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Keflex is a popular drug that is widely known under the generic name of Cephalexin. This medicine belongs to a wide class of drugs that are known as antibiotics. Such medicines fight harmful bacteria from the patient’s organism.

Keflex Indications

Keflex is a medicine that is regularly used in the treatment of tonsillitis, skin infections, bronchitis, Urinary Tract Infections, ear infections, and some other types of bacterial infections. However, this medicine might also be prescribed to treat or to prevent some other medical conditions that have not been listed here.

Keflex Warnings

You should avoid using Keflex (Cephalexin) if you are suffering from a known allergic reaction to this medicine, to any of its main ingredients or to penicillin. Before you start using this medicine, you should alert your personal physician if you are suffering from known allergies to foods, dyes, preservatives or any other type of substances. Before you start taking this medicine you must alert your personal physician if you are suffering from gastrointestinal disease or from kidney disorders. In these cases, you might not be allowed to start taking this medicine, or you might have to be prescribed a slightly lower dose of this medicine. Your personal healthcare provider should regularly monitor your treatment with this medicine.

Keflex Intake Guidelines

Follow the exact instructions that your doctor has given you regarding your treatment with Keflex. If you have any further questions, ask your doctor, a pharmacist or a nurse. You should also carefully read the set of instructions that is written on the drug’s label. Each dose of this medicine should be accompanied by a large glass of water (about 8 ounces of liquid). You may take this medicine either on a full or on an empty stomach. However, if you start experiencing stomach upset, you should try to take this medicine with food or at least with milk.

In order to maintain a proper constant concentration of this medicine in your organism, you should evenly space your prescribed doses of Keflex during the day. In order to get the most benefits from your treatment with this medicine, you should take it on a regular basis. You must not stop your treatment with this medicine without your physician’s approval, even if you start to feel better after a few days of treatment, because the infection’s symptoms might disappear even if the infection has not completely healed.

Keflex Overdose

In order to avoid an overdose with Keflex, you must not take in extra doses of this medicine without your personal physician’s approval. If you suspect that you might be suffering from an overdose with this medicine, you are in need of medical attention (inform your doctor immediately, contact your local poison control centre). The average Keflex overdose symptoms usually include vomiting, abdominal cramps, diarrhea, seizures, nausea, tingling and numbness in the legs or arms, and even muscle spasms.

Keflex Missed Dose

Keflex should be taken in on a regular basis. If you are following a treatment with this medicine, you must try not to miss any of your prescribed doses. If you happen to miss one, you should take it as soon as possible and then continue with your regular schedule. If it is time for another dose, skip the one that you have missed and proceed with your regular treatment. You should not take in a double dose of this drug without your physician’s consent.

Keflex Side Effects

A prolonged treatment with Keflex might trigger some severe allergic reactions and side effects such as severe nausea, diarrhea or vomiting; unusual bruising or bleeding; blood or mucous in the stool; and redness, rash, or itching. If you are experiencing any of these side effects you should immediately stop using and seek emergency medical care.

Keflex’s less severe (but more common) side effects are known to include yeast infection of the vKeflex agina or of the mouth and mild diarrhea or nausea. If you are experiencing any of these les dangerous side effects you may continue using this medicine. You should alert your personal physician.

Keflex Drug Reactions

While taking Keflex, avoid using Probenecid, water pills, loop diuretics, antibiotics, etc.

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Levaquin is an antibiotic in a class of drugs called fluoroquinolones. Levaquin works by fighting bacteria in the body.

Levaquin Indications

Levaquin is primarily used in treating various types of bacterial infections in the body. Levaquin may also be used for purposes other than those indicated here in this guide.

Levaquin Warnings

Levaquin may not be suitable if you have the following conditions:

  • Kidney disease
  • A seizure disorder
  • A heart condition known as prolongation of the QT interval
  • A slow heart rate that is considered a medical condition
  • Low levels of potassium in your blood

You may not be able to take Levaquin, may require dosage adjustments or may need special monitoring during treatment if you have any of the preceding conditions.

Levaquin may also not be suitable for you if you are being treated for heart rhythm disturbances with drugs such as quinidine, procainamide, Amiodarone, sotalol, and others.

Levaquin belongs to the FDA pregnancy category C, which means that it is not known whether Levaquin will be harmful or can cause defects to an unborn baby. Do not take Levaquin without your doctor’s approval if you are pregnant or planning to be pregnant during treatment.

It is also not known whether Levaquin passes into breast milk, although similar drugs are known to affect bone development of infants. Do not take Levaquin without your doctor’s consent if you are breast-feeding a baby.

Levaquin may interfere with bone development. For this reason, Levaquin is not approved for use by children under the age of 18 years.

Levaquin Intake Guidelines

Levaquin should be taken exactly as directed by your doctor. If there are matters that you do not understand, refer to your doctor, pharmacist or nurse and ask him or her to explain those matters to you.

Take each dose of Levaquin with 8 ounces or a full glass of water. Levaquin may be taken with or without food.

Levaquin should be taken at evenly spaced intervals.

Make sure to follow all of your doctor’s instructions while taking Levaquin to ensure the maximum effects of the product.

Levaquin Dosage

Dosage of Levaquin should be obtained from your doctor. Dosage may vary from person to person with regards to a variety of factors such as age, severity of condition and others. Do not take in more or less of Levaquin so as not to alter its effects and to prevent overdose.

Levaquin Overdose

Symptoms of overdose of Levaquin include seizures. If you experience seizures and have taken in more of Levaquin than prescribed, you may be experiencing overdose. Seek immediate medical attention or call poison control. Inform your doctor afterwards.

Levaquin Missed Dose

Doses of Levaquin should not be missed. If a dose is missed, however, take it as soon as remembered. If it is almost time for the next dose, skip the missed one and take the subsequent doses according to schedule. Do not take a double dose of Levaquin unless otherwise instructed by your doctor.

Levaquin Side Effects

Levaquin may have any of the following serious side effects and allergic reactions:

  • Difficulty breathing
  • Closing of the throat
  • Swelling of the lips, face, or tongue
  • Hives
  • Muscle or joint pain
  • Liver damage characterized by yellowing of the skin or eyes
  • Seizures
  • Hallucinations or severe confusion
  • Irregular heartbeats, chest pain, or fainting.

If you experience any of these symptoms, discontinue using Levaquin and inform your doctor immediately.

Levaquin may also have less serious side effects that are more likely to occur. They include the following:

  • Drowsiness, dizziness, or clumsiness
  • Nausea, vomiting, diarrhea, or constipation
  • Insomnia
  • Drowsiness
  • Ringing of the ears
  • Sensitivity to sunlight

If you experience any of these side effects, continue using the product but inform your doctor immediately.

Other side effects may also occur when you take Levaquin. Inform your doctor if you experience anything unusual while or after taking Levaquin.

Levaquin Drug Reactions

Levaquin may react with the following drugs:

  • Antacids
  • Theophylline
  • Warfarin
  • Insulin or an oral diabetes medication
  • A nonsteroidal anti-inflammatory drug

Other drugs my also interact with Levaquin. Inform your doctor if you are taking any medications other than Levaquin such as vitamins, minerals, and even herbal products.

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Abilify Information

Abilify, also referred to as Aripiprazole, is utilised in therapies for people suffering from the psychotic disorder schizophrenia. It is also utilised for sustaining a stable state in patients who have experienced symptom relief while taking other anti-psychotic drugs and who have been under observation for cases of health deterioration for about 6 and a half months. Bipolar Disordersare another illness where Abilify is utilised for treatment. Bipolar Disorders are also referred to as manic-depression. Abilify is approved by the Food and Drug Administration. Abilify comes in the form of tablets and can be obtained solely on prescription.

Abilify Warnings

The medication Abilify has not been tested or deliberated with individuals under 18 years of age. Individuals allergic to Abilify, Aripiprazole or any other component of the drug, cannot follow this treatment. When following Abilify treatment, it is essential that there is no intake of alcohol during the period of the treatment. Do not breast-feed your child during the Abilify treatment. If you are expecting or are planning to have a baby, please inform your doctor. If you have suffered from fits or convulsions in the past, you should once again inform your doctor. Patients who are following treatments to control their sugar level in the blood are not advised to take Abilify as it contains sugar. Patients suffering from demential symptoms (which may consist of fall in concentration, fall in memory power) should not take Abilify.

Inform your doctor if you have previously suffered from a stroke/heart attack or have heart complications.

You should inform your doctor if you are following any other treatments or if you are taking any other drugs, especially Tegretol (carbamazepine), Fluoxetine, Ketoconazole, drugs for treating high BP, Paroxetine or Quinidine. Abilify might interfere with effectiveness of these drugs and vice versa. Also, severe side effects may occur when taking Abilify and these drugs simultaneously.

Abilify Side Effects

Abilify side effects, or side effects when utilising any anti-psychotic drug, can be of a very severe nature. You should inform your doctor immediately if you feel you are experiencing any of the following side effects.

1. Hyperglycemia – please consult your doctor in situations where it is essential for you to control your blood sugar levels. There have been cases of coma and fatal cases where patients taking Abilify experienced a rise in their blood sugar levels.

2. TD (Tardive dyskinesia) – indications of Tardive dyskinesia are muscular tremors which are anomalous or cannot be controlled.

3. Increased risks of heart attack – research and examinations carried out with older patients suffering from dementia have shown that intake of Abilify increases the risks of suffering from a stroke or heart attack

4. Effects on the mind – Abilify can affect thought processes, decision-making and motoring skills. You should not drive or utilise any dangerous equipment while taking Abilify until you know to what extent the drug affects you.

5. Dysphagia – Utilizing Abilify might cause you to have difficulties to swallow. This is also referred to as dysphagia. These difficulties might lead to suffocation. In certain cases, patients might experience aspiration pneumonia.

6. NMS (Neuroleptic Malignant Syndrome) – indications of NMS are perspiration, a confused state of mind, a considerable rise in body temperature, stiff muscles, alterations in the BP, pulse and abnormal rhythm of the heartbeat.

NMS can cause complete loss of muscle usage and malfunctions of the kidney. It can also cause death.

More frequent side effects of Abilify are:

Debility, a condition of nausea, throwing up, swellings and irritations, nervousness, difficulties in falling asleep, bowel complications, giddiness, drowsiness, headaches and an agitated stateof mind.

You should take precautions and ensure that you are not dehydrated and keep your body temperature stable.

If you start thinking of committing suicide, please inform your doctor.

Abilify Overdose

Indications of an Abilify overdose may consist of drowsiness and throwing up. If you feel you have taken an overdose of Abilify, please get in touch with your doctor as soon as possible.

If it so happens that you forget to take an Abilify dosage, do so right after you have remembered. But if you remember this when it almost time for the next Abilify dosage, do not take the dosage you missed. Continue to follow your usual Abilify dosage program.

Do not take 2 dosages simultaneously.

Abilify Usage Guidelines

Abilify comes in the form of a substance and a tablet for oral use. Abilify should be taken once daily. The medication can be administered with or without meals. It is suggested that Abilify be taken at approximately a similar time everyday. Read the instructions on your prescription thoroughly. If you have doubts as to how to take Abilify, please contact your doctor.

For adults, the suggested Abilify dosage is of 10mg or 15mg to be taken daily. Usually, your doctor will wait for a period of 2 weeks before changing the dosage.

Abilify should be taken as instructed by the doctor. Do not change your dosage without consulting your doctor and do not discontinue usage even if there is an improvement in your condition. Abilify controls the symptoms of schizophrenia but is not a permanent cure.

Storing Abilify

The medication Abilify should be stored at room temperature.

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What is Januvia (Sitagliptin Phosphate)?

This  is an oral diabetes medicine that helps control blood sugar levels. It works by regulating the levels of insulin your body produces after eating. It is for people with type 2 diabetes (non-insulin-dependent) diabetes. It is sometimes used in combination with other diabetes medications, but is not for treating type 1 diabetes. It may also be used for purposes other than those listed here.

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 It is available in 25mg & 100mg tablets

 Important information-

 Do not use this medicine, if you are allergic to sitagliptin or if you are in a state of diabetic ketoacidosis (call your doctor for treatment with insulin).Before taking this medicine, tell your doctor if you have kidney disease, if you are on dialysis, or if you have a history of pancreatitis.You may take this medicine with or without food. Follow your doctor’s instructions.Follow your doctor’s instructions about any restrictions on food, beverages, or activity while you are taking it .

 Before using this medication-

 Do not use this medication if you are allergic to it , or if you are in a state of diabetic ketoacidosis (call your doctor for treatment with insulin).If you have any of these other conditions, you may need a dose adjustment or special tests to safely use it :kidney disease (or if you are on dialysis); ora history of pancreatitis.FDA pregnancy category B. It  is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether sitagliptin passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. It  should not be given to a child younger than 18 years old without a doctor’s advice.

 How should I take this medication ?

 Take it  exactly as it was prescribed for you. Do not take the medication in larger or smaller amounts, or take it for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from this medication.You may take this medicine with or without food. Follow your doctor’s instructions.It  is only part of a complete program of treatment that also includes diet, exercise, weight control, and possibly other medications.

 Store it  at room temperature away from moisture, heat, and light.

 What happens if miss a dose?

 Take the missed dose as soon as you remember (be sure to take the medicine with food if your doctor has instructed you to). If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

 What happens if overdose?

 Seek emergency medical attention if you think you have used too much of this medicine. You may have signs of low blood sugar, such as hunger, headache, confusion, irritability, drowsiness, weakness, dizziness, tremors, sweating, fast heartbeat, seizure (convulsions), fainting, or coma.

 What should I avoid while taking it ?

 Follow your doctor’s instructions about any restrictions on food, beverages, or activity while you are taking it .

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Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

runny or stuffy nose, sore throat;headache; ornausea, stomach pain, diarrhea.This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.

What other drugs will affect Januvia (Sitagliptin Phosphate) ?

 Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.Every effort has been made to ensure that the information provided by Cerner Multum, Inc. (‘Multum’) is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive.

 The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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Buspar is indicated for the treatment of anxiety for the reduction of the symptoms of anxiety such as fear and tension.

Buspar works by affecting the chemicals in the brain that cause anxiety.

Buspar Warnings

Dizziness and Drowsiness may possibly occur when taking Buspar. When you experience drowsiness or dizziness while taking Buspar, inform your doctor immediately so that he/she can advise you of a proper course of action.

Tell your doctor if you have any of the following medical conditions:

  • Known allergies to Buspirone
  • Has kidney problems
  • Has liver disease
  • Is an alcoholic

If you have any of the mentioned medical conditions, your doctor may lower your Buspar dosage or advise you to stop taking Buspar altogether.

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The active ingredients of Buspar passes into the breast milk of nursing mothers. Consult your doctor first before breastfeeding if you are on Buspar medication.

Buspar is not to be administered to children below 18 years old.

Buspar Intake Guidelines

Buspar should be taken exactly as instructed by your doctor. Never deviate from your doctor’s instructions about taking Buspar.

Each dose of Buspar must be taken along with a full glass of water.

Do not take Buspar if you have recently taken grapefruit or any grapefruit juice. The combination of Buspar and grapefruit is dangerous to the health and may lead to fatal conditions.

Buspar Dosage

The exact dosage of Buspar can only be effectively determined by your doctor. Never attempt to set a dosage for yourself.

Buspar Overdose

Buspar overdose is characterized by the following symptoms:

  • Drowsiness
  • Very deep and long sleep
  • Nausea
  • Vomiting
  • Extreme decrease in the size of pupils

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If any of the symptoms are present and overdose is suspected, immediately seek emergency medical attention.

Buspar Missed Dose

If you happen to miss a dose of Buspar, you can take it as soon as you remember provided that it is not yet near the time for the next dose. However, if it is already near the time for the next dose, just entirely skip that dose you missed and proceed with the next scheduled dose and resume normal dosing after that.

Buspar Side Effects

Taking Buspar may entail side effects and among these are:

  • Allergies characterized by swelling, hives, closing of throat, swelling of lips, mouth and throat.
  • Angina
  • Arrhythmia
  • Headaches
  • Lightheadedness
  • Confusion
  • Blurred vision
  • Numbness of limbs
  • Muscle twitches
  • Drowsiness
  • Dry mouth
  • Nightmares
  • Depression
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The active substance of Norpress, namely Nortriptyline Hydrochloride, belongs to the tricyclic antidepressants class of medication. Its mechanism of action consists of an alteration of the chemical imbalance that may appear in parts of the patient’s brain, an imbalance that causes several physical or emotional symptoms that affect the patient’s general health condition and quality of life. Norpress has a strong positive effect on correcting this imbalance thus effectively treating these symptoms.

Norpress Indications

Norpress is typically used for the treatment of patients that suffer from depression, as it effectively treats the symptoms of this affection and improves the patients’ general condition. Apart from that, Norpress may also be successfully employed as part of the smoking cessation therapy, as it helps fight the withdrawal effects and as such may aid patients who wish to quit smoking. There are other uses for this medicine that are not listed here. If your prescriber advises you to follow a therapy course with this medicine and you are not sure why, it is best to ask him or her for more information.

Norpress Warnings

Norpress may not be administered to children or adolescents, or to patients that have recently suffered from heart attack. Individuals that are allergic to any of the active or inactive substances in this drug, or to any other tricyclic antidepressants or patients that are following a treatment with MAO inhibitors may not start taking Norpress.

Other medical conditions may influence your ability to start a treatment with Norpress. You should seek the advice of your physician if you have any liver, heart or kidney disorders, seizure disorders such as epilepsy, if you have diabetes, glaucoma, or hyperthyroidism (or if you are taking any thyroid gland related medication).

Norpress Intake Guidelines

Your prescriber will provide you with a complete set of guidelines for taking Norpress in order to achieve the best results from the therapy. It is best that you closely follow the prescriber’s indications. If the intake guidelines you are provided differ from any of the following information, you should take the drug as advised by your doctor.

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The Norpress tablets need to be taken whole, without crushing or chewing them. You may take them with food or with a full glass of water. In some situations, the prescriber may recommend you to use just half a tablet at a time – this is only possible for the 25 mg tablets.

Norpress Dosage

For smoking cessation, the usual starting Norpress dosage is of 25 mg per day increasing in time to a maximum of 75 mg to 100 mg per day. The treatment should begin two to four weeks before the date you actually stop smoking. If the drug is employed for the treatment of depression, the treatment usually consists of three to four daily intakes of 25 mg each.

Norpress Overdose

An overdose with Norpress is often a severe condition and requires prompt medical attention. As such, if you think that you may have taken too much of the medicine you should immediately contact the local poisons center or call your personal health care professional. In severe cases you may need to go to the nearest clinic or hospital in order to receive emergency medical assistance.

Norpress Missed Dose

You should keep a strict intake schedule for your Norpress doses, as this may help reduce the chances of accidentally missing any intakes. However, if you happen to miss a dose of the medicine, it is best that you completely skip taking it. Do not attempt to make up for the missed dose by taking a larger dose of the medicine. It is recommended that you continue taking the medicine as regular, but you should inform your personal physician in order to determine if any corrective measures need to be taken.

Norpress Side Effects

Norpress may cause a number of severe adverse reactions such as fainting, fits and seizures, severe chest pain, suicidal thoughts or allergic reactions. If you experience any of these you should immediately stop taking the drug and contact a trained health care professional. Other serious side effects of this medicine include jaundice, vision disturbances, heart beat disorders, hallucinations or confusion, anxiety, agitation or a worsening of the depression. You should inform your personal physician of these and any other unwanted effects that may appear during your Norpress treatment.

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Nexium is a popular medicine that is also widely known under the generic name of Esomeprazole (this drug’s main ingredient). This medicine is an anti-ulcer medication and also an effective stomach acid pump inhibitor. It achieves its goal by gradually but effectively reducing the amount of acid that the patient’s stomach produces.

Indications

This drug is mainly prescribed to patients who are suffering from ulcers and for patients who have abnormally high stomach acidity. Nexium is a medicine that can also be taken in in order to treat Gerd (a medical condition that is also known as gastro esophageal reflux disease) and also Duodenal Ulcers. However, Esomeprazole can also be used for some other purposes that have not been listed here. Ask your personal physician for more information.

Warnings

Before you start to follow a treatment with this medicine you must alert your personal physician if you are suffering from known allergic reactions to this medicine or to any of its main ingredients. You must also tell your physician if you are allergic to any other substances (such as foods, dyes, preservatives or other medicines) before you start taking Nexium. This drug has not been thoroughly tested on pregnant patients (women).

During a treatment with Nexium, it is highly important that the patient should undergo regular medical examinations in order to see if your medical condition has improved.

Intake Guidelines

If you are following a treatment with Nexium, you should take it exactly how your doctor has told you to. If you have any further questions regarding the treatment, you should consult a doctor, a pharmacist or a nurse. Carefully read the set of instructions from the medicine’s label.

Dosage

Ideally patients should consult their personal physicians with regard to the ideal dosage, as it depends on a wide range of factors which can differ from one person to another. You must not make any adjustments to the dose that you have been prescribed without your physician’s approval. The average dose of Nexium consists of:

  • 20-40 mg in the case of adults; this dose should be taken in once per day (this prevents GERD)
  • 20 mg in the case of adults who are suffering from GERD (this dose should be taken in once every day)
  • 40 mg (a single time each day) in the case of adult patients who are treating ulcers

Nexium Overdose

If you suspect that you might be suffering from an overdose of Nexium you should immediately seek medical attention. Alert your local poison control centre as soon as possible. Contact your personal healthcare provider as soon as you can. We have no information regarding the possible symptoms that could be triggered by an overdose of Nexium.

Side Effects

Most of Nexium’s side effects are temporary and will disappear once your organism has adjusted to the treatment. They regularly include:

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Information
Micronase (also known under the name of Glyburide) is an anti-diabetic medication which used along with a proper diet and a lot of exercises can control the high levels of sugar in the blood. This medicine stimulates the human organism to release its natural insulin.

Warnings
Patients should inform their personal health care provider before beginning the treatment with Micronase if they are suffering from any medical condition, especially the following: acidosis, diabetic coma, ketones in the blood, mental stress and slow stomach emptying.

Dosage
At the beginning of the treatment the doctor will prescribe you a dose of 2.5 mg to 5 mg of Micronase taken daily. People who are suffering from kidney and liver problems, adrenal and pituitary deficiency will need a special dose adjustment and will probably receive 1.25 mg per day. Your personal health care provider can increase or decrease the dose of Micronase during the treatment.

Overdose
In the case in which a patient suspects that he has taken an overdose of Micronase, he should immediately contact his personal health care provider and the local poison control center. Your physician may ask you to remain in the hospital for a few days for further investigations and symptomatic treatment.

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coumadin-_warfarin_Warfarin (also known by the brand names Coumadin, Jantoven, Marevan, Uniwarfin) is an anticoagulant normally used in the prevention of thrombosis and thromboembolism, the formation of blood clots in the blood vessels and their migration elsewhere in the body, respectively….

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Warfarin
(also known by the brand names Coumadin, Jantoven, Marevan, Uniwarfin) is an anticoagulant normally used in the prevention of thrombosis and thromboembolism, the formation of blood clots in the blood vessels and their migration elsewhere in the body, respectively. It was initially introduced in 1948 as a pesticide against rats and mice, and is still used for this purpose, although more potent poisons such as brodifacoum have since been developed. In the early 1950s, warfarin was found to be effective and relatively safe for preventing thrombosis and thromboembolism in many disorders. It was approved for use as a medication in 1954, and has remained popular ever since. Warfarin is the most widely prescribed oral anticoagulant drug in North America.

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Despite its effectiveness, treatment with warfarin has several shortcomings. Many commonly used medications interact with warfarin, as do some foods (particularly leaf vegetable foods or “greens,” since these typically contain large amounts of vitamin K1) and its activity has to be monitored by blood testing for the international normalized ratio (INR) to ensure an adequate yet safe dose is taken.[4] A high INR predisposes patients to an increased risk of bleeding, while an INR below the therapeutic target indicates the dose of warfarin is insufficient to protect against thromboembolic events.

Warfarin and related 4-hydroxycoumarin-containing molecules decrease blood coagulation by inhibiting vitamin K epoxide reductase, an enzyme that recycles oxidized vitamin K1 to its reduced form after it has participated in the carboxylation of several blood coagulation proteins, mainly prothrombin and factor VII. Despite being labeled a vitamin K antagonist,[4] warfarin does not antagonize the action of vitamin K1, but rather antagonizes vitamin K1 recycling, depleting active vitamin K1.[5] Thus, the pharmacologic action may always be reversed by fresh vitamin K1. When administered, these drugs do not anticoagulate blood immediately. Instead, onset of their effect requires about two to three days before remaining active clotting factors have had time to naturally disappear in metabolism, and the duration of action of a single dose of warfarin is 2 to 5 days. Reversal of warfarin’s effect by discontinuing its use, or by administering vitamin K1, requires a similar period of time.

Coumadin (Warfarin)  Side Effects

As well as its needed effects, warfarin may cause unwanted side effects that require medical attention.

If any of the following side effects occur while taking warfarin, check with your doctor immediately:

Less common

  • Abdominal or stomach pain with cramping
  • bleeding gums
  • blood in the urine
  • bloody stools
  • blurred vision
  • burning, crawling, itching, numbness, prickling, “pins and needles”, or tingling feelings
  • chest pain or discomfort
  • confusion
  • coughing up blood
  • difficulty with breathing or swallowing
  • dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
  • excessive bruising
  • headache
  • increased menstrual flow or vaginal bleeding
  • nosebleeds
  • paralysis
  • peeling of the skin
  • prolonged bleeding from cuts
  • red or black, tarry stools
  • red or dark brown urine
  • shortness of breath
  • sweating
  • unexplained swelling
  • unusual tiredness or weakness

Rare

  • Arm, back, or jaw pain
  • blue-green to black skin discoloration
  • blue or purple toes
  • change in consciousness
  • chest tightness or heaviness
  • chills
  • clay-colored stools
  • diarrhea
  • dizziness
  • fainting or loss of consciousness
  • fast or irregular breathing
  • fast or irregular heartbeat
  • fever
  • itching
  • light-colored stools
  • loss of appetite
  • nausea and vomiting
  • pain in the toes
  • pain, redness, or sloughing of the skin
  • pale skin
  • skin blisters
  • skin rash
  • small red or purple spots on the skin
  • stomach pain
  • swelling of the eyes or eyelids
  • tightness in the chest or wheezing
  • troubled breathing with exertion
  • unpleasant breath odor
  • unusual bleeding or bruising
  • upper right abdominal or stomach pain
  • vomiting of blood
  • yellow eyes and skin

Incidence not known

  • Painful or prolonged erection of the penis

Some warfarin side effects may not need any medical attention. As your body gets used to the medicine these side effects may disappear. Your health care professional may be able to help you prevent or reduce these side effects, but do check with them if any of the following side effects continue, or if you are concerned about them:

Less common

  • Joint pain
  • muscle pain

Rare

  • Bloated
  • change in taste, or bad, unusual, or unpleasant (after) taste
  • cold intolerance
  • excess air or gas in the stomach or intestines
  • full feeling
  • general feeling of discomfort or illness
  • hair loss or thinning of the hair
  • hives or welts
  • lack or loss of strength
  • pain
  • passing gas
  • red, sore, or itching skin
  • sores, welting, or blisters
  • unusual drowsiness, dullness, or feeling of sluggishness

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COMBIVENT (ALBUTEROL AND IPRATROPIUM)

Combivent is a popular medicine that is widely known under the generic name of Albuterol and Ipratropium. This medicine’s main ingredients are known to relax the muscles in the organism’s airways, thus improving breathing. This medicine is also known to effectively prevent the narrowing of the patient’s airways (therefore increasing the flow of air to the patient’s lungs). This medicine can also be used in order to prevent bronchospasm seizures.

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Combivent Indications

Combivent is mainly prescribed in the treatment of chronic obstructive pulmonary disorders that are also known under the name of COPD. However, this medicine might also be used to prevent or to treat some other medical conditions that have not been listed here. It may also be used for purposes other than those stated here.

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Combivent Warnings

You must not use this medicine if you are suffering from a known allergic reaction to peanuts or to soybeans (this medical condition is widely known as soya lecithin allergy). This medicine (Combivent) is also not recommended if you are suffering from any of the following medical conditions:

Combivent Intake Guidelines

Ask your doctor how and when it is recommended that you take Combivent. You should follow each advice that your physician has given you. You can also rely on the instructions from the drug’s package. If you fail to understand some of these directions, you should ask a pharmacist, a doctor or a nurse for further advice.

When using the Combivent nebulization, you should open only one ampule. Put the ampule in the drug chamber of the nebulizer. You must now attach the drug chamber to the mouthpiece and to the compressor. Sit in an upright but comfortable position. In order to inhale, you must place the medicine’s mouthpiece into your mouth. To make sure that you have inhaled the entire amount of drug, you must breathe slowly and evenly. Stop breathing when the nebulizer is mist clear.

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Combivent Dosage

Ask your doctor to tell you the correct dose of Combivent that you should take in. Do not alter this dose in any way. Remember, the correct dosage can vary from one patient to another, as it depends on a variety of factors.

Combivent Overdose

If you are suffering from an overdose with Combivent you are in need of immediate medical care. You must contact your local poison control centre as soon as possible. Alert your physician at once. The average overdose symptoms are:

  • Angina or chest pain
  • Seizures
  • Fluttering heart
  • Irregular heartbeats
  • Headache
  • Tremor
  • Weakness
  • Vomiting
  • Nausea

Combivent Missed Dose

To get the proper results from your treatment with Combivent, you should take this drug regularly. If you happen to miss a dose of this drug, you should take it as soon as you recall. If it is time for another dose, you should skip the one that you have missed and continue your dosing schedule. Do not take double doses of this medicine without your physician’s approval.

Combivent Side Effects

Combivent is known to sometimes trigger severe allergic reactions and side effects such as:

  • Closing of the throat
  • Difficulty breathing
  • Chest pain
  • Swelling of the lips, tongue or face
  • Hives
  • Irregular heartbeats

If you are experiencing any of these side effects you should stop using Albuterol and Ipratropium and seek emergency medical care.

Please inform your physician if you experience any of the side effects that have been listed here or if you feel anything abnormal during your treatment with Combivent.

Combivent Drug Reactions

Ask your personal physician if you may take any other medicines while following a treatment with Combivent.

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