Sunday, 7 October 2012

Meningitis, Haemophilus influenzae Medications


Drugs associated with Meningitis, Haemophilus influenzae

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

See sub-topics

Topics under Meningitis, Haemophilus influenzae

  • Haemophilus influenzae Prophylaxis (12 drugs)





Drug List:

Friday, 5 October 2012

Surmontil Capsules 50mg (sanofi-aventis)





1. Name Of The Medicinal Product



Surmontil 50mg Capsules


2. Qualitative And Quantitative Composition



Each capsule contains 69.75mg of Trimipramine Maleate, equivalent to 50mg Trimipramine.



For a full list of excipients, see section 6.1.



3. Pharmaceutical Form



Capsule



Opaque hard gelatine capsules, the body white, the cap green. Both the body and the cap are printed longitudinally “SU50” in black.



The capsules contain an off white or slightly cream powder or plug of powder.



4. Clinical Particulars



4.1 Therapeutic Indications



Surmontil has a potent antidepressant action similar to that of other tricyclic antidepressants. It also possesses pronounced sedative action. It is, therefore, indicated in the treatment of depressive illness, especially where sleep disturbance, anxiety or agitation are presenting symptoms. Sleep disturbance is controlled within 24 hours and true antidepressant action follows within 7 to 10 days.



4.2 Posology And Method Of Administration



Adults



For depression 50-75 mg/day initially increasing to 150-300 mg/day in divided doses or one dose at night. The maintenance dose is 75-150 mg/day.



Elderly



10-25 mg three times a day initially. The initial dose should be increased with caution under close supervision. Half the normal maintenance dose may be sufficient to produce a satisfactory clinical response.



Children



Not recommended.



Route of administration is oral.



4.3 Contraindications



• Recent myocardial infarction



• Any degree of heart block or other cardiac arrhythmias



• Mania



• Severe liver disease



• During breast feeding



• Hypersensitivity to trimipramine maleate or to any of the excipients



4.4 Special Warnings And Precautions For Use



Suicide/suicidal thoughts or clinical worsening



Depression is associated with an increased risk of suicidal thoughts, self harm and suicide (suicide



Other psychiatric conditions for which Surmontil is prescribed can also be associated with an increased risk of suicide



Patients with a history of suicide



Close supervision of patients and in particular those at high risk should accompany drug therapy especially in early treatment and following dose changes. Patients (and caregivers of patients) should be alerted about the need to monitor for any clinical worsening, suicidal behaviour or thoughts and unusual changes in behaviour and to seek medical advice immediately if these symptoms present.



The elderly are particularly liable to experience adverse reactions, especially agitation, confusion and postural hypotension.



Avoid if possible in patients with narrow angle glaucoma, symptoms suggestive of prostatic hypertrophy and a history of epilepsy.



Patients posing a high suicidal risk require close initial supervision. Tricyclic antidepressants potentiate the central nervous depressant action of alcohol.



Anaesthetics given during tri/tetracyclic antidepressant therapy may increase the risk of arrhythmias and hypotension. If surgery is necessary, the anaesthetist should be informed that a patient is being so treated.



It may be advisable to monitor liver function in patients on long term treatment with Surmontil.



4.5 Interaction With Other Medicinal Products And Other Forms Of Interaction



Trimipramine should not be given concurrently with, or within 2 weeks of cessation of, therapy with monoamine oxidase inhibitors. Trimipramine may decrease the antihypertensive effect of guanethidine, debrisoquine, betanidine and possibly clonidine. It would be advisable to review all antihypertensive therapy during treatment with tricyclic antidepressants.



Trimipramine should not be given with sympathomimetic agents such as adrenaline, ephedrine, isoprenaline, noradrenaline, phenylephrine and phenylpropanolamine.



Barbiturates may increase the rate of metabolism.



Surmontil should be administered with care in patients receiving therapy for hyperthyrodism.



4.6 Pregnancy And Lactation



Do not use in pregnancy especially during the first and last trimesters unless there are compelling reasons. There is no evidence from animal work that it is free from hazard.



Trimipramine is contraindicated during lactation.



4.7 Effects On Ability To Drive And Use Machines



Trimipramine may initially impair alertness. Patients should be warned of the possible hazard when driving or operating machinery.



4.8 Undesirable Effects



Cases of suicidal ideation and suicidal behaviours have been reported during trimipramine therapy or early after treatment discontinuation (see section 4.4).



Cardiac arrhythmias and severe hypotension are likely to occur with high dosage or in deliberate overdosage. They may also occur in patients with pre-existing heart disease taking normal dosage.



The following adverse effects, although not necessarily all reported with trimipramine, have occurred with other tricyclic antidepressants.



Atropine-like side effects including dry mouth, disturbance of accommodation, tachycardia, constipation and hesitancy of micturation are common early in treatment but usually lessen.



Other common adverse effects include drowsiness, sweating, postural hypotension, tremor and skin rashes. Interference with sexual function may occur.



Serious adverse effects are rare. The following have been reported: depression of the bone marrow, including agranulocytosis, cholestatic jaundice, hypomania, convulsions and peripheral neuropathy. Psychotic manifestations including mania and paranoid delusions, may be excacerbated during treatment with tricyclic antidepressants.



Epidemiological studies, mainly conducted in patients 50 years of age and older, show an increased risk of bone fractures in patients receiving SSRIs and TCAs. The mechanism leading to this risk is unknown.



Withdrawal symptoms may occur on abrupt cessation of therapy and include insomnia, irritability and excessive perspiration.



Adverse effects such as withdrawal symptoms, respiratory depression and agitation have been reported in neonates whose mothers had taken trimipramine during the last trimester of pregnancy.



4.9 Overdose



Acute overdosage may be accompanied by hypotensive collapse, convulsions and coma. Provided coma is not present, gastric lavage should be carried out without delay even though some time may have passed since the drug was ingested. Patients in a coma should have an endotracheal tube passed before gastric lavage is started. Absorption of trimipramine is slow but, as cardiac effects may appear soon after the drug is absorbed, a saline purge should be given. Electrocardiography monitoring is essential.



It is important to treat acidosis as soon as it appears with, for example, 20 ml per kg of M/6 sodium lactate injection by slow intravenous injection. Intubation is necessary and the patient should be ventilated before convulsions develop. Convulsions should be treated with diazepam administered intravenously.



Ventricular tachycardia or fibrillation should be treated by electrical defibrillation. If supraventricular tachycardia develops, pyridostigmine bromide 1 mg (adults) intravenously or propranolol 1mg (adults) should be administered at intervals as required.



Treatment should be continued for at least three days even if the patient appears to have recovered.



5. Pharmacological Properties



5.1 Pharmacodynamic Properties



Pharmacotherapeutic group: Psychoanaleptics; Non-selective monoamine reuptake inhibitors, ATC code: N06AA06.



Trimipramine is a tricyclic antidepressant. It has marked sedative properties.



5.2 Pharmacokinetic Properties



Trimipramine undergoes high first-pass hepatic clearance, with a mean value for bioavailability of about 41% after oral administration.



The absolute volume of distribution is 31 litres/kg.



The metabolic clearance is 16 ml/min/kg.



Plasma protein binding of trimipramine is about 95%. The plasma elimination half-life is around 23 hours. Trimipramine is largely metabolised by demethylation prior to conjugation yielding a glucuronide.



5.3 Preclinical Safety Data



No additional pre-clinical data of relevance to the prescriber.



6. Pharmaceutical Particulars



6.1 List Of Excipients



Excipients:



Maize Starch



Microcrystalline cellulose (E460)



Magnesium stearate



Colloidal anhydrous silica



Capsule shell Body:



Titanium dioxide (E171)



Gelatin



Capsule shell Cap:



Titanium dioxide (E171)



Indigo Carmine (E132)



Iron Oxide Yellow (E172)



Gelatin



Printing Ink:



Iron Oxide Black (E172)



6.2 Incompatibilities



Not applicable



6.3 Shelf Life



3 years



6.4 Special Precautions For Storage



Store below 25ÂșC. Keep the blister in the outer carton in order to protect from light.



6.5 Nature And Contents Of Container



Cartons containing PVC/aluminium blisters of 28.



6.6 Special Precautions For Disposal And Other Handling



No special requirements.



7. Marketing Authorisation Holder



Sanofi-aventis



One Onslow Street



Guildford



Surrey



GU1 4YS



UK



8. Marketing Authorisation Number(S)



PL 04425/0265



9. Date Of First Authorisation/Renewal Of The Authorisation



Date of first authorisation: 6 April 1973



Date of latest renewal: 3 May 2002



10. Date Of Revision Of The Text



7 June 2011



Legal category


POM




Thursday, 4 October 2012

Comtrex Severe Cold & Sinus


Generic Name: acetaminophen, chlorpheniramine, and phenylephrine (a SEET a MIN oh fen, KLOR fen EER a meen, FEN ill EFF rin)

Brand Names: Alka-Seltzer Plus Cold, Allergy Relief Multi-Symptom, Comtrex Flu Therapy, Comtrex Severe Cold & Sinus, Contac Cold+Flu, Dristan Cold Multi Symptom Formula, Protid, Robitussin Nighttime Nasal Relief, Sinus Congestion & Pain Nighttime, Tylenol Allergy Multi-Symptom, Tylenol Children's Plus Cold, Tylenol Sinus Congestion and Pain Cool Burst Day Night, Tylenol Sinus Congestion Nighttime


What is Comtrex Severe Cold & Sinus (acetaminophen, chlorpheniramine, and phenylephrine)?

Acetaminophen is a pain reliever and fever reducer.


Chlorpheniramine is an antihistamine that reduces the natural chemical histamine in the body. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose.


Phenylephrine is a decongestant that shrinks blood vessels in the nasal passages. Dilated blood vessels can cause nasal congestion (stuffy nose).


The combination of acetaminophen, chlorpheniramine, and phenylephrine is used to treat headache, fever, body aches, runny or stuffy nose, sneezing, itching, watery eyes, and sinus congestion caused by allergies, the common cold, or the flu.


Acetaminophen, chlorpheniramine, and phenylephrine may also be used for purposes not listed in this medication guide.


What is the most important information I should know about Comtrex Severe Cold & Sinus (acetaminophen, chlorpheniramine, and phenylephrine)?


Do not take more of this medication than is recommended. An overdose of acetaminophen can damage your liver or cause death. Do not take this medication without a doctor's advice if you have ever had alcoholic liver disease (cirrhosis) or if you drink more than 3 alcoholic beverages per day. You should not use this medicine if you have severe constipation, a blockage in your stomach or intestines, or if you are unable to urinate. Do not use this medicine if you have untreated or uncontrolled diseases such as glaucoma, asthma or COPD, high blood pressure, heart disease, coronary artery disease, or overactive thyroid. Avoid drinking alcohol. It may increase your risk of liver damage while taking acetaminophen and can increase certain side effects of chlorpheniramine. Do not use this medicine if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects. Ask a doctor or pharmacist before using any other cold, allergy, pain, or sleep medication. Acetaminophen (sometimes abbreviated as APAP) is contained in many combination medicines. Taking certain products together can cause you to get too much acetaminophen which can lead to a fatal overdose.

What should I discuss with my healthcare provider before taking Comtrex Severe Cold & Sinus (acetaminophen, chlorpheniramine, and phenylephrine)?


You should not use this medicine if you have severe constipation, a blockage in your stomach or intestines, or if you are unable to urinate. Do not take this medication without a doctor's advice if you have ever had alcoholic liver disease (cirrhosis) or if you drink more than 3 alcoholic beverages per day. You may not be able to take medicine that contains acetaminophen. Do not use this medicine if you have untreated or uncontrolled diseases such as glaucoma, asthma or COPD, high blood pressure, heart disease, coronary artery disease, or overactive thyroid. Do not use this medicine if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects.

Ask a doctor or pharmacist if it is safe for you to take this medicine if you have:



  • liver disease, cirrhosis, or a history of alcoholism;




  • a blockage in your digestive tract (stomach or intestines);




  • diabetes;




  • kidney disease;




  • epilepsy or other seizure disorder;




  • cough with mucus, or cough caused by smoking, emphysema, or chronic bronchitis;




  • enlarged prostate or urination problems;




  • low blood pressure;




  • pheochromocytoma (an adrenal gland tumor); or




  • if you take potassium (Cytra, Epiklor, K-Lyte, K-Phos, Kaon, Klor-Con, Polycitra, Urocit-K).




It is not known whether acetaminophen, chlorpheniramine, and phenylephrine will harm an unborn baby. Do not use this medicine without your doctor's advice if you are pregnant. This medication may pass into breast milk and may harm a nursing baby. Antihistamines and decongestants may also slow breast milk production. Do not use this medicine without your doctor's advice if you are breast-feeding a baby.

How should I take Comtrex Severe Cold & Sinus (acetaminophen, chlorpheniramine, and phenylephrine)?


Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. This medicine is usually taken only for a short time until your symptoms clear up.


Do not take more of this medication than is recommended. An overdose of acetaminophen can damage your liver or cause death.

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.


Drop the effervescent tablets into a glass of water (at least 4 ounces, or one-half cup). Stir this mixture and drink all of it right away.


Do not give this medication to a child younger than 4 years old. Always ask a doctor before giving a cough or cold medicine to a child. Death can occur from the misuse of cough and cold medicines in very young children.

Do not take for longer than 7 days in a row. Stop taking the medicine and call your doctor if you still have a fever after 3 days of use, you still have pain after 7 days (or 5 days if treating a child), if your symptoms get worse, or if you have a skin rash, ongoing headache, or any redness or swelling.


If you need surgery or medical tests, tell the surgeon or doctor ahead of time if you have taken this medicine within the past few days. Store at room temperature away from moisture and heat. Do not allow liquid medicine to freeze.

What happens if I miss a dose?


Since this medicine is taken when needed, you may not be on a dosing schedule. If you are taking the medication regularly, 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. An overdose of acetaminophen can be fatal.

The first signs of an acetaminophen overdose include loss of appetite, nausea, vomiting, stomach pain, sweating, and confusion or weakness. Later symptoms may include pain in your upper stomach, dark urine, and yellowing of your skin or the whites of your eyes.


Overdose symptoms may also include severe forms of some of the side effects listed in this medication guide.


What should I avoid while taking Comtrex Severe Cold & Sinus (acetaminophen, chlorpheniramine, and phenylephrine)?


Ask a doctor or pharmacist before using any other cold, allergy, pain, or sleep medication. Acetaminophen (sometimes abbreviated as APAP) is contained in many combination medicines. Taking certain products together can cause you to get too much acetaminophen which can lead to a fatal overdose. Check the label to see if a medicine contains acetaminophen or APAP. Avoid drinking alcohol. It may increase your risk of liver damage while taking acetaminophen, and can increase certain side effects of chlorpheniramine. This medicine may cause blurred vision or impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly.

Comtrex Severe Cold & Sinus (acetaminophen, chlorpheniramine, and phenylephrine) 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. Stop using this medication and call your doctor at once if you have a serious side effect such as:

  • chest pain, rapid pulse, fast or uneven heart rate;




  • confusion, hallucinations, severe nervousness;




  • tremor, seizure (convulsions);




  • easy bruising or bleeding, unusual weakness;




  • urinating less than usual or not at all;




  • nausea, pain in your upper stomach, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of your skin or eyes); or




  • dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, chest pain, shortness of breath, uneven heartbeats, seizure).



Less serious side effects may include:



  • dizziness, drowsiness;




  • mild headache;




  • dry mouth, nose, or throat;




  • constipation;




  • blurred vision;




  • feeling nervous; 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.


What other drugs will affect Comtrex Severe Cold & Sinus (acetaminophen, chlorpheniramine, and phenylephrine)?


Ask a doctor or pharmacist before using this medicine if you regularly use other medicines that make you sleepy (such as narcotic pain medication, sedatives, sleeping pills, muscle relaxers, and medicine for seizures, depression or anxiety). They can add to sleepiness caused by chlorpheniramine.

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



  • leflunomide (Arava);




  • topiramate (Topamax);




  • zonisamide (Zonegran);




  • an antibiotic, antifungal medicine, sulfa drug, or tuberculosis medicine;




  • an antidepressant;




  • birth control pills or hormone replacement therapy;




  • bladder or urinary medications;




  • blood pressure medication;




  • a bronchodilator;




  • cancer medicine;




  • cholesterol-lowering medications such as Lipitor, Niaspan, Zocor, Vytorin, and others;




  • gout or arthritis medications (including gold injections);




  • HIV/AIDS medication;




  • medication for nausea and vomiting, stomach ulcers, or irritable bowel syndrome;




  • medicines to treat psychiatric disorders;




  • an NSAID such as Advil, Aleve, Arthrotec, Cataflam, Celebrex, Indocin, Motrin, Naprosyn, Treximet, Voltaren, others; or




  • seizure medication.



This list is not complete and other drugs may interact with acetaminophen, chlorpheniramine, and phenylephrine. 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 Comtrex Severe Cold & Sinus resources


  • Comtrex Severe Cold & Sinus Use in Pregnancy & Breastfeeding
  • Comtrex Severe Cold & Sinus Drug Interactions
  • 0 Reviews for Comtrex Severe Cold & Sinus - Add your own review/rating


  • Alka-Seltzer Plus Cold MedFacts Consumer Leaflet (Wolters Kluwer)

  • Dryphen MedFacts Consumer Leaflet (Wolters Kluwer)

  • Protid Controlled-Release Tablets MedFacts Consumer Leaflet (Wolters Kluwer)

  • Tylenol Allergy Multi-Symptom MedFacts Consumer Leaflet (Wolters Kluwer)



Compare Comtrex Severe Cold & Sinus with other medications


  • Cold Symptoms
  • Sinus Symptoms


Where can I get more information?


  • Your pharmacist can provide more information about acetaminophen, chlorpheniramine, and phenylephrine.


Wednesday, 3 October 2012

SCE-A Cream


Pronunciation: sin-THE-tik KON-joo-GAY-ted ES-troe-jens
Generic Name: Synthetic Conjugated Estrogens, A
Brand Name: SCE-A

SCE-A Cream increases the chances of getting cancer of the uterus. Report any unusual vaginal bleeding right away while using SCE-A Cream. Vaginal bleeding after menopause may be a warning sign of cancer of the uterus (womb). Your health care provider should check any unusual vaginal bleeding to find out the cause.


Do not use SCE-A Cream with or without progestins (eg, medroxyprogesterone) to prevent heart disease, heart attacks, strokes, or dementia. Using estrogens, with or without progestins, may increase your chances of getting heart attacks, strokes, breast cancer, and blood clots. Using estrogens, with or without progestins, may increase your risk of dementia , based on a study of women 65 years of age or older. You and your health care provider should talk regularly about whether you still need treatment with SCE-A Cream.





SCE-A Cream is used for:

Treating certain menopausal changes of the vagina (eg, vaginal dryness) and other vaginal conditions. It is also used to treat painful intercourse due to these vaginal changes. It may also be used for other conditions as determined by your doctor.


SCE-A Cream is a mixture of female estrogen hormones. It works by replacing natural estrogens in a woman who can no longer produce enough estrogen.


Do NOT use SCE-A Cream if:


  • you are allergic to any ingredient in SCE-A Cream

  • you are pregnant or suspect you may be pregnant

  • you have known or suspected breast cancer, or a history of breast cancer

  • you have or suspect you have other tumors that are estrogen-dependent or abnormal vaginal bleeding of unknown cause

  • you have liver problems

  • you have a history of stroke or heart attack

  • you have a history of blood clots (eg, in the legs or lungs) or circulation disorders

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



Before using SCE-A Cream:


Some medical conditions may interact with SCE-A Cream. 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 had an abnormal mammogram

  • if you have asthma (wheezing), a benign breast nodule, blood problems (eg, porphyria), bone cancer, depression, diabetes, endometriosis or endometrial (uterine) cancer, epilepsy (seizures), gallbladder disease, heart problems, high blood pressure, kidney problems, a history of liver problems or a history of yellowing of the skin or eyes, lupus, migraines, obesity, uterine fibroids, pancreatitis, or thyroid problems, or you have high calcium levels in your blood

  • if you use tobacco, you are going to have surgery, or you will be on bed rest

  • if you have a personal or family history of high cholesterol, lipid, calcium, or triglyceride levels; or breast cancer

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


  • Erythromycin, clarithromycin, ketoconazole, itraconazole, or ritonavir because they may increase the risk of SCE-A Cream's side effects

  • Carbamazepine, hydantoins (eg, phenytoin), phenobarbital, rifampin, or St. John's wort because they may decrease SCE-A Cream's effectiveness

This may not be a complete list of all interactions that may occur. Ask your health care provider if SCE-A Cream 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 SCE-A Cream:


Use SCE-A Cream as directed by your doctor. Check the label on the medicine for exact dosing instructions.


  • An extra patient leaflet is available with SCE-A Cream. Talk to your pharmacist if you have questions about this information.

  • Closely follow the dosing schedule provided by your doctor.

  • Wash your hands before and after using SCE-A Cream.

  • Fill the applicator with SCE-A Cream according to the directions provided. Lie on your back with your knees drawn up, insert the applicator high into the vagina, and press the plunger to release the medicine.

  • To clean the applicator, pull the plunger to remove it from the barrel. Wash with mild soap and warm water and rinse well. Do not boil or use hot water.

  • Talk with your doctor about stopping SCE-A Cream 4 to 6 weeks before surgery.

  • Eating grapefruit or drinking grapefruit juice may increase the risk of side effects. Check with your doctor before including grapefruit or grapefruit juice in your diet.

  • If you miss a dose of SCE-A Cream, take it as soon as possible. If it is almost time for the 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 SCE-A Cream.



Important safety information:


  • SCE-A Cream may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use SCE-A Cream with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.

  • SCE-A Cream may increase the risk of stroke, blood clots, high blood pressure, or similar problems. The risk may be greater if you smoke (especially in women more than 35 years old).

  • Before using SCE-A Cream, you will need to have a complete medical and family history exam, which will include blood pressure, breast, stomach, and pelvic organ exams and a Pap smear.

  • You should have periodic mammograms as determined by your doctor. Follow your doctor's instructions for examining your own breasts, and report any lumps immediately.

  • Your doctor should reevaluate you every 3 to 6 months to determine whether or not you need to continue taking SCE-A Cream.

  • If you are only being treated for vaginal menopause symptoms, products applied locally such as vaginal creams, tablets, or rings should be considered before products taken by mouth or absorbed through the skin. If you have other medical conditions and are prescribed estrogens for more than one condition, consult your doctor about your treatment plan and its options.

  • SCE-A Cream may weaken and increase the failure of condoms, diaphragms, or cervical caps made of latex or rubber. If you may become pregnant, use another form of birth control.

  • Diabetes patients - SCE-A Cream may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.

  • SCE-A Cream may cause dark skin patches on your face (melasma). Exposure to the sun may make these patches darker, and you may need to avoid prolonged sun exposure and sunlamps. Consult your doctor regarding the use of sunscreens and protective clothing.

  • If you wear contact lenses and you develop problems with them, contact your doctor.

  • If you will be having surgery or will be on bed rest, notify your doctor beforehand. Special precautions may need to be taken in these circumstances while you are taking SCE-A Cream.

  • SCE-A Cream may interfere with certain lab tests. Be sure your doctor and lab personnel know you are using SCE-A Cream.

  • Lab tests, including a lipid profile and thyroid function, may be performed while you use SCE-A Cream. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.

  • Use SCE-A Cream with caution in the ELDERLY; they may be more sensitive to its effects.

  • SCE-A Cream should not be used in CHILDREN; safety and effectiveness in children have not been confirmed.

  • PREGNANCY and BREAST-FEEDING: Do not use SCE-A Cream if you are pregnant. Avoid becoming pregnant while you are taking it. If you think you may be pregnant, contact your doctor right away. SCE-A Cream is found in breast milk. If you are or will be breast-feeding while you use SCE-A Cream, check with your doctor. Discuss any possible risks to your baby.


Possible side effects of SCE-A Cream:


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:



Back pain; bloating; breast pain or tenderness; diarrhea; dizziness; headache; increased cough; increased or decreased interest in sex; irregular vaginal bleeding or spotting; lightheadedness; mild hair loss; mild vaginal burning, itching, or irritation; muscle aches or cramps; nausea; sore throat; stomach pain or cramping; trouble sleeping; vomiting; weakness; weight changes.



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); breast lumps; changes in vision or speech; chest pain; confusion; dark urine; depression; fainting; fever, chills or persistent sore throat; mental or mood changes; one-sided weakness; pain or tenderness in the calves; persistent pain or tenderness in the upper abdomen; severe or persistent dizziness or headache; severe or persistent stomach or back pain with nausea or vomiting; sudden shortness of breath; swelling of the hands or feet; unusual vaginal bleeding or discharge, itching, odor; vision loss; weakness or numbness of an arm or leg; yellowing of the skin or eyes.



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: SCE-A 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 excessive vaginal bleeding 2 to 7 days following overdose; severe nausea and vomiting.


Proper storage of SCE-A Cream:

Store SCE-A Cream at 68 to 77 degrees F (20 to 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 SCE-A Cream out of the reach of children and away from pets.


General information:


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

  • SCE-A Cream 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 SCE-A Cream. Additionally, your doctor may have prescribed SCE-A Cream for a use not mentioned above. 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 SCE-A resources


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


Compare SCE-A with other medications


  • Atrophic Urethritis
  • Atrophic Vaginitis
  • Postmenopausal Symptoms

Monday, 1 October 2012

Flaxseed


Pronunciation: Not applicable.
Generic Name: Flaxseed
Brand Name: Generics only. No brands available.


Flaxseed is used for:

Constipation and stomach irritation. It has also been used for pain and inflammation due to arthritis and as a supplement to decrease total cholesterol and low-density lipoprotein (LDL) cholesterol. It may also have other uses. Check with your pharmacist for more details regarding the particular brand you use.


Flaxseed is an herbal product. It works by providing an essential fatty acid that benefits the digestive tract and heart.


Do NOT use Flaxseed if:


  • you are allergic to any ingredient in Flaxseed

  • you have ileus or a history of intestinal blockage of any type

  • you have swelling or closure of the esophagus

  • you are pregnant

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



Before using Flaxseed:


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


  • if you are 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 inflammation of the bowel (eg, Crohn disease), heart disease or other heart problems, or high blood pressure, or you are taking medicines for any of these conditions

Some MEDICINES MAY INTERACT with Flaxseed. However, no specific interactions are known at this time.


This may not be a complete list of all interactions that may occur. Ask your health care provider if Flaxseed 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 Flaxseed:


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


  • Dosing depends on the use and the source of the product.

  • Use as directed on the package, unless instructed otherwise by your doctor.

  • Drinking extra fluids while you are taking flaxseed is recommended.

  • Do not take flaxseed at the same time you take any other medicines prescribed by your doctor. Do not take this product if it has a bad smell or bitter taste.

  • If you miss taking a dose of Flaxseed for 1 or more days, there is no cause for concern. If your doctor recommended that you take it, try to remember your dose every day.

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



Important safety information:


  • The immature seeds of flax are poisonous. To avoid taking immature seeds, never use a flax product unless it is designed for human consumption.

  • If you take any prescription medicines and you notice a decreased effect, report this to your doctor as soon as possible.

  • If you are taking flaxseed to reduce cholesterol or LDL, talk with your doctor or pharmacist about other cholesterol-lowering therapies that are proven to reduce the risk of heart disease and improve survival.

  • Check with your doctor before you begin taking any new medicine, either prescription or over-the-counter, including laxatives, stool softeners, aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs; eg, ibuprofen).

  • This product has not been approved by the Food and Drug Administration (FDA) as safe and effective for any medical condition. The long-term safety of herbal products is not known. Before using any alternative medicine, talk with your doctor or pharmacist.

  • PREGNANCY and BREAST-FEEDING: Flaxseed may cause harm to the human fetus. Do not take flaxseed if you are pregnant. Do not breast-feed while you are taking flaxseed.


Possible side effects of Flaxseed:


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:



Gas; mild diarrhea; nausea.



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); slightly bluish, grayish, slate-like, or dark purple discoloration of the skin.



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 fast heartbeat; paralysis; seizures; shortness of breath; unsteadiness when walking; weakness.


Proper storage of Flaxseed:

Store at room temperature away from heat, moisture, and light unless otherwise directed on the package label. Do not store in the bathroom. Most herbal products are not in childproof containers. Keep Flaxseed out of the reach of children and away from pets.


General information:


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

  • Flaxseed 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 Flaxseed. 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.

Thursday, 27 September 2012

Phentride


Generic Name: phentermine (Oral route)

FEN-ter-meen

Commonly used brand name(s)

In the U.S.


  • Adipex

  • Atti-Plex P

  • Fastin

  • Ionamin

  • Phentercot

  • Phentride

  • Pro-Fast

  • Suprenza

Available Dosage Forms:


  • Capsule, Extended Release

  • Capsule

  • Tablet, Disintegrating

  • Tablet

Therapeutic Class: Appetite Suppressant, Centrally Acting


Chemical Class: Amphetamine Related


Uses For Phentride


Phentermine is used as part of a short-term plan, along with a low calorie diet, for weight reduction. It is used in obese patients who have not been able to lose weight with diet and exercise alone. Phentermine belongs to the group of medicines known as appetite suppressants.


This medicine is available only with your doctor's prescription.


Before Using Phentride


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


Use of phentermine is not recommended in children 16 years of age and younger. Safety and efficacy have not been established.


Geriatric


Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of phentermine 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 phentermine.


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 not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.


  • Brofaromine

  • Clorgyline

  • Furazolidone

  • Iproniazid

  • Isocarboxazid

  • Lazabemide

  • Linezolid

  • Moclobemide

  • Nialamide

  • Pargyline

  • Phenelzine

  • Procarbazine

  • Rasagiline

  • Selegiline

  • Sibutramine

  • Toloxatone

  • Tranylcypromine

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


  • Fenfluramine

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:


  • Agitated state or

  • Allergy to similar medicines (e.g., adrenaline, amphetamine, dopamine, dobutamine, ephedrine, or lisdexamfetamine) or

  • Arteriosclerosis (hardening of the arteries), advanced or

  • Drug abuse or dependence, history of or

  • Glaucoma or

  • Heart or blood vessel disease (e.g., arrhythmia, congestive heart failure, coronary artery disease, stroke), history of or

  • Hypertension (high blood pressure), moderate to severe or

  • Hyperthyroidism (overactive thyroid)—Should not be used in patients with these conditions.

  • Heart valve disease or

  • Hypertension (high blood pressure), mild—Use with caution. May make these conditions worse.

  • Kidney disease—Use with caution. The effects may be increased because of slower removal of the medicine from the body.

Proper Use of phentermine

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


Take this medicine only as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. If too much is taken, it may become habit-forming (causing mental or physical dependence).


This medicine is available in four forms: capsules, disintegrating tablets, extended-release capsules, and tablets. Ask your doctor which dosage form is right for you.


Swallow the extended-release capsule whole. Do not crush, break, or chew it.


If you are using the disintegrating tablet, make sure your hands are dry before removing the tablet from the bottle. Place the tablet on the top of your tongue immediately. It should melt quickly. After the tablet has melted, swallow or take a sip of water.


Take the disintegrating tablet with or without food.


Carefully follow your doctor's instructions for a reduced-calorie diet plan and regular exercise. Talk with your doctor before starting any exercise program.


To avoid trouble sleeping, take the last dose of the day about 4 to 6 hours before bedtime, unless your doctor tells you otherwise.


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 treatment of obesity:
    • For oral dosage form (capsules):
      • Adults and teenagers 17 years of age and older—15 to 30 milligrams (mg) once a day, taken at approximately 2 hours after breakfast.

      • Children up to 16 years of age—Use is not recommended.


    • For oral dosage form (disintegrating tablets):
      • Adults and teenagers 17 years of age and older—One tablet once a day, taken in the morning.

      • Children up to 16 years of age—Use is not recommended.


    • For oral resin dosage form (extended-release capsules):
      • Adults and teenagers 16 years of age and older—One capsule once a day, taken before breakfast or 10 to 14 hours before sleeping.

      • Children up to 15 years of age—Use is not recommended.


    • For oral dosage form (tablets):
      • Adults and teenagers 17 years of age and older—One tablet or 37.5 milligrams (mg) once a day, taken before breakfast or 1 to 2 hours after breakfast. Some patients may need half-tablet or 18.75 mg daily or two times a day. Your doctor may adjust your dose as needed.

      • Children up to 16 years of age—Use is not recommended.



Missed Dose


If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.


Storage


Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.


Keep out of the reach of children.


Do not keep outdated medicine or medicine no longer needed.


Ask your healthcare professional how you should dispose of any medicine you do not use.


Precautions While Using Phentride


It is very important that your doctor check your progress at regular visits to make sure that this medicine is working properly and does not cause any unwanted effects.


Do not use phentermine if you are also using similar medicines such as benzphetamine, diethylpropion, mazindol, phendimetrazine, Bontril®, or Didrex®. Also, do not use this medicine if you have used an MAO inhibitor (MAOI) such as Eldepryl®, Marplan®, Nardil®, or Parnate® within the past 14 days. Using these medicines together may cause serious unwanted effects.


Using this medicine while you are pregnant can harm your unborn baby. Use an effective form of birth control to keep from getting pregnant. If you think you have become pregnant while using this medicine, tell your doctor right away.


This medicine may be habit-forming. If you think this medicine is not working properly after you have taken it for a few weeks, do not increase the dose. Instead, check with your doctor.


Stop using this medicine and check with your doctor right away if you notice a decrease in your ability to exercise, if you faint, or if you have chest pain, swelling of your feet or lower legs, or trouble with breathing. These may be symptoms of a very serious heart or lung problem.


This medicine may cause some people to become dizzy, lightheaded, or less alert than they are normally. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or not alert.


For diabetic patients: This medicine may affect blood sugar levels. If you notice a change in the results of your blood or urine sugar tests or if you have any questions, check with your doctor.


Do not take other medicines unless they have been discussed with your doctor. This includes prescription and nonprescription (over-the-counter) medicines, dietary supplements, herbal remedies, or medicines for appetite control, asthma, colds, cough, hay fever, and sinus problems. Do not drink alcohol while you are using this medicine.


Phentride 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:


Rare
  • Seeing, hearing, or feeling things that are not there

  • severe mental changes

Incidence not known
  • Chest pain

  • decreased ability to exercise

  • dizziness

  • fainting

  • fast, irregular, pounding, or racing heartbeat or pulse

  • headache

  • numbness or tingling in the arms or legs

  • swelling of the feet or lower legs

  • trembling or shaking of the legs, arms, hands, or feet

  • trouble with breathing

  • trouble with thinking, speaking, or walking

  • weakness

Get emergency help immediately if any of the following symptoms of overdose occur:


Symptoms of overdose
  • Abdominal or stomach cramps

  • blurred vision

  • change in consciousness

  • confusion

  • convulsions

  • diarrhea

  • discouragement

  • dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position

  • feeling sad or empty

  • irritability

  • lack of appetite

  • lightheadedness

  • loss of consciousness

  • loss of interest or pleasure

  • nausea

  • nervousness

  • overactive reflexes

  • panic

  • physical attempt to injure

  • pounding in the ears

  • rapid breathing

  • restlessness

  • slow or fast heartbeat

  • sweating

  • tiredness

  • trouble concentrating

  • trouble with sleeping

  • unusual tiredness or weakness

  • violent actions

  • vomiting

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:


Incidence not known
  • Decreased interest in sexual intercourse

  • difficulty having a bowel movement (stool)

  • dry mouth

  • false or unusual sense of well-being

  • hives or welts

  • inability to have or keep an erection

  • increased in sexual ability, desire, drive, or performance

  • increased interest in sexual intercourse

  • itching

  • loss in sexual ability, desire, drive, or performance

  • redness of the skin

  • skin rash

  • sleeplessness

  • unable to sleep

  • unpleasant taste

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.



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.

Sunday, 23 September 2012

PediaCare Infant Long-Acting Cough Drops


Pronunciation: DEX-troe-meth-OR-fan
Generic Name: Dextromethorphan
Brand Name: PediaCare Infant Long-Acting Cough


PediaCare Infant Long-Acting Cough Drops are used for:

Temporarily relieving cough due to the common cold, hay fever, upper respiratory tract infections, sinus inflammation, sore throat, or bronchitis.


PediaCare Infant Long-Acting Cough Drops are a cough suppressant. It works in the cough center of the brain to reduce a dry or nonproductive cough.


Do NOT use PediaCare Infant Long-Acting Cough Drops if:


  • you are allergic to any ingredient in PediaCare Infant Long-Acting Cough Drops

  • you are taking or have taken furazolidone or a monoamine oxidase (MAO) inhibitor (eg, phenelzine) within the last 14 days

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



Before using PediaCare Infant Long-Acting Cough Drops:


Some medical conditions may interact with PediaCare Infant Long-Acting Cough Drops. Tell your health care provider if you have any medical conditions, especially if any of the following apply to you:


  • if you are pregnant, plan 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 chronic cough, chronic bronchitis, asthma, emphysema, or chronic obstructive pulmonary disease (COPD), or if your cough occurs with a large amount of mucus

Some MEDICINES MAY INTERACT with PediaCare Infant Long-Acting Cough Drops. Tell your health care provider if you are taking any other medicines, especially any of the following:


  • Furazolidone or MAO inhibitors (eg, phenelzine) because the risk of toxic side effects may be increased by PediaCare Infant Long-Acting Cough Drops

This may not be a complete list of all interactions that may occur. Ask your health care provider if PediaCare Infant Long-Acting Cough Drops 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 PediaCare Infant Long-Acting Cough Drops:


Use PediaCare Infant Long-Acting Cough Drops as directed by your doctor. Check the label on the medicine for exact dosing instructions.


  • PediaCare Infant Long-Acting Cough Drops may be taken with or without food. If stomach upset occurs, take with food to reduce stomach irritation.

  • Use the dropper that comes with PediaCare Infant Long-Acting Cough Drops to measure your dose. Ask your pharmacist for help if you are unsure of how to measure your dose.

  • If you miss a dose of PediaCare Infant Long-Acting Cough Drops and you are taking it regularly, 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 PediaCare Infant Long-Acting Cough Drops.



Important safety information:


  • PediaCare Infant Long-Acting Cough Drops may cause drowsiness, dizziness, blurred vision, or lightheadedness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to PediaCare Infant Long-Acting Cough Drops. Using PediaCare Infant Long-Acting Cough Drops alone, with certain other medicines, or with alcohol may lessen your ability to drive or perform other potentially dangerous tasks.

  • If cough persists for more than 1 week or is accompanied by a fever, contact your health care provider. A persistent cough could be a sign of a serious condition.

  • PediaCare Infant Long-Acting Cough Drops contains dextromethorphan. Before you begin taking any new prescription or nonprescription medicine, read the ingredients to see if it also contains dextromethorphan. If it does or if you are uncertain, contact your doctor or pharmacist.

  • Diabetes patients - Some brands of PediaCare Infant Long-Acting Cough Drops may contain sugar and affect your blood sugar level. Read the label carefully before using PediaCare Infant Long-Acting Cough Drops.

  • Different brands of PediaCare Infant Long-Acting Cough Drops may have different dosing instructions for CHILDREN on the package labeling. Follow the dosing instructions provided on the package labeling or by your doctor. If you are unsure of the dose to give a child, check with your doctor or pharmacist.

  • PREGNANCY and BREAST-FEEDING: It is unknown if PediaCare Infant Long-Acting Cough Drops can cause harm to the fetus. If you become pregnant while taking PediaCare Infant Long-Acting Cough Drops, discuss with your doctor the benefits and risks of using PediaCare Infant Long-Acting Cough Drops during pregnancy. It is unknown if PediaCare Infant Long-Acting Cough Drops are excreted in breast milk. Do not breast-feed while taking PediaCare Infant Long-Acting Cough Drops.


Possible side effects of PediaCare Infant Long-Acting Cough Drops:


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:



Dizziness; drowsiness; stomach upset.



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

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue).



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: PediaCare Infant Long-Acting Cough 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 confusion; excitement; hallucinations; slowed breathing.


Proper storage of PediaCare Infant Long-Acting Cough Drops:

Store PediaCare Infant Long-Acting Cough Drops at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep PediaCare Infant Long-Acting Cough Drops out of the reach of children and away from pets.


General information:


  • If you have any questions about PediaCare Infant Long-Acting Cough Drops, please talk with your doctor, pharmacist, or other health care provider.

  • PediaCare Infant Long-Acting Cough Drops are 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 PediaCare Infant Long-Acting Cough Drops. 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 PediaCare Infant Long-Acting Cough resources


  • PediaCare Infant Long-Acting Cough Side Effects (in more detail)
  • PediaCare Infant Long-Acting Cough Use in Pregnancy & Breastfeeding
  • PediaCare Infant Long-Acting Cough Drug Interactions
  • 0 Reviews for PediaCare Infant Long-Acting Cough - Add your own review/rating


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