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Nasal steroids


A drug may be classified by the chemical type of the active ingredient or by the way it is used to treat a particular condition. Each drug can be classified into one or more drug classes.

Nasal corticosteroids are very effective in controlling allergic inflammation in the nose. Corticosteroids work on multiple cell types and mediators for example, mast cells, macrophages, leukotrienes and so on, to control inflammation. Nasal steroid sprays are usually first line treatment for nasal symptoms of hay fever or allergic rhinitis.

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Medical conditions associated with nasal steroids:

Hay FeverNasal PolypsNasal Polyps, PreventionRhinitis Drug List:Nasacort-Aq-SprayBeconase-Aq-SprayNasarel-SprayFlonaseRhinocortNasacortNasonexVeramystOmnarisAllernazeNasacort-HfaRhinocortZetonna


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Antidiuretic hormones


A drug may be classified by the chemical type of the active ingredient or by the way it is used to treat a particular condition. Each drug can be classified into one or more drug classes.

Antidiuretic hormone, also known as vasopressin is a hormone released by the posterior pituitary. It is important mainly for its actions on the kidneys where it increases the re-absorption of water. Vasopressin is also a powerful vasoconstrictor. Its effects are through two types of receptors, V1 and V2.

Water retention is mediated through V2 receptors, occurs at low plasma concentrations of vasopressin and is due to activation of adenylate cyclase and increased cAMP production in the collecting ducts of the nephrons. It increases the permeability of the membrane to water.

Vasopressin causes contraction of smooth muscle, mainly in the cardiovascular system. Vasocontriction occurs by mediation of V1 receptors and requires higher concentrations if vasopressin.

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Medical conditions associated with antidiuretic hormones:

Abdominal Distension Prior to Abdominal X-ray Asystole Diabetes Insipidus Esophageal Varices with Bleeding Gastrointestinal Hemorrhage Hemophilia A Postoperative Gas Pains Primary Nocturnal Enuresis Ventricular Fibrillation Ventricular Tachycardia von Willebrand's Disease Drug List: Stimate-Spray Ddavp Ddavp-Nasal-Spray Ddavp-Rhinal-Tube-Nasal Minirin-Spray Pitressin


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Imigen


Imigen may be available in the countries listed below.

Ingredient matches for Imigen Sumatriptan

Sumatriptan is reported as an ingredient of Imigen in the following countries:

South Africa

International Drug Name Search


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Sumatriptan Spray


Pronunciation: SOO-ma-TRIP-tan
Generic Name: Sumatriptan
Brand Name: Imitrex
Sumatriptan Spray is used for:

The treatment of migraine headaches with or without aura (eg, flashing lights, wavy lines, dark spots). It may also be used for other conditions as determined by your doctor.

Sumatriptan Spray is a serotonin 5-HT 1 receptor agonist ("triptan"). It works by narrowing blood vessels in the brain, which helps to relieve migraines.

Do NOT use Sumatriptan Spray if: you are allergic to any ingredient in Sumatriptan Spray you have a history of ischemic heart disease (eg, angina, heart attack), coronary artery disease (CAD), other moderate to severe heart problems, brain blood vessel disease (eg, stroke, transient ischemic attack), or other blood vessel disease (eg, Raynaud syndrome, ischemic bowel disease) you have uncontrolled high blood pressure or severe liver problems you have certain types of migraines (eg, hemiplegic, basilar) you are taking or have taken a monamine oxidase inhibitor (MAOI) (eg, phenelzine) within the past 14 days you have used certain other migraine medicines within the past 24 hours (eg, an ergot derivative [eg, dihydroergotamine, methysergide], another serotonin 5-HT 1 receptor agonist [eg, eletriptan, rizatriptan]) you are taking sibutramine

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

Before using Sumatriptan Spray:

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

if you are pregnant, planning to become pregnant, or are breast-feeding if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement if you have allergies to medicines, foods, or other substances if you have history of liver or kidney problems, seizures (eg epilepsy), heart problems, or other types of headaches (eg, cluster headaches) if you have shortness of breath, chest pain, or a history of high blood pressure, heart attack, stroke, high cholesterol, diabetes, or smoking if you are a woman who is past menopause if you are a man who is more than 40 years old if you are very overweight if a family member has had heart disease or a stroke

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

Selective serotonin reuptake inhibitors (SSRIs) (eg, fluoxetine), serotonin norepinephrine reuptake inhibitors (SNRIs) (eg, duloxetine), orsibutramine because the risk of a serious side effect called serotonin syndrome may be increased. Symptoms of serotonin syndrome may include mental or mood changes, hallucinations, fast heartbeat, fever, loss of coordination, muscle spasms, increased sweating, nausea, vomiting, or diarrhea MAOIs (eg, phenelzine) because they may increase the risk of Sumatriptan Spray's side effects Ergot derivatives (eg, dihydroergotamine, methysergide) or other serotonin 5-HT 1 receptor agonists (eg, eletriptan, rizatriptan) because the risk of their side effects may be increased by Sumatriptan Spray

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

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

An extra patient leaflet is available with Sumatriptan Spray. Talk to your pharmacist if you have questions about this information. A health care provider will teach you how to use Sumatriptan Spray. Be sure you understand how to use Sumatriptan Spray. Follow the procedures you are taught when you use a dose. Contact your health care provider if you have any questions. Sumatriptan Spray should be inhaled into the nose. Do not get it in your mouth or eyes. If you get it in your eyes, rinse right away with cool tap water. To use Sumatriptan Spray, remove the nasal spray unit from the plastic pack. Do not remove it until you are ready to use it. The unit contains only 1 spray. Do NOT test it before use. Sit down. Gently blow your nose to clear the nasal passages. Keep your head in an upright position, gently close 1 nostril with your index finger, and breathe out gently through the mouth. With your other hand, hold the container with your thumb at the bottom and your index and middle finger on either side of the nozzle. Insert the nozzle into your open nostril about ?? inch. Do not press the blue plunger yet. Keep your head upright and close your mouth. Gently take a breath through your nose and at the same time firmly press the blue plunger. Remove the nozzle from your nostril. Keep your head level for 10 to 20 seconds while gently breathing in through your nose and out through your mouth. Do NOT breathe in deeply. It is best to use a dose of Sumatriptan Spray as soon as you notice symptoms of a migraine attack. If your migraine symptoms go away and then come back, you may use a second dose as directed by your doctor. Wait at least 2 hours between doses. If your symptoms do not improve after the first dose, do not use a second dose for the same attack. Contact your doctor. Do not use more than the amount prescribed by your doctor in a 24-hour period or treat more than 4 headaches within 30 days without checking with your doctor. If you miss a dose of Sumatriptan Spray and you still have a headache, follow your doctor's dosing instructions. Contact your doctor if you are unsure of what to do if you miss a dose. Do not use Sumatriptan Spray more often than prescribed. Do not use 2 doses at once.

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

Important safety information: Sumatriptan Spray may cause drowsiness or dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Sumatriptan Spray with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it. Overuse of Sumatriptan Spray can cause your headache to become worse. Do NOT take more than the recommended dose or use more often than prescribed without checking with your doctor. Rarely, serious heart problems (eg, heart attack, irregular heartbeat) have been reported within a few hours of using Sumatriptan Spray. Contact your doctor at once if fast or irregular heartbeat; chest, jaw, or neck pain or numbness; numbness of an arm or leg; severe stomach pain, dizziness, or vomiting; fainting; or vision changes occur. Discuss any questions or concerns with your doctor. Serotonin syndrome is a possibly fatal syndrome that can be caused by Sumatriptan Spray. Your risk may be greater if you take Sumatriptan Spray with certain other medicines (eg, SSRIs, SNRIs). Symptoms may include agitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; excessive sweating; and nausea, vomiting, or diarrhea. Contact your doctor at once if you have any of these symptoms. Sumatriptan Spray should not be used to prevent or reduce the number of migraine headaches you have. If you have a headache that is different than your usual migraine headaches, check with your doctor before using Sumatriptan Spray. Lab tests, including heart function tests, may be performed while you use Sumatriptan Spray. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments. Sumatriptan Spray should not be used in the ELDERLY; the risk of serious side effects (eg, heart problems, high blood pressure) may be increased. Sumatriptan Spray should not be used in CHILDREN younger than 18 years old; safety and effectiveness in these children have not been confirmed. PREGNANCY and BREAST-FEEDING: It is not known if Sumatriptan Spray can cause harm to the fetus. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Sumatriptan Spray while you are pregnant. Sumatriptan Spray is found in breast milk. If you are or will be breast-feeding while you use Sumatriptan Spray, check with your doctor. Discuss any possible risks to your baby. Possible side effects of Sumatriptan Spray:

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:

Bad or unusual taste; burning, numbness, tingling, discharge, pain, or soreness of the nose, throat, or sinuses; dizziness; drowsiness; feeling of heaviness or pressure; mild, temporary flushing; nausea; sick feeling; tingling; tiredness; vomiting; warm/hot sensation.

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); bloody diarrhea; chest pain; confusion; fainting; fast or irregular heartbeat; fever; hallucinations; hearing problems; numbness or tingling of an arm or leg; one-sided weakness; pain, tightness, or pressure in the jaw, neck, or chest; seizures; severe headache, dizziness, or vomiting; severe or prolonged flushing; severe stomach pain; shortness of breath; speech changes; very cold or blue fingers or toes; vision changes or loss of vision; wheezing.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Sumatriptan side effects (in more detail)

If OVERDOSE is suspected:

Contact the US national poison control center (1-800-222-1222), your local poison control center, or emergency room immediately. Symptoms may include chest pain; seizures; slowed breathing; tremor.

Proper storage of Sumatriptan Spray:

Store Sumatriptan Spray between 36 and 86 degrees F (2 and 30 degrees C). Store away from heat, moisture, and light. Do not freeze. Do not store at temperatures above 86 degrees F (30 degrees C). Do not store in the bathroom. Keep Sumatriptan Spray in the case provided. Throw away expired medicine as directed by your doctor (the expiration date is printed on the treatment pack). Keep Sumatriptan Spray out of the reach of children and away from pets.

General information: If you have any questions about Sumatriptan Spray, please talk with your doctor, pharmacist, or other health care provider. Sumatriptan Spray 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 summary only. It does not contain all information about Sumatriptan Spray. 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 Sumatriptan resources Sumatriptan Side Effects (in more detail) Sumatriptan Use in Pregnancy & Breastfeeding Drug Images Sumatriptan Drug Interactions Sumatriptan Support Group 104 Reviews for Sumatriptan - Add your own review/rating Compare Sumatriptan with other medications Cluster Headaches Cyclic Vomiting Syndrome Migraine New Daily Persistent Headache


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sumatriptan oral/nasal


Generic Name: sumatriptan (oral/nasal) (soo ma TRIP tan)
Brand Names: Imitrex, Imitrex Nasal

What is sumatriptan?

Sumatriptan is a headache medicine that narrows blood vessels around the brain. Sumatriptan also reduces substances in the body that can trigger headache pain, nausea, sensitivity to light and sound, and other migraine symptoms.

Sumatriptan is used to treat migraine headaches. Sumatriptan will only treat a headache that has already begun. It will not prevent headaches or reduce the number of attacks.

Sumatriptan should not be used to treat a common tension headache, a headache that causes loss of movement on one side of your body, or any headache that seems to be different from your usual migraine headaches. Use this medication only if your condition has been confirmed by a doctor as migraine headaches.

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

What is the most important information I should know about sumatriptan? You should not use this medication if you are allergic to sumatriptan, if you have any history of heart disease, or if you have coronary heart disease, angina, blood circulation problems, lack of blood supply to the heart, uncontrolled high blood pressure, severe liver disease, ischemic bowel disease, a history of a heart attack or stroke, or if your headache seems to be different from your usual migraine headaches. Do not use sumatriptan within 24 hours before or after using another migraine headache medicine, including sumatriptan injection, almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), rizatriptan (Maxalt), naratriptan (Amerge), zolmitriptan (Zomig), or ergot medicine such as dihydroergotamine (D.H.E. 45, Migranal), ergotamine (Ergomar, Cafergot, Migergot), dihydroergotamine (D.H.E. 45, Migranal), or methylergonovine (Methergine). Do not use sumatriptan if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 14 days.

Before using sumatriptan, tell your doctor if you have liver or kidney disease, seizures, high blood pressure, a heart rhythm disorder, or coronary heart disease (or risk factors such as diabetes, menopause, smoking, being overweight, having high cholesterol, having a family history of coronary artery disease, being older than 40 and a man, or being a woman who has had a hysterectomy).

Also tell your doctor if you are taking an antidepressant such as citalopram (Celexa), desvenlafaxine (Pristiq), duloxetine (Cymbalta), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), sertraline (Zoloft), or venlafaxine (Effexor).

Sumatriptan will only treat a headache that has already begun. It will not prevent headaches or reduce the number of attacks.

After taking a sumatriptan tablet, you must wait two (2) hours before taking a second tablet. Do not take more than 200 mg of sumatriptan tablets in 24 hours.

After using sumatriptan nasal spray, you must wait two (2) hours before using a second spray. Do not use more than 40 mg of sumatriptan nasal spray in 24 hours.

What should I discuss with my healthcare provider before using sumatriptan? You should not use this medication if you are allergic to sumatriptan, or if you have:

coronary heart disease, angina (chest pain), blood circulation problems, lack of blood supply to the heart;

a history of heart disease, heart attack, or stroke, including "mini-stroke";

severe or uncontrolled high blood pressure;

severe liver disease;

ischemic bowel disease; or

a headache that seems different from your usual migraine headaches.

Do not use sumatriptan if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 14 days.

To make sure you can safely use sumatriptan, tell your doctor if you have any of these other conditions:

liver disease; kidney disease;

epilepsy or other seizure disorder;

high blood pressure, a heart rhythm disorder; or

coronary heart disease (or risk factors such as diabetes, menopause, smoking, being overweight, having high cholesterol, having a family history of coronary artery disease, being older than 40 and a man, or being a woman who has had a hysterectomy).

FDA pregnancy category C. It is not known whether sumatriptan will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.

Your name may need to be listed on a sumatriptan pregnancy registry when you start using this medication.

Sumatriptan can pass into breast milk and may harm a nursing baby. Do not breast-feed within 12 hours after using sumatriptan. If you use a breast pump during this time, throw out any milk you collect. Do not feed it to your baby. This medicine should not be given to anyone under 18 or over 65 years of age. How should I use sumatriptan?

Use exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label. Overuse of migraine headache medicine can actually make your headaches worse.

Use sumatriptan as soon as you notice headache symptoms, or after an attack has already begun.

Your doctor may want to give your first dose of this medicine in a hospital or clinic setting to see if you have any serious side effects.

Take one sumatriptan tablet whole with a full glass of water. Do not split the tablet.

After taking a tablet: If your headache does not completely go away, or goes away and comes back, take a second tablet two (2) hours after the first. Do not take more than 200 mg of sumatriptan oral tablets in 24 hours. If your symptoms have not improved, contact your doctor before taking any more tablets.

Sumatriptan nasal spray comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions. Blow your nose to clear your nasal passages before using the nasal spray. Try not to sneeze or blow your nose just after using the spray.

After using the nasal spray: If your headache does not completely go away after using the spray, call your doctor before using a second spray of sumatriptan. If your headache goes away and then comes back, you may use a second spray if it has been at least two hours since you used the first spray. Do not use more than 40 mg of sumatriptan nasal spray in 24 hours. If your symptoms do not improve, contact your doctor before using any more sprays.

Contact your doctor if you have more than four headaches in one month (30 days).

Store sumatriptan at room temperature away from moisture, heat, and light. What happens if I miss a dose?

Since sumatriptan is used as needed, it does not have a daily dosing schedule. Call your doctor promptly if your symptoms do not improve after using sumatriptan.

After taking a sumatriptan tablet, you must wait two (2) hours before taking a second tablet. Do not take more than 200 mg of sumatriptan tablets in 24 hours.

After using sumatriptan nasal spray, you must wait two (2) hours before using a second spray. Do not use more than 40 mg of sumatriptan nasal spray in 24 hours.

What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include tremors or shaking, skin redness, breathing problems, blue-colored lips or fingernails, vision problems, watery eyes or mouth, weakness, lack of coordination, or seizure (convulsions).

What should I avoid while using sumatriptan? Do not use sumatriptan within 24 hours before or after using another migraine headache medicine, including:

sumatriptan injection, almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt, Maxalt-MLT), or zolmitriptan (Zomig); or

ergot medicine such as dihydroergotamine (D.H.E. 45, Migranal), ergotamine (Ergomar, Cafergot, Migergot), dihydroergotamine (D.H.E. 45, Migranal), or methylergonovine (Methergine).

Sumatriptan may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Sumatriptan side effects Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using sumatriptan and call your doctor if you have a serious side effect such as:

feeling of pain or tightness in your jaw, neck, or throat;

chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;

sudden numbness or weakness, especially on one side of the body;

sudden severe headache, confusion, problems with vision, speech, or balance;

sudden and severe stomach pain and bloody diarrhea;

seizure (convulsions);

numbness or tingling and a pale or blue-colored appearance in your fingers or toes; or

(if you are also taking an antidepressant) -- agitation, hallucinations, fever, fast heart rate, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination, fainting.

Less serious side effects may include:

mild headache (not a migraine);

pressure or heavy feeling in any part of your body;

feeling hot or cold;

dizziness, spinning sensation;

drowsiness;

nausea, vomiting, drooling;

unusual taste in your mouth after using the nasal spray;

burning, numbness, pain or other irritation in your nose or throat after using the nasal spray; or

warmth, redness, or mild tingling under your skin.

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.

Sumatriptan Dosing Information

Usual Adult Dose for Cluster Headache:

Initial dosage when symptoms of headache appear:
Subcutaneously: 4 to 6 mg; may repeat if needed at least 1 hour after initial dose; maximum: 12 mg/day.
ORAL: Initial single dose: 25 mg given with fluids as soon as possible after the onset of a migraine; range: 25 to 100 mg/dose; maximum single dose: 100 mg; may repeat after 2 hours; maximum: 200 mg/day taken. The maximum single oral dose recommended is 100 mg. Do not split tablets.
NASAL SPRAY: Initial single dose: 5 mg, 10 mg, or 20 mg administered in one nostril, given as soon as possible after the onset of migraine; 10 mg dose may be administered as 5 mg in each nostril; may repeat after 2 hours; maximum: 40 mg/day.

Usual Adult Dose for Migraine:

Initial dosage when symptoms of headache appear:
Subcutaneously: 4 to 6 mg; may repeat if needed at least 1 hour after initial dose; maximum: 12 mg/day.
ORAL: Initial single dose: 25 mg given with fluids as soon as possible after the onset of a migraine; range: 25 to 100 mg/dose; maximum single dose: 100 mg; may repeat after 2 hours; maximum: 200 mg/day taken. The maximum single oral dose recommended is 100 mg. Do not split tablets.
NASAL SPRAY: Initial single dose: 5 mg, 10 mg, or 20 mg administered in one nostril, given as soon as possible after the onset of migraine; 10 mg dose may be administered as 5 mg in each nostril; may repeat after 2 hours; maximum: 40 mg/day.

Usual Pediatric Dose for Migraine:

Use in children and adolescents less than 18 years of age not recommended by manufacturer. Results of clinical studies are mixed with regards to efficacy, particularly with oral and injectable sumatriptan.
Intranasal:
Children 5 to 12 years: 5 mg, 10 mg, or 20 mg administered in one nostril as a single dose. A double-blind, placebo controlled study of 129 patients (8 to 17 years) used a weight-based dosing regimen: 20 to 39 kg: 10 mg; 40 kg or more: 20 mg. A small retrospective review of 10 children (5 to 12 years; mean: 9.9 years), used intranasal doses of 5 mg (n=2) or 20 mg (n=8).
Adolescents 12 years or older: 5 mg, 10 mg, or 20 mg administered in one nostril as a single dose.
Subcutaneously: Children and Adolescents 6 to 18 years: 3 to 6 mg single dose. An open labeled prospective trial of 17 children 6 to 16 years with juvenile migraine used subcutaneous doses of 6 mg in 15 children (30 to 70 kg), and 3 mg/dose in two children (22 kg and 30 kg). Another open-label prospective trial in 50 consecutive children (ages 6 to 18 years) with severe migraine used subcutaneous doses of 0.06 mg/kg/dose. Relief was reported as good/excellent in 84% of the patients; 16% reported fair to poor relief; additional studies are needed.

What other drugs will affect sumatriptan?

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

an antidepressant such as citalopram (Celexa), desvenlafaxine (Pristiq), duloxetine (Cymbalta), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), sertraline (Zoloft), or venlafaxine (Effexor).

This list is not complete and other drugs may interact with sumatriptan. 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 sumatriptan resources Sumatriptan Side Effects (in more detail)Sumatriptan DosageSumatriptan Use in Pregnancy & BreastfeedingDrug ImagesSumatriptan Drug InteractionsSumatriptan Support Group104 Reviews for Sumatriptan - Add your own review/rating Compare sumatriptan with other medications Cluster HeadachesCyclic Vomiting SyndromeMigraineNew Daily Persistent Headache Where can I get more information? Your pharmacist can provide more information about sumatriptan.

See also: sumatriptan side effects (in more detail)


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Fortical


Generic Name: calcitonin nasal (kal si TOE nin)
Brand Names: Fortical, Miacalcin Nasal

What is calcitonin nasal?

Calcitonin is a man-made form of a hormone that occurs naturally in the thyroid gland.

Calcitonin nasal is used to treat osteoporosis in women who have been in menopause for at least 5 years.

Calcitonin nasal may also be used for purposes not listed in this medication guide.

What is the most important information I should know about calcitonin nasal? To make sure you are not allergic to this medication, your doctor may perform an allergy skin test before your first dose of calcitonin nasal.

Before using calcitonin nasal, tell your doctor if you have any nasal or sinus problems such as nasal deformities, a chronic infection, or nasal pain.

Avoid using any other nasal sprays or medicines at the same time you use calcitonin nasal unless your doctor has told you to.

Call your doctor at once if you have any type of severe irritation of your nose, or if you feel light-headed or faint.

Less serious nasal irritation is more likely to occur, such as minor bleeding, redness, itching, tenderness, dryness, crusting, scabs, or nasal congestion.

To be sure this medication is not causing harmful side effects to the inside of your nose, your doctor may want to check your nasal passages often. Visit your doctor regularly.

What should I discuss with my healthcare provider before using calcitonin nasal? Do not use this medication if you are allergic to salmon calcitonin.

To make sure you can safely use calcitonin nasal, tell your doctor if you have any nasal or sinus problems such as nasal deformities, a chronic infection, or nasal pain.

FDA pregnancy category C. It is not known whether calcitonin nasal will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. It is not known whether calcitonin nasal 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 should I use calcitonin nasal?

Use exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

To make sure you are not allergic to this medication, your doctor may perform an allergy skin test before your first dose of calcitonin nasal.

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

Store unopened calcitonin nasal in the refrigerator but do not allow it to freeze. Once you put the bottle and pump assembly together, you may keep the medicine at room temperature, away from light and heat. Keep the bottle upright while stored. Throw away any unused medicine after 35 days.

Before your first use of the assembled bottle and pump, you must prime the spray. Allow the medicine to reach room temperature before priming.

To prime calcitonin nasal, spray the medicine into the air and away from your face, until a fine mist appears. You will need to prime the pump only before your first use of the newly assembled bottle.

Calcitonin nasal is usually given as one spray per day into only one of your nostrils. Use the other nostril the next day and continue alternating back and forth for each daily dose.

Before each use, gently blow your nose to clear your nostrils.

Hold the nasal spray upright with your first and second fingers on each side of the pump and your thumb on the bottom of the bottle.

Gently insert the sprayer tip into the nostril but not far into your nose. Bend your head forward to aim the spray toward the back of your nose. Pump the spray unit firmly to spray the medicine into your nostril. You do not need to sniff or inhale deeply.

Calcitonin nasal spray delivers a fine mist into the nose. Even if you do not feel the spray while using it, the medication is still being absorbed by your nasal passages.

Avoid blowing your nose for several minutes after using this medication.

Each bottle contains 30 doses of calcitonin nasal. Throw away the medicine after 30 uses, even if there is still medicine left in the bottle.

To be sure this medication is not causing harmful side effects to the inside of your nose, your doctor may want to check your nasal passages often. Visit your doctor regularly.

What happens if I miss a dose?

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

What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

An overdose of calcitonin nasal is not likely to produce life-threatening side effects.

What should I avoid while using calcitonin nasal?

Avoid using any other nasal sprays or nasal medications at the same time you use calcitonin nasal unless your doctor has told you to.

Calcitonin nasal side effects Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:

feeling light-headed, fainting; or

severe nasal irritation.

Less serious side effects may include:

bleeding from your nose;

runny or stuffy nose;

dryness, itching, tenderness, or general discomfort of your nose;

crusting, scabs, or sores inside your nose;

redness in or around your nose;

warmth, redness, or tingly feeling under your skin;

headache;

back pain; or

nausea.

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 calcitonin nasal?

There may be other drugs that can interact with calcitonin nasal. 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 Fortical resources Fortical Side Effects (in more detail) Fortical Use in Pregnancy & Breastfeeding Fortical Drug Interactions Fortical Support Group 1 Review for Fortical - Add your own review/rating Compare Fortical with other medications Hypercalcemia Osteogenesis Imperfecta Osteoporosis Paget's Disease Where can I get more information? Your pharmacist can provide more information about calcitonin nasal.

See also: Fortical side effects (in more detail)


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Allerest 12 Hour Nasal Spray


Generic Name: oxymetazoline nasal (ox ee me TAZ oh leen)
Brand Names: Afrin, Afrin Nasal Sinus, Allerest 12 Hour Nasal Spray, Duramist Plus, Duration, Four-Way Nasal Spray, Genasal, Neo-Synephrine 12 Hour, Nostrilla, NRS Nasal, NTZ Long Acting Nasal, Oxyfrin, Oxymeta-12, Sinarest Nasal, Sinex Long-Acting, Twice-A-Day

What is Allerest 12 Hour Nasal Spray (oxymetazoline nasal)?

Oxymetazoline is a decongestant. It works by constricting (shrinking) blood vessels (veins and arteries) in your body. The nasal formulation acts directly on the blood vessels in your nasal tissues. Constriction of the blood vessels in your nose and sinuses leads to drainage of these areas and a decrease in congestion.

Oxymetazoline nasal is used to treat congestion associated with allergies, hay fever, sinus irritation, and the common cold.

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

What is the most important information I should know about Allerest 12 Hour Nasal Spray (oxymetazoline nasal)?

Do not use oxymetazoline nasal for longer than 3 to 5 days. Longer use could cause damage to your nasal tissue and lead to chronic congestion. If your symptoms do not improve, see your doctor.

Do not use more of this medication than is recommended on the package or by your doctor. Who should not use Allerest 12 Hour Nasal Spray (oxymetazoline nasal)? Do not use oxymetazoline nasal if you have taken a monoamine oxidase (MAO) inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days. This could cause a very dangerous drug interaction with serious side effects.

Before taking this medication, tell your doctor if you have

high blood pressure;

any type of heart disease, hardening of the arteries, or irregular heart beats;

thyroid problems;

diabetes;

glaucoma or increased pressure in the eye;

an enlarged prostate or difficulty urinating; or

liver or kidney disease.

You may not be able to use oxymetazoline nasal, or you may require a lower dose or special monitoring during your therapy if you have any of the conditions listed above.

It is not known whether oxymetazoline nasal will harm an unborn baby. Do not use oxymetazoline nasal without first talking to your doctor if you are pregnant. Infants are especially sensitive to the effects of oxymetazoline nasal. Do not use this medication without first talking to your doctor if you are breast-feeding a baby. If you over 60 years of age, you may be more likely to experience side effects from oxymetazoline nasal. You may require a lower dose of this medication. How should I use Allerest 12 Hour Nasal Spray (oxymetazoline nasal)?

Use oxymetazoline nasal exactly as directed by your doctor, or follow the instructions that accompany the package. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

To apply the nasal spray, keep your head upright, spray, then sniff hard for a few minutes after administering a dose.

To apply the nasal drops, lie on a bed on your back with your head hanging over the edge. Insert the drops and remain in this position for several minutes. Gently turn your head from side to side.

Do not allow the tip of the container to touch the inside of your nose or any other surface. This spreads the infection.

Also, to prevent the spread of infection, do not share this medication with anyone else.

Discard this medication bottle after use. Do not save it for reuse.

Never use this medication in larger doses or more often than is recommended. Too much oxymetazoline nasal could be very harmful. Oxymetazoline nasal should not be used more often than twice a day (every 12 hours).

Do not use oxymetazoline nasal for longer than 3 to 5 days. Longer use could cause damage to your nasal tissue and lead to chronic congestion. If your symptoms do not improve, see your doctor.

Store oxymetazoline nasal at room temperature away from moisture and heat.

What happens if I miss a dose?

Use the missed dose as soon as you remember. However, if it is almost time for your next regularly scheduled dose, skip the missed dose and use the next one as directed. Do not use a double dose of this medication.

What happens if I overdose? Seek emergency medical attention.

Symptoms of an oxymetazoline nasal overdose include extreme tiredness, sweating, dizziness, a slow heartbeat, and coma.

What should I avoid while taking Allerest 12 Hour Nasal Spray (oxymetazoline nasal)? Never use this medication in larger doses or more often than is recommended. Too much oxymetazoline nasal could be very harmful. Allerest 12 Hour Nasal Spray (oxymetazoline nasal) side effects

If you experience any of the following serious side effects, stop using oxymetazoline nasal and seek emergency medical attention:

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

seizures;

unusual behavior or hallucinations; or

an irregular or fast heartbeat.

More commonly, you may experience some sneezing or burning, stinging, dryness, or irritation of the nose. These side effects are usually mild and temporary.

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 Allerest 12 Hour Nasal Spray (oxymetazoline nasal)? Do not use oxymetazoline nasal if you have taken a monoamine oxidase (MAO) inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days.

Although drug interactions between topical nasal decongestants and drugs taken by mouth are not expected, they can occur. Rarely, oxymetazoline nasal may interact with the following medicines:

furazolidone (Furoxone);

guanethidine (Ismelin);

indomethacin (Indocin);

methyldopa (Aldomet);

bromocriptine (Parlodel);

caffeine in cola, tea, coffee, chocolate and other products;

theophylline (Theo-Dur, Theochron, Theolair, others);

tricyclic antidepressants such as amitriptyline (Elavil, Endep), doxepin (Sinequan), and nortriptyline (Pamelor); other commonly used tricyclic antidepressants, including amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), imipramine (Tofranil), protriptyline (Vivactil), and trimipramine (Surmontil); phenothiazines such as chlorpromazine (Thorazine), thioridazine (Mellaril), and prochlorperazine (Compazine); and other commonly used phenothiazines, including fluphenazine (Prolixin), perphenazine (Trilafon), mesoridazine (Serentil), and trifluoperazine (Stelazine).

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

More Allerest 12 Hour Nasal Spray resources Allerest 12 Hour Nasal Spray Side Effects (in more detail) Allerest 12 Hour Nasal Spray Use in Pregnancy & Breastfeeding Allerest 12 Hour Nasal Spray Drug Interactions 0 Reviews for Allerest2 Hour Nasal - Add your own review/rating Afrin Advanced Consumer (Micromedex) - Includes Dosage Information Afrin Solution MedFacts Consumer Leaflet (Wolters Kluwer) Compare Allerest 12 Hour Nasal Spray with other medications Nasal Congestion Where can I get more information? Your pharmacist has additional information about oxymetazoline nasal written for health professionals that you may read.

See also: Allerest2 Hour Nasal side effects (in more detail)


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Care Decongestant Nasal Spray


1. Name Of The Medicinal Product

Oxymetazoline 0.05% w/v Nasal Spray

Care Decongestant Nasal Spray

2. Qualitative And Quantitative Composition

The nasal solution contains Oxymetazoline (as hydrochloride) 0.05% w/v.

For excipients, see 6.1

3. Pharmaceutical Form

Nasal spray, solution

4. Clinical Particulars 4.1 Therapeutic Indications

Oxymetazoline Nasal Spray or Care Decongestant Nasal Spray is recommended for the relief of nasal congestion in such conditions as the common cold, catarrh and hayfever.

4.2 Posology And Method Of Administration

Adults and Elderly

While holding upright the spray nozzle should be inserted into each nostril in turn and squeezed firmly twice while breathing in. The application may be repeated up to 2 times a day, or used at bedtime to give relief through the night.

Children

Not recommended for children under 12 years of age.

4.3 Contraindications

Hypersensitivity to any component of the medicinal product.

Patients who are receiving monoamine oxidase inhibitors or within 14 days of stopping such treatment; patients suffering from porphyria, glaucoma, coronary artery disease, hypertension, hyperthyroidism or diabetes.

4.4 Special Warnings And Precautions For Use

If symptoms persist, consult your doctor. Prolonged use may result in rhinitis medicamentosa and should therefore be avoided. Treatment should be limited to a maximum of seven days. Keep all medicines safely away from children.

4.5 Interaction With Other Medicinal Products And Other Forms Of Interaction

If you are taking other medicines, you should see your doctor for advice before taking this medicine.

4.6 Pregnancy And Lactation

The safety to use in pregnancy has not been established and administration of oxymetazoline during pregnancy should be avoided.

4.7 Effects On Ability To Drive And Use Machines

None.

4.8 Undesirable Effects

This medicinal product contains thiomersal (an organomercuric compound) as a preservative and therefore, it is possible that it may cause local skin reactions (e.g. contact dermatitis) and discolouration.

Benzalkonium chloride may cause local skin irritation.

4.9 Overdose

No statement.

5. Pharmacological Properties 5.1 Pharmacodynamic Properties

Pharmacotherapeutic group (ATC code): S01G A04 Sympathomimetics used as decongestants.

Oxymetazoline is an alpha-adrenoceptor agonist which causes local vasoconstriction when applied to nasal membrane.

5.2 Pharmacokinetic Properties

When applied locally to nasal mucosa, oxymetazoline acts within a few minutes and its effects last for up to 12 hours.

5.3 Preclinical Safety Data

There are no preclinical data of relevance to the prescriber which are additional to that already included in other sections of the SPC

6. Pharmaceutical Particulars 6.1 List Of Excipients

Benzalkonium chloride

Thiomersal

Sodium chloride

Levomenthol

Cineole

Camphor

Methyl salicylate

Poloxamer 188

Sodium citrate (dihydrate) (E331)

Citric acid (anhydrous) (E330)

Purified water

6.2 Incompatibilities

None

6.3 Shelf Life

2 years

6.4 Special Precautions For Storage

None

6.5 Nature And Contents Of Container

White, low density polyethylene/polyethylene copolymer 15ml bottle.

White, high density polyethylene 15ml and 20ml bottle.

6.6 Special Precautions For Disposal And Other Handling

None

7. Marketing Authorisation Holder

Thornton & Ross Ltd

Linthwaite

Huddersfield

West Yorkshire

HD7 5QH

United Kingdom

8. Marketing Authorisation Number(S)

PL 00240/0343

9. Date Of First Authorisation/Renewal Of The Authorisation

24/01/2007

10. Date Of Revision Of The Text

20/12/2010

11 DOSIMETRY (IF APPLICABLE)

Not Applicable

12 INSTRUCTIONS FOR PREPARATION OF RADIOPHARMACEUTICALS (IF APPLICABLE)

Not Applicable


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Boots Hayfever Relief Nasal Spray


Boots Hayfever Relief Nasal Spray

(Beclometasone Dipropionate)

Read all of this leaflet carefully because it contains important information for you.

This medicine is available without prescription to treat hayfever. However, you still need to use it carefully to get the best results from it.

Keep this leaflet, you may need to read it again Ask your pharmacist if you need more information or advice You must contact a doctor if your symptoms worsen or do not improve within 10 days What this medicine is for

This medicine contains Beclometasone Dipropionate, which belongs to a group of medicines called corticosteroids, which act to reduce swelling (inflammation) in the nose.

It can be used to treat hayfever.

Before you use this medicine

This medicine can be used by adults aged 18 years and over. However, some people should not use this medicine or should seek the advice of their pharmacist or doctor first.

Do not use: If you are allergic to any of the ingredients If you are pregnant or breastfeeding, unless your doctor tells you to Talk to your pharmacist or doctor: If you think you have a nasal infection as well as hayfever If you have recently had steroid injections or have been taking steroid tablets for a long time If you take other medicines

This medicine is not expected to affect any medicines that you may be taking.

If you are unsure about interactions with any medicines, talk to your pharmacist. This includes medicines prescribed by your doctor and medicine you have bought for yourself, including herbal and homeopathic remedies.

How to use this medicine Directions for using the spray 1. Shake the bottle gently and remove the dust cap and lock-ring (if fitted). 2. A new spray, or one which has not been used for a few days, may not work the first time. You may need to prime the bottle by pumping the spray a few times until a fine mist is produced. To do this put your forefinger and middle finger on the collar either side of the nozzle and your thumb underneath the bottle. Keeping your thumb still, press down with your fingers to pump the spray. Hold the nozzle pointing away from you while you are doing this. If the spray still doesn’t work and you think it may be blocked, clean it as described further on in the leaflet. Never try to unblock it or enlarge the tiny spray hole with a pin or other sharp object because this will destroy the spray mechanism. 3. Blow your nose gently. To use close one nostril and put the nozzle in the other nostril. Tilt your head forward slightly and keep the bottle upright. Hold the bottle as shown. 4. Start to breathe in slowly through your nose. While you are breathing in squirt a spray of fine mist into your nostril by pressing down firmly on the collar with your fingers. Breathe out through your mouth. Repeat this step to take a second spray in the same nostril. Remove the nozzle from this nostril and breath out through your mouth. 5. Repeat step 3 and 4 for the other nostril.

After using the spray, wipe the nozzle carefully with a clean tissue or handkerchief, and replace the dust cap.

To clean the spray 1. Take the dust cap off. 2. Pull upwards on the white collar to remove the nozzle. 3. Soak the nozzle and dust cap in warm water for a few minutes and then rinse under a running tap. 4. Shake off the excess water and allow to dry in a warm, not hot, place. 5. Re-fit the nozzle. 6. ‘Prime’ the bottle if necessary by pumping the spray a few times until a fine mist is produced.

Your nasal spray should be cleaned at least once a week or more often if it gets blocked.

Adults of 18 years and over: Use two sprays in each nostril, twice a day (morning and evening). Don’t use more than 8 sprays in 24 hours.
Once your symptoms are controlled try to use one spray in each nostril twice a day. If symptoms return, go back to using two sprays in each nostril.

For use in the nose only.

Do not use on children or adolescents under 18 years.

Do not use more than the amount recommended.

Do not use this medicine continuously for more than 3 months, unless your doctor tells you to.

If symptoms do not improve within 10 days talk to your doctor.

If you use too much or if anyone accidentally swallows some of the medicine: Talk to a doctor or pharmacist.

Possible side effects

Most people will not have problems, but some may get some of these:

Dry irritated nose and throat, nose bleeds Unpleasant taste and smell Rarely, perforation of the middle of the nose, raised pressure in the eye (glaucoma) Skin irritation – possibly caused by benzalkonium chloride in this medicine

If any side effect becomes severe, or you notice any side effect not listed here, please tell your pharmacist or doctor.

How to store this medicine

Store below 30°C. Do not refrigerate. Protect from light.

Throw away any medicine left 3 months after you open it.

Keep this medicine in a safe place out of the sight and reach of children, preferably in a locked cupboard.

Use by the date on the end flap of the carton.

What is in this medicine

Each spray for nasal use contains Beclometasone Dipropionate 50 mcg which is the active ingredient.

As well as the active ingredient, the spray also contains dextrose anhydrous, polysorbate 80, dispersible cellulose, benzalkonium chloride, phenylethanol, purified water.

Who makes this medicine Manufactured for The Boots Company PLC Nottingham NG2 3AA by the Marketing Authorisation holder Generics (UK) Ltd Station Close Potters Bar Herts EN6 1TL

Leaflet prepared March 2008

If you would like any further information about this medicine, please contact

The Boots Company PLC Nottingham NG2 3AA

3439eMC


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Xylometazoline Spray


Pronunciation: ZYE-loe-me-TAZ-oh-leen
Generic Name: Xylometazoline
Brand Name: 4-Way Moisturizing Relief
Xylometazoline Spray is used for:

Relieving nasal congestion due to the common cold, hay fever, other upper respiratory tract allergies, or sinus infection. It also soothes nasal discomfort caused by dryness. It may also be used to treat other conditions as determined by your doctor.

Xylometazoline Spray is a decongestant. It works by shrinking swollen and congested nasal tissues (mucous membranes) by constricting blood vessels. This results in relief of congestion (stuffy feeling), improved drainage of mucus, and improved breathing through the nose. Local application (eg, nose drops and sprays) causes more intense and rapid vasoconstriction than oral medicines (eg, tablets, syrups).

Do NOT use Xylometazoline Spray if: you are allergic to any ingredient in Xylometazoline Spray

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

Before using Xylometazoline Spray:

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

if you are pregnant, planning to become pregnant, or are breast-feeding if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement if you have allergies to medicines, foods, or other substances if you have a history of high blood pressure, enlarged prostate or trouble urinating, diabetes, overactive thyroid, or heart disease

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

Ask your health care provider if Xylometazoline Spray 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 Xylometazoline Spray:

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

To use a nose spray, gently blow your nose. Sit down and tilt your head back slightly. Place the tip of the spray container into the nose. Using a finger from your other hand, press against the opposite nostril to close it off. Breathe gently through the open nostril and squeeze the spray container. If you are using more than 1 spray, wait for 1 to 2 minutes between sprays. After using the medicine, rinse the tip of the spray unit in hot water and dry with a clean tissue to prevent contamination. If you miss a dose of Xylometazoline Spray and are using it regularly, use it as soon as possible. If it is much more than 1 hour since your missed 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 Xylometazoline Spray.

Important safety information: Do not use Xylometazoline Spray for more than 3 days unless advised to do so by your health care provider. Frequent or long-term use of Xylometazoline Spray may cause nasal congestion to recur or worsen. Diabetes patients - Xylometazoline Spray may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine. Xylometazoline Spray should not be used in CHILDREN younger than 12 years old; safety and effectiveness in these children have not been confirmed. PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Xylometazoline Spray while you are pregnant. It is not known if Xylometazoline Spray is found in breast milk. If you are or will be breast-feeding while you use Xylometazoline Spray, check with your doctor. Discuss any possible risks to your baby. Possible side effects of Xylometazoline Spray:

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:

Increase in nasal discharge; temporary burning, stinging or sneezing.

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); chest pain; fast or irregular heartbeat; nervousness; severe or persistent headache; tremor.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Xylometazoline side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.

Proper storage of Xylometazoline Spray:

Store Xylometazoline Spray at room temperature, between 59 and 86 degrees F (15 and 30 degrees C) in a tightly closed container. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Xylometazoline Spray out of the reach of children and away from pets.

General information: If you have any questions about Xylometazoline Spray, please talk with your doctor, pharmacist, or other health care provider. Xylometazoline Spray is to be used only by the patient for whom it is prescribed. Do not share it with other due to increased risk of spreading infection. 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 Xylometazoline Spray. 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 Xylometazoline resources Xylometazoline Side Effects (in more detail) Xylometazoline Use in Pregnancy & Breastfeeding Xylometazoline Drug Interactions Xylometazoline Support Group 4 Reviews for Xylometazoline - Add your own review/rating Compare Xylometazoline with other medications Nasal Congestion


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Nasalcrom nasal


Generic Name: cromolyn sodium (nasal) (KRO mo lin SO dee um)
Brand Names: Nasalcrom

What is Nasalcrom (cromolyn sodium (nasal))?

Cromolyn sodium is an anti-inflammatory medication. It works by preventing the release of substances in the body that cause inflammation.

Cromolyn sodium nasal is used to prevent allergy symptoms such as runny nose, stuffy nose, sneezing, itching, and post-nasal drip.

Cromolyn sodium nasal will not treat allergy symptoms that have already begun. The medication works best if used at least 1 week before you come into contact with things you are allergic to (pollen, dust, pets, etc).

Cromolyn sodium nasal will not treat the symptoms of asthma, sinus infections, or the common cold.

Cromolyn sodium nasal may also be used for purposes not listed in this medication guide.

What is the most important information I should know about Nasalcrom (cromolyn sodium (nasal))? You should not use this medication if you are allergic to cromolyn sodium.

Before you use cromolyn sodium nasal, tell your doctor if you have asthma, drug allergies, or polyps in your nose.

Cromolyn sodium nasal will not treat allergy symptoms that have already begun. The medication works best if used at least 1 week before you come into contact with things you are allergic to (pollen, dust, pets, etc).

Stop using this medication and call your doctor if you have severe burning, stinging, or irritation in your nose, nosebleeds, sinus pain, sores in your nose, wheezing, chest tightness, fever, or green/yellow mucus from your nose.

Do not use cromolyn sodium nasal more than 6 times in a 24-hour period. Do not use this medication for longer than 12 weeks unless your doctor has told you to. What should I discuss with my healthcare provider before using Nasalcrom (cromolyn sodium (nasal))? You should not use this medication if you are allergic to cromolyn sodium.

To make sure you can safely use cromolyn sodium nasal, tell your doctor if you have any of these other conditions:

asthma;

drug allergies; or

polyps in your nose.

FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether cromolyn sodium 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 should I use Nasalcrom (cromolyn sodium (nasal))?

Use exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

This medicine is usually given as 1 spray into each nostril every 4 to 6 hours during allergy season or within 1 week before you will be exposed to an allergen. Follow your doctor's instructions.

Do not use cromolyn sodium nasal more than 6 times in a 24-hour period. Do not use this medication for longer than 12 weeks unless your doctor has told you to.

To use the nasal spray:

Blow your nose gently before each use.

Keeping your head upright, insert just the tip of the spray bottle into your nostril. Hold your other nostril closed with one finger. Spray the medicine into the nostril while inhaling, then sniff deeply a few times to make sure the medicine gets up into your nasal passages.

Repeat these steps in your other nostril.

After using the nasal spray, rinse the tip with hot water or wipe it with a clean tissue and recap. Avoid getting water into the nasal spray tip.

It may take up to 2 weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve after 2 weeks of treatment.

Store at room temperature away from moisture, heat, and light. Keep the bottle capped when not in use. What happens if I miss a dose?

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

What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. What should I avoid while using Nasalcrom (cromolyn sodium (nasal))? Avoid getting this medication in your eyes. If this does happen, rinse with water. Nasalcrom (cromolyn sodium (nasal)) side effects Get emergency medical help if you have any of these signs of an allergic reaction: hives or itching; difficulty breathing; severe dizziness; swelling of your face, lips, tongue, or throat. Stop using this medication and call your doctor if you have any of these serious side effects:

severe burning, stinging, or irritation in your nose;

nosebleeds, sinus pain, or sores in your nose;

wheezing, tight feeling in your chest; or

fever, green or yellow mucus from the nose.

Less serious side effects may include mild burning or stinging inside your nose after use.

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 Nasalcrom (cromolyn sodium (nasal))?

There may be other drugs that can interact with cromolyn sodium nasal. 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 Nasalcrom resources Nasalcrom Side Effects (in more detail) Nasalcrom Use in Pregnancy & Breastfeeding Nasalcrom Support Group 0 Reviews for Nasalcrom - Add your own review/rating Compare Nasalcrom with other medications Hay Fever Where can I get more information? Your pharmacist can provide more information about cromolyn sodium nasal.

See also: Nasalcrom side effects (in more detail)


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Vicks Sinex Decongestant Nasal Spray


1. Name Of The Medicinal Product

Vicks Sinex Decongestant Nasal Spray

2. Qualitative And Quantitative Composition

ACTIVE INGREDIENT

 

 

Percentage quantity

Specification

Oxymetazoline hydrochloride

0.050% w/v

Ph. Eur

3. Pharmaceutical Form

Non-pressurised, aqueous nasal spray solution.

4. Clinical Particulars 4.1 Therapeutic Indications

The symptomatic relief of congestion of the upper respiratory tract due to the common cold, hay fever and sinusitis.

4.2 Posology And Method Of Administration

Adults and children over 12 years:

1-2 sprays per nostril every 6-8 hours unless otherwise advised by your doctor.

Topical application as a nasal spray.

4.3 Contraindications

See your doctor for advice before taking this medicine if you suffer from high blood pressure, any heart complaint, diabetes, thyroid disease, hepatic or renal disorders.

4.4 Special Warnings And Precautions For Use

See your doctor if you feel worse or do not feel better after 7 days. Inform your doctor if you develop new symptoms.

4.5 Interaction With Other Medicinal Products And Other Forms Of Interaction

If you are taking other medicines, you should see your doctor for advice before taking this medicine.

4.6 Pregnancy And Lactation

Before using this medicine, obtain advice from your doctor if you intend to become pregnant, are pregnant or are breast-feeding.

4.7 Effects On Ability To Drive And Use Machines

None known.

4.8 Undesirable Effects

None known.

4.9 Overdose

4.9.1 Symptoms

No information.

4.9.2 Treatment of overdose

No information.

5. Pharmacological Properties 5.1 Pharmacodynamic Properties

Oxymetazoline hydrochloride:

?-Adrenergic imidazoline derivative, providing localised nasal vasoconstriction.

5.2 Pharmacokinetic Properties

Not applicable. The product provides purely local action.

5.3 Preclinical Safety Data

Not applicable.

6. Pharmaceutical Particulars 6.1 List Of Excipients

Menthol

Eucalyptol

Sodium citrate dihydrate

Tyloxapol

Citric acid anhydrous

Chlorhexidine digluconate

Benzalkonium chloride

Camphor

Disodium edetate

Sodium hydroxide

Purified water

6.2 Incompatibilities

None known.

6.3 Shelf Life

3 years.

6.4 Special Precautions For Storage

None.

6.5 Nature And Contents Of Container

15ml or 20ml polyethylene/polypropylene copolymer bottle with L. D polyethylene dip tube to spray orifice. Green polypropylene screw cap.

6.6 Special Precautions For Disposal And Other Handling

Not applicable.

7. Marketing Authorisation Holder

Procter & Gamble (Health & Beauty Care) Limited

The Heights,

Brooklands,

Weybridge,

Surrey

KT13 0XP

8. Marketing Authorisation Number(S)

PL 0129/5011R

9. Date Of First Authorisation/Renewal Of The Authorisation

12th June 1990

10. Date Of Revision Of The Text

June 2009


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Calcitonin Salmon Spray


Generic Name: Calcitonin-Salmon (KAL-si-TOE-nin SA-mon)
Brand Name: Miacalcin
Calcitonin-Salmon Spray is used for:

Treating osteoporosis (fragile or brittle bones) in certain women who have been past menopause for more than 5 years. It should be used along with adequate calcium and vitamin D intake. It may also be used for other conditions as determined by your doctor.

Calcitonin-Salmon Spray is a polypeptide hormone. It works by stopping bone loss and increasing the density or strength of bone.

Do NOT use Calcitonin-Salmon Spray if: you are allergic to any ingredient in Calcitonin-Salmon Spray

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

Before using Calcitonin-Salmon Spray:

Some medical conditions may interact with Calcitonin-Salmon Spray. 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 Calcitonin-Salmon Spray. However, no specific interactions with Calcitonin-Salmon Spray are known at this time.

Ask your health care provider if Calcitonin-Salmon Spray 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 Calcitonin-Salmon Spray:

Use Calcitonin-Salmon Spray as directed by your doctor. Check the label on the medicine for exact dosing instructions.

An extra patient leaflet is available with Calcitonin-Salmon Spray. Talk to your pharmacist if you have questions about this information. Before priming the pump and using a new bottle, allow the medicine to reach room temperature. The pump must be primed before the first use of each new bottle. To prime the pump, hold the bottle upright and press the 2 white side arms toward the bottle until a faint spray is seen. Only prime the pump before the first use of a new bottle. Use Calcitonin-Salmon Spray in only 1 nostril each day. Alternate nostrils every day. To use Calcitonin-Salmon Spray, hold your head in the upright position. Place the nozzle of the pump into the nostril and press the pump firmly towards the bottle. It is not necessary to inhale while spraying Calcitonin-Salmon Spray. Keep track of how many doses you use from the bottle. Do not use more than 30 doses from one bottle, even if the bottle does not appear to be empty. After 30 doses, the pump may not deliver the correct amount of medicine with each spray. If you miss a dose of Calcitonin-Salmon Spray, 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 Calcitonin-Salmon Spray.

Important safety information: Follow the diet program given to you by your health care provider. Calcitonin-Salmon Spray works better if used along with calcium and vitamin D. Ask your doctor about appropriate calcium and vitamin D supplements. Calcitonin-Salmon Spray may infrequently cause flushing. Check with your doctor if you develop flushing that is persistent or severe. Lab tests, including urine tests and nasal examinations, may be performed while you use Calcitonin-Salmon Spray. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments. Use Calcitonin-Salmon Spray with caution in the ELDERLY; they may be more sensitive to its effects, especially runny nose or nasal irritation or redness. Calcitonin-Salmon Spray should not be used in CHILDREN; safety and effectiveness in children have not been confirmed. PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Calcitonin-Salmon Spray while you are pregnant. It is not known if Calcitonin-Salmon Spray is found in breast milk. Do not breast-feed while using Calcitonin-Salmon Spray. Possible side effects of Calcitonin-Salmon Spray:

All medicines may cause side effects, but many people have no, or minor side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Back or joint pain; headache; runny nose; stuffy nose.

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); nasal irritation, soreness, or pain; nosebleeds; sores in nose.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Calcitonin-Salmon side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include nausea or vomiting.

Proper storage of Calcitonin-Salmon Spray:

Store new, unassembled nasal spray bottles in the refrigerator, between 36 and 46 degrees F (2 and 8 degrees C). Protect from freezing. Store bottles that are in use at room temperature, between 59 and 86 degrees F (15 and 30 degrees C), in an upright position for up to 35 days. Throw away all unrefrigerated bottles after 35 days. Keep Calcitonin-Salmon Spray out of the reach of children and away from pets.

General information: If you have any questions about Calcitonin-Salmon Spray, please talk with your doctor, pharmacist, or other health care provider. Calcitonin-Salmon Spray 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.

This information is a summary only. It does not contain all information about Calcitonin-Salmon Spray. 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 Calcitonin-Salmon resources Calcitonin-Salmon Side Effects (in more detail) Calcitonin-Salmon Use in Pregnancy & Breastfeeding Calcitonin-Salmon Drug Interactions Calcitonin-Salmon Support Group 2 Reviews for Calcitonin-Salmon - Add your own review/rating Compare Calcitonin-Salmon with other medications Hypercalcemia Osteogenesis Imperfecta Osteoporosis Paget's Disease


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Migranal Spray


Pronunciation: dye-HYE-droe-er-GOT-a-meen
Generic Name: Dihydroergotamine
Brand Name: Migranal

A serious, life-threatening decrease in the amount of blood supply to the hands and feet (peripheral ischemia), and to the brain (cerebral ischemia) has been reported when Migranal Spray was taken with certain other medicines. Do not take Migranal Spray with macrolide antibiotics (eg, erythromycin, clarithromycin, troleandomycin), HIV protease inhibitors (eg, ritonavir, nelfinavir, indinavir), or azole antifungals (eg, ketoconazole, itraconazole, voriconazole).


Migranal Spray is used for:

Treating acute migraine headache with or without aura (flashing lights, wavy lines, dark spots).

Migranal Spray is an ergot derivative. It works by shrinking blood vessels in the brain, which helps to relieve migraine headaches.

Do NOT use Migranal Spray if: you are pregnant, planning to become pregnant, or are breast-feeding you are allergic to any ingredient in Migranal Spray or to other ergot derivatives (eg, ergotamine) you have a history of certain heart problems (eg, coronary artery disease or vasospasm, heart attack, angina) you have severe kidney or liver problems, uncontrolled high blood pressure, or certain types of migraine headaches (hemiplegic or basilar) you have blood vessel problems (eg, in the brain or heart, or throughout the body; peripheral blood vessel disease) or blood circulation problems you have recently had blood vessel surgery (including blood vessels in the heart) you have a serious infection of the blood you have used certain other migraine medicines, such as methysergide, a 5-HT1 agonist (eg, sumatriptan), or other ergot derivatives (eg, ergotamine), within the last 24 hours you are taking delavirdine, efavirenz, an HIV protease inhibitor (eg, indinavir, nelfinavir, ritonavir), an imidazole antifungal (eg, itraconazole, ketoconazole, voriconazole), a ketolide antibiotic (eg, telithromycin), or a macrolide antibiotic (eg, clarithromycin, erythromycin, troleandomycin)

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

Before using Migranal Spray:

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

if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement if you have allergies to medicines, foods, or other substances if you have risk factors for heart disease (eg, high blood pressure, high cholesterol, diabetes, smoking, are overweight, a family history of heart disease, a woman past menopause or if you have had your uterus removed [eg, hysterectomy], a man older than 40 years) if you have a history of the blood disease porphyria, heart problems, liver or kidney problems, chest pain, or shortness of breath if your migraine headache is different from previous migraines

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

Clotrimazole, delavirdine, efavirenz, fluoxetine, fluvoxamine, HIV protease inhibitors (eg, indinavir, nelfinavir, ritonavir, saquinavir), imidazole antifungals (eg, fluconazole, itraconazole, ketoconazole, voriconazole), ketolide antibiotics (eg, telithromycin), macrolide antibiotics (eg, clarithromycin, erythromycin, troleandomycin), nefazodone, or zileuton because serious side effects may occur Beta blockers (eg, propranolol), delavirdine, efavirenz, 5-HT1 agonists (eg, sumatriptan), methysergide, or other ergot derivatives (eg, ergotamine) because they may increase the risk of Migranal Spray's side effects

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

An extra patient leaflet is available with Migranal Spray. Talk to your pharmacist if you have questions about this information.

Migranal Spray comes with an additional patient leaflet. Read it carefully and reread it each time you get Migranal Spray refilled. Check with your doctor before eating grapefruit or drinking grapefruit juice while taking Migranal Spray. Migranal Spray is for use in the nose only. It is not to be injected. Assemble the device according to the instructions provided with Migranal Spray. Before you use Migranal Spray, you will need to prime it. Remove the cap from the spray unit, hold the vial upright, and point the nasal sprayer away from your face. Pump the spray unit 4 times. Do not pump it more than 4 times. Spray 1 time into each nostril. Do NOT sniff or tilt your head back while spraying Migranal Spray or immediately after. If more than 1 spray per nostril is to be used, wait 15 minutes between sprays. Do not exceed the recommended dose. After using Migranal Spray, carefully throw away the nasal spray pump with the vial. Once a nasal spray vial has been opened, it must be thrown away after 8 hours. Do not assemble another vial of Migranal Spray until you are ready to use it. If you miss a dose of Migranal Spray and you still have a headache, follow your doctor's dosing instructions. Contact your doctor if you are unsure what to do if you miss a dose. Do not take Migranal Spray more often than prescribed. Do not take 2 doses at once.

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

Important safety information: Migranal Spray may cause drowsiness or dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Migranal Spray with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it. Tell your doctor or dentist that you take Migranal Spray before you receive any medical or dental care, emergency care, or surgery. Do not use more than the recommended dose without checking with your doctor. Do not use Migranal Spray daily on a regular basis. Migranal Spray is not intended to prevent migraine headaches. Discuss any questions or concerns with your doctor. Use Migranal Spray with caution in the ELDERLY; they may be more sensitive to its effects. Migranal Spray should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed. PREGNANCY and BREAST-FEEDING: Migranal Spray has been shown to cause harm to the fetus. Do not become pregnant while you are using it. If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and risks of using Migranal Spray while you are pregnant. Migranal Spray is found in breast milk. Do not breast-feed while taking Migranal Spray Possible side effects of Migranal Spray:

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:

Changes in taste; dizziness; drowsiness; nasal discharge; nausea; nose or throat burning sensation, tingling, pain, soreness, or dryness; nosebleeds; runny or stuffy nose; sinus inflammation; tiredness; vomiting.

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

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); abnormal skin sensations; fast, slow, or irregular heartbeat; itching; muscle pain, cramps, or weakness in the arms and legs; numbness, coldness, loss of color, bluish discoloration, or tingling in the fingers and toes; severe or persistent headache or dizziness; stomach pain, tenderness, or cramping; swelling; symptoms of heart attack (eg, chest, jaw, or left arm pain; fainting; numbness of an arm or leg; sudden, severe headache or vomiting; vision changes); symptoms of stroke (eg, confusion, one-sided weakness, slurred speech).

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. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch .

See also: Migranal side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include coma; confusion; fainting; light-headedness; nausea; numbness, coldness, loss of color, bluish discoloration, tingling, or pain in the fingers or toes; seizures; severe dizziness or headache; slow or shallow breathing; stomach pain; vomiting.

Proper storage of Migranal Spray:

Store Migranal Spray below 77 degrees F (25 degrees C). Protect from heat, moisture, and light. Do not store in the bathroom. Do not refrigerate or freeze. Discard any remaining medicine 8 hours after the nasal spray vial has been prepared. Do not use after the expiration date. Keep Migranal Spray out of the reach of children and away from pets.

General information: If you have any questions about Migranal Spray, please talk with your doctor, pharmacist, or other health care provider. Migranal Spray 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 Migranal Spray. 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 Migranal resources Migranal Side Effects (in more detail) Migranal Use in Pregnancy & Breastfeeding Migranal Drug Interactions Migranal Support Group 9 Reviews for Migranal - Add your own review/rating Compare Migranal with other medications Cluster Headaches Migraine


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Boots Pain Relief Heat Spray


Boots Pain Relief heat spray

(Ethyl Nicotinate 1.1% w/w, Methyl Salicylate 1.25% w/w, Racemic Camphor 0.625% w/w)

Effective relief for muscular and rheumatic pain

125 ml e

Read this can for full instructions.

Uses

A warming pain relieving spray for the relief of muscular and rheumatic pain, lumbago, fibrositis, sciatica, sprains, strains and stiffness. No massage necessary.

Before you use this medicine Do not use: If you are allergic to any of the ingredients If you are pregnant or breastfeeding, unless your doctor agrees On broken or damaged skin, or on open cuts On children under 5 years of age How to use

Keep the spray away from the eyes, face, lining of mouth, throat and nose, and other sensitive areas of the body. Do not inhale the spray.

Apply to the skin only.

Hold the can 6 inches (15 cm) away from the skin.

Adults and children of 5 years and over:

Spray the painful area with 2 or 3 short bursts of spray.

Only use a small amount of spray because using too much can irritate the skin.

If the symptoms do not go away, talk to your doctor.

If you accidentally use too much spray it will not usually cause any problems.

Possible side effects

Most people will not have problems.

If you get any of these stop using the spray. If you notice any side effect not listed here, please tell your pharmacist or doctor. Skin irritation Allergic reaction (such as itching or redness of the skin) Active ingredients

This topical spray contains Ethyl Nicotinate 1.1% w/w, Methyl Salicylate 1.25% w/w, Racemic Camphor 0.625% w/w.

Also contains: denatured ethanol, butane, isobutane, propane.

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

Use by the date on base of the can.

PL 00014/0275

Text prepared 3/06

Manufactured for the Marketing Authorisation holder The Boots Company PLC Nottingham NG2 3AA

by

ColepCCL UK Limited Atkinsons Way Foxhills Industrial Park Scunthorpe North Lincolnshire DN15 8QJ

Caution: Pressurised container. Protect from sunlight.

Do not expose to temperatures above 50°C.

Do not pierce or burn even when empty.

Do not use near, or place on painted or polished surfaces.

EXTREMELY FLAMMABLE

125 ml

175

Э

Do not spray on a naked flame or on incandescent material. Keep away from sources of ignition. No smoking.

If you need more advice ask your pharmacist.

BTC19928 vA 24/07/07


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Patanase Spray


Pronunciation: OH-loe-PA-ta-deen
Generic Name: Olopatadine
Brand Name: Patanase
Patanase Spray is used for:

Treating allergy symptoms such as sneezing and itchy, runny nose. It may also be used for other conditions as determined by your doctor.

Patanase Spray is an antihistamine nasal spray. It works by blocking the action of histamine, which reduces allergy symptoms.

Do NOT use Patanase Spray if: you are allergic to any ingredient in Patanase Spray

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

Before using Patanase Spray:

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

if you are pregnant, planning to become pregnant, or are breast-feeding if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement if you have allergies to medicines, foods, or other substances if you have an infection in the nose, a history of nasal injury, or any other nose problems (eg, blockage, narrowing, sores, ulcers)

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

Ask your health care provider if Patanase Spray 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 Patanase Spray:

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

Before using Patanase Spray for the first time, you must prime the pump. To do this, point the pump away from yourself and others. Spray 5 times or until a fine mist appears. Re-prime the pump if it has not been used for more than 7 days. To do this, point the pump away from yourself and others, then spray 2 times. To use a nose spray, gently blow your nose. Tip your head down with your chin toward your chest and place the tip of the spray container into the nose. Be sure to aim the container tip toward the cheek side of the nose away from the center of the nose. Using a finger from your other hand, press against the opposite nostril to close it off. Breathe gently through the open nostril and squeeze the spray container. If you are using more than 1 spray, wait for 1 to 2 minutes between sprays. Do not tip your head back or blow your nose right after using Patanase Spray. After using the medicine, rinse the tip of the spray unit in hot water and dry with a clean tissue to prevent contamination. Throw away any medicine that is left in the bottle after you have used 240 sprays (not counting the sprays used to prime the bottle for the first time). You may no longer receive the correct amount of medicine with each spray. If you miss a dose of Patanase Spray, 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 Patanase Spray.

Important safety information: Patanase Spray is for the nose only. Do not get it in your eyes or mouth. If you get it in these areas, rinse with cool tap water at once. Patanase Spray may cause drowsiness. This effect may be worse if you take it with alcohol or certain medicines. Use Patanase Spray with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it. Do not drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Patanase Spray; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness. Do NOT use more than the recommended dose without checking with your doctor. The medicine has an antihistamine in it. Before you start any new medicine, check the label to see if it has an antihistamine (eg, diphenhydramine) in it too. If it does or if you are not sure, check with your doctor or pharmacist. Patanase Spray should be used with extreme caution in CHILDREN younger than 6 years old; safety and effectiveness in these children have not been confirmed. PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Patanase Spray while you are pregnant. It is not known if Patanase Spray is found in breast milk. If you are or will be breast-feeding while you use Patanase Spray, check with your doctor. Discuss any possible risks to your baby. Possible side effects of Patanase Spray:

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:

Bitter taste; cough; drowsiness; headache; mild nosebleed; mild sore throat.

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); fever; repeated or persistent nosebleeds; severe nasal irritation; sores in the nose.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Patanase side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include agitation; restlessness; severe drowsiness.

Proper storage of Patanase Spray:

Store Patanase Spray between 39 and 77 degrees F (4 and 25 degrees C). Store away from heat, moisture, and light. Keep Patanase Spray out of the reach of children and away from pets.

General information: If you have any questions about Patanase Spray, please talk with your doctor, pharmacist, or other health care provider. Patanase Spray 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 Patanase Spray. 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 Patanase resources Patanase Side Effects (in more detail) Patanase Use in Pregnancy & Breastfeeding Patanase Drug Interactions Patanase Support Group 7 Reviews for Patanase - Add your own review/rating Compare Patanase with other medications Hay Fever


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Fluticasone Spray


Pronunciation: floo-TIK-a-sone
Generic Name: Fluticasone
Brand Name: Flonase
Fluticasone Spray is used for:

Treatment of allergic and nonallergic nasal symptoms including congestion, sneezing, itching, and runny nose.

Fluticasone Spray is a corticosteroid. It works by reducing inflammatory reactions in the nasal airway in response to allergens and irritants in the air.

Do NOT use Fluticasone Spray if: you are allergic to any ingredient in Fluticasone Spray

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

Before using Fluticasone Spray:

Some medical conditions may interact with Fluticasone Spray. 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 or other substances if you have recently experienced an ulcer of the nasal septum, nasal surgery, or nasal trauma if you have active or inactive tuberculosis or a positive skin test for tuberculosis if you have infections of the respiratory tract, untreated fungal or bacterial infections, parasitic or viral infections, measles, chickenpox, herpes simplex in or around the eye, or recently received a vaccination if you have diarrhea if you have glaucoma or cataracts

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

Certain medicines that act on the liver (eg, protease inhibitors [eg, ritonavir], ketoconazole) because they may increase the actions and the risk of Fluticasone Spray's side effects

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

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

An extra patient leaflet is available with Fluticasone Spray. Talk to your pharmacist if you have questions about this information. Shake gently before each use. If needed, prime the spray pump according to the directions in the extra patient leaflet. To use a nose spray, gently blow your nose. Sit down and tilt your head forward slightly. Place the tip of the spray container into the nose. Using a finger from your other hand, press against the opposite nostril to close it off. Breathe gently through the open nostril and squeeze the spray container. If you are using more than 1 spray, wait for 1 to 2 minutes between sprays. After using the medicine, rinse the tip of the spray unit in hot water and dry with a clean tissue to prevent contamination. Symptoms can start to improve as soon as 12 hours after you start using Fluticasone Spray, and should improve within a couple of days. The full benefit may not be achieved until you have used Fluticasone Spray for several days. If symptoms do not improve or if the condition worsens, contact your health care provider. Use Fluticasone Spray on a regular schedule to get the most benefit from it. Using Fluticasone Spray at the same time each day will help you remember to use it. Continue to use Fluticasone Spray even if you feel well. Do not miss any doses. If you miss a dose of Fluticasone Spray, 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 Fluticasone Spray.

Important safety information: Fluticasone Spray may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Fluticasone Spray with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it. Use caution if you switch from an oral steroid (eg, prednisone) to Fluticasone Spray. It may take several months for your body to make enough natural steroids to handle events that cause physical stress. Such events may include injury, surgery, infection, loss of blood electrolytes, or a sudden asthma attack. These may be severe and sometimes fatal. Contact your doctor right away if any of these events occur. You may need to take an oral steroid (eg, prednisone) again. Carry a card at all times that says you may need an oral steroid (eg, prednisone) if any of these events occur. Tell your doctor or dentist that you take Fluticasone Spray before you receive any medical or dental care, emergency care, or surgery. If you have not had chickenpox, shingles, or measles, avoid contact with anyone who does. Avoid spraying in the eyes. Fluticasone Spray should not be used in CHILDREN younger than 4 years old; safety and effectiveness in these children have not been confirmed. Corticosteroids may affect growth rate in CHILDREN and teenagers in some cases. They may need regular growth checks while they use Fluticasone Spray. PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Fluticasone Spray while you are pregnant. It is not known if Fluticasone Spray is found in breast milk. If you are or will be breast-feeding while you use Fluticasone Spray, check with your doctor. Discuss any possible risks to your baby. Possible side effects of Fluticasone Spray:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Dizziness; headache; nasal irritation or burning; nausea; nosebleed; sore throat; vomiting.

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

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; unusual hoarseness); blurred vision or other vision changes; frequent, severe, or persistent nosebleeds or nasal irritation; loss of sense of smell or taste; shortness of breath; sores in the nose; unusual nasal discharge; voice changes; wheezing.

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.

Proper storage of Fluticasone Spray:

Store Fluticasone Spray between 39 and 86 degrees F (4 and 30 degrees C). Keep Fluticasone Spray out of the reach of children and away from pets.

General information: If you have any questions about Fluticasone Spray, please talk with your doctor, pharmacist, or other health care provider. Fluticasone Spray 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 Fluticasone Spray. 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 Fluticasone resources Fluticasone Use in Pregnancy & Breastfeeding Fluticasone Drug Interactions Fluticasone Support Group 29 Reviews for Fluticasone - Add your own review/rating Compare Fluticasone with other medications Hay Fever Nasal Polyps Rhinitis


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Mouth and throat products


A drug may be classified by the chemical type of the active ingredient or by the way it is used to treat a particular condition. Each drug can be classified into one or more drug classes.

Topical mouth and throat products include agents such as antifungals, antiseptics, cough suppressants and saliva substitutes. They are used to treat conditions of the mouth and throat such as oral thrush, dry mouth, sore throat and tickly cough.

See also

Medical conditions associated with mouth and throat products:

Aphthous Stomatitis, Recurrent Aphthous Ulcer Cold Sores Cough Gastrointestinal Candidiasis Gingivitis Herpes Simplex Mucositis Nasal Congestion Oral and Dental Conditions Oral Thrush Pain Periodontitis Tonsillitis/Pharyngitis Xerostomia Drug List: Cepacol-Dual-Relief-Spray Neutrasal-Powder Mycelex-Troche Aphthasol Atridox Betasept-Liquid Bio-Statin-Powder Biopatch Calgon-Vesta Caphosol-Solution Cepacol-Sore-Throat-Lozenges Cetacaine-Liquid Chloraseptic-Lozenges Chlorostat Chlorostat-4 Denti-Care-Denti-Rinse Dyna-Hex Exactacain-Topical-Anesthetic-Spray First-Mouthwash-Blm Hibiclens-Liquid Hibistat Mycostatin Mycostatin-Pastilles Nilstat Peridex-Solution Periochip Periogard-Solution Perisol-Oral-Rinse Salivart-Spray Scrub-Care Spectrum-4 Vicks-Formula-44-Sore-Throat-Spray


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Astelin Spray


Pronunciation: a-ZEL-as-teen
Generic Name: Azelastine
Brand Name: Astelin
Astelin Spray is used for:

Treating allergy symptoms such as sneezing and itchy, runny nose. It is also used to treat symptoms of nasal passage inflammation such as runny nose, stuffy nose, and postnasal drip. It may also be used for other conditions as determined by your doctor.

Astelin Spray is an antihistamine nasal spray. It works by blocking the action of histamine, which reduces allergy symptoms.

Do NOT use Astelin Spray if: you are allergic to any ingredient in Astelin Spray

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

Before using Astelin Spray:

Some medical conditions may interact with Astelin Spray. 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 Astelin Spray. Because little, if any, of Astelin Spray is absorbed into the blood, the risk of it interacting with another medicine is low.

Ask your health care provider if Astelin Spray 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 Astelin Spray:

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

An extra patient leaflet is available with Astelin Spray. Talk to your pharmacist if you have questions about this information. Astelin Spray is for the nose only. Do not get it in your eyes or mouth. If you get Astelin Spray in your eyes, rinse with cool tap water at once. Prime the spray pump before the first use of a new bottle. Remove the blue dust cover over the tip of the bottle and the blue safety clip. To prime the pump, point the spray pump away from you and others. Spray rapidly and firmly several times until a fine mist appears (4 sprays or less). Gently blow your nose to clear your nostrils. Keep your head tilted downward. Place the spray tip ?? to ?? inch into the nostril. Hold the bottle upright, allowing the spray tip to aim toward the back of the nose. Close the other nostril with one finger. Spray rapidly and firmly once and sniff gently at the same time. Repeat in the other nostril as directed. Breathe in gently. Do not tilt your head back after using Astelin Spray. This will help you to avoid the bitter taste that may be caused by Astelin Spray. After using Astelin Spray, wipe the spray tip with a clean tissue or cloth. Keep the dust cover and safety clip on the bottle when it is not in use. If 3 or more days have passed since the last use of this bottle, reprime the pump with 2 sprays or until a fine mist appears. If the nozzle becomes clogged, do NOT clean it by using a pointed object. Remove the spray pump from the bottle. Soak it in warm water, squirting it several times while under water. Dry the spray pump completely. Attach the spray pump to the bottle and reprime. If you miss a dose of Astelin Spray, 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 Astelin Spray.

Important safety information: Astelin Spray may cause drowsiness. These effects may be worse if you take it with alcohol or certain medicines. Use Astelin Spray with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it. Do not drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Astelin Spray; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness. Do NOT take more than the recommended dose without checking with your doctor. The medicine has an antihistamine in it. Before you start any new medicine, check the label to see if it has an antihistamine (eg, diphenhydramine) in it too. If it does or if you are not sure, check with your doctor or pharmacist. Astelin Spray may cause harm if it is swallowed. If you may have taken it by mouth, contact your poison control center or emergency room right away. Astelin Spray should be used with extreme caution in CHILDREN younger than 5 years old; safety and effectiveness in these children have not been confirmed. PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Astelin Spray while you are pregnant. It is not known if Astelin Spray is found in breast milk. If you are or will be breast-feeding while you use Astelin Spray, check with your doctor. Discuss any possible risks to your baby. Possible side effects of Astelin Spray:

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:

Bitter taste; drowsiness; fatigue; headache; mild nasal bleeding, burning, discomfort, or stinging; sudden sneezing attack.

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); repeated or persistent nosebleeds; severe nasal 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.

See also: Astelin side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include increased limp muscles; saliva production; seizures; tremors.

Proper storage of Astelin Spray:

Store Astelin Spray at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Protect from freezing. Store with the pump tightly closed. Store away from heat, moisture, and light. Do not use Astelin Spray after the expiration date on the bottle. Keep Astelin Spray out of the reach of children and away from pets.

General information: If you have any questions about Astelin Spray, please talk with your doctor, pharmacist, or other health care provider. Astelin Spray 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 Astelin Spray. 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 Astelin resources Astelin Side Effects (in more detail) Astelin Use in Pregnancy & Breastfeeding Astelin Drug Interactions Astelin Support Group 7 Reviews for Astelin - Add your own review/rating Compare Astelin with other medications Hay Fever


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Otrivine Adult Nasal Spray


1. Name Of The Medicinal Product

Otrivine® Adult Nasal Spray

2. Qualitative And Quantitative Composition

Xylometazoline Hydrochloride 0.1% w/v

For excipients see section 6.1

3. Pharmaceutical Form

Nasal spray, solution

The spray is a clear, colourless solution

4. Clinical Particulars 4.1 Therapeutic Indications

For the treatment of nasal congestion, perennial and allergic rhinitis (including hay fever), sinusitis.

4.2 Posology And Method Of Administration

Adults, children over 12 years and the elderly: One application in each nostril 2 or 3 times daily

Route of administration: Nasal use

4.3 Contraindications

Known hypersensitivity to Otrivine.

Patients with trans-sphenoidal hypophysectomy or surgery exposing the dura mater.

4.4 Special Warnings And Precautions For Use

Patients are advised not to take decongestants for more than seven consecutive days. Otrivine, like other preparations belonging to the same class of active substances, should be used only with caution in patients showing a strong reaction to sympathomimetic agents as evidenced by signs of insomnia, dizziness etc.

• Do not exceed the recommended dosage

• Decongestants should not be used for more than seven consecutive days. If symptoms persist consult your doctor

• If you are pregnant or taking other medicines or are under a doctor's care consult him before using Otrivine

• The adult spray should not be used for infants or children under 12 years

• Each Otrivine pack should be used by one person only to prevent any cross infection

• Some patients who have sensitive nasal passages may feel some local discomfort when applying nasal drops. Other side effects are very rare

• Keep medicines out of reach of children

4.5 Interaction With Other Medicinal Products And Other Forms Of Interaction

None

4.6 Pregnancy And Lactation

No foetal toxicity or fertility studies have been carried out in animals. In view of its potential systemic vasoconstrictor effect, it is advisable to take the precaution of not using Otrivine during pregnancy.

Label warning: If you are pregnant or taking any other medicines or are under a doctor's care, consult him before using Otrivine.

4.7 Effects On Ability To Drive And Use Machines

None

4.8 Undesirable Effects

The following side effects have occasionally been encountered: A burning sensation in the nose and throat, local irritation, nausea, headache, and dryness of the nasal mucosa.

Systemic cardiovascular effects have occurred, and this should be kept in mind when giving Otrivine to people with cardiovascular disease.

4.9 Overdose

No cases of overdosage in adults have yet been reported. In rare instances of accidental poisoning in children, the clinical picture has been marked chiefly by signs such as acceleration and irregularity of the pulse, elevated blood pressure, drowsiness, respiratory depression or irregularity. There is no specific treatment and appropriate supportive treatment should be initiated.

5. Pharmacological Properties 5.1 Pharmacodynamic Properties

Otrivine Adult Nasal Spray is a sympathomimetic agent with marked alpha-adrenergic activity, and is intended for use in the nose. It constricts the nasal blood vessels, thereby decongesting the mucosa of the nose and neighbouring regions of the pharynx. This enables patients suffering from colds to breathe more easily through the nose. The effect of Otrivine Adult Nasal Spray begins within a few minutes and lasts for up to 10 hours. Otrivine Adult Nasal Spray is generally well tolerated and does not impair the function of ciliated epithelium.

In a double-blind, saline solution (Otrisal) controlled study in patients with common cold, the

decongestant effect of Otrivine was significantly superior (p<0.0001) to Otrisal saline solution based on rhinomanometry measurement at 1 hour after administration of the study drugs.

5.2 Pharmacokinetic Properties

Systemic absorption may occur following nasal application of xylometazoline hydrochloride solutions. It is not used systemically.

5.3 Preclinical Safety Data

There are no findings in the preclinical testing which are of relevance to the prescriber.

6. Pharmaceutical Particulars 6.1 List Of Excipients

Benzalkonium chloride

Disodium phosphate dodecahydrate (Sodium phosphate)

Disodium edetate

Sodium dihydrogen phophate dihydrate (Sodium acid phosphate)

Sodium chloride

Purified water

6.2 Incompatibilities

None

6.3 Shelf Life

Unopened: 36 months

After the container is opened for the first time: 28 days

6.4 Special Precautions For Storage

Do not store above 25°C.

6.5 Nature And Contents Of Container

Bottle: Low density polyethylene

Cap: High density polyethylene

Spray valve and capillary: Low density polyethylene

Carton: Cardboard

Pack size: 10 ml

6.6 Special Precautions For Disposal And Other Handling

Keep all medicines out of the reach of children

7. Marketing Authorisation Holder

Novartis Consumer Health UK Limited

Wimblehurst Road

Horsham

West Sussex

RH12 5AB

Trading as: Novartis Consumer Health

8. Marketing Authorisation Number(S)

PL 00030/0116

9. Date Of First Authorisation/Renewal Of The Authorisation

Date of first authorisation: 1 October 1997

10. Date Of Revision Of The Text

22 December 2009.

Legal category: GSL


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Otrivine Adult Nasal Spray


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