Saturday, 12 May 2012

Ibuprofen and Diphenhydramine





Dosage Form: tablet
Ibuprofen and Diphenhydramine Citrate Tablets

DRUG FACTS



ACTIVE INGREDIENTS (IN EACH CAPLET*)


Diphenhydramine citrate USP, 38 mg


Ibuprofen USP, 200 mg (NSAID)**


* capsule-shaped tablets


**nonsteroidal anti-inflammatory drug



PURPOSES


Nighttime sleep-aid


Pain reliever



USES


  • for relief of occasional sleeplessness when associated with minor aches and pains

  • helps you fall asleep and stay asleep


Warnings



Allergy alert:


Ibuprofen may cause a severe allergic reaction, especially in people allergic to aspirin. Symptoms may include:


  • hives

  • facial swelling

  • asthma (wheezing)

  • shock

  • skin reddening

  • rash

  • blisters

If an allergic reaction occurs, stop use and seek medical help right away.



Stomach bleeding warning:


This product contains a nonsteroidal anti-inflammatory drug (NSAID), which may cause stomach bleeding. The chance is higher if you:


  • are age 60 or older

  • have had stomach ulcers or bleeding problems

  • take a blood thinning (anticoagulant) or steroid drug

  • take other drugs containing an NSAID [aspirin, ibuprofen, naproxen, or others]

  • have 3 or more alcoholic drinks every day while using this product

  • take more or for a longer time than directed


Do not use


  • if you have ever had an allergic reaction to any other pain reliever/fever reducer

  • unless you have time for a full night's sleep

  • in children under 12 years of age

  • right before or after heart surgery

  • with any other product containing diphenhydramine, even one used on skin

  • if you have sleeplessness without pain.


Ask a doctor before use if you have


  • a breathing problem such as emphysema or chronic bronchitis

  • problems or serious side effects from taking pain relievers or fever reducers

  • stomach problems that last or come back, such as heartburn, upset stomach, or stomach pain

  • ulcers

  • bleeding problems

  • high blood pressure

  • heart or kidney disease

  • asthma

  • taken a diuretic

  • reached age 60 or older

  • glaucoma

  • trouble urinating due to an enlarged prostate gland


Ask a doctor or pharmacist before use if you are


  • taking sedatives or tranquilizers, or any other sleep-aid

  • taking any other drug containing an NSAID (prescription or nonprescription)

  • under a doctor’s care for any continuing medical illness

  • taking any other antihistamines

  • taking a blood thinning (anticoagulant) or steroid drug

  • taking aspirin for heart attack or stroke, because ibuprofen may decrease this benefit of aspirin

  • taking any other drug


When using this product


  • drowsiness will occur

  • avoid alcoholic drinks

  • do not drive a motor vehicle or operate machinery

  • take with food or milk if stomach upset occurs

  • the risk of heart attack or stroke may increase if you use more than directed or for longer than directed


Stop use and ask a doctor if


  • you feel faint, vomit blood, or have bloody or black stools. These are signs of stomach bleeding

  • pain gets worse or lasts more than 10 days

  • sleeplessness persists continuously for more than 2 weeks. Insomnia may be a symptom of a serious underlying medical illness.

  • stomach pain or upset gets worse or lasts

  • redness or swelling is present in the painful area

  • any new symptoms appear


If pregnant or breast-feeding,


ask a health professional before use. It is especially important not to use ibuprofen during the last 3 months of pregnancy unless definitely directed to do so by a doctor because it may cause problems in the unborn child or complications during delivery.



Keep out of the reach of children.


In case of overdose, get medical help or contact a Poison Control Center right away.



DIRECTIONS


  • do not take more than directed

  • do not take longer than 10 days, unless directed by a doctor (see WARNINGS)

  • adults and children 12 years and over: take 2 caplets at bedtime.

  • do not take more than 2 caplets in 24 hours


OTHER INFORMATION


  • read all warnings and directions before use. Keep carton.

  • store at 20-25°C (68-77°F)

  • avoid excessive heat above 40°C (104°F)


INACTIVE INGREDIENTS


carnauba wax, corn starch, colloidal silicon dioxide, croscarmellose sodium, FD&C blue no. 2, hypromelllose, microcrystalline cellulose, polydextrose, polyethylene glycol 400, pregelatinized starch, sodium lauryl sulfate, stearic acid, titanium dioxide



QUESTIONS OR COMMENTS?


Call 1-888-375-3784



Do Not Use if foil seal under bottle cap imprinted with“SEALED for YOUR PROTECTION”  is broken or missing.


Manufactured for:Dr. Reddy’s Laboratories Limited Bachepalli – 502 325 INDIA.



PRINCIPAL DISPLAY PANEL


Pouch label:


DR. REDDY'S


NDC 55111-565-92


Count :2,500 Tablets


Ibuprofen Diphenhydramine Citrate Tablets 200 mg/38 mg


Batch No. :


Mfg. Date :


Repack Before :


Expiration Date :


Store at 20°-25°C (68°-77°F)


Avoid excessive heat above 40°C (104°F).


For Repackaging only.


DO NOT OPEN POUCHES UNTIL REPACKAGING


Mfd. by : Dr. Reddy's Laboratories Limited


Bachepalli - 502 325 INDIA.


Container:



Carton:



Pouch Label:










Ibuprofen and Diphenhydramine CITRATE 
Ibuprofen and Diphenhydramine citrate  tablet










Product Information
Product TypeHUMAN OTC DRUGNDC Product Code (Source)55111-565
Route of AdministrationORALDEA Schedule    











Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
ibuprofen (ibuprofen)ibuprofen200 mg
diphenhydramine citrate (diphenhydramine)diphenhydramine38 mg




























Inactive Ingredients
Ingredient NameStrength
carnauba wax 
STARCH, CORN 
colloidal silicon dioxide 
croscarmellose sodium 
FD&C blue no. 2 
CELLULOSE, MICROCRYSTALLINE 
HYPROMELLOSE 
polydextrose 
polyethylene glycol 400 
sodium lauryl sulfate 
stearic acid 
titanium dioxide 


















Product Characteristics
ColorBLUE (blue)Scoreno score
ShapeCAPSULE (slightly glossy smooth blue film coated)Size15mm
FlavorImprint CodeRDY;565
Contains      


































































Packaging
#NDCPackage DescriptionMultilevel Packaging
155111-565-141 BOTTLE In 1 CARTONcontains a BOTTLE
120 TABLET In 1 BOTTLEThis package is contained within the CARTON (55111-565-14)
255111-565-301 BOTTLE In 1 CARTONcontains a BOTTLE
230 TABLET In 1 BOTTLEThis package is contained within the CARTON (55111-565-30)
355111-565-401 BOTTLE In 1 CARTONcontains a BOTTLE
340 TABLET In 1 BOTTLEThis package is contained within the CARTON (55111-565-40)
455111-565-801 BOTTLE In 1 CARTONcontains a BOTTLE
480 TABLET In 1 BOTTLEThis package is contained within the CARTON (55111-565-80)
555111-565-901 BOTTLE In 1 CARTONcontains a BOTTLE
590 TABLET In 1 BOTTLEThis package is contained within the CARTON (55111-565-90)
655111-565-181 BOTTLE In 1 CARTONcontains a BOTTLE
6180 TABLET In 1 BOTTLEThis package is contained within the CARTON (55111-565-18)
755111-565-051 BOTTLE In 1 CARTONcontains a BOTTLE
7500 TABLET In 1 BOTTLEThis package is contained within the CARTON (55111-565-05)
855111-565-922500 TABLET In 1 POUCHNone










Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
ANDAANDA09061901/31/2010


Labeler - Dr. Reddy's Laboratories Limited (862179079)
Revised: 11/2009Dr. Reddy's Laboratories Limited




More Ibuprofen and Diphenhydramine resources


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


Compare Ibuprofen and Diphenhydramine with other medications


  • Insomnia
  • Pain

Friday, 4 May 2012

J-Tan D HC


Generic Name: brompheniramine, hydrocodone, and pseudoephedrine (brom fen EER a meen, hye droe KOE dohn, soo doe e FED rin)

Brand Names: Anaplex HD, Bromcomp HC, Bromph HD, Bromplex HD, BroveX HC, Drocon-CS, Endacof HC, J-Tan D HC, M-END, SymTan A, Visvex


What is J-Tan D HC (brompheniramine, hydrocodone, and pseudoephedrine)?

Brompheniramine is an antihistamine that reduces the natural chemical histamine in the body. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose.


Hydrocodone is in a group of drugs called narcotics and is similar to codeine. Hydrocodone is a cough suppressant that affects the signals in the brain that trigger cough reflex.


Pseudoephedrine is a decongestant that shrinks blood vessels in the nasal passages. Dilated blood vessels can cause nasal congestion (stuffy nose).


The combination of brompheniramine, hydrocodone, and pseudoephedrine is used to treat cough, sneezing, itching, watery eyes, runny nose, stuffy nose, and sinus congestion caused by allergies, the common cold, or the flu.


Brompheniramine, hydrocodone, and pseudoephedrine may also be used for other purposes not listed in this medication guide.


What is the most important information I should know about J-Tan D HC (brompheniramine, hydrocodone, and pseudoephedrine)?


Always ask a doctor before giving a cough or cold medicine to a child. Death can occur from the misuse of cough and cold medicines in very young children. Do not take this medication with alcohol, other narcotic pain medications, sedatives, tranquilizers, muscle relaxers, or other medicines that can make you sleepy or slow your breathing. Dangerous side effects may result. Hydrocodone may be habit-forming and should be used only by the person it was prescribed for. Hydrocodone should never be shared with another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it. Hydrocodone is a drug of abuse and you should be aware if any person in the household is using this medicine improperly or without a prescription. Do not use any other over-the-counter cough, cold, allergy, or sleep medication without first asking your doctor or pharmacist. If you take certain products together you may accidentally take too much of one or more types of medicine. Read the label of any other medicine you are using to see if it contains an antihistamine, decongestant, or cough suppressant. This medication can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

What should I discuss with my healthcare provider before taking J-Tan D HC (brompheniramine, hydrocodone, and pseudoephedrine)?


Do not use this medication if you are allergic to hydrocodone or other narcotic pain relievers such as fentanyl (Actiq, Duragesic), hydromorphone (Dilaudid, Palladone), methadone (Methadose, Dolophine), morphine (Kadian, MS Contin, Oramorph, and others), oxycodone (OxyContin), and oxymorphone (Opana). Do not use a cough or cold medicine if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take cough or cold medicine before the MAO inhibitor has cleared from your body.

Before taking brompheniramine, hydrocodone, and pseudoephedrine, tell your doctor if you are allergic to any drugs, or if you have:



  • kidney or liver disease;




  • heart disease or high blood pressure;




  • enlarged prostate or urination problems;




  • diabetes;




  • glaucoma;




  • a thyroid disorder;




  • asthma, COPD, sleep apnea, or other breathing disorders;




  • a history of head injury or brain tumor;




  • epilepsy or other seizure disorder;




  • low blood pressure;




  • gallbladder disease;




  • Addison's disease or other adrenal gland disorders;




  • mental illness; or




  • a history of drug or alcohol addiction.



If you have any of these conditions, you may need a dose adjustment or special tests to safely take this medication.


FDA pregnancy category C. Hydrocodone may be harmful to an unborn baby, and could cause addiction or withdrawal symptoms in a newborn. Tell your doctor if you are pregnant or plan to become pregnant during treatment. This medication 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. Hydrocodone may be habit-forming and should be used only by the person it was prescribed for. Hydrocodone should never be shared with another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it. Hydrocodone is a drug of abuse and you should be aware if any person in the household is using this medicine improperly or without a prescription.

How should I take J-Tan D HC (brompheniramine, hydrocodone, and pseudoephedrine)?


Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label. Cough or cold medicine is usually taken for only a short time until your symptoms clear up.


Always ask a doctor before giving cough or cold medicine to a child. Death can occur from the misuse of cough or cold medicine in very young children.

Measure the liquid form of this medicine with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.


Talk with your doctor if your symptoms do not improve after 7 days of treatment, or if you have a fever with a headache, cough, or skin rash.

If you need to have any type of surgery, tell the surgeon ahead of time if you have taken a cold medicine within the past few days.


This medication can cause you to have unusual results with allergy skin tests. Tell any doctor who treats you that you are taking an antihistamine.


Store this medicine at room temperature, away from heat, light, and moisture.

What happens if I miss a dose?


Since cough or cold medicine is usually taken only as needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose.


What happens if I overdose?


Seek emergency medical attention if you think you have used too much of this medicine. An overdose of hydrocodone can be fatal. Overdose symptoms may include extreme dizziness or drowsiness, confusion, feeling restless or nervous, cold and clammy skin, warmth or tingly feeling, nausea, vomiting, slow or shallow breathing, slow heart rate, pinpoint pupils, fainting, seizure (convulsions), or coma.

What should I avoid while taking J-Tan D HC (brompheniramine, hydrocodone, and pseudoephedrine)?


This medication can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

Avoid becoming overheated or dehydrated during exercise and in hot weather.


Do not drink alcohol while you are taking this medication. Alcohol can increase some of the side effects of brompheniramine, hydrocodone, and pseudoephedrine. Do not take this medication with other narcotic pain medications, sedatives, tranquilizers, muscle relaxers, or other medicines that can make you sleepy or slow your breathing. Life-threatening side effects may result.

Avoid taking diet pills, caffeine pills, or other stimulants (such as ADHD medications) without your doctor's advice. Taking a stimulant together with a decongestant can increase your risk of unpleasant side effects.


Do not use any other over-the-counter cough, cold, allergy, or sleep medication without first asking your doctor or pharmacist. Brompheniramine and pseudoephedrine are contained in many medicines available over the counter. If you take certain products together you may accidentally take too much of one or more types of medicine. Read the label of any other medicine you are using to see if it contains brompheniramine or pseudoephedrine.

J-Tan D HC (brompheniramine, hydrocodone, and pseudoephedrine) 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. Stop using this medication and call your doctor at once if you have any of these serious side effects:

  • fast, pounding, or uneven heartbeats;




  • shallow breathing, slow heartbeat;




  • severe dizziness, fainting, anxiety, restless feeling, nervousness, or tremor;




  • confusion, hallucinations, unusual thoughts or behavior;




  • easy bruising or bleeding, unusual weakness, fever, chills, body aches, flu symptoms;




  • urinating less than usual or not at all; or




  • increased blood pressure (severe headache, blurred vision, trouble concentrating, chest pain, numbness, seizure).



Less serious side effects may include:



  • blurred vision;




  • dry mouth;




  • nausea, vomiting, stomach pain, constipation, mild loss of appetite;




  • mild dizziness, drowsiness;




  • problems with memory or concentration;




  • ringing in your ears;




  • warmth, tingling, or redness under your skin;




  • restless or excitability (especially in children);




  • sleep problems (insomnia); or




  • skin rash or itching.



This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.


What other drugs will affect J-Tan D HC (brompheniramine, hydrocodone, and pseudoephedrine)?


Before taking this medication, tell your doctor if you are using any of the following drugs:



  • cimetidine (Tagamet);




  • rifampin (Rifadin, Rifater, Rifamate, Rimactane);




  • zidovudine (Retrovir, AZT);




  • antidepressants such as amitriptyline (Elavil), clomipramine (Anafranil), imipramine (Janimine, Tofranil), and others;




  • aspirin or salicylates (such as Disalcid, Doan's Pills, Dolobid, Salflex, Tricosal, and others);




  • a beta-blocker such as atenolol (Tenormin), carteolol (Cartrol), metoprolol (Lopressor, Toprol), nadolol (Corgard), propranolol (Inderal), sotalol (Betapace), timolol (Blocadren), and others;




  • bladder or urinary medications such as oxybutynin (Ditropan, Oxytrol) or tolterodine (Detrol);




  • a diuretic (water pill), or blood pressure medication;




  • medication to treat irritable bowel syndrome;




  • medicines to treat psychiatric disorders, such as chlorpromazine (Thorazine), haloperidol (Haldol), mesoridazine (Serentil), pimozide (Orap), or thioridazine (Mellaril); or




  • seizure medication such as phenytoin (Dilantin) or phenobarbital (Luminal, Solfoton).



This list is not complete and there may be other drugs that can interact with brompheniramine, hydrocodone, and pseudoephedrine. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.



More J-Tan D HC resources


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


  • Brompheniramine/Hydrocodone/Pseudoephedrine Liquid MedFacts Consumer Leaflet (Wolters Kluwer)

  • SymTan A Suspension MedFacts Consumer Leaflet (Wolters Kluwer)



Compare J-Tan D HC with other medications


  • Cough and Nasal Congestion


Where can I get more information?


  • Your pharmacist can provide more information about brompheniramine, hydrocodone, and pseudoephedrine.


Isoptin SR Controlled-Release Tablets


Pronunciation: ver-AP-a-mil
Generic Name: Verapamil
Brand Name: Examples include Calan SR and Isoptin SR


Isoptin SR Controlled-Release Tablets are used for:

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


Isoptin SR Controlled-Release Tablets are a calcium channel blocker. It works by relaxing (dilating) your blood vessels, which lowers blood pressure.


Do NOT use Isoptin SR Controlled-Release Tablets if:


  • you are allergic to any ingredient in Isoptin SR Controlled-Release Tablets

  • you have certain heart problems (eg, left ventricular dysfunction, sick sinus syndrome, second- or third-degree heart block and do not have a pacemaker), very low blood pressure, or moderate to severe congestive heart failure (CHF)

  • you have atrial fibrillation or flutter and a pre-excitation syndrome (extra conduction pathway in the heart), such as Wolff-Parkinson-White (WPW) syndrome or Lown-Ganong-Levine (LGL) syndrome

  • you have shock due to serious heart problems

  • you are taking dofetilide, or you have taken disopyramide within the past 48 hours

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



Before using Isoptin SR Controlled-Release Tablets:


Some medical conditions may interact with Isoptin SR Controlled-Release Tablets. 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 or a recent heart attack with lung congestion, low blood pressure, or heart problems (eg, a very slow heart rate, heart block, heart valve disease)

  • if you have kidney or liver problems, muscular dystrophy, or a neuromuscular disease

  • if you are taking another blood pressure medicine or you are being treated for cancer

Some MEDICINES MAY INTERACT with Isoptin SR Controlled-Release Tablets. Tell your health care provider if you are taking any other medicines, especially any of the following:


  • Beta-blockers (eg, propranolol), clonidine, disopyramide, ketolides (eg, telithromycin), macrolides (eg, erythromycin), or ritonavir because they may increase the risk of Isoptin SR Controlled-Release Tablets's side effects

  • Phenobarbital, rifampin, or St. John's wort because they may decrease Isoptin SR Controlled-Release Tablets's effectiveness

  • Aldosterone blockers (eg, eplerenone), aspirin, carbamazepine, colchicine, cyclosporine, digoxin, dofetilide , doxorubicin, , dronedarone, eletriptan, erythromycin, everolimus, flecainide, HMG-CoA reductase inhibitors (eg, lovastatin, simvastatin), lithium, narcotic pain relievers (eg, fentanyl), paclitaxel, quinazolines (eg, terazosin), quinidine, ranolazine, theophyllines, or tolvaptan because the risk of their side effects may be increased by Isoptin SR Controlled-Release Tablets

This may not be a complete list of all interactions that may occur. Ask your health care provider if Isoptin SR Controlled-Release Tablets 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 Isoptin SR Controlled-Release Tablets:


Use Isoptin SR Controlled-Release Tablets as directed by your doctor. Check the label on the medicine for exact dosing instructions.


  • Take Isoptin SR Controlled-Release Tablets by mouth with or without food.

  • Check with your doctor before you eat grapefruit or drink grapefruit juice while you use Isoptin SR Controlled-Release Tablets.

  • Swallow Isoptin SR Controlled-Release Tablets whole. Do not crush or chew before swallowing.

  • Taking Isoptin SR Controlled-Release Tablets at the same time each day will help you remember to take it.

  • If you miss a dose of Isoptin SR Controlled-Release Tablets, 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 Isoptin SR Controlled-Release Tablets.



Important safety information:


  • Isoptin SR Controlled-Release Tablets may cause drowsiness or dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Isoptin SR Controlled-Release Tablets 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 Isoptin SR Controlled-Release Tablets; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.

  • Isoptin SR Controlled-Release Tablets 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.

  • Tell your doctor or dentist that you take Isoptin SR Controlled-Release Tablets before you receive any medical or dental care, emergency care, or surgery.

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

  • Use Isoptin SR Controlled-Release Tablets with caution in the ELDERLY; they may be more sensitive to its effects.

  • Isoptin SR Controlled-Release Tablets should not be used in CHILDREN younger than 18 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 Isoptin SR Controlled-Release Tablets while you are pregnant. Isoptin SR Controlled-Release Tablets are found in breast milk. If you are or will be breast-feeding while you use Isoptin SR Controlled-Release Tablets, check with your doctor. Discuss any possible risks to your baby.


Possible side effects of Isoptin SR Controlled-Release Tablets:


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; dizziness; fatigue; headache; lightheadedness; 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); chest pain; fainting; lightheadedness, especially when standing; severe dizziness; shortness of breath; swelling of the feet or hands; symptoms of liver problems (eg, yellowing of the skin or eyes, dark urine, pale stools, severe or persistent stomach pain, fever, general feeling of being unwell); unusually fast, slow, or irregular heartbeat.



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: Isoptin SR 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 decreased mental status; dizziness; loss of consciousness; seizures; shortness of breath; slow or irregular heartbeat.


Proper storage of Isoptin SR Controlled-Release Tablets:

Store Isoptin SR Controlled-Release Tablets between 59 and 77 degrees F (15 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Isoptin SR Controlled-Release Tablets out of the reach of children and away from pets.


General information:


  • If you have any questions about Isoptin SR Controlled-Release Tablets, please talk with your doctor, pharmacist, or other health care provider.

  • Isoptin SR Controlled-Release Tablets are 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 Isoptin SR Controlled-Release Tablets. 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 Isoptin SR resources


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


Compare Isoptin SR with other medications


  • Angina
  • Arrhythmia
  • Bipolar Disorder
  • Cluster Headaches
  • High Blood Pressure
  • Idiopathic Hypertrophic Subaortic Stenosis
  • Migraine Prevention
  • Nocturnal Leg Cramps
  • Supraventricular Tachycardia

Monday, 30 April 2012

Isodettes Sore Throat


Generic Name: phenol (Oromucosal route)

FEE-nol

Commonly used brand name(s)

In the U.S.


  • Assure Sore Throat

  • Cheracol Sore Throat

  • Chloraseptic

  • Isodettes Sore Throat

  • Oralseptic

  • Osco Sore Throat

  • Painalay

Available Dosage Forms:


  • Spray

  • Lozenge/Troche

Therapeutic Class: Analgesic


Uses For Isodettes Sore Throat


Phenol is used to relieve pain and irritation caused by sore throat, sore mouth, or canker sores.


This medicine is available without a prescription; however, your doctor may have special instructions on the proper use and dose for your medical problem.


Before Using Isodettes Sore Throat


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


No information is available on the relationship of age to the effects of phenol in the pediatric population. Safety and efficacy have not been established in children below 3 years of age.


Geriatric


No information is available on the relationship of age to the effects of phenol in geriatric patients.


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. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.


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:


  • Infection in or around your mouth or

  • Large sores in or around your mouth—The chance of side effects may be increased.

Proper Use of phenol

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


Use this medicine exactly as directed by your doctor. Do not use more of this medicine, do not use it more often, and do not use it for a longer time than directed. To do so may increase the chance of absorption into the body and the risk of side effects.


This medicine should be used only for problems being treated by your doctor or conditions listed in the package directions. Check with your doctor before using it for other problems, especially if you think that an infection may be present.


Be careful not to get any of this medicine in your eyes because it can cause severe eye irritation. If any of the medicine does get in your eyes, wash it with water and check with your doctor right away. Also, be very careful not to inhale (breathe in) the medicine.


To use:


  • Apply or spray to the affected area.

  • Remain in place for at least 15 seconds, then spit the medicine out of your mouth.

Do not use this medicine for more than 2 days without checking first with your doctor.


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 oromucosal dosage form (spray):
    • For sore throat or mouth pain:
      • Adults and children 12 years of age and older—Spray 5 times to the affected area every 2 hours.

      • Children 3 to 12 years of age—Spray 3 times to the affected area every 2 hours.

      • Children younger than 3 years of age—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 Isodettes Sore Throat


If your condition does not improve within 7 days, or if it becomes worse, check with your doctor.


After spraying this medicine to the mouth or throat of your child, watch the child carefully to make sure that he or she does not get any of the medicine into his or her eyes or he or she does not inhale the spray.


Stop using this medicine and check with your doctor right away if you have difficulty with breathing; fever; skin rash; or worsening of pain, redness, swelling, or irritation in or around the mouth.


Call your doctor right away if you start to have a severe sore throat or sore throat that occurs with a high fever, headache, nausea, or vomiting. These maybe signs of an infection.


Isodettes Sore Throat 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:


Incidence not known
  • Difficulty with breathing

  • fever

  • headache

  • nausea

  • rash

  • swelling

  • vomiting

  • worsening of pain, redness, swelling, or irritation in or around the mouth

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: Isodettes Sore Throat 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 Isodettes Sore Throat resources


  • Isodettes Sore Throat Side Effects (in more detail)
  • Isodettes Sore Throat Use in Pregnancy & Breastfeeding
  • Isodettes Sore Throat Support Group
  • 2 Reviews for Isodettes Sore Throat - Add your own review/rating


Compare Isodettes Sore Throat with other medications


  • Tonsillitis/Pharyngitis

Simply Sleep


Generic Name: diphenhydramine (DYE fen HYE dra meen)

Brand Names: Aler-Tab, Allergy, Allermax, Altaryl, Benadryl Allergy, Benadryl DF, Benadryl Dye Free Allergy, Benadryl Ultratab, Children's Allergy, Diphen Cough, Diphenhist, Dytuss, PediaCare Children's Allergy, Q-Dryl, Q-Dryl A/F, Siladryl, Siladryl Allergy, Silphen Cough, Simply Sleep, Sleep-ettes, Sleep-ettes D, Sominex Maximum Strength Caplet, Theraflu Thin Strips Multi Symptom, Triaminic Thin Strips Cough & Runny Nose, Unisom Sleepgels Maximum Strength, Valu-Dryl


What is Simply Sleep (diphenhydramine)?

Diphenhydramine is an antihistamine. Diphenhydramine blocks the effects of the naturally occurring chemical histamine in the body.


Diphenhydramine is used to treat sneezing; runny nose; itching, watery eyes; hives; rashes; itching; and other symptoms of allergies and the common cold.


Diphenhydramine is also used to suppress coughs, to treat motion sickness, to induce sleep, and to treat mild forms of Parkinson's disease.


Diphenhydramine may also be used for purposes other than those listed in this medication guide.


What is the most important information I should know about Simply Sleep (diphenhydramine)?


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

What should I discuss with my healthcare provider before taking Simply Sleep (diphenhydramine)?


Do not take diphenhydramine if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days. A very dangerous drug interaction could occur, leading to serious side effects.

Before taking this medication, tell your doctor if you have



  • glaucoma or increased pressure in the eye;




  • a stomach ulcer;




  • an enlarged prostate, bladder problems or difficulty urinating;




  • an overactive thyroid (hyperthyroidism);




  • hypertension or any type of heart problems; or




  • asthma.



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


Diphenhydramine is in the FDA pregnancy category B. This means that it is not expected to be harmful to an unborn baby. Do not take diphenhydramine without first talking to your doctor if you are pregnant. Infants are especially sensitive to the effects of antihistamines, and side effects could occur in a breast-feeding baby. Do not take diphenhydramine without first talking to your doctor if you are nursing a baby. If you are over 60 years of age, you may be more likely to experience side effects from diphenhydramine. You may require a lower dose of this medication.

How should I take Simply Sleep (diphenhydramine)?


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


Take each dose with a full glass of water.

Diphenhydramine can be taken with or without food.


For motion sickness, a dose is usually taken 30 minutes before motion, then with meals and at bedtime for the duration of exposure.


As a sleep aid, diphenhydramine should be taken approximately 30 minutes before bedtime.


To ensure that you get a correct dose, measure the liquid forms of diphenhydramine with a special dose-measuring spoon or cup, not with a regular tablespoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.


Never take more of this medication than is prescribed for you. The maximum amount of diphenhydramine that you should take in any 24-hour period is 300 mg.


Store diphenhydramine at room temperature away from moisture and heat.

What happens if I miss a dose?


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


What happens if I overdose?


Seek emergency medical attention if an overdose is suspected.

Symptoms of a diphenhydramine overdose include extreme sleepiness, confusion, weakness, ringing in the ears, blurred vision, large pupils, dry mouth, flushing, fever, shaking, insomnia, hallucinations, and possibly seizures.


What should I avoid while taking Simply Sleep (diphenhydramine)?


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

Simply Sleep (diphenhydramine) side effects


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

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



  • sleepiness, fatigue, or dizziness;




  • headache;




  • dry mouth; or




  • difficulty urinating or an enlarged prostate.



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.


What other drugs will affect Simply Sleep (diphenhydramine)?


Do not take diphenhydramine if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days. A very dangerous drug interaction could occur, leading to serious side effects.

Talk to your pharmacist before taking other over-the-counter cough, cold, allergy, or insomnia medications. These products may contain medicines similar to diphenhydramine, which could lead to an antihistamine overdose.


Before taking this medication, tell your doctor if you are taking any of the following medicines:



  • anxiety or sleep medicines such as alprazolam (Xanax), diazepam (Valium), chlordiazepoxide (Librium), temazepam (Restoril), or triazolam (Halcion);




  • medications for depression such as amitriptyline (Elavil), doxepin (Sinequan), nortriptyline (Pamelor), fluoxetine (Prozac), sertraline (Zoloft), or paroxetine (Paxil); or




  • any other medications that make you feel drowsy, sleepy, or relaxed.



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



More Simply Sleep resources


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


  • Simply Sleep MedFacts Consumer Leaflet (Wolters Kluwer)

  • Banophen MedFacts Consumer Leaflet (Wolters Kluwer)

  • Ben-Tann Suspension MedFacts Consumer Leaflet (Wolters Kluwer)

  • Benadryl Consumer Overview

  • Benadryl Cream MedFacts Consumer Leaflet (Wolters Kluwer)

  • Benadryl Allergy Chewable Tablets MedFacts Consumer Leaflet (Wolters Kluwer)

  • Children's Allergy Prescribing Information (FDA)

  • Diphen Advanced Consumer (Micromedex) - Includes Dosage Information

  • Diphenhydramine MedFacts Consumer Leaflet (Wolters Kluwer)

  • Diphenhydramine Prescribing Information (FDA)

  • Diphenhydramine Hydrochloride Monograph (AHFS DI)

  • Diphenoxylate Hydrochloride Monograph (AHFS DI)

  • Dytuss Elixir MedFacts Consumer Leaflet (Wolters Kluwer)

  • Sominex MedFacts Consumer Leaflet (Wolters Kluwer)



Compare Simply Sleep with other medications


  • Insomnia


Where can I get more information?


  • Your pharmacist can provide more information about diphenhydramine.

See also: Simply Sleep side effects (in more detail)


Zonatuss


Generic Name: benzonatate (Oral route)

ben-ZOE-na-tate

Commonly used brand name(s)

In the U.S.


  • Tessalon Perles

  • Zonatuss

Available Dosage Forms:


  • Capsule

  • Capsule, Liquid Filled

Therapeutic Class: Antitussive


Uses For Zonatuss


Benzonatate is used to relieve coughs due to colds or influenza (flu). It is not to be used for chronic cough that occurs with smoking, asthma, or emphysema or when there is an unusually large amount of mucus or phlegm with the cough.


Benzonatate relieves cough by acting directly on the lungs and the breathing passages. It may also act on the cough center in the brain.


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


Before Using Zonatuss


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 benzonatate in children younger than 10 years of age. Safety and efficacy have not been established.


Geriatric


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


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. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.


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:


  • Mucus or phlegm with cough—Since benzonatate decreases coughing, it makes it difficult to get rid of the mucus that may collect in the lungs and airways with some diseases.

Proper Use of benzonatate

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


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.


Swallow the capsules whole. Do not break, crush, or chew them. If the capsules come in contact with the mouth, it may cause the mouth and throat to become numb (loss of feeling) and choking may occur.


If numbness or tingling of the mouth, tongue, throat, or face occurs, do not eat or drink until these symptoms disappear. Check with your doctor right away if these symptoms persist or become worse.


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 (capsules):
    • For cough:
      • Adults and children 10 years of age and older—100 milligrams (mg) three times a day. Do not take more than 200 mg at one time or more than 600 mg per day.

      • Children younger than 10 years of age—Use is not recommended.



Missed Dose


If you miss a dose of this medicine, 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.


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.


Keep the capsules in a child-resistant container and store it out of reach of children at all times.


Throw any unused medicine by mixing it with used coffee grounds or kitty litter and place it in a sealable bag, empty can, or container.


Precautions While Using Zonatuss


It is very important that your doctor check your progress while you or your child are using this medicine. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to take it.


If your cough has not become better after 7 days or if you have a high fever, skin rash, or continuing headache with the cough, check with your doctor. These signs may mean that you have other medical problems.


Benzonatate overdose can occur in children (younger than 10 years of age) within 15 to 20 minutes after accidentally taking this medicine. In children under 2 years of age, ingestion of even 1 or 2 capsules has resulted in overdose. Signs and symptoms may include: convulsions (seizures), loss of consciousness, restlessness, or trembling or shakiness in the legs, arms, hands, or feet. If your child took this medicine by accident, call the poison control center (1-800-222-1222) and go to the hospital immediately.


Zonatuss 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:


Rare
  • Confusion

  • difficult breathing

  • difficulty with speaking

  • seeing things that are not there

  • shortness of breath

  • tightness in the chest

  • wheezing

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


Symptoms of overdose
  • Change in consciousness

  • convulsions (seizures)

  • loss of consciousness

  • no blood pressure or pulse

  • restlessness

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

  • stopping of the heart

  • trembling or shaking of the hands or feet

  • unconsciousness

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:


Less common or rare
  • Burning sensation in the eyes

  • constipation

  • dizziness (mild)

  • drowsiness (mild)

  • headache

  • itching

  • nausea or vomiting

  • skin rash

  • stuffy nose

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: Zonatuss 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 Zonatuss resources


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


  • Zonatuss Concise Consumer Information (Cerner Multum)

  • Zonatuss Prescribing Information (FDA)

  • Benzonatate Prescribing Information (FDA)

  • Benzonatate Professional Patient Advice (Wolters Kluwer)

  • Benzonatate MedFacts Consumer Leaflet (Wolters Kluwer)

  • Benzonatate Monograph (AHFS DI)

  • Tessalon Prescribing Information (FDA)



Compare Zonatuss with other medications


  • Cough

Friday, 27 April 2012

Tandem F


Pronunciation: EYE-urn/FOE-lik AS-id
Generic Name: Iron and Folic Acid
Brand Name: Examples include Proferrin-Forte and Tandem F

Accidental overdose of products that contain iron is a leading cause of fatal poisoning in children younger than 6 years old. Keep this and all medicines out of the reach of children. In case of accidental ingestion, call the poison control center or doctor at once.





Tandem F is used for:

Treating anemia caused by low levels of iron or folate in the blood. It is used during pregnancy to prevent and treat low levels of iron in the blood and to provide a maintenance dose of folic acid. It may also be used to treat other conditions as determined by your doctor.


Tandem F is an iron and folic acid combination. It works by replacing or adding iron and folic acid when the body does not produce enough of its own.


Do NOT use Tandem F if:


  • you are allergic to any ingredient in Tandem F

  • you have pernicious anemia or hemolytic anemia

  • you have certain iron metabolism problems (eg, hemosiderosis, hemochromatosis), or you have high levels of iron in your blood

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



Before using Tandem F:


Some medical conditions may interact with Tandem F. 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 stomach or intestinal problems (eg, ulcerative colitis, Crohn disease, diverticulitis, a peptic ulcer)

  • if you have had multiple blood transfusions, anemia, or a blood disorder (eg, thalassemia, porphyria)

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


  • Bisphosphonates (eg, alendronate, risedronate), cephalosporins (eg, cephalexin), hydantoins (eg, phenytoin), methyldopa, penicillamine, quinolones (eg, ciprofloxacin, levofloxacin), tetracyclines (eg, doxycycline), thrombopoietin mimetics (eg, eltrombopag), or thyroid hormones (eg, levothyroxine) because the effectiveness of these medicines may be decreased

  • Fluorouracil because the risk of its side effects may be increased by Tandem F

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


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


  • Tandem F is absorbed better on an empty stomach but may be taken with food if it upsets your stomach.

  • If you are taking a bisphosphonate (eg, alendronate), a cephalosporin (eg, cephalexin), methyldopa, penicillamine, a quinolone (eg, ciprofloxacin), a tetracycline (eg, minocycline), or a thrombopoietin mimetic (eg, eltrombopag) along with Tandem F, you may need to space the doses several hours apart. Ask your doctor or pharmacist how much time is needed between doses of Tandem F and your other medicines.

  • Do not take Tandem F within 1 hour before or 2 hours after antacids, eggs, whole grain breads or cereal, milk, milk products, coffee, or tea.

  • Take Tandem F with a full glass (8 oz/240 mL) of water.

  • Do not lie down for 30 minutes after taking Tandem F.

  • If you miss a dose of Tandem F, 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 Tandem F.



Important safety information:


  • Tandem F has iron in it. Iron overdose is a leading cause of fatal poisoning in children younger than 6 years old. In case of an overdose, call a doctor or poison control center right away. Keep Tandem F out of the reach of children.

  • Do not take large doses of vitamins (megadoses or megavitamin therapy) unless otherwise directed by your doctor.

  • Do not exceed the recommended dose or take Tandem F for longer than 6 months without checking with your doctor.

  • Tandem F may darken the stools. This is normal and not a cause for concern.

  • Tandem F may cause false test results with kits used to check for blood in the stool or blood cholesterol. Check with your doctor if you are using either kind of test kit.

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

  • Tandem F should not be used in CHILDREN younger than 12 years old; safety and effectiveness in these children have not been confirmed.

  • PREGNANCY and BREAST-FEEDING: Tandem F is intended for use during pregnancy. If you are or will be breast-feeding while you use Tandem F, check with your doctor. Discuss any possible risks to your baby.


Possible side effects of Tandem F:


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



Constipation; diarrhea; heartburn; loss of appetite; nausea; stomach upset; 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 or streaks of blood in the stools; fever; severe or persistent vomiting with continuing stomach pain.



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



If OVERDOSE is suspected:


Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include black, bloody, or tarry stools; blue or pale skin; coma; drowsiness; nausea; vomiting.


Proper storage of Tandem F:

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


General information:


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

  • Tandem F 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 Tandem F. 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.