Zocor

Zocor ® (Simvastatin )

Generic Name: Simvastatin
Brand Name: Zocor

Zocor lowers high cholesterol and triglycerides in certain patients. It also increases high-density lipoprotein (HDL, "good") cholesterol levels.


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Zocor is used for:

Lowering high cholesterol and triglycerides in certain patients. It also increases high-density lipoprotein (HDL, "good") cholesterol levels. It is used along with an appropriate diet. It is used in certain patients to reduce the risk of heart attack, stroke, and death due to coronary heart disease. It is also used to reduce the need for medical procedures to open blocked blood vessels. It is also used in certain patients to reduce the risk of heart attack, stroke, blood vessel blockage, or chest pain caused by angina. It may also be used for other conditions as determined by your doctor.

Zocor is an HMG-CoA reductase inhibitor, also known as a "statin." It works by reducing the production of certain fatty substances in the body, including cholesterol.

Do NOT use Zocor if:

  • you are allergic to any ingredient in Zocor
  • you have liver problems or unexplained abnormal liver function tests
  • you are pregnant or breast-feeding
  • you are taking a macrolide antibiotic (eg, clarithromycin, erythromycin), an HIV protease inhibitor (eg, ritonavir), itraconazole, ketoconazole, mibefradil, nefazodone, or telithromycin

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

Before using Zocor :

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

  • if you are planning to become pregnant
  • 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 low blood pressure, kidney problems, diabetes, a serious infection, or a history of seizures
  • if you have metabolism, hormonal, or electrolyte problems
  • if you drink alcohol or have a history of liver problems or alcohol abuse
  • if you have recently had major surgery or a serious injury

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

  • Amiodarone, certain azole antifungals (eg, itraconazole, ketoconazole), danazol, diltiazem, fibrates (eg, gemfibrozil, clofibrate), fluconazole, HIV protease inhibitors (eg, ritonavir), imatinib, immunosuppressants (eg, cyclosporine), macrolide antibiotics (eg, clarithromycin, erythromycin), mibefradil, nefazodone, niacin, non-nucleoside reverse transcriptase inhibitors (eg, delavirdine), risperidone, streptogramins (eg, dalfopristin), telithromycin, vasopressin receptor antagonists (eg, conivaptan), verapamil, or voriconazole because they may increase the risk of muscle or kidney problems
  • Bosentan, carbamazepine, rifampin, or St. John’s wort because they may decrease Zocor ’s effectiveness
  • Anticoagulants (eg, warfarin), digoxin, macrolide immunosuppressants (eg, tacrolimus), or spironolactone because the risk of their side effects may be increased by Zocor

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

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

  • Take Zocor by mouth with or without food.
  • Eating grapefruit or drinking grapefruit juice may increase the amount of Zocor in your blood, which may increase your risk for serious side effects. The risk may be greater with large amounts of grapefruit or grapefruit juice. Avoid large amounts of grapefruit or grapefruit juice (eg, more than one quart daily). Talk with your doctor or pharmacist if you have questions about including grapefruit or grapefruit juice in your diet while you are taking Zocor .
  • Continue to take Zocor even if you feel well. Do not miss any doses.
  • If you miss a dose of Zocor , 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 Zocor .

Important safety information:

  • Drinking alcohol daily or in large amounts may increase the risk of liver problems with Zocor . Check with your doctor before drinking alcohol while you are taking Zocor .
  • Follow the diet and exercise program given to you by your health care provider.
  • Tell your doctor or dentist that you take Zocor before you receive any medical or dental care, emergency care, or surgery.
  • Women who may become pregnant should use effective birth control while taking Zocor . Check with your doctor if you have questions about using birth control.
  • Do NOT take more than the recommended dose without checking with your doctor.
  • Report any unexplained muscle pain, tenderness, or weakness to your doctor right away, especially if you also have a fever or general body discomfort.
  • Rarely, changes to the skin, hair, and nails (eg, discoloration, dryness, hair loss) may occur. Check with your doctor if these effects become bothersome or cause you concern.
  • Lab tests, including blood cholesterol levels, liver function tests, and creatine phosphokinase (CPK) blood levels, may be performed while you use Zocor . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Zocor should be used with extreme caution in CHILDREN younger than 10 years old and in those who have not reached puberty; safety and effectiveness in these children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: Do not use Zocor if you are pregnant. It may cause harm to the fetus. Avoid becoming pregnant while you are taking it. If you think you may be pregnant, contact your doctor right away. It is not known if Zocor is found in breast milk. Do not breast-feed while taking Zocor .

Possible side effects of Zocor :

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.

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; dark urine; muscle pain, tenderness, or weakness (with or without fever and fatigue); pale stools; red, swollen, blistered, or peeling skin; severe or persistent stomach pain; yellowing of 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.

Proper storage of Zocor :

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

General information:

  • If you have any questions about Zocor , please talk with your doctor, pharmacist, or other health care provider.
  • Zocor 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 Zocor . 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: November 7, 2007
Database Edition 07.4.1.002
Copyright © 2007 Wolters Kluwer Health, Inc.

 

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Zestril

Zestril ® (Lisinopril)

Generic Name: Lisinopril Tablets
Brand Name: Zestril

Zestril treats high blood pressure alone or with other medicines. It is used along with other medicines to manage heart failure or improve survival after a heart attack. It may also be used for other conditions as determined by your doctor.


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Zestril can cause injury and even death to the fetus when used after the third month of pregnancy. Contact your doctor at once if you think you may be pregnant

Zestril is used for:

Treating high blood pressure alone or with other medicines. It is used along with other medicines to manage heart failure or improve survival after a heart attack. It may also be used for other conditions as determined by your doctor.

Zestril is an angiotensin-converting enzyme (ACE) inhibitor. It works by relaxing blood vessels. This lowers blood pressure and helps the heart to pump blood more easily.

Do NOT use Zestril if:

  • you are allergic to any ingredient in this medicine
  • you have a history of angioedema (swelling of the hands, face, lips, eyes, throat, or tongue; difficulty swallowing or breathing; or hoarseness), including angioedema caused by treatment with an ACE inhibitor
  • you are in your second or third trimester of pregnancy
  • the patient is a CHILD with severe kidney problems

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

Before using Zestril :

Some medical conditions may interact with Zestril . Tell your health care provider 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 are a woman of childbearing age
  • if you have a history of heart problems (eg, heart failure, aortic stenosis), blood vessel problems, blood flow problems, bone marrow problems, kidney problems, or diabetes
  • if you have a history of stroke, recent heart attack, or kidney transplant
  • if you have an autoimmune disease (eg, rheumatoid arthritis, lupus, scleroderma)
  • if you are dehydrated or have low blood volume
  • if you have high blood potassium levels, low blood sodium levels, or are on a low salt (sodium) diet
  • if you are on dialysis or are scheduled to have major surgery

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

  • Diuretics (eg, furosemide, hydrochlorothiazide) because the risk of low blood pressure may be increased
  • Aldosterone blockers (eg, eplerenone), potassium-sparing diuretics (eg, spironolactone, triamterene), or potassium supplements because the risk of high blood potassium levels may be increased
  • Insulin, sulfonylureas (eg, glipizide), or other oral diabetes medicines (eg, metformin) because the risk of low blood sugar may be increased
  • Gold-containing medicines (eg, auranofin) because flushing, nausea, vomiting, and low blood pressure may occur
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen, indomethacin, celecoxib) or salicylates (eg, aspirin) because they may decrease Zestril ’s effectiveness
  • Lithium or thiopurines (eg, azathioprine) because the risk of their side effects may be increased by Zestril

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

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

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

Important safety information:

  • Zestril may cause dizziness, lightheadedness, or fainting. These effects may be worse if you take it with alcohol or certain medicines. Use Zestril with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Zestril may cause a serious side effect called angioedema. Contact your doctor at once if you develop swelling of the hands, face, lips, eyes, throat, or tongue; difficulty swallowing or breathing; or hoarseness.
  • Zestril may not work as well in black patients. They may also be at greater risk of side effects. Contact your doctor if your symptoms do not improve or if they become worse.
  • Dehydration, excessive sweating, vomiting, or diarrhea may increase the risk of low blood pressure. Contact your health care provider at once if any of these occur.
  • Rarely, Zestril may lower the ability of your body to fight infection. This risk may be greater if you have certain other health problems (eg, kidney problems, collagen vascular disease). Tell your doctor if you notice signs of infection like fever, sore throat, rash, or chills.
  • Check with your doctor before you use a salt substitute or a product that has potassium in it.
  • Tell your doctor or dentist that you take Zestril before you receive any medical or dental care, emergency care, or surgery.
  • Patients who take medicine for high blood pressure often feel tired or run down for a few weeks after starting treatment. Be sure to take your medicine even if you may not feel "normal." Tell your doctor if you develop any new symptoms.
  • If you have high blood pressure, do not use nonprescription products that contain stimulants. These products may include diet pills or cold medicines. Contact your doctor if you have any questions or concerns.
  • Diabetes patients- Zestril may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
  • Lab tests, including blood pressure, blood electrolyte levels, heart function, or kidney or liver function, may be performed while you use Zestril . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Use Zestril with caution in the ELDERLY; they may be more sensitive to its effects.
  • Zestril should not be used in CHILDREN younger than 6 years old; safety and effectiveness in these children have not been confirmed.
  • PREGNANCY AND BREAST-FEEDING: Zestril may cause birth defects or fetal death if you take it while you are pregnant. If you think you may be pregnant, contact your doctor right away. It is not known if Zestril is found in breast milk. Do not breast-feed while taking Zestril .

Possible side effects of Zestril :

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:

Cough; diarrhea; dizziness; headache; tiredness.

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 hands, eyes, mouth, face, lips, or tongue; hoarseness); chest pain; dark urine; decreased urination; difficulty swallowing; infection (eg, fever, chills, persistent sore throat); irregular or slow heartbeat; stomach pain (with or without nausea or vomiting); symptoms of low blood pressure (eg, fainting, severe dizziness, lightheadedness); 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 fainting; severe dizziness or lightheadedness; weakness.

Proper storage of Zestril :

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

General information:

  • If you have any questions about Zestril , please talk with your doctor, pharmacist, or other health care provider.
  • Zestril 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 Zestril . 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: November 7, 2007
Database Edition 07.4.1.002
Copyright © 2007 Wolters Kluwer Health, Inc.

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Pravachol

Pravachol ® (Pravastatin)

Generic Name: Pravastatin
Brand Name: Pravachol

Pravachol lowers high cholesterol and triglycerides in certain patients. It also increases high-density lipoprotein (HDL, "good") cholesterol levels.


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Pravachol is used for:

Lowering high cholesterol and triglycerides in certain patients. It also increases high-density lipoprotein (HDL, "good") cholesterol levels. It is used along with an appropriate diet. It is also used in certain patients to reduce the risk of heart attack, stroke, and death due to coronary heart disease. It is also used to slow blood vessel blockage and to reduce the need for medical procedures to open blocked blood vessels. It may also be used for other conditions as determined by your doctor.

Pravachol is an HMG-CoA reductase inhibitor, also known as a "statin." It works by reducing the production of certain fatty substances in the body, including cholesterol.

Do NOT use Pravachol if:

  • you are allergic to any ingredient in Pravachol
  • you have liver problems or unexplained abnormal liver function tests
  • you are pregnant or breast-feeding

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

Before using Pravachol :

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

  • if you are planning to become pregnant
  • 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 low blood pressure, a serious infection, kidney problems, diabetes, muscle pain or tenderness, or a history of seizures
  • if you have metabolism, hormonal, or electrolyte problems
  • if you drink alcohol, have jaundice (yellowing of the skin or eyes), or have a history of liver problems or alcohol abuse
  • if you have recently had major surgery or a serious injury
  • if you have a certain type of high cholesterol (homozygous familial hypercholesterolemia)

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

  • Azole antifungals (eg, itraconazole, ketoconazole), fibrates (eg, gemfibrozil, clofibrate), fluconazole, HIV protease inhibitors (eg, ritonavir), immunosuppressants (eg, cyclosporine), macrolides (eg, erythromycin), niacin, non-nucleoside reverse transcriptase inhibitors (eg, delavirdine), telithromycin, or voriconazole because they may increase the risk of muscle or kidney problems
  • Cimetidine or spironolactone because the risk of their side effects may be increased by Pravachol

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

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

  • Take Pravachol by mouth with or without food.
  • If you take cholestyramine or colestipol, ask your doctor or pharmacist how to take it with Pravachol .
  • Continue to take Pravachol even if you feel well. Do not miss any doses.
  • If you miss a dose of Pravachol , 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 Pravachol .

Important safety information:

  • Pravachol may cause dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Pravachol with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Drinking alcohol daily or in large amounts may increase the risk of liver problems with Pravachol . Check with your doctor before drinking alcohol while you are taking Pravachol .
  • Follow the diet and exercise program given to you by your health care provider.
  • Tell your doctor or dentist that you take Pravachol before you receive any medical or dental care, emergency care, or surgery.
  • Women who may become pregnant should use effective birth control while taking Pravachol . Check with your doctor if you have questions about using birth control.
  • Do NOT take more than the recommended dose without checking with your doctor.
  • Report any unexplained muscle pain, tenderness, or weakness to your doctor right away, especially if you also have a fever or general body discomfort.
  • Lab tests, including blood cholesterol levels and liver function tests, may be performed while you use Pravachol . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Pravachol should be used with extreme caution in CHILDREN younger than 8 years old and in those who have not reached puberty; safety and effectiveness in these children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: Do not use Pravachol if you are pregnant. It may cause harm to the fetus. Avoid becoming pregnant while you are taking it. If you think you may be pregnant, contact your doctor right away. Pravachol is found in breast milk. Do not breast-feed while you are taking Pravachol .

Possible side effects of Pravachol :

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:

Headache; heartburn.

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); change in the amount of urine produced; chest pain; dark urine; fever, chills, or persistent sore throat; flu-like symptoms; muscle pain, tenderness, or weakness (with or without fever or fatigue); pale stools; red, swollen, blistered, or peeling skin; severe stomach pain; vision changes; 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.

Proper storage of Pravachol :

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

General information:

  • If you have any questions about Pravachol , please talk with your doctor, pharmacist, or other health care provider.
  • Pravachol 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 Pravachol . 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: November 7, 2007
Database Edition 07.4.1.002
Copyright © 2007 Wolters Kluwer Health, Inc.

 

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Plavix

Plavix ® (Clopidogrel)

Generic Name: Clopidogrel
Brand Name: Plavix

Plavix reduces the risk of stroke or heart attack in patients who have already had a heart attack or stroke, or have other circulatory problems due to narrowing and hardening of the arteries. It also may be used for other conditions as determined by your doctor.


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Plavix is used for:

Reducing the risk of stroke or heart attack in patients who have already had a heart attack or stroke, or have other circulatory problems due to narrowing and hardening of the arteries. It also may be used for other conditions as determined by your doctor.

Plavix is a platelet aggregation inhibitor. It works by slowing or stopping platelets from sticking to blood vessel walls or injured tissues.

Do NOT use Plavix if:

  • you are allergic to any ingredient in Plavix
  • you have an active bleeding disorder, such as stomach ulcer or bleeding in the brain

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

Before using Plavix :

Some medical conditions may interact with Plavix . 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 bone marrow disease, liver or kidney problems, or a history of ulcers
  • if you have increased risk of bleeding because of trauma or surgery, including dental surgery

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

  • NSAIDs (eg, aspirin, ibuprofen) or oral anticoagulants (eg, warfarin) because the risk of side effects, including the risk of bleeding, may be increased by Plavix

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

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

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

Important safety information:

  • Plavix may cause dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Plavix with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Plavix may reduce the number of clot-forming cells (platelets) in your blood. Avoid activities that may cause bruising or injury. Tell your doctor if you have unusual bruising or bleeding. Tell your doctor if you have dark, tarry, or bloody stools.
  • Tell your doctor or dentist that you take Plavix before you receive any medical or dental care, emergency care, or surgery. You may need to stop Plavix before you have certain types of surgery.
  • Plavix should not be used in CHILDREN; safety and effectiveness in children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and risks of using Plavix while you are pregnant. It is not known if Plavix is found in breast milk. Do not breast-feed while taking this medicine.

Possible side effects of Plavix :

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:

Easy bruising; minor bleeding.

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); bleeding in the eye; change in vision; change in the amount of urine; chest pain; dark or bloody urine; black, tarry stools, unusual or severe bleeding (eg, excessive bleeding from cuts, increased menstrual bleeding, unexplained vaginal bleeding, unusual bleeding from the gums when brushing); loss of appetite; pale skin; seizures; severe, persistent headache; sore throat or fever; speech problems; unusual bruising; weakness; unexplained weight loss; yellowing of 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.

Proper storage of Plavix :

Store Plavix 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 Plavix out of the reach of children and away from pets.

General information:

  • If you have any questions about Plavix , please talk with your doctor, pharmacist, or other health care provider.
  • Plavix 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 Plavix . 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: November 7, 2007
Database Edition 07.4.1.002
Copyright © 2007 Wolters Kluwer Health, Inc.

 

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Norvasc

Norvasc ® (Amlodipine)

Generic Name: Amlodipine (am-LOE-di-peen)
Brand Name: Norvasc

Norvasc treating high blood pressure and angina (chest pain). It may be used alone or with other medicines. It may also be used for other conditions as determined by your doctor.


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Norvasc is used for:

Treating high blood pressure and angina (chest pain). It may be used alone or with other medicines. It may also be used for other conditions as determined by your doctor.

Norvasc is a calcium channel blocker. It works by relaxing (dilating) your blood vessels, lowering blood pressure, and decreasing heart rate, which lowers the workload on the heart. It also dilates coronary arteries increasing blood flow to the heart.

Do NOT use Norvasc if:

  • you are allergic to any ingredient in Norvasc

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

Before using Norvasc :

Some medical conditions may interact with Norvasc . 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 heart failure, very low blood pressure, or liver problems

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

  • Vasopressin receptor antagonists (eg, conivaptan) because they may increase the risk of Norvasc ’s side effects
  • Sildenafil because the risk of low blood pressure may be increased

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

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

  • An extra patient leaflet is available with Norvasc . Talk to your pharmacist if you have questions about this information.
  • Take Norvasc by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
  • Continue to use Norvasc even if you feel well. Do not miss any doses.
  • If you miss a dose of Norvasc , 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 Norvasc .

Important safety information:

  • Norvasc may cause drowsiness or dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Norvasc with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Norvasc 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 who take medicine for high blood pressure often feel tired or run down for a few weeks after starting treatment. Be sure to take your medicine even if you may not feel "normal." Tell your doctor if you develop any new symptoms.
  • If you are taking Norvasc for angina, it will not relieve the pain of an acute attack if taken at the time of an acute attack. It prevents or reduces the number of angina attacks only if you take it on regular schedule.
  • When you begin using Norvasc , it may cause a headache, which usually lasts for a short time.
  • While you are using Norvasc , it is important to brush and floss your teeth carefully to reduce swelling and tenderness of your gums.
  • Although rare, Norvasc has been known to increase chest pain and increase the risk of heart attack, especially in patients with severe heart disease.
  • Lab tests, including blood pressure checks, may be performed while you use Norvasc . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Use Norvasc with caution in the ELDERLY; they may be more sensitive to its effects.
  • Norvasc should not be used in CHILDREN younger than 6 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 Norvasc while you are pregnant. It is not known if Norvasc is found in breast milk. Do not breast-feed while taking Norvasc .

Possible side effects of Norvasc :

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; fatigue; flushing; headache; muscle cramps; nausea; stomach pain; 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); dark urine; difficulty breathing; fast or irregular heartbeat; pounding in the chest; swelling of feet or legs; tender, bleeding, or swollen gums; worsening chest pain; 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 dizziness; fainting or lightheadedness, especially upon standing; very fast heart rate.

Proper storage of Norvasc :

Store Norvasc 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 Norvasc out of the reach of children and away from pets.

General information:

  • If you have any questions about Norvasc , please talk with your doctor, pharmacist, or other health care provider.
  • Norvasc 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 Norvasc . 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: November 7, 2007
Database Edition 07.4.1.002
Copyright © 2007 Wolters Kluwer Health, Inc.

 

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Lotensin

Lotensin ® (Benazepril)

Generic Name: Benazepril
Brand Name: Lotensin

Lotensin treats high blood pressure. It may be used alone or with other blood pressure medicines. It may also be used for other conditions as determined by your doctor.


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DO NOT take Lotensin if you are pregnant. Lotensin can cause injury and possibly death to an unborn baby when used after the third month of pregnancy. Talk with your doctor at once if you suspect that you are pregnant

Lotensin is used for:

Treating high blood pressure. It may be used alone or with other blood pressure medicines. It may also be used for other conditions as determined by your doctor.

Lotensin is an angiotensin-converting enzyme (ACE) inhibitor. It works by decreasing a chemical that tightens blood vessels. This causes the blood vessels to relax (dilate), which lowers blood pressure.

Do NOT use Lotensin if:

  • you are allergic to any ingredient in Lotensin
  • you have ever had an allergic reaction to any other ACE inhibitor
  • you are pregnant

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

Before using Lotensin :

Some medical conditions may interact with Lotensin . Tell your health care provider 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 liver or kidney problems, kidney transplantation, or diabetes
  • if you have systemic lupus erythematosus (SLE or lupus), scleroderma or a collagen vascular disease (ask your doctor if you are not sure), bone marrow suppression, low blood counts, low blood pressure, low blood sodium, high blood potassium, or narrowing or hardening of the arteries of the brain, or are dehydrated
  • if you are scheduled to have surgery or to receive anesthesia or kidney dialysis

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

  • Dextran sulfate or thiazide diuretics (eg, hydrochlorothiazide) because the risk of serious damage to the kidney (eg, decreased urine output, weight gain) may be increased
  • Lithium because toxic side effects (eg, tiredness; confusion; slurred speech; muscle tremors, spasms, weakness, or involuntary movements; seizures; loss of consciousness; coma) may be increased by Lotensin
  • Indomethacin because it may decrease Lotensin ’s effectiveness
  • Oral diabetes medicine (eg, glyburide) because side effects, including low blood sugar levels (eg, hunger, shakiness or weakness, dizziness, headache, sweating), may be increased by Lotensin
  • Potassium supplements or potassium-sparing diuretics (eg, amiloride) may cause high blood potassium levels, resulting in listlessness, confusion, abnormal skin sensations of the arms and legs, heaviness of limbs, slow or irregular heartbeat, or stopping of the heart
  • Thiopurines (eg, azathioprine) because the risk of their side effects (eg, a low white blood cell count, increase in infections) may be increased by Lotensin

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

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

  • Take Lotensin by mouth with or without food.
  • Taking Lotensin at the same time each day will help you remember to take it.
  • Drink plenty of fluids while taking Lotensin . Not drinking enough fluids or excessive sweating, diarrhea, or vomiting can lead to lightheadedness or fainting.
  • For children who cannot swallow tablets, ask your doctor or pharmacist about preparing a suspension of Lotensin .
  • If you miss a dose of Lotensin , 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 Lotensin .

Important safety information:

  • Lotensin may cause drowsiness, dizziness, or lightheadedness. These effects may be worse if you take it with alcohol or certain medicines. Use Lotensin with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Lotensin 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 who take medicine for high blood pressure often feel tired or run down for a few weeks after starting treatment. Be sure to take your medicine even if you may not feel "normal." Tell your doctor if you develop any new symptoms.
  • Lotensin may cause a dry, unproductive cough. This symptom usually stops after treatment with Lotensin is stopped.
  • Tell your doctor or dentist that you take Lotensin before you receive any medical or dental care, emergency care, or surgery.
  • Check with your doctor before you use a salt substitute or a product that has potassium in it.
  • Diabetes patients - Lotensin may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
  • LAB TESTS, including blood pressure, may be performed while you use Lotensin . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Lotensin should not be used in CHILDREN younger than 6 years old; safety and effectiveness in these children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: Lotensin may cause fetal and newborn death if you take it while you are pregnant. If you think you may be pregnant, contact your doctor right away. Lotensin is found in breast milk. Do not breast-feed while taking Lotensin .

Possible side effects of Lotensin :

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:

Cough; dizziness, especially upon standing; headache; nausea; sleepiness; tiredness.

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; chills; fainting; fever; hoarseness; irregular or slow heartbeat; lightheadedness; sore throat; unusual stomach pain; 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 dizziness; lightheadedness, especially upon standing; weakness.

Proper storage of Lotensin :

Store Lotensin at or below 86 degrees F (30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Lotensin out of the reach of children and away from pets.

General information:

  • If you have any questions about Lotensin , please talk with your doctor, pharmacist, or other health care provider.
  • Lotensin 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 Lotensin . 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: November 7, 2007
Database Edition 07.4.1.002
Copyright © 2007 Wolters Kluwer Health, Inc.

 

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Lipitor

Lipitor ® (Atorvastatin)

Generic Name: Atorvastatin
Brand Name: Lipitor

Lipitor lowers high cholesterol and triglycerides in certain patients. It also increases high-density lipoprotein (HDL, "good") cholesterol levels.


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Lipitor is used for:

Lowering high cholesterol and triglycerides in certain patients. It also increases high-density lipoprotein (HDL, "good") cholesterol levels. It is used along with an appropriate diet. It is used in certain patients to reduce the risk of heart attack, stroke, chest pain caused by angina, or blood vessel blockage. It is also used in certain patients to reduce the risk of hospitalization for congestive heart failure, or the need for medical procedures to open blocked heart blood vessels. It may also be used for other conditions as determined by your doctor.

Lipitor is an HMG-CoA reductase inhibitor, also known as a "statin." It works by reducing the production of certain fatty substances in the body, including cholesterol.

Do NOT use Lipitor if:

  • you are allergic to any ingredient in Lipitor
  • you have liver problems or unexplained abnormal liver function tests
  • you are pregnant or breast-feeding
  • you are taking an HIV protease inhibitor (eg, ritonavir), itraconazole, or mibefradil

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

Before using Lipitor :

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

  • if you are planning to become pregnant
  • 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 low blood pressure, a serious infection, or a history of seizures
  • if you have metabolism, hormonal, or electrolyte problems
  • if you drink alcohol or have a history of liver problems or alcohol abuse
  • if you have recently had major surgery, a serious injury, or a stroke

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

  • Amiodarone, azole antifungals (eg, itraconazole, ketoconazole), colchicine, diltiazem, fibrates (eg, gemfibrozil, clofibrate), fluconazole, HIV protease inhibitors (eg, ritonavir), imatinib, immunosuppressants (eg, cyclosporine), macrolides (eg, erythromycin), mibefradil, nefazodone, niacin, non-nucleoside reverse transcriptase inhibitors (eg, delavirdine), streptogramins (eg, dalfopristin), telithromycin, vasopressin receptor antagonists (eg, conivaptan), verapamil, or voriconazole because they may increase the risk of muscle or kidney problems
  • Bosentan, carbamazepine, rifampin, or St. John’s wort because they may decrease Lipitor ’s effectiveness
  • Digoxin, hormonal birth control (eg, birth control pills), macrolide immunosuppressants (eg, tacrolimus), or spironolactone because the risk of their side effects may be increased by Lipitor

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

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

  • Take Lipitor by mouth with or without food.
  • Do not eat grapefruit or drink grapefruit juice at the same time you take Lipitor . Grapefruit and grapefruit juice may increase the risk of side effects from Lipitor . Talk to your doctor before including grapefruit or grapefruit juice in your diet while taking Lipitor .
  • Continue to take Lipitor even if you feel well. Do not miss any doses.
  • If you miss a dose of Lipitor , 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 Lipitor .

Important safety information:

  • Lipitor may cause dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Lipitor with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Drinking alcohol daily or in large amounts may increase the risk of liver problems with Lipitor . Check with your doctor before drinking alcohol while you are taking Lipitor .
  • Follow the diet and exercise program given to you by your health care provider.
  • Tell your doctor or dentist that you take Lipitor before you receive any medical or dental care, emergency care, or surgery.
  • Women who may become pregnant should use effective birth control while taking Lipitor . Check with your doctor if you have questions about using birth control.
  • Report any unexplained muscle pain, tenderness, or weakness to your doctor right away, especially if you also have a fever or general body discomfort.
  • Lab tests, including blood cholesterol levels and liver function tests, may be performed while you use Lipitor . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • This medicine should be used with extreme caution in CHILDREN younger than 10 years old and in those who have not reached puberty; safety and effectiveness in these children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: Do not use Lipitor if you are pregnant. It may cause harm to the fetus. Avoid becoming pregnant while you are taking it. If you think you may be pregnant, contact your doctor right away. It is not known if Lipitor is found in breast milk. Do not breast-feed while taking Lipitor .

Possible side effects of Lipitor :

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; gas; headache; stomach pain or upset; 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); bone, joint, or tendon pain; change in the amount of urine produced; chest pain; dark urine; fever, chills, or persistent sore throat; flu-like symptoms; joint pain; muscle pain, tenderness, or weakness (with or without fever or fatigue); painful or frequent urination; pale stools; red, swollen, blistered, or peeling skin; severe stomach pain; swelling of the hands, ankles, or feet; 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. 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 Lipitor :

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

General information:

  • If you have any questions about Lipitor , please talk with your doctor, pharmacist, or other health care provider.
  • Lipitor 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 Lipitor . 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: November 7, 2007
Database Edition 07.4.1.002
Copyright © 2007 Wolters Kluwer Health, Inc.

 

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Lasix

Lasix ® (Furosemide)

Generic Name: Furosemide Tablets
Brand Name: Lasix

Lasix treats high blood pressure or water retention (swelling) associated with congestive heart failure, liver disease, or kidney disease. It may also be used for other conditions as determined by your doctor.


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Lasix is used for:

Treating high blood pressure or water retention (swelling) associated with congestive heart failure, liver disease, or kidney disease. It may also be used for other conditions as determined by your doctor.

Lasix is a loop diuretic. Loop diuretics make the kidneys eliminate larger amounts of electrolytes (especially sodium and potassium salts) and water than normal (diuretic effect). Loop diuretics are useful for treating many conditions in which salt and water retention (eg, edema, swelling) are a problem.

Do NOT use Lasix if:

  • you are allergic to any ingredient in Lasix
  • you are unable to urinate
  • you are taking ethacrynic acid

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

Before using Lasix :

Some medical conditions may interact with Lasix . 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 fluid in your abdomen (ascites), hearing problems, liver disease, diabetes, low urine output, kidney problems, lupus, gout, abnormal blood electrolyte levels, high blood uric acid levels, or the blood disease porphyria
  • if you have had a heart attack, are dehydrated, or are on a low-salt diet

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

  • Corticosteroids (eg, prednisone) or corticotropin (ACTH) because the risk of low blood potassium levels may be increased
  • Barbiturates (eg, phenobarbital) or narcotics (eg, codeine) because the risk of dizziness upon standing may be increased
  • Aminoglycosides (eg, gentamicin), amphotericin B, angiotensin-converting enzyme (ACE) inhibitors (eg, captopril), cyclosporine, ethacrynic acid, tacrolimus, or vancomycin because serious side effects to the kidneys (decreased ability to urinate) or ears (hearing loss) may occur
  • Chloral hydrate because side effects, such as excessive sweating, rapid heartbeat, and changes in blood pressure, may occur
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen, indomethacin) because they may decrease Lasix ’s effectiveness
  • Digoxin, lithium, medicines for high blood pressure, salicylates (eg, aspirin), or succinylcholine because the risk of their side effects may be increased by Lasix
  • Norepinephrine or tubocurarine because their effectiveness may be decreased by Lasix

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

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

  • Take Lasix by mouth with or without food.
  • If you take cholestyramine, colestipol, or sucralfate, ask your doctor or pharmacist how to take them with Lasix .
  • Lasix may increase the amount of urine or cause you to urinate more often when you first start taking it. To keep this from disturbing your sleep, try to take your dose before 6 pm.
  • If you miss a dose of Lasix , 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 Lasix .

Important safety information:

  • Lasix may cause dizziness or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Lasix with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Lasix 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.
  • Diabetes patients - Lasix may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
  • Tell your doctor or dentist that you take Lasix before you receive any medical or dental care, emergency care, or surgery.
  • Your doctor may also prescribe a potassium supplement while you take Lasix . Check with your doctor before you use a salt substitute or other product that has potassium in it.
  • Lasix is a strong diuretic. Using too much of this drug can lead to serious water and mineral loss. Therefore, it is important that you be monitored by your doctor. Promptly notify your doctor if you become very thirsty, have a dry mouth, become confused, or develop muscle cramps/weakness.
  • Patients who take medicine for high blood pressure often feel tired or run down for a few weeks after starting treatment. Be sure to take your medicine even if you may not feel "normal." Tell your doctor if you develop any new symptoms.
  • If you have high blood pressure, do not use nonprescription products that contain stimulants. These products may include diet pills or cold medicines. Contact your doctor if you have any questions or concerns.
  • Lasix may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Lasix . Use a sunscreen or wear protective clothing if you must be outside for more than a short time.
  • Lab tests, including blood pressure and complete blood counts, may be performed while you use Lasix . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Use Lasix with caution in the ELDERLY; they may be more sensitive to its effects, especially dehydration.
  • Caution is advised when using Lasix in CHILDREN; they may be more sensitive to its effects.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Lasix while you are pregnant. Lasix is found in breast milk. If you are or will be breast-feeding while you use Lasix , check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Lasix :

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; lightheadedness; sensitivity to sunlight.

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); calf pain or tenderness; confusion; dark urine; decreased or persistent increased urination; drowsiness; dry mouth; fast or irregular heartbeat; fever, chills, or sore throat; hearing decrease or loss; muscle pain/cramps/weakness; restlessness; ringing in the ears; severe or persistent nausea, vomiting, or dizziness; shortness of breath; sluggishness; stomach pain; unusual bleeding or bruising; unusual thirst or hunger; unusual tiredness or weakness; vein inflammation; yellow vision; 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 dehydration; electrolyte imbalance (weakness; drowsiness; severe or persistent dizziness; muscle pain or cramps; unusual thirst; dry mouth; unusual tiredness; racing heartbeat; excessive urination; restlessness; irregular heart rhythms; severe or persistent nausea or vomiting); low blood pressure.

Proper storage of Lasix :

Store Lasix at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat and moisture in a tight, light-resistant container. Exposure to light may cause a slight discoloration. Do not take discolored tablets. Do not store in the bathroom. Keep Lasix out of the reach of children and away from pets.

General information:

  • If you have any questions about Lasix , please talk with your doctor, pharmacist, or other health care provider.
  • Lasix 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 Lasix . 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: November 7, 2007
Database Edition 07.4.1.002
Copyright © 2007 Wolters Kluwer Health, Inc.

 

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Diovan

Diovan ® (Valsartan)

Generic Name: Valsartan
Brand Name: Diovan

Diovan treats high blood pressure alone or with other medicines. It is also used for treating heart failure in patients who do not tolerate angiotensin-converting enzyme (ACE) inhibitors.


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When used in pregnancy after the third month, Diovan can cause injury and even death to the developing fetus. Stop taking Diovan and contact your health care provider as soon as possible if you suspect that you are pregnant

Diovan is used for:

Treating high blood pressure alone or with other medicines. It is also used for treating heart failure in patients who do not tolerate angiotensin-converting enzyme (ACE) inhibitors.

Diovan is an angiotensin II receptor blocker. It works by blocking a hormone that tightens blood vessels. This causes blood vessels to relax (dilate), which lowers blood pressure and decreases the workload on the heart.

Do NOT use Diovan if:

  • you are allergic to any ingredient in Diovan
  • you are past your first trimester of pregnancy

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

Before using Diovan :

Some medical conditions may interact with Diovan . 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, foods, or other substances
  • if you have dehydration or low blood sodium, or kidney or liver problems
  • if you have heart failure or you have had a heart attack

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

  • Potassium-sparing diuretics (eg, amiloride) and potassium supplements because high blood potassium levels may occur and cause listlessness, confusion, abnormal skin sensations of the arms and legs, heaviness of limbs, slowed heart rate, irregular heart rhythm, or stopping of the heart when used with Diovan
  • Lithium because its actions and side effects may be increased by Diovan

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

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

  • Take Diovan by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
  • Take Diovan on a regular schedule to get the most benefit from it.
  • If you miss a dose of Diovan , 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 Diovan .

Important safety information:

  • Diovan may cause dizziness or drowsiness. These effects may be worse if you take it with alcohol or certain medicines. Use Diovan with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Diovan 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 who take medicine for high blood pressure often feel tired or run down for a few weeks after starting treatment. Be sure to take your medicine even if you may not feel "normal." Tell your doctor if you develop any new symptoms.
  • Check with your doctor before you use a salt substitute or a product that has potassium in it.
  • Lab tests, including blood pressure monitoring, may be performed while you use Diovan . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Diovan should not be used in CHILDREN; safety and effectiveness in children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: Do not take Diovan after the third month of pregnancy. It may cause injury or death to the fetus. If you become pregnant, contact your doctor right away. It is not known if Diovan is found in breast milk. If you are or will be breast-feeding while you use Diovan , check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Diovan :

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; cough; diarrhea; dizziness; headache; joint pain; nausea; runny nose; sinus inflammation; sore throat; stomach pain; swelling; tiredness; upper respiratory tract infection; viral infection.

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); decreased urination; fainting; irregular heartbeat; muscle pain; severe or persistent dizziness.

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 lightheadedness especially upon standing; very fast or slow heartbeat.

Proper storage of Diovan :

Store Diovan 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 Diovan out of the reach of children and away from pets.

General information:

  • If you have any questions about Diovan , please talk with your doctor, pharmacist, or other health care provider.
  • Diovan 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 Diovan . 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: November 7, 2007
Database Edition 07.4.1.002
Copyright © 2007 Wolters Kluwer Health, Inc.

 

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Cozaar

Cozaar ® (Losartan)

Generic Name: Losartan
Brand Name: Cozaar

Cozaar treats high blood pressure. It is also used to reduce the risk of stroke in certain patients with high blood pressure and for treating kidney disease in certain patients with type 2 diabetes.


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When used in pregnancy after the third month, Cozaar can cause injury and even death to the developing fetus. Stop taking Cozaar and contact your health care provider as soon as possible if you suspect that you are pregnant

Cozaar is used for:

Treating high blood pressure. It is also used to reduce the risk of stroke in certain patients with high blood pressure and for treating kidney disease in certain patients with type 2 diabetes.

Cozaar is an angiotensin-2 receptor antagonist. It works by blocking the action of angiotensin-2 in the body, which relaxes blood vessels and helps the kidneys to eliminate extra sodium and fluids.

Do NOT use Cozaar if:

  • you are allergic to any ingredient in Cozaar
  • you are pregnant
  • the patient is a child with severely decreased kidney function

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

Before using Cozaar :

Some medical conditions may interact with Cozaar . Tell your health care provider if you have any medical conditions, especially if any of the following apply to you:

  • if you are 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 problems, liver problems, congestive heart failure, blood electrolyte problems (eg, low sodium levels or high potassium levels), or low fluid volume (eg, dehydration)

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

  • Potassium or potassium-sparing diuretics (eg, spironolactone) because the risk of irregular heartbeat due to high blood potassium levels may be increased
  • Indomethacin because it may decrease Cozaar ’s effectiveness
  • Lithium because the risk of its side effects may be increased by Cozaar

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

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

  • Take Cozaar by mouth with or without food.
  • Take this medicine on a regular schedule to get the most benefit from it. Continue to take Cozaar even if you feel well. Do not miss any doses.
  • If you miss a dose of Cozaar , 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 Cozaar .

Important safety information:

  • Cozaar may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Cozaar with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Cozaar 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.
  • Check with your doctor before you use a salt substitute or a product that has potassium in it.
  • Patients who take medicine for high blood pressure often feel tired or run down for a few weeks after starting treatment. Be sure to take your medicine even if you may not feel "normal." Tell your doctor if you develop any new symptoms.
  • Cozaar has not been shown to reduce the risk of stroke or certain heart problems in black patients who have high blood pressure.
  • Diabetes patients - Cozaar may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
  • Lab tests, including liver function, kidney function, and blood pressure, may be performed while you use Cozaar . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Cozaar should not be used in CHILDREN younger than 6 years old; safety and effectiveness in these children have not been confirmed.
  • Cozaar is not recommended for use in CHILDREN who have severely decreased kidney function.
  • PREGNANCY and BREAST-FEEDING: Do not take Cozaar after the third month of pregnancy. It may cause injury or death to the fetus. If you become pregnant, contact your doctor right away. It is unknown if Cozaar is found in breast milk. Do not breast-feed while taking Cozaar .

Possible side effects of Cozaar :

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; tiredness; 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); chest pain; dark urine; decreased amount of urine; hoarseness; irregular heartbeat; muscle pain or tenderness; stomach pain; 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 fainting; rapid or unusually slow heartbeat; severe dizziness.

Proper storage of Cozaar :

Store Cozaar 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 Cozaar out of the reach of children and away from pets.

General information:

  • If you have any questions about Cozaar , please talk with your doctor, pharmacist, or other health care provider.
  • Cozaar 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 Cozaar . 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: November 7, 2007
Database Edition 07.4.1.002
Copyright © 2007 Wolters Kluwer Health, Inc.

 

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