Lymphocyte Immune Globulin
30/06/10
Generic Name: Lymphocyte Immune Globulin, Anti-Thymocyte Globulin (Equine)
Brand Name: Atgam
Lymphocyte Immune Globulin is used for:
Treating rejection in kidney transplant patients. It is also used with other medicines to delay the onset of kidney transplant rejection. Lymphocyte Immune Globulin is also used to treat moderate to severe aplastic anemia in certain patients who cannot have a bone marrow transplant.
Lymphocyte Immune Globulin is a lymphocyte-selective immunosuppressant. It works by decreasing the action of certain types of blood cells (T lymphocytes), which are part of the body’s immune system.
Do NOT use Lymphocyte Immune Globulin if:
- you are allergic to Lymphocyte Immune Globulin, any ingredient in Lymphocyte Immune Globulin, or any other gamma globulin made from horse serum
- you have a severe decrease in white blood cell counts or severely decreased blood platelets
Contact your doctor or health care provider right away if any of these apply to you.
Before using Lymphocyte Immune Globulin:
Some medical conditions may interact with Lymphocyte Immune Globulin. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or are breast-feeding
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
- if you have allergies to medicines, foods, or other substances
Some MEDICINES MAY INTERACT with Lymphocyte Immune Globulin. However, no specific interactions with Lymphocyte Immune Globulin are known at this time.
This may not be a complete list of all interactions that may occur. Ask your health care provider if Lymphocyte Immune Globulin may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use Lymphocyte Immune Globulin:
Use Lymphocyte Immune Globulin as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Lymphocyte Immune Globulin is usually administered as an injection at your doctor’s office, hospital, or clinic.
- If Lymphocyte Immune Globulin contains particles or is discolored, or if the vial is cracked or damaged in any way, do not use it.
- Keep this product, as well as syringes and needles, out of the reach of children. Do not reuse needles, syringes, or other materials. Dispose of properly after use. Ask your doctor or pharmacist to explain local regulations for proper disposal.
- If you miss a dose of Lymphocyte Immune Globulin, contact your doctor immediately.
Ask your health care provider any questions you may have about how to use Lymphocyte Immune Globulin.
Important safety information:
- Lymphocyte Immune Globulin CONTAINS ALBUMIN, which comes from human blood. There is an extremely rare risk of developing a viral disease or a central nervous system disease called Creutzfeldt-Jakob disease. No cases of viral diseases or Creutzfeldt-Jakob disease from albumin have been identified.
- Lymphocyte Immune Globulin may cause dizziness or lightheadedness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Lymphocyte Immune Globulin. Using Lymphocyte Immune Globulin alone, with certain other medicines, or with alcohol may lessen your ability to drive or perform other potentially dangerous tasks.
- A skin test is normally performed before the first dose to check for possible allergy to horse serum.
- LAB TESTS, including blood cell counts, liver function tests, and kidney function tests, may be performed to monitor your progress or to check for side effects. Be sure to keep all doctor and lab appointments.
- Caution is advised when using Lymphocyte Immune Globulin in CHILDREN because they may be more sensitive to its effects.
- PREGNANCY and BREAST-FEEDING: It is unknown if Lymphocyte Immune Globulin can cause harm to the fetus. If you become pregnant while taking Lymphocyte Immune Globulin, discuss with your doctor the benefits and risks of using Lymphocyte Immune Globulin during pregnancy. It is unknown if Lymphocyte Immune Globulin is excreted in breast milk. If you are or will be breast-feeding while you are using Lymphocyte Immune Globulin, check with your doctor or pharmacist to discuss the risks to your baby.
Possible side effects of Lymphocyte Immune Globulin:
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Diarrhea; headache; joint pain; nausea; night sweats; vomiting.
Seek medical attention right away if any of these SEVERE side effects occur:
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); back pain; chest pain; confusion or disorientation; decreased urination or dark urine; fast, slow, or irregular heartbeat; fever, chills, or sore throat; irritation or sores in the mouth; muscle pain; pain, redness, or swelling at the injection site; pain or swelling in the legs; pain or swelling in the neck or under the arms; red, swollen, or blistered skin; seizures; severe dizziness, lightheadedness, or headache; stomach pain; unusual bleeding or bruising; unusual skin sensations (eg, burning or tingling).
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.
If OVERDOSE is suspected:
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), or emergency room immediately.
Proper storage of Lymphocyte Immune Globulin:
Store Lymphocyte Immune Globulin in the refrigerator between 36 and 46 degrees F (2 and 8 degrees C). Do not freeze. Keep Lymphocyte Immune Globulin out of the reach of children and away from pets.
General information:
- If you have any questions about Lymphocyte Immune Globulin, please talk with your doctor, pharmacist, or other health care provider.
- Lymphocyte Immune Globulin is to be used only by the patient for whom it is prescribed. Do not share it with other people.
- If your symptoms do not improve or if they become worse, check with your doctor.
This information is a summary only. It does not contain all information about Lymphocyte Immune Globulin. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.
Lybrel
30/06/10
Generic Name: ethinyl estradiol and levonorgestrel (ETH in ill ess tra DYE ol and LEE vo nor JESS trel)
Brand Names: Alesse, Aviane, Enpresse, Lessina, Levlen, Levlite, Levora, Lutera, Lybrel, Nordette, Portia, Sronyx, Tri-Levlen, Triphasil-21, Triphasil-28, Trivora-28
What is ethinyl estradiol and levonorgestrel?
Ethinyl estradiol and levonorgestrel contains a combination of female hormones that prevent ovulation (the release of an egg from an ovary). This medication also causes changes in your cervical mucus and uterine lining, making it harder for sperm to reach the uterus and harder for a fertilized egg to attach to the uterus.
Ethinyl estradiol and levonorgestrel are used as contraception to prevent pregnancy.
Ethinyl estradiol and levonorgestrel may also be used for other purposes not listed in this medication guide.
What is the most important information I should know about ethinyl estradiol and levonorgestrel?
Do not use ethinyl estradiol and levonorgestrel if you are pregnant or if you recently had a baby. Do not use this medication if you have a history of stroke or blood clot, circulation problems (especially if caused by diabetes), a hormone-related cancer such as breast or uterine cancer, abnormal vaginal bleeding, liver disease or liver cancer, severe high blood pressure, migraine headaches, a heart valve disorder, or a history of jaundice caused by birth control pills. Taking hormones can increase your risk of blood clots, stroke, or heart attack, especially if you smoke and are older than 35.
What should I discuss with my healthcare provider before taking ethinyl estradiol and levonorgestrel?
This medication can cause birth defects. Do not use if you are pregnant. Tell your doctor right away if you become pregnant, or if you miss two menstrual periods in a row. If you have recently had a baby, wait at least 4 weeks before taking birth control pills (6 weeks if you are breast-feeding). Do not use this medication if you have:
-
a history of a stroke or blood clot;
-
circulation problems (especially if caused by diabetes);
-
a hormone-related cancer such as breast or uterine cancer;
-
abnormal vaginal bleeding;
-
liver disease or liver cancer;
-
severe high blood pressure;
-
severe migraine headaches;
-
a heart valve disorder; or
-
a history of jaundice caused by birth control pills.
Before using this medication, tell your doctor if you have:
-
high blood pressure, heart disease, congestive heart failure, angina (chest pain), or a history of heart attack;
-
high cholesterol or if you are overweight;
-
a history of depression;
-
gallbladder disease;
-
diabetes;
-
seizures or epilepsy;
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a history of irregular menstrual cycles;
-
a history of fibrocystic breast disease, lumps, nodules, or an abnormal mammogram;
-
uterine fibroid tumors;
-
varicose veins; or
-
tuberculosis.
The hormones in birth control pills can pass into breast milk and may harm a nursing baby. This medication may also slow breast milk production. Do not use if you are breast-feeding a baby.
How should I take ethinyl estradiol and levonorgestrel?
Take this medication exactly as it was prescribed for you. Do not take larger amounts, or take it for longer than recommended by your doctor. You will take your first pill on the first day of your period or on the first Sunday after your period begins (follow your doctor’s instructions).
You may need to use back-up birth control, such as condoms or a spermicide, when you first start using this medication. Follow your doctor’s instructions.
Some 28-day birth control packs contain seven “reminder” pills to keep you on your regular cycle. Your period will usually begin while you are using these reminder pills.
Breakthrough bleeding may occur, especially during the first 3 months. Tell your doctor if this bleeding continues or is very heavy.
Take one pill every day, no more than 24 hours apart. When the pills run out, start a new pack the next day. You may get pregnant if you do not use this medication regularly.
If you need to have any type of medical tests or surgery, or if you will be on bed rest, you may need to stop using this medication for a short time. Any doctor or surgeon who treats you should know that you are using birth control pills.
Store this medication at room temperature away from moisture and heat.
What happens if I miss a dose?
Missing a pill increases your risk of becoming pregnant.
If you miss one “active” pill, take two pills on the day that you remember. Then take one pill per day for the rest of the pack.
If you miss two “active” pills in a row in week one or two, take two pills per day for two days in a row. Then take one pill per day for the rest of the pack. Use back-up birth control for at least 7 days following the missed pills.
If you miss two “active” pills in a row in week three, or if you miss three pills in a row during any of the first 3 weeks, throw out the rest of the pack and start a new one the same day if you are a Day 1 starter. If you are a Sunday starter, keep taking a pill every day until Sunday. On Sunday, throw out the rest of the pack and start a new one that day.
If you miss three “active” pills in a row during any of the first 3 weeks, throw out the rest of the pack and start a new pack on the same day if you are a Day 1 starter. If you are a Sunday starter, keep taking a pill every day until Sunday. On Sunday, throw out the rest of the pack and start a new one that day.
If you miss two or more pills, you may not have a period during the month. If you miss a period for two months in a row, call your doctor because you might be pregnant.
If you miss any reminder pills, throw them away and keep taking one pill per day until the pack is empty. You do not need back-up birth control if you miss a reminder pill.
What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this medicine. Overdose symptoms may include nausea, vomiting, and vaginal bleeding.
What should I avoid while taking ethinyl estradiol and levonorgestrel?
Do not smoke while using birth control pills, especially if you are older than 35. Smoking can increase your risk of blood clots, stroke, or heart attack caused by birth control pills.
Birth control pills will not protect you from sexually transmitted diseases–including HIV and AIDS. Using a condom is the only way to protect yourself from these diseases.
Ethinyl estradiol and levonorgestrel 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:
-
sudden numbness or weakness, especially on one side of the body;
-
sudden headache, confusion, pain behind the eyes, problems with vision, speech, or balance;
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chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;
-
a change in the pattern or severity of migraine headaches;
-
nausea, stomach pain, loss of appetite, dark urine, jaundice (yellowing of the skin or eyes);
-
swelling in your hands, ankles, or feet; or
-
symptoms of depression (sleep problems, weakness, mood changes).
Less serious side effects may include:
-
mild nausea, vomiting, bloating, stomach cramps;
-
breast pain, tenderness, or swelling;
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freckles or darkening of facial skin;
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increased hair growth, loss of scalp hair;
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changes in weight or appetite;
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problems with contact lenses;
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vaginal itching or discharge;
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changes in your menstrual periods, decreased sex drive; or
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headache, nervousness, dizziness, tired feeling.
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 ethinyl estradiol and levonorgestrel?
Some drugs can make birth control pills less effective, which may result in pregnancy. Before using birth control pills, tell your doctor if you are using any of the following drugs:
-
acetaminophen (Tylenol) or ascorbic acid (vitamin C);
-
prednisolone (Orapred);
-
theophylline (Respbid, Theo-Dur);
-
cyclosporine (Neoral, Sandimmune, Gengraf);
-
St. John’s wort;
-
an antibiotic;
-
seizure medications;
-
a barbiturate sedative such as secobarbital (Seconal), or phenobarbital (Luminal, Solfoton); or
-
HIV or AIDS medications.
This list is not complete and there may be other drugs not listed that can affect birth control pills. 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 ethinyl estradiol and levonorgestrel.
- 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: 8.01. Revision Date: 11/03/2009 1:59:23 PM.
Lyderm
30/06/10
Generic Name: fluocinonide (Topical application route)
floo-oh-SIN-oh-nide
Commonly used brand name(s):
In the U.S.
- Lidex
- Lidex-E
- Vanos
In Canada
- Lidemol
- Lidex Mild
- Lidex Regular
- Lyderm
- Tcis
- Tiamol
- Topsyn
- Trisyn
Available Dosage Forms:
- Ointment
- Emollient Cream
- Cream
- Solution
- Gel/Jelly
Therapeutic Class: Corticosteroid, Strong
Pharmacologic Class: Adrenal Glucocorticoid
Uses For Lyderm
Fluocinonide topical is used to help relieve redness, itching, swelling, or other discomfort caused by skin conditions. This medicine is a corticosteroid (cortisone-like medicine or steroid).
This medicine is available only with your doctor’s prescription.
Before Using Lyderm
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:
Allergies
Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.
Pediatric
Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of fluocinonide topical in the pediatric population. However, because of this medicine’s toxicity, it should be used with caution. Children may absorb large amounts through the skin, which can cause serious side effects. If your child is using this medicine, follow your doctor’s instructions very carefully. For Vanos® cream, safety and efficacy have not been established in children younger than 12 years of age.
Geriatric
Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of Vanos® cream in the elderly. However, elderly patients are more likely to have age-related medical problems, which may require caution in patients receiving Vanos® cream.
No information is available on the relationship of age to the effects of fluocinonide topical in geriatric patients.
Pregnancy
| Pregnancy Category | Explanation | |
|---|---|---|
| All Trimesters | C | Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women. |
Breast Feeding
There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.
Interactions with Medicines
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.
Interactions with Food/Tobacco/Alcohol
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.
Other Medical Problems
The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:
- Cushing’s syndrome (adrenal gland disorder) or
- Diabetes or
- Hyperglycemia (high blood sugar) or
- Intracranial hypertension (increased pressure in the head)—Use with caution. May make these conditions worse.
- Infection of the skin at or near the place of application or
- Large sores, broken skin, or severe skin injury at the place of application—The chance of side effects may be increased.
- Perioral dermatitis (skin problem) or
- Rosacea (skin problem)—Vanos® cream should not be used in patients with these conditions.
Proper Use of fluocinonide
This section provides information on the proper use of a number of products that contain fluocinonide. It may not be specific to Lyderm. Please read with care.
It is very important that you use this medicine only as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. To do so may cause unwanted side effects or skin irritation.
This medicine is for use on the skin only. Do not get it in your eyes, nose, mouth, or vagina. Do not use it on skin areas that have cuts, scrapes, or burns. If it does get on these areas, rinse it off right away with water.
This medicine should only be used for skin conditions that your doctor is treating. Check with your doctor before using it for other conditions, especially if you think that a skin infection may be present. This medicine should not be used to treat certain kinds of skin infections or conditions, such as severe burns.
If you are using the Vanos® cream:
- Do not use it on the face, groin, or underarms unless directed to do so by your doctor.
- Do not use it for more than 2 weeks unless your doctor tells you otherwise.
To use:
- Wash your hands with soap and water before and after using this medicine.
- Apply a thin layer of this medicine to the affected area of the skin. Rub it in gently.
- Do not bandage or otherwise wrap the skin being treated unless directed to do so by your doctor.
- If the medicine is applied to the diaper area of an infant, do not use tight-fitting diapers or plastic pants unless directed to do so by your doctor.
- If your doctor ordered an occlusive dressing or airtight covering to be applied over the medicine, make sure you know how to apply it. Occlusive dressings increase the amount of medicine absorbed through your skin, so use them only as directed. If you have any questions about this, check with your doctor.
Dosing
The dose of this medicine will be different for different patients. Follow your doctor’s orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.
The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
- For topical dosage forms (cream, gel, ointment, or solution):
- For redness, itching, and swelling of the skin:
- Adults—Apply to the affected area of the skin two to four times per day.
- Children—Apply to the affected area of the skin two to four times per day.
- For redness, itching, and swelling of the skin:
- For topical dosage form (cream):
- For atopic dermatitis:
- Adults and children 12 years of age and older—Apply to the affected area of the skin once a day.
- Children younger than 12 years of age—Use is not recommended.
- For psoriasis:
- Adults and children 12 years of age and older—Apply to the affected area of the skin one to two times per day.
- Children younger than 12 years of age—Use is not recommended.
- For atopic dermatitis:
Missed Dose
If you miss a dose of this medicine, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.
Storage
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.
Keep out of the reach of children.
Do not keep outdated medicine or medicine no longer needed.
Ask your healthcare professional how you should dispose of any medicine you do not use.
Precautions While Using Lyderm
It is very important that your doctor check the progress of you or your child at regular visits for any unwanted effects that may be caused by this medicine.
If your or your child’s symptoms do not improve within a few days, or if they become worse, check with your doctor.
Using too much of this medicine or using it for a long time may increase your risk of having adrenal gland problems. The risk is greater for children and patients who use large amounts for a long time. Talk to your doctor right away if you or your child have more than one of these symptoms while you are using this medicine: blurred vision; dizziness or fainting; a fast, irregular, or pounding heartbeat; increased thirst or urination; irritability; or unusual tiredness or weakness.
Stop using this medicine and check with your doctor right away if you or your child have a skin rash, burning, stinging, swelling, or irritation on the skin.
Do not use cosmetics or other skin care products on the treated areas.
Lyderm Side Effects
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:
Incidence not known
- Blistering, burning, crusting, dryness, or flaking of the skin
- irritation
- itching, scaling, severe redness, soreness, or swelling of the skin
- redness and scaling around the mouth
- thinning of the skin with easy bruising, especially when used on the face or where the skin folds together (e.g. between the fingers)
- thinning, weakness, or wasting away of the skin
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
Less common
- Fever
- headache
- muscle aches
- sore throat
- stuffy or runny nose
- unusual tiredness or weakness
Incidence not known
- Acne or pimples
- burning and itching of the skin with pinhead-sized red blisters
- burning, itching, and pain in hairy areas, or pus at the root of the hair
- increased hair growth on the forehead, back, arms, and legs
- lightening of normal skin color
- lightening of treated areas of dark skin
- reddish purple lines on the arms, face, legs, trunk, or groin
- softening of the skin
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
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Luxiq
30/06/10
Generic Name: betamethasone topical (bay ta METH a sone)
Brand Names: Alphatrex, Beta-Val, Diprolene, Diprolene AF, Diprosone, Luxiq
What is Luxiq (betamethasone topical)?
Betamethasone is a topical steroid. It reduces the actions of chemicals in the body that cause inflammation, redness, and swelling.
Betamethasone topical is used to treat the inflammation caused by a number of conditions such as allergic reactions, eczema, and psoriasis. The dental paste form of betamethasone is used to treat mouth ulcers.
Betamethasone topical may also be used for other purposes not listed in this medication guide.
What is the most important information I should know about Luxiq (betamethasone 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 amounts or for longer than recommended.
Do not cover treated skin areas with a bandage or other covering unless your doctor has told you to. If you are treating the diaper area of a baby, do not use plastic pants or tight-fitting diapers. Covering the skin that is treated with betamethasone topical can increase the amount of the drug your skin absorbs, which may lead to unwanted side effects. Follow your doctor’s instructions.
Avoid using this medication on your face, near your eyes, or on body areas where you have skin folds or thin skin.
Do not use this medication on a child without a doctor’s advice. Children are more sensitive to the effects of betamethasone topical.
Betamethasone 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 Luxiq (betamethasone topical)?
Do not use this medication if you are allergic to betamethasone.
Before using betamethasone topical, tell your doctor if you are allergic to any drugs, or if you have any type of skin infection.
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 betamethasone 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 betamethasone topical.
How should I use Luxiq (betamethasone topical)?
Use this medication exactly as it was prescribed for you. Do not use the medication in larger amounts, or use it for longer than recommended by your doctor. Follow the instructions on your prescription label.
Betamethasone topical will not treat a bacterial, fungal, or viral skin infection.
Wash your hands before and after each application, unless you are using betamethasone topical to treat a hand condition.
Apply a small amount to the affected area and rub it gently into the skin.
Avoid using this medication on your face, near your eyes or mouth, or on body areas where you have skin folds or thin skin.
If you are using the dental paste, apply the medication in a thin layer, just enough to cover the mouth ulcer. The paste may stick better if you dry the mouth ulcer before applying the medication.
Do not cover treated skin areas with a bandage or other covering unless your doctor has told you to. If you are treating the diaper area of a baby, do not use plastic pants or tight-fitting diapers. Covering the skin that is treated with betamethasone topical can increase the amount of the drug your skin absorbs, which may lead to unwanted side effects. Follow your doctor’s instructions. 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 betamethasone topical regularly to get the most benefit. Store betamethasone 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, or if anyone has accidentally swallowed it. An overdose of betamethasone topical applied to the skin is not expected to produce life-threatening symptoms.
What should I avoid while using Luxiq (betamethasone topical)?
Avoid getting this medication in your eyes, mouth, and nose, or on your lips. If it does get into any of these areas, wash with water. Do not use betamethasone topical on sunburned, windburned, irritated, or broken skin. Also avoid using this medication in open wounds.
Avoid using skin products that can cause irritation, such as harsh soaps or 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.
Luxiq (betamethasone 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 any of these signs that you may be absorbing betamethasone topical through your skin or gums:
-
blurred vision, or seeing halos around lights;
-
uneven heartbeats;
-
mood changes;
-
sleep problems (insomnia);
-
weight gain, puffiness in your face; or
-
feeling tired.
Less serious side effects may include:
-
skin redness, burning, itching, or peeling;
-
thinning of your skin; or
-
blistering skin; or
-
stretch marks.
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 Luxiq (betamethasone topical)?
It is not likely that other drugs you take orally or inject will have an effect on topically applied betamethasone topical. 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 betamethasone 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 4:40:17 PM.
Luxiq Foam
30/06/10
Generic Name: Betamethasone Valerate (bay-ta-METH-a-sone VAL-eh-rate)
Brand Name: Luxiq
Luxiq Foam is used for:
Reducing itching, redness, and swelling associated with skin conditions of the scalp. It may also be used for other conditions as determined by your doctor.
Luxiq Foam is a topical corticosteroid. It works by depressing the formation, release, and activity of different cells and chemicals that cause swelling, redness, and itching.
Do NOT use Luxiq Foam if:
- you are allergic to any ingredient in Luxiq Foam or to another corticosteroid (eg, prednisone)
Contact your doctor or health care provider right away if any of these apply to you.
Before using Luxiq Foam:
Some medical conditions may interact with Luxiq Foam. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or are breast-feeding
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
- if you have allergies to medicines, foods, or other substances
- if you have thinning of the skin, a skin infection, tuberculosis, chickenpox, shingles, measles, a positive TB skin test, or have recently been vaccinated
Some MEDICINES MAY INTERACT with Luxiq Foam. Because little, if any, of Luxiq Foam is absorbed into the blood, the risk of it interacting with another medicine is low.
Ask your health care provider if Luxiq Foam may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use Luxiq Foam:
Use Luxiq Foam as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- An extra patient leaflet is available with Luxiq Foam. Talk to your pharmacist if you have questions about this information.
- Before using for the first time, break the tiny plastic piece at the base of the can’s rim by gently pushing back (away from the piece) on the nozzle.
- Turn the can upside down and dispense a small amount of Luxiq Foam onto a clean saucer or other cool, clean surface. Do not dispense directly onto your hands because the foam will begin to melt immediately upon contact with warm skin.
- Pick up small amounts of foam with fingers and gently massage into the affected area until foam disappears. Repeat until entire affected area has been treated. Use only enough to cover the entire affected area.
- When applying, move the hair away so that the foam can be applied directly to the affected skin.
- Wash your hands immediately after using Luxiq Foam.
- Throw away any unused medicine that has been dispensed from the container.
- Do not wash or rinse the treated areas immediately after applying Luxiq Foam.
- Do not cover the treating area with bandages, wrappings, or other dressings unless advised to do so by your health care provider.
- If you miss a dose of Luxiq Foam, apply it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.
Ask your health care provider any questions you may have about how to use Luxiq Foam.
Important safety information:
- Luxiq Foam is for external use only. Avoid contact with the eyes. If you get Luxiq Foam in your eyes, immediately flush with cool tap water.
- If your symptoms do not get better within 2 weeks or if they get worse, check with your doctor.
- Do not use Luxiq Foam for other skin conditions at a later time.
- Luxiq Foam has a corticosteroid in it. Before you start any new medicine, check the label to see if it has a corticosteroid in it too. If it does or if you are not sure, check with your doctor or pharmacist.
- Check with your doctor before you have any vaccinations while you are using Luxiq Foam.
- Luxiq Foam is flammable. Do not store or use near a fire or other open flame, or while you are smoking.
- Dispose of empty containers as directed on the container or by your health care provider. Do not puncture or burn container even if it appears to be empty.
- Corticosteroids may affect growth rate in CHILDREN and teenagers in some cases. They may need regular growth checks while they use Luxiq Foam.
- Luxiq Foam should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
- PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Luxiq Foam while you are pregnant. It is not known if Luxiq Foam is found in breast milk. If you are or will be breast-feeding while you use Luxiq Foam, check with your doctor. Discuss any possible risks to your baby.
Possible side effects of Luxiq Foam:
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Dry skin; mild, temporary stinging when applied.
Seek medical attention right away if any of these SEVERE side effects occur:
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); acne-like rash; burning, cracking, irritation, or peeling not present before you began using Luxiq Foam; excessive hair growth; inflamed hair follicles; inflammation around the mouth; muscle weakness; thinning, softening, or discoloration of the skin; unusual weight gain, especially in the face.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.
If OVERDOSE is suspected:
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), or emergency room immediately. Symptoms may include increased thirst or urination; muscle weakness; unusual weight gain, especially in the face.
Proper storage of Luxiq Foam:
Store Luxiq Foam between 68 and 77 degrees F (20 and 25 degrees C). Avoid temperatures above 120 degrees F (40 degrees C). Store away from heat, moisture, and light. Do not freeze. Keep Luxiq Foam out of the reach of children and away from pets.
General information:
- If you have any questions about Luxiq Foam, please talk with your doctor, pharmacist, or other health care provider.
- Luxiq Foam is to be used only by the patient for whom it is prescribed. Do not share it with other people.
- If your symptoms do not improve or if they become worse, check with your doctor.
This information is a summary only. It does not contain all information about Luxiq Foam. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.
Luvox
30/06/10
Generic Name: fluvoxamine (floo VOX a meen)
Brand Names: Luvox, Luvox CR
What is Luvox (fluvoxamine)?
Fluvoxamine is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors (SSRIs). Fluvoxamine affects chemicals in the brain that may become unbalanced and cause obsessive-compulsive symptoms.
Fluvoxamine is used to treat social anxiety disorder (social phobia), or obsessive-compulsive disorders involving recurring thoughts or actions.
Fluvoxamine may also be used for other purposes not listed in this medication guide.
What is the most important information I should know about Luvox (fluvoxamine)?
Do not take this medication if you are allergic to fluvoxamine, or if you are also taking alosetron (Lotronex), tizanidine (Zanaflex), thioridazine (Mellaril), pimozide (Orap), or an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), rasagiline (Azilect), or selegiline (Eldepryl, Emsam). Some of these medications can cause serious or life-threatening drug interactions when taken within 14 days before or after taking fluvoxamine.
You may have thoughts about suicide when you first start taking an this medication, especially if you are younger than 24 years old. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.
Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), depressed, or have thoughts about suicide or hurting yourself. There are many other medicines that can cause serious medical problems if you take them together with fluvoxamine. 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. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.
What should I discuss with my healthcare provider before taking Luvox (fluvoxamine)?
You should not take this medication if you are allergic to fluvoxamine, or if you are also taking:
-
alosetron (Lotronex);
-
tizanidine (Zanaflex);
-
thioridazine (Mellaril);
-
pimozide (Orap); or
-
an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), rasagiline (Azilect), or selegiline (Eldepryl, Emsam).
Some of these medications can cause serious or life-threatening drug interactions when taken together with fluvoxamine. You must wait at least 14 days after stopping an MAO inhibitor before you can take fluvoxamine. After you stop taking fluvoxamine, you must wait at least 14 days before you can start taking an MAOI.
Before taking fluvoxamine, tell your doctor if you have:
- liver disease;
-
seizures or epilepsy;
-
bipolar disorder (manic depression); or
-
a history of drug abuse or suicidal thoughts.
If you have any of these conditions, you may need a dose adjustment or special tests to safely take fluvoxamine.
You may have thoughts about suicide when you first start taking fluvoxamine, especially if you are younger than 24 years old. Tell your doctor if you have symptoms of depression or suicidal thoughts during the first several weeks of treatment, or whenever your dose is changed.
Your family or other caregivers should also be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.
FDA pregnancy category C. This medication may cause serious or life-threatening lung problems in newborn babies whose mothers take the medication during pregnancy. However, you may have a relapse of symptoms if you stop taking fluvoxamine during pregnancy. If you are planning a pregnancy, or if you become pregnant while taking fluvoxamine, do not stop taking the medication without first talking to your doctor. Fluvoxamine can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not give fluvoxamine to anyone younger than 18 years old without the advice of a doctor.
How should I take Luvox (fluvoxamine)?
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.
Do not crush, chew, or open an extended-release capsule. Swallow the pill whole. Breaking or opening the pill may cause too much of the drug to be released at one time.
You may take fluvoxamine with or without food.
Do not stop using fluvoxamine without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly. Store fluvoxamine at room temperature away from moisture and heat.
What happens if I miss a dose?
Take the missed dose as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the missed dose and take the next one as directed. 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 taken too much of this medication. Overdose symptoms may include blurred vision, lack of coordination, extreme drowsiness, nausea and vomiting, fast heart rate, trouble breathing, fainting, and coma.
What should I avoid while taking Luvox (fluvoxamine)?
Avoid drinking alcohol, which can increase some of the side effects of fluvoxamine. Cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, anxiety or depression can add to sleepiness caused by fluvoxamine. Tell your doctor if you regularly use any of these medicines.
Fluvoxamine 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.
Luvox (fluvoxamine) side effects
Get emergency medical help if you have any of these signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), depressed, or have thoughts about suicide or hurting yourself.
Call your doctor at once if you have a serious side effect such as:
-
seizure (convulsions);
-
unusual thoughts or behavior;
-
anxiety, restlessness, memory problems, trouble concentrating, hallucinations, feeling like you might pass out;
-
high fever, chills or goose bumps, loss of coordination, overactive reflexes, stiff muscles; or
-
confusion, sweating, fast or uneven heartbeats, and rapid breathing.
Less serious side effects may include:
-
loss of appetite, weight loss;
-
dry mouth, mild nausea or upset stomach, diarrhea, constipation;
-
sleep problems (insomnia);
-
dizziness, drowsiness;
-
decreased sex drive, impotence, trouble having an orgasm; or
-
unusual dreams.
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 Luvox (fluvoxamine)?
Talk to your doctor before taking any medicine for pain, arthritis, fever, or swelling. This includes aspirin and NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), diclofenac (Voltaren), indomethacin, piroxicam (Feldene), nabumetone (Relafen), etodolac (Lodine), and others. Taking any of these drugs with fluvoxamine may cause you to bruise or bleed easily.
Many drugs can interact with fluvoxamine. Below is just a partial list. Tell your doctor if you are using:
-
carbamazepine (Carbatrol, Tegretol);
-
clopidogrel (Plavix);
-
clozapine (Clozaril, FazaClo);
-
a diuretic (water pill);
-
linezolid (Zyvox);
-
lithium (Lithobid, Eskalith);
-
methadone (Dolophine, Methadose);
-
mexiletine (Mexitil);
-
omeprazole (Prilosec);
-
phenytoin (Dilantin);
-
propranolol (Inderal, Inderal LA);
-
quinidine (Quinaglute, Quinidex, Quin-Release);
-
ramelteon (Rozerem);
-
St. John’s wort;
-
tacrine (Cognex);
-
tramadol (Ultram);
-
tryptophan (also called L-tryptophan);
-
theophylline (Elixophyllin, Theo-24, Uniphyl);
-
a blood thinner such as warfarin (Coumadin);
- a sedative such as diazepam (Valium), alprazolam (Xanax), midazolam (Versed), or triazolam (Halcion);
-
almotriptan (Axert), frovatriptan (Frova), sumatriptan (Imitrex), naratriptan (Amerge), rizatriptan (Maxalt), or zolmitriptan (Zomig);
-
medicine to treat psychiatric disorders, such as chlorpromazine (Thorazine), haloperidol (Haldol), perphenazine (Trilafon), and others; or
-
an antidepressant such as amitriptyline (Elavil), clomipramine (Anafranil), imipramine (Tofranil), and others.
This list is not complete and there are many other medicines that can cause serious medical problems if you take them together with fluvoxamine. 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. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.
Where can I get more information?
- Your pharmacist can provide more information about fluvoxamine.
- 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: 14.01. Revision Date: 11/18/2009 10:17:32 AM.
Luvox CR
30/06/10
Generic Name: fluvoxamine (floo VOX a meen)
Brand Names: Luvox, Luvox CR
What is Luvox CR (fluvoxamine)?
Fluvoxamine is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors (SSRIs). Fluvoxamine affects chemicals in the brain that may become unbalanced and cause obsessive-compulsive symptoms.
Fluvoxamine is used to treat social anxiety disorder (social phobia), or obsessive-compulsive disorders involving recurring thoughts or actions.
Fluvoxamine may also be used for other purposes not listed in this medication guide.
What is the most important information I should know about Luvox CR (fluvoxamine)?
Do not take this medication if you are allergic to fluvoxamine, or if you are also taking alosetron (Lotronex), tizanidine (Zanaflex), thioridazine (Mellaril), pimozide (Orap), or an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), rasagiline (Azilect), or selegiline (Eldepryl, Emsam). Some of these medications can cause serious or life-threatening drug interactions when taken within 14 days before or after taking fluvoxamine.
You may have thoughts about suicide when you first start taking an this medication, especially if you are younger than 24 years old. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.
Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), depressed, or have thoughts about suicide or hurting yourself. There are many other medicines that can cause serious medical problems if you take them together with fluvoxamine. 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. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.
What should I discuss with my healthcare provider before taking Luvox CR (fluvoxamine)?
You should not take this medication if you are allergic to fluvoxamine, or if you are also taking:
-
alosetron (Lotronex);
-
tizanidine (Zanaflex);
-
thioridazine (Mellaril);
-
pimozide (Orap); or
-
an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), rasagiline (Azilect), or selegiline (Eldepryl, Emsam).
Some of these medications can cause serious or life-threatening drug interactions when taken together with fluvoxamine. You must wait at least 14 days after stopping an MAO inhibitor before you can take fluvoxamine. After you stop taking fluvoxamine, you must wait at least 14 days before you can start taking an MAOI.
Before taking fluvoxamine, tell your doctor if you have:
- liver disease;
-
seizures or epilepsy;
-
bipolar disorder (manic depression); or
-
a history of drug abuse or suicidal thoughts.
If you have any of these conditions, you may need a dose adjustment or special tests to safely take fluvoxamine.
You may have thoughts about suicide when you first start taking fluvoxamine, especially if you are younger than 24 years old. Tell your doctor if you have symptoms of depression or suicidal thoughts during the first several weeks of treatment, or whenever your dose is changed.
Your family or other caregivers should also be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.
FDA pregnancy category C. This medication may cause serious or life-threatening lung problems in newborn babies whose mothers take the medication during pregnancy. However, you may have a relapse of symptoms if you stop taking fluvoxamine during pregnancy. If you are planning a pregnancy, or if you become pregnant while taking fluvoxamine, do not stop taking the medication without first talking to your doctor. Fluvoxamine can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not give fluvoxamine to anyone younger than 18 years old without the advice of a doctor.
How should I take Luvox CR (fluvoxamine)?
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.
Do not crush, chew, or open an extended-release capsule. Swallow the pill whole. Breaking or opening the pill may cause too much of the drug to be released at one time.
You may take fluvoxamine with or without food.
Do not stop using fluvoxamine without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly. Store fluvoxamine at room temperature away from moisture and heat.
What happens if I miss a dose?
Take the missed dose as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the missed dose and take the next one as directed. 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 taken too much of this medication. Overdose symptoms may include blurred vision, lack of coordination, extreme drowsiness, nausea and vomiting, fast heart rate, trouble breathing, fainting, and coma.
What should I avoid while taking Luvox CR (fluvoxamine)?
Avoid drinking alcohol, which can increase some of the side effects of fluvoxamine. Cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, anxiety or depression can add to sleepiness caused by fluvoxamine. Tell your doctor if you regularly use any of these medicines.
Fluvoxamine 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.
Luvox CR (fluvoxamine) side effects
Get emergency medical help if you have any of these signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), depressed, or have thoughts about suicide or hurting yourself.
Call your doctor at once if you have a serious side effect such as:
-
seizure (convulsions);
-
unusual thoughts or behavior;
-
anxiety, restlessness, memory problems, trouble concentrating, hallucinations, feeling like you might pass out;
-
high fever, chills or goose bumps, loss of coordination, overactive reflexes, stiff muscles; or
-
confusion, sweating, fast or uneven heartbeats, and rapid breathing.
Less serious side effects may include:
-
loss of appetite, weight loss;
-
dry mouth, mild nausea or upset stomach, diarrhea, constipation;
-
sleep problems (insomnia);
-
dizziness, drowsiness;
-
decreased sex drive, impotence, trouble having an orgasm; or
-
unusual dreams.
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 Luvox CR (fluvoxamine)?
Talk to your doctor before taking any medicine for pain, arthritis, fever, or swelling. This includes aspirin and NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), diclofenac (Voltaren), indomethacin, piroxicam (Feldene), nabumetone (Relafen), etodolac (Lodine), and others. Taking any of these drugs with fluvoxamine may cause you to bruise or bleed easily.
Many drugs can interact with fluvoxamine. Below is just a partial list. Tell your doctor if you are using:
-
carbamazepine (Carbatrol, Tegretol);
-
clopidogrel (Plavix);
-
clozapine (Clozaril, FazaClo);
-
a diuretic (water pill);
-
linezolid (Zyvox);
-
lithium (Lithobid, Eskalith);
-
methadone (Dolophine, Methadose);
-
mexiletine (Mexitil);
-
omeprazole (Prilosec);
-
phenytoin (Dilantin);
-
propranolol (Inderal, Inderal LA);
-
quinidine (Quinaglute, Quinidex, Quin-Release);
-
ramelteon (Rozerem);
-
St. John’s wort;
-
tacrine (Cognex);
-
tramadol (Ultram);
-
tryptophan (also called L-tryptophan);
-
theophylline (Elixophyllin, Theo-24, Uniphyl);
-
a blood thinner such as warfarin (Coumadin);
- a sedative such as diazepam (Valium), alprazolam (Xanax), midazolam (Versed), or triazolam (Halcion);
-
almotriptan (Axert), frovatriptan (Frova), sumatriptan (Imitrex), naratriptan (Amerge), rizatriptan (Maxalt), or zolmitriptan (Zomig);
-
medicine to treat psychiatric disorders, such as chlorpromazine (Thorazine), haloperidol (Haldol), perphenazine (Trilafon), and others; or
-
an antidepressant such as amitriptyline (Elavil), clomipramine (Anafranil), imipramine (Tofranil), and others.
This list is not complete and there are many other medicines that can cause serious medical problems if you take them together with fluvoxamine. 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. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.
Where can I get more information?
- Your pharmacist can provide more information about fluvoxamine.
- 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: 14.01. Revision Date: 11/18/2009 10:17:32 AM.
Luvox CR Extended-Release Capsules
30/06/10
Generic Name: Fluvoxamine (floo-VOX-a-meen)
Brand Name: Luvox CR
Antidepressants may increase the risk of suicidal thoughts or actions in children, teenagers, and young adults. However, depression and certain other mental problems may also increase the risk of suicide. Talk with the patient’s doctor to be sure that the benefits of using Luvox CR Extended-Release Capsules outweigh the risks.
Family and caregivers must closely watch patients who take Luvox CR Extended-Release Capsules. It is important to keep in close contact with the patient’s doctor. Tell the doctor right away if the patient has symptoms like worsened depression, suicidal thoughts, or changes in behavior. Discuss any questions with the patient’s doctor.
Luvox CR Extended-Release Capsules are used for:
Treating social anxiety disorder or obsessive-compulsive disorder (OCD). It may also be used for other conditions as determined by your doctor.
Luvox CR Extended-Release Capsules are a selective serotonin reuptake inhibitor (SSRI). It works by restoring the balance of serotonin, a natural substance in the brain, which helps to decrease anxiety and obsessive or compulsive behavior.
Do NOT use Luvox CR Extended-Release Capsules if:
- you are allergic to any ingredient in Luvox CR Extended-Release Capsules
- you are taking or have taken a monoamine oxidase inhibitor (MAOI) (eg, phenelzine) or St. John’s wort within the last 14 days
- you are taking alosetron, astemizole, a fenfluramine derivative (eg, dexfenfluramine), nefazodone, pimozide, ramelteon, sibutramine, terfenadine, thioridazine, or tizanidine
Contact your doctor or health care provider right away if any of these apply to you.
Before using Luvox CR Extended-Release Capsules:
Some medical conditions may interact with Luvox CR Extended-Release Capsules. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or are breast-feeding
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
- if you have allergies to medicines, foods, or other substances
- if you or a family member has a history of bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
- if you have a history of seizures, heart problems, liver problems, stomach or bowel bleeding, diabetes, blood or bone marrow problems, or metabolism problems
- if you are dehydrated, have low blood sodium levels, or drink alcohol or smoke
- if you will be having electroconvulsive therapy (ECT)
Some MEDICINES MAY INTERACT with Luvox CR Extended-Release Capsules. Tell your health care provider if you are taking any other medicines, especially any of the following:
- Anorexiants (eg, phentermine), fenfluramine derivatives (eg, dexfenfluramine), linezolid, lithium, MAOIs (eg, phenelzine), medicines for mental problems (eg, quetiapine), metoclopramide, nefazodone, quinidine, rasagiline, selegiline, serotonin 5-HT1 receptor agonists (eg, sumatriptan), sibutramine, St. John’s wort, trazodone, or tryptophan because severe side effects, such as a reaction that may include fever, rigid muscles, blood pressure changes, mental changes, confusion, irritability, agitation, delirium, and coma, may occur
- Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) because the risk of bleeding, including stomach bleeding, may be increased
- Diuretics (eg, furosemide, hydrochlorothiazide) because the risk of low blood sodium levels may be increased
- Tramadol because the risk of seizures may be increased
- Astemizole, cisapride, phenothiazines (eg, chlorpromazine, thioridazine), pimozide, or terfenadine because severe heart problems, including irregular heartbeat, may occur
- Cyproheptadine because it may decrease Luvox CR Extended-Release Capsules’s effectiveness
- Alosetron, aripiprazole, benzodiazepines (eg, alprazolam, diazepam), beta-blockers (eg, metoprolol, propranolol), carbamazepine, clozapine, diltiazem, methadone, mexiletine, phenytoin, ramelteon, risperidone, serotonin-norepinephrine reuptake inhibitors (SNRIs) (eg, venlafaxine), tacrine, theophylline, tizanidine , or tricyclic antidepressants (eg, amitriptyline) because the risk of their side effects may be increased by Luvox CR Extended-Release Capsules
This may not be a complete list of all interactions that may occur. Ask your health care provider if Luvox CR Extended-Release Capsules may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use Luvox CR Extended-Release Capsules:
Use Luvox CR Extended-Release Capsules as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Luvox CR Extended-Release Capsules comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Luvox CR Extended-Release Capsules refilled.
- Take Luvox CR Extended-Release Capsules by mouth with or without food.
- Swallow Luvox CR Extended-Release Capsules whole. Do not break, crush, or chew before swallowing.
- Take Luvox CR Extended-Release Capsules at bedtime unless your doctor tells you otherwise.
- Continue to take Luvox CR Extended-Release Capsules even if you feel well. Do not miss any doses.
- Do not suddenly stop taking Luvox CR Extended-Release Capsules without checking with your doctor. Side effects may occur. They may include mental or mood changes, numbness or tingling of the skin, dizziness, confusion, headache, trouble sleeping, or unusual tiredness. You will be closely monitored when you start Luvox CR Extended-Release Capsules and whenever a change in dose is made.
- If you miss a dose of Luvox CR Extended-Release Capsules, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use Luvox CR Extended-Release Capsules.
Important safety information:
- Luvox CR Extended-Release Capsules may cause drowsiness or dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Luvox CR Extended-Release Capsules with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
- Do not drink alcohol while you are using Luvox CR Extended-Release Capsules.
- Check with your doctor before you use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Luvox CR Extended-Release Capsules; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
- Several weeks may pass before your symptoms improve. Do NOT take more than the recommended dose, change your dose, or use Luvox CR Extended-Release Capsules for longer than prescribed without checking with your doctor.
- Children, teenagers, and young adults who take Luvox CR Extended-Release Capsules may be at increased risk for suicidal thoughts or actions. Watch patients who take Luvox CR Extended-Release Capsules closely. Contact the doctor at once if new, worsened, or sudden symptoms such as depressed mood; anxious, restless, or irritable behavior; panic attacks; or any unusual change in mood or behavior occur. Contact the doctor right away if any signs of suicidal thoughts or actions occur.
- If your doctor tells you to stop taking Luvox CR Extended-Release Capsules, you will need to wait for several weeks before beginning to take certain other medicines (eg, MAOIs, nefazodone). Ask your doctor when you should start to take your new medicines after you have stopped taking Luvox CR Extended-Release Capsules.
- Serotonin syndrome is a possibly fatal syndrome that can be caused by Luvox CR Extended-Release Capsules. Your risk may be greater if you take Luvox CR Extended-Release Capsules with certain other medicines (eg, MAOIs, “triptans”). Symptoms may include agitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; excessive sweating; and nausea, vomiting, or diarrhea. Contact your doctor at once if you have any of these symptoms.
- Neuroleptic malignant syndrome (NMS) is a possibly fatal syndrome that can rarely be caused by Luvox CR Extended-Release Capsules. Symptoms may include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your doctor at once if you have any of these symptoms.
- Luvox CR Extended-Release Capsules may rarely cause a prolonged, painful erection. This could happen even when you are not having sex. If this is not treated right away, it could lead to permanent sexual problems such as impotence. Contact your doctor right away if this happens.
- Caution is advised when using Luvox CR Extended-Release Capsules in the ELDERLY; they may be more sensitive to its effects, especially low blood sodium levels.
- Luvox CR Extended-Release Capsules should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed. They may be more sensitive to its effects, especially increased risk of suicidal thoughts or actions.
- Luvox CR Extended-Release Capsules may cause weight changes. CHILDREN and teenagers may need regular weight and growth checks while they take Luvox CR Extended-Release Capsules.
- PREGNANCY and BREAST-FEEDING: Luvox CR Extended-Release Capsules may cause harm to the fetus if it is used during the last 3 months of pregnancy. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Luvox CR Extended-Release Capsules while you are pregnant. Luvox CR Extended-Release Capsules are found in breast milk. Do not breast-feed while taking Luvox CR Extended-Release Capsules.
Possible side effects of Luvox CR Extended-Release Capsules:
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Constipation; decreased sexual ability; diarrhea; dizziness; drowsiness; dry mouth; gas; headache; increased sweating; loss of appetite; nausea; nervousness; sore throat; stomach upset; trouble sleeping; vomiting; weakness.
Seek medical attention right away if any of these SEVERE side effects occur:
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); bizarre behavior; black or bloody stools; chest pain; confusion; decreased concentration; decreased coordination; exaggerated reflexes; fainting; fast or irregular heartbeat; fever; hallucinations; memory loss; new or worsening agitation, anxiety, depression, panic attacks, aggressiveness, impulsiveness, irritability, hostility, exaggerated feeling of well-being, restlessness, or inability to sit still; painful menstrual periods; persistent, painful erection; red, swollen, blistered, or peeling skin; seizures; severe or persistent headache or trouble sleeping; stiff muscles; stomach pain; suicidal thoughts or attempts; tremor; unusual bruising or bleeding; unusual or severe mental or mood changes; unusual swelling; unusual weakness; vision changes.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.
If OVERDOSE is suspected:
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), or emergency room immediately. Symptoms may include chest pain; coma; fast, slow, or irregular heartbeat; seizures; severe or persistent dizziness, drowsiness, diarrhea, nausea, or vomiting; tremor; trouble breathing.
Proper storage of Luvox CR Extended-Release Capsules:
Store Luvox CR Extended-Release Capsules at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Avoid temperatures above 86 degrees F (30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Luvox CR Extended-Release Capsules out of the reach of children and away from pets.
General information:
- If you have any questions about Luvox CR Extended-Release Capsules, please talk with your doctor, pharmacist, or other health care provider.
- Luvox CR Extended-Release Capsules are to be used only by the patient for whom it is prescribed. Do not share it with other people.
- If your symptoms do not improve or if they become worse, check with your doctor.
This information is summary only. It does not contain all information about Luvox CR Extended-Release Capsules. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.
Luveris
30/06/10
Generic Name: lutropin alfa (lou TRO peen aal fa)
Brand Names: Luveris
What is lutropin alfa?
Lutropin alfa is a hormone used to support Follicle Stimulating Hormone (FSH) therapy.
Lutropin alfa is used with follitropin alfa (Gonal-F) to stimulate a follicle(egg) to develop and mature. The therapy used when a woman desires pregnancy and her ovaries can produce a follicle but hormonal stimulation is not sufficient to make the follicle mature.
Lutropin alfa may also be used for purposes other than those listed in this medication guide.
What is the most important information I should know about lutropin alfa?
Treatment with lutropin alfa increases the likelihood of multiple births. Multiple births carry additional risk both for the mother and for fetuses. Discuss the risk of multiple births with your healthcare provider.
Patients treated with lutropin alfa may develop ovarian hyperstimulation syndrome (OHSS), especially after the first cycle of therapy. Symptoms of OHSS include severe pelvic pain, swelling of the hands or legs, abdominal pain and swelling, shortness of breath, weight gain, low urine output, diarrhea, and nausea or vomiting. OHSS can be fatal. Notify your doctor immediately or seek emergency medical attention if you develop any of these symptoms.
What should I discuss with my healthcare provider before using lutropin alfa?
Lutropin alfa will not induce ovulation if the ovaries are not capable of producing an egg.
Before using this medication, tell your doctor if you
-
might be pregnant;
-
have a thyroid problem;
-
have adrenal dysfunction;
-
have cancer or a tumor of the breast, ovary, uterus, hypothalamus, or pituitary gland;
-
have undiagnosed abnormal vaginal bleeding; or
-
have ovarian cysts or enlargement not due to polycystic ovary disease (PCOD).
You may not be able to use lutropin alfa, or you may require a dosage adjustment or special monitoring if you have any of the conditions listed above.
Treatment with lutropin alfa increases the likelihood of multiple births. Multiple births carry additional risk both for the mother and for fetuses. Discuss the risk of multiple births with your healthcare provider.
Do not use this medication if you are pregnant. Lutropin alfa is in the FDA pregnancy category X. This means that lutropin alfa is known to cause birth defects in an unborn baby (when used beyond the period of ovulation). It is not known whether lutropin alfa passes into breast milk. Do not use lutropin alfa without first talking to your doctor if you are breast-feeding a baby.
How should I use lutropin alfa?
Use lutropin alfa exactly as directed by your doctor. If you do not understand these directions, ask your doctor, nurse, or pharmacist to explain them to you.
Lutropin alfa should only be administered subcutaneously. If you are administering this medication at home, your doctor will give you detailed instructions on how to mix the solution and give the injection. Do not inject this medication if you are not sure how.
Do not shake the vial, but gently swirl until the solution is clear. Do not inject any medication that is discolored or that has particles in it.
Never reuse a needle or syringe. Dispose of all needles and syringes in an appropriate, puncture-resistant disposal container.
Lutropin alfa should be used immediately after mixing. Any unused portion should be thrown away.
What happens if I miss a dose?
Contact your doctor if you miss a dose of lutropin alfa.
What happens if I overdose?
An overdose of lutropin alfa is unlikely to threaten life. Notify your doctor immediately or call an emergency room or poison control center for advice if an overdose is suspected.
Symptoms of a lutropin alfa overdose are not known.
What should I avoid while using lutropin alfa?
There are no restrictions on food, beverages, or activity during treatment with lutropin alfa unless otherwise directed by your doctor.
Lutropin alfa side effects
Stop using lutropin alfa and seek emergency medical attention or notify your doctor immediately if you experience any of the following serious side effects:
-
an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
-
pain, warmth, redness, numbness, or tingling in an arm or leg (which may indicate a blood clot);
-
confusion, severe dizziness, severe headache; or
-
difficulty breathing.
Patients treated with lutropin alfa may develop ovarian hyperstimulation syndrome (OHSS), especially after the first cycle of therapy. Symptoms of OHSS include severe pelvic pain, swelling of the hands or legs, abdominal pain and swelling, shortness of breath, weight gain, low urine output, diarrhea, and nausea or vomiting. OHSS can be fatal. Notify your doctor immediately or seek emergency medical attention if you develop any of these symptoms.
Other side effects may also occur. Notify your doctor if you experience
-
ovarian enlargement presenting as abdominal or pelvic pain, tenderness, pressure, or swelling;
-
nausea, vomiting, diarrhea, or flatulence (gas);
-
fever or chills;
-
headache;
-
dizziness;
-
rapid pulse or heart rate;
-
muscle or joint weakness or aching;
-
breast tenderness;
-
spotting or menstrual changes;
-
pain, swelling, or irritation at the injection site; or
-
dry skin, a rash, or hair loss.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. You may report side effects to FDA at 1-800-FDA-1088.
What other drugs will affect lutropin alfa?
It is not known whether other medications will interact with lutropin alfa. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.
Where can I get more information?
- Your pharmacist has additional information about lutropin alfa written for health professionals that you may read.
- Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
- Every effort has been made to ensure that the information provided by Cerner Multum, Inc. (‘Multum’) is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum’s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum’s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
Copyright 1996-2006 Cerner Multum, Inc. Version: 1.02. Revision Date: 4/12/2009 4:45:24 PM.
Lustra-Ultra
30/06/10
Generic Name: hydroquinone topical (HYE droe KWIN one)
Brand Names: Aclaro, Aclaro PD, Alera, Alphaquin HP, Alustra, Claripel, Eldopaque, Eldopaque Forte, Eldoquin, Eldoquin Forte, EpiQuin Micro, Esoterica, Esoterica with Sunscreen, Glyquin, Glyquin-XM, Hydroquinone and Sunscreen, Lustra, Lustra-AF, Lustra-Ultra, Melpaque HP, Melquin HP, Melquin-3, Nuquin HP, Solaquin, Solaquin Forte
What is Lustra-Ultra (hydroquinone topical)?
Hydroquinone decreases the formation of melanin in the skin. Melanin is the pigment in skin that gives it a brown color.
Hydroquinone topical is used to lighten areas of darkened skin such as freckles, age spots, chloasma, and melasma.
Hydroquinone topical may also be used for other purposes not listed in this medication guide.
What is the most important information I should know about Lustra-Ultra (hydroquinone topical)?
Before using hydroquinone topical, tell your doctor if you are allergic to any drugs, or if you have liver or kidney disease.
Do not use hydroquinone topical on skin that is sunburned, windburned, dry, chapped, or irritated, or on an open wound. It could make these conditions worse. Wait until these conditions have healed before applying hydroquinone topical. Avoid getting this medication in your mouth or eyes. If it does get into any of these areas, rinse with water.
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 exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Hydroquinone 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 Lustra-Ultra (hydroquinone topical)?
Do not use hydroquinone topical on skin that is sunburned, windburned, dry, chapped, or irritated, or on an open wound. It could make these conditions worse. Wait until these conditions have healed before applying hydroquinone topical.
Before using hydroquinone topical, tell your doctor if you are allergic to any drugs, or if you have:
-
liver disease; or
-
kidney disease.
If you have any of these conditions, you may need a dose adjustment or special tests to safely use this medication.
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 hydroquinone 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 Lustra-Ultra (hydroquinone 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.
Hydroquinone topical is for external use only. Wash your hands before and after applying this medication, unless you are treating a skin area on your hand.
Apply the medication to clean, dry skin. Apply just enough medication to cover the affected area. Avoid applying to the unaffected surrounding skin. Rub in the medication gently and completely.
Avoid getting this medication on your lips or inside your nose or mouth. Hydroquinone may cause numbness of these areas. If the medication does get on any of these areas, rinse with water.
It is important to use hydroquinone topical regularly to get the most benefit.
Store hydroquinone topical at room temperature away from moisture and heat.
What happens if I miss a dose?
Use the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to use 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 topically applied hydroquinone is not likely to cause life-threatening symptoms.
What should I avoid while using Lustra-Ultra (hydroquinone 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 hydroquinone topical on sunburned, windburned, dry, chapped, irritated, or broken skin.
Your skin may be more sensitive to weather extremes such as cold and wind. Protect your skin with clothing and use a moisturizing cream or lotion as needed.
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.
Using hydroquinone topical together with benzoyl peroxide, hydrogen peroxide, or other peroxide products may cause a temporary staining of your skin. This staining can usually be removed with soap and water. Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Hydroquinone 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.
Lustra-Ultra (hydroquinone 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 hydroquinone topical and call your doctor if you have severe burning, stinging, or other irritation of your skin after apply the medication.
Less serious side effects may include mild burning, stinging, itching, redness, or irritation of treated skin.
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 Lustra-Ultra (hydroquinone topical)?
It is not likely that other drugs you take orally or inject will have an effect on topically applied hydroquinone. 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 hydroquinone 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: 1.05. Revision Date: 4/12/2009 4:39:41 PM.
