Thursday, September 29, 2016

Insulin CP Pharma Hypurin Porcine Neutral




Insulin CP Pharma Hypurin Porcine Neutral may be available in the countries listed below.


Ingredient matches for Insulin CP Pharma Hypurin Porcine Neutral



Insulin Injection, Soluble

Insulin Injection, Soluble porcine (a derivative of Insulin Injection, Soluble) is reported as an ingredient of Insulin CP Pharma Hypurin Porcine Neutral in the following countries:


  • Switzerland

International Drug Name Search

Wednesday, September 28, 2016

Antivom




Antivom may be available in the countries listed below.


Ingredient matches for Antivom



Betahistine

Betahistine dihydrochloride (a derivative of Betahistine) is reported as an ingredient of Antivom in the following countries:


  • Greece

Ondansetron

Ondansetron hydrochloride (a derivative of Ondansetron) is reported as an ingredient of Antivom in the following countries:


  • Hungary

International Drug Name Search

Gabarone


Pronunciation: GAB-a-PEN-tin
Generic Name: Gabapentin
Brand Name: Neurontin


Gabarone is used for:

Treating certain types of seizures associated with epilepsy when used along with other medicines. It may also be used for treating nerve pain associated with herpes zoster (shingles) infection (postherpetic neuralgia). It may also be used for other conditions as determined by your doctor.


Gabarone is an anticonvulsant. Exactly how it works to prevent seizures and treat nerve pain is not known.


Do NOT use Gabarone if:


  • you are allergic to any ingredient in Gabarone

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



Before using Gabarone:


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


  • if you are pregnant, planning to become pregnant, or are breast-feeding

  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

  • if you have allergies to medicines, foods, or other substances

  • if you have a history of kidney problems, including if you are on dialysis

  • if you have a history of mental or mood problems (eg, depression), or suicidal thoughts or actions

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


  • Morphine because it may increase the risk of Gabarone's side effects, including drowsiness

This may not be a complete list of all interactions that may occur. Ask your health care provider if Gabarone may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.


How to use Gabarone:


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


  • Gabarone comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Gabarone refilled.

  • Take Gabarone by mouth with or without food.

  • Do not take an antacid containing aluminum or magnesium within 2 hours before you take Gabarone.

  • If you are taking half of a scored tablet as your dose, take the other half of that tablet as your next dose. Throw away any half-tablets not used within several days of breaking a scored tablet.

  • Do not suddenly stop taking Gabarone. Patients taking Gabarone to prevent seizures may have an increased risk of seizures if the medicine is suddenly stopped. If you need to stop Gabarone or add a new medicine, your doctor will gradually lower your dose.

  • If you miss a dose of Gabarone, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

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



Important safety information:


  • Gabarone may cause drowsiness, dizziness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Gabarone with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.

  • Do not change your dose of Gabarone without checking with your doctor.

  • Check with your doctor before you drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Gabarone; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.

  • Patients who take Gabarone may be at increased risk for suicidal thoughts or actions. The risk may be greater in patients who have had suicidal thoughts or actions in the past. Watch patients who take Gabarone closely. Contact the doctor at once if new, worsened, or sudden symptoms, such as depressed mood; anxious, restless, or irritable behavior; panic attacks; or any unusual change in mood or behavior, occur. Contact the doctor right away if any signs of suicidal thoughts or actions occur.

  • Gabarone may cause a serious or life-threatening allergic reaction that may affect your skin or other parts of your body (eg, liver, blood cells). A rash may or may not occur along with this reaction. Contact your doctor right away if you develop symptoms such as rash; red, swollen, blistered, or peeling skin; swollen glands or lymph nodes; swelling of the lip or tongue; yellowing of the skin or eyes; unusual bruising or bleeding; severe tiredness or weakness; unusual muscle pain; or symptoms of infection (eg, fever, chills, sore throat).

  • Diabetes patients - Gabarone may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.

  • Gabarone may interfere with certain lab tests, including a certain urine protein test. Be sure your doctor and lab personnel know you are taking Gabarone.

  • Lab tests, including liver function, kidney function, and complete blood cell counts, may be performed while you use Gabarone. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.

  • Use Gabarone with caution in the ELDERLY; they may be more sensitive to its effects.

  • Gabarone may cause emotional or behavioral side effects in CHILDREN 3 to 12 years old. If the following side effects occur, notify your doctor immediately: emotional "swings", hostile or aggressive behavior, problems concentrating, decreased performance at school, an increase in restlessness or hyperactivity.

  • Gabarone should be used with extreme caution in CHILDREN younger than 3 years old; safety and effectiveness in these children have not been confirmed.

  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Gabarone while you are pregnant. Gabarone is found in breast milk. If you are or will be breast-feeding while you use Gabarone, check with your doctor. Discuss any possible risks to your baby.


Possible side effects of Gabarone:


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



Clumsiness; constipation; diarrhea; dizziness; drowsiness; dry mouth; nausea; stomach upset; tiredness; vomiting; weight gain.



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

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; unusual hoarseness); abnormal thoughts; back and forth eye movements; behavioral problems; change in school performance; chest pain; confusion; fainting; fast, slow, or irregular heartbeat; fever, chills, or sore throat; hyperactivity; loss of coordination; memory loss; new or worsening mental or mood changes (eg, depression, agitation, anxiety, panic attacks, aggressiveness, impulsiveness, irritability, hostility, exaggerated feeling of well-being, restlessness, inability to sit still); new or worsening seizures; numbness of an arm or leg; one-sided weakness; severe or persistent headache or dizziness; shortness of breath; speech changes or trouble speaking; suicidal thoughts or actions; swelling of the hands, legs, or feet; tremor; trouble concentrating; twitching; vision changes (eg, double or blurred vision).



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


See also: Gabarone side effects (in more detail)


If OVERDOSE is suspected:


Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include diarrhea; double vision; drowsiness; sluggishness; slurred speech.


Proper storage of Gabarone:

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


General information:


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

  • Gabarone is to be used only by the patient for whom it is prescribed. Do not share it with other people.

  • If your symptoms do not improve or if they become worse, check with your doctor.

  • Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Gabarone. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.



Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Gabarone resources


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


  • Gabarone Advanced Consumer (Micromedex) - Includes Dosage Information

  • Gabapentin Professional Patient Advice (Wolters Kluwer)

  • Gabapentin Prescribing Information (FDA)

  • Gabapentin Monograph (AHFS DI)

  • Gralise Prescribing Information (FDA)

  • Gralise Consumer Overview

  • Horizant Prescribing Information (FDA)

  • Horizant Consumer Overview

  • Neurontin Prescribing Information (FDA)

  • Neurontin Consumer Overview



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Guna-Hip





Dosage Form: injection, solution
GUNA®-HIP (Homeopathic complex preparation) INJECTION SC, ID, IM

1. INDICATIONS AND USAGE


1.1.    Hip joint osteoarthritis

1.2.    Hip joint capsule inflammation

1.3.    Hip joint osteoarthritis (use with GUNA®-POLYARTHRITIS)

1.4.    Hip joint rheumatoid arthritis (use with GUNA®-POLYARTHRITIS)

1.5.    Hip pain of muscle origin (use with GUNA®-MUSCLE)

1.6.    Hip pain of nerve origin/neuralgia, radicular pain (use with GUNA®-NEURAL)

1.7.    Hip joint pain due to prolonged bed rest.



2. DOSAGE AND ADMINISTRATION


2.1.    Standard protocol for IM administration: 1 vial 1-3 times a week according to severity and clinical response.

2.2.    Standard protocol according to mesotherapy technique using 1 vial per treatment: 2 treatments for the first 2 weeks, 1 treatment a week till pain relief (average 8-10 sessions). For chronic pathologies: continue 1 treatment a week for 1 month till pain relief, then 1 treatment a month.

Select application site according to trigger points, tender points, referred pain zones, acupuncture points, key nerve points, or “local pain points”. Using a 13 mm, 30G or a 4 mm, 27G needle, make the classic intradermal injection according to mesotherapy technique. Discard unused solution.

2.3.    Opening of Vials: Use sterile needles and sterile syringe. Do not reuse. Do not use if foreign particles are present. Draw 1 cc of air into syringe, insert needle into vial inject air and withdraw the solution



3. DOSAGE FORMS AND STRENGTHS


3.1.    2 ml glass vials

Each ingredient is attenuated according to the procedures stated in the Homeopathic Pharmacopeia of the United States.

Active ingredients: Arnica montana 8X, Anti interleukin 1 alpha 4C, Anti interleukin 1 beta 4C, Beta-Endorphin 4C, Calcarea fluorica 6X, Cartilago 4X, Colocynthis 8X, Rhus toxicodendron 10X, Argentum metallicum 10X, Collagen 6X.

Inactive ingredient: Sterile isotonic sodium chloride solution.



4. CONTRAINDICATIONS


4.1.    There is no history of hypersensitivity to GUNA®-HIP. However patients with a known hypersensitivity to any ingredient should be tested before use. Make a spot injection (0.1ml) into the forearm and observe for any reactions for 1 hour.



5. WARNINGS AND PRECAUTIONS


5.1.    Hip pain requires differential diagnosis for primary or metastatic cancer pain, radicular pain, referred nerve pain from lumbar origin, inguinal hernia.

5.2.    Skin cleansing/disinfection is required before application. Saprophytic bacteria may produce injection site abscesses with improper skin preparation.



6. ADVERSE REACTIONS


6.1.    The most common mild adverse reaction is slight reddening at the injection site due to the mechanical effect of the needle or a superficial skin reaction of mild erythema.



7. DRUG INTERACTIONS


7.1.    None Known.



8. USE IN SPECIFIC POPULATIONS


8.1    Pregnancy:  Pregnancy  category  C.  Animal  reproduction  studies  have  not  been conducted  with  GUNA®-HIP.  GUNA®-HIP should  not  be  given  to  a pregnant woman. 

8.2    Nursing mothers:    It is not known whether any of the ingredients in GUNA®-HIP  are  secreted  in  human milk.  However, since many drugs are secreted in human milk, caution should be exercised when GUNA®-HIP is administered to a nursing woman.

8.3    Pediatric use: No restrictions.

8.4    Geriatric use: No restrictions



9. DRUG ABUSE AND DEPENDENCE


9.1.    No Known.



10. OVERDOSAGE


10.1.    No Known.



11. DESCRIPTION


11.1.    GUNA®-HIP is a sterile solution made with isotonic sodium chloride solution.

It is a homeopathic complex medicine, whose active ingredients have been selected in order to promote 2 main activities:

•    Detoxification of the connective tissue matrix

•    Pain modulation through stimulation of the physiological mechanisms of pain control.

The attenuation of the biological substrates acts to target the area of activity of the product.




12. CLINICAL PHARMACOLOGY


12.1.    Mechanism of Action

Due to the homeopathic nature of the active ingredients, receptors may be activated by feedback regulation. Beta-endorphins at the 4C dose activate the membrane receptor for endogenous endorphins that play a key role in pain relief. Anti IL-1 induces a down regulation of IL-1 inflammatory activity.

12.2.    Pharmacodynamics

The physiological effects of GUNA®-HIP are due to the action of the ingredients as described in the Homeopathic Materia Medica.

In Homeopathy there is no direct relationship between dose and effect, but rather there is a relationship between attenuation and balancing effect on biochemical pathways.

In GUNA®-HIP the attenuation of each ingredient has been selected according to the Arndt-Schulz Principle (inverted effect law). Attenuation of the physiological ingredients promotes membrane receptor feedback in order to normalize altered biological pathways. In Addition the attenuation technique activates the low dilutions and stabilizes clinical activity of the compound.

12.3.    Pharmacokinetics

Homeopathic attenuation provides complete bioavailability of the active ingredients.



13. NONCLINICAL TOXICOLOGY


13.1.    GUNA®-HIP has no level of toxicity due to the attenuation of the ingredients.



14. CLINICAL STUDIES


14.1.    GUNA®-HIP formulation is based on classical Homeopathy and each ingredient has been selected according to its description in the Homeopathic Materia Medica. The product is intended for application to target points such as acupuncture points, Weihe points, and key neurologic points.

Clinical indications for the key ingredients:

Anti interleukin-1 alpha 4C / Anti interleukin-1 beta 4C:

•    Biological classification: Interleukin 1 receptor antagonist (IL-1ra) belongs to the IL-1 family. Endogenous IL-1ra is produced in human autoimmune and chronic inflammatory diseases.

•    Etiopathogenesis: It binds to IL-1 receptors in competition with IL-1, but does not elicit intracellular response from this binding. Its key role is counteracting the proinflammatory effects of IL-1.

•    Space-time localization: It is next to Arnica. Reference group: Arnica-Mercurius.

•    Clinical: Immunological based diseases, autoimmune and chronic inflammatory diseases, acute and chronic pain, osteoarthritis, chronic arthritis, inflammatory psoriasis, wet eczema, localised inflammatory swelling.  Appropriate for local application.

•    Modalities: Worsens with cold and movement. Improves with rest and warm.

•    Association with other cell mediators: TNF 15C / IL8 4C /

NT4 4C / GCSF 4C.

Beta-Endorphin 4C:

•    Biological classification: Neuropeptide  and neurotransmitter. It is produced by the  anterior lobe of the hypophysis  and by the hypothalamus.

•    Etiopathogenesis: It acts on the mechanism that enhances pain. It suppresses the memory of painful events and negative experiences.

•    Space-time localization: It is next to Arnica.

 Reference group: Mercurius.

•    Clinical: Pain management by enhancing the immune response. It acts on modulating pain, cardiac, gastric and vascular function as well as panic syndrome and satiation. Organic and functional pain. Remedy for somatization disorders. It enhances acupuncture sessions. Antidepressive activity. It may improve individual positive attitudes.

•    Modalities: Worsens due to fatigue and intensive exercise.

•    Association with other cell mediators: Sepia / Arnica / Aconitum / Bromum / Aurum / Iodium / IL6 4C/ Melatonin 15C, 30C, 12LM, 18LM, 30LM / NT4 4C / BDNF 4C.



15. REFERENCES


15.1.    I. Bianchi: Citochine e Interferoni. Farmacologia e Clinica. Nuova IPSA Editore.

15.2.    L. Milani: Weihe e altri Punti tra Agopuntura e Omeopatia. Guna Editore.

15.3.    J. Malzac: Materia Medica Immunologia. IPSA Editore.

15.4.    H.H. Reckeweg. Homeopathic Materia Medica.  Aurelia Verlag.



16. HOW SUPPLIED/STORAGE AND HANDLING


16.1.    NDC  17089-285-31   10 glass vials  packaged in carton box

16.2.    NDC  17089-285-32   50 glass vials  packaged in carton box

16.3.    Store at room temperature, 20-25°C (68-77° F). Avoid  freezing  and  excessive  heat.

17. PATIENT COUNSELING INFORMATION


17.1.    Patients should be informed about Homeopathy and Acupuncture and the main differences with conventional clinical approaches.



PACKAGE LABEL










Guna-Hip 
arnica montana - calcium fluoride - canakinumab - metenkefalin - silver - sus scrofa cartilage - sus scrofa collagen - toxicodendron pubescens leaf - citrullus colocynthis fruit pulp - anti-interleukin-1.alpha. immunoglobulin g rabbit -   injection, solution










Product Information
Product TypeHUMAN PRESCRIPTION DRUGNDC Product Code (Source)17089-285
Route of AdministrationINTRADERMAL, SUBCUTANEOUS, INTRAMUSCULARDEA Schedule    



































Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
ANTI-INTERLEUKIN-1.ALPHA. IMMUNOGLOBULIN G RABBIT (ANTI-INTERLEUKIN-1.ALPHA. IMMUNOGLOBULIN G RABBIT)ANTI-INTERLEUKIN-1.ALPHA. IMMUNOGLOBULIN G RABBIT4 [hp_C]  in 2 mL
CANAKINUMAB (CANAKINUMAB)CANAKINUMAB4 [hp_C]  in 2 mL
SILVER (SILVER)SILVER10 [hp_X]  in 2 mL
ARNICA MONTANA (ARNICA MONTANA)ARNICA MONTANA8 [hp_X]  in 2 mL
METENKEFALIN (METENKEFALIN)METENKEFALIN4 [hp_C]  in 2 mL
CALCIUM FLUORIDE (CALCIUM FLUORIDE)CALCIUM FLUORIDE6 [hp_X]  in 2 mL
SUS SCROFA CARTILAGE (SUS SCROFA CARTILAGE)SUS SCROFA CARTILAGE4 [hp_X]  in 2 mL
SUS SCROFA COLLAGEN (SUS SCROFA COLLAGEN)SUS SCROFA COLLAGEN6 [hp_X]  in 2 mL
CITRULLUS COLOCYNTHIS FRUIT PULP (CITRULLUS COLOCYNTHIS FRUIT PULP)CITRULLUS COLOCYNTHIS FRUIT PULP8 [hp_X]  in 2 mL
TOXICODENDRON PUBESCENS LEAF (TOXICODENDRON PUBESCENS LEAF)TOXICODENDRON PUBESCENS LEAF10 [hp_X]  in 2 mL








Inactive Ingredients
Ingredient NameStrength
SODIUM CHLORIDE0.018 mL  in 2 mL
WATER 


















Product Characteristics
Color    Score    
ShapeSize
FlavorImprint Code
Contains      






















Packaging
#NDCPackage DescriptionMultilevel Packaging
117089-285-3110 VIAL In 1 BOXcontains a VIAL, GLASS
12 mL In 1 VIAL, GLASSThis package is contained within the BOX (17089-285-31)
217089-285-3250 VIAL In 1 BOXcontains a VIAL, GLASS
22 mL In 1 VIAL, GLASSThis package is contained within the BOX (17089-285-32)










Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
unapproved homeopathic09/29/2006


Labeler - Guna spa (430538264)









Establishment
NameAddressID/FEIOperations
Guna spa430538264manufacture
Revised: 06/2010Guna spa



GlucaGen


Pronunciation: GLOO-ka-gon
Generic Name: Glucagon
Brand Name: GlucaGen


GlucaGen is used for:

Treating severe low blood sugar in patients with diabetes who are unable to take sugar by mouth. GlucaGen also may be used for other conditions as determined by your doctor.


GlucaGen is a hormone. It works by stimulating the liver to release glucose into the blood.


Do NOT use GlucaGen if:


  • you are allergic to any ingredient in GlucaGen, including lactose

  • you have certain tumors on your adrenal gland (pheochromocytoma) or pancreas (insulinoma)

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



Before using GlucaGen:


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


  • if you are pregnant, planning to become pregnant, or are breast-feeding

  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

  • if you have allergies to medicines, foods, or other substances

  • if you have adrenal gland problems, heart problems, chronic low blood sugar, a certain tumor on your pancreas (glucagonoma), or diabetes

  • if you are malnourished or have been unable to eat, or if you have been fasting for a long period of time

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


  • Anticoagulants (eg, warfarin) because the risk of their side effects, including increased risk of bleeding, may be increased by GlucaGen

  • Beta-blockers (eg, propranolol) or indomethacin because they may decrease GlucaGen's effectiveness

  • Anticholinergics (eg, tolterodine) because the risk of stomach or bowel side effects may be increased

This may not be a complete list of all interactions that may occur. Ask your health care provider if GlucaGen may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.


How to use GlucaGen:


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


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

  • Carefully follow the instructions for use, and be sure family members, friends, and coworkers know how and when to give you GlucaGen. Contact your health care provider if you have questions about use. Symptoms of low blood sugar include: sweating; dizziness; irregular heartbeat; tremor; hunger; restlessness; tingling in the hands, feet, lips, or tongue; lightheadedness; inability to concentrate; headache; drowsiness; sleep disturbances; anxiety; blurred vision; slurred speech; depressed mood; irritability; abnormal behavior; unsteady movement; personality changes; seizures; loss of consciousness; confusion.

  • Seek medical attention immediately after use. You may need further medical evaluation. Tell the doctor or health care provider that you have received an injection of glucagon.

  • Do not use GlucaGen if it contains particles, is cloudy or discolored, or if the vial is cracked or damaged.

  • After mixing, use immediately. Throw away any unused portion. Do not use GlucaGen after the date stamped on the bottle.

  • Keep this product, as well as syringes and needles, out of the reach of children and pets. Do not reuse needles, syringes, or other materials. Ask your health care provider how to dispose of these materials after use. Follow all local rules for disposal.

  • If you miss a dose of GlucaGen, contact your doctor right away.

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



Important safety information:


  • Always carry a quick source of sugar such as candy or glucose tablets to take at the first warning sign of a low blood sugar reaction.

  • GlucaGen should only be given if the patient is unconscious, is having a seizure, or is confused and not able to eat sugar by mouth.

  • Once the patient is awake and able to swallow after giving GlucaGen, give a fast-acting source of sugar (eg, regular soft drink, fruit juice) and a long-acting source of sugar (eg, crackers and cheese, meat sandwich).

  • Make sure your relatives or close friends know that medical attention is always required if you become unconscious. Patients who are unconscious because of high blood sugar will not respond to GlucaGen and should not be given candy or glucose tablets.

  • Check blood or urine sugar levels closely, as directed by your doctor.

  • Lab tests, including blood glucose levels, may be performed while you use GlucaGen. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.

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


Possible side effects of GlucaGen:


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



Nausea; vomiting.



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

Severe allergic reactions (rash; hives; itching; difficulty breathing or swallowing; tightness in the chest; swelling of the mouth, face, lips, throat, or tongue); fainting; fast or slow heartbeat; severe headache or dizziness.



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


See also: GlucaGen side effects (in more detail)


If OVERDOSE is suspected:


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


Proper storage of GlucaGen:

Before mixing, store GlucaGen for up to 24 months between 68 and 77 degrees F (20 and 25 degrees C). Do not freeze. Store in the original packaging away from heat, moisture, and light. Do not store in the bathroom. After mixing, use immediately. Do not use GlucaGen after the expiration date printed on the package. Keep GlucaGen out of the reach of children and away from pets.


General information:


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

  • GlucaGen is to be used only by the patient for whom it is prescribed. Do not share it with other people.

  • If your symptoms do not improve or if they become worse, check with your doctor.

  • Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about GlucaGen. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.



Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More GlucaGen resources


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


Compare GlucaGen with other medications


  • Diagnosis and Investigation
  • Hypoglycemia

Gallium


Pronunciation: GAL-ee-uhm
Generic Name: Gallium
Brand Name: Ganite

Using Gallium with other medicines that may harm the kidneys (eg, aminoglycosides [eg, gentamicin], amphotericin B) may increase your risk of developing severe kidney problems. Make sure you notify your health care provider of any other medicines that you are taking before using this one.





Gallium is used for:

Treating high calcium levels in the blood caused by cancer in patients who do not respond to proper fluid intake or fluid injected into the vein.


Gallium is a calcium resorption inhibitor. It works by inhibiting the usual release of calcium from the bone into the blood.


Do NOT use Gallium if:


  • you are allergic to any ingredient in Gallium

  • you have severe kidney problems

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



Before using Gallium:


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


  • if you are pregnant, planning to become pregnant, or are breastfeeding

  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

  • if you have allergies to medicines, foods, or other substances

  • if you have kidney problems or low blood calcium levels

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


  • Aminoglycosides (eg, gentamicin), amphotericin B, cyclosporine, or other medicines that can harm the kidneys because the side effects may be increased. Ask your doctor if you are unsure if any of your medicines might harm the kidney.

This may not be a complete list of all interactions that may occur. Ask your health care provider if Gallium may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.


How to use Gallium:


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


  • Drinking extra fluids while you are taking Gallium is recommended. Check with your doctor for instructions.

  • Gallium is usually administered as an injection at your doctor's office, hospital, or clinic. If you are using Gallium at home, carefully follow the injection procedures taught to you by your health care provider.

  • If Gallium contains particles or is discolored, or if the vial is cracked or damaged in any way, do not use it.

  • Keep this product, as well as syringes and needles, out of the reach of children and away from pets. Do not reuse needles, syringes, or other materials. Dispose of properly after use. Ask your doctor or pharmacist to explain local regulations for proper disposal.

  • If you miss a dose of Gallium, contact your doctor immediately.

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



Important safety information:


  • Gallium may cause changes in vision. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Gallium.

  • LAB TESTS, including kidney function tests and calcium and phosphorus levels, may be performed to monitor your progress or to check for side effects. Be sure to keep all doctor and lab appointments.

  • Gallium is not recommended for use in CHILDREN. Safety and effectiveness have not been confirmed.

  • PREGNANCY and BREAST-FEEDING: If you become pregnant, discuss with your doctor the benefits and risks of using Gallium during pregnancy. It is unknown if Gallium is excreted in breast milk. If you are or will be breast-feeding while you are using Gallium, check with your doctor or pharmacist to discuss the risks to your baby.


Possible side effects of Gallium:


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



Constipation; diarrhea; mouth sores; weakness.



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

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); abnormal dreams; changes in vision; chills; confusion; decreased urination or dark urine; difficulty breathing; dry mouth; fast heartbeat; hallucinations; increased urination at night; muscle cramps; nausea; ringing in the ear; swelling of ankles or feet; unpleasant taste; vomiting.



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



If OVERDOSE is suspected:


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


Proper storage of Gallium:

Store Gallium at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Throw away the unused portion. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Gallium out of the reach of children and away from pets.


General information:


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

  • Gallium is to be used only by the patient for whom it is prescribed. Do not share it with other people.

  • If your symptoms do not improve or if they become worse, check with your doctor.

  • Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Gallium. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.



Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Gallium resources


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


Compare Gallium with other medications


  • Hypercalcemia
  • Hypercalcemia of Malignancy

Tuesday, September 27, 2016

Lifo-Scrub




Lifo-Scrub may be available in the countries listed below.


Ingredient matches for Lifo-Scrub



Chlorhexidine

Chlorhexidine digluconate (a derivative of Chlorhexidine) is reported as an ingredient of Lifo-Scrub in the following countries:


  • Greece

  • Switzerland

International Drug Name Search

Gliciron




Gliciron may be available in the countries listed below.


Ingredient matches for Gliciron



Glibenclamide

Glibenclamide is reported as an ingredient of Gliciron in the following countries:


  • Venezuela

International Drug Name Search

Pentafluoropropane/Tetrafluoroethane Aerosol Spray


Pronunciation: pen-ta-FLOR-oh-pro-pane/tet-ra-FLOR-oh-eth-ane
Generic Name: Pentafluoropropane/Tetrafluoroethane
Brand Name: Gebauer's Spray and Stretch


Pentafluoropropane/Tetrafluoroethane Aerosol Spray is used for:

Treating certain types of muscle or ligament pain, restricted motion, muscle spasms, and swelling, sprains, strains, bruising, and contusions due to minor sports injuries.


Pentafluoropropane/Tetrafluoroethane Aerosol Spray is a skin refrigerant. It works like ice to temporarily reduce pain and swelling.


Do NOT use Pentafluoropropane/Tetrafluoroethane Aerosol Spray if:


  • you are allergic to any ingredient in Pentafluoropropane/Tetrafluoroethane Aerosol Spray

  • you have diabetes, poor circulation, or insensitive skin

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



Before using Pentafluoropropane/Tetrafluoroethane Aerosol Spray:


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


  • if you are pregnant, planning to become pregnant, or are breast-feeding

  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

  • if you have allergies to medicines, foods, or other substances

Some MEDICINES MAY INTERACT with Pentafluoropropane/Tetrafluoroethane Aerosol Spray. However, no specific interactions with Pentafluoropropane/Tetrafluoroethane Aerosol Spray are known at this time.


This may not be a complete list of all interactions that may occur. Ask your health care provider if Pentafluoropropane/Tetrafluoroethane Aerosol Spray may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.


How to use Pentafluoropropane/Tetrafluoroethane Aerosol Spray:


Use Pentafluoropropane/Tetrafluoroethane Aerosol Spray as directed by your doctor. Check the label on the medicine for exact dosing instructions.


  • Use the smallest dose needed to produce results.

  • The cooling effect of Pentafluoropropane/Tetrafluoroethane Aerosol Spray rarely lasts more than a few seconds to a minute. This time interval is usually enough to help reduce or relieve the initial trauma of the injury.

  • Your doctor will give you specific instructions on how to use Pentafluoropropane/Tetrafluoroethane Aerosol Spray depending upon what kind of pain or injury you are treating. Follow the instructions given by your doctor closely. If you are unsure how to use Pentafluoropropane/Tetrafluoroethane Aerosol Spray, contact your doctor or other health care provider.

  • To apply Pentafluoropropane/Tetrafluoroethane Aerosol Spray, hold can upright over treatment area. Point nozzle at treatment area and press the actuator button firmly to apply. Spray treatment area until the skin just begins to turn white. Do not spray after skin turns white.

  • Do not frost the skin.

  • If you miss a dose of Pentafluoropropane/Tetrafluoroethane Aerosol Spray, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use Pentafluoropropane/Tetrafluoroethane Aerosol Spray.



Important safety information:


  • Do not spray near the face, on open wounds, or on cut, scraped, or damaged skin.

  • Pentafluoropropane/Tetrafluoroethane Aerosol Spray is for external use only. Do not get Pentafluoropropane/Tetrafluoroethane Aerosol Spray in the eyes, nose, or mouth. Do not use around the genital area. If you get Pentafluoropropane/Tetrafluoroethane Aerosol Spray in your eyes, rinse immediately with cool tap water.

  • Intentionally inhaling the contents of this can may be harmful or even fatal.

  • Overuse of this product may change skin color.

  • The contents of this can are under pressure. Do not burn or puncture the can, even if it appears to be empty.

  • PREGNANCY and BREAST-FEEDING: If you become pregnant while taking Pentafluoropropane/Tetrafluoroethane Aerosol Spray, discuss with your doctor the benefits and risks of using Pentafluoropropane/Tetrafluoroethane Aerosol Spray during pregnancy. It is unknown if Pentafluoropropane/Tetrafluoroethane Aerosol Spray is excreted in breast milk. If you are or will be breast-feeding while you are using Pentafluoropropane/Tetrafluoroethane Aerosol Spray, check with your doctor or pharmacist to discuss the risks to your baby.


Possible side effects of Pentafluoropropane/Tetrafluoroethane Aerosol Spray:


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



Itching.



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

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); change in skin color at the application site; dizziness; trouble breathing.



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


See also: Pentafluoropropane/Tetrafluoroethane side effects (in more detail)


If OVERDOSE is suspected:


Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include change in skin color; symptoms of frostbite (eg, hard skin; loss of feeling; white, waxy, or purple appearance).


Proper storage of Pentafluoropropane/Tetrafluoroethane Aerosol Spray:

Store Pentafluoropropane/Tetrafluoroethane Aerosol Spray at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Do not expose to temperatures above 120 degrees F (49 degrees C). Keep Pentafluoropropane/Tetrafluoroethane Aerosol Spray out of the reach of children and away from pets.


General information:


  • If you have any questions about Pentafluoropropane/Tetrafluoroethane Aerosol Spray, please talk with your doctor, pharmacist, or other health care provider.

  • Pentafluoropropane/Tetrafluoroethane Aerosol Spray is to be used only by the patient for whom it is prescribed. Do not share it with other people.

  • If your symptoms do not improve or if they become worse, check with your doctor.

  • Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Pentafluoropropane/Tetrafluoroethane Aerosol Spray. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.



Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Pentafluoropropane/Tetrafluoroethane resources


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


Compare Pentafluoropropane/Tetrafluoroethane with other medications


  • Muscle Spasm
  • Pain

Premarin Oral, Parenteral, Topical application, Transdermal


Generic Name: estrogen (Oral route, Parenteral route, Topical application route, Transdermal route)


Commonly used brand name(s)

In the U.S.


  • Alora

  • Cenestin

  • Climara

  • Divigel

  • Elestrin

  • Emcyt

  • Enjuvia

  • Esclim

  • Estinyl

  • EstroGel

  • Evamist

  • Femtrace

  • Gynodiol

  • Menest

  • Menostar

  • Ogen .625

  • Ogen 1.25

  • Ogen 2.5

  • Premarin

  • Vivelle

  • Vivelle-Dot

In Canada


  • Estraderm

  • Estradot Transdermal

  • Estradot Transdermal Therapeutic System

  • Estradot Transdermal Therapeutic System

  • Estrogel

  • Oesclim

  • Rhoxal-Estradiol Derm 50

  • Rhoxal-Estradiol Derm 75

  • Roxal-Estradiol Derm 100

  • Vivelle 100 Mcg

  • Vivelle 25 Mcg

Available Dosage Forms:


  • Tablet

  • Patch, Extended Release

  • Gel/Jelly

  • Spray

  • Emulsion

  • Tablet, Enteric Coated

  • Capsule

Uses For Premarin


Estrogens are female hormones. They are produced by the body and are necessary for the normal sexual development of the female and for the regulation of the menstrual cycle during the childbearing years.


The ovaries begin to produce less estrogen after menopause (the change of life). This medicine is prescribed to make up for the lower amount of estrogen. Estrogens help relieve signs of menopause, such as hot flashes and unusual sweating, chills, faintness, or dizziness.


Estrogens are prescribed for several reasons:


  • To provide additional hormone when the body does not produce enough of its own, such as during menopause or when female puberty (development of female sexual organs) does not occur on time. Other conditions include a genital skin condition (vulvar atrophy), inflammation of the vagina (atrophic vaginitis), or ovary problems (female hypogonadism or failure or removal of both ovaries).

  • To help prevent weakening of bones (osteoporosis) in women past menopause.

  • In the treatment of selected cases of breast cancer in men and women.

  • In the treatment of cancer of the prostate in men.

Estrogens may also be used for other conditions as determined by your doctor.


There is no medical evidence to support the belief that the use of estrogens will keep the patient feeling young, keep the skin soft, or delay the appearance of wrinkles. Nor has it been proven that the use of estrogens during menopause will relieve emotional and nervous symptoms, unless these symptoms are caused by other menopausal symptoms, such as hot flashes or hot flushes.


Estrogens are available only with your doctor's prescription.


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


  • Gender identity disorder, male-to-female transsexualism (person who is born as a man but adapts to a woman's lifestyle, sees himself as a woman, and feels like a woman instead of a man.

  • Osteoporosis caused by lack of estrogen before menopause.

  • Turner's syndrome (a genetic disorder).

Before Using Premarin


Allergies


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


Pediatric


Use of this medicine before puberty is not recommended. Growth of bones can be stopped early. Girls and boys may develop growth of breasts. Girls may have vaginal changes, including vaginal bleeding.


This medicine may be used to start puberty in teenagers with some types of delayed puberty.


Geriatric


Elderly people are especially sensitive to the effects of estrogens. This may increase the chance of side effects during treatment, especially stroke, invasive breast cancer, and memory problems.


Pregnancy


Estrogens are not recommended for use during pregnancy or right after giving birth. Becoming pregnant or maintaining a pregnancy is not likely to occur around the time of menopause.


Certain estrogens have been shown to cause serious birth defects in humans and animals. Some daughters of women who took diethylstilbestrol (DES) during pregnancy have developed reproductive (genital) tract problems and, rarely, cancer of the vagina or cervix (opening to the uterus) when they reached childbearing age. Some sons of women who took DES during pregnancy have developed urinary-genital tract problems.


Breast Feeding


Use of this medicine is not recommended in nursing mothers. Estrogens pass into the breast milk and their possible effect on the baby is not known.


Interactions with Medicines


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


  • Rotavirus Vaccine, Live

Using medicines in this class 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.


  • Adenovirus Vaccine Type 4, Live

  • Adenovirus Vaccine Type 7, Live

  • Bacillus of Calmette and Guerin Vaccine, Live

  • Boceprevir

  • Felbamate

  • Influenza Virus Vaccine, Live

  • Isotretinoin

  • Measles Virus Vaccine, Live

  • Mumps Virus Vaccine, Live

  • Paclitaxel

  • Paclitaxel Protein-Bound

  • Rotavirus Vaccine, Live

  • Rubella Virus Vaccine, Live

  • Smallpox Vaccine

  • St John's Wort

  • Theophylline

  • Tizanidine

  • Tranexamic Acid

  • Typhoid Vaccine

  • Varicella Virus Vaccine

  • Yellow Fever Vaccine

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 medicines in this class. Make sure you tell your doctor if you have any other medical problems, especially:


For all patients


  • Asthma or

  • Calcium, too much or too little in blood or

  • Diabetes or

  • Epilepsy or seizures or

  • Heart problems or

  • Kidney problems or

  • Liver tumors, benign or

  • Lupus erythematosus, systemic or

  • Migraine headaches—Estrogens may worsen these conditions.

  • Blood clotting problems, or history of during previous estrogen therapy—Estrogens usually are not used until blood clotting problems stop; using estrogens is not a problem for most patients without a history of blood clotting problems due to estrogen use.

  • Breast cancer or

  • Bone cancer or

  • Cancer of the uterus or

  • Fibroid tumors of the uterus—Estrogens may interfere with the treatment of breast or bone cancer or worsen cancer of the uterus when these conditions are present.

  • Bulging eyes or

  • Double vision or

  • Migraine headache or

  • Vision changes, sudden onset including or

  • Vision loss, partial or complete—Estrogens may cause these problems. Tell your doctor if you have had any of these problems, especially while taking estrogen or oral contraceptives (“birth control pills”).

  • Changes in genital or vaginal bleeding of unknown causes—Use of estrogens may delay diagnosis or worsen condition. The reason for the bleeding should be determined before estrogens are used.

  • Endometriosis or

  • Gallbladder disease or gallstones, or history of or

  • High cholesterol or triglycerides, or history of or

  • Liver disease, or history of or

  • Pancreatitis (inflammation of pancreas) or

  • Porphyria—Estrogens may worsen these conditions. Although estrogens can improve blood cholesterol, they can worsen blood triglycerides for some people.

  • Hypothyroid (too little thyroid hormone)—Dose of thyroid medicine may need to be increased.

For males treated for breast or prostate cancer:


  • Blood clots or

  • Heart or circulation disease or

  • Stroke—Males with these medical problems may be more likely to have clotting problems while taking estrogens; the high doses of estrogens used to treat male breast or prostate cancer have been shown to increase the chances of heart attack, phlebitis (inflamed veins) caused by a blood clot, or blood clots in the lungs.

Proper Use of estrogen

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


Take this medicine only as directed by your doctor. Do not take more of it and do not take or use it for a longer time than your doctor ordered. For patients taking any of the estrogens by mouth, try to take the medicine at the same time each day to reduce the possibility of side effects and to allow it to work better.


This medicine usually comes with patient information or directions. Read and follow the instructions in the insert carefully. Ask your doctor if you have any questions.


For patients taking any of the estrogens by mouth or by injection:


  • Nausea may occur during the first few weeks after you start taking estrogens. This effect usually disappears with continued use. If the nausea is bothersome, it can usually be prevented or reduced by taking each dose with food or immediately after food.

For patients using the transdermal (skin patch):


  • Wash and dry your hands thoroughly before and after handling the patch.

  • Apply the patch to a clean, dry, non-oily skin area of your lower abdomen, hips below the waist, or buttocks that has little or no hair and is free of cuts or irritation. The manufacturer of the 0.025-mg patch recommends that its patch be applied to the buttocks only. Furthermore, each new patch should be applied to a new site of application. For instance, if the old patch is taken off the left buttock, then apply the new patch to the right buttock.

  • Do not apply to the breasts. Also, do not apply to the waistline or anywhere else where tight clothes may rub the patch loose.

  • Press the patch firmly in place with the palm of your hand for about 10 seconds. Make sure there is good contact, especially around the edges.

  • If a patch becomes loose or falls off, you may reapply it or discard it and apply a new patch.

  • Each dose is best applied to a different area of skin on your lower abdomen, hips below the waist, or buttocks so that at least 1 week goes by before the same area is used again. This will help prevent skin irritation.

For patients using the topical emulsion (skin lotion):


  • Washing and drying hands thoroughly before each application.

  • Apply while you are sitting comfortably. Apply one pouch to each leg every morning.

  • Apply the entire contents of one pouch to clean, dry skin on the left thigh. Rub the emulsion into the entire thigh and calf for 3 minutes until thoroughly absorbed.

  • Apply entire contents of the second pouch to clean, dry skin on the right thigh. Rub the emulsion into the entire thigh and calf for 3 minutes until thoroughly absorbed.

  • Rub any remaining emulsion on both hands on the buttocks.

  • Washing and drying hands thoroughly after application.

  • To avoid transfer to other individuals, allow the application areas to dry completely before covering with clothing.

If you are using the Evamist® transdermal spray:


  • Spray the medicine on your skin on the inside of your forearm, between the elbow and the wrist.

  • Do not allow your child to touch the area of the arm where the medicine was sprayed. If you cannot avoid to come nearer with your child, wear clothes with long sleeves to cover the application site.

  • If your child comes in direct contact with the arm where the medicine was sprayed, wash your child's skin right away with soap and water.

  • Do not allow your pets to lick or touch the arm where the medicine was sprayed.

Dosing


The dose medicines in this class 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 these medicines. If your dose is different, do not change it unless your doctor tells you to do so.


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


  • For conjugated estrogens

  • For oral dosage form (tablets):
    • For treating breast cancer in women after menopause and in men:
      • Adults—10 milligrams (mg) three times a day for at least 3 months.


    • For treating a genital skin condition (vulvar atrophy), inflammation of the vagina (atrophic vaginitis), or symptoms of menopause:
      • Adults—0.3 milligram (mg) a day. Your doctor may want you to take the medicine each day or only on certain days of the month. Your doctor may change the dose based on how your body responds to the medication.


    • To prevent loss of bone (osteoporosis):
      • Adults—0.3 milligram (mg) a day. Your doctor may want you to take the medicine each day or only on certain days of the month. Your doctor may change the dose based on how your body responds to the medication.


    • For treating ovary problems (female hypogonadism or for starting puberty):
      • Adults and teenagers—0.3 to 0.625 milligram (mg) a day. Your doctor may want you to take the medicine only on certain days of the month.


    • For treating ovary problems (failure or removal of both ovaries):
      • Adults—1.25 milligram (mg) a day. Your doctor may want you to take the medicine each day or only on certain days of the month.


    • For treating prostate cancer:
      • Adults—1.25 to 2.5 milligram (mg) three times a day.



  • For injection dosage form:
    • For controlling abnormal bleeding of the uterus:
      • Adults—25 milligrams (mg) injected into a muscle or vein. This may be repeated in six to twelve hours if needed.



  • For esterified estrogens

  • For oral dosage form (tablets):
    • For treating breast cancer in women after menopause and in men:
      • Adults—10 milligrams (mg) three times a day for at least three months.


    • For treating a genital skin condition (vulvar atrophy) or inflammation of the vagina (atrophic vaginitis), or to prevent loss of bone (osteoporosis):
      • Adults—0.3 to 1.25 mg a day. Your doctor may want you to take the medicine each day or only on certain days of the month.


    • For treating ovary problems (failure or removal of both ovaries):
      • Adults—1.25 mg a day. Your doctor may want you to take the medicine each day or only on certain days of the month.


    • For treating ovary problems (female hypogonadism):
      • Adults—2.5 to 7.5 mg a day. This dose may be divided up and taken in smaller doses. Your doctor may want you to take the medicine each day or only on certain days of the month.


    • For treating symptoms of menopause:
      • Adults—0.625 to 1.25 mg a day. Your doctor may want you to take the medicine each day or only on certain days of the month.


    • For treating prostate cancer:
      • Adults—1.25 to 2.5 mg three times a day.



  • For estradiol

  • For oral dosage form:
    • For treating breast cancer in women after menopause and in men:
      • Adults—10 milligrams (mg) three times a day for at least 3 months.


    • For treating a genital skin condition (vulvar atrophy), inflammation of the vagina (atrophic vaginitis), ovary problems (female hypogonadism or failure or removal of both ovaries), or symptoms of menopause:
      • Adults—At first, 1 to 2 milligrams (mg) one time per day for at least 3 months. Your doctor may want you to take the medicine each day or only on certain days of the month. Your doctor may also need to change the dose based on how your body responds to the medication.


    • For treating prostate cancer:
      • Adults—1 to 2 milligrams (mg) three times a day.


    • To prevent loss of bone (osteoporosis):
      • Adults—0.5 milligram (mg) a day. Your doctor may want you to take the medicine each day or only on certain days of the month.



  • For topical emulsion dosage form (skin lotion):
    • For treating symptoms of menopause:
      • Adults—1.74 grams (one pouch) applied to the skin of each leg (thigh and calf) once a day in the morning.



  • For transdermal dosage form (skin patches):
    • For treating a genital skin condition (vulvar atrophy), inflammation of the vagina (atrophic vaginitis), symptoms of menopause, ovary problems (female hypogonadism or failure or removal of both ovaries), or to prevent loss of bone (osteoporosis):
      • For the Climara patches

      • Adults—0.025 to 0.1 milligram (mg) (one patch) applied to the skin and worn for one week. Then, remove that patch and apply a new one. A new patch should be applied once a week for three weeks. During the fourth week, you may or may not wear a patch. Your health care professional will tell you what you should do for this fourth week. After the fourth week, you will repeat the cycle.

      • For the Alora, Estraderm, Estradot, Vivelle, or Vivelle-Dot patches

      • Adults—0.025 to 0.1 mg (one patch) applied to the skin and worn for one half of a week. Then, remove that patch and apply and wear a new patch for the rest of the week. A new patch should be applied two times a week for three weeks. During the fourth week, you may or may not apply new patches. Your health care professional will tell you what you should do for this fourth week. After the fourth week, you will repeat the cycle.



  • For estradiol cypionate

  • For injection dosage form:
    • For treating ovary problems (female hypogonadism):
      • Adults—1.5 to 2 milligrams (mg) injected into a muscle once a month.


    • For treating symptoms of menopause:
      • Adults—1 to 5 milligrams (mg) injected into a muscle every 3 to 4 weeks.



  • For estradiol valerate

  • For injection dosage form:
    • For treating a genital skin condition (vulvar atrophy), inflammation of the vagina (atrophic vaginitis), symptoms of menopause, or ovary problems (female hypogonadism or failure or removal of both ovaries):
      • Adults—10 to 20 milligrams (mg) injected into a muscle every 4 weeks as needed.


    • For treating prostate cancer:
      • Adults—30 milligrams (mg) injected into a muscle every 1 or 2 weeks.



  • For estrone

  • For injection dosage form:
    • For controlling abnormal bleeding of the uterus:
      • Adults—2 to 5 milligrams (mg) a day, injected into a muscle for several days.


    • For treating a genital skin condition (vulvar atrophy), inflammation of the vagina (atrophic vaginitis), or symptoms of menopause:
      • Adults—0.1 to 0.5 milligram (mg) injected into a muscle 2 or 3 times a week. Your doctor may want you to receive the medicine each week or only during certain weeks of the month.


    • For treating ovary problems (female hypogonadism or failure or removal of both ovaries):
      • Adults—0.1 to 1 milligram (mg) a week. This is injected into a muscle as a single dose or divided into more than one dose. Your doctor may want you to receive the medicine each week or only during certain weeks of the month.


    • For treating prostate cancer:
      • Adults—2 to 4 milligrams (mg) injected into a muscle 2 or 3 times a week.



  • For estropipate

  • For oral dosage form (tablets):
    • For treating a genital skin condition (vulvar atrophy), inflammation of the vagina (atrophic vaginitis), or symptoms of menopause:
      • Adults—0.75 to 6 milligrams (mg) a day. Your doctor may want you to take the medicine each day or only on certain days of the month.


    • For treating ovary problems (female hypogonadism or failure or removal of both ovaries):
      • Adults—1.5 to 9 milligrams (mg) a day. Your doctor may want you to take the medicine each day or only on certain days of the month.


    • To prevent loss of bone (osteoporosis):
      • Adults—0.75 milligram (mg) a day. Your doctor may want you to take the medicine each day for twenty-five days of a thirty-one–day cycle.



  • For ethinyl estradiol

  • For oral dosage form (tablets):
    • For treating breast cancer in women after menopause and in men:
      • Adults—1 milligram (mg) three times a day.


    • For treating ovary problems (female hypogonadism or failure or removal of both ovaries):
      • Adults—0.05 milligram (mg) one to three times a day for 3 to 6 months. Your doctor may want you to take the medicine each day or only on certain days of the month.


    • For treating prostate cancer:
      • Adults—0.15 to 3 milligrams (mg) a day.


    • For treating symptoms of menopause:
      • Adults—0.02 to 0.05 milligram (mg) a day. Your doctor may want you to take the medicine each day or only on certain days of the month.



  • For ethinyl estradiol and norethindrone

  • For oral dosage form (tablets):
    • For treating symptoms of menopause:
      • Adults—1 tablet (5 mcg ethinyl estradiol and 1 mg of norethindrone) each day.


    • To prevent loss of bone (osteoporosis):
      • Adults—1 tablet (5 mcg ethinyl estradiol and 1 mg of norethindrone) each day.



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.


If you miss a dose of this medicine, apply 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.


If you forget to wear or change a patch, put one on as soon as you can. If it is almost time to put on your next patch, wait until then to apply a new patch and skip the one you missed. Do not apply extra patches to make up for a missed dose.


Storage


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


Keep out of the reach of children.


Do not keep outdated medicine or medicine no longer needed.


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


Precautions While Using Premarin


It is very important that your doctor check your progress at regular visits to make sure this medicine does not cause unwanted effects. These visits will usually be every year, but some doctors require them more often.


In some patients using estrogens, tenderness, swelling, or bleeding of the gums may occur. Brushing and flossing your teeth carefully and regularly and massaging your gums may help prevent this. See your dentist regularly to have your teeth cleaned. Check with your medical doctor or dentist if you have any questions about how to take care of your teeth and gums, or if you notice any tenderness, swelling, or bleeding of your gums.


Although the incidence is low, the use of estrogens may increase you chance of getting cancer of the breast, ovaries, or uterus (womb). Therefore, it is very important that you regularly check your breasts for any unusual lumps or discharge. Report any problems to your doctor. You should also have a mammogram (x-ray pictures of the breasts) done if your doctor recommends it. Because breast cancer has occurred in men taking estrogens, regular breast self-exams and exams by your doctor for any unusual lumps or discharge should be done.


If your menstrual periods have stopped, they may start again. This effect will continue for as long as the medicine is taken. However, if taking the continuous treatment (0.625 mg conjugated estrogens and 2.5 mg medroxyprogesterone once a day), monthly bleeding usually stops within 10 months.


Also, vaginal bleeding between your regular menstrual periods may occur during the first 3 months of use. Do not stop taking your medicine. Check with your doctor if bleeding continues for an unusually long time, if your period has not started within 45 days of your last period, or if you think you are pregnant.


Tell the doctor in charge that you are using this medicine before having any laboratory test because some results may be affected.


Check with your child's doctor right away if your child starts to have the following symptoms: nipple or breast swelling or tenderness in females, or enlargement of the breasts in males. Your child may have been exposed to Evamist® transdermal spray.


Do not allow your pets to lick or touch the arm where Evamist® transdermal spray was applied. Small pets may be sensitive to this medicine. Call your pet's veterinarian if your pet starts to have the following symptoms: nipple or breast enlargement, swelling of the vulva, or any signs of illness.


Premarin Side Effects


Women rarely have severe side effects from taking estrogens to replace estrogen. Discuss these possible effects with your doctor:


The prolonged use of estrogens has been reported to increase the risk of endometrial cancer (cancer of the lining of the uterus) in women after menopause. This risk seems to increase as the dose and the length of use increase. When estrogens are used in low doses for less than 1 year, there is less risk. The risk is also reduced if a progestin (another female hormone) is added to, or replaces part of, your estrogen dose. If the uterus has been removed by surgery (total hysterectomy), there is no risk of endometrial cancer.


Although the incidence is low, the use of estrogens may increase you chance of getting cancer of the breast. Breast cancer has been reported in men taking estrogens.


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.


The following side effects may be caused by blood clots, which could lead to stroke, heart attack, or death. These side effects occur rarely, and, when they do occur, they occur in men treated for cancer using high doses of estrogens.


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


More common
  • Breast pain (in females and males)

  • fast heartbeat

  • fever

  • hives

  • hoarseness

  • increased breast size (in females and males)

  • irritation of the skin

  • itching of the skin

  • joint pain, stiffness, or swelling

  • rash

  • redness of the skin

  • shortness of breath

  • swelling of the eyelids, face, lips, hands, or feet

  • swelling of the feet and lower legs

  • tightness in the chest

  • troubled breathing or swallowing

  • weight gain (rapid)

  • wheezing

Less common or rare
  • Changes in vaginal bleeding (spotting, breakthrough bleeding, prolonged or heavier bleeding, or complete stoppage of bleeding)

  • chest pain

  • chills

  • cough

  • heavy non-menstrual vaginal bleeding

  • lumps in, or discharge from, breast (in females and males)

  • pains in the stomach, side, or abdomen

  • yellow eyes or skin

Rare - for males being treated for breast or prostate cancer only
  • Headache (sudden or severe)

  • loss of coordination (sudden)

  • loss of vision or change of vision (sudden)

  • pains in the chest, groin, or leg, especially in the calf of leg

  • shortness of breath (sudden and unexplained)

  • slurring of speech (sudden)

  • weakness or numbness in the arm or leg

Incidence not known
  • Abdominal or stomach bloating

  • abdominal or stomach cramps

  • acid or sour stomach

  • anxiety

  • backache

  • belching

  • blindness

  • blistering, peeling, or loosening of the skin

  • blue-yellow color blindness

  • blurred vision

  • change in vaginal discharge

  • changes in skin color

  • changes in vision

  • chest discomfort

  • clay-colored stools

  • clear or bloody discharge from nipple

  • confusion

  • constipation

  • convulsions

  • dark urine

  • decrease in the amount of urine

  • decreased vision

  • depression

  • diarrhea

  • difficulty with breathing

  • difficulty with speaking

  • dimpling of the breast skin

  • dizziness

  • double vision

  • dry mouth

  • eye pain

  • fainting

  • fluid-filled skin blisters

  • full feeling in upper abdomen or stomach

  • full or bloated feeling or pressure in the stomach

  • headache

  • heartburn

  • inability to move the arms, legs, or facial muscles

  • inability to speak

  • incoherent speech

  • increased urination

  • indigestion

  • inverted nipple

  • irregular heartbeats

  • light-colored stools

  • lightheadedness

  • loss of appetite

  • loss of bladder control

  • lump under the arm

  • metallic taste

  • migraine headache

  • mood or mental changes

  • muscle cramps in the hands, arms, feet, legs, or face

  • muscle pain

  • muscle spasm or jerking of all extremities

  • muscle weakness

  • nausea

  • noisy breathing

  • numbness or tingling of the hands, feet, or face

  • pain in the ankles or knees

  • pain or discomfort in the arms, jaw, back or neck

  • pain or feeling of pressure in the pelvis

  • pain, tenderness, swelling of the foot or leg

  • painful or tender cysts in the breasts

  • painful, red lumps under the skin, mostly on the legs

  • pains in the chest, groin, or legs, especially calves of the legs

  • partial or complete loss of vision in the eye

  • pelvic pain

  • persistent crusting or scaling of nipple

  • pinpoint red or purple spots on the skin

  • prominent superficial veins over affected area

  • red, irritated eyes

  • redness or swelling of the breast

  • sensitivity to the sun

  • severe headaches of sudden onset

  • skin thinness

  • skin warmth

  • slow speech

  • sore on the skin of the breast that does not heal

  • sore throat

  • sores, ulcers, or white spots in the mouth or on the lips

  • stomach discomfort, upset, or pain

  • sudden loss of consciousness

  • sudden loss of coordination

  • sudden onset of shortness of breath for no apparent reason

  • sudden onset of slurred speech

  • sudden vision changes

  • swelling of the abdominal or stomach area

  • swelling of the fingers or hands

  • thirst

  • tremor

  • unpleasant breath odor

  • unusual tiredness or weakness

  • vomiting

  • vomiting of blood

  • weight loss

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


More common
  • Abnormal growth filled with fluid or semisolid material

  • accidental injury

  • bladder pain

  • bloated full feeling

  • bloody or cloudy urine

  • body aches or pain

  • coating or white patches on tongue

  • congestion

  • cough producing mucus

  • decrease in amount of urine

  • difficult, burning, or painful urination

  • discouragement

  • dryness of the throat

  • ear congestion or pain

  • excess air or gas in the stomach or intestines

  • fear

  • feeling of warmth

  • feeling sad or empty

  • frequent urge to urinate

  • general feeling of discomfort or illness

  • headache, severe and throbbing

  • increased clear or white vaginal discharge

  • irritability

  • itching of the vaginal, rectal or genital areas

  • lack of appetite

  • lack or loss of strength

  • loss of interest or pleasure

  • mild dizziness

  • neck pain

  • nervousness

  • pain

  • pain during sexual intercourse

  • painful or difficult urination

  • pain or tenderness around the eyes and cheekbones

  • passing gas

  • redness of the face, neck, arms, and occasionally, upper chest

  • runny nose

  • skin irritation or redness where skin patch was worn

  • shivering

  • sleeplessness

  • sneezing

  • sore mouth or tongue

  • stuffy nose

  • sudden sweating

  • tender, swollen glands in the neck

  • thick, white vaginal discharge with no odor or with a mild odor

  • tiredness

  • trouble concentrating

  • trouble sleeping

  • unable to sleep

  • voice changes

Less common
  • Blemishes on the skin

  • burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings

  • burning or stinging of the skin

  • diarrhea (mild)

  • difficulty with moving

  • dizziness (mild)

  • increased hair growth, especially on the face

  • lower abdominal or stomach pain or pressure

  • mood or mental changes

  • muscle stiffness

  • painful cold sores or blisters on the lips, nose, eyes, or genitals

  • pimples

  • pounding in the ears

  • problems in wearing contact lenses

  • slow heartbeat

  • tooth or gum pain

  • unusual decrease in sexual desire (in males)

  • unusual increase in sexual desire (in females)

  • white or brownish vaginal discharge

Incidence not known
  • Abnormal turning out of cervix

  • changes in appetite

  • dull ache or feeling of pressure or heaviness in the legs

  • flushed, dry skin

  • fruit-like breath odor

  • increased hunger

  • irritability

  • large amount of triglyceride in the blood

  • leg cramps

  • patchy brown or dark brown discoloration of the skin

  • poor insight and judgment

  • problems with memory or speech

  • trouble recognizing objects

  • trouble thinking and planning

  • trouble walking

  • twitching, uncontrolled movements of the tongue, lips, face, arms, or legs

  • unexpected or excess milk flow from the breasts

Also, many women who are taking estrogens with a progestin (another female hormone) will start having monthly vaginal bleeding, similar to menstrual periods, again. This effect will continue for as long as the medicine is taken. However, monthly bleeding will not occur in women who have had the uterus removed by surgery (total hysterectomy).


This medicine may cause loss or thinning of the scalp hair in some people.


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.



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