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provided that abacavir and lamivudine (Oral route) a-BAK-a-vir SUL-fate, la-MIV-ue-deen Oral route(Tablet) Serious and fatal hypersensitivity reactions have been reported with abacavir; discontinue if a hypersensitivity reaction is suspected and never restart an abacavir-containing product after a hypersensitivity reaction as potentially fatal reactions may recur within hours. Patients with HLA-B*5701 allele are at a higher risk for abacavir-related hypersensitivity; screening for allele is recommended prior to initiating or reinitiation of therapy unless previous allele assessment is documented. Use is contraindicated in those with the HLA-B*5701 allele or with a previous hypersensitivity reaction to abacavir. Lactic acidosis and severe hepatomegaly with steatosis, including fatal cases, have been reported with nucleoside analogues and other antiretrovirals. Discontinue if these conditions are suspected. Severe acute exacerbations of hepatitis B have been reported in patients co-infected with HBV and HIV who have discontinued lamivudine; monitor hepatic function closely for several months upon discontinuation of therapy; initiation of anti-HBV therapy may be needed . Overview Side Effects Dosage Professional Interactions More Pregnancy Warnings User Reviews Drug Images Support Group Q & A Pricing & Coupons Commonly used brand name(s) In the U.S. Epzicom Available Dosage Forms: Tablet Therapeutic Class: Antiretroviral Agent Pharmacologic Class: Abacavir Slideshow 10 Serious Infections That Will Make You Shudder Uses For abacavir and lamivudine Abacavir and lamivudine combination is used together with other medicines to treat human immunodeficiency virus (HIV) infection. HIV is the virus that causes acquired immune deficiency syndrome (AIDS). Abacavir and lamivudine combination will not cure or prevent HIV infection or the symptoms of AIDS. abacavir and lamivudine helps keep HIV from reproducing, and appears to slow down the destruction of the immune system. This may help delay the development of serious health problems usually related to AIDS or HIV infection. Abacavir and lamivudine combination will not keep you from spreading HIV to other people. People who receive abacavir and lamivudine may continue to have other problems usually related to AIDS or HIV infection. abacavir and lamivudine is available only with your doctor's prescription. Before Using abacavir and lamivudine 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 abacavir and lamivudine, the following should be considered: Allergies Tell your doctor if you have ever had any unusual or allergic reaction to abacavir and lamivudine 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 Epzicom in children. Geriatric Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of Epzicom in the elderly. However, elderly patients are more likely to have age-related liver, kidney, or heart problems, which may require caution and an adjustment in the dose for patients receiving Epzicom . 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 abacavir and lamivudine, 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 abacavir and lamivudine 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. Dasabuvir Orlistat Ribavirin Using abacavir and lamivudine 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. Methadone Tipranavir 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 abacavir and lamivudine. Make sure you tell your doctor if you have any other medical problems, especially: Diabetes or Heart disease or Hepatitis B, history of or Hepatitis C, history of or Hyperlipidemia (high cholesterol or fats in the blood) or Hypertension (high blood pressure) Use with caution. May make these conditions worse. Genetic condition (eg, gene variation called HLA-B*5701) Kidney disease, severe or Liver disease, moderate or severe Should not be used in patients with these conditions. Proper Use of abacavir and lamivudine Take abacavir and lamivudine exactly as directed by your doctor . Do not take it more often, and do not take it for a longer time than your doctor ordered. Also, do not start or stop taking abacavir and lamivudine without checking first with your doctor. abacavir and lamivudine should come with a Medication Guide. Read and follow these instructions carefully. Ask your doctor if you have any questions. abacavir and lamivudine can be taken with or without food. When your supply of abacavir and lamivudine runs low, get more from your pharmacy or from your doctor. The amount of virus in your blood may increase if the medicine is stopped, even for a short time. The virus may develop resistance to abacavir and lamivudine and be harder to treat. abacavir and lamivudine will be given together with other medicines for HIV infection. Take all of the medicines your doctor gives you at the right time of day. These medicines work best when there is a constant amount in the blood. To help keep the amount constant, do not miss any doses . If you need help in planning the best times to take your medicines, check with your doctor. Abacavir and lamivudine combination contains a fixed amount of each medicine in the tablet. Dosing The dose of abacavir and lamivudine 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 abacavir and lamivudine. 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 HIV infection: Adults One tablet once a day. Each tablet contains 600 milligrams (mg) of abacavir and 300 mg of lamivudine. Children weighing at least 25 kilograms (kg) One tablet once a day. Children weighing less than 25 kg Use and dose must be determined by your doctor. Missed Dose If you miss a dose of abacavir and lamivudine, 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 abacavir and lamivudine It is very important that your doctor check your or your child's progress at regular visits to make sure abacavir and lamivudine is working properly. Blood tests may be needed to check for unwanted effects. abacavir and lamivudine may cause severe allergic reactions (including multi-organ failure) in some patients. This reaction usually occurs within 6 weeks after the medicine is started, but may occur at any time. If untreated, it can lead to severe low blood pressure and even death. Check with your doctor right away if you have sudden fever, skin rash, diarrhea, nausea, stomach pain, vomiting, or a feeling of unusual tiredness or illness, cough, trouble breathing, sore throat, lightheadedness, dizziness, or yellow skin or eyes. When you begin taking abacavir and lamivudine, you will be given a Warning Card which describes symptoms of severe allergic reactions that may be caused by abacavir and lamivudine combination. The warning card also provides information about how to treat these allergic reactions. For your safety, you should carry the warning card with you at all times. If you must stop using abacavir because of an allergic reaction, you should never use the medicine again. Return the unused medicine to your doctor or pharmacist. A worse reaction, possibly even death, can occur if you use the medicine again. Tell your doctor right away if you have ever taken abacavir, especially if you have experienced an allergic reaction to it in the past. Two rare but serious reactions to abacavir and lamivudine are lactic acidosis (too much acid in the blood) and liver toxicity, which includes an enlarged liver. These are more common if you are female, very overweight (obese), or have been taking anti-HIV medicines for a long time. Call your doctor right away if you have more than one of these symptoms: abdominal or stomach discomfort or cramping, dark urine, decreased appetite, diarrhea, general feeling of discomfort, light-colored stools, muscle cramping or pain, nausea, unusual tiredness or weakness, trouble breathing, vomiting, or yellow eyes or skin. When you start taking HIV medicines, your immune system may get stronger. If you have certain infections that are hidden in your body, such as pneumonia or tuberculosis, you may notice new symptoms when your body tries to fight them. If this occurs, tell your doctor right away. abacavir and lamivudine will not keep you from giving HIV to your partner during sex. Make sure you understand and practice safe sex such as using latex condoms, even if your partner also has HIV. Do not share needles, toothbrushes, and razor blades with anyone. abacavir and lamivudine may cause you to have excess body fat. Tell your doctor if you notice changes in your body shape, such as an increased amount of fat in the upper back and neck, or around the chest and stomach area, or a loss of fat from the legs, arms, and face. abacavir and lamivudine may increase your risk of having a heart attack. This is more likely to occur if you already have heart disease, high blood pressure, high cholesterol or fats in the blood, or if you smoke. Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements. abacavir and lamivudine 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 Abdominal or stomach pain cough diarrhea fever headache nausea numbness or tingling of the face, feet, or hands pain in the joints pain in the muscles skin rash sore throat swelling of the feet or lower legs unusual feeling of discomfort or illness unusual tiredness or weakness vomiting Incidence not known Blistering, peeling, or loosening of the skin bloating burning, numbness, tingling, or painful sensations chest pain chills constipation convulsions dark urine decreased appetite diarrhea difficulty with swallowing dizziness fast heartbeat fast, shallow breathing feeling of fullness general feeling of discomfort hives or welts, itching indigestion light-colored stools loss of appetite loss of bladder control muscle cramping muscle spasm or jerking of all extremities pains in the stomach, side, or abdomen, possibly radiating to the back pale skin puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue red, irritated eyes redness of the skin red skin lesions, often with a purple center sleepiness sores, ulcers, or white spots on the lips or in the mouth sudden loss of consciousness swollen, painful, or tender lymph glands in the neck, armpit, or groin tightness in the chest troubled breathing with exertion unsteadiness or awkwardness unusual bleeding or bruising upper right abdominal or stomach pain weakness in the arms, hands, legs, or feet yellow eyes and 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 Abnormal dreams burning feeling in the chest or stomach fear or nervousness feeling of constant movement of self or surroundings lightheadedness sensation of spinning severe and throbbing headache stomach upset tenderness in the stomach area trouble sleeping Incidence not known Abnormal breathing sounds blurred vision burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings dry mouth flushed, dry skin fruit-like breath odor gaining weight around your neck, upper back, breast, face, or waist hair loss increased hunger increased thirst increased urination muscle weakness sweating swelling or inflammation of the mouth thinning of the hair unexplained weight loss Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088. 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 abacavir/lamivudine Side Effects During Pregnancy Dosage Information Drug Images Drug Interactions Support Group Pricing & Coupons En Espaรฑol 4 Reviews Add your own review/rating Drug class: antiviral combinations Consumer resources Abacavir and lamivudine Other brands: Epzicom Professional resources Abacavir and Lamivudine Tablets (FDA) Abacavir and Lamivudine (Wolters Kluwer) Related treatment guides HIV Infection Nonoccupational Exposure Occupational Exposure} 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 Manufacturers Lupin Pharmaceuticals, Inc. Teva Pharmaceuticals USA, Inc. Prasco Laboratories Aurobindo Pharma Limited More... Drug Class Antiviral combinations Related Drugs 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 , Epzicom , Reyataz , More... Abacavir / lamivudine Rating 4 User Reviews 10 /10 4 User Reviews 10 Rate it! Abacavir / lamivudine Images Abacavir / lamivudine systemic 600 mg / 300 mg (TV 5382) View larger images Help and Support Looking for answers? Ask a question or go join the abacavir / lamivudine support group to connect with others who have similar interests.} } you may want


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that i'm wondering A200 Maximum Strength (Topical) Generic Name: pyrethrum extract and piperonyl butoxide (Topical route) pye-REE-thrum EX-trackt, PIP-er-oh-nil byoo-TOX-ide Overview Side Effects Dosage Professional Reviews More Support Group Q & A Pricing & Coupons Commonly used brand name(s) In the U.S. A200 Maximum Strength A200 Time-Tested Formula Lice-X Licide Medi-Lice Maximum Strength Pronto Maximum Strength Pyrinex Pyrinyl Rid Tisit Available Dosage Forms: Gel/Jelly Liquid Shampoo Kit Foam Therapeutic Class: Pediculicide Chemical Class: Pyrethrums Slideshow Head Lice: 11 Tips That Parents Are Itching To Know Uses For A200 Maximum Strength Medicine containing pyrethrins is used to treat head, body, and pubic lice infections. This medicine is absorbed by the lice and destroys them by acting on their nervous systems. It does not affect humans in this way. The piperonyl butoxide is included to make the pyrethrins more effective in killing the lice. This combination medicine is known as a pediculicide. This medicine is available without a prescription. Before Using A200 Maximum Strength 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 Although there is no specific information comparing use of pyrethrins and piperonyl butoxide combination in children with use in other age groups, this medicine is not expected to cause different side effects or problems in children than it does in adults. Geriatric Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults. Although there is no specific information comparing use of pyrethrins and piperonyl butoxide combination medicine in the elderly with use in other age groups, this medicine is not expected to cause different side effects or problems in older people than it does in younger adults. 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. 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: Inflammation of the skin (severe) Use of pyrethrins and piperonyl butoxide combination may make the condition worse Proper Use of pyrethrum extract and piperonyl butoxide This section provides information on the proper use of a number of products that contain pyrethrum extract and piperonyl butoxide. It may not be specific to A200 Maximum Strength. Please read with care. Pyrethrins and piperonyl butoxide combination medicine usually comes with patient directions. Read them carefully before using this medicine. Use this medicine only as directed. Do not use more of it and do not use it more often than recommended on the label. To do so may increase the chance of absorption through the skin and the chance of side effects. Keep pyrethrins and piperonyl butoxide combination medicine away from the mouth and do not inhale it. This medicine is harmful if swallowed or inhaled. To lessen the chance of inhaling this medicine, apply it in a well-ventilated room (for example, one with free flowing air or with a fan turned on). Keep this medicine away from the eyes and other mucous membranes, such as the inside of the nose, mouth, or vagina, because it may cause irritation. If you accidentally get some in your eyes, flush them thoroughly with water at once. Do not apply this medicine to the eyelashes or eyebrows . If they become infected with lice, check with your doctor. To use the gel or solution form of this medicine: Apply enough medicine to thoroughly wet the dry hair and scalp or skin. Allow the medicine to remain on the affected areas for exactly 10 minutes. Then, thoroughly wash the affected areas with warm water and soap or regular shampoo. Rinse thoroughly and dry with a clean towel. To use the shampoo form of this medicine: Apply enough medicine to thoroughly wet the dry hair and scalp or skin. Allow the medicine to remain on the affected areas for exactly 10 minutes. Then use a small amount of water and work shampoo into the hair and scalp or skin until a lather forms. Rinse thoroughly and dry with a clean towel. After rinsing and drying, use a nit removal comb (special fine-toothed comb, usually included with this medicine) to remove the dead lice and eggs (nits) from hair. Immediately after using this medicine, wash your hands to remove any medicine that may be on them. This medicine should be used again in 7 to 10 days after the first treatment in order to kill any newly hatched lice. Lice can easily move from one person to another by close body contact. This can happen also by direct contact with such things as clothing, hats, scarves, bedding, towels, washcloths, hairbrushes and combs, or the hair of infected persons. Therefore, all members of your household should be examined for lice and receive treatment if they are found to be infected. To use this medicine for pubic (crab) lice: Your sexual partner may also need to be treated, since the infection may spread to persons in close contact. If your partner is not being treated or if you have any questions about this, check with your doctor. 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 topical dosage forms (gel, solution shampoo, and topical solution): For head, body, or pubic lice: Adults and children Use one time, then repeat one time in seven to ten days. Storage Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing. Keep out of the reach of children. Do not keep outdated medicine or medicine no longer needed. Precautions While Using A200 Maximum Strength To prevent reinfection or spreading of the infection to other people, good health habits are also required. These include the following: For head lice Machine wash all clothing (including hats, scarves, and coats), bedding, towels, and washcloths in very hot water and dry them by using the hot cycle of a dryer for at least 20 minutes. Clothing or bedding that cannot be washed should be dry-cleaned or sealed in a plastic bag for 2 weeks. Shampoo all wigs and hairpieces. Wash all hairbrushes and combs in very hot soapy water (above 130 F) for 5 to 10 minutes and do not share them with other people. Clean the house or room by thoroughly vacuuming upholstered furniture, rugs, and floors. For body lice Machine wash all clothing, bedding, towels, and washcloths in very hot water and dry them by using the hot cycle of a dryer for at least 20 minutes. Clothing or bedding that cannot be washed should be dry-cleaned or sealed in a plastic bag for 2 weeks. Clean the house or room by thoroughly vacuuming upholstered furniture, rugs, and floors. For pubic lice Machine wash all clothing (especially underwear), bedding, towels, and washcloths in very hot water and dry them by using the hot cycle of a dryer for at least 20 minutes. Clothing or bedding that cannot be washed should be dry-cleaned or sealed in a plastic bag for 2 weeks. Scrub toilet seats frequently. A200 Maximum Strength Side Effects Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor as soon as possible if any of the following side effects occur: Less common or rare Skin irritation not present before use of this medicine skin rash or infection sneezing (sudden attacks of) stuffy or runny nose wheezing or difficulty in breathing 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 piperonyl butoxide/pyrethrins topical Side Effects Dosage Information Support Group Pricing & Coupons En Espaรฑol 1 Review Add your own review/rating Drug class: topical anti-infectives Consumer resources Piperonyl butoxide and pyrethrins topical Pyrethrins and Piperonyl Butoxide Gel and Liquid Pyrethrins and Piperonyl Butoxide Shampoo Pyrethrum extract and piperonyl butoxide Topical (Advanced Reading) Other brands: RID , Lice Treatment , A-200 Lice Treatment , Good Sense Lice Killing Shampoo, Step 1 , ... +8 more Professional resources Pyrethrins with Piperonyl Butoxide (AHFS Monograph) Related treatment guides Head Lice Lice} Drug Status Rx OTC Availability Rx and/or OTC N Pregnancy Category Not classified N/A CSA Schedule Not a controlled drug Approval History Drug history at FDA Drug Class Topical anti-infectives Related Drugs Head Lice ivermectin topical , permethrin topical , Elimite , acetic acid topical , Sklice , malathion topical , Nix , lindane topical , RID , spinosad topical , Ovide , Acticin , More... Lice permethrin topical , Elimite , lindane topical , RID , spinosad topical , Acticin , Natroba , Lice Treatment , Nix Cream Rinse , Lice Bedding Spray , More... Piperonyl butoxide / pyrethrins topical Rating 1 User Review 5.0 /10 1 User Review 5.0 Rate it! Help and Support Looking for answers? Ask a question or go join the piperonyl butoxide / pyrethrins support group to connect with others who have similar interests.} } seem


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most suitable A200 Time-Tested Formula (Topical) Generic Name: pyrethrum extract and piperonyl butoxide (Topical route) pye-REE-thrum EX-trackt, PIP-er-oh-nil byoo-TOX-ide Overview Side Effects Dosage Professional Reviews More Support Group Q & A Pricing & Coupons Commonly used brand name(s) In the U.S. A200 Maximum Strength A200 Time-Tested Formula Lice-X Licide Medi-Lice Maximum Strength Pronto Maximum Strength Pyrinex Pyrinyl Rid Tisit Available Dosage Forms: Gel/Jelly Liquid Shampoo Kit Foam Therapeutic Class: Pediculicide Chemical Class: Pyrethrums Slideshow Head Lice: 11 Tips That Parents Are Itching To Know Uses For A200 Time-Tested Formula Medicine containing pyrethrins is used to treat head, body, and pubic lice infections. This medicine is absorbed by the lice and destroys them by acting on their nervous systems. It does not affect humans in this way. The piperonyl butoxide is included to make the pyrethrins more effective in killing the lice. This combination medicine is known as a pediculicide. This medicine is available without a prescription. Before Using A200 Time-Tested Formula 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 Although there is no specific information comparing use of pyrethrins and piperonyl butoxide combination in children with use in other age groups, this medicine is not expected to cause different side effects or problems in children than it does in adults. Geriatric Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults. Although there is no specific information comparing use of pyrethrins and piperonyl butoxide combination medicine in the elderly with use in other age groups, this medicine is not expected to cause different side effects or problems in older people than it does in younger adults. 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. 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: Inflammation of the skin (severe) Use of pyrethrins and piperonyl butoxide combination may make the condition worse Proper Use of pyrethrum extract and piperonyl butoxide This section provides information on the proper use of a number of products that contain pyrethrum extract and piperonyl butoxide. It may not be specific to A200 Time-Tested Formula. Please read with care. Pyrethrins and piperonyl butoxide combination medicine usually comes with patient directions. Read them carefully before using this medicine. Use this medicine only as directed. Do not use more of it and do not use it more often than recommended on the label. To do so may increase the chance of absorption through the skin and the chance of side effects. Keep pyrethrins and piperonyl butoxide combination medicine away from the mouth and do not inhale it. This medicine is harmful if swallowed or inhaled. To lessen the chance of inhaling this medicine, apply it in a well-ventilated room (for example, one with free flowing air or with a fan turned on). Keep this medicine away from the eyes and other mucous membranes, such as the inside of the nose, mouth, or vagina, because it may cause irritation. If you accidentally get some in your eyes, flush them thoroughly with water at once. Do not apply this medicine to the eyelashes or eyebrows . If they become infected with lice, check with your doctor. To use the gel or solution form of this medicine: Apply enough medicine to thoroughly wet the dry hair and scalp or skin. Allow the medicine to remain on the affected areas for exactly 10 minutes. Then, thoroughly wash the affected areas with warm water and soap or regular shampoo. Rinse thoroughly and dry with a clean towel. To use the shampoo form of this medicine: Apply enough medicine to thoroughly wet the dry hair and scalp or skin. Allow the medicine to remain on the affected areas for exactly 10 minutes. Then use a small amount of water and work shampoo into the hair and scalp or skin until a lather forms. Rinse thoroughly and dry with a clean towel. After rinsing and drying, use a nit removal comb (special fine-toothed comb, usually included with this medicine) to remove the dead lice and eggs (nits) from hair. Immediately after using this medicine, wash your hands to remove any medicine that may be on them. This medicine should be used again in 7 to 10 days after the first treatment in order to kill any newly hatched lice. Lice can easily move from one person to another by close body contact. This can happen also by direct contact with such things as clothing, hats, scarves, bedding, towels, washcloths, hairbrushes and combs, or the hair of infected persons. Therefore, all members of your household should be examined for lice and receive treatment if they are found to be infected. To use this medicine for pubic (crab) lice: Your sexual partner may also need to be treated, since the infection may spread to persons in close contact. If your partner is not being treated or if you have any questions about this, check with your doctor. 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 topical dosage forms (gel, solution shampoo, and topical solution): For head, body, or pubic lice: Adults and children Use one time, then repeat one time in seven to ten days. Storage Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing. Keep out of the reach of children. Do not keep outdated medicine or medicine no longer needed. Precautions While Using A200 Time-Tested Formula To prevent reinfection or spreading of the infection to other people, good health habits are also required. These include the following: For head lice Machine wash all clothing (including hats, scarves, and coats), bedding, towels, and washcloths in very hot water and dry them by using the hot cycle of a dryer for at least 20 minutes. Clothing or bedding that cannot be washed should be dry-cleaned or sealed in a plastic bag for 2 weeks. Shampoo all wigs and hairpieces. Wash all hairbrushes and combs in very hot soapy water (above 130 F) for 5 to 10 minutes and do not share them with other people. Clean the house or room by thoroughly vacuuming upholstered furniture, rugs, and floors. For body lice Machine wash all clothing, bedding, towels, and washcloths in very hot water and dry them by using the hot cycle of a dryer for at least 20 minutes. Clothing or bedding that cannot be washed should be dry-cleaned or sealed in a plastic bag for 2 weeks. Clean the house or room by thoroughly vacuuming upholstered furniture, rugs, and floors. For pubic lice Machine wash all clothing (especially underwear), bedding, towels, and washcloths in very hot water and dry them by using the hot cycle of a dryer for at least 20 minutes. Clothing or bedding that cannot be washed should be dry-cleaned or sealed in a plastic bag for 2 weeks. Scrub toilet seats frequently. A200 Time-Tested Formula Side Effects Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor as soon as possible if any of the following side effects occur: Less common or rare Skin irritation not present before use of this medicine skin rash or infection sneezing (sudden attacks of) stuffy or runny nose wheezing or difficulty in breathing 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 piperonyl butoxide/pyrethrins topical Side Effects Dosage Information Support Group Pricing & Coupons En Espaรฑol 1 Review Add your own review/rating Drug class: topical anti-infectives Consumer resources Piperonyl butoxide and pyrethrins topical Pyrethrins and Piperonyl Butoxide Gel and Liquid Pyrethrins and Piperonyl Butoxide Shampoo Pyrethrum extract and piperonyl butoxide Topical (Advanced Reading) Other brands: RID , Lice Treatment , A-200 Lice Treatment , Good Sense Lice Killing Shampoo, Step 1 , ... +8 more Professional resources Pyrethrins with Piperonyl Butoxide (AHFS Monograph) Related treatment guides Head Lice Lice} Drug Status Rx OTC Availability Rx and/or OTC N Pregnancy Category Not classified N/A CSA Schedule Not a controlled drug Approval History Drug history at FDA Drug Class Topical anti-infectives Related Drugs Head Lice ivermectin topical , permethrin topical , Elimite , acetic acid topical , Sklice , malathion topical , Nix , lindane topical , RID , spinosad topical , Ovide , Acticin , More... Lice permethrin topical , Elimite , lindane topical , RID , spinosad topical , Acticin , Natroba , Lice Treatment , Nix Cream Rinse , Good Sense Lice Killing Shampoo, Step 1 , More... Piperonyl butoxide / pyrethrins topical Rating 1 User Review 5.0 /10 1 User Review 5.0 Rate it! Help and Support Looking for answers? Ask a question or go join the piperonyl butoxide / pyrethrins support group to connect with others who have similar interests.} } large


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is a component [15:] FEATURED: CAR-T Cell Therapy Overview Mechanism of Action KTE-C19 Studies KTE-C19 Cancer Targets Adverse Events Manufacturing Drug Status Rx Availability Prescription only C Pregnancy Category Risk cannot be ruled out N/A CSA Schedule Not a controlled drug Drug Class Miscellaneous respiratory agents Related Drugs Alpha-1 Proteinase Inhibitor Deficiency Prolastin , Prolastin-C , Zemaira , Glassia , Aralast , alpha 1-proteinase inhibitor , More... Alpha 1-proteinase inhibitor Rating 3 User Reviews 10 /10 3 User Reviews 10 Rate it! most stylish


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looking forward to [50:<1% (Limited to important or life-threatening): Abnormal breath sounds, alopecia, anemia (including pure red cell aplasia and severe anemias progressing on therapy), aplastic anemia, erythema multiforme, exacerbation of hepatitis B, hepatitis, hyperglycemia, immune reconstitution syndrome, increased creatine phosphokinase, lactic acidosis, liver steatosis, lymphadenopathy, myasthenia, paresthesia, peripheral neuropathy, redistribution of body fat, rhabdomyolysis, seizure, splenomegaly, Stevens-Johnson syndrome, stomatitis, weakness, wheezing ALERT: U.S. Boxed Warning Hypersensitivity reactions: Serious and sometimes fatal hypersensitivity reactions, with multiple organ involvement, have occurred with abacavir, a component of abacavir/lamivudine. Patients who carry the HLA-B*5701 allele are at a higher risk of a hypersensitivity reaction to abacavir; although, hypersensitivity reactions have occurred in patients who do not carry HLA-B*5701 allele. Abacavir is contraindicated in patients with a prior hypersensitivity reaction to abacavir and in HLA-B*5701 positive patients. All patients should be screened for the HLA-B*5701 allele prior to initiating therapy with abacavir or reinitiation of therapy with abacavir, unless patients have a previously documented HLA-B*5701 allele assessment. Discontinue abacavir/lamivudine immediately if a hypersensitivity reaction is suspected, regardless of HLA-B*5701 status and even when other diagnoses are possible. Following a hypersensitivity reaction to abacavir, never restart abacavir or any abacavir-containing product because more severe symptoms, including death, can occur within hours. Similar severe reactions have also occurred rarely following the reintroduction of abacavir-containing products in patients who have no history of abacavir hypersensitivity. Lactic acidosis and severe hepatomegaly: Lactic acidosis and severe hepatomegaly with steatosis, including fatal cases, have been reported with the use of nucleoside analogues and other antiretrovirals. Discontinue abacavir if clinical or laboratory findings suggestive of lactic acidosis or pronounced hepatotoxicity occur. Exacerbations of hepatitis B: Severe acute exacerbations of hepatitis B have been reported in patients who are co-infected with hepatitis B virus (HBV) and HIV-1 and have discontinued lamivudine, which is 1 component of abacavir/lamivudine. Hepatic function should be closely monitored with both clinical and laboratory follow-up for at least several months in patients who discontinue abacavir/lamivudine and are coinfected with HIV-1 and HBV. If appropriate, initiation of antihepatitis B therapy may be warranted. Warnings/Precautions Concerns related to adverse effects: Fat redistribution: May cause redistribution of fat (eg, buffalo hump, peripheral wasting with increased abdominal girth, cushingoid appearance). Hypersensitivity reactions: [US Boxed Warning]: Serious and sometimes fatal hypersensitivity reactions have occurred with abacavir, a component of abacavir/lamivudine. Patients who carry the HLA-B*5701 allele are at a higher risk for a hypersensitivity reaction to abacavir, although hypersensitivity reactions have occurred in patients who do not carry the HLA-B*5701 allele. All patients should be screened for the HLA-B*5701 allele prior to initiating or reinitiation of therapy unless patients have had a previously documented HLA-B*5701 allele assessment. Discontinue abacavir/lamivudine if a hypersensitivity reaction is suspected. Abacavir is contraindicated in patients who have the HLA-B*5701 allele or in patients with a prior hypersensitivity reaction to abacavir. Reintroduction of any abacavir-containing product can result in life-threatening or fatal hypersensitivity reactions, even in patients who have no history of hypersensitivity to abacavir therapy. Such reactions can occur within hours. An allergy to abacavir should be documented in the medical record of allele-positive patients. Reactions usually occur within 9 days of starting abacavir; ~90% occur within 6 weeks, although these reactions may occur at any time during therapy (HHS [adult] 2015). These reactions usually include signs or symptoms from two or more of the following: Fever, skin rash, constitutional symptoms (malaise, fatigue, aches), respiratory symptoms (eg, pharyngitis, dyspnea, cough), and GI symptoms (eg, abdominal pain, diarrhea, nausea, vomiting). Other signs and symptoms include lethargy, headache, myalgia, edema, abnormal chest x-ray findings, arthralgia and paresthesia. Anaphylaxis, liver failure, renal failure, hypotension, adult respiratory distress syndrome, respiratory failure, myolysis, and death have occurred in association with hypersensitivity reactions. Physical findings (lymphadenopathy, mucous membrane lesions, and rash [maculopapular, urticarial or variable]) may occur. Erythema multiforme has also been reported. Laboratory abnormalities (eg, elevated liver function tests, elevated creatine phosphokinase, elevated creatinine, and lymphopenia) may occur. Abacavir/lamivudine should be permanently discontinued if hypersensitivity cannot be ruled out, even when other diagnoses are possible and regardless of HLA-B*5701 status. Abacavir/lamivudine SHOULD NOT be restarted because more severe symptoms may occur within hours, including LIFE-THREATENING HYPOTENSION AND DEATH. If abacavir/lamivudine is restarted following an interruption in therapy not associated with symptoms of a hypersensitivity reaction, carefully evaluate the patient for previously unsuspected symptoms of hypersensitivity. Do not restart if hypersensitivity is suspected or cannot be ruled out regardless of HLA-B*5701 status. If abacavir/lamivudine is restarted, continually monitor for symptoms of a hypersensitivity reaction. Make the patient aware that reintroduction should only take place if medical care is readily accessible. 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-Barrรฉ syndrome) later in therapy; further evaluation and treatment may be required. Lactic acidosis/hepatomegaly: [US Boxed Warning]: Lactic acidosis and severe hepatomegaly with steatosis, including fatal cases, have been reported with the use of nucleoside analogues and other antiretrovirals. Use with caution in patients with risk factors for liver disease (risk may be increased with female gender, obesity, pregnancy or prolonged exposure) and discontinue treatment in any patient who develops clinical or laboratory findings suggestive of lactic acidosis or hepatotoxicity (transaminase elevation may/may not accompany hepatomegaly and steatosis). Disease-related concerns: Coronary heart disease: Use has been associated with an increased risk of myocardial infarction (MI) in observational studies; however, based on a meta-analysis of 26 randomized trials, the FDA has concluded there is not an increased risk. Consider using with caution in patients with risks for coronary heart disease and minimizing modifiable risk factors (eg, hypertension, hyperlipidemia, diabetes mellitus, and smoking) prior to use. Chronic hepatitis B: [US Boxed Warning]: Severe acute exacerbations of hepatitis B have been reported in patients who are co-infected with hepatitis B virus (HBV) and HIV-1 and have discontinued lamivudine, which is 1 component of abacavir/lamivudine. Monitor patients closely for several months following discontinuation of therapy for chronic hepatitis B; clinical exacerbations may occur. Lamivudine-resistant HBV variants have been reported in coinfected patients using lamivudine as part of an antiretroviral regimen. Hepatic impairment: Due to fixed dose of combination product, use is not recommended with mild hepatic impairment; use in patients with moderate or severe hepatic impairment is contraindicated. Renal impairment: Due to fixed dose of combination product, use is not recommended with renal impairment (CrCl> <50 mL/minute). 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 abacavir or lamivudine-containing products with the fixed dose combination product should be avoided. Emtricitabine: Concomitant use of emtricitabine-containing products should be avoided. Interferon alfa: Use with caution in combination with interferon alfa with or without ribavirin in HIV/HBV coinfected patients; monitor closely for hepatic decompensation, anemia, or neutropenia; dose reduction or discontinuation of interferon and/or ribavirin may be required if toxicity is evident. Other warnings/precautions: Appropriate use: Do not use abacavir and lamivudine (plus efavirenz or plus atazanavir/ritonavir) in adolescent and adult HIV-1 patients with a pre-ART HIV RNA> 100,000 copies/mL (HHS [adult] 2015). Monitoring Parameters Amylase, bilirubin, blood glucose, serum creatine kinase, liver enzymes, hematologic parameters, triglycerides, viral load, and CD4 count; HLA-B*5701 genotype status prior to initiation of therapy; signs and symptoms of hypersensitivity. Pregnancy Considerations The Health and Human Services (HHS) Perinatal HIV Guidelines consider abacavir in combination with lamivudine to be a preferred nucleoside reverse transcriptase inhibitor (NRTI) backbone for initial use in antiretroviral-naive pregnant women (do not use in women who are positive for the HLA-B*5701 allele). This backbone is not recommended with atazanavir/ritonavir or efavirenz if pretreatment HIV RNA is >100,000 copies/mL. In general, women who become pregnant on a stable combination antiretroviral therapy (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 (HHS [perinatal] 2016). See individual agents. 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 headache, insomnia, loss of strength and energy, nausea, or diarrhea. Have patient report immediately to prescriber signs of allergic reaction with organ failure (fever, rash, fatigue, flu-like signs, nausea, vomiting, diarrhea, abdominal pain, pharyngitis, cough, or difficulty breathing), signs of liver problems (dark urine, fatigue, lack of appetite, nausea, abdominal pain, light-colored stools, vomiting, or jaundice), 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 pancreatitis (severe abdominal pain, severe back pain, severe nausea, or vomiting), signs of kidney problems (urinary retention, hematuria, change in amount of urine passed, or weight gain), severe dizziness, passing out, angina, depression, mouth sores, muscle pain, enlarged lymph nodes, muscle weakness, burning or numbness feeling, edema, change in body fat, 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 healthcare 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 abacavir/lamivudine Side Effects During Pregnancy Dosage Information Drug Images Drug Interactions Support Group Pricing & Coupons En Espaรฑol 4 Reviews Add your own review/rating Drug class: antiviral combinations Consumer resources Abacavir and lamivudine Abacavir and lamivudine (Advanced Reading) Professional resources Abacavir and Lamivudine Tablets (FDA) Other brands: Epzicom Related treatment guides HIV Infection Nonoccupational Exposure Occupational Exposure ]} 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 Abacavir / lamivudine Rating 4 User Reviews 10 /10 4 User Reviews 10 Rate it! Manufacturers Lupin Pharmaceuticals, Inc. Teva Pharmaceuticals USA, Inc. Prasco Laboratories Aurobindo Pharma Limited More... Drug Class Antiviral combinations Related Drugs antiviral combinations Harvoni , Truvada , Atripla , Genvoya , Triumeq , Stribild 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 , Epzicom , Reyataz , More... Abacavir / lamivudine Images Abacavir / lamivudine systemic 600 mg / 300 mg (TV 5382) View larger images} } family member


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what's going to A+D Original Generic Name: Vitamin A and Vitamin D (Topical) (VYE ta min aye & VYE ta min dee) Brand Name: A+D Original, Baza Clear, Sween Cream Overview Side Effects Reviews More Uses of A+D Original: It is used to treat diaper rash. It is used to treat dry skin. It is used to treat skin irritation. Slideshow Hives: The What, Where, And Why Of This Bizarre Skin Condition What do I need to tell my doctor BEFORE I take A+D Original? If you have an allergy to vitamin A, vitamin D, or any other part of A+D Original (vitamin A and vitamin D (topical)). If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs. If you have a very bad burn or cut. If you have an animal bite or a deep puncture wound. This is not a list of all drugs or health problems that interact with this medicine. Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take A+D Original with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor. What are some things I need to know or do while I take A+D Original? Tell all of your health care providers that you take this medicine. This includes your doctors, nurses, pharmacists, and dentists. Do not use coverings (bandages, dressings, make-up) unless told to do so by the doctor. This medicine may cause harm if swallowed. If A+D Original is swallowed, call a doctor or poison control center right away. Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using this medicine while you are pregnant. Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby. How is this medicine (A+D Original) best taken? Use A+D Original as ordered by your doctor. Read all information given to you. Follow all instructions closely. Do not take this medicine by mouth. Use on your skin only. Keep out of your mouth, nose, and eyes (may burn). Wash your hands before and after use. Do not wash your hands after use if putting this on your hand. Clean affected part before use. Make sure to dry well. Put a thin layer on the affected skin and rub in gently. If you are using under a diaper, change the diaper often. Clean the affected area and allow it to dry. Use the drug with each diaper changed, especially at bedtime. What do I do if I miss a dose? Put on a missed dose as soon as you think about it. If it is close to the time for your next dose, skip the missed dose and go back to your normal time. Do not put on 2 doses or extra doses. Many times A+D Original is taken on an as needed basis. Do not take more often than told by the doctor. What are some side effects that I need to call my doctor about right away? WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect: Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat. Very bad skin irritation. What are some other side effects of A+D Original? All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if you have any side effects that bother you or do not go away. These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch. Side Effects (complete list) If OVERDOSE is suspected: If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened. How do I store and/or throw out A+D Original? Store at room temperature. Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets. Check with your pharmacist about how to throw out unused drugs. Consumer Information Use and Disclaimer If your symptoms or health problems do not get better or if they become worse, call your doctor. Do not share your drugs with others and do not take anyone else's drugs. Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor. Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins. Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about this medicine, please talk with your doctor, nurse, pharmacist, or other health care provider. If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened. This information should not be used to decide whether or not to take A+D Original or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to A+D Original. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using this medicine. Review Date: November 1, 2017 Next Side Effects Print this page Add to My Med List More about A+D (vitamin a & d topical) Side Effects 0 Reviews Add your own review/rating Drug class: topical emollients Consumer resources Other brands: Baza Clear , Sween Related treatment guides Minor Skin Irritation Diaper Rash Minor Burns Minor Skin Conditions Scrapes Sunburn Drug Status OTC Availability Over the counter C Pregnancy Category Risk cannot be ruled out N/A CSA Schedule Not a controlled drug A+D Rating No Reviews - Be the first! No Reviews - Be the first! Not Rated - Be the first! Drug Class Topical emollients Related Drugs Minor Skin Conditions Baza Clear , More... Minor Skin Irritation witch hazel topical , Caladryl Clear , Baza Clear , More... Minor Burns Baza Clear , More... Diaper Rash Calmoseptine , zinc oxide topical , lanolin topical , Desitin Rapid Relief Cream , More... 2 more conditions... instructional materials


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Photo :Why Many Breast Cancer Patients Short-Circuit Their Treatment

a prolonged (*this news item will not be available after 02/04/2018) By Robert Preidt Monday, November 6, 2017 MONDAY, Nov. 6, 2017 (HealthDay News) -- Many breast cancer patients skip recommended treatment after surgery because they lack faith in the health care system, a new study indicates. A patient survey found those who reported a general distrust of medical institutions and insurers were more likely to forgo follow-up breast cancer treatment, such as chemotherapy, hormone therapy or radiation. Trust or distrust of their own doctors did not emerge as a factor. "If we want more women with breast cancer to complete their treatment, we'll need to deal with their beliefs about the health care system -- and I do think we can modify those beliefs," said study lead author Lorraine Dean. She's an assistant professor of epidemiology at Johns Hopkins University. Dean's team surveyed more than 2,700 patients in Florida and Pennsylvania after breast cancer surgery. More than 30 percent disregarded their doctor's advice to start or complete follow-up therapy aimed at killing any remaining tumor cells. Patients who opted out of follow-up treatment were 40 percent more likely to have a cancer recurrence during the two-year study period than those who followed their doctor's recommendations, the researchers found. "While it is surprising in general that nearly one-third of patients are not following up with recommended adjuvant treatment, some earlier, more localized studies have reported even higher discordance rates, and it's possible that our own figures would have been higher if we had followed patients for more than two years," Dean said in a university news release. The researchers said their hope is to improve patients' long-term outcomes by boosting rates of adherence to treatment. "Improving health care system distrust may require strategies that are not solely focused on boosting physician trust," Dean said. "If ordinary businesses can learn to increase trust in their brands, why not the same with health care institutions?" she concluded. The study was published recently in the journal Cancer Epidemiology, Biomarkers & Prevention . SOURCE: Johns Hopkins University, news release, Nov. 1, 2017 HealthDay Copyright (c) 2017 HealthDay . All rights reserved. News stories are written and provided by HealthDay and do not reflect federal policy, the views of MedlinePlus, the National Library of Medicine, the National Institutes of Health, or the U.S. Department of Health and Human Services. More Health News on Breast Cancer Mental Health Recent Health News optimum


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virtually (*this news item will not be available after 02/04/2018) Monday, November 6, 2017 MONDAY, Nov. 6, 2017 (HealthDay News) -- Ladies, slip on your sneakers and walk briskly every day, and you might prolong your life. In a new study, women who logged an average of nearly 70 minutes daily had up to a 70 percent lower risk of death compared to the least active women, who moved just eight minutes a day. The study also found that the benefits were significant mainly for women who participated in moderate to vigorous exercise. "Overall, this study's results are consistent with other evidence that repeatedly demonstrates the importance of regular activity, like brisk walking," said American Heart Association spokesperson Dr. JoAnn Manson. "This study provides further evidence that you can literally walk away from the grim reaper. Exercise really is as close as we come to a magic bullet for good health. Exercise reduces the risk of type 2 diabetes, obesity, heart disease, cancer, depression and cognitive [mental] decline," Manson said. The researchers said that what makes their findings stand out is the fact that exercise levels were measured objectively. The study's lead author, Dr. I-Min Lee from Brigham and Women's Hospital in Boston, said, "The idea that physical activity is good for your health is nothing new." What is new about the current study is that the researchers didn't rely on people to tell them how much they exercised. Instead, the women in the study wore a fitness device to actually measure how much they were moving. "Most studies see a 20 to 30 percent reduction in the risk of death. The effect of physical activity in our study was very striking, with a risk reduction on the order of 60 to 70 percent," Lee said. To put that finding into perspective, she said, the mortality risk reduction for quitting smoking is around 50 percent. The study included data from nearly 17,000 women. Their average age was 72, and most were white. All wore an ActiGraph accelerometer that was very sensitive to picking up movement, Lee said. The women were asked to wear the device every day for a week while they were awake. The device had no display that the women could see. The researchers asked the women to do a usual amount of activity while they were wearing the devices. The average time of moderate to vigorous activity for all women was 28 minutes a day. The women also did 351 minutes, on average, of light physical activity daily. Light physical activity would include housework or slow walking (such as window shopping). The women were sedentary for 503 minutes a day, the study revealed. During an average follow-up time of just over two years, 207 women died. The more women participated in moderate-to-vigorous exercise, the less likely they were to die during the study, the findings showed. Surprisingly, the researchers didn't see a benefit to greater levels of light activity. They also didn't see a bump in risk for those with more sedentary behavior. Lee said it's important to remember that "health is more than death rates," and she thinks if the study had looked at other health outcomes, there likely would have been a benefit to light activity. She added that even older women -- such as those approaching 80 -- might also see a bigger benefit from increasing levels of light activity and decreasing levels of sedentary time. Due to the design of the study, it cannot prove a cause-and-effect relationship, but Lee said that "it's more likely than not that this relationship is probably causal." Dr. Howard Selinger, chair of family medicine at the Frank H. Netter School of Medicine at Quinnipiac University in Connecticut, said he was surprised by the magnitude of the reduction in death risk, but not that exercise was beneficial. "I tell my patients to get 30 minutes of exercise a day, five days a week," Selinger said, which falls in line with the U.S. national guidelines that advise 150 minutes of moderate activity a week, or 75 minutes of vigorous activity. "Get as much exercise as you can get because it may have a life-sustaining benefit," Selinger recommended. The study was published Nov. 6 in Circulation . SOURCES: I-Min Lee, M.B.B.S., Sc.D., professor, medicine, Harvard Medical School, professor, epidemiology, Harvard School of Public Health, and associate epidemiologist, Brigham and Women's Hospital, Boston; Howard Selinger, M.D., chair, family medicine, Frank H. Netter MD School of Medicine, Quinnipiac University, Hamden, Conn.; JoAnn Manson, M.D., Dr.Ph., American Heart Association spokesperson, and chief, division of preventive medicine, Brigham and Women's Hospital, and professor, medicine and women's health, Harvard Medical School, Boston; Nov. 6, 2017, Circulation HealthDay Copyright (c) 2017 HealthDay . All rights reserved. News stories are written and provided by HealthDay and do not reflect federal policy, the views of MedlinePlus, the National Library of Medicine, the National Institutes of Health, or the U.S. Department of Health and Human Services. More Health News on Exercise for Seniors Women's Health Recent Health News unhurt


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for gratis Helping Children Cope When a Mass Tragedy Strikes regular

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presupposed to Helping Children Cope When a Mass Tragedy Strikes truly fizzling out
 
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to your doorstep (*this news item will not be available after 02/04/2018) By Mary Elizabeth Dallas Monday, November 6, 2017 MONDAY, Nov. 6, 2017 (HealthDay News) -- Mass slayings, like the church shooting in Texas Sunday that left at least 26 dead, are hard enough for adults to comprehend. For children, these tragedies can make the world seem like a terrifying place. In the wake of such bloodshed, a New Jersey family physician offers guidance to parents trying to help children manage their fears. Start by shielding your kids from the news reports, suggested Dr. Jennifer Caudle, an associate professor at Rowan University School of Osteopathic Medicine in Stratford. "Children may become upset by news coverage," Caudle said. So monitor and limit what they see, hear or read. This may reduce their anxiety and help them deal with these unsettling events, she explained. The Sutherland Springs, Texas, massacre was just the latest in a series of recent mass killings in the United States. In New York City on Halloween, a terrorist using a rented van killed eight people on a bike path. And on Oct. 1, a gunman in Las Vegas opened fire on hundreds of concert-goers, killing 58 and wounding nearly 550 more victims. Parents who want to help their children cope with such carnage should be mindful of their own reactions, Caudle said. Kids may look to you to help them understand what has happened, and they'll pick up on your emotional cues, she noted. Here are some of her suggestions: Ask children what they have already heard about the event. Provide the facts but try not to make judgments about the situation. Avoid upsetting details, and reassure children that people are working hard to make things better for everyone. Don't pressure kids to talk about the events, but encourage them to share their feelings by talking, drawing or writing. Let children know they can come to you for information and that they are free to ask questions. Remind children that their home is a safe place. Let children know that people may react differently to hard-to-understand events. Youngsters who aren't coping well with a tragedy may need extra help, Caudle said. "Problems with sleeping, changes in appetite or behavior, mood changes and new physical complaints, such as stomach aches and headaches, could -- in some children -- be a sign that they are having a difficult time coping," she said. "If this is the case, make sure your child sees a health care professional." SOURCE: Rowan University, news release, November 2017 HealthDay Copyright (c) 2017 HealthDay . All rights reserved. News stories are written and provided by HealthDay and do not reflect federal policy, the views of MedlinePlus, the National Library of Medicine, the National Institutes of Health, or the U.S. Department of Health and Human Services. More Health News on Child Mental Health Parenting Recent Health News shade


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business enterprise Doctor Burnout: A Big Health Threat in U.S. i assumed

business enterprise Doctor Burnout: A Big Health Threat in U.S. i assumed

meantime Doctor Burnout: A Big Health Threat in U.S. probably the greatest
 
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place of work (*this news item will not be available after 02/04/2018) By Robert Preidt Monday, November 6, 2017 MONDAY, Nov. 6, 2017 (HealthDay News) -- Complaining of burnout and job dissatisfaction, many U.S. doctors plan to reduce their work hours or leave medicine altogether, a new study reveals. "Our findings have profound implications for health care organizations," according to the researchers from the American Medical Association (AMA), the Mayo Clinic and Stanford University. The study found that about one in five doctors intends to reduce work hours in the next year. And about one in 50 intends to leave medicine for a different career within the next two years. The demands of electronic health records were among the challenges leading to job dissatisfaction. If only 30 percent of those doctors follow through on their plans to leave medicine, that would mean a loss of nearly 4,800 doctors. That's about the same as losing the graduating classes of 19 U.S. medical schools in each of the next two years, the researchers explained. Replacing physicians is expensive for institutions. One recent analysis estimated the cost at $800,000 or more per doctor. "In addition, turnover is disruptive to patients, staff and organizational culture," the study authors wrote. "An energized, engaged, and resilient physician workforce is essential to achieving national health goals," said Dr. David Barbe, president of the American Medical Association. "Yet burnout is more common among physicians than other U.S. workers, and that gap is increasing as mounting obstacles to patients' care contribute to emotional fatigue, depersonalization and loss of enthusiasm among physicians," Barbe said in an AMA news release. "The AMA is urging Congress, hospitals, and health plans to recognize the coming crisis as an early warning sign of health system dysfunction. America's physicians are the canary in the coal mine," he noted. Nearly 6,700 physicians across all specialties participated in the 2014 survey. The results were published Nov. 1 in the journal Mayo Clinic Proceedings . SOURCE: American Medical Association, news release, Nov. 1, 2017 HealthDay Copyright (c) 2017 HealthDay . All rights reserved. News stories are written and provided by HealthDay and do not reflect federal policy, the views of MedlinePlus, the National Library of Medicine, the National Institutes of Health, or the U.S. Department of Health and Human Services. More Health News on Health Occupations Mental Health Recent Health News at present


new edition Doctor Burnout: A Big Health Threat in U.S. abruptly
commonly Could a Common Blood Thinner Lower Cancer Risk? generally

commonly Could a Common Blood Thinner Lower Cancer Risk? generally

the sorts Could a Common Blood Thinner Lower Cancer Risk? substantial
 
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they carry (*this news item will not be available after 02/04/2018) Monday, November 6, 2017 MONDAY, Nov. 6, 2017 (HealthDay News) -- A pill widely taken to prevent heart attack and stroke may also guard against cancer, new research suggests. Warfarin is an inexpensive blood thinner. It's typically prescribed for patients whose leg arteries are prone to clots and for patients with the abnormal heartbeat called atrial fibrillation. Now, Norwegian investigators say it may also protect against any type of cancer and from prostate, lung and breast cancer, in particular. Lower colon cancer risk was also reported, but only in people taking warfarin for A-fib, according to the study. The findings don't prove that warfarin reduces the risk of cancer, cautioned lead researcher James Lorens. "This is an observational study using data on more than 1.25 million people 50 and older from Norwegian national registries, and cannot prove a cause-and-effect relationship," said Lorens, a professor of biomedicine at the University of Bergen in Norway. Among adults taking warfarin, however, fewer developed cancer compared with those not taking the drug, Lorens said. This study suggests there is something about warfarin that might reduce the risk of cancer, said Dr. Len Lichtenfeld, deputy chief medical officer at the American Cancer Society. However, "the study does not suggest that we should be prescribing warfarin to reduce cancer risk," he said. "No one should be taking warfarin as a cancer prevention measure." Lichtenfeld added that a healthy diet and exercise are better ways to prevent cancer than taking warfarin. Experimental cancer models have found that warfarin blocks a receptor called AXL on tumor cells, which might explain why it could prevent cancers, he said. As many as 10 percent of adults in Western countries take warfarin, according to background notes with the study. As a blood thinner, warfarin works by blocking vitamin K, which is essential for clotting. But the drug is difficult to regulate, and frequent blood tests are needed to ensure the dose is high enough to prevent clotting, but not so high as to cause major bleeding. New drugs that don't need such careful monitoring, such as Xarelto (rivaroxaban) and Eliquis (apixaban), have started to replace warfarin. Because these new drugs have a different mechanism of action, "we do not expect the same cancer protective effect as warfarin," Lorens noted. Rolf Brekken is a professor of surgery at the Center for Therapeutic Oncology Research at the University of Texas Southwestern Medical Center in Dallas. He hopes to see a trial testing warfarin in patients who have had cancer. "The next step is to demonstrate that a low dose of warfarin is safe and effective in preventing a return of cancer," he said. For the latest study, Lorens and his colleagues collected data on warfarin use and cancer among Norwegians born between 1924 and 1954. Specifically, the researchers looked at prescriptions for warfarin between 2004 and 2012 and any new cases of prostate, lung, breast and colon cancer between 2006 and 2012. Among 1.25 million people, nearly 93,000 were taking warfarin. Warfarin's anti-cancer effect was particularly strong among patients taking it for atrial fibrillation, Lorens said. The study had some limitations. Because Lorens' team did not collect information on other medications or risk factors, "new" cancers may have been recurrences of previous ones. Also, warfarin prescriptions may be a marker for other factors that can help prevent cancer, they added. The report was published online Nov. 6 in the journal JAMA Internal Medicine . SOURCES: James Lorens, Ph.D., professor, biomedicine, University of Bergen, Norway; Rolf Brekken, Ph.D., professor, surgery, principal investigator, Hamon Center for Therapeutic Oncology Research, University of Texas, Southwestern Medical Center, Dallas; Len Lichtenfeld, M.D., deputy chief medical officer, American Cancer Society; Nov. 6, 2017, JAMA Internal Medicine , online HealthDay Copyright (c) 2017 HealthDay . All rights reserved. News stories are written and provided by HealthDay and do not reflect federal policy, the views of MedlinePlus, the National Library of Medicine, the National Institutes of Health, or the U.S. Department of Health and Human Services. More Health News on Blood Thinners Cancer Recent Health News make money working from home


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spell binding West Nile's Long-Term Bite: Impact on Brain May Last Years maybe

spell binding West Nile's Long-Term Bite: Impact on Brain May Last Years maybe

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Photo :West Nile's Long-Term Bite: Impact on Brain May Last Years

sooner than (*this news item will not be available after 02/05/2018) Tuesday, November 7, 2017 TUESDAY, Nov. 7, 2017 (HealthDay News) -- Some people with a history of West Nile virus may show symptoms such as muscle weakness or foggy memory years later, a preliminary study suggests. West Nile is a mosquito-transmitted infection that turned up in North America in 1999. Since then, outbreaks have occurred across the United States each summer -- with more than 47,000 reported cases overall, according to the U.S. Centers for Disease Control and Prevention. However, the true number is estimated to be much higher -- more than 3 million -- largely because most people with West Nile either do not get sick, or have flu-like symptoms such as a fever and headache. A small number -- fewer than 1 percent -- develop serious inflammation of the brain or surrounding tissues. About 10 percent of those patients die, according to the agency. The new study suggests that some patients have lingering issues up to eight years later. And that may be true even among people whose initial infection was never recognized, the researchers said. Of 117 people the study evaluated, nearly half had some kind of symptom during neurological exams. Most often, that meant decreased muscle strength, problems with reflexes or tremors. In addition, 22 percent showed signs of "impairment" on memory tests. It's not possible to definitively point the finger at the patients' past West Nile infections, senior researcher Dr. Kristy Murray noted. However, these patients developed neurological issues at a much higher rate than would be expected in the general population, said Murray, an associate professor at Baylor College of Medicine in Houston. In addition, her team found evidence of brain-tissue thinning among 30 people who underwent MRI brain scans. And when the researchers focused on those who'd developed severe West Nile infections, they found tissue degeneration in several areas of the brain. That included regions related to movement and balance, plus essential functions like breathing and speaking. Murray said the tissue damage was consistent with what could happen after an infection causes severe brain inflammation. Greg Ebel is a professor of microbiology, immunology and pathology at Colorado State University. He agreed there are some questions about whether the symptoms in these study patients can be pinned on West Nile itself. However, Ebel called the findings "important," and said more research is needed to understand what's going on. "It's important for us to know the extent and nature of the damage to the central nervous system," Ebel said. The findings are based on 262 Houston-area residents who enrolled in a long-term study of West Nile starting in 2002. All had a history of the infection, but had suffered varying degrees of symptoms. Some weren't sickened at all, and had their infection discovered during routine blood-donor screening. Of the 57 people who showed neurological issues, seven had never noticed any symptoms from their West Nile infection, according to the researchers. That was a "surprise," Murray said, and it's unclear whether the infection directly caused the neurological symptoms in those people. Unfortunately, there is no treatment to reverse the damage seen in some of these patients, according to Murray. But "supportive care" might ease symptoms like muscle weakness or tremors, she suggested. Ebel said the findings underscore the importance of preventing West Nile infections in the first place. Avoiding mosquito bites is key, he said. The CDC advises Americans to be aware of West Nile "activity" in their local area, and use insect repellent and clothing to ward off mosquitoes when outdoors. To Murray, the study argues for more investment in finding a West Nile vaccine. "This is impacting people long term," she said, "and we still have no vaccine for it." The findings were scheduled for presentation Tuesday at the annual meeting of the American Society of Tropical Medicine and Hygiene, in Baltimore. Studies presented at meetings are generally considered preliminary until published in a peer-reviewed journal. SOURCES: Kristy Murray, Ph.D., D.V.M., associate professor, pediatrics-tropical medicine, Baylor College of Medicine, Houston; Greg Ebel, Sc.D., professor, microbiology, immunology and pathology, Colorado State University, Fort Collins, Colo.; Nov. 7, 2017 presentation, American Society of Tropical Medicine and Hygiene annual meeting, Baltimore HealthDay Copyright (c) 2017 HealthDay . All rights reserved. News stories are written and provided by HealthDay and do not reflect federal policy, the views of MedlinePlus, the National Library of Medicine, the National Institutes of Health, or the U.S. Department of Health and Human Services. Recent Health News shots


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which incorporates Waiting Even a Month to Remove Melanoma Can Be Deadly employees

which incorporates Waiting Even a Month to Remove Melanoma Can Be Deadly employees

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Photo :Waiting Even a Month to Remove Melanoma Can Be Deadly

the drugs (*this news item will not be available after 02/05/2018) By Robert Preidt Tuesday, November 7, 2017 TUESDAY, Nov. 7, 2017 (HealthDay News) -- The sooner the deadly skin cancer melanoma is treated, the more likely a patient is to survive. Researchers analyzed data from more than 153,000 American adults diagnosed with stage 1 to 3 melanoma between 2004 and 2012. No matter what stage their cancer was, those who waited more than 90 days for surgical treatment were more likely to die. And postponing surgery for more than 29 days led to lower survival rates for patients with stage 1 melanoma, though not for those with stage 2 or 3. Compared to patients who were treated within 30 days, patients with stage 1 melanoma were 5 percent more likely to die when treated between 30 and 59 days. Their risk of death rose 16 percent when treated between 60 and 89 days; 29 percent when treated between 91 and 120 days; and 41 percent when treated after 120 days. Patients who put off their treatment tended to be older men who also had other health problems. The Cleveland Clinic study was published online recently in the Journal of the American Academy of Dermatology . "The ideal timing for melanoma treatment, predominantly surgery, had yet to be determined -- until now," said primary investigator Dr. Brian Gastman. He is director of melanoma surgery at the Cleveland Clinic in Ohio. "We saw significantly worse prognoses and outcomes for those surgically treated after 30 days of stage I melanoma diagnosis. Knowing for certain that a more expedient time to surgery to remove an early melanoma improves the chances of survival is a game-changer in treating this life-threatening skin cancer," Gastman said in a clinic news release. Melanoma is on the rise in the United States. Nearly 162,000 new cases are expected to be diagnosed this year. The American Academy of Dermatology urges everyone to regularly check their skin for any new, changing or suspicious spots, especially if they are itchy or bleeding. Moles that are asymetrical, bigger than a pencil eraser or that are changing in size, shape or color should be examined by a doctor. SOURCE: Cleveland Clinic, news release, Oct. 17, 2017 HealthDay Copyright (c) 2017 HealthDay . All rights reserved. News stories are written and provided by HealthDay and do not reflect federal policy, the views of MedlinePlus, the National Library of Medicine, the National Institutes of Health, or the U.S. Department of Health and Human Services. More Health News on Melanoma Recent Health News most suitable


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the entirety It's 'Buyer Beware' When Purchasing Medical Pot Extract Online understand

the entirety It's 'Buyer Beware' When Purchasing Medical Pot Extract Online understand

the workers It's 'Buyer Beware' When Purchasing Medical Pot Extract Online put forward
 
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vehicle plate (*this news item will not be available after 02/05/2018) Tuesday, November 7, 2017 TUESDAY, Nov. 7, 2017 (HealthDay News) -- People buying a medicinal marijuana extract over the internet often don't get what they paid for, a new study warns. Nearly 7 out of 10 cannabidiol (CBD) products tested did not contain the amount of marijuana extract promised on the label, researchers report. "We wanted to see if they are accurately describing what is in their product," said lead researcher Marcel Bonn-Miller. "We found that generally speaking, no, they're not. There are some people that are doing it right, but the majority of people in the industry are not," said Bonn-Miller. He is an adjunct assistant professor of psychology in psychiatry at the University of Pennsylvania School of Medicine. What's more, 1 in 5 CBD products also contained THC, the active intoxicating compound in marijuana, the researchers found. Cannabidiol is a naturally occurring non-intoxicating chemical found in marijuana. Research has shown that CBD can help control epileptic seizures and spasms related to multiple sclerosis. People also use it to relieve anxiety or pain. Cannabidiol "doesn't get people high, but according to the (U.S.) Drug Enforcement Administration it's still classified as a schedule 1 substance," because it is a marijuana extract," Bonn-Miller explained. As a result, CBD products fall into a regulatory gray area. They can be purchased in the 29 states where medical marijuana is legal, but aren't being regulated by a federal government that deems them an illegal drug. Bonn-Miller and his colleagues tested 84 CBD products purchased online to see if they contained the amount of extract promised on the label. The products included oils, tinctures and vaporization liquid for use in e-cigarettes. "You were considered accurately labeled if you were plus or minus 10 percent," Bonn-Miller said. "We're giving people essentially a 10 percent room for error, and looking for people outside that." Nearly 43 percent of products contained too little CBD, while about 26 percent contained too much, Bonn-Miller said. Patients buying these CBD products to treat epilepsy or multiple sclerosis may not be getting the proper dosage, Bonn-Miller said, either not enough for the extract to work or too much. More disturbing, about 20 percent of the products also contained the intoxicating pot chemical THC. "THC has a different side effect profile altogether from CBD," Bonn-Miller said. "THC has been associated with development of psychosis and schizophrenia for people that have genetic vulnerabilities. If I had a first-degree relative that had schizophrenia, the literature would suggest stay away from THC." A first-degree relative is a parent, sibling or child. People purchasing medicinal CBD should exercise caution, and only buy from state-approved dispensaries or pharmacies, said Yasmin Hurd, director of the Addiction Institute at Mount Sinai in New York City. "You have to make sure you really investigate the companies selling these things and if possible try to buy it from your local dispensary or a pharmacy," Hurd said. "Work within the law that exists in your state so at least you can be more assured that you're consuming what you think you have purchased." People also should stick to brands that have a track record of quality, Bonn-Miller said. "It's about identifying those brands and supporting those brands that are accurately labeling their product," Bonn-Miller said. It would be good if patients actually sent their CBD products to a lab for quality testing, Bonn-Miller said. But Hurd noted that many people don't have the means to either find a lab or pay for testing. The best-case scenario would involve the federal government rescheduling CBD as a legal drug, so the U.S. Food and Drug Administration could regulate it, Bonn-Miller concluded. "It would definitely help because now it's up to the states, and the states are not equipped to provide the oversight at the level the FDA does," Bonn-Miller said. There also needs to be more research done on cannabidiol to hone in on proper dosages, Hurd added. "People are buying it without knowing what concentrations are effective for their particular symptoms," Hurd said. The findings were published online Nov. 7 in the Journal of the American Medical Association . SOURCES: Marcel Bonn-Miller, Ph.D., adjunct assistant professor, psychology in psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia; Yasmin Hurd, Ph.D., director, Addiction Institute, Mount Sinai, New York City; Nov. 7, 2017, Journal of the American Medical Association HealthDay Copyright (c) 2017 HealthDay . All rights reserved. News stories are written and provided by HealthDay and do not reflect federal policy, the views of MedlinePlus, the National Library of Medicine, the National Institutes of Health, or the U.S. Department of Health and Human Services. More Health News on Marijuana Recent Health News fees


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