Sunday, 20 May 2012

Jacutin




Jacutin may be available in the countries listed below.


Ingredient matches for Jacutin



Lindane

Lindane is reported as an ingredient of Jacutin in the following countries:


  • Czech Republic

  • Luxembourg

  • Malaysia

  • Poland

  • Switzerland

International Drug Name Search

Friday, 11 May 2012

telbivudine


Generic Name: telbivudine (tel BIV yoo deen)

Brand Names: Tyzeka


What is telbivudine?

Telbivudine is an antiviral medication. It works by preventing viral cells from multiplying in the body and infecting new liver cells.


Telbivudine is used to treat chronic hepatitis B in adults. This medicine will not cure hepatitis.


Telbivudine may also be used for purposes not listed in this medication guide.


What is the most important information I should know about telbivudine?


Some people develop lactic acidosis while taking telbivudine. Early symptoms may get worse over time and this condition can be fatal. Get emergency medical help if you have even mild symptoms such as: muscle pain or weakness, numb or cold feeling in your arms and legs, trouble breathing, stomach pain, nausea with vomiting, fast or uneven heart rate, dizziness, or feeling very weak or tired.

Your liver symptoms may become severe after you stop taking telbivudine, even months after stopping. Your doctor may want to check your liver function for several months after you stop taking telbivudine. Visit your doctor regularly.


Taking this medication will not prevent you from passing hepatitis B to other people. Avoid having unprotected sex or sharing razors or toothbrushes. Talk with your doctor about safe ways to prevent transmission during sex. Sharing drug or medicine needles is never safe, even for a healthy person.

What should I discuss with my health care provider before taking telbivudine?


You should not take telbivudine if you are allergic to it.

To make sure you can safely take telbivudine, tell your doctor if you have any of these other conditions:


  • kidney disease;

  • other types of hepatitis (C or D);


  • HIV or AIDS;




  • if you have received a liver transplant; or




  • if any hepatitis B medications you received in the past did not work well in treating your condition.




Some people develop a life-threatening condition called lactic acidosis while taking telbivudine. You may be more likely to develop lactic acidosis if you are overweight or have liver disease, if you are a woman, or if you have taken HIV or AIDS medications for a long time. Talk with your doctor about your individual risk. It is not known whether this medication is safe to use while you are pregnant. Telbivudine may not keep you from passing hepatitis B to your unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while you are taking telbivudine.

If you are pregnant, your name may be listed on a pregnancy registry. This is to track the outcome of the pregnancy and to evaluate any effects of telbivudine on the baby.


It is not known whether telbivudine 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. Do not give telbivudine to a child younger than 16 years old without the advice of a doctor.

How should I take telbivudine?


Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.


Telbivudine may be taken with or without food. Take the medicine at the same time each day.


Measure liquid medicine with a special dose-measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.


Use telbivudine regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.


While taking telbivudine, you should remain under the care of a doctor. Your blood will need to be checked often.

Your liver symptoms may become severe after you stop taking telbivudine, even months after stopping. Your doctor may want to check your liver function for several months after you stop taking telbivudine. Visit your doctor regularly.


If your condition worsens after you stop taking telbivudine, your doctor may recommend that you restart this medication or another treatment for hepatitis B.


Store at room temperature away from moisture and heat.

Throw away any unused or expired telbivudine tablets in a closed container or sealed bag. You may also ask your pharmacist where to locate a community pharmaceutical take-back disposal program.


See also: Telbivudine dosage (in more detail)

What happens if I miss a dose?


Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.


What happens if I overdose?


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while taking telbivudine?


Taking this medication will not prevent you from passing hepatitis B to other people. Avoid having unprotected sex or sharing razors or toothbrushes. Talk with your doctor about safe ways to prevent transmission during sex. Sharing drug or medicine needles is never safe, even for a healthy person.

Telbivudine side effects


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. This medication may cause lactic acidosis (a build-up of lactic acid in the body, which can be fatal). Lactic acidosis can start slowly and get worse over time. Get emergency medical help if you have even mild symptoms of lactic acidosis, such as:

  • muscle pain or weakness;




  • numb or cold feeling in your arms and legs;




  • trouble breathing;




  • feeling dizzy, light-headed, tired, or very weak;




  • stomach pain, nausea with vomiting; or




  • fast or uneven heart rate.




Call your doctor at once if you have any of these serious side effects:

  • muscle tenderness, or weakness (may occur several weeks or months after you start taking telbivudine);




  • fever or flu symptoms and dark colored urine;




  • burning, pain or tingly feeling in your arms or legs; or




  • liver symptoms - nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).



Less serious side effects may include:



  • cough, sore throat;




  • headache, tired feeling;




  • dizziness;




  • muscle aches;




  • low fever;




  • bloating, mild nausea, vomiting, diarrhea;




  • itching or mild skin rash;




  • joint pain, back pain; or




  • sleep problems (insomnia).



This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.


Telbivudine Dosing Information


Usual Adult Dose for Chronic Hepatitis B:

600 mg orally once a day

Usual Pediatric Dose for Chronic Hepatitis B:

16 years or older: 600 mg orally once a day


What other drugs will affect telbivudine?


Tell your doctor about all other medications you use, especially:



  • cyclosporine (Gengraf, Neoral, Sandimmune)




  • erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin, Pediazole);




  • penicillamine (Cuprimine, Depen);




  • zidovudine (Retrovir);




  • an antifungal medication such as fluconazole (Diflucan), itraconazole (Sporanox), ketoconazole (Nizoral), posaconazole (Noxafil), voriconazole (Vfend);




  • anti-malaria drugs such as chloroquine (Aralen), hydroxychloroquine (Plaquenil, Quineprox);




  • cholesterol-lowering medicines such as atorvastatin (Lipitor, Caduet), clofibrate (Atromid), fenofibrate (Antara, Lofibra, TriCor), gemfibrozil (Lopid), niacin (Advicor, Niacor, Niaspan, Nicobid), simvastatin (Zocor, Simcor, Vytorin), and others;




  • an interferon such as Actimmune, Alferon N, Avonex, Betaseron, Infergen, Intron A, Rebetron, Rebif, Roferon-A, or peginterferon alfa-2a (Pegasys); or




  • steroids (prednisone and others).



This list is not complete and other drugs may interact with telbivudine. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.



More telbivudine resources


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


  • telbivudine Advanced Consumer (Micromedex) - Includes Dosage Information

  • Telbivudine Professional Patient Advice (Wolters Kluwer)

  • Telbivudine MedFacts Consumer Leaflet (Wolters Kluwer)

  • Telbivudine Monograph (AHFS DI)

  • Tyzeka Prescribing Information (FDA)

  • Tyzeka Consumer Overview



Compare telbivudine with other medications


  • Hepatitis B


Where can I get more information?


  • Your pharmacist can provide more information about telbivudine.

See also: telbivudine side effects (in more detail)


Monday, 7 May 2012

Zaditen Tablets 1mg





1. Name Of The Medicinal Product



ZADITEN TABLETS 1MG


2. Qualitative And Quantitative Composition



Ketotifen hydrogen fumarate 1.38mg (equivalent to 1 mg ketotifen base).



For excipients, see Section 6.1.



3. Pharmaceutical Form



White tablets, 7 mm diameter, with break-line on one side and ZADITEN 1 on the other.



4. Clinical Particulars



4.1 Therapeutic Indications



Symptomatic treatment of allergic conditions including rhinitis and conjunctivitis.



4.2 Posology And Method Of Administration



Adults



1mg twice daily with food. If necessary the dose may be increased to 2mg twice daily.



Children



(From 3 years of age): 1 mg twice daily with food. For patients for whom a tablet form may not be suitable, an alternative dosage form should be considered.



Use in the elderly



No evidence exists that elderly patients require different dosages or show different side-effects from younger patients.



Patients known to be easily sedated should be given 0.5 -1 mg at night for the first few days.



4.3 Contraindications



Hypersensitivity to ketotifen or any of the excipients. A reversible fall in the thrombocyte count in patients receiving ZADITEN® concomitantly with oral anti-diabetic agents has been observed in a few cases. This combination of drugs should therefore be avoided until this phenomenon has been satisfactorily explained.



4.4 Special Warnings And Precautions For Use



Zaditen Tablets contain lactose. Patients with rare hereditary problems of galactose intolerance, of severe lactase deficiency or of glucose-galactose malabsorption should not take this medicine.



Convulsions have been reported very rarely during ZADITEN® therapy. As ZADITEN® may lower the seizure threshold it should be used with caution in patients with a history of epilepsy.



4.5 Interaction With Other Medicinal Products And Other Forms Of Interaction



ZADITEN® may potentiate the effects of sedatives, hypnotics, antihistamines and alcohol. Patients should be warned not to take charge of vehicles or machinery until the effect of ZADITEN® treatment on the individual is known.



4.6 Pregnancy And Lactation



Although there is no evidence of any teratogenic effect, recommendation for ZADITEN® in pregnancy cannot be given. Ketotifen is excreted in breast milk, therefore mothers receiving ZADITEN® should not breast feed.



4.7 Effects On Ability To Drive And Use Machines



During the first few days of treatment with ZADITEN® reactions may be impaired. Patients should be warned not to take charge of vehicles or machinery until the effect of ZADITEN® treatment on the individual is known.



4.8 Undesirable Effects



Adverse reactions (Table 1) are ranked under heading of frequency, the most frequent first, using the following convention: very common (.























































Infections and infestations


  

 


Uncommon:




Cystitis




Immune system disorders


  

 


Very rare:




Erythema multiforme, Stevens-Johnson syndrome, severe skin reaction




Metabolism and nutrition disorders


  

 


Rare:




Weight increased




Psychiatric disorders


  

 


Common:




Excitation, irritability, insomnia, nervousness




Nervous system disorders


  

 


Uncommon:




Dizziness



 


Rare:




Sedation



 


Very rare:




Convulsions




Gastrointestinal disorders


  

 


Uncommon:




Dry mouth




Hepatobiliary disorders


  

 


Very rare:




Hepatitis, increase in liver enzymes



 

 

 


Sedation, dry mouth and dizziness may occur at the beginning of treatment, but usually disappear spontaneously with continued medication. Symptoms of CNS stimulation, such as excitation, irritability, insomnia, and nervousness, have been observed particularly in children.



4.9 Overdose



The reported features of overdose include confusion, drowsiness, nystagmus, headache, disorientation, tachycardia, hypotension, reversible coma; especially in children, hyperexcitability or convulsions. Bradycardia and respiratory depression should be watched for.



Treatment should be symptomatic. Treatment with activated charcoal should be considered if the overdose has been taken within approximately one hour. If necessary, symptomatic treatment and monitoring of the cardiovascular system are recommended; if excitation is present, short acting barbiturates or benzodiazepines may be given.



5. Pharmacological Properties



Pharmacotherapeutic group: Other antihistamines for systemic use, ATC code: R06AX17



5.1 Pharmacodynamic Properties



ZADITEN® is a potent antiallergic drug which inhibits the effects of certain endogenous substances known to be inflammatory mediators. ZADITEN® exerts a non-competitive blocking effect on histamine (H1) receptors.



5.2 Pharmacokinetic Properties



After oral administration the absorption of ZADITEN® is nearly complete. Bioavailability amounts to approximately 50% due to a first pass effect of about 50% in the liver. Maximal plasma concentrations are reached within 2-4 hours. Protein binding is 75%. Ketotifen is eliminated biphasically with a short half-life of 3-5 hours and a longer one of 21 hours. In urine about 1% of the substance is excreted unchanged within 48 hours and 60-70% as metabolites. The main metabolite in the urine is the practically inactive ketotifen-N-glucuronide.



5.3 Preclinical Safety Data



Not stated.



6. Pharmaceutical Particulars



6.1 List Of Excipients



Magnesium stearate, pre-gel cornstarch, maize starch and lactose



6.2 Incompatibilities



None known



6.3 Shelf Life



60 months



6.4 Special Precautions For Storage



Store below 25oC



6.5 Nature And Contents Of Container



PVDC opaque blister pack (60 tablets)



6.6 Special Precautions For Disposal And Other Handling



None



7. Marketing Authorisation Holder



Defiante FarmacĂȘutica, S.A.Rua dos Ferreiros, 2609000-082 Funchal, Portugal



8. Marketing Authorisation Number(S)



PL 24030/0001



9. Date Of First Authorisation/Renewal Of The Authorisation



24 April 1980 / 30 March 2007



10. Date Of Revision Of The Text



1 October 2009




Sunday, 6 May 2012

Tamiflu


Pronunciation: OH-sel-TAM-i-vir
Generic Name: Oseltamivir
Brand Name: Tamiflu


Tamiflu is used for:

Treating influenza, including H1N1 influenza (swine flu), in patients 1 year of age and older who have had symptoms for no more than 2 days. It may also be used to prevent influenza in patients 1 year of age and older.


Tamiflu is an antiviral. It works by stopping the flu virus from reproducing within the body.


Do NOT use Tamiflu if:


  • you are allergic to any ingredient in Tamiflu

  • you are going to have an intranasal live attenuated influenza vaccine (LAIV) within the next 2 days or you have had such a vaccine within the past 2 weeks

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



Before using Tamiflu:


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


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

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

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

  • if you have kidney problems, liver problems, heart problems, breathing problems, or mood or mental problems

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


  • Intranasal live attenuated influenza vaccine (LAIV) because its effectiveness may be decreased by Tamiflu

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


How to use Tamiflu:


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


  • Take Tamiflu by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.

  • If you are taking Tamiflu to treat the flu, start taking it as soon as possible from when you begin noticing flu symptoms.

  • If you are using Tamiflu to prevent the flu, start taking it as soon as possible, as directed by your doctor.

  • Take Tamiflu on a regular schedule to get the most benefit from it.

  • To clear up your infection completely, take Tamiflu for the full course of treatment. Keep taking it even if you feel better in a few days.

  • Continue to take Tamiflu even if you feel well. Do not miss any doses.

  • If you miss a dose of Tamiflu, take it as soon as possible. If it is within 2 hours of your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

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



Important safety information:


  • Tamiflu is effective against influenza types A (including H1N1 influenza [swine flu]) and B.

  • Tamiflu may cause dizziness or lightheadedness. These effects may be worse if you take it with alcohol or certain medicines. Use Tamiflu with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.

  • Tamiflu may cause dizziness or lightheadedness; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.

  • Tamiflu will not prevent you from spreading influenza to others.

  • Tamiflu works only against influenza types A and B; it does not treat bacterial or other viral infections.

  • Patients with flu who take Tamiflu may have an increased risk of confusion and unusual behavioral changes. The risk may be greater in children. Contact your doctor if you notice symptoms of confusion or any other unusual behavioral changes.

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

  • Tell your doctor that you take Tamiflu before you receive any vaccines, including the intranasal live attenuated influenza vaccine (LAIV).

  • Tamiflu is not a substitute for a flu vaccine. Continue to get an annual flu shot if your doctor has recommended it.

  • If your symptoms do not get better within a few days or if they get worse, check with your doctor.

  • Tamiflu should be used with extreme caution in CHILDREN younger than 1 year old; safety and effectiveness in these children have not been confirmed.

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


Possible side effects of Tamiflu:


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



Diarrhea; nausea; stomach pain; vomiting.



Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); abnormal behavior; confusion; hallucinations; mood or mental changes; reddened, blistered, peeling, or swollen skin; seizures; severe or persistent nausea, vomiting, or diarrhea; symptoms of infection (eg, fever, chills, persistent sore throat).



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


See also: Tamiflu side effects (in more detail)


If OVERDOSE is suspected:


Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include nausea or vomiting.


Proper storage of Tamiflu:

Store Tamiflu at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Tamiflu out of the reach of children and away from pets.


General information:


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

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

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

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

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



Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Tamiflu resources


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


  • Tamiflu Prescribing Information (FDA)

  • Tamiflu Monograph (AHFS DI)

  • Tamiflu Advanced Consumer (Micromedex) - Includes Dosage Information

  • Tamiflu Consumer Overview



Compare Tamiflu with other medications


  • Avian Influenza
  • Influenza
  • Influenza Prophylaxis
  • Swine Flu

Saturday, 5 May 2012

Septicemia Medications


Definition of Septicemia: Septicemia is the presence of bacteria in the blood (bacteremia) and is often associated with severe disease.

Drugs associated with Septicemia

The following drugs and medications are in some way related to, or used in the treatment of Septicemia. This service should be used as a supplement to, and NOT a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners.

Learn more about Septicemia





Drug List:

Thursday, 3 May 2012

Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA


Pronunciation: pree-NATE-al muhl-tee-VYE-ta-min/VYE-ta-min A/MIN-er-als/EYE-urn/el-METH-il-FOE-late/FOE-lik AS-id
Generic Name: Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA
Brand Name: Examples include Prenate DHA and Neevo DHA

Accidental overdose of products that contain iron is a leading cause of fatal poisoning in children younger than 6 years old. Keep this and all medicines out of the reach of children. In case of accidental ingestion, call the poison control center or doctor at once.





Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA is used for:

Treating or preventing a lack of vitamins or minerals before, during, and after pregnancy and while breast-feeding. It may also be used for other conditions as determined by your doctor.


Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA is a vitamin, mineral, iron, folic acid, and docosahexaenoic acid (DHA) combination. It works by providing vitamins and minerals to the body to help meet nutritional requirements.


Do NOT use Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA if:


  • you are allergic to any ingredient in Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA

  • you have hemochromatosis (a disorder of iron metabolism) or high levels of iron in your blood

  • you are taking an anticoagulant (eg, warfarin)

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



Before using Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA:


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

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

  • if you have allergies to medicines, foods, or other substances, including soy, fish, or fish oil

  • if you have stomach or intestinal problems (eg, colitis, Crohn disease, diverticulitis), pernicious anemia or other blood problems (eg, anemia, porphyria), bleeding problems (eg, hemophilia), peptic ulcer, or kidney stones

  • if you have had multiple blood transfusions

Some MEDICINES MAY INTERACT with Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA. Tell your health care provider if you are taking any other medicines, especially any of the following:


  • Oral anticoagulants (eg, warfarin) because the risk of bleeding may be increased by Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA

  • Fluorouracil because the risk of its side effects may be increased by Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA

  • Doxycycline, hydantoins (eg, phenytoin), levodopa, penicillamine, or thyroid hormones (eg, levothyroxine) because their effectiveness may be decreased by Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA

This may not be a complete list of all interactions that may occur. Ask your health care provider if Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.


How to use Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA:


Use Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA as directed by your doctor. Check the label on the medicine for exact dosing instructions.


  • Take Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.

  • Take Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA by mouth with a full glass of water (8 oz/240 mL).

  • Do not take an antacid within 1 hour before or 2 hours after you take Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA.

  • Avoid taking Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA with dairy products; they may interfere with the absorption of the iron in Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA.

  • Many medicines (eg, used for infection, blood pressure, low blood platelet levels, osteoporosis, thyroid problems) should not be taken at the same time as Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA; their effectiveness may be decreased. Ask your doctor or pharmacist if your dose of Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA should be separated from your dose of any of your other medicines.

  • If you miss a dose of Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA.



Important safety information:


  • Do not exceed the recommended dose or take Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA for longer than prescribed without checking with your doctor.

  • Do not take large doses of vitamins while you use Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA unless your doctor tells you to.

  • Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA has pyridoxine (vitamin B6) in it. Before you start any new medicine, check the label to see if it has pyridoxine (vitamin B6) in it too. If it does or if you are not sure, check with your doctor or pharmacist.

  • Some brands of Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA may contain fish oil or soy. If you have had an allergic reaction to fish, fish oil, or soy, ask your pharmacist if your brand contains fish oil or soy.

  • Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA may darken the stools. This is normal and not a cause for concern.

  • Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA has iron in it. Iron overdose is a leading cause of fatal poisoning in children younger than 6 years old. In case of an overdose, call a doctor or poison control center right away.

  • Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA may interfere with certain lab tests, including tests used to check for blood in the stool. Be sure your doctor and lab personnel know you are taking Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA.

  • PREGNANCY and BREAST-FEEDING: Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA is intended for use during pregnancy and breast-feeding. If you are or will be breast-feeding while you use Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA, check with your doctor.


Possible side effects of Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA:


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



Constipation; dark or discolored stools; diarrhea; nausea; stomach upset; vomiting.



Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); black, tarry stools; blood or streaks of blood in the stools; stomach pain or cramping.



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



If OVERDOSE is suspected:


Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include black, tarry stools; chest pain; loss of balance; seizure; severe nausea, vomiting, diarrhea, or stomach pain; shortness of breath; sluggishness; trouble breathing; unusual tiredness or weakness; unusually pale skin; weak pulse.


Proper storage of Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA:

Store Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA out of the reach of children and away from pets.


General information:


  • If you have any questions about Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA, please talk with your doctor, pharmacist, or other health care provider.

  • Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA is to be used only by the patient for whom it is prescribed. Do not share it with other people.

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

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

This information is a summary only. It does not contain all information about Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.



Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA resources


  • Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA Use in Pregnancy & Breastfeeding
  • Drug Images
  • Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA Drug Interactions
  • Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA Support Group
  • 21 Reviews for Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA - Add your own review/rating


Compare Prenatal Multivitamin without Vitamin A with Minerals, Iron, L-methylfolate, Folic Acid, and DHA with other medications


  • Vitamin/Mineral Supplementation during Pregnancy/Lactation

Tuesday, 1 May 2012

Plan B


Generic Name: levonorgestrel (Oral route)

lee-voe-nor-JES-trel

Commonly used brand name(s)

In the U.S.


  • Next Choice

  • Plan B

  • Plan B One-Step

Available Dosage Forms:


  • Tablet

Therapeutic Class: Contraceptive, Progestin


Pharmacologic Class: Progestin


Uses For Plan B


Levonorgestrel is an emergency contraceptive that is used to prevent pregnancy after unprotected sex or after failure of another birth control method. It works by preventing a woman's egg from fully developing. It may also prevent the attachment of the woman's egg to the wall of the uterus (womb).


No contraceptive method is 100 percent effective. Birth control methods such as having surgery to become sterile or not having sex are more effective. This medicine should not be used as a regular method of birth control. Discuss with your doctor your options for birth control.


This medicine is available only under a special distribution program called Convenient Access, Responsible Education (CARE) program.


Before Using Plan B


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


Allergies


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


Pediatric


Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of levonorgestrel in teenage females. This medicine may be used for birth control in teenage females but is not recommended before the start of menstruation.


Geriatric


Appropriate studies on the relationship of age to the effects of levonorgestrel have not been performed in the geriatric population. This medicine is not indicated for use in elderly women.


Pregnancy








Pregnancy CategoryExplanation
All TrimestersXStudies in animals or pregnant women have demonstrated positive evidence of fetal abnormalities. This drug should not be used in women who are or may become pregnant because the risk clearly outweighs any possible benefit.

Breast Feeding


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


Interactions with Medicines


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


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


  • Isotretinoin

  • Theophylline

  • Tizanidine

  • Tranexamic Acid

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.


  • Acitretin

  • Alprazolam

  • Amoxicillin

  • Ampicillin

  • Amprenavir

  • Aprepitant

  • Atazanavir

  • Bacampicillin

  • Betamethasone

  • Bexarotene

  • Bosentan

  • Carbamazepine

  • Colesevelam

  • Cyclosporine

  • Darunavir

  • Delavirdine

  • Doxycycline

  • Efavirenz

  • Etravirine

  • Fosamprenavir

  • Fosaprepitant

  • Fosphenytoin

  • Griseofulvin

  • Lamotrigine

  • Licorice

  • Minocycline

  • Modafinil

  • Mycophenolate Mofetil

  • Mycophenolic Acid

  • Nelfinavir

  • Nevirapine

  • Oxcarbazepine

  • Oxytetracycline

  • Phenobarbital

  • Phenytoin

  • Pioglitazone

  • Prednisolone

  • Primidone

  • Rifabutin

  • Rifampin

  • Rifapentine

  • Ritonavir

  • Rosuvastatin

  • Rufinamide

  • Selegiline

  • St John's Wort

  • Tacrine

  • Telaprevir

  • Tetracycline

  • Topiramate

  • Troglitazone

  • Troleandomycin

  • Voriconazole

  • Warfarin

Interactions with Food/Tobacco/Alcohol


Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.


Using this medicine with any of the following may cause an increased risk of certain side effects but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.


  • Caffeine

Proper Use of levonorgestrel

This section provides information on the proper use of a number of products that contain levonorgestrel. It may not be specific to Plan B. Please read with care.


To make using emergency contraceptives as safe and reliable as possible, you should understand how and when to use them and what effects may be expected.


This medicine comes with a patient information leaflet. Read and follow the instructions carefully. Ask your doctor if you have any questions.


Plan B® and Plan B® One-Step is available as an over-the-counter medicine for women 17 years of age and older, and is available only with a doctor's prescription for women younger than 17 years of age.


Use this medicine exactly as directed by your doctor. This medicine is for occasional use as an emergency birth control. It should not replace your regular birth control method. You may use this medicine at any time during your monthly period.


If you vomit within 2 hours of taking this medicine, call your doctor right away. Your doctor may prescribe another tablet for you.


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 emergency contraception:
    • For oral dosage form (Plan B® One-Step tablets):
      • Adults and teenagers 17 years of age and older—One tablet taken as soon as possible not more than 72 hours (3 days) after unprotected sex or after failure of another birth control method.

      • Children younger than 17 years of age—Use and dose must be determined by your doctor.


    • For oral dosage form (Plan B® tablets):
      • Adults and teenagers 17 years of age and older—One tablet taken as soon as possible not more than 72 hours (3 days) after unprotected sex or after failure of another birth control method. A second tablet should be taken 12 hours after the first dose.

      • Children younger than 17 years of age—Use and dose must be determined by your doctor.



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 Plan B


It is very important that your doctor check you closely to make sure this medicine is working properly and does not cause unwanted effects.


Although you are using this medicine to prevent pregnancy, you should know that using this medicine while you are pregnant could harm the unborn baby. Your doctor may give you a pregnancy test before you start using this medicine to make sure you are not pregnant. If you think you have become pregnant while using the medicine, tell your doctor right away.


Call your doctor right away if you have severe lower abdominal or stomach pain 3 to 5 weeks after taking this medicine. You may have a pregnancy outside of the uterus (womb), which is called an ectopic pregnancy. An ectopic pregnancy can be a serious and life-threatening condition. It can also cause problems that may make it harder for you to become pregnant in the future.


You may have some blood spotting a few days after taking this medicine. If the bleeding continues for more than 1 week, check with your doctor right away.


This medicine may make your next monthly period later than expected by a few days. If your next period after taking this medicine is more than 1 week late, check with your doctor right away for a pregnancy test.


This medicine will not protect you from getting HIV/AIDS or other sexually transmitted infections. If this is a concern for you, talk with your doctor.


Your regular birth control method such as birth control pills or patch may not work as well while you are using this medicine. After using this medicine, you must use two forms of birth control. Use birth control pills or patch together with another form of birth control, such as a condom, diaphragm, or contraceptive foam or jelly, during any other times that you have sex in the same monthly period you used this medicine.


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 (e.g., St. John's wort) or vitamin supplements.


Plan B 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
  • Heavy or light menstrual bleeding

Incidence not known
  • Absent missed or irregular menstrual periods

  • cramps

  • irregular menstruation

  • pain

  • pain in the pelvis

  • stopping of menstrual bleeding

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
  • Abdominal or stomach pain

  • dizziness

  • headache

  • nausea

  • tenderness of the breasts

  • unusual tiredness or weakness

  • vomiting

Less common
  • Diarrhea

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.


Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

See also: Plan B side effects (in more detail)



The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.


The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.


More Plan B resources


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


  • Plan B Prescribing Information (FDA)

  • Plan B MedFacts Consumer Leaflet (Wolters Kluwer)

  • Plan B Consumer Overview

  • Levonorgestrel Professional Patient Advice (Wolters Kluwer)

  • Mirena Prescribing Information (FDA)

  • Mirena Consumer Overview

  • Mirena IUD MedFacts Consumer Leaflet (Wolters Kluwer)

  • Next Choice Prescribing Information (FDA)

  • Plan B One-Step MedFacts Consumer Leaflet (Wolters Kluwer)

  • Plan B One-Step Consumer Overview



Compare Plan B with other medications


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