Thursday, 29 September 2016

Aspirina Fecofar




Aspirina Fecofar may be available in the countries listed below.


Ingredient matches for Aspirina Fecofar



Aspirin

Acetylsalicylic Acid is reported as an ingredient of Aspirina Fecofar in the following countries:


  • Argentina

International Drug Name Search

Wednesday, 28 September 2016

Phoenix Pharmacillin




Phoenix Pharmacillin may be available in the countries listed below.


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

Ingredient matches for Phoenix Pharmacillin



Benzylpenicillin

Benzylpenicillin procaine (a derivative of Benzylpenicillin) is reported as an ingredient of Phoenix Pharmacillin in the following countries:


  • New Zealand

International Drug Name Search

Budesonid acis




Budesonid acis may be available in the countries listed below.


Ingredient matches for Budesonid acis



Budesonide

Budesonide is reported as an ingredient of Budesonid acis in the following countries:


  • Germany

International Drug Name Search

Propolipid




Propolipid may be available in the countries listed below.


Ingredient matches for Propolipid



Propofol

Propofol is reported as an ingredient of Propolipid in the following countries:


  • Belgium

  • Denmark

  • Finland

  • Iceland

  • Norway

  • Sweden

International Drug Name Search

Polycarbophil Calcium




Polycarbophil Calcium may be available in the countries listed below.


Ingredient matches for Polycarbophil Calcium



Polycarbophil

Polycarbophil Calcium (BANM) is known as Polycarbophil in the US.

International Drug Name Search

Glossary

BANMBritish Approved Name (Modified)

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

Ciprofloxacine ActavisGroup




Ciprofloxacine ActavisGroup may be available in the countries listed below.


Ingredient matches for Ciprofloxacine ActavisGroup



Ciprofloxacin

Ciprofloxacin lactate (a derivative of Ciprofloxacin) is reported as an ingredient of Ciprofloxacine ActavisGroup in the following countries:


  • Netherlands

International Drug Name Search

Tuesday, 27 September 2016

Ipramol Steri-Nebs




Ipramol Steri-Nebs may be available in the countries listed below.


Ingredient matches for Ipramol Steri-Nebs



Ipratropium

Ipratropium Bromide is reported as an ingredient of Ipramol Steri-Nebs in the following countries:


  • Switzerland

Salbutamol

Salbutamol sulfate (a derivative of Salbutamol) is reported as an ingredient of Ipramol Steri-Nebs in the following countries:


  • Switzerland

International Drug Name Search

Primol




Primol may be available in the countries listed below.


Ingredient matches for Primol



Ciprofloxacin

Ciprofloxacin is reported as an ingredient of Primol in the following countries:


  • Japan

International Drug Name Search

Monday, 26 September 2016

Pinavérium Ratiopharm




Pinavérium Ratiopharm may be available in the countries listed below.


Ingredient matches for Pinavérium Ratiopharm



Pinaverium Bromide

Pinaverium Bromide is reported as an ingredient of Pinavérium Ratiopharm in the following countries:


  • France

International Drug Name Search

A.A. Leva




A.A. Leva may be available in the countries listed below.


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

Ingredient matches for A.A. Leva



Levamisole

Levamisole hydrochloride (a derivative of Levamisole) is reported as an ingredient of A.A. Leva in the following countries:


  • Netherlands

International Drug Name Search

Meticel Ofteno




Meticel Ofteno may be available in the countries listed below.


Ingredient matches for Meticel Ofteno



Hypromellose

Hypromellose is reported as an ingredient of Meticel Ofteno in the following countries:


  • Costa Rica

  • Dominican Republic

  • El Salvador

  • Guatemala

  • Mexico

  • Nicaragua

  • Panama

International Drug Name Search

Pancuronium Bromide


Class: Neuromuscular Blocking Agents
VA Class: MS300
CAS Number: 15500-66-0
Brands: Pavulon



  • Should be administered only by individuals experienced in the use of neuromuscular blocking agents.a




Introduction

Nondepolarizing neuromuscular blocking agent.a


Uses for Pancuronium Bromide


Skeletal Muscle Relaxation


Production of skeletal muscle relaxation during surgery after general anesthesia has been induced.a


Facilitation of endotracheal intubation.a


Treatment to increase pulmonary compliance during assisted or controlled respiration.a


Pancuronium Bromide Dosage and Administration


General



  • Adjust dosage carefully according to individual requirements and response.a




  • Assess neuromuscular blockade and recovery in patients undergoing anesthesia; a peripheral nerve stimulator is recommended to accurately monitor the degree of muscle relaxation and to minimize the possibility of overdosage.a




  • To avoid patient distress, administer only after unconsciousness has been induced.a b c



Facilitation of Endotracheal Intubation



  • Endotracheal intubation generally can be performed within 2–3 minutes following administration of 0.06-mg/kg dose.a (See Onset and also Duration under Pharmacokinetics.)



Maintenance of Neuromuscular Blockade



  • Supplemental doses to maintain muscle relaxation increase magnitude and duration of neuromuscular blockade.a



Reversal of Neuromuscular Blockade



  • To reverse neuromuscular blockade, administer a cholinesterase inhibitor (e.g., neostigmine, pyridostigmine, edrophonium), usually in conjunction with an antimuscarinic (e.g., atropine, glycopyrrolate) to block adverse muscarinic effects of the cholinesterase inhibitor.a c



Administration


IV Administration


For solution and drug compatibility information, see Compatibility under Stability.


Administer IV only; administer initial (intubating) dose by rapid IV injection.a


Consult specialized references for specific procedures and techniques of administration.b


Dosage


Available as pancuronium bromide; dosage expressed in terms of the salt.a


Pediatric Patients


Skeletal Muscle Relaxation

Initial Dosage

IV

Children >1 month of age: 0.04–0.1 mg/kg as adjunct to balanced anesthesia.a 0.06–0.1 mg/kg is recommended for endotracheal intubation.a (See Onset and also Duration under Pharmacokinetics.)


If administering following succinylcholine and/or maintenances doses of inhalation anesthetics (e.g., enflurane, halothane, isoflurane), use dosage at lower end of recommended initial range.a Administer after effects of succinylcholine subside.a


Neonates ≤1 month of age: Administer test dose of 0.02 mg/kg to determine responsiveness.a


Maintenance Dosage

IV

Children 3 months to 12 years of age: 0.01 mg/kg administered at 25- to 60-minute intervals to maintain skeletal muscle relaxation during prolonged surgery or assisted respiration;a b 0.015 mg/kg may be used to maintain relaxation for controlled respiration.b


Adults


Skeletal Muscle Relaxation

Initial Dosage

IV

0.04–0.1 mg/kg as adjunct to balanced anesthesia.a 0.06–0.1 mg/kg is recommended for endotracheal intubation.a (See Onset and also Duration under Pharmacokinetics.)


If administering following succinylcholine and/or maintenances doses of inhalation anesthetics (e.g., enflurane, halothane, isoflurane), use dosage at lower end of recommended initial range.a Administer after effects of succinylcholine subside.a


Maintenance Dosage

IV

0.01 mg/kg administered at 25- to 60-minute intervals to maintain skeletal muscle relaxation during prolonged surgery or assisted respiration.a b 0.015 mg/kg may be used to maintain relaxation for controlled respiration.b


Prescribing Limits


Pediatric Patients


Skeletal Muscle Relaxation

Initial Dosage

IV

Up to 0.16 mg/kg has been used; however, large doses may increase frequency and severity of tachycardia.b


Adults


Skeletal Muscle Relaxation

Initial Dosage

IV

Up to 0.16 mg/kg has been used; however, large doses may increase frequency and severity of tachycardia.b


Special Populations


Hepatic Impairment


Increased initial dosage may be required to achieve effective neuromuscular blockade; once blockade is established, duration of blockade may be prolonged.a (See Hepatic Impairment under Cautions.)


Renal Impairment


Careful and individualized dosing recommended.a (See Renal Impairment under Cautions.)


Patients with Biliary Disease


Increased initial dosage may be required to achieve effective neuromuscular blockade; once blockade is established, duration of blockade may be prolonged.a (See Biliary Disease under Cautions.)


Burn Patients


Substantially increased doses may be required due to development of resistance.c (See Burn Patients under Cautions.)


Patients with Neuromuscular Disease


Administer small test dose and monitor response.a (See Neuromuscular Disease under Cautions.)


Cautions for Pancuronium Bromide


Contraindications



  • Known hypersensitivity to pancuronium bromide or any ingredient in the formulation.a



Warnings/Precautions


Warnings


Respiratory Effects

Potential for severely compromised respiratory function and respiratory paralysis.c


Should be used only by individuals experienced in the use of neuromuscular blocking agents and in the maintenance of an adequate airway and respiratory support.a Facilities and personnel necessary for intubation, administration of oxygen, and assisted or controlled respiration should be immediately available.a


IV cholinesterase inhibitor (e.g., neostigmine, pyridostigmine, edrophonium) should be readily available.a (See Reversal of Neuromuscular Blockade under Dosage and Administration.)


Use with caution in patients with pulmonary impairment or respiratory depression.c


Neuromuscular Disease

Possible profound neuromuscular blockade in patients with neuromuscular disease (e.g., myasthenia gravis, Eaton-Lambert syndrome).a


Reduce initial dosage; monitor response carefully with a peripheral nerve stimulator.a


Sensitivity Reactions


Hypersensitivity Reactions

Hypersensitivity reactions (bronchospasm, flushing, redness, hypotension, tachycardia) reported rarely.a


General Precautions


Burn Patients

Resistance to therapy with neuromuscular blocking agents can develop in burn patients,c particularly those with burns over 25–30% or more of body surface area.c


Resistance generally becomes apparent ≥1 week after the burn, peaks ≥2 weeks after the burn, persists for several months or longer, and decreases gradually with healing.c


Consider possible need for substantially increased doses.c


Cardiovascular Effects

Possible increased heart rate, arterial pressure, and cardiac output.a


Use not recommended in patients with preexisting tachycardia or in patients in whom minor elevation in heart rate is undesirable.b


Intensive Care Setting

Possible prolonged paralysis and/or muscle weakness and atrophy.a


Continuous monitoring of neuromuscular transmission recommended during neuromuscular blocking agent therapy in intensive care setting.c Do not administer additional doses before there is a definite response to nerve stimulation tests.c If no response is elicited, discontinue administration until a response returns.c


Impaired Circulation

Possible delayed onset of action in patients with impaired circulation (e.g., cardiovascular disease, edema);a however, larger than usual doses are not recommended.a


Electrolyte Disturbances

Possible increased or decreased neuromuscular blockade in patients with electrolyte distrubances (e.g., adrenocortical insufficiency) or acid/base imbalances.a


Malignant Hyperthermia

Malignant hyperthermia is rarely associated with use of neuromuscular blocking agents and/or potent inhalation anesthetics.c Be vigilant for its possible development and prepared for its management in any patient undergoing general anesthesia.c


Obesity

Possible airway or ventilatory problems in patients with severe obesity.a Use with caution.a


Biliary Disease

Possible slower onset and prolonged duration of neuromuscular blockade.a (See Elimination: Special Populations, under Pharmacokinetics and also see Patients with Biliary Disease under Dosage and Administration.)


Specific Populations


Pregnancy

Category C.a


Lactation

Not known whether pancuronium is distributed into milk.j


Pediatric Use

Excessive salivation may occur during very light anesthesia.b


Clinically important methemoglobinemia reported rarely in premature neonates receiving pancuronium in combination with fentanyl and atropine for emergency anesthesia and surgery; however, direct causal relationship not established.a


Large amounts of benzyl alcohol (i.e., 100–400 mg/kg daily) have been associated with toxicity in neonates;a d e f g h i each mL of pancucronium bromide injection contains 10 mg of benzyl alcohol.a


Neonates (<1 month of age) are particularly sensitive to neuromuscular blocking agents;a administer test dose to determine responsiveness.a (See Pediatric Patients under Dosage and Administration.) Carefully consider risks and benefits of long-term therapy in neonates.a (See Intensive Care Setting under Cautions.)


Geriatric Use

Use with caution in geriatric or debilitated patients.a c


Hepatic Impairment

Possible slower onset and prolonged duration of neuromuscular blockade; use with caution.a (See Elimination: Special Populations, under Pharmacokinetics and also see Hepatic Impairment under Dosage and Administration.)


Renal Impairment

Possible prolonged neuromuscular blockade; use with caution in patients with poor renal perfusion or severe renal disease.a b (See Elimination: Special Populations, under Pharmacokinetics.)


Common Adverse Effects


Skeletal muscle weakness, slight elevation in pulse rate and excessive salivation.a c


Interactions for Pancuronium Bromide


Specific Drugs



























Drug



Interaction



Comments



Anesthetics, general (enflurane, halothane, isoflurane)



Increased potency of neuromuscular blockadea



Select pancuronium dosage at lower end of recommended initial range a



Antidepressants, tricyclic



Possible ventricular arrhythmias in patients receiving tricyclic antiderpessants concomitantly with pancuronium and halothanea



Use with cautiona



Anti-infective agents (aminoglycosides, bacitracin, polymyxins, tetracyclines)



Possible prolonged duration of neuromuscular blockadea



Magnesium salts



Possible increased neuromuscular blockadea



Reduce pancuronium dosage if necessary a



Neuromuscular blocking agents, nondepolarizing (e.g., atracurium, vecuronium)



Increased potency of neuromuscular blockadea



Concomitant use not recommendeda



Quinidine



Possible recurrence of paralysisa



Succinylcholine



Prior administration of succinylcholine may increase potency and prolong duration of neuromuscular blockadea



Allow effects of succinylcholine to subside before administering pancuroniuma


Pancuronium Bromide Pharmacokinetics


Absorption


Bioavailability


Poorly absorbed from the GI tract.c


Onset


Onset of paralysis is dose related.b


Following IV administration of 0.06 mg/kg, clinically sufficient neuromuscular blockade occurs within 2–3 minutes.b


Duration


Duration of paralysis is dose related.b


Duration of clinically sufficient neuromuscular blockade induced by 0.06 mg/kg is about 35–45 minutes.b


Supplemental doses may increase magnitude and duration of neuromuscular blockade.b


Distribution


Extent


Crosses the placenta in small amounts.b


Plasma Protein Binding


Approximately 87% (mainly γ-globulin; albumin to a lesser extent).100 101 102 104 May be concentration dependent.101 103 104


Special Populations


Hepatic103 or renal105 impairment does not affect protein binding. Impaired hepatic or biliary function may increase volume of distribution.a


Elimination


Metabolism


Undergoes limited biotransformation.b


Elimination Route


Excreted principally in urine as unchanged drug and to a lesser extent in bile.a


Half-life


Triphasic; terminal half-life is approximately 2 hours.b


Special Populations


Impaired renal or hepatic function or biliary disease may decrease clearance and prolong half-life.a


Stability


Storage


Parenteral


Injection

2–8°C.a


Compatibility


For information on systemic interactions resulting from concomitant use, see Interactions.


Parenteral


Solution Compatibilitya







Compatible



Dextrose 5% in sodium chloride 0.45 or 0.9%



Dextrose 5% in water



Ringer's injection, lactated



Sodium chloride 0.9%


Drug Compatibility





Admixture CompatibilityHID

Compatible



Ciprofloxacin



Verapamil HCl




































Y-site CompatibilityHID

Compatible



Aminophylline



Cefazolin sodium



Cefuroxime sodium



Cimetidine HCl



Co-trimoxazole



Dobutamine HCl



Dopamine HCl



Epinephrine HCl



Esmolol HCl



Etomidate



Fenoldopam mesylate



Fentanyl citrate



Fluconazole



Gentamicin sulfate



Heparin sodium



Hetastarch in lactated electrolyte injection (Hextend)



Hydrocortisone sodium succinate



Isoproterenol HCl



Levofloxacin



Lorazepam



Midazolam HCl



Milrinone lactate



Morphine sulfate



Nitroglycerin



Ranitidine HCl



Sodium nitroprusside



Vancomycin HCl



Incompatible



Diazepam



Thiopental sodium



Variable



Propofol


ActionsActions



  • Produces skeletal muscle relaxation by causing a decreased response to acetylcholine (ACh) at the myoneural (neuromuscular) junction of skeletal muscle.c




  • Exhibits high affinity for ACh receptor sites and competitively blocks access of ACh to motor end-plate of myoneural junction; may affect ACh release.a c




  • Blocks the effects of both the small quantities of ACh that maintain muscle tone and the large quantities of ACh that produce voluntary skeletal muscle contraction; does not alter the resting electrical potential of the motor end-plate or cause muscular contractions.c




  • Produces little or no histamine release.b c



Advice to Patients



  • Importance of women informing clinicians if they are or plan to become pregnant or plan to breast-feed.a




  • Importance of informing clinician of existing or contemplated concomitant therapy, including prescription and OTC drugs, as well as any concomitant illnesses (e.g., cardiovascular disease, neuromuscular disease).a




  • Importance of informing patients of other important precautionary information.a (See Cautions.)



Preparations


Excipients in commercially available drug preparations may have clinically important effects in some individuals; consult specific product labeling for details.


* available from one or more manufacturer, distributor, and/or repackager by generic (nonproprietary) name


















Pancuronium Bromide

Routes



Dosage Forms



Strengths



Brand Names



Manufacturer



Oral



Injection, for IV use only



1 mg/mL*



Pancuronium Bromide Injection (with benzyl alcohol 1%)



Abbott, Baxter, Sicor



2 mg/mL*



Pancuronium Bromide Injection (with benzyl alcohol 1%)



Abbott, Baxter, Sicor



Disclaimer

This report on medications is for your information only, and is not considered individual patient advice. Because of the changing nature of drug information, please consult your physician or pharmacist about specific clinical use.


The American Society of Health-System Pharmacists, Inc. and Drugs.com represent that the information provided hereunder was formulated with a reasonable standard of care, and in conformity with professional standards in the field. The American Society of Health-System Pharmacists, Inc. and Drugs.com make no representations or warranties, express or implied, including, but not limited to, any implied warranty of merchantability and/or fitness for a particular purpose, with respect to such information and specifically disclaims all such warranties. Users are advised that decisions regarding drug therapy are complex medical decisions requiring the independent, informed decision of an appropriate health care professional, and the information is provided for informational purposes only. The entire monograph for a drug should be reviewed for a thorough understanding of the drug's actions, uses and side effects. The American Society of Health-System Pharmacists, Inc. and Drugs.com do not endorse or recommend the use of any drug. The information is not a substitute for medical care.

AHFS Drug Information. © Copyright, 1959-2011, Selected Revisions August 2007. American Society of Health-System Pharmacists, Inc., 7272 Wisconsin Avenue, Bethesda, Maryland 20814.




References


Only references cited for selected revisions after 1984 are available electronically.



100. Pavulon prescribing information. In: Huff BB, ed. Physicians’ desk reference. 42nd ed. Oradell, NJ: Medical Economics Company Inc; 1988:1491-3.



101. Thompson JM. Pancuronium binding by serum proteins. Anaesthesia. 1976; 31:219-27. [PubMed 59554]



102. Foldes FF, Derby A. Protein binding of atracurium and other short-acting neuromuscular blocking agents and their interaction with human cholinesterases. Br J Anaesth. 1983; 55:31-4S.



103. Duvaldestin P, Henzel D. Binding of tubocurarine, fazadinium, pancuronium and Org NC45 to serum proteins in normal man and in patients with cirrhosis. Br J Anaesth. 1982; 54:513-6. [PubMed 6122460]



104. Ramzan MI, Somogyi AA, Walker JS et al. Clinical pharmacokinetics of the non-depolarising muscle relaxants. Clin Pharmacokinet. 1981; 6:25-60. [IDIS 165379] [PubMed 7018787]



105. Wood M, Stone WJ, Wood AJJ. Plasma binding of pancuronium: effects of age, sex, and disease. Anesth Analg. 1983; 62:29-32. [IDIS 164399] [PubMed 6849508]



a. Baxter. Pancuronium bromide injection prescribing information. Deerfield, IL: 2003 Jun.



b. AHFS Drug Information 2004. McEvoy GK, ed. Pancuronium bromide. Bethesda, MD: American Society of Health-System Pharmacists; 2004:1313-4.



c. AHFS Drug Information 2004. McEvoy GK, ed. Neuromuscular blocking agents general statement. Bethesda, MD: American Society of Health-System Pharmacists; 2004:1303-6.



d. Anon. Benzyl alcohol may be toxic to newborns. FDA Drug Bull. 1982; 12:10-11. [PubMed 7188569]



e. Anon. Neonatal deaths associated with use of benzyl alcohol—United States. MMWR Morb Mortal Wkly Rep. 1982; 31:290-91. [IDIS 150868] [PubMed 6810084]



f. Gershanik J. Boecler B, Ensley H et al. The gasping syndrome and benzyl alcohol poisoning. N Engl J Med. 1982; 307:1384-8. [IDIS 160823] [PubMed 7133084]



g. Menon PA, Thach BT, Smith CH et al. Benzyl alcohol toxicity in a neonatal intensive care unit: incidence, symptomatology, and mortality. Am J Perinatol. 1984; 1:288-92. [PubMed 6440575]



h. Anderson CW, Ng KJ, Andresen B et al. Benzyl alcohol poisoning in a premature newborn infant. Am J Obstet Gynecol. 1984; 148:344-6. [IDIS 181207] [PubMed 6695984]



i. American Academy of Pediatrics Committee on Fetus and Newborn and Committee on Drugs. Benzyl alcohol: toxic agent in neonatal units. Pediatrics. 1983; 72:356-8. [IDIS 175725] [PubMed 6889041]



j. Briggs GG, Freeman RK, Yaffe SJ. Drugs in pregnancy and lactation. 6th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2002:1058-62.



HID. Trissel LA. Handbook on injectable drugs. 14th ed. Bethesda, MD: American Society of Health-System Pharmacists; 2007:1281-3.



More Pancuronium Bromide resources


  • Pancuronium Bromide Side Effects (in more detail)
  • Pancuronium Bromide Drug Interactions
  • Pancuronium Bromide Support Group
  • 0 Reviews · Be the first to review/rate this drug


  • Pancuronium Prescribing Information (FDA)


Friday, 23 September 2016

Zithromax Z-Pak



Generic Name: azithromycin (Oral route)

ay-zith-roe-MYE-sin

Commonly used brand name(s)

In the U.S.


  • Zithromax

  • Zithromax Tri-Pak

  • Zithromax Z-Pak

  • Zmax

Available Dosage Forms:


  • Powder for Suspension

  • Tablet

  • Powder for Suspension, Extended Release

  • Capsule

Therapeutic Class: Antibiotic


Chemical Class: Macrolide


Uses For Zithromax Z-Pak


Azithromycin is used to treat certain bacterial infections in many different parts of the body. This medicine may mask or delay the symptoms of syphilis. It is not effective against syphilis infections.


Azithromycin belongs to the class of drugs known as macrolide antibiotics. It works by killing bacteria or preventing their growth. However, this medicine will not work for colds, flu, or other virus infections.


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


Before Using Zithromax Z-Pak


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


Allergies


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


Pediatric


Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of azithromycin in children and infants 6 months of age and older. However, safety and efficacy have not been established in infants younger than 6 months of age.


Appropriate studies have not been performed on the relationship of age to the effects of azithromycin oral suspension and tablets to treat pharyngitis or tonsillitis in children younger than 2 years of age. Safety and efficacy have not been established.


Geriatric


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


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


Studies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding.


Interactions with Medicines


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


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


  • Cisapride

  • Dihydroergotamine

  • Dronedarone

  • Ergoloid Mesylates

  • Ergonovine

  • Ergotamine

  • Mesoridazine

  • Methylergonovine

  • Methysergide

  • Pimozide

  • Sparfloxacin

  • Thioridazine

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


  • Acecainide

  • Alfuzosin

  • Amiodarone

  • Amitriptyline

  • Amoxapine

  • Apomorphine

  • Arsenic Trioxide

  • Asenapine

  • Astemizole

  • Azimilide

  • Bretylium

  • Chloroquine

  • Chlorpromazine

  • Ciprofloxacin

  • Citalopram

  • Clarithromycin

  • Clomipramine

  • Clozapine

  • Crizotinib

  • Dasatinib

  • Desipramine

  • Disopyramide

  • Dofetilide

  • Dolasetron

  • Droperidol

  • Erythromycin

  • Flecainide

  • Fluconazole

  • Gatifloxacin

  • Gemifloxacin

  • Granisetron

  • Halofantrine

  • Haloperidol

  • Ibutilide

  • Iloperidone

  • Imipramine

  • Lapatinib

  • Levofloxacin

  • Lopinavir

  • Lumefantrine

  • Mefloquine

  • Methadone

  • Moxifloxacin

  • Nilotinib

  • Norfloxacin

  • Nortriptyline

  • Octreotide

  • Ofloxacin

  • Ondansetron

  • Paliperidone

  • Pazopanib

  • Perflutren Lipid Microsphere

  • Posaconazole

  • Procainamide

  • Prochlorperazine

  • Promethazine

  • Propafenone

  • Protriptyline

  • Quetiapine

  • Quinidine

  • Quinine

  • Ranolazine

  • Salmeterol

  • Saquinavir

  • Sematilide

  • Simvastatin

  • Sodium Phosphate

  • Sodium Phosphate, Dibasic

  • Sodium Phosphate, Monobasic

  • Solifenacin

  • Sorafenib

  • Sotalol

  • Sunitinib

  • Tedisamil

  • Telithromycin

  • Terfenadine

  • Tetrabenazine

  • Toremifene

  • Trazodone

  • Trifluoperazine

  • Trimipramine

  • Vandetanib

  • Vardenafil

  • Vemurafenib

  • Voriconazole

  • Ziprasidone

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


  • Atorvastatin

  • Digoxin

  • Fentanyl

  • Lovastatin

  • Nelfinavir

  • Rifabutin

  • Theophylline

  • Warfarin

Interactions with Food/Tobacco/Alcohol


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


Other Medical Problems


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


  • Bacteremia (blood infection) or

  • Cystic fibrosis or

  • Infections, nosocomial or hospital-acquired or

  • Weak immune system or

  • Weakened physical condition—Should not be used in patients with these conditions to treat pneumonia.

  • Congestive heart failure or

  • Diarrhea or

  • Heart disease or

  • Heart rhythm problems (e.g., prolonged QT interval), history of or

  • Myasthenia gravis (severe muscle weakness)—Use with caution. May make these conditions worse.

  • Kidney disease, severe or

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

  • Liver disease, history of—Should not be used in patients with this condition.

Proper Use of azithromycin

This section provides information on the proper use of a number of products that contain azithromycin. It may not be specific to Zithromax Z-Pak. Please read with care.


Take this medicine only as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered.


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


You may take Zithromax® oral liquid or tablets with or without food.


Shake well the bottle of Zithromax® oral liquid before each use. Measure your dose correctly with a marked measuring spoon, oral syringe, or medicine cup. The average household teaspoon may not hold the right amount of liquid.


Measure the extended-release oral liquid with a marked measuring spoon, syringe, or cup. You or your child must take this medicine within 12 hours after it has been mixed with water. It is best to take the extended-release oral liquid on an empty stomach or at least 1 hour before or 2 hours after a meal. If your child does not use all of the medicine in the bottle, throw it away after you give the dose.


Keep using this medicine for the full treatment time, even if you or your child feel better after the first few doses. Your infection may not clear up if you stop using the medicine too soon.


If you are taking aluminum or magnesium-containing antacids, do not take them at the same time that you take this medicine. These medicines may keep azithromycin from working properly.


Dosing


The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.


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


  • For oral dosage form (extended-release suspension):
    • For treatment of infections:
      • Adults—2 grams (g) once a day as a single dose.

      • Children weighing 75 pounds (34 kg) or more—2 g once a day as a single dose.

      • Children and infants 6 months of age and older weighing less than 75 pounds (34 kg)—Dose is based on body weight and must be determined by your doctor. However, the dose is usually 60 milligrams (mg) per kilogram (kg) of body weight once a day as a single dose.

      • Infants younger than 6 months of age—Use and dose must be determined by your doctor.



  • For oral dosage forms (suspension or tablets):
    • For treatment of infections:
      • Adults—500 to 2000 milligrams (mg) once a day, taken as a single dose. Depending on the type of infection, this may be followed with doses of 250 to 500 mg once a day for several days.

      • Children and infants 6 months of age and older—Dose is based on body weight and must be determined by your doctor. The dose is usually 10 to 30 milligrams (mg) per kilogram (kg) of body weight once a day, taken as a single dose. Depending on the type of infection, this may be followed with doses of 5 to 10 mg/kg of body weight once a day for several days.

      • Infants younger than 6 months of age—Use and dose must be determined by your doctor.


    • For treatment of pharyngitis or tonsillitis:
      • Adults—500 milligrams (mg) on Day1 (the first day), taken as a single dose. Then, 250 mg on Day 2 through Day 5.

      • Children 2 years of age and older—Dose is based on body weight and must be determined by your doctor. The dose is usually 12 milligrams (mg) per kilogram (kg) of body weight once a day for 5 days.

      • Children younger than 2 years of age—Use and dose must be determined by your doctor.



Missed Dose


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


Storage


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.


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


Do not refrigerate or freeze the extended-release oral liquid. Throw away any unused liquid after your dose.


You may store the oral liquid at room temperature or in the refrigerator. Do not freeze the bottle. Do not keep the oral liquid for more than 10 days. Throw away any unused liquid after all doses are completed.


Precautions While Using Zithromax Z-Pak


It is very important that your doctor check the progress of you or your child at regular visits to make sure this medicine is working properly. Blood and urine tests may be needed to check for unwanted effects.


If you or your child's symptoms do not improve within a few days, or if they become worse, check with your doctor.


This medicine may cause serious allergic reactions, including anaphylaxis, which can be life-threatening and require immediate medical attention. Call your doctor right away if you or your child have a rash; itching; hives; hoarseness; shortness of breath; trouble breathing; trouble swallowing; or any swelling of your hands, face, or mouth after you take this medicine.


Serious skin reactions can occur with this medicine. Stop using this medicine and check with your doctor right away if you or your child have blistering, peeling, or loosening of the skin; red skin lesions; severe acne or skin rash; sores or ulcers on the skin; or fever or chills while you are using this medicine.


Stop using this medicine and check with your doctor right away if you or your child have pain or tenderness in the upper stomach; pale stools; dark urine; loss of appetite; nausea; unusual tiredness or weakness; or yellow eyes or skin. These could be symptoms of a serious liver problem.


Azithromycin may cause diarrhea, and in some cases it can be severe. It may occur 2 months or more after you stop using this medicine. Do not take any medicine to treat diarrhea without first checking with your doctor. Diarrhea medicines may make the diarrhea worse or make it last longer. If you or your child have any questions about this or if mild diarrhea continues or gets worse, check with your doctor.


This medicine can cause changes in heart rhythms, such as a condition called QT prolongation. It may change the way your heart beats and cause fainting or serious side effects in some patients. Contact your doctor right away if you or your child have any symptoms of heart rhythm problems, such as fast, pounding, or irregular heartbeats.


If you or your child vomits within one hour of taking the extended-release oral liquid, call your doctor right away to see if more medicine is needed.


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.


Zithromax Z-Pak Side Effects


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


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


More common
  • Diarrhea

  • loose stools

Less common
  • Blistering, crusting, irritation, itching, or reddening of the skin

  • cracked, dry, or scaly skin

  • fever

  • swelling

Rare
  • Abdominal or stomach pain

  • blistering, peeling, or loosening of the skin

  • bloody or cloudy urine

  • bloody, black, or tarry stools

  • body aches or pain

  • burning while urinating

  • chest pain

  • chills

  • congestion

  • cough increased

  • cough producing mucus

  • dark urine

  • difficult or labored breathing

  • difficult or painful urination

  • dizziness

  • drowsiness

  • dryness or soreness of the throat

  • earache

  • fainting

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

  • general feeling of discomfort or illness

  • general feeling of tiredness or weakness

  • headache

  • indigestion

  • irregular or slow heart rate

  • itching

  • joint or muscle pain

  • large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs

  • light-colored stools

  • loss of appetite

  • muscle aches and pains

  • nausea or vomiting

  • noisy breathing

  • passing of gas

  • rash

  • red skin lesions, often with a purple center

  • red, irritated eyes

  • redness or swelling in the ear

  • runny nose

  • shivering

  • shortness of breath

  • sneezing

  • sores, ulcers, or white spots on the lips or in the mouth

  • stomach pain, continuing

  • stomach pain, fullness, or discomfort

  • stuffy nose

  • sweating

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

  • tender, swollen glands in the neck

  • tightness in the chest

  • trouble with sleeping

  • trouble with swallowing

  • unpleasant breath odor

  • unusual bleeding or bruising

  • unusual tiredness or weakness

  • upper right abdominal or stomach pain

  • voice changes

  • vomiting of blood

  • wheezing

  • yellow eyes or skin

Incidence not known
  • Abdominal or stomach cramps

  • abdominal or stomach tenderness

  • bleeding gums

  • bloating

  • blood in the urine or stools

  • blurred vision

  • change in hearing

  • clay-colored stools

  • coma

  • confusion

  • constipation

  • continuing ringing or buzzing or other unexplained noise in the ears

  • decreased urine output

  • depression

  • diarrhea, watery and severe, which may also be bloody

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

  • fainting

  • greatly decreased frequency of urination or amount of urine

  • hives

  • hostility

  • increased thirst

  • irritability

  • lethargy

  • loss of hearing

  • lower back or side pain

  • muscle twitching

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

  • pale skin

  • pinpoint red spots on the skin

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

  • rapid weight gain

  • seizures

  • stupor

  • unusual weight loss

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:


Rare
  • Acid or sour stomach

  • aggressive, angry

  • bad, unusual, or unpleasant (after) taste

  • belching

  • burning feeling in the chest or stomach

  • burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings

  • change in taste

  • changes in the color of the tongue

  • crying

  • depersonalization

  • dry mouth

  • dysphoria

  • euphoria

  • excess air or gas in the stomach or intestines

  • feeling of constant movement of self or surroundings

  • full feeling

  • heartburn

  • hyperventilation

  • increase in body movements

  • itching of the vagina or genital area

  • lack or loss of strength

  • mental depression

  • nervousness

  • pain during sexual intercourse

  • paranoia

  • quick to react or overreact emotionally

  • rapidly changing moods

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

  • redness of the skin

  • restlessness

  • sensation of spinning

  • shaking

  • shortness of breath

  • sleepiness or unusual drowsiness

  • sleeplessness

  • sore mouth or tongue

  • stomach upset

  • thick, white vaginal discharge with no odor or with a mild odor

  • unable to sleep

  • white patches in the mouth, tongue, or throat

Incidence not known
  • Difficulty with moving

  • fear or nervousness

  • increased sensitivity of the skin to sunlight

  • muscle pain or stiffness

  • pain in the joints

  • redness or other discoloration of the skin

  • severe sunburn

  • trouble sitting still

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: Zithromax Z-Pak 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 Zithromax Z-Pak resources


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


  • Azithromycin Professional Patient Advice (Wolters Kluwer)

  • Azithromycin Monograph (AHFS DI)

  • Azithromycin MedFacts Consumer Leaflet (Wolters Kluwer)

  • Zithromax Prescribing Information (FDA)

  • Zithromax Consumer Overview

  • Zmax Prescribing Information (FDA)

  • Zmax Extended-Release Oral Suspension MedFacts Consumer Leaflet (Wolters Kluwer)



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Naproxen/Esomeprazole Delayed-Release Tablets


Pronunciation: na-PROX-en/ES-oh-MEP-ra-zole
Generic Name: Naproxen/Esomeprazole
Brand Name: Vimovo

Naproxen/Esomeprazole Delayed-Release Tablets contains 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 take Naproxen/Esomeprazole Delayed-Release Tablets for a long time. Do not use Naproxen/Esomeprazole Delayed-Release Tablets right before or after bypass heart surgery.


Naproxen/Esomeprazole Delayed-Release Tablets 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.





Naproxen/Esomeprazole Delayed-Release Tablets are used for:

Treating rheumatoid arthritis, osteoarthritis, or ankylosing spondylitis in certain patients at risk of developing stomach ulcers when using NSAIDs. It may also be used for other conditions as determined by your doctor.


Naproxen/Esomeprazole Delayed-Release Tablets are an NSAID and a proton pump inhibitor (PPI) combination. Exactly how the NSAID works is not known. It may block certain substances in the body that are linked to inflammation and pain. NSAIDs treat symptoms of pain and inflammation. The PPI works by decreasing the amount of acid produced in the stomach. This decreases the risk of developing an ulcer from using an NSAID.


Do NOT use Naproxen/Esomeprazole Delayed-Release Tablets if:


  • you are allergic to any ingredient in Naproxen/Esomeprazole Delayed-Release Tablets or to other PPIs (eg, lansoprazole, omeprazole)

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

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

  • you have severe liver problems

  • you are in the last 3 months of pregnancy

  • you are taking another medicine that contains naproxen

  • you are taking dasatinib, certain HIV protease inhibitors (eg, atazanavir, nelfinavir), another NSAID (eg, ibuprofen, oxaprozin), rifampin, or St. John's wort

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



Before using Naproxen/Esomeprazole Delayed-Release Tablets:


Some medical conditions may interact with Naproxen/Esomeprazole Delayed-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 a history of kidney or liver disease, diabetes, inflammatory bowel disease (eg, Crohn disease), Helicobacter pylori infection, or stomach or bowel problems (eg, bleeding, perforation, ulcers)

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

  • if you have high blood pressure, blood disorders, high blood cholesterol or lipid levels, bleeding or clotting problems, heart problems (eg, heart failure), 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 or magnesium levels; high blood potassium levels; are on a low-salt (sodium) diet; or use tobacco, drink alcohol, or have a history of alcohol abuse

  • if you have osteoporosis (weak bones), a family history of osteoporosis, or other risk factors of osteoporosis (eg, smoking, poor nutrition)

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


  • Anticoagulants (eg, enoxaparin, heparin, warfarin), antiplatelet medicines (eg, clopidogrel, prasugrel), aspirin, corticosteroids (eg, prednisone), other NSAIDs (eg, celecoxib, ibuprofen), rivaroxaban, or selective serotonin reuptake inhibitors (SSRIs) (eg, fluoxetine) because the risk of stomach bleeding may be increased

  • Angiotensin receptor blockers (eg, valsartan), bisphosphonates (eg, alendronate), probenecid, tacrolimus, or voriconazole because they may increase the risk of Naproxen/Esomeprazole Delayed-Release Tablets's side effects

  • Ginkgo biloba, rifampin, or St. John's wort because they may decrease Naproxen/Esomeprazole Delayed-Release Tablets's effectiveness

  • Cilostazol, cyclosporine, diazepam, digoxin, hydantoins (eg, phenytoin), lithium, methotrexate, quinolones (eg, ciprofloxacin), saquinavir, sulfonamides (eg, sulfamethoxazole), or sulfonylureas (eg, glipizide) because the risk of their side effects may be increased by Naproxen/Esomeprazole Delayed-Release Tablets

  • Angiotensin-converting enzyme (ACE) inhibitors (eg, enalapril), azole antifungals (eg, ketoconazole), beta-blockers (eg, propranolol), diuretics (eg, furosemide, hydrochlorothiazide), HIV protease inhibitors (eg, atazanavir, nelfinavir), iron, mycophenolate, or tyrosine kinase inhibitors (eg, dasatinib, erlotinib) because their effectiveness may be decreased by Naproxen/Esomeprazole Delayed-Release Tablets

This may not be a complete list of all interactions that may occur. Ask your health care provider if Naproxen/Esomeprazole Delayed-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 Naproxen/Esomeprazole Delayed-Release Tablets:


Use Naproxen/Esomeprazole Delayed-Release Tablets as directed by your doctor. Check the label on the medicine for exact dosing instructions.


  • Naproxen/Esomeprazole Delayed-Release Tablets comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Naproxen/Esomeprazole Delayed-Release Tablets refilled.

  • Take Naproxen/Esomeprazole Delayed-Release Tablets by mouth at least 30 minutes before eating, unless your doctor tells you otherwise. Talk with your doctor or pharmacist if you have persistent stomach upset.

  • Take Naproxen/Esomeprazole Delayed-Release Tablets with a full glass of water (8 oz/240 mL).

  • Swallow Naproxen/Esomeprazole Delayed-Release Tablets whole. Do not break, crush, chew, or dissolve before swallowing.

  • If you also take antacids or cholestyramine, ask your doctor or pharmacist how to take them with Naproxen/Esomeprazole Delayed-Release Tablets.

  • Continue to take Naproxen/Esomeprazole Delayed-Release Tablets even if you feel well. Do not miss any doses.

  • If you miss a dose of Naproxen/Esomeprazole Delayed-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 Naproxen/Esomeprazole Delayed-Release Tablets.



Important safety information:


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

  • Serious stomach ulcers or bleeding can occur with the use of an NSAID. Taking it in high doses or for a long time, smoking, or drinking alcohol increases the risk of these side effects. Taking Naproxen/Esomeprazole Delayed-Release Tablets 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.

  • Naproxen/Esomeprazole Delayed-Release Tablets may increase the risk of hip, wrist, and spine fractures in patients with weak bones (osteoporosis). The risk may be greater if you use Naproxen/Esomeprazole Delayed-Release Tablets in high doses, for longer than 1 year, or if you are older than 50 years. Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor. Contact your doctor if you have any questions about this information.

  • Naproxen/Esomeprazole Delayed-Release Tablets contains a PPI. Low blood magnesium levels have been reported rarely in patients taking PPIs for at least 3 months. In most cases, this effect was seen after a year of treatment. If you will be taking Naproxen/Esomeprazole Delayed-Release Tablets for a long time, or if you take certain other medicines (eg, digoxin, diuretics), your doctor may perform lab tests to check for low blood magnesium levels. Seek medical attention right away if you experience symptoms of low blood magnesium levels (eg, dizziness; fast or irregular heartbeat; involuntary muscle movements; jitteriness or tremors; muscle aches, cramps, pain, spasms, or weakness; seizures).

  • Check with your doctor to see whether you should take a calcium and vitamin D supplement while you take Naproxen/Esomeprazole Delayed-Release Tablets.

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

  • Naproxen/Esomeprazole Delayed-Release Tablets has naproxen in it. Before you start any new medicine, check the label to see if it has naproxen or any other 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 Naproxen/Esomeprazole Delayed-Release Tablets unless your doctor tells you to.

  • Naproxen/Esomeprazole Delayed-Release Tablets may interfere with certain lab tests. Be sure your doctor and lab personnel know that you take Naproxen/Esomeprazole Delayed-Release Tablets.

  • Lab tests, including liver and kidney function, complete blood cell counts, and blood pressure, may be performed while you use Naproxen/Esomeprazole Delayed-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 Naproxen/Esomeprazole Delayed-Release Tablets with caution in the ELDERLY; they may be more sensitive to its effects, especially stomach bleeding; kidney problems; or hip, wrist, and spine fractures.

  • Naproxen/Esomeprazole Delayed-Release Tablets should not be used in CHILDREN younger than 18 years; safety and effectiveness in these children have not been confirmed.

  • PREGNANCY and BREAST-FEEDING: Naproxen/Esomeprazole Delayed-Release Tablets may cause harm to the fetus. Do not take 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 taking Naproxen/Esomeprazole Delayed-Release Tablets while you are pregnant. Naproxen/Esomeprazole Delayed-Release Tablets are found in breast milk. Do not breast-feed while taking Naproxen/Esomeprazole Delayed-Release Tablets.


Possible side effects of Naproxen/Esomeprazole Delayed-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; diarrhea; dizziness; drowsiness; gas; headache; heartburn; nausea; stomach bloating or upset.



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; wheezing); bloody or black, tarry stools; bone pain; chest, jaw, or left arm pain; confusion; dark urine; decreased consciousness; fainting; fast or irregular heartbeat; fever, chills, or persistent sore throat; mental or mood changes (eg, depression); numbness of an arm or leg; one-sided weakness; red, swollen, blistered, or peeling skin (with or without fever); ringing in the ears; seizures; severe or persistent headache or dizziness; severe or persistent stomach pain or nausea; severe vomiting; shortness of breath; slurred speech; stiff neck; sudden or unexplained weight gain; swelling of the hands, legs, or feet; symptoms of liver problems (eg, dark urine, loss of appetite, pale stools, yellowing of the skin or eyes); trouble sleeping; trouble swallowing; unusual bruising or bleeding; unusual joint or muscle pain; unusual tiredness or weakness; urination problems (eg, decreased, difficult, or painful urination); vision or hearing 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.



If OVERDOSE is suspected:


Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include black, tarry stools; confusion; decreased coordination; decreased urination; fast heartbeat; flushing; loss of consciousness; seizures; severe nausea or stomach pain; severe or persistent dizziness, drowsiness, or headache; slow or difficult breathing; sluggishness; uncontrolled movements; unusual bleeding or bruising; unusual sweating; vision changes; vomiting that may or may not look like coffee grounds.


Proper storage of Naproxen/Esomeprazole Delayed-Release Tablets:

Store Naproxen/Esomeprazole Delayed-Release Tablets 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 in the original packaging until just before use. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Naproxen/Esomeprazole Delayed-Release Tablets out of the reach of children and away from pets.


General information:


  • If you have any questions about Naproxen/Esomeprazole Delayed-Release Tablets, please talk with your doctor, pharmacist, or other health care provider.

  • Naproxen/Esomeprazole Delayed-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 summary only. It does not contain all information about Naproxen/Esomeprazole Delayed-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 Naproxen/Esomeprazole resources


  • Naproxen/Esomeprazole Dosage
  • Naproxen/Esomeprazole Use in Pregnancy & Breastfeeding
  • Naproxen/Esomeprazole Drug Interactions
  • Naproxen/Esomeprazole Support Group
  • 6 Reviews for Naproxen/Esomeprazole - Add your own review/rating


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Superdent Hemal





Dosage Form: dental solution
superdent®

Hemal

Directions


Soak a cotton tipped applicator or pledget of cotton with Hemal. Apply to bleeding area with pressure until hemorrhage is arrested. (Note: Should a small dark coagulum appear, flush it awa with water. This will have no effect on hemostatic action.) Each gram contains Aluminum Chloride 250mg, Aqueous vehicle 750mg. Contains no Epinephrine.



PRINCIPAL DISPLAY PANEL - 30mL Bottle Label


super dent®


Hemal

Topical Hemostat Solution


1 oz. (30mL)


REF 951-4760


Rx Only

For Dental Use Only


Distributed by Darby Dental Supply, LLC. Jericho, NY 11753










Superdent Hemal 
aluminum chloride  solution










Product Information
Product TypeHUMAN PRESCRIPTION DRUGNDC Product Code (Source)66467-1081
Route of AdministrationDENTALDEA Schedule    








Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
Aluminum Chloride (Aluminum)Aluminum Chloride250 mg  in 1 g






Inactive Ingredients
Ingredient NameStrength
Water 


















Product Characteristics
Color    Score    
ShapeSize
FlavorImprint Code
Contains      










Packaging
#NDCPackage DescriptionMultilevel Packaging
166467-1081-133.9 g In 1 BOTTLE, GLASSNone










Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
UNAPPROVED DRUG OTHER02/19/1963


Labeler - Darby Dental Supply LLC (825137818)

Registrant - DSHealthcare (056296981)









Establishment
NameAddressID/FEIOperations
DENTSPLY Caulk083235549MANUFACTURE
Revised: 03/2010Darby Dental Supply LLC



Eledoisina




Eledoisina may be available in the countries listed below.


Ingredient matches for Eledoisina



Eledoisin

Eledoisina (DCIT) is also known as Eledoisin (Rec.INN)

International Drug Name Search

Glossary

DCITDenominazione Comune Italiana
Rec.INNRecommended International Nonproprietary Name (World Health Organization)

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Panalgorin




Panalgorin may be available in the countries listed below.


Ingredient matches for Panalgorin



Metamizole

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


  • Hungary

International Drug Name Search

Paracetamol CF




Paracetamol CF may be available in the countries listed below.


Ingredient matches for Paracetamol CF



Paracetamol

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


  • Netherlands

International Drug Name Search

Thursday, 22 September 2016

Praticilin




Praticilin may be available in the countries listed below.


Ingredient matches for Praticilin



Ampicillin

Ampicillin is reported as an ingredient of Praticilin in the following countries:


  • Brazil

International Drug Name Search

Paracotene




Paracotene may be available in the countries listed below.


Ingredient matches for Paracotene



Codeine

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


  • New Zealand

Paracetamol

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


  • New Zealand

International Drug Name Search

Droxidopa




Scheme

Rec.INN

CAS registry number (Chemical Abstracts Service)

0023651-95-8

Chemical Formula

C9-H11-N-O5

Molecular Weight

213

Therapeutic Category

Treatment of Parkinson's disease

Chemical Name

(-)-threo-3-(3,4-Dihydroxyphenyl)-L-serine

Foreign Names

  • Droxidopa (Latin)
  • Droxidopa (German)
  • Droxidopa (French)
  • Droxidopa (Spanish)

Generic Name

  • Droxidopa (OS: JAN, USAN)

Brand Name

  • Dops
    Dainippon Sumitomo, Japan

International Drug Name Search

Glossary

JANJapanese Accepted Name
OSOfficial Synonym
Rec.INNRecommended International Nonproprietary Name (World Health Organization)
USANUnited States Adopted Name

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Injectio Polocaini hydrochlorici




Injectio Polocaini hydrochlorici may be available in the countries listed below.


Ingredient matches for Injectio Polocaini hydrochlorici



Procaine

Procaine hydrochloride (a derivative of Procaine) is reported as an ingredient of Injectio Polocaini hydrochlorici in the following countries:


  • Poland

International Drug Name Search

Diltiazem Hydrochloride




Ingredient matches for Diltiazem Hydrochloride



Diltiazem

Diltiazem Hydrochloride (BANM, JAN, USAN) is known as Diltiazem in the US.

International Drug Name Search

Glossary

BANMBritish Approved Name (Modified)
JANJapanese Accepted Name
USANUnited States Adopted Name

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Wednesday, 21 September 2016

Pipamperon-neuraxpharm




Pipamperon-neuraxpharm may be available in the countries listed below.


Ingredient matches for Pipamperon-neuraxpharm



Pipamperone

Pipamperone dihydrochloride (a derivative of Pipamperone) is reported as an ingredient of Pipamperon-neuraxpharm in the following countries:


  • Germany

International Drug Name Search

Pritalinc




Pritalinc may be available in the countries listed below.


Ingredient matches for Pritalinc



Lincomycin

Lincomycin is reported as an ingredient of Pritalinc in the following countries:


  • Indonesia

International Drug Name Search

Alkosalen




Alkosalen may be available in the countries listed below.


Ingredient matches for Alkosalen



Flumetasone

Flumetasone 21-pivalate (a derivative of Flumetasone) is reported as an ingredient of Alkosalen in the following countries:


  • France

Salicylic Acid

Salicylic Acid is reported as an ingredient of Alkosalen in the following countries:


  • France

International Drug Name Search