Generic Name: gemtuzumab ( jem TOOZ oo mab)
Brand Names: Mylotarg

What is Mylotarg (gemtuzumab)?

Gemtuzumab is a cancer medication. Gemtuzumab interferes with the growth of cancer cells and slows their growth and spread in the body.

Gemtuzumab is used to treat acute myeloid leukemia, a type of blood cancer. Gemtuzumab is usually given to people who are at least 60 years old and have a relapse of their disease and who cannot receive other cancer medications.

Gemtuzumab may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Mylotarg (gemtuzumab)?

You should not receive this medication if you are allergic to gemtuzumab Do not receive gemtuzumab without telling your doctor if you are pregnant. It could harm the unborn baby. Use effective birth control, and tell your doctor if you become pregnant during treatment.

Before receiving gemtuzumab, tell your doctor if you have any type of infection, lung or breathing problems, liver or kidney disease, if you have ever received a stem cell transplant, or if you are being treated with other cancer medications.

Gemtuzumab can lower blood cells that help your body fight infections. This can make it easier for you to bleed from an injury or get sick from being around others who are ill. To be sure your blood cells do not get too low, your blood will need to be tested on a regular basis. Your kidney or liver function may also need to be tested. Do not miss any follow-up visits to your doctor.

Contact your doctor at once if you develop signs of infection such as fever, chills, sore throat, flu symptoms, easy bruising or bleeding (nosebleeds, bleeding gums), loss of appetite, nausea and vomiting, mouth sores, or unusual weakness. Do not receive a “live” vaccine while you are being treated with gemtuzumab, and avoid coming into contact with anyone who has recently received a live vaccine.

What should I discuss with my healthcare provider before taking Mylotarg (gemtuzumab)?

You should not receive this medication if you are allergic to gemtuzumab

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

• any type of infection;

• lung or breathing problems;

• liver disease;
• kidney disease;

• if you have ever received a stem cell transplant; or

• if you being treated with other cancer medications.

FDA pregnancy category D. Gemtuzumab can cause harm to an unborn baby or cause birth defects. Before you receive gemtuzumab, tell your doctor if you are pregnant. Use an effective form of birth control, and tell your doctor if you become pregnant during treatment. It is not known whether gemtuzumab 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 is gemtuzumab given?

Gemtuzumab is given as an injection through a needle placed into a vein. You will receive this injection in a clinic or hospital setting. The medicine must be given slowly through an IV infusion, and can take at least 2 hours to complete.

Gemtuzumab can lower blood cells that help your body fight infections. This can make it easier for you to bleed from an injury or get sick from being around others who are ill.

Contact your doctor at once if you develop signs of infection such as fever, chills, sore throat, flu symptoms, easy bruising or bleeding (nosebleeds, bleeding gums), loss of appetite, nausea and vomiting, mouth sores, or unusual weakness.

To be sure your blood cells do not get too low, your blood will need to be tested on a regular basis. Your kidney or liver function may also need to be tested. Do not miss any follow-up visits to your doctor.

What happens if I miss a dose?

Contact your doctor if you miss an appointment for your gemtuzumab injection.

What happens if I overdose?

Since gemtuzumab is given by a healthcare professional, an overdose is not likely to occur.

Symptoms of a gemtuzumab overdose are not known.

What should I avoid while using Mylotarg (gemtuzumab)?

Do not receive a “live” vaccine while you are being treated with gemtuzumab, and avoid coming into contact with anyone who has recently received a live vaccine. The live vaccine may not work as well during this time, and may not fully protect you from disease. There is also chance that the virus could be passed on to you. Live vaccines include measles, mumps, rubella (MMR), oral polio, chickenpox (varicella), BCG (Bacillus Calmette and Guérin), and nasal flu vaccine.

Mylotarg (gemtuzumab) side effects

Some people receiving a gemtuzumab injection have had a reaction to the infusion (when the medicine is injected into the vein). Tell your caregiver right away if you feel dizzy, nauseated, light-headed, sweaty, or have fever, chills, or trouble breathing within 24 hours after receiving the injection. Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have a serious side effect such as:

• pain in your upper right stomach, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);

• swelling, rapid weight gain;

• feeling like you might pass out;

• pale skin, easy bruising or bleeding (such as nosebleeds), purple or red pinpoint spots under your skin;

• fever, chills, body aches, unusual weakness, flu symptoms;

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

• chest pain or tightness, feeling short of breath;

• lower back pain, blood in your urine;

• increased thirst, fruity breath odor, increased urination;

• urinating less than usual or not at all;

• numbness or tingly feeling around your mouth;

• muscle weakness, tightness, or contraction, overactive reflexes;

• fast or slow heart rate, weak pulse; or

• confusion, uneven heart rate, leg discomfort, muscle weakness or limp feeling.

Less serious side effects may include:

• nausea, vomiting;

• diarrhea or constipation;

• headache;

• dizziness, anxiety, depressed mood; or

• sleep problems (insomnia).

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 Mylotarg (gemtuzumab)?

Tell your doctor about all other chemotherapy treatments you are receiving.

There may be other drugs that can interact with gemtuzumab. 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 doctor or pharmacist can provide more information about gemtuzumab.

• Every effort has been made to ensure that the information provided by Cerner Multum, Inc. (‘Multum’) is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum’s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum’s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2006 Cerner Multum, Inc. Version: 2.04. Revision Date: 10/12/2009 8:51:51 AM.

Generic Name: Calcium Carbonate/Magnesium Hydroxide (KAL-see-um KAR-boh-nate/mag-NEE-zee-um hye-DROX-ide)
Brand Name: Examples include Mylanta Ultra and Rolaids

Mylanta Ultra Chewable Tablets are used for:

Treating acid indigestion, heartburn, and sour stomach. It may also be used for other conditions as determined by your doctor.

Mylanta Ultra Chewable Tablets are an antacid. It works by neutralizing the acid in the stomach.

Do NOT use Mylanta Ultra Chewable Tablets if:

• you are allergic to any ingredient in Mylanta Ultra Chewable Tablets
• you have an increased calcium level in your blood

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

Before using Mylanta Ultra Chewable Tablets:

Some medical conditions may interact with Mylanta Ultra Chewable Tablets. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have appendicitis, a history of kidney conditions, colon or intestinal blockage, parathyroid hormone (PTH) deficiency, or sarcoidosis

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

• Anticoagulants (eg, warfarin) because the risk of their side effects may be increased by Mylanta Ultra Chewable Tablets
• Azole antifungals (eg, ketoconazole), bisphosphonates (eg, alendronate), cation exchange resins (eg, sodium polystyrene sulfonate), cephalosporins (eg, cephalexin), mycophenolate, penicillamine, quinolone antibiotics (eg, ciprofloxacin), or tetracyclines (eg, doxycycline) because their effectiveness may be decreased by Mylanta Ultra Chewable Tablets

This may not be a complete list of all interactions that may occur. Ask your health care provider if Mylanta Ultra Chewable Tablets may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Mylanta Ultra Chewable Tablets:

Use Mylanta Ultra Chewable Tablets as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take Mylanta Ultra Chewable Tablets by mouth with or without food. Follow with a full glass (8 oz/240 mL) of water or other liquid.
• Chew thoroughly before swallowing.
• Do not take Mylanta Ultra Chewable Tablets before bedtime if you are using it for constipation.
• Do not take more than 18 teaspoonfuls (90 mL) in a 24-hour period, or use the maximum dose for more than 2 weeks, unless instructed otherwise by your doctor.
• If you miss a dose of Mylanta Ultra Chewable Tablets, take it as soon as you remember. Continue to take it as directed by your doctor or on the package label.

Ask your health care provider any questions you may have about how to use Mylanta Ultra Chewable Tablets.

Important safety information:

• Do NOT take more than the recommended dose or use the maximum dose for more than 2 weeks without checking with your doctor.
• If your symptoms do not get better within 2 weeks or if they get worse, check with your doctor.
• PREGNANCY and BREAST-FEEDING: It is not known if Mylanta Ultra Chewable Tablets can cause harm to the fetus. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Mylanta Ultra Chewable Tablets while you are pregnant. It is not known if Mylanta Ultra Chewable Tablets are found in breast milk. If you are or will be breast-feeding while you use Mylanta Ultra Chewable Tablets, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Mylanta Ultra Chewable Tablets:

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

Constipation; diarrhea; stomach upset.

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); loss of appetite; muscle weakness; nausea; slow reflexes; vomiting.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), or emergency room immediately. Symptoms may include diarrhea; stomach cramps.

Proper storage of Mylanta Ultra Chewable Tablets:

Store Mylanta Ultra Chewable Tablets at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Mylanta Ultra Chewable Tablets out of the reach of children and away from pets.

General information:

• If you have any questions about Mylanta Ultra Chewable Tablets, please talk with your doctor, pharmacist, or other health care provider.
• Mylanta Ultra Chewable Tablets are to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

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

Generic Name: busulfan (bue SUL fan)
Brand Names: Busulfex, Myleran

What is Myleran (busulfan)?

Busulfan is a cancer medication that interferes with the growth of cancer cells and slows their spread in the body.

Busulfan is used to treat the symptoms of chronic myelogenous leukemia (a type of blood cancer). Busulfan is not a cure for leukemia.

Busulfan may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Myleran (busulfan)?

You should not use busulfan if you are allergic to it. Do not use busulfan without telling your doctor if you are pregnant. It could harm the unborn baby. Use effective birth control, and tell your doctor if you become pregnant during treatment.

Before you receive busulfan, tell your doctor if you have a weak immune system, a seizure disorder, a history of head injury or breathing problems, or if you have recently received other cancer medications or radiation treatment.

Busulfan can lower blood cells that help your body fight infections. Your blood will need to be tested on a weekly or monthly basis. Your liver function may also need to be tested on a regular basis. Busulfan can have long-lasting effects on your body. Do not miss any follow-up visits to your doctor for blood or urine tests.

Contact your doctor at once if you develop signs of infection such as fever, chills, sore throat, flu symptoms, easy bruising or bleeding (nosebleeds, bleeding gums), weight loss, mouth sores, or unusual weakness.

Some people treated with busulfan have developed new forms of cancer. Talk to your doctor about your specific risks and benefits of using this medication.

What should I discuss with my healthcare provider before using Myleran (busulfan)?

You should not use busulfan if you are allergic to it.

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

• a weak immune system (bone marrow depression) caused by other cancer medications or radiation treatment;

• epilepsy or other seizure disorder;

• history of head injury; or

• a history of lung or breathing problems.

FDA pregnancy category D. Do not use busulfan without telling your doctor if you are pregnant. It could harm the unborn baby. Use effective birth control, and tell your doctor if you become pregnant during treatment.

This medication may affect fertility (your ability to have children), whether you are a man or a woman.

It is not known whether busulfan 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.

Some people treated with busulfan have developed new forms of cancer. Talk to your doctor about your specific risks and benefits of using this medication.

How should I take Myleran (busulfan)?

Use this medication exactly as prescribed by your doctor. Do not use it in larger amounts or for longer than recommended. Follow the directions on your prescription label. You must remain under the care of a doctor while using busulfan.

Take the busulfan tablet with a full glass of water.

Busulfan injection is given through a needle placed into a vein in your upper chest (central IV). You will receive this injection in a clinic or hospital setting. You will also receive other medications to help prevent certain side effects of busulfan.

Busulfan injection is usually given every 6 hours for 4 days in a row. The medicine must be given slowly through the IV, and each infusion can take at least 2 hours to complete.

Busulfan can lower blood cells that help your body fight infections. This can make it easier for you to bleed from an injury or get sick from being around others who are ill.

To be sure your blood cells do not get too low, your blood will need to be tested on a weekly or monthly basis. Your liver function may also need to be tested on a regular basis. Busulfan can have long-lasting effects on your body. Do not miss any follow-up visits to your doctor for blood or urine tests.

Contact your doctor at once if you develop signs of infection such as fever, chills, sore throat, flu symptoms, easy bruising or bleeding (nosebleeds, bleeding gums), weight loss, mouth sores, or unusual weakness.

Store busulfan tablets at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose.

Since busulfan injection is given by a healthcare professional, you are not likely to miss a dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include nausea, vomiting, diarrhea, fever, flu symptoms, mouth sores, easy bruising or bleeding (nosebleeds, bleeding gums), pale skin, feeling tired or short of breath, rapid heart rate.

What should I avoid while using Myleran (busulfan)?

Avoid being near people who have colds, the flu, or other contagious illnesses. Contact your doctor at once if you develop signs of infection.

Do not receive a “live” vaccine while you are being treated with busulfan, and avoid coming into contact with anyone who has recently received a live vaccine. There is a chance that the virus could be passed on to you. Live vaccines include measles, mumps, rubella (MMR), oral polio, chickenpox (varicella), BCG (Bacillus Calmette and Guérin), and nasal flu vaccine.

Myleran (busulfan) side effects

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

• pale skin, easy bruising or bleeding (nosebleeds, bleeding gums);

• signs of infection such as fever, chills, sore throat, flu symptoms, loss of appetite, weight loss, mouth sores, unusual weakness;

• persistent cough, congestion, low fever, feeling short of breath (these symptoms may occur several months or years after using busulfan);

• weight gain, stomach swelling or tenderness, jaundice (yellowing of the skin or eyes);

• coughing up blood;

• stomach pain, vomiting, sharp chest pain, trouble breathing;

• blurred vision, eye pain, or seeing halos around lights;

• seizure (convulsions); or

• fever, sore throat, and headache with a severe blistering, peeling, and red skin rash.

Less serious side effects may include:

• missed menstrual periods; or

• darkened skin color.

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 Myleran (busulfan)?

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

• acetaminophen (Tylenol, others);

• itraconazole (Sporanox); or

• phenytoin (Dilantin).

This list is not complete and there may be other drugs that can interact with busulfan. 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 busulfan.

• 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: 4.01. Revision Date: 10/16/2009 9:14:15 AM.

Generic Name: simethicone (sye METH i cone)
Brand Names: Alka-Seltzer Anti-Gas, Equalize Gas Relief Drops, Gas Aide, Gas-X, Gas-X Extra Strength, Gas-X Infant Drops, Gas-X Maximum Strength, Gas-X Thin Strips Cinnamon, Gas-X Thin Strips Peppermint, Gas-X Tongue Twisters Thin Strips Children’s, Genasyme, Infantaire Gas Relief, Little Tummys, Maalox Anti-Gas, Maalox Anti-Gas Extra Strength, Mi-Acid Gas Relief, Mylanta Gas, Mylanta Gas Maximum Strength, Mylicon, Mytab Gas, Phazyme, Phazyme Maximum Strength, Phazyme Ultra, Phazyme-125, Phazyme-95

What is Mylicon (simethicone)?

Simethicone allows gas bubbles in the stomach and intestines to come together more easily, which allows for easier passage of gas.

Simethicone is used to relieve painful pressure caused by excess gas in the stomach and intestines. Simethicone is for use in babies, children, and adults.

Simethicone may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Mylicon (simethicone)?

Simethicone works best if you take it after meals and at bedtime.

Do not take more of this medication than is directed.

Simethicone may be only part of a complete program of treatment that also includes a special diet or increased exercise. It is very important to follow the diet and exercise plan created for you by your doctor or nutrition counselor. You should become very familiar with the list of foods you must avoid to help control your condition.

There may be other drugs that can interact with simethicone. 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.

What should I discuss with my healthcare provider before taking Mylicon (simethicone)?

You should not use this medication if you are allergic to simethicone.

Before taking simethicone, tell your doctor if you are allergic to any drugs.

Also tell your doctor if you have any type of serious illness, especially one that involves your stomach or intestines.

FDA pregnancy category C. It is not known whether this medication is harmful to an unborn baby. Before taking simethicone, tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether simethicone 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 take Mylicon (simethicone)?

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.

Do not take more of this medication than is directed.

Simethicone works best if you take it after meals and at bedtime.

The chewable tablet must be chewed before swallowing.

Measure the oral drops with the medicine dropper provided, or use a special dose-measuring spoon. Do not use a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

Clean the medicine dropper after each use. Allow it to air dry.

Some liquid forms of simethicone must be shaken before each use. Follow the directions on the medicine label.

Simethicone liquid drops can be mixed with water, baby formula, or other liquids to make swallowing easier for an infant or child.

Children should never be given more than the recommended dose of simethicone. Call your doctor if the child’s gas symptoms do not improve after treatment with simethicone.

Simethicone may be only part of a complete program of treatment that also includes a special diet or increased exercise. It is very important to follow the diet and exercise plan created for you by your doctor or nutrition counselor. You should become very familiar with the list of foods you must avoid to help control your condition.

Store simethicone at room temperature away from moisture, light, and heat. Do not allow the liquid medicine to freeze. Keep all liquid medicine in a tightly closed container.

What happens if I miss a dose?

Since simethicone is taken as needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.

An overdose of simethicone is not likely to cause life-threatening symptoms.

What should I avoid while taking Mylicon (simethicone)?

Follow your doctor’s instructions about any restrictions on food, beverages, or activity while you are using simethicone.

Mylicon (simethicone) 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.

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 Mylicon (simethicone)?

There may be other drugs that can interact with simethicone. 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 simethicone.

• 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
• The information in this leaflet is not intended to cover all possible uses, directions, precautions, drug interactions, 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: 4.02. Revision Date: 4/12/2009 4:39:00 PM.

Generic Name: simethicone (sye METH i cone)
Brand Names: Alka-Seltzer Anti-Gas, Equalize Gas Relief Drops, Gas Aide, Gas-X, Gas-X Extra Strength, Gas-X Infant Drops, Gas-X Maximum Strength, Gas-X Thin Strips Cinnamon, Gas-X Thin Strips Peppermint, Gas-X Tongue Twisters Thin Strips Children’s, Genasyme, Infantaire Gas Relief, Little Tummys, Maalox Anti-Gas, Maalox Anti-Gas Extra Strength, Mi-Acid Gas Relief, Mylanta Gas, Mylanta Gas Maximum Strength, Mylicon, Mytab Gas, Phazyme, Phazyme Maximum Strength, Phazyme Ultra, Phazyme-125, Phazyme-95

What is Mylanta Gas Maximum Strength (simethicone)?

Simethicone allows gas bubbles in the stomach and intestines to come together more easily, which allows for easier passage of gas.

Simethicone is used to relieve painful pressure caused by excess gas in the stomach and intestines. Simethicone is for use in babies, children, and adults.

Simethicone may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Mylanta Gas Maximum Strength (simethicone)?

Simethicone works best if you take it after meals and at bedtime.

Do not take more of this medication than is directed.

Simethicone may be only part of a complete program of treatment that also includes a special diet or increased exercise. It is very important to follow the diet and exercise plan created for you by your doctor or nutrition counselor. You should become very familiar with the list of foods you must avoid to help control your condition.

There may be other drugs that can interact with simethicone. 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.

What should I discuss with my healthcare provider before taking Mylanta Gas Maximum Strength (simethicone)?

You should not use this medication if you are allergic to simethicone.

Before taking simethicone, tell your doctor if you are allergic to any drugs.

Also tell your doctor if you have any type of serious illness, especially one that involves your stomach or intestines.

FDA pregnancy category C. It is not known whether this medication is harmful to an unborn baby. Before taking simethicone, tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether simethicone 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 take Mylanta Gas Maximum Strength (simethicone)?

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.

Do not take more of this medication than is directed.

Simethicone works best if you take it after meals and at bedtime.

The chewable tablet must be chewed before swallowing.

Measure the oral drops with the medicine dropper provided, or use a special dose-measuring spoon. Do not use a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

Clean the medicine dropper after each use. Allow it to air dry.

Some liquid forms of simethicone must be shaken before each use. Follow the directions on the medicine label.

Simethicone liquid drops can be mixed with water, baby formula, or other liquids to make swallowing easier for an infant or child.

Children should never be given more than the recommended dose of simethicone. Call your doctor if the child’s gas symptoms do not improve after treatment with simethicone.

Simethicone may be only part of a complete program of treatment that also includes a special diet or increased exercise. It is very important to follow the diet and exercise plan created for you by your doctor or nutrition counselor. You should become very familiar with the list of foods you must avoid to help control your condition.

Store simethicone at room temperature away from moisture, light, and heat. Do not allow the liquid medicine to freeze. Keep all liquid medicine in a tightly closed container.

What happens if I miss a dose?

Since simethicone is taken as needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.

An overdose of simethicone is not likely to cause life-threatening symptoms.

What should I avoid while taking Mylanta Gas Maximum Strength (simethicone)?

Follow your doctor’s instructions about any restrictions on food, beverages, or activity while you are using simethicone.

Mylanta Gas Maximum Strength (simethicone) 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.

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 Mylanta Gas Maximum Strength (simethicone)?

There may be other drugs that can interact with simethicone. 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 simethicone.

• 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
• The information in this leaflet is not intended to cover all possible uses, directions, precautions, drug interactions, 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: 4.02. Revision Date: 4/12/2009 4:39:00 PM.

Generic Name: Simethicone (sih-METH-ih-cone)
Brand Name: Examples include Gas-X Extra Strength and Mylanta Gas Relief Maximum Strength

Mylanta Gas Relief Maximum Strength is used for:

Relieving pressure, bloating, and gas in the digestive tract. It may also be used for other conditions as determined by your doctor.

Mylanta Gas Relief Maximum Strength is an antiflatulent. It works by breaking up gas bubbles, which makes gas easier to eliminate.

Do NOT use Mylanta Gas Relief Maximum Strength if:

• you are allergic to any ingredient in Mylanta Gas Relief Maximum Strength

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

Before using Mylanta Gas Relief Maximum Strength:

Some medical conditions may interact with Mylanta Gas Relief Maximum Strength. 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 Mylanta Gas Relief Maximum Strength. However, no specific interactions with Mylanta Gas Relief Maximum Strength are known at this time.

This may not be a complete list of all interactions that may occur. Ask your health care provider if Mylanta Gas Relief Maximum Strength 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 Mylanta Gas Relief Maximum Strength:

Use Mylanta Gas Relief Maximum Strength as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take Mylanta Gas Relief Maximum Strength as needed after meals and at bedtime, unless otherwise directed by your doctor.
• If you miss a dose of Mylanta Gas Relief Maximum Strength and you are using it regularly, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Mylanta Gas Relief Maximum Strength.

Important safety information:

• Do not exceed the recommended dose without checking with your doctor.
• If your condition persists, contact your health care provider.
• PREGNANCY and BREAST-FEEDING: If you become pregnant while taking Mylanta Gas Relief Maximum Strength, discuss with your doctor the benefits and risks of using Mylanta Gas Relief Maximum Strength during pregnancy. It is unknown if Mylanta Gas Relief Maximum Strength is excreted in breast milk. If you are or will be breast-feeding while you are taking Mylanta Gas Relief Maximum Strength, check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of Mylanta Gas Relief Maximum Strength:

All medicines may cause side effects, but many people have no, or minor, side effects. When used in small doses, no COMMON side effects have been reported with this product. Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue).

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 Mylanta Gas Relief Maximum Strength:

Store Mylanta Gas Relief Maximum Strength at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Avoid temperatures above 104 degrees F (40 degrees C). Keep Mylanta Gas Relief Maximum Strength out of the reach of children and away from pets.

General information:

• If you have any questions about Mylanta Gas Relief Maximum Strength, please talk with your doctor, pharmacist, or other health care provider.
• Mylanta Gas Relief Maximum Strength 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 Mylanta Gas Relief Maximum Strength. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Generic Name: Calcium Carbonate/Magnesium Hydroxide (KAL-see-um KAR-boh-nate/mag-NEE-zee-um hye-DROX-ide)
Brand Name: Examples include Masanti Supreme and Mylanta Supreme

Mylanta Supreme Suspension is used for:

Treating acid indigestion, heartburn, and sour stomach. It may also be used for other conditions as determined by your doctor.

Mylanta Supreme Suspension is an antacid. It works by neutralizing the acid in the stomach.

Do NOT use Mylanta Supreme Suspension if:

• you are allergic to any ingredient in Mylanta Supreme Suspension
• you have an increased calcium level in your blood

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

Before using Mylanta Supreme Suspension:

Some medical conditions may interact with Mylanta Supreme Suspension. 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 appendicitis, a history of kidney conditions, colon or intestinal blockage, parathyroid hormone (PTH) deficiency, or sarcoidosis

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

• Anticoagulants (eg, warfarin) because the risk of their side effects may be increased by Mylanta Supreme Suspension
• Azole antifungals (eg, ketoconazole), bisphosphonates (eg, alendronate), cation exchange resins (eg, sodium polystyrene sulfonate), cephalosporins (eg, cephalexin), mycophenolate, penicillamine, quinolone antibiotics (eg, ciprofloxacin), or tetracyclines (eg, doxycycline) because their effectiveness may be decreased by Mylanta Supreme Suspension

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

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

• Take Mylanta Supreme Suspension by mouth with or without food. Follow with a full glass (8 oz/240 mL) of water or other liquid.
• Shake well before each use.
• Use a measuring device marked for medicine dosing. Ask your pharmacist for help if you are unsure of how to measure your dose.
• Do not take Mylanta Supreme Suspension before bedtime if you are using it for constipation.
• Do not take more than 18 teaspoonfuls (90 mL) in a 24-hour period, or use the maximum dose for more than 2 weeks, unless instructed otherwise by your doctor.
• If you miss a dose of Mylanta Supreme Suspension, take it as soon as you remember. Continue to take it as directed by your doctor or on the package label.

Ask your health care provider any questions you may have about how to use Mylanta Supreme Suspension.

Important safety information:

• Do NOT take more than the recommended dose or use the maximum dose for more than 2 weeks without checking with your doctor.
• If your symptoms do not get better within 2 weeks or if they get worse, check with your doctor.
• PREGNANCY and BREAST-FEEDING: It is not known if Mylanta Supreme Suspension can cause harm to the fetus. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Mylanta Supreme Suspension while you are pregnant. It is not known if Mylanta Supreme Suspension is found in breast milk. If you are or will be breast-feeding while you use Mylanta Supreme Suspension, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Mylanta Supreme Suspension:

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

Constipation; diarrhea; stomach upset.

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); loss of appetite; muscle weakness; nausea; slow reflexes; vomiting.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), or emergency room immediately. Symptoms may include diarrhea; stomach cramps.

Proper storage of Mylanta Supreme Suspension:

Store Mylanta Supreme Suspension at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Mylanta Supreme Suspension out of the reach of children and away from pets.

General information:

• If you have any questions about Mylanta Supreme Suspension, please talk with your doctor, pharmacist, or other health care provider.
• Mylanta Supreme Suspension 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 Mylanta Supreme Suspension. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Generic Name: Aluminum/Magnesium/Simethicone (a-LOO-min-uhm/mag-NEE-zee-uhm/si-METH-i-kone)
Brand Name: Examples include Di-Gel Liquid and Mylanta

Mylanta Suspension is used for:

Treating acid indigestion, heartburn, gas, and sour stomach. It may also be used for other conditions as determined by your doctor.

Mylanta Suspension is an antacid and antiflatulent. It works by neutralizing acid in the stomach. It also causes the gas produced by some foods to remain dissolved, allowing it to be passed through the system more comfortably.

Do NOT use Mylanta Suspension if:

• you are allergic to any ingredient in Mylanta Suspension
• you are also taking citrate salts (found in some calcium supplements, antacids, and laxatives)

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

Before using Mylanta Suspension:

Some medical conditions may interact with Mylanta Suspension. 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 Alzheimer disease, kidney problems, appendicitis, diarrhea, a stomach blockage, or an ileostomy
• if you have recently had stomach bleeding

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

• Cation exchange resins (eg, sodium polystyrene sulfonate) and citrate salts (found in some calcium supplements, antacids, and laxatives) because they may increase the actions and the risk of Mylanta Suspension’s side effects
• Anticoagulants (eg, warfarin), quinidine, or sulfonylureas (eg, glyburide) because their actions and the risk of their side effects may be increased
• Angiotensin-converting enzyme (ACE) inhibitors (eg, enalapril), beta-blockers (eg, propranolol), bisphosphonates (eg, risedronate), cephalosporins (eg, cephalexin), corticosteroids (eg, hydrocortisone), cyclosporine, delavirdine, digoxin, imidazoles (eg, ketoconazole), mycophenolate, penicillamine, quinolones (eg, ciprofloxacin), tetracyclines (eg, doxycycline), or thyroid hormones (eg, levothyroxine) because their effectiveness may be decreased by Mylanta Suspension, especially when taken at the same time as Mylanta Suspension

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

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

• Take Mylanta Suspension by mouth with or without food.
• Shake well before each use.
• Use a measuring device marked for medicine dosing. Ask your pharmacist for help if you are unsure of how to measure your dose.
• Do not use Mylanta Suspension within 2 hours before or after taking a beta-blocker (eg, propranolol), bisphosphonate (eg, risedronate), cephalosporin (eg, cephalexin), corticosteroid (eg, hydrocortisone), delavirdine, digoxin, imidazole (eg, ketoconazole), penicillamine, or sulfonylurea (eg, glyburide) because their effectiveness may be decreased by Mylanta Suspension.
• If you miss a dose of Mylanta Suspension and you are taking it regularly, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Mylanta Suspension.

Important safety information:

• Do NOT take more than the recommended dose or take the maximum dose for longer than 2 weeks without checking with your doctor.
• If your symptoms do not get better within 2 weeks or if they get worse, or if you experience black, tarry stools or vomit that looks like coffee grounds, check with your doctor.
• Mylanta Suspension has aluminum and magnesium in it. Before you begin taking any new prescription or over-the-counter medicine, read the ingredients to see has aluminum or magnesium in it too. If it does or if you are not sure, check with your doctor or pharmacist.
• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Mylanta Suspension while you are pregnant. If you are or will be breast-feeding while you use Mylanta Suspension, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Mylanta Suspension:

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

Constipation; diarrhea.

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); loss of appetite; muscle weakness; nausea; slow reflexes; vomiting.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

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

Proper storage of Mylanta Suspension:

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

General information:

• If you have any questions about Mylanta Suspension, please talk with your doctor, pharmacist, or other health care provider.
• Mylanta Suspension 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 Mylanta Suspension. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Generic Name: famotidine (fam OH ti deen)
Brand Names: Heartburn Relief, Leader Acid Reducer, Pepcid, Pepcid AC, Pepcid AC Maximum Strength

What is Mylanta AR (famotidine)?

Famotidine is in a group of drugs called histamine-2 blockers. Famotidine works by decreasing the amount of acid the stomach produces.

Famotidine is used to treat and prevent ulcers in the stomach and intestines. It also treats conditions in which the stomach produces too much acid, such as Zollinger-Ellison syndrome. Famotidine also treats gastroesophageal reflux disease (GERD) and other conditions in which acid backs up from the stomach into the esophagus, causing heartburn.

Famotidine may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Mylanta AR (famotidine)?

You should not use this medication if you are allergic to famotidine or similar medications such as ranitidine (Zantac), cimetidine (Tagamet), or nizatidine (Axid).

Before taking famotidine, tell your doctor if you have kidney or liver disease, stomach cancer or other problems, or asthma, COPD, or other breathing problems.

Avoid taking cimetidine (Tagamet), ranitidine (Zantac), or nizatidine (Axid) while you are taking famotidine, unless your doctor has told you to.

Famotidine 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.

Famotidine may be only part of a complete program of treatment that also includes changes in diet or lifestyle habits. Follow your doctor’s instructions very closely.

Heartburn can be confused with early symptoms of heart attack. Seek emergency medical attention if you have chest pain or heavy feeling, dizziness, pain spreading to the arm or shoulder, sweating, nausea or vomiting, and a general ill feeling.

What should I discuss with my healthcare provider before taking Mylanta AR (famotidine)?

Heartburn can be confused with early symptoms of heart attack. Seek emergency medical attention if you have chest pain or heavy feeling, dizziness, pain spreading to the arm or shoulder, sweating, nausea or vomiting, and a general ill feeling.

You should not use this medication if you are allergic to famotidine or similar medications such as ranitidine (Zantac), cimetidine (Tagamet), or nizatidine (Axid).

Ask a doctor or pharmacist if it is safe for you to take famotidine if you have:

• kidney disease; or
• liver disease;

• stomach cancer or other problems; or

• asthma, chronic obstructive pulmonary disease (COPD), or other breathing problems.

FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Famotidine 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.

How should I take Mylanta AR (famotidine)?

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. Follow your doctor’s instructions.

The chewable tablet must be chewed thoroughly before swallowing.

Shake the oral suspension (liquid) for 5 to 10 seconds before you measure a dose. To be sure you get the correct dose, measure the liquid with a marked measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one. Although most ulcers heal within 4 weeks of famotidine treatment, it may take up to 8 weeks of using this medicine before your ulcer heals. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve after 6 weeks of treatment.

Famotidine may be only part of a complete program of treatment that also includes changes in diet or lifestyle habits. Follow your doctor’s instructions very closely.

Store famotidine at room temperature away from moisture, heat, and light. Throw away any unused famotidine liquid that is older than 30 days.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include nausea, vomiting, diarrhea, stomach pain, fast heart rate, or fainting.

What should I avoid while taking Mylanta AR (famotidine)?

Avoid drinking alcohol. It can increase the risk of damage to your stomach.

Avoid taking cimetidine (Tagamet), ranitidine (Zantac), or nizatidine (Axid) while you are taking famotidine, unless your doctor has told you to.

Famotidine 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.

Mylanta AR (famotidine) 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 famotidine and call your doctor at once if you have a serious side effect such as:

• easy bruising or bleeding;

• fast or pounding heartbeat;

• confusion, hallucinations, seizure;

• numbness or tingly feeling; or

• jaundice (yellowing of the skin or eyes).

Less serious side effects may include:

• nausea, vomiting, diarrhea, constipation;

• dry mouth;

• dizziness, weakness, mood changes;

• headache; or

• muscle cramps, joint pain.

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 Mylanta AR (famotidine)?

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

• atazanavir (Reyataz);

• itraconazole (Sporanox);

• ketoconazole (Nizoral); or

• aspirin or other NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen (Motrin, Advil), naproxen (Aleve, Naprosyn), diclofenac (Cataflam, Voltaren), etodolac (Lodine), indomethacin (Indocin), ketoprofen (Orudis), piroxicam (Feldene), and others.

This list is not complete and there may be other drugs that can interact with famotidine. 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 famotidine.

• 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: 10.01. Revision Date: 12/14/2009 11:02:22 AM.

Generic Name: calcium carbonate (KAL see um KAR boe nate)
Brand Names: Alka-Mints, Cal-Gest, Calcarb, Calci Mix, Calci-Chew, Calcium Concentrate, Calcium Liquid Softgel, Calcium Oyster Shell, Caltrate, Chooz, Extra Strength Mylanta Calci Tabs, Icar Prenatal Chewable Calcium, Maalox Antacid Barrier, Maalox Childrens’, Maalox Quick Dissolve, Maalox Quick Dissolve Maximum Strength, Maalox Regular Strength, Mylanta Child, Nephro Calci, Os-Cal 500, Oysco 500, Oyst Cal 500, Oyster Cal, Oyster Calcium, Oyster Shell, Pepto Children’s, Rolaids Sodium Free, Rolaids Soft Chew, Titralac, Tums, Tums 500, Tums E-X, Tums Kids, Tums QuikPak, Tums Ultra

What is Mylanta Child (calcium carbonate)?

Calcium is a mineral that is found naturally in foods. Calcium is necessary for many normal functions of the body, especially bone formation and maintenance. Calcium can also bind to other minerals (such as phosphate) and aid in their removal from the body.

Calcium carbonate is used to prevent and to treat calcium deficiencies.

Calcium carbonate may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Mylanta Child (calcium carbonate)?

Do not take calcium carbonate or antacids that contain calcium without first asking your doctor if you also take other medicines. Calcium can make it harder for your body to absorb certain medicines. Calcium carbonate works best if you take it with food.

What should I discuss with my healthcare provider before taking Mylanta Child (calcium carbonate)?

Before taking this medication, tell your doctor if you have:

• a history of kidney stones; or

• a parathyroid gland disorder.

If you have any of these conditions, you may not be able to take calcium carbonate, or you may need a dose adjustment or special tests during treatment.

Talk to your doctor before taking calcium carbonate if you are pregnant. Talk to your doctor before taking calcium carbonate if you are breast-feeding a baby.

How should I take Mylanta Child (calcium carbonate)?

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

Calcium carbonate works best if you take it with food. Swallow the calcium carbonate tablet or capsule with a full glass of water.

The chewable tablet should be chewed before you swallow it.

Use the calcium carbonate powder as directed. Allow the powder to dissolve completely, then consume the mixture.

Shake the oral suspension (liquid) well just before you measure a dose. Measure the liquid with a special dose-measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one. Store at room temperature away from moisture and heat.

What happens if I miss a dose?

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

What happens if I overdose?

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

Overdose symptoms may include nausea, vomiting, decreased appetite, constipation, confusion, delirium, stupor, and coma.

What should I avoid while taking Mylanta Child (calcium carbonate)?

Follow your healthcare provider’s instructions about any restrictions on food, beverages, or activity.

Mylanta Child (calcium carbonate) side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Less serious side effects may include:

• nausea or vomiting;

• decreased appetite;

• constipation;

• dry mouth or increased thirst; or

• urinating more than usual.

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 can affect Mylanta Child (calcium carbonate)?

Calcium carbonate can make it harder for your body to absorb other medications you take by mouth. Tell your doctor if you are taking:

• digoxin (Lanoxin, Lanoxicaps);

• antacids or other calcium supplements;

• calcitriol (Rocaltrol) or vitamin D supplements; or

• doxycycline (Adoxa, Doryx, Oracea, Vibramycin), minocycline (Dynacin, Minocin, Solodyn, Vectrin), or tetracycline (Brodspec, Panmycin, Sumycin, Tetracap).

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

Where can I get more information?

• Your doctor or pharmacist can provide more information about calcium carbonate.

• 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.
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