Thursday, 29 September 2016

Glicenex




Glicenex may be available in the countries listed below.


Ingredient matches for Glicenex



Metformin

Metformin is reported as an ingredient of Glicenex in the following countries:


  • Peru

Metformin hydrochloride (a derivative of Metformin) is reported as an ingredient of Glicenex in the following countries:


  • Chile

International Drug Name Search

Trimidura




Trimidura may be available in the countries listed below.


Ingredient matches for Trimidura



Trimipramine

Trimipramine maleate (a derivative of Trimipramine) is reported as an ingredient of Trimidura in the following countries:


  • Germany

International Drug Name Search

Wednesday, 28 September 2016

Nicozid




Nicozid may be available in the countries listed below.


Ingredient matches for Nicozid



Isoniazid

Isoniazid is reported as an ingredient of Nicozid in the following countries:


  • Italy

International Drug Name Search

Escin




CAS registry number (Chemical Abstracts Service)

0006805-41-0

Chemical Formula

C54-H84-O23

Molecular Weight

1101

Therapeutic Categories

Agent for antivaricose therapy

Vasoprotective agent

Chemical Name

Saponin isolated from Aesculus hippocastanum

Foreign Names

  • Aescin (German)
  • Aescine (French)

Generic Names

  • Aescine (OS: DCF)
  • Escin (PH: USP 30)
  • Sodium aescinate (IS)

Brand Names

  • Aescin
    Chen Ho, Taiwan; Polfa, Czech Republic; Polfa Kutno, Poland; WZF Polfa, Slovakia


  • Aescusan
    Schering, Russian Federation


  • Aescuven
    Cesra, Estonia


  • Demoven N (Escin and Troxerutin)
    Vifor, Switzerland


  • Dermocinetic (Escin and Levothyroxine)
    Geymonat, Italy


  • Edeven C.M. (Escin and Diethylamine Salicylate)
    IBI, Italy


  • Edevexin
    IBI, Italy


  • Esceven
    Herbapol Poznan, Poland


  • Escina
    Omega, Argentina


  • Essaven Gel
    Cassella-med, Germany


  • Essaven
    Sanofi-Aventis, Italy


  • Flebostasin
    Daiichi Sankyo, Spain; Daiichi Sankyo, Italy


  • Flogencyl
    Expanpharm, France


  • Grafic
    Laboratorios, Argentina


  • Liotontrauma (Escin and Diethylamine Salicylate)
    Sanofi-Aventis, Italy


  • Muscoril Trauma (Escin and Thiocolchicoside)
    Sanofi-Aventis, Italy


  • Nadem
    Ivax, Argentina


  • Opino (Escin and Buphenine)
    Menarini, Greece


  • Reparil
    Madaus, United Arab Emirates; Madaus, Austria; Madaus, Belgium; Madaus, Bulgaria; Madaus, Bahrain; Madaus, Czech Republic; Madaus, Egypt; Madaus, France; Madaus, Hong Kong; Madaus, Kuwait; Madaus, Luxembourg; Madaus, Poland; Madaus, Qatar; Madaus, Saudi Arabia; Rottapharm/Madaus, Germany


  • Reparil N Gel (Escin and Diethylamine Salicylate)
    Zeller, Switzerland


  • Reparil-Gel N (Escin and Diethylamine Salicylate)
    Madaus, Belgium; Madaus, Singapore; Nycomed Madaus, South Africa; Rottapharm, China; Rottapharm/Madaus, Germany


  • Venastat
    Boehringer Ingelheim, Hungary


  • Venitan
    1A Pharma, Poland; Lek, Russian Federation; Lek, Slovenia; Sandoz, Slovakia


  • Venitan (Escin andHeparin)
    Lek, Slovenia


  • Venostasin
    Ariston, Ecuador; Astellas, Austria; Astellas Pharma GmbH, Luxembourg; Klinge, Germany; Nycomed Pharma, Switzerland


  • Yellon
    Zentiva, Czech Republic


  • Reparil
    Madaus, United Arab Emirates; Madaus, Bahrain; Madaus, Egypt; Madaus, Hong Kong; Madaus, Kuwait; Madaus, Qatar; Madaus, Saudi Arabia

International Drug Name Search

Glossary

DCFDénomination Commune Française
ISInofficial Synonym
OSOfficial Synonym
PHPharmacopoeia Name

Click for further information on drug naming conventions and International Nonproprietary Names.

Dafalgan Codeine




Dafalgan Codeine may be available in the countries listed below.


Ingredient matches for Dafalgan Codeine



Codeine

Codeine phosphate hemihydrate (a derivative of Codeine) is reported as an ingredient of Dafalgan Codeine in the following countries:


  • Belgium

Paracetamol

Paracetamol is reported as an ingredient of Dafalgan Codeine in the following countries:


  • Belgium

International Drug Name Search

Kiatrium




Kiatrium may be available in the countries listed below.


Ingredient matches for Kiatrium



Diazepam

Diazepam is reported as an ingredient of Kiatrium in the following countries:


  • Brazil

International Drug Name Search

Dipal




Dipal may be available in the countries listed below.


In some countries, this medicine may only be approved for veterinary use.

Ingredient matches for Dipal



Povidone Iodine

Povidone-Iodine is reported as an ingredient of Dipal in the following countries:


  • United Kingdom

International Drug Name Search

Pennsaid Solution



Pronunciation: dye-KLOE-fen-ak
Generic Name: Diclofenac
Brand Name: Pennsaid

Pennsaid Solution is a nonsteroidal anti-inflammatory drug (NSAID). It may cause an increased risk of serious and sometimes fatal heart and blood vessel problems (eg, a heart attack, stroke). The risk may be greater if you already have heart problems or if you use Pennsaid Solution for a long time. Do not use Pennsaid Solution right before or after bypass heart surgery.


Pennsaid Solution may cause an increased risk of serious and sometimes fatal stomach ulcers and bleeding. Elderly patients may be at greater risk. This may occur without warning signs.





Pennsaid Solution is used for:

Treating pain in the knee joints caused by osteoarthritis. It may also be used for other conditions as determined by your doctor.


Pennsaid Solution is an NSAID. Exactly how it works is not known. It may work by blocking certain substances in the body that are linked to inflammation. NSAIDs treat the symptoms of pain and inflammation. They do not treat the disease that causes those symptoms.


Do NOT use Pennsaid Solution if:


  • you are allergic to any ingredient in Pennsaid Solution

  • you have had a severe allergic reaction (eg, severe rash, hives, trouble breathing, growths in the nose, dizziness) to aspirin or another NSAID (eg, celecoxib, ibuprofen)

  • you have recently had or will be having bypass heart surgery

  • you have severe kidney problems

  • you are in the last 3 months of pregnancy

  • you are taking disulfiram or metronidazole

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



Before using Pennsaid Solution:


Some medical conditions may interact with Pennsaid Solution. 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 a history of kidney or liver problems, diabetes, or stomach or bowel problems (eg, bleeding, perforation, ulcers)

  • if you have a history of swelling or fluid buildup, asthma, growths in the nose (nasal polyps), or mouth inflammation

  • if you have high blood pressure, blood disorders (eg, porphyria), bone marrow problems, bleeding or clotting problems, heart problems (eg, heart failure), or blood vessel disease, or if you are at risk of any of these diseases

  • if you have poor health, dehydration or low fluid volume, low blood sodium levels, you drink alcohol, or you have a history of alcohol abuse

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


  • Anticoagulants (eg, warfarin), aspirin, clopidogrel, corticosteroids (eg, prednisone), direct factor Xa inhibitors (eg, rivaroxaban), heparin, prasugrel, or selective serotonin reuptake inhibitors (SSRIs) (eg, fluoxetine) because the risk of bleeding, including stomach bleeding, may be increased

  • Disulfiram, furazolidone, or metronidazole because a severe reaction that includes flushing, headache, fast or irregular heartbeat, trouble breathing, nausea, vomiting, and dizziness may occur

  • Azole antifungals (eg, itraconazole, voriconazole), bisphosphonates (eg, risedronate), or probenecid because they may increase the risk of Pennsaid Solution's side effects

  • Rifamycins (eg, rifampin) because they may decrease Pennsaid Solution's effectiveness

  • Cyclosporine, lithium, methotrexate, oral NSAIDs (eg, ibuprofen), quinolones (eg, ciprofloxacin), or tenofovir because the risk of their side effects may be increased by Pennsaid Solution

  • Angiotensin-converting enzyme (ACE) inhibitors (eg, enalapril) or diuretics (eg, furosemide, hydrochlorothiazide) because their effectiveness may be decreased by Pennsaid Solution

  • Medicines that may harm the liver (eg, acetaminophen, ketoconazole, isoniazid, certain medicines for HIV infection, certain antibiotics or seizure medicines) because the risk of liver side effects may be increased. Ask your doctor if you are unsure if any of your medicines might harm the liver

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


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


  • Pennsaid Solution comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Pennsaid Solution refilled.

  • Do not apply Pennsaid Solution to infected skin; open wounds; or red, swollen, or peeling skin.

  • Wash your hands immediately before and after using Pennsaid Solution.

  • Wash the affected area and dry completely before using Pennsaid Solution.

  • To apply Pennsaid Solution, dispense 10 drops at a time onto the knee or into your hand. Spread Pennsaid Solution evenly around the front, back, and sides of the knee. Repeat until you have used the whole dose.

  • Be sure that you cover your entire knee with your dose of Pennsaid Solution. Do not use more than the recommended amount.

  • Do not apply sunscreens, cosmetics, insect repellants, other topical medicines, or any other substance to the treated area until it is completely dry.

  • Do not put on clothes over the treated area until it is completely dry.

  • Do not wrap, bandage, or apply heat to the treated area.

  • Do not shower, bathe, or wash the treated area for at least 30 minutes after you use Pennsaid Solution.

  • If you miss a dose of Pennsaid Solution, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

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



Important safety information:


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

  • Pennsaid Solution is for external use only. Do not get it in your eyes, nose, or mouth. If you get it in any of these areas, rinse right away with cool water.

  • Serious stomach ulcers or bleeding can occur with the use of Pennsaid Solution. Taking it in high doses or for a long time, smoking, or drinking alcohol increases the risk of these side effects. Taking Pennsaid Solution with food will NOT reduce the risk of these effects. Contact your doctor or emergency room at once if you develop severe stomach or back pain; black, tarry stools; vomit that looks like blood or coffee grounds; or unusual weight gain or swelling.

  • Do NOT use more than the recommended dose or use for longer than prescribed without checking with your doctor.

  • Pennsaid Solution is an NSAID. Before you start any new medicine, check the label to see if it has an NSAID (eg, ibuprofen) in it too. If it does or if you are not sure, check with your doctor or pharmacist.

  • Do not take aspirin while you are using Pennsaid Solution unless your doctor tells you to.

  • Do not expose the treated area to the sun, sunlamps, or tanning booths.

  • Pennsaid Solution may cause harm if it is swallowed. If you may have taken it by mouth, contact your poison control center or emergency room right away.

  • Lab tests, including kidney and liver function, blood electrolyte levels, complete blood cell counts, and blood pressure, may be performed while you use Pennsaid Solution. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.

  • Use Pennsaid Solution with caution in the ELDERLY; they may be more sensitive to its effects, especially stomach bleeding and kidney problems.

  • Pennsaid Solution should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.

  • PREGNANCY and BREAST-FEEDING: Pennsaid Solution may cause harm to the fetus. Do not use it during the last 3 months of pregnancy. If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and risks of using Pennsaid Solution while you are pregnant. It is not known if Pennsaid Solution is found in breast milk after topical use. Do not breast-feed while taking Pennsaid Solution.


Possible side effects of Pennsaid Solution:


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; diarrhea; dry skin or mild irritation at the application site; gas; nausea; stomach upset.



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

Severe allergic reactions (rash; hives; itching; trouble breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); bloody or black, tarry stools; burning, numbness, or tingling of the skin; change in the amount of urine produced; chest pain; confusion; depression; fainting; fast or irregular heartbeat; fever, chills, or persistent sore throat; mental or mood changes; numbness of an arm or leg; one-sided weakness; red, swollen, blistered, or peeling skin; ringing in the ears; seizures; severe headache or dizziness; severe or persistent irritation at the application site; severe or persistent stomach pain or nausea; severe vomiting or diarrhea; shortness of breath; sudden or unexplained weight gain; swelling of the hands, legs, or feet; symptoms of liver problems (eg, dark urine, pale stools, persistent loss of appetite, yellowing of the skin or eyes, stomach pain, diarrhea); unusual bruising or bleeding; unusual joint or muscle pain; unusual tiredness or weakness; vision or speech changes; vomit that looks like coffee grounds.



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: Pennsaid 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 decreased urination; loss of consciousness; seizures; severe dizziness or drowsiness; severe nausea, vomiting, or stomach pain; slow or troubled breathing; tremor; unusual bleeding or bruising; vomit that looks like coffee grounds.


Proper storage of Pennsaid Solution:

Store Pennsaid Solution 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 Pennsaid Solution out of the reach of children and away from pets.


General information:


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

  • Pennsaid Solution 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 Pennsaid Solution. 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 Pennsaid resources


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


Compare Pennsaid with other medications


  • Osteoarthritis

Retimax




Retimax may be available in the countries listed below.


Ingredient matches for Retimax



Pentoxifylline

Pentoxifylline is reported as an ingredient of Retimax in the following countries:


  • Spain

International Drug Name Search

Tuesday, 27 September 2016

Foradil Aerolizer


Generic Name: formoterol (for MOE ter all)

Brand Names: Foradil Aerolizer, Perforomist


What is formoterol inhalation?

Formoterol is a long-acting bronchodilator that relaxes muscles in the airways to improve breathing.


Formoterol inhalation is used to prevent bronchospasm in people with reversible obstructive airways disease, including symptoms of night-time asthma. It is also used in people with chronic obstructive pulmonary disease (COPD) such as emphysema and chronic bronchitis.


Formoterol inhalation may also be used for other purposed not listed in this medication guide.


What is the most important information I should know about formoterol inhalation?


Do not use formoterol inhalation to treat an asthma attack that has already begun. Formoterol may increase the risk of asthma-related death. Use only the prescribed dose of this medication, and do not use it for longer than your doctor recommends. Follow all patient instructions for safe use. Talk with your doctor about your individual risks and benefits of using formoterol inhalation.

Asthma is often treated with a combination of different drugs. If you use formoterol inhalation to treat asthma, you must use it together with another asthma control medication. Use all of your medications as directed by your doctor. Talk with your doctor if your medications do not seem to work as well in treating or preventing attacks. Do not change your doses or medication schedule without advice from your doctor.


Formoterol capsules are for use only in the Foradil Aerolizer device. Use only one capsule at a time. Do not take the capsules by mouth. Never place a capsule in the mouthpiece of the inhaler. Seek medical attention if you think any of your asthma medications are not working as well as usual. An increased need for medication could be an early sign of a serious asthma attack.

What should I discuss with my healthcare provider before using formoterol inhalation?


You should not use this medication if you are allergic to formoterol. If you have asthma, formoterol inhalation should not be your only asthma medication. You must use it together with at least one other asthma control medication.

If you have any of these other conditions, you may need a dose adjustment or special tests:



  • a food or drug allergy;




  • heart disease or high blood pressure;




  • epilepsy or other seizure disorder;




  • diabetes; or




  • a thyroid disorder.




FDA pregnancy category C. It is not known whether formoterol inhalation will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. It is not known whether this medication passes into breast milk or if it could harm a nursing baby. Do not use formoterol inhalation without telling your doctor if you are breast-feeding a baby. Do not give this medication to a child younger than 5 years old.

How should I use formoterol inhalation?


Formoterol may increase the risk of asthma-related death. Use only the prescribed dose of this medication, and do not use it for longer than your doctor recommends. Follow all patient instructions for safe use. Talk with your doctor about your individual risks and benefits of using formoterol inhalation. Do not use formoterol inhalation to treat an asthma attack that has already begun. It will not work fast enough. Use only a fast-acting inhalation medication.

Asthma is often treated with a combination of different drugs. If you use formoterol inhalation to treat asthma, you must use it together with another asthma control medication. Use all of your medications as directed by your doctor. Talk with your doctor if your medications do not seem to work as well in treating or preventing attacks. Do not change your doses or medication schedule without advice from your doctor.


This medication comes with patient instructions for safe and effective use. Follow these directions carefully. This device is not to be used with a spacer. Ask your doctor or pharmacist if you have any questions.


Formoterol capsules are for use only in the Foradil Aerolizer device. Use only one capsule at a time. Do not take the capsules by mouth. Never place a capsule in the mouthpiece of the inhaler.

If you are using formoterol inhalation to prevent exercise-induced asthma, use the medicine 15 minutes before exercising, or as directed by your doctor. Allow at least 12 hours to pass before you use the medicine again.


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


Seek medical attention if you think any of your asthma medications are not working as well as usual. An increased need for medication could be an early sign of a serious asthma attack. Store at room temperature, away from moisture, light, and heat. Keep each capsule in the blister pack until you are ready to use one. Be sure your hands are dry when handling a formoterol capsule.

Do not try to clean or take apart the Aerolizer device. Throw it away when your capsules run out. Always use the new device provided with the medication when you get your prescription refilled.


What happens if I miss a dose?


Use the medication as soon as you remember, then wait 12 hours before using the medication again. Skip the missed dose if it is almost time for your next scheduled dose. Do not use 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.

Overdose symptoms may include chest pain, nervousness, dry mouth, nausea, sleep problems (insomnia), tremors, chest pain, fast or irregular heartbeats, feeling weak or light-headed, fainting, or seizure (convulsions).


What should I avoid while using formoterol inhalation?


Do not use a second form of formoterol (such as Symbicort) or use a similar other long-acting inhaled bronchodilator such as salmeterol (Advair, Serevent) or arformoterol (Brovana) unless your doctor has told you to.

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

  • chest pain, fast or pounding heartbeats, tremors, shaking, or restless feeling;




  • wheezing, choking, or other breathing problems after using this medication;




  • increased thirst or hunger, urinating more than usual; or




  • worsening asthma symptoms.



Less serious side effects may include:



  • dizziness, anxiety, headache;




  • sleep problems (insomnia);




  • back pain, muscle cramps;




  • sore throat, dry mouth, cough, stuffy nose;




  • skin rash, itching; or




  • changes in your voice.



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 Foradil Aerolizer (formoterol)?


Before using formoterol inhalation tell your doctor if you are taking any of the following medicines:



  • cisapride (Propulsid);




  • droperidol (Inapsine);




  • methadone (Methadose);




  • pentamidine (NebuPent, Pentam);




  • a diuretic (water pill);




  • caffeine, diet pills, cold medicine, or a stimulant medication;




  • an antibiotic such as azithromycin (Zithromax), clarithromycin (Biaxin), erythromycin (E-Mycin, E.E.S., Erythrocin, Ery-Tab), telithromycin (Ketek);




  • medicines to treat psychiatric disorder, such as pimozide (Orap), haloperidol (Haldol), or thioridazine (Mellaril);




  • heart rhythm medicine such as amiodarone (Cordarone, Pacerone), dofetilide (Tikosyn), disopyramide (Norpace), procainamide (Procan), quinidine (Cardioquin, Quinaglute), or sotalol (Betapace);




  • a beta-blocker such as atenolol (Tenormin, Tenoretic), carvedilol (Coreg), labetalol (Normodyne, Trandate), metoprolol (Lopressor, Toprol), nadolol (Corgard), propranolol (Inderal, InnoPran), sotalol (Betapace), and others;




  • an antidepressant such as amitriptyline (Elavil, Etrafon), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), imipramine (Janimine, Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), or trimipramine (Surmontil); or




  • an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate).



This list is not complete and other drugs may interact with formoterol inhalation. 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 Foradil Aerolizer resources


  • Foradil Aerolizer Side Effects (in more detail)
  • Foradil Aerolizer Use in Pregnancy & Breastfeeding
  • Foradil Aerolizer Drug Interactions
  • Foradil Aerolizer Support Group
  • 1 Review for Foradil Aerolizer - Add your own review/rating


  • Foradil Aerolizer Advanced Consumer (Micromedex) - Includes Dosage Information

  • Foradil Aerolizer MedFacts Consumer Leaflet (Wolters Kluwer)

  • Formoterol Fumarate Monograph (AHFS DI)

  • Perforomist Prescribing Information (FDA)

  • Perforomist Solution MedFacts Consumer Leaflet (Wolters Kluwer)

  • Perforomist Consumer Overview



Compare Foradil Aerolizer with other medications


  • Asthma, Maintenance
  • Bronchospasm Prophylaxis
  • COPD, Maintenance


Where can I get more information?


  • Your pharmacist can provide more information about formoterol inhalation.

See also: Foradil Aerolizer side effects (in more detail)


Diphen




In the US, Diphen (diphenhydramine systemic) is a member of the following drug classes: anticholinergic antiemetics, anticholinergic antiparkinson agents, antihistamines, miscellaneous anxiolytics, sedatives and hypnotics and is used to treat Allergic Reactions, Cold Symptoms, Cough, Extrapyramidal Reaction, Hay Fever, Insomnia, Motion Sickness, Nausea/Vomiting, Pruritus and Urticaria.

US matches:

  • Diphen

  • Diphen Cough

Ingredient matches for Diphen



Diphenhydramine

Diphenhydramine hydrochloride (a derivative of Diphenhydramine) is reported as an ingredient of Diphen in the following countries:


  • United States

International Drug Name Search

Depotrust




Depotrust may be available in the countries listed below.


Ingredient matches for Depotrust



Medroxyprogesterone

Medroxyprogesterone 17α-acetate (a derivative of Medroxyprogesterone) is reported as an ingredient of Depotrust in the following countries:


  • Philippines

International Drug Name Search

Deptran




Deptran may be available in the countries listed below.


Ingredient matches for Deptran



Doxepin

Doxepin hydrochloride (a derivative of Doxepin) is reported as an ingredient of Deptran in the following countries:


  • Australia

International Drug Name Search

Ibu-hepa




Ibu-hepa may be available in the countries listed below.


Ingredient matches for Ibu-hepa



Heparin

Heparin is reported as an ingredient of Ibu-hepa in the following countries:


  • Slovakia

Ibuprofen

Ibuprofen is reported as an ingredient of Ibu-hepa in the following countries:


  • Slovakia

International Drug Name Search

Benadryl Allergy and Sinus Liquid


Pronunciation: DYE-fen-HYE-dra-meen/SOO-doe-e-FED-rin
Generic Name: Diphenhydramine/Pseudoephedrine
Brand Name: Examples include Benadryl Allergy and Sinus Liquid and Children's Benadryl-D Allergy and Sinus


Benadryl Allergy and Sinus Liquid is used for:

Relieving symptoms of sinus congestion, pressure, runny nose, and sneezing due to colds, upper respiratory infections, and allergies. It may also be used for other conditions as determined by your doctor.


Benadryl Allergy and Sinus Liquid is an antihistamine and decongestant combination. The antihistamine works by blocking the action of histamine, which helps reduce symptoms such as watery eyes and sneezing. The decongestant works by promoting sinus and nasal drainage, which relieves congestion and pressure.


Do NOT use Benadryl Allergy and Sinus Liquid if:


  • you are allergic to any ingredient in Benadryl Allergy and Sinus Liquid

  • you have severe high blood pressure, severe heart blood vessel disease, fast heartbeat, severe heart problems, narrow-angle glaucoma, or if you are unable to urinate

  • you are taking sodium oxybate (GHB) or you have taken furazolidone or a monoamine oxidase inhibitor (MAOI) (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 Benadryl Allergy and Sinus Liquid:


Some medical conditions may interact with Benadryl Allergy and Sinus Liquid. 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 a history of lung or breathing problems (eg, asthma, emphysema); sleep apnea; trouble sleeping; blood problems (eg, porphyria); adrenal gland problems (eg, adrenal gland tumor); high blood pressure; fast, slow, or irregular heartbeat; heart problems; heart blood vessel problems; or stroke

  • if you have a history of diabetes; glaucoma or increased pressure in the eye; a blockage of your bladder, stomach, or intestines; ulcers; trouble urinating; an enlarged prostate or other prostate problems; seizures; or thyroid problems

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


  • Digoxin or droxidopa because the risk of irregular heartbeat or heart attack may be increased

  • Catechol-O-methyltransferase (COMT) inhibitors (eg, tolcapone), furazolidone, MAOIs (eg, phenelzine), sodium oxybate (GHB), or tricyclic antidepressants (eg, amitriptyline) because they may increase the risk of Benadryl Allergy and Sinus Liquid's side effects

  • Beta-blockers (eg, propranolol) or bromocriptine because the risk of their side effects may be increased by Benadryl Allergy and Sinus Liquid

  • Guanadrel, guanethidine, mecamylamine, methyldopa, or reserpine because their effectiveness may be decreased by Benadryl Allergy and Sinus Liquid

This may not be a complete list of all interactions that may occur. Ask your health care provider if Benadryl Allergy and Sinus Liquid 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 Benadryl Allergy and Sinus Liquid:


Use Benadryl Allergy and Sinus Liquid as directed by your doctor. Check the label on the medicine for exact dosing instructions.


  • Take Benadryl Allergy and Sinus Liquid by mouth with or without food.

  • Use a measuring device marked for medicine dosing. Ask your pharmacist for help if you are unsure of how to measure your dose.

  • If you miss a dose of Benadryl Allergy and Sinus Liquid, 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 Benadryl Allergy and Sinus Liquid.



Important safety information:


  • Benadryl Allergy and Sinus Liquid may cause drowsiness, dizziness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Benadryl Allergy and Sinus Liquid with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.

  • Do not drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Benadryl Allergy and Sinus Liquid; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.

  • Do not take diet or appetite control medicines while you are taking Benadryl Allergy and Sinus Liquid without checking with your doctor.

  • Benadryl Allergy and Sinus Liquid has diphenhydramine and pseudoephedrine in it. Before you start any new medicine, check the label to see if it has diphenhydramine or pseudoephedrine in it too. If it does or if you are not sure, check with your doctor or pharmacist.

  • Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor.

  • If your symptoms do not get better within 5 to 7 days or if they get worse, check with your doctor.

  • Benadryl Allergy and Sinus Liquid may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Benadryl Allergy and Sinus Liquid. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.

  • Benadryl Allergy and Sinus Liquid may interfere with skin allergy tests. If you are scheduled for a skin test, talk to your doctor. You may need to stop taking Benadryl Allergy and Sinus Liquid for a few days before the tests.

  • Tell your doctor or dentist that you take Benadryl Allergy and Sinus Liquid before you receive any medical or dental care, emergency care, or surgery.

  • Use Benadryl Allergy and Sinus Liquid with caution in the ELDERLY; they may be more sensitive to its effects, especially confusion, dizziness, drowsiness, dry mouth, excitability, low blood pressure, and trouble urinating.

  • Caution is advised when using Benadryl Allergy and Sinus Liquid in CHILDREN; they may be more sensitive to its effects, especially excitability.

  • Benadryl Allergy and Sinus Liquid should not be used in CHILDREN younger than 6 years 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 Benadryl Allergy and Sinus Liquid while you are pregnant. Do not take Benadryl Allergy and Sinus Liquid in the third trimester of pregnancy. Benadryl Allergy and Sinus Liquid is found in breast milk. Do not breast-feed while taking Benadryl Allergy and Sinus Liquid.


Possible side effects of Benadryl Allergy and Sinus Liquid:


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; diarrhea; dizziness; drowsiness; dry mouth, nose, and throat; excitability; headache; loss of appetite; nausea; nervousness or anxiety; trouble sleeping; upset stomach; vomiting; weakness.



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); blurred vision or other vision changes; fast or irregular heartbeat; fever, chills, or persistent sore throat; hallucinations; mood or mental changes; persistent trouble sleeping; restlessness; seizures; severe dizziness, lightheadedness, or headache; severe drowsiness; tremor; trouble urinating or inability to urinate; unusual bruising or bleeding.



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: Benadryl Allergy and Sinus 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 blurred vision; confusion; hallucinations; ringing in the ears; seizures; severe dizziness, lightheadedness, or headache; severe drowsiness; unusually fast, slow, or irregular breathing; unusually fast, slow, or irregular heartbeat.


Proper storage of Benadryl Allergy and Sinus Liquid:

Store Benadryl Allergy and Sinus Liquid at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Benadryl Allergy and Sinus Liquid out of the reach of children and away from pets.


General information:


  • If you have any questions about Benadryl Allergy and Sinus Liquid, please talk with your doctor, pharmacist, or other health care provider.

  • Benadryl Allergy and Sinus Liquid 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 Benadryl Allergy and Sinus Liquid. 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 Benadryl Allergy and Sinus resources


  • Benadryl Allergy and Sinus Side Effects (in more detail)
  • Benadryl Allergy and Sinus Use in Pregnancy & Breastfeeding
  • Benadryl Allergy and Sinus Drug Interactions
  • Benadryl Allergy and Sinus Support Group
  • 0 Reviews · Be the first to review/rate this drug

Defencat




Defencat may be available in the countries listed below.


In some countries, this medicine may only be approved for veterinary use.

Ingredient matches for Defencat



Permethrin

Permethrin is reported as an ingredient of Defencat in the following countries:


  • Portugal

  • United Kingdom

International Drug Name Search

Biorgan




Biorgan may be available in the countries listed below.


Ingredient matches for Biorgan



Trimebutine

Trimebutine is reported as an ingredient of Biorgan in the following countries:


  • Argentina

International Drug Name Search

Monday, 26 September 2016

Nopain




Nopain may be available in the countries listed below.


Ingredient matches for Nopain



Diclofenac

Diclofenac sodium salt (a derivative of Diclofenac) is reported as an ingredient of Nopain in the following countries:


  • Bangladesh

Metamizole

Metamizole sodium monohydrate (a derivative of Metamizole) is reported as an ingredient of Nopain in the following countries:


  • Germany

Nalbuphine

Nalbuphine hydrochloride (a derivative of Nalbuphine) is reported as an ingredient of Nopain in the following countries:


  • Dominican Republic

Naproxen

Naproxen is reported as an ingredient of Nopain in the following countries:


  • Tunisia

Naproxen sodium salt (a derivative of Naproxen) is reported as an ingredient of Nopain in the following countries:


  • Bahrain

  • Egypt

  • Iraq

  • Kuwait

  • Lebanon

  • Libya

  • Oman

  • Qatar

  • Saudi Arabia

  • Sudan

  • Syria

  • United Arab Emirates

  • Yemen

International Drug Name Search

Diprosalic Ointment





1. Name Of The Medicinal Product



Diprosalic Ointment


2. Qualitative And Quantitative Composition



Betamethasone Dipropionate 0.064% w/w*



(* equivalent to 0.05% Betamethasone)



Salicylic Acid 3.00% w/w



3. Pharmaceutical Form



Ointment



4. Clinical Particulars



4.1 Therapeutic Indications



Betamethasone Dipropionate is a synthetic fluorinated corticosteroid. It is active topically and produces a rapid and sustained response in those inflammatory dermatoses that are normally responsive to topical corticosteroid therapy, and it is also effective in the less responsive conditions, such as psoriasis of the scalp, chronic plaque psoriasis of the hands and feet, but excluding widespread plaque psoriasis.



Topical salicylic acid softens keratin, loosens cornified epithelium and desquamates the epidermis.



Diprosalic presentations are therefore indicated for the treatment of hyperkeratotic and dry corticosteroid-responsive dermatoses where the cornified epithelium may resist penetration of the steroid. The salicylic acid constituent of Diprosalic preparations, as a result of its descaling action, allows access of the dermis more rapidly than by applying steroid alone.



4.2 Posology And Method Of Administration



Adults :



Once to twice daily. In most cases a thin film should be applied to cover the affected area twice daily.



For some patients adequate maintenance therapy may be achieved with less frequent application.



It is recommended that Diprosalic preparations are prescribed for two weeks, and that treatment is reviewed at that time. The maximum weekly dose should not exceed 60g.



Children :



Dosage in children should be limited to 5 days.



4.3 Contraindications



Rosacea, acne, perioral dermatitis, perianal and genital pruritus. Hypersensitivity to any of the ingredients of the Diprosalic presentations contra-indicates their use as does tuberculous and most viral lesions of the skin, particularly herpes simplex, vacinia, varicella. Diprosalic should not be used in napkin eruptions, fungal or bacterial skin infections without suitable concomitant anti-infective therapy.



4.4 Special Warnings And Precautions For Use



Occlusion must not be used, since under these circumstances the keratolytic action of salicylic acid may lead to enhanced absorption of the steroid.



Local and systemic toxicity is common, especially following long continuous use on large areas of damaged skin, in flexures or with polythene occlusion. If used in children or on the face courses should be limited to 5 days. Long term continuous therapy should be avoided in all patients irrespective of age.



Topical corticosteroids may be hazardous in psoriasis for a number of reasons, including rebound relapses following development of tolerance, risk of generalised pustular psoriasis and local systemic toxicity due to impaired barrier function of the skin. Careful patient supervision is important.



It is dangerous if Diprosalic presentations come into contact with the eyes. Avoid contact with the eyes and mucous membranes.



The systemic absorption of betamethasone dipropionate and salicylic acid may be increased if extensive body surface areas or skin folds are treated for prolonged periods or with excessive amounts of steroids. Suitable precautions should be taken in these circumstances, particularly with infants and children.



If irritation or sensitization develops with the use of Diprosalic Ointment and Lotion, treatment should be discontinued.



Any side effects that are reported following systemic use of corticosteroids, including adrenal suppression, may also occur with topical corticosteroids, especially in infants and children.



If excessive dryness or increased skin irritation develops, discontinue use of this preparation.



Peadiatric Use: Peadiatric patients may demonstrate greater susceptibility to topical corticosteroid-induced hypothalamic-pituary-adrenal (HPA) axis suppression and to exogenous corticosteroid effects than mature patients because of greater absorption due to a large skin surface area to body weight ratio.



HPA axis suppression, Cushing's syndrome, linear growth retardation, delayed weight gain, and intracranial hypertension have been reported in children receiving topical corticosteroids. Manifestations of adrenal suppression in children include low plasma cortisol levels and absence of response to ACTH stimulation. Manifestations of intracranial hypertension include a bulging fontanelle, headaches and bilateral papilledema.



4.5 Interaction With Other Medicinal Products And Other Forms Of Interaction



None stated



4.6 Pregnancy And Lactation



Since safety of topical corticosteroid use in pregnant women has not been established, drugs of this class should be used during pregnancy only if the potential benefit justifies the potential risk to the foetus. Drugs of this class should not be used extensively in large amounts or for prolonged periods of time in pregnant patients.



Since it is not known whether topical administration of corticosteroids can result in sufficient systemic absorption to produce detectable quantities in breast milk, a decision should be made to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.



4.7 Effects On Ability To Drive And Use Machines



None stated.



4.8 Undesirable Effects



Diprosalic skin preparations are generally well tolerated and side-effects are rare.



Continuous application without interruption may result in local atrophy of the skin, striae and superficial vascular dilation, particularly on the face.



Adverse reactions that have been reported with the use of topical corticosteroids include: burning, itching, irritation, dryness, folliculitis, hypertrichosis, acneiform eruptions, hypopigmentation, perioral dermatitis and allergic contact dermatitis.



The following may occur more frequently with the use of occlusive dressings: maceration of the skin, secondary infection, skin atrophy, striae and miliaria.



In addition, prolonged use of salicylic acid preparations may cause dermatitis.



4.9 Overdose



Excessive prolonged use of topical corticosteroids can suppress pituitary-adrenal functions resulting in secondary adrenal insufficiency, and produce manifestations of hypercorticism, including Cushing's disease.



Treatment: Appropriate symptomatic treatment is indicated. Acute hypercorticoid symptoms are usually reversible. Treat electrolyte imbalance, if necessary. In case of chronic toxicity, slow withdrawal of corticosteroids is advised.



With topical preparations containing salicylic acid excessive prolonged use may result in symptoms of salicyclism. Treatment is symptomatic. Measures should be taken to rid the body rapidly of salicylate. Adminster oral sodium bicarbonate to alkalinize the urine and force diuresis.



The steroid content of each tube is so low as to have little or no toxic effect in the unlikely event of accidental oral ingestion.



5. Pharmacological Properties



5.1 Pharmacodynamic Properties



Diprosalic preparations contain the dipropionate ester of betamethasone which is a glucocorticoid exhibiting the general properties of corticosteroids, and salicylic acid which has keratolytic properties.



Salicylic acid is applied topically in the treatment of hyperkeratotic and scaling conditions where its keratolytic action facilitates penetration of the corticosteroid.



In pharmacological doses, corticosteroids are used primarily for their anti-inflammatory and/or immune suppressive effects.



Topical corticosteroids such as betamethasone dipropionate are effective in the treatment of a range of dermatoses because of their anti-inflammatory, anti-pruritic and vasoconstrictive actions. However, while the physiologic, pharmacologic and clinical effects of the corticosteroids are well known, the exact mechanisms of their action in each disease are uncertain.



5.2 Pharmacokinetic Properties



Salicylic acid exerts only local action after topical application.



The extent of percutaneous absorption of topical corticosteroids is determined by many factors including vehicle, integrity of the epidermal barrier and the use of occlusive dressings.



Topical corticosteroids can be absorbed through intact, normal skin. Inflammation and/or other disease processes in the skin may increase percutaneous absorption.



Occlusive dressings substantially increase the percutaneous absorption of topical corticosteroids.



Once absorbed through the skin, topical corticosteroids enter pharmacokinetic pathways similar to systemically administered corticosteroids. Corticosteroids are bound to plasma proteins in varying degrees, are metabolised primarily in the liver and excreted by the kidneys. Some of the topical corticosteroids and their metabolites are also excreted in the bile.



5.3 Preclinical Safety Data



There are no pre-clinical data of relevance to the prescriber which are additional to that already included in other sections of the SPC.



6. Pharmaceutical Particulars



6.1 List Of Excipients



Liquid Paraffin



White Soft Paraffin



6.2 Incompatibilities



None Stated.



6.3 Shelf Life



60 months



6.4 Special Precautions For Storage



Do not store above 25°C.



6.5 Nature And Contents Of Container



15, 30 or 100gm expoxy-lined aluminium tubes with plastic caps.



6.6 Special Precautions For Disposal And Other Handling



Not applicable



7. Marketing Authorisation Holder



Schering-Plough Ltd



Shire Park



Welwyn Garden City



Hertfordshire AL7 1TW



England



8. Marketing Authorisation Number(S)



PL 0201/0070



9. Date Of First Authorisation/Renewal Of The Authorisation



10th June 1986 / 25th July 1997



10. Date Of Revision Of The Text



8 June 2009



11. Legal Category


Prescription Only Medicine



Diprosalic-O/UK/06-09/5




emtricitabine and tenofovir


em-trye-SYE-ta-been, ten-OF-oh-vir dye-soe-PROX-il FUE-ma-rate


Oral route(Tablet)

Lactic acidosis and severe hepatomegaly with steatosis, including fatal cases, have been reported with the use of nucleoside analogues, including tenofovir disoproxil fumarate, a component of emtricitabine/tenofovir disoproxil fumarate. Not indicated for the treatment of chronic hepatitis B virus (HBV) infection and the safety and efficacy have not been established in patients co-infected with HBV and HIV-1. Severe acute exacerbations of hepatitis B have been reported in patients who are co-infected with HBV and HIV-1 and have discontinued emtricitabine/tenofovir; monitor hepatic function upon discontinuation of therapy .



Commonly used brand name(s)

In the U.S.


  • Truvada

Available Dosage Forms:


  • Tablet

Therapeutic Class: Antiretroviral Agent


Pharmacologic Class: Nucleoside Reverse Transcriptase Inhibitor


Uses For emtricitabine and tenofovir


Emtricitabine and tenofovir combination is used with other medicines for the treatment of the infection caused by the human immunodeficiency virus (HIV). HIV is the virus that causes acquired immune deficiency syndrome (AIDS).


Emtricitabine and tenofovir combination will not cure or prevent HIV infection or the symptoms of AIDS; however, it helps keep HIV from reproducing, and appears to slow down the destruction of the immune system. This may help delay the development of serious health problems usually related to AIDS or HIV infection. Emtricitabine and tenofovir combination will not keep you from spreading HIV to other people. People who receive emtricitabine and tenofovir may continue to have other problems usually related to AIDS or HIV infection.


emtricitabine and tenofovir is available only with your doctor's prescription.


Before Using emtricitabine and tenofovir


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 emtricitabine and tenofovir, the following should be considered:


Allergies


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


Pediatric


Appropriate studies have not been performed on the relationship of age to the effects of emtricitabine and tenofovir combination in children younger than 12 years of age and weighing less than 35 kilograms. Safety and efficacy have not been established.


Geriatric


Although appropriate studies on the relationship of age to the effects of emtricitabine and tenofovir combination have not been performed in the geriatric population, no geriatric-specific problems have been documented to date. 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 emtricitabine and tenofovir combination.


Pregnancy








Pregnancy CategoryExplanation
All TrimestersBAnimal studies have revealed no evidence of harm to the fetus, however, there are no adequate studies in pregnant women OR animal studies have shown an adverse effect, but adequate studies in pregnant women have failed to demonstrate a risk to the fetus.

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 emtricitabine and tenofovir, 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 emtricitabine and tenofovir 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.


  • Adefovir Dipivoxil

  • Atazanavir

  • Didanosine

  • Telaprevir

Using emtricitabine and tenofovir 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.


  • Lopinavir

  • Ritonavir

  • Tipranavir

Interactions with Food/Tobacco/Alcohol


Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.


Other Medical Problems


The presence of other medical problems may affect the use of emtricitabine and tenofovir. Make sure you tell your doctor if you have any other medical problems, especially:


  • Bone problems (e.g., fracture, osteopenia), history of or

  • Kidney disease, history of or

  • Liver disease (especially hepatitis B infection), history of—Use with caution. May make these conditions worse.

  • Kidney disease, severe or requiring hemodialysis—Should not be used in patients with this condition.

Proper Use of emtricitabine and tenofovir


Take emtricitabine and tenofovir exactly 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.


emtricitabine and tenofovir comes with a patient information leaflet. Read and follow these instructions carefully. Read it again each time you refill your prescription in case there is new information. You should talk to your doctor if you have any questions.


emtricitabine and tenofovir can be taken with or without food.


Keep using emtricitabine and tenofovir for the full time of treatment, even if you or your child begin to feel better. It is also important that you continue taking all of the medicines that your doctor has given you for HIV infection.


emtricitabine and tenofovir works best when there is a constant amount in the blood. To help keep the amount constant, do not miss any doses.


Do not change the dose or stop using emtricitabine and tenofovir without checking first with your doctor. When your supply of emtricitabine and tenofovir is running low, contact your doctor or pharmacist ahead of time. Do not allow yourself to run out of emtricitabine and tenofovir.


Dosing


The dose of emtricitabine and tenofovir 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 emtricitabine and tenofovir. If your dose is different, do not change it unless your doctor tells you to do so.


The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.


  • For oral dosage form (tablets):
    • For treatment of HIV infection:
      • Adults, teenagers, and children 12 years of age and older and weighing 35 kilograms (kg) or over—One tablet once a day. Each tablet contains 200 milligrams (mg) of emtricitabine and 300 mg of tenofovir.

      • Children younger than 12 years of age and weighing less than 35 kg—Use and dose must be determined by your doctor.



Missed Dose


If you miss a dose of emtricitabine and tenofovir, 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 emtricitabine and tenofovir


It is very important that your doctor check the progress of you or your child at regular visits to make sure that emtricitabine and tenofovir is working properly. Blood and urine tests may be needed to check for unwanted effects. You should remain under the care of a doctor while taking emtricitabine and tenofovir.


You should not use emtricitabine and tenofovir if you or your child are also taking adefovir (Hepsera®), Atripla™, Emtriva®, or Viread®. Do not use emtricitabine and tenofovir if you are also using medicines containing lamivudine (e.g., Combivir®, Epivir®, Epivir-HBV®, Epzicom®, Trizivir®). Tell your doctor right away if you or your child are using any of these medicines. Do not start using emtricitabine and tenofovir combination until your doctor tells you to.


Two rare but serious reactions to emtricitabine and tenofovir are lactic acidosis (too much acid in the blood) and liver toxicity, which includes an enlarged liver. These are more common if you are female, very overweight (obese), or have been taking anti-HIV medicines for a long time. Check with your doctor right away if you or your child have abdominal or stomach discomfort; decreased appetite; diarrhea; fast, shallow breathing; general feeling of discomfort; muscle pain or cramping; nausea; shortness of breath; sleepiness; unusual tiredness or weakness; or yellow eyes or skin.


emtricitabine and tenofovir is not for the treatment of hepatitis B virus infection. Patients infected with both HBV and HIV who take emtricitabine and tenofovir combination need close medical follow-up for several months after stopping treatment to make sure their hepatitis B infection does not get worse.


emtricitabine and tenofovir may also increase your risk of developing fractures (broken bones). Ask your doctor about this if you or your child have any concerns.


emtricitabine and tenofovir may cause you to have excess body fat. Tell your doctor if you or your child notice changes in your body shape, such as an increased amount of fat in the upper back and neck, or around the chest and stomach area. You might also lose fat from the legs, arms, and face.


When you start taking HIV medicines, your immune system may get stronger. If you have infections that are hidden in your body, such as pneumonia or tuberculosis, you or your child may notice new symptoms when your body tries to fight them. If this occurs, tell your doctor immediately.


Make sure any doctor or dentist who treats you knows that you or your child are using emtricitabine and tenofovir. emtricitabine and tenofovir may affect the results of certain medical tests.


Emtricitabine and tenofovir combination does not decrease the risk of transmitting the HIV infection to others through sexual contact or by contamination through blood. HIV may be acquired from or spread to others through infected body fluids, including blood, vaginal fluid, or semen. If you are infected, it is best to avoid any sexual activity involving an exchange of body fluids with other people. If you do have sex, always wear (or have your partner wear) a condom (“rubber”). Only use condoms made of latex or polyurethane and use them every time you have contact with semen, vaginal secretions, or blood. Also, do not share needles or equipment with anyone or use dirty needles. If you have any questions about this, check with your doctor.


Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.


emtricitabine and tenofovir Side Effects


Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.


Check with your doctor immediately if any of the following side effects occur:


Less common
  • Blisters under the skin

  • hives or welts

  • itching skin

  • rash with flat lesions or small raised lesions on the skin

  • redness of the skin

  • spots on your skin resembling a blister or pimple

  • skin rash

Rare
  • Blindness or vision changes

  • burning of the face or mouth

  • burning, crawling, itching, numbness, painful, prickling, "pins and needles", or tingling feelings in the hands, arms, feet, or legs

  • chest pain

  • clumsiness or unsteadiness

  • sensation of pins and needles

  • sneezing

  • sore throat

  • stabbing pain

  • weakness in the hands or feet

Incidence not known
  • Abdominal or stomach discomfort

  • agitation

  • bloating

  • bloody or cloudy urine

  • bone pain

  • chills

  • coma

  • confusion

  • constipation

  • convulsions or seizures

  • cough

  • darkened urine

  • decreased appetite

  • decreased frequency or amount of urine

  • depression

  • diarrhea

  • difficult or labored breathing

  • difficult or painful urination

  • difficulty with swallowing

  • dizziness

  • fast heartbeat

  • fast, shallow breathing

  • fever

  • general feeling of discomfort

  • headache

  • hostility

  • increase in the amount of urine

  • increased blood pressure

  • increased thirst

  • indigestion

  • irritability

  • lethargy

  • loss of appetite

  • lower back or side pain

  • muscle pain or cramping

  • muscle twitching

  • nausea

  • pains in the stomach, side, or abdomen, possibly radiating to the back

  • puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue

  • rapid weight gain

  • sleepiness

  • shortness of breath

  • stupor

  • sudden decrease in the amount of urine

  • swelling of the face, fingers, hands, lower legs, or ankles

  • tightness in the chest

  • trouble with breathing

  • unusual tiredness or weakness

  • vomiting

  • weight gain

  • wheezing

  • yellow eyes or skin

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:


Less common
  • Lack or loss of strength

  • passing of gas

  • weight loss

Rare
  • Acid or sour stomach

  • back pain

  • belching

  • difficulty with moving

  • discouragement

  • feeling sad or empty

  • heartburn

  • increased cough

  • joint pain

  • lack of appetite

  • loss of interest or pleasure

  • muscle aching or cramping

  • muscle pain or stiffness

  • pain

  • runny nose

  • shortness of breath

  • sleeplessness

  • stomach discomfort, upset, or pain

  • stuffy nose

  • sweating

  • swollen joints

  • tiredness

  • trouble concentrating

  • trouble sleeping

  • unable to sleep

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: emtricitabine and tenofovir side effects (in more detail)



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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.


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Digoxin Grindeks




Digoxin Grindeks may be available in the countries listed below.


Ingredient matches for Digoxin Grindeks



Digoxin

Digoxin is reported as an ingredient of Digoxin Grindeks in the following countries:


  • Estonia

  • Latvia

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Deribadex




Deribadex may be available in the countries listed below.


Ingredient matches for Deribadex



Heparin

Heparin sodium salt (a derivative of Heparin) is reported as an ingredient of Deribadex in the following countries:


  • Japan

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Dequalinium Chloride Synco




Dequalinium Chloride Synco may be available in the countries listed below.


Ingredient matches for Dequalinium Chloride Synco



Dequalinium Chloride

Dequalinium Chloride is reported as an ingredient of Dequalinium Chloride Synco in the following countries:


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Colofac Tablets 135mg





1. Name Of The Medicinal Product



Colofac Tablets 135 mg



Mebeverine Tablets 135mg



Fomac Tablets 135 mg



Colofac IBS



Boots Pharmacy IBS Relief 135mg Tablets


2. Qualitative And Quantitative Composition



Mebeverine hydrochloride 135mg.



For excipients, see section 6.1



3. Pharmaceutical Form



Coated tablets.



Round white sugar coated tablets, with no superficial markings.



4. Clinical Particulars



4.1 Therapeutic Indications



Colofac Tablets/Mebeverine Tablets 135 mg/Fomac Tablets 135mg:



For the symptomatic treatment of irritable bowel syndrome and other conditions usually included in this grouping, such as: chronic irritable colon, spastic constipation, mucous colitis, spastic colitis. Colofac is effectively used to treat the symptoms of these conditions, such as: colicky abdominal pain and cramps, persistent, non-specific diarrhoea (with or without alternating constipation) and flatulence.



Colofac IBS/ Boots Pharmacy IBS Relief 135mg Tablets: For the symptomatic relief of Irritable Bowel Syndrome.



4.2 Posology And Method Of Administration



Colofac Tablets/Mebeverine Tablets 135 mg/Fomac Tablets 135mg:



Adults (including the elderly):



One tablet three times a day, preferably 20 minutes before meals. After a period of several weeks, when the desired effect has been obtained, the dosage may be gradually reduced.



Paediatric Population



Mebeverine 135 mg tablets are not recommended for use in children and adolescents below 18, due to insufficient data on safety and efficacy.



Colofac IBS/Boots Pharmacy IBS Relief 135mg Tablets:



Adults (including the elderly):



One tablet three times a day, preferably 20 minutes before meals.



If symptoms persist for more than 2 weeks, consult your doctor.



Warning: Do not exceed the stated dose.



Paediatric Population



Mebeverine 135 mg tablets are not recommended for use in children and adolescents below 18, due to insufficient data on safety and efficacy.



4.3 Contraindications



Hypersensitivity to the active substance or to any of the excipients.



4.4 Special Warnings And Precautions For Use



Since Mebeverine coated tablets contain lactose, patients with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption should not take this medicine.



The coated tablets contain sucrose and should not be used by patients with rare hereditary problems of fructose intolerance, glucose-galactose malabsorption or sucrase-isomaltase insufficiency.



Colofac IBS / Boots Pharmacy IBS Relief 135mg Tablets :



If this is the first time you have had these symptoms, consult your doctor before using any treatment.



If any of the following apply, do not use mebeverine. It may not be the right treatment for you. See your doctor as soon as possible.



- you are aged 40 years or over



- you have passed blood form the bowel



- you are feeling sick or vomiting



- you are looking pale and feeling tired



- you are suffering from severe constipation



- you have a fever



- you have recently travelled abroad



- you are or may be pregnant



- you have abnormal vaginal bleeding or discharge



- you have difficulty or pain passing urine



Consult your doctor if you have developed new symptoms, or if your symptoms worsen, or if they do not improve after 2 weeks treatment.



4.5 Interaction With Other Medicinal Products And Other Forms Of Interaction



No interaction studies have been performed. .



4.6 Pregnancy And Lactation



No clinical data on exposed pregnancies are available.



Animal studies do not indicate direct or indirect harmful effects with respect to pregnancy, embryonal/foetal development, parturition or postnatal development (see section 5.3).



Caution should be exercised when prescribing to pregnant women.



There is insufficient information on the excretion of mebeverine in human or animal breast milk. Physico-chemical and available pharmacodynamic data on mebeverine point to excretion in breast milk and a risk to the suckling child cannot be excluded. Mebeverine should not be used during breast-feeding.



4.7 Effects On Ability To Drive And Use Machines



No studies on the effects on the ability to drive and use machines have been performed.



4.8 Undesirable Effects



Allergic reactions mainly but not exclusively limited to the skin have been observed (A frequency cannot be estimated from the available data)



Immune system disorders:



Hypersensitivity



Skin and subcutaneous tissue disorders:



Urticaria, angioedema, erythematous rash



4.9 Overdose



Theoretically CNS excitability may occur in cases of overdose. In cases where mebeverine was taken in overdose, symptoms were either absent or mild and usually rapidly reversible.



No specific antidote is known; gastric lavage and symptomatic treatment is recommended.



5. Pharmacological Properties



5.1 Pharmacodynamic Properties



Pharmacotherapeutic group: Synthetic anticholinergics, esters with tertiary amino group, ATC-Code: A03AA04



Mebeverine is a musculotropic antispasmodic with a direct action on the smooth muscle of the gastrointestinal tract, relieving spasm without affecting normal gut motility.



5.2 Pharmacokinetic Properties



Mebeverine is rapidly and completely absorbed after oral administration in the form of tablets or suspension. Mebeverine is not excreted as such, but metabolised completely. The first step in the metabolism is hydrolysis, leading to veratric acid and mebeverine alcohol. Both veratric acid and mebeverine alcohol are excreted into the urine, the latter partly as the corresponding carboxylic acid and partly as the demethylated carboxylic acid.



5.3 Preclinical Safety Data



During its development phase the entity mebeverine was extensively tested in several animal species in acute, (sub) chronic and reproduction investigations.



The oral LD50 ranged from 902 - 1995 mg/kg.



The main symptoms in the animals, after very high oral and parenteral doses, were indicative of central nervous involvement with behavioural excitation.



The dosages used in animal studies exceeded several times the dosages used for humans (40 mg/kg for animal dosing versus 6 mg/kg for humans).



No mutagenic or clastogenic effects were found in in vitro and in vivo studies with mebeverine.



6. Pharmaceutical Particulars



6.1 List Of Excipients



Lactose, starch (potato or maize), povidone, talc, magnesium stearate, sucrose, gelatin, acacia, carnauba wax.



6.2 Incompatibilities



Not applicable.



6.3 Shelf Life



5 years.



6.4 Special Precautions For Storage



Do not store above 30°C. Store in the original package.



6.5 Nature And Contents Of Container



Boxes containing 10, 15, 84 or 100 tablets in blister strips.



HDPE tamper-evident tablet container with snap on cap containing 500 tablets.



6.6 Special Precautions For Disposal And Other Handling



None.



7. Marketing Authorisation Holder



Abbott Healthcare Products Limited/Abbott Healthcare Products Limited trading as Boots Pharmacy



Mansbridge Road



West End



Southampton



SO18 3JD



8. Marketing Authorisation Number(S)



PL 00512/0044



9. Date Of First Authorisation/Renewal Of The Authorisation



14 March 1978/21 April 2005



10. Date Of Revision Of The Text



31/03/2011



LEGAL STATUS


Colofac Tablets/ Mebeverine Tablets 135 mg/Fomac 135 mg: POM



Colofac IBS/ Boots Pharmacy IBS Relief 135mg Tablets: P