Teflaro

Pronunciation: sef-TAR-oh-leen
Generic Name: Ceftaroline
Brand Name: Teflaro

Teflaro is used for:

Treating certain bacterial infections.

Teflaro is a cephalosporin antibiotic. It works by killing sensitive bacteria.

Do NOT use Teflaro if:

• you are allergic to any ingredient in Teflaro or to any other cephalosporin antibiotic (eg, cephalexin)

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

Before using Teflaro:

Some medical conditions may interact with Teflaro. 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 a severe allergic reaction (eg, severe rash, hives, difficulty breathing, dizziness) to a penicillin (eg, amoxicillin) or another beta-lactam antibiotic (eg, imipenem)


• if you have stomach or bowel problems (eg, inflammation), blood clotting problems, kidney or liver problems, or poor nutrition

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

Ask your health care provider if Teflaro 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 Teflaro:

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

• Teflaro is usually given as an injection at your doctor's office, hospital, or clinic. If you will be using Teflaro at home, a health care provider will teach you how to use it. Be sure you understand how to use Teflaro. Follow the procedures you are taught when you use a dose. Contact your health care provider if you have any questions.


• Teflaro is light to dark yellow in color. Do not use Teflaro if it contains particles, is cloudy or discolored, or if the vial is cracked or damaged.


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


• Do not mix this product with other medicines or add it to solutions that contain other medicines.


• Keep this product, as well as syringes and needles, out of the reach of children and pets. Do not reuse needles, syringes, or other materials. Ask your health care provider how to dispose of these materials after use. Follow all local rules for disposal.


• If you miss a dose of Teflaro, take it as soon as possible. If it is almost time for your next dose, skip the missed dose. 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 Teflaro.

Important safety information:

• Teflaro only works against bacteria; it does not treat viral infections (eg, the common cold).


• Be sure to use Teflaro for the full course of treatment. If you do not, the medicine may not clear up your infection completely. The bacteria could also become less sensitive to this or other medicines. This could make the infection harder to treat in the future.


• Long-term or repeated use of Teflaro may cause a second infection. Tell your doctor if signs of a second infection occur. Your medicine may need to be changed to treat this.


• Mild diarrhea is common with antibiotic use. However, a more serious form of diarrhea (pseudomembranous colitis) may rarely occur. This may develop while you use the antibiotic or within several months after you stop using it. Contact your doctor right away if stomach pain or cramps, severe diarrhea, or bloody stools occur. Do not treat diarrhea without first checking with your doctor.


• Teflaro may interfere with certain lab tests. Be sure your doctor and lab personnel know you are using Teflaro.


• Lab tests, including kidney function, may be performed while you use Teflaro. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.


• Use Teflaro with caution in the ELDERLY; they may be more sensitive to its effects.


• Teflaro should be used with extreme caution in CHILDREN; safety and effectiveness in 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 Teflaro while you are pregnant. It is not known if Teflaro is found in breast milk. If you are or will be breast-feeding while you use Teflaro, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Teflaro:

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:

Mild diarrhea, nausea, or vomiting.

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

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); back pain; bloody or watery stools; decreased urination; dizziness; fever, chills, or sore throat; muscle pain, weakness, or cramping; pain, swelling, or redness at the injection site; red, swollen, blistered, or peeling skin; seizures; severe diarrhea; severe or persistent nausea or vomiting; severe stomach pain or cramps; slow or irregular heartbeat; unusual bruising or bleeding; unusual tiredness or weakness; white spots in the mouth; yellowing of the eyes and 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.

See also: Teflaro 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.

Proper storage of Teflaro:

Teflaro is usually handled and stored by a health care provider. If you are using Teflaro at home, store Teflaro as directed by your pharmacist or health care provider. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Teflaro out of the reach of children and away from pets.

General information:

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


• Teflaro 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 Teflaro. 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 Teflaro resources

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

• Teflaro Prescribing Information (FDA)


• Teflaro Monograph (AHFS DI)


• Teflaro Advanced Consumer (Micromedex) - Includes Dosage Information


• Teflaro Consumer Overview

Compare Teflaro with other medications

• Pneumonia
• Skin and Structure Infection

Cardizem Immediate-Release Tablets

Pronunciation: dil-TYE-a-zem
Generic Name: Diltiazem
Brand Name: Cardizem

Cardizem Immediate-Release Tablets are used for:

Treating high blood pressure and chronic stable angina (chest pain). It may be used alone or in combination with other medicines. It may also be used for other conditions as determined by your doctor.

Cardizem Immediate-Release Tablets are a calcium channel blocker. It works by relaxing (dilating) blood vessels, lowering blood pressure, and decreasing the heart rate, which lowers the workload of the heart. It also dilates coronary arteries, which increases blood flow to the heart.

Do NOT use Cardizem Immediate-Release Tablets if:

• you are allergic to any ingredient in Cardizem Immediate-Release Tablets


• you have certain heart problems (eg, sick sinus syndrome, second- or third-degree heart block) and do not have a pacemaker


• you have very low blood pressure or you have fluid buildup in the lungs during or soon after a heart attack


• you are taking erythromycin

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

Before using Cardizem Immediate-Release Tablets:

Some medical conditions may interact with Cardizem Immediate-Release Tablets. 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 heart failure, a recent heart attack with lung congestion, heart block, a very slow heart rate, or other heart problems


• if you have low blood pressure or kidney or liver disease


• if you take other medicines for high blood pressure or heart conditions

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

• Antiarrhythmics (eg, amiodarone, dronedarone), cimetidine, clonidine, HIV protease inhibitors (eg, atazanavir, indinavir), or tricyclic antidepressants (eg, desipramine) because they may increase the risk of Cardizem Immediate-Release Tablets's side effects, such as heart rhythm problems


• Moricizine or rifamycins (eg, rifampin) because they may decrease Cardizem Immediate-Release Tablets's effectiveness


• Benzodiazepines (eg, midazolam), beta-blockers (eg, metoprolol), buspirone, carbamazepine, cilostazol, cisapride, colchicine, corticosteroids (eg, prednisone), cyclosporine, digoxin, everolimus, fentanyl, HMG-CoA reductase inhibitors (eg, atorvastatin), hydantoins (eg, phenytoin), lurasidone, macrolide antibiotics (eg, erythromycin), macrolide immunomodulators (eg, tacrolimus), nifedipine, quinidine, ranolazine, theophylline, or vasopressin antagonists (eg, tolvaptan) because the risk of their side effects, some potentially life-threatening, may be increased by Cardizem Immediate-Release Tablets

This may not be a complete list of all interactions that may occur. Ask your health care provider if Cardizem Immediate-Release Tablets 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 Cardizem Immediate-Release Tablets:

Use Cardizem Immediate-Release Tablets as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take Cardizem Immediate-Release Tablets by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.


• Taking Cardizem Immediate-Release Tablets at the same time(s) each day will help you remember to take it.


• Continue to take Cardizem Immediate-Release Tablets even if you feel well. Do not miss any doses.


• If you miss a dose of Cardizem Immediate-Release Tablets, 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 Cardizem Immediate-Release Tablets.

Important safety information:

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


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


• Do NOT take more than the recommended dose or stop taking Cardizem Immediate-Release Tablets without checking with your doctor.


• Cardizem Immediate-Release Tablets may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Cardizem Immediate-Release Tablets. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.


• Patients who take medicine for high blood pressure often feel tired or run down for a few weeks after starting treatment. Be sure to take your medicine even if you may not feel "normal." Tell your doctor if you develop any new symptoms.


• Be sure to have your blood pressure checked regularly while taking Cardizem Immediate-Release Tablets.


• Tell your doctor or dentist that you take Cardizem Immediate-Release Tablets before you receive any medical or dental care, emergency care, or surgery.


• Lab tests, including electrocardiogram (ECG), heart rate, and blood pressure monitoring, may be performed while you use Cardizem Immediate-Release Tablets. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.


• Use Cardizem Immediate-Release Tablets with caution in the ELDERLY; they may be more sensitive to its effects, especially swelling of the ankles, feet, or hands; dizziness; and slow heartbeat.


• Cardizem Immediate-Release Tablets should be used with extreme caution in CHILDREN; safety and effectiveness in 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 taking Cardizem Immediate-Release Tablets while you are pregnant. Cardizem Immediate-Release Tablets are found in breast milk. Do not breast-feed while taking Cardizem Immediate-Release Tablets.

Possible side effects of Cardizem Immediate-Release Tablets:

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; dizziness; facial flushing; headache; lightheadedness; tiredness; 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; unusual hoarseness); chest pain; fainting; fast, slow, or irregular heartbeat; fever, chills, or sore throat; hallucinations; mood or mental changes; personality changes; reddened, blistered, or swollen skin; severe or persistent dizziness, lightheadedness, nausea, or vomiting; shortness of breath; sudden weight gain; swelling of the feet, ankles, or hands; symptoms of liver problems (eg, dark urine, pale stools, yellowing of the skin or eyes); tender, bleeding, or swollen gums; unusual bleeding or bruising; unusual or persistent tiredness or weakness; vision changes.

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: Cardizem 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; difficulty breathing, especially when lying down; dizziness; drowsiness; fainting; lightheadedness, especially when standing; loss of consciousness; nausea; nervousness; slurred speech; unusual weakness; very slow heart rate.

Proper storage of Cardizem Immediate-Release Tablets:

Store Cardizem Immediate-Release Tablets 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 Cardizem Immediate-Release Tablets out of the reach of children and away from pets.

General information:

• If you have any questions about Cardizem Immediate-Release Tablets, please talk with your doctor, pharmacist, or other health care provider.


• Cardizem Immediate-Release Tablets 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 Cardizem Immediate-Release Tablets. 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 Cardizem resources

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

Compare Cardizem with other medications

• Angina Pectoris Prophylaxis
• Atrial Fibrillation
• Atrial Flutter
• Heart Failure
• High Blood Pressure
• Raynaud's Syndrome
• Supraventricular Tachycardia

ALLERcalm Allergy Relief Tablets

1. Name Of The Medicinal Product

1. CHLORPHENAMINE TABLETS BP 4mg

2. Alpharma Chlorphenamine Hayfever & Allergy Relief Tablets

3. Vantage Chlorphenamine Hayfever & Allergy Relief Tablets

4. ALLERcalm Allergy Relief Tablets

2. Qualitative And Quantitative Composition

Each tablet contains 4mg Chlorphenamine Maleate.

3. Pharmaceutical Form

Yellow uncoated tablets.

4. Clinical Particulars

4.1 Therapeutic Indications

1) For the symptomatic control of all allergic conditions which are responsive to antihistamines, including hay fever, urticaria, vasomotor rhinitis, angioneurotic oedema, food allergy, drug and serum reactions, insect bites.

4.2 Posology And Method Of Administration

Posology

Adults: 1 tablet every four or six hours to a maximum daily dose of 24mg.

Not recommended for children under 12 years of age unless otherwise directed by a practitioner.

Elderly: As in adults, but the elderly are prone to confusional psychosis and other neurological anticholinergic effects.

Method of Administration

For oral administration.

4.3 Contraindications

Hypersensitivity to antihistamines; patients who have received therapy with MAOI's within the previous fourteen days.

4.4 Special Warnings And Precautions For Use

In common with other drugs having anticholinergic effects, Chlorphenamine should be used with caution in epilepsy, prostatic hypertrophy, glaucoma, hepatic disease, bronchitis, bronchiectasis, thyrotoxicosis, raised intra-ocular pressure, severe hypertension or cardiovascular disease and bronchial asthma.

4.5 Interaction With Other Medicinal Products And Other Forms Of Interaction

Chlorphenamine may have an additive effect when used concurrently with hypnotics and anxiolytics causing potentiation of drowsiness. A similar additive effect will result from concurrent usage of alcohol with Chlorphenamine. MAOI therapy intensifies the anticholinergic effects of Chlorphenamine. Chlorphenamine inhibits phenytoin metabolism and can lead to phenytoin toxicity.

4.6 Pregnancy And Lactation

The safety of Chlorphenamine in pregnancy has not been established. Chlorphenamine should therefore only be used when clearly required and when potential benefits outweigh the potential unknown risks to the foetus. Use during the third trimester may result in reactions in the newborn or premature neonates.

Small amounts of antihistamines are excreted in breast milk. Use by nursing mothers is not recommended because of the risks of adverse effects in the infant.

Antihistamines may inhibit lactation.

4.7 Effects On Ability To Drive And Use Machines

The anticholinergic properties of Chlorphenamine may cause drowsiness, dizziness, blurred vision and psychomotor impairment, which can seriously hamper the patient's ability to drive and use machinery.

4.8 Undesirable Effects

Sedation varying from slight drowsiness to deep sleep. Inability to concentrate, lassitude, blurred vision, GI disturbances such as nausea, vomiting and diarrhoea may occasionally occur. Urinary retention, headaches, dryness of the mouth. Dizziness, palpitation, tachycardia, arrhythmias, hypotension, tightness of the chest, abdominal pain, dyspepsia, anorexia, hepatic including jaundice, thickening of the bronchial secretions, haemolytic anaemia and other blood dyscrasias infrequently occur.

Allergic reactions including exfoliative dermatitis, photosensitivity and skin reactions. Urticaria, twitching, muscular weakness and in co-ordination. Tinnitus, depression, irritability and nightmares infrequently occur.

Paradoxical excitation in children and confusional psychosis in the elderly can occur.

The effects of alcohol may be increased. Children and the elderly are more likely to experience the neurological anticholinergic effects.

4.9 Overdose

The estimated lethal dose of Chlorphenamine is 25-50mg/kg body weight.

Symptoms and signs include sedation, paradoxical stimulation of the CNS, toxic psychosis, seizures, apnoea, convulsions, anticholinergic effects, dystonic reactions and cardiovascular collapse including arrhythmias.

Treatment includes gastric lavage or emesis using ipecacuanha syrup. Following these measures activated charcoal and cathartics may be administered to minimise absorption. Other symptomatic and supportive measures should be provided with special attention to cardiac, respiratory, renal and hepatic functions and fluid and electrolyte balance.

Treat hypotension and arrhythmias vigorously. CNS convulsions may be treated with IV diazepam or phenytoin. Haemoperfusion may be used in severe cases.

5. Pharmacological Properties

5.1 Pharmacodynamic Properties

Chlorphenamine Maleate is an antihistamine.

5.2 Pharmacokinetic Properties

Chlorphenamine Maleate is an alkylamine derivative with a plasma half-life of up to 42 hours which is extensively metabolised in the liver and excreted almost exclusively in the urine.

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

Also contains: calcium sulphate, magnesium stearate, maize starch, E172, E460.

6.2 Incompatibilities

None known.

6.3 Shelf Life

Shelf-life

Three years from the date of manufacture.

Shelf-life after dilution/reconstitution

Not applicable.

Shelf-life after first opening

Not applicable.

6.4 Special Precautions For Storage

Store below 25°C in a dry place.

6.5 Nature And Contents Of Container

The product containers are rigid injection moulded polypropylene or injection blow-moulded polyethylene tablet containers with polyfoam wad or polyethylene ullage filler and snap-on polyethylene lids; in case any supply difficulties should arise the alternative is amber glass bottles with screw caps and polyfoam wad or cotton wool.

The product may also be supplied in blister packs in cartons:

a) Carton: Printed carton manufactured from white folding box board.

b) Blister pack: (i) 250µm white rigid PVC. (ii) Surface printed 20µm hard temper aluminium foil with 5-7g/M² PVC and PVdC compatible heat seal lacquer on the reverse side.

Pack sizes: 7, 28, 30, 50, 56, 60, 84, 90, 100, 112, 120, 168, 180, 250, 500, 1000.

Product may also be supplied in bulk packs, for reassembly purposes only, in polybags contained in tins, skillets or polybuckets filled with suitable cushioning material. Bulk packs are included for temporary storage of the finished product before final packaging into the proposed marketing containers.

Maximum size of bulk packs: 50,000.

6.6 Special Precautions For Disposal And Other Handling

Not applicable.

Administrative Data

7. Marketing Authorisation Holder

Name or style and permanent address of registered place of business of the holder of the Marketing Authorisation:

Actavis UK Limited

(Trading style: Actavis)

Whiddon Valley

BARNSTAPLE

N Devon EX32 8NS

8. Marketing Authorisation Number(S)

PL 0142/0209

9. Date Of First Authorisation/Renewal Of The Authorisation

9.5.86

Renewed: 20.10.02

10. Date Of Revision Of The Text

June 2007

Slow Fe

Generic Name: ferrous sulfate (FARE us SUL fate)

Brand Names: Feosol, Fer-Gen-Sol, Fer-In-Sol, Fer-in-Sol, Fer-Iron, Feratab, FeroSul, Ferra T.D. Caps, Ferro-Bob, Lydia E. Pinkham, MyKidz Iron 10, Slow Fe, Slow Release Iron

What is Slow Fe (ferrous sulfate)?

Ferrous sulfate is a type of iron. You normally get iron from the foods you eat. In your body, iron becomes a part of your hemoglobin (HEEM o glo bin) and myoglobin (MY o glo bin). Hemoglobin carries oxygen through your blood to tissues and organs. Myoglobin helps your muscle cells store oxygen.

Ferrous sulfate is used to treat iron deficiency anemia (a lack of red blood cells caused by having too little iron in the body).

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

What is the most important information I should know about Slow Fe (ferrous sulfate)?

Ask a doctor or pharmacist if it is safe for you to take this medication if you have iron overload syndrome, hemolytic anemia (a lack of red blood cells), porphyria (a genetic enzyme disorder that causes symptoms affecting the skin or nervous system), thalassemia (a genetic disorder of red blood cells), if you are an alcoholic, or if you receive regular blood transfusions.

Avoid taking any other multivitamin or mineral product within 2 hours before or after you take ferrous sulfate. Taking similar mineral products together at the same time can result in a mineral overdose or serious side effects. Seek emergency medical attention if you think you have used too much of this medicine, or if anyone has accidentally swallowed it. An overdose of iron can be fatal, especially in a young child.

Overdose symptoms may include nausea, severe stomach pain, bloody diarrhea, coughing up blood or vomit that looks like coffee grounds, shallow breathing, weak and rapid pulse, pale skin, blue lips, and seizure (convulsions).

Take ferrous sulfate on an empty stomach, at least 1 hour before or 2 hours after a meal. Avoid taking antacids or antibiotics within 2 hours before or after taking ferrous sulfate.

Ferrous sulfate is only part of a complete program of treatment that may also include a special diet. It is very important to follow the diet plan created for you by your doctor or nutrition counselor. You should become very familiar with the list of foods you should eat to make sure you get enough iron from both your diet and your medication.

What should I discuss before taking Slow Fe (ferrous sulfate)?

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

• 
  

  iron overload syndrome;

  
  


• 
  

  hemolytic anemia (a lack of red blood cells);

  
  


• 
  

  porphyria (a genetic enzyme disorder that causes symptoms affecting the skin or nervous system);

  
  


• 
  

  thalassemia (a genetic disorder of red blood cells);

  
  


• 
  

  if you are an alcoholic; or

  
  


• 
  

  if you receive regular blood transfusions.

  
  

It is not known whether this medication could be harmful to an unborn baby. Tell your doctor if you become pregnant during treatment. It is not known whether ferrous sulfate passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Do not give ferrous sulfate to a child without the advice of a doctor.

How should I take Slow Fe (ferrous sulfate)?

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.

Take ferrous sulfate on an empty stomach, at least 1 hour before or 2 hours after a meal. Avoid taking antacids or antibiotics within 2 hours before or after taking ferrous sulfate . Take this medication with a full glass of water. Do not crush, chew, break, or open an extended-release tablet or capsule. Swallow the pill whole. Breaking or opening the pill may cause too much of the drug to be released at one time. Shake the oral suspension (liquid) well just before you measure a dose. Measure the liquid 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.

Ferrous sulfate can stain your teeth, but this effect is temporary. To prevent tooth staining, mix the liquid form of ferrous sulfate with water or fruit juice (not with milk) and drink the mixture through a straw. You may also clean your teeth with baking soda once per week to treat any tooth staining.

Ferrous sulfate is only part of a complete program of treatment that may also include a special diet. It is very important to follow the diet plan created for you by your doctor or nutrition counselor. You should become very familiar with the list of foods you should eat to make sure you get enough iron from both your diet and your medication.

Store at room temperature, away from moisture and heat.

What happens if I miss a dose?

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

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222, especially if a child has accidentally swallowed it. An overdose of ferrous sulfate can be fatal to a child.

Overdose symptoms may include nausea, severe stomach pain, bloody diarrhea, coughing up blood or vomit that looks like coffee grounds, shallow breathing, weak and rapid pulse, pale skin, blue lips, and seizure (convulsions).

What should I avoid while taking Slow Fe (ferrous sulfate)?

Avoid taking any other multivitamin or mineral product within 2 hours before or after you take ferrous sulfate. Taking similar mineral products together at the same time can result in a mineral overdose or serious side effects.

Avoid taking an antibiotic medicine within 2 hours before or after you take ferrous sulfate. This is especially important if you are taking an antibiotic such as ciprofloxacin (Cipro), demeclocycline (Declomycin), doxycycline (Adoxa, Doryx, Oracea, Vibramycin), levofloxacin (Levaquin), lomefloxacin (Maxaquin), minocycline (Dynacin, Minocin, Solodyn, Vectrin), norfloxacin (Noroxin), ofloxacin (Floxin), or tetracycline (Brodspec, Panmycin, Sumycin, Tetracap).

Certain foods can also make it harder for your body to absorb ferrous sulfate. Avoid taking this medication within 1 hour before or 2 hours after eating fish, meat, liver, and whole grain or "fortified" breads or cereals.

Avoid using antacids without your doctor's advice. Use only the type of antacid your doctor recommends. Some antacids can make it harder for your body to absorb ferrous sulfate.

Slow Fe (ferrous sulfate) 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.

Less serious side effects may include:

• 
  

  constipation;

  
  


• 
  

  upset stomach;

  
  


• 
  

  black or dark-colored stools; or

  
  


• 
  

  temporary staining of the teeth.

  
  

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 Slow Fe (ferrous sulfate)?

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

• 
  

  acetohydroxamic acid (Lithostat);

  
  


• 
  

  chloramphenicol;

  
  


• 
  

  cimetidine (Tagamet);

  
  


• 
  

  etidronate (Didronel);

  
  


• 
  

  dimercaprol (an injection used to treat poisoning by arsenic, lead, or mercury);

  
  


• 
  

  levodopa (Larodopa, Dopar, Sinemet);

  
  


• 
  

  methyldopa (Aldomet); or

  
  


• 
  

  penicillamine (Cuprimine).

  
  

This list is not complete and other drugs may interact with ferrous sulfate. 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 Slow Fe resources

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

• Slow Fe Controlled-Release Capsules MedFacts Consumer Leaflet (Wolters Kluwer)


• FeoSol MedFacts Consumer Leaflet (Wolters Kluwer)


• Feosol MedFacts Consumer Leaflet (Wolters Kluwer)


• Feosol Advanced Consumer (Micromedex) - Includes Dosage Information


• Fer-Gen-Sol Drops MedFacts Consumer Leaflet (Wolters Kluwer)

Compare Slow Fe with other medications

• Anemia Associated with Chronic Renal Failure
• Iron Deficiency Anemia
• Vitamin/Mineral Supplementation and Deficiency
• Vitamin/Mineral Supplementation during Pregnancy/Lactation

Where can I get more information?

• Your pharmacist can provide more information about ferrous sulfate.

See also: Slow Fe side effects (in more detail)

undecylenic acid Topical

un-de-sil-EN-ik AS-id

Commonly used brand name(s)

In the U.S.

• Blis-To-Sol


• Caldesene


• Cruex

Available Dosage Forms:

• Spray


• Liquid


• Solution


• Cream


• Foam


• Tincture


• Ointment


• Powder

Therapeutic Class: Antifungal

Uses For undecylenic acid

Compound undecylenic acid belongs to the group of medicines called antifungals. It is used to treat some types of fungus infections. However, compound undecylenic acid generally has been replaced by newer and more effective medicines for the treatment of fungus infections.

Compound undecylenic acid is available without a prescription.

Before Using undecylenic acid

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 undecylenic acid, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to undecylenic acid 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

Compound undecylenic acid should not be used on children up to 2 years of age, unless otherwise directed by your doctor. Although there is no specific information comparing use of compound undecylenic acid topical preparations in children 2 years of age and older with use in other age groups, undecylenic acid is not expected to cause different side effects or problems in children 2 years of age and older than it does in adults.

Geriatric

Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults or if they cause different side effects or problems in older people. There is no specific information comparing use of compound undecylenic acid in the elderly with use in other age groups.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

Interactions with Food/Tobacco/Alcohol

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

Proper Use of undecylenic acid

Before applying compound undecylenic acid, wash the affected and surrounding areas, and dry thoroughly. Then apply enough medicine to cover these areas.

Keep undecylenic acid away from the eyes.

For patients using the cream form of undecylenic acid:

• Apply cream generously to affected and surrounding areas. Rub in well.


• Do not use on pus-containing sores or on badly broken skin.

For patients using the powder form of undecylenic acid:

• If the powder is used on the feet, sprinkle it between toes, on feet, and in socks and shoes.

For patients using the aerosol powder or aerosol foam form of undecylenic acid:

• From a distance of 4 to 6 inches, spray the affected and surrounding areas. If the medicine is used on the feet, spray it between the toes also. The powder may also be sprayed in socks and shoes.


• Do not use undecylenic acid around the eyes, nose, or mouth.


• Do not inhale the aerosol.


• Do not use near heat, near open flame, or while smoking.

To help clear up your infection completely, keep using undecylenic acid for 2 weeks after burning, itching, or other symptoms have disappeared , unless otherwise directed by your doctor. Do not miss any doses.

Dosing

The dose of undecylenic acid 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 undecylenic acid. 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 fungus infections:
  
  • For aerosol foam, aerosol powder, ointment, powder, or solution dosage forms:
    
    • Adults and children 2 years of age and over—Apply to the affected area(s) of the skin two times a day.
    
    
    • Children up to 2 years of age—Use is not recommended.
    
    
  
  
  • For cream dosage form:
    
    • Adults and children—Apply to the affected area(s) of the skin as often as necessary.
    
    
  
  

Missed Dose

If you miss a dose of undecylenic acid, 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.

Store the canister at room temperature, away from heat and direct light. Do not freeze. Do not keep undecylenic acid inside a car where it could be exposed to extreme heat or cold. Do not poke holes in the canister or throw it into a fire, even if the canister is empty.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Precautions While Using undecylenic acid

If your skin problem does not improve within 4 weeks, or if it becomes worse, check with your health care professional.

To help prevent reinfection after the period of treatment with undecylenic acid, the powder or spray powder form of undecylenic acid may be used each day after bathing and careful drying.

undecylenic acid Side Effects

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

Check with your doctor as soon as possible if any of the following side effects occur:

• Skin irritation not present before use of undecylenic acid

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: undecylenic acid Topical side effects (in more detail)

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

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

More undecylenic acid Topical resources

• Undecylenic acid Topical Side Effects (in more detail)
• Undecylenic acid Topical Use in Pregnancy & Breastfeeding
• Undecylenic acid Topical Support Group
• 1 Review for Undecylenic acid Topical - Add your own review/rating

• undecylenic acid topical Concise Consumer Information (Cerner Multum)

Compare undecylenic acid Topical with other medications

• Onychomycosis
• Tinea Corporis
• Tinea Cruris
• Tinea Pedis

Lioresal Liquid

LIORESAL Liquid

(baclofen)

What you need to know about Lioresal Liquid

Your doctor has decided that you need this medicine to help treat your condition.

Please read this leaflet carefully before you start to take your medicine. It contains important information. Keep the leaflet in a safe place because you may want to read it again.

If you have any other questions, or if there is something you don't understand, please ask your doctor or pharmacist.

This medicine has been prescribed for you. Never give it to someone else. It may not be the right medicine for them even if their symptoms seem to be the same as yours.

If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

In this leaflet:

• 1. What Lioresal Liquid is and what it's used for


• 2. Things to consider before you start to take Lioresal Liquid


• 3. How to take Lioresal Liquid


• 4. Possible side effects


• 5. How to store Lioresal Liquid


• 6. Further information

What Lioresal Liquid is and what it's used for

Lioresal Liquid is a syrup containing 5 mg of the active ingredient, baclofen, in each 5 ml.

Baclofen is a muscle-relaxant drug. Lioresal Liquid is used to relieve muscle spasms which may occur as a result of certain illnesses affecting the nervous system including multiple sclerosis, motor neurone disease, cerebral palsy and meningitis, or following stroke or injuries to the head or spine.

Things to consider before you start to take Lioresal Liquid

Some people MUST NOT take Lioresal Liquid. Talk to your doctor if:

• you think you may be allergic to baclofen or to any of the other ingredients of the liquid, (These are listed at the end of the leaflet.)


• you have ever had a stomach ulcer.

You should also ask yourself these questions before taking Lioresal Liquid:

• Have you had a stroke?


• Do you have epilepsy?


• Do you suffer from any mental illness?


• Are you being treated for high blood pressure?


• Do you have Parkinson's disease?


• Do you suffer from any liver, kidney or lung disease?


• Do you have diabetes?


• Do you have difficulties in urinating?


• Are you pregnant or breast feeding?


• Do you have an intolerance to some sugars? (The liquid contains sorbitol.)

If the answer to any of these questions is YES, tell your doctor or pharmacist because Lioresal Liquid might not be the right medicine for you.

Are you taking other medicines?

Some medicines can interfere with your treatment. Tell your doctor or pharmacist if you are taking any of the following:

• Medicines for depression, e.g. tricyclic antidepressants


• Medicines for high blood pressure


• Other drugs which also affect the kidney, e.g. ibuprofen


• Medicines for Parkinson's disease


• Medicines which slow down the nervous system, e.g. anti-histamines, sedatives, opiates for pain relief and anti-convulsants (anti-epileptic medicines).

Always tell your doctor or pharmacist about all the medicines you are taking. This means medicines you have bought yourself as well as medicines on prescription from your doctor.

Will there be any problems with driving or using machinery?

Some people may feel drowsy and/or dizzy or have problems with their eyes while they are taking Lioresal Liquid. If this happens, you should not drive or do anything that requires you to be alert (such as operate tools or machinery) until these effects have worn off.

Other special warnings

• 
  Lioresal Liquid contains
  
  • 1. Small amounts of the preservatives methyl and propyl hydroxybenzoate. These can sometimes cause allergic reactions which might appear some time after first taking the medicine.
  
  
  • 2. Sodium 1.6mg/mL. Take this into consideration if you are on a controlled sodium diet.
  
  
  • 3. Sorbitol. This can have a mild laxative effect and you might be affected if you take more than 25 ml of Lioresal Liquid per day. Calorific value 2.6 kcal/g sorbitol.
  
  


• Be careful when drinking alcohol - it may affect you more than usual.


• Your doctor may want to give you a check up from time to time while you are taking Lioresal Liquid.


• If you are going to have an operation of any kind, make sure that the doctor knows that you are taking Lioresal Liquid.

How to take Lioresal Liquid

The doctor will tell you how much Lioresal Liquid to take and when to take it. Always follow his/her instructions carefully. The dose will be on the pharmacist's label. Check the label carefully. If you are not sure, ask your doctor or pharmacist.

The doctor will tell you the best time to take the medicine. Some people take it only at night or before doing a task such as washing, dressing, shaving, etc.

The final dose of Lioresal depends on how each person responds to the drug. You will be started on a low dose, and this will be increased gradually over a few days, under the supervision of the doctor, until you are having the dose which is right for you. If the starting dose is too high, or if the dose is increased too quickly, you may experience side effects, particularly if you are elderly, have kidney problems or have had a stroke.

You should not stop taking Lioresal Liquid suddenly. If the doctor decides to stop your treatment with Lioresal Liquid, the dose will be reduced gradually to prevent withdrawal symptoms such as muscle spasms and increased muscle rigidity, fast heart rate, fever, confusion, hallucinations, changes in mood and emotion, mental disorders, feeling persecuted or convulsions (fits).

If you feel sick after taking Lioresal Liquid, you may find it helps to take it with food or a milk drink.

Adults

• The usual dose is 20 mg (20 ml) three times a day.


• The maximum daily dose is 100 mg (100 ml) except if you are in hospital when a higher dose may be used.

Children

• The dosage depends on the weight of the child.


• A starting dose of 0.3 mg / kg body weight a day is often used, preferably given in 4 divided doses.


• The usual daily doses are
  
  
  Children aged 12 months - 2 years: 10 - 20 mg
  
  Children aged 2 years - 6 years: 20 - 30 mg
  
  Children aged 6 years - 8 years: 30 - 40 mg
  
  Children over 8: up to 60 mg
  

Patients with kidney problems

• You will probably be given a much lower dose. The doctor will decide what the dose should be.

What if you forget to take a dose?

If you forget to take a dose, take the next dose at the usual time. DO NOT take a double dose.

What if you take too much?

If you accidentally take too much Lioresal Liquid, tell your doctor at once or contact your nearest hospital casualty department. Take your medicine with you.

Lioresal Liquid Side Effects

Lioresal Liquid is suitable for most people, but, like all medicines, it can sometimes cause side effects.

The side effects listed below have been reported:

More than 1 in 10 people have experienced:

Tiredness, sleepiness, nausea (feeling sick).

Up to 1 in 10 people have experienced:

Excessively weak limbs or feeling tired and exhausted, aching muscles

Headache, dizziness or light-headedness

Breathing difficulties

Sleeplessness

Mood changes, confusion, hallucinations or nightmares

Dry mouth

Problems with their eyes

Unsteadiness, trembling or other problems with muscle control

Low blood pressure (fainting)

Stomach problems including retching, vomiting, constipation and diarrhoea

Excessive sweating, rash

Increased need to pass urine or pain on passing urine.

Up to 1 in 1,000 people have experienced:

Numbness or tingling in hands or feet

Increased muscle spasm

Disturbed sense of taste

Slurred or slow speech

Stomach ache

Liver problems

Difficulty in passing urine

Sexual problems in men, e.g. impotence

Convulsions (particularly in epileptics)

Very rarely (less than 1 in 10,000) people have experienced:

Hypothermia (low body temperature)

If any of the symptoms become troublesome, or if you notice anything else not mentioned here, please go and see your doctor. He/she may want to adjust the dose or give you a different medicine.

How to store Lioresal Liquid

Keep all medicines out of the reach and sight of children.

Store the elixir below 25°C. Protect from light. Do not refrigerate. Any syrup which has been diluted with water can be stored at room temperature for up to 14 days.

Do not take the elixir after the expiry date which is printed on the outside of the pack.

If your doctor tells you to stop taking Lioresal Liquid, please take any which is left back to your pharmacist to be destroyed. Only keep it if the doctor tells you to. Do not throw it away with your normal household water or waste. This will help to protect the environment.

Further information

Lioresal Liquid is clear, slightly yellow syrup with a raspberry flavour containing 5 mg of the active ingredient, baclofen, in each 5 ml. The liquid also contains the inactive ingredients sorbitol, methyl and propyl hydroxybenzoate, carmellose sodium, raspberry flavour and water.

The liquid comes in 300 ml bottles with child-proof closures.

The product licence holder is

Novartis Pharmaceuticals UK Limited

Frimley Business Park

Frimley

Camberley

Surrey

GU16 7SR

England

Lioresal Liquid is made by

Famar France

Site lndustriel d'Orleans

Avenue du Champ de Mars

F-45072 Orleans

France

This leaflet was revised in July 2009.

If you would like any more information, or would like the leaflet in a different format, please contact Medical Information at Novartis Pharmaceuticals UK Ltd, telephone number 01276 698370.

LIORESAL is a registered trade mark

Copyright Novartis Pharmaceuticals UK Limited

ipratropium inhalation

Generic Name: ipratropium inhalation (IP ra TRO pee um)

Brand names: Atrovent HFA, Atrovent

What is ipratropium inhalation?

Ipratropium inhalation is used to prevent bronchospasm, or narrowing airways in the lungs, in people with bronchitis, emphysema, or COPD (chronic obstructive pulmonary disease).

Ipratropium inhalation may also be used for other purposes not listed in this medication guide.

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

Before using this medication, tell your doctor if you have narrow-angle glaucoma, or an enlarged prostate or bladder obstruction. If you have any of these conditions, you may need a dose adjustment or special tests to safely use ipratropium inhalation.

Ipratropium inhalation is used to prevent bronchospasm attacks. This medication will not treat bronchospasm while it is happening. You may still have difficulty breathing and may need to use one of your other medicines to treat the attack. To best control your condition, use ipratropium inhalation regularly, and continue using all your other medicines as directed by your doctor.

Use this medication exactly as it was prescribed for you. Do not use it in larger doses or for longer than recommended by your doctor.

Call your doctor right away if you feel that this medicine is not working as well as usual, or if it makes your condition worse. If it seems like you need to use more of any of your medications in a 24-hour period, talk with your doctor.

Extreme heat can cause the ipratropium inhalation canister to burst. Do not store your inhaler in your car on hot days. Do not throw an empty canister into open flame.

Keep track of the number of sprays you have used and throw away the inhaler canister after 200 sprays, even if it feels like there is still medicine in it.

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

Ipratropium inhalation is used to prevent bronchospasm attacks. This medication will not treat bronchospasm while it is happening. You may still have difficulty breathing and may need to use one of your other medicines to treat the attack. To best control your condition, use ipratropium inhalation regularly, and continue using all your other medicines as directed by your doctor.

Before using ipratropium inhalation, tell your doctor if you have:

• 
  

  narrow-angle glaucoma; or

  
  


• 
  

  an enlarged prostate or a bladder obstruction.

  
  

If you have any of these conditions, you may need a dose adjustment or special tests to safely use this medication.

FDA pregnancy category B: This medication is not expected to be harmful to an unborn baby. Do not use ipratropium inhalation without telling your doctor if you are pregnant or plan to become pregnant during treatment. It is not known if ipratropium passes into breast milk or if it could harm a nursing baby. Do not use ipratropium inhalation without telling your doctor if you are breast-feeding a baby. Ipratropium inhalation should not be used by a child younger than 12 years of age.

How should I use ipratropium inhalation?

Use this medication exactly as it was prescribed for you. Do not use it in larger doses or for longer than recommended by your doctor.

This medication comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

When using the inhaler device for the first time, prime it by spraying 2 test sprays into the air, away from your face. Also prime the inhaler if you have not used it for 3 days or longer.

The instructions below are for standard use of the inhaler and nebulizer devices. Your doctor may want you to use your device differently. Be sure you understand all instructions that are specific to your use of ipratropium inhalation.

To use the inhaler:

• Uncap the mouthpiece of the inhaler. Breathe out fully. Put the mouthpiece into your mouth and close your lips. Keep your eyes closed to prevent spraying any medicine into your eyes. Breathe in slowly while pushing down on the canister. Hold your breath for 10 seconds, then breathe out slowly.


• 
  

  If you use more than one inhalation at a time, wait at least 15 seconds before using the second inhalation.

  
  


• 
  

  Keep your inhaler clean and dry, and store it with the cap on the mouthpiece. Clean your inhaler once a week by removing the canister and placing the mouthpiece under warm running water for at least 30 seconds. Allow the parts to dry before putting the inhaler back together.

  
  

To use the solution with a nebulizer:

• 
  

  Measure the correct amount of medicine using the dropper provided, or use the proper number of ampules. Place the liquid into the medication chamber of the nebulizer. If using a medicine dropper, do not allow the dropper to touch any surface including your hands or the nebulizer.

  
  


• 
  

  Attach the mouthpiece or face mask to the drug chamber. Then, attach the drug chamber to the compressor. Sit upright in a comfortable position. Place the mouthpiece into your mouth or put the face mask on, covering your nose and mouth. Breathe in slowly and evenly until you have inhaled all of the medicine (usually 5 to 15 minutes). The treatment is complete when no more mist is formed by the nebulizer and the drug chamber is empty.

  
  


• 
  

  Clean the nebulizer after each use. Follow the cleaning directions that came with your nebulizer.

  
  

Call your doctor right away if you feel that this medicine is not working as well as usual, or if it makes your condition worse. If it seems like you need to use more of any of your medications in a 24-hour period, talk with your doctor.

To be sure this medication is helping your condition, your lung function will need to be tested on a regular basis. It is important that you not miss any scheduled visits to your doctor.

Store ipratropium inhalation at room temperature away from moisture and heat. Extreme heat can cause the canister to burst. Do not store it in your car on hot days. Do not throw an empty canister into open flame.

Keep track of the number of sprays you have used and throw away the inhaler canister after 200 sprays, even if it feels like there is still medicine in it.

What happens if I miss a dose?

Use the medication as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. Ipratropium inhalation is not expected to cause overdose symptoms.

What should I avoid while using ipratropium inhalation?

Avoid getting this medication in your eyes. If this happens, rinse with water.

Ipratropium inhalation side effects

Stop using ipratropium inhalation and 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 a fast, pounding heartbeat.

Other less serious side effects are more likely to occur, such as:

• 
  

  headache, dizziness;

  
  


• 
  

  dry mouth, cough, hoarseness;

  
  


• 
  

  nausea, upset stomach; or

  
  


• 
  

  blurred vision.

  
  

If you switch from Atrovent to Atrovent HFA, you may notice a slightly different taste or feel after inhaling the medication.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.

Ipratropium inhalation Dosing Information

Usual Adult Dose for Chronic Obstructive Pulmonary Disease -- Maintenance:

Inhalation aerosol: 2 inhalations (36 mcg) 4 times a day up to 12 inhalations a day.
CFC free inhalation aerosol: 2 inhalations (34 mcg) 4 times a day up to 12 inhalations a day.
Nebulized solution: 500 mcg (1 unit dose vial) 3 to 4 times a day.

Usual Pediatric Dose for Chronic Obstructive Pulmonary Disease -- Maintenance:

Neonates:
Nebulized solution: 25 mcg/kg 3 times daily.

Infants and children:
Nebulized solution: 125 to 250 mcg 3 times daily.

3 to 12 years:
Inhalation aerosol: : 1 to 2 inhalations (18 to 36 mcg) 3 times a day, up to 6 inhalations a day.
CFC free inhalation aerosol: 1 to 2 inhalations (17 to 34 mcg) 4 times a day up to 12 inhalations a day.

> 12 years:
Inhalation aerosol: 2 inhalations (36 mcg) 4 times a day up to 12 inhalations a day.
CFC free inhalation aerosol: 2 inhalations (34 mcg) 4 times a day up to 12 inhalations a day.
Nebulized solution: 500 mcg (1 unit dose vial) 3 to 4 times a day.

What other drugs will affect ipratropium inhalation?

Before using ipratropium inhalation, tell your doctor if you are using any of the following medicines:

• 
  

  atropine (Donnatal, and others),

  
  


• 
  

  belladonna,

  
  


• 
  

  clidinium (Quarzan),

  
  


• 
  

  dicyclomine (Bentyl),

  
  


• 
  

  glycopyrrolate (Robinul),

  
  


• 
  

  hyoscyamine (Anaspaz, Cystospaz, Levsin, and others)

  
  


• 
  

  mepenzolate (Cantil),

  
  


• 
  

  methantheline (Provocholine),

  
  


• 
  

  methscopolamine (Pamine), and

  
  


• 
  

  propantheline (Pro-Banthine), or

  
  


• 
  

  scopolamine (Transderm-Scop).

  
  

This list is not complete and there may be other drugs not listed that can affect ipratropium inhalation. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

More ipratropium inhalation resources

• Ipratropium inhalation Dosage
• Ipratropium inhalation Use in Pregnancy & Breastfeeding
• Ipratropium inhalation Drug Interactions
• Ipratropium inhalation Support Group
• 5 Reviews for Ipratropium - Add your own review/rating

Compare ipratropium inhalation with other medications

• Asthma
• COPD, Maintenance

Where can I get more information?

• Your pharmacist can provide more information about ipratropium inhalation.