Miltown

Generic Name: meprobamate (meh pro BA mate)

Brand Names: Equanil, Miltown

What is Miltown (meprobamate)?

Meprobamate affects chemicals in your brain that may become unbalanced and cause anxiety.

Meprobamate is used to relieve anxiety, nervousness, and tension associated with anxiety disorders.

Meprobamate may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about Miltown (meprobamate)?

Use caution when driving, operating machinery, or performing other hazardous activities. Meprobamate may cause drowsiness, dizziness, and blurred vision. If you experience drowsiness, dizziness, or blurred vision, avoid these activities. Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking meprobamate. Do not stop taking meprobamate suddenly if you have been taking it for several weeks. Stopping suddenly may cause withdrawal symptoms and make you uncomfortable. Talk to your doctor if you need to stop treatment with meprobamate. Notify your doctor if you develop a fever, a skin rash, or a sore throat.

What should I discuss with my healthcare provider before taking Miltown (meprobamate)?

Before taking this medication, tell your doctor if you have

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Treatments for depression are getting better everyday and there are things you can start doing right away.

• 
  

  porphyria,

  
  


• kidney disease,


• liver disease,


• 
  

  epilepsy or another seizure disorder, or

  
  


• 
  

  a history of drug or alcohol abuse.

  
  

You may not be able to take meprobamate, or you may require a lower dose or special monitoring during treatment if you have any of the conditions listed above.

Meprobamate may harm an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant. Meprobamate passes into breast milk. Do not take meprobamate without first talking to your doctor if you are breast-feeding a baby. If you are over 60 years of age, you may be more likely to experience side effects from meprobamate. You may require a lower dose of this medication or special monitoring during treatment. Meprobamate is not approved for use by children younger than 6 years of age.

How should I take Miltown (meprobamate)?

Take meprobamate exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.

Take each dose with a full glass of water. Do not crush, chew, or open any of the tablets or capsules. Swallow them whole.

Do not take more of this medication than is prescribed for you.

Do not stop taking meprobamate suddenly if you have been taking it for several weeks. Stopping suddenly may cause withdrawal symptoms and make you uncomfortable. Talk to your doctor if you need to stop treatment with meprobamate. Store meprobamate at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the dose you missed and take only your next regularly scheduled dose. Do not take a double dose of this medication. A double dose could be very dangerous.

What happens if I overdose?

Seek emergency medical attention.

Symptoms of a meprobamate overdose include sleepiness, dizziness, confusion, a slow heartbeat, difficulty breathing, difficulty walking and talking, an appearance of being drunk, and unconsciousness.

What should I avoid while taking Miltown (meprobamate)?

Use caution when driving, operating machinery, or performing other hazardous activities. Meprobamate may cause drowsiness, dizziness, and blurred vision. If you experience drowsiness, dizziness, or blurred vision, avoid these activities. Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking meprobamate.

Avoid other sedatives, sleeping pills, and tranquilizers. They should not be used while you are taking meprobamate unless your doctor approves.

Miltown (meprobamate) side effects

If you experience any of the following serious side effects, stop taking meprobamate and seek emergency medical attention:

• 
  

  an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, face, or tongue; or hives);

  
  


• 
  

  fast or irregular heartbeats;

  
  


• 
  

  abnormal behavior;

  
  


• 
  

  fever;

  
  


• 
  

  a skin rash; or

  
  


• 
  

  a sore throat.

  
  

Other, less serious side effects may be more likely to occur. Continue to take meprobamate and talk to your doctor if you experience

• 
  

  drowsiness or dizziness,

  
  


• 
  

  headache,

  
  


• 
  

  weakness,

  
  


• 
  

  vomiting or diarrhea, or

  
  


• 
  

  numbness or tingling.

  
  

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Miltown (meprobamate)?

Meprobamate may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, other anxiety medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any medicine unless your doctor approves.

Drugs other than those listed here may also interact with meprobamate. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

More Miltown resources

• Miltown Use in Pregnancy & Breastfeeding
• Miltown Drug Interactions
• Miltown Support Group
• 1 Review for Miltown - Add your own review/rating

• Miltown Advanced Consumer (Micromedex) - Includes Dosage Information


• Meprobamate Prescribing Information (FDA)


• Meprobamate Professional Patient Advice (Wolters Kluwer)


• Meprobamate Monograph (AHFS DI)


• Meprobamate MedFacts Consumer Leaflet (Wolters Kluwer)

Compare Miltown with other medications

• Anxiety

Where can I get more information?

• Your pharmacist has additional information about meprobamate written for health professionals that you may read.

Zemplar 4 micrograms capsule, soft

Zemplar 4 micrograms Capsules, Soft

Paricalcitol

Read all of this leaflet carefully before you start taking this medicine.

• Keep this leaflet. You may need to read it again.


• If you have any further questions, ask your doctor or pharmacist.


• This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are 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 Zemplar is and what it is used for

2. Before you take Zemplar

3. How to take Zemplar

4. Possible side effects

5. How to store Zemplar

6. Further information

, WHAT Zemplar IS AND WHAT IT IS USED FOR

Zemplar is a synthetic form of active vitamin D.

Active vitamin D is required for the normal functioning of many tissues in the body, including the parathyroid gland and bones. In people who have normal kidney function, this active form of vitamin D is naturally produced by the kidneys, but in kidney failure the production of active vitamin D is markedly reduced. Zemplar therefore provides a source of active vitamin D, when the body cannot produce enough and helps to prevent the consequences of low levels of active vitamin D, in patients with kidney disease (Stages 3, 4 and 5) namely high levels of parathyroid hormone which can cause bone problems.

BEFORE YOU TAKE Zemplar

Do not take Zemplar

• if you are allergic (hypersensitive) to paricalcitol or any of the ingredients of Zemplar.


• if you have very high levels of calcium or vitamin D in your blood.

Your doctor will be able to tell you if these conditions apply to you

Take special care with Zemplar

• Before the treatment begins, it is important to limit the amount of phosphorus in your diet.


• Phosphate-binding medicines may be needed to control phosphorus levels. If you are taking calcium-based phosphate binders, the doctor may need to adjust your dose.


• Your doctor will need to do blood tests to monitor your treatment.

Taking other medicines

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.

Some medicines can affect the action of Zemplar or make side effects more likely. It is particularly important to tell your doctor if you are taking ketoconazole (used to treat fungal infections such as candida or thrush), medicines for the heart or for blood pressure (e.g. digoxin and diuretics or water pills) or medicines containing high calcium levels. It is also important to mention if you are taking medicines which contain magnesium or aluminium e.g. some types of indigestion medicines (antacids) and phosphate-binders.

Ask your doctor or pharmacist for advice before taking any medicine.

Taking Zemplar with food and drink

Zemplar may be taken with or without food.

Pregnancy and breast-feeding

If you are pregnant or thinking of becoming pregnant, tell your doctor before taking Zemplar.

There is no adequate data on the use of paricalcitol in pregnant women. Potential risk in human use is not known, therefore paricalcitol should not be used unless clearly necessary.

It is not known if paricalcitol passes into human breast milk. Tell your doctor before breast-feeding while taking Zemplar.

Ask your doctor or pharmacist for advice before taking any medicines.

Driving and using machines

Zemplar should not affect your ability to drive or use machines.

Important information about some of the ingredients of Zemplar

This medicine contains a small amount of ethanol (an alcohol), less than 100mg per capsule, which may modify or increase the effect of other medicines. This could be harmful to people who suffer from liver disease, alcoholism, epilepsy, brain injury, or disease as well as in pregnant and breast-feeding women and children.

HOW TO TAKE Zemplar

Always take Zemplar exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.

Chronic Kidney Disease Stages 3 and 4

The usual dose is one capsule every other day, up to three times a week. Your doctor will use the results of your laboratory tests to decide the correct dose for you. Once Zemplar is started, the dose is likely to need adjusting, depending on how you respond to treatment. Your doctor will help determine the correct dose of Zemplar for you.

Chronic Kidney Disease Stage 5

The usual dose is one capsule every other day, up to three times a week. Your doctor will use the results of your laboratory tests to decide the correct dose for you. Once Zemplar is started, the dose is likely to need adjusting, depending on how you respond to treatment. Your doctor will help determine the correct dose of Zemplar for you.

Liver disease

If you have mild to moderate liver disease, your dose will not need to be adjusted. However, there is no experience in patients with severe liver disease.

Children

There is no information on using Zemplar in children under 5 years of age, and there is limited experience in children over 5 years of age.

Elderly

There is a limited amount of experience of using Zemplar in patients aged 65 years or older. In general no overall differences in effectiveness or safety were seen between patients aged 65 years or older and younger patients.

If you take more Zemplar than you should

Too much Zemplar can cause abnormally high levels of calcium in the blood, which can be harmful. Symptoms which can appear soon after taking too much Zemplar may include a feeling of weakness and/or drowsiness, headache, nausea (feeling sick) or vomiting (being sick), a dry mouth, constipation, pains in muscles or bones and a metallic taste in the mouth.

Symptoms which can develop over a longer period of taking too much Zemplar include loss of appetite, drowsiness, weight loss, sore eyes, a runny nose, itchy skin, feeling hot and feverish, loss of sex drive and severe abdominal pain (due to an inflamed pancreas) and kidney stones. Your blood pressure may be affected and heart beat irregularities (palpitations) can occur. The results of blood and urine tests may show high cholesterol, urea, nitrogen and raised levels of liver enzymes. Zemplar may rarely cause mental changes including confusion, drowsiness, insomnia or nervousness.

If you take too much Zemplar, or experience any of the above, seek medical advice immediately.

If you forget to take Zemplar

If you forget to take a dose, take it as soon as your remember. However, if it is almost time for your next dose, do not take the dose that you have missed; simply continue to take Zemplar as previously directed (dose and time) by your doctor.

Do not take a double dose to make up for a forgotten dose.

If you stop taking Zemplar

Unless your doctor tells you to stop your treatment, it is important to keep taking Zemplar as your doctor has directed.

Possible Side Effects

Like all medicines, Zemplar can cause side effect, although not everybody gets them.

Tell your doctor immediately if you notice any of the following side effects:

In patients with chronic kidney disease stage 3 and 4

The most common (at least 1 in 100 patients) side effects include: rash and stomach discomfort.

Less commonly (at least 1 in 1000 patients), allergic reactions (such as shortness of breath wheezing, rash, itching or swelling of the face and lips) itchy skin and hives may occur, as well as constipation, dry mouth, muscle cramps, dizziness and an unusual taste in the mouth.

Changes in liver function tests may also occur.

If you experience an allergic reaction, please contact your doctor immediately.

In patients with chronic kidney disease stage 5

The most common (at least 1 in 100 patients) side effects are diarrhoea, heartburn (reflux or indigestion), decreased appetite, dizziness, breast pain and acne. Abnormal blood calcium levels can also occur.

The most common (at least 1 in 100 patients) side effects seen in patients during use of paricalcitol injection are: headache, unusual taste in the mouth, itching, decreased levels of parathyroid hormone, increased levels of calcium, and increased levels of phosphorous.

Less common (at least 1 in 1000 patients) side effects seen in patients during use of paricalcitol injection are: irregular heartbeat, prolonged bleeding, liver function test abnormal, weight loss, heart stops beating, very fast heartbeat, low white blood cell count, low red blood cell count, swollen glands, stroke, mini-stroke, coma, fainting, dizziness, twitching, feeling of pins and needles, numbness, increased pressure in the eyes, pink eye, red eyes, earache, water in the lungs, nose bleed, shortness of breath, wheezing, cough, low blood flow to the intestines, anal bleeding, upset stomach, difficulty swallowing, irritable bowel syndrome, diarrhoea, constipation, heartburn, vomiting, nausea, dry mouth, stomach discomfort, itchy rash, rash, blister, hair loss, hair growth, night sweats, injection site pain, skin burning sensation, joint pain, muscle pain, back pain, joint stiffness, muscle twitching, high levels of parathyroid hormone, loss of appetite, decreased appetite, blood infection, pneumonia, flu, cold, sore throat, vaginal infection, breast cancer, low blood pressure, high blood pressure, chest pain, abnormal walk, swelling in the legs, swelling, chest discomfort, fever, weakness, pain, tired, not feeling well, thirsty, feeling abnormal, breast pain, allergy, difficulty having an erection, disturbance of consciousness, confused, anxious, can not sleep, nervous, restless.

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 immediately.

HOW TO STORE Zemplar

Keep out of the reach and sight of children.

This medicinal product does not require any special storage conditions..

Do not use Zemplar after the expiry date which is stated on the carton and label after abbreviation EXP used for expiry date. This expiry date refers to the last day of that month.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

Further Information

What Zemplar contains

• The active substance is paricalcitol. Each soft capsule contains 4 micrograms of paricalcitol.


• The other ingredients are: medium chain triglycerides, ethanol, butylhydroxytoluene.


• The capsule shell contains: gelatin, glycerol, water, titanium dioxide (E 171), iron oxide yellow (E 172).


• The printing ink contains: propylene glycol, black iron oxide (E172), polyvinyl acetate phthalate, polyethylene glycol 400, ammonium hydroxide.

What Zemplar looks like and contents of the pack

Zemplar Capsules, 4 micrograms, is an oval, gold soft capsule imprinted with and ZK

Each carton contains either 1 or 4 foil blister packs. Each pack contains 7 capsules.

Marketing Authorisation Holder and Manufacturer

The marketing Authorisation holder in the UK is

Abbott Laboratories Ltd

Abbott House

Vanwall Business Park

Vanwall road

Maidenhead

Berkshire

SL6 4XE

UK

Manufacturer:

Aesica Queenborough Ltd.

Queenborough

Kent

ME11 5EL

United Kingdom

Date of preparation: March 2010

1000001584

haemophilus b conjugate vaccine Intramuscular

hee-MOF-i-lus B KON-joo-gate VAX-een

Commonly used brand name(s)

In the U.S.

• ActHIB


• Hiberix


• Hibtiter


• Pedvaxhib

Available Dosage Forms:

• Solution


• Powder for Solution


• Powder for Suspension

Therapeutic Class: Vaccine

Uses For haemophilus b conjugate vaccine

Haemophilus b conjugate vaccine is an active immunizing agent that is used to prevent infection caused by the Haemophilus influenza type b (Hib) bacteria. The vaccine works by causing your body to produce its own protection (antibodies) against the disease.

Haemophilus b conjugate vaccine is prepared by adding a diphtheria, meningococcal, or tetanus-related substance to the process. However, this vaccine does not take the place of the regular vaccines for diphtheria, tetanus, or meningococcus that children and adults should receive. All of the haemophilus b conjugate vaccines work the same way, but they may be given at different ages or using a different schedule.

Infections with Haemophilus influenza type b (Hib) bacteria can cause life-threatening illnesses, such as meningitis (a brain disease), epiglottitis (a throat disease that can cause suffocation), pericarditis (a heart disease), pneumonia (a lung disease), and septic arthritis (a bone and joint disease). Hib meningitis may cause death or leave the child with serious and permanent damage, such as mental retardation, deafness, epilepsy, or partial blindness.

Haemophilus b conjugate vaccine is recommended for all children 2 months to 5 years of age (i.e., up to the 6th birthday).

The Hiberix® vaccine is used as a booster dose for children who have already received the primary series with a haemophilus b conjugate vaccine. The vaccine will "boost" or increase the protection that the child had from an earlier dose.

This vaccine is to be administered only by or under the direct supervision of your doctor.

Before Using haemophilus b conjugate vaccine

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

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to haemophilus b conjugate vaccine 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 the haemophilus b conjugate vaccine in children 2 months to 5 years of age. However, safety and efficacy have not been established in children 6 years of age and older and children younger than 2 months of age.

Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of the Hiberix® vaccine in children 15 months to 4 years of age. However, safety and efficacy have not been established in children 5 years of age and older and children younger than 15 months of age.

Geriatric

The haemophilus b conjugate vaccine is not recommended for adult or geriatric patients.

Pregnancy

	Pregnancy Category	Explanation
All Trimesters	C	Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

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. 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.

Other Medical Problems

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

• Guillain-Barré syndrome (nervous system disorder that causes paralysis), history of after a vaccine with tetanus—Your doctor will decide if you should receive this vaccine.

• Weakened immune system—May not work as well in patients with this condition.

Proper Use of haemophilus b conjugate vaccine

A nurse or other trained health professional will give your child this vaccine. This vaccine is given as a shot into a muscle.

The exact schedule for your child's vaccines will vary depending on the brand of medicine used and your child's age at the time of the first dose. In general, your child will receive the first dose at 2 to 6 months of age, followed by 2 more doses at least 8 weeks apart. Your child will usually receive a booster dose at 15 to 18 months of age, although he or she can receive haemophilus b conjugate vaccine up until the age of 5 years.

It is important that your child receive all of the doses of vaccine in this series. Try to keep all of your scheduled appointments. If your child does miss a dose of this vaccine, make another appointment as soon as possible.

Your child may receive other vaccines at the same time as this one, but in a different body area. You should receive information sheets about all of the vaccines your child receives. Make sure you understand all of the information that is given to you.

Precautions While Using haemophilus b conjugate vaccine

It is very important that your child return to your doctor’s office at the right time for each dose. Be sure to notify your doctor of any side effects that occur after your child receives this vaccine.

This vaccine may interfere with laboratory tests that check for Hib disease. Make sure your doctor knows that your child received the vaccine if a severe infection occurs during the 2 weeks after the vaccine is given.

Tell the doctor right away if your child is allergic to latex rubber. The vaccine syringes and vials may contain dry natural latex rubber. This may cause an allergic reaction in patients who are sensitive to latex.

haemophilus b conjugate vaccine 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 or nurse immediately if any of the following side effects occur:

More common

• Diarrhea


• loss of appetite


• vomiting

Less common

• Earache


• redness or swelling in the ear

Rare

• Chest pain


• chills


• convulsions (seizures)


• cough


• fever over 102 degrees F (39 degrees C)


• lack or loss of strength


• shortness of breath


• sneezing


• sore throat


• tightness in the chest


• troubled breathing


• wheezing

Incidence not known

• Bluish lips or skin


• dizziness


• fast heartbeat


• hives


• itching (especially of the feet or hands)


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


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


• reddening of the skin (especially around the ears)


• skin rash


• swelling of the eyes, face, or inside of the nose


• swollen, painful, or tender lymph glands in the neck, armpit, or groin


• unusual tiredness or weakness (sudden and severe)

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

More common

• Fever less than 102 degrees F (39 degrees C)


• irritability


• redness, pain, swelling, tenderness, or warm feeling at the injection site


• reduced physical activity


• restlessness


• sleepiness

Less common

• Prolonged crying lasting more than 4 hours


• unusual high-pitched crying

Incidence not known

• Hives or welts


• sleepiness or unusual drowsiness

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: haemophilus b conjugate vaccine Intramuscular 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 haemophilus b conjugate vaccine Intramuscular resources

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

Compare haemophilus b conjugate vaccine Intramuscular with other medications

• Haemophilus influenzae Prophylaxis

pneumococcal 7-valent vaccine, diphtheria conjugate Intramuscular

NOO-moe-KOK-al 7-VAY-lent VAX-een, dif-THEER-ee-a KON-joo-gate

Commonly used brand name(s)

In the U.S.

• Prevnar

Available Dosage Forms:

• Suspension

Therapeutic Class: Vaccine

Uses For pneumococcal 7-valent vaccine, diphtheria conjugate

Pneumococcal 7-valent diphtheria conjugate vaccine is an active immunizing agent used to prevent infection by pneumococcal bacteria. It works by causing your body to produce its own protection (antibodies) against the disease.

Pneumococcal infection can cause serious problems, such as pneumonia, which affects the lungs; meningitis, which affects the brain; and bacteremia, which is a severe infection in the blood. Pneumococcal infection is also an important cause of ear infections in children.

Unless otherwise contraindicated, immunization against pneumococcal disease is recommended for infants and young children.

Immunization requires 1 to 4 doses of the vaccine, depending on the age at the first dose. This vaccine can be given at the same time as other routine vaccinations.

This vaccine is to be administered only by or under the supervision of your doctor.

Before Using pneumococcal 7-valent vaccine, diphtheria conjugate

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

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to pneumococcal 7-valent vaccine, diphtheria conjugate 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

This vaccine is generally well-tolerated and effective in infants. The safety and effectiveness in infants below 6 weeks of age and in children older than 10 years of age have not been established.

Geriatric

This vaccine is not recommended for adult populations.

Pregnancy

	Pregnancy Category	Explanation
All Trimesters	C	Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

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. 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 pneumococcal 7-valent vaccine, diphtheria conjugate

Dosing

The dose of pneumococcal 7-valent vaccine, diphtheria conjugate 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 pneumococcal 7-valent vaccine, diphtheria conjugate. 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.

The number of injections your child will receive for protection from pneumococcal infection will depend on your child's age at the first dose:

• Children 6 weeks to 6 months of age—4 doses


• Children 7 to 11 months of age—3 doses


• Children 12 to 23 months of age—2 doses


• Children 2 years through 9 years of age—1 dose


• Children older than 9 years of age—Use of this vaccine is not recommended in this age group.

Your doctor will tell you when your child should receive the next dose.

Precautions While Using pneumococcal 7-valent vaccine, diphtheria conjugate

If your child has more than one doctor, be sure they all know that your child has received pneumococcal 7-valent diphtheria conjugate vaccine so they can put the information into your child's medical record.

pneumococcal 7-valent vaccine, diphtheria conjugate 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:

Symptoms of allergic reaction

• Difficulty with breathing or swallowing


• hives


• itching, especially of the feet or hands


• reddening of the skin, especially around the ears


• swelling of the eyes, face, or inside of the nose


• unusual tiredness or weakness (sudden and severe)

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

Less common

• Fever over 39 °C (102.2 °F)

Rare

• Collapse or shock-like state


• convulsions

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

More common

• Decreased appetite


• diarrhea


• drowsiness


• fever of less than 39 °C (102.2 °F)


• irritability


• redness, soreness, hard lump, swelling, or pain at the injection site


• restless sleep


• vomiting

Less common

• Skin rash or hives

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

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

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

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

More pneumococcal 7-valent vaccine, diphtheria conjugate Intramuscular resources

• Pneumococcal 7-valent vaccine, diphtheria conjugate Intramuscular Use in Pregnancy & Breastfeeding
• Pneumococcal 7-valent vaccine, diphtheria conjugate Intramuscular Drug Interactions
• Pneumococcal 7-valent vaccine, diphtheria conjugate Intramuscular Support Group
• 0 Reviews for Pneumococcal 7-valent vaccine, diphtheria conjugate Intramuscular - Add your own review/rating

Compare pneumococcal 7-valent vaccine, diphtheria conjugate Intramuscular with other medications

• Pneumococcal Disease Prophylaxis

TheraCys

Generic Name: BCG (bee cee jee)

Brand Names: TheraCys, Tice BCG Vaccine

What is TheraCys (BCG)?

BCG (Bacillus Calmette and Guérin) is made using the organisms of a bacteria.

This medication is injected directly into the bladder, where it causes inflammation and increases certain white blood cells known as natural killer cells. These killer cells act to destroy invading cells such as tumor cells in the bladder.

BCG is used to treat bladder cancer that is localized (has not spread to other parts of the body).

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

What is the most important information I should know about TheraCys (BCG)?

You should not be treated with this medication if you are allergic to BCG, or if you have tuberculosis, a fever, a bladder infection, blood in your urine, or a weak immune system (caused by certain drugs or disease such as AIDS, leukemia, or lymphoma).

You should also not receive BCG if you have had a bladder biopsy, surgery, or catheter within the past 14 days.

Before you receive BCG, tell your doctor if you are allergic to latex rubber, or if you have myasthenia gravis, a pacemaker or other artificial heart device, an artificial joint or other prosthetic, or any type of infection (including HIV).

Also tell your doctor if you have ever had tuberculosis, bypass surgery, or an aneurysm (dilated blood vessel), or if you currently need to have an organ transplant (kidney, liver, heart, etc).

Your doctor may ask you to drink extra fluids for several hours after your BCG treatment to help flush out your bladder. Follow your doctor's instructions about the type and amount of liquids you should drink.

Call your doctor right away if you have a fever after receiving BCG, especially if the fever lasts for several hours or longer. Antibiotics can make BCG less effective and should be avoided during your treatment with BCG. If you have an infection that must be treated with an antibiotic, you may need to stop receiving BCG for a short time. Follow your doctor's instructions and be sure to tell any other doctor who treats you that you are receiving BCG.

What should I discuss with my health care provider before I receive TheraCys (BCG)?

You should not receive this medication if you are allergic to BCG, or if you have:

• 
  

  tuberculosis;

  
  


• 
  

  a weak immune system from diseases such as AIDS, leukemia, or lymphoma;

  
  


• 
  

  fever, a bladder infection, or blood in your urine;

  
  


• 
  

  if you are using steroids or receiving chemotherapy or radiation treatments; or

  
  


• 
  

  if you have had a bladder biopsy, surgery, or catheter within the past 14 days.

  
  

Before you receive BCG, tell your doctor if you are allergic to latex rubber, or if you have:

• 
  

  any type of bacterial, fungal, or viral infection (including HIV);

  
  


• 
  

  myasthenia gravis;

  
  


• 
  

  a pacemaker or other artificial heart device;

  
  


• 
  

  an artificial joint or other prosthetic;

  
  


• 
  

  a history of aneurysm (dilated blood vessel);

  
  


• 
  

  if you have ever had bypass surgery;

  
  


• 
  

  if you have ever had tuberculosis; or

  
  


• 
  

  if you need to have an organ transplant (kidney, liver, heart, etc).

  
  

If you have any of these conditions, you may need a dose adjustment or special tests to safely receive BCG.

FDA pregnancy category C. This medication may be harmful to an unborn baby. Before you receive BCG, tell your doctor if you are pregnant. Use effective birth control, and tell your doctor if you become pregnant during treatment. It is not known whether BCG 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.

How is BCG given?

BCG is a freeze-dried product that is mixed with saline and other diluents (liquids) in an amount equal to approximately 8 ounces. This liquid mixture is injected directly into the bladder using a catheter inserted into the urethra (the tube for passing urine out of your bladder). You will receive this medication in a clinic or hospital setting.

This medication is usually given once every week for 6 weeks, and then given every 3 to 6 months for up to 2 years. Follow your doctor's instructions about your specific dosing schedule.

After BCG is placed into the bladder, you will need hold the medication in your bladder as long as possible up to 2 hours. During that time you may be encouraged to lie down or stay relaxed.

For at least 6 hours after you are treated with BCG, your urine will still contain some of the medication and the bacteria it is made from. To prevent the spread of this bacteria, use a toilet rather than a urinal, and sit on the toilet while urinating.

Before you flush the toilet, disinfect the urine with household bleach in an amount that is approximately equal to how much you have urinated. Pour the bleach into the toilet in which you urinated, let it stand for 15 minutes and then flush.

Your doctor may ask you to drink extra fluids for several hours after your BCG treatment to help flush out your bladder. Follow your doctor's instructions about the type and amount of liquids you should drink.

Call your doctor right away if you have a fever after receiving BCG, especially if the fever lasts for several hours or longer.

Being treated with BCG can cause you to have unusual results with certain medical tests. Tell any doctor who treats you that you are using BCG.

What happens if I miss a dose?

Call your doctor for instructions if you miss an appointment for your BCG treatment.

What happens if I overdose?

Seek emergency medical attention if you think you have received too much of this medicine.

Overdose symptoms may include signs of an infection, such as fever, chills, body aches, weakness, or other flu symptoms.

What should I avoid while receiving TheraCys (BCG)?

Antibiotics can make BCG less effective and should be avoided during your treatment with BCG. If you have an infection that must be treated with an antibiotic, you may need to stop receiving BCG for a short time. Follow your doctor's instructions and be sure to tell any other doctor who treats you that you are receiving BCG.

TheraCys (BCG) 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. Report any side effects to your doctor. Some side effects may be serious, including:

• 
  

  fever, chills, cough, body aches, joint pain, weakness, vomiting, or other flu symptoms;

  
  


• 
  

  nausea, vomiting, stomach pain, jaundice (yellowing of your skin or eyes);

  
  


• 
  

  pain or burning when you urinate;

  
  


• 
  

  difficult urination;

  
  


• 
  

  more frequent or urgent urinating;

  
  


• 
  

  blood in your urine, lower back pain;

  
  


• 
  

  pain or swelling in your testicles;

  
  


• 
  

  easy bruising or bleeding;

  
  


• 
  

  eye pain, redness, watering, severe burning or itching; or

  
  


• 
  

  vision changes, increased sensitivity to light.

  
  

Less serious side effects may include:

• 
  

  mild nausea, stomach pain, or loss of appetite;

  
  


• 
  

  mild bladder or groin pain;

  
  


• 
  

  urine leakage or incontinence;

  
  


• 
  

  diarrhea, constipation;

  
  


• 
  

  headache;

  
  


• 
  

  mild skin rash;

  
  


• 
  

  dizziness, tired feeling; or

  
  


• 
  

  tissue particles in your urine (not blood).

  
  

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.

What other drugs will affect TheraCys (BCG)?

Before you receive BCG, tell your doctor if you are taking an antibiotic, or if you are using any drugs that weaken your immune system, such as:

• 
  

  cancer medicine or radiation;

  
  


• 
  

  cyclosporine (Neoral, Sandimmune, Gengraf);

  
  


• 
  

  sirolimus (Rapamune), tacrolimus (Prograf);

  
  


• 
  

  basiliximab (Simulect), efalizumab (Raptiva), muromonab-CD3 (Orthoclone);

  
  


• 
  

  mycophenolate mofetil (CellCept);

  
  


• 
  

  azathioprine (Imuran), leflunomide (Arava), etanercept (Enbrel); or

  
  


• 
  

  steroids such as prednisone, fluticasone (Advair), mometasone (Asmanex, Nasonex), dexamethasone (Decadron, Hexadrol) and others.

  
  

This list is not complete and there may be other drugs that can interact with BCG. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

More TheraCys resources

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

• TheraCys MedFacts Consumer Leaflet (Wolters Kluwer)


• BCG Vaccine Prescribing Information (FDA)


• BCG Vaccine Advanced Consumer (Micromedex) - Includes Dosage Information


• Theracys Advanced Consumer (Micromedex) - Includes Dosage Information

Compare TheraCys with other medications

• Tuberculosis, Prophylaxis
• Urinary Tract Tumors

Where can I get more information?

• Your doctor or pharmacist can provide more information about BCG.

See also: TheraCys side effects (in more detail)

Maxinate

Generic Name: prenatal multivitamins (PRE nay tal VYE ta mins)

Brand Names: Advance Care Plus, Bright Beginnings, Cavan Folate, Cavan One, Cavan-Heme OB, Cenogen Ultra, CitraNatal Rx, Co Natal FA, Complete Natal DHA, Complete-RF, CompleteNate, Concept OB, Docosavit, Dualvit OB, Duet, Edge OB, Elite OB 400, Femecal OB, Folbecal, Folcaps Care One, Folivan-OB, Foltabs, Gesticare, Icar Prenatal, Icare Prenatal Rx, Inatal Advance, Infanate DHA, Kolnatal DHA, Lactocal-F, Marnatal-F, Maternity, Maxinate, Mission Prenatal, Multi-Nate 30, Multinatal Plus, Nata 29 Prenatal, Natachew, Natafort, Natelle, Neevo, Nestabs, Nexa Select with DHA, Novanatal, NovaStart, O-Cal Prenatal, OB Complete, OB Natal One, Ob-20, Obtrex DHA, OptiNate, Paire OB Plus DHA, PNV Select, PNV-Total, PR Natal 400, Pre-H-Cal, Precare, PreferaOB, Premesis Rx, PrenaCare, PrenaFirst, PrenaPlus, Prenatabs OBN, Prenatabs Rx, Prenatal 1 Plus 1, Prenatal Elite, Prenatal Multivitamins, Prenatal Plus, Prenatal S, Prenatal-U, Prenate Advanced Formula, Prenate DHA, Prenate Elite, Prenavite FC, PreNexa, PreQue 10, Previte Rx, PrimaCare, Pruet DHA, RE OB Plus DHA, Renate, RightStep, Rovin-NV, Se-Care, Se-Natal One, Se-Plete DHA, Se-Tan DHA, Select-OB, Seton ET, Strongstart, Stuart Prenatal with Beta Carotene, Tandem OB, Taron-BC, Tri Rx, TriAdvance, TriCare, Trimesis Rx, Trinate, Triveen-PRx RNF, UltimateCare Advance, Ultra-Natal, Vemavite PRX 2, VeNatal FA, Verotin-BY, Verotin-GR, Vinacal OR, Vinatal Forte, Vinate Advanced (New Formula), Vinate AZ, Vinate Care, Vinate Good Start, Vinate II (New Formula), Vinate III, Vinate One, Vitafol-OB, VitaNatal OB plus DHA, Vitaphil, Vitaphil Aide, Vitaphil Plus DHA, Vitaspire, Viva DHA, Vol-Nate, Vol-Plus, Vol-Tab Rx, Vynatal F.A., Zatean-CH, Zatean-PN

What are Maxinate (prenatal multivitamins)?

There are many brands and forms of prenatal vitamin available and not all brands are listed on this leaflet.

Prenatal vitamins are a combination of many different vitamins that are normally found in foods and other natural sources.

Prenatal vitamins are used to provide the additional vitamins needed during pregnancy. Minerals may also be contained in prenatal multivitamins.

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

What is the most important information I should know about prenatal vitamins?

There are many brands and forms of prenatal vitamin available and not all brands are listed on this leaflet.

Never take more than the recommended dose of a multivitamin. Avoid taking any other multivitamin product within 2 hours before or after you take your prenatal vitamins. Taking similar vitamin products together at the same time can result in a vitamin overdose or serious side effects.

Many multivitamin products also contain minerals such as calcium, iron, magnesium, potassium, and zinc. Minerals (especially taken in large doses) can cause side effects such as tooth staining, increased urination, stomach bleeding, uneven heart rate, confusion, and muscle weakness or limp feeling. Read the label of any multivitamin product you take to make sure you are aware of what it contains.

Seek emergency medical attention if you think you have used too much of this medicine. An overdose of vitamins A, D, E, or K can cause serious or life-threatening side effects and can also harm your unborn baby. Certain minerals contained in a prenatal multivitamin may also cause serious overdose symptoms or harm to the baby if you take too much.

Overdose symptoms may include stomach pain, vomiting, diarrhea, constipation, loss of appetite, hair loss, peeling skin, tingly feeling in or around your mouth, changes in menstrual periods, weight loss, severe headache, muscle or joint pain, severe back pain, blood in your urine, pale skin, and easy bruising or bleeding.

Do not take this medication with milk, other dairy products, calcium supplements, or antacids that contain calcium. Calcium may make it harder for your body to absorb certain ingredients of the multivitamin.

What should I discuss with my healthcare provider before taking prenatal vitamins?

Many vitamins can cause serious or life-threatening side effects if taken in large doses. Do not take more of this medication than directed on the label or prescribed by your doctor.

Before taking prenatal vitamins, tell your doctor about all of your medical conditions.

You may need to continue taking prenatal vitamins if you breast-feed your baby. Ask your doctor about taking this medication while breast-feeding.

How should I take prenatal vitamins?

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.

Never take more than the recommended dose of prenatal vitamins.

Many multivitamin products also contain minerals such as calcium, iron, magnesium, potassium, and zinc. Minerals (especially taken in large doses) can cause side effects such as tooth staining, increased urination, stomach bleeding, uneven heart rate, confusion, and muscle weakness or limp feeling. Read the label of any multivitamin product you take to make sure you are aware of what it contains.

Take your prenatal vitamin with a full glass of water.

Swallow the regular tablet or capsule whole. Do not break, chew, crush, or open it.

The chewable tablet must be chewed or allowed to dissolve in your mouth before swallowing. You may also allow the chewable tablet to dissolve in drinking water, fruit juice, or infant formula (but not milk or other dairy products). Drink this mixture right away.

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

Store at room temperature away from moisture and heat. Keep prenatal vitamins in their original container. Storing vitamins in a glass container can ruin the medication.

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 if you think you have used too much of this medicine. An overdose of vitamins A, D, E, or K can cause serious or life-threatening side effects and can also harm your unborn baby. Certain minerals contained in a prenatal multivitamin may also cause serious overdose symptoms or harm to the baby if you take too much.

Overdose symptoms may include stomach pain, vomiting, diarrhea, constipation, loss of appetite, hair loss, peeling skin, tingly feeling in or around your mouth, changes in menstrual periods, weight loss, severe headache, muscle or joint pain, severe back pain, blood in your urine, pale skin, and easy bruising or bleeding.

What should I avoid while taking prenatal vitamins?

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

Avoid the regular use of salt substitutes in your diet if your multivitamin contains potassium. If you are on a low-salt diet, ask your doctor before taking a vitamin or mineral supplement.

Do not take this medication with milk, other dairy products, calcium supplements, or antacids that contain calcium. Calcium may make it harder for your body to absorb certain ingredients of the prenatal vitamin.

Prenatal vitamins 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.

When taken as directed, prenatal vitamins are not expected to cause serious side effects. Less serious side effects may include:

• 
  

  upset stomach;

  
  


• 
  

  headache; or

  
  


• 
  

  unusual or unpleasant taste in your mouth.

  
  

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 prenatal vitamins?

Vitamin and mineral supplements can interact with certain medications, or affect how medications work in your body. Before taking a prenatal vitamin, tell your doctor if you also use:

• 
  

  diuretics (water pills);

  
  


• 
  

  heart or blood pressure medications;

  
  


• 
  

  tretinoin (Vesanoid);

  
  


• 
  

  isotretinoin (Accutane, Amnesteen, Clavaris, Sotret);

  
  


• 
  

  trimethoprim and sulfamethoxazole (Cotrim, Bactrim, Gantanol, Gantrisin, Septra, TMP/SMX); or

  
  


• 
  

  an NSAID (non-steroidal anti-inflammatory drug) such as ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn, Naprelan, Treximet), celecoxib (Celebrex), diclofenac (Cataflam, Voltaren), indomethacin (Indocin), meloxicam (Mobic), and others.

  
  

This list is not complete and other drugs may interact with prenatal vitamins. 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 Maxinate resources

• Maxinate Use in Pregnancy & Breastfeeding
• Maxinate Drug Interactions
• Maxinate Support Group
• 0 Reviews for Maxinate - Add your own review/rating

• Cal-Nate MedFacts Consumer Leaflet (Wolters Kluwer)


• CareNatal DHA MedFacts Consumer Leaflet (Wolters Kluwer)


• CitraNatal 90 DHA MedFacts Consumer Leaflet (Wolters Kluwer)


• CitraNatal Assure Prescribing Information (FDA)


• CitraNatal Harmony Prescribing Information (FDA)


• Concept DHA Prescribing Information (FDA)


• Docosavit Prescribing Information (FDA)


• Duet DHA with Ferrazone MedFacts Consumer Leaflet (Wolters Kluwer)


• Folbecal MedFacts Consumer Leaflet (Wolters Kluwer)


• Folcal DHA Prescribing Information (FDA)


• Folcaps Care One Prescribing Information (FDA)


• Gesticare DHA Prescribing Information (FDA)


• Gesticare DHA MedFacts Consumer Leaflet (Wolters Kluwer)


• Inatal Advance Prescribing Information (FDA)


• Inatal Ultra Prescribing Information (FDA)


• Multi-Nate DHA Prescribing Information (FDA)


• Multi-Nate DHA Extra Prescribing Information (FDA)


• MultiNatal Plus MedFacts Consumer Leaflet (Wolters Kluwer)


• Natelle One Prescribing Information (FDA)


• Neevo Caplets MedFacts Consumer Leaflet (Wolters Kluwer)


• Neevo DHA MedFacts Consumer Leaflet (Wolters Kluwer)


• OB Complete 400 MedFacts Consumer Leaflet (Wolters Kluwer)


• Paire OB Plus DHA Prescribing Information (FDA)


• PreNexa MedFacts Consumer Leaflet (Wolters Kluwer)


• PreNexa Prescribing Information (FDA)


• PreferaOB Prescribing Information (FDA)


• Prenatal Plus Prescribing Information (FDA)


• Prenatal Plus Iron Prescribing Information (FDA)


• Prenate Elite Prescribing Information (FDA)


• Prenate Elite MedFacts Consumer Leaflet (Wolters Kluwer)


• Prenate Elite tablets


• Prenate Essential Prescribing Information (FDA)


• PrimaCare Advantage MedFacts Consumer Leaflet (Wolters Kluwer)


• PrimaCare ONE capsules


• PrimaCare One MedFacts Consumer Leaflet (Wolters Kluwer)


• Renate DHA Prescribing Information (FDA)


• Se-Natal 19 Chewable Tablets MedFacts Consumer Leaflet (Wolters Kluwer)


• Se-Natal 19 Prescribing Information (FDA)


• Tandem DHA Prescribing Information (FDA)


• Tandem OB Prescribing Information (FDA)


• TriAdvance Prescribing Information (FDA)


• Triveen-One MedFacts Consumer Leaflet (Wolters Kluwer)


• Triveen-PRx RNF Prescribing Information (FDA)


• UltimateCare ONE NF Prescribing Information (FDA)


• Ultra NatalCare MedFacts Consumer Leaflet (Wolters Kluwer)


• Vinate AZ Prescribing Information (FDA)


• Vitafol-One MedFacts Consumer Leaflet (Wolters Kluwer)


• Zatean-CH Prescribing Information (FDA)

Compare Maxinate with other medications

• Vitamin/Mineral Supplementation during Pregnancy/Lactation

Where can I get more information?

• Your pharmacist can provide more information about prenatal vitamins.

Atridox

Generic Name: doxycycline (Subgingival route)

dox-i-SYE-kleen

Commonly used brand name(s)

In the U.S.

• Atridox

Available Dosage Forms:

• Kit

Therapeutic Class: Antibacterial

Chemical Class: Tetracycline (class)

Uses For Atridox

Doxycycline is used to help treat periodontal disease (a disease of your gums). Periodontal disease is caused by bacteria growing beneath the gum line. Doxycycline works by keeping the number of bacteria from growing. Lowering the amount of bacteria helps to reduce inflammation and swelling in your mouth, and the amount of bleeding around the teeth. Doxycycline is placed in deep gum pockets next to your teeth in order to reduce the depth of the pockets.

This medicine will be applied by your dentist or other oral health care professional.

Before Using Atridox

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

Allergies

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

Pediatric

Use is not recommended in infants and children younger than 8 years of age. Tetracyclines, such as doxycycline, may cause permanent discoloration of teeth and slow down the growth of bones. The safety and effectiveness of doxycycline have not been established in children 8 years of age or older.

Geriatric

No information is available on the relationship of age to the effects of doxycycline in geriatric patients.

Pregnancy

	Pregnancy Category	Explanation
All Trimesters	D	Studies in pregnant women have demonstrated a risk to the fetus. However, the benefits of therapy in a life threatening situation or a serious disease, may outweigh the potential risk.

Breast Feeding

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

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are receiving 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.

• Acitretin

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.

• Digoxin


• Isotretinoin


• Methotrexate

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.

• Desogestrel


• Dienogest


• Drospirenone


• Estradiol Cypionate


• Estradiol Valerate


• Ethinyl Estradiol


• Ethynodiol Diacetate


• Etonogestrel


• Fosphenytoin


• Levonorgestrel


• Medroxyprogesterone Acetate


• Mestranol


• Norelgestromin


• Norethindrone


• Norgestimate


• Norgestrel


• Penicillin G


• Penicillin G Procaine


• Penicillin V


• Rifampin


• Rifapentine

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:

• Candidiasis (yeast infection) of the mouth, or history of—Use with caution. May make this condition worse.

• Conditions with severe periodontal defects or


• Dental implants or


• Weak immune system (caused by diabetes, HIV infection, or patients receiving cancer or radiation treatments)—Atridox® has not been tested and evaluated in patients with these conditions.

Proper Use of Atridox

Doxycycline periodontal system is placed by your dentist into one or more deep gum pockets next to your teeth. A dental dressing or adhesive will be placed on top to help keep the system in place. The treatment may be repeated four months later.

The treatment period for the doxycycline periodontal system is seven days after your dentist inserts it. If the system comes loose or falls out before the 7 days are up, check with your dentist.

Doxycycline periodontal system does not have to be removed by the dentist; it will dissolve. The dental dressing or adhesive that holds the system in place may fall out naturally. However, if the dental dressing or adhesive is still present after 7 days, it should be removed by the dentist.

After the medicine is placed in your mouth, try to avoid any actions that may cause the medicine to come out. For example:

• Do not brush around the teeth that have been treated for 7 days.


• Do not use dental floss or any other cleaning tools that go between the teeth for 7 days after treatment.

Precautions While Using Atridox

It is very important that your dentist check your progress while you are receiving this medicine. Do not miss any dental appointments.

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

Check with your dentist as soon as possible if you have pain or swelling or other problems in the treated areas.

Oral contraceptives (birth control pills) containing estrogen may not work properly if you take them while you are using doxycycline periodontal system. To keep from getting pregnant, use another form of birth control (e.g., condoms, diaphragms, or contraceptive foams or jellies) while doxycycline periodontal system is in place. If you have any questions about this, check with your doctor.

For 7 days after receiving doxycycline periodontal system, do not floss or brush around the teeth that have been treated. Brushing or flossing may loosen the system or cause it to fall out.

Tetracyclines, such as doxycycline, may cause your skin to be more sensitive to sunlight than it is normally. Exposure to sunlight, even for brief periods of time, may cause a skin rash, itching, redness or other discoloration of the skin, or a severe sunburn. For a period of 7 days after receiving doxycycline periodontal system:

• Stay out of direct sunlight, especially between the hours of 10:00 a.m. and 3:00 p.m., if possible.


• Wear protective clothing, including a hat. Also, wear sunglasses.


• Apply a sun block product that has a skin protection factor (SPF) of at least 15. Some patients may require a product with a higher SPF number, especially if they have a fair complexion. If you have any questions about this, check with your doctor.


• Apply a sun block lipstick that has an SPF of at least 15 to protect your lips.


• Do not use a sunlamp or tanning bed or booth.

You may still be sensitive to sunlight or sunlamps for 2 weeks to several months or more after the 7-day treatment period of doxycycline periodontal system. If you have a severe reaction, check with your dentist or doctor.

Atridox 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 or nurse immediately if any of the following side effects occur:

Less common

• High blood pressure


• looseness of tooth


• tooth or gum pain (severe or continuing)

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

More common

• Common cold–like symptoms


• gum discomfort, pain, or soreness


• headache


• pressure sensitivity of the tooth


• toothache

Less common

• Abdominal or stomach bloating or pelvic pain


• cough


• diarrhea


• gum redness


• indigestion, upset stomach, or stomachache


• influenza-like symptoms


• mouth pain or soreness


• muscle aches


• sensitivity of the tooth to heat or cold


• shortness of breath


• sleeplessness


• sore throat


• stuffy head, postnasal drip, or nasal congestion

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

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

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

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

More Atridox resources

• Atridox Use in Pregnancy & Breastfeeding
• Drug Images
• Atridox Drug Interactions
• Atridox Support Group
• 153 Reviews for Atridox - Add your own review/rating

• Atridox Prescribing Information (FDA)

Compare Atridox with other medications

• Acne
• Actinomycosis
• Amebiasis
• Anthrax
• Anthrax Prophylaxis
• Bacterial Infection
• Bartonellosis
• Bronchitis
• Brucellosis
• Bullous Pemphigoid
• Chlamydia Infection
• Cholera
• Cutaneous Bacillus anthracis
• Ehrlichiosis
• Enterocolitis
• Epididymitis, Sexually Transmitted
• Gastroenteritis
• Granuloma Inguinale
• Inclusion Conjunctivitis
• Lyme Disease
• Lyme Disease, Arthritis
• Lyme Disease, Carditis
• Lyme Disease, Erythema Chronicum Migrans
• Lyme Disease, Neurologic
• Lymphogranuloma Venereum
• Malaria
• Malaria Prevention
• Melioidosis
• Mycoplasma Pneumonia
• Nongonococcal Urethritis
• Ocular Rosacea
• Ornithosis
• Pelvic Inflammatory Disease
• Pemphigoid
• Pemphigus
• Periodontitis
• Plague
• Pleural Effusion
• Pneumonia
• Proctitis
• Prostatitis
• Psittacosis
• Rabbit Fever
• Rheumatoid Arthritis
• Rickettsial Infection
• Rosacea
• Skin Infection
• STD Prophylaxis
• Syphilis, Early
• Syphilis, Latent
• Tertiary Syphilis
• Trachoma
• Upper Respiratory Tract Infection
• Urinary Tract Infection

Urea Suspension

Pronunciation: ue-REE-a
Generic Name: Urea
Brand Name: Umecta

Urea Suspension is used for:

Promoting the healing of certain conditions of the fingernails and toenails (eg, hyperkeratotic conditions). It may also be used to treat certain other skin conditions (eg, corns; calluses; rough, dry skin) as determined by your doctor.

Urea Suspension is a debriding agent. It works by helping to break down dead skin and pus, which helps to soften, loosen, and shed hard, scaly skin and nails.

Do NOT use Urea Suspension if:

• you are allergic to any ingredient in Urea Suspension

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

Before using Urea Suspension:

Some medical conditions may interact with Urea Suspension. 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

Some MEDICINES MAY INTERACT with Urea Suspension. Because little, if any, of Urea Suspension is absorbed into the blood, the risk of it interacting with another medicine is low.

Ask your health care provider if Urea Suspension 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 Urea Suspension:

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

• Wash your hands before and after using Urea Suspension unless your hands are part of the treated area.


• Shake well before each use.


• To use Urea Suspension on the skin, apply a small amount of Urea Suspension to the affected area as directed by your doctor. Rub it in completely until it is absorbed. If you get Urea Suspension on any skin that is not part of the treated area, wash it off thoroughly.


• To use Urea Suspension on the nail, apply a small amount of Urea Suspension on the affected area as directed by your doctor. If you get Urea Suspension on any skin that is not part of the treated area, wash it off thoroughly.


• You may cover the affected area unless directed otherwise by your doctor.


• Use Urea Suspension on a regular schedule to get the most benefit from it.


• If you miss a dose of Urea Suspension, use 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 use 2 doses at once.

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

Important safety information:

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


• Do not exceed the recommended dose, use for longer than prescribed, or use for other skin conditions without checking with your doctor.


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


• Do not apply to broken or severely irritated skin.


• Talk with your doctor before you use any other medicines or cleansers on your skin.


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

Possible side effects of Urea Suspension:

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 skin irritation; temporary burning, stinging, or itching.

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); redness; severe or persistent burning or irritation.

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. Urea Suspension may be harmful if swallowed.

Proper storage of Urea Suspension:

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

General information:

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


• Urea Suspension 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 Urea Suspension. 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 Urea resources

• Urea Use in Pregnancy & Breastfeeding
• Urea Support Group
• 9 Reviews for Urea - Add your own review/rating

Compare Urea with other medications

• Dermatological Disorders
• Dry Skin
• Pityriasis rubra pilaris

maprotiline

ma-PROE-ti-leen

Oral route(Tablet)

Antidepressants increased the risk of suicidal thinking and behavior in children, adolescents, and young adults in short-term studies with major depressive disorder (MDD) and other psychiatric disorders. Short term studies did not show an increase in the risk of suicidality with antidepressants compared to placebo in adults beyond age 24, and there was a reduction in risk with antidepressants compared to placebo in adults aged 65 and older. This risk must be balanced with the clinical need. Monitor patients closely for clinical worsening, suicidality, or unusual changes in behavior. Families and caregivers should be advised of the need for close observation and communication with the prescriber. Not approved for use in pediatric patients .

Commonly used brand name(s)

In the U.S.

• Ludiomil

Available Dosage Forms:

• Tablet

Therapeutic Class: Antidepressant

Pharmacologic Class: Antidepressant, Tetracyclic

Uses For maprotiline

Maprotiline is used to relieve mental depression, including anxiety that sometimes occurs with depression.

Maprotiline is available only with your doctor's prescription.

Once a medicine has been approved for marketing for a certain use, experience may show that it is also useful for other medical problems. Although this use is not included in product labeling, maprotiline is used in certain patients with the following medical condition:

• Chronic neurogenic pain (a certain type of pain that is continuing)

Before Using maprotiline

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 maprotiline, the following should be considered:

Allergies

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

Maprotiline must be used with caution in children with depression. Studies have shown occurrences of children thinking about suicide or attempting suicide in clinical trials for maprotiline. More study is needed to be sure maprotiline is safe and effective in children

Geriatric

Drowsiness, dizziness or lightheadedness; confusion; vision problems; dryness of mouth; constipation; and difficulty in urinating may be especially likely to occur in elderly patients, who are usually more sensitive than younger adults to the effects of maprotiline.

Pregnancy

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

Breast Feeding

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

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking maprotiline, 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 maprotiline with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

• Brofaromine


• Cisapride


• Clorgyline


• Furazolidone


• Iproniazid


• Isocarboxazid


• Lazabemide


• Linezolid


• Methylene Blue


• Metoclopramide


• Moclobemide


• Nialamide


• Pargyline


• Phenelzine


• Procarbazine


• Rasagiline


• Selegiline


• Toloxatone


• Tranylcypromine

Using maprotiline 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.

• Rasagiline

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 maprotiline. Make sure you tell your doctor if you have any other medical problems, especially:

• Alcohol abuse or


• Seizure disorders (including epilepsy)—The risk of seizures may be increased

• Asthma or


• Difficult urination or


• Enlarged prostate or


• Glaucoma or


• Mental illness (severe) or


• Stomach or intestinal problems—Maprotiline may make the condition worse

• Heart or blood vessel disease or


• Overactive thyroid—Serious effects on your heart may occur

• Liver disease—Higher blood levels of maprotiline may occur, increasing the chance of side effects

Proper Use of maprotiline

Take maprotiline only as directed by your doctor to benefit your condition as much as possible. 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.

Sometimes maprotiline must be taken for up to two or three weeks before you begin to feel better. Your doctor should check your progress at regular visits.

Dosing

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

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

• For oral dosage form (tablets):
  
  • For depression:
    
    • Adults—At first, 25 milligrams (mg) taken one to three times a day. Your doctor may increase your dose as needed. However, the dose is usually not more than 150 mg a day, unless you are in the hospital. Some hospitalized patients may need higher doses.
    
    
    • Children—Use and dose must be determined by your doctor.
    
    
  
  

Missed Dose

If you miss a dose of maprotiline, 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.

For once daily dosing at bedtime: Do not take the missed dose in the morning since it may cause disturbing side effects during waking hours. Instead, check with your doctor.

Storage

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

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Precautions While Using maprotiline

It is very important that your doctor check your progress at regular visits. This will allow your dosage to be changed if necessary and will help to reduce side effects.

maprotiline will add to the effects of alcohol and other CNS depressants (medicines that slow down the nervous system, possibly causing drowsiness). Some examples of CNS depressants are antihistamines or medicine for hay fever, other allergies, or colds; sedatives, tranquilizers, or sleeping medicine; prescription pain medicine or narcotics; barbiturates; medicine for seizures; or anesthetics, including some dental anesthetics. Check with your doctor before taking any of the above while you are using maprotiline .

Maprotiline may cause some people to be agitated, irritable or display other abnormal behaviors. It may also cause some people to have suicidal thoughts and tendencies or to become more depressed. If you or your caregiver notice any of these adverse effects, tell your doctor right away.

maprotiline may cause blurred vision, especially during the first few weeks of treatment. It may also cause some people to become drowsy or less alert than they are normally. If these effects occur, do not drive, use machines, or do anything else that could be dangerous if you are not alert or able to see well.

Dizziness, lightheadedness, or fainting may occur, especially when you get up from a lying or sitting position. Getting up slowly may help. If this problem continues or gets worse, check with your doctor.

Maprotiline may cause dryness of the mouth. For temporary relief, use sugarless gum or candy, melt bits of ice in your mouth, or use a saliva substitute. However, if your mouth continues to feel dry for more than 2 weeks, check with your medical doctor or dentist. Continuing dryness of the mouth may increase the chance of dental disease, including tooth decay, gum disease, and fungus infections.

Before having any kind of surgery, dental treatment, or emergency treatment, tell the medical doctor or dentist in charge that you are using maprotiline. Taking maprotiline together with medicines that are used during surgery or dental or emergency treatments may increase the CNS depressant effects.

Do not stop taking maprotiline without first checking with your doctor. Your doctor may want you to reduce gradually the amount you are taking before stopping completely. This will allow your body to adjust properly and will reduce the possibility of unwanted effects.

maprotiline 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:

More common

• Skin rash, redness, swelling, or itching

Less common

• Constipation (severe)


• nausea or vomiting


• shakiness or trembling


• seizures (convulsions)


• unusual excitement


• weight loss

Rare

• Breast enlargement—in males and females


• confusion (especially in the elderly)


• difficulty in urinating


• fainting


• hallucinations (seeing, hearing, or feeling things that are not there)


• inappropriate secretion of milk—in females


• irregular heartbeat (pounding, racing, skipping)


• sore throat and fever


• swelling of testicles


• yellow eyes or skin

Symptoms of overdose

• Convulsions (seizures)


• dizziness (severe)


• drowsiness (severe)


• fast or irregular heartbeat


• fever


• muscle stiffness or weakness (severe)


• restlessness or agitation


• trouble in breathing


• vomiting

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

More common

• Blurred vision


• decreased sexual ability


• dizziness or lightheadedness (especially in the elderly)


• drowsiness


• dryness of mouth


• headache


• increased or decreased sexual drive


• tiredness or weakness

Less common

• Constipation (mild)


• diarrhea


• heartburn


• increased appetite and weight gain


• increased sensitivity of skin to sunlight


• increased sweating


• trouble in sleeping


• weight loss

After you stop using maprotiline, it may still produce some side effects that need attention. During this period of time, check with your doctor immediately if you notice the following side effects:

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: maprotiline 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 maprotiline resources

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

• maprotiline Concise Consumer Information (Cerner Multum)


• Maprotiline Prescribing Information (FDA)


• Maprotiline MedFacts Consumer Leaflet (Wolters Kluwer)


• Ludiomil Prescribing Information (FDA)


• Maprotiline Hydrochloride Monograph (AHFS DI)

Compare maprotiline with other medications

• Depression
• Panic Disorder