Prescription Drugs & Asthma Treatment

Prescription Drugs & Asthma Treatment

Prescription Drugs & Asthma Treatment
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Aromasin (Exemestane)

Prescription Drugs & Asthma Treatment » Other » Aromasin (Exemestane)

Exemestane is an oral steroidal aromatase inhibitor used in the adjuvant treatment of hormonally-responsive (also called hormone-receptor-positive estrogen-responsive) breast cancer in postmenopausal women. It acts as a false substrate for the aromatase enzyme and is processed to an intermediate that binds irreversibly to the active site of the enzyme causing its inactivation.

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About Aromasin (Exemestane):

Product Type: Other

Brand name: Aromasin Generic name: Exemestane What is Aromasin? Aromasin (exemestane) lowers estrogen levels in postmenopausal women which may slow the growth of certain types of breast tumors that need estrogen to grow. Aromasin is used to treat breast cancer in postmenopausal women. It is often given to women whose cancer has progressed even after taking tamoxifen (Nolvadex Soltamox) for 2 to 3 years. Aromasin may also be used for other purposes not listed. Important information about Aromasin Aromasin can cause harm to an unborn baby. Do not use this medicine without telling your doctor if you are pregnant. It could harm the unborn baby. Use effective birth control and tell your doctor if you become pregnant during treatment with Aromasin. You may need to take a pregnancy test before using Aromasin to make sure you are not pregnant. You also should not use Aromasin if you are breast-feeding a baby or if you are allergic to exemestane. Before using Aromasin tell your doctor if you have severe liver or kidney disease or if you have not yet completed menopause. If you have any of these conditions you may need a dose adjustment or special tests to safely take this medicine. You may need to keep taking this medicine for up to 5 years. Follow your doctor's instructions. Aromasin may not work as well if you take it together with hormone replacement medication or while using birth control pills or patches. Before taking Aromasin You should not use Aromasin if you are allergic to exemestane or if you are pregnant or breast-feeding. If you have any of these other conditions you may need a dose adjustment or special tests to safely use this medication: • liver disease; • kidney disease; or • not yet completed menopause. FDA pregnancy category D. Aromasin can cause harm to an unborn baby. Do not use this medication without telling your doctor if you are pregnant. It could harm the unborn baby. Use effective birth control and tell your doctor if you become pregnant during treatment. You may need to take a pregnancy test before using Aromasin to make sure you are not pregnant. It is not known whether exemestane passes into breast milk or if it could harm a nursing baby. Do not use Aromasin without telling your doctor if you are breast-feeding a baby. How should I take Aromasin? Take Aromasin exactly as prescribed by your doctor. Do not take it in larger amounts or for longer than recommended. Follow the directions on your prescription label. Aromasin is usually taken once per day. You may need to keep taking take this medicine for up to 5 years. Follow your doctor's instructions. To be sure this medication is not causing harmful effects your blood may need to be tested on a regular basis. Do not miss any follow-up visits to your doctor. Store this medicine at room temperature away from moisture and heat. What happens if I miss a dose? Take the missed dose as soon as you remember. If it is almost time for your next dose wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention if you think you have used too much of this medicine. Overdose symptoms may include stomach pain nausea vomiting or blood in your stools. What should I avoid while taking Aromasin? Aromasin can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Aromasin side effects Get emergency medical help if you have any of these signs of an allergic reaction to Aromasin: hives; difficulty breathing; swelling of your face lips tongue or throat. Call your doctor at once if you have any of these serious side effects: • swollen glands; • a bone fracture; • swelling in your hands or feet; • feeling short of breath even with mild exertion; or • chest pain sudden numbness or weakness sudden headache confusion problems with vision speech or balance. Less serious Aromasin side effects may include: • hot flashes; • anxiety; • upset stomach; • joint pain or stiffness; • weakness headache tired feeling; • depressed mood; • sleep problems (insomnia); or • increased sweating. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. What other drugs will affect Aromasin? Aromasin may not work as well if you take it together with hormone replacement medication or while using birth control pills or patches. Before you start taking Aromasin tell your doctor if you use any of the following drugs: • rifampin (Rifadin Rimactane Rifater); • St. John's wort; or • seizure medication such as carbamazepine (Carbatrol Tegretol) phenobarbital (Luminal Solfoton) or phenytoin (Dilantin). This list is not complete and there may be other drugs that can interact with Aromasin. Tell your doctor about all your prescription and over-the-counter medications vitamins minerals herbal products and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

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Prescription Drugs & Asthma Treatment: Advair Diskus (Fluticasone / Salmeterol) Fluticasone is a steroid. It prevents the release of substances in the body that cause inflammation. Salmeterol is a bronchodilator. It works by relaxing muscles in the airways to improve breathing. Advair Diskus (Fluticasone and Salmeterol) inhalation is used to prevent asthma attacks. It is also used to prevent flare-ups or worsening of chronic obstructive pulmonary disease (COPD) associated with chronic bronchitis and/or emphysema. Buy Advair Diskus (Fluticasone / Salmeterol) and other Asthma products online at Medstore. About Advair Diskus (Fluticasone / Salmeterol): Product Type: Asthma Brand name: Advair Diskus Generic name: Fluticasone / Salmeterol What is Advair Diskus (fluticasone and salmeterol)? Fluticasone is a steroid. It prevents the release of substances in the body that cause inflammation. Salmeterol is a bronchodilator. It works by relaxing muscles in the airways to improve breathing. Advair Diskus (fluticasone and salmeterol) inhalation is used to prevent asthma attacks. It is also used to prevent flare-ups or worsening of chronic obstructive pulmonary disease (COPD) associated with chronic bronchitis and/or emphysema. Advair Diskus (fluticasone and salmeterol) may also be used for other purposes not listed in this medication guide. What is the most important information I should know about fluticasone and salmeterol? Do not use fluticasone and salmeterol to treat an asthma attack that has already begun. Before using fluticasone and salmeterol tell your doctor if you have a food or drug allergy heart disease high blood pressure a seizure disorder an infection a weak immune system diabetes glaucoma tuberculosis osteoporosis a thyroid disorder or liver disease. Call your doctor right away if you feel that this medicine is not working as well as usual or if it makes your condition worse. Salmeterol has been shown to increase the risk of asthma-related death. It is critical that you use only the prescribed dose of this medicine and follow all patient instructions for safe use of the medication. What should I discuss with my healthcare provider before using this medication? Do not use this medication if you are allergic to fluticasone (Flonase Flovent) salmeterol (Serevent) or milk proteins or if you are having an asthma attack or severe COPD symptoms. Salmeterol has been shown to increase the risk of asthma-related death. It is critical that you use only the prescribed dose of this medicine and follow all patient instructions for safe use of the medication. If you have any of these other conditions you may need a dose adjustment or special tests to safely use this medication: • a food or drug allergy; • heart disease or high blood pressure; • epilepsy or other seizure disorder; • an infection of any kind; • a weak immune system; • diabetes; • glaucoma; • tuberculosis; • osteoporosis; • a thyroid disorder; or • liver disease. FDA pregnancy category C. It is not known whether fluticasone and salmeterol is harmful to an unborn baby. Before using this medication tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether fluticasone and salmeterol passes into breast milk or if it could harm a nursing baby. Do not use fluticasone and salmeterol inhalation without telling your doctor if you are breast-feeding a baby. Advair Diskus (fluticasone and salmeterol) inhalation can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using this medication. Long-term use of steroids may lead to bone loss (osteoporosis) especially if you smoke if you do not exercise if you do not get enough vitamin D or calcium in your diet or if you have a family history of osteoporosis. How should I use this medication? Use this medication exactly as it was prescribed for you. Do not use the medication in larger amounts or use it for longer than recommended by your doctor. Follow the directions on your prescription label. This medication comes with patient instructions for safe and effective use and directions for priming the inhaler device if needed. Follow these directions carefully. Do not use fluticasone and salmeterol inhalation to treat an asthma attack that has already begun. It will not work fast enough. Use only a fast-acting inhalation medication. Advair Diskus is a powder form of fluticasone and salmeterol that comes with a special inhaler device pre-loaded with blister packs containing measured doses of the medicine. The device opens and loads a blister each time you use the inhaler. This device is not to be used with a spacer. Advair HFA is an aerosol form of fluticasone and salmeterol that comes in a canister that is used with an actuator inhaler device. Use only the inhaler device provided with Advair HFA. This device is not to be used with a spacer. Shake the Advair HFA inhaler for at least 5 seconds before each spray. Keep track of the number of sprays you have used and throw away the Advair HFA canister after 120 sprays even if it feels like there is still medicine in it. If you also use a steroid medication do not stop using the steroid suddenly or you may have unpleasant withdrawal symptoms. Talk with your doctor about using less and less of the steroid before stopping completely. Call your doctor right away if any of your asthma medications do not seem to work as well in treating or preventing asthma attacks. An increased need for medication could be an early sign of a serious asthma attack. If you use a peak flow meter call your doctor if your numbers are lower than normal. Asthma is usually treated with a combination of different drugs. To best treat your condition use all of your medications as directed by your doctor. Do not change your doses or medication schedule without advice from your doctor. Carry an identification card or wear a medical alert ID to let others know that you may need an oral steroid in an emergency. Store this medication at room temperature away from moisture and heat. Keep the Advair HFA canister away from high heat such as open flame or in a car on a hot day. The canister may explode if it gets too hot. What happens if I miss a dose? Use the medication as soon as you remember. If it is almost time for the next dose skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention if you think you have used too much of this medicine. Overdose symptoms may include angina or chest pain fast or irregular heartbeats seizures tremor weakness headache nausea and vomiting. What should I avoid while using this medication? Do not use a second form of salmeterol (such as Serevent) or use a similar inhaled bronchodilator such as formoterol (Foradil) unless your doctor has told you to. Advair Diskus (fluticasone and salmeterol) can lower the blood cells that help your body fight infections. Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using steroid medicines. This medication side effects Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face lips tongue or throat. Call your doctor at once if you have any of these serious side effects: • bronchospasm (wheezing chest tightness trouble breathing); • fast or uneven heart beats restless feeling tremor; • fever chills stabbing chest pain cough with yellow or green mucus; • blurred vision eye pain or seeing halos around lights; • white patches or sores inside your mouth or on your lips; or • worsening asthma symptoms. Less serious side effects include: • headache dizziness; • nausea vomiting diarrhea; • dry mouth nose or throat; • stuffy nose sinus pain cough sore throat; or • hoarseness or deepened voice. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. What other drugs will affect this medication? Before using fluticasone and salmeterol inhalation tell your doctor if you are using any of the following drugs: • amiodarone (Cordarone); • a diuretic or “water pill”; • HIV medicines such as atazanavir (Reyataz) ritonavir (Norvir) indinavir (Crixivan) nelfinavir (Viracept) or saquinavir (Invirase); • an MAO inhibitor such as isocarboxazid (Marplan) tranylcypromine (Parnate) phenelzine (Nardil) rasagiline (Azilect) or selegiline (Eldepryl Emsam); • an antidepressant such as amitriptyline (Elavil) desipramine (Norpramin) fluoxetine (Prozac) nefazodone or imipramine (Tofranil); • antibiotics such as clarithromycin (Biaxin) or telithromycin (Ketek); • antifungal medications such as ketoconazole (Nizoral) or itraconazole (Sporanox); or • a beta-blocker such as atenolol (Tenormin) carvedilol (Coreg) metoprolol (Lopressor Toprol) and others. This list is not complete and there may be other drugs that can interact with fluticasone and salmeterol inhalation. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins minerals herbal products and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor Generic Advair Diskus (Fluticasone / Salmeterol) Cutivate Flixonase Flixotide Flonase Flovent Diskus Flunase Seretide 250/50mcg 1 250/50mcg 2 accuhalers 500/50mcg 1 250/50mcg 3 accuhalers 500/50mcg 2 accuhalers 250/50mcg 4 accuhalers 500/50mcg 3 accuhalers 250/50mcg 5 accuhalers 500/50mcg 4 accuhalers 500/50mcg 5 accuhalers Fluticasone / Salmeterol Advair Diskus