Atarax

This page contains drug information on Atarax.
The information provided includes the following:
what is Atarax
the possible side effects of Atarax
what happens if you miss a dose of Atarax
what happens if you overdose with Atarax
the most important information about Atarax
how to use Atarax
other drugs that may affect Atarax
what to avoid while using Atarax

Generic Name: hydroxyzine (hye DROX ee zeen)
Brand Names: Atarax, Rezine, Vistaril

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

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

What is hydroxyzine?

• Hydroxyzine depresses activity in the central nervous system (brain and spinal cord), which causes relaxation and relief from anxiety. Therefore, hydroxyzine is used to treat anxiety disorders and tension in stressful situations--before surgery, for example.
• Hydroxyzine may also increase the effects of other medicines, such as pain relievers and sedatives, so it is useful after surgery also.
• Hydroxyzine is also an antihistamine. It blocks the effects of the naturally occurring chemical histamine in your body. This makes hydroxyzine useful for treating allergic conditions, especially those that involve the skin, such as hives, itching, and rashes.
• Hydroxyzine may also be used for purposes other than those listed in this medication guide.

Who should not take hydroxyzine?

• Before taking hydroxyzine, tell your doctor if you have any other medical conditions, especially heart, liver, or kidney disease. You may require a lower dose or special monitoring during hydroxyzine therapy if you have any other medical conditions.
• It is not known whether hydroxyzine will harm an unborn baby. Do not take hydroxyzine without first talking to your doctor if you are pregnant.
• It is also not known whether hydroxyzine passes into breast milk. Do not take hydroxyzine without first talking to your doctor if you are breast-feeding a baby.
• If you are over 60 years of age, you may be more likely to experience side effects from hydroxyzine. You may require a lower dose of this medication.

How should I take hydroxyzine?

• Take hydroxyzine exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take each dose with a full glass of water.
• To ensure that you get a correct dose, measure the syrup form of hydroxyzine with a special dose-measuring spoon or cup, not with a regular tablespoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.
• Store hydroxyzine at room temperature away from moisture and heat.

What happens if I miss a dose?

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

What happens if I overdose?

Ipratropium (I-pra-TROE-pee-um) is a bronchodilator (medicine that opens up narrowed breathing passages). It is taken by inhalation to help control the symptoms of lung diseases, such as asthma, chronic bronchitis, and emphysema. Ipratropium helps decrease coughing, wheezing, shortness of breath, and troubled breathing by increasing the flow of air into the lungs.
When ipratropium inhalation is used to treat acute, severe attacks of asthma, bronchitis, or emphysema, it is used only in combination with other bronchodilators.

Azulfidine

This page contains drug information on Azulfidine.
The information provided includes the following:
what is Azulfidine
the possible side effects of Azulfidine
what happens if you miss a dose of Azulfidine
what happens if you overdose with Azulfidine
the most important information about Azulfidine
how to use Azulfidine
other drugs that may affect Azulfidine
what to avoid while using Azulfidine

Generic Name: sulfasalazine (sull fa SAH la zeen)
Brand Names: Azulfidine, Azulfidine EN-tabs

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

• Notify your doctor immediately if you develop a sore throat, fever, pale skin, bruising, or yellow skin or eyes. These may be early symptoms of a blood disorder.
• Do not stop taking sulfasalazine, even if you begin to feel better, without first talking to your doctor. It is very important to continue taking sulfasalazine to control your condition.
• Do not crush, chew, or break the delayed-release tablets (Azulfidine EN-tabs). Swallow them whole. They are specially formulated to release the medication after they have passed through your stomach.
• Call your doctor if you find an undissolved delayed-release (Azulfidine EN-tabs) tablet in your stool.

What is sulfasalazine?

• The exact way that sulfasalazine works is unknown, but it is believed to reduce the actions of substances in the body that cause inflammation, tissue damage, and diarrhea.
• Sulfasalazine is used to treat ulcerative colitis and to maintain remission. The delayed-release tablets, Azulfidine (EN-tabs), are also used to treat rheumatoid arthritis and juvenile rheumatoid arthritis.
• Sulfasalazine may also be used for purposes other than those listed in this medication guide.

Who should not take sulfasalazine?
Do not take sulfasalazine without first talking to your doctor if you have:

• ever had an allergic reaction to sulfasalazine, a sulfa-based antibiotic, or aspirin;
• an obstruction (blockage) in your intestines or urinary tract;
• porphyria;
• liver disease;
• kidney disease;
• asthma; or
• glucose-6-phosphate dehydrogenase deficiency.

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

Sulfasalazine is in the FDA pregnancy category B. This means that it is not expected to harm an unborn baby. Do not take sulfasalazine without first talking to your doctor if you are pregnant.

Sulfasalazine passes into breast milk and the effects of sulfasalazine on a nursing infant are not known. Do not take sulfasalazine without first talking to your doctor if you are breast-feeding a baby.

The safety and effectiveness of sulfasalazine have not been established for children younger than 2 years of age.

How should I take sulfasalazine?

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

• Take each dose with a full glass of water.
• Sulfasalazine is usually taken after meals. Follow your doctor's instructions.
• Do not crush, chew, or break the delayed-release tablets (Azulfidine EN-tabs). Swallow them whole. They are specially formulated to release the medication after they have passed through your stomach.
• Call your doctor if you find an undissolved delayed-release (Azulfidine EN-tabs) tablet in your stool.
• Do not stop taking sulfasalazine, even if you begin to feel better, without first talking to your doctor. It is very important to continue taking sulfasalazine to control your condition.
• Store sulfasalazine at room temperature away from moisture and heat.

What happens if I miss a dose?

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

What happens if I overdose?

• Seek emergency medical attention.
• Symptoms of a sulfasalazine overdose include nausea, vomiting, abdominal pain, drowsiness, and seizures.

What should I avoid while taking sulfasalazine?

• There are no restrictions on foods, beverages, or activities during treatment with sulfasalazine unless your doctor directs otherwise.

What are the possible side effects of sulfasalazine?

If you experience any of the following serious side effects, stop taking sulfasalazine and seek emergency medical attention or notify your doctor immediately:

• an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives); or
• worsening colitis (fever, abdominal pain, cramping, or bloody diarrhea); or
• sore throat, fever, pale skin, bruising, or yellow skin or eyes (may indicate a blood disorder).
• Other, less serious side effects may be more likely to occur. Continue to take sulfasalazine and talk to your doctor if you experience
• nausea, vomiting, or decreased appetite;
• headache;
• a rash, itching, or hives;
• fever;
• decreased sperm production (uncommon and usually reversible); or
• orange-yellow discoloration of the skin or urine (not harmful).
• 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.

What other drugs will affect sulfasalazine?

• Sulfasalazine may decrease the absorption of digoxin (Lanoxin, Lanoxicaps). Your doctor may want to monitor the digoxin levels in your blood if you are taking this medicine.
• Sulfasalazine may also decrease folate (a natural vitamin) in your body. You may need to take folate supplements or eat folate-rich foods.
• Drugs other than those listed here may also interact with sulfasalazine. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

Bactrim

This page contains drug information on Bactrim.
The information provided includes the following:
what is Bactrim
the possible side effects of Bactrim
what happens if you miss a dose of Bactrim
what happens if you overdose with Bactrim
the most important information about Bactrim
how to use Bactrim
other drugs that may affect Bactrim
what to avoid while using Bactrim

Generic Name: sulfamethoxazole and trimethoprim (sul fa meth OX a zole and trye METH oh prim)
Brand Names: Bactrim, Bactrim DS, Bactrim Pediatric, Bethaprim, Bethaprim Pediatric, Cotrim, Cotrim DS, Cotrim Pediatric, Septra, Septra DS, Sulfatrim, Sulfatrim Pediatric, Sulfatrim Suspension, Uroplus, Uroplus DS

What is the most important information I should know about sulfamethoxazole and trimethoprim?

• Take all of the sulfamethoxazole and trimethoprim that has been prescribed for you even if you begin to feel better. Your symptoms may start to improve before the infection is completely treated.

What is sulfamethoxazole and trimethoprim?

• Sulfamethoxazole and trimethoprim are both antibiotics that treat different types of bacterial infections. Sulfamethoxazole and trimethoprim fight bacteria in your body.
• Sulfamethoxazole and trimethoprim is used to treat infections such as urinary tract infections, bronchitis, ear infections (otitis), traveler's diarrhea, and Pneumocystis carinii pneumonia.
• Sulfamethoxazole and trimethoprim may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking sulfamethoxazole and trimethoprim?

Before taking this medication, tell your doctor if you have

• kidney or liver disease, or
• a glucose-6-phosphate dehydrogenase deficiency (G6PD deficiency).
• You may not be able to take sulfamethoxazole and trimethoprim, or you may require a lower dose or special monitoring during treatment if you have any of the conditions listed above.
• Sulfamethoxazole and trimethoprim is in the FDA pregnancy category C. This means that it is not known whether sulfamethoxazole and trimethoprim will harm an unborn baby. This medication affects folic acid in your body, which is necessary for the normal development of a baby. Do not take sulfamethoxazole and trimethoprim without first talking to your doctor if you are pregnant.
• Sulfamethoxazole and trimethoprim passes into breast milk and may harm a nursing baby. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.
• Sulfamethoxazole and trimethoprim is not approved for use in children younger than 2 months of age.

How should I take sulfamethoxazole and trimethoprim?

• Take this drug exactly as directed by your physician. 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.
• Take sulfamethoxazole and trimethoprim with food or milk if it upsets your stomach.
• You may crush the tablets and put them in water or a soft food like applesauce or pudding if you cannot swallow them whole.
• To ensure that you get a correct dose, measure the liquid form of sulfamethoxazole and trimethoprim with a special dose-measuring spoon or cup, not with a regular tablespoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one. Shake the suspension well before measuring a dose.
• Take all of the sulfamethoxazole and trimethoprim that has been prescribed for you even if you begin to feel better. Your symptoms may start to improve before the infections is completely treated.
• Store the tablets and liquid at room temperature away from moisture and heat.

What happens if I miss a dose?

• Take the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the dose you missed and take only your next regularly scheduled dose. Do not take a double dose of this medication unless otherwise directed by your doctor.
• If you have only missed one dose, you can take the rest of your scheduled doses for that day at evenly spaced intervals.

What happens if I overdose?

• Seek emergency medical attention.
• Symptoms of a sulfamethoxazole and trimethoprim overdose include nausea, vomiting, decreased appetite, diarrhea, headache, yellowing of the skin or eyes, decreased urine production, bloody urine, and coma.

What should I avoid while taking sulfamethoxazole and trimethoprim?

• Avoid prolonged exposure to sunlight. Sulfamethoxazole and trimethoprim may increase the sensitivity of your skin to sunlight. Use a sunscreen and wear protective clothing when exposure to the sun is unavoidable.

What are the possible side effects of sulfamethoxazole and trimethoprim?

Stop taking sulfamethoxazole and trimethoprim and seek emergency medical attention if you experience any of the following serious side effects:

• an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);
• unusual bleeding or bruising; or
• yellow skin or eyes.

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

• headache, fatigue, or dizziness;
• nausea, vomiting, decreased appetite, or diarrhea;
• weakness; or
• increased sensitivity to the sun.
• 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.

What other drugs will affect sulfamethoxazole and trimethoprim?

• Sulfamethoxazole and trimethoprim may increase the effects of oral anticoagulants such as warfarin (Coumadin) and lead to bleeding. Tell your doctor if you are taking a blood thinner.
• Sulfamethoxazole and trimethoprim may also increase the effects of drugs used to treat diabetes, such as glipizide (Glucotrol), glyburide (Glynase, Micronase, Diabeta), chlorpropamide (Diabinese), tolbutamide (Orinase), and tolazamide (Tolinase). Very low blood sugar levels may result. Watch for changes in your blood sugar if you are a diabetic.
• Sulfamethoxazole and trimethoprim may increase the effects of phenytoin (Dilantin) and lead to dangerous side effects. Watch for unusual side effects during treatment.
• Drugs other than those listed here may also interact with sulfamethoxazole and trimethoprim. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

Cardura

This page contains drug information on Cardura.
The information provided includes the following:
what is Cardura
the possible side effects of Cardura
what happens if you miss a dose of Cardura
what happens if you overdose with Cardura
the most important information about Cardura
how to use Cardura
other drugs that may affect Cardura
what to avoid while using Cardura

Generic Name: doxazosin (dox AH zoe son)
Brand Names: Cardura

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

• To avoid falling, take the first dose at bedtime. Doxazosin may cause dizziness. It is a good idea to take every dose at bedtime, if possible.
• Use caution when you stand or sit up from a lying position, especially if you wake up during the night. Dizziness may occur when changing positions.
• Do not stop taking this drug suddenly even if you feel better. Stopping suddenly could cause your blood pressure to increase.

What is doxazosin?

• Doxazosin is in a class of drugs called alpha-adrenergic blockers. Doxazosin causes the blood vessels (veins and arteries) to relax and expand, which allows blood to pass more easily through them.
• Doxazosin is used to treat hypertension (high blood pressure). Doxazosin is also used to treat benign prostatic hyperplasia (enlarged prostate). It relaxes the muscles in the prostate and bladder neck, making it easier to urinate.
• Doxazosin may also be used for purposes other than those listed in this medication guide.

Who should not take doxazosin?

• Before taking this medication, tell your doctor if you have any type of kidney or liver disease. You may need a dosage adjustment or special monitoring during therapy with doxazosin.
• Doxazosin is in the FDA pregnancy category C. This means that it is not known whether doxazosin will harm an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant.
• It is also not known whether doxazosin passes into breast milk. For this reason, doxazosin should be avoided if possible during breast-feeding.

How should I take doxazosin?

• Take doxazosin 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.
• The tablets can also be crushed and mixed with liquid or soft food such as pudding or applesauce if you have difficulty swallowing.
• To avoid falling, take the first dose at bedtime. Doxazosin may cause dizziness. It is a good idea to take every dose at bedtime, if possible.
• Use caution when you stand or sit up from a lying position, especially if you wake up during the night. Dizziness may occur when changing positions.
• Do not stop taking this drug suddenly even if you feel better. Stopping suddenly could cause your blood pressure to increase.
• Store this medication at room temperature away from moisture and heat.

What happens if I miss a dose?

• Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the dose you missed and take only the next regularly scheduled dose. Do not take a double dose of this medication. A double dose could cause severely low blood pressure.
• If you miss doses for several days in a row, call your doctor before taking any additional doses. You may need to restart treatment with a lower dose.

What happens if I overdose?

• Seek emergency medical attention.
• Symptoms of a doxazosin overdose include weakness, dizziness, and fainting; a weak, fast pulse; cold, clammy skin; and possibly loss of consciousness or coma.

What should I avoid while taking doxazosin?

• Avoid alcohol while taking doxazosin. Alcohol may cause drowsiness or severely low blood pressure while taking doxazosin.
• Use caution when driving, operating machinery, or performing other hazardous activities until you know how the medication affects you. Doxazosin may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
• Avoid becoming overheated. Low blood pressure, dizziness, and fainting could result. Be careful not to overexert yourself, and use caution in hot weather.

What are the possible side effects of doxazosin?

If you experience any of the following serious side effects, stop taking doxazosin and seek emergency medical attention or notify your doctor immediately:

• an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);
• an increased heartbeat;
• shortness of breath or chest pain;
• a prolonged or painful erection; or a rash.

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

• vivid dreams;
• dizziness or drowsiness;
• weakness, fatigue, or feeling of not being well;
• nausea, vomiting, diarrhea, constipation, abdominal pain, or decreased appetite;
• fluid retention or slight weight gain;
• joint or muscle aches;
• headache, irritability, or depression;
• increased urination;
• decreased sex drive; or
• numbness or tingling in the hands, feet, arms or legs.

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.

What other drugs will affect doxazosin?

• Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal supplements, during treatment with doxazosin.

Clomid This page contains drug information on Clomid.
The information provided includes the following:
what is Clomid
the possible side effects of Clomid
what happens if you miss a dose of Clomid
what happens if you overdose with Clomid
the most important information about Clomid
how to use Clomid
other drugs that may affect Clomid
what to avoid while using Clomid

Generic Name: clomiphene (KLOE mih feen)
Brand Names: Clomid, Serophene

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

• Use caution when driving, operating machinery, or performing other hazardous activities. Clomiphene may cause blurred vision or other visual side effects during or shortly after therapy. Notify your doctor immediately if you develop any visual side effects and use caution when performing hazardous activities, especially under conditions of variable lighting.
• Clomiphene may increase the likelihood of multiple births. Multiple births may carry additional risk both for the mother and for the fetuses.

What is clomiphene?

• Clomiphene stimulates the release of hormones necessary for ovulation to occur.
• Clomiphene is used to stimulate ovulation (the release of an egg) when a woman's ovaries can produce a follicle but hormonal stimulation is deficient.
• Clomiphene may also be used for purposes other than those listed in this medication guide.

Who should not take clomiphene?

Do not take clomiphene without first talking to your doctor if you

• might be pregnant;
• have a thyroid problem or another endocrine disorder;
• have undiagnosed vaginal bleeding;
• have endometriosis or endometrial carcinoma;
• have uterine fibroids;
• have liver disease;
• have ovarian cysts or ovarian enlargement not due to polycystic ovarian syndrome; or
• have any other serious or chronic medical illness.

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

Do not take clomiphene if you are pregnant. Clomiphene is in the FDA pregnancy category X. This means that it is known to cause birth defects.

It is not known whether clomiphene pass into breast milk. Do not take clomiphene without first talking to your doctor if you are breast-feeding a baby.

How should I take clomiphene?

• Use clomiphene exactly as directed by your doctor. If you do not understand these directions, ask your doctor, nurse, or pharmacist to explain them to you.
• Take each dose with a full glass of water.
• Clomiphene is usually taken in 5 day cycles. Follow your doctor's instructions.
• Store clomiphene at room temperature, away from direct light, moisture, and heat.

What happens if I miss a dose?

• Contact your doctor if you miss a dose of clomiphene.

What happens if I overdose?

• Seek emergency medical attention.
• Symptoms of a clomiphene overdose include nausea, vomiting, flushing, blurred vision, visual spots or flashes, and abdominal pain.

• Use caution when driving, operating machinery, or performing other hazardous activities. Clomiphene may cause blurred vision or other visual side effects during or shortly after therapy. Notify your doctor immediately if you develop any visual side effects and use caution when performing hazardous activities, especially under conditions of variable lighting.

What are the possible side effects of clomiphene?

Stop taking clomiphene and seek emergency medical attention if you experience an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives).

The ovarian hyperstimulation syndrome (OHSS) has been reported to occur in patients receiving clomiphene. Symptoms of OHSS include swelling of the hands or legs, abdominal pain and swelling, shortness of breath, weight gain, and nausea or vomiting. OHSS can be fatal. Notify your doctor immediately or seek emergency medical attention if you develop any of these side effects.

Other side effects may also occur. Notify your doctor if you experience

• ovarian enlargement presenting as abdominal or pelvic pain, tenderness, pressure, or swelling;
• flushing;
• nausea, vomiting, or diarrhea;
• breast tenderness or discomfort;
• blurred vision or other visual disturbances;
• headache; or
• abnormal uterine bleeding.

Clomiphene may increase the likelihood of multiple births. Multiple births may carry additional risk both for the mother and for the fetuses.

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.

What other drugs will affect clomiphene?

• There are no known interactions between clomiphene and other medicines. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

Coumadin This page contains drug information on Coumadin.
The information provided includes the following:
what is Coumadin
the possible side effects of Coumadin
what happens if you miss a dose of Coumadin
what happens if you overdose with Coumadin
the most important information about Coumadin
how to use Coumadin
other drugs that may affect Coumadin
what to avoid while using Coumadin

Generic Name: warfarin (WAR far in)
Brand Names: Coumadin

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

• 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.
• Never take a double dose of this medication.
• If you need to have a lumbar puncture (spinal tap) or any type of surgery, you may need to temporarily stop using warfarin. Be sure the surgeon knows ahead of time that you are using this medicaton.
• Carry an ID card or wear a medical alert bracelet stating that you are taking warfarin, in case of emergency. Any doctor, dentist, or emergency medical care provider who treats you should know that you are taking warfarin.
• Warfarin interacts with many other drugs, and these interactions can be dangerous, even fatal. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
• Do not take aspirin or other NSAIDs (non-steroidal anti-inflammatory drugs) unless your doctor has told you to. NSAIDs include celecoxib (Celebrex), diclofenac (Voltaren), ibuprofen (Motrin, Advil), indomethacin, naproxen (Aleve, Naprosyn), piroxicam (Feldene), and others.These medicines can affect blood clotting and may cause serious bleeding in your stomach or intestines.
• Avoid sudden changes in your diet. Vitamin K decreases the effects of warfarin. Large amounts of vitamin K are found in foods such as liver, broccoli, brussels sprouts, spinach, Swiss chard, coriander, collards, cabbage, and other green leafy vegetables. Do not change the amount of these foods in your diet without first talking to your doctor.
• Avoid eating cranberries, drinking cranberry juice, or taking cranberry herbal products.
• Avoid drinking alcohol, which can increase some of the side effects of this medication.
• Avoid smoking cigarettes or chewing tobacco. Tobacco can alter the effects of warfarin and cause problems with your therapy.

What is warfarin?

What should I discuss with my healthcare provider before taking warfarin?

You should not take warfarin if you have:

• a bleeding disorder such as hemophilia;
• a blood cell disorder such as anemia;
• a stomach ulcer or bleeding in the stomach;
• a history of aneurysm or blood clot in your brain; or
• an infection of your heart, fluid or swelling around your heart.

FDA pregnancy category X. This medication can cause birth defects. Do not use warfarin 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.

Before taking warfarin, tell your doctor if you have:

• kidney disease;
• liver disease;
• celiac sprue (an intestinal disorder);
• a recent injury, surgery, or medical emergency;
• high blood pressure;
• severe or uncontrolled diabetes;
• polycythemia vera;
• congestive heart failure;
• cancer; or
• a seizure disorder for which you take an anticonvulsant such as phenytoin (Dilantin) or phenobarbital (Luminal).

If you have any of these conditions, you may not be able to use warfarin, or you may need a dosage adjustment or special tests during treatment.

It is not known whether warfarin 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.

Older adults and people who are severely ill or debilitated may have a greater risk of bleeding while taking warfarin. Talk with your doctor about your individual risk.

Warfarin should not be given to anyone younger than 18 years old.

Tell your doctor (or dentist) that you are taking warfarin before you take an antibiotic or before having surgery.

How should I take warfarin?

• Take this medication exactly as it was prescribed for you. Do not take the medication in larger or smaller amounts, or take it for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from this medication.
• Never take a double dose of this medication.
• Your body's response to warfarin can be affected by changes in your diet, changes in your environment, other medicines or herbal (botanical) products you use, and your physical well-being.
• Take each dose with a full glass of water.
• It is important to take warfarin at the same time every day. Warfarin can be taken with or without food.
• It is important to take warfarin regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.
• Do not stop taking warfarin without first talking to your doctor.
• To be sure this medication is helping your condition, your blood will need to be tested on a regular basis. It is important that you not miss any scheduled visits to your doctor.
• If you need to have a lumbar puncture (spinal tap) or any type of surgery, you may need to temporarily stop using warfarin. Be sure the surgeon knows ahead of time that you are using this medicaton.
• Carry an ID card or wear a medical alert bracelet stating that you are taking warfarin, in case of emergency. Any doctor, dentist, or emergency medical care provider who treats you should know that you are taking warfarin.
• Store this medication at room temperature away from moisture 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, skip the missed dose and take the medicine at the next regularly scheduled time. 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.
• Symptoms of a warfarin overdose may include bruising; small, broken blood vessels under the skin; excessive bleeding from cuts or wounds; bleeding from the gums; blood in the stools, urine, or vomit; and heavy menstrual periods in women.

What should I avoid while taking warfarin?

• Do not take aspirin or other NSAIDs (non-steroidal anti-inflammatory drugs) unless your doctor has told you to. NSAIDs include celecoxib (Celebrex), diclofenac (Voltaren), ibuprofen (Motrin, Advil), indomethacin, naproxen (Aleve, Naprosyn), piroxicam (Feldene), and others.These medicines can affect blood clotting and may cause serious bleeding in your stomach or intestines.
• Avoid sudden changes in your diet. Vitamin K decreases the effects of warfarin. Large amounts of vitamin K are found in foods such as liver, broccoli, brussels sprouts, spinach, Swiss chard, coriander, collards, cabbage, and other green leafy vegetables. Do not change the amount of these foods in your diet without first talking to your doctor.
• Avoid eating cranberries, drinking cranberry juice, or taking cranberry herbal products.
• Avoid drinking alcohol, which can increase some of the side effects of this medication.
• Avoid smoking cigarettes or chewing tobacco. Tobacco can alter the effects of warfarin and cause problems with your therapy.
• Avoid hazardous activities and sports that may cause injury or broken skin. You may be more likely to bruise or bleed while taking warfarin, especially at the start of therapy. Call your doctor if you bruise easily or have any excessive bleeding.

What are the possible side effects of warfarin?

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

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

• skin changes or discoloration anywhere on your body;
• purple toes or fingers;
• pain in your stomach, back, or sides;
• severe dizziness, headache, or weakness;
• diarrhea;
• easy bruising or bleeding that will not stop
• blood in your urine;
• black, bloody, or tarry stools;
• coughing up blood;
• nosebleeds or bleeding gums;
• urinating less than usual;
• sudden headache, confusion, problems with vision, speech, or balance;
• sudden leg or foot pain; or
• sudden numbness or weakness, especially on one side of the body.

Other less serious side effects are more likely to occur, such as:

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.

What other drugs will affect warfarin?

Warfarin interacts with many other drugs, and these interactions can be dangerous, even fatal. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Warfarin can interact with the following herbal (botanical) products:

• bromelains;
• coenzyme Q10;
• cranberry;
• danshen;
• dong quai;
• garlic;
• ginkgo biloba;
• ginseng; or
• St. John's wort.

Do not use any of these products without first asking your doctor. Some of these herbal products can cause you to bleed while you are also taking warfarin.

Dilantin Infatabs
This page contains drug information on Dilantin Infatabs.
The information provided includes the following:
what is Dilantin Infatabs
the possible side effects of Dilantin Infatabs
what happens if you miss a dose of Dilantin Infatabs
what happens if you overdose with Dilantin Infatabs
the most important information about Dilantin Infatabs
how to use Dilantin Infatabs
other drugs that may affect Dilantin Infatabs
what to avoid while using Dilantin Infatabs

Generic Name: phenytoin (oral) (FEH nih toyn)
Brand Names: Dilantin Infatabs, Dilantin Kapseals, Dilantin-125, Phenytek

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

• Do not stop taking phenytoin even if you feel better. It is important to continue taking the medication to prevent seizures from recurring.
• Do not change brands of phenytoin without first talking to your doctor or pharmacist. Some brands of phenytoin are interchangeable while others are not. Your doctor and/ or pharmacist know which brand/ generic formulations may be substituted for another.
• Do not crush, chew, or break the capsules. Swallow them whole. They are specially formulated to release the drug slowly into the body.
• Carry or wear a medical identification tag to let others know that you are taking this medicine in the case of an emergency.

What is phenytoin?

• Phenytoin is an anti-epileptic. It works by slowing down impulses in the brain that cause seizures.
• Phenytoin is used to control seizures.
• Phenytoin may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking phenytoin?

• Before taking this medication, tell your doctor if you have, or ever have had, liver disease. You may not be able to take phenytoin, or you may require a lower dose or special monitoring during treatment.
• Phenytoin may increase blood sugar. If you are a diabetic and are taking phenytoin, watch for changes in blood sugar levels that may be caused by this medication.
• Phenytoin is in the FDA pregnancy category C. This means that it is not known whether phenytoin will be harmful to an unborn baby. Do not take phenytoin without first talking to your doctor if you are pregnant or could become pregnant during treatment.
• Phenytoin passes into breast milk and may affect a nursing infant. Do not take phenytoin without first talking to your doctor if you are breast-feeding a baby.

How should I take phenytoin?

• Take phenytoin exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take each dose of phenytoin with a full glass of water.
• Take phenytoin with food to lessen stomach upset.
• Do not crush, chew, or break the capsules. Swallow them whole. They are specially formulated to release the drug slowly into the body.
• Chew the chewable tablets thoroughly or break them into small pieces before swallowing.
• Shake the liquid form of phenytoin well before use. To ensure that you measure a correct dose, measure the suspension with a special dose-measuring spoon or a cup, not with a regular tablespoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.
• Do not take any capsule, tablet, or suspension that is discolored.
• Do not change brands of phenytoin without first talking to your doctor or pharmacist. Some brands of phenytoin are interchangeable while others are not. Your doctor and/ or pharmacist know which brand/ generic formulations may be substituted for another.
• It is important to take phenytoin regularly to get the most benefit.
• Do not stop taking phenytoin even if you feel better. It is important to continue taking the medication to prevent seizures from recurring.
• Your doctor may want you to have blood tests or other medical evaluations during treatment with phenytoin to monitor progress and side effects.
• Brush and floss your teeth as directed to reduce the risk of gum disease while taking phenytoin.
• Carry or wear a medical identification tag to let others know that you are taking this medicine in the case of an emergency.
• Store phenytoin 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. However, if it is almost time for the next dose, skip the dose you missed and take only the next regularly scheduled dose. Do not take a double dose of this medication.

What happens if I overdose?

• Seek emergency medical treatment if an overdose is suspected.
• Symptoms of a phenytoin overdose include back-and-forth eye movements, slurred speech, stumbling or staggering walk, imbalance, drowsiness, unconsciousness, nausea, vomiting, tremor, low blood pressure, and slow breathing.

What should I avoid while taking phenytoin?

• Do not drink alcohol while taking this medication. Alcohol can cause deep sedation or sleepiness. It may also increase the risk of seizures.
• Use caution when driving, operating machinery, or performing other hazardous activities. Phenytoin may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
• Brush and floss your teeth as directed to reduce the risk of gum disease while taking phenytoin.

What are the possible side effects of phenytoin?

If you experience any of the following serious side effects, stop taking phenytoin and seek emergency medical attention or contact your doctor immediately:

• an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
• hallucinations;
• slurred speech or staggering walk;
• a rash;
• changes in vision;
• agitation;
• low blood pressure;
• slow or irregular heartbeats;
• abdominal pain, dark urine, light colored stools, or jaundice (yellow skin or eyes);
• easy bruising or bleeding; or
• swollen or tender gums.

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

• nausea, vomiting, constipation, or diarrhea;
• mild dizziness or drowsiness;
• tender or swollen glands;
• swollen or painful gums;
• headache;
• muscle twitches;
• increased facial hair;
• swelling of breasts, or
• insomnia.

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.

What other drugs will affect phenytoin?

The following drugs can increase the level of phenytoin in the blood which may cause dangerous side effects:

• alcohol (with occasional use);
• other seizure medicines such as ethosuximide (Zarontin) or methsuximide (Celontin Kapseals);
• the stomach medicines cimetidine (Tagamet, Tagamet HB) or ranitidine (Zantac, Zantac 75);
• the anxiety and insomnia medicines chlordiazepoxide (Librium, Librax) and diazepam (Valium);
• estrogens such as conjugated estrogens (Premarin, Premphase, Prempro), estradiol (Estrace), esterified estrogens (Estratab, Menest), estropipate (Ogen), and estrogen patches (Estraderm, Vivelle, Climara);
• the heart medicine amiodarone (Cordarone);
• salicylates such as aspirin, magnesium salicylate (Magan), choline salicylate (Arthropan), and choline and magnesium salicylate (Trilisate);
• anti-infective medicines such as isoniazid (Nydrazid) and sulfonamides such as sulfamethoxazole (Septra, Bactrim);
• methylphenidate (Ritalin, Concerta, Metadate, Methylin);
• tolbutamide;
• trazodone (Desyrel); and
• disulfiram (Antabuse).

Other drugs may decrease the amount of phenytoin in the blood. This can decrease the effects of phenytoin and result in seizures. The following drugs may have this effect:

• alcohol (when used regularly);
• carbamazepine (Tegretol, Epitol, Carbatrol);
• reserpine;
• sucralfate (Carafate); and
• molindone (Moban).

Other seizure medicines may interact unpredictably with phenytoin and either increase or decrease its effects. These drugs include

• valproic acid (Depakene) and divalproex sodium (Depakote); and
• phenobarbital (Luminal).

It may be necessary for your doctor to adjust your phenytoin dosage if you are taking any of the medicines listed above.

Phenytoin may also decrease the activity of other medicines, including

• steroid medicines such as prednisone (Deltasone), hydrocortisone (Cortef), betamethasone (Celestone), dexamethasone (Decadron), methylprednisolone (Medrol), and others;
• warfarin (Coumadin);
• quinidine (Quinidex, Quinaglute, others);
• birth control pills;
• estrogens such as Premarin, Ogen, Menest, Estratest, Estraderm, Vivelle, Climara, and others;
• the anti-infective medicines rifampin (Rimactane, Rifadin) and doxycycline (Doryx, Vibramycin, Doxy, Monodox, Adoxa, others);
• furosemide (Lasix); and
• theophylline (Theo-Dur, Theochron, Theo-Bid, Theolair, Aerolate, others).

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

Ditropan
This page contains drug information on Ditropan.
The information provided includes the following:
what is Ditropan
the possible side effects of Ditropan
what happens if you miss a dose of Ditropan
what happens if you overdose with Ditropan
the most important information about Ditropan
how to use Ditropan
other drugs that may affect Ditropan
what to avoid while using Ditropan

Generic Name: oxybutynin (ox ee BYOO tih nin)
Brand Names: Ditropan, Ditropan XL, Oxytrol, Urotrol

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

• Use caution when driving, operating machinery, or performing other hazardous activities. Oxybutynin may cause dizziness, drowsiness, or blurred vision. If you experience dizziness, drowsiness, or blurred vision, avoid these activities.
• Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while using oxybutynin.
• Avoid becoming overheated in hot weather. Oxybutynin increases the risk of heat stroke because it decreases sweating. Drink plenty of fluid of maintain adequate hydration.
• Do not expose the oxybutynin transdermal patch (Oxytrol) to sunlight. It should be worn under clothing.

What is oxybutynin?

• Oxybutynin relieves spasms of the bladder and urinary tract.
• Oxybutynin is used to treat the symptoms of urinary frequency, urinary urgency, urinary leakage, painful or difficult urination, urinary incontinence, and nighttime urination associated with overactive bladder.
• Oxybutynin may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before using oxybutynin?

Do not use oxybutynin if you have

• a blockage of the urinary tract (difficulty urinating); or
• a blockage in the intestines.

Before using oxybutynin, tell your doctor if you have

• liver disease;
• kidney disease;
• numbness or tingling in the hands or feet;
• difficulty swallowing solids or liquids;
• reflux disease;
• glaucoma;
• myasthenia gravis;
• ulcerative colitis;
• thyroid problems;
• high blood pressure, an irregular heartbeat, or any type of heart disease;
• a hiatal hernia; or
• enlargement of the prostate.

You may not be able to use oxybutynin, or you may require a dosage adjustment or special monitoring if you have any of the conditions listed above.

Oxybutynin is in the FDA pregnancy category B. This means that it is not expected to be harmful to an unborn baby. Do not use oxybutynin without first talking to your doctor if you are pregnant or could become pregnant during treatment.

It is not known whether oxybutynin passes into breast milk. Do not use oxybutynin without first talking to your doctor if you are breast-feeding a baby.

How should I use oxybutynin?

• Use oxybutynin exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take each oral dose with a full glass of water.
• Do not crush, chew, or break the extended release form of oxybutynin (Ditropan XL). These tablets are specially formulated to release the medication slowly into the body. Swallow the tablets whole with a glass of water or another liquid. Occasionally, you may find a tablet form in the stool. Do not be alarmed, this is the outer shell of the tablet only, the medication has been absorbed by the body.
• To ensure that you get the correct dosage, measure the liquid form of oxybutynin with a dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.
• Use the oxybutynin topical patches (Oxytrol) as directed. Each patch should be applied to dry, intact skin on the stomach, hip, or buttock. Do not expose the oxybutynin transdermal patch to sunlight. It should be worn under clothing. A new application site should be selected with each new system to avoid re-application to the same site within 7 days. Patches are usually changed twice a week, every 3 to 4 days. Try to change the patch on the same two days every week.
• When changing the Oxytrol patch, remove the old patch slowly and carefully to avoid damaging the skin. Once off, fold the patch in half with the sticky sides together. Throw away the patch so that it cannot be accidentally worn or swallowed by another person, especially a child or pet. If any adhesive remains on the skin after patch removal, wash the area with mild soap and warm water. A small amount of baby oil may also be used. Rings of adhesive that become dirty may require a medical adhesive removal pad that you can get from your pharmacist. Alcohol or other dissolving liquids should not be used.
• Do not apply the oxybutynin transdermal patch (Oxytrol) to areas where the skin folds, the waistline where tight clothing may rub against the patch, skin that is damaged (cut or scraped) or irritated, or skin that has been treated with oil, lotion, powder, or other skin products.
• The oxybutynin transdermal patch (Oxytrol) does not need to be removed during bathing, swimming, showering, or exercising. However, try to avoid rubbing the patch area during these activities.
• Do not use more of this medication than is prescribed for you. If your symptoms are not being treated, notify your doctor.
• Store oxybutynin at room temperature away from moisture and heat.

What happens if I miss a dose?

• Take a missed oral dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication.
• If an oxybutynin transdermal patch (Oxytrol) falls off, press it back in place and continue to follow your application schedule. If the patch does not stay on, throw it away. Apply a new patch in a different area, and continue to follow your original application schedule for changing the patch. If you forget to change a patch after 3 or 4 days, remove the old patch, put on a new patch in a different area and continue to follow your original application schedule.

What happens if I overdose?

• Seek emergency medical attention.
• Symptoms of an oxybutynin overdose include restlessness, tremor, irritability, seizures, delirium, hallucinations, flushing, fever, nausea, vomiting, a fast heartbeat, and possibly coma.

What should I avoid while using oxybutynin?

• Use caution when driving, operating machinery, or performing other hazardous activities. Oxybutynin may cause dizziness, drowsiness, or blurred vision. If you experience dizziness, drowsiness, or blurred vision, avoid these activities.
• Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while using oxybutynin.
• Avoid becoming overheated in hot weather. Oxybutynin increases the risk of heat stroke because it decreases sweating. Drink plenty of fluid to maintain adequate hydration.

What are the possible side effects of oxybutynin?

If you experience any of the following serious side effects, stop using oxybutynin and seek emergency medical attention or contact your doctor immediately:

• an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives); or
• an irregular or fast heart rate.

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

• nausea or vomiting;
• difficulty urinating;
• constipation;
• dry mouth;
• blurred vision or large pupils;
• dryness of the eyes;
• drowsiness;
• dizziness or lightheadedness;
• decreased sweating;
• a rash;
• insomnia;
• restlessness;
• hallucinations; or
• mild redness at patch application site (Oxytrol).

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.

What other drugs will affect oxybutynin?

• Oxybutynin may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any medicine while using oxybutynin without first talking to your doctor.
• Drugs other than those listed here may also interact with oxybutynin. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Dramamine This page contains drug information on Dramamine.
The information provided includes the following:
what is Dramamine the possible side effects of Dramamine
what happens if you miss a dose of Dramamine
what happens if you overdose with Dramamine
the most important information about Dramamine
how to use Dramamine
other drugs that may affect Dramamine
what to avoid while using Dramamine

Generic Name: dimenhydrinate (dye men HYE dri nate)
Brand Names: Dramamine, Driminate

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

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

What is dimenhydrinate?

• Dimenhydrinate is used to prevent and treat nausea, vomiting, dizziness, and vertigo associated with motion sickness.
• Dimenhydrinate may also be used for purposes other than those listed in this medication guide.

Who should not take dimenhydrinate?

Before taking this medication, tell your doctor if you have

• kidney or liver disease,
• an enlarged prostate,
• difficulty urinating,
• bladder problems,
• glaucoma,
• asthma, or
• an irregular heartbeat or any other type of heart disease.

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

Dimenhydrinate is in the FDA pregnancy category B. This means that it is unlikely to harm an unborn baby. Do not take dimenhydrinate without first talking to your doctor if you are pregnant.

Dimenhydrinate passes into breast milk and may harm a nursing baby. Do not take dimenhydrinate without first talking to your doctor if you are breast-feeding a baby.

Dimenhydrinate is not recommended for use by children younger than 2 years of age, except under the direction of a doctor.

How should I take dimenhydrinate?

• Take dimenhydrinate exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take each dose with a full glass of water.
• To ensure that you get a correct dose, measure the liquid form of dimenhydrinate with a special dose-measuring spoon or cup,
not with a regular tablespoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.
• Dimenhydrinate is usually taken every 4 to 6 hours as needed. Do not take more than 400 mg of this medication in one day.
• Store dimenhydrinate at room temperature away from moisture and heat.

What happens if I miss a dose?

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

What happens if I overdose?

• Seek emergency medical attention.
• Symptoms of a dimenhydrinate overdose include drowsiness, seizures or convulsions, difficulty breathing, and death.

What should I avoid while taking dimenhydrinate?

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

What are the possible side effects of dimenhydrinate?

Stop taking dimenhydrinate and seek emergency medical attention if you experience an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives).

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

• drowsiness or dizziness;
• restlessness, excitation, nervousness, or insomnia;
• blurred or double vision;
• dry mouth, nose, or throat;
• decreased appetite, nausea, vomiting, or diarrhea;
• difficulty urinating; or
• an irregular or fast heartbeat.

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.

What other drugs will affect dimenhydrinate?

• Dimenhydrinate may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any medicine unless your doctor approves.
• Drugs other than those listed here may also interact with dimenhydrinate. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

Flomax
This page contains drug information on Flomax.
The information provided includes the following:
what is Flomax
the possible side effects of Flomax
what happens if you miss a dose of Flomax
what happens if you overdose with Flomax
the most important information about Flomax
how to use Flomax
other drugs that may affect Flomax
what to avoid while using Flomax

Generic Name: tamsulosin (oral) (tam soo LO sin) Brand Names: Flomax

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

• Tamsulosin can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. You may feel dizzy when getting up from a sitting or lying position. Avoid standing up too quickly to keep from falling. Drinking alcohol can make dizziness worse.
• Avoid the use of alcohol, which may increase dizziness caused by tamsulosin.
• Before taking tamsulosin, tell your doctor if you are allergic to sulfa drugs. You may also be allergic to tamsulosin.
• If you will be having cataract surgery, tell the surgeon that you are taking tamsulosin.
• Stop using tamsulosin and call your doctor at once if you have severe light-headness or fainting, or if you have an erection of your penis that is painful or lasts longer than 4 hours.

What is tamsulosin?

• Tamsulosin is in a group of drugs called alpha-adrenergic (ad-re-NER-jik) blockers. Tamsulosin relaxes your veins and arteries so that blood can more easily pass through them. It also relaxes the muscles in the prostate and bladder neck, making it easier to urinate.
• Tamsulosin is used to improve urination in men with benign prostatic hyperplasia (enlarged prostate).
• Tamsulosin may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking tamsulosin?

• Before taking tamsulosin, tell your doctor if you are allergic to sulfa drugs. You may also be allergic to tamsulosin.
• If you will be having cataract surgery, tell the surgeon that you are taking tamsulosin.
• Although tamsulosin should not be used by women, this drug is in the FDA pregnancy category B. This means that it is not expected to be harmful to an unborn baby.

How should I take tamsulosin?

• Take tamsulosin exactly as your doctor has prescribed it for you. Do not use more of the medication than recommended. Do not take tamsulosin for longer than your doctor has prescribed.
• Take each dose with a full glass of water.
• Swallow the tamsulosin capsule whole. Do not crush, chew, or open the capsule.
• Tamsulosin is usually taken once a day, approximately 30 minutes after a meal. Try to take this medication at the same time each day.
• If tamsulosin makes you dizzy, taking it after your evening meal may be helpful.
• To be sure this medication is helping your condition, your doctor will need to check you on a regular basis. It is important that you not miss any scheduled visits to your doctor.
• Store this medication at room temperature away from moisture 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, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.
• If you miss your doses for several days in a row, contact your doctor before restarting the medication. You may need a lower dose.

What happens if I overdose?

• Seek emergency medical attention if you think you have used too much of this medicine.
• Symptoms of a tamsulosin overdose may include severe light-headedness or fainting; a fast pulse; or cold, clammy skin.

What should I avoid while taking tamsulosin?

• Tamsulosin can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
• You may feel dizzy when getting up from a sitting or lying position. Avoid standing up too quickly to keep from falling.
• Avoid the use of alcohol, which may increase dizziness caused by tamsulosin.

What are the possible side effects of tamsulosin?

Stop using tamsulosin and get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop using tamsulosin and call your doctor at once if you have any of these serious side effects:

• penis erection that is painful or lasts 4 hours or longer;
• severe dizziness; or
• fainting.

Other, less serious side effects may be more likely to occur. Continue using tamsulosin and talk with your doctor if you have any of these side effects:

• mild dizziness or drowsiness;
• sleep problems (insomnia);
• abnormal ejaculation, decreased sex drive; or
• runny or stuffy nose.

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.

What other drugs will affect tamsulosin?

Before taking tamsulosin, tell your doctor if you use any of the following medicines:

• cimetidine (Tagamet, Tagamet HB); or
• warfarin (Coumadin).

If you are using any of these drugs, you may not be able to take tamsulosin, or you may need dosage adjustments or special tests during treatment.

There may be other drugs not listed that can affect tamsulosin. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Indinavir Drug information
Generic Name: indinavir (in DIH na veer)
Brand Names: Crixivan

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

Some drugs are not recommended to be taken with indinavir. Very high levels of these medications, which could occur during therapy with indinavir, could be life threatening. Do not take indinavir without first talking to your doctor if you are taking any of the following drugs:

• cisapride (Propulsid);
• rifampin (Rifadin, Rimactane) or rifabutin (Mycobutin);
• herbal or natural products containing St. John's wort;
• pimozide (Orap);
• ergotamine (Ergostat, Cafergot, Ercaf, Wigraine) or dihydroergotamine (D.H.E. 45);
• amiodarone (Cordarone), bepridil (Vascor), flecainide (Tambocor), propafenone (Rythmol), or quinidine (Quinaglute, Quinidex, others);
• diazepam (Valium), clorazepate (Librium), estazolam (ProSom), flurazepam (Dalmane), midazolam (Versed), triazolam (Halcion), or zolpidem (Ambien);
• bupropion (Wellbutrin) or clozapine (Clozaril); or
• meperidine (Demerol), piroxicam (Feldene) or propoxyphene (Darvocet, Darvon, Wygesic).

Take indinavir on an empty stomach, 1 hour before or 2 hours after a meal, to get the maximum effect from each dose. If the medication upsets your stomach, it can be taken with a low-fat, low-protein, low-calorie snack.

Drink at least six 8 ounce glasses (48 ounces) of fluid every day while taking indinavir to reduce the formation of kidney stones.

What is indinavir?

• Indinavir is an antiviral medication. It is in a category of HIV medicines called protease inhibitors. Indinavir prevents HIV from maturing. This reduces the amount of infectious or active virus in the body.
• Indinavir is used to treat human immunodeficiency virus (HIV), which causes acquired immunodeficiency syndrome (AIDS).
• Indinavir is not a cure for HIV or AIDS.
• Indinavir may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking indinavir?

Some drugs are not recommended to be taken with indinavir. Very high levels of these medications, which could occur during therapy with indinavir, could be life threatening. Do not take indinavir without first talking to your doctor if you are taking any of the following drugs:

• cisapride (Propulsid);
• rifampin (Rifadin, Rimactane) or rifabutin (Mycobutin);
• herbal or natural products containing St. John's wort;
• pimozide (Orap);
• ergotamine (Ergostat, Cafergot, Ercaf, Wigraine) or dihydroergotamine (D.H.E. 45);
• amiodarone (Cordarone), bepridil (Vascor), flecainide (Tambocor), propafenone (Rythmol), or quinidine (Quinaglute, Quinidex, others);
• diazepam (Valium), clorazepate (Librium), estazolam (ProSom), flurazepam (Dalmane), midazolam (Versed), triazolam (Halcion), or zolpidem (Ambien);
• bupropion (Wellbutrin) or clozapine (Clozaril); or
• meperidine (Demerol), piroxicam (Feldene) or propoxyphene (Darvocet, Darvon, Wygesic).

Tell your doctor if you have liver disease, kidney disease, hemophilia, diabetes, or high cholesterol. You may need a lower dose of indinavir or special monitoring during your therapy.

Indinavir is in the FDA pregnancy category C. This means that it is not known whether indinavir will be harmful to an unborn baby. It is very important to treat HIV/ AIDS during pregnancy to reduce the risk of infecting the unborn baby. Talk to your doctor about treatment options if you are pregnant or could become pregnant during treatment.

It is not known whether indinavir passes into breast milk and what effect it may have on a nursing baby. To prevent transmission of the virus to uninfected babies, it is recommended that HIV-positive mothers not breastfeed.

How should I take indinavir?

• Take indinavir exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take each dose with a full glass (8 ounces) of water. Indanivir may also be taken with skim or non-fat milk, juice, coffee, or tea.
• Take indinavir on an empty stomach, 1 hour before or 2 hours after a meal, to get the maximum effect from each dose. If the medication upsets your stomach, it can be taken with a low-fat, low-protein, low-calorie snack such as cornflakes with skim milk or dry toast with jelly.
• Drink at least six 8 ounce glasses (48 ounces) of fluid every day while taking indinavir to reduce the formation of kidney stones.
• It is important to take indinavir regularly to get the most benefit.
• Indinavir and didanosine (ddI, Videx) should be taken at least 2 and a half hours apart from one another to prevent an interaction.
• Treatment of HIV/ AIDS almost always requires the use of two or more drugs. If you need to stop taking one of the medicines you are taking for HIV, you should stop all of them until you can talk to your doctor.
• Your doctor may want you to have blood tests or other medical evaluations during treatment with indinavir to monitor progress and side effects.
• Store the capsules at room temperature in their original container with the package of desiccant inside the bottle to absorb moisture. Keep the capsules away from excessive heat.

What happens if I miss a dose?

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

What happens if I overdose?

• Seek emergency medical attention if an overdose is suspected.
• Symptoms of an indinavir overdose are unknown.

What should I avoid while taking indinavir?

• Follow your doctor's instructions with respect to high-risk activities such as unprotected sex and the sharing of needles. Indinavir is not a cure for HIV or AIDS, and you can still transmit the virus to others during therapy with this medication.
• Talk to your doctor and pharmacist before taking any other medications, including over-the-counter products. Many drugs may interact with indinavir. Such interactions could cause dangerous side effects or reduce the effectiveness of indinavir.

What are the possible side effects of indinavir?

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

• an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives); or
• pain in your side or blood in your urine.

Less serious side effects may be more likely to occur. Continue to take indinavir and talk to your doctor if you experience

• nausea, vomiting, or diarrhea;
• insomnia; 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.

What other drugs will affect indinavir?

Some drugs are not recommended to be taken with indinavir. Very high levels of these medications, which could occur during therapy with indinavir, could be life threatening. See the "What should I discuss with my healthcare provider before taking indinavir" section for a detailed list.

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

• phenytoin (Dilantin), carbamazepine (Tegretol), or phenobarbital (Luminal, Solfoton);
• sildenafil (Viagra), vardenafil (Levitra) or tadalafil (Cialis);
• a tricyclic antidepressant such as amitriptyline (Elavil), desipramine (Norpramin), nortriptyline (Pamelor), imipramine (Tofranil), and others;
• warfarin (Coumadin);
• cyclosporine (Sandimmune, Neoral), tacrolimus (Prograf), sirolimus (Rapamune);
• methadone (Dolophine, Methadose);
• a stomach or ulcer medication such as cimetidine (Tagamet), famotidine (Pepcid), nizatidine (Axid), ranitidine (Zantac), esomeprazole (Nexium), lansoprazole (Prevacid), pantoprazole (Protonix), omeprazole (Prilosec), or rabeprazole (Aciphex);
• dexamethasone (Decadron, Hexadrol, others);
• dapsone;
• disulfiram (Antabuse);
• a cholesterol medicine including atorvastatin (Lipitor), lovastatin (Mevacor), pravastatin (Pravachol), and simvastatin (Zocor);
• theophylline (Theo-Dur, Theo-Bid, Theolair, Theochron, others);
• metronidazole (Flagyl), erythromycin (Ery-Tab, E-Mycin, Eryc, E.E.S., PCE, others), clarithromycin (Biaxin) or clindamycin (Cleocin);
• a calcium channel blocker such as diltiazem (Cardizem, Dilacor XR, Tiazac, Diltia XT), felodipine (Plendil), nicardipine (Cardene), nifedipine (Procardia, Adalat), or nimodipine (Nimotop), verapamil (Calan, Covers-HS ,Isoptin, Verelan), amlodipine (Norvasc, Lotrel); nisoldipine (Sular), isradipine (DynaCirc);
• itraconazole (Sporanox) or ketoconazole (Nizoral); or
• an HIV/ AIDS medicine such as delavirdine (Rescriptor), efavirenz (Sustiva), or nevirapine (Viramune).

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

Rifampin (Rifadin, Rimactane) may decrease the level of indinavir in your body. Therefore, it is not recommended that these medications be used together.

Indinavir and didanosine (ddI, Videx) should be taken at least 1 hour apart from one another to prevent an interaction.

Drugs other than those listed here may also interact with indinavir. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.

Neurontin
This page contains drug information on Neurontin.
The information provided includes the following:
what is Neurontin
the possible side effects of Neurontin
what happens if you miss a dose of Neurontin
what happens if you overdose with Neurontin
the most important information about Neurontin
how to use Neurontin
other drugs that may affect Neurontin
what to avoid while using Neurontin

Generic Name: gabapentin (ga bah PEN tin)
Brand Names: Neurontin

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

• If you are taking gabapentin for seizures, do not stop taking gabapentin even if you feel better. It is important to continue taking the medication to prevent seizures from recurring.
• Carry or wear a medical identification tag to let others know that you are taking this medicine in the case of an emergency.
• Use caution when driving, operating machinery, or performing other hazardous activities. Gabapentin may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.

What is gabapentin?

• Gabapentin affects chemicals and nerves in the body that are involved in the cause of seizures and some types of pain. The exact way that it works is unknown.
• Gabapentin is used with other drugs in the treatment of some types of seizures and for the management of postherpetic neuralgia (nerve pain caused by the herpes virus or shingles).
• Gabapentin may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking gabapentin?

• Before taking this medication, tell your doctor if you have any other medical conditions, especially kidney, liver, or heart disease. Also discuss any medicines that you take, including over-the-counter preparations.
• Gabapentin is in the FDA pregnancy category C. This means that it is not known whether gabapentin will be harmful to an unborn baby. Do not take gabapentin without first talking to your doctor if you are pregnant or could become pregnant during treatment.
• Gabapentin passes into breast milk. Do not take gabapentin without first talking to your doctor if you are breast-feeding a baby.

How should I take gabapentin?

• Take gabapentin exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take each dose of gabapentin with a full glass of water.
• Gabapentin can be taken with or without food.
• To ensure you get the correct dose, measure the gabapentin oral solution with a dose-measuring cup or spoon, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.
• Carry or wear a medical identification tag to let others know that you are taking this medicine in the case of an emergency.
• Do not stop taking gabapentin without talking to your doctor. Suddenly stopping gabapentin may cause side effects.
• If you are taking gabapentin for seizures, do not stop taking gabapentin even if you feel better. It is important to continue taking the medication to prevent seizures from recurring.
• Store gabapentin tablets and capsules at room temperature away from moisture and heat.
• Store the gabapentin oral solution in the refrigerator.

What happens if I miss a dose?

• Take the missed dose as soon as you remember. However, if several hours have passed and it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of the medication to catch up.

What happens if I overdose?

• Seek emergency medical treatment.
• Symptoms of a gabapentin overdose include double vision, drowsiness, slurred speech, diarrhea, poor coordination, and difficulty breathing.

What should I avoid while taking gabapentin?

• Use caution when driving, operating machinery, or performing other hazardous activities. Gabapentin may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
• Avoid alcohol during treatment with gabapentin. Alcohol may increase the risk of having side effects while taking gabapentin.

What are the possible side effects of gabapentin?

If you experience any of the following serious side effects, stop taking gabapentin and seek medical attention or contact your doctor immediately:

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

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

• dizziness, poor coordination, or drowsiness;
• blurred or double vision;
• irregular back-and- forth movements of the eyes;
• nausea and vomiting; or
• tremor.

If children 3 to 12 years of age experience any of the following serious side effects, contact your doctor immediately

• emotional lability (anxiety, behavior problems, crying, false sense of well-being, mental depression, reacting too quickly, too emotionally, or overreacting, rapidly changing moods);
• hostility (aggressive behavior, suspiciousness, or distrust);
• restlessness, hyperactivity or increase in body movements;
• amnesia (loss of memory); or
• thought disorders (concentration problems and change in school performance).

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.

What other drugs will affect gabapentin?

• Gabapentin does not interact with other commonly used antiseizure medications.
• Antacids will decrease the amount of gabapentin that is absorbed in the stomach. Do not take gabapentin for at least 2 hours after a dose of antacid.
• Gabapentin may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, and muscle relaxants.
• Drugs other than those listed here may also interact with gabapentin or affect your condition. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

What is Nolvadex
the possible side effects of Nolvadex
what happens if you miss a dose of Nolvadex
what happens if you overdose with Nolvadex
the most important information about Nolvadex
how to use Nolvadex
other drugs that may affect Nolvadex
what to avoid while using Nolvadex

Generic Name: tamoxifen (ta MOX i fen)
Brand Names: Nolvadex

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

• Treatment with tamoxifen may increase the risk of certain uterine cancers, stroke, and pulmonary embolism (blood clot in the lung), which may be fatal. You should discuss with your doctor the risks and benefits associated with the use of tamoxifen.

What is tamoxifen?

• Tamoxifen blocks the actions of the hormone estrogen. Certain types of breast cancer require estrogen to grow.
• Tamoxifen is used to treat and prevent some types of breast cancer that require estrogen to grow.
• Tamoxifen may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking tamoxifen?

Before taking tamoxifen, tell your doctor if you

• have a history of deep vein thrombosis (blood clot in the leg);
• have a history of pulmonary thrombosis (blood clot in the lung); or
• take the blood thinner warfarin (Coumadin).

You may not be able to take tamoxifen, or you may require a dosage adjustment or special monitoring during treatment.

Tamoxifen is in the FDA pregnancy category D. This means that tamoxifen is known to be harmful to an unborn baby. Do not take tamoxifen without first talking to your doctor if you are pregnant or could become pregnant during or for two months following treatment. Effective nonhormonal contraception (birth control) should be used during and for two months following treatment with tamoxifen.

It is not known whether tamoxifen passes into breast milk. Do not take tamoxifen without first talking to your doctor if you are breast-feeding a baby.

How should I take tamoxifen?

• Take tamoxifen exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take each dose with a full glass (8 ounces) of water.
• Tamoxifen can be taken with or without food.
• It is important to take tamoxifen regularly to get the most benefit.
• Your doctor may want you to have breast exams (or to perform self breast exams), mammograms, blood tests, or other medical evaluations during treatment with tamoxifen to monitor progress and side effects.
• Store tamoxifen at room temperature away from moisture and heat.

What happens if I miss a dose?

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

What happens if I overdose?

• An overdose of tamoxifen is unlikely to threaten life. Call an emergency room or a poison control left for advice if you suspect an overdose.
• Symptoms of a tamoxifen overdose are unknown, but nausea, vomiting, seizures, tremor, or dizziness may be expected.

What should I avoid while taking tamoxifen?

• There are no restrictions on food, beverages, or activity during treatment with tamoxifen unless otherwise directed by your doctor.

What are the possible side effects of tamoxifen?

Stop taking tamoxifen and seek emergency medical attention or contact your doctor immediately if you experience any of the following serious side effects:

• an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
• possible symptoms of a stroke such as unusual weakness, drowsiness, confusion, or difficulty walking or talking;
• possible symptoms of a blood clot in the lung such as chest pain, shortness of breath, or coughing up blood;
• possible symptoms of a blood clot in the brain or leg such as blurred vision, changes in vision, numbness, or pain or swelling in a leg;
• new breast lumps;
• bone pain;
• menstrual changes, abnormal vaginal bleeding, vaginal discharge, or pelvic pain or pressure;
• pain or tenderness in the upper abdomen;
• yellowing of the skin or eyes; or
• excessive nausea, vomiting, or thirst.

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

• dizziness or headache;
• mild nausea, vomiting, or decreased appetite;
• vaginal itching;
• hot flashes; or
• changes in weight.

Treatment with tamoxifen may increase the risk of certain uterine cancers, stroke, and pulmonary embolism (blood clot in the lung), which may be fatal. You should discuss with your doctor the risks and benefits associated with the use of tamoxifen.

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.

What other drugs will affect tamoxifen?

Before taking tamoxifen, tell your doctor if you are taking

• an estrogen such as Premarin, Ogen, Estratest, Estraderm, Vivelle, Climara, and others;
• a birth control pill that contains estrogen;
• warfarin (Coumadin) or another blood thinner; or
• bromocriptine (Parlodel).

You may not be able to take tamoxifen or you may require special monitoring or a dosage adjustment if you are taking any of the medicines listed above.

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

Propecia This page contains drug information on Propecia. The information provided includes the following: what is Propecia the possible side effects of Propecia what happens if you miss a dose of Propecia what happens if you overdose with Propecia the most important information about Propecia how to use Propecia other drugs that may affect Propecia what to avoid while using Propecia

Generic Name: finasteride (fih NAH steh ride) Brand Names: Propecia, Proscar

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

• Women who are or who may become pregnant must not handle crushed or broken finasteride tablets. The medication could be absorbed through the skin. Finasteride is known to cause birth defects in a developing male baby. Exposure to whole tablets should be avoided whenever possible, however exposure to whole tablets is not expected to be harmful as long as the tablets are not swallowed.

What is finasteride?

• Finasteride prevents the conversion of testosterone to dihydrotestosterone (DHT) in the body. DHT is involved in the development of benign prostatic hyperplasia (BPH) and hair loss.
• Finasteride is used to treat benign prostatic hyperplasia (enlarged prostate). Finasteride is also used to reduce hair loss due to male pattern baldness.
• Finasteride may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking finasteride?

• Before taking this medication, tell your doctor if you have liver disease. You may not be able to take finasteride, or you may need a lower dose or special monitoring during treatment.
• Finasteride is intended for use by men only.
• Finasteride is not indicated for use by women. Do not take or handle this medication if you are pregnant or are could become pregnant during treatment. Finasteride is in the FDA pregnancy category X. This means that it is known to cause birth defects in an unborn baby. Women who are or who may become pregnant must not handle crushed or broken finasteride tablets. The medication could be absorbed through the skin. Finasteride is known to cause birth defects in a developing male baby. Exposure to whole tablets should be avoided whenever possible, however exposure to whole tablets is not expected to be harmful as long as the tablets are not swallowed.
• It is not known whether finasteride passes into breast milk. Finasteride is not intended for use by women. Do not take this medication if you are breast-feeding a baby.

How should I take finasteride?

• Take finasteride 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.
• Finasteride can be taken with or without food.
• It is important to take finasteride regularly to get the most benefit.
• Your doctor may perform blood tests or other forms of monitoring during treatment with finasteride. One of the tests that may be performed is called PSA (prostate-specific antigen). This test is used to help detect prostate cancer. Finasteride will reduce the amount of PSA measured in the blood. Your doctor is aware of this effect and can still use PSA to help detect prostate cancer.
• Store this medication at room temperature away from moisture and heat.

What happens if I miss a dose?

• Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the dose you missed and take only the next regularly scheduled dose. Do not take a double dose unless otherwise directed.

What happens if I overdose?

• Seek emergency medical attention if an overdose is suspected.
• Symptoms of a finasteride overdose are not known.

What should I avoid while taking finasteride?

• There are no restrictions on food, beverages, or activities during treatment with finasteride unless your doctor directs otherwise.

What are the possible side effects of finasteride?

• Stop taking finasteride and seek emergency medical attention if you experience an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives).
• Other, less serious side effects have been reported but usually resolve with continued treatment. Continue to take finasteride and notify your doctor if you experience
• decreased libido (sex drive);
• decreased volume of ejaculate;
• impotence (trouble getting or keeping an erection); or
• breast tenderness or enlargement.
• 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.

What other drugs will affect finasteride?

• There are no known interactions between finasteride and other medications. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.