Generic Name: salinomycin
Dosage Form: FOR ANIMAL USE ONLY
Bio-Cox®
60
Brand of salinomycin sodium
Type A Medicated Article
For use in broiler, roaster, replacement
(breeder and layer) chickens, and quail only
Active drug ingredient
Salinomycin equivalent to 60 grams salinomycin sodium activity per pound
For use in manufacturing medicated feeds only
Broiler, roaster and replacement (breeder and layer) chickens
Use Bio-Cox 60 to provide salinomycin sodium concentrations ranging from 40-60 g/ton (0.0044% to 0.0066%) for the prevention of coccidiosis in broiler, roaster and replacement chickens caused by Eimeria tenella, E. necatrix, E. acervulina, E. maxima, E. brunetti and E. mivati. The dosage should be adjusted to meet the severity of the coccidial challenge, which varies with environmental and management conditions.
Quail
Use Bio-Cox 60 to provide salinomycin sodium concentrations of 50 g/ton (0.0055%) for the prevention of coccidiosis in quail caused by Eimeria dispersa and E. lettyae.
Mixing directions
Thoroughly mix Bio-Cox 60 with non-medicated feed to provide the level of salinomycin sodium per ton as indicated in the table below.
Salinomycin Sodium Activity
Amount of Bio-Cox 60 Type A Medicated Article (60 g/lb) Per Ton of Feed
(grams per ton)
lb
grams
40
0.67
304
45
0.75
341
50
0.83
377
55
0.92
418
60
1.00
454
Feeding directions
Feed continuously as the sole ration
Important
Must be thoroughly mixed in feeds before use. Not approved for use with pellet binders.
Caution
May be fatal if fed to adult turkeys or to horses.
Warning
Do not feed to laying hens producing eggs for human consumption. When mixing and handling Bio-Cox 60 premix, use protective clothing, impervious gloves, eye protection, and an approved dust respirator. Operators should wash thoroughly with soap and water after handling. If accidental eye contact occurs, immediately rinse thoroughly with water.
Store in a cool, dry place
NADA #128-686, Approved by FDA
Marketed by
Alpharma Inc.
Bridgewater, New Jersey 08807
Net wt 50 LB (22.68 kg)
Trademarks registered
by Alpharma Inc.
Made in USA
400321 0907
PRINCIPAL DISPLAY PANEL – 50 LB Label
Bio-Cox®
60
ALPHARMA
Brand of salinomycin sodium
Type A Medicated Article
Oral nystatin is used to treat yeast infections of the mouth.
Nystatin may also be used for purposes other than those listed in this medication guide.
What is the most important information I should know about nystatin?
Take all of the nystatin that has been prescribed for you even if you begin to feel better. Your symptoms may begin to improve before the infection is completely treated.
What should I discuss with my healthcare provider before taking nystatin?
Nystatin is not absorbed through your stomach. It will not treat fungal infections in any part of your body other than your mouth. Talk to your doctor if you have another type of fungal infection such as athlete’s foot, jock itch, ringworm, or a vaginal yeast infection.
Oral nystatin is in the FDA pregnancy category C. This means that it is not known whether nystatin will harm an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant. It is not known whether nystatin will harm a nursing baby. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.
How should I take nystatin?
Take nystatin exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
Take the oral tablets with a full glass of water.
The troches, or pastilles, should be allowed to dissolve in your mouth. Do not chew or swallow them. Suck on one troche at a time until it is completely dissolved.
Shake the suspension well before measuring a dose.
Use a dose-measuring cup, spoon, or dropper to measure the specified dose of the suspension. Swish the suspension around in your mouth, then either spit it out or swallow it, depending upon the instructions given by your doctor.
Take all of the nystatin that has been prescribed for you even if you begin to feel better. Your symptoms may begin to improve before the infection is completely treated. Store the Bio-Statin brand of nystatin tablets and powder and the Mycostatin Pastilles in the refrigerator. Store all other nystatin capsules, tablets, and suspension 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 your next regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take a double dose of this medication unless otherwise directed by your doctor.
What happens if I overdose?
Seek emergency medical attention.
Symptoms of a nystatin overdose include nausea, stomach upset, vomiting, and diarrhea.
What should I avoid while taking nystatin?
There are no restrictions on foods, beverages, or activities during treatment with nystatin unless your doctor directs otherwise.
Nystatin side effects
Stop taking nystatin 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).
Side effects are not likely to occur with nystatin. Continue to take nystatin and talk to your doctor if you experience
nausea or stomach upset,
vomiting, or
diarrhea.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. You may report side effects to FDA at 1-800-FDA-1088.
What other drugs will affect nystatin?
Since nystatin is not absorbed by your body, drug interactions are not expected. Talk to your doctor and pharmacist before taking other prescription or over-the-counter medicines.
Where can I get more information?
Your pharmacist has additional information about nystatin written for health professionals that you may read.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. (‘Multum’) is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum’s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum’s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
Treatment of fungal infections of the mouth and intestines. It may also be used for other conditions as determined by your doctor.
Bio-Statin Powder is an antifungal. It works by weakening cell membranes of the sensitive fungus. This allows the cell contents to leak out and results in death of the fungus.
Do NOT use Bio-Statin Powder if:
you are allergic to any ingredient in Bio-Statin Powder
Contact your doctor or health care provider right away if any of these apply to you.
Before using Bio-Statin Powder:
Some medical conditions may interact with Bio-Statin Powder. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
if you are pregnant, planning to become pregnant, or are breast-feeding
if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
if you have allergies to medicines, foods, or other substances
Some MEDICINES MAY INTERACT with Bio-Statin Powder. However, no specific interactions with Bio-Statin Powder are known at this time.
Ask your health care provider if Bio-Statin Powder 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 Bio-Statin Powder:
Use Bio-Statin Powder as directed by your doctor. Check the label on the medicine for exact dosing instructions.
Use a measuring device marked for medicine dosing. Ask your pharmacist for help if you are unsure of how to measure your dose.
Place the amount of Bio-Statin Powder prescribed by your doctor in 4 to 6 ounces of water. Stir until all of the medicine is dissolved.
If the mouth is affected, place half the dose in each side of the mouth. Swish the medicine around the entire mouth. Retain the dose in your mouth as long as possible before swallowing, unless directed otherwise by your doctor.
Take your dose immediately after mixing the medicine. Do not store mixed medicine for use at a later time.
Bio-Statin Powder works best if it is taken at the same time every day.
To clear up your infection completely, take Bio-Statin Powder for the full course of treatment. Keep taking it even if you feel better in a few days.
If you miss a dose of Bio-Statin Powder, 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 Bio-Statin Powder.
Important safety information:
Practice good oral hygiene, including proper care of dentures, while you are taking Bio-Statin Powder.
Be sure to use Bio-Statin Powder for the full course of treatment. If you do not, the medicine may not clear up your infection completely.
PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Bio-Statin Powder while you are pregnant. It is not known if Bio-Statin Powder is found in breast milk. If you are or will be breast-feeding while you use Bio-Statin Powder, check with your doctor. Discuss any possible risks to your baby.
Possible side effects of Bio-Statin Powder:
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:
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).
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. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.
If OVERDOSE is suspected:
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), or emergency room immediately. Symptoms may include diarrhea; high blood pressure; nausea; serious irregular heartbeat; vomiting; wheezing.
Proper storage of Bio-Statin Powder:
Store Bio-Statin Powder in the refrigerator, between 36 and 46 degrees F (2 and 8 degrees C). Do not freeze. Throw away any unused medicine 90 days after the container is first opened. Keep Bio-Statin Powder out of the reach of children and away from pets.
General information:
If you have any questions about Bio-Statin Powder, please talk with your doctor, pharmacist, or other health care provider.
Bio-Statin Powder is to be used only by the patient for whom it is prescribed. Do not share it with other people.
If your symptoms do not improve or if they become worse, check with your doctor.
This information is a summary only. It does not contain all information about Bio-Statin Powder. 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.
Generic Name:Thyroid (THYE-roid) Brand Name: Examples include Armour Thyroid and Bio-Throid
Bio-Throid should not be used, either alone or with other medicines, for weight loss or to treat obesity. In patients with normal thyroid function, normal daily doses of thyroid hormone are ineffective for weight loss. Large doses may cause serious or life-threatening toxic side effects, especially when used with other medicines that reduce appetite.
Bio-Throid is used for:
Treating underactive thyroid. It is also used for treating or preventing certain goiters and as an aid in diagnosing certain thyroid conditions.
Bio-Throid is a thyroid hormone. It works by replacing thyroid hormones that are not being produced by the body.
Do NOT use Bio-Throid if:
you are allergic to any ingredient in Bio-Throid
you have certain untreated adrenal gland problems or untreated high thyroid hormone levels
Contact your doctor or health care provider right away if any of these apply to you.
Before using Bio-Throid:
Some medical conditions may interact with Bio-Throid. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
if you are pregnant, planning to become pregnant, or are breast-feeding
if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
if you have allergies to medicines, foods, or other substances
if you have a history of chest pain, heart attack, heart blood vessel problems, or other heart problems
if you have a history of diabetes, overactive thyroid, long-term underactive thyroid, infertility, swelling of the skin (particularly around the eyes and cheeks), or pituitary gland problems, or if you will be having surgery
Some MEDICINES MAY INTERACT with Bio-Throid. Tell your health care provider if you are taking any other medicines, especially any of the following:
Anticoagulants (eg, warfarin) because the risk of bleeding may be increased
Calcium, cholestyramine, colestipol, estrogen, hormonal contraceptives (eg, birth control pills), or iron because they may decrease Bio-Throid’s effectiveness
Digoxin, insulin, or oral hypoglycemic agents (eg, glyburide) because their effectiveness may be decreased by Bio-Throid
This may not be a complete list of all interactions that may occur. Ask your health care provider if Bio-Throid 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 Bio-Throid:
Use Bio-Throid as directed by your doctor. Check the label on the medicine for exact dosing instructions.
How you take Bio-Throid with regard to food may affect how well it is absorbed into your body. Certain types of food (eg, soybean products) may also affect how well Bio-Throid is absorbed. Check with your doctor about how you should take Bio-Throid with regard to food.
Do not take cholestyramine or colestipol within 6 hours of taking Bio-Throid.
Take Bio-Throid on a regular schedule to get the most benefit from it. Bio-Throid works best if it is taken at the same time each day.
Continue to take Bio-Throid even if you feel well. Do not miss any doses.
If you miss a dose of Bio-Throid, 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 Bio-Throid.
Important safety information:
It may take 4 to 6 weeks for you to notice the benefits of Bio-Throid.
Bio-Throid should not be used to treat fertility problems or obesity in patients who have normal thyroid function because serious and sometimes life-threatening side effects could occur. Large doses of Bio-Throid, especially when taken with diet pills, may cause symptoms of toxicity.
Children may experience temporary, partial hair loss during the first few months of taking Bio-Throid.
Diabetes patients – Bio-Throid may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
Tell your doctor or dentist that you take Bio-Throid before you receive any medical or dental care, emergency care, or surgery.
Lab tests, including thyroid function tests, may be performed while you use Bio-Throid. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
Use Bio-Throid with caution in the ELDERLY; they may be more sensitive to its effects.
PREGNANCY and BREAST-FEEDING: Bio-Throid has not been shown to cause harm to the fetus if you take it while you are pregnant. If you become pregnant, contact your doctor. Your dose may need to be changed. Minimal amounts of thyroid hormones are found in breast milk. If you are or will be breast-feeding while you use Bio-Throid, check with your doctor. Discuss any possible risks to your baby.
Possible side effects of Bio-Throid:
All medicines may cause side effects, but many people have no, or minor, side effects. When used in small doses, no COMMON side effects have been reported with this product. 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); changes in appetite; changes in menstrual periods; changes in weight; chest pain; diarrhea; excessive sweating; fast or irregular heartbeat; headache; inability to tolerate warm or hot temperatures; nervousness; pounding in the chest; shortness of breath; trembling; tremors; trouble sleeping; vomiting.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.
If OVERDOSE is suspected:
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), or emergency room immediately. Symptoms may include blood clots in the brain; changes in menstrual periods; coma; diarrhea; fast heart rate; headache; irritability; nervousness; shock; stomach cramps; sweating; tremor; trouble sleeping; weight loss.
Proper storage of Bio-Throid:
Store Bio-Throid 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 Bio-Throid out of the reach of children and away from pets.
General information:
If you have any questions about Bio-Throid, please talk with your doctor, pharmacist, or other health care provider.
Bio-Throid is to be used only by the patient for whom it is prescribed. Do not share it with other people.
If your symptoms do not improve or if they become worse, check with your doctor.
This information is a summary only. It does not contain all information about Bio-Throid. 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.
Pseudoephedrine is used to relieve nasal or sinus congestion caused by the common cold, sinusitis, and hay fever and other respiratory allergies. It is also used to relieve ear congestion caused by ear inflammation or infection.
Some of these preparations are available only with your doctor’s prescription.
Do not give any over-the-counter (OTC) cough and cold medicine to a baby or child under 4 years of age. Using these medicines in very young children might cause serious or possibly life-threatening side effects .
Before Using Biofed
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
Pseudoephedrine may be more likely to cause side effects in infants, especially newborn and premature infants, than in older children and adults.
Do not give any over-the-counter (OTC) cough and cold medicine to a baby or child under 4 years of age. Using these medicines in very young children might cause serious or possibly life-threatening side effects .
Geriatric
Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults or if they cause different side effects or problems in older people. There is no specific information comparing use of pseudoephedrine in the elderly with use in other age groups.
Breast Feeding
Studies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding.
Interactions with Medicines
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.
Clorgyline
Dihydroergotamine
Furazolidone
Iproniazid
Isocarboxazid
Linezolid
Moclobemide
Nialamide
Pargyline
Phenelzine
Procarbazine
Rasagiline
Selegiline
Toloxatone
Tranylcypromine
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.
Guanethidine
Methyldopa
Midodrine
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:
Type 2 diabetes mellitus—Use of pseudoephedrine may cause an increase in blood glucose levels
Enlarged prostate or
Glaucoma, or a predisposition to glaucoma or
Heart disease or blood vessel disease or
High blood pressure—Pseudoephedrine may make the condition worse
Overactive thyroid—Use of pseudoephedrine may make the condition worse
Proper Use of pseudoephedrine
This section provides information on the proper use of a number of products that contain pseudoephedrine. It may not be specific to Biofed. Please read with care.
For patients taking pseudoephedrine extended-release capsules:
Swallow the capsule whole. However, if the capsule is too large to swallow, you may mix the contents of the capsule with jam or jelly and swallow without chewing.
Do not crush or chew before swallowing.
For patients taking pseudoephedrine extended-release tablets:
Swallow the tablet whole.
Do not break, crush, or chew before swallowing.
To help prevent trouble in sleeping, take the last dose of pseudoephedrine for each day a few hours before bedtime. If you have any questions about this, check with your doctor.
Take this medicine only as directed. Do not take more of it, do not take it more often, and do not take it for a longer period of time than recommended on the label (usually 7 days), unless otherwise directed by your doctor. 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 nasal or sinus congestion:
For regular (short-acting) oral dosage form (capsules, oral solution, syrup, or tablets):
Adults and children 12 years of age and older—60 milligrams (mg) every four to six hours. Do not take more than 240 mg in twenty-four hours.
Children 6 to 12 years of age—30 mg every four to six hours. Do not take more than 120 mg in twenty-four hours.
Children 4 to 6 years of age—15 mg every four to six hours. Do not take more than 60 mg in twenty-four hours.
Children and infants up to 4 years of age—Use is not recommended .
For long-acting oral dosage form (extended-release capsules or extended-release tablets):
Adults and children 12 years of age and older—120 mg every 12 hours, or 240 mg every 24 hours. Do not take more than 240 mg in 24 hours.
Infants and children up to 12 years of age—Use is not recommended .
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.
Precautions While Using Biofed
If symptoms do not improve within 7 days or if you also have a high fever, check with your doctor since these signs may mean that you have other medical problems.
Biofed 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 as soon as possible if any of the following side effects occur:
Rare – more common with high doses
Convulsions (seizures)
hallucinations (seeing, hearing, or feeling things that are not there)
irregular or slow heartbeat
shortness of breath or troubled breathing
Symptoms of overdose
Convulsions (seizures)
fast breathing
hallucinations (seeing, hearing, or feeling things that are not there)
increase in blood pressure
irregular heartbeat (continuing)
shortness of breath or troubled breathing (severe or continuing)
slow or fast heartbeat (severe or continuing)
unusual nervousness, restlessness, or excitement
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
Nervousness
restlessness
trouble in sleeping
Less common
Difficult or painful urination
dizziness or light-headedness
fast or pounding heartbeat
headache
increased sweating
nausea or vomiting
trembling
unusual paleness
weakness
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
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Generic Name: pseudoephedrine and triprolidine (try PROE li deen and soo doe e FED rin)
Brand Names: A-Phedrin, Allerfrim, Allerphed, Altafed, Aphedrid, Aprodine, Biofed-PE, Genac, Histafed, Pediatex TD, Tripohist D, Vi-Sudo, Zymine-D
What is Biofed-PE (pseudoephedrine and triprolidine)?
Triprolidine is an antihistamine that reduces the natural chemical histamine in the body. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose.
Pseudoephedrine is a decongestant that shrinks blood vessels in the nasal passages. Dilated blood vessels can cause nasal congestion (stuffy nose).
The combination of pseudoephedrine and triprolidine is used to treat sneezing, cough, runny or stuffy nose, itchy or watery eyes, hives, skin rash, itching, and other symptoms of allergies and the common cold.
Pseudoephedrine and triprolidine may also be used for other purposes not listed in this medication guide.
What is the most important information I should know about Biofed-PE (pseudoephedrine and triprolidine)?
Do not give this medication to a child younger than 2 years old. 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 use any other over-the-counter 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 a certain drug. Read the label of any other medicine you are using to see if it contains an antihistamine or decongestant. 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. Pseudoephedrine and triprolidine 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 drinking alcohol. It can increase some of the side effects of this medication.
What should I discuss with my healthcare provider before taking Biofed-PE (pseudoephedrine and triprolidine)?
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.
Ask a doctor or pharmacist if it is safe for you to take pseudoephedrine and triprolidine if you have:
kidney disease;
diabetes;
glaucoma;
heart disease or high blood pressure;
diabetes;
a thyroid disorder;
an enlarged prostate; or
problems with urination.
This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Pseudoephedrine and triprolidine can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
Artificially-sweetened liquid forms of cold medicine may contain phenylalanine. This would be important to know if you have phenylketonuria (PKU). Check the ingredients and warnings on the medication label if you are concerned about phenylalanine.
How should I take Biofed-PE (pseudoephedrine and triprolidine)?
Use this medication exactly as directed on the label, or as it has been prescribed by your doctor. Do not use the medication in larger amounts, or use it for longer than recommended. Cold medicine is usually taken only for a short time until your symptoms clear up.
Do not give this medication to a child younger than 2 years old. 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. Take this medicine with a full glass of water. Do not crush, chew, or break an extended-release tablet. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking or opening the pill would cause too much of the drug to be released at one time.
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 the medication at room temperature away from moisture and heat.
What happens if I miss a dose?
Since cold or allergy 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.
Overdose symptoms may include feeling restless or nervous, nausea, vomiting, stomach pain, dizziness, drowsiness, dry mouth, warmth or tingly feeling, or seizure (convulsions).
What should I avoid while taking Biofed-PE (pseudoephedrine and triprolidine)?
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 drinking alcohol. It can increase some of the side effects of this medication.
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 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 a certain drug. Read the label of any other medicine you are using to see if it contains an antihistamine or decongestant.
Biofed-PE (pseudoephedrine and triprolidine) 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 heartbeat;
confusion, hallucinations, unusual thoughts or behavior;
severe dizziness, anxiety, restless feeling, or nervousness;
confusion, hallucinations, unusual thoughts or behavior;
easy bruising or bleeding, unusual weakness, fever, chills, body aches, flu symptoms; or
urinating less than usual or not at all.
Less serious side effects may include:
blurred vision;
dry mouth;
nausea, stomach pain, constipation;
mild loss of appetite, stomach upset;
warmth, tingling, or redness under your skin;
sleep problems (insomnia);
restless or excitability (especially in children);
skin rash or itching;
dizziness, drowsiness;
problems with memory or concentration; or
ringing in your ears.
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 Biofed-PE (pseudoephedrine and triprolidine)?
Tell your doctor if you regularly use other medicines that make you sleepy (such as narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety). They can add to sleepiness caused by pseudoephedrine and triprolidine.
Tell your doctor about all other medications you use, especially:
medicines to treat high blood pressure;
a diuretic (water pill);
medication to treat irritable bowel syndrome;
bladder or urinary medications such as oxybutynin (Ditropan, Oxytrol) or tolterodine (Detrol);
aspirin or salicylates (such as Disalcid, Doan’s Pills, Dolobid, Salflex, Tricosal, and others);
a beta-blocker such as atenolol (Tenormin, Tenoretic), carvedilol (Coreg), labetalol (Normodyne, Trandate), metoprolol (Lopressor, Toprol), nadolol (Corgard), propranolol (Inderal, InnoPran), sotalol (Betapace), and others; or
antidepressants such as amitriptyline (Elavil), clomipramine (Anafranil), imipramine (Janimine, Tofranil), and others.
This list is not complete and there may be other drugs that can interact with pseudoephedrine and triprolidine. 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.
Where can I get more information?
Your pharmacist can provide more information about pseudoephedrine and triprolidine.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. (‘Multum’) is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum’s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum’s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
Generic Name: bioflavonoids (BYE oh FLAV oh noids)
Brand Names: Amino-Opti-C, Limbrel, P-1000, Pan C 500, Peridin-C, Rutin, Span C
What are bioflavonoids?
Bioflavonoids are found in the rind of green citrus fruits and in rose hips and black currants.
Bioflavonoids have been used in alternative medicine as an aid to enhance the action of vitamin C, to support blood circulation, as an antioxidant, and to treat allergies, viruses, or arthritis and other inflammatory conditions.
Not all uses for bioflavonoids have been approved by the FDA. Bioflavonoids should not be used in place of medication prescribed for you by your doctor.
Bioflavonoids is often sold as an herbal supplement. There are no regulated manufacturing standards in place for many herbal compounds and some marketed supplements have been found to be contaminated with toxic metals or other drugs. Herbal/health supplements should be purchased from a reliable source to minimize the risk of contamination.
Bioflavonoids may also be used for other purposes not listed in this product guide.
What is the most important information I should know about bioflavonoids?
Not all uses for bioflavonoids have been approved by the FDA. Bioflavonoids should not be used in place of medication prescribed for you by your doctor.
Bioflavonoids is often sold as an herbal supplement. There are no regulated manufacturing standards in place for many herbal compounds and some marketed supplements have been found to be contaminated with toxic metals or other drugs. Herbal/health supplements should be purchased from a reliable source to minimize the risk of contamination.
Use bioflavonoids as directed on the label, or as your healthcare provider has prescribed. Do not use this product in larger amounts or for longer than recommended.
What should I discuss with my healthcare provider before taking bioflavonoids?
Do not use this product if you are allergic to bioflavonoids or if you have:
Before using bioflavonoids, talk to your doctor, pharmacist, herbalist, or other healthcare provider. You may not be able to use bioflavonoids if you have certain medical conditions.
Do not take bioflavonoids without first talking to your doctor if you are pregnant or planning a pregnancy. It is not known whether bioflavonoids will be harmful to an unborn baby. Do not take bioflavonoids without first talking to your doctor if you are breast-feeding a baby. It is not known whether bioflavonoids will be harmful to a nursing infant. Do not give any herbal/health supplement to a child without the advice of a doctor.
How should I take bioflavonoids?
When considering the use of herbal supplements, seek the advice of your doctor. You may also consider consulting a practitioner who is trained in the use of herbal/health supplements.
If you choose to take bioflavonoids, use it as directed on the package or as directed by your doctor, pharmacist, or other healthcare provider. Do not use more of this product than is recommended on the label.
Take this medicine with a full glass of water.
Do not use different formulations of bioflavonoids at the same time without first talking to your doctor. Using different formulations together increases the risk of an bioflavonoids overdose.
If your condition does not improve, or if it appears to get worse, contact your doctor.
Store bioflavonoids at room temperature away from moisture and heat.
Consult your doctor, pharmacist, herbalist, or other healthcare provider for instructions if you miss a dose.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
What should I avoid while taking bioflavonoids?
There are no known restrictions on food, beverages, or activities while you are taking bioflavonoids unless otherwise directed by your health care provider.
Bioflavonoids 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.
Less serious side effects are more likely to occur, and you may have none at all.
Tell your doctor, pharmacist, herbalist, or other healthcare provider about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.
Bioflavonoids Dosing Information
Usual Adult Dose for Osteoarthritis:
Bioflavonoids 250 mg oral capsule: 250 mg orally every 12 hours or 3 times a day.
What other drugs will affect bioflavonoids?
There may be other drugs that can interact with bioflavonoids. Tell your healthcare provider about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your healthcare provider.
Where can I get more information?
Consult with a licensed healthcare professional before using any herbal/health supplement. Whether you are treated by a medical doctor or a practitioner trained in the use of natural medicines/supplements, make sure all your healthcare providers know about all of your medical conditions and treatments.
Consultation with a licensed health care professional is advisable before using any herbal/health supplement. Additionally, consultation with a practitioner trained in the uses of herbal/health supplements may be beneficial and coordination of treatment among all health care providers involved may be advantageous. Remember, keep this and all other prescription drug products, over-the-counter drug products, and herbal/health supplements out of the reach of children.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. (‘Multum’) is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum’s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum’s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
Generic Name: immune globulin (intramuscular) (IGIM) (i MUNE GLOB ue lin (IN tra MUS cue lar))
Brand Names: GamaSTAN S/D
What is IGIM?
Immune globulin for intramuscular administration (IGIM) is a sterilized solution obtained from pooled human blood. It contains the immunoglobulins (or antibodies) to protect against infectious agents that cause various diseases. Antibodies are substances in the blood that fight infections.
IGIM is used to prevent or reduce the severity of infection by hepatitis A, measles, chickenpox (varicella), and rubella. IGIM is also used to prevent or reduce the severity of other infections in individuals with immunoglobulin deficiencies.
IGIM may also be used for purposes other than those listed here.
What is the most important information I should know about IGIM?
IGIM is made from human plasma (part of the blood) and may contain infectious agents (e.g., viruses) that can cause disease. Although IGIM is screened, tested, and treated to reduce the possibility that it carries an infectious agent, it can still potentially transmit disease. Discuss with your doctor the risks and benefits of using IGIM.
What should I discuss with my healthcare provider before using IGIM?
Do not use IGIM without first talking to your doctor if you have
IgA deficiency;
previously had an allergic reaction to an immune globulin product;
a low level of platelets in the blood (thrombocytopenia); or
a bleeding or blood clotting disorder.
You may not be able to use IGIM, or you may require a dosage adjustment or special monitoring during treatment.
IGIM is in the FDA pregnancy category C. This means that it is not known whether it will be harmful to an unborn baby. Do not use IGIM without first talking to your doctor if you are pregnant or could become pregnant during treatment. It is not known whether IGIM passes into breast milk. Do not use IGIM without first talking to your doctor if you are breast-feeding a baby.
How should I use IGIM?
IGIM will be administered as an intramuscular (into a muscle) injection by a healthcare provider in a hospital or clinic setting.
Your doctor may want you to have blood tests or other forms of monitoring during treatment with IGIM to monitor progress and side effects.
Your healthcare provider will store IGIM as directed by the manufacturer. If you are storing IGIM at home, your healthcare provider will give you storage instructions.
What happens if I miss a dose?
Contact your healthcare provider if a dose of IGIM is missed.
What happens if I overdose?
Seek emergency medical attention or contact your healthcare provider if an overdose of IGIM is suspected.
No information is available regarding symptoms of an overdose of IGIM.
What should I avoid while taking IGIM?
Do not receive vaccines that use live strains of the virus (e.g., measles, mumps, and rubella or MMR) during and for three months following treatment with IGIM. These vaccines may not work properly when IGIM has been recently administered.
IGIM side effects
IGIM is made from human plasma (part of the blood) and may contain infectious agents (e.g., viruses) that can cause disease. Although IGIM is screened, tested, and treated to reduce the possibility that it carries an infectious agent, it can still potentially transmit disease. Discuss with your doctor the risks and benefits of using IGIM.
Notify your doctor immediately if you experience a rare but serious allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives) to IGIM.
Other less serious side effects may also occur. Upon injection of the medication, some patients experience pain, tenderness, or irritation at the injection site.
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 IGIM?
Do not receive vaccines that use live strains of the virus (e.g., measles, mumps, and rubella or MMR) during and for three months following treatment with IGIM. These vaccines may not work properly when IGIM has been recently administered.
It is not known whether other medications will interact with IGIM. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products during treatment with IGIM.
Where can I get more information?
Your pharmacist can provide more information about immune globulin intramuscular.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. (‘Multum’) is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum’s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum’s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
Generic Name:Chlorpheniramine/Pseudoephedrine (klor-fen-IHR-ah-meen/sue-do-eh-FED-rin) Brand Name: Examples include Biohist LA and Chlor-Trimeton Decongestant
Biohist LA Sustained-Release Tablets are used for:
Relieving symptoms of sinus congestion, sinus pressure, runny nose, and sneezing due to colds, upper respiratory infections, and allergies. It may also be used for other conditions as determined by your doctor.
Biohist LA Sustained-Release Tablets are an antihistamine and decongestant combination. The antihistamine works by blocking the action of histamine, which helps reduce symptoms such as watery eyes and sneezing. The decongestant promotes sinus and nasal drainage, relieving congestion and pressure.
Do NOT use Biohist LA Sustained-Release Tablets if:
you are allergic to any ingredient in Biohist LA Sustained-Release Tablets
you have severe high blood pressure, severe heart blood vessel disease, rapid heartbeat, or severe heart problems
you take sodium oxybate (GHB) or if you have taken furazolidone or 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 Biohist LA Sustained-Release Tablets:
Some medical conditions may interact with Biohist LA Sustained-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 a fast, slow, or irregular heartbeat
if you have a history of asthma, lung problems (eg, emphysema), adrenal gland problems (eg, adrenal gland tumor), heart problems, high blood pressure, diabetes, heart blood vessel problems, stroke, glaucoma, a blockage of your stomach or intestines, ulcers, a blockage of your bladder, trouble urinating, an enlarged prostate, seizures, or an overactive thyroid
Some MEDICINES MAY INTERACT with Biohist LA Sustained-Release Tablets. Tell your health care provider if you are taking any other medicines, especially any of the following:
Beta-blockers (eg, propranolol), catechol-O-methyltransferase (COMT) inhibitors (eg, tolcapone), furazolidone, indomethacin, MAOIs (eg, phenelzine), sodium oxybate (GHB), or tricyclic antidepressants (eg, amitriptyline) because they may increase the risk of Biohist LA Sustained-Release Tablets’s side effects
Digoxin or droxidopa because the risk of irregular heartbeat or heart attack may be increased
Bromocriptine or hydantoins (eg, phenytoin) because the risk of their side effects may be increased by Biohist LA Sustained-Release Tablets
Guanethidine, guanadrel, mecamylamine, methyldopa, or reserpine because their effectiveness may be decreased by Biohist LA Sustained-Release Tablets
This may not be a complete list of all interactions that may occur. Ask your health care provider if Biohist LA Sustained-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 Biohist LA Sustained-Release Tablets:
Use Biohist LA Sustained-Release Tablets as directed by your doctor. Check the label on the medicine for exact dosing instructions.
Take Biohist LA Sustained-Release Tablets by mouth with or without food.
Swallow Biohist LA Sustained-Release Tablets whole. Do not break, crush, or chew before swallowing. Some brands of Biohist LA Sustained-Release Tablets may be broken in half before they are taken. If you have difficulty swallowing the whole tablet, ask your pharmacist if your brand may be broken in half.
If you miss a dose of Biohist LA Sustained-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 Biohist LA Sustained-Release Tablets.
Important safety information:
Biohist LA Sustained-Release Tablets may cause dizziness, drowsiness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Biohist LA Sustained-Release Tablets with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
Do not take diet or appetite control medicines while you are taking Biohist LA Sustained-Release Tablets without checking with you doctor.
Biohist LA Sustained-Release Tablets has pseudoephedrine in it. Before you start any new medicine, check the label to see if it has pseudoephedrine in it too. If it does or if you are not sure, check with your doctor or pharmacist.
Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor.
If your symptoms do not get better within 5 to 7 days or if they get worse, check with your doctor.
Biohist LA Sustained-Release Tablets may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Biohist LA Sustained-Release Tablets. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.
Biohist LA Sustained-Release Tablets may interfere with skin allergy tests. If you are scheduled for a skin test, talk to your doctor. You may need to stop taking Biohist LA Sustained-Release Tablets for a few days before the tests.
Tell your doctor or dentist that you take Biohist LA Sustained-Release Tablets before you receive any medical or dental care, emergency care, or surgery.
Use Biohist LA Sustained-Release Tablets with caution in the ELDERLY; they may be more sensitive to its effects.
Caution is advised when using Biohist LA Sustained-Release Tablets in CHILDREN; they may be more sensitive to its effects.
PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Biohist LA Sustained-Release Tablets while you are pregnant. It is not known if Biohist LA Sustained-Release Tablets are found in breast milk. Do not breast-feed while taking Biohist LA Sustained-Release Tablets.
Possible side effects of Biohist LA Sustained-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; diarrhea; dizziness; drowsiness; excitability; headache; loss of appetite; nausea; nervousness or anxiety; trouble sleeping; upset stomach; vomiting; weakness.
Seek medical attention right away if any of these SEVERE side effects occur:
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); difficulty urinating or inability to urinate; fast or irregular heartbeat; hallucinations; seizures; severe dizziness, lightheadedness, or headache; tremor; vision changes.
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. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.
If OVERDOSE is suspected:
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), or emergency room immediately. Symptoms may include blurred vision; confusion; hallucinations; seizures; severe dizziness, lightheadedness, or headache; severe drowsiness; unusually fast, slow, or irregular heartbeat; and vomiting.
Proper storage of Biohist LA Sustained-Release Tablets:
Store Biohist LA Sustained-Release Tablets 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 Biohist LA Sustained-Release Tablets out of the reach of children and away from pets.
General information:
If you have any questions about Biohist LA Sustained-Release Tablets, please talk with your doctor, pharmacist, or other health care provider.
Biohist LA Sustained-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.
This information is a summary only. It does not contain all information about Biohist LA Sustained-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.
Generic Name: Charcoal (CHAR-kole/sye-METH-i-kone) Brand Name: Examples include Bicarsim and Bicarsim Forte
Bicarsim is used for:
Relieving pressure, bloating, and gas in the digestive tract. It may also be used for other conditions as determined by your doctor.
Bicarsim is an antiflatulent and adsorbent combination. It works by breaking up gas bubbles, which makes the gas easier to eliminate.
Do NOT use Bicarsim if:
you are allergic to any ingredient in Bicarsim
Contact your doctor or health care provider right away if any of these apply to you.
Before using Bicarsim:
Some medical conditions may interact with Bicarsim. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
if you are pregnant, planning to become pregnant, or are breast-feeding
if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
if you have allergies to medicines, foods, or other substances
Some MEDICINES MAY INTERACT with Bicarsim. However, no specific interactions with Bicarsim are known at this time.
This may not be a complete list of all interactions that may occur. Ask your health care provider if Bicarsim 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 Bicarsim:
Use Bicarsim as directed by your doctor. Check the label on the medicine for exact dosing instructions.
Take Bicarsim as needed after meals and at bedtime, unless otherwise directed by your doctor.
Bicarsim may interfere with the absorption of many other medicines. Talk to your doctor about taking Bicarsim 2 hours before or after taking any other medicine.
If you miss a dose of Bicarsim and you are using it regularly, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use Bicarsim.
Important safety information:
Do not exceed the recommended dose without checking with your doctor.
If your condition persists, contact your doctor.
Bicarsim may cause your stools to turn black.
PREGNANCY and BREAST-FEEDING: If you become pregnant while taking Bicarsim, discuss with your doctor the benefits and risks of using Bicarsim during pregnancy. It is unknown if Bicarsim is excreted in breast milk. If you are or will be breast-feeding while you are taking Bicarsim, check with your doctor or pharmacist to discuss the risks to your baby.
Possible side effects of Bicarsim:
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; temporary darkening of the stool; 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).
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. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch .
If OVERDOSE is suspected:
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), or emergency room immediately.
Proper storage of Bicarsim:
Store Bicarsim 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. Avoid temperatures above 104 degrees F (40 degrees C). Keep Bicarsim out of the reach of children and away from pets.
General information:
If you have any questions about Bicarsim, please talk with your doctor, pharmacist, or other health care provider.
Bicarsim is to be used only by the patient for whom it is prescribed. Do not share it with other people.
If your symptoms do not improve or if they become worse, check with your doctor.
This information is a summary only. It does not contain all information about Bicarsim. 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.