Zaclir
30/06/10
Generic Name: benzoyl peroxide topical (BEN zoyl per OX ide)
Brand Names: Acne Treatment, Acne-Clear, Benzac AC, Benzac W, Benzagel-5, Benzashave 10, Benzashave 5, Benziq, Benziq LS, Benziq Wash, Brevoxyl, Brevoxyl Acne Wash Kit, Brevoxyl-4 Creamy Wash Complete Pack, Brevoxyl-8 Creamy Wash Complete Pack, Breze, Clearplex, Clearskin, Clinac BPO, Desquam-E, Desquam-X 10, Desquam-X 5, Desquam-X Wash, Fostex Bar 10%, Fostex Gel 10%, Fostex Wash 10%, Inova, Lavoclen-4, Lavoclen-4 Creamy Wash, Lavoclen-8, Lavoclen-8 Creamy Wash, Loroxide, NeoBenz Micro, NeoBenz Micro SD, NeoBenz Micro Wash, NeoBenz Micro Wash Plus Pack, Neutrogena Acne Mask, Neutrogena On Spot Acne Treatment, Oscion, Oscion Cleanser, Oxy 10 Balance, Oxy Balance, Oxy Daily Wash Chill Factor, Oxy-10, Pacnex, Panoxyl 10, Panoxyl 5, Panoxyl Aqua Gel, PanOxyl Maximum Strength Foaming Acne Wash, Persa-Gel, Seba-Gel, SoluCLENZ Rx, Triaz, Triaz Cleanser, Zaclir
What is Zaclir (benzoyl peroxide topical)?
Benzoyl peroxide has an antibacterial effect. It also has a mild drying effect, which allows excess oils and dirt to be easily washed away from the skin.
Benzoyl peroxide topical is used to treat acne.
Benzoyl peroxide topical may also be used for other purposes not listed in this medication guide.
What is the most important information I should know about Zaclir (benzoyl peroxide topical)?
There are many brands and forms of benzoyl peroxide available and not all brands are listed on this leaflet.
Do not use benzoyl peroxide topical while you are also using tretinoin (Altinac, Avita, Renova, Retin-A, Tretin-X). Using these medications together could cause severe skin irritation.
Use this medication exactly as directed on the label, or as prescribed by your doctor. Do not use it in larger amounts or for longer than recommended.
Avoid getting this medication in your mouth or eyes. If it does get into any of these areas, rinse with water. Do not use benzoyl peroxide topical on sunburned, windburned, dry, chapped, irritated, or broken skin. Also avoid using benzoyl peroxide topical on wounds or on areas of eczema. Wait until these conditions have healed before using this medication.
Avoid using skin products that can cause irritation, such as harsh soaps, shampoos, or skin cleansers, hair coloring or permanent chemicals, hair removers or waxes, or skin products with alcohol, spices, astringents, or lime. Do not use other medicated skin products unless your doctor has told you to.
Benzoyl peroxide may bleach hair or fabrics. Avoid allowing this medication to come into contact with your hair or clothing.
It may take several weeks of using this medicine before your symptoms improve. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve.
What should I discuss with my healthcare provider before using Zaclir (benzoyl peroxide topical)?
Do not use benzoyl peroxide topical while you are also using tretinoin (Altinac, Avita, Renova, Retin-A, Tretin-X). Using these medications together could cause severe skin irritation. FDA pregnancy category C. It is not known whether this medication is harmful to an unborn baby. Before using benzoyl peroxide topical, tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether benzoyl peroxide passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
How should I use Zaclir (benzoyl peroxide topical)?
Use this medication exactly as directed on the label, or as prescribed by your doctor. Do not use it in larger amounts or for longer than recommended.
Wash your hands before and after applying this medication. Shake the lotion well just before each use.
Clean and pat dry the skin to be treated. Apply benzoyl peroxide in a thin layer and rub in gently.
Do not cover the treated skin area unless your doctor has told you to.
Benzoyl peroxide topical is usually applied one to three times daily. Follow your doctor’s instructions.
Benzoyl peroxide may bleach hair or fabrics. Avoid allowing this medication to come into contact with your hair or clothing.
It may take several weeks of using this medicine before your symptoms improve. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve. Store benzoyl peroxide topical at room temperature away from moisture and heat.
What happens if I miss a dose?
Apply the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to apply the medicine and skip the missed dose. Do not use 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 benzoyl peroxide applied to the skin is not likely to cause life-threatening symptoms.
What should I avoid while using Zaclir (benzoyl peroxide topical)?
Avoid getting this medication in your mouth or eyes. If it does get into any of these areas, rinse with water. Do not use benzoyl peroxide topical on sunburned, windburned, dry, chapped, irritated, or broken skin. Also avoid using benzoyl peroxide topical on wounds or on areas of eczema. Wait until these conditions have healed before using this medication.
Avoid using skin products that can cause irritation, such as harsh soaps, shampoos, or skin cleansers, hair coloring or permanent chemicals, hair removers or waxes, or skin products with alcohol, spices, astringents, or lime. Do not use other medicated skin products unless your doctor has told you to.
Avoid using sunscreen containing PABA on the same skin treated with benzoyl peroxide, or skin discoloration may occur.
Zaclir (benzoyl peroxide topical) 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 benzoyl peroxide and call your doctor at once if you have severe stinging or burning of your skin.
Less serious side effects may include:
-
mild burning or stinging;
-
itching or tingly feeling;
-
dryness or peeling of treated skin; or
-
redness or other irritation.
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 Zaclir (benzoyl peroxide topical)?
It is not likely that other drugs you take orally or inject will have an effect on topically applied benzoyl peroxide. But many drugs can interact with each other. Tell your doctor 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 doctor.
Where can I get more information?
- Your pharmacist can provide more information about benzoyl peroxide topical.
- 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.
Copyright 1996-2006 Cerner Multum, Inc. Version: 5.01. Revision Date: 05/06/2009 2:11:36 PM.
Zaditor
30/06/10
Generic Name: ketotifen ophthalmic (kee toe TYE fen off THAL mik)
Brand Names: Alaway, Zaditor
What is Zaditor (ketotifen ophthalmic)?
Ketotifen is an antihistamine that inhibits the body’s release of a chemical called histamine. Histamine can produce allergy symptoms such as sneezing, runny nose, and watery eyes.
Ketotifen ophthalmic is used to treat itching of the eyes caused by allergy to dust, pollen, animals, or other allergens.
Ketotifen ophthalmic may also be used for other purposes not listed in this medication guide.
What is the most important information I should know about Zaditor (ketotifen ophthalmic)?
Do not use this medication if you are allergic to ketotifen, or if you have an untreated eye infection. Ketotifen ophthalmic should not be used to treat eye irritation caused by wearing contact lenses.
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.
If you wear contact lenses, remove them before applying ketotifen ophthalmic. This medication may contain a preservative (benzalkonium chloride) that may cause discoloration of contact lenses. Wait at least 10 minutes after using in the eye drops before putting contact lenses into your eyes.
Do not allow the medicine dropper tip to touch any surface, including the eyes or hands. If the dropper becomes contaminated it could cause an infection in your eye, which can lead to vision loss or serious damage to the eye.
What should I discuss with my healthcare provider before using Zaditor (ketotifen ophthalmic)?
Do not use this medication if you are allergic to ketotifen, or if you have an untreated eye infection. Ketotifen ophthalmic should not be used to treat eye irritation caused by wearing contact lenses. FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether ketotifen passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not use this medication in a child younger than 3 years old without the advice of a doctor.
How should I use Zaditor (ketotifen ophthalmic)?
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.
Wash your hands before using the eye drops.
If you wear contact lenses, remove them before applying ketotifen ophthalmic. This medication may contain a preservative (benzalkonium chloride) that may cause discoloration of contact lenses.
To apply the eye drops:
-
Tilt your head back slightly and pull down your lower eyelid. Hold the dropper above the eye with the dropper tip down. Look up and away from the dropper as you squeeze out a drop, then close your eye. Gently press your finger to the inside corner of the eye (near your nose) for about 1 minute to keep the liquid from draining into your tear duct. If you use more than one drop in the same eye, wait about 5 minutes before putting in the next drop.
Do not allow the dropper tip to touch any surface, including the eyes or hands. If the dropper becomes contaminated it could cause an infection in your eye, which can lead to vision loss or serious damage to the eye.
After using the eyedrops, wait at least 10 minutes before putting contact lenses into your eyes.
Do not use the eye drops if the liquid has changed colors or has particles in it. Call your doctor for a new prescription. Store the drops at room temperature away from heat and moisture. Keep the bottle tightly closed when not in use.
What happens if I miss a dose?
Use the medication as soon as you remember the missed dose. If it is almost time for your next dose, skip the missed dose and use the medicine at your next regularly scheduled time. Do not use 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 ketotifen ophthalmic is not expected to produce life-threatening symptoms.
What should I avoid while using Zaditor (ketotifen ophthalmic)?
Avoid using other medications in your eyes during treatment with ketotifen ophthalmic unless your doctor has told you to.
Zaditor (ketotifen ophthalmic) 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 ketotifen ophthalmic and call your doctor at once if you have any of these serious side effects:
-
redness, drainage, eyelid swelling, or other signs of infection;
-
eye pain;
-
vision changes; or
-
severe itching of the eyes worse than before using the medication.
Less serious side effects may include:
-
mild burning, stinging, or eye irritation;
-
dryness of the eyes; or
-
increased sensitivity to light.
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 Zaditor (ketotifen ophthalmic)?
There may be other drugs that can interact with ketotifen ophthalmic. 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 ketotifen ophthalmic.
- 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.
Copyright 1996-2006 Cerner Multum, Inc. Version: 2.06. Revision Date: 4/12/2009 4:43:47 PM.
Zacare
30/06/10
Generic Name: benzoyl peroxide and sodium hyaluronate topical kit (BEN zoe il per OX ide and SOE dee um HYE al ure ON ate)
Brand Names: Zacare
What is benzoyl peroxide and sodium hyaluronate topical?
Benzoyl peroxide has an antibacterial effect. It also has a mild drying effect, which allows excess oils and dirt to be easily washed away from the skin.
Sodium hyaluronate is a lubricant that restores moisture to the skin.
Benzoyl peroxide and sodium hyaluronate topical are used together to treat severe acne along with dry or scaly skin.
Benzoyl peroxide and sodium hyaluronate topical may also be used for other purposes not listed in this medication guide.
What is the most important information I should know about benzoyl peroxide and sodium hyaluronate topical?
This medication comes as a kit containing benzoyl peroxide lotion and sodium hyaluronate gel.
You should not use this medication if you are allergic to benzoyl peroxide or sodium hyaluronate. Do not use this medication on a child younger than 12 years old without the advice of a doctor. Avoid getting this medication on your lips or in your mouth, nose, or eyes. If it does get into any of these areas, rinse with water.
Benzoyl peroxide may bleach hair or fabrics. Avoid allowing this medication to come into contact with your hair or clothing.
It may take up to 3 weeks of using this medicine before your symptoms improve. Talk with your doctor if your symptoms do not improve. The best results may be seen after 8 to 12 weeks of use. Do not use other medicated skin products unless your doctor has told you to.
Stop using benzoyl peroxide and sodium hyaluronate and call your doctor at once if you have severe stinging or burning of your skin.
What should I discuss with my healthcare provider before using benzoyl peroxide and sodium hyaluronate topical?
You should not use this medication if you are allergic to benzoyl peroxide or sodium hyaluronate. FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether benzoyl peroxide and sodium hyaluronate passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not use this medication on a child younger than 12 years old without the advice of a doctor.
How should I use benzoyl peroxide and sodium hyaluronate topical?
This medication comes as a kit containing benzoyl peroxide lotion and sodium hyaluronate gel.
Use this medication exactly as prescribed by your doctor. Do not use it in larger amounts or for longer than recommended. Follow the directions on your prescription label.
Shake the benzoyl peroxide lotion well just before each use. Wet the skin before applying the benzoyl peroxide cleansing lotion. Work the lotion into a lather and rinse thoroughly. Gently the skin dry.
During your first week of treatment, wash the affected skin with the benzoyl peroxide lotion once daily. After the first week, wash the skin twice daily.
The sodium hyaluronate gel may be applied 2 or 3 times daily. Follow your doctor’s instructions. Apply a liberal amount of the gel and rub it in thoroughly.
Do not cover the treated skin area unless your doctor has told you to.
It may take up to 3 weeks of using this medicine before your symptoms improve. Talk with your doctor if your symptoms do not improve. The best results may be seen after 8 to 12 weeks of use. Do not use other medicated skin products unless your doctor has told you to.
Store benzoyl peroxide and sodium hyaluronate at room temperature away from moisture and heat. Keep the lotion bottle and ointment tube tightly closed when not in use.
What happens if I miss a dose?
Apply the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to apply the medicine and skip the missed dose. Do not use 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 benzoyl peroxide and sodium hyaluronate applied to the skin is not likely to cause life-threatening symptoms.
What should I avoid while using benzoyl peroxide and sodium hyaluronate topical?
Avoid getting this medication on your lips or in your mouth, nose, or eyes. If it does get into any of these areas, rinse with water.
Avoid using benzoyl peroxide and sodium hyaluronate topical on sunburned, windburned, dry, chapped, irritated, or broken skin.
Benzoyl peroxide may bleach hair or fabrics. Avoid allowing this medication to come into contact with your hair or clothing.
Do not use other medicated skin products unless your doctor has told you to.
Benzoyl peroxide and sodium hyaluronate topical 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 benzoyl peroxide and sodium hyaluronate and call your doctor at once if you have severe stinging or burning of your skin.
Less serious side effects may include:
-
redness or peeling of treated skin;
-
mild burning or stinging; or
-
dry skin.
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 benzoyl peroxide and sodium hyaluronate topical?
It is not likely that other drugs you take orally or inject will have an effect on topically applied benzoyl peroxide and sodium hyaluronate. But many drugs can interact with each other. Tell your doctor 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 doctor.
Where can I get more information?
- Your pharmacist can provide more information about benzoyl peroxide and sodium hyaluronate topical.
- 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.
Copyright 1996-2006 Cerner Multum, Inc. Version: 1.02. Revision Date: 4/12/2009 4:46:25 PM.
Z-Cof HCX
30/06/10
Generic Name: guaifenesin and hydrocodone (gwye FEN e sin and HYE droe KOE done)
Brand Names: A-Cof DH, Canges-XP, Codiclear DH, Condasin, Cotuss V, Execlear, Extendryl HC, Hycotuss Expectorant, Hydrocod-GF, Kwelcof, Monte-G HC, Narcof, Pancof XP, Pneumotussin 2.5, Relasin-HCX, Touro HC, Tussicle, Tusso-DF, Vi-Q-Tuss, Vitussin Expectorant, Xpect-HC, Z-Cof HCX
What is Z-Cof HCX (guaifenesin and hydrocodone)?
Guaifenesin is an expectorant. It helps loosen congestion in your chest and throat, making it easier to cough out through your mouth.
Hydrocodone is a narcotic cough suppressant.
Guaifenesin and hydrocodone is used to treat cough and reduce chest congestion caused by the common cold, flu, or allergies.
Guaifenesin and hydrocodone may also be used for other purposes not listed in this medication guide.
What is the most important information I should know about Z-Cof HCX (guaifenesin and hydrocodone)?
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 may increase drowsiness and dizziness caused by guaifenesin and hydrocodone. Tell your doctor if you regularly use other medicines that make you sleepy (such as other cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety). They can add to sleepiness caused by guaifenesin and hydrocodone. Hydrocodone may be habit-forming and should be used only by the person it was prescribed for. Hydrocodone should never be given to 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.
What should I discuss with my healthcare provider before taking Z-Cof HCX (guaifenesin and hydrocodone)?
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. Do not use this medicine if you are allergic to hydrocodone or guaifenesin.
Before taking this medication, tell your doctor if you have:
- kidney disease;
- liver disease;
-
asthma;
-
urination problems;
-
an enlarged prostate;
-
a thyroid disorder;
-
seizures or epilepsy;
-
gallbladder disease;
-
a head injury; or
-
Addison’s disease.
If you have any of these conditions, you may not be able to take guaifenesin and hydrocodone, or you may need a dose adjustment or special tests during treatment.
FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Guaifenesin and hydrocodone passes into breast milk and may be harmful to a nursing baby. Do not take guaifenesin and hydrocodone without telling your doctor if you are breast-feeding a baby.
How should I take Z-Cof HCX (guaifenesin and hydrocodone)?
Take this medication exactly as prescribed by your doctor. Do not take it in larger amounts or for longer than recommended. Follow the directions on your prescription label.
Guaifenesin and hydrocodone can be taken with or without food.
Measure liquid 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.
Do not take more of this medication or take it for longer than is recommended. Call your doctor if your symptoms do not improve, or if they get worse. Store guaifenesin and hydrocodone at room temperature away from moisture and heat. Keep track of how many pills have been used from each new bottle of this medicine. 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.
What happens if I miss a dose?
Take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. 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 extreme drowsiness, sweating, pinpoint pupils, nausea, vomiting, dry mouth, confusion, cold and clammy skin, muscle weakness, fainting, weak pulse, slow heart rate, seizure (convulsions), weak or shallow breathing, or breathing that stops.
What should I avoid while taking Z-Cof HCX (guaifenesin and hydrocodone)?
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 may increase drowsiness and dizziness caused by guaifenesin and hydrocodone. Tell your doctor if you regularly use other medicines that make you sleepy (such as other cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety). They can add to sleepiness caused by guaifenesin and hydrocodone.
Do not take other over-the-counter cough, cold, allergy, pain, or sleep medications without first asking your doctor or pharmacist. Guaifenesin is contained in many medicines available over the counter. If you take certain products together you may accidentally take too much guaifenesin. Read the label of any other medicine you are using to see if it contains guaifenesin.
Z-Cof HCX (guaifenesin and hydrocodone) 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 a serious side effect such as:
-
slow heart rate, weak or shallow breathing;
-
feeling like you might pass out;
-
confusion, fear, unusual thoughts or behavior;
-
seizure (convulsions); or
-
urinating less than usual or not at all.
Less serious side effects may include:
-
dizziness, drowsiness;
-
nausea, vomiting, upset stomach;
-
blurred vision;
-
constipation;
-
dry mouth; or
-
sweating.
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 Z-Cof HCX (guaifenesin and hydrocodone)?
Before taking this medication, tell your doctor if you are using any of the following drugs:
-
antidepressants such as amitriptyline (Elavil, Etrafon), clomipramine (Anafranil), imipramine (Janimine, Tofranil), and others;
-
atropine (Donnatal, and others), benztropine (Cogentin), dimenhydrinate (Dramamine), glycopyrrolate (Robinul), mepenzolate (Cantil), methscopolamine (Pamine), or scopolamine (Transderm-Scop);
-
bladder or urinary medications such as darifenacin (Enablex), flavoxate (Urispas), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or solifenacin (Vesicare);
-
a bronchodilator such as ipratropium (Atrovent) or tiotropium (Spiriva); or
-
irritable bowel medications such as dicyclomine (Bentyl), hyoscyamine (Anaspaz, Cystospaz, Levsin, and others), or propantheline (Pro-Banthine).
This list is not complete and there may be other drugs that can interact with guaifenesin and hydrocodone. 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 guaifenesin and hydrocodone.
- 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.
Copyright 1996-2006 Cerner Multum, Inc. Version: 2.02. Revision Date: 4/12/2009 4:41:00 PM.
Z-Tuss 2
30/06/10
Generic Name: chlorpheniramine, guaifenesin, hydrocodone, pseudoephedrine (KLOR fen IR a meen, gwye FEN e sin, HYE droe KOE done, SOO doe ee FED rin)
Brand Names: Z-Tuss 2
What is chlorpheniramine, guaifenesin, hydrocodone, and pseudoephedrine?
Chlorpheniramine is an antihistamine that reduces the natural chemical histamine in the body. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose.
Guaifenesin is an expectorant. It helps loosen mucus congestion in your chest and throat, making it easier to cough out through your mouth.
Hydrocodone is a narcotic cough suppressant similar to codeine. Hydrocodone 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 chlorpheniramine, guaifenesin, hydrocodone, and pseudoephedrine is used to treat sinus congestion, runny nose, sneezing, itching, watery eyes, cough, and chest congestion caused by allergies, upper respiratory infections, or the common cold.
This medication will not treat a cough that is caused by smoking, asthma, or emphysema.
Chlorpheniramine, guaifenesin, 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 chlorpheniramine, guaifenesin, hydrocodone, and pseudoephedrine?
Do not use this medication 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 a cough and cold medicine before the MAO inhibitor has cleared from your body. Hydrocodone may be habit-forming and should be used only by the person it was prescribed for. This medication 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. 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. Chlorpheniramine, guaifenesin, hydrocodone, and pseudoephedrine should not be given to a child younger than 6 years old. 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.
What should I discuss with my healthcare provider before taking chlorpheniramine, guaifenesin, hydrocodone, and pseudoephedrine?
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.
If you have certain conditions, you may need a dose adjustment or special tests to safely take this medication. Before taking chlorpheniramine, guaifenesin, hydrocodone, and pseudoephedrine, tell your doctor if you are allergic to any drugs, or if you have:
-
heart disease or high blood pressure;
-
asthma, COPD, sleep apnea, or other breathing disorders;
-
diabetes;
-
glaucoma;
-
a thyroid disorder;
-
epilepsy or other seizure disorder;
-
kidney or liver disease;
-
enlarged prostate or urination problems;
-
a stomach or intestinal disorder;
-
a history of head injury or brain tumor;
-
Addison’s disease or other adrenal gland disorders; or
-
a history of drug or alcohol addiction.
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. Older adults may be more likely to have side effects from this medication.
How should I take chlorpheniramine, guaifenesin, 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. Chlorpheniramine, guaifenesin, hydrocodone, and pseudoephedrine should not be given to a child younger than 6 years old. Take this medication with food or milk if it upsets your stomach.
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.
Drink plenty of water or other fluids to help loosen congestion and prevent dry mouth or throat. 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. Keep track of how much of this medicine has been used from each new bottle. 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.
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 fast or uneven heart rate, extreme drowsiness, feeling restless or hyperactive, confusion, hallucinations, warmth or redness in your face, cold or clammy skin, blue-colored lips or fingernails, weak or shallow breathing, fainting, or seizure (convulsions).
What should I avoid while taking chlorpheniramine, guaifenesin, 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. Do not drink alcohol while you are taking this medication. Alcohol can increase some of the side effects of chlorpheniramine, guaifenesin, or hydrocodone. 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.
Chlorpheniramine, guaifenesin, 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:
-
severe dizziness, fainting, anxiety, restless feeling, nervousness, or tremor;
-
fast, pounding, or uneven heartbeats;
-
slow heartbeat, weak pulse, shallow breathing;
-
confusion, hallucinations, unusual thoughts or behavior;
-
ringing in your ears;
-
painful or difficult urination;
-
pale skin, easy bruising or bleeding, unusual weakness; or
-
increased blood pressure (severe headache, blurred vision, trouble concentrating, chest pain, numbness, seizure).
Less serious side effects may include:
-
dizziness, drowsiness, headache;
-
blurred vision;
-
dry mouth, nose, or throat;
-
nausea, stomach pain, constipation; or
-
restless or excitability (especially in children).
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 chlorpheniramine, guaifenesin, hydrocodone, and pseudoephedrine?
Before taking this medication, 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 chlorpheniramine, guaifenesin, or hydrocodone.
Before taking this medication, tell your doctor if you are using any of the following drugs:
-
sibutramine (Meridia);
-
guanethidine (Ismelin);
-
memantine (Namenda);
-
methyldopa (Aldomet);
-
reserpine;
-
an antidepressant such as amitriptyline (Elavil), clomipramine (Anafranil), imipramine (Janimine, Tofranil), and others; or
-
a beta-blocker such as atenolol (Tenormin), carteolol (Cartrol), metoprolol (Lopressor, Toprol), nadolol (Corgard), propranolol (Inderal), sotalol (Betapace), timolol (Blocadren), and others.
This list is not complete and there may be other drugs that can interact with chlorpheniramine, guaifenesin, 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.
Where can I get more information?
- Your pharmacist can provide more information about chlorpheniramine, guaifenesin, hydrocodone, and pseudoephedrine.
- 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.
Copyright 1996-2006 Cerner Multum, Inc. Version: 1.03. Revision Date: 4/12/2009 4:46:21 PM.
Z-Tuss AC
30/06/10
Generic Name: chlorpheniramine and codeine (KLOR fen IR a meed and KOE deen)
Brand Names: Cotab A, Cotab AX, Notuss-AC, Z-Tuss AC, Zodryl AC 25, Zodryl AC 30, Zodryl AC 35, Zodryl AC 40, Zodryl AC 50, Zodryl AC 60, Zodryl AC 80
What is Z-Tuss AC (chlorpheniramine and codeine)?
Chlorpheniramine is an antihistamine that reduces the natural chemical histamine in the body. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose.
Codeine is a narcotic cough suppressant. It affects the signals in the brain that trigger cough reflex.
The combination of chlorpheniramine and codeine is used to treat runny or stuffy nose, sneezing, watery eyes, and cough caused by allergies or the common cold.
Chlorpheniramine and codeine will not treat a cough that is caused by smoking, asthma, or emphysema.
Chlorpheniramine and codeine may also be used for other purposes not listed in this medication guide.
What is the most important information I should know about Z-Tuss AC (chlorpheniramine and codeine)?
Do not take a cough and cold 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 a cough and cold medicine before the MAO inhibitor has cleared from your body. You should not take this medication if you are allergic to chlorpheniramine or codeine, or if you have severe high blood pressure or coronary artery disease, ischemic heart disease, a stomach ulcer, narrow-angle glaucoma, if you are having an asthma attack, if you are pregnant or breast-feeding, or if you are unable to urinate.
Before taking this medication, tell your doctor if you have asthma or other breathing disorder, glaucoma, heart disease, high blood pressure, seizures, a thyroid disorder, diabetes, urination problems, stomach problems, liver or kidney disease, Addison’s disease, mental illness, or a history of drug or alcohol addiction.
Codeine may be habit-forming and should be used only by the person it was prescribed for. This medication 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. Do not give this medicine to a child younger than 6 years old.
What should I discuss with my healthcare provider before taking Z-Tuss AC (chlorpheniramine and codeine)?
Do not take a cough and cold 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 a cough and cold medicine before the MAO inhibitor has cleared from your body. You should not take this medication if you are allergic to chlorpheniramine or codeine, or if you have:
-
severe or uncontrolled high blood pressure;
-
severe coronary artery disease;
-
ischemic heart disease;
-
a stomach ulcer;
-
narrow-angle glaucoma;
-
if you are having an asthma attack;
-
if you are unable to urinate; or
-
if you are pregnant or breast-feeding.
If you have any of these other conditions, you may need a dose adjustment or special tests to safely use this medication:
-
asthma, COPD, emphysema, or other breathing disorder;
-
glaucoma;
-
heart disease, high blood pressure;
-
a history of head injury or brain tumor;
-
epilepsy or other seizure disorder;
-
a thyroid disorder;
-
diabetes;
-
enlarged prostate or urination problems;
-
stomach or intestinal problems;
- liver or kidney disease;
-
Addison’s disease;
-
mental illness; or
-
a history of drug or alcohol addiction.
FDA pregnancy category C. It is not known whether chlorpheniramine and codeine is harmful to an unborn baby. Codeine can cause breathing problems or addiction/withdrawal symptoms in a newborn. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Codeine can pass into breast milk and may harm a nursing baby. The use of codeine by some nursing mothers may lead to life-threatening side effects in the baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
Older adults are more likely to have side effects from this medicine.
Do not give chlorpheniramine and codeine to a child younger than 6 years old. Codeine may be habit-forming and should be used only by the person it was prescribed for. This medication 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.
How should I take Z-Tuss AC (chlorpheniramine and codeine)?
Take this medication exactly as prescribed by your doctor. Do not take it in larger amounts or for longer than recommended. Follow the directions on your prescription label.
Do not take this medication more often than you doctor has prescribed. An overdose of chlorpheniramine and codeine can cause life-threatening side effects. Take chlorpheniramine and codeine with a full glass of water.
Measure liquid 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.
Chlorpheniramine and codeine can be taken with food if it upsets your stomach.
Call your doctor if your symptoms do not improve after 7 days of treatment, or if you also have a fever, headache, or skin rash.
Store chlorpheniramine and codeine at room temperature away from moisture and heat. Keep track of how much of this medicine has been used from each new bottle. Codeine 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.
What happens if I miss a dose?
Cough or cold medicine is usually taken only as needed, so 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 chlorpheniramine and codeine can be fatal, especially to a child.
Overdose symptoms may include feeling restless or nervous, sleep problems, extreme drowsiness, weak or limp feeling, confusion, hallucinations, chest pain, shortness of breath, uneven heartbeats, pinpoint pupils, cold and clammy skin, fainting, seizure (convulsions), weak pulse, shallow breathing, or breathing that stops.
What should I avoid while taking Z-Tuss AC (chlorpheniramine and codeine)?
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 getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.
Avoid drinking alcohol while using chlorpheniramine and codeine. Alcohol may increase drowsiness and dizziness.
Z-Tuss AC (chlorpheniramine and codeine) side effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:
-
weak or shallow breathing;
-
chest tightness, fast heart rate;
-
painful urination;
-
urinating less than usual or not at all; or
-
confusion, hallucinations, or unusual behavior.
Less serious side effects may include:
-
feeling restless or excited (especially in children);
-
dizziness, drowsiness, loss of coordination;
-
ringing in your ears;
-
constipation or diarrhea;
-
nausea, vomiting, loss of appetite;
-
dry mouth, nose, or throat; or
-
mild itching or skin rash.
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 Z-Tuss AC (chlorpheniramine and codeine)?
Narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression or anxiety can add to sleepiness caused by chlorpheniramine and codeine. Tell your doctor if you regularly use any of these medicines, or any other cold or allergy medicine.
Tell your doctor about all other medications you use, especially:
-
atropine (Donnatal, and others), benztropine (Cogentin), dimenhydrinate (Dramamine), methscopolamine (Pamine), or scopolamine (Transderm-Scop);
-
bronchodilators such as ipratroprium (Atrovent) or tiotropium (Spiriva);
-
glycopyrrolate (Robinul);
-
mepenzolate (Cantil);
-
bladder or urinary medications such as darifenacin (Enablex), flavoxate (Urispas), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or solifenacin (Vesicare);
-
irritable bowel medications such as dicyclomine (Bentyl), hyoscyamine (Anaspaz, Cystospaz, Levsin, and others), or propantheline (Pro-Banthine); or
-
an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate).
This list is not complete and there may be other drugs that can interact with chlorpheniramine and codeine. Tell your doctor 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 doctor.
Where can I get more information?
- Your pharmacist can provide more information about chlorpheniramine and codeine.
- 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.
Copyright 1996-2006 Cerner Multum, Inc. Version: 3.01. Revision Date: 07/07/2009 9:17:46 AM.
Z-Clinz 5
30/06/10
Generic Name: benzoyl peroxide and clindamycin topical (BEN zoyl per OX ide and clin da MYE sin)
Brand Names: BenzaClin, BenzaClin with pump, Duac, Duac Care System, Z-Clinz 10, Z-Clinz 5
What is Z-Clinz 5 (benzoyl peroxide and clindamycin topical)?
Benzoyl peroxide has an antibacterial effect. It also has a mild drying effect that allows excess oil and dirt to be washed away.
Clindamycin is an antibiotic. Clindamycin topical prevents bacteria from growing on the skin.
Together the combination of benzoyl peroxide and clindamycin topical are used to treat acne.
Benzoyl peroxide and clindamycin topical may also be used for other purposes not listed in this medication guide.
What is the most important information I should know about Z-Clinz 5 (benzoyl peroxide and clindamycin topical)?
Use benzoyl peroxide and clindamycin topical exactly as your doctor has prescribed it for you. Using more medicine or applying it more often than prescribed will not make it work any faster, and may increase side effects. Do not use this medication for longer than your doctor has prescribed.
Avoid getting this medication in your eyes, mouth, or nose (or in the creases of your nose), or on your lips. If it does get into any of these areas, wash with water. Do not apply this medicine to sunburned, windburned, dry, chapped, irritated, or broken skin. It may take several weeks of using this medicine before your symptoms improve. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve.
Although this medicine is applied to the skin, your body may absorb enough clindamycin to cause serious side effects. You may not be able to use this medication if you have inflammation of your intestines (also called enteritis), ulcerative colitis, or if you have ever had severe diarrhea caused by antibiotic medicine.
Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Benzoyl peroxide and clindamycin topical can make your skin more sensitive to sunlight and sunburn may result. Use a sunscreen (minimum SPF 15) and wear protective clothing if you must be out in the sun.
What should I discuss with my healthcare provider before using Z-Clinz 5 (benzoyl peroxide and clindamycin topical)?
Do not use this medication if you are allergic to benzoyl peroxide or clindamycin (Cleocin, Clina-Derm, Clindets).
Although this medicine is applied to the skin, your body may absorb enough clindamycin to cause serious side effects. You may not be able to use this medication if you have:
-
inflammation of your intestines (also called enteritis);
-
ulcerative colitis; or
-
if you have ever had severe diarrhea caused by antibiotic medicine.
FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether benzoyl peroxide and clindamycin topical passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
How should I use Z-Clinz 5 (benzoyl peroxide and clindamycin topical)?
Use benzoyl peroxide and clindamycin topical exactly as your doctor has prescribed it for you. Using more medicine or applying it more often than prescribed will not make it work any faster, and may increase side effects. Do not use this medication for longer than your doctor has prescribed.
Wash your hands before and after applying this medication.
Wash your face with a mild cleanser (not soap) and pat the skin dry with a clean towel.
Benzoyl peroxide and clindamycin topical is usually applied twice daily, in the morning and evening.
Avoid getting this medication in your eyes, mouth, or nose (or in the creases of your nose), or on your lips. If it does get into any of these areas, wash with water. Do not apply this medicine to sunburned, windburned, dry, chapped, irritated, or broken skin. It may take several weeks of using this medicine before your symptoms improve. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve. Store this medication at room temperature away from moisture and heat.
What happens if I miss a dose?
Apply the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to apply the medicine and skip the missed dose. Do not use 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 include bloody or watery diarrhea, which may result if you absorb this medicine through your skin by applying too much.
What should I avoid while taking Z-Clinz 5 (benzoyl peroxide and clindamycin topical)?
Avoid using skin products that can cause irritation, such as harsh soaps, shampoos, or skin cleansers, hair coloring or permanent chemicals, hair removers or waxes, or skin products with alcohol, spices, astringents, or lime. Do not use other medicated skin products unless your doctor has told you to.
Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or has blood in it, call your doctor. Do not use any medicine to stop the diarrhea unless your doctor has told you to.
Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Benzoyl peroxide and clindamycin topical can make your skin more sensitive to sunlight and sunburn may result. Use a sunscreen (minimum SPF 15) and wear protective clothing if you must be out in the sun.
Avoid using sunscreen containing PABA on the same skin treated with benzoyl peroxide and clindamycin topical, or skin discoloration may occur.
Benzoyl peroxide can bleach hair or fabrics. Do not let this medicine come into contact with clothing, hair, or colored towels or bed linens.
Z-Clinz 5 (benzoyl peroxide and clindamycin topical) 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 medicine and call your doctor at once if you have any of these serious side effects:
-
severe redness, burning, stinging, or peeling of treat skin areas; or
-
diarrhea that is watery or bloody.
Less serious side effects may include:
-
mild burning or stinging;
-
itching or tingly feeling;
-
dryness or peeling of treated skin; or
-
redness or other irritation.
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 Z-Clinz 5 (benzoyl peroxide and clindamycin topical)?
Before using benzoyl peroxide and clindamycin topical, tell your doctor if you are using any of the following drugs:
-
erythromycin topical (Akne-Mycin, Emcin Clear, Eryderm, Erygel, Erythra-Derm, Ery-Sol, and others); or
-
erythromycin taken by mouth (E.E.S., E-Mycin, Ery-Tab, E-Mycin, Robimycin, and others).
This list is not complete and there may be other drugs that can interact with benzoyl peroxide and clindamycin topical. 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 benzoyl peroxide and clindamycin topical.
- 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.
Copyright 1996-2006 Cerner Multum, Inc. Version: 6.02. Revision Date: 4/12/2009 4:44:33 PM.
Z-Clinz 10
30/06/10
Generic Name: benzoyl peroxide and clindamycin topical (BEN zoyl per OX ide and clin da MYE sin)
Brand Names: BenzaClin, BenzaClin with pump, Duac, Duac Care System, Z-Clinz 10, Z-Clinz 5
What is Z-Clinz 10 (benzoyl peroxide and clindamycin topical)?
Benzoyl peroxide has an antibacterial effect. It also has a mild drying effect that allows excess oil and dirt to be washed away.
Clindamycin is an antibiotic. Clindamycin topical prevents bacteria from growing on the skin.
Together the combination of benzoyl peroxide and clindamycin topical are used to treat acne.
Benzoyl peroxide and clindamycin topical may also be used for other purposes not listed in this medication guide.
What is the most important information I should know about Z-Clinz 10 (benzoyl peroxide and clindamycin topical)?
Use benzoyl peroxide and clindamycin topical exactly as your doctor has prescribed it for you. Using more medicine or applying it more often than prescribed will not make it work any faster, and may increase side effects. Do not use this medication for longer than your doctor has prescribed.
Avoid getting this medication in your eyes, mouth, or nose (or in the creases of your nose), or on your lips. If it does get into any of these areas, wash with water. Do not apply this medicine to sunburned, windburned, dry, chapped, irritated, or broken skin. It may take several weeks of using this medicine before your symptoms improve. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve.
Although this medicine is applied to the skin, your body may absorb enough clindamycin to cause serious side effects. You may not be able to use this medication if you have inflammation of your intestines (also called enteritis), ulcerative colitis, or if you have ever had severe diarrhea caused by antibiotic medicine.
Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Benzoyl peroxide and clindamycin topical can make your skin more sensitive to sunlight and sunburn may result. Use a sunscreen (minimum SPF 15) and wear protective clothing if you must be out in the sun.
What should I discuss with my healthcare provider before using Z-Clinz 10 (benzoyl peroxide and clindamycin topical)?
Do not use this medication if you are allergic to benzoyl peroxide or clindamycin (Cleocin, Clina-Derm, Clindets).
Although this medicine is applied to the skin, your body may absorb enough clindamycin to cause serious side effects. You may not be able to use this medication if you have:
-
inflammation of your intestines (also called enteritis);
-
ulcerative colitis; or
-
if you have ever had severe diarrhea caused by antibiotic medicine.
FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether benzoyl peroxide and clindamycin topical passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
How should I use Z-Clinz 10 (benzoyl peroxide and clindamycin topical)?
Use benzoyl peroxide and clindamycin topical exactly as your doctor has prescribed it for you. Using more medicine or applying it more often than prescribed will not make it work any faster, and may increase side effects. Do not use this medication for longer than your doctor has prescribed.
Wash your hands before and after applying this medication.
Wash your face with a mild cleanser (not soap) and pat the skin dry with a clean towel.
Benzoyl peroxide and clindamycin topical is usually applied twice daily, in the morning and evening.
Avoid getting this medication in your eyes, mouth, or nose (or in the creases of your nose), or on your lips. If it does get into any of these areas, wash with water. Do not apply this medicine to sunburned, windburned, dry, chapped, irritated, or broken skin. It may take several weeks of using this medicine before your symptoms improve. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve. Store this medication at room temperature away from moisture and heat.
What happens if I miss a dose?
Apply the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to apply the medicine and skip the missed dose. Do not use 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 include bloody or watery diarrhea, which may result if you absorb this medicine through your skin by applying too much.
What should I avoid while taking Z-Clinz 10 (benzoyl peroxide and clindamycin topical)?
Avoid using skin products that can cause irritation, such as harsh soaps, shampoos, or skin cleansers, hair coloring or permanent chemicals, hair removers or waxes, or skin products with alcohol, spices, astringents, or lime. Do not use other medicated skin products unless your doctor has told you to.
Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or has blood in it, call your doctor. Do not use any medicine to stop the diarrhea unless your doctor has told you to.
Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Benzoyl peroxide and clindamycin topical can make your skin more sensitive to sunlight and sunburn may result. Use a sunscreen (minimum SPF 15) and wear protective clothing if you must be out in the sun.
Avoid using sunscreen containing PABA on the same skin treated with benzoyl peroxide and clindamycin topical, or skin discoloration may occur.
Benzoyl peroxide can bleach hair or fabrics. Do not let this medicine come into contact with clothing, hair, or colored towels or bed linens.
Z-Clinz 10 (benzoyl peroxide and clindamycin topical) 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 medicine and call your doctor at once if you have any of these serious side effects:
-
severe redness, burning, stinging, or peeling of treat skin areas; or
-
diarrhea that is watery or bloody.
Less serious side effects may include:
-
mild burning or stinging;
-
itching or tingly feeling;
-
dryness or peeling of treated skin; or
-
redness or other irritation.
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 Z-Clinz 10 (benzoyl peroxide and clindamycin topical)?
Before using benzoyl peroxide and clindamycin topical, tell your doctor if you are using any of the following drugs:
-
erythromycin topical (Akne-Mycin, Emcin Clear, Eryderm, Erygel, Erythra-Derm, Ery-Sol, and others); or
-
erythromycin taken by mouth (E.E.S., E-Mycin, Ery-Tab, E-Mycin, Robimycin, and others).
This list is not complete and there may be other drugs that can interact with benzoyl peroxide and clindamycin topical. 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 benzoyl peroxide and clindamycin topical.
- 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.
Copyright 1996-2006 Cerner Multum, Inc. Version: 6.02. Revision Date: 4/12/2009 4:44:33 PM.
Xyralid
30/06/10
Generic Name: hydrocortisone and lidocaine topical (HYE droe KOR ti sone and LYE doe kane TOP ik al)
Brand Names: Xyralid
What is Xyralid (hydrocortisone and lidocaine topical)?
Hydrocortisone is a topical (for the skin) steroid. It reduces the actions of chemicals in the body that cause inflammation, redness, and swelling.
Lidocaine is a local anesthetic (numbing medication). It works by blocking nerve signals in your body.
Hydrocortisone and lidocaine topical is used to treat itching and inflammation of the skin caused by a number of conditions such as allergic reactions, eczema, psoriasis, minor burns, or insect bites.
Hydrocortisone and lidocaine topical may also be used for other purposes not listed in this medication guide.
What is the most important information I should know about Xyralid (hydrocortisone and lidocaine topical)?
Do not cover treated skin areas with a bandage or other covering unless your doctor has told you to. Covering the skin that is treated with hydrocortisone and lidocaine topical can increase the amount of the drug your skin absorbs, which may lead to unwanted side effects. Follow your doctor’s instructions.
Your body may absorb more of this medication if you use too much, if you apply it over large skin areas, or if you apply heat, bandages, or plastic wrap to treated skin areas. Skin that is cut or irritated may also absorb more topical medication than healthy skin.
Avoid using this medication on body areas where you have skin folds or thin skin, unless your doctor has told you to.
Do not use this medication on a child without a doctor’s advice. Children are more sensitive to the effects of hydrocortisone and lidocaine topical.
Hydrocortisone and lidocaine topical will not treat a bacterial, fungal, or viral skin infection.
Contact your doctor if your condition does not improve or if it gets worse after using this medication for several days.
What should I discuss with my healthcare provider before using Xyralid (hydrocortisone and lidocaine topical)?
You should not use this medication if you are allergic to hydrocortisone or lidocaine, or if you have:
-
herpes simplex;
-
smallpox or chickenpox; or
-
tuberculosis.
If you have certain conditions, you may need a dose adjustment or special tests to safely use this medication. Before using hydrocortisone and lidocaine topical, tell your doctor if you have liver disease or a heart rhythm problem.
FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether hydrocortisone and lidocaine topical passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not use this medication on a child without a doctor’s advice. Children are more sensitive to the effects of hydrocortisone and lidocaine topical.
How should I use Xyralid (hydrocortisone and lidocaine topical)?
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 or smaller amounts, or use it for longer than recommended.
Hydrocortisone and lidocaine topical will not treat a bacterial, fungal, or viral skin infection.
Wash your hands before and after each application, unless you are using hydrocortisone and lidocaine topical to treat a hand condition.
The hydrocortisone and lidocaine topical kit comes with a soap-free cleanser. Use this cleanser daily as directed to add to the anti-itch effects of hydrocortisone and lidocaine topical.
Use only a small amount of hydrocortisone and lidocaine topical on the affected area and rub it gently into the skin.
Avoid using this medication on body areas where you have skin folds or thin skin unless your doctor has told you to.
Do not cover treated skin areas with a bandage or other covering unless your doctor has told you to. Covering the skin that is treated with hydrocortisone and lidocaine topical can increase the amount of the drug your skin absorbs, which may lead to unwanted side effects. Follow your doctor’s instructions.
Your body may absorb more of this medication if you use too much, if you apply it over large skin areas, or if you apply heat, bandages, or plastic wrap to treated skin areas. Skin that is cut or irritated may also absorb more topical medication than healthy skin.
Contact your doctor if your condition does not improve or if it gets worse after using this medication for several days. It is important to use hydrocortisone and lidocaine topical regularly to get the most benefit.
Hydrocortisone and lidocaine topical will not treat a bacterial, fungal, or viral skin infection.
Store hydrocortisone and lidocaine topical at room temperature away from moisture and heat.
What happens if I miss a dose?
Use the medication as soon as you remember. If it is almost time for the next dose, skip the missed dose and use the medicine at the next regularly scheduled time. Do not use 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 hydrocortisone topical applied to the skin is not expected to produce life-threatening symptoms. However, long-term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.
Lidocaine topical applied to the skin is not likely to cause an overdose unless you apply more than the recommended dose. Lidocaine overdose symptoms may include drowsiness, confusion, nervousness, ringing in your ears, blurred vision, feeling hot or cold, numbness, muscle twitches, uneven heartbeats, seizure (convulsions), slowed breathing, or respiratory failure (breathing stops).
What should I avoid while using Xyralid (hydrocortisone and lidocaine topical)?
Do not apply this medication to swollen skin areas or deep puncture wounds. Avoid using the medicine on skin that is raw or blistered, such as a severe burn or abrasion. Avoid getting hydrocortisone and lidocaine topical in your eyes, mouth, and nose, or on your lips. If it does get into any of these areas, wash with water.
Avoid using other topical medications on the affected area unless your doctor has told you to.
Xyralid (hydrocortisone and lidocaine topical) 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 severe irritation or swelling of any treated skin, or if you show signs of absorbing hydrocortisone topical through your skin, such as:
-
blurred vision, or seeing halos around lights;
-
mood changes;
-
sleep problems (insomnia);
-
weight gain, puffiness in your face; or
-
muscle weakness, feeling tired.
Less serious side effects may include:
-
mild irritation, redness, or swelling where the medication is applied;
-
thinning of your skin;
-
numbness in places where the medicine is accidentally applied.
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 Xyralid (hydrocortisone and lidocaine topical)?
Tell your doctor about all other medications you use, especially a heart rhythm medication such as:
-
quinidine (Quinaglute, Quinidex, Quin-Release);
-
procainamide (Procan, Procanbid, Pronestyl);
-
disopyramide (Norpace);
-
flecaininde (Tambocor);
-
mexiletine (Mexitil);
-
morizicine (Ethmozine); or
-
propafenone, (Rythmol).
This list is not complete and there may be other drugs that can interact with hydrocortisone and lidocaine. Tell your doctor 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 doctor.
Where can I get more information?
- Your pharmacist can provide more information about hydrocortisone and lidocaine topical.
- 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.
Copyright 1996-2006 Cerner Multum, Inc. Version: 2.02. Revision Date: 4/12/2009 4:44:39 PM.
Xyralid RC
30/06/10
Generic Name: hydrocortisone and lidocaine topical with psyllium (HYE droe KORT i sone, LYE doe kane TOP ik al, SIL ee um)
Brand Names: Xyralid RC
What is Xyralid RC (hydrocortisone and lidocaine topical with psyllium)?
Hydrocortisone is a steroid. It reduces the actions of chemicals in the body that cause inflammation, redness, and itching.
Lidocaine is a local anesthetic (numbing medication). It works by blocking nerve signals in your body.
Psyllium is a type of soluble fiber used as a bulk-forming stool softener. Psyllium is not a laxative.
The combination of hydrocortisone and lidocaine topical (for the skin) is used to relieve itching, pain or other discomforts caused by conditions such as hemorrhoids or anal fissures (tiny tears in the tissues surrounding the anus). Psyllium is provided as a medication you take by mouth to help soften your stools, making them easier and less painful to pass while your rectal condition is being treated.
Hydrocortisone and lidocaine topical may also be used for other purposes not listed in this medication guide.
What is the most important information I should know about Xyralid RC (hydrocortisone and lidocaine topical with psyllium)?
You should not use this medication if you are allergic to hydrocortisone, lidocaine (or any other type of numbing medicine), or psyllium, or if you have severe liver disease, a fungal infection, smallpox, chickenpox, herpes, or tuberculosis.
Before using hydrocortisone and lidocaine topical with psyllium, tell your doctor if you have liver or kidney disease, a heart rhythm problem, congestive heart failure, stomach or intestinal conditions, diabetes, or any type of infection.
Do not take hydrocortisone rectal by mouth. It is for use only in your rectum. Do not cover the treated rectal areas with a bandage, plastic pants or other covering unless your doctor has told you to. Covering the skin that is treated with hydrocortisone and lidocaine topical can increase the amount of the drug your skin absorbs, which may lead to unwanted side effects. Your body may also absorb more of this medication if you use too much. Contact your doctor if your condition does not improve or if it gets worse after using this medication. Do not use this medication in a child without a doctor’s advice. Children are more sensitive to the effects of hydrocortisone and lidocaine topical.
What should I discuss with my healthcare provider before using Xyralid RC (hydrocortisone and lidocaine topical with psyllium)?
You should not use this medication if you are allergic to hydrocortisone, lidocaine, or psyllium, or if you have:
-
severe liver disease;
-
a fungal infection;
-
herpes;
-
smallpox or chickenpox; or
-
tuberculosis.
If you have certain conditions, you may need a dose adjustment or special tests to safely use this medication. Before using hydrocortisone and lidocaine topical with psyllium, tell your doctor if you have liver disease or a heart rhythm problem.
-
liver disease;
-
kidney disease;
-
a heart rhythm problem;
-
congestive heart failure;
-
a stomach or intestinal disorder; or
-
any type of infection.
Also tell your doctor if you have diabetes. Steroid medicines may increase the glucose (sugar) levels in your blood or urine. You may also need to adjust the dose of your diabetes medications.
FDA pregnancy category C. It is not known whether hydrocortisone and lidocaine topical with psyllium is harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether hydrocortisone and lidocaine topical with psyllium passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not use this medication in a child without a doctor’s advice. Children are more sensitive to the effects of hydrocortisone and lidocaine topical.
How should I use Xyralid RC (hydrocortisone and lidocaine topical with psyllium)?
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 or smaller amounts, or use it for longer than recommended.
Do not take hydrocortisone rectal by mouth. It is for use only in your rectum.
Hydrocortisone and lidocaine topical rectal cream is supplied in 14 medicine tubes with 14 disposable applicators. Each tube and applicator one is for a single use only. This medication is usually applied 2 times daily.
Peel off the seal under the tube cap and screw the applicator tip firmly onto the tube. Squeeze the tube to push the medication into the applicator. With the tube still attached to the applicator, insert only the tip of the applicator into the rectum. Continue squeezing the tube to apply the medicine. Also apply to the outer areas of the anus.
Do not insert the applicator deep into the rectum. Use only applicators that come with this medication, and throw each one away after one use.
Wash your hands before and after using the hydrocortisone and lidocaine rectal cream. Follow the application instructions provided with the medication.
Use the moist towelettes supplied with the medication to gently clean the rectal area before each time you apply the rectal cream. Each towelette is for one use only.
The hydrocortisone and lidocaine topical kit comes with 7 packets of psyllium labeled as Konsyl. A reusable shaker cup is also provided. Empty the contents of a psyllium packet into the shaker cup and fill the cup about half way with fruit juice or other desired liquid.
Place the cap tightly onto the shaker cup and shake vigorously for 3 to 5 seconds or until the psyllium granules are mixed well with the liquid. Drink all of this mixture right away. To make sure you get the entire dose, add a little more liquid to the shaker cup, swirl gently and drink right away.
Wash the shaker cup with soap and water between uses.
Do not cover the treated rectal areas with a bandage, plastic pants or other covering unless your doctor has told you to. Covering the skin that is treated with hydrocortisone and lidocaine topical can increase the amount of the drug your skin absorbs, which may lead to unwanted side effects. Your body may also absorb more of this medication if you use too much.
Your body may also absorb more of this medication if you use too much.
Contact your doctor if your condition does not improve or if it gets worse after using this medication.
Hydrocortisone and lidocaine topical will not treat a bacterial, fungal, or viral infection.
Store the rectal cream and psyllium packets at room temperature away from moisture and heat.
What happens if I miss a dose?
Use the medication as soon as you remember. If it is almost time for the next dose, skip the missed dose and use the medicine at the next regularly scheduled time. Do not use 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 hydrocortisone topical applied to the skin is not expected to produce life-threatening symptoms. However, long-term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.
Lidocaine topical applied to the skin is not likely to cause an overdose unless you apply more than the recommended dose. Lidocaine overdose symptoms may include drowsiness, confusion, nervousness, ringing in your ears, blurred vision, feeling hot or cold, numbness, muscle twitches, uneven heartbeats, seizure (convulsions), slowed breathing, or respiratory failure (breathing stops).
What should I avoid while using Xyralid RC (hydrocortisone and lidocaine topical with psyllium)?
Avoid getting the rectal cream in your eyes, ears, mouth, and nose, or on your lips. If it does get into any of these areas, rinse well with water or saline solution.
Avoid using other topical medications on the affected area unless your doctor has told you to.
Xyralid RC (hydrocortisone and lidocaine topical with psyllium) 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 severe irritation or burning of the treated area, or if you show signs of absorbing hydrocortisone topical through your skin, such as:
-
blurred vision, or seeing halos around lights;
-
mood changes;
-
sleep problems (insomnia);
-
weight gain, puffiness in your face; or
-
muscle weakness, feeling tired.
Less serious side effects may include:
-
mild stinging, burning, or redness where the medication is applied;
-
thinning of your skin;
-
numbness in places where the medicine is accidentally applied.
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 Xyralid RC (hydrocortisone and lidocaine topical with psyllium)?
Tell your doctor about all other medications you use, especially a heart rhythm medication such as:
-
quinidine (Quinaglute, Quinidex, Quin-Release);
-
procainamide (Procan, Procanbid, Pronestyl);
-
disopyramide (Norpace);
-
flecaininde (Tambocor);
-
mexiletine (Mexitil);
-
morizicine (Ethmozine); or
-
propafenone, (Rythmol).
This list is not complete and there may be other drugs that can interact with hydrocortisone and lidocaine topical with psyllium. Tell your doctor 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 doctor.
Where can I get more information?
- Your pharmacist can provide more information about hydrocortisone and lidocaine topical with psyllium.
- 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.
Copyright 1996-2006 Cerner Multum, Inc. Version: 1.02. Revision Date: 4/12/2009 4:46:23 PM.
