Xanax is used for:

Treating anxiety and panic disorder. It may also be used to treat other conditions as determined by your doctor.

Xanax is a benzodiazepine. It works by slowing down the movement of chemicals in the brain. This results in a reduction in nervous tension (anxiety).

Do NOT use Xanax if:

• you are allergic to any ingredient in Xanax or other benzodiazepines (eg, diazepam)
• you have acute narrow-angle glaucoma, severe liver disease, or a mental state where contact with reality is lost (psychosis)
• you are taking an azole antifungal (eg, itraconazole, ketoconazole), delavirdine, or sodium oxybate (GHB)

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

Before using Xanax :

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

• if you are pregnant, plan to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines or other substances
• if you have glaucoma or a predisposition for glaucoma, liver problems, lung problems or chronic obstructive pulmonary disease (COPD), muscle problems, depression, suicidal tendencies, a blood disorder known as porphyria, or a history of substance abuse or dependence

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

• Rifampin or St. John’s wort because the effectiveness of Xanax may be decreased
• Azole antifungals (eg, itraconazole, ketoconazole), cimetidine, clozapine, delavirdine, fluvoxamine, HIV protease inhibitors (eg, ritonavir), fluoxetine, macrolides and ketolides (eg, erythromycin, azithromycin), nefazodone, omeprazole, propoxyphene, sodium oxybate (GHB), or valproic acid because side effects such as increased sedation or heart problems may occur
• Clozapine, hydantoins (eg, phenytoin), or valproic acid because the actions and side effects of these medicines may be increased

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

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

• Xanax may be taken with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
• Avoid eating grapefruit or drinking grapefruit juice while you are being treated with Xanax .
• If you miss a dose of Xanax and you are using it regularly, 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 Xanax .

Important safety information:

• Xanax may cause drowsiness, dizziness, lightheadedness, or blurred vision. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Xanax . Using Xanax alone, with certain other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks.
• Avoid drinking alcohol or taking other medications that cause drowsiness (eg, sedatives, tranquilizers) while taking Xanax . Xanax will add to the effects of alcohol and other depressants. Ask your pharmacist if you have questions about which medicines are depressants.
• Do not smoke while using Xanax . Cigarette smoking decreases blood levels of Xanax . Tell your doctor if you smoke or if you have recently stopped smoking.
• Use Xanax with caution in the ELDERLY because they may be more sensitive to its effects.
• Xanax is not recommended for use in CHILDREN; safety and effectiveness have not been confirmed.
• PREGNANCY and BREAST-FEEDING: Xanax has been shown to cause harm to the human fetus. If you plan on becoming pregnant, discuss with your doctor the benefits and risks of using Xanax during pregnancy. Xanax is excreted in breast milk. Do not breast-feed while taking Xanax .

When used for long periods of time or at high doses, Xanax may not work as well and may require higher doses to obtain the same effect as when originally taken. This is known as TOLERANCE. Talk with your doctor if Xanax stops working well. Do not take more than prescribed.

Xanax may be habit-forming and lead to DEPENDENCE if used in high doses or for a long period of time. If you are on long-term or high dosage therapy, you may have WITHDRAWAL symptoms (eg, convulsions, tremor, stomach and muscle cramps, vomiting, sweating) if you suddenly stop taking this medicine. Do not stop therapy abruptly or change dosage without asking your pharmacist or doctor. Discuss overuse with your doctor or pharmacist.

Possible side effects of Xanax :

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

Changes in appetite; changes in sexual desire; constipation; dizziness; drowsiness; dry mouth; increased saliva production; lightheadedness; tiredness; trouble concentrating; unsteadiness; weight changes.

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); confusion; decreased urination; fainting; hallucinations; loss of coordination; memory problems; menstrual changes; muscle twitching; new or worsening mental or mood problems (eg, depression, irritability, anxiety); overstimulation; red, swollen blistered, or peeling skin; seizures; severe dizziness; severe or persistent trouble sleeping; suicidal thoughts or actions; trouble speaking (eg, stammering, stuttering); yellowing of the eyes or skin.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately. Symptoms may include loss of consciousness; loss of coordination; severe confusion; severe drowsiness or deep sleep; slow reflexes.

Proper storage of Xanax :

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

General information:

• If you have any questions about Xanax , please talk with your doctor, pharmacist, or other health care provider.
• Xanax is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Xanax . 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.

Viagra is used for:

Treating erectile dysfunction (ED). It may also be used for other conditions as determined by your doctor.

Viagra is a phosphodiesterase inhibitor. It works by helping to increase blood flow into the penis during sexual stimulation. This helps you to achieve and maintain an erection.

Do NOT use Viagra if:

• you are allergic to any ingredient in Viagra
• you have been advised by your doctor to avoid sexual activity because of heart problems
• you are taking nitrates (eg, isosorbide, nitroglycerin) in any form (eg, tablet, capsule, patch, ointment) or nitroprusside
• you use certain recreational drugs called "poppers" (eg, amyl nitrate, butyl nitrate)

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

Before using Viagra :

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

• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have a deformed penis (eg, Peyronie disease, cavernosal fibrosis), blood problems (eg, sickle cell anemia, leukemia, multiple myeloma), or any other condition that may increase the risk of a prolonged erection (eg, priapism)
• if you have a history of certain eye problems (eg, retinitis pigmentosa, sudden vision loss, optic neuropathy, macular degeneration)
• if you have a history of liver or kidney problems, high or low blood pressure, ulcers, bleeding problems, heart problems (eg, heart failure, irregular heartbeat, aortic stenosis, angina), or blood vessel problems
• if you have a history of heart attack, stroke, or life-threatening irregular heartbeat, especially within the past 6 months

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

• Alpha-blockers (eg, doxazosin), amlodipine, medicines for high blood pressure, nitrates (eg, isosorbide, nitroglycerin), or nitroprusside because severe low blood pressure with dizziness, lightheadedness, and fainting may occur
• Azole antifungals (eg, itraconazole), cimetidine, H2 agonists (eg, famotidine), HIV protease inhibitors (eg, ritonavir), macrolide antibiotics (eg, erythromycin), or telithromycin because they may increase the risk of Viagra ’s side effects
• Bosentan or rifampin because they may decrease Viagra ’s effectiveness

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

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

• An extra patient leaflet is available with Viagra . Talk to your pharmacist if you have questions about this information.
• Take Viagra by mouth with or without food. Viagra may not work as quickly if you take it with a high-fat meal.
• Viagra is usually taken about 1 hour before sexual activity. However, it may be taken anywhere from 4 hours to ½ hour before sexual activity. Talk with your doctor about the best way to take Viagra .
• Do not take Viagra more often than once daily, or as directed by your doctor.
• If you miss a dose of Viagra and you still intend to engage in sexual activity, take it as soon as you remember. Continue to take it as directed by your doctor.

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

Important safety information:

• Viagra may cause dizziness, drowsiness, fainting, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Viagra with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Viagra may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
• Patients with heart problems who take Viagra may be at increased risk for heart-related side effects, including heart attack or stroke. Symptoms of a heart attack may include chest, shoulder, neck, or jaw pain; numbness of an arm or leg; severe dizziness, headache, nausea, stomach pain, or vomiting; fainting; or vision changes. Symptoms of a stroke may include confusion, vision or speech changes, one-sided weakness, or fainting. Contact your doctor or seek medical attention right away if you experience these symptoms.
• Viagra may rarely cause a prolonged, painful erection. This could happen even when you are not having sex. If this is not treated right away, it could lead to permanent sexual problems such as impotence. Contact your doctor right away if this happens.
• Do not use other medicines or treatments for erectile dysfunction while you are taking Viagra .
• Viagra does not stop the spread of HIV or other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier methods of birth control (eg, condoms) if you have HIV infection or an STD.
• Viagra will not prevent pregnancy. If your partner may become pregnant and you wish to avoid pregnancy, be sure to use an effective form of birth control.
• Use Viagra with caution in the ELDERLY; they may be more sensitive to its effects.
• Viagra is not recommended for use in CHILDREN; safety and effectiveness in children have not been confirmed.
• PREGNANCY and BREAST-FEEDING: Viagra is not approved for use in women. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Viagra while you are pregnant. It is not known if Viagra is found in breast milk. If you are or will be breast-feeding while you use Viagra , check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Viagra :

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:

Diarrhea; dizziness; flushing; headache; heartburn; mild, temporary vision changes (eg, blurred vision, sensitivity to light, blue/green color tint to vision); stuffy nose; upset stomach.

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

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; fainting; fast or irregular heartbeat; painful or prolonged erection; ringing in the ears; seizure; severe or persistent dizziness; severe or persistent vision changes; sudden decrease or loss of vision in one or both eyes; sudden hearing loss.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately. Symptoms may include chest pain; fainting; prolonged erection; severe dizziness.

Proper storage of Viagra :

Store Viagra at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Viagra out of the reach of children and away from pets.

General information:

• If you have any questions about Viagra , please talk with your doctor, pharmacist, or other health care provider.
• Viagra is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Viagra . 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.

Valium is used for:

The management of anxiety disorders. It may also be used to treat agitation, shakiness, and hallucinations during alcohol withdrawal and to relieve certain types of muscle pain and other disorders as determined by your doctor.

Valium is a benzodiazepine. It works by slowing down the movement of chemicals in the brain. This results in a reduction in nervous tension (anxiety) and muscle spasm, and also causes sedation.

Do NOT use Valium if:

• you are allergic to any ingredient in Valium
• you have acute narrow-angle glaucoma, severe liver disease, kidney problems, or a mental state in which contact with reality is lost (psychosis)
• you are taking an HIV protease inhibitor (eg, ritonavir) or sodium oxybate (GHB)

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

Before using Valium :

Some medical conditions may interact with Valium . 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 glaucoma or a predisposition for glaucoma, liver problems, lung problems or chronic obstructive pulmonary disease (COPD), muscle problems, depression, suicidal tendencies, a blood disorder known as porphyria, or a history of alcohol or other substance abuse or dependence

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

• Hydantoins (eg, phenytoin), rifampin, or St. John’s wort because they may decrease Valium ’s effectiveness
• Clozapine, diltiazem, disulfiram,HIV protease inhibitors (eg, ritonavir), narcotic pain relievers (eg, morphine, codeine), nefazodone, omeprazole,sodium oxybate (GHB), or valproic acid because side effects such as increased sedation and confusion may occur
• Hydantoins (eg, phenytoin), narcotic pain relievers (eg, morphine, codeine), sodium oxybate (GHB), succinylcholine, or tricyclic antidepressants (eg, amitriptyline) because the risk of their side effects may be increased by Valium

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

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

• Take Valium by mouth with or without food.
• If you miss a dose of Valium and you are taking it regularly, take it as soon as possible. If several hours have passed or if it is nearing time for the next dose, do not double the dose to catch up, unless advised by your health care provider. Do not take 2 doses at once.

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

Important safety information:

• Valium may cause drowsiness, dizziness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Valium with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Do not drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Valium ; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
• If you are taking Valium for seizures, carry an ID card at all times that says you have seizure disorder and you take Valium .
• Valium should not be used in CHILDREN younger than 6 months old; safety and effectiveness in these children have not been confirmed.
• PREGNANCY and BREAST-FEEDING: Valium may cause harm to the fetus. If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and risks of using this medicine while you are pregnant. Valium is found in breast milk. Do not breast-feed while using Valium .

When used for long periods of time or at high doses, Valium may not work as well and may require higher doses to obtain the same effect as when originally taken. This is known as TOLERANCE. Talk with your doctor if Valium stops working well. Do not take more than prescribed.

Some people who use Valium for a long time may develop a need to continue taking it. People who take high doses are also at risk. This is known as DEPENDENCE or addiction. If you stop taking Valium suddenly, you may have WITHDRAWAL symptoms. These may include convulsions, tremor, stomach and muscle cramps, vomiting, or sweating. Do not suddenly stop taking Valium without first checking with your doctor.

Possible side effects of Valium :

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:

Blurred vision; dizziness; drowsiness; dry mouth; fatigue; headaches; incoordination; short-term memory loss; weakness.

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); anxiety; chest pain; difficulty breathing; difficulty sleeping; difficulty speaking; hallucinations; inability to control urination; increased muscle spasms; interrupted breathing; involuntary eye movement; sleep disturbances; stimulation; sudden rage; yellowing of the skin or eyes.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately. Symptoms may include clumsiness; coma; confusion; deep sleep; loss of consciousness; slow reflexes.

Proper storage of Valium :

Store Valium at room temperature, 59 to 86 degrees F (15 to 30 degrees C), in a tight, light-resistant container. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Valium out of the reach of children and away from pets.

General information:

• If you have any questions about Valium , please talk with your doctor, pharmacist, or other health care provider.
• Valium is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Valium . 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.

Ultram is used for:

Treating moderate to moderately severe pain.

Ultram is an analgesic. It works in certain areas of the brain and nervous system to decrease pain.

Do NOT use Ultram if:

• you are allergic to any ingredient in Ultram
• you have severe diarrhea due to taking an antibiotic
• you are intoxicated with alcohol, other opioids or narcotics (eg, morphine, codeine), sedatives or sleeping medicines (eg, temazepam, zolpidem), or other medicines
• you are taking nefazodone, carbamazepine, or sodium oxybate (GHB)

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

Before using Ultram :

Some medical conditions may interact with Ultram . 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 (especially depression medicines) or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you are allergic to codeine, a codeine-related medicine (eg, hydrocodone, dihydrocodeine, oxycodone), morphine, or a morphine-related medicine (eg, hydromorphone)
• if you have a history of alcohol abuse, substance abuse, or suicidal thoughts or behaviors
• if you have or recently have had any head injury, brain injury or tumor, increased pressure in the brain, or infection of the brain or nervous system
• if you have a history of stomach or intestinal problems, asthma or other lung or breathing problems, epilepsy, seizures, or chronic inflammation or ulceration of the bowels
• if you have had recent abdominal surgery
• if you have heart problems, liver problems (eg, hepatitis), kidney problems, thyroid problems, enlargement of the prostate gland, or urinary problems

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

• Carbamazepine because it may decrease Ultram ’s effectiveness and increase the risk of seizures
• Certain medicines for mental or mood disorders (eg, olanzapine, haloperidol), cyclobenzaprine, isoniazid, other opioid pain medicine (eg, codeine, hydrocodone), phenothiazines (eg, promethazine), sleeping medicines (eg, zolpidem), sodium oxybate (GHB), tricyclic antidepressants (amitriptyline), or weight loss medicines (eg, phentermine) because side effects, including excessive drowsiness, trouble breathing, liver problems, or seizures, may be increased
• Furazolidone, monoamine oxidase (MAO) inhibitors (eg, phenelzine), nefazodone, selegiline, or selective serotonin reuptake inhibitors (SSRIs) (eg, fluoxetine) because they may cause serious and sometimes fatal reactions, including restlessness, fever, excessive sweating, confusion, twitching, and seizures
• Oral anticoagulants (eg, warfarin) because its side effects, including bleeding, may be increased by Ultram
• Digoxin because the risk of side effects, including nausea, vomiting, or slow heartbeat, may be increased by Ultram

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

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

• Take Ultram by mouth with or without food.
• If you miss a dose of Ultram , 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 Ultram .

Important safety information:

• Ultram may cause drowsiness and dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Ultram with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Do not drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Ultram ; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
• Ultram may cause dizziness; alcohol, hot weather, exercise, or fever may increase this effect. To prevent it, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of this effect.
• Tell your doctor or dentist that you take Ultram before you receive any medical or dental care, emergency care, or surgery.
• Use Ultram with caution in the ELDERLY; they may be more sensitive to its effects.
• Ultram should not be used in CHILDREN younger than 16 years old; safety and effectiveness in these children have not been confirmed.
• PREGNANCY and BREAST-FEEDING: Ultram has been shown to cause harm to the fetus. If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and risks of using Ultram while you are pregnant. Ultram is found in breast milk. Do not breast-feed while taking Ultram .

When used for long periods of time or at high doses, Ultram may not work as well and may require higher doses to obtain the same effect as when originally taken. This is known as TOLERANCE. Talk with your doctor if Ultram stops working well. Do not take more than prescribed.

Some people who use Ultram for a long time without a break may develop a physical need to continue taking it. This is known as physical DEPENDENCE. If you suddenly stop taking Ultram , you may experience WITHDRAWAL symptoms including anxiety; diarrhea; fever, runny nose, or sneezing; goose bumps and abnormal skin sensations; nausea; vomiting; pain; rigid muscles; rapid heartbeat; seeing, hearing or feeling things that are not there; shivering or tremors; sweating; and trouble sleeping.

Possible side effects of Ultram :

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; dizziness; drowsiness; increased sweating; loss of appetite; nausea.

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); agitation; fainting; fever; incoordination; muscle stiffness or tremor; seizures.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately. Symptoms may include bluish skin; cold clammy skin; difficult or slow breathing; drowsiness leading to unresponsiveness or coma; excessive sweating; loss of function in the heart and lungs; nausea and vomiting; pinpoint pupils; seizures; stomach or intestinal pain.

Proper storage of Ultram :

Store Ultram at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Ultram out of the reach of children and away from pets.

General information:

• If you have any questions about Ultram , please talk with your doctor, pharmacist, or other health care provider.
• Ultram is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Ultram . 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.

Soma is used for:

Treating discomfort associated with certain painful muscle conditions. It is usually used along with rest and physical therapy.

Soma is a skeletal muscle relaxant. It works in the brain and spinal cord to relax the muscles. It also causes drowsiness.

Do NOT use Soma if:

• you are allergic to any ingredient in Soma or to similar medicines (eg, meprobamate)
• you have the blood disorder porphyria
• you take sodium oxybate (GHB) or meprobamate

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

Before using Soma :

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

• if you are pregnant, plan to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines or other substances
• if you have a history of kidney or liver problems, prostate problems, or seizures
• if you have a history of alcohol or other substance abuse or dependence

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

• Sodium oxybate (GHB) because severe drowsiness and prolonged sleep may occur
• Meprobamate because it may increase the risk of Soma ’s side effects

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

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

• Take Soma by mouth with or without food.
• If you miss a dose of Soma , 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 Soma .

Important safety information:

• Soma may cause drowsiness or dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Soma with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Do not drink alcohol while you are using Soma .
• Check with your doctor before you use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Soma ; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
• Soma may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
• Do not take more than the recommended dose or use Soma for longer than 2 to 3 weeks without checking with your doctor.
• Rarely, some patients have experienced an unexpected reaction within minutes or hours after taking this medicine. Contact your doctor or seek medical care right away if you develop severe weakness, paralysis of the arms or legs, severe dizziness, loss of coordination, vision changes (eg, loss of vision, double vision), joint pain, or mental or mood changes (eg, agitation, confusion, disorientation).
• Use Soma with caution in Asian patients; they may be more sensitive to its effects.
• Soma should not be used in CHILDREN younger than 12 years old; safety and effectiveness in these children have not been confirmed.
• PREGNANCY AND BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Soma while you are pregnant. Soma is found in breast milk. If you are or will be breast-feeding while you use Soma , check with your doctor. Discuss any possible risks to your baby.

Some people who use Soma for a long time may develop a need to continue taking it. People who take high doses are also at risk. This is known as DEPENDENCE or addiction. If you stop taking Soma suddenly, you may have WITHDRAWAL symptoms. These may include stomach cramps, trouble sleeping, headache, nausea, or seizure.

Possible side effects of Soma :

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

Dizziness; drowsiness; headache; lightheadedness; nausea; upset stomach; vomiting.

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

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; hoarseness); agitation; confusion; disorientation; eye pain or irritation; fainting; fast or irregular heartbeat; fever; joint pain; loss of coordination; mood or mental changes; paralysis in the arms and legs; seizures; severe or persistent dizziness; severe weakness; tremors; vision changes (eg, loss of vision, double vision).

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately. Symptoms may include confusion; fast heartbeat; hallucinations; loss of consciousness; loss of coordination; rigid muscles; seizures; severe dizziness or drowsiness; slow or irregular breathing; vision problems.

Proper storage of Soma :

Store Soma at room temperature, 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 Soma out of the reach of children and away from pets.

General information:

• If you have any questions about Soma , please talk with your doctor, pharmacist, or other health care provider.
• Soma is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Soma . 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.

Prozac is used for:

Treating depression or obsessive-compulsive disorder (OCD) in adults and children. It is used to treat bulimia nervosa and panic disorder in adults. It may also be used for other conditions as determined by your doctor.

Prozac is a selective serotonin reuptake inhibitor (SSRI). It works by restoring the balance of serotonin, a natural substance in the brain, which helps to improve certain mood problems.

Do NOT use Prozac if:

• you are allergic to any ingredient in Prozac
• you are taking or have taken a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), selegiline, or St. John’s wort within the last 14 days
• you are taking a fenfluramine derivative (eg, dexfenfluramine), an H1 antagonist (eg, astemizole, terfenadine), nefazodone, pimozide, a serotonin norepinephrine reuptake inhibitor (SNRI) (eg, venlafaxine), sibutramine, thioridazine, or tryptophan

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

Before using Prozac :

Some medical conditions may interact with Prozac . 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 or a family member has a history of bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
• if you have a history of seizures, heart problems, liver problems, severe kidney problems, stomach or bowel bleeding, diabetes, or metabolism problems
• if you are dehydrated, have low blood sodium levels, or drink alcohol
• if you will be having electroconvulsive therapy (ECT)

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

• Anorexiants (eg, phentermine), fenfluramine derivatives (eg, dexfenfluramine), linezolid, MAOIs (eg, phenelzine), metoclopramide, nefazodone, selegiline, serotonin 5-HT1 receptor agonists (eg, sumatriptan), sibutramine, SNRIs (eg, venlafaxine, St. John’s wort, trazodone, or tryptophan because severe side effects, such as a reaction that may include fever, rigid muscles, blood pressure changes, mental changes, confusion, irritability, agitation, delirium, and coma, may occur
• Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) because the risk of bleeding, including stomach bleeding, may be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) because the risk of low blood sodium levels may be increased
• Tramadol because the risk of seizures may be increased
• Cyclobenzaprine or H1 antagonists (eg, astemizole, terfenadine) because severe heart problems, including irregular heartbeat, may occur
• HIV protease inhibitors (eg, ritonavir) because they may increase the risk of Prozac ’s side effects
• Cyproheptadine because it may decrease Prozac ’s effectiveness
• Aripiprazole, benzodiazepines (eg, alprazolam), beta-blockers (eg, propranolol), carbamazepine, clozapine, dextromethorphan, digoxin, flecainide, haloperidol, hydantoins (eg, phenytoin), lithium, norepinephrine reuptake inhibitors (eg, atomoxetine), phenothiazines (eg, chlorpromazine, thioridazine), pimozide, propafenone, risperidone, tricyclic antidepressants (eg, amitriptyline), or vinblastine because the risk of their side effects may be increased by Prozac

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

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

• Prozac comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Prozac refilled.
• Take Prozac by mouth with or without food.
• Taking Prozac at the same time each day will help you remember to take it.
• Continue to take Prozac even if you feel well. Do not miss any doses.
• Do not suddenly stop taking Prozac without checking with your doctor. Side effects may occur. They may include mental or mood changes, numbness or tingling of the skin, dizziness, confusion, headache, trouble sleeping, or unusual tiredness. You will be closely monitored when you start Prozac and whenever a change in dose is made.
• If you miss a dose of Prozac , 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 Prozac .

Important safety information:

• Prozac may cause drowsiness or dizziness. These effects may be worse if you take it with alcohol or certain medicines. Take Prozac with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Check with your doctor before you drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are taking Prozac ; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
• Several weeks may pass before your symptoms improve. Do NOT take more than the recommended dose, change your dose, or take Prozac for longer than prescribed without checking with your doctor.
• Children, teenagers, and young adults who take Prozac may be at increased risk for suicidal thoughts or actions. Watch all patients who take Prozac 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.
• Diabetes patients - Prozac may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
• Serotonin syndrome is a possibly fatal syndrome that can be caused by Prozac . Your risk may be greater if you take Prozac with certain other medicines (eg, "triptans," MAOIs). Symptoms may include agitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; excessive sweating; and nausea, vomiting, or diarrhea. Contact your doctor at once if you have any of these symptoms.
• If your doctor tells you to stop taking Prozac , you will need to wait for several weeks before beginning to take certain other medicines (eg, MAOIs, nefazodone, thioridazine). Ask your doctor when you should start to take your new medicines after you have stopped taking Prozac .
• Prozac may rarely cause a prolonged, painful erection. This could happen even when you are not having sex. If this is not treated right away, it could lead to permanent sexual problems such as impotence. Contact your doctor right away if this happens.
• Use Prozac with caution in the ELDERLY; they may be more sensitive to its effects, especially low blood sodium levels.
• Caution is advised when using Prozac in CHILDREN; they may be more sensitive to its effects, especially increased risk of suicidal thoughts or actions.
• Prozac should be used with extreme caution in CHILDREN younger than 7 years old; safety and effectiveness in these children have not been confirmed.
• Prozac may cause weight changes. CHILDREN and teenagers may need regular weight and growth checks while they take Prozac .
• PREGNANCY and BREAST-FEEDING: Prozac may cause harm to the fetus if it is used during the last 3 months of pregnancy. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Prozac while you are pregnant. Prozac is found in breast milk. Do not breast-feed while you are taking Prozac .

Possible side effects of Prozac :

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:

Anxiety; decreased sexual desire or ability; diarrhea; dizziness; drowsiness; dry mouth; increased sweating; loss of appetite; nausea; nervousness; stomach upset; trouble sleeping; weakness.

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); bizarre behavior; black or bloody stools; chest pain; confusion; exaggerated reflexes; excessive sweating; fast or irregular heartbeat; fever, chills, or sore throat; hallucinations; increased urination; joint or wrist aches or pain; loss of coordination; new or worsening agitation, panic attacks, aggressiveness, impulsiveness, irritability, hostility, exaggerated feeling of well-being, restlessness, or inability to sit still; persistent or severe ringing in the ears;persistent, painful erection; red, swollen, blistered, or peeling skin; seizures; severe or persistent anxiety or trouble sleeping; significant weight loss; stomach pain; suicidal thoughts or attempts; tremor; unusual bruising or bleeding; unusual hoarseness; unusual or severe mental or mood changes; unusual swelling; vision changes; worsening of depression.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately. Symptoms may include coma; confusion; delirium; difficult breathing; fainting; fast, slow, or irregular heartbeat; fever; seizures; severe or persistent dizziness, drowsiness, nausea, or vomiting; tremor.

Proper storage of Prozac :

Store Prozac at room temperature, 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 Prozac out of the reach of children and away from pets.

General information:

• If you have any questions about Prozac , please talk with your doctor, pharmacist, or other health care provider.
• Prozac is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is summary only. It does not contain all information about Prozac . 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.

Phentermine is used for:

Reducing weight in obese patients when used short-term and combined with exercise, diet, and behavioral modification.

Phentermine is an appetite suppressant. It works by helping to release certain chemicals in the brain that control appetite.

Do NOT use Phentermine if:

• you are allergic to any ingredient in Phentermine or other sympathomimetics (eg, pseudoephedrine)
• you are taking dexfenfluramine, fenfluramine, furazolidone, guanadrel, guanethidine, or have taken a monoamine oxidase inhibitor (MAOI) (eg, phenelzine) in the last 14 days
• you have moderate to severe high blood pressure, an overactive thyroid, glaucoma, heart or blood vessel disease, or severe narrowing of the blood vessels
• you are in an agitated state, or have a history of substance abuse

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

Before using Phentermine :

Some medical conditions may interact with Phentermine . 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 brain or spinal cord disorder, hardening of the arteries, high blood pressure, diabetes, or high cholesterol or lipid levels

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

• Dexfenfluramine, fenfluramine, furazolidone, or MAOIs (eg, phenelzine) because the risk of serious side effects, such as increasing headache, high blood pressure, slow heart rate, elevated temperature, or possibly fatal lung problems, may be increased
• Serotonin specific reuptake inhibitors (eg, fluoxetine) because the risk of their side effects may be increased by Phentermine
• Guanadrel or guanethidine because their effectiveness may be decreased by Phentermine

Ask your health care provider if Phentermine 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 Phentermine :

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

• Take Phentermine about 30 minutes before a meal.
• Take your last dose of Phentermine at least 4 to 6 hours before bedtime.
• If you are taking Phentermine 1 time a day, take your dose in the morning.
• If you miss a dose of Phentermine , take it as soon as possible. If it is after 12 pm and you are taking Phentermine 1 time a day, or after 4 pm and you are taking it more than 1 time a day, 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 Phentermine .

Important safety information:

• Phentermine may cause dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Phentermine with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor. Doing so may increase the risk of serious side effects.
• Tell your doctor or dentist that you take Phentermine before you receive any medical or dental care, emergency care, or surgery.
• Before you have any medical or dental treatments, emergency care, or surgery, tell your doctor or dentist that you are using Phentermine .
• Avoid drinking alcohol with Phentermine .
• Diabetes patients-Phentermine may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
• Phentermine is not recommended for use in CHILDREN younger than 12 years old; safety and effectiveness in this age group 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 Phentermine while you are pregnant. It is not known if Phentermine is found in breast milk. Do not breast-feed while taking Phentermine .

After you have taken Phentermine for a few weeks, it will usually not work as well as when you began taking it. This is known at TOLERANCE. Talk with your doctor if Phentermine stops working well. Do not take more medicine than prescribed.

Some people who use Phentermine for a long time may develop a need to continue taking it. People who take high doses are also at risk. This is known as DEPENDENCE or addiction. If you stop taking Phentermine suddenly, you may have WITHDRAWAL symptoms. These may include extreme tiredness, mental depression, trouble sleeping, irritability, or mental, mood, or personality changes.

Possible side effects of Phentermine :

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

Bad taste in mouth; changes in sex drive; constipation; diarrhea; difficulty sleeping; dizziness; dry mouth; exaggerated sense of well being; headache; impotence; nervousness; overstimulation; restlessness; sleeplessness; upset stomach.

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); bizarre behavior; chest pain; fainting; fast heartbeat; pounding in the chest; shortness of breath; swelling of the legs and feet; tremor.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately. Symptoms may include confusion; diarrhea; nausea; rapid breathing; restlessness; stomach cramps; tremor; vomiting.

Proper storage of Phentermine :

Store Phentermine at room temperature, between 59 and 77 degrees F (15 and 25 degrees C), in a tightly closed container. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Phentermine out of the reach of children and away from pets.

General information:

• If you have any questions about Phentermine , please talk with your doctor, pharmacist, or other health care provider.
• Phentermine is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Phentermine . 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.

Meridia is used for:

Treating obesity. It should be used with a reduced calorie diet.

Meridia is a diet aid. It appears to work by regulating chemicals in the appetite center in the brain to cause a temporary reduction in hunger or craving for food.

Do NOT use Meridia if:

• you are allergic to any ingredient in Meridia
• you have an eating disorder (eg, anorexia, bulimia), uncontrolled or severe high blood pressure, hardening of the arteries, increased blood pressure in the lungs, or have had a stroke
• you have severe liver or kidney problems or you are on dialysis for severe kidney problems
• you are taking a selective serotonin reuptake inhibitor (SSRI) (eg, fluoxetine), another appetite suppressant, or you have taken a monoamine oxidase inhibitor (MAO) inhibitor (eg, phenelzine) within the last 14 days

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

Before using Meridia :

Some medical conditions may interact with Meridia . 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 kidney or liver disease, heart disease, increased risk for bleeding, narrow-angle glaucoma, or seizures

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

• Dihydroergotamine, imidazoles (eg, itraconazole, ketoconazole), lithium, MAO inhibitors (eg, phenelzine), narcotic analgesics (eg, codeine), SSRIs (eg, fluoxetine), sumatriptan, or tryptophan they may increase the risk of Meridia ’s side effects, including increased risk of restlessness, fever, excessive sweating, twitching, and seizures that can, rarely, be life-threatening
• Cyclosporine because the risk of its side effects may be increased by Meridia

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

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

• An extra patient leaflet is available with Meridia . Talk to your pharmacist if you have questions about this information.
• Take Meridia by mouth with or without food.
• Unless otherwise directed by your doctor, Meridia should be taken in the morning to avoid sleeping problems.
• If you miss a dose of Meridia , 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 Meridia .

Important safety information:

• Meridia may cause dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Meridia with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Do not drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Meridia ; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
• Changes in dietary habits and increased exercise are important parts of a successful weight loss program. To maintain your ideal weight, these changes should be continued for life. Follow the guidelines given to you by your doctor or diet counselor.
• Lab tests, including blood pressure, pulse monitoring, and weight monitoring, may be performed while you use Meridia . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
• Use an effective method of birth control while you are taking Meridia .
• Meridia should not be used in CHILDREN or ADOLESCENTS; safety and effectiveness in children and adolescents 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 Meridia while pregnant. It is not known if Meridia is found in breast milk. Do not breast-feed while taking Meridia .

When used for long periods of time or at high doses, some people develop a need to continue taking Meridia . This is known as DEPENDENCE or addiction.

Possible side effects of Meridia :

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

Back pain; constipation; dizziness; dry mouth; flu-like symptoms; headache; increased cough; increased or decreased appetite; indigestion; joint pain; migraine; nasal inflammation; nausea; nervousness; painful menstruation; sinus inflammation; sleeplessness; sore throat; upset stomach; weakness.

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); agitation; anxiety; change in amount of urine; chest pain; clumsiness; confusion; depression; difficulty breathing; disorientation; excitement; eye pain; fainting; fast or irregular heartbeat; high fever; increased sweating; large, unchanging pupils; loss of consciousness; one-sided weakness; restlessness; seizures; shivering; shortness of breath; stomach pain; swelling of the feet, ankles, or legs; tremors; unusual bruising or bleeding; vision problems; vomiting; weakness.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately.

Proper storage of Meridia :

Store Meridia at room temperature, at 77 degrees F (25 degrees C), in a tightly closed container. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Meridia out of the reach of children and away from pets.

General information:

• If you have any questions about Meridia , please talk with your doctor, pharmacist, or other health care provider.
• Meridia is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Meridia . 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.

Levitra is used for:

Treating erectile dysfunction (ED).

Levitra is a phosphodiesterase inhibitor. It works by helping to increase blood flow into the penis during sexual stimulation. This helps you to achieve and maintain an erection.

Do NOT use Levitra if:

• you are allergic to any ingredient in Levitra
• you have been advised by your doctor to avoid sexual activity because of heart problems
• you have certain heart problems (eg, unstable angina, severe heart failure), low blood pressure, or uncontrolled high blood pressure
• you have certain hereditary degenerative eye problems (eg, retinitis pigmentosa)
• you have severe liver problems or severe kidney problems that require dialysis
• you have had a heart attack, stroke, or life-threatening irregular heartbeat within the past 6 months
• you are taking nitrates (eg, isosorbide, nitroglycerin) in any form (eg, tablet, capsule, patch, ointment), nitroprusside, or certain antiarrhythmics (eg, quinidine, amiodarone)
• you use certain recreational drugs called "poppers" (eg, amyl nitrate, butyl nitrate)

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

Before using Levitra :

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

• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have a deformed penis (eg, Peyronie disease, cavernosal fibrosis), blood problems (eg, sickle cell anemia, leukemia, multiple myeloma), or any other condition that may increase the risk of a prolonged erection (priapism)
• if you have a history of certain eye problems (eg, sudden vision loss, optic neuropathy, macular degeneration)
• if you have a history of liver or kidney problems, high or low blood pressure, ulcers, bleeding problems, blood vessel problems, or heart problems (eg, heart failure, aortic stenosis, angina)
• if you have a history of heart attack, stroke, a certain type of irregular heartbeat (long QT syndrome), or a family history of long QT syndrome

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

• Alpha-blockers (eg, doxazosin), medicines for high blood pressure, nitrates (eg, isosorbide, nitroglycerin), or nitroprusside because severe low blood pressure with dizziness, lightheadedness, and fainting may occur
• Certain antiarrhythmics (eg, quinidine, amiodarone) because the risk of irregular heartbeat may be increased
• Azole antifungals (eg, itraconazole), HIV protease inhibitors (eg, ritonavir), macrolide antibiotics (eg, erythromycin), or telithromycin because they may increase the risk of Levitra ’s side effects
• Rifampin because it may decrease Levitra ’s effectiveness

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

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

• An extra patient leaflet is available with Levitra . Talk to your pharmacist if you have questions about this information.
• Take Levitra by mouth with or without food.
• Take Levitra about 1 hour before sexual activity.
• Do not take Levitra more often than once daily, or as directed by your doctor.
• If you miss a dose of Levitra and you still intend to engage in sexual activity, take it as soon as you remember. Continue to take it as directed by your doctor.

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

Important safety information:

• Levitra may cause dizziness, drowsiness, fainting, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Levitra with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Levitra may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
• Patients with heart problems who take Levitra may be at increased risk for heart-related side effects, including heart attack or stroke. Symptoms of a heart attack may include chest, shoulder, neck, or jaw pain; numbness of an arm or leg; severe dizziness, headache, nausea, stomach pain, or vomiting; fainting; or vision changes. Symptoms of a stroke may include confusion; vision or speech changes; one-sided weakness; or fainting. Contact your doctor or seek medical attention right away if you experience these symptoms.
• Levitra may rarely cause a prolonged, painful erection. This could happen even when you are not having sex. If this is not treated right away, it could lead to permanent sexual problems such as impotence. Contact your doctor right away if this happens.
• Levitra may uncommonly cause mild, temporary vision changes (eg, blurred vision, sensitivity to light, blue/green color tint to vision). Contact your doctor if vision changes persist or are severe.
• Do not use other medicines or treatments for erectile dysfunction while you are taking Levitra .
• Levitra does not stop the spread of HIV or other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier methods of birth control (eg, condoms) if you have HIV infection or an STD.
• This medicine will not prevent pregnancy. If your partner may become pregnant and you wish to avoid pregnancy, be sure to use an effective form of birth control.
• Use Levitra with caution in the ELDERLY; they may be more sensitive to its effects.
• Levitra is not recommended for use in CHILDREN; safety and effectiveness in children have not been confirmed.
• PREGNANCY and BREAST-FEEDING: Levitra is not approved for use in women. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Levitra while you are pregnant. It is not known if Levitra is found in breast milk. If you are or will be breast-feeding while you use Levitra , check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Levitra :

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

Dizziness; flushing; headache; heartburn; stuffy or runny nose; upset stomach.

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); back or muscle pain; chest pain; fainting; prolonged, painful erection; ringing in the ears; severe or persistent dizziness; severe or persistent vision changes; sudden hearing loss.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately. Symptoms may include back or muscle pain; chest pain; fainting; prolonged erection; severe dizziness; severe or persistent vision changes.

Proper storage of Levitra :

Store Levitra at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Levitra out of the reach of children and away from pets.

General information:

• If you have any questions about Levitra , please talk with your doctor, pharmacist, or other health care provider.
• Levitra is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Levitra . 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.

Klonopin is used for:

Controlling certain types of seizures in the treatment of epilepsy and for the treatment of panic disorders. It may also be used for other conditions as determined by your doctor.

Klonopin is a benzodiazepine. It works by increasing the activity of a naturally occurring chemical in the brain.

Do NOT use Klonopin if:

• you are allergic to any ingredient in Klonopin
• you have a severe mental disorder, acute angle glaucoma, or severe liver disease
• you are taking sodium oxybate (GHB)

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

Before using Klonopin :

Some medical conditions may interact with Klonopin . 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 or have ever had alcoholism, substance abuse or dependence, or if you consume more than 3 alcohol-containing drinks per day
• if you have depression or have ever considered or attempted suicide
• if you have myasthenia gravis (a condition in which the muscles become progressively weakened)
• if you have angle-closure glaucoma, liver or kidney problems, or porphyria
• if you have chronic bronchitis, chronic obstructive pulmonary disease (COPD), emphysema, or other breathing problems

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

• Antifungals (eg, fluconazole), disulfiram, nefazodone, omeprazole, or valproic acid because they may increase the risk of Klonopin ’s side effects
• Sodium oxybate (GHB) because an increase in sleep duration and a decrease in the ability to breathe may occur
• Clozapine because dangerous side effects, such as confusion, sedation, excess salivation, unsteady movements, lightheadedness especially upon standing, difficult or slow breathing, or drowsiness leading to unresponsiveness or coma, may occur
• Rifampin, St. John’s wort, or valproic acid because they may decrease Klonopin ’s effectiveness

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

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

• Take Klonopin by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
• Swallow tablet whole with a full glass of water (8 oz/240 mL).
• If you are taking Klonopin for the prevention of seizures, taking Klonopin at the same times each day will help you remember to take it.
• Continue to take Klonopin even if you feel well. Do not miss any doses. Klonopin works best when there is a constant level of Klonopin in your body.
• If you miss a dose of Klonopin and you are taking it regularly, take it as soon as possible. If several hours have passed or if it is nearing time for the next dose, do not double the dose to catch up, unless advised by your health care provider. Do not take 2 doses at once.

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

Important safety information:

• Klonopin may cause drowsiness, dizziness, lightheadedness, or difficulty with coordination. These effects may be worse if you take it with alcohol or certain medicines. Use Klonopin with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Klonopin may cause you to lose consciousness if you have a history of seizures. Use Klonopin with caution. Do not perform tasks that could be unsafe for you or others if you should lose consciousness (eg, driving, swimming, running heavy machinery).
• Do not drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Klonopin ; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
• Carry an ID card at all times that says you take Klonopin if it is used for seizures.
• LAB TESTS, including liver function, blood counts and electrocardiograms, may be performed while you use Klonopin . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
• Klonopin should not be used in CHILDREN younger than 18 years old with panic disorder; safety and effectiveness in these children have not been confirmed.
• PREGNANCY and BREAST-FEEDING: Klonopin may cause harm to the fetus. If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and risks of using Klonopin while you are pregnant. Klonopin is found in breast milk. Do not breast-feed while taking Klonopin .

When used for long periods of time or at high doses, Klonopin may not work as well and may require higher doses to obtain the same effect as when originally taken. This is known as TOLERANCE. Talk with your doctor if Klonopin stops working well. Do not take more than prescribed.

When used for longer than a few weeks or at high doses, some people develop a need to continue taking Klonopin . This is known as DEPENDENCE or addiction. If you stop taking Klonopin suddenly, you may have WITHDRAWAL symptoms. These may include abnormal thoughts or behavioral disorder, anxiety, depression, hallucinations, personality changes or loss of contact with reality; convulsions (seizures); insomnia; stomach and muscle cramps; tremor. Do not suddenly stop taking Klonopin . If you need to stop Klonopin , your doctor will lower your dose over time.

Possible side effects of Klonopin :

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:

Bed wetting; clumsiness or unsteadiness; coated tongue; confusion; constipation; depression; dizziness; drowsiness; excessive daytime drowsiness; feeling of a whirling motion; frequent urination at night; headache; increased saliva (spit); lightheadedness; loss of appetite; runny nose; unusual weakness.

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); aggressive behavior; attempted suicide; bizarre behavior; chest congestion; excessive upper respiratory tract secretions; hallucinations; hostility; hysteria; interrupted breathing; memory loss; pounding in the chest; shortness of breath; tremor.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately. Symptoms may include clumsiness; confusion; difficult or slow breathing; dizziness, light-headedness especially upon standing; drowsiness leading to unresponsiveness or coma; loss of consciousness.

Proper storage of Klonopin :

Store Klonopin at room temperature, 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 Klonopin out of the reach of children and away from pets.

General information:

• If you have any questions about Klonopin , please talk with your doctor, pharmacist, or other health care provider.
• Klonopin is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Klonopin . 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.