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V-Max Powder
Dosage Form: FOR ANIMAL USE ONLYV-MaxTM

Vagifem
Pronunciation: ES-tra-DYE-olGeneric Name: EstradiolBrand Name: Vagifem

Vinate AZ

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

What are Vinate AZ (prenatal multivitamins)?

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

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

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

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

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

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

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

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

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

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

Do not take this medication with milk, other dairy products, calcium supplements, or antacids that contain calcium. Calcium may make it harder for your body to absorb certain ingredients of the multivitamin. What should I discuss with my healthcare provider before taking prenatal vitamins? Many vitamins can cause serious or life-threatening side effects if taken in large doses. Do not take more of this medication than directed on the label or prescribed by your doctor.

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

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

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

Never take more than the recommended dose of prenatal vitamins.

Take your prenatal vitamin with a full glass of water.

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

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

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

Store at room temperature away from moisture and heat. Keep prenatal vitamins in their original container. Storing vitamins in a glass container can ruin the medication. What happens if I miss a dose?

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

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

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

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

Do not take this medication with milk, other dairy products, calcium supplements, or antacids that contain calcium. Calcium may make it harder for your body to absorb certain ingredients of the prenatal vitamin. Prenatal vitamins side effects Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

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

upset stomach;

headache; or

unusual or unpleasant taste in your mouth.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect prenatal vitamins?

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

diuretics (water pills);

heart or blood pressure medications;

tretinoin (Vesanoid);

isotretinoin (Accutane, Amnesteen, Clavaris, Sotret);

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

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

This list is not complete and other drugs may interact with prenatal vitamins. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

More Vinate AZ resources Vinate AZ Side Effects (in more detail)Vinate AZ Use in Pregnancy & BreastfeedingVinate AZ Drug InteractionsVinate AZ Support Group0 Reviews for Vinate AZ - Add your own review/rating Vinate AZ Prescribing Information (FDA) Cal-Nate MedFacts Consumer Leaflet (Wolters Kluwer) CareNatal DHA MedFacts Consumer Leaflet (Wolters Kluwer) CitraNatal 90 DHA MedFacts Consumer Leaflet (Wolters Kluwer) CitraNatal Assure Prescribing Information (FDA) CitraNatal Harmony Prescribing Information (FDA) Concept DHA Prescribing Information (FDA) Docosavit Prescribing Information (FDA) Duet DHA with Ferrazone MedFacts Consumer Leaflet (Wolters Kluwer) Folbecal MedFacts Consumer Leaflet (Wolters Kluwer) Folcal DHA Prescribing Information (FDA) Folcaps Care One Prescribing Information (FDA) Gesticare DHA Prescribing Information (FDA) Gesticare DHA MedFacts Consumer Leaflet (Wolters Kluwer) Inatal Advance Prescribing Information (FDA) Inatal Ultra Prescribing Information (FDA) Multi-Nate DHA Prescribing Information (FDA) Multi-Nate DHA Extra Prescribing Information (FDA) MultiNatal Plus MedFacts Consumer Leaflet (Wolters Kluwer) Natelle One Prescribing Information (FDA) Neevo Caplets MedFacts Consumer Leaflet (Wolters Kluwer) Neevo DHA MedFacts Consumer Leaflet (Wolters Kluwer) OB Complete 400 MedFacts Consumer Leaflet (Wolters Kluwer) Paire OB Plus DHA Prescribing Information (FDA) PreNexa MedFacts Consumer Leaflet (Wolters Kluwer) PreNexa Prescribing Information (FDA) PreferaOB Prescribing Information (FDA) Prenatal Plus Prescribing Information (FDA) Prenatal Plus Iron Prescribing Information (FDA) Prenate Elite Prescribing Information (FDA) Prenate Elite MedFacts Consumer Leaflet (Wolters Kluwer) Prenate Elite tablets Prenate Essential Prescribing Information (FDA) PrimaCare Advantage MedFacts Consumer Leaflet (Wolters Kluwer) PrimaCare ONE capsules PrimaCare One MedFacts Consumer Leaflet (Wolters Kluwer) Renate DHA Prescribing Information (FDA) Se-Natal 19 Chewable Tablets MedFacts Consumer Leaflet (Wolters Kluwer) Se-Natal 19 Prescribing Information (FDA) Tandem DHA Prescribing Information (FDA) Tandem OB Prescribing Information (FDA) TriAdvance Prescribing Information (FDA) Triveen-One MedFacts Consumer Leaflet (Wolters Kluwer) Triveen-PRx RNF Prescribing Information (FDA) UltimateCare ONE NF Prescribing Information (FDA) Ultra NatalCare MedFacts Consumer Leaflet (Wolters Kluwer) Vitafol-One MedFacts Consumer Leaflet (Wolters Kluwer) Zatean-CH Prescribing Information (FDA) Compare Vinate AZ with other medications Vitamin/Mineral Supplementation during Pregnancy/Lactation Where can I get more information? Your pharmacist can provide more information about prenatal vitamins.

See also: Vinate AZ side effects (in more detail)

vasopressin Injection

vay-soe-PRES-in

Commonly used brand name(s)

In the U.S.

Pitressin

Available Dosage Forms:

Solution

Therapeutic Class: Endocrine-Metabolic Agent

Pharmacologic Class: Vasopressin (class)

Uses For vasopressin

Vasopressin is a hormone that is produced by your body. It is necessary to maintain good health. If you do not have enough vasopressin, your body will lose too much water.

Vasopressin is used to control the frequent urination, increased thirst, and loss of water associated with diabetes insipidus (water diabetes).

vasopressin is available only with your doctor's prescription.

Before Using vasopressin

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 vasopressin, the following should be considered:

Allergies

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

Children may be especially sensitive to the effects of vasopressin. This may increase the chance of side effects during treatment.

Geriatric

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

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 receiving vasopressin, 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 vasopressin 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.

Bepridil Cisapride Levomethadyl Mesoridazine Pimozide Terfenadine Thioridazine Ziprasidone

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

Acecainide Ajmaline Amiodarone Amisulpride Amitriptyline Amoxapine Aprindine Arsenic Trioxide Astemizole Azimilide Bretylium Chloral Hydrate Chloroquine Chlorpromazine Clarithromycin Clomipramine Desipramine Dibenzepin Disopyramide Dofetilide Dothiepin Doxepin Droperidol Encainide Enflurane Erythromycin Flecainide Fluconazole Fluoxetine Foscarnet Gemifloxacin Halofantrine Haloperidol Halothane Hydroquinidine Ibutilide Imipramine Isoflurane Isradipine Lidoflazine Lorcainide Mefloquine Nortriptyline Octreotide Pentamidine Pirmenol Prajmaline Probucol Procainamide Prochlorperazine Propafenone Protriptyline Quetiapine Quinidine Risperidone Sematilide Sertindole Sotalol Spiramycin Sulfamethoxazole Sultopride Tedisamil Telithromycin Trifluoperazine Trimethoprim Trimipramine Venlafaxine Zolmitriptan Zotepine 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:

Certain eye diseases that cause the cornea to get thin—Use of ophthalmic rimexolone could cause a hole to form (perforation) Fungus infection of the eye or Herpes infection of the eye or Virus infection of the eye or Yeast infection of the eye or Any other eye infection—Ophthalmic rimexolone may make existing infections worse or cause new infections Proper Use of Vexol

Shake the container very well before applying the eye drops.

To use:

First, wash your hands. Tilt your head back and, pressing your finger gently on the skin just beneath the lower eyelid, pull the lower eyelid away from the eye to make a space. Drop the medicine into this space. Let go of the eyelid and gently close the eyes. Do not blink. Keep the eyes closed and apply pressure to the inner corner of the eye with your finger for 1 or 2 minutes to allow the medicine to be absorbed by the eye. If you think you did not get the drop of medicine into your eye properly, use another drop. To keep the medicine as germ-free as possible, do not touch the applicator tip to any surface (including the eye). Also, keep the container tightly closed. 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.

For ophthalmic dosage form (eye drops): For inflammation after surgery: Adults—Use one or two drops in the affected eye four times a day beginning twenty-four hours after surgery and continuing throughout the first two weeks after surgery. Children—Use and dose must be determined by your doctor. For anterior uveitis (inflammation in the iris of the eye): Adults—Use one or two drops in the affected eye every hour, while awake, for the first week. Then use one drop in the affected eye every two hours, while awake, for the second week. Then gradually decrease the number of times the medicine is used each day according to your physician's instructions. Children—Use and dose must be determined by your doctor. Missed Dose

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

Storage

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

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Precautions While Using Vexol

An ophthalmologist (eye doctor) should examine your eyes at regular visits while you are using this medicine.

Vexol Side Effects

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

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

Less common or rare Blurred vision or other change in vision eye discharge, discomfort, dryness, or tearing eye redness, irritation, or pain feeling of something in the eye itching sore throat stuffy or runny nose swelling of the lining of the eyelids

Less common or rare Browache change in taste crusting in corner of eye dizziness, lightheadedness, or faintness headache increased sensitivity of eyes to light sticky sensation of eyelids unusual tiredness or weakness

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: Vexol side effects (in more detail)

More Vexol resources Vexol Side Effects (in more detail)Vexol Use in Pregnancy & BreastfeedingVexol Drug InteractionsVexol Support Group0 Reviews for Vexol - Add your own review/rating Vexol Prescribing Information (FDA) Vexol Concise Consumer Information (Cerner Multum) Vexol Monograph (AHFS DI) Vexol MedFacts Consumer Leaflet (Wolters Kluwer) Compare Vexol with other medications Postoperative Ocular InflammationUveitis

Vibramycin Monohydrate

Generic Name: doxycycline (DOX i SYE kleen) Brand Names: Adoxa, Adoxa CK, Adoxa TT, Alodox, Avidoxy, Doryx, Monodox, Oracea, Oraxyl, Periostat, Vibramycin, Vibramycin Calcium, Vibramycin Monohydrate

What is Vibramycin Monohydrate (doxycycline)?

Doxycycline is a tetracycline antibiotic. It fights bacteria in the body.

Doxycycline is used to treat many different bacterial infections, such as urinary tract infections, acne, gonorrhea, and chlamydia, periodontitis (gum disease), and others.

Doxycycline is also used to treat blemishes, bumps, and acne-like lesions caused by rosacea. Doxycycline will not treat facial redness caused by rosacea.

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

What is the most important information I should know about Vibramycin Monohydrate (doxycycline)? Do not use this medicine if you are pregnant. It could harm the unborn baby or cause permanent tooth discoloration later in life.

Doxycycline can make birth control pills less effective. Ask your doctor about using a non hormone method of birth control (such as a condom, diaphragm, spermicide) to prevent pregnancy while using doxycycline.

You should not take this medicine if you are allergic to doxycycline or to other tetracycline antibiotics such as demeclocycline (Declomycin), minocycline (Dynacin, Minocin, Solodyn, Vectrin), or tetracycline (Brodspec, Panmycin, Sumycin, Tetracap).

Before taking doxycycline, tell your doctor if you have liver disease, kidney disease, asthma, or if you are allergic to sulfites.

Drink plenty of liquids while you are taking doxycycline. Children should not use doxycycline. Doxycycline can cause permanent yellowing or graying of the teeth in children younger than 8 years old. Take this medication for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Skipping doses may also increase your risk of further infection that is resistant to antibiotics. What should I discuss with my healthcare provider before taking Vibramycin Monohydrate (doxycycline)? You should not take this medicine if you are allergic to doxycycline or to other tetracycline antibiotics such as demeclocycline (Declomycin), minocycline (Dynacin, Minocin, Solodyn, Vectrin), or tetracycline (Brodspec, Panmycin, Sumycin, Tetracap).

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

liver disease;

kidney disease; or

asthma or sulfite allergy.

If you are using doxycycline to treat gonorrhea, your doctor may test you to make sure you do not also have syphilis, another sexually transmitted disease.

FDA pregnancy category D. Do not use doxycycline if you are pregnant. It could harm the unborn baby or cause permanent tooth discoloration later in life. Tell your doctor right away if you become pregnant during treatment.

Doxycycline passes into breast milk and may affect bone and tooth development in a nursing baby. You should not breast-feed while you are taking doxycycline. Children should not use doxycycline. Doxycycline can cause permanent yellowing or graying of the teeth in children younger than 8 years old. How should I take Vibramycin Monohydrate (doxycycline)?

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.

Take doxycycline with a full glass of water. Drink plenty of liquids while you are taking doxycycline.

Different brands of doxycycline may have different instructions about taking them with or without food.

Most brands of doxycyline may be taken with food or milk if the medicine upsets your stomach. Take Oracea or Periostat on an empty stomach, at least 1 hour before or 2 hours after a meal.

You may open a Doryx capsule or break up a Doryx tablet and sprinkle the medicine into a spoonful of applesauce to make swallowing easier. Swallow right away without chewing. Do not save the mixture for later use. Drink a full glass (8 ounces) of cool water right away.

Do not crush, break, or open a delayed-release capsule. Swallow the pill whole. Breaking or opening the pill may cause too much of the drug to be released at one time. The enteric coated pill has a special coating to protect your stomach. Breaking the pill will damage this coating.

Measure liquid medicine with a special dose measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose measuring device, ask your pharmacist for one.

Take this medication for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Skipping doses may also increase your risk of further infection that is resistant to antibiotics. Doxycycline will not treat a viral infection such as the common cold or flu.

If you need surgery, tell the surgeon ahead of time that you are using doxycycline. You may need to stop using the medicine for a short time.

Store at room temperature away from moisture and heat. Throw away any unused medicine after the expiration date on the label has passed. Using expired doxycycline can cause damage to your kidneys. 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 nausea, vomiting, and diarrhea.

What should I avoid while taking Vibramycin Monohydrate (doxycycline)?

Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or bloody, stop taking doxycycline and call your doctor. Do not use anti-diarrhea medicine unless your doctor tells you to.

Avoid exposure to sunlight or tanning beds. Doxycycline can make you sunburn more easily. Wear protective clothing and use sunscreen (SPF 30 or higher) when you are outdoors. Do not take iron supplements, multivitamins, calcium supplements, antacids, or laxatives within 2 hours before or after taking doxycycline. Vibramycin Monohydrate (doxycycline) 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 headache, dizziness, blurred vision;

fever, chills, body aches, flu symptoms, swollen glands, rash or itching, joint pain, or general ill feeling;

urinating less than usual or not at all;

diarrhea that is watery or bloody

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

severe pain in your upper stomach spreading to your back, nausea and vomiting, fast heart rate;

loss of appetite, jaundice (yellowing of the skin or eyes); or

severe skin reaction -- fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.

Less serious side effects may include:

mild nausea, mild diarrhea;

upset stomach;

mild skin rash or itching; or

vaginal itching or discharge.

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 Vibramycin Monohydrate (doxycycline)?

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

cholesterol-lowering medications such as cholestyramine (Prevalite, Questran) or colestipol (Colestid);

isotretinoin (Accutane);

tretinoin (Renova, Retin-A, Vesanoid);

an antacid such as Tums, Rolaids, Milk of Magnesia, Maalox, and others;

a product that contains bismuth subsalicylate such as Pepto-Bismol;

minerals such as iron, zinc, calcium, magnesium, and over-the-counter vitamin and mineral supplements;

a blood thinner such as warfarin (Coumadin, Jantoven); or

a penicillin antibiotic such as amoxicillin (Amoxil, Augmentin, Dispermox, Moxatag), ampicillin (Principen, Unasyn), dicloxacillin (Dycill, Dynapen), oxacillin (Bactocill), or penicillin (Bicillin L-A, PC Pen VK, Pfizerpen).

This list is not complete and other drugs may interact with doxycycline. 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 Vibramycin Monohydrate resources Vibramycin Monohydrate Side Effects (in more detail)Vibramycin Monohydrate Use in Pregnancy & BreastfeedingDrug ImagesVibramycin Monohydrate Drug InteractionsVibramycin Monohydrate Support Group3 Reviews for Vibramycin Monohydrate - Add your own review/rating Vibramycin Monohydrate Advanced Consumer (Micromedex) - Includes Dosage Information Doxycycline Professional Patient Advice (Wolters Kluwer) Doxycycline Prescribing Information (FDA) Doxycycline Monograph (AHFS DI) Doxycycline MedFacts Consumer Leaflet (Wolters Kluwer) Adoxa MedFacts Consumer Leaflet (Wolters Kluwer) Alodox Prescribing Information (FDA) Doryx Prescribing Information (FDA) Doryx Delayed-Release Capsules MedFacts Consumer Leaflet (Wolters Kluwer) Doxycycline Calcium Monograph (AHFS DI) Monodox Prescribing Information (FDA) Ocudox Convenience Kit MedFacts Consumer Leaflet (Wolters Kluwer) Oracea Consumer Overview Oracea Prescribing Information (FDA) Periostat Prescribing Information (FDA) Periostat MedFacts Consumer Leaflet (Wolters Kluwer) Vibra-Tabs MedFacts Consumer Leaflet (Wolters Kluwer) Vibramycin Prescribing Information (FDA) Compare Vibramycin Monohydrate with other medications AcneActinomycosisAmebiasisAnthraxAnthrax ProphylaxisBacterial InfectionBartonellosisBronchitisBrucellosisBullous PemphigoidChlamydia InfectionCholeraCutaneous Bacillus anthracisEhrlichiosisEnterocolitisEpididymitis, Sexually TransmittedGastroenteritisGranuloma InguinaleInclusion ConjunctivitisLyme DiseaseLyme Disease, ArthritisLyme Disease, CarditisLyme Disease, Erythema Chronicum MigransLyme Disease, NeurologicLymphogranuloma VenereumMalariaMalaria PreventionMelioidosisMycoplasma PneumoniaNongonococcal UrethritisOcular RosaceaOrnithosisPelvic Inflammatory DiseasePemphigoidPemphigusPeriodontitisPlaguePleural EffusionPneumoniaProctitisProstatitisPsittacosisRabbit FeverRickettsial InfectionRosaceaSkin InfectionSTD ProphylaxisSyphilis, EarlySyphilis, LatentTertiary SyphilisTrachomaUpper Respiratory Tract InfectionUrinary Tract Infection Where can I get more information? Your pharmacist can provide more information about doxycycline.

See also: Vibramycin Monohydrate side effects (in more detail)

Vitamin D3

Generic Name: cholecalciferol (vitamin D3) (KOE le kal SIF e role) Brand Names: D 1000 IU, D3-5, D3-50, Delta D3, Vitamin D3

What is cholecalciferol?

Cholecalciferol is a vitamin D3. Vitamin D is important for the absorption of calcium from the stomach and for the functioning of calcium in the body.

Cholecalciferol is used to treat or prevent many conditions caused by a lack of vitamin D, especially conditions of the skin or bones.

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

What is the most important information I should know about cholecalciferol? Do not use this medication if you have ever had an allergic reaction to vitamin D, or if you have high levels of calcium or vitamin D in your blood, or if you have any condition that makes it hard for your body to absorb nutrients from food (malabsorption).

Before taking cholecalciferol, tell your doctor if you are allergic to any drugs, or if you have heart disease, kidney disease, or an electrolyte imbalance.

Do not take other vitamin or mineral supplements unless your doctor has told you to.

Avoid using calcium supplements or antacids without your doctor's advice. Use only the specific type of supplement or antacid your doctor recommends. 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.

Seek emergency medical attention if you think you have used too much of this medicine. An overdose of vitamin D can cause serious or life-threatening side effects.

Overdose symptoms may include headache, weakness, drowsiness, dry mouth, nausea, vomiting, constipation, muscle or bone pain, metallic taste in the mouth, weight loss, itchy skin, changes in heart rate, loss of interest in sex, confusion, unusual thoughts or behavior, severe pain in your upper stomach spreading to your back, or fainting.

What should I discuss with my healthcare provider before taking cholecalciferol? Do not use this medication if you have ever had an allergic reaction to vitamin D, or if you have:

high levels of calcium in your blood (hypercalcemia);

high levels of vitamin D in your body (hypervitaminosis D); or

any condition that makes it hard for your body to absorb nutrients from food (malabsorption).

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

heart disease;

kidney disease; or

an electrolyte imbalance.

Your cholecalciferol dose needs may change if you are pregnant or breast-feeding. Tell your doctor if you are pregnant or plan to become pregnant during treatment, or if you are breast-feeding a baby. How should I take cholecalciferol?

Take this medication exactly as directed on the label, or as prescribed by your doctor. Do not take it in larger amounts or for longer than recommended.

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

Measure liquid medicine with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

Cholecalciferol is only part of a complete program of treatment that may also include a special diet. It is very important to follow the diet plan created for you by your doctor or nutrition counselor. You should become very familiar with the list of foods you must eat or avoid to help control your condition.

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

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

What happens if I overdose? Seek emergency medical attention if you think you have used too much of this medicine. An overdose of vitamin D can cause serious or life-threatening side effects.

What should I avoid while taking cholecalciferol? Do not take other vitamin or mineral supplements unless your doctor has told you to.

Avoid using calcium supplements or antacids without your doctor's advice. Use only the specific type of supplement or antacid your doctor recommends.

Cholecalciferol 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 taking cholecalciferol and call your doctor at once if you have a serious side effect such as:

thinking problems, changes in behavior, feeling irritable;

urinating more than usual;

chest pain, feeling short of breath; or

early signs of vitamin D overdose (weakness, metallic taste in your mouth, weight loss, muscle or bone pain, constipation, nausea, and vomiting).

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 cholecalciferol?

Before taking cholecalciferol, tell your doctor if you are taking any of the following medicines:

seizure medication;

cholestyramine (Prevalite, Questran);

colestipol (Colestid);

steroids (prednisone and others);

digoxin (digitalis, Lanoxin); or

a diuretic (water pill) such as chlorothiazide (Diuril), hydrochlorothiazide (HCTZ, HydroDiuril, Hyzaar, Lopressor, Vasoretic, Zestoretic), chlorthalidone (Hygroton, Thalitone), indapamide (Lozol), metolazone (Mykrox, Zaroxolyn), and others.

This list is not complete and there may be other drugs that can interact with cholecalciferol. 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 Vitamin D3 resources Vitamin D3 Side Effects (in more detail)Vitamin D3 Use in Pregnancy & BreastfeedingVitamin D3 Drug InteractionsVitamin D3 Support Group0 Reviews for Vitamin D3 - Add your own review/rating Delta D3 Advanced Consumer (Micromedex) - Includes Dosage Information Compare Vitamin D3 with other medications Prevention of FallsPrevention of FracturesVitamin D DeficiencyVitamin D Insufficiency Where can I get more information? Your pharmacist can provide more information about cholecalciferol.

See also: Vitamin D3 side effects (in more detail)

Verapamil Sustained-Release Tablets (Controlled Onset)
Pronunciation: ver-AP-a-milGeneric Name: VerapamilBrand Name: Covera-HS

Vetprofen
Dosage Form: FOR ANIMAL USE ONLYVetprofen™

Vitamin A/Vitamin D/Vitamin C
Pronunciation: VYE-ta-min A/VYE-ta-min D/VYE-ta-min CGeneric Name: Vitamin A/Vitamin D/Vitamin CBrand Name: Examples include Tri-Vitaminand Tri-Vi-Sol

Vivelle

Generic Name: estradiol transdermal (ess tra DYE ol tranz DERM al) Brand Names: Alora, Climara, Estraderm, Estradiol Patch, Menostar, Vivelle, Vivelle-Dot

What is Vivelle (estradiol transdermal)?

Estradiol is a form of estrogen, a female sex hormone the regulates many processes in the body.

Estradiol transdermal skin patches are used to treat certain symptoms of menopause such as dryness, burning, and itching of the vaginal area. Estradiol transdermal also reduces urgency or irritation of urination.

Estradiol skin patches are also used to treat ovarian disorders, infertility, and abnormal vaginal bleeding. Some estradiol skin patches are used to prevent postmenopausal osteoporosis. Transdermal skin patches release the drug slowly, and it is absorbed through your skin.

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

What is the most important information I should know about Vivelle (estradiol transdermal)? Do not use this medication if you have any of the following conditions: a history of stroke or blood clot, circulation problems, a bleeding disorder, a hormone-related cancer such as breast or uterine cancer, or abnormal vaginal bleeding. This medication can cause birth defects in an unborn baby. Do not use if you are pregnant. Use an effective form of birth control, and tell your doctor if you become pregnant during treatment.

Estradiol increases your risk of developing endometrial hyperplasia, a condition that may lead to cancer of the uterus. Taking progestins while using estradiol may lower this risk. If your uterus has not been removed, your doctor may prescribe a progestin for you to take while you are using estradiol transdermal.

Long-term estradiol treatment may increase your risk of breast cancer, heart attack, or stroke. Talk with your doctor about your individual risks before using estradiol long-term. Your doctor should check your progress on a regular basis (every 3 to 6 months) to determine whether you should continue this treatment.

Have regular physical exams and self-examine your breasts for lumps on a monthly basis while using estradiol transdermal.

The estradiol transdermal patch may burn your skin if you wear the patch during an MRI (magnetic resonance imaging). Remove the patch before undergoing such a test. What should I discuss with my healthcare provider before using Vivelle (estradiol transdermal)? Do not use estradiol transdermal if you have:

a bleeding or blood-clotting disorder;

a history of stroke or circulation problems;

abnormal vaginal bleeding that a doctor has not checked; or

any type of breast, uterine, or hormone-dependent cancer.

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

high blood pressure, angina, or heart disease;

high cholesterol or triglycerides;

liver disease; kidney disease;

asthma;

epilepsy or other seizure disorder;

migraines;

diabetes;

depression;

gallbladder disease; or

if you have had your uterus removed (hysterectomy).

Long-term estradiol treatment may increase your risk of stroke. Talk with your doctor about your individual risks before using estradiol long-term. Your doctor should check your progress on a regular basis (every 3 to 6 months) to determine whether you should continue this treatment.

FDA pregnancy category X. This medication can cause birth defects. Do not use estradiol transdermal if you are pregnant. Tell your doctor right away if you become pregnant during treatment. Use an effective form of birth control while you are using this medication. Estradiol can pass into breast milk and may harm a nursing baby. This medication may also slow breast milk production. Do not use if you are breast-feeding a baby. How should I use Vivelle (estradiol transdermal)?

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.

Apply the skin patch to clean, dry skin on your stomach, lower back, or buttocks. Choose a different spot within these skin areas each time you apply a new patch. Avoid skin that is oily, irritated, or damaged.

Press the patch in place firmly for about 10 seconds, especially around the edges.

Do not apply a skin patch to your breasts. Do not apply a patch where it might be rubbed off by tight clothing, such as under an elastic waistband.

If a patch falls off, try putting it back on to a different skin area, pressing the patch into place for 10 seconds. If the patch will not stick you may apply a new one.

Have regular physical exams and self-examine your breasts for lumps on a monthly basis while using estradiol transdermal.

The estradiol transdermal patch may burn your skin if you wear the patch during an MRI (magnetic resonance imaging). Remove the patch before undergoing such a test. Store at room temperature away from moisture and heat. What happens if I miss a dose?

Apply a skin patch as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra patches 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 nausea, vomiting, and vaginal bleeding.

What should I avoid while using Vivelle (estradiol transdermal)?

Avoid using other estrogen products without your doctor's advice.

Grapefruit and grapefruit juice may interact with estradiol and lead to potentially dangerous effects. Discuss the use of grapefruit products with your doctor.

Vivelle (estradiol transdermal) 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:

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;

pain or swelling in your lower leg;

abnormal vaginal bleeding;

pain, swelling, or tenderness in your stomach;

jaundice (yellowing of the skin or eyes); or

a lump in your breast.

Less serious side effects may include:

nausea, vomiting, loss of appetite;

swollen breasts;

acne or skin color changes;

decreased sex drive, impotence, or difficulty having an orgasm;

migraine headaches or dizziness;

vaginal pain, dryness, or discomfort;

swelling of your ankles or feet;

depression; or

changes in your menstrual periods, break-through bleeding.

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 Vivelle (estradiol transdermal)?

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

carbamazepine (Carbatrol, Equetro, Tegretol);

phenobarbital (Luminal, Solfoton);

St. John's wort;

a blood thinner such as warfarin (Coumadin, Jantoven);

an antibiotic such as clarithromycin (Biaxin), dalfopristin/quinupristin (Synercid), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin, Pediazole), rifampin (Rifadin, Rifater, Rifamate, Rimactane), or telithromycin (Ketek);

antifungal medication such as itraconazole (Sporanox), ketoconazole (Extina, Ketozole, Nizoral, Xolegal), miconazole (Oravig), or voriconazole (Vfend); or

ritonavir (Norvir, Kaletra) and other HIV/AIDS medications.

This list is not complete and other drugs may interact with estradiol transdermal. 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 Vivelle resources Vivelle Side Effects (in more detail)Vivelle Use in Pregnancy & BreastfeedingVivelle Drug InteractionsVivelle Support Group2 Reviews for Vivelle - Add your own review/rating Vivelle Advanced Consumer (Micromedex) - Includes Dosage Information Vivelle Patch MedFacts Consumer Leaflet (Wolters Kluwer) Vivelle Prescribing Information (FDA) Estradiol Monograph (AHFS DI) Estradiol Professional Patient Advice (Wolters Kluwer) Estradiol Prescribing Information (FDA) Estradiol MedFacts Consumer Leaflet (Wolters Kluwer) estradiol Transdermal Advanced Consumer (Micromedex) - Includes Dosage Information Alora Prescribing Information (FDA) Climara Prescribing Information (FDA) Climara Consumer Overview Climara Weekly Patch MedFacts Consumer Leaflet (Wolters Kluwer) Delestrogen MedFacts Consumer Leaflet (Wolters Kluwer) Delestrogen Prescribing Information (FDA) Depo-Estradiol MedFacts Consumer Leaflet (Wolters Kluwer) Depo-Estradiol Prescribing Information (FDA) Estrace Prescribing Information (FDA) Estrace MedFacts Consumer Leaflet (Wolters Kluwer) Estrace Consumer Overview Estrace Advanced Consumer (Micromedex) - Includes Dosage Information Estraderm Prescribing Information (FDA) Estradiol Patch Prescribing Information (FDA) Estrasorb Emulsion MedFacts Consumer Leaflet (Wolters Kluwer) Estrasorb Consumer Overview Estrasorb Prescribing Information (FDA) Evamist Prescribing Information (FDA) Evamist Consumer Overview Evamist Spray MedFacts Consumer Leaflet (Wolters Kluwer) Femring Prescribing Information (FDA) Femring Ring MedFacts Consumer Leaflet (Wolters Kluwer) Femtrace Prescribing Information (FDA) Femtrace Consumer Overview Femtrace Advanced Consumer (Micromedex) - Includes Dosage Information Femtrace MedFacts Consumer Leaflet (Wolters Kluwer) Menostar Consumer Overview Menostar Prescribing Information (FDA) Menostar Weekly Patch MedFacts Consumer Leaflet (Wolters Kluwer) Vivelle-Dot Prescribing Information (FDA) Compare Vivelle with other medications Atrophic UrethritisAtrophic VaginitisHypoestrogenismOophorectomyOsteoporosisPostmenopausal SymptomsPrimary Ovarian Failure Where can I get more information? Your pharmacist can provide more information about estradiol transdermal.

See also: Vivelle side effects (in more detail)

valdecoxib

Generic Name: valdecoxib (val deh COCK sib) Brand Names: Bextra

What is valdecoxib?

Valdecoxib (Bextra) was withdrawn from the U.S. market in 2005.

Valdecoxib is in a class of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs). Valdecoxib works by reducing substances in the body that cause inflammation, pain, and fever.

Valdecoxib is used to reduce pain, inflammation, and stiffness caused by osteoarthritis and adult rheumatoid arthritis. Valdecoxib is also used to treat painful menstruation.

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

What is the most important information I should know about valdecoxib?

Valdecoxib (Bextra) was withdrawn from the U.S. market in 2005.

The manufacturer of valdecoxib (Bextra) has announced the voluntary withdrawal of the drug from the U.S. market. This withdrawal is due to safety concerns of an increased risk of cardiovascular events (including heart attack and stroke) in patients taking non-steroidal anti-inflammatory drugs (valdecoxib is a "COX-2" selective non-steroidal anti-inflammatory drug) and safety concerns of an increased risk of rare but serious skin reactions in patients taking valdecoxib.

Do not take valdecoxib without first talking to your doctor if you have experienced asthma, hives, or an allergic reaction after taking a sulfa-based medication such as sulfamethoxazole (Bactrim, Septra, Gantanol, and others) or sulfisoxazole (Gantrisin); aspirin; or another NSAID such as celecoxib (Celebrex), ibuprofen (Motrin, Advil, Nuprin, and others), naproxen (Aleve, Naprosyn, Anaprox), ketoprofen (Orudis KT, Orudis, Oruvail), diclofenac (Voltaren, Cataflam), diflunisal (Dolobid), etodolac (Lodine, Lodine XL), fenoprofen (Nalfon), flurbiprofen (Ansaid), indomethacin (Indocin), ketorolac (Toradol), meloxicam (Mobic), nabumetone (Relafen), oxaprozin (Daypro), piroxicam (Feldene), sulindac (Clinoril), or tolmetin (Tolectin). You may experience a similar reaction to valdecoxib. Notify your doctor immediately if you develop abdominal pain, tenderness, or discomfort; nausea; bloody vomit; bloody, black, or tarry stools; unexplained weight gain; swelling or water retention; fatigue or lethargy; a skin rash; itching; yellowing of the skin or eyes;"flu-like" symptoms; or unusual bruising or bleeding. These symptoms could be early signs of dangerous side effects. Serious skin reactions have occurred in patients taking valdecoxib. These reactions tend to occur within the first two weeks of treatment, but may occur at any time during treatment. Stop taking valdecoxib and contact your doctor immediately if you develop a skin rash; hives; itching; difficulty breathing; swelling of the lips, tongue or face; or other symptoms of an allergic reaction. What should I discuss with my healthcare provider before taking valdecoxib?

Valdecoxib should not be used for the treatment of pain after coronary artery bypass surgery (CABG). The use of valdecoxib in such patients has led to an increased incidence of cardiovascular events, deep surgical infections and wound complications. Talk to your doctor before taking valdecoxib if you are being treated for pain associated with CABG.

Before taking valdecoxib, tell your doctor if you

smoke;

drink alcohol;

have an ulcer or bleeding in the stomach;

have liver disease; have kidney disease;

have asthma;

have congestive heart failure;

have fluid retention;

have heart disease;

have high blood pressure;

have a coagulation (bleeding) disorder or are taking an anticoagulant (blood thinner) such as warfarin (Coumadin); or

are taking a steroid medicine such as prednisone (Deltasone and others), methylprednisolone (Medrol and others), prednisolone (Prelone, Pediapred, and others), and others.

You may not be able to take valdecoxib, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions, or are taking any of the medicines, listed above.

Valdecoxib is in the FDA pregnancy category C. This means that it is not known whether it will be harmful to an unborn baby. Valdecoxib should not be taken late in pregnancy (the third trimester) because it may affect the formation of the baby's heart. Do not take valdecoxib without first talking to your doctor if you are pregnant or could become pregnant during treatment. It is not known whether valdecoxib passes into breast milk. Do not take valdecoxib without first talking to your doctor if you are breast-feeding a baby. If you are over the age of 65 years, you may be more likely to experience side effects from valdecoxib. You may require a lower dosage or special monitoring during your therapy. How should I take valdecoxib?

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

Take each dose with a full glass of water.

Valdecoxib can be taken with or without food or milk. Follow your doctor's instructions.

Store valdecoxib at room temperature away from moisture and heat.

See also: Valdecoxib dosage (in more detail)

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for the next dose, skip the dose you missed and take only the next regularly scheduled dose as directed. Do not take a double dose of this medication unless otherwise directed by your doctor.

What happens if I overdose? Seek emergency medical attention.

Symptoms of a valdecoxib overdose include drowsiness, nausea, vomiting, and stomach pain.

What should I avoid while taking valdecoxib?

There are no restrictions on food, beverages, or activity while taking valdecoxib unless otherwise directed by your doctor.

Valdecoxib side effects Serious skin reactions have occurred in patients taking valdecoxib. These reactions tend to occur within the first two weeks of treatment, but may occur at any time during treatment. Stop taking valdecoxib and contact your doctor immediately if you develop a skin rash; hives; itching; difficulty breathing; swelling of the lips, tongue or face; or other symptoms of an allergic reaction. Notify your doctor immediately if you develop abdominal pain, tenderness, or discomfort; nausea; bloody vomit; bloody, black, or tarry stools; unexplained weight gain; swelling or water retention; fatigue or lethargy; a skin rash; itching; yellowing of the skin or eyes;"flu-like" symptoms; or unusual bruising or bleeding. These symptoms could be early signs of dangerous side effects.

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

diarrhea;

nausea or upset stomach; or

headache.

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.

Valdecoxib Dosing Information

Usual Adult Dose for Osteoarthritis:

Valdecoxib was voluntarily withdrawn from the market in April, 2005 by the manufacturer following an FDA Public Health Advisory announcing that the overall risk versus benefit profile for valdecoxib is unfavorable, based on the following: reports of serious and potentially life-threatening skin reactions, including deaths, in patients taking Bextra. The risk of these reactions have occurred in patients with and without a prior history of sulfa allergy, and after both short- and long-term use. The lack of adequate data on the cardiovascular safety of long-term use of Bextra, along with the increased risk of adverse CV events in short-term coronary artery bypass surgery (CABG) trial that FDA believes may be relevant to chronic use, and lack of any demonstrated advantages for Bextra compared with other NSAIDs. The following dosage information applies to when the drug was available in the USA.Initial dose: 10 mg once daily

Usual Adult Dose for Rheumatoid Arthritis:

Vitamin B12

Class: Vitamin B ComplexVA Class: VT100Chemical Name: 5,6-dimethyl-benzimidazolyl cyanocobamide,

Vasocidin Drops
Pronunciation: pred-NISS-oh-lone/sul-fa-SEE-ta-mideGeneric Name: Prednisolone/SulfacetamideBrand Name: Generic only. No brands available.

Viroptic Drops
Pronunciation: trye-FLURE-i-deenGeneric Name: TrifluridineBrand Name: Viroptic

Vitamin B Complex/Vitamin C/Vitamin D/Biotin/Folic Acid/Zinc
Pronunciation: VYE-ta-min B/VYE-ta-min C/VYE-ta-min D/BYE-oh-tin/FOE-lik AS-id/zinkGeneric Name: Vitamin B Complex/Vitamin C/Vitamin D/Biotin/Folic Acid/ZincBrand Name: Vital-D Rx

Vibra-Tabs

What is Vibra-Tabs (doxycycline)?

Doxycycline is a tetracycline antibiotic. It fights bacteria in the body.

Doxycycline is used to treat many different bacterial infections, such as urinary tract infections, acne, gonorrhea, and chlamydia, periodontitis (gum disease), and others.

Doxycycline is also used to treat blemishes, bumps, and acne-like lesions caused by rosacea. Doxycycline will not treat facial redness caused by rosacea.

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

What is the most important information I should know about Vibra-Tabs (doxycycline)? Do not use this medicine if you are pregnant. It could harm the unborn baby or cause permanent tooth discoloration later in life.

Before taking doxycycline, tell your doctor if you have liver disease, kidney disease, asthma, or if you are allergic to sulfites.

Drink plenty of liquids while you are taking doxycycline. Children should not use doxycycline. Doxycycline can cause permanent yellowing or graying of the teeth in children younger than 8 years old. Take this medication for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Skipping doses may also increase your risk of further infection that is resistant to antibiotics. What should I discuss with my healthcare provider before taking Vibra-Tabs (doxycycline)? You should not take this medicine if you are allergic to doxycycline or to other tetracycline antibiotics such as demeclocycline (Declomycin), minocycline (Dynacin, Minocin, Solodyn, Vectrin), or tetracycline (Brodspec, Panmycin, Sumycin, Tetracap).