Prescription Drugs & Asthma Treatment

Prescription Drugs & Asthma Treatment

Prescription Drugs & Asthma Treatment
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Cytoxan (Cyclophosphamide)

Prescription Drugs & Asthma Treatment » Cancer » Cytoxan (Cyclophosphamide)

Cytoxan (Cyclophosphamide) is an alkylating agent used to treat certain cancers. It may also be used to treat other conditions as determined by your doctor.

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About Cytoxan (Cyclophosphamide):

Product Type: Cancer

Brand name: Cytoxan Generic name: Cyclophosphamide What is the most important information I should know about Cytoxan? • Cytoxan should only be administered under the supervision of a qualified healthcare provider experienced in the use of cancer chemotherapeutic agents. • Serious side effects have been reported with the use of Cytoxan including: allergic reactions (difficulty breathing; closing of the throat; swelling of the lips tongue or face; or hives); decreased bone marrow function and blood problems (extreme fatigue; easy bruising or bleeding; black bloody or tarry stools; fever or chills; or signs of infection such as fever; chills or sore throat); bladder problems; and others. Talk to your doctor about the possible side effects from treatment with Cytoxan. • In some cases secondary cancers have been reported to occur during and following treatment with Cytoxan. Talk to your doctor about the risks and benefits of this medication. What is Cytoxan? • Cytoxan is a cancer (chemotherapeutic) medication. Cytoxan interferes with the growth of cancer cells and slows their growth and spread in the body. • Cytoxan is used to treat several types of cancer. Cytoxan is also used to treat certain cases of nephrotic syndrome (kidney disease) in children. • Cytoxan may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Cytoxan? • Before taking Cytoxan tell your doctor if you have an infection or have had recent vaccinations; have a low level of white blood cells or platelets (detected by blood tests); have bone marrow problems; have been previously treated with x-ray therapy; have been previously treated with other chemotherapy medicines (i.e. Alkeran CeeNU Leukeran Myleran and others); have had your adrenal glands removed; need to have surgery; have any unhealed wounds; have a history of heart disease; have liver disease; or have kidney disease. • You may not be able to take Cytoxan or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. • Cytoxan is in the FDA pregnancy category D. This means that Cytoxan is known to be harmful to an unborn baby. Cytoxan may also affect egg production in women and sperm production in men. Do not take Cytoxan without first talking to your doctor if you are pregnant or could become pregnant during treatment. Use of Cytoxan by the father prior to conception has also been associated with birth defects. Contraceptive measures are recommended during treatment with Cytoxan for both men and women. • Cytoxan passes into breast milk and may harm a nursing infant. Do not take Cytoxan without first talking to your doctor if you are breast feeding a baby. How should I take Cytoxan? • Take Cytoxan exactly as directed by your doctor. If you do not understand these instructions ask your doctor nurse or pharmacist to explain them to you. • Take each oral dose with a large glass of water. • To avoid urinary bladder irritation during treatment with either oral or injectable Cytoxan drink plenty of fluid during treatment and for 48 hours following treatment usually 7 to 12 cups (3 quarts) per day and empty your bladder frequently every 2 to 3 hours including once during the night. • Taking oral Cytoxan on an empty stomach is preferable. If severe stomach upset occurs take Cytoxan with food. Continue to take Cytoxan even if nausea and vomiting occurs. Do not stop taking the medicine without first talking to your doctor. Check with your doctor if vomiting occurs shortly after taking a dose of Cytoxan. Your doctor may want you to take another dose but do not do this without checking with your doctor first. • If you are taking a liquid form of Cytoxan by mouth use a dose measuring spoon or cup to ensure that you get the correct dose. • Injectable Cytoxan should only be administered under the supervision of a qualified healthcare provider experienced in the use of cancer chemotherapeutic agents. • Your doctor will determine the correct amount and frequency of treatment with Cytoxan depending upon the type of cancer being treated and other factors. Talk to your doctor if you have any questions or concerns regarding the treatment schedule. • Your doctor will probably want you to have regularly scheduled blood tests and other medical evaluations during treatment with Cytoxan to monitor progress and side effects. • Store Cytoxan oral tablets at or below 77 degrees Fahrenheit (25 degrees Celsius). Brief exposures to 86 degrees Fahrenheit (30 degrees Celsius) are permitted but the tablets should be protected from temperatures above 86 degrees Fahrenheit. Your healthcare provider will store Cytoxan injection as directed by the manufacturer. If you are storing Cytoxan injection at home follow the directions provided by your healthcare provider. • Store Cytoxan oral liquid in a glass container in the refrigerator for up to 14 days. What happens if I miss a dose? • Take the missed oral dose as soon as you remember. If it is almost time for the next dose skip the dose you missed and take only the next regularly scheduled dose as directed. Do not take a double dose of this medication. • Contact your doctor if you miss a dose of Cytoxan injection. What happens if I overdose? • Seek emergency medical attention. • Symptoms of a Cytoxan overdose may include decreased bone marrow function infection and heart problems. What should I avoid while taking Cytoxan? • Cytoxan can lower the activity of the immune system making you more susceptible to infection. Avoid contact with people who have colds the flu or other contagious illnesses. In addition do not receive vaccines that contain a live strain of the virus (e.g. live oral polio vaccine) and avoid contact with individuals who have recently been vaccinated with a live virus. What are the possible side effects of Cytoxan? • If you experience any of the following serious side effects seek emergency medical attention or contact your doctor immediately: an allergic reaction (shortness of breath; closing of your throat; difficulty breathing; swelling of your lips face or tongue; or hives); blood in the urine; black or tarry stools; painful or difficult urination; signs of infection such as fever; chills or sore throat; jaundice (yellowing of the skin or eyes); lower back or side pain; chest pain difficulty breathing or swelling; unusual bleeding or bruising; or changes in bone marrow function (detected by blood tests). • Other less serious side effects may be more likely to occur. Talk to your doctor if you experience nausea vomiting or decreased appetite; mouth sores; abdominal pain; diarrhea; temporary hair loss; temporary or permanent sterility; rash; changes in skin color; or changes in nails. • In some cases secondary cancers have been reported to occur during and following treatment with Cytoxan. Talk to your doctor about the risks and benefits of this medication. • 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. What other drugs will affect Cytoxan? • Before taking Cytoxan tell your doctor if you are taking any other medicines especially any of the following: phenobarbital (Luminal Solfoton); allopurinol (Zyloprim); digoxin (Lanoxin); warfarin (Coumadin); a thiazide diuretic (water pill) such as chlorothiazide (Diuril) hydrochlorothiazide (HCTZ HydroDiuril Esidrix Microzide Oretic) chlorthalidone (Hygroton Thalitone) indapamide (Lozol) metolazone (Mykrox Zaroxolyn) and others; or another chemotherapy medicine. • You may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above. • Do not receive “live” vaccines during treatment with Cytoxan. Administration of a live vaccine may be dangerous during treatment with Cytoxan. • Other drugs may interact with Cytoxan. Talk to your doctor and pharmacist before taking any other prescription or over-the-counter medicines including herbal products during treatment with Cytoxan.

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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