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 (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 (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 (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 (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 (simethicone)?

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

Mylanta Gas (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 (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: Metolazone
Brand names: Mykrox, Zaroxolyn

Why is Mykrox prescribed?

Zaroxolyn is a diuretic used in the treatment of high blood pressure and other conditions that require the elimination of excess fluid from the body. These conditions include congestive heart failure and kidney disease. When used for high blood pressure, Zaroxolyn can be used alone or with other high blood pressure medications. Diuretics prompt your body to produce and eliminate more urine, which helps lower blood pressure.

Zaroxolyn is also occasionally prescribed for kidney stones.

Most important fact about Mykrox

If you have high blood pressure, you must take Zaroxolyn regularly for it to be effective. Since blood pressure declines gradually, it may be several weeks before you get the full benefit of Zaroxolyn; and you must continue taking it even if you are feeling well. Zaroxolyn does not cure high blood pressure; it merely keeps it under control.

How should you take Mykrox?

Take Zaroxolyn exactly as prescribed. Stopping Zaroxolyn suddenly could cause your condition to worsen.

• If you miss a dose…
  Take it as soon as you remember. If it is almost time for the next dose, skip the one you missed and go back to your regular schedule. Do not take 2 doses at the same time.

• Storage instructions…
  Store at room temperature in a tightly closed, light-resistant container.

What side effects may occur?

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Zaroxolyn.

• Side effects may include:
  Artery damage, blood abnormalities, chest pain/discomfort, fainting, inflammation of the pancreas, joint pain, weakness, yellow eyes and skin

Why should Mykrox not be prescribed?

If you are unable to urinate or have severe liver disease, you should not take Mykrox.

If you are sensitive to or have ever had an allergic reaction to Zaroxolyn or other diuretics, you should not take Mykrox.

Special warnings about Mykrox

Diuretics can cause your body to lose too much potassium. Signs of an excessively low potassium level include muscle weakness and rapid or irregular heartbeat. To boost your potassium level, your doctor may recommend eating potassium-rich foods or taking a potassium supplement.

If you are taking Zaroxolyn, your doctor will do a complete assessment of your kidney function and continue to monitor it.

Do not interchange Zaroxolyn and other formulations of metolazone. The brands vary in potency of action.

If you have liver disease, diabetes, gout, or lupus erythematosus (a disease of the immune system), Zaroxolyn should be used with caution.

If you have had an allergic reaction to sulfa drugs, thiazides, or quinethazone, you may be at greater risk for an allergic reaction to Mykrox. You can have an allergic reaction to Zaroxolyn even if you have never had allergies or asthma.

Dehydration, excessive sweating, severe diarrhea, or vomiting could deplete your fluids and cause your blood pressure to become too low. Be careful when exercising and in hot weather.

Notify your doctor or dentist that you are taking Zaroxolyn if you have a medical emergency and before you have surgery or dental treatment.

Possible food and drug interactions when taking Mykrox

Zaroxolyn may intensify the effects of alcohol. Avoid drinking alcohol while taking Mykrox.

If Zaroxolyn is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Zaroxolyn with the following:

ACTH
Antidiabetic drugs
Barbiturates such as phenobarbital
Corticosteroids such as prednisone
Digitalis glycosides
Insulin
Lithium
Loop diuretics such as furosemide
Methenamine
Narcotics
Nonsteroidal anti-inflammatory agents
Norepinephrine
Other high blood pressure medications
Tubocurarine

Special information if you are pregnant or breastfeeding

The effects of Zaroxolyn during pregnancy have not been adequately studied. If you are pregnant or plan to become pregnant, inform your doctor immediately. Zaroxolyn appears in breast milk and could affect a nursing infant. If Mykrox is essential to your health, your doctor may advise you to discontinue breastfeeding until your treatment is finished.

Recommended dosage for Mykrox

ADULTS

Your doctor will adjust the dosage of Mykrox to your individual needs and will use the lowest possible dose with the maximum effect. The time it takes for Mykrox to become effective varies from person to person, depending on the diagnosis.

Most starting doses of Mykrox will be given once a day.

Edema Due to Heart or Kidney Disorders

The usual dosage is 5 milligrams to 20 milligrams once a day.

Mild to Moderate High Blood Pressure

The usual dosage is 2.5 milligrams to 5 milligrams once a day.

CHILDREN

The safety and effectiveness of Zaroxolyn in children have not been established.

Overdosage

Any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately.

• Symptoms of Zaroxolyn overdose may include:
  Difficulty breathing, dizziness, dizziness on standing up, drowsiness, fainting, irritation of the stomach and intestines, lethargy leading to coma

Category:

Brand names: Rolaids, Tums, Gaviscon, Maalox, Mylanta, Antacids

Why is Mylanta prescribed?

Available under a number of brand names, antacids are used to relieve the uncomfortable symptoms of acid indigestion, heartburn, gas, and sour stomach.

Most important fact about Mylanta

Do not take antacids for longer than 2 weeks or in larger than recommended doses unless directed by your doctor. If your symptoms persist, contact your doctor. Antacids should be used only for occasional relief of stomach upset.

How should you take Mylanta?

If you take a chewable antacid tablet, chew thoroughly before swallowing so that the medicine can work faster and be more effective. Allow Mylanta Soothing Lozenges to completely dissolve in your mouth. Shake liquids well before using.

–If you miss a dose…

Take Mylanta only as needed or as instructed by your doctor.

–Storage instructions…

Store at room temperature. Keep liquids tightly closed and protect from freezing.

What side effects may occur?

When taken as recommended, antacids are relatively free of side effects. Occasionally, one of the following symptoms may develop.

• More common side effects may include:
  Chalky taste, constipation, diarrhea, increased thirst, stomach cramps

Why should Mylanta not be prescribed?

Do not take antacids if you have signs of appendicitis or an inflamed bowel; symptoms include stomach or lower abdominal pain, cramping, bloating, soreness, nausea, or vomiting.

If you are sensitive to or have ever had an allergic reaction to aluminum, calcium, magnesium, or simethicone, do not take an antacid containing these ingredients. If you are elderly and have bone problems or if you are taking care of an elderly person with Alzheimer’s disease, do not use an antacid containing aluminum.

Special warnings about Mylanta

If you are taking any prescription drug, check with your doctor before you take an antacid. Also, tell your doctor or pharmacist about any drug allergies or medical conditions you have.

If you have kidney disease, do not take an antacid containing aluminum or magnesium. If you are on a sodium-restricted diet, do not take Gaviscon without checking first with your doctor or pharmacist.

Possible food and drug interactions when taking Mylanta

If antacids are taken with certain other medications, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining antacids with the following:

Cellulose sodium phosphate (Calcibind)
Isoniazid (Rifamate)
Ketoconazole (Nizoral)
Mecamylamine (Inversine)
Methenamine (Mandelamine)
Sodium polystyrene sulfonate resin (Kayexalate)
Tetracycline antibiotics (Achromycin, Minocin)

Special information if you are pregnant or breastfeeding

As with all medications, ask your doctor or health care professional whether it is safe for you to use antacids while you are pregnant or breastfeeding.

Recommended dosage

ADULTS

Take antacids according to the following schedules, or as directed by your doctor.

Gaviscon and Gaviscon Extra Strength Relief Formula Chewable Tablets

Chew 2 to 4 tablets 4 times a day after meals and at bedtime or as needed. Follow with half a glass of water or other liquid. Do not swallow the tablets whole.

Gaviscon Extra Strength Relief Formula Liquid

Take 2 to 4 teaspoonfuls 4 times a day after meals and at bedtime. Follow with half a glass of water or other liquid.

Gaviscon Liquid

Take 1 or 2 tablespoonfuls 4 times a day after meals and at bedtime. Follow with half a glass of water.

Maalox Antacid Caplets

Take 1 caplet as needed. Swallow the tablets whole; do not chew them.

Maalox Heartburn Relief Chewable Tablets

Chew 2 to 4 tablets after meals and at bedtime. Follow with half a glass of water or other liquid.

Maalox Heartburn Relief Suspension, Maalox Magnesia and Alumina Oral Suspension, and Extra Strength Maalox Antacid Plus Anti-Gas Suspension

Take 2 to 4 teaspoonfuls 4 times a day, 20 minutes to 1 hour after meals and at bedtime.

Maalox Plus Chewable Tablets

Chew 1 to 4 tablets 4 times a day, 20 minutes to 1 hour after meals and at bedtime.

Extra Strength Maalox Antacid Plus Anti-Gas Chewable Tablets

Chew 1 to 3 tablets 20 minutes to 1 hour after meals and at bedtime.

Mylanta and Mylanta Double Strength Liquid and Chewable Tablets Antacid/Anti-Gas

Take 2 to 4 teaspoonfuls of liquid or chew 2 to 4 tablets between meals and at bedtime.

Mylanta Gelcaps

Take 2 to 4 gelcaps as needed.

Mylanta Soothing Lozenges

Dissolve 1 lozenge in your mouth. If needed, follow with a second. Repeat as needed.

Rolaids, Calcium-Rich/Sodium Free Rolaids, and Extra Strength Rolaids

Chew 1 or 2 tablets as symptoms occur. Repeat hourly if symptoms return.

Tums, Tums E-X, and Tums Anti-Gas Formula

Chew 1 or 2 tablets as symptoms occur. Repeat hourly if symptoms return. You may also hold the tablet between your gum and cheek and let it dissolve gradually.

CHILDREN

Do not give to children under 6 years of age, unless directed by your doctor.

Overdosage

Any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately.

• For aluminum-containing antacids (Gaviscon, Maalox, Mylanta)
  Bone pain, constipation (severe and continuing), feeling of discomfort (continuing), loss of appetite (continuing), mood or mental changes, muscle weakness, swelling of wrists or ankles, weight loss (unusual)

• For calcium-containing antacids (Mylanta, Rolaids, Tums)
  Constipation (severe and continuing), difficult or painful urination, frequent urge to urinate, headache (continuing), loss of appetite (continuing), mood or mental changes, muscle pain or twitching, nausea or vomiting, nervousness or restlessness, slow breathing, unpleasant taste, unusual tiredness or weakness

• For magnesium-containing antacids (Gaviscon, Maalox, Mylanta)
  Difficult or painful urination, dizziness or light-headedness, irregular heartbeat, mood or mental changes, unusual tiredness or weakness

Generic Name: Mycophenolic Acid (mye-koe-fe-NOLE-ik AS-id)
Brand Name: Myfortic

Myfortic Delayed-Release Tablets are used for:

Preventing organ rejection following kidney, liver, or heart transplants. Myfortic Delayed-Release Tablets are used in combination with other medicines. It may also be used for other conditions as determined by your doctor.

Myfortic Delayed-Release Tablets are an immunosuppressant. It works by decreasing the activity of certain cells that make up part of the immune system to help reduce the risk of organ transplant rejection.

Do NOT use Myfortic Delayed-Release Tablets if:

• you are allergic to any ingredient in Myfortic Delayed-Release Tablets or to mycophenolate mofetil
• you are taking azathioprine, cholestyramine, colestipol, or another medicine that contains mycophenolate or to mycophenolic acid
• you are taking norfloxacin and metronidazole together
• you have a rare hereditary deficiency of hypoxanthine guanine phosphoribosyl-transferase (HGPRT), such as Lesch-Nyhan syndrome or Kelley-Seegmiller syndrome

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

Before using Myfortic Delayed-Release Tablets:

Some medical conditions may interact with Myfortic Delayed-Release Tablets. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have immune system problems or have been taking another medicine that may suppress your immune system
• if you have stomach or intestinal problems (eg, ulcers), or kidney problems
• if you have a personal or family history of skin cancer, blood cancer (eg, lymphoma), or other blood problems
• if you are scheduled for a vaccination
• if you will be in close contact with a person who has shingles, another type of herpes infection, or cytomegalovirus (CMV) infection

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

• Acyclovir, azathioprine, ganciclovir, mycophenolate mofetil, or probenecid because they may increase the risk of Myfortic Delayed-Release Tablets’s side effects
• Cholestyramine, colestipol, cyclosporine, norfloxacin along with metronidazole, or rifampin because they may decrease Myfortic Delayed-Release Tablets’s effectiveness
• Live vaccines or oral contraceptives because their effectiveness may be decreased by Myfortic Delayed-Release Tablets

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

How to use Myfortic Delayed-Release Tablets:

Use Myfortic Delayed-Release Tablets as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Myfortic Delayed-Release Tablets comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Myfortic Delayed-Release Tablets refilled.
• Take Myfortic Delayed-Release Tablets by mouth on an empty stomach at least 1 hour before or 2 hours after eating unless your doctor tells you otherwise.
• Swallow Myfortic Delayed-Release Tablets whole. Do not break, crush, or chew before swallowing.
• Do not take an antacid that has aluminum or magnesium in it within 3 hours of Myfortic Delayed-Release Tablets.
• If you take a calcium-free phosphate binder (sevelamer), take it 2 hours after taking Myfortic Delayed-Release Tablets.
• If you miss a dose of Myfortic Delayed-Release Tablets, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Myfortic Delayed-Release Tablets.

Important safety information:

• Myfortic Delayed-Release Tablets may cause blurred vision, drowsiness, or dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Myfortic Delayed-Release Tablets with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Women who may become pregnant must have a negative pregnancy test within 1 week before starting Myfortic Delayed-Release Tablets.
• Women who may become pregnant must use 2 effective forms of birth control for 4 weeks before they start Myfortic Delayed-Release Tablets, during treatment, and for 6 weeks after they stop Myfortic Delayed-Release Tablets. Check with your doctor if you have any questions about effective birth control.
• Hormonal birth control (eg, birth control pills) may not work as well while you are taking Myfortic Delayed-Release Tablets. Discuss any questions or concerns with your doctor.
• Myfortic Delayed-Release Tablets may increase your risk of developing certain types of cancer (eg, lymphoma, skin cancer). Avoid the sun, sunlamps, or tanning booths while you take Myfortic Delayed-Release Tablets. Use a sunscreen or wear protective clothing if you must be outside for more than a short time. Tell your doctor right away if you notice a change in the size or color of a mole or if you develop any new or unusual skin growths.
• Myfortic Delayed-Release Tablets may lower the ability of your body to fight infection and may increase the risk of severe or fatal infections. Avoid contact with people who have colds, shingles, other herpes infections, cytomegalovirus (CMV), or other infections. Tell your doctor right away if you notice signs of infection like fever, sore throat, rash, or chills.
• Some patients treated with Myfortic Delayed-Release Tablets have developed severe and sometimes fatal infections, such as progressive multifocal leukoencephalopathy (PML) or severe kidney problems associated with BK virus infection. Discuss any questions or concerns with your doctor.
• Tell your doctor right away if you notice symptoms of PML (eg, confusion or disorientation; depression; changes in thinking, strength, or vision; one-sided weakness; trouble walking or talking; loss of balance or coordination).
• Tell your doctor right away if you notice symptoms of kidney problems (eg, change in the amount of urine produced, difficult or painful urination, blood in the urine). In kidney transplant patients, BK virus infection may cause loss of the transplanted kidney. Discuss any questions or concerns with your doctor.
• Some patients treated with Myfortic Delayed-Release Tablets have developed a type of anemia called pure red cell aplasia (PRCA). Contact your doctor right away if you experience severe or persistent tiredness or weakness, sluggishness, or unusually pale skin.
• Myfortic Delayed-Release Tablets may reduce the number of clot-forming cells (platelets) in your blood. Avoid activities that may cause bruising or injury. Tell your doctor if you have unusual bruising or bleeding. Tell your doctor if you have dark, tarry, or bloody stools.
• Diarrhea may occur with Myfortic Delayed-Release Tablets. If you develop diarrhea, check with your doctor or pharmacist about ways to lessen this effect. Do not stop Myfortic Delayed-Release Tablets without talking with your doctor.
• Do not change brands or doseforms (eg, tablets, suspension, injection) of Myfortic Delayed-Release Tablets without talking with your doctor.
• Do not receive a live vaccine (eg, measles, mumps) while you are taking Myfortic Delayed-Release Tablets. Talk with your doctor before you receive any vaccine.
• Lab tests, including complete blood cell counts and kidney function, may be performed while you use Myfortic Delayed-Release Tablets. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
• Use Myfortic Delayed-Release Tablets with caution in the ELDERLY; they may be more sensitive to its effects, especially infection, stomach or intestinal bleeding, and trouble breathing.
• Caution is advised when using Myfortic Delayed-Release Tablets in CHILDREN; they may be more sensitive to its effects.
• PREGNANCY and BREAST-FEEDING: Myfortic Delayed-Release Tablets may cause birth defects or fetal death if you take it while you are pregnant. Do not become pregnant while you are taking Myfortic Delayed-Release Tablets. If you think you may be pregnant, contact your doctor right away. It is not known if Myfortic Delayed-Release Tablets are found in breast milk. Do not breast-feed while taking Myfortic Delayed-Release Tablets or for 6 weeks after you stop taking it.

Possible side effects of Myfortic Delayed-Release Tablets:

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

Anxiety; back pain; constipation; cough; diarrhea; dizziness; headache; loss of appetite; mild stomach pain; mild tiredness or weakness; nausea; tremor; trouble sleeping; upset stomach; 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); blood in the urine; bloody or black stools; change in the amount of urine produced; chest pain or pounding in the chest; fainting; irregular heartbeat; mental or mood changes (eg, abnormal thinking); night sweats; numbness, tingling, or swelling of the arms, legs, hands, ankles, or feet; severe headache, dizziness, or blurred vision; severe vomiting or stomach pain; shortness of breath; sluggishness; swollen glands; symptoms of infection (eg, fever, chills, cough, sore throat); symptoms of urinary tract infection (eg, difficult, frequent, or painful urination; lower stomach or back pain); unusual bruising or bleeding; unusual skin lumps or growths; unusual tiredness or weakness; unusual weight loss; unusually pale skin; vomiting blood that looks like coffee grounds; white patches in the mouth or throat; yellowing of the skin or eyes.

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; nausea; vomiting.

Proper storage of Myfortic Delayed-Release Tablets:

Store Myfortic Delayed-Release Tablets at 77 degrees F (25 degrees C) in a tightly closed container. Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Myfortic Delayed-Release Tablets out of the reach of children and away from pets.

General information:

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

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

Generic Name: ferrous sulfate (FER us SUL fate)
Brand Names: Feosol, Fer Iron, Fer-Gen-Sol, Fer-in-Sol, Fer-In-Sol, Feratab, FeroSul, Ferra T.D. Caps, Ferro-Bob, Lydia E. Pinkham, MyKidz Iron 10, Slow Fe, Slow Release Iron

What is MyKidz Iron 10 (ferrous sulfate)?

Ferrous sulfate is a type of iron. You normally get iron from the foods you eat. In your body, iron becomes a part of your hemoglobin (HEEM o glo bin) and myoglobin (MY o glo bin). Hemoglobin carries oxygen through your blood to tissues and organs. Myoglobin helps your muscle cells store oxygen.

Ferrous sulfate is used to treat iron deficiency anemia (a lack of red blood cells caused by having too little iron in the body).

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

What is the most important information I should know about MyKidz Iron 10 (ferrous sulfate)?

Ask a doctor or pharmacist if it is safe for you to take this medication if you have iron overload syndrome, hemolytic anemia (a lack of red blood cells), porphyria (a genetic enzyme disorder that causes symptoms affecting the skin or nervous system), thalassemia (a genetic disorder of red blood cells), if you are an alcoholic, or if you receive regular blood transfusions.

Avoid taking any other multivitamin or mineral product within 2 hours before or after you take ferrous sulfate. Taking similar mineral products together at the same time can result in a mineral overdose or serious side effects. 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 iron can be fatal, especially in a young child.

Overdose symptoms may include nausea, severe stomach pain, bloody diarrhea, coughing up blood or vomit that looks like coffee grounds, shallow breathing, weak and rapid pulse, pale skin, blue lips, and seizure (convulsions).

Take ferrous sulfate on an empty stomach, at least 1 hour before or 2 hours after a meal. Avoid taking antacids or antibiotics within 2 hours before or after taking ferrous sulfate.

Ferrous sulfate is only part of a complete program of treatment that may also include a special diet. It is very important to follow the diet plan created for you by your doctor or nutrition counselor. You should become very familiar with the list of foods you should eat to make sure you get enough iron from both your diet and your medication.

What should I discuss before taking MyKidz Iron 10 (ferrous sulfate)?

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

• iron overload syndrome;

• hemolytic anemia (a lack of red blood cells);

• porphyria (a genetic enzyme disorder that causes symptoms affecting the skin or nervous system);

• thalassemia (a genetic disorder of red blood cells);

• if you are an alcoholic; or

• if you receive regular blood transfusions.

It is not known whether this medication could be harmful to an unborn baby. Tell your doctor if you become pregnant during treatment. It is not known whether ferrous sulfate 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 give ferrous sulfate to a child without the advice of a doctor.

How should I take MyKidz Iron 10 (ferrous sulfate)?

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.

Take ferrous sulfate on an empty stomach, at least 1 hour before or 2 hours after a meal. Avoid taking antacids or antibiotics within 2 hours before or after taking ferrous sulfate . Take this medication with a full glass of water. Do not crush, chew, break, or open an extended-release tablet or capsule. Swallow the pill whole. Breaking or opening the pill may cause too much of the drug to be released at one time. Shake the oral suspension (liquid) well just 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.

Ferrous sulfate can stain your teeth, but this effect is temporary. To prevent tooth staining, mix the liquid form of ferrous sulfate with water or fruit juice (not with milk) and drink the mixture through a straw. You may also clean your teeth with baking soda once per week to treat any tooth staining.

Ferrous sulfate is only part of a complete program of treatment that may also include a special diet. It is very important to follow the diet plan created for you by your doctor or nutrition counselor. You should become very familiar with the list of foods you should eat to make sure you get enough iron from both your diet and your medication.

Store ferrous sulfate 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.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine, or if a child has accidentally swallowed it. An overdose of ferrous sulfate can be fatal to a child.

Overdose symptoms may include nausea, severe stomach pain, bloody diarrhea, coughing up blood or vomit that looks like coffee grounds, shallow breathing, weak and rapid pulse, pale skin, blue lips, and seizure (convulsions).

What should I avoid while taking MyKidz Iron 10 (ferrous sulfate)?

Avoid taking any other multivitamin or mineral product within 2 hours before or after you take ferrous sulfate. Taking similar mineral products together at the same time can result in a mineral overdose or serious side effects.

Avoid taking an antibiotic medicine within 2 hours before or after you take ferrous sulfate. This is especially important if you are taking an antibiotic such as ciprofloxacin (Cipro), demeclocycline (Declomycin), doxycycline (Adoxa, Doryx, Oracea, Vibramycin), levofloxacin (Levaquin), lomefloxacin (Maxaquin), minocycline (Dynacin, Minocin, Solodyn, Vectrin), norfloxacin (Noroxin), ofloxacin (Floxin), or tetracycline (Brodspec, Panmycin, Sumycin, Tetracap).

Certain foods can also make it harder for your body to absorb ferrous sulfate. Avoid taking this medication within 1 hour before or 2 hours after eating fish, meat, liver, and whole grain or “fortified” breads or cereals.

Avoid using antacids without your doctor’s advice. Use only the specific type of antacid your doctor recommends. Antacids contain different medicines and some types can make it harder for your body to absorb ferrous sulfate.

MyKidz Iron 10 (ferrous sulfate) 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:

• constipation;

• upset stomach;

• black or dark-colored stools; or

• temporary staining of the teeth.

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 MyKidz Iron 10 (ferrous sulfate)?

The following drugs can interact with ferrous sulfate. Tell your doctor if you use any of these:

• acetohydroxamic acid (Lithostat);

• chloramphenicol;

• cimetidine (Tagamet);

• etidronate (Didronel);

• dimercaprol (an injection used to treat poisoning by arsenic, lead, or mercury);

• levodopa (Larodopa, Dopar, Sinemet);

• methyldopa (Aldomet); or

• penicillamine (Cuprimine).

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

• Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
• Every effort has been made to ensure that the information provided by Cerner Multum, Inc. (‘Multum’) is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum’s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum’s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2006 Cerner Multum, Inc. Version: 3.02. Revision Date: 10/14/2009 11:35:06 AM.

Generic Name: multivitamin with iron and fluoride (MUL tee VYE ta min with EYE urn and FLOOR ide)
Brand Names: MyKidz Iron FL, Poly Vitamin with Fluoride with Iron, Poly-Vi-Flor with Iron, Tri Vites with Fluoride and Iron, Tri-Vi-Flor with Iron

What is MyKidz Iron FL (multivitamin with iron and fluoride)?

Multivitamins provide essential vitamins and minerals that are not taken in to the body through diet.

Iron is a mineral that helps maintain your body’s red blood cells.

Fluoride strengthens tooth enamel, which helps prevent dental cavities. In most major U.S. communities, fluoride is put into the water supply.

Multivitamin with iron and fluoride is used as a supplement to the diet of infants and children who do not receive adequate fluoride through drinking water. Multivitamin with iron and fluoride is also used to prevent tooth decay in people treated with radiation, which may cause dryness of the mouth and increased risk of tooth decay.

Multivitamin with iron and fluoride may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about MyKidz Iron FL (multivitamin with iron and fluoride)?

Taking in too much fluoride can cause an irreversible condition called fluorosis. This condition can permanently damage teeth and possibly other cells in the body.

Do not use this medicine without the advice of a doctor. Multivitamin with iron and fluoride should not be used if the level of fluoride in the drinking water is adequate (0.6 parts per million or higher).Check with your local water department if you are unsure about the level of fluoride in the drinking water.

Be sure that a child using this medicine is not taking in extra amounts of fluoride by swallowing toothpaste, or drinking water from sources that contain adequate levels of fluoride.

Do not take this medication with milk, other dairy products, calcium supplements, or antacids that contain calcium. Calcium may cause your body to absorb less of the multivitamin with iron and fluoride. Avoid taking any other multivitamin product within 2 hours before or after you take multivitamin with iron and fluoride. Taking similar vitamin products together at the same time can result in a vitamin overdose or serious side effects.

What should I discuss with my healthcare provider before taking MyKidz Iron FL (multivitamin with iron and fluoride)?

Taking in too much fluoride can cause an irreversible condition called fluorosis. This condition can permanently damage teeth and possibly other cells in the body.

Do not use this medicine without the advice of a doctor. Multivitamin with iron and fluoride should not be used if the level of fluoride in the drinking water is adequate (0.6 parts per million or higher). Check with your local water department if you are unsure about the level of fluoride in the drinking water. FDA pregnancy category C. It is not known whether this medication is harmful to an unborn baby. Before using multivitamin with iron and fluoride, tell your doctor if you are pregnant or plan to become pregnant during treatment. Multivitamin with iron and fluoride 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 MyKidz Iron FL (multivitamin with iron and fluoride)?

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.

Take each dose of this medicine with a full glass of water.

The chewable tablet must be chewed or allowed to dissolve in the mouth before swallowing it. You may also allow the tablet to dissolve in drinking water, fruit juice, or infant formula (but not milk or other dairy products).

Do not give a chewable tablet to a child younger than 4 years old. The child may choke on the tablet. Use only liquid forms of this medicine in young children.

Measure the liquid form of multivitamin with iron and fluoride using a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.

The liquid may also be mixed with water, fruit juice, or infant formula.

It is important to take multivitamin with iron and fluoride regularly to get the most benefit.

Brush teeth regularly, at least two times each day, of after meals. This will help prevent tooth discoloration.

Store this medication at room temperature away from moisture and heat. Do not allow the liquid to freeze.

Keep multivitamin with iron and fluoride in the original contain it came in. Storing multivitamin with iron and fluoride in a glass container can ruin the medication.

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. An overdose of this medicine can be fatal.

Overdose symptoms may include nausea, vomiting, stomach pain, diarrhea, drowsiness, fast heart rate, fainting, and seizure (convulsions).

What should I avoid while taking MyKidz Iron FL (multivitamin with iron and fluoride)?

Avoid using other multivitamins or mineral supplements that also contain iron. Getting too much iron can cause serious medical problems or death.

Avoid taking any other multivitamin product within 2 hours before or after you take multivitamin with iron and fluoride. Taking similar vitamin products together at the same time can result in a vitamin overdose or serious side effects.

Be sure that a child using this medicine is not taking in extra amounts of fluoride by swallowing toothpaste, or drinking water from sources that contain adequate levels of fluoride.

Do not take this medication with milk, other dairy products, calcium supplements, or antacids that contain calcium. Calcium may cause your body to absorb less of the multivitamin with iron and fluoride.

MyKidz Iron FL (multivitamin with iron and fluoride) 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 medication may cause the tooth enamel to become discolored. This is a rare side effect that has occurred mainly with large doses or long-term use of multivitamin with iron and fluoride. Stop using this medication and call your dentist or doctor at once if you notice any change in the appearance of your teeth.

Less serious side effects may include:

• stomach upset;

• headache; or

• weakness.

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 MyKidz Iron FL (multivitamin with iron and fluoride)?

There may be other drugs that can interact with multivitamin with iron and fluoride. 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 multivitamin with iron and fluoride.

• 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: 03/25/2009 2:58:09 PM.

Generic Name: Polysaccharide-Iron (PAHL-ee-SAA-kah-ride-EYE-run)
Brand Name: Examples include Ferrex 150 and Myferon 150

Myferon 150 is used for:

Treating and preventing low levels of iron in the blood caused by certain types of anemia. It may also be used for other conditions as determined by your doctor.

Myferon 150 is an essential body mineral. It works by replacing iron in your body if your body does not produce enough on its own.

Do NOT use Myferon 150 if:

• you are allergic to any ingredient in Myferon 150
• you have high levels of iron in your blood

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

Before using Myferon 150:

Some medical conditions may interact with Myferon 150. 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 inflammation of the intestines, Crohn disease, digestive problems, ulcers, anemia, or a blood disease (eg, porphyria, thalassemia)
• if you have had multiple blood transfusions
• if you have a history of alcohol abuse

Some MEDICINES MAY INTERACT with Myferon 150. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Doxycycline, mycophenolate, penicillamine, or thyroid hormones (eg, levothyroxine) because the effectiveness of these medicines may be decreased

This may not be a complete list of all interactions that may occur. Ask your health care provider if Myferon 150 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 Myferon 150:

Use Myferon 150 as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Myferon 150 may be taken with food if it upsets your stomach.
• Swallow Myferon 150 whole. Do not break, crush, or chew before swallowing.
• Do not take Myferon 150 within 1 hour before or 2 hours after antacids, eggs, whole grain breads, cereal, milk, milk products, coffee, or tea.
• Take Myferon 150 with a full glass of water (8 oz/240 mL). Do not lie down for 30 minutes after taking Myferon 150.
• If you are also taking a bisphosphonate (eg, alendronate), a cephalosporin (eg, cephalexin), methyldopa, penicillamine, a quinolone (eg, ciprofloxacin), or a tetracycline (eg, minocycline) along with Myferon 150, you may need to space the doses several hours apart. Ask your doctor or pharmacist how much time is needed between doses of Myferon 150 and your other medicines.
• If you miss a dose of Myferon 150, 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 Myferon 150.

Important safety information:

• Do not take large doses of vitamins (megadoses or megavitamin therapy) while taking Myferon 150 unless directed to by your doctor.
• Do not exceed the recommended dose or take Myferon 150 for longer than 6 months without checking with your doctor.
• Myferon 150 may cause your stools to darken. This is normal and not a cause for concern.
• Myferon 150 contains iron. Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children younger than 6 years of age. In case of accidental overdose, call a doctor or poison control center immediately.
• Myferon 150 may interfere with certain lab tests, such as tests used to check for blood in the stool. Make sure your doctor and laboratory personnel know you are using Myferon 150.
• LAB TESTS, including blood tests and iron levels, may be performed to monitor your progress or to check for side effects. Be sure to keep all doctor and lab appointments.
• Use Myferon 150 with extreme caution in CHILDREN. Safety and effectiveness have not been confirmed.
• PREGNANCY and BREAST-FEEDING: If you become pregnant while taking Myferon 150, discuss with your doctor the benefits and risks of using Myferon 150 during pregnancy. Myferon 150 is excreted in breast milk. If you are or will be breast-feeding while you are using Myferon 150, check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of Myferon 150:

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; darkened or green stools; diarrhea; nausea; stomach upset.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); black, tarry stools; blood or streaks of blood in the stool; fever; vomiting, especially with continuing sharp stomach pain.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. 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 difficulty breathing; loss of consciousness; seizures; severe nausea or diarrhea; stomach pain; tarry stools; unusual tiredness or drowsiness; unusually pale skin; vomiting; vomiting blood; weak, fast heartbeat.

Proper storage of Myferon 150:

Store Myferon 150 at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Myferon 150 out of the reach of children and away from pets.

General information:

• If you have any questions about Myferon 150, please talk with your doctor, pharmacist, or other health care provider.
• Myferon 150 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 Myferon 150. 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: multivitamin with iron (MUL tee VYE ta mins with i ron)
Brand Names:

What is Myferon 150 Forte (multivitamin with iron)?

Multivitamin are a combination of many different vitamins that are normally found in foods and other natural sources.

Iron is normally found in foods like red meat. In the body, iron becomes a part of your hemoglobin (HEEM o glo bin) and myoglobin (MY o glo bin). Hemoglobin carries oxygen through your blood to tissues and organs. Myoglobin helps your muscle cells store oxygen.

Multivitamin and iron are used to provide vitamins and iron that are not taken in through the diet. They are also used to treat iron or vitamin deficiencies caused by illness, pregnancy, poor nutrition, digestive disorders, and many other conditions.

Multivitamin and iron may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Myferon 150 Forte (multivitamin with iron)?

Never take more than the recommended dose of a multivitamin. Avoid taking any other multivitamin product within 2 hours before or after you take multivitamin with iron. Taking similar vitamin products together at the same time can result in a vitamin overdose or serious side effects. Seek emergency medical attention if you think you have used too much of this medicine. An overdose of vitamins A, D, E, or K can cause serious or life-threatening side effects. Iron and other minerals contained in a multivitamin can also cause serious overdose symptoms if you take too much.

Overdose symptoms may include severe stomach pain, vomiting, bloody diarrhea, coughing up blood, constipation, loss of appetite, hair loss, peeling skin, warmth or tingly feeling, changes in menstrual periods, weight loss, severe headache, muscle or joint pain, severe back pain, blood in your urine or stools, black and tarry stools, pale skin, easy bruising or bleeding, weakness, shallow breathing, weak and rapid pulse, pale skin, blue lips, and seizure (convulsions).

Do not take this medication with milk, other dairy products, calcium supplements, or antacids that contain calcium. Calcium may make it harder for your body to absorb certain ingredients of the multivitamin with iron.

What should I discuss with my healthcare provider before taking Myferon 150 Forte (multivitamin with iron)?

Iron and certain vitamins can cause serious or life-threatening side effects if taken in large doses. Do not take more of this medication than directed on the label or prescribed by your doctor.

If you have any medical conditions, ask your doctor before taking a multivitamin with iron. If you have certain conditions, you may need a certain vitamin formulation or special tests while taking this product.

Do not take multivitamin with iron without telling your doctor if you are pregnant or plan to become pregnant. Some vitamins and minerals can harm an unborn baby if taken in large doses. You may need to use a prenatal vitamin specially formulated for pregnant women. Multivitamin 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 Myferon 150 Forte (multivitamin with iron)?

Use this medication as directed on the label, or as your doctor has prescribed. Do not use the medication in larger amounts or for longer than recommended.

Never take more than the recommended dose of multivitamin with iron. Avoid taking any other multivitamin product within 2 hours before or after you take multivitamin with iron. Taking similar vitamin products together at the same time can result in a vitamin overdose or serious side effects.

Many multivitamin products also contain minerals such as calcium, magnesium, potassium, and zinc. Minerals (especially taken in large doses) can cause side effects such as tooth staining, increased urination, stomach bleeding, uneven heart rate, confusion, and muscle weakness or limp feeling. Read the label of any multivitamin product you take to make sure you are aware of what it contains.

Take your multivitamin with a full glass of water. You may take the multivitamin with food if it upsets your stomach.

The chewable tablet must be chewed or allowed to dissolve in the mouth before swallowing.

Measure the liquid form of this multivitamin using a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.

Liquid multivitamin may sometimes be mixed with water, fruit juice, or infant formula (but not milk or other dairy products). Follow the directions on the medicine label.

Do not crush, chew, break, or open an extended-release tablet or capsule. Swallow the pill whole. Breaking or opening the pill may cause too much of the drug to be released at one time.

It is important to take multivitamin with iron regularly to get the most benefit.

Store this medication at room temperature away from moisture and heat. Keep the liquid medicine from freezing.

Store multivitamin in their original container. Storing multivitamin in a glass container can ruin the medication.

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. An overdose of vitamins A, D, E, or K can cause serious or life-threatening side effects. Iron and other minerals contained in a multivitamin can also cause serious overdose symptoms.

Overdose symptoms may include severe stomach pain, vomiting, bloody diarrhea, coughing up blood, constipation, loss of appetite, hair loss, peeling skin, warmth or tingly feeling, changes in menstrual periods, weight loss, severe headache, muscle or joint pain, severe back pain, blood in your urine or stools, black and tarry stools, pale skin, easy bruising or bleeding, weakness, shallow breathing, weak and rapid pulse, pale skin, blue lips, and seizure (convulsions).

What should I avoid while taking Myferon 150 Forte (multivitamin with iron)?

Avoid taking any other multivitamin product within 2 hours before or after you take multivitamin with iron. Taking similar vitamin products together at the same time can result in a vitamin overdose or serious side effects.

Avoid the regular use of salt substitutes in your diet if your multivitamin contains potassium. If you are on a low-salt diet, ask your doctor before taking a vitamin or mineral supplement.

Avoid taking an antibiotic medicine within 2 hours before or after you take multivitamin with iron. This is especially important if you are taking an antibiotic such as ciprofloxacin (Cipro), demeclocycline (Declomycin), doxycycline (Adoxa, Doryx, Oracea, Vibramycin), levofloxacin (Levaquin), lomefloxacin (Maxaquin), minocycline (Dynacin, Minocin, Solodyn, Vectrin), norfloxacin (Noroxin), ofloxacin (Floxin), or tetracycline (Brodspec, Panmycin, Sumycin, Tetracap).

Certain foods can also make it harder for your body to absorb iron. Avoid taking this multivitamin within 1 hour before or 2 hours after eating fish, meat, liver, and whole grain or “fortified” breads or cereals.

Do not take this medication with milk, other dairy products, calcium supplements, or antacids that contain calcium. Calcium may make it harder for your body to absorb certain ingredients of the multivitamin.

Myferon 150 Forte (multivitamin with iron) side effects

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

• bright red blood in your stools; or

• pain in your chest or throat when swallowing a ferrous fumarate tablet.

When taken as directed, multivitamin are not expected to cause serious side effects. Less serious side effects may include:

• constipation, diarrhea;

• nausea, vomiting, heartburn;

• stomach pain, upset stomach;

• black or dark-colored stools or urine;

• temporary staining of the teeth;

• headache; or

• unusual or unpleasant taste in your mouth.

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 Myferon 150 Forte (multivitamin with iron)?

Vitamin and mineral supplements can interact with certain medications, or affect how medications work in your body. Before taking multivitamin with iron, tell your doctor if you also use:

• acetohydroxamic acid (Lithostat);

• cimetidine (Tagamet);

• deferoxamine (Desferal);

• etidronate (Didronel);

• diuretics (water pills);

• heart or blood pressure medications;

• tretinoin (Vesanoid);

• isotretinoin (Accutane, Amnesteen, Clavaris, Sotret);

• dimercaprol (an injection used to treat poisoning by arsenic, lead, or mercury);

• penicillamine (Cuprimine);

• pancrelipase (Cotazym, Creon, Ilozyme, Pancrease, Ultrase);

• trimethoprim and sulfamethoxazole (Cotrim, Bactrim, Septra, TMP/SMX); or

• an NSAID (non-steroidal anti-inflammatory drug) such as ibuprofen (Motrin, Advil), naproxen (Aleve, Naprosyn), diclofenac (Cataflam, Voltaren), etodolac (Lodine), indomethacin (Indocin), ketoprofen (Orudis), and others.

This list is not complete and there may be other medications that can interact with or be affected by multivitamin with iron. 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 multivitamin with iron.

• Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
• Every effort has been made to ensure that the information provided by Cerner Multum, Inc. (‘Multum’) is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum’s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum’s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2006 Cerner Multum, Inc. Version: 2.01. Revision Date: 03/27/2009 5:13:40 PM.

Generic Name: mycophenolic acid (MYE koe phe NOLE ik AS id)
Brand Names: Myfortic

What is mycophenolic acid?

Mycophenolic acid lowers your body’s immune system. The immune system helps your body fight infections. The immune system can also fight or “reject” a transplanted organ such as a liver or kidney. This is because the immune system treats the new organ as an invader.

Mycophenolic acid is used to prevent your body from rejecting a kidney transplant. This medication is usually given with cyclosporine (Sandimmune, Neoral) and a steroid medication.

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

What is the most important information I should know about mycophenolic acid?

This medication can cause harm to an unborn baby, especially if used during the first trimester of pregnancy. Do not use mycophenolic acid without telling your doctor if you are pregnant or if you plan to become pregnant during treatment.

If you are a woman of child-bearing potential, you will be required to use two forms of birth control to prevent pregnancy before and during your treatment with mycophenolic acid, and for at least 6 weeks after your treatment ends. You will also need to have a negative pregnancy test within 1 week before you start using this medication.

Tell your doctor right away if you become pregnant while using mycophenolic acid.

Although mycophenolic acid can cause harm to an unborn baby, not treating the mother after a transplant could pose a greater risk to the mother’s health. Mycophenolic acid is sometimes given to pregnant women who are unable to take other needed transplant medications. Your doctor will decide whether you should receive this medication.

Using mycophenolic acid can make it easier for you to bleed from an injury or get sick from being around others who are ill. You may also have an increased risk of certain forms of cancer. Your blood will need to be tested on a weekly or monthly basis while using this medication. Do not miss any scheduled appointments.

Do not crush, chew, or break an enteric-coated pill. Swallow the pill whole. The enteric-coated pill has a special coating to protect your stomach. Breaking the pill could damage this coating.

What should I discuss with my healthcare provider before using mycophenolic acid?

You should not use this medication if you are allergic to mycophenolic acid or mycophenolate mofetil (CellCept).

Before using mycophenolic acid, tell your doctor if you are allergic to any drugs, or if you have:

• a stomach ulcer or other disorders of your stomach or intestines;

• kidney disease;

• a viral, bacterial, or fungal infection; or

• a rare hereditary deficiency of hypoxanthine-guanine phosphoribosyl-transferase (HGPRT) such as Lesch-Nyhan and Kelley-Seegmiller syndrome.

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

FDA pregnancy category D. This medication can cause harm to an unborn baby, especially if used during the first trimester of pregnancy. Do not use mycophenolic acid without telling your doctor if you are pregnant or if you plan to become pregnant during treatment.

If you are a woman of child-bearing potential, you will be required to receive contraceptive counseling and to start using two forms of birth control 4 weeks before the start of your treatment with mycophenolic acid. You will also need to have a negative pregnancy test within 1 week before your treatment begins.

Unless you have been in menopause for at least 12 months in a row, you are considered to be of child-bearing potential. Adolescent girls who have entered puberty are also considered to be of child-bearing potential, even if not yet sexually active.

Use two non-hormone forms of birth control (such as a condom, diaphragm, spermicide) to prevent pregnancy before and during your treatment with mycophenolic acid, and for at least 6 weeks after your treatment ends. Tell your doctor right away if you become pregnant. Mycophenolic acid can make birth control pills less effective. Ask your doctor about the most effective non-hormonal forms of birth control and which two are best for you.

Although mycophenolic acid can cause harm to an unborn baby, not treating the mother with this medication after a transplant could pose a greater risk to the mother’s health. Mycophenolic acid is sometimes given to pregnant women who are unable to take other needed transplant medications. Your doctor will decide whether you should receive this medication.

Your name may need to be listed on a national transplant pregnancy registry if you use mycophenolic acid during pregnancy. The purpose of this registry is to track the outcome of the pregnancy and delivery to evaluate whether mycophenolic acid had any effect on the baby.

It is not known whether mycophenolic acid passes into breast milk or if it could harm a nursing baby. Do not breast-feed a baby while taking mycophenolic acid and for at least 6 weeks after your treatment ends.

How should I use mycophenolic acid?

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.

Mycophenolic acid is usually given twice a day. Follow your doctor’s instructions.

Take mycophenolic acid on an empty stomach, at least 1 hour before or 2 hours after a meal. Do not crush, chew, cut, or break an enteric-coated pill. Swallow the pill whole. The enteric-coated pill has a special coating to protect your stomach. Breaking the pill could damage this coating.

Mycophenolic acid (Myfortic) tablets and mycophenolate mofetil (CellCept) capsules are not absorbed equally in the body. If you are switched from one brand to the other, take only the pills your doctor has prescribed. Always check your refills to make sure you have received the correct brand and type of medicine. Ask the pharmacist if you have any questions about the medicine you receive at the pharmacy.

Mycophenolic acid can lower the 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. You may also have an increased risk of certain forms of cancer. To be sure your blood cells do not get too low, your blood will need to be tested on a weekly or monthly basis. Do not miss any scheduled appointments.

Store mycophenolic acid 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, 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, unusual bleeding or bruising, and signs of infection.

What should I avoid while using mycophenolic acid?

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 mycophenolic acid. The live vaccine may not work as well during your treatment, and may not fully protect you from disease. You may still be able to receive a flu shot, but ask your doctor first.

Avoid taking an antacid together with mycophenolic acid. Antacids contain different medicines and some types can make it harder for your body to absorb mycophenolic acid.

Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Mycophenolic acid can increase your risk of skin cancer. Use a sunscreen (minimum SPF 30) and wear protective clothing if you must be out in the sun.

Mycophenolic acid side effects

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

• fever, chills, body aches, flu symptoms, mouth sores, white patches in your mouth or throat;

• pale skin, easy bruising or bleeding, unusual weakness, trouble breathing, fast heart rate;

• coughing up blood or vomit that looks like coffee grounds;

• bloody, black, or tarry stools;

• painful or difficult urination;

• thirst, increased urination, hot and dry skin;

• chest pain;

• feeling like you might pass out;

• high potassium (slow heart rate, weak pulse, muscle weakness, tingly feeling);

• low potassium (confusion, uneven heart rate, extreme thirst, increased urination, leg discomfort, muscle weakness or limp feeling);

• pancreatitis (severe pain in your upper stomach spreading to your back, nausea and vomiting, fast heart rate);

• problems with vision, speech, balance, or memory; or

• weakness in your legs, lack of coordination.

Less serious side effects may include:

• nausea, vomiting, stomach pain, diarrhea, constipation, upset stomach;

• headache, dizziness, blurred vision;

• swelling in your hands or feet;

• joint or muscle pain, back pain;

• runny or stuffy nose, cough;

• anxiety, sleep problems (insomnia); or

• weight gain.

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 mycophenolic acid?

Before using mycophenolic acid, tell your doctor if you are using any of the following drugs:

• cholestyramine (Questran), colesevelam (Welchol), or colestipol (Colestid);

• acyclovir (Zovirax) or ganciclovir (Cytovene); or

• other medicines that weaken the immune system, such as azathioprine (Imuran), cyclosporine (Neoral, Sandimmune), or mycophenolate mofetil (CellCept).

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

• Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
• Every effort has been made to ensure that the information provided by Cerner Multum, Inc. (‘Multum’) is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum’s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum’s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2006 Cerner Multum, Inc. Version: 3.01. Revision Date: 09/02/2009 12:21:42 PM.

Generic Name: tropicamide ophthalmic (troe PIK a mide off THAL mik)
Brand Names: Mydriacyl, Ocu-Tropic, Tropicacyl

What is Mydriacyl (tropicamide ophthalmic)?

Tropicamide ophthalmic causes muscles in the eye to become relaxed. This dilates (widens) the pupil so that it does not contract (narrow) when your doctor shines an examination light into your eye.

Tropicamide ophthalmic is used to dilate the pupil for an eye examination or other diagnostic procedure.

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

What is the most important information I should know about Mydriacyl (tropicamide ophthalmic)?

Tropicamide ophthalmic may cause blurred vision, or make your eyes very sensitive to light. Be careful if you drive, operate machinery, or do anything else that requires you to see clearly. These effects can last for up to 24 hours. Tropicamide ophthalmic may cause blurred vision, or make your eyes very sensitive to light. Be careful if you drive, operate machinery, or do anything else that requires you to see clearly. These effects can last for up to 24 hours. Protect your eyes if you go outdoors into sunlight after using tropicamide ophthalmic.

Unless your doctor tells you to, avoid using other eye drops or ointment until the effects of tropicamide ophthalmic have worn off.

What should I discuss with my healthcare provider before using Mydriacyl (tropicamide ophthalmic)?

Do not use this medication if you are allergic to tropicamide ophthalmic, or if you have untreated glaucoma. 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. Tropicamide ophthalmic 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 use Mydriacyl (tropicamide ophthalmic)?

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.

Tropicamide ophthalmic is most often used only in a doctor’s office during an eye examination. Instructions are provided below for giving yourself the medication if your doctor has prescribed it for home use.

Wash your hands before using the eye drops.

If you wear contact lenses, remove them before applying tropicamide ophthalmic. Ask your doctor if contact lenses can be reinserted after putting in the eye drops. Tropicamide ophthalmic may contain a preservative (benzalkonium chloride) that may cause discoloration of contact lenses.

To apply the eye drops:

• Tilt your head back slightly and pull down your lower eyelid. Hold the dropper above the eye with the dropper tip down. Look up and away from the dropper as you squeeze out a drop, then close your eye. Gently press your finger to the inside corner of the eye (near your nose) for about 1 minute to keep the liquid from draining into your tear duct. If you use more than one drop in the same eye, wait about 5 minutes before putting in the next drop.

• Do not allow the dropper tip to touch any surface, including the eyes or hands. If the dropper becomes contaminated it could cause an infection in your eye, which can lead to vision loss or serious damage to the eye.

Do not use the eye drops if the liquid has changed colors or has particles in it.

Store the drops at room temperature away from heat and moisture. Keep the bottle tightly closed when not in use.

What happens if I miss a dose?

Since tropicamide ophthalmic is usually given only during an eye exam, it is not likely that you will be on a dosing schedule.

What happens if I overdose?

Rinse your eye with water and seek emergency medical attention if you think you have used too much of this medicine.

Symptoms of a tropicamide ophthalmic overdose may include headache, fast heartbeat, dry mouth and skin, unusual drowsiness, and warmth or redness under your skin.

What should I avoid while using Mydriacyl (tropicamide ophthalmic)?

Tropicamide ophthalmic may cause blurred vision, or make your eyes very sensitive to light. Be careful if you drive, operate machinery, or do anything else that requires you to see clearly. These effects can last for up to 24 hours. Protect your eyes if you go outdoors into sunlight after using tropicamide ophthalmic.

Unless your doctor tells you to, avoid using other eye drops or ointment until the effects of tropicamide ophthalmic have worn off.

Mydriacyl (tropicamide ophthalmic) side effects

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

• fast or uneven heart rate;

• hallucinations or unusual behavior (especially in children); or

• stomach bloating or discomfort.

Less serious side effects may be more likely to occur, such as:

• blurred vision;

• eye sensitivity to sunlight;

• stinging and burning; or

• swelling of the eyelids.

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 Mydriacyl (tropicamide ophthalmic)?

There may be other drugs that can affect tropicamide ophthalmic. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

• Your pharmacist has information about tropicamide ophthalmic 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: 4.02. Revision Date: 4/12/2009 4:39:16 PM.