Tuesday, October 25, 2016

Ketorolac Hexpharm




Ketorolac Hexpharm may be available in the countries listed below.


Ingredient matches for Ketorolac Hexpharm



Ketorolac

Ketorolac tromethamine (a derivative of Ketorolac) is reported as an ingredient of Ketorolac Hexpharm in the following countries:


  • Indonesia

International Drug Name Search

Sertralina Ranbaxygen




Sertralina Ranbaxygen may be available in the countries listed below.


Ingredient matches for Sertralina Ranbaxygen



Sertraline

Sertraline hydrochloride (a derivative of Sertraline) is reported as an ingredient of Sertralina Ranbaxygen in the following countries:


  • Spain

International Drug Name Search

Monday, October 24, 2016

Dilaudid-5


Generic Name: hydromorphone (Oral route)

hye-droe-MOR-fone

Oral route(Tablet;Liquid)

Hydromorphone is a potent Schedule II opioid agonist, which has the highest potential for abuse and risk of producing respiratory depression. Alcohol, other opioids and central nervous system depressants (sedative-hypnotics) potentiate the respiratory depressant effects of hydromorphone, increasing the risk of respiratory depression that might result in death .


Oral route(Tablet, Extended Release)

Exalgo(R) is a potent Schedule II opioid agonist, which has the highest potential for abuse and risk of respiratory depression. Hydromorphone extended-release tablets (Exalgo(R)) are for use in opioid-tolerant patients only with moderate to severe chronic pain. Use in non-opioid-tolerant patients may lead to fatal respiratory depression. Exalgo(R) is for continuous analgesia only and is not intended for use on an as needed basis (ie, PRN). Exalgo(R) should be swallowed whole; not broken, chewed, opened, dissolved, or crushed .



Commonly used brand name(s)

In the U.S.


  • Dilaudid

  • Dilaudid-5

  • Exalgo

  • Palladone

Available Dosage Forms:


  • Liquid

  • Tablet, Extended Release

  • Capsule, Extended Release

  • Tablet

  • Solution

Therapeutic Class: Analgesic


Chemical Class: Opioid


Uses For Dilaudid-5


Hydromorphone oral liquid and tablets are used to relieve pain. The hydromorphone extended-release tablets are used to relieve moderate to severe pain in opioid-tolerant patients.


Hydromorphone belongs to the group of medicines called narcotic analgesics (pain medicines). It acts on the central nervous system (CNS) to relieve pain.


When a narcotic medicine is used for a long time, it may become habit-forming, causing mental or physical dependence. However, people who have continuing pain should not let the fear of dependence keep them from using narcotics to relieve their pain. Mental dependence (addiction) is not likely to occur when narcotics are used for this purpose. Physical dependence may lead to withdrawal side effects if treatment is stopped suddenly. However, severe withdrawal side effects can usually be prevented by gradually reducing the dose over a period of time before treatment is stopped. completely.


This medicine is available only with your doctor's prescription.


Before Using Dilaudid-5


In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:


Allergies


Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.


Pediatric


Appropriate studies have not been performed on the relationship of age to the effects of hydromorphone in the pediatric population. Safety and efficacy have not been established.


Geriatric


Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of hydromorphone in the elderly. However, elderly patients may be more sensitive to the effects of hydromorphone than younger adults, and are more likely to have age-related lung, liver, kidney, or heart problems, which may require caution and an adjustment in the dose for patients receiving hydromorphone.


Pregnancy








Pregnancy CategoryExplanation
All TrimestersCAnimal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

Breast Feeding


Studies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding.


Interactions with Medicines


Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.


Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.


  • Naltrexone

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.


  • Adinazolam

  • Alfentanil

  • Alprazolam

  • Amobarbital

  • Anileridine

  • Aprobarbital

  • Aripiprazole

  • Brofaromine

  • Bromazepam

  • Brotizolam

  • Buprenorphine

  • Buspirone

  • Butabarbital

  • Butalbital

  • Butorphanol

  • Carisoprodol

  • Chloral Hydrate

  • Chlordiazepoxide

  • Chlorpromazine

  • Chlorzoxazone

  • Clobazam

  • Clonazepam

  • Clorazepate

  • Clorgyline

  • Clozapine

  • Codeine

  • Dantrolene

  • Desflurane

  • Dexmedetomidine

  • Dezocine

  • Diazepam

  • Diphenhydramine

  • Doxylamine

  • Enflurane

  • Estazolam

  • Eszopiclone

  • Ethchlorvynol

  • Fentanyl

  • Flumazenil

  • Flunitrazepam

  • Fluphenazine

  • Flurazepam

  • Fospropofol

  • Furazolidone

  • Halazepam

  • Haloperidol

  • Halothane

  • Hydrocodone

  • Hydromorphone

  • Hydroxyzine

  • Iproniazid

  • Isocarboxazid

  • Isoflurane

  • Ketamine

  • Ketazolam

  • Lazabemide

  • Levorphanol

  • Linezolid

  • Lorazepam

  • Lormetazepam

  • Loxapine

  • Medazepam

  • Meperidine

  • Mephenesin

  • Mephobarbital

  • Meprobamate

  • Mesoridazine

  • Metaxalone

  • Methocarbamol

  • Methohexital

  • Midazolam

  • Moclobemide

  • Molindone

  • Morphine

  • Morphine Sulfate Liposome

  • Nalbuphine

  • Nialamide

  • Nitrazepam

  • Nitrous Oxide

  • Nordazepam

  • Olanzapine

  • Opium

  • Oxazepam

  • Oxycodone

  • Oxymorphone

  • Paliperidone

  • Pargyline

  • Pentazocine

  • Pentobarbital

  • Perphenazine

  • Phenelzine

  • Phenobarbital

  • Pimozide

  • Prazepam

  • Procarbazine

  • Promazine

  • Promethazine

  • Propofol

  • Propoxyphene

  • Quazepam

  • Quetiapine

  • Ramelteon

  • Rasagiline

  • Remifentanil

  • Risperidone

  • Secobarbital

  • Selegiline

  • Sevoflurane

  • Sodium Oxybate

  • Sufentanil

  • Tapentadol

  • Temazepam

  • Thiopental

  • Thioridazine

  • Thiothixene

  • Toloxatone

  • Tranylcypromine

  • Triazolam

  • Trifluoperazine

  • Zaleplon

  • Ziprasidone

  • Zolpidem

Interactions with Food/Tobacco/Alcohol


Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.


Using this medicine with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.


  • Ethanol

Other Medical Problems


The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:


  • Addison's disease (adrenal gland problem) or

  • Alcohol abuse, or history of or

  • Breathing or lung problems (e.g., chronic obstructive pulmonary disease [COPD], cor pulmonale, hypercapnia, hypoxia, sleep apnea) or

  • CNS depression, history of or

  • Drug dependence, especially narcotic abuse or dependence, history of or

  • Enlarged prostate (BPH, prostatic hypertrophy) or

  • Gallbladder disease or

  • Hypothyroidism (an underactive thyroid) or

  • Kyphoscoliosis (curvature of spine that can cause breathing problems) or

  • Mental illness, or history of or

  • Obesity, severe or

  • Problems with passing urine—Use with caution. May increase risk for more serious side effects.

  • Brain tumor or

  • Head injuries or

  • Increased pressure in your head—Some of the side effects of hydromorphone can cause serious problems in people who have these medical problems.

  • Breathing problems (e.g., asthma, hypercapnia), severe or

  • Respiratory depression (hypoventilation or slow breathing)—Should not be used in patients with these conditions.

  • Gallbladder surgery or

  • Hypotension (low blood pressure) or

  • Pancreatitis (inflammation of the pancreas) or

  • Seizures, history of—Use with caution. May make these conditions worse.

  • Kidney disease or

  • Liver disease—Use with caution. The effects may be increased because of slower removal of the medicine from the body.

  • Not opioid-tolerant (if you are not already taking a certain amount of morphine, oxycodone, or other opioid medicine) or

  • Paralytic ileus (intestinal blockage) or

  • Stomach or bowel problems (e.g., narrowing of the intestines, Meckel's diverticulum, peritonitis, "short gut" syndrome), history of or

  • Surgery (e.g., stomach, intestinal), history of or

  • Trouble with swallowing—Exalgo® extended-release tablets should not be given in patients with these conditions.

  • Stomach or digestion problems—This medicine may mask the diagnosis of these conditions.

Proper Use of hydromorphone

This section provides information on the proper use of a number of products that contain hydromorphone. It may not be specific to Dilaudid-5. Please read with care.


Take this medicine only as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. This is especially important for elderly patients, who may be more sensitive to the effects of pain medicines. If too much of this medicine is taken for a long time, it may become habit-forming (causing mental or physical dependence).


Measure the oral liquid with a marked measuring spoon, oral syringe, or medicine cup. The average household teaspoon may not hold the right amount of liquid.


If you are using the extended-release tablets:


  • Hydromorphone extended-release tablets are for use in opioid-tolerant patients only. If you are uncertain whether or not you are opioid-tolerant, check with your doctor before using this medicine.

  • This medicine comes with a medication guide. Read and follow these instructions carefully. Ask your doctor if you have any questions.

  • Swallow the tablets whole. Do not break, crush, or chew it.

  • While taking this medicine, part of the tablet may pass into your stools. This is normal and is nothing to worry about.

Exalgo® tablets works differently than hydromorphone tablets, even at the same dose (number of milligrams). Do not switch from the extended-release tablets to the immediate-release tablets unless your doctor tells you to.


Be careful not to handle crushed or broken tablets. If you have contact with broken or crushed tablets or spilled oral liquid, wash your skin or the affected areas with soap and water right away.


Dosing


The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.


The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.


  • For oral dosage form (extended-release tablets):
    • For moderate to severe pain:
      • For patients switching from other oral hydromorphone to Exalgo®:
        • Adults—The once daily starting dose is the same as the total hydromorphone dose that you are taking daily. Your doctor may increase the dose every 3 to 4 days as needed.

        • Children—Use and dose must be determined by your doctor.


      • For patients switching from oral opioids to Exalgo®:
        • Adults—At first, the dose is half of the total opioid dose that you are taking every 24 hours. Your doctor may increase the dose as needed.

        • Children—Use and dose must be determined by your doctor.


      • For patients switching from fentanyl transdermal to Exalgo®:
        • Adults—The medicine should be started at least 18 hours after the removal of the fentanyl patch. At first, the dose is 12 mg every 24 hours for each 25 microgram per hour (mcg/hr) of the transdermal fentanyl. Your doctor may increase the dose as needed.

        • Children—Use and dose must be determined by your doctor.




  • For oral dosage form (liquid):
    • For pain:
      • Adults—At first, 2.5 to 10 milliliters (mL) or one-half to two teaspoonfuls every 3 to 6 hours as needed . Your doctor may increase your dose as needed.

      • Children—Use and dose must be determined by your doctor.



  • For oral dosage form (tablets):
    • For pain:
      • Adults—At first, 2 to 4 milligrams (mg) every 4 to 6 hours. Your doctor may increase your dose as needed.

      • Children—Use and dose must be determined by your doctor.



Missed Dose


If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.


Storage


Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.


Keep out of the reach of children.


Do not keep outdated medicine or medicine no longer needed.


Ask your healthcare professional how you should dispose of any medicine you do not use.


Flush the unused medicine down the toilet.


Precautions While Using Dilaudid-5


It is very important that your doctor check your progress while you are using this medicine. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to take it.


This medicine will add to the effects of alcohol and other CNS depressants (medicines that can make you drowsy or less alert). Some examples of CNS depressants are antihistamines or medicine for allergies or colds; sedatives, tranquilizers, or sleeping medicine; other prescription pain medicine or narcotics; medicine for seizures or barbiturates; muscle relaxants; or anesthetics, including some dental anesthetics. Check with your doctor before taking any of the other medicines listed above while you are using this medicine.


This medicine may be habit-forming. If you feel that the medicine is not working as well, do not use more than your prescribed dose. Call your doctor for instructions.


Dizziness, lightheadedness, or fainting may occur when you get up suddenly from a lying or sitting position. Getting up slowly may help lessen this problem. Also, lying down for a while may relieve dizziness or lightheadedness.


Using narcotics for a long time can cause severe constipation. To prevent this, your doctor may direct you to take laxatives, drink a lot of fluids, or increase the amount of fiber in your diet. Be sure to follow the directions carefully, because continuing constipation can lead to more serious problems.


This medicine may make you dizzy, drowsy, or lightheaded. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or not alert.


This medicine may cause serious allergic reactions, including anaphylaxis. Anaphylaxis can be life-threatening and requires immediate medical attention. Call your doctor right away if you have a rash; itching; hoarseness; trouble breathing; trouble swallowing; or any swelling of your hands, face, or mouth while you are using this medicine.


If you have been using this medicine regularly for several weeks or more, do not change your dose or suddenly stop using it without first checking with your doctor. You may be directed to gradually reduce the amount you are using before stopping treatment completely, or to take another narcotic for a while, to lessen the chance of withdrawal side effects (such as abdominal or stomach cramps, anxiety, fever, nausea, runny nose, sweating, tremors, or trouble with sleeping).


Using this medicine while you are pregnant may cause neonatal withdrawal syndrome in your newborn babies. Tell your doctor right away if your child has the following symptoms: abnormal sleep pattern, diarrhea, high-pitched cry, irritability, shakiness or tremor, weight loss, vomiting, or failure to gain weight.


Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.


Dilaudid-5 Side Effects


Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.


Check with your doctor immediately if any of the following side effects occur:


Less common or rare
  • Agitation

  • bloody, black, or tarry stools

  • blurred vision

  • changes in behavior

  • chest pain or discomfort

  • convulsions

  • decreased urination

  • dry mouth

  • fast, pounding, or irregular heartbeat or pulse

  • lightheadedness, dizziness, or fainting

  • mood or mental changes

  • rapid breathing

  • severe stomach pain, cramping, or burning

  • severe vomiting

  • shortness of breath

  • slow or irregular heartbeat

  • stiff neck

  • sunken eyes

  • thoughts of killing oneself

  • trouble breathing

  • unusual tiredness

  • vomiting of material that looks like coffee grounds, severe and continuing

  • wrinkled skin

Incidence not known
  • Bluish lips or skin

  • change in the ability to see colors, especially blue or yellow

  • cold, clammy skin

  • confusion

  • cough

  • decrease in the frequency of urination

  • decrease in urine volume

  • difficulty in passing urine (dribbling)

  • difficult or troubled breathing

  • dizziness

  • fast, weak pulse

  • headache

  • heart stops

  • irregular, fast or slow, or shallow breathing

  • loss of appetite

  • no pulse or blood pressure

  • noisy breathing

  • not breathing

  • painful urination

  • pale or blue lips, fingernails, or skin

  • sleeplessness

  • sweating

  • tightness in the chest

  • trouble sleeping

  • unable to sleep

  • unconscious

  • wheezing

Get emergency help immediately if any of the following symptoms of overdose occur:


Symptoms of overdose
  • Decreased awareness or responsiveness

  • increased sensitivity of the eyes to light

  • no muscle tone or movement

  • sleepiness or unusual drowsiness

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:


More common
  • Difficulty having a bowel movement (stool)

  • difficulty with moving

  • muscle pain or stiffness

  • nausea

  • pain in the joints

Less common
  • Acid or sour stomach

  • back pain

  • belching

  • bloating or swelling of the face, arms, hands, lower legs, or feet

  • diarrhea

  • discouragement

  • feeling sad or empty

  • heartburn

  • indigestion

  • irritability

  • loss of interest or pleasure

  • muscle spasms

  • pain in the arms or legs

  • rapid weight gain

  • stomach discomfort, upset, or pain

  • tingling of the hands or feet

  • trouble concentrating

  • unusual weight gain or loss

  • weight loss

Less common or rare
  • Being forgetful

  • bleeding after defecation

  • change in taste

  • changes in the patterns and rhythms of speech

  • clumsiness

  • continuing ringing or buzzing or other unexplained noise in the ears

  • crying

  • decreased interest in sexual intercourse

  • delusions of persecution, mistrust, suspiciousness, or combativeness

  • difficulty with swallowing

  • difficulty with walking

  • double vision

  • excess air or gas in the stomach or intestines

  • extra heartbeats

  • feeling of constant movement of self or surroundings

  • full feeling

  • hearing loss

  • inability to have or keep an erection

  • increased appetite

  • joint pain, stiffness, or swelling

  • loss in sexual ability, desire, drive, or performance

  • loss of balance

  • loss of taste

  • low body temperature

  • muscle aches

  • muscle twitching or jerking

  • overactive reflexes

  • passing gas

  • rhythmic movement of muscles

  • runny nose

  • seeing double

  • seeing, hearing, or feeling things that are not there

  • sensation of spinning

  • shivering

  • slurred speech

  • sneezing

  • swelling of the feet or lower legs

  • trouble with speaking

  • uncomfortable swelling around the anus

  • weak or feeble pulse

Incidence not known
  • Bad, unusual or unpleasant (after)taste

  • burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings

  • chills

  • constricted, pinpoint, or small pupils (black part of the eye)

  • deep or fast breathing with dizziness

  • drowsiness

  • dry mouth

  • false or unusual sense of well-being

  • fear or nervousness

  • feeling of warmth

  • hives or welts

  • muscle stiffness or tightness

  • numbness of the feet, hands, and around the mouth

  • redness of the skin

  • redness of the face, neck, arms, and occasionally, upper chest

  • relaxed and calm

  • shaking

  • skin itching

  • uncontrolled eye movements

  • upper abdominal or stomach pain

  • weight loss

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


Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

See also: Dilaudid-5 side effects (in more detail)



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More Dilaudid-5 resources


  • Dilaudid-5 Side Effects (in more detail)
  • Dilaudid-5 Use in Pregnancy & Breastfeeding
  • Drug Images
  • Dilaudid-5 Drug Interactions
  • Dilaudid-5 Support Group
  • 136 Reviews for Dilaudid-5 - Add your own review/rating


  • Dilaudid Prescribing Information (FDA)

  • Dilaudid MedFacts Consumer Leaflet (Wolters Kluwer)

  • Dilaudid Consumer Overview

  • Dilaudid-HP MedFacts Consumer Leaflet (Wolters Kluwer)

  • Dilaudid-HP Prescribing Information (FDA)

  • Exalgo Consumer Overview

  • Exalgo Prescribing Information (FDA)

  • Exalgo MedFacts Consumer Leaflet (Wolters Kluwer)

  • Hydromorphone Prescribing Information (FDA)

  • Hydromorphone Hydrochloride Monograph (AHFS DI)

  • Palladone Prescribing Information (FDA)

  • Palladone Extended-Release Capsules MedFacts Consumer Leaflet (Wolters Kluwer)



Compare Dilaudid-5 with other medications


  • Cough
  • Pain

ARC


Generic Name: zinc oxide topical (ZINK OX ide)

Brand Names: ARC, Balmex, Boudreaux Butt Paste, Caldesene, Calmol-4 Suppository, Critic-Aid Skin Paste, Delazinc, Dermagran BC, Desitin, Desitin Maximum Strength Original, Desitin Rapid Relief Creamy, Diaper Rash Ointment, Diaper Relief, Dr. Smith's Diaper, Flanders Buttocks Ointment, Geri-Protect, Medi-Paste, PeriGuard, Pinxav, Rash Relief, RVPaque, Seniortopix Healix, Soothe & Cool Skin Paste, Sportz Block Dark, Sportz Block Light, Sportz Block Medium, Triple Paste, Tronolane Suppositories, Unna-Flex Elastic Unna Boot 3 inch, Unna-Flex Elastic Unna Boot 4 inch, Znlin


What is ARC (zinc oxide topical)?

Zinc oxide is a mineral.


Zinc oxide topical (for the skin) is used to treat diaper rash, minor burns, severely chapped skin, or other minor skin irritations.


Zinc oxide rectal suppositories are used to treat itching, burning, irritation, and other rectal discomfort caused by hemorrhoids or painful bowel movements.


Zinc oxide topical may also be used for purposes not listed in this medication guide.


What is the most important information I should know about ARC (zinc oxide topical)?


You should not use this medication if you are allergic to zinc, dimethicone, lanolin, cod liver oil, petroleum jelly, parabens, mineral oil, or wax.

Zinc oxide topical will not treat a bacterial or fungal infection. Call your doctor if you have any signs of infection such as redness and warmth or oozing skin lesions.


Keep the diaper area clean and dry to prevent worsening of skin rash. Change wet diapers as soon as possible. Allow the skin to dry thoroughly before putting on a fresh diaper.


Stop using this medication and call your doctor if your condition does not improve within 7 days of treatment. Avoid getting this medication in your mouth or eyes. If this does happen, rinse with water right away. Do not use zinc oxide topical on deep skin wounds or severe burns. Get medical attention for more severe skin irritation or injury.

Avoid using other medications on the areas you treat with zinc oxide unless you doctor tells you to.


What should I discuss with my health care provider before using ARC (zinc oxide topical)?


You should not use this medication if you are allergic to zinc, dimethicone, lanolin, cod liver oil, petroleum jelly, parabens, mineral oil, or wax.

Zinc oxide topical will not treat a bacterial or fungal infection. Call your doctor if you have any signs of infection such as redness and warmth or oozing skin lesions.


It is not known whether zinc oxide topical will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. It is not known whether zinc oxide topical passes into breast milk or if it could harm a nursing baby. Do not use this medication without medical advice if you are breast-feeding a baby.

How should I use ARC (zinc oxide topical)?


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


Apply enough of this medication to cover the entire area to be treated. Zinc oxide often leaves a thin white residue that may not be entirely rubbed in.


To treat chapped skin, minor burn wounds, or other skin irritations, use the medication as often as needed. Apply a thin layer to the affected area and rub in gently.


To treat diaper rash, use this medication each time the diaper is changed. It is especially important to apply the medication at bedtime or whenever there will be a long period of time between diaper changes.


Keep the diaper area clean and dry to prevent worsening of skin rash. Change wet diapers as soon as possible. Allow the skin to dry thoroughly before putting on a fresh diaper.


When using the powder form of this medicine, pour the powder slowly to avoid a large puff into the air. Do not allow a baby to handle a powder bottle during use. Always close the lid after using the powder.

Zinc oxide rectal suppositories come with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.


Wash your hands before and after inserting a rectal suppository.

Try to empty your bowel and bladder just before using the suppository. Cleanse and dry your rectal area thoroughly.


Remove the outer wrapper from the suppository before inserting it. Avoid handling the suppository too long or it will melt in your hands.


For best results, stay lying down after inserting the suppository and hold it in your rectum for a few minutes. The suppository will melt quickly once inserted and you should feel little or no discomfort while holding it in.


Stop using this medication and call your doctor if your condition does not improve within 7 days of treatment. Store at room temperature away from moisture and heat. Keep the tube cap tightly closed when not in use. You may store zinc oxide rectal suppositories in a refrigerator to prevent melting.

What happens if I miss a dose?


Since zinc oxide is used on an as needed basis, you are not likely to miss a dose. Using extra zinc oxide to make up a missed dose will not make the medication more effective.


What happens if I overdose?


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

What should I avoid while using ARC (zinc oxide topical)?


Avoid getting this medication in your mouth or eyes. If this does happen, rinse with water right away. Do not use zinc oxide topical on deep skin wounds or severe burns. Get medical attention for more severe skin irritation or injury.

ARC (zinc oxide topical) side effects


Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using zinc oxide rectal suppositories if you have rectal bleeding or continued pain.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.


What other drugs will affect ARC (zinc oxide topical)?


Avoid applying other skin medications on the same treatment area with zinc oxide, unless your doctor has told you to.


There may be other drugs that can interact with zinc oxide topical or rectal suppositories. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.



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Where can I get more information?


  • Your pharmacist can provide more information about zinc oxide topical.

See also: ARC side effects (in more detail)


Sulfacetamide/Urea Medicated Pads


Pronunciation: sul-fa-SEE-ta-mide/yoor-EE-a
Generic Name: Sulfacetamide/Urea
Brand Name: Rosula NS


Sulfacetamide/Urea Medicated Pads are used for:

Treating certain skin conditions (eg, seborrheic dermatitis) and certain bacterial infections of the skin. It may also be used for other conditions as determined by your doctor.


Sulfacetamide/Urea Medicated Pads are a sulfonamide antibiotic. It works by killing bacteria.


Do NOT use Sulfacetamide/Urea Medicated Pads if:


  • you are allergic to any ingredient in Sulfacetamide/Urea Medicated Pads

  • you have had a severe allergic reaction (eg, severe rash, hives, difficulty breathing, dizziness) to any other sulfonamide medicine, such as acetazolamide, celecoxib, certain diuretics (eg, hydrochlorothiazide), glyburide, probenecid, sulfamethoxazole, valdecoxib, or zonisamide

  • you are taking methenamine

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



Before using Sulfacetamide/Urea Medicated Pads:


Some medical conditions may interact with Sulfacetamide/Urea Medicated Pads. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:


  • if you are pregnant, planning to become pregnant, or are breast-feeding

  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

  • if you have allergies to medicines, foods, or other substances

  • if you have a history of lupus

Some MEDICINES MAY INTERACT with Sulfacetamide/Urea Medicated Pads. Tell your health care provider if you are taking any other medicines, especially any of the following:


  • Silver-containing products (eg, silver sulfadiazine) because they may decrease Sulfacetamide/Urea Medicated Pads's effectiveness

  • Methenamine because it may increase the risk of Sulfacetamide/Urea Medicated Pads's side effects

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


How to use Sulfacetamide/Urea Medicated Pads:


Use Sulfacetamide/Urea Medicated Pads as directed by your doctor. Check the label on the medicine for exact dosing instructions.


  • Sulfacetamide/Urea Medicated Pads are for use on the skin only. Wash and completely dry the affected area. Gently apply the medicated pad to the affected area as directed by your doctor. Wash your hands immediately after using Sulfacetamide/Urea Medicated Pads unless your hands are part of the treated area.

  • To clear up your infection completely, use Sulfacetamide/Urea Medicated Pads for the full course of treatment. Keep using it even if you feel better in a few days.

  • Sulfacetamide/Urea Medicated Pads works best if it is used at the same time each day.

  • Continue to use Sulfacetamide/Urea Medicated Pads even if you feel well. Do not miss any doses.

  • If you miss a dose of Sulfacetamide/Urea Medicated Pads, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use Sulfacetamide/Urea Medicated Pads.



Important safety information:


  • It may take several days for Sulfacetamide/Urea Medicated Pads to work fully.

  • Avoid getting Sulfacetamide/Urea Medicated Pads in your eyes, nose, or mouth.

  • Talk with your doctor before you use any other medicines or cleansers on your skin.

  • Contact your doctor right away if stomach pain or cramps, severe diarrhea, or bloody stools occur. Do not treat diarrhea without first checking with your doctor.

  • Sulfacetamide/Urea Medicated Pads only works against bacteria; it does not treat viral infections.

  • Be sure to use Sulfacetamide/Urea Medicated Pads for the full course of treatment. If you do not, the medicine may not clear up your infection completely. The bacteria could also become less sensitive to this or other medicines. This could make the infection harder to treat in the future.

  • Long-term or repeated use of Sulfacetamide/Urea Medicated Pads may cause a second infection. Tell your doctor if signs of a second infection occur. Your medicine may need to be changed to treat this.

  • Sulfacetamide/Urea Medicated Pads should be used with extreme caution in CHILDREN younger than 12 years old; safety and effectiveness in these children have not been confirmed.

  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Sulfacetamide/Urea Medicated Pads while you are pregnant. It is not known if Sulfacetamide/Urea Medicated Pads are found in breast milk after topical use. If you are or will be breast-feeding while you use Sulfacetamide/Urea Medicated Pads, check with your doctor. Discuss any possible risks to your baby.


Possible side effects of Sulfacetamide/Urea Medicated Pads:


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



Irritation, stinging, or burning of the skin.



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

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); bloody diarrhea; fever; joint pain; red, swollen, or blistered skin; severe diarrhea; sores in the mouth; stomach cramps/pain.



This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.



If OVERDOSE is suspected:


Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Sulfacetamide/Urea Medicated Pads may be harmful if swallowed. Symptoms of ingestion may include change in the amount of urine; nausea; vomiting.


Proper storage of Sulfacetamide/Urea Medicated Pads:

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


General information:


  • If you have any questions about Sulfacetamide/Urea Medicated Pads, please talk with your doctor, pharmacist, or other health care provider.

  • Sulfacetamide/Urea Medicated Pads are to be used only by the patient for whom it is prescribed. Do not share it with other people.

  • If your symptoms do not improve or if they become worse, check with your doctor.

  • Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Sulfacetamide/Urea Medicated Pads. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.



Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

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Methylergonovine Maleate Injection




Methylergonovine Maleate Tablets, USP

Rx Only



DESCRIPTION


Methylergonovine Maleate Tablets, USP is a semi-synthetic ergot alkaloid used for the prevention and control of postpartum hemorrhage.


Methylergonovine Maleate Tablets, USP is available in tablets for oral ingestion containing 0.2 mg methylergonovine maleate.


Tablets


Active ingredient: Methylergonovine maleate, USP 0.2 mg


Inactive ingredients: acacia, corn starch, gelatin, lactose anhydrous, methylparaben, microcrystalline cellulose, povidone, propylparaben, stearic acid, tartaric acid.


Chemically, methylergonovine maleate is designated as ergoline-8-carboxamide, 9, 10-didehydro-N-[1-hydroxymethyl) propyl]-6-methyl-, [8β(S)]-, (Z)-2-butenedioate (1:1) (salt). Its structural formula is:



C20H25N3O2•C4H4O4 Mol Wt:  455.51



CLINICAL PHARMACOLOGY


Methylergonovine maleate acts directly on the smooth muscle of the uterus and increases the tone, rate and amplitude of rhythmic contractions. Thus, it induces a rapid and sustained tetanic uterotonic effect which shortens the third stage of labor and reduces blood loss. The onset of action after I.V. administration is immediate; after I.M. administration, 2-5 minutes, and after oral administration, 5-10 minutes.


Pharmacokinetic studies following an I.V. injection have shown that methylergonovine is rapidly distributed from plasma to peripheral tissues within 2-3 minutes or less. The bioavailability after oral administration was reported to be about 60% with no accumulation after repeated doses. During delivery, with intramuscular injection, bioavailability increased to 78 %. Ergot alkaloids are mostly eliminated by hepatic metabolism and excretion, and the decrease in bioavailability following oral administration is probably a result of first-pass metabolism in the liver.


Bioavailability studies conducted in fasting healthy female volunteers have shown that oral absorption of a 0.2 mg methylergonovine tablet was fairly rapid with a mean peak plasma concentration of 3243 ± 1308 pg/mL observed at 1.12 ± 0.82 hours. For a 0.2 mg intramuscular injection, a mean peak plasma concentration of 5918 ± 1952 pg/mL was observed at 0.41 ± 0.21 hours. The extent of absorption of the tablet, based upon methylergonovine plasma concentrations, was found to be equivalent to that of the I.M. solution given orally, and the extent or oral absorption of the I.M. solution was proportional to the dose following administration of 0.1, 0.2 and 0.4 mg. When given intramuscularly, the extent of absorption of methylergonovine solution was about 25 % greater than the tablet. The volume of distribution (Vdss/F) of methylergonovine was calculated to be 56.1 ± 17.0 liters, and the plasma clearance (CLp/F) was calculated to be 14.4 ± 4.5 liters per hour. The plasma level decline was biphasic with a mean elimination half-life of 3.39 hours (range 1.5 to 12.7 hours). A delayed gastrointestinal absorption (Tmax about 3 hours) of methylergonovine maleate tablet might be observed in postpartum women during continuous treatment with this oxytocic agent.



INDICATIONS AND USAGE


For routine management after delivery of the placenta; postpartum atony and hemorrhage; subinvolution. Under full obstetric supervision, it may be given in the second stage of labor following delivery of the anterior shoulder.



CONTRAINDICATIONS


Hypertension; toxemia; pregnancy; and hypersensitivity.



WARNINGS


This drug should not be administered I.V. routinely because of the possibility of inducing sudden hypertensive and cerebrovascular accidents. If I.V administration is considered essential as a lifesaving measure, methylergonovine maleate should be given slowly over a period of no less than 60 seconds with careful monitoring of blood pressure. Intra-arterial or periarterial injection should be strictly avoided.



PRECAUTIONS



General


Caution should be exercised in the presence of sepsis, obliterative vascular disease, hepatic or renal involvement. Also use with caution during the second stage of labor. The necessity for manual removal of a retained placenta should occur only rarely with proper technique and adequate allowance of time for its spontaneous separation.



Drug Interactions


CYP 3A4 inhibitors (e.g., Macrolide Antibiotics and Protease Inhibitors)


There have been rare reports of serious adverse events in connection with the coadministration of certain ergot alkaloid drugs (e.g., dihydroergotamine and ergotamine) and potent CYP 3A4 inhibitors, resulting in vasospasm leading to cerebral ischemia and/or ischemia of the extremities. Although there have been no reports of such interactions of methylergonovine alone, potent CYP 3A4 inhibitors should not be coadministered with methylergonovine. Examples of some of the more potent CYP 3A4 inhibitors include macrolide antibiotics (e.g., erythromycin, troleandomycin, clarithromycin), HIV protease or reverse transcriptase inhibitors (e.g., ritonavir, indinavir, nelfinavir, delavirdine) or azole antifungals (e.g., ketoconazole, itraconazole, voriconazole). Less potent CYP 3A4 inhibitors should be administered with caution. Less potent inhibitors include saquinavir, nefazodone, fluconazole, grapefruit juice, fluoxetine, fluvoxamine, zileuton, and clotrimazole. These lists are not exhaustive, and the prescriber should consider the effects on CYP 3A4 of other agents being considered for concomitant use with methylergonovine.


No pharmacokinetic interactions involving other cytochrome P450 isoenzymes are known.


Caution should be exercised when methylergonovine maleate is used concurrently with other vasoconstrictors or ergot alkaloids.



Carcinogenesis, Mutagenesis, Impairment of Fertility


No long-term studies have been performed in animals to evaluate carcinogenic potential. The effect of the drug on mutagenesis or fertility has not been determined.



Pregnancy


Category C: Animal reproductive studies have not been conducted with methylergonovine maleate. It is also not known whether methylergonovine maleate can cause fetal harm or can affect reproductive capacity. Use of methylergonovine maleate is contraindicated during pregnancy because of its uterotonic effects. (See INDICATIONS AND USAGE).



Labor and Delivery


The uterotonic effect of methylergonovine maleate is utilized after delivery to assist involution and decrease hemorrhage, shortening the third stage of labor.



Nursing Mothers


Methylergonovine maleate may be administered orally for a maximum of 1 week postpartum to control uterine bleeding. Recommended dosage is 1 tablet (0.2 mg) 3 or 4 times daily. At this dosage level a small quantity of drug appears in mother’s milk. Caution should be exercised when methylergonovine maleate is administered to a nursing woman.



Pediatric Use


Safety and effectiveness in pediatric patients have not been established.



Geriatric Use


Clinical studies of methylergonovine maleate did not include sufficient number of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other reported clinical experience has not identified differences in response between the elderly and younger patients. In general dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy.



ADVERSE REACTIONS


The most common adverse reaction is hypertension associated in several cases with seizure and/or headache. Hypotension has also been reported. Nausea and vomiting have occurred occasionally. Rarely observed reactions have included: acute myocardial infarction, transient chest pains, arterial spasm (coronary and peripheral), bradycardia, tachycardia, dyspnea, hematuria, thrombophlebitis, water intoxication, hallucinations, leg cramps, dizziness, tinnitus, nasal congestion, diarrhea, diaphoresis, palpitation, rash, and foul taste.1


There have been rare isolated reports of anaphylaxis, without a proven causal relationship to the drug product.



DRUG ABUSE AND DEPENDENCE


Methylergonovine maleate has not been associated with drug abuse or dependence of either a physical or psychological nature.



OVERDOSAGE


Symptoms of acute overdose may include: nausea, vomiting, abdominal pain, numbness, tingling of the extremities, rise in blood pressure, in severe cases followed by hypotension, respiratory depression, hypothermia, convulsions, and coma.


Because reports of overdosage with methylergonovine maleate are infrequent, the lethal dose in humans has not been established. The oral LD50 (in mg/kg) for the mouse is 187, the rat is 93, and the rabbit 4.5.2 Several cases of accidental Methylergonovine Maleate Injection in newborn infants have been reported, and in such cases 0.2 mg represents an overdose of great magnitude. However, recovery occurred in all but in one case following a period of respiratory depression, hypothermia, hypertonicity with jerking movements, and, in one case, a single convulsion.


Also, several children 1-3 years of age have accidentally ingested up to 10 tablets (2 mg) with no apparent ill effects. A postpartum patient took 4 tablets at one time in error and reported paresthesias and clamminess as her only symptoms.


Treatment of acute overdosage is symptomatic and includes the usual procedures of:


  1. removal of offending drug by inducing emesis, gastric lavage, catharsis, and supportive diuresis.

  2. maintenance of adequate pulmonary ventilation, especially if convulsions or coma develop.

  3. correction of hypotension with pressor drugs as needed.

  4. control of convulsions with standard anticonvulsant agents.

  5. control of peripheral vasospasm with warmth to the extremities if needed.3


DOSAGE AND ADMINISTRATION


Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration.


Intramuscularly


1 mL, 0.2 mg, after delivery of the anterior shoulder, after delivery of the placenta, or during the puerperium. May be repeated as required, at intervals of 2-4 hours.


Intravenously


Dosage same as intramuscular. (See WARNINGS.)


Orally


One tablet, 0.2 mg, 3 to 4 times daily in the puerperium for a maximum of 1 week.



HOW SUPPLIED


White, round, biconvex compressed tablets debossed with “KP” on one side and “01” on the other side.


Bottles of 100: NDC 40032-140-01



Storage and Handling


Tablets: Store below 25°C (77°F); in tight, light-resistant container.



REFERENCES


  1. Information on Adverse Reactions supplied by Medical Services Department, Novartis Pharmaceuticals, E. Hanover, NJ based on computerized clinical reports.

  2. Berde, B. and Schild, H.O.: Ergot Alkaloids and Related Compounds, Springer-Verlag, New York, 1978, p. 810.

  3. Treatment of Acute Overdosage. Novartis Consumer Health, Inc. Rx Products. Novartis, Medical Services Department.

Manufactured by:


Novel Laboratories, Inc.


Somerset, NJ 08873


NIN-140-00


Rev: 02/11



PACKAGE LABEL.PRINCIPAL DISPLAY PANEL










METHYLERGONOVINE MALEATE 
methylergonovine maleate  tablet










Product Information
Product TypeHUMAN PRESCRIPTION DRUGNDC Product Code (Source)40032-140
Route of AdministrationORALDEA Schedule    








Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
METHYLERGONOVINE MALEATE (METHYLERGONOVINE)METHYLERGONOVINE MALEATE0.2 mg
























Inactive Ingredients
Ingredient NameStrength
LACTOSE MONOHYDRATE 
CELLULOSE, MICROCRYSTALLINE 
POVIDONE K30 
STARCH, CORN 
GELATIN 
ACACIA 
METHYLPARABEN 
PROPYLPARABEN 
TARTARIC ACID 
STEARIC ACID 


















Product Characteristics
ColorWHITEScorescore with uneven pieces
ShapeROUNDSize6mm
FlavorImprint Code
Contains      










Packaging
#NDCPackage DescriptionMultilevel Packaging
140032-140-01100 TABLET In 1 BOTTLENone










Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
ANDAANDA09157706/15/2011


Labeler - Novel Laboratories, Inc. (793518643)

Registrant - Novel Laboratories, Inc. (793518643)









Establishment
NameAddressID/FEIOperations
Novel Laboratories, Inc.793518643MANUFACTURE









Establishment
NameAddressID/FEIOperations
Ivax Pharmaceuticals, Inc.643896244API MANUFACTURE
Revised: 05/2011Novel Laboratories, Inc.

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Friday, October 21, 2016

Dimetapp Allergy Liquigel


Generic Name: brompheniramine (brome feh NEER a meen)

Brand Names: BroveX, BroveX CT, Dimetane, Dimetane Extentab, Dimetapp Allergy, Dimetapp Allergy Liquigel, Lodrane 12 Hour


What is Dimetapp Allergy Liquigel (brompheniramine)?

Brompheniramine is an antihistamine. Brompheniramine blocks the effects of the naturally occurring chemical histamine in the body.


Brompheniramine is used to sneezing; runny nose; itching, watery eyes; hives; rashes; itching; and other symptoms of allergies and the common cold.


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


What is the most important information I should know about Dimetapp Allergy Liquigel (brompheniramine)?


Use caution when driving, operating machinery, or performing other hazardous activities. Brompheniramine may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities. Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while taking brompheniramine. Do not crush, chew, or break the extended- or timed-release forms of brompheniramine. Swallow them whole. They are specially formulated to release the medication slowly in the body.

What should I discuss with my healthcare provider before taking Dimetapp Allergy Liquigel (brompheniramine)?


Do not take brompheniramine if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects.

Before taking brompheniramine, talk to your doctor if you have



  • glaucoma or increased pressure in the eye;




  • a stomach ulcer;




  • an enlarged prostate, bladder problems or difficulty urinating;




  • an overactive thyroid (hyperthyroidism);




  • hypertension or any type of heart problems; or




  • asthma.



You may not be able to take brompheniramine, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.


Brompheniramine is in the FDA pregnancy category C. This means that it is not known whether brompheniramine will be harmful to an unborn baby. Do not take brompheniramine without first talking to your doctor if you are pregnant or could become pregnant during treatment. Brompheniramine passes into breast milk. Infants are especially sensitive to the effects of antihistamines, and serious side effects could occur in a nursing infant. Do not take brompheniramine without first talking to your doctor if you are nursing a baby. If you are over 60 years of age, you may be more likely to experience side effects from brompheniramine. You may require a lower dose of this medication.

How should I take Dimetapp Allergy Liquigel (brompheniramine)?


Take brompheniramine exactly as directed on the package or as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.


Take each dose with a full glass of water.

Brompheniramine can be taken with or without food.


Do not crush, chew, or break the extended- or timed-release forms of brompheniramine. Swallow them whole. They are specially formulated to release the medication slowly in the body.

To ensure that you get a correct dose, measure the liquid form of brompheniramine with a special dose-measuring spoon or cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.


Do not take more of this medication than is prescribed or is recommended on the package. The maximum amount of brompheniramine that you should take in 1 day is 24 mg. The regular-release tablets and the syrup are usually taken every 4 to 6 hours as needed (four to six times a day). The sustained-release tablets and capsules are usually taken every 8 to 12 hours as needed (two or three times a day). If your symptoms do not improve, or if they worsen, contact your healthcare provider. Store brompheniramine at room temperature away from moisture and heat.

What happens if I miss a dose?


Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication unless otherwise directed by your doctor.


What happens if I overdose?


Seek emergency medical attention if an overdose is suspected.

Symptoms of a brompheniramine overdose may include extreme sleepiness, confusion, weakness, ringing in the ears, blurred vision, large pupils, dry mouth, flushing, fever, shaking, insomnia, hallucinations, and possibly seizures.


What should I avoid while taking Dimetapp Allergy Liquigel (brompheniramine)?


Do not take other over-the-counter cough, cold, allergy, diet, pain, or sleep medications while taking brompheniramine without first talking to your pharmacist or doctor. Other medications may also contain brompheniramine or other similar drugs, and you may accidentally take too much of these medicines.


Brompheniramine may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, other antihistamines, pain relievers, anxiety medicines, seizure medicines, and muscle relaxants. Dangerous sedation, dizziness, or drowsiness may occur if brompheniramine is taken with any of these medications.


Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while taking brompheniramine.

Dimetapp Allergy Liquigel (brompheniramine) side effects


Stop taking brompheniramine and seek emergency medical attention if you experience a rare but serious allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives).

Other, less serious side effects may be more likely to occur. Continue to take brompheniramine and talk to your doctor if you experience



  • sleepiness, fatigue, or dizziness;




  • headache;




  • dry mouth; or




  • difficulty urinating or an enlarged prostate.



Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. You may report side effects to FDA at 1-800-FDA-1088.


What other drugs will affect Dimetapp Allergy Liquigel (brompheniramine)?


Do not take brompheniramine if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects.

Do not take other over-the-counter cough, cold, allergy, diet, pain, or sleep medications while taking brompheniramine without first talking to your pharmacist or doctor. Other medications may also contain brompheniramine or other similar drugs, and you may accidentally take too much of these medicines.


Brompheniramine may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, other antihistamines, pain relievers, anxiety medicines, seizure medicines, and muscle relaxants. Dangerous sedation, dizziness, or drowsiness may occur if brompheniramine is taken with any of these medications.


Drugs other than those listed here may also interact with brompheniramine. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.



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  • Brompheniramine 12-Hour Sustained-Release Tablets MedFacts Consumer Leaflet (Wolters Kluwer)

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  • Brovex Suspension MedFacts Consumer Leaflet (Wolters Kluwer)

  • Brovex CT Chewable Tablets MedFacts Consumer Leaflet (Wolters Kluwer)

  • Lodrane 24 24-Hour Sustained-Release Capsules MedFacts Consumer Leaflet (Wolters Kluwer)

  • VaZol Liquid MedFacts Consumer Leaflet (Wolters Kluwer)



Where can I get more information?


  • Your pharmacist has more information about brompheniramine written for health professionals that you may read.

See also: Dimetapp Allergy Liquigel side effects (in more detail)