving yourself an infusion. Make sure you understand the instructions on how to use the new brand. Allow the Gammagard Liquid, Gammaked , or Gamunex -C brand to reach room temperature before using it. To use Gammagard Liquid, Gammaked , Gamunex -C, or Hizentra : First, gather the items you will need on a clean, flat surface using a cloth or towel in a well-lighted area. Wash your hands with soap and water before and after using this medicine. If you have been told to wear gloves when preparing your infusion, put the gloves on. Check the liquid in the vial (glass container). It should be clear and slightly yellow to light brown in color. If it is cloudy, discolored, or contains large flecks (particles), do not use the vial. Select another vial. If the liquid is clear, place it on the clean, flat surface. Do not heat up or shake the medicine. Follow your doctor's instructions on how to prepare the correct amount of medicine. Choose an injection site on your body (eg, abdomen or stomach area, thigh, upper arm, upper leg, hip). Clean the injection site with a fresh alcohol wipe, and let it dry. With two fingers, pinch together the skin at the injection site. Insert the needle with the tube under the skin. Put sterile gauze and tape over the injection site to keep the needle from coming out. Before starting the infusion, make sure no blood is flowing into the infusion tube. If blood is present, remove and throw away the used needle and tube. Follow your doctor's instructions on how to use the infusion pump. Remove the peel-off portion of the label from the used vial. Place this label in your treatment diary or log book. Write down the amount of medicine you used, the date, and the time of your treatment. It usually takes about 60 minutes for each infusion. When all of the medicine has been infused, turn off the pump. Take the gauze off and remove the needle and tube from your skin. Clean and store the infusion pump. Throw away used needles and tubes in a hard, closed container that the needles cannot poke through. Keep this container away from children and pets. Missed Dose This medicine needs to be given on a fixed schedule. If you miss a dose or forget to use your medicine, call your doctor or pharmacist for instructions. 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. Store the Hizentra product at room temperature, away from heat and moisture, for up to 30 months. Keep from freezing. Protect the product from direct light. Keep the medicine in the original package until you are ready to use it. Store the Gamunex -C product in the original container and in the refrigerator, but do not freeze it. You may store the Gammagard Liquid or Gammaked product in the refrigerator or at room temperature. Check the box or label of the vials for expiration dates. Store it in the original container. Do not freeze. Talk with your pharmacist if you have questions about storage of this product. Precautions While Using Cuvitru It is very important that your doctor check your progress at regular visits for any problems that may be caused by this medicine. Blood and urine tests may be needed to check for unwanted effects. Patients with idiopathic thrombocytopenic purpura (ITP) should not be treated with Gammaked or Gamunex -C that is injected under the skin (subcutaneously). Doing so may increase the risk of having a hematoma (buildup of blood under the skin). This medicine may cause fever, chills, flushing, headaches, nausea, and vomiting, especially if you are receiving it for the first time or if you have not received it for more than 8 weeks. Check with your doctor or nurse right away if you have any of these symptoms. This medicine is made from donated human blood. Some human blood products have transmitted certain viruses to people who have received them, although the risk is low. Human donors and donated blood are both tested for viruses to keep the transmission risk low. Talk with your doctor about this risk if you are concerned. This medicine may cause a serious type of allergic reaction, including anaphylaxis, which can be life-threatening and requires immediate medical attention. Tell your doctor right away if you have a rash, itching, hives, chest pain, dizziness or lightheadedness, trouble breathing, trouble swallowing, or any swelling of your hands, face, or mouth after receiving this medicine. Certain people, including those with IgA (an immunoglobulin) deficiency and antibodies against IgA and a history of hypersensitivity to human immunoglobulin products should not use this medicine . Check with your doctor right away if you start to have a stiff neck, drowsiness, fever, severe headache, nausea or vomiting, painful eye movements, or eye sensitivity to light. These could be symptoms of a serious condition called aseptic meningitis syndrome (AMS). This medicine may cause bleeding (hemolysis) or hemolytic anemia. Tell your doctor right away if you have stomach or back pain, dark urine, decreased urination, difficulty with breathing, an increased heart rate, tiredness, or yellow eyes or skin after you receive the medicine. Check with your doctor right away if you start having chest pain, difficult, fast, or noisy breathing, sometimes with wheezing, blue lips and fingernails, fever, pale skin, increased sweating, coughing that sometimes produces a pink frothy sputum, shortness of breath, or swelling of the legs and ankles after receiving this medicine. These may be symptoms of a serious lung problem. This medicine may cause blood clots. This is more likely to occur if you have a history of blood clotting problems, heart disease, or atherosclerosis (hardening of the arteries), or if you are obese, take medicines containing estrogen, or must stay in bed for a long time because of surgery or illness. Check with your doctor right away if you suddenly have chest pain, shortness of breath, a severe headache, leg pain, or problems with vision, speech, or walking. Check with your doctor right away if you start having red or dark brown urine, lower back or side pain, a sudden weight gain, a swollen face, arms, or legs, decreased urine output, or any problems with urination after you receive this medicine. These may be symptoms of a serious kidney problem. Make sure any doctor or dentist who treats you knows that you are using this medicine. This medicine may affect the results of certain medical tests. Cuvitru 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 or nurse immediately if any of the following side effects occur: More common Chills cough fast, pounding, or irregular heartbeat or pulse fever noisy breathing tightness in the chest troubled breathing unusual tiredness or weakness Less common Bluish coloring of the lips or nail beds burning sensation in the head faintness or lightheadedness Rare Difficulty with swallowing hives or welts itching, especially of the feet or hands reddening of the skin, especially around the ears swelling of the eyes, face, or inside of the nose Incidence not known Back, leg, or stomach pains blistering, peeling, or loosening of the skin change in vision changes in urination chest pain or discomfort cold, clammy, or pale skin confusion convulsions dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position fever headache that is severe and occurs suddenly light-colored stools loss of consciousness low blood pressure or pulse muscle spasm or jerking of all extremities nausea or vomiting pains in the chest, groin, or legs, especially calves of the legs shakiness in the legs, arms, hands, or feet skin blisters slow breathing slurred speech that occurs suddenly sores, ulcers, or white spots in the mouth or on the lips sudden, severe weakness or numbness in the arm or leg sweating swelling in the legs and ankles tightness in the chest unusual bleeding or bruising yellow eyes or skin Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: More common Diarrhea dizziness headache joint pain muscle pain redness, swelling, itching, or pain at the injection site skin rash Less common Hip pain leg cramps Incidence not known Feeling of warmth redness of the face, neck, arms, and occasionally, upper chest stomach pain swollen glands tiredness weakness 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 immune globulin intravenous Side Effects During Pregnancy Dosage Information Drug Interactions Support Group En Español 7 Reviews Add your own review/rating Drug class: immune globulins Consumer resources Immune globulin (intravenous) IGIV Immune Globulin Injection (IV) Immune globulin Injection (Advanced Reading) Other brands: Gamunex , Privigen , Octagam , Carimune , ... +11 more Professional resources Related treatment guides Autoimmune Neutropenia Evan's Syndrome Myasthenia Gravis Anti NMDA Receptor Encephalitis ... +8 more} Drug Status Rx Availability Prescription only C Pregnancy Category Risk cannot be ruled out N/A CSA Schedule Not a controlled drug Drug Class Immune globulins Related Drugs Chronic Inflammatory Demyelinating Polyradiculoneuropathy azathioprine , Imuran , Betaseron , Gammagard , Gamunex , Privigen , More... Chronic Lymphocytic Leukemia Rituxan , rituximab , cyclophosphamide , Imbruvica , Cytoxan , ibrutinib , More... Primary Immunodeficiency Syndrome Gammagard , Hizentra , Gamunex , Privigen , Octagam , Gamunex-C , More... Autoimmune Neutropenia Octagam , Carimune , Flebogamma , Gammaplex , immune globulin intravenous , Sandoglobulin , More... 4 more conditions... Immune globulin intravenous Rating 7 User Reviews 8.3 /10 7 User Reviews 8.3 Rate it! Related Questions & Answers Immune Globulin Intravenous - W hat is the cost of one 200ml of this drug? Carimune NF - Can this be given by injection into the butt muscle? Read more questions} } incidentally


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Photo :Asendin (Oral)
political views Asendin (Oral) Generic Name: amoxapine (Oral route) a-MOX-a-peen Overview Side Effects Dosage Interactions Pregnancy More Breastfeeding Warnings User Reviews Drug Images Support Group Q & A Oral route(Tablet) Antidepressants increased the risk of suicidal thinking and behavior in children, adolescents, and young adults in short-term studies with major depressive disorder (MDD) and other psychiatric disorders. Short term studies did not show an increase in the risk of suicidality with antidepressants compared to placebo in adults beyond age 24, and there was a reduction in risk with antidepressants compared to placebo in adults aged 65 and older. This risk must be balanced with the clinical need. Monitor all patients closely for clinical worsening, suicidality, or unusual changes in behavior. Families and caregivers should be advised of the need for close observation and communication with the prescriber. Not approved for use in pediatric patients . Commonly used brand name(s) In the U.S. Asendin Available Dosage Forms: Tablet Therapeutic Class: Antidepressant Pharmacologic Class: Antidepressant, Tricyclic Chemical Class: Dibenzoxazepine Slideshow Insomnia and Sleep Deprivation: The Case For A Good Night's Sleep Uses For Asendin Amoxapine is used to treat the symptoms of depression. It works on the central nervous system (CNS) to increase levels of certain chemicals in the brain. This medicine is a tricyclic antidepressant (TCA). This medicine is available only with your doctor's prescription. Before Using Asendin 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 amoxapine 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 amoxapine in the elderly. However, elderly patients are more likely to have unwanted effects (e.g., movement disorders, unusual drowsiness) or age-related kidney or liver problems, which may require an adjustment in the dose for patients receiving amoxapine. 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. Bromopride Clorgyline Grepafloxacin Isocarboxazid Levomethadyl Linezolid Methylene Blue Metoclopramide Moclobemide Phenelzine Ranolazine Safinamide Selegiline Tranylcypromine 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. Acecainide Aceclofenac Acemetacin Albuterol Alfentanil Alfuzosin Almotriptan Amitriptyline Amphetamine Amtolmetin Guacil Apomorphine Aprindine Arsenic Trioxide Asenapine Aspirin Astemizole Azimilide Azithromycin Benzphetamine Bretylium Bromfenac Bromocriptine Brompheniramine Bufexamac Buprenorphine Bupropion Buspirone Butorphanol Celecoxib Chloral Hydrate Chloroquine Chlorpheniramine Chlorpromazine Choline Salicylate Ciprofloxacin Citalopram Clomipramine Clonidine Clonixin Cocaine Codeine Cyclobenzaprine Darunavir Dasatinib Desipramine Desmopressin Desvenlafaxine Dexibuprofen Dexketoprofen Dextroamphetamine Dextromethorphan Diclofenac Diflunisal Dihydrocodeine Dipyrone Disopyramide Dofetilide Dolasetron Domperidone Donepezil Doxepin Droperidol Droxicam Eletriptan Enflurane Epinephrine Erythromycin Escitalopram Etilefrine Etodolac Etofenamate Etoricoxib Felbinac Fenoprofen Fentanyl Fepradinol Feprazone Fingolimod Flecainide Floctafenine Fluconazole Flufenamic Acid Fluoxetine Flurbiprofen Fluvoxamine Foscarnet Frovatriptan Gatifloxacin Gemifloxacin Granisetron Halofantrine Halothane Hydrocodone Hydromorphone Hydroxytryptophan Ibuprofen Ibutilide Iloperidone Imipramine Indomethacin Iobenguane I 123 Iproniazid Isoflurane Isradipine Ketoprofen Ketorolac Lapatinib Levalbuterol Levomilnacipran Levorphanol Levothyroxine Lidoflazine Lisdexamfetamine Lithium Lopinavir Lorcainide Lorcaserin Lornoxicam Loxoprofen Lumefantrine Lumiracoxib Meclofenamate Mefenamic Acid Mefloquine Meloxicam Meperidine Methadone Methamphetamine Methoxamine Midodrine Milnacipran Mirtazapine Moricizine Morniflumate Morphine Morphine Sulfate Liposome Nabumetone Nalbuphine Naproxen Naratriptan Nefazodone Nefopam Nepafenac Niflumic Acid Nilotinib Nimesulide Nimesulide Beta Cyclodextrin Norepinephrine Norfloxacin Nortriptyline Octreotide Ofloxacin Ondansetron Oxaprozin Oxilofrine Oxycodone Oxymetazoline Oxymorphone Oxyphenbutazone Paliperidone Palonosetron Parecoxib Pargyline Pazopanib Pentamidine Pentazocine Phenylbutazone Phenylephrine Piketoprofen Piroxicam Pranoprofen Procainamide Procarbazine Prochlorperazine Proglumetacin Promethazine Propafenone Propyphenazone Proquazone Protriptyline Quinidine Quinine Rasagiline Remifentanil Rofecoxib Salicylic Acid Salsalate Sematilide Sertraline Sodium Phosphate Sodium Phosphate, Dibasic Sodium Phosphate, Monobasic Sodium Salicylate Solifenacin Sorafenib Sotalol Spiramycin Sufentanil Sulfamethoxazole Sulindac Sumatriptan Sunitinib Tapentadol Tedisamil Telavancin Telithromycin Tenoxicam Tetrabenazine Tiaprofenic Acid Tiotropium Tolfenamic Acid Tolmetin Toremifene Tramadol Trazodone Trifluoperazine Trimethoprim Trimipramine Tryptophan Valdecoxib Vardenafil Vasopressin Venlafaxine Vilanterol Vilazodone Voriconazole Vortioxetine Ziprasidone Zolmitriptan Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Acenocoumarol Arbutamine Atomoxetine Cannabis Carbamazepine Dicumarol Paroxetine Phenprocoumon S-Adenosylmethionine Interactions with Food/Tobacco/Alcohol Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using this medicine with any of the following may cause an increased risk of certain side effects but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco. Ethanol Other Medical Problems The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially: Bipolar disorder (mood disorder with alternating episodes of mania and depression), or risk of or Heart attack, recent Should not be used in patients with these conditions. Glaucoma, history of or Heart disease or Schizophrenia or Seizures, history of or Urinary retention (trouble urinating), history of Use with caution. May make these conditions worse. Proper Use of Asendin Take this medicine only as directed by your doctor to benefit your condition as much as possible. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. This medicine should come with a medication guide. Read and follow these instructions carefully. Ask your doctor if you have any questions. Dosing The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. For oral dosage form (tablets): For depression: Adults At first, 50 milligrams (mg) two or three times per day. Your doctor may increase your dose as needed. However, the dose is usually not more than 300 mg per day unless you are in a hospital. Some hospitalized patients may need higher doses. If you are taking this medicine once a day, it is best to take it at bedtime. Older Adults At first, 25 milligrams (mg) two or three times per day. Your doctor may increase your dose as needed. However, the dose is usually not more than 300 mg per day unless you are in a hospital. Some hospitalized patients may need higher doses. If you are taking this medicine once a day, it is best to take it at bedtime. 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 Asendin It is very important that your doctor check your progress at regular visits to allow for changes in your dose and to check for any unwanted effects. Amoxapine may cause some people to be agitated, irritable, or display other abnormal behaviors. It may also cause some people to have suicidal thoughts and tendencies or to become more depressed. If you, your child, or your caregiver notice any of these side effects, tell your doctor or your child's doctor right away. Do not take amoxapine if you have taken a monoamine oxidase (MAO) inhibitor (isocarboxazid [Marplan ], phenelzine [Nardil ], selegiline [Eldepryl , or tranylcypromine [Parnate ]) in the past two weeks. Do not start taking a MAO inhibitor within two weeks of stopping amoxapine. If you do, you may develop confusion, agitation, restlessness, stomach or intestinal symptoms, sudden high body temperature, extremely high blood pressure, or severe convulsions. This medicine may cause tardive dyskinesia (a movement disorder). Check with your doctor right away if you have any of the following symptoms while taking this medicine: lip smacking or puckering, puffing of the cheeks, rapid or worm-like movements of the tongue, uncontrolled chewing movements, or uncontrolled movements of the arms and legs. Check with your doctor right away if you are having convulsions (seizures); difficulty with breathing; a fast heartbeat; high fever; high or low blood pressure; increased sweating; loss of bladder control; severe muscle stiffness; unusually pale skin; or tiredness. These could be symptoms of a serious condition called neuroleptic malignant syndrome (NMS). Do not stop taking this medicine without first checking with your doctor . Your doctor may want you to gradually reduce the amount you are using before stopping it completely. This may help prevent a possible worsening of your condition and reduce the possibility of withdrawal symptoms such as headache, nausea, or a general feeling of discomfort or illness. This medicine will add to the effects of alcohol and other central nervous system (CNS) depressants (medicines that cause drowsiness). Some examples of CNS depressants are antihistamines or medicine for hay fever, other allergies or colds; sedatives, tranquilizers, or sleeping medicines; prescription pain medicine or narcotics; barbiturates; medicine for seizures; muscle relaxants; or anesthetics, including some dental anesthetics. Check with your doctor before taking any of the above while you are using this medicine . This medicine may cause some people to become drowsy or less alert than they are normally. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are drowsy or not alert . Asendin Side Effects Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor immediately if any of the following side effects occur: Less common Excitement fast, irregular, pounding, or racing heartbeat or pulse fear or nervousness mood or mental changes nightmares restlessness shakiness and unsteady walk shakiness in legs, arms, hands, or feet sleeplessness swelling trouble sleeping unable to sleep unsteadiness, trembling, or other problems with muscle control or coordination Rare Abdominal or stomach pain actions that are out of control black, tarry stools bleeding gums bloating blood in urine or stools blurred vision burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings chest pain or discomfort chills clay-colored stools confusion confusion about identity, place, and time constipation continuing ringing or buzzing or other unexplained noise in ears convulsions cough or hoarseness dark urine decrease in frequency of urination decrease in urine volume difficulty in breathing difficulty in passing urine (dribbling) difficulty in speaking disturbed concentration dizziness, faintness, or lightheadedness when getting up from a lying or sitting position suddenly double vision drooling extremely high fever or body temperature false beliefs that cannot be changed by facts fast, weak heartbeat fever with or without chills general feeling of tiredness or weakness headache hearing loss high fever high or low blood pressure hives or welts inability to move arms, legs, or facial muscles inability to speak increased need to urinate increased sweating indigestion irritability itching lack of coordination light-colored stools lip smacking or puckering loss of appetite loss of bladder control lower back or side pain muscle cramps muscle spasm or jerking of all extremities muscle trembling, jerking, or stiffness nausea and vomiting nervousness numbness pain or discomfort in arms, jaw, back, or neck painful or difficult urination pains in stomach, side, or abdomen, possibly radiating to the back pale, clammy skin passing urine more often pinpoint red spots on skin pounding in the ears puffing of cheeks rapid or worm-like movements of tongue redness of skin seeing, hearing, or feeling things that are not there severe muscle stiffness shortness of breath shuffling walk skin rash slow speech sore throat sores, ulcers, or white spots on lips or in mouth stiffness of limbs sudden loss of consciousness sweating swollen glands talking, feeling, and acting with excitement testicular swelling thirst trouble in holding or releasing urine twisting movements of body uncontrolled chewing movements uncontrolled movements, especially of face, neck, and back unpleasant breath odor unusual bleeding or bruising unusually pale skin upper right abdominal pain vomiting of blood yellow eyes and skin Get emergency help immediately if any of the following symptoms of overdose occur: Symptoms of overdose Change in consciousness drowsiness epileptic seizure that will not stop fatigue increased blood pressure increased thirst loss of consciousness swelling of face, fingers, or lower legs total body jerking troubled breathing weight gain 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 Dry mouth Less common Increased appetite increased flow of breast milk Rare Agitation breast enlargement change in taste bad unusual or unpleasant (after)taste decreased interest in sexual intercourse depression excess air or gas in stomach or intestines full feeling hair loss, thinning of hair heartburn inability to have or keep an erection increased in sexual ability, desire, drive, or performance increased interest in sexual intercourse increased sensitivity of skin to sunlight loss in sexual ability, desire, drive, or performance menstrual changes nasal stuffiness painful ejaculation passing gas rapid weight gain redness or other discoloration of skin seizures severe sunburn stupor swollen, painful, or tender lymph glands on side of face or neck tearing of the eyes unexpected or excess milk flow from breasts 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 Asendin (amoxapine) Side Effects During Pregnancy or Breastfeeding Dosage Information Drug Images Drug Interactions Support Group 2 Reviews Add your own review/rating Drug class: tricyclic antidepressants Professional resources Amoxapine (AHFS Monograph) Amoxapine (FDA) Related treatment guides Depression} Drug Status Rx Availability Prescription only C Pregnancy Category Risk cannot be ruled out N/A CSA Schedule Not a controlled drug 10 + years Approval History FDA approved 1980 Drug Class Tricyclic antidepressants Related Drugs Depression trazodone , sertraline , Xanax , citalopram , Zoloft , Lexapro , Cymbalta , Celexa , Prozac , Wellbutrin , alprazolam , fluoxetine , amitriptyline , venlafaxine , bupropion , duloxetine , escitalopram , mirtazapine , paroxetine , quetiapine , Paxil , Effexor , nortriptyline , Abilify , Remeron , More... Asendin Rating 2 User Reviews 10 /10 2 User Reviews 10 Rate it! Asendin Images Asendin 25 MG (A 13 ) View all images Help and Support Looking for answers? Ask a question or go join the Asendin support group to connect with others who have similar interests.} } Most worthy


for free of charge Asendin (Oral) often

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Photo :Celebrating Safely with Alcohol
the bottom For many families, drinking alcohol is a way to celebrate something. The good cheer of the holiday season is liberally laced with wine. We use champagne and liquor to show our happiness at weddings and births. This association of alcohol with celebration leads many parents to wonder whether or when they should permit their children to drink socially, even though it is illegal. Will forbidding alcohol make it even more appealing? Will condoning drinking lead to alcoholism for the child? If you talk to your child about not drinking and driving, is that giving him tacit permission to drink as long as he doesn t drive? Alcoholism researchers and developmental psychologists say the answers are not that simple. They also agree that it s a bad idea to allow your children to drink alcohol at home simply because you assume they will just do it elsewhere. In fact, that makes it harder for teenagers to decline a drink in other situations. Protecting children from alcohol abuse requires a grasp of how different their thinking is from adult thinking, and recognition that alcohol can be a serious problem for them and for their friends. The nationwide laws in the United States against drinking alcohol by anyone under age 21 do little to prevent teenagers from obtaining it easily. Research at the Harvard School of Public Health has found that about 40 percent of boys in their senior year of high school are binge drinkers that is, when they drink, they have five or more drinks at a time. It also found that among college freshmen, 80 percent of the men and 70 percent of the women admitted drinking alcohol within 30 days of being interviewed. Almost half the men and more than a third of the women said they ve been drunk during that time. The allure of alcohol is strongest during adolescence, when many children are looking for ways to mask their feelings of awkwardness, bolster self-confidence, increase social acceptance, and take new risks. They have spent years developing expectations for what drinking alcohol will do and what it means. These images, which are often unrealistic, have been shaped in part by advertising and by their parents patterns of drinking. Studies by Dr. Alan Marlatt, the director of the Addictive Behaviors Research Center at the University of Washington at Seattle, have found that those teenagers who are most likely to have trouble with alcohol have different expectations of its risks and benefits. The high-risk adolescents expect that alcohol will always make them feel better and that the more they drink, the better they ll feel. They see it as a general tension reducer that will lower their social anxieties and concerns about self-esteem. Also, boys who are at high risk for alcohol abuse say that alcohol will make both them and their dates more attractive. (One teenager he interviewed told Dr. Marlatt that he drank heavily at parties because all of his dates looked prettier through beer goggles. ) Those adolescents at lower risk for abusing alcohol have a more balanced set of expectations, including concerns about getting sick and embarrassing themselves. Avoiding Problems with Alcohol Alcohol education should begin early for the simple reasons that children are exposed to alcohol advertising well before they are old enough to drink. In fact, it s not unusual for preschoolers who see sports events and their accompanying commercials on television to be able to identify different brands of beer before they can read. While you needn t start that early, it s a good idea to talk to your children about alcohol by early adolescence. Here are some approaches: Let your children know what you expect of them, and why. Simply saying you don t want him to drink won t convince a teenager unless you can back it up with reasons. Giving your child clear expectations of family rules and an awareness of family values goes a long way. It means that when your child s confronted with peer pressure, he will know what you expect. Provide evidence for not wanting your child to drink alcohol. Ads show drinking as part of being a successful, competent, attractive adult much as cigarette ads give the false impression that smokers are rugged athletes who have glistening white teeth and a broad range of physically attractive friends. Adolescents are especially susceptible to those messages. They provide what teenagers want most at a time when they feel invulnerable to the risks involved. Point out stories in the newspaper where adolescents were involved in drunken-driving accidents or were arrested at public events or private parties for using alcohol. Don t do this all at once, but do it regularly and subtly. Pay close attention to your children s friends. Teenagers tend to drink what their friends do. If you know some of your child s friends are getting into trouble with alcohol, pay closer attention to your own child s behavior. Also, pay attention to and support your children s friendships with nondrinkers. An adolescent is more likely to refuse alcohol at a party if he is with a friend who also doesn t want to drink. The friend provides social support. Get to know the parents of your children s friends. Let them know you will not allow your underage children to attend parties where alcohol is served. Ask the other parents to agree to the same criteria. Talk to your child about not driving if he s been drinking, and especially about not getting into a car with a driver who s been drinking. Although some parents worry about this giving children a set of contradictory messages (i.e., you re not allowed to drink alcohol, but I expect that you will), it really does not. Instead, it allows your child to see your priorities: You have rules that you believe in, but you value his life and health more than any rule. Let your children know that if they call home from a party and say that they need to be picked up, you will either get them yourself or pay for a taxi to do so. Also you will do this without questioning their motives or their integrity. (This approach may come in handy in other situations as well, such as if you have a daughter who s worried about being sexually assaulted in her date s car on the way home. She ll feel much more comfortable calling you for help if she doesn t have to explain her reasons.) Giving your teenagers this power tells them that you trust their judgment, even if they make a mistake or get into trouble. Finally, recognize that two of the main reasons teenagers drink are to cope with stress and to experience an altered state of consciousness. Dr. Marlatt has found that college students who were heavy drinkers were able to reduce their alcohol consumption by 30 to 40 percent when they either did aerobic exercise or practiced meditation. Those who regularly exercised and meditated reduced their alcohol consumption by 50 to 60 percent. Developing such alternative coping strategies might also prevent light drinkers from getting into trouble. Related Articles About Lawrence Kutner, Ph.D Dr. Lawrence Kutner is a nationally known clinical psychologist who teaches at Harvard Medical School, where he's co-founder and co-director of the Harvard Medical School Center for Mental Health and Media. He's the author of five books, including: Parent & Child: Getting Through to Each Other Pregnancy and Your Baby's First Year; Toddlers and Preschoolers; Your School-Age Child; and Making Sense of Your Teenager. All articles appearing here originally were published on www.drkutner.com. Used with permission. View all posts by Lawrence Kutner, Ph.D Hot Topics Today 1 PTSD Patients Show Heightened Sensitivity to Deviant Sounds 2 Developing the Evidence Base for Mindfulness Therapies 3 Dominant Hand May Begin in Womb 4 5 Types of People Who Are Naturally Attracted to Each Other 5 What's a Narcissist's Punishment? Most Popular News PTSD Patients Show Heightened Sensitivity to Deviant Sounds Dominant Hand May Begin in Womb Developing the Evidence Base for Mindfulness Therapies Bipolar or Depression? Heart Test May Help Tell the Difference Avatar Therapy May Ease Schizophrenia Symptoms Join Over 195,000 Subscribers to Our Weekly Newsletter Find a Therapist Enter ZIP or postal code unnoticed


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Photo :Emsam (Transdermal)
and flexibility Emsam (Transdermal) Generic Name: selegiline (Transdermal route) se-LE-ji-leen Overview Side Effects Dosage Professional Interactions More Pregnancy Warnings Breastfeeding Warnings User Reviews Support Group Q & A Pricing & Coupons Transdermal route(Patch, Extended Release) In short-term studies, antidepressants increased the risk of suicidal thinking and behavior in children, adolescents, and young adults. There was no increased risk in suicidality with antidepressants in adults older than 24 years and a trend toward a reduced risk in adults 65 years and older. Monitor and observe patients of all ages for clinical worsening, suicidality, or unusual changes in behavior and advise families and caregivers of the need for close observation and communication with the prescriber. The use of a selegiline transdermal patch is contraindicated in patients younger than 12 years . Commonly used brand name(s) In the U.S. Emsam Available Dosage Forms: Patch, Extended Release Therapeutic Class: Antidepressant Pharmacologic Class: Monoamine Oxidase Inhibitor, Type B Slideshow 14 Essential Health Screenings That All Men Should Consider Uses For Emsam Selegiline skin patch is used to treat mental depression in adults. This medicine is a monoamine oxidase inhibitor (MAOI). This medicine is available only with your doctor's prescription. Before Using Emsam In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered: Allergies Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully. Pediatric Appropriate studies performed to date have not demonstrated any benefit to using selegiline skin patch in children with depression. Studies have shown that some children, teenagers, and young adults think about suicide or attempt suicide when taking this medicine. Because of this toxicity, use in children is not recommended. Selegiline skin patch should not be used in children younger than 12 years of age. Geriatric Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of selegiline skin patch in the elderly. 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. Amitriptyline Amoxapine Amphetamine Apraclonidine Atomoxetine Benzphetamine Brimonidine Bupropion Carbamazepine Carbinoxamine Citalopram Clomipramine Codeine Cyclobenzaprine Cyproheptadine Desipramine Desvenlafaxine Deutetrabenazine Dexfenfluramine Dexmethylphenidate Dextroamphetamine Dextromethorphan Diethylpropion Doxylamine Duloxetine Ephedrine Escitalopram Fenfluramine Fluoxetine Fluvoxamine Furazolidone Guanadrel Guanethidine Hydroxytryptophan Imipramine Iproniazid Isocarboxazid Isometheptene Levomethadyl Levomilnacipran Linezolid Lisdexamfetamine Maprotiline Mazindol Meperidine Methamphetamine Methotrimeprazine Methyldopa Methylene Blue Methylphenidate Milnacipran Mirtazapine Moclobemide Nefopam Nialamide Nortriptyline Opipramol Paroxetine Phendimetrazine Phenelzine Phenmetrazine Phentermine Phenylalanine Phenylephrine Phenylpropanolamine Procarbazine Propoxyphene Protriptyline Pseudoephedrine Rasagiline Reserpine Safinamide Sertraline Sibutramine St John's Wort Sumatriptan Tapentadol Tetrabenazine Tramadol Tranylcypromine Trazodone Trimipramine Tryptophan Venlafaxine Vilazodone Vortioxetine 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. Alfentanil Alizapride Altretamine Amineptine Amisulpride Amitriptylinoxide Atropine Bromperidol Buprenorphine Buspirone Butorphanol Clovoxamine Dibenzepin Difenoxin Dihydrocodeine Diphenoxylate Dolasetron Domperidone Dothiepin Doxepin Droperidol Ethchlorvynol Femoxetine Fentanyl Fluspirilene Frovatriptan Granisetron Guarana Haloperidol Hydrocodone Hydromorphone Iobenguane I 123 Kava Levorphanol Licorice Lofepramine Lorcaserin Ma Huang Mate Melitracen Mephentermine Metaraminol Methadone Metoclopramide Metopimazine Midodrine Morphine Morphine Sulfate Liposome Nalbuphine Naratriptan Nefazodone Oxycodone Oxymetazoline Oxymorphone Palonosetron Penfluridol Pentazocine Pimozide Reboxetine Remifentanil Sufentanil Sulpiride Sultopride Tianeptine Tiapride Tyrosine Valbenazine Veralipride Ziprasidone 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. Acarbose Chlorpropamide Dopamine Ginseng Glimepiride Glipizide Glyburide Insulin Insulin Aspart, Recombinant Insulin Bovine Insulin Degludec Insulin Detemir Insulin Glargine, Recombinant Insulin Glulisine Insulin Lispro, Recombinant Metformin Nateglinide Repaglinide Tolazamide Tolbutamide Interactions with Food/Tobacco/Alcohol Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using this medicine with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco. Avocado Bitter Orange Tyramine Containing Food Other Medical Problems The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially: Bipolar disorder (manic depressive disorder), at risk or family history of or Heart problems or Hypotension (low blood pressure) or Mania or hypomania, family history of or Mental illness, history of Use with caution. May make these conditions worse. Pheochromocytoma (an adrenal gland problem) Should not be used in patients with this condition. . Proper Use of Emsam Use this medicine exactly as directed by your doctor . Do not use more patches or apply them more often than your doctor tells you to. This medicine comes with a Medication Guide and patient instructions. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions. To use the skin patch: Apply the patch right away after removing it from the protective pouch. Do not cut it into smaller pieces and do not touch the sticky surface of the patch. Wear only one patch at a time. Wash the area of skin where you will apply the patch gently with soap and warm water. Rinse completely and dry with a clean dry towel. Apply the patch to a dry, smooth, intact skin area on your upper chest or back (below the neck and above the waist), upper thigh, or to the outer surface of the upper arm. Do not put the patch over hairy, oily, irritated, broken, scarred, or calloused skin. Avoid putting the patch on areas where it could be rubbed off by tight clothing. Press the patch firmly in place with your fingertips to make sure that the edges of the patch stick well. Put on a new patch if the old one has fallen off and cannot be reapplied. After 24 hours, remove the patch. Choose a different place on your skin to apply the new patch. Do not put the new patch on the same place you wore the last one. Try to change the patch at the same time each day. Do not expose the patch to direct sources of heat, such as heating pads, electric blankets, heat lamps, saunas, hot tubs, heated water beds, or direct sunlight for long periods of time. Wash your hands with soap and water before and after applying a patch. Do not touch your eyes until after you have washed your hands. After removing a used patch, fold the patch in half with the sticky sides together. Make sure to dispose of it out of the reach of children and pets. Do not stop using this medicine without asking your doctor . If you have not used your medicine for several days in a row, do not start using it again without talking to your doctor first. 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 transdermal dosage form (skin patch): For depression: Adults At first, one 6-milligram (mg) patch once a day. Your doctor may increase your dose if needed. Children 12 years of age and older Use and dose must be determined by your doctor. Children younger than 12 years of age Use is not recommended. Missed Dose If you forget to wear or change a patch, put one on as soon as you can. If it is almost time to put on your next patch, wait until then to apply a new patch and skip the one you missed. Do not apply extra patches to make up for a missed dose. 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. Store the patches at room temperature in a closed container, away from heat, moisture, and direct light. Do not store this medicine outside of its sealed pouch. Precautions While Using Emsam It is very important that your doctor check your or your child's progress at regular visits to make sure this medicine is working properly and to check for unwanted effects. You should not use this medicine if you or your child are taking carbamazepine (Tegretol ), other medicines to treat depression (eg, clomipramine, duloxetine, fluoxetine, imipramine, paroxetine, sertraline, venlafaxine, Celexa , Cymbalta , Effexor , Lexapro , Paxil , Prozac , Zoloft ), certain pain medicines (eg, meperidine, methadone, pentazocine, propoxyphene, tramadol, Darvon , Demerol , Dolophine , Ultram ), or cough medicines (eg, dextromethorphan, Benylin ). Do not use this medicine if you also take selegiline capsules or tablets. Selegiline skin patch may cause some people to be agitated, irritable, or display other abnormal behaviors. It may also cause some people to have suicidal thoughts and tendencies or to become more depressed. Make sure the doctor knows if you have trouble sleeping, get upset easily, have a big increase in energy, or start to act reckless. Also tell the doctor if you have sudden or strong feelings, such as feeling nervous, angry, restless, violent, or scared. If you, your child, or your caregiver notice any of these side effects, tell your doctor or your child's doctor right away. Let the doctor know if you or anyone in your family has bipolar disorder (manic-depressive) or has tried to commit suicide. When selegiline skin patch is used at low doses, there are no restrictions on the food or beverages that you can eat or drink. However, the chance exists that dangerous reactions, such as sudden high blood pressure, may occur if higher doses are used with certain foods or beverages. These foods or beverages include foods that have a high tyramine content (most common in foods that are aged or fermented to increase their flavor), such as cheeses, fava or broad bean pods, yeast or meat extracts, smoked or pickled meat, poultry, or fish, fermented sausage (bologna, pepperoni, salami, summer sausage) or other fermented meat, sauerkraut, any spoiled or improperly stored meat, poultry, fish, or animal livers, or any overripe fruit. These may also include alcoholic beverages or alcohol-free or reduced-alcohol beer and wine. Also, for at least 2 weeks after you stop using this medicine, these foods or beverages may continue to react with selegiline transdermal. If a list of these foods and beverages is not given to you, ask your doctor to provide one. Selegiline may cause a serious condition called serotonin syndrome when used together with certain MAO inhibitors (eg, phenelzine, rasagiline, tranylcypromine) and medicines to treat depression (eg, amitriptyline, doxepin, fluoxetine, fluvoxamine, nortriptyline, paroxetine, sertraline, Elavil , Luvox , Pamelor , Paxil , Prozac , Zoloft ). Symptoms of serotonin syndrome include: anxiety, restlessness, fast heartbeat, fever, sweating, muscle spasms, twitching, nausea, vomiting, diarrhea, or seeing or hearing things that are not there. Check with your doctor or hospital emergency room immediately if severe headache, stiff neck, chest pains, fast heartbeat, or nausea and vomiting occur while you or your child are using this medicine. These may be symptoms of a serious side effect that should have a doctor's attention. Do not expose the applied skin patch to direct heat, such as heating pads, electric blankets, heat lamps, sauna, hot tubs, heated water beds, and prolonged direct sunlight. Before you have any kind of surgery, tell the medical doctor in charge that you or your child are using this medicine. Using selegiline together with medicines that are sometimes used during surgery may increase the effects of these medicines. This medicine may make you dizzy or drowsy . Do not drive or do anything else that could be dangerous until you or your child know how this medicine affects you. Standing up slowly from a sitting or lying position can lessen the chance of getting dizzy. The use of alcohol is not recommended in patients who are taking this medicine. Do not take other medicines unless they have been discussed with your doctor. This includes prescription or over-the-counter diet pills, herbal weight-loss products, cold medicines (eg, ephedrine, phenylephrine, phenylpropanolamine, pseudoephedrine, Neo-Synephrine , Novafed , Sudafed ), any herbal or dietary supplement that contains tyramine, or medicines called amphetamines (also called stimulants or "uppers"). Emsam Side Effects Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor immediately if any of the following side effects occur: More common Chills cold sweats confusion dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position Incidence not known Confusion about identity, place, and time seeing things that are not there seizures 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 Burning, itching, redness, skin rash, swelling, or soreness where the patch was placed diarrhea dry mouth headache trouble sleeping Less common Belching body aches or pain change or problem with discharge of semen congestion cough dryness or soreness of the throat fever heartburn hoarseness indigestion pain or tenderness around the eyes and cheekbones rash runny nose stomach discomfort, upset, or pain stuffy or runny nose tender, swollen glands in the neck tightness of the chest trouble swallowing troubled breathing voice changes weight changes Rare Decreased interest in sexual intercourse inability to have or keep an erection loss in sexual ability, desire, drive, or performance not able to have an orgasm Incidence not known Burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings tension 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 Emsam (selegiline) Side Effects During Pregnancy or Breastfeeding Dosage Information Drug Interactions Support Group Pricing & Coupons En Español 28 Reviews Add your own review/rating Drug class: dopaminergic antiparkinsonism agents Consumer resources Emsam Emsam transdermal Other brands: Eldepryl , Zelapar Professional resources Emsam (FDA) Selegiline Hydrochloride (AHFS Monograph) Related treatment guides Major Depressive Disorder Depression} 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 WADA Class Anti-Doping Classification Manufacturer Mylan Pharmaceuticals Inc. Drug Class Dopaminergic antiparkinsonism agents Monoamine oxidase inhibitors Related Drugs Major Depressive Disorder trazodone , sertraline , Zoloft , Lexapro , Cymbalta , Prozac , Wellbutrin , fluoxetine , venlafaxine , bupropion , duloxetine , escitalopram , More... Depression trazodone , sertraline , Xanax , citalopram , Zoloft , Lexapro , Cymbalta , Celexa , Prozac , Wellbutrin , alprazolam , fluoxetine , More... Emsam Rating 28 User Reviews 8.0 /10 28 User Reviews 8.0 Rate it! Related Questions & Answers Can the effectiveness of EMSAM wane? Doctor is about to put me on Emsam for Anxiety, Depression, and RLS. Has anyone tried this? How long did it take Emsam to work for the "typical" user? How do you treat severe insomnia on EMSAM? How Long is an Emsam Taper - 6mg Patch? Read more questions} } customise


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