Watson 2411

What is lorazepam?

Lorazepam belongs to the drug class benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. It specifically affects chemicals in the brain that may be unbalanced in people with anxiety.

What conditions does lorazepam treat?

It is used to treat anxiety disorders, insomnia, panic disorder, sedation, and borderline personality disorder.

It may also be used to treat symptoms from alcohol withdrawal, psychosis caused by sudden alcohol withdrawal, mania associated with bipolar disorder, adjunct treatment, muscle spasm, chronic trouble sleeping, a feeling of restlessness with inability to sit still, nausea and vomiting caused by cancer drugs, prevent nausea and vomiting from cancer chemotherapy, and many more.

What are known side effects and drug reactions?

Dizziness, drowsiness, weakness, slurred speech, lack of balance or coordination, memory problems, and feeling unsteady may occur. These are common, however, if this persists or worsen, contact your doctor immediately.

Some people taking the medicine don’t experience any serious side effects, but when they do, stop the medication and seek immediate help in case these symptoms occur: severe drowsiness, thoughts of suicide or hurting yourself, unusual changes in mood or behavior, confusion, aggression, hallucinations, worsened sleep problems, sudden restless feeling or excitement, muscle weakness, drooping eyelids, trouble swallowing, vision changes or upper stomach pain, dark urine, jaundice (yellowing of the skin or eyes).

Allergic reactions to the drug are rare but watch out for these signs and call your doctor immediately: hives, difficulty breathing, swelling of your face, lips, tongue, or throat.

These are not a complete list of side effects and reactions and some may or may not occur. It is always best to discuss with your doctor all questions you may have regarding this medication.

What are things to consider when taking lorazepam?

Be cautious when purchasing medications on the Internet or from other vendors outside United States as they may contain harmful ingredients or distributed by a non-licensed pharmacy.

You should not use lorazepam if you have narrow-angle glaucoma or myasthenia gravis, or if you are allergic to Valium or a similar medicine.

Inform your doctor of any illnesses or diseases you have to make sure that it is safe to take the medicine. Also inform of any medications being taken to prevent any drug interaction that may be harmful when taken with lorazepam.

This medicine can be harmful to the unborn and nursing baby. Inform the doctor if you plan to get pregnant, or if you are pregnant or breastfeeding.

Lorazepam has sedative effects. Accidental falls may occur among older adults.

Avoid drinking when taking this medicine or driving to prevent accidents because this may cause drowsiness and dizziness.

This medication is not approved for use by children younger than 18 years old.

Store lorazepam tablets at room temperature away from moisture, heat, and light. Store the liquid form of this medicine in the refrigerator.

Other Considerations

Lorazepam is a habit-forming medicine. Take as prescribed by the doctor and keep it in a place away from others.

Misuse of this medication can cause addiction, overdose, or death. Selling or giving this away is also prohibited by the law.

Call your doctor if this medicine seems to stop working as well in treating your anxiety symptoms.

This is not a complete list and medical advice is always best in taking this medication safely.

Disclaimer:
This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment.

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IP 190

Generic Name: Naproxen 500 mg

What is Naproxen?

Pill imprint IP 190 500 is also known as Naproxen 500 mg. It helps to reduce pain and swelling and belongs to the drug class nonsteroidal anti-inflammatory drug (NSAID).

Availability

Naproxen comes as an oral capsule liquid filled, oral suspension, oral tablet, oral tablet enteric coated, oral tablet extended release is available in other brand names such as Anaprox, Naprelan, Naprosyn, Aleve, and Mediproxen. It’s also available as a generic drug.

How it works

It works by decreasing pain, thereby reducing swelling by lowering levels of prostaglandin (hormone-like substance which causes inflammation).

Where it is used

It is used to treat rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, juvenile arthritis, menstrual pain, tendonitis, bursitis, symptoms of gout, other muscle and joint inflammation and many other conditions.

Side Effects

a.) Common Side Effects
• stomach pain
• constipation
• diarrhea
• gas
• heartburn
• nausea and vomiting
• dizziness

b.) Major Side Effects
• chest pain
• shortness of breath or trouble breathing
• weakness in one part or side of your body
• difficulty speaking
• swelling of the face or throat
• high blood pressure
• bleeding and ulcers in your stomach and intestines
– stomach pain, bloody vomit, blood in your stool, black and sticky stool
• asthma attacks in people who have asthma
• low red blood cell count, which can cause fatigue, lethargy, and weakness
• yellowing of your skin or the whites of your eyes
• unusual weight gain or swelling of face, arms, legs, hands, and feet
• skin rash or blisters with fever

c.) Signs of overdose
• Bleeding under the skin
• confusion about identity, place, and time
• muscle tremors
• restlessness
• sleepiness

This is not a complete list of side effects and others may occur. Mild side effects may go away within a few days or weeks and may not need medical attention because as the body gets used to the medication, these side effects disappear. However, seek emergency help or call the doctor if symptoms persist and in case of major side effects or if symptoms of overdose occur.

Risks and warnings

• Don’t take the drug if you are allergic to it or if you have a history of allergic reaction to aspirin or other NSAID (nonsteroidal anti-inflammatory drugs.
• Other drugs may interact with naproxen, including prescription and over-the-counter medicines, vitamins, and herbal products. Inform your doctor of any history or present illness and medications taken. Take as prescribed and as directed.
• Don’t use naproxen for pain or after heart bypass surgery as it increases the risk for stroke and heart attack.
• Caution for elderly or those aged 65 years and older. Naproxen causes ulcer and bleeding of the stomach and intestine and comes without symptoms.
• Inform the doctor if you plan to get pregnant or pregnant or breastfeeding. It may interfere with ovulation or cause harm to the unborn baby and side effects to the nursing baby.
• Naproxen is not to be used by anyone younger than 2 years old without medical advice.
• Avoid drinking alcohol as it increases the risk for stomach bleeding.

Other Considerations when taking naproxen

General:

Do not take this medicine in larger amounts or for longer than recommended. Take only as directed in the label and as prescribed by the doctor.

Do not crush, chew, or break a naproxen tablet as it increases the risk of stomach damage. Swallow it whole.

Shake the oral suspension (liquid) and use a special dose-measuring spoon or medicine cup.

Inform the doctor of any changes in weight of a child taking the medication.

Travel:

Always carry it with you or in your carry-on bag. Airport X-ray machines can’t hurt this medication.

You may need to show your pharmacy’s preprinted label to identify the medication. Carry the original prescription-labeled box with you.

Clinical Monitoring:

Inform your treating doctor that you are taking naproxen. The medicine can cause unusual results with certain medical tests.

Frequent medical tests are needed with long-term use of this medication.

Storage:

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

Disclaimer:

This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment.

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GG249

GG249 is also known as Alprazolam 2 mg. It is used to treat panic disorders, anxiety disorders, anxiety caused by depression, tinnitus, borderline personality disorder, and many more. It belongs to the drug class benzodiazepines and works by reducing nervous tension.

Precautions:

• Do not use if pregnant. Alprazolam may cause birth defects or life threatening withdrawal symptoms in newborn. Always tell the doctor if you are pregnant or planning to become pregnant.

• Avoid breastfeeding while taking the medicine. It can pass through breast milk and may harm a nursing baby.

• Alprazolam should not be taken if you have narrow-angle glaucoma or if you are taking itraconazole or ketoconazole, or if you are allergic to alprazolam or similar medicines.

• Inform the doctor of any history and present illness as well as medications currently taken to ensure safety in taking the medication.

• Use caution to avoid falling or accidental injury while taking alprazolam. Sedative effects last longer in older adults.

• Avoid drinking alcohol while taking alprazolam as it increases the effects of alcohol.

• Avoid driving or doing something that requires you to be alert. Alprazolam may impair your thinking or reactions.

• The medicine may be habit-forming; it should only be used by the person to whom it was prescribed. Misuse can cause addiction, overdose, or death.

• The medication should not be taken by anyone younger than 18 years old.

Other Instructions:

• Keep the medication in a secure place where others cannot get to it. Avoid sharing with another person especially those with history addiction or drug abuse. Selling or giving away this medicine is against the law.

• Take caution in purchasing alprazolam on the Internet or from vendors outside the United States as some medicines distributed via Internet sales may contain dangerous ingredients, or may not be distributed by a licensed pharmacy.

• Alprazolam is habit-forming. Take only as prescribed by the doctor and follow directions on prescription label.

• Do not swallow the orally disintegrating tablet whole. Allow it to dissolve in your mouth without chewing.

• Swallow extended-release tablets as a whole. Do not crush, chew, or break the medicine.

• Measure liquid medicine with a dose-measuring device.

• Do not immediately stop using this medicine or try using it in larger amounts, or for longer than prescribed. Tell your doctor how to safely stop taking the medication or if the medicine seems to stop working as well in treating your symptoms.

• Long term use may need frequent medical tests.

• Store at room temperature away from moisture and heat.

Side Effects:

Common side effects include: drowsiness, feeling tired; slurred speech, lack of balance or coordination; memory problems; or feeling anxious early in the morning. Major side effects include: depressed mood, thoughts of suicide or hurting yourself; racing thoughts, increased energy, unusual risk-taking behavior; confusion, agitation, hostility, hallucinations; uncontrolled muscle movements, tremor, seizure (convulsions); or pounding heartbeats or fluttering in your chest. Immediately call the doctor with these symptoms and get emergency help if these allergic reactions occur: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

This is not a complete list of precaution and side effects for GG249 (Alprazolam 2 mg). Other considerations may need to be taken as other side effects may occur. It is important to call your Doctor for further instructions and if you have any questions on how to safely take the medication or if any reaction is bothersome.

Disclaimer:

This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment.

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IP 466

Ibuprofen is an over-the-counter non-steroidal anti-inflammatory drug generally used to treat mild to moderate pain due to inflammation, swelling, stiffness and even joint pain. It works by reducing hormones that cause inflammation and pain in the body and is also used to treat common aches and pains such as fever, arthritis pain and menstrual cramps.

DOSAGE:

Ibuprofen comes in oral suspension, oral tablet, oral tablet, chewable, oral capsule, compounding powder, intravenous solution.

HOW IBUPROFEN SHOULD BE TAKEN:

Use ibuprofen exactly as directed on the label, or as prescribed by your doctor.

Not to be taken more than your recommended dose as it can damage the stomach and intestines.

A child’s dose of ibuprofen is based on the age and weight of the child. Carefully follow the dosing instructions and ask your doctor if you have questions.

Take with food or milk to lessen stomach upset.

Chew ibuprofen tablet chewable before swallowing.

Shake the oral suspension well before you measure a dose with a special dose-measuring spoon or medicine cup.

Medical tests may be needed with long-term use.

Store at room temperature away from moisture and heat. Do not allow the liquid medicine to freeze. Keep away from children’s reach.

Read all patient information, medication guides, and instruction sheets. Ask your doctor or pharmacist if you have any questions.

PRECAUTIONS

Ibuprofen should not be taken if pregnant or breastfeeding without doctor’s advice.

Do not give to children younger than 2 years old and without doctor’s advice.

Inform the doctor of any history or present illness and the medicines taken as these may have an effect to health or interaction with the other medicines’ drug components.

Do not use this medicine just before or after heart bypass surgery (coronary artery bypass graft, or CABG).

May cause stomach or intestinal bleeding with long term use especially in adults.

Ibuprofen should not be taken if you are allergic to it, or if you have ever had an asthma attack or severe allergic reaction after taking aspirin or an NSAID.

With long term use or high doses, ibuprofen can increase the risk of fatal heart attack or stroke, even to people without heart disease or risk factors.

Avoid taking ibuprofen while taking aspirin to prevent stroke or heart attack. Ask for doctor’s advice before taking the medication.

Avoid drinking alcohol as it may cause stomach bleeding.

SIDE EFFECTS

Common ibuprofen side effects may include:

  • upset stomach, mild heartburn, nausea, vomiting;
  • bloating, gas, diarrhea, constipation;
  • dizziness, headache, nervousness;
  • mild itching or rash; or
  • ringing in your ears.

Major side effects:

  • changes in your vision;
  • shortness of breath (even with mild exertion);
  • swelling or rapid weight gain;
  • the first sign of any skin rash, no matter how mild;
  • bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds;
  • nausea, upper stomach pain, itching, tired feeling, flu-like symptoms, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
  • little or no urinating, painful or difficult urination, swelling in your feet or ankles, feeling tired or short of breath;
  • pale skin, feeling light-headed or short of breath, rapid heart rate, trouble concentrating; or
  • fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.

Signs of allergic reaction:

  • sneezing
  • runny or stuffy nose
  • wheezing or trouble breathing
  • hives
  • swelling of your face, lips, tongue, or throat.

Signs of a heart attack or stroke:

  • chest pain spreading to your jaw or shoulder
  • sudden numbness or weakness on one side of the body
  • slurred speech
  • feeling short of breath.

Stop using ibuprofen and get emergency medical help with major side effects or if with signs of allergic reaction or heart attack or stroke. Some minor side effects tend to be normal and just goes, away but if it becomes bothersome or if it causes you to worry and feel uncomfortable, call the doctor.

Disclaimer:

This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment


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Teva 149

Teva 149 is also known as Naproxen 500 mg. It is used to treat pain or inflammation caused by conditions such as arthritis, ankylosing spondylitis, tendinitis, bursitis, gout, osteoarthritis, and juvenile rheumatoid arthritis. It is also used for the relief of minor aches and pains in muscles, bones, and joints; mild-to-moderate pain accompanied by inflammation in injuries such as sprains and strains, and menstrual cramps.

It is available in oral suspension, oral tablet, oral delayed release tablet, oral tablet, extended release, oral capsule, compounding powder, oral and topical kit. For immediate pain relief, the long-acting forms of naproxen (such as the enteric-coated forms) are not recommended as they release the medication over a longer period of time.

How should naproxen be taken?

Take as prescribed by the doctor and exactly as directed on the label. Do not take this medicine in larger amounts or for longer than recommended. Read all patient information, medication guides, and instruction sheets provided to you.

Do not crush, chew, or break a naproxen tablet. Swallow it whole.

Measure liquid medicine . Shake the oral suspension (liquid) well just before you measure a dose.

Ask the doctor or the pharmacist if you change brands, strengths, or forms of this medicine as your dosage needs may change.

If a child is using this medicine, tell your doctor if the child has any changes in weight. Doses are based on weight in children, and any changes may affect your child’s dose.

Frequent medical tests may be required with long term use.

Tell your physician that you are taking naproxen as this may alter some medical tests.

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

Warnings and Precautions

Do not use naproxen:

• if with history of allergic reaction to aspirin or other NSAID (nonsteroidal anti-inflammatory drug)
• just before or after heart bypass surgery (coronary artery bypass graft, or CABG)
• during the last 3 months of pregnancy
• if breastfeeding
• have bleeding disorders
• if with inflammatory bowel disease and ulcer or bleeding in the stomach or intestine
• with recent surgery
• have high blood potassium
• have liver disease or severely reduced liver function
• have severely reduced or worsening kidney function
• children without medical advice. Naproxen is not approved for use by children under age of 2.
• Naproxen suppositories should not be used by children under 12 years of age or by anyone having any inflammatory lesions of the rectum or anus and have recently had rectal or anal bleeding

What to avoid while taking naproxen?

• Drinking alcohol. It may increase the risk of stomach bleeding.
• Aspirin.
• Ask the doctor before taking any medication as some may medicines may contain the same content as naproxen which may cause overdose or certain reactions.
• Antacid. Some antacids make it hard for the body to absorb naproxen.

Side Effects

Common side effects

• drowsiness, constipation, diarrhea, abdominal or stomach cramps, pain or discomfort, itchy skin, nausea, vomiting, vertigo, heartburn or indigestion.

Major side effects

• shortness of breath (even with mild exertion);
• swelling or rapid weight gain;
• the first sign of any skin rash, no matter how mild;
• bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds;
• nausea, upper stomach pain, itching, tired feeling, flu-like symptoms, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
• little or no urinating, painful or difficult urination, swelling in your feet or ankles, feeling tired or short of breath;
• pale skin, feeling light-headed or short of breath, rapid heart rate, trouble concentrating; or
• fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.

Some people may experience other side effects not listed above. Stop the medication and immediately call the doctor with severe symptoms or if you feel worried about a certain side effect while taking naproxen.

Disclaimer:
This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment.


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Pliva 433

Also known as Trazodone hydrochloride 50 mg, it is used for the treatment of insomnia; anxiety; sedation; fibromyalgia; major depressive disorder (and more), and belongs to the drug class phenylpiperazine antidepressants.

It is usually prescribed to treat depression and belongs to a group of drugs called serotonin modulators, which affect the natural substance, serotonin, in the brain.

This medication comes in tablet form and is taken up to 4 times a day after a meal or snack or as an extended release tablet, taken once a day in the late evening, preferably at bedtime, on an empty stomach.

Trazodone Precautions

Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not take this medicine in larger or smaller amounts or for longer than recommended.

This also should not be taken if you are allergic to it, or if you are being treated with methylene blue injection. Inform the doctor of any medications you take, including over-the-counter medicines, herbal remedies, vitamins, and supplements.

Antidepressant medicines may increase suicidal thoughts or actions in some children, teenagers, and young adults within the first few months of treatment. Immediately call the healthcare provider for new or sudden changes in mood, behavior, thoughts, or feelings, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

Do not give this medicine to anyone younger than 18 years old without the advice of a doctor. Trazodone is not approved for use in children.

During pregnancy, antidepressants may cause serious lung problems or other complications in the baby. However, you may have a relapse of depression if you stop taking your antidepressant. Tell your doctor right away if you become pregnant while taking trazodone. Do not start or stop taking this medicine during pregnancy without your doctor’s advice. Also, inform the doctor if you are breast-feeding a baby since it is not known whether trazodone passes into breastmilk or if it could harm a nursing baby.

Side Effects

To make sure trazodone is safe for you, tell your doctor if you have:

  • liver or kidney disease;
  • heart disease;
  • a bleeding or blood clotting disorder;
  • seizures or epilepsy;
  • narrow-angle glaucoma;
  • bipolar disorder (manic depression);
  • a history of Long QT syndrome;
  • a history of drug abuse or suicidal thoughts; or
  • if you have recently had a heart attack.

 Avoid alcohol and driving until you know how trazodone will affect you. Common side effects include drowsiness, dizziness, and dry mouth.

Serious side effects include:

  • thoughts about suicide or dying
  • attempts to commit suicide
  • new or worse depression
  • new or worse anxiety
  • feeling very agitated or restless
  • panic attacks
  • trouble sleeping (insomnia)
  • new or worse irritability
  • acting aggressive, being angry, or violent
  • acting on dangerous impulses
  • an extreme increase in activity and talking (mania)
  • other unusual changes in behavior or mood

Call a healthcare provider right away if you or your family member has any of the following symptoms, especially if they are new, worse, or worrying you. Continue reading