Avelox Tablets
Pronunciation: MOX-i-FLOX-a-sinGeneric Name: MoxifloxacinBrand Name: Avelox

Allergy Itch Ease
Generic Name: arisaema triphyllum root, viola tricolor, comocladia dentata bark/leaf, chamomile and artemisia cina flower granule Dosage Form: FOR ANIMAL USE ONLYAllergy Itch Ease

Relieves skin itch

Indications: Homeopathic remedy for the relief of itchy skin in pets.

Dosage: Sprinkle granules directly into the mouth and hold closed briefly.Initial dose: every 30 minutes for up to 10 doses. Thereafter, 3 times daily. Cats and dogs under 20 lbs: 1 large pinch. Dogs 20-50 lbs: 2 pinches. Dogs over 50 lbs: 1/4 cap granules. May be used with Skin and Coat Tonic™ .

Caution: Consult your vet if symptoms persist or worsen. Keep this and all medicines from the reach of children.

Ingredients: Each dose contains equal parts of Arum triph (6C) (HPUS), Viola tri. (6C) (HPUS), Comocladia (6C) (HPUS), Chamomilla (12C) (HPUS), Cina (6C) (HPUS)

Sucrose (inactive ingredient)

Enter section text here

Contains no gluten, artificial flavors, colors or preservatives.

All Native Remedies health products are especially formulated by experts in the field of natural health and are manufactured according to the highest pharmaceutical standards for maximum safety and effectiveness. For more information, visit us at www.nativeremedies.com

Distributed by

Native Remedies, LLC

6531 Park of Commerce Blvd.

Suite 160

Boca Raton, FL 33487

Phone: 1.877.289.1235

International: + 1.561.999.8857

The letters HPUS indicate that the component(s) in this product is (are) officially monographed in the Homeopathic Pharmacopoeia of the United States.

Adrenalin Injection

Generic Name: epinephrine (Injection route)

ep-i-NEF-rin

Commonly used brand name(s)

In the U.S.

Adrenaclick Adrenalin Adrenalin Chloride Epipen Epipen Jr Twinject

Available Dosage Forms:

Injectable Solution

Therapeutic Class: Anaphylaxis Agent

Pharmacologic Class: Adrenergic

Chemical Class: Alkylarylamine

Uses For Adrenalin

Epinephrine injection is used for emergency treatment of severe allergic reactions (including anaphylaxis) to insect bites or stings, medicines, foods, or other substances. It is also used to treat anaphylaxis caused by unknown substances or triggered by exercise.

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

Before Using Adrenalin

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

Allergies

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

Pediatric

No information is available on the relationship of age to the effects of epinephrine injection in the pediatric population. Safety and efficacy have not been established.

Geriatric

No information is available on the relationship of age to the effects of epinephrine injection in geriatric patients. However, elderly patients are more likely to have age-related heart disease which may require caution in patients receiving epinephrine injection.

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

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

Interactions with Medicines

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

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

Dihydroergotamine Isocarboxazid Linezolid Phenelzine Tranylcypromine

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

Amitriptyline Amoxapine Bucindolol Carteolol Carvedilol Clomipramine Desipramine Dilevalol Dothiepin Doxepin Entacapone Halothane Imipramine Levobunolol Lofepramine Metipranolol Nadolol Nortriptyline Opipramol Oxprenolol Penbutolol Pindolol Propranolol Protriptyline Rasagiline Sotalol Tertatolol Timolol Trimipramine

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

Labetalol Interactions with Food/Tobacco/Alcohol

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

Other Medical Problems

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

Angina pectoris (severe chest pain) or Blood vessel problems or Diabetes mellitus (sugar diabetes) or Heart attack or Heart disease or Heart rhythm problems or Hypertension (high blood pressure) or Overactive thyroid or Parkinson's disease—Use with caution. May make these conditions worse. Proper Use of epinephrine

This section provides information on the proper use of a number of products that contain epinephrine. It may not be specific to Adrenalin. Please read with care.

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

If you are using this medicine at home, make sure you or any of your family members understand exactly how to give them. Also, tell your doctor if you or your caregiver has severe arthritis of the hands. If you have any questions about this, check with your doctor.

This medicine is injected under your skin or into the muscle of your outer thigh only. Do not inject this medicine into a vein or into the muscle of your buttocks. To do so, may increase the chance of having serious side effects.

This medicine comes with patient instructions. Read and follow these instructions carefully. Ask your doctor if you have any questions.

This medicine comes in an auto-injector syringe and needle kit that contains the correct dose of medicine your doctor has prescribed.

You may need to use more than one injection if your allergic reaction does not get better after the first shot.

Carry this medicine with you at all times for emergency use in case you have a severe allergic reaction.

Dosing

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

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

For injection dosage form: For allergic reactions: Adults and children weighing above 30 kilograms (66 pounds)—0.3 milligram (mg) injected under the skin or into the muscle of your thigh. Adults and children weighing 15 to 30 kilograms (33 to 66 pounds)—0.15 milligram (mg) injected under the skin or into the muscle of your thigh. Storage

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Store the injection kits at room temperature, away from heat, moisture, and direct light. Do not store the medicine in the refrigerator or freezer. Keep the auto-injector in its case or tube.

Check the injection kits regularly to make sure that the liquid has not changed its color. Do not use this medicine if the liquid has changed its color, or if there are solids in the liquid.

Do not reuse the remaining portion of the medicine that is left in the auto-injector. Throw away the auto-injector after you have used it.

Precautions While Using Adrenalin

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

Anaphylaxis is a life-threatening reaction and requires immediate medical attention. Check with your doctor right away, or go to an emergency room as soon as possible, even if you feel better after using this medicine.

This medicine may affect blood sugar levels. If you notice a change in the results of your blood or urine sugar tests or if you have any questions, check with your doctor.

Do not inject this medicine into your hands or feet. There is already less blood flow to the hands and feet, and epinephrine could make that worse and cause damage to these tissues. If you accidentally inject epinephrine into your hands or feet, check with your doctor or go to the hospital emergency room right away.

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

Adrenalin Side Effects

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

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

Incidence not known Abnormal or decreased touch sensation arm, back or jaw pain bleeding, blistering, burning, coldness, discoloration of the skin, feeling of pressure, hives, infection, inflammation, itching, lumps, numbness, pain, rash, redness, scarring, soreness, stinging, swelling, tenderness, tingling, ulceration, or warmth at the injection site blurred vision chest pain or discomfort chest tightness or heaviness dizziness fainting fast, irregular, pounding, or racing heartbeat or pulse fear or nervousness headache nausea or vomiting paleness of the skin pounding in the ears restlessness shakiness in the legs, arms, hands, or feet shortness of breath slow or fast heartbeat stroke sweating trembling or shaking of the hands or feet troubled breathing unusual tiredness or weakness wheezing

Get emergency help immediately if any of the following symptoms of overdose occur:

Symptoms of overdose Agitation coldness of the skin coma confusion decreased urine output depression drowsiness hostility irritability lethargy lightheadedness, dizziness, or fainting muscle twitching pounding, slow heartbeat rapid weight gain rapid, deep breathing seizures stomach cramps stupor swelling of the face, ankles, or hands

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

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

See also: Adrenalin Injection side effects (in more detail)

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

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

More Adrenalin Injection resources Adrenalin Injection Side Effects (in more detail)Adrenalin Injection Use in Pregnancy & BreastfeedingAdrenalin Injection Drug InteractionsAdrenalin Injection Support Group0 Reviews for Adrenalin Injection - Add your own review/rating Compare Adrenalin Injection with other medications Adams-Stokes SyndromeAllergic ReactionsAsthma, acuteAsystoleAV Heart BlockCOPD, AcuteElectromechanical DissociationShock

Amphetamine/Dextroamphetamine
Pronunciation: am-FET-a-meen/DEX-troe-am-FET-a-meenGeneric Name: Amphetamine/DextroamphetamineBrand Name: Adderall

Acular LS

Generic Name: ketorolac ophthalmic (KEE toe ROLE ak) Brand Names: Acular, Acular LS, Acular PF, Acuvail

What is Acular LS (ketorolac ophthalmic)?

Ketorolac is in a group of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs). Ketorolac works by reducing hormones that cause inflammation and pain in the body.

Ketorolac ophthalmic (for the eye) is used to relieve eye itching caused by seasonal allergies.

Ketorolac ophthalmic is also used to reduce swelling, pain, and burning or stinging after cataract surgery or corneal refractive surgery.

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

What is the most important information I should know about Acular LS (ketorolac ophthalmic)? You should not use this medication if you are allergic to ketorolac or other NSAIDs (nonsteroidal anti-inflammatory drugs).

Before using ketorolac ophthalmic, tell your doctor if you are allergic to any medications, or if you have a bleeding or blood-clotting disorder, diabetes, arthritis, glaucoma, dry eye syndrome, or if you have had other recent eye surgeries.

Tell your doctor about all other medications you use, especially a blood thinner such as warfarin (Coumadin).

Use this medication exactly as prescribed by your doctor. Do not use it in larger amounts or for longer than recommended. Follow the directions on your prescription label. Using the medication for longer than prescribed may increase the risk of serious side effects on your eyes.

While you are using this medication, do not wear any contact lens that has not been approved by your doctor. Do not use any other eye medications unless your doctor has prescribed them. What should I discuss with my healthcare provider before I use Acular LS (ketorolac ophthalmic)? You should not use this medication if you are allergic to ketorolac or other NSAIDs.

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

a bleeding or blood-clotting disorder;

diabetes;

arthritis;

glaucoma;

dry eye syndrome; or

if you have had other recent eye surgeries.

FDA pregnancy category C. It is not known whether ketorolac ophthalmic is harmful to an unborn baby. Before taking this medication, tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether ketorolac ophthalmic passes into breast milk or if it could harm a nursing baby. Do not use ketorolac ophthalmic without telling your doctor if you are breast-feeding a baby. How should I use Acular LS (ketorolac ophthalmic)?

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

Ketorolac ophthalmic is usually given 24 hours before cataract surgery, and continued for up to 14 days after surgery. Using the medication for longer than prescribed may increase the risk of serious side effects on your eyes.

Wash your hands before using the eye drops.

To apply the eye drops:

Tilt your head back slightly and pull down your lower eyelid to create a small pocket. Hold the dropper above the eye with the dropper tip down. Look up and away from the dropper as you squeeze out a drop, then close your eye.

Gently press your finger to the inside corner of the eye (near your nose) for about 1 minute to keep the liquid from draining into your tear duct.

Use the eye drops only in the eye you are having surgery on.

Do not allow the dropper tip to touch any surface, including the eyes or hands. If the dropper becomes contaminated it could cause an infection in your eye, which can lead to vision loss or serious damage to the eye.

Do not use the eye drops if the liquid has changed colors or has particles in it. Call your doctor for a new prescription.

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

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

What happens if I overdose? Seek emergency medical attention if you think you have used too much of this medicine.

An overdose of ketorolac is not likely to cause life-threatening symptoms.

What should I avoid while using Acular LS (ketorolac ophthalmic)? While using this medication, do not wear any contact lens that has not been approved by your doctor.

Do not use any other eye medications unless your doctor has prescribed them.

Acular LS (ketorolac ophthalmic) 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 a serious side effect such as:

severe burning, stinging, or itching of your eyes;

eye pain, redness, or watering;

vision changes, increased sensitivity to light;

white patches on your eyes; or

crusting or drainage from your eyes.

Less serious side effects may include:

mild burning, stinging, or itching of your eyes;

swollen or puffy eyelids; or

headache.

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 Acular LS (ketorolac ophthalmic)?

Tell your doctor about all other medications you use, especially a blood thinner such as warfarin (Coumadin).

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

More Acular LS resources Acular LS Side Effects (in more detail)Acular LS Use in Pregnancy & BreastfeedingAcular LS Drug InteractionsAcular LS Support Group1 Review for Acular LS - Add your own review/rating Acular LS Prescribing Information (FDA) Acular LS Drops MedFacts Consumer Leaflet (Wolters Kluwer) Acular LS Advanced Consumer (Micromedex) - Includes Dosage Information Acular Drops MedFacts Consumer Leaflet (Wolters Kluwer) Acular Prescribing Information (FDA) Acular eent Monograph (AHFS DI) Acular PF Prescribing Information (FDA) Acular PF Drops MedFacts Consumer Leaflet (Wolters Kluwer) Acuvail Prescribing Information (FDA) Acuvail Drops MedFacts Consumer Leaflet (Wolters Kluwer) Acuvail Consumer Overview Compare Acular LS with other medications Corneal Refractive SurgeryPostoperative Ocular InflammationSeasonal Allergic Conjunctivitis Where can I get more information? Your doctor or pharmacist can provide more information about ketorolac ophthalmic.

See also: Acular LS side effects (in more detail)

Acromegaly Medications

Definition of Acromegaly: Acromegaly is a chronic metabolic disorder caused by the presence of too much growth hormone. It results in gradual enlargement of body tissues including the bones of the face, jaw, hands, feet, and skull.

Drugs associated with Acromegaly

The following drugs and medications are in some way related to, or used in the treatment of Acromegaly. This service should be used as a supplement to, and NOT a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners.

Learn more about Acromegaly

Medical Encyclopedia:

Acromegaly Drug List:SandostatinSomatuline-DepotSomavert

Acetaminophen/Chlorpheniramine/Phenylephrine Controlled-Release Tablets
Pronunciation: ah-seet-ah-MIN-oh-fen/klor-fen-EER-a-meen/fen-ill-EF-rinGeneric Name: Acetaminophen/Chlorpheniramine/PhenylephrineBrand Name: Protid

Alteplase
Pronunciation: AL-teh-PLACEGeneric Name: AlteplaseBrand Name: Cathflo Activase

Alocril
nedocromil sodium Dosage Form: ophthalmic solutionAlocril® (nedocromil sodium ophthalmic solution) 2%

sterile

Alocril Description

Alocril® (nedocromil sodium ophthalmic solution) 2% is a clear, yellow, sterile solution for topical ophthalmic use.

Nedocromil sodium is represented by the following structural formula:

Chemical name:

4H-Pyrano[3,2-g]quinoline-2,8-dicarboxylic acid, 9-ethyl-6,9-dihydro-4,6-dioxo-10-propyl-, disodium salt.

Each mL contains: Active: Nedocromil sodium 20 mg/mL (2%); Preservative: Benzalkonium chloride 0.01%; Inactives: Edetate disodium 0.05%, purified water, and sodium chloride 0.5%. It has a pH range of 4.0 to 5.5 and an osmolality range of 270 to 330 mOsm/kg.

Alocril - Clinical Pharmacology

Nedocromil sodium is a mast cell stabilizer. Nedocromil sodium inhibits the release of mediators from cells involved in hypersensitivity reactions. Decreased chemotaxis and decreased activation of eosinophils have also been demonstrated.

In vitro studies with adult human bronchoalveolar cells showed that nedocromil sodium inhibits histamine release from a population of mast cells having been defined as belonging to the mucosal sub type and inhibits beta-glucuronidase release from macrophages.

Pharmacokinetics and Bioavailability

Nedocromil sodium exhibits low systemic absorption. When administered as a 2% ophthalmic solution in adult human volunteers, less than 4% of the total dose was systemically absorbed following multiple dosing. Absorption is mainly through the nasolacrimal duct rather than through the conjunctiva. It is not metabolized and is eliminated primarily unchanged in urine (70%) and feces (30%).

Indications and Usage for Alocril

Alocril® ophthalmic solution is indicated for the treatment of itching associated with allergic conjunctivitis.

Contraindications

Alocril® ophthalmic solution is contraindicated in those patients who have shown hypersensitivity to nedocromil sodium or to any of the other ingredients.

Precautions Information for Patients

Patients should be advised to follow the patient instructions listed on the Information for Patients sheet.

Users of contact lenses should refrain from wearing lenses while exhibiting the signs and symptoms of allergic conjunctivitis.

Patients should be instructed to avoid allowing the tip of the dispensing container to contact the eye, surrounding structures, fingers, or any other surface in order to avoid contamination of the solution by common bacteria known to cause ocular infections. Serious damage to the eye and subsequent loss of vision may result from using contaminated solutions.

Carcinogenesis, Mutagenesis, and Impairment of Fertility

A two-year inhalation carcinogenicity study of nedocromil sodium at a dose of 24 mg/kg/day (approximately 400 times the maximum recommended human daily ocular dose on a mg/kg basis) in Wistar rats showed no carcinogenic potential.

Nedocromil sodium showed no mutagenic potential in the Ames Salmonella/microsome plate assay, mitotic gene conversion in Saccharomyces cerevisiae, mouse lymphoma forward mutation and mouse micronucleus assays.

Reproduction and fertility studies in mice and rats showed no effects on male and female fertility at a subcutaneous dose of 100 mg/kg/day (more than 1600 times the maximum recommended human daily ocular dose).

Pregnancy Teratogenic Effects: Pregnancy Category B

Reproduction studies performed in mice, rats and rabbits using a subcutaneous dose of 100 mg/kg/day (more than 1600 times the maximum human daily ocular dose on a mg/kg basis) revealed no evidence of teratogenicity or harm to the fetus due to nedocromil sodium. There are, however, no adequate and well-controlled studies in pregnant women. Because animal reproduction studies are not always predictive of human response, Alocril® ophthalmic solution should be used during pregnancy only if clearly needed.

Nursing Mothers

After intravenous administration to lactating rats, nedocromil was excreted in milk. It is not known whether this drug is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when Alocril® ophthalmic solution is administered to a nursing woman.

Pediatric Use

Safety and effectiveness in children below the age of 3 years have not been established.

Geriatric Use

No overall differences in safety or effectiveness have been observed between elderly and younger patients.

Adverse Reactions

The most frequently reported adverse experience was headache (~40%).

Ocular burning, irritation and stinging, unpleasant taste, and nasal congestion have been reported to occur in 10- 30% of patients. Other events occurring between 1 – 10% included asthma, conjunctivitis, eye redness, photophobia, and rhinitis.

Some of these events were similar to the underlying ocular disease being studied.

Alocril Dosage and Administration

The recommended dosage is one or two drops in each eye twice a day. Alocril® ophthalmic solution should be used at regular intervals.

Treatment should be continued throughout the period of exposure (i.e., until the pollen season is over or until exposure to the offending allergen is terminated), even when symptoms are absent.

How is Alocril Supplied

Alocril® (nedocromil sodium ophthalmic solution) 2% is supplied sterile in opaque white LDPE plastic bottles with dropper tips and white high impact polystyrene (HIPS) caps as follows:

5 mL in 10 mL bottle NDC 0023-8842-05

Storage: Store at 2? – 25?C (36? – 77?F).

Rx Only

Revised June 2008

© 2008 Allergan, Inc.

atovaquone

a-TOE-va-kwone

Commonly used brand name(s)

In the U.S.

Mepron

Available Dosage Forms:

Tablet Suspension

Therapeutic Class: Antiprotozoal

Chemical Class: Ubiquinone

Uses For atovaquone

Atovaquone is used to treat and to prevent Pneumocystis carinii pneumonia (PCP), a very serious kind of pneumonia. This particular kind of pneumonia occurs commonly in patients whose immune systems are not working normally, such as cancer patients, transplant patients, and patients with acquired immune deficiency syndrome (AIDS).

atovaquone is available only with your doctor's prescription.

Before Using atovaquone

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

Allergies

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

Pediatric

Appropriate studies have not been performed on the relationship of age to the effects of atovaquone in children 1 month to 13 years of age. Safety and efficacy have not been established .

Geriatric

Appropriate studies performed to date have not demonstrated geriatrics-specific problems that would limit the usefulness of atovaquone in the elderly. However, elderly patients are more likely to have age-related liver, kidney, or heart problems which may require an adjustment of dosage in patients receiving atovaquone .

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

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

Interactions with Medicines

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

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

Rifampin

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

Indinavir Rifabutin Tetracycline Warfarin Interactions with Food/Tobacco/Alcohol

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

Other Medical Problems

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

Liver disease, severe or Stomach or intestinal disorders—Atovaquone may not work properly in patients with these conditions . Proper Use of atovaquone

Make certain your doctor knows if you are on any special diet. atovaquone must be taken with balanced meals so that it can work properly.

It is important that you take atovaquone with a balanced meal. This is to make sure the medicine is fully absorbed into the body and will work properly.

Atovaquone tablets may be crushed if necessary to make it easier to swallow.

Because atovaquone tablets and oral suspension do not produce the same amount of medicine in the blood, the tablets and the suspension cannot be switched and used in place of each other.

For patients taking the oral liquid form of atovaquone:

Shake the bottle gently before using atovaquone. atovaquone is to be taken by mouth. Use a specially marked measuring spoon or other device to measure each dose accurately. The average household teaspoon may not hold the right amount of liquid. Do not use after the expiration date on the label since the medicine may not work properly after that date. Check with your pharmacist if you have any questions about this .

To help clear up your infection completely, keep taking your medicine for the full time of treatment, even if you begin to feel better after a few days. If you stop taking atovaquone too soon, your symptoms may return.

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

Dosing

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

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

For prevention of Pneumocystis carinii pneumonia (PCP): For oral dosage form (suspension): Adults and teenagers—1,500 milligrams (mg) or 10 milliliters (mL) once a day with a meal. Children—Use and dose must be determined by your doctor . For treatment of Pneumocystis carinii pneumonia (PCP): For oral dosage form (suspension): Adults and teenagers—750 milligrams (mg) or 5 milliliters (mL) taken with a meal two times a day for 21 days. Children—Use and dose must be determined by your doctor . For oral dosage form (tablets): Adults and teenagers—750 milligrams (mg) taken with a meal three times a day for 21 days. Children—Use and dose must be determined by your doctor. Missed Dose

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

Storage

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

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Precautions While Using atovaquone

It is very important that your doctor check your progress at regular visits to make sure that atovaquone is working properly. Blood tests may be needed to check for unwanted effects .

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

atovaquone Side Effects

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

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

More common Cough or hoarseness difficult or labored breathing fever or chills lower back or side pain painful or difficult urination shortness of breath tightness in chest wheezing Incidence not known Black, tarry stools bleeding gums bloating blood in urine or stools bluish-colored lips, fingernails, or palms constipation dark urine dizziness or lightheadedness fast heartbeat headache indigestion large, hive-like swelling on face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs light-colored stools loss of appetite nausea noisy breathing pains in stomach, side, or abdomen, possibly radiating to the back pale skin pinpoint red spots on skin rapid heart rate sore throat unusual bleeding or bruising unusual tiredness or weakness vomiting yellow eyes or skin

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

More common Abdominal or stomach pain diarrhea lack or loss of strength runny nose skin rash sleeplessness sneezing sore mouth or tongue stuffy nose sweating trouble in sleeping unable to sleep white patches in mouth, tongue, or throat Incidence not known Blistering, peeling, or loosening of skin eye irritation or redness itching joint or muscle pain red skin lesions, often with a purple center skin rash

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

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

See also: atovaquone side effects (in more detail)

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

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

More atovaquone resources Atovaquone Side Effects (in more detail)Atovaquone Use in Pregnancy & BreastfeedingAtovaquone Drug InteractionsAtovaquone Support Group1 Review for Atovaquone - Add your own review/rating atovaquone Concise Consumer Information (Cerner Multum) Atovaquone MedFacts Consumer Leaflet (Wolters Kluwer) Atovaquone Monograph (AHFS DI) Atovaquone Professional Patient Advice (Wolters Kluwer) Atovaquone and Proguanil Hydrochloride Monograph (AHFS DI) Mepron Prescribing Information (FDA) Compare atovaquone with other medications BabesiosisMalariaPneumocystis PneumoniaPneumocystis Pneumonia ProphylaxisToxoplasmosis

Atrial Fibrillation Medications

Definition of Atrial Fibrillation:

A condition where there is disorganised electrical conduction in the atria, resulting in ineffective pumping of blood into the ventricle.

Acronym: AF

Drugs associated with Atrial Fibrillation

The following drugs and medications are in some way related to, or used in the treatment of Atrial Fibrillation. This service should be used as a supplement to, and NOT a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners.

See sub-topics

Topics under Atrial FibrillationPrevention of Thromboembolism in Atrial Fibrillation (24 drugs) Learn more about Atrial Fibrillation

Medical Encyclopedia:

Atrial fibrillation/flutter

Harvard Health Guide:

Symptoms and treatment for Atrial Fibrillation Drug List:BreviblocCardizem-Cd-24-Hour-Sustained-Release-Beads-CapsulesCartia-Xt-24-Hour-Sustained-Release-Beads-CapsulesCoregCorvertDilacor-Xr-24-Hour-Sustained-Release-CapsulesDiltia-Xt-24-Hour-Sustained-Release-CapsulesDiltiazem-Hydrochloride-SrDiltiazem-Hydrochloride-XtLanoxicapsLopressorMetoprolol-Succinate-ErRythmolSotalol-Hydrochloride-AfTiazacXarelto

Aloquin Gel
Pronunciation: eye-OH-doe-KWIN-ol/AL-ohGeneric Name: Iodoquinol/AloeBrand Name: Aloquin

Anakinra

Class: Disease-modifying Antirheumatic AgentsChemical Name: N2-l-methionyl-interleukin 1 receptor antagonist (human isoform ? reduced)Molecular Formula: C759H1186N208O232S10

adapalene and benzoyl peroxide topical

Generic Name: adapalene and benzoyl peroxide (topical) (a DAP a leen and BEN zoyl per OX ide) Brand names: Epiduo, Epiduo Pump

What is adapalene and benzoyl peroxide topical?

Benzoyl peroxide has an antibacterial effect. It also has a mild drying effect, which allows excess oils and dirt to be easily washed away from the skin.

Adapalene is a medication similar to vitamin A. It helps the skin renew itself.

The combination of adapalene and benzoyl peroxide topical (for the skin) is used to treat acne in people who are at least 12 years old.

Adapalene and benzoyl peroxide topical may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about adapalene and benzoyl peroxide topical?

Before using this medication, tell your doctor about all other medicated skin products you are using. Using more than one acne medication at a time could cause severe skin irritation.

Avoid getting this medication in your mouth, nose, or eyes, or on your lips. If it does get into any of these areas, rinse with water. Do not use adapalene and benzoyl peroxide topical on sunburned, windburned, dry, chapped, irritated, or broken skin. Also avoid using adapalene and benzoyl peroxide topical on wounds or on areas of eczema. Wait until these conditions have healed before using this medication.

Avoid using skin products that can cause dryness or irritation, such as harsh soaps, shampoos, or skin cleansers, hair removers or waxes, or skin products with alcohol, spices, astringents, or lime.

Do not use other medicated skin products unless your doctor has told you to. What should I discuss with my healthcare provider before using adapalene and benzoyl peroxide topical? You should not use this medication if you are allergic to adapalene (Differin) or benzoyl peroxide.

Before using this medication, tell your doctor about all other medicated skin products you are using. Using more than one acne medication at a time could cause severe skin irritation.

FDA pregnancy category C. It is not known whether this medication is harmful to an unborn baby. Before using adapalene and benzoyl peroxide topical, tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether adapalene and benzoyl peroxide 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 adapalene and benzoyl peroxide topical?

Use adapalene and benzoyl peroxide topical exactly as your doctor has prescribed it for you. Using more medicine or applying it more often than prescribed will not make it work any faster, and may increase side effects. Do not use this medication for longer than your doctor has prescribed.

Wash your hands before and after applying this medication.

Adapalene and benzoyl peroxide topical is usually applied one time per day. Follow your doctor's instructions.

Clean and pat dry the skin to be treated. Use a pea-sized amount of the gel for each treatment area (chin, forehead, and each cheek). Apply the medicine in a thin layer and rub in gently.

Do not apply any other skin products unless your doctor has told you to.

Store adapalene and benzoyl peroxide topical at room temperature away from moisture and heat. What happens if I miss a dose?

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

What happens if I overdose? Seek emergency medical attention if you think you have used too much of this medicine.

An overdose of adapalene and benzoyl peroxide applied to the skin is not likely to cause life-threatening symptoms.

What should I avoid while using adapalene and benzoyl peroxide topical? Avoid getting this medication in your mouth, nose, or eyes, or on your lips. If it does get into any of these areas, rinse with water. Do not use adapalene and benzoyl peroxide topical on sunburned, irritated, or broken skin. Also avoid using adapalene and benzoyl peroxide topical on wounds or on areas of eczema. Wait until these conditions have healed before using this medication.

Avoid using skin products that contain salicylic acid, sulfur, or resorcinol while you are using adapalene and benzoyl peroxide topical.

Avoid using skin products that can cause dryness or irritation, such as harsh soaps, shampoos, or skin cleansers, hair removers or waxes, or skin products with alcohol, spices, astringents, or lime.

Avoid exposure to sunlight, sunlamps, or tanning beds. This medication can make your skin more sensitive to sunlight, and a sunburn may result. Wear protective clothing and use sunscreen (SPF 15 or higher) when you are outdoors. Adapalene and benzoyl peroxide topical 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.

During your first 4 weeks of using adapalene and benzoyl peroxide topical, your skin may be dry, red, or scaly. You may also feel some burning or stinging. Call your doctor if these side effects are severe.

Less serious side effects may include mild itching.

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.

Adapalene and benzoyl peroxide Dosing Information

Usual Adult Dose for Acne:

Adapalene and benzoyl peroxide topical should be applied to affected areas of the face and/or trunk once daily after washing. A pea-size amount is applied to each area of the face (e.g., forehead, chin, each cheek). Avoid the eyes, lips, and mucous membranes.

What other drugs will affect adapalene and benzoyl peroxide topical? Do not use other medicated skin products unless your doctor has told you to.

It is not likely that other drugs you take orally or inject will have an effect on topically applied adapalene and benzoyl peroxide. But many drugs can interact with each other. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

More adapalene and benzoyl peroxide resources Adapalene and benzoyl peroxide DosageAdapalene and benzoyl peroxide Use in Pregnancy & BreastfeedingAdapalene and benzoyl peroxide Drug InteractionsAdapalene and benzoyl peroxide Support Group29 Reviews for Adapalene and benzoyl peroxide - Add your own review/rating Compare adapalene and benzoyl peroxide with other medications Acne Where can I get more information? Your pharmacist can provide more information about adapalene and benzoyl peroxide topical.

Accupril

Generic Name: quinapril (KWIN a pril) Brand Names: Accupril

What is quinapril?

Quinapril is an ACE inhibitor. ACE stands for angiotensin converting enzyme.

Quinapril is used to treat high blood pressure (hypertension) and heart failure.

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

What is the most important information I should know about quinapril? FDA pregnancy category D. Do not use quinapril if you are pregnant. Stop using this medication and tell your doctor right away if you become pregnant. Avoid drinking alcohol. It can further lower your blood pressure and may increase some of the side effects of quinapril. Do not use salt substitutes or potassium supplements while taking quinapril, unless your doctor has told you to. Call your doctor if you have ongoing vomiting or diarrhea, or if you are sweating more than usual. You can easily become dehydrated while taking this medication, which can lead to severely low blood pressure or a serious electrolyte imbalance. Tell your doctor if you have a prolonged illness that causes diarrhea or vomiting. If you are being treated for high blood pressure, keep using this medication even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medication for the rest of your life. What should I discuss with my healthcare provider before taking quinapril? You should not use this medication if you are allergic to quinapril or to any other ACE inhibitor, such as benazepril (Lotensin), captopril (Capoten), fosinopril (Monopril), enalapril (Vasotec), lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril (Aceon), ramipril (Altace), or trandolapril (Mavik).

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

kidney disease (or if you are on dialysis);

liver disease;

heart disease or congestive heart failure;

diabetes; or

a connective tissue disease such as Marfan syndrome, Sjogren's syndrome, lupus, scleroderma, or rheumatoid arthritis.

FDA pregnancy category D. Do not use quinapril if you are pregnant. Stop using this medication and tell your doctor right away if you become pregnant. Quinapril can cause injury or death to the unborn baby if you take the medicine during your second or third trimester. Use effective birth control while taking quinapril. Quinapril can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. How should I take quinapril?

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

Your doctor may occasionally change your dose to make sure you get the best results.

Call your doctor if you have ongoing vomiting or diarrhea, or if you are sweating more than usual. You can easily become dehydrated while taking this medication, which can lead to severely low blood pressure or a serious electrolyte imbalance. Tell your doctor if you have a prolonged illness that causes diarrhea or vomiting. Drink plenty of water while you are taking quinapril.

Your blood pressure will need to be checked often. To be sure this medication is not causing harmful effects, your kidney or liver function will need to be checked with blood tests. Visit your doctor regularly.

If you need surgery, tell the surgeon ahead of time that you are using quinapril. You may need to stop using the medicine for a short time. If you are being treated for high blood pressure, keep using this medication even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medication for the rest of your life. Store at room temperature away from moisture, heat, and light.

See also: Accupril dosage (in more detail)

What happens if I miss a dose?

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

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

Overdose symptoms may include extreme dizziness or fainting.

What should I avoid while taking quinapril? Do not use salt substitutes or potassium supplements while taking quinapril, unless your doctor has told you to. Avoid drinking alcohol. It can further lower your blood pressure and may increase some of the side effects of quinapril. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall. Quinapril side effects Get emergency medical help if you have any of these signs of an allergic reaction: hives; severe stomach pain; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have a serious side effect such as:

feeling like you might pass out;

fever, chills, body aches, flu symptoms;

pale or yellowed skin, dark colored urine, fever, confusion or weakness;

high potassium (slow heart rate, weak pulse, muscle weakness, tingly feeling);

chest pain;

urinating more or less than usual, or not at all;

swelling, rapid weight gain; or

jaundice (yellowing of the skin or eyes).

Less serious side effects may include:

headache;

cough;

muscle pain, back pain;

dizziness, tired feeling;

nausea, vomiting, diarrhea, stomach discomfort; or

mild skin itching or rash.

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 quinapril?

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

gold injections to treat arthritis;

lithium (Lithobid, Eskalith);

tetracycline (Ala-Tet, Brodspec, Panmycin, Sumycin, Tetracap);

a potassium supplement such as K-Dur, Klor-Con;

salt substitutes that contain potassium;

a diuretic (water pill); or

aspirin or other NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn, Naprelan, Treximet), celecoxib (Celebrex), diclofenac (Arthrotec, Cambia, Cataflam, Voltaren, Flector Patch, Pennsaid, Solareze), indomethacin (Indocin), meloxicam (Mobic), and others.

This list is not complete and other drugs may interact with quinapril. 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 Accupril resources Accupril Side Effects (in more detail)Accupril DosageAccupril Use in Pregnancy & BreastfeedingDrug ImagesAccupril Drug InteractionsAccupril Support Group2 Reviews for Accupril - Add your own review/rating Accupril Prescribing Information (FDA) Accupril Monograph (AHFS DI) Accupril Advanced Consumer (Micromedex) - Includes Dosage Information Accupril Consumer Overview Accupril MedFacts Consumer Leaflet (Wolters Kluwer) Quinapril Prescribing Information (FDA) Compare Accupril with other medications Diabetic Kidney DiseaseHeart FailureHigh Blood PressureLeft Ventricular Dysfunction Where can I get more information? Your pharmacist can provide more information about quinapril.

See also: Accupril side effects (in more detail)

AccessPak for HIV PEP Basic

Generic Name: emtricitabine and tenofovir (em trye SYE ta been and ten OF oh vir) Brand Names: AccessPak for HIV PEP Basic, Truvada

What is AccessPak for HIV PEP Basic (emtricitabine and tenofovir)?

Emtricitabine and tenofovir are antiviral drugs that work by preventing HIV (human immunodeficiency virus) cells from multiplying in the body.

The combination of emtricitabine and tenofovir is used to treat HIV, which causes acquired immunodeficiency syndrome (AIDS). Emtricitabine and tenofovir is not a cure for HIV or AIDS.

Emtricitabine and tenofovir may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about AccessPak for HIV PEP Basic (emtricitabine and tenofovir)? You should not take this medication if you are allergic to emtricitabine (Emtriva) or tenofovir (Viread).

Do not take this medication with other medicines that also contain emtricitabine or tenofovir (Atripla, Emtriva, Viread), or lamivudine (Combivir, Epivir, Epzicom, or Trizivir).

Some people develop lactic acidosis while taking emtricitabine and tenofovir. Early symptoms may get worse over time and this condition can be fatal. Get emergency medical help if you have even mild symptoms such as: muscle pain or weakness, numb or cold feeling in your arms and legs, trouble breathing, stomach pain, nausea with vomiting, fast or uneven heart rate, dizziness, or feeling very weak or tired. Emtricitabine and tenofovir can cause severe or fatal liver problems. Call your doctor at once if you have symptoms such as nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, or jaundice (yellowing of the skin or eyes). What should I discuss with my healthcare provider before taking AccessPak for HIV PEP Basic (emtricitabine and tenofovir)? You should not take this medication if you are allergic to emtricitabine (Emtriva) or tenofovir (Viread). Do not take this medication with other medicines that also contain emtricitabine or tenofovir (Atripla, Emtriva, Viread), or lamivudine (Combivir, Epivir, Epzicom, or Trizivir).

If you have any of these other conditions, you may need an emtricitabine and tenofovir dose adjustment or special tests:

liver or kidney disease;

osteopenia (low bone mineral density); or

if you also have hepatitis B infection.

Some people develop a life-threatening condition called lactic acidosis while taking emtricitabine and tenofovir. You may be more likely to develop lactic acidosis if you are overweight or have liver disease, if you are a woman, or if you have taken HIV or AIDS medications for a long time. Talk with your doctor about your individual risk. FDA pregnancy category B. Emtricitabine and tenofovir is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. HIV can be passed to your baby if you are not properly treated during pregnancy. Take all of your HIV medicines as directed to control your infection.

If you are pregnant, your name may be listed on a pregnancy registry. This is to track the outcome of the pregnancy and to evaluate any effects of emtricitabine and tenofovir on the baby.

Women with HIV or AIDS should not breast-feed a baby. Even if your baby is born without HIV, the virus may be passed to the baby in your breast milk. Do not give this medicine to anyone under 18 without the advice of a doctor. How should I take AccessPak for HIV PEP Basic (emtricitabine and tenofovir)?

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

You may take this medication with or without food.

Use emtricitabine and tenofovir regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

To be sure this medication is helping your condition and not causing harmful effects, your blood will need to be tested often. Your kidney and liver function or bone density may also need to be tested. Visit your doctor regularly.

If you have hepatitis B you may develop liver symptoms after you stop taking emtricitabine and tenofovir, even months after stopping. Your doctor may want to check your liver function at regular visits for several months after you stop using the medicine. Do not miss any follow-up visits to your doctor.

HIV/AIDS is usually treated with a combination of drugs. Use all medications as directed by your doctor. Read the medication guide or patient instructions provided with each medication. Do not change your doses or medication schedule without your doctor's advice. Every person with HIV or AIDS should remain under the care of a doctor.

Store at room temperature away from moisture and heat. Keep the tablets in their original container, along with the packet of moisture-absorbing preservative that comes with emtricitabine and tenofovir. What happens if I miss a dose?

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

What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. What should I avoid while taking AccessPak for HIV PEP Basic (emtricitabine and tenofovir)? Taking this medication will not prevent you from passing HIV to other people. Avoid having unprotected sex or sharing razors or toothbrushes. Talk with your doctor about safe ways to prevent HIV transmission during sex. Sharing drug or medicine needles is never safe, even for a healthy person. AccessPak for HIV PEP Basic (emtricitabine and tenofovir) 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. This medication may cause lactic acidosis (a build-up of lactic acid in the body, which can be fatal). Lactic acidosis can start slowly and get worse over time. Get emergency medical help if you have even mild symptoms of lactic acidosis, such as:

muscle pain or weakness;

numb or cold feeling in your arms and legs;

trouble breathing;

feeling dizzy, light-headed, tired, or very weak;

stomach pain, nausea with vomiting; or

fast or uneven heart rate.

Call your doctor at once if you have any of these other serious side effects:

signs of liver damage - nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);

increased thirst, urinating more or less than usual or not at all;

swelling, rapid weight gain, feeling short of breath; or

signs of infection such as fever, chills, skin lesions, or cough with yellow or green mucus.

Less serious side effects may include:

diarrhea, mild nausea;

headache, tired feeling;

dizziness, depressed mood;

sleep problems (insomnia), strange dreams;

mild itching or skin rash;

runny or stuffy nose, cough; or

changes in the shape or location of body fat (especially in your arms, legs, face, neck, breasts, and waist).

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 AccessPak for HIV PEP Basic (emtricitabine and tenofovir)?

Emtricitabine and tenofovir can harm your kidneys. This effect is increased when you also use other medicines harmful to the kidneys. You may need dose adjustments or special tests if you have recently used:

lithium (Lithobid);

methotrexate (Rheumatrex, Trexall);

pain or arthritis medicines such as aspirin (Anacin, Excedrin), acetaminophen (Tylenol), diclofenac (Cataflam, Voltaren), etodolac (Lodine), ibuprofen (Advil, Motrin), indomethacin (Indocin), naproxen (Aleve, Naprosyn), and others;

medicines used to prevent organ transplant rejection, such as cyclosporine (Gengraf, Neoral, Sandimmune), sirolimus (Rapamune) or tacrolimus (Prograf);

an IV antibiotic such as gentamicin (Garamycin), vancomycin (Vancocin, Vancoled), and others;

antiviral medicines such as adefovir (Hepsera), cidofovir (Vistide), or foscarnet (Foscavir); or

cancer medicine such as aldesleukin (Proleukin), carmustine (BiCNU, Gliadel), cisplatin (Platinol), ifosfamide (Ifex), oxaliplatin (Eloxatin), plicamycin (Mithracin), streptozocin (Zanosar), or tretinoin (Vesanoid).

You may need dose adjustments or special tests when taking any of these medications together with emtricitabine and tenofovir.

Other medications that can affect emtricitabine and tenofovir include:

the herpes medications acyclovir (Zovirax) or valacyclovir (Valtrex);

medications to treat cytomegalovirus (CMV) such as cidofovir (Vistide), ganciclovir (Cytovene) or valganciclovir (Valcyte); or

certain other HIV medicines such as atazanavir (Reyataz), didanosine (Videx), indinavir (Crixivan), saquinavir (Invirase), lopinavir/ritonavir (Kaletra), or ritonavir (Norvir).

This list is not complete and other drugs may interact with emtricitabine and tenofovir. 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 AccessPak for HIV PEP Basic resources AccessPak for HIV PEP Basic Side Effects (in more detail)AccessPak for HIV PEP Basic Use in Pregnancy & BreastfeedingAccessPak for HIV PEP Basic Drug Interactions0 Reviews for AccessPak for HIV PEP Basic - Add your own review/rating Truvada Prescribing Information (FDA) Truvada Advanced Consumer (Micromedex) - Includes Dosage Information Truvada MedFacts Consumer Leaflet (Wolters Kluwer) Truvada Consumer Overview Compare AccessPak for HIV PEP Basic with other medications HIV InfectionNonoccupational Exposure Where can I get more information? Your pharmacist can provide more information about emtricitabine and tenofovir.

See also: AccessPak for HIV PEP Basic side effects (in more detail)

Anzemet Tablets
Pronunciation: doe-LAS-e-tronGeneric Name: DolasetronBrand Name: Anzemet

Azelex
azelaic acid Dosage Form: creamAzelex®

Aristocort A Cream
Pronunciation: TRY-am-SIN-oh-lone ah-SEE-toe-nideGeneric Name: TriamcinoloneBrand Name: Examples include Aristocort A and Kenalog

abacavir and lamivudine

Generic Name: abacavir and lamivudine (a BAK a veer and la MIV yoo deen) Brand Names: Epzicom

What is abacavir and lamivudine?

Abacavir and lamivudine is an antiviral medication. It is in a group of human immunodeficiency virus (HIV) medicines called reverse transcriptase inhibitors. Abacavir and lamivudine helps keep the HIV virus from reproducing in the body.

Abacavir and lamivudine is used to treat HIV, which causes the acquired immunodeficiency syndrome (AIDS). Abacavir and lamivudine is not a cure for HIV or AIDS.

Abacavir and lamivudine may also be used for purposes not listed in this medication guide.

What is the most important information I should know about abacavir and lamivudine? Stop using this medication and call your doctor at once if you have any of these signs of an allergic reaction: fever; rash; nausea, vomiting, diarrhea, stomach pain; general tiredness, body aches; shortness of breath, cough, sore throat. Once you have had an allergic reaction to abacavir and lamivudine, you must never use it again.

Before taking abacavir and lamivudine, tell your doctor if you have kidney disease, heart disease, high blood pressure, or a risk factor for heart disease such as smoking, diabetes, or high cholesterol.

You may need a blood test before you start taking abacavir and lamivudine for the first time, or if you are restarting the medication after stopping for reasons not related to an allergic reaction.

Read the Warning Card that comes with this medication, and carry it with you at all times so you will know the symptoms of allergic reaction to watch for.

Some people develop lactic acidosis while taking abacavir and lamivudine. Early symptoms may get worse over time and this condition can be fatal. Get emergency medical help if you have even mild symptoms such as: muscle pain or weakness, numb or cold feeling in your arms and legs, trouble breathing, stomach pain, nausea with vomiting, fast or uneven heart rate, dizziness, or feeling very weak or tired. Do not allow this medicine to run out completely before you get your prescription refilled. If you miss several doses, you could have a dangerous or even fatal allergic reaction when you start taking the medicine again. If you stop taking abacavir and lamivudine for any reason, talk to your doctor before you start taking the medication again. What should I discuss with my healthcare provider before taking abacavir and lamivudine? You should not take abacavir and lamivudine if you have liver disease. Do not take this medicine if you have ever had an allergic reaction to abacavir. Tell your doctor if you have had an allergic reaction to any medicine that contains abacavir, such as Trizivir or Ziagen. Once you have had an allergic reaction to abacavir and lamivudine, you must never use it again.

You may need a blood test before you start taking abacavir and lamivudine for the first time, or if you are restarting the medication after stopping for reasons not related to an allergic reaction.

Some people develop a life-threatening condition called lactic acidosis while taking abacavir and lamivudine. You may be more likely to develop lactic acidosis if you are overweight or have liver disease, if you are a woman, or if you have taken HIV or AIDS medications for a long time. Talk with your doctor about your individual risk.

To make sure you can safely take abacavir and lamivudine, tell your doctor if you have any of these other conditions:

kidney disease;

heart disease or high blood pressure; or

a risk factor for heart disease such as smoking, diabetes, or high cholesterol.

FDA pregnancy category C. It is not known whether abacavir and lamivudine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. HIV can be passed to your baby if you are not properly treated during pregnancy. Take all of your HIV medicines as directed to control your infection. Women with HIV or AIDS should not breast-feed a baby. Even if your baby is born without HIV, the virus may be passed to the baby in your breast milk. This medication should not be given to children under 18 years old. How should I take abacavir and lamivudine?

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

You may take abacavir and lamivudine with or without food.

This medicine comes with a Medication Guide and a Warning Card that lists the symptoms of an allergic reaction. Read this information carefully and carry the Warning Card with you at all times so you will know what symptoms to watch for.

HIV/AIDS is usually treated with a combination of drugs. Use all medications as directed by your doctor. Read the medication guide or patient instructions provided with each medication. Do not change your doses or medication schedule without your doctor's advice. Every person with HIV or AIDS should remain under the care of a doctor.

If you have hepatitis B you may develop liver symptoms after you stop taking this medication, even months after stopping. Your doctor may want to check your liver function for several months after you stop using abacavir and lamivudine. Visit your doctor regularly.

Store at room temperature away from moisture and heat.

See also: Abacavir and lamivudine dosage (in more detail)

What happens if I miss a dose?

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

Do not allow this medicine to run out completely before you get your prescription refilled. It is important that you not stop taking the medicine once you have started. If you miss several doses, you may have a dangerous or even fatal allergic reaction once you start taking abacavir again. If you stop taking abacavir and lamivudine for any reason, talk to your doctor before you start taking the medication again. 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 taking abacavir and lamivudine? Avoid taking other medications that contain abacavir or lamivudine, such as Combivir, Epivir, Trizivir, or Ziagen. Taking this medication will not prevent you from passing HIV to other people. Avoid having unprotected sex or sharing razors or toothbrushes. Talk with your doctor about safe ways to prevent HIV transmission during sex. Sharing drug or medicine needles is never safe, even for a healthy person. Abacavir and lamivudine side effects Stop using this medication and call your doctor at once if you have any of these signs of an allergic reaction to abacavir:

Group 1 - fever;

Group 2 - rash;

Group 3 - nausea, vomiting, diarrhea, stomach pain;

Group 4 - general tiredness, body aches;

Group 5 - shortness of breath, cough, sore throat.

Once you have had an allergic reaction to abacavir, you must never use it again. If you stop taking abacavir and lamivudine for any reason, talk to your doctor before you start taking the medication again. Other serious side effects that may not be signs of an allergic reaction include:

stomach pain, low fever, lost appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);

lactic acidosis - muscle pain or weakness, numb or cold feeling in your arms and legs, trouble breathing, stomach pain, nausea with vomiting, fast or uneven heart rate, dizziness, or feeling very weak or tired;

fever, chills, body aches, flu symptoms; or

white patches or sores inside your mouth or on your lips.

Less serious side effects include:

changes in the shape or location of body fat (especially in your arms, legs, face, neck, breasts, and trunk);

sleep problems or strange dreams;

headache, depression, anxiety; or

mild diarrhea.

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.

Abacavir and lamivudine Dosing Information

Usual Adult Dose for HIV Infection:

1 tablet orally once every 24 hours

Usual Adult Dose for Nonoccupational Exposure:

1 tablet orally once every 24 hoursDuration: Prophylaxis should be initiated as soon as possible, within 72 hours of exposure, and continued for 28 days.

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