WATSON 349

 

Description:
Oblong white pill indexed with “WATSON 349” on one side, and scored on the other.

Drug Class: Narcotic Analgesic Combinations

Active Ingredients: Acetaminophen / Hydrocodone bitartrate

Strength: 500mg / 5mg

Manufacturer: Watson Laboratories, Inc.

Overview:

Acetaminophen/hydrocodone is a combination of two different pain-relief medicines with two different mechanisms of action.  Hydrocodone works in the brain to change how your body feels and responds to pain. It belongs to a group of medicines called narcotic analgesics (pain medicine) and helps to relieve pain, and stops or prevents cough. Acetaminophen on the other hand is a mild pain reliever and fever reducer at the same time. Due to their different mechanisms of action, Watson 349 is a more potent painkiller than either of the two drugs present in a single pill.

Uses:

 This pill is an effective drug combination that relieves moderate-to-moderately severe pain provided the patient doesn’t overdose. Some of the conditions which it may be useful are:

  • Osteoarthritis of back, knee joints, shoulder joints, wrist joint, ankle joints and other joints
  • Rheumatoid arthritis
  • Joint pains in systemic lupus arthritis, sacro-iliitis and other musculoskeletal disorders
  • Acute back pain/ chronic back pain and neuropathic pains
  • It can also be useful in cancer palliative therapy to control pains of malignancies or cancer.

This medication is best taken at the first sign of pain. If you wait for the pain to worsen, the medication may not work very well.

Dosage:

This drug is available in oral tablet and oral liquid form. It is also available in generic cost-saving versions.

This medicine should be taken exactly as prescribed and only by the person to whom it was prescribed for. Dosage depends on the current medical condition, severity of illness, weight (children), and response to treatment.

Tablet form of this medicine may be taken with or without food. If the patient feels nauseated or vomiting, this medicine can be taken with meals. Liquid form of this medicine should be measured properly not by a regular table spoon but with a calibrated measuring spoon, syringe or cup provided by your health professional.

Missed Dose

Two doses should not be taken at the same time. Take the missed dose as soon as you remember and skip the schedule if it is almost time for the next dose.

Overdose

Immediately call for emergency help with these symptoms: bluish discoloration of the skin, cold and clammy skin, severe drowsiness that may lead to coma, breathing problems, excessive sweating, disturbed functions of cardiovascular system, nausea or vomiting, convulsion/seizures, pain in the abdomen, and bilateral pin point pupils.

Withdrawal Symptoms

This occurs when taking the medicine has been immediately stopped and that it is has been taken regularly and for a longer period of time and with an increased dose. Immediately report to your doctor these symptoms: restlessness, watering eyes, runny nose, nausea, sweating, and muscle aches.

Side Effects:

Common Side Effects

  • anxiety, dizziness, drowsiness
  • mild nausea, vomiting, upset stomach, constipation
  • headache, mood changes
  • blurred vision
  • ringing in your ears
  • dry mouth

Serious Side Effects

  • shallow breathing, slow heartbeat
  • light-headedness, fainting
  • confusion, fear, unusual thoughts or behavior
  • seizure/convulsions
  • urinary problems
  • nausea, stomach pain, loss of appetite, itching, dark urine, clay-colored stools, yellowing of the skin or eyes

Allergic Symptoms

  • hives
  • difficulty breathing
  • swelling of your face, lips, tongue, or throat

Immediately call the doctor or seek emergency help with severe symptoms and allergic reactions. Some side effects tend to go away as soon as the body has adjusted to treatment; however, report to your doctor if symptoms persist or don’t go away.

Precautions:

Before starting this medicine, it is important to discuss with your doctor the risks and benefits involved in taking this medication. Inform the doctor if you have the following conditions:

  • Brain tumor, head injury, central nervous system disorders
  • Heart, kidney, lung, and liver disease
  • History of drug or substance abuse
  • Alcohol intake of more than three drinks a day
  • Allergy to acetaminophen/hydrocodone, similar medicines, and other substances
  • Pregnant, planning to get pregnant, or breastfeeding
  • If you are taking other medicines (prescription, non-prescription medicines, vitamins, supplements, herbal products)
  • Intestinal or gastric problems
  • If you have had suicidal thoughts or attempted suicide from the past
  • If you plan to undergo other treatments, surgery, or dental extraction

Avoid use of alcohol while taking this medicine. Alcohol increases the risk of liver injury.

Avoid driving or operating machinery. This drug causes you to be dizzy and drowsy.

Caution with use among children and elderly. They are at greater risk of having slow/shallow breathing.

Caution with use among older adults and those with medical conditions and taking other medicines. They are at risk of developing wider side effects.

Inform the doctor if you feel the medicine is not working or if you feel you may be addicted to this medicine.

Storage:

Store this medicine in a safe place, away from others, from children and pets.

Store acetaminophen and hydrocodone at room temperature away from moisture, heat, and direct sunlight.

Discard unused or outdated medicines properly.

Disclaimer:

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

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M365

M365 is a white, capsule-shaped pill with “M365” indexed on one side. This drug is a mixture of acetaminophen (325mg) and hydrocodone bitartrate (5mg) and belongs to the drug class narcotic analgesics. Both drugs last for a similar length of time in the body which makes them appropriate to be given together. This is a prescribed medicine and both are pain relievers used to treat any pain, back pain, joint pains, arthritis, cough, and many other conditions.

Hydrocodone is an opioid, while acetaminophen is an analgesic. Opioids (narcotics) are very strong pain relievers while analgesics are less potent pain reliever that enhances the effects of hydrocodone and at the same time a fever reducer. Together, they are effective at relieving moderate-to-moderately severe pain.

Dosage 

  • Available in tablet and oral solution.
  • They cost less in generic versions.
  • Dosage is based on weight (children), medical condition, and response to treatment.
  • They work best at the first sign of pain.
  • Not available for use in children 6 years old and below.

Side Effects of Acetaminophen/Hydrocodone

Common side effects

  • Anxiety, drowsiness, and dizziness
  • Some nausea
  • Vomiting
  • Upset stomach
  • Constipation
  • Headache
  • Change in mood
  • Blurry vision
  • Ringing in the ears
  • Dry mouth

Serious side effects that need immediate medical attention

  • Trouble breathing
  • Hives
  • Face, lip, tongue or throat swelling
  • Slow breathing or heartbeat
  • Fainting
  • Confusion
  • Feeling afraid
  • Unwanted thoughts or behavior
  • Seizures
  • Trouble urinating
  • Pain in the upper stomach
  • Itching
  • Not eating
  • Dark urine
  • Clay stools
  • Jaundice of the skin or eyes

Some may people not experience these side effects and some of the common symptoms tend to go away once the body has adjusted to treatment. There are other signs and symptoms not listed above. If they become bothersome or unusual or if the symptoms persist, immediately report to your doctor.

Important Information

Before taking this medicine, inform your treating physician:

  • If you have allergies to acetaminophen or hydrocodone or similar medicines.
  • Tell the doctor if you have allergies to other medicines and other substances.
  • If you have a recent head injury, breathing disorders, liver or kidney disease, low blood pressure, stomach disorders, adrenal gland disorders, mental illness, drug or substance abuse, and curvature of the spine.
  • If you feel you are pregnant, pregnant, or planning to get pregnant.
  • If you are breastfeeding.

How to take this medicine:

  • Take exactly as prescribed. Do not increase or decrease your dosage or use for a longer period without your doctor’s advice.
  • Call emergency help in case of overdose. Symptoms include extreme drowsiness, sweating, pinpoint pupils, nausea, vomiting, dark urine, yellowing of the skin or eyes, confusion, cold and clammy skin, muscle weakness, fainting, weak pulse, slow heart rate, coma, blue lips, shallow breathing, or no breathing.
  • Do not double dose in case of a missed dose. If you are taking the medicine on a regular schedule, take the medicine as soon as you remember and skip the schedule if it is almost time for the next dose.
  • Properly measure liquid form of this medicine provided by the pharmacist. Do not use a regular table spoon.
  • This medicine causes constipation. Exercise, increase fiber in diet and water intake. Do not use laxatives or stool softeners without your doctor’s knowledge.
  • Inform the doctor or the dentist before undergoing other treatment, surgery, or dental extraction that you are taking this medicine.

Storage:

  • Keep out of the reach of children and pets.
  • Store in a safe place away from others. Misuse of this medicine can cause addiction, overdose, toxic side effects, and death.
  • Store acetaminophen and hydrocodone at room temperature away from moisture and heat.
  • Discard properly unused or expired medicines.

 

Disclaimer:

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


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M357

Hydrocodone/acetaminophen is an inexpensive drug used to treat moderate to severe pain. It is more popular than comparable drugs and is available in multiple generic and brand versions.

It contains hydrocodone, an opioid (narcotic) and acetaminophen, an analgesic (pain reliever and fever reducer). Both drugs are used to reduce pain and work in your brain to block pain signals and decrease one’s ability to feel pain.

This drug is a prescription medication and a controlled substance. It belongs to the drug class narcotic analgesic combinations and is available in oral tablet and oral solution.

ADVANTAGES

  • This drug is available in generic form, and therefore, costs less.
  • A combination of this drug is effective at relieving moderate-to-moderately severe pain.
  • Acetaminophen/hydrocodone combination is more effective than either drug alone.
  • Both drugs last for a similar length of time in the body which makes them appropriate to be given together.

DISADVANTAGES

  • Other generic forms of this drug may not be available in every strength or form as the brand.
  • Excessive doses of acetaminophen can cause liver damage or death.
  • Hydrocodone component of this medicine causes stomach upsets including nausea, vomiting, and constipation; shortness of breath; dizziness; low blood pressure.
  • Unlike NSAID pain relievers (ex. Ibuprofen); acetaminophen does not have any appreciable anti-inflammatory action.
  • This drug is habit-forming and misuse can cause addiction/dependence, overdose and even death.

SIDE EFFECTS

In general, older adults, children, and people with certain medical conditions or people who take other medications are more at risk of developing a wider range of side effects. This medicine is not intended for use in children 6 years old and below for risk of slow or shallow breathing.

Nausea, vomiting, constipation, lightheadedness, dizziness, or drowsiness may occur. Some side effects tend to disappear with regular use of this medicine and some people may not experience these side effects. Consult the doctor if you feel worsening of symptoms or if you feel other side effects not listed in this section.

Seek emergency help with these serious side effects:

  • shallow breathing, slow heartbeat;
  • feeling light-headed, fainting;
  • confusion, fear, unusual thoughts or behavior;
  • seizure (convulsions);
  • problems with urination; or
  • nausea, stomach pain, loss of appetite, itching, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).
  • allergic reaction such as hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Get help in case you experience these overdose symptoms: extreme drowsiness, sweating, pinpoint pupils, nausea, vomiting, dark urine, jaundice (yellowing of the skin or eyes), confusion, cold and clammy skin, muscle weakness, fainting, weak pulse, slow heart rate, coma, blue lips, shallow breathing, or no breathing.

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

OTHER PRECAUTIONS

  • Take only as prescribed and as directed. Do not increase your dose, take the medication more frequently, or take it for a longer time than prescribed. Properly stop the medication when so directed.
  • Withdrawal symptoms may be experienced when the medicine has been used for a long time and in high doses. Report to your doctor these symptoms right away.
  • Inform the doctor if you are allergic to acetaminophen/hydrocodone or to other opioids and to other substances.
  • Tell the doctor your medical history and the medicines taken.
  • This drug causes drowsiness and dizziness. Avoid alcohol. Do not drive, operate machineries or do activities that require alertness until you know how this drug affects you.
  • Inform your doctor/dentist about the products you use (including prescription/non-prescription drugs, vitamins, supplements, herbal products, etc.) before undergoing treatment, surgery, or dental extraction.
  • Children and older adults are sensitive to side effects of slow/shallow breathing.
  • Caution with use among elderly due to risk of falls and accidents. This medicine can cause drowsiness, confusion, and dizziness.
  • This medicine can harm the unborn baby. Discuss with your doctor the risks and benefits of this medicine and if you are pregnant, planning to get pregnant, or if you feel that you may be pregnant.
  • Acetaminophen/hydrocodone passes into breast milk. Consult your doctor before breastfeeding.
  • Keep out of the reach of children and pets.
  • Discard unused and expired medicines properly.
  • Store acetaminophen and hydrocodone at room temperature away from moisture and heat.

Pain medications work best when used at the first sign of pain. Discuss with your treating physician the risks and benefits involved in taking this medication. Tell the doctor if the medicine doesn’t seem to work or if the pain persists or worsens.

Disclaimer:

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


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M367

Acetaminophen/Hydrocodone is a drug combination used to treat back pain; pain; rheumatoid arthritis; cough, and many other conditions. It is indicated for the management of pain severe enough to require opioid analgesic and for which alternative treatments are inadequate.

This pill belongs to the drug class narcotic analgesic combinations and is manufactured by Mallinckrodt Pharmaceuticals. Narcotic analgesics are also called opiates, narcotics or opioid analgesic. It contains one or more other analgesic such as acetaminophen. Acetaminophen is a pain reliever and a fever reducer at the same time which increases effects of hydrocodone, while the latter belongs to a group of narcotic drugs to relieve pain. This combination is more effective than either drug alone. Both drugs last for a similar length of time in the body which makes them appropriate to be given together.

Acetaminophen/Hydrocodone is effective at relieving pain but may however cause dependence and possibility of liver toxicity with too much use of acetaminophen.

IMPORTANT PATIENT INFORMATION

 Misuse, Addiction, and Abuse

This medicine should only be taken by the person to whom it was prescribed for. This should never be given to another person especially to those with history of alcohol or drug abuse. Store in a place where others cannot get to it.

Respiratory Depression

Breathing problems may develop when starting this medicine or when the dose is increased. Recognize the signs and immediately inform the doctor if this happens.

Accidental Ingestion

This medicine should be disposed of properly to avoid accidental ingestion by children which may cause unwanted side effects or even death.

Interaction with other medicines (MAOI, Benzodiazepines, CNS Depressants)

Use of this drug combination with other medicines and alcohol may cause fatal addictive effects or unwanted side effects. Inform the doctor if you are taking other medicines or before undergoing surgery, dental extraction, and other treatments.

Serotonin Syndrome

Signs include: agitation or restlessness, confusion, rapid heart rate and high blood pressure, dilated pupils, loss of muscle coordination or twitching muscles, muscle rigidity, heavy sweating, diarrhea, headache, shivering, and goose bumps. Report to your doctor if you have these symptoms or if you feel anything unusual while taking this medication.

Side Effects

Constipation, nausea, sleepiness, vomiting, tiredness, headache, dizziness, and abdominal pain may occur. Inform the doctor with worsening symptoms.

Get emergency help if you have trouble breathing, shortness of breath, fast heartbeat, chest pain, swelling of your face, tongue, or throat, extreme drowsiness, light-headedness when changing positions, feeling faint, agitation, high body temperature, trouble walking, stiff muscles, or mental changes such as confusion.

Some other side effects may not be listed. Discuss with your doctor the risks and benefits of taking this medication or immediately call emergency services with severe or allergic symptoms.

IMPORTANT ADMINISTRATION INSTRUCTION

Dosing

  • This medicine is available in oral and liquid form and cost-saving generic versions.
  • Do not change your dose without doctor’s advice. Take exactly as prescribed.
  • Inform your doctor if the pain doesn’t go away with the dose you are taking or if you feel you have become addicted to this medicine.
  • Do not take more than your prescribed dose. If you miss a dose, take your next dose at your usual time.
  • Immediately call the doctor in case of an overdose (symptoms include extreme drowsiness, sweating, pinpoint pupils, nausea, vomiting, dark urine, jaundice (yellowing of the skin or eyes), confusion, cold and clammy skin, muscle weakness, fainting, weak pulse, slow heart rate, coma, blue lips, shallow breathing, or no breathing).

Pregnancy

Acetaminophen/hydrocodone may be harmful to the unborn child and may cause breathing problems or withdrawal symptoms in newborns. Inform your doctor if you are pregnant or planning to get pregnant or if you feel you are pregnant.

Lactation

This medicine passes through breast milk and may harm the nursing infant. Do not use this medication without first informing your doctor.

Hypotension

Older adults are more sensitive to the effects of this medicine. Caution with use to avoid accident or falls.

Driving or Operating Machinery

Avoid driving or operating machinery or doing activities that involve risk until you know how this medicine affects you.

Constipation

Drink 6 to 8 glasses of full water to prevent constipation and increase fiber in diet. Avoid use of stool softeners or laxatives without first informing your doctor.

Disposal of Unused Medicine

Keep out of the reach of children and pets. Flush unused tablets or dispose of properly.

Storage

Store acetaminophen and hydrocodone at room temperature away from moisture and heat.

 

Disclaimer:

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

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S903

S 903 is a green, rectangular, pill manufactured by Dava Pharmaceuticals Inc.. This medicine is used to treat anxiety and panic disorders and belongs to the drug class benzodiazepines.

Benzodiazepines work in the central nervous system producing a calming and sedating effect upon administration. They may also be used as a muscle relaxant, during alcohol withdrawal, or before surgery to induce relaxation and amnesia or memory loss. Alprazolam is such a medicine that affects chemicals in the brain which may be unbalanced in some people.

This pill is available in a variety of dosage forms and in less generic forms. When used to help sleep at night, short-acting version is less likely to cause daytime sedation.

Alprazolam is effective at treating anxiety but may cause addiction and severe withdrawal symptoms. Generally, elderly, children, and people with medical conditions are more at risk of developing a wider range of side effects.

Side effects

Drowsiness, slurred speech, lack of balance, memory problems and anxiety in the morning may be experienced. Inform the doctor if symptoms don’t go away.

Seek emergency help as soon as you experience mood or behavioral changes, suicidal thoughts, unusual risk-taking behavior, confusion, hallucination, tremors, involuntary muscle movements, fluttering chest, and heartbeat.

Allergic reactions may occur in rare instances such as hives; difficult breathing; and swelling of your face, lips, tongue, or throat. Immediately call for help with these symptoms.

If you experience other side effects not listed above, immediately call the doctor or seek emergency help right away.

 Precautions

 Inform the doctor if you have allergies to alprazolam or to any similar medicines.

Tell the doctor your medical history, and the medicines being used to avoid drug interaction and unwanted side effects.

This drug causes drowsiness and dizziness. Do not drive or operate machinery while taking this medicine. Use with caution among elderly for risk of accident and falls.

Do not take alcohol or grapefruit while taking this drug to avoid unwanted side effects.

Alprazolam is not recommended for use during pregnancy, when planning to get pregnant, or breastfeeding. It is not approved for use by children below 18 years old.

Immediately call the doctor with these overdose symptoms: extreme drowsiness, confusion, muscle weakness, loss of balance or coordination, light-headedness, and fainting.

Withdrawal symptoms such as blurred vision, insomnia, sweating and seizures may occur when use of this medicine is stopped immediately. Discontinue only with doctor’s advice. Use the medicine as prescribed and follow doctor’s order.

Do not take extra medicine in case of a missed dose. Skip the schedule if it is almost time for the next dose or take the medicine as soon as you remember.

This drug is habit-forming and can be misused. Use by someone to whom this medicine is not prescribed can cause addiction, overdose or even death.

Do not purchase this medicine from the internet. Sale and distribution via internet sales may not be safe for use.

Tips

Extended-release tablets should be taken in the morning, swallowed whole, and not crushed or chewed.

Use a calibrated dropper/syringe or measuring spoon for liquid form of this medicine.

Orally-disintegrating tablets should be placed in the tongue with dry hands and allowed to dissolve not crushed or chewed.

To minimize dizziness or light-headedness, rise slowly from a sitting or lying position.

Store at room temperature away from moisture and heat.

Keep away from children and pets and store in a safe place away from others.

Disclaimer:

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

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m523


Overview:

Acetaminophen/oxycodone is a combination of a narcotic and an analgesic/antipyretic. It works in the brain and nervous system to decrease pain.

Oxycodone is an opioid pain medication while acetaminophen is a less potent drug that enhances the effects of oxycodone. Together, it relieves moderate to severe pain and belongs to the drug class narcotic analgesic combinations.

How to use this medicine: 

  • Take this acetaminophen/oxycodone by mouth with a full glass of water. Do not take laxative or stool softeners without doctor’s advice.
  • Follow the directions on the prescription label. Do not increase or decrease your dosage without consulting your doctor. Do not take more often unless directed.
  • This drug may be taken with or without food. Take with food if it upsets your stomach or if you feel nauseous.
  • Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
  • Don’t keep leftover medicines. You may flush unused/expired medicines in the toilet or mix with cat litter and seal properly before disposal to avoid use by others to whom this medicine is not prescribed.
  • If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
  • Seek emergency help in case of overdose.  Symptoms include slow breathing and heart rate, severe drowsiness, muscle weakness, cold and clammy skin, pinpoint pupils, and fainting.
  • Extended-release pill should be swallowed whole to avoid exposure to fatal dose.
  • Properly measure liquid dose of this medication.

Side Effects:

Constipation, dry mouth, nausea, vomiting, and tiredness may occur. Call the doctor if symptoms persist.

Seek medical help if you are having allergic reactions such as skin rash, itching or hives, swelling of the face, lips, or tongue and if you are experiencing these serious side effects:

  • breathing problems
  • confusion
  • symptoms of liver problems such as dark yellow or brown urine; general ill feeling or flu-like symptoms; light colored stools; loss of appetite, nausea; right upper belly pain; unusually weak or tired; yellowing of skin and eyes
  • signs of low blood pressure like dizziness; feeling faint or light headed; unusual weakness/tiredness, urinary problems
  • redness, blistering, peeling or loosening of the skin, including inside the mouth

All medicines have side effects but with no to little symptoms are experienced by some people. Contact your doctor if you have symptoms not listed above or if you feel unusual or bothered by some effects of this medication.

Warnings:

TOLERANCE may happen if the medicine doesn’t seem to work and would require more doses to relieve pain.

DEPENDENCE or ADDICTION may occur if people are taking it for a long time and feel the need to continuously use the medicine.

WITHDRAWAL SYMPTOMS such as anxiety; diarrhea; fever, runny nose, or sneezing; goose bumps and abnormal skin sensations; nausea; vomiting; pain; rigid muscles; rapid heartbeat; seeing, hearing, or feeling things that are not there; shivering or tremors; sweating; and trouble sleeping may occur when you immediately stop taking the medicine.

Tell the doctor your medical history, allergies, and medicines taken.

Inform your doctor before taking any other medicines. Some medicines may interact with acetaminophen/oxycodone. Too much acetaminophen can be very dangerous and can cause liver damage.

Acetaminophen/oxycodone may cause dizziness, light-headedness, blurred vision, or drowsiness. Do not drink alcoholic beverages and avoid driving or doing unsafe activities until you know how this medicine affects you.

Consult your doctor before taking any medicines. Inform the doctor and dentist that you are taking this drug before undergoing surgery or dental extraction.

Avoid use of this medicine when pregnant, planning to get pregnant or if you feel you are pregnant. Avoid use when breastfeeding. This medicine can harm the unborn child and the breastfeeding infant.

Caution use among children and elderly. Safety and effectiveness have not been confirmed in children and this medicine can cause accidental falls, breathing problems and drowsiness among elderly.

Storage:

Keep out of children’s reach.

This medicine can be abused. Store in a safe place away from theft, and away from others.

Do not share this medicine. Selling or giving away this drug is dangerous and against the law.

Do not use beyond its expiration date. Dispose properly when no longer in use.

Store in room temperature, away from heat and moisture.

Disclaimer:

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

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4839 V

Pill imprint 4839 V has been identified as Acetaminophen-Oxycodone 325 mg /5 mg. It is white, round, and manufactured by Qualitest Pharmaceuticals Inc…

Acetaminophen-Oxycodone 325 mg /5 mg is a pain reliever used to treat moderate to severe pain and belongs to the drug class narcotic analgesic combinations. Narcotic analgesic combinations are products that contain a narcotic analgesic with one or more other analgesics, such as acetaminophen, aspirin, or ibuprofen. They should only be used to treat moderate-to-severe pain when other less potent analgesics are not effective. They are also known as opioids, opioid analgesics, or narcotics and are very effective at relieving pain but may cause addiction, tolerance, and dependence.

DOSAGE

It is available in oral capsule, oral tablet, oral solution, oral tablet, and extended release.

Generally, older adults, children, and people who have certain medical conditions or taking other medications are at risk of developing a wider range of side effects.

SIDE EFFECTS

Symptoms that need to be reported to your doctor or may need immediate medical attention include the following:

  • allergic reactions such as rash, itching or hives, swelling of the face, lips, or tongue
  • redness, blistering, peeling or loosening of the skin, including inside the mouth
  • breathing/heart problems
  • lightheadedness,
  • confusion, unusual thoughts or behavior;
  • seizure/convulsions
  • urinary problems
  • infertility/menstrual problems
  • sexual problems
  • signs of liver injury such as nausea, upper stomachache, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin/eyes)
  • signs of low cortisol levels such as nausea, vomiting, loss of appetite, dizziness, worsening tiredness or weakness.

Less common side effects include:

  • constipation
  • dry mouth
  • nausea, vomiting
  • tiredness

Report to your doctor any worsening symptoms or any symptom present but not listed above. Some side effects are rare and would usually go away but if they become unusual or bothersome, call your doctor right away.

IMPORTANT NOTES

  • Excessive doses of acetaminophen may injure the liver or cause death.
  • Serotonin syndrome may result when oxycodone interacts with other medicines.
  • Oxycodone component causes nausea, vomiting, dizziness, constipation and stomach upset.
  • Acetaminophen component does not have an anti-inflammatory effect unlike NSAID pain relievers.
  • Sedation is a side effect that can impair one’s reactions and ability to drive or operate machineries.
  • Alcohol taken with this combined medicine can cause fatal side effects.
  • Acetaminophen and oxycodone can slow or stop breathing.
  • Misuse of this medicine can cause addiction, overdose, and death.
  • This drug can cause withdrawal symptoms in the newborn baby when used during pregnancy.
  • Oxycodone/acetaminophen is not safe to use if you are breastfeeding.
  • Extended-release pill should be swallowed whole to avoid exposure to a potentially fatal dose.
  • Liquid form of this medicine should be measured properly.
  • Never crush or break an acetaminophen and oxycodone pill to inhale the powder or mix it into a liquid to inject the drug into your vein.
  • Store at room temperature away from moisture and heat. Discard expired, leftover, or unused medicines properly.
  • This medicine should be kept away from others (for whom this medicine was not prescribed), to children, and pets.
  • Call emergency help in case of overdose symptoms such as slow breathing and heart rate, severe drowsiness, muscle weakness, cold and clammy skin, pinpoint pupils, and fainting.

Discuss with your doctor the advantages and disadvantages of taking this medication and how to ease or avoid side effects. Remember to always take this medicine as prescribed and to talk with your treating physician any questions concerning your treatment.

Disclaimer:

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


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A333

Description

Oxycodone is a moderately potent opioid (narcotic) analgesic generally indicated for relief of moderate to severe pain. It works in the brain to change how your body feels and responds to pain. Acetaminophen is a less potent pain reliever and fever reducer that increases the effects of oxycodone and works by blocking the effects of a specific enzyme, known as cyclo-oxygenase (COX). This combination medicine helps relieve moderate to severe pain and is under the drug class narcotic analgesic combinations.

Advantages

  • A combination of this medication is more effective than one drug alone.
  • Used for the treatment of moderate-to-moderately severe pain unresponsive to other treatment options.
  • This medication is available in tablet and oral solution forms, extended-release forms, as well as some cost-saving generic versions.

Disadvantages

  • Overdose of acetaminophen component can cause liver injury or death.
  • Oxycodone content of this drug can cause stomach upset, nausea, vomiting, and dizziness.
  • Acetaminophen has no anti-inflammatory action unlike NSAID pain relievers.
  • This medicine is habit-forming and can slow or stop breathing.
  • Misuse can cause addiction, overdose, or death.
  • The baby could become dependent on the drug and can cause withdrawal symptoms to the newborn when taken during pregnancy.
  • Skin redness or rash can occur, which causes blistering and peeling that could be fatal.
  • Dangerous side effects may occur if taken with alcohol.
  • Acetaminophen and oxycodone can pass through breast milk and may harm the nursing baby.
  • This medicine is more likely to cause breathing problems in older adults and people who are severely ill, malnourished, or otherwise debilitated.
  • Alcohol combined with acetaminophen/oxycodone can lead to serious or fatal side effects.
  • This medicine can impair your thinking and reactions which may affect driving and other activities that require you to be awake and alert.
  • Fatal overdose may result from taking other products together which can cause too much acetaminophen.

Side Effects

Common side effects:

  • headache, drowsiness, tiredness
  • nausea, vomiting, stomach pain, constipation
  • blurred vision
  • dry mouth.

Some of these side effects may decrease with use overtime. Report to your doctor any worsening symptoms. Seek emergency help with symptoms indicated below or for any other effects of this medication not listed.

Serious side effects:

  • shallow breathing, slow heartbeat
  • a light-headed feeling, like you might pass out
  • confusion, unusual thoughts or behavior
  • seizure (convulsions)
  • problems with urination
  • infertility, missed menstrual periods
  • impotence, sexual problems, loss of interest in sex
  • liver problems–nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes)
  • low cortisol levels–nausea, vomiting, loss of appetite, dizziness, worsening tiredness or weakness

Allergic Reactions:

  • hives
  • difficulty breathing
  • swelling of your face, lips, tongue, or throat

Overdose Symptoms:

  • slow breathing and heart rate,
  • severe drowsiness
  • muscle weakness
  • cold and clammy skin
  • pinpoint pupils
  • fainting

Tips

  • Seek emergency help with serious side effects or worsening symptoms.
  • Inform the doctor if the medicine doesn’t seem to work or if you feel you have become addicted to this drug.
  • Do not exceed the prescribed dosage. Follow doctor’s advice and prescription label.
  • Tell the doctor your medical history and medications taken (over-the-counter, herbal products, vitamins, etc.)
  • To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.
  • Eat high fiber diet and increase water intake while under treatment.
  • Inform your doctor if you intend to take other medicines or if you need to undergo surgery.
  • Swallow extended-release acetaminophen/oxycodone whole.
  • Do not cut, crush, chew or attempt to dissolve extended-release pill because rapid release and absorption of a potentially fatal dose of oxycodone may occur.
  • Properly measure liquid form of this medicine.
  • Keep in a safe and secure place away from others including pets and children. Properly discard medicines no longer in use.
  • Store at room temperature away from moisture and heat.

Disclaimer:

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


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WATSON 3203

Acetaminophen/hydrocodone is a combination of two different pain-relief medicines with two different mechanisms of action. Hydrocodone is a narcotic (opioid) pain reliever while acetaminophen (non-opioid pain reliever) is a less potent pain reliever that enhances the effect of hydrocodone. Hydrocodone works in the brain to change how your body feels and responds to pain while acetaminophen also reduces fever.

A combination of this medicine relieves moderate to severe pain such as back pain, pain, rheumatoid arthritis, cough, and many others.

This medicine is white, capsule-shaped with pill imprint “Watson 3203”, and belongs to the drug class narcotic analgesic combinations. Narcotic analgesics are effective at relieving pain, but can cause addiction, dependence, and tolerance when increasing the dosage for maximum pain relieving effect.

Acetaminophen and hydrocodone Side Effects

 Report to your doctor if any of these symptoms worsen:

  • anxiety, dizziness, drowsiness
  • mild nausea, vomiting, upset stomach, constipation;
  • headache, mood changes;
  • blurred vision;
  • ringing in your ears; or
  • dry mouth

To prevent constipation, exercise regularly, increase water intake and fiber in diet. Consult your doctor first with use of laxative and stool softeners as these are stimulants. Rise slowly from a sitting or lying position to minimize dizziness/lightheadedness. Some patients rarely experience side effects and for some, symptoms just disappear having taken the medicine for a period of time.

Discuss with your doctor how to minimize side effects and some other symptoms that may not be present in this list.

Get medical help with allergic reactions such as rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

Tell the doctor right away if you have these serious side effects:

  • shallow breathing, slow heartbeat;
  • feeling light-headed, fainting;
  • confusion, fear, unusual thoughts or behavior;
  • seizure (convulsions);
  • problems with urination; or
  • nausea, stomach pain, loss of appetite, itching, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

Acetaminophen/hydrocodone is an effective combination pain relieving medicine; however, use is limited by the dependence potential of the hydrocodone component and the possibility of liver toxicity with excessive doses of acetaminophen.

Important Information

  • Take only as prescribed and as directed. Do not exceed recommended dosage.
  • Acetaminophen and hydrocodone can impair thinking and reactions. Avoid driving or activities that require you to be awake and alert.
  • This drug is not recommended for use by children below 6 years old due to an increased risk of side effect such as slow or shallow breathing.
  • Dosage is based on your medical condition, response to treatment, and weight in children.
  • Pain medications work best if used at the first onset of pain. The medication may not work well if you wait for pain to worsen.
  • Withdrawal symptoms such as restlessness, watering eyes, runny nose, nausea, sweating, and muscle aches may occur. Do not immediately stop taking the medication without advice from your doctor and report these symptoms right away.
  • This drug may not work well if used for a long time, talk with your doctor.
  • Risk for drug-seeking behavior/addiction may be increased with previous alcohol and drug abuse.
  • Inform the doctor the following before taking this medicine:
    • Allergies to acetaminophen and other drugs.
    • Some other allergies
    • Medical history, medications taken and plans of surgery
    • If you are pregnant, planning to get pregnant, or breastfeeding
  • Avoid drinking alcohol. Alcohol may increase your risk of liver damage while taking acetaminophen.
  • Do not double dose in case of a missed dose. Take the medicine as soon as you remember. If the medicine is taken regularly, skip the missed dose if the next dosing schedule is near.
  • Get help with overdose symptoms such as extreme drowsiness, sweating, pinpoint pupils, nausea, vomiting, dark urine, jaundice (yellowing of the skin or eyes), confusion, cold and clammy skin, muscle weakness, fainting, weak pulse, slow heart rate, coma, blue lips, shallow breathing, or no breathing.
  • Hydrocodone is habit-forming, do not distribute, do not share with others and store in a secure place away from others.
  • Keep out of the reach of children and pets.

 There may be other side effects not mentioned in the list. Discuss with your doctor the advantages and disadvantages of taking this medication and how to properly take this medicine.

Disclaimer:

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


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TEVA 833

Generic Name: Clonazepam 1 mg

Description

Teva 833 is a green, round tablet which contains 0.5 mg, 1 mg, or 2 mg clonazepam, a benzodiazepine. Benzodiazepines are psychoactive drugs affecting chemicals in the brain that may be unbalanced in some people. Clonazepam is a seizure medicine, also called an anti-epileptic drug.

Uses

Clonazepam is used to prevent and control seizures. This medication is known as an anticonvulsant or antiepileptic drug and is used in the treatment of benzodiazepine withdrawal; panic disorder; anxiety; sleep paralysis; bipolar disorder, and many more.

How to use Clonazepam

Take clonazepam as prescribed and follow all directions in the prescription label. Do not immediately stop taking this medication or increase/decrease the dosage without doctor’s advice. Do not take more often or for a longer period of time. Conditions may worsen or this can have harmful effects.

Dosage varies with age, weight (children), medical condition, and response to treatment. This medication is usually started a lower dose to minimize side effects.

Withdrawal symptoms such as seizures, mental/mood changes, shaking, stomach/muscle cramps may be experienced if you suddenly stop taking the medication and if it has been taken for a long time. Consult your doctor on proper usage and how to minimize side effects.

This medication rarely causes addiction. There is an increased risk for drug-seeking behavior if you have abused alcohol or drug in the past.

Seizures may worsen at the start of treatment especially if you have different types of seizure disorders. Immediately consult your doctor.

Talk with your doctor if the medication doesn’t seem to work, stops working, or if symptoms persist or worsens.

Side Effects

Common side effects such as drowsiness, dizziness, tiredness, loss of coordination, or increased saliva production may occur. Consult your doctor if condition worsens or if symptoms persist.

Many people do not normally experience serious side effects however, if you experience the following symptoms, immediately report to doctor:

  • new or worsening seizures;
  • severe drowsiness;
  • unusual changes in mood or behavior;
  • confusion, aggression, hallucinations;
  • thoughts of suicide or hurting yourself;
  • weak or shallow breathing;
  • pounding heartbeats or fluttering in your chest; or
  • unusual or involuntary eye movements.

Tell your doctor right away if these rare symptoms occur: confusion, memory problems, signs of depression, suicidal thoughts/attempts, and thoughts about harming yourself.

Seek emergency help with these allergic reactions: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

Talk with your doctor about side effects of this medication. Some of the symptoms are not listed above. If you consider them bothersome or unusual, immediately inform your treating physician.

Precautions

Tell your doctor if you are allergic to this medicine or other benzodiazepines if these have been used before. Report also if you have some other types of allergies before taking this medication.

Inform the doctor before taking other medications (prescription/non-prescription drugs, herbal products, medicine, etc.) or undergoing surgery. Some of its ingredients may interact with other medicines which may cause harmful side effects.

Do not drive or operate any machinery or do activities that require alertness. Clonazepam causes drowsiness and dizziness. Caution older adults with use of this medication for risk of falls and accidents.

Clonazepam should only be used when needed. Follow doctor’s advice when taking this tablet during pregnancy. If you plan to get pregnant or feel you may be pregnant, immediately inform the doctor as this may cause harm to both mother and unborn child. This drug may also cause undesirable effects to the nursing infant. Consult your doctor before breastfeeding.

Misusing clonazepam can cause addiction, overdose or death. Keep this medication away from others and avoid selling or giving away as it is against the law.

Store clonazepam at room temperature away from moisture, heat, and light.

Disclaimer:

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


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IP 110

Generic Name: Acetaminophen and Hydrocodone 325 mg / 10 mg

How it works

Acetaminophen/hydrocodone is a combination of two different pain-relief medicines with two different mechanisms of action. Acetaminophen, though not sure how it works, experts say, it blocks a specific enzyme in the brain. Hydrocodone on the other hand, binds to opioid receptors that block pain signals on their way to the brain.

Overview

This medicine is a white, oblong, scored tablet imprinted with “IP 110” and belongs to the drug class narcotic analgesic combinations.

Narcotic analgesic (also known as opiates, opioid analgesics, or narcotics) combinations are products that contain a narcotic analgesic with one or more other analgesics, such as acetaminophen, aspirin, or ibuprofen. They should only be used to treat moderate-to-severe pain when other less potent analgesics are not effective.

They are used to treat back pain; pain; rheumatoid arthritis; cough; and many others. They are very effective at relieving pain; however, they can cause addiction, dependence, and tolerance with increasing doses to relieve pain.

Side Effects

Immediately call your doctor or seek emergency help with these symptoms:

Allergic reactions

  • hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Serious side effects

  • shallow breathing, slow heartbeat;
  • feeling light-headed, fainting;
  • confusion, fear, unusual thoughts or behavior;
  • seizure (convulsions);
  • problems with urination; or
  • nausea, stomach pain, loss of appetite, itching, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

Overdose

  • extreme drowsiness, sweating, pinpoint pupils, nausea, vomiting, dark urine, jaundice (yellowing of the skin or eyes), confusion, cold and clammy skin, muscle weakness, fainting, weak pulse, slow heart rate, coma, blue lips, shallow breathing, or no breathing.

Common side effects don’t normally require medical attention unless the symptoms continue, or are unusual, and/or bothersome. As the body adjusts to treatment, these signs usually just go away. Discuss with your doctor ways to minimize these side effects:

  • feeling anxious, dizzy, or drowsy;
  • mild nausea, vomiting, upset stomach, constipation;
  • headache, mood changes;
  • blurred vision;
  • ringing in your ears; or
  • dry mouth.

Some other side effects not listed above may occur. Discuss with your doctor effects of acetaminophen and hydrocodone and how to properly take this medication.

Important Information

Misuse of this drug can cause harmful side effects. Tell your doctor the following:

  • allergies to acetaminophen or hydrocodone, and other drugs
  • some other allergies
  • medical history (past and present illnesses or diseases)
  • medicines taken (prescription/non-prescription drugs, vitamins, herbal medicines, etc.)
  • if you are pregnant, planning to get pregnant or breastfeeding
  • if you intend to take new medicines or undergo surgery

Take only as prescribed and follow directions and doctor’s advice with use.

Hydrocodone may be habit forming. Do not suddenly stop taking this medication or increase/decrease your dosage without doctor’s advice. This can result to fatal side effects. This should only be used by the person it was prescribed for.

This medicine can impair your thinking and reactions. Avoid driving or operating machineries and activities that require you to be awake and alert.

Avoid drinking alcohol while taking acetaminophen and hydrocodone. Alcohol may increase your risk of liver damage while taking acetaminophen.

Drink 6 to 8 full glasses of water daily to help prevent constipation. Increase fiber in diet and avoid use of laxatives or stool softeners without your doctor’s knowledge.

Store in a secure place away from pets, children and possible use of other persons. Do not distribute this drug as this is against the law.

Discard properly when the medicine is expired or no longer in use.

Response and Effectiveness

Peak concentrations is usually reached within 1.5 hours. Duration of effect varies among individuals, but, in general, may last from 4 to 6 hours. Only take as directed. Tell your doctor if the medicine doesn’t seem to work or if you think you have become addicted to this drug combination.

Disclaimer:

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

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IP 203

Oxycodone is an opioid (narcotics) pain medication, while acetaminophen (also known as paracetamol) is a less potent pain reliever that increases the effects of oxycodone. A combination of both relieves moderate to severe pain.

Oxycodone Hydrochloride and Acetaminophen Tablets are indicated for the management of pain severe enough to require an opioid analgesic and for which alternative treatments are inadequate. This pill belongs to the drug class narcotic analgesic combinations and is white, round, with an imprint “IP 203.”

Narcotic Analgesics are a group of medicines that relieve acute and chronic severe pain by binding to opioid receptors.  These influence the opioid system which controls pain, reward and addictive behaviors. As an opioid, Oxycodone Hydrochloride and Acetaminophen Tablets expose users to the risks of addiction, abuse, and misuse.

SIDE EFFECTS

 Common side effects include:

  • headache, drowsiness, tiredness;
  • nausea, vomiting, stomach pain, constipation;
  • blurred vision; or
  • dry mouth.

 Serious Side Effects

  • shallow breathing, slow heartbeat;
  • a light-headed feeling, like you might pass out;
  • confusion, unusual thoughts or behavior;
  • seizure (convulsions);
  • problems with urination;
  • infertility, missed menstrual periods;
  • impotence, sexual problems, loss of interest in sex;
  • liver problems–nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes); or
  • low cortisol levels–nausea, vomiting, loss of appetite, dizziness, worsening tiredness or weakness.

Signs of an allergic reaction

  • hives;
  • difficulty breathing;
  • swelling of your face,
  • lips, tongue, or throat

In rare occasions, acetaminophen causes a severe skin reaction such as skin redness or a rash that spreads and causes blistering and peeling. Immediately call the doctor as these signs are  fatal. Seek emergency help with allergic reaction and serious side effects of this drug. Some symptoms not listed above may be experienced. Report to your doctor any symptom that becomes unusual or bothersome.

INFORMATION FOR PATIENTS/CAREGIVERS

  • The use of oxycodone hydrochloride and acetaminophen tablets can result to addiction, misuse, and overdose which can lead to fatal side effects or death.
  • Patients are at risk of respiratory depression when starting the medication or when dosage is increased. Seek medical attention in case of difficulty in breathing.
  • There is a risk of accidental Ingestion especially in children. Store and dispose the tablets properly. In case of accidental ingestion, immediately seek emergency help.
  • This medicine interacts with benzodiazepines and other CNS depressants, including alcohol, and other medicines with similar content. Use with caution and follow doctor’s instructions.
  • Oxycodone Hydrochloride and Acetaminophen Tablets can interact with other medications. Tell the physician your medical history including medications taken (over-the-counter, vitamins, herbal medicines, etc.) and before you take any new medicines or if you plan to undergo surgery.

ADMINISTRATION INSTRUCTIONS

  • Consult your physician on proper drug dosage and administration. Do not suddenly stop taking the medication or increase/decrease your dosage without doctor’s advice.
  • Do not double dose in case of a missed dose. Skip the schedule if it is almost time to take the next dose.
  • In case of an overdose, seek emergency help. Symptoms include slow breathing and heart rate, severe drowsiness, muscle weakness, cold and clammy skin, pinpoint pupils, and fainting.
  • This medicine causes dizziness and drowsiness. Carefully rise from a sitting or lying position. Do not drive or operate machineries while taking this medicine or do activities that require you to be awake, alert, or to think. This drug also impairs thinking and reactions.
  • Acetaminophen and oxycodone hydrochloride is harmful to the unborn child and nursing infant. Inform the doctor if you are pregnant, planning to get pregnant, or breastfeeding.
  • This drug causes constipation. Increase daily water intake from 6 to 8 full glasses of water and increase fiber in diet. Avoid use of stool softeners without doctor’s advice.
  • An extended-release pill should be swallowed whole to avoid exposure to potentially fatal dose. Liquid form of this drug should be measured properly.
  • Store at room temperature away from moisture and heat.

 

Disclaimer:

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


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IP 204

What is acetaminophen and oxycodone?

Oxycodone is an opioid pain medication. Opioids are also called narcotics. They bind to opioid receptors in the brain, spinal cord, and other areas of the body. They reduce sending of pain messages to the brain and reduce feelings of pain.

Acetaminophen is a less potent pain reliever that increases the effects of oxycodone. Also known as paracetamol, it is used to treat mild to moderate pain and fever.

A combination of acetaminophen and oxycodone is used to relieve moderate to severe pain. This medicine is white and oval or elliptical shaped and belongs to the drug class narcotic analgesic combinations. Narcotic analgesic or opioid medications attach to receptors on nerves in the brain that increase the threshold to pain (i.e., the amount of stimulation it takes to feel pain), and reduce the perception of pain (the perceived importance of the pain).

What are the side effects of acetaminophen and oxycodone?

Common side effects include feeling dizzy or drowsy; mild nausea, vomiting, upset stomach, constipation; blurred vision; or dry mouth. Adverse/serious side effects include shallow breathing, slow heartbeat; feeling light-headed, fainting; confusion, unusual thoughts or behavior; seizure (convulsions); problems with urination; or nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

In rare cases, acetaminophen may cause a severe skin reaction (skin redness or a rash that spreads and causes blistering and peeling). This can be fatal even if you have not taken acetaminophen before or had no reaction.

Signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop taking the medicine and immediately call your doctor with serious side effects/reactions. Some symptoms are not listed above so it is best to report to your doctor any side effects that do not go away after a period of time, or are unusual, or are bothersome. Discuss with your doctor how to minimize side effects and what needs to be done in case these occurs.

How is this medicine taken?

Follow doctor’s advice and prescription label. Oxycodone can slow or stop your breathing. This medicine is more likely to cause breathing problems in children, older adults and people who are severely ill, malnourished, or otherwise debilitated.

Tell the doctor if the medicine doesn’t seem to work. Never use in large amounts or abruptly stop taking the medicine without telling the doctor. This may cause fatal side effects and overdose can damage the liver or cause death.

This should only be used by the person to whom it was prescribed for. Misuse can cause addiction, overdose, and death. Distribution is also against the law.

Measure the liquid form, do not crush, break, or open an extended-release pill.

Inform the doctor or the dentist if you must take other medicines (vitamins, herbal medicines, prescription/non-prescription drugs) or if you need to undergo surgery.

This medicine is less likely to be missed since this is medicine for pain. Do not double dose in case of a missed dose. Skip the missed schedule if it is almost time for your next medicine.

Overdose can be fatal, signs include slow breathing and heart rate, severe drowsiness, muscle weakness, cold and clammy skin, pinpoint pupils, and fainting. Immediately seek emergency help.

What other important information should I know before taking this medication?

Avoid driving or operating machinery until you know how acetaminophen and oxycodone will affect you.

Do not take alcoholic beverages. This increases the risk for liver damage and may cause fatal side effects.

Taking this medicine can cause serious side effects to the unborn child and the nursing infant. Do not take acetaminophen and oxycodone if you are pregnant, planning to get pregnant or breastfeeding.

Discuss with your doctor allergies to this drug and other medications as well other types of allergies you have.

Inform your doctor of your medical history (past and present illnesses/diseases) that may interact with this medicine.

Storage and Disposal

Store at room temperature away from moisture and heat.

Keep in a secure place away from others.

Do not keep leftover acetaminophen and oxycodone pills or liquid. If there is no take-back program, flush any unused pills or liquid medicine down the toilet.

Properly discard unused or expired medicines.

Disclaimer:

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


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Watson 3202

Overview

Watson 3202 is a brand name for Acetaminophen and Hydrocodone 325 mg / 5 mg. Hydrocodone and acetaminophen combination is used to relieve moderate to moderately severe pain.

Acetaminophen is used to relieve pain and reduce fever in patients. It does not become habit-forming when taken for a long time, but can cause unwanted effects when taken in large doses, including liver damage.

Hydrocodone belongs to a group of medicines called narcotic analgesics or pain medicines. It acts on the central nervous system (brain and nerves) to relieve pain and stops or prevents cough. It is also used to treat backpain, pain, and rheumatoid arthritis.

This drug becomes habit-forming when used for a long time and can cause mental or physical dependence. Mental dependence (addiction) is less likely to occur if used for the purpose of treating pain. Physical dependence may lead to withdrawal symptoms if treatment is stopped immediately. This, however, can be prevented by gradually reducing the dose before treatment is stopped completely. Discuss with your doctor the advantages and disadvantages of taking this drug, the precautions. and side effects. This medicine is available only with doctor’s prescription.

Dosing

The dose of this medication varies for every patient. The amount of medicine you take depends in your age and strength of medicine, the number of doses you take each day, and the time allowed between doses. The length of time you take the medicine will also depend on the medical problem for which you are using the medicine. Always follow your doctor’s order and prescription label. Do not immediately stop taking the medicine or take other medicines if it seems not working. If your dose is different, do not change it unless your doctor tells you to do so.

Missed Dose

Do not double dose. Take the medicine as soon as you remember missing your schedule however, if it is almost time for the next dose, skip the missing dose and go back to your regular dosing schedule.

Overdose

Overdose symptoms include: drowsiness, sweating, pinpoint pupils, nausea, vomiting, dark urine, jaundice (yellowing of the skin or eyes), confusion, cold and clammy skin, muscle weakness, fainting, weak pulse, slow heart rate, coma, blue lips, shallow breathing, or no breathing. Overdose can be fatal. Immediately seek help with these symptoms.

Allergies

Inform your doctor if you have allergy to acetaminophen and hydrocodone and if you have other types of allergies. Signs of allergic reaction include: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Side Effects

Serious Side Effects

  • Difficulty breathing, hives, swelling of the face, lips, tongue or throat (these are signs of an allergic reaction)
  • Decreased breathing, slow heartbeat
  • Lightheadedness
  • Confusion, unusual thoughts
  • Convulsions
  • Feeling anxious, fearful, or depressed; mood swings
  • Difficulty urinating
  • Upper abdominal pain, itching, little appetite, dark urine, clay-colored stools, jaundice
  • Skin redness or rash that causes blistering and peeling

Common Side Effects

  • Drowsiness
  • Dizziness
  • Nausea, vomiting
  • Constipation

Call your doctor in case of serious side effects or if symptoms persists or is bothersome or unusual. Report to your doctor any other symptoms not listed above.

Warnings

Inform the doctor if you are drinking alcohol or if you have a history of drug or alcohol abuse.

Tell the doctor any medications you are currently taking or if you have any present conditions. Make known your medical history to avoid drug interactions and unwanted side effects.

Avoid the following while under treatment: drinking alcohol, driving, operating machinery and doing activities that require you to be awake and alert. This drug enhances effects of alcohol and impairs your thinking and reactions. Alcohol increases the risk of liver damage while taking this medicine.

Acetaminophen and hydrocodone can cause unwanted effects to the unborn child and the nursing infant. Inform your doctor and do not take this medicine if you are pregnant, or you plan to get pregnant and if you are breastfeeding.

It can be taken with or without food, but taking it with food might deter nausea.

This drug can cause constipation. Increase fiber in diet and drink 6 to 8 full glasses of water daily. Do not take stool softeners or laxatives without prior notice from your doctor.

Hydrocodone is a drug of abuse. This should only be used by the person to whom it was prescribed for. Distribution of this medicine is against the law.

Storage/Disposal

Store acetaminophen and hydrocodone at room temperature away from moisture and heat.

Store in a safe place away from pets and children.

Discard properly if expired or no longer 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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G 3722

Generic Name: Alprazolam 2 mg

OVERVIEW

Alprazolam is a benzodiazepine used for the treatment of anxiety and panic disorder. It is white, rectangle, and with an imprint “G 372 2.  Alprazolam works by balancing chemicals in the brain and is a medicine used to calm and sedate, however, causes severe withdrawal symptoms and may be addictive when misused.

DOSAGE

It is available in a variety of dosage forms (short-acting tablets, long-acting tablets, oral solution, orally-dissolving tablets) and in less expensive generic forms.

RESPONSE AND EFFECTIVENESS

Immediate-release and orally disintegrating tablets – peak occurs 1 to 2 hours following administration.

Extended-release forms – consistent levels are reached within 5 to 11 hours.

Response and effectiveness vary between individuals (Asians are more sensitive to the effects of Alprazolam), weight (drug lasts longer in people with more body weight), in people who smoke, and with different formulations.

GENERAL USES

  • It relieves anxiety and panic disorder and is effective at inducing calmness.
  • Short-acting form is less likely to cause daytime sedation, when used to sleep at night.

IMPORTANT NOTES

In general, use of Alprazolam by elderly, children, and by people with certain medical conditions (such as liver or kidney problems, heart disease, diabetes, seizures) or people who take other medications are more at risk of developing a wider range of side effects.

It is important to seek emergency help with these symptoms:

  1. Allergic Reaction – hives, difficulty breathing, swelling of face, lips, tongue, and throat.
  2. Serious Side Effects – depressed mood, suicidal or racing thoughts, increased energy, unusual risk taking behavior, confusion, agitation, hostility, hallucinations, uncontrolled muscle movements, tremors, seizures or convulsions, pounding heartbeats and chest fluttering.
  3. Overdose – extreme drowsiness, confusion, muscle weakness, light headedness, fainting, and loss of balance or coordination.

This is not a complete list of side effects and some other symptoms may occur. Less common side effects include: memory problems, anxiety in the morning, slurred speech, lack of balance and coordination, drowsiness, and feeling tired. Some side effects do not require medical attention as the body adjusts to taking the medication, so it is therefore important to talk with your doctor the benefits and unwanted effects or symptoms of this medicine.

TIPS

  • Mix the oral solution with liquids or semisolid food (such as water, applesauce, puddings), using only the calibrated dropper provided.
  • Use dry hands to place orally-disintegrating tablets on the tongue and allow to dissolve slowly.
  • Extended-release tablets should be taken in the morning, swallowed whole, and not crushed or chewed.
  • Keep in a secure place, away from children and pets. Distribution of this medicine is also prohibited.
  • Alprazolam is habit-forming. Misuse can cause addiction, overdose, or death. Keep in a secure place to avoid use and misuse by others.

The following side effects are more likely experienced by ages 18 to 60 years old, not taking any medication and having no other medical conditions:

  • Low blood pressure, dizziness on standing (may increase the risk of falls), and heart palpitations.
  • Stomach upset including constipation and nausea. Dry mouth, headache and a decrease in libido (sexual drive) are also common.
  • Known to cause emotional and physical dependence (addiction).
  • May impair reaction skills and affect a person’s ability to drive or operate machinery. Avoid alcohol.
  • Smokers may have less of a response.

CAUTION AND PRECAUTIONS 

  • Avoid operating machinery, driving, or performing tasks that require mental alertness while taking this medicine.
  • Avoid alcohol while taking this medicine. Alprazolam increases the effect of alcohol and may cause dangerous side effects.
  • Withdrawal symptoms (blurred vision, insomnia, sweating, rarely seizures) may occur if long-term alprazolam is stopped abruptly; discontinue slowly on a doctor’s advice.
  • Do not use if you have: allergy to alprazolam or similar medicine or any of its component, with acute narrow angle glaucoma, pregnant, planning to get pregnant or breastfeeding.
  • Do not take with itraconazole (Sporanox) or ketoconazole (Nizoral). Always inform the doctor of any medicines you are currently taking or if you intend to undergo surgeries or operations.

It is important to discuss further with your doctor the benefits and side effects of this medication and what needs to be avoided while under medication. Inform the doctor if the medicine seems to stop working and if some side effects are bothersome or seemed unusual. Remember to always follow doctors’ advice and prescription labels.

Disclaimer:

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

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WATSON 385

 

A combination of acetaminophen (APAP, paracetamol) and hydrocodone is used to treat moderate to severe pain. Hydrocodone belongs to narcotic pain relievers. Acetaminophen is a milder pain reliever and a fever reducer that increases the effects of hydrocodone.

Acetaminophen/hydrocodone is used in the treatment of back pain; pain; rheumatoid arthritis; cough and belongs to the drug class narcotic analgesic combinations. It may cause addiction, so it’s important to only take this medication exactly as prescribed by the doctor. Hydrocodone is a medication used to alter the way the body reacts to pain, while acetaminophen is used to reduce fever and minor pain. This class of medication is most effective when it is taken at the first sign of pain.

Important Notes

Take this medicine only as prescribed and follow prescription labels. Do not stop using unless you are advised to do so. To prevent any reaction to medication and treatment, inform the doctor the following:  allergy to acetaminophen and hydrocodone; underlying illnesses or diseases; other medicines or alcoholic beverages taken; and if you intend to undergo surgery and other treatment.

Do not use this medicine if you are pregnant or planning to get pregnant. Avoid use if you are breastfeeding as this passes to breast milk and may be harmful to the nursing baby.

Increase water and fiber intake while taking this medicine. Acetaminophen and hydrocodone causes constipation. Avoid use of laxatives while on treatment and inform the doctor if you intend to take other medications.

Hydrocodone is habit-forming therefore it should only be used by the person to whom it was prescribed for and it should be stored in a secure place. Effects of this medication may impair your reactions and thinking so avoid driving or any activity that requires you to be awake and alert.

Store at room temperature away from moisture and heat.

Caution

It is important to note symptoms of allergic reaction such as hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Immediately call the doctor in case this happens. Other side effects include:

Minor Side Effects

  • feeling anxious, dizzy, or drowsy;
  • mild nausea, vomiting, upset stomach, constipation;
  • headache, mood changes;
  • blurred vision;
  • ringing in your ears; or
  • dry mouth.

These symptoms may or may not disappear. It may disappear once your body has adjusted to treatment; however, inform your doctor if symptoms persist or if it becomes bothersome.

Severe Side Effects

Call the doctor at once if you have these symptoms: shallow breathing, slow heartbeat; feeling light-headed, fainting; confusion, fear, unusual thoughts or behavior; seizure (convulsions); problems with urination; or nausea, stomach pain, loss of appetite, itching, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

Signs of Overdose

Seek emergency help in case of extreme drowsiness, sweating, pinpoint pupils, nausea, vomiting, dark urine, jaundice (yellowing of the skin or eyes), confusion, cold and clammy skin, muscle weakness, fainting, weak pulse, slow heart rate, coma, blue lips, shallow breathing, or no breathing.

This is not a complete list of side effects and precautionary measures. It is best to talk with your doctor and ask for assistance whenever necessary.

Disclaimer:

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

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WATSON 853

Generic Name: acetaminophen and hydrocodone

Brand Names: Anexsia, Dolorex Forte, Hycet, Liquicet, Lorcet, Lortab, Maxidone, Norco, Polygesic, Stagesic, Vicodin, Xodol, Zamicet, Zydone

Overview

This Yellow, Elliptical / Oval Pill has been identified as Acetaminophen and hydrocodone bitartrate 325 mg / 10 mg and is manufactured by Watson Pharmaceuticals.  It belongs to the drug class narcotic analgesic combinations that are used to treat moderate-to-severe pain when other less potent analgesics are not effective. Most of these narcotic analgesics are effective at relieving pain; however, they have a tendency to cause addiction, dependence, and tolerance.

Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage and is the main reason a patient seeks medical care.  It is a symptom which may either be acute or chronic in nature. Acute pain often has a clear source. Chronic pain is more persistent, lasting months or years, and it may or may not have an obvious source. The most common pain remedy is Acetaminophen/hydrocodone and is used in the treatment of back pain; pain; rheumatoid arthritis; cough; and many others.

It is available in oral capsule, oral elixir, oral liquid, oral solution, oral syrup, and oral tablet

Important Information

Inform the doctor of any underlying diseases or illnesses prior treatment and also if you are taking other medications to prevent any reaction to acetaminophen and hydrocodone.

Keep the medicine in a secure place and it should only be used by the person to whom it was prescribed for. Hydrocodone may be habit-forming.

Avoid driving or any activities that require alertness or concentration.  Side effects may impair thinking and your reactions.

Tell the doctor if you are pregnant or if you plan to get pregnant during treatment as this may be harmful to an unborn baby.

Avoid use of acetaminophen and hydrocodone while breastfeeding. The medication may cause harm to the nursing baby.

Take only as prescribed and follow prescription labels. Do not discontinue its use without doctors’ advice.

Acetaminophen and hydrocodone may cause constipation. Increase fiber in diet and drink 6 to 8 glasses daily.

Store acetaminophen and hydrocodone at room temperature away from moisture and heat.

Side Effects

Minor Side Effects

  • feeling anxious, dizzy, or drowsy;
  • mild nausea, vomiting, upset stomach, constipation;
  • headache, mood changes;
  • blurred vision;
  • ringing in your ears; or
  • dry mouth.

Major Side Effects 

  • shallow breathing, slow heartbeat;
  • feeling light-headed, fainting;
  • confusion, fear, unusual thoughts or behavior;
  • seizure (convulsions);
  • problems with urination; or
  • nausea, stomach pain, loss of appetite, itching, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes)

Allergic Reactions

  • hives;
  • difficulty breathing;
  • swelling of your face,
  • lips, tongue, or throat

As your body adjusts to treatment, side effects may go away. Your doctor will provide you ways to prevent or reduce the symptoms. Some (minor) side effects may not need medical attention, however, if the symptoms continue and is bothersome, consult your doctor. Immediately seek emergency help in case of serious side effects or allergic reactions.

Disclaimer:

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


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PLIVA 434

Trazodone belongs to the drug class phenylpiperazine antidepressants and is used for the treatment of major depressive disorder and other conditions, including dysthymia, anxiety disorders, obsessive compulsive disorder, eating disorders, chronic pain, neuropathic pain and, in some cases, dysmenorrhoea, snoring, migraine, attention-deficit hyperactivity disorder (ADHD), addiction, dependence, and sleep disorders.

It affects chemicals in the brain that may be unbalanced in people with depression and may be prescribed alone or in combination with other medications.

Depression is a mood disorder that causes a persistent feeling of sadness and loss of interest. Also called major depressive disorder or clinical depression, it affects how you feel, think and behave and can lead to a variety of emotional and physical problems. You may have trouble doing normal day-to-day activities, and sometimes you may feel as if life isn’t worth living.

It may require long-term treatment and most people with this condition feel better with medication, psychotherapy or both. An example of antidepressant medication is Trazodone, also known as “mood elevator.” It increases a chemical in the brain called serotonin and when its levels are increased, it helps regulate the mood and stabilize depression.

Overview

Trazodone is available in tablet or an extended-release tablet. Your doctor will tell you how much trazodone to take and when to take it. The doctor may also advise you to take trazodone shortly after a meal or a light snack. It is important to take trazodone at the same time each day. Do not take more doses of trazodone than directed. Do not stop taking trazodone suddenly, except on the advice of your doctor. Stopping this medicine too quickly may cause serious side effects or your condition to worsen. Always follow your doctor’s instructions.

Your doctor may start you on a low dose and gradually increase overtime. It is important to allow enough time for it to take effect. Do not stop taking trazodone without talking with your doctor first.

Side Effects, Cautions, and Precautions

  • Before taking Trazodone, talk to your doctor about any health conditions you have or have had in the past.
  • Inform the doctor if you are pregnant or planning to get pregnant or breastfeeding.
  • Trazodone should not be taken if you are allergic to it or to any of its component. Tell your doctor about all the medicines you are taking including herbal medicines, vitamins, supplements, and over-the counter-medications.
  • Discuss with your doctor any side effects which are bothersome or seek emergency help if you notice any sudden, new, or worsening depression; extreme changes in mood; or suicidal thoughts, impulses, or actions.
    • Serious side effects include:
    • Confusion, weakness, or decreased coordination
    • Stiff, rigid muscles or uncontrollable muscle twitching or tremors
    • Fever, sore throat, or other signs of infection
    • Fast, pounding, or irregular heartbeat
    • Hallucinations
    • Painful, prolonged erection
    • Extreme dizziness, light-headedness, or fainting
    • Unusual bleeding or bruising
  • Less serious side effects include:
    • Drowsiness or sleepiness
    • Mild headache
    • Stomach upset, nausea, or vomiting
    • Diarrhea or constipation
    • Trouble sleeping
    • Blurred vision or trouble focusing
    • Dry mouth
  • Signs of allergic reaction are: itching or hives; swelling or tingling in the face, lips, mouth, throat, or hands; chest pain or tightness; or difficulty breathing or swallowing.
  • This is not a complete list of side effects and precautionary measures. Always seek emergency help with any serious side effects or allergic reaction. Report to your doctor any bothersome or alarming side effects you experience while taking this medication.
  • Avoid driving or operating heavy machinery until you know how trazodone affects you.
  • Make sure all your doctors including your dentists know that you are taking trazodone as this may interact with other medications and procedures.
  • Inform the doctor of any change or worsening symptoms over time.
  • 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.
  • Take only as prescribed and do stop using this medication without doctor’s advice. This may lead to unpleasant withdrawal symptoms.
  • Store at room temperature away from moisture, heat, and light.

Disclaimer:

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


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Watson 795

All About Watson 795

If you are suffering from irritable bowel syndrome, your doctor may prescribe you a product known as Dicyclomine, this is more commonly known as Watson 795.

What Does Watson 795 Do?

The main purpose of this drug is to slow down the movements in your gut. It helps to relax the muscles in your stomach and intestines. This means that you will suffer from fewer of the painful stomach cramps which are often associated with this condition.
This is a drug which can be prescribed to anybody who is suffering from irritable bowel syndrome no matter their age.

How Often Will You Be Taking?

Of course, it is important that you always listen to your doctor when they tell you how often you should be taking Watson 795. In most cases, you should be taking it four times a day. This means before every meal and once before you sleep. This should be enough to keep your irritable bowel syndrome symptoms, at least the worse ones, at bay.
This is a drug which will take a little bit of getting used to. As a result, it is likely that your doctor will start you off on a minimal dosage and then work up from there. If you feel as if the Watson 795 is not working on you, then it is important that you talk to your doctor. You should not up your dosage without consulting your doctor as it may conflict with some of the other medications that you are taking!

Side Effects

One of the wonderful things about Watson 795 is the fact that there are very few side effects associated with it. At the most, you will probably suffer from dry mouth or constipation. Some people may also suffer from lightheadedness. It is likely that these symptoms will start to clear up as you get used to the drug. However, if they persist, or they worsen, then it is important that you talk to your doctor. They will be able to work out what the issue is.

It is perhaps worth noting that in most cases, you will just need to work your way through the side effects as they will not be anything too serious. For example; if you are suffering from a dry mouth, sucking on some hard candy is probably all that you are going to need to do.

In very rare cases, you may suffer from serious side effects when you take the Watson 795. The most common of these side effects include:
– Decreased sweating
– Hot or flushed skin
– Irregular heartbeat
– Your heart is beating fast
– You are lacking coordination
– Your speech is slurred
– Your mood changes
– You have difficulty urinating

If this occurs, then it is unlikely that you will be able to continue to use Watson 795.
If you suffer from an allergic reaction, then you need to seek medical assistance immediately. It is important that you do not wait as your life will be on the line.

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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