Thursday, September 29, 2016

Clipto




Clipto may be available in the countries listed below.


Ingredient matches for Clipto



Enalapril

Enalapril maleate (a derivative of Enalapril) is reported as an ingredient of Clipto in the following countries:


  • Spain

International Drug Name Search

Porabutin




Porabutin may be available in the countries listed below.


Ingredient matches for Porabutin



Oxybutynin

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


  • Japan

International Drug Name Search

Lanicor




Lanicor may be available in the countries listed below.


Ingredient matches for Lanicor



Digoxin

Digoxin is reported as an ingredient of Lanicor in the following countries:


  • Argentina

  • Botswana

  • Croatia (Hrvatska)

  • Czech Republic

  • Ecuador

  • Germany

  • Ghana

  • Kenya

  • Luxembourg

  • Malawi

  • Namibia

  • Nigeria

  • Sudan

  • Tanzania

  • Uganda

  • Venezuela

  • Zambia

  • Zimbabwe

International Drug Name Search

Lanoxin Elixir



Pronunciation: di-JOX-in
Generic Name: Digoxin
Brand Name: Lanoxin


Lanoxin Elixir is used for:

Treating heart failure or slowing the heart rate in patients with chronic atrial fibrillation, a type of abnormal heart rhythm. It may also be used for other conditions as determined by your doctor.


Lanoxin Elixir is a digitalis glycoside. It works by increasing the force of contraction of the heart and slowing heart rate.


Do NOT use Lanoxin Elixir if:


  • you are allergic to any ingredient in Lanoxin Elixir

  • you are taking sucralfate

  • you have certain types of heart rhythm problems, such as ventricular fibrillation

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



Before using Lanoxin Elixir:


Some medical conditions may interact with Lanoxin Elixir. 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 severe heart failure or other heart problems (eg, inflammation, heart block, cor pulmonale, cardiomyopathy, amyloid heart disease ), extra heart beats (premature ventricular contractions [PVCs]), other types of abnormal heart rhythm, heart problems due to low thiamine (eg, beriberi heart disease), Wolff-Parkinson-White syndrome, heart blood vessel problems, or fainting due to a heart problem

  • if you have severe kidney, liver, or lung problems, or thyroid problems

  • if you have low blood levels of calcium, magnesium, or potassium, or high blood levels of potassium or calcium

  • if you have had a recent heart attack

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


  • Alprazolam, amiodarone, amphotericin B, anticholinergics (eg, propantheline), beta-blockers (eg, propranolol, carvedilol), bupivacaine, calcium, cyclosporine, diltiazem, diphenoxylate, diuretics (eg, furosemide, hydrochlorothiazide), indomethacin, itraconazole, macrolides (eg, erythromycin), propafenone, quinidine, quinine, spironolactone, stimulants (eg, amphetamine), succinylcholine, sympathomimetics (eg, albuterol, pseudoephedrine), tetracyclines (eg, doxycycline), thioamines (eg, methimazole), or verapamil because they may increase the risk of Lanoxin Elixir's side effects, especially on the heart

  • Acarbose, certain anticancer medicines, cholestyramine, colestipol, kaolin-pectin, metoclopramide, penicillamine, rifampin, sulfasalazine, or thyroid hormones (eg, levothyroxine) because they may decrease Lanoxin Elixir's effectiveness

  • Oral aminoglycosides (eg, neomycin) because the actions and side effects of Lanoxin Elixir may be increased or decreased

  • Spironolactone because it may interfere with certain lab tests for digoxin blood levels and give incorrect readings

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


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


  • Take Lanoxin Elixir by mouth. Do not take it within 1 hour of food high in fiber.

  • Do not take antacids containing aluminum or magnesium, cholestyramine, or colestipol within 2 to 4 hours of taking Lanoxin Elixir.

  • Use the dropper that comes with Lanoxin Elixir to measure your dose. Ask your pharmacist for help if you are unsure of how to measure your dose.

  • If you miss a dose of Lanoxin Elixir, 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 Lanoxin Elixir.



Important safety information:


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

  • Tell your doctor or dentist that you take Lanoxin Elixir before you receive any medical or dental care, emergency care, or surgery.

  • Lanoxin Elixir may interfere with certain lab tests, including an electrocardiogram (ECG). Be sure your doctor and lab personnel know you are using Lanoxin Elixir.

  • Lab tests, including ECG, electrolytes, kidney function, and blood digoxin levels, may be performed while you use Lanoxin Elixir. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.

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

  • Use Lanoxin Elixir with extreme caution in NEWBORN INFANTS, especially those who are premature or immature; they may be more sensitive to its effects.

  • Poisoning may occur in children who accidently swallow Lanoxin Elixir or receive too much medicine. In case of an overdose, call a doctor or poison control center right away.

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


Possible side effects of Lanoxin Elixir:


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; 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); blurred vision, yellow vision, or other vision changes; confusion; fast, slow, or irregular heartbeat; hallucinations; mood or mental changes (eg, depression); severe or persistent nausea, vomiting, or stomach pain; unusual bruising or bleeding; unusual tiredness or weakness.



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


See also: Lanoxin side effects (in more detail)


If OVERDOSE is suspected:


Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include very fast, very slow, or irregular heartbeat.


Proper storage of Lanoxin Elixir:

Store Lanoxin Elixir 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 Lanoxin Elixir out of the reach of children and away from pets.


General information:


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

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

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

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

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



Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Lanoxin resources


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


Compare Lanoxin with other medications


  • Atrial Fibrillation
  • Heart Failure

Wednesday, September 28, 2016

Prefaxine




Prefaxine may be available in the countries listed below.


Ingredient matches for Prefaxine



Venlafaxine

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


  • Slovakia

International Drug Name Search

Clonazone




Clonazone may be available in the countries listed below.


Ingredient matches for Clonazone



Tosylchloramide Sodium

Tosylchloramide Sodium is reported as an ingredient of Clonazone in the following countries:


  • Belgium

International Drug Name Search

Pulmicort Nasal Turbuhaler




Pulmicort Nasal Turbuhaler may be available in the countries listed below.


Ingredient matches for Pulmicort Nasal Turbuhaler



Budesonide

Budesonide is reported as an ingredient of Pulmicort Nasal Turbuhaler in the following countries:


  • Chile

International Drug Name Search

Saphris



Generic Name: asenapine (Sublingual route)

a-SEN-a-peen

Sublingual route(Tablet)

Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death. Asenapine is not approved for the treatment of patients with dementia-related psychosis .



Commonly used brand name(s)

In the U.S.


  • Saphris

Available Dosage Forms:


  • Tablet

Uses For Saphris


Asenapine is used to treat symptoms of psychotic (mental) disorders, such as schizophrenia, mania, or bipolar disorder. This medicine should not be used to treat behavioral problems in older adult patients who have dementia.


This medicine is available only with your doctor's prescription.


Before Using Saphris


In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:


Allergies


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


Pediatric


Appropriate studies have not been performed on the relationship of age to the effects of asenapine in the pediatric population. Safety and efficacy have not been established.


Geriatric


Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of asenapine in the elderly.


Pregnancy








Pregnancy CategoryExplanation
All TrimestersCAnimal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

Breast Feeding


There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.


Interactions with Medicines


Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.


Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.


  • Cisapride

  • Dronedarone

  • Mesoridazine

  • Metoclopramide

  • Pimozide

  • Sparfloxacin

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


  • Acecainide

  • Ajmaline

  • Alfuzosin

  • Amiodarone

  • Amisulpride

  • Amitriptyline

  • Amoxapine

  • Apomorphine

  • Arsenic Trioxide

  • Astemizole

  • Azimilide

  • Azithromycin

  • Bretylium

  • Chloroquine

  • Chlorpromazine

  • Ciprofloxacin

  • Citalopram

  • Clarithromycin

  • Clomipramine

  • Clozapine

  • Crizotinib

  • Dasatinib

  • Desipramine

  • Disopyramide

  • Dofetilide

  • Dolasetron

  • Droperidol

  • Erythromycin

  • Flecainide

  • Fluconazole

  • Gatifloxacin

  • Gemifloxacin

  • Granisetron

  • Halofantrine

  • Haloperidol

  • Hydroquinidine

  • Ibutilide

  • Iloperidone

  • Imipramine

  • Lapatinib

  • Levofloxacin

  • Lopinavir

  • Lumefantrine

  • Mefloquine

  • Methadone

  • Moxifloxacin

  • Nilotinib

  • Norfloxacin

  • Nortriptyline

  • Octreotide

  • Ofloxacin

  • Ondansetron

  • Paliperidone

  • Pazopanib

  • Perflutren Lipid Microsphere

  • Pirmenol

  • Posaconazole

  • Prajmaline

  • Procainamide

  • Prochlorperazine

  • Promethazine

  • Propafenone

  • Protriptyline

  • Quetiapine

  • Quinidine

  • Quinine

  • Ranolazine

  • Risperidone

  • Salmeterol

  • Saquinavir

  • Sematilide

  • Sertindole

  • Sodium Phosphate

  • Sodium Phosphate, Dibasic

  • Sodium Phosphate, Monobasic

  • Solifenacin

  • Sorafenib

  • Sotalol

  • Sultopride

  • Sunitinib

  • Tedisamil

  • Telavancin

  • Telithromycin

  • Terfenadine

  • Tetrabenazine

  • Thioridazine

  • Toremifene

  • Trazodone

  • Trifluoperazine

  • Trimipramine

  • Vandetanib

  • Vardenafil

  • Vemurafenib

  • Voriconazole

  • Ziprasidone

  • Zotepine

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.


  • Fluvoxamine

  • Paroxetine

Interactions with Food/Tobacco/Alcohol


Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.


Other Medical Problems


The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:


  • Blood vessel or circulation problems or

  • Dehydration or

  • Heart attack, history of or

  • Heart disease or

  • Heart failure or

  • Heart rhythm problems (e.g., arrhythmia, QT prolongation) or

  • Hypotension (low blood pressure) or

  • Hypovolemia (low amount of blood) or

  • Stroke, history of—May cause side effects to become worse.

  • Bradycardia (slow heartbeat), history of or

  • Heart rhythm problem (e.g., congenital long QT syndrome) or

  • Hypokalemia (low potassium in the blood) or

  • Hypomagnesemia (low magnesium in the blood)—May increase risk for more serious side effects.

  • Diabetes or

  • Hyperglycemia (high blood sugar)—This medicine may raise your blood sugar levels.

  • Hyperprolactinemia (high prolactin in the blood) or

  • Neuroleptic malignant syndrome (NMS), history of or

  • Seizures, history of or

  • Trouble with swallowing—Use with caution. May make these conditions worse.

  • Liver disease—Use with caution. The effects may be increased because of slower removal of the medicine from the body.

Proper Use of Saphris


Take this medicine exactly as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. To do so may increase the chance of side effects.


To use the sublingual tablet:


  • Make sure your hands are dry before you handle the tablet.

  • Do not open the blister pack that contains the tablet until you are ready to take it.

  • Remove the tablet from the blister pack by peeling back the foil, then taking the tablet out. Do not push the tablet through the foil.

  • Place the tablet under your tongue. It should melt quickly.

  • Do not crush, chew, or swallow the tablet.

  • Do not eat or drink anything for at least 10 minutes after using this medicine.

Dosing


The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.


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


  • For oral dosage form (sublingual tablets):
    • For bipolar disorder:
      • Adults—At first, 10 milligrams (mg) two times a day. Your doctor may adjust your dose as needed.

      • Children—Use and dose must be determined by your doctor.


    • For schizophrenia:
      • Adults—At first, 5 milligrams (mg) two times a day. Your doctor may increase your dose as needed.

      • Children—Use and dose must be determined by your doctor.



Missed Dose


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


Storage


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


Keep out of the reach of children.


Do not keep outdated medicine or medicine no longer needed.


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


Precautions While Using Saphris


It is very important that your doctor check your progress at regular visits to make sure that this medicine is working properly. Blood and urine tests may be needed to check for any unwanted effects.


Stop using this medicine and check with your doctor right away if you have any of the following symptoms while using this medicine: convulsions (seizures), difficulty with breathing, a fast heartbeat, a high fever, high or low blood pressure, increased sweating, loss of bladder control, severe muscle stiffness, unusually pale skin, or tiredness. These could be symptoms of a serious condition called neuroleptic malignant syndrome (NMS).


This medicine may cause tardive dyskinesia (a movement disorder). Check with your doctor right away if you have any of the following symptoms while using this medicine: lip smacking or puckering, puffing of the cheeks, rapid or worm-like movements of the tongue, uncontrolled chewing movements, or uncontrolled movements of the arms and legs.


For diabetic patients: This medicine may affect your blood sugar levels. Check with your doctor right away if you have increased thirst or increased urination. If you notice a change in the results of your urine or blood sugar tests, or if you have any questions, check with your doctor.


This medicine may increase your weight. Your doctor may need to check your weight on a regular basis while you are using this medicine. Talk to your doctor about ways to prevent weight gain.


This medicine may cause serious types of allergic reactions, including anaphylaxis. Anaphylaxis can be life-threatening and requires immediate medical attention. Call your doctor right away if you have a rash; itching; hoarseness; dizziness or lightheadedness; trouble breathing; trouble swallowing; or any swelling of your hands, face, tongue, or throat while you are using this medicine.


Dizziness, lightheadedness, or fainting may occur, especially when you get up from a lying or sitting position suddenly. Getting up slowly may help. If this problem continues or gets worse, check with your doctor.


Asenapine can temporarily lower the number of white blood cells in your blood, increasing the chance of getting an infection. If you can, avoid people with infections. Check with your doctor right away if you think you are getting an infection, or if you have a fever or chills, cough or hoarseness, lower back or side pain, or painful or difficult urination.


This medicine can cause changes in the heart rhythm, such as a condition called QT prolongation. It may change the way your heart beats and cause fainting or serious side effects. Contact your doctor right away if you have any symptoms of heart rhythm problems, such as fast, pounding, or irregular heartbeats.


This medicine may cause dizziness, drowsiness, trouble with thinking, or trouble with controlling body movements. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that requires you to be alert, well-coordinated, or able to think well.


This medicine might reduce how much you sweat. Your body could get too hot if you do not sweat enough. If your body gets too hot, you might feel dizzy, weak, tired, or confused. You might vomit or have an upset stomach. Do not get too hot while you are exercising. Avoid places that are very hot. Call your doctor if you are too hot and cannot cool down.


Asenapine may cause some people to be agitated, irritable, or display other abnormal behaviors. It may also cause some people to have suicidal thoughts and tendencies. If you or your caregiver notice any of these side effects, tell your doctor right away.


This medicine will add to the effects of alcohol and other CNS depressants (medicines that make you drowsy or less alert). Some examples of CNS depressants are antihistamines or medicine for allergies or colds; sedatives, tranquilizers, or sleeping medicine; prescription pain medicines including other narcotics; medicine for seizures (e.g., barbiturates); muscle relaxants; or anesthetics, including some dental anesthetics. Check with your doctor before taking any of the above while you are using this medicine.


Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.


Saphris Side Effects


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


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


More common
  • Abnormal or decreased touch sensation

  • inability to move the eyes

  • inability to sit still

  • increase in body movements

  • increased blinking or spasms of the eyelid

  • lip smacking or puckering

  • need to keep moving

  • puffing of the cheeks

  • rapid or worm-like movements of the tongue

  • restlessness

  • shakiness in the legs, arms, hands, or feet

  • sticking out of tongue

  • trembling or shaking of the hands or feet

  • trouble with breathing, speaking, or swallowing

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

  • uncontrolled chewing movements

  • uncontrolled twisting movements of the neck, trunk, arms, or legs

  • unusual facial expressions

  • weakness of the arms and legs

Less common
  • Blurred vision

  • dizziness

  • headache

  • nervousness

  • pounding in the ears

  • slow or fast heartbeat

Rare
  • Black, tarry stools

  • bleeding gums

  • blood in the urine or stools

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

  • changes in patterns and rhythms of speech

  • coma

  • confusion

  • convulsions

  • decreased urine output

  • fast, pounding, or irregular heartbeat or pulse

  • increased thirst

  • muscle pain or cramps

  • nausea or vomiting

  • pale skin

  • pinpoint red spots on the skin

  • shortness of breath

  • slurred speech

  • swelling of the face, ankles, or hands

  • troubled breathing with exertion

  • unusual bleeding or bruising

  • unusual tiredness or weakness

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


More common
  • Constipation

  • sleepiness or unusual drowsiness

  • sleeplessness

  • trouble sleeping

  • unable to sleep

  • unusually deep sleep

  • unusually long duration of sleep

Less common
  • Acid or sour stomach

  • belching

  • depression

  • difficulty with moving

  • dry mouth

  • fear or nervousness

  • heartburn

  • increased appetite

  • increased watering of the mouth

  • increased weight

  • indigestion

  • irritability

  • muscle pain or stiffness

  • pain in the arms or legs

  • pain in the joints

  • stomach discomfort, upset, or pain

  • toothache

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.


Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

See also: Saphris side effects (in more detail)



The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.


The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.


More Saphris resources


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


  • Saphris Prescribing Information (FDA)

  • Saphris Consumer Overview

  • Saphris Monograph (AHFS DI)

  • Saphris MedFacts Consumer Leaflet (Wolters Kluwer)

  • Asenapine Professional Patient Advice (Wolters Kluwer)



Compare Saphris with other medications


  • Bipolar Disorder
  • Post Traumatic Stress Disorder
  • Schizoaffective Disorder
  • Schizophrenia

Iso-Eremfat




Iso-Eremfat may be available in the countries listed below.


Ingredient matches for Iso-Eremfat



Isoniazid

Isoniazid is reported as an ingredient of Iso-Eremfat in the following countries:


  • Georgia

  • Germany

Rifampicin

Rifampicin is reported as an ingredient of Iso-Eremfat in the following countries:


  • Georgia

  • Germany

International Drug Name Search

Pramipex




Pramipex may be available in the countries listed below.


Ingredient matches for Pramipex



Pramipexole

Pramipexole is reported as an ingredient of Pramipex in the following countries:


  • India

International Drug Name Search

Impugan




Impugan may be available in the countries listed below.


Ingredient matches for Impugan



Furosemide

Furosemide is reported as an ingredient of Impugan in the following countries:


  • Bahrain

  • Cyprus

  • Egypt

  • Ethiopia

  • Indonesia

  • Iraq

  • Jordan

  • Kuwait

  • Lebanon

  • Libya

  • Qatar

  • Saudi Arabia

  • Sudan

  • Sweden

  • United Arab Emirates

  • Yemen

International Drug Name Search

Lodosyn


Pronunciation: KAR-bi-DOE-pa
Generic Name: Carbidopa
Brand Name: Lodosyn


Lodosyn is used for:

Treating symptoms associated with Parkinson disease and parkinsonism-like symptoms caused by other conditions. It is used in combination with another medicine called levodopa. It may also be used for other conditions as determined by your doctor.


Lodosyn is an antiparkinson agent. It works by helping levodopa to reach the brain.


Do NOT use Lodosyn if:


  • you are allergic to any ingredient in Lodosyn

  • you have narrow-angle glaucoma, undiagnosed skin growths, skin cancer, or a history of skin cancer

  • you have taken a monoamine oxidase inhibitor (MAOI) (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 Lodosyn:


Some medical conditions may interact with Lodosyn. 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 an irregular heartbeat, heart disease, ulcer, seizures, blood pressure problems, asthma, lung problems, liver or kidney problems, blood or hormone problems, stomach or intestinal bleeding, glaucoma, or a history of heart attack, mental or mood problems, or suicidal thoughts or attempts

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


  • MAOIs (eg, phenelzine) because the risk of severe high blood pressure may be increased

  • Tricyclic antidepressants (eg, amitriptyline) because the risk of high blood pressure or unusual muscle movements may be increased

  • Metoclopramide because side effects may occur

  • Blood pressure medicines or selegiline because the risk of severe dizziness on standing may be increased

  • Butyrophenones, (eg, haloperidol), isoniazid, papaverine, phenothiazines (eg, chlorpromazine), or risperidone because they may decrease Lodosyn's effectiveness

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


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


  • Take Lodosyn by mouth on an empty stomach at least 1 hour before or 2 hours after eating.

  • Carefully follow the dosing schedule given to you by your health care provider. It may take several weeks to a few months to notice benefit from use because the dose is carefully adjusted over time.

  • If you are also taking iron salts (eg, ferrous sulfate), do not take them within 2 hours before or 2 hours after taking Lodosyn. Check with your doctor if you have questions

  • Take Lodosyn on a regular schedule to get the most benefit from it. Taking Lodosyn at the same times each day will help you to remember to take it.

  • Continue to take Lodosyn even if you feel well. Do not miss any doses.

  • If you have been taking levodopa, do not start taking Lodosyn until at least 12 hours after your final dose of levodopa.

  • If you miss a dose of Lodosyn, 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 Lodosyn.



Important safety information:


  • Lodosyn may cause drowsiness, dizziness, or lightheadedness. These effects may be worse if you take it with alcohol or certain medicines. Use Lodosyn 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 Lodosyn; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.

  • Lodosyn 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.

  • Tell your doctor or dentist that you take Lodosyn before you receive any medical or dental care, emergency care, or surgery.

  • Neuroleptic malignant syndrome (NMS) is a possibly fatal syndrome that can be caused by Lodosyn. Symptoms may include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your doctor at once if you have any of these symptoms.

  • Diabetes patients - Lodosyn may cause the results of some tests for urine glucose or urine ketones to be wrong. Ask your doctor before you change your diet or the dose of your diabetes medicine.

  • Do not suddenly stop taking Lodosyn. Some conditions may become worse when Lodosyn is suddenly stopped. Your dose may need to be slowly lowered by your doctor to avoid side effects.

  • Gradually increase physical activity as your symptoms improve.

  • A dark color (red, brown, or black) may appear in your saliva, urine, or sweat after taking Lodosyn. This is not harmful.

  • The effects of Lodosyn might start to wear off between doses. Talk with your doctor if Lodosyn stops working well or if your condition worsens.

  • Lodosyn may interfere with certain lab tests. Be sure your doctor and lab personnel know you are using Lodosyn

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

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

  • Lodosyn should not be used in CHILDREN; safety and effectiveness in 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 Lodosyn while you are pregnant. It is not known if Lodosyn is found in breast milk. If you are or will be breast-feeding while you use Lodosyn, check with your doctor. Discuss any possible risks to your baby.


Possible side effects of Lodosyn:


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:



Confusion; constipation; diarrhea; dizziness; drowsiness; dry mouth; headache; loss of appetite; nausea; taste changes; trouble sleeping; upset stomach; urinary tract infection; 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); black, tarry stools; blood in vomit; chest pain; confusion; depression; fast or irregular heartbeat; fever; hallucinations; increased sweating; mental or mood changes; muscle pain or unusual stiffness; severe abdominal pain; severe lightheadedness or fainting; sore throat; thoughts of suicide; unusual bruising or bleeding; unusual or painful movements or spasms of the face, eyelids, mouth, tongue, arms, hands, or legs; vision changes (blurred/double vision); yellowing of the skin or eyes.



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


See also: Lodosyn side effects (in more detail)


If OVERDOSE is suspected:


Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.


Proper storage of Lodosyn:

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


General information:


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

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

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

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

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



Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Lodosyn resources


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


  • Lodosyn Prescribing Information (FDA)

  • Lodosyn Concise Consumer Information (Cerner Multum)

  • Lodosyn Monograph (AHFS DI)

  • Carbidopa Professional Patient Advice (Wolters Kluwer)



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Calcio-cit simple




Calcio-cit simple may be available in the countries listed below.


Ingredient matches for Calcio-cit simple



Calcium Citrate

Calcium Citrate is reported as an ingredient of Calcio-cit simple in the following countries:


  • Argentina

International Drug Name Search

Loxitane


Generic Name: loxapine (Oral route)

LOX-a-peen

Oral route(Capsule)

Elderly patients with dementia-related psychosis treated with atypical antipsychotic drugs are at an increased risk of death compared with placebo. Although the causes of death in clinical trials were varied, most of the deaths appeared to be either cardiovascular (eg, heart failure, sudden death) or infectious (eg, pneumonia) in nature. Observational studies suggest that, similar to atypical antipsychotic drugs, treatment with conventional antipsychotic drugs may increase mortality. It is unclear from these studies to what extent the mortality findings may be attributed to the antipsychotic drug as opposed to patient characteristics. Loxapine is not approved for the treatment of patients with dementia-related psychosis .



Commonly used brand name(s)

In the U.S.


  • Loxitane

Available Dosage Forms:


  • Tablet

  • Capsule

  • Solution

Therapeutic Class: Antipsychotic


Chemical Class: Dibenzoxazepine


Uses For Loxitane


Loxapine is used to treat a mental condition called schizophrenia.


This medicine is available only with your doctor's prescription.


Before Using Loxitane


In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:


Allergies


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


Pediatric


Appropriate studies have not been performed on the relationship of age to the effects of loxapine in the pediatric population. Safety and efficacy have not been established.


Geriatric


No information is available on the relationship of age to the effects of loxapine in geriatric patients. However, elderly patients (especially females) are more likely to have tardive dyskinesia (a movement disorder), which may require caution in patients receiving loxapine.


Breast Feeding


There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.


Interactions with Medicines


Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.


Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.


  • Metoclopramide

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


  • Hydromorphone

  • Lithium

  • Milnacipran

  • Tramadol

  • Zotepine

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.


  • Betel Nut

  • Carbamazepine

Interactions with Food/Tobacco/Alcohol


Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.


Other Medical Problems


The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:


  • Brain tumor or

  • Intestinal blockage—Loxapine may interfere with the diagnosis of these conditions.

  • Breast cancer, prolactin-dependent or

  • Difficult urination or

  • Glaucoma or

  • Heart or blood vessel disease or

  • Neuroleptic malignant syndrome (NMS), history of or

  • Seizures, history of or

  • Urinary retention—Use with caution. May make these conditions worse.

  • Coma or

  • Depression, severe and caused by medicines—Should not be used in patients with these conditions.

Proper Use of Loxitane


Take this medicine only as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. To do so may increase the chance of side effects.


Dosing


The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.


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


  • For schizophrenia:
    • For oral dosage form (capsules):
      • Adults—At first, 20 to 50 milligrams (mg) per day, divided and given in two to four doses per day. Your doctor may increase your dose if needed. However, the dose is usually not more than 250 mg per day.

      • Children—Use and dose must be determined by your doctor.



Missed Dose


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


Storage


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


Keep out of the reach of children.


Do not keep outdated medicine or medicine no longer needed.


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


Precautions While Using Loxitane


It is very important that your doctor check your progress at regular visits, especially during the first few months of treatment with this medicine. This will allow changes in your dose and to check for unwanted effects.


Do not stop taking this medicine without first checking with your doctor. Your doctor may want you to gradually reduce the amount you are taking before stopping completely. This will allow your body time to adjust and to keep your condition from becoming worse.


This medicine will add to the effects of alcohol and other CNS depressants (medicines that make you drowsy or less alert). Some examples of CNS depressants are antihistamines or medicine for hay fever or allergies; sedatives, tranquilizers, or sleeping medicine; prescription pain medicine or narcotics; medicine for seizures or barbiturates; or anesthetics, including some dental anesthetics. Check with your doctor before taking any of the above while you are taking this medicine.


This medicine may cause tardive dyskinesia (a movement disorder). Check with your doctor right away if you have any of the following symptoms while taking this medicine: lip smacking or puckering, puffing of the cheeks, rapid or worm-like movements of the tongue, uncontrolled chewing movements, or uncontrolled movements of the arms and legs.


Stop taking this medicine and check with your doctor right away if you have any of the following symptoms while using this medicine: convulsions (seizures), difficulty with breathing, a fast heartbeat, a high fever, high or low blood pressure, increased sweating, loss of bladder control, severe muscle stiffness, unusually pale skin, or tiredness. These could be symptoms of a serious condition called neuroleptic malignant syndrome (NMS).


This medicine may cause some people to become drowsy or less alert than they are normally, especially when the amount of medicine is increased. Even if you take this medicine at bedtime, you may feel drowsy or less alert on arising. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are not alert.


Although it is not a problem for most patients, dizziness, lightheadedness, or fainting may occur, especially when you get up from a lying or sitting position. Getting up slowly may help. However, if the problem continues or gets worse, check with your doctor.


Loxapine may cause dry mouth. For temporary relief, use sugarless candy or gum, melt bits of ice in your mouth, or use a saliva substitute. However, if your mouth continues to feel dry for more than 2 weeks, check with your medical doctor or dentist. Continuing dryness of the mouth may increase the chance of dental disease, including tooth decay, gum disease, and fungus infections.


Loxitane Side Effects


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


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


More common
  • Difficulty with speaking or swallowing

  • lip smacking or puckering

  • loss of balance control

  • mask-like face

  • puffing of the cheeks

  • rapid or fine, worm-like movements of the tongue

  • restlessness or desire to keep moving

  • shuffling walk

  • slowed movements

  • stiffness of the arms and legs

  • trembling and shaking of the fingers and hands

  • uncontrolled chewing movements

  • uncontrolled movements of the arms or legs

Less common
  • Constipation (severe)

  • difficult urination

  • inability to move the eyes

  • muscle spasms, especially of the neck and back

  • skin rash

  • twisting movements of the body

Rare
  • Convulsions (seizures)

  • difficult or fast breathing

  • fast heartbeat or irregular pulse

  • fever (high)

  • high or low blood pressure

  • increased blinking or spasms of the eyelid

  • increased sweating

  • loss of bladder control

  • muscle stiffness (severe)

  • sore throat and fever

  • uncontrolled twisting movements of neck, trunk, arms, or legs

  • unusual bleeding or bruising

  • unusual facial expressions or body positions

  • unusual tiredness or weakness

  • unusually pale skin

  • yellow eyes or skin

Get emergency help immediately if any of the following symptoms of overdose occur:


Symptoms of overdose
  • Dizziness (severe)

  • drowsiness (severe)

  • muscle trembling, jerking, stiffness, or uncontrolled movements (severe)

  • troubled breathing (severe)

  • unusual tiredness or weakness (severe)

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


More common
  • Blurred vision

  • confusion

  • dizziness, lightheadedness, or fainting

  • drowsiness

  • dryness of the mouth

Less common
  • Constipation (mild)

  • decreased sexual ability

  • enlargement of breasts (males and females)

  • headache

  • increased sensitivity of the skin to sun

  • missing menstrual periods

  • nausea or vomiting

  • trouble with sleeping

  • unusual secretion of milk

  • weight gain

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.


Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

See also: Loxitane side effects (in more detail)



The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.


The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.


More Loxitane resources


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


  • Loxitane Prescribing Information (FDA)

  • Loxitane MedFacts Consumer Leaflet (Wolters Kluwer)

  • Loxitane Concise Consumer Information (Cerner Multum)

  • Loxitane Monograph (AHFS DI)

  • Loxapine Prescribing Information (FDA)

  • Loxapine Professional Patient Advice (Wolters Kluwer)



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US matches:

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In some countries, this medicine may only be approved for veterinary use.

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piperacillin and tazobactam


Generic Name: piperacillin and tazobactam (pi PER a sil in and tay zoe BAK tam)

Brand Names: Zosyn


What is piperacillin and tazobactam?

Piperacillin is a penicillin antibiotic that fights bacteria in the body.


Tazobactam is an antibiotic similar to a penicillin that fights bacteria in the body.


The combination of piperacillin and tazobactam is used to treat many different infections caused by bacteria, such as urinary tract infections, bone and joint infections, severe vaginal infections, stomach infections, skin infections, and pneumonia.


This medication is sometimes given together with other antibiotics.


Piperacillin and tazobactam may also be used for purposes not listed in this medication guide.


What is the most important information I should know about piperacillin and tazobactam?


You should not use this medication if you are allergic to piperacillin and tazobactam or to any other penicillin antibiotic, such as amoxicillin (Amoxil, Augmentin, Dispermox, Moxatag), ampicillin (Principen, Unasyn), dicloxacillin (Dycill, Dynapen), oxacillin (Bactocill), ticarcillin (Timentin), or penicillin (Bicillin L-A, PC Pen VK, Pfizerpen), and others.

Before using piperacillin and tazobactam tell your doctor if you have kidney disease, a bleeding or blood clotting disorder, low levels of potassium in your blood, cystic fibrosis, a history of allergies, if you are on a low-salt diet, or if you are allergic to a cephalosporin antibiotic such as cefdinir (Omnicef), cefprozil (Cefzil), cefuroxime (Ceftin), cephalexin (Keflex), and others.


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


Piperacillin and tazobactam may cause bleeding, especially in people with kidney disease or using certain medicines. Tell your doctor if you are using any medication to prevent blood clots such as alteplase (Activase), bivalirudin (Angiomax), clopidogrel (Plavix), dabigatran (Pradaxa), dipyridamole (Persantine, Aggrenox), enoxaparin (Lovenox), fondaparinux (Arixtra), heparin, tenecteplase (TNKase), ticlopidine (Ticlid), tinzaparin (Innohep), warfarin (Coumadin, Jantoven), and others.


What should I discuss with my healthcare provider before using piperacillin and tazobactam?


You should not use this medication if you are allergic to piperacillin and tazobactam or to any other penicillin antibiotic, such as:

  • amoxicillin (Amoxil, Augmentin, Dispermox, Moxatag);




  • ampicillin (Principen, Unasyn);




  • dicloxacillin (Dycill, Dynapen);




  • oxacillin (Bactocill);




  • ticarcillin (Timentin); or




  • penicillin (Bicillin L-A, PC Pen VK, Pfizerpen), and others.



To make sure you can safely use piperacillin and tazobactam, tell your doctor if you have any of these other conditions:



  • kidney disease (or if you are on dialysis);




  • a bleeding or blood clotting disorder;




  • an electrolyte imbalance such as low levels of potassium in your blood;




  • cystic fibrosis;




  • a history of any type of allergy;




  • if you are on a low-salt diet; or




  • if you are allergic to a cephalosporin antibiotic such as cefdinir (Omnicef), cefprozil (Cefzil), cefuroxime (Ceftin), cephalexin (Keflex), and others.




FDA pregnancy category B. Piperacillin and tazobactam is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Piperacillin and tazobactam may pass into breast milk and could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I use piperacillin and tazobactam?


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


Piperacillin and tazobactam is injected into a vein through an IV. You may be shown how to use an IV at home. Do not self-inject this medicine if you do not fully understand how to give the injection and properly dispose of used needles, IV tubing, and other items used to inject the medicine.


Piperacillin and tazobactam must be given slowly, and the IV infusion can take at least 30 minutes to complete.


Piperacillin and tazobactam must be mixed with a liquid (diluent) before using it. If you are using the injections at home, be sure you understand how to properly mix and store the medication.


Prepare your dose in a syringe, IV bag, or infusion pump only when you are ready to give yourself an injection. Do not use the medication if it has changed colors or has particles in it. Call your doctor for a new prescription.

Piperacillin and tazobactam is usually given for 7 to 10 days, depending on the infection being treated. Follow your doctor's instructions.


If you use this medication long-term, your blood will need to be tested often. Visit your doctor regularly.

Use a disposable needle only once. Throw away used needles in a puncture-proof container (ask your pharmacist where you can get one and how to dispose of it). Keep this container out of the reach of children and pets.


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


This medication can cause unusual results with certain medical tests. Tell any doctor who treats you that you are using piperacillin and tazobactam.


Store unmixed medicine and the liquid diluent at cool room temperature.

Medicine mixed in an IV bag must be used within 24 hours if you keep it at room temperature.


Mixed medicine in an infusion pump must be used within 12 hours if you keep it at room temperature.


Mixed medication in an IV bag can also be stored in the refrigerator for up to 7 days. Do not freeze. Throw away any unused mixture that has not been used within that time.

What happens if I miss a dose?


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


What happens if I overdose?


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include severe anxiety, agitation, feeling restless or nervous, or seizure (convulsions).


What should I avoid while using piperacillin and tazobactam?


Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or has blood in it, call your doctor. Do not use any medicine to stop the diarrhea unless your doctor has told you to.


Piperacillin and tazobactam side effects


Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have a serious side effect such as:

  • diarrhea that is watery or bloody;




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




  • feeling light-headed or short of breath, rapid heart rate, trouble concentrating;




  • easy bruising, unusual bleeding (nose, mouth, vagina, or rectum), purple or red pinpoint spots under your skin;




  • dry mouth, increased thirst, confusion, increased urination, muscle pain or weakness, fast heart rate, feeling light-headed, fainting;




  • fever, chills, body aches, flu symptoms;




  • white patches or sores inside your mouth or on your lips; or




  • seizure (convulsions).



Less serious side effects may include:



  • nausea, vomiting, stomach pain or upset;




  • constipation, mild diarrhea;




  • headache, dizziness, agitation;




  • runny nose;




  • anxiety, sleep problems (insomnia);




  • skin rash or itching;




  • pain, swelling, or other irritation where the injection was given; or




  • vaginal itching or discharge.



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


Piperacillin and tazobactam Dosing Information


Usual Adult Dose for Aspiration Pneumonia:

3.375 g IV every 6 hours; 4.5 g IV every 8 hours has also been used
Duration: Parenteral therapy should be continued until the patient's clinical condition stabilizes and fever subsides. Oral antibiotic therapy may then be substituted according to microbiology sensitivity data. Therapy of documented anaerobic pleuropulmonary infections should be continued until the infiltrate is cleared, or a residual scar forms, sometimes for as long as 2 to 4 months.

Usual Adult Dose for Bacteremia:

3.375 g IV every 6 hours; 4.5 g IV every 8 hours has also been used
Duration: for approximately 14 days, depending on the nature and severity of the infection; once the patient is stable and able to tolerate oral medications, oral antibiotic therapy may be substituted according to microbiology sensitivity data

In severe infections, piperacillin trough levels (drawn immediately before the 4th or 5th dose) may be helpful. Serum piperacillin trough levels greater than 16 mcg/mL have been associated with improved efficacy.

Usual Adult Dose for Deep Neck Infection:

3.375 g IV every 6 hours; 4.5 g IV every 8 hours has also been used
Duration: for approximately 2 to 3 weeks, depending on the nature and severity of the infection; once the patient is stable and able to tolerate oral medications, oral antibiotic therapy may be substituted according to microbiology sensitivity data

Usual Adult Dose for Endometritis:

3.375 g IV every 6 hours; 4.5 g IV every 8 hours has also been used
Duration: Parenteral therapy should be continued for at least 24 hours after the patient has remained afebrile, pain-free, and the leukocyte count has normalized. Doxycycline therapy for 14 days is recommended if concurrent chlamydial infection is present in late postpartum patients (breast-feeding should be discontinued).

Usual Adult Dose for Febrile Neutropenia:

3.375 g IV every 6 hours; 4.5 g IV every 8 hours has also been used
Duration: Therapy should be continued for about 14 days, or until more specific therapy may be substituted for a proven infection, or until the patient is afebrile for 24 hours after the absolute neutrophil count is greater than 500/mm3. The total duration of therapy depends on the nature and severity of the infection. Once the patient is stable and able to tolerate oral medications, oral antibiotic therapy may be substituted according to microbiology sensitivity data.

In severe infections, piperacillin trough levels (drawn immediately before the 4th or 5th dose) may be helpful. Serum piperacillin trough levels greater than 16 mcg/ml have been associated with improved efficacy.

Usual Adult Dose for Intraabdominal Infection:

3.375 g IV every 6 hours; 4.5 g IV every 8 hours has also been used
Duration: for 7 to 10 days, depending on the nature and severity of the infection; once the patient is stable and able to tolerate oral medications, oral antibiotic therapy may be substituted according to microbiology sensitivity data

In severe infections, piperacillin trough levels (drawn immediately before the 4th or 5th dose) may be helpful. Serum piperacillin trough levels greater than 16 mcg/mL have been associated with improved efficacy.

Usual Adult Dose for Joint Infection:

3.375 g IV every 6 hours; 4.5 g IV every 8 hours has also been used
Duration: Therapy should be continued for approximately 3 to 4 weeks, depending on the nature and severity of the infection. Longer therapy, 6 weeks or more, may be required for prosthetic joint infections. In addition, removal of the involved prosthesis is usually required.

Usual Adult Dose for Nosocomial Pneumonia:

Moderate to severe: 4.5 g IV every 6 hours
Duration: for 7 to 14 days, depending on the nature and severity of the infection

Initial empiric treatment with broad-spectrum coverage according to the hospital's and/or ICU's antibiogram is recommended if multidrug-resistant organisms are suspected.

If the causative organism is not Pseudomonas aeruginosa, the duration of treatment should be as short as clinically possible (e.g., as little as 7 days) to reduce the risk of superinfections with resistant organisms.

Usual Adult Dose for Osteomyelitis:

3.375 g IV every 6 hours; 4.5 g IV every 8 hours has also been used
Duration: Therapy should be continued for approximately 4 to 6 weeks, depending on the nature and severity of the infection. Chronic osteomyelitis may require additional oral antibiotic therapy, possibly for up to 6 months. Surgical debridement of devitalized bone is critical to the management of osteomyelitis.

Usual Adult Dose for Pelvic Inflammatory Disease:

3.375 g IV every 6 hours; 4.5 g IV every 8 hours has also been used
Duration: for 7 to 10 days, depending on the nature and severity of the infection

If the patient is not pregnant, oral doxycycline therapy for 14 days should be considered to treat possible concurrent chlamydial infection. The patient's sexual partner(s) should also be evaluated.

Usual Adult Dose for Peritonitis:

3.375 g IV every 6 hours; 4.5 g IV every 8 hours has also been used
Duration: for 7 to 10 days, depending on the nature and severity of the infection

Usual Adult Dose for Skin or Soft Tissue Infection:

3.375 g IV every 6 hours; 4.5 g IV every 8 hours has also been used
Duration: for 7 to 10 days, depending on the nature and severity of the infection

Usual Adult Dose for Pneumonia:

Moderate community-acquired pneumonia: 3.375 g IV every 6 hours; 4.5 g IV every 8 hours has also been used
Duration: for 7 to 10 days, depending on the nature and severity of the infection

Usual Adult Dose for Pyelonephritis:

3.375 g IV every 6 hours; 4.5 g IV every 8 hours has also been used
Duration: for approximately 14 days, depending on the nature and severity of the infection; once the patient is stable and able to tolerate oral medications, oral antibiotic therapy may be substituted according to microbiology sensitivity data

Usual Adult Dose for Urinary Tract Infection:

3.375 g IV every 6 hours; 4.5 g IV every 8 hours has also been used
Duration: for approximately 7 to 10 days, depending on the nature and severity of the infection; once the patient is stable and able to tolerate oral medications, oral antibiotic therapy may be substituted according to microbiology sensitivity data

Usual Pediatric Dose for Appendectomy:

2 to 9 months: 80 mg-10 mg/kg piperacillin-tazobactam IV every 8 hours
9 months or older (less than 40 kg): 100 mg-12.5 mg/kg piperacillin-tazobactam IV every 8 hours

Pediatric patients weighing over 40 kg with normal renal function should receive adult dose.

Usual Pediatric Dose for Peritonitis:

2 to 9 months: 80 mg-10 mg/kg piperacillin-tazobactam IV every 8 hours
9 months or older (less than 40 kg): 100 mg-12.5 mg/kg piperacillin-tazobactam IV every 8 hours

Pediatric patients weighing over 40 kg with normal renal function should receive adult dose.


What other drugs will affect piperacillin and tazobactam?


Piperacillin and tazobactam may cause bleeding, especially in people with kidney disease or using certain medicines. Tell your doctor if you are using any medication to prevent blood clots, such as:

  • abciximab (ReoPro);




  • alteplase (Activase);




  • anagrelide (Agrylin);




  • argatroban (Acova);




  • bivalirudin (Angiomax);




  • cilostazol (Pletal);




  • clopidogrel (Plavix);




  • dipyridamole (Persantine);




  • dabigatran (Pradaxa);




  • dalteparin (Fragmin);




  • dipyridamole (Persantine, Aggrenox);




  • enoxaparin (Lovenox);




  • eptifibatide (Integrelin);




  • fondaparinux (Arixtra);




  • heparin;




  • lepirudin (Refludan);




  • prasugrel (Effient);




  • tenecteplase (TNKase);




  • ticlopidine (Ticlid);




  • tinzaparin (Innohep);




  • tirofiban (Aggrastat);




  • urokinase (Abbokinase); or




  • warfarin (Coumadin, Jantoven).



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



  • probenecid (Benemid); or




  • another antibiotic such as kanamycin (Kantrex), neomycin (Mycifradin, Neo Fradin, Neo Tab), paromomycin (Humatin, Paromycin), streptomycin, tobramycin (Nebcin, Tobi).



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



More piperacillin and tazobactam resources


  • Piperacillin and tazobactam Side Effects (in more detail)
  • Piperacillin and tazobactam Dosage
  • Piperacillin and tazobactam Use in Pregnancy & Breastfeeding
  • Piperacillin and tazobactam Drug Interactions
  • Piperacillin and tazobactam Support Group
  • 1 Review for Piperacillin and tazobactam - Add your own review/rating


Compare piperacillin and tazobactam with other medications


  • Appendectomy
  • Aspiration Pneumonia
  • Bacteremia
  • Bone infection
  • Deep Neck Infection
  • Endometritis
  • Febrile Neutropenia
  • Intraabdominal Infection
  • Joint Infection
  • Kidney Infections
  • Nosocomial Pneumonia
  • Pelvic Inflammatory Disease
  • Peritonitis
  • Pneumonia
  • Skin Infection
  • Urinary Tract Infection


Where can I get more information?


  • Your doctor or pharmacist can provide more information about piperacillin and tazobactam.

See also: piperacillin and tazobactam side effects (in more detail)


Capto comp-1A Pharma




Capto comp-1A Pharma may be available in the countries listed below.


Ingredient matches for Capto comp-1A Pharma



Captopril

Captopril is reported as an ingredient of Capto comp-1A Pharma in the following countries:


  • Germany

Hydrochlorothiazide

Hydrochlorothiazide is reported as an ingredient of Capto comp-1A Pharma in the following countries:


  • Germany

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