Prescription Drugs & Asthma Treatment

Prescription Drugs & Asthma Treatment

Prescription Drugs & Asthma Treatment
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Advair Diskus (Fluticasone)

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Flovent (Fluticasone)

Flutiform (Fluticasone)

Foradil (Formoterol)

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Glucophage (Metformin)

Prescription Drugs & Asthma Treatment » Diabetes » Glucophage (Metformin)

Glucophage (Metformin) is used to treat a type of diabetes mellitus (sugar diabetes) called type 2 diabetes. With this type of diabetes insulin produced by the pancreas is not able to get sugar into the cells of the body where it can work properly.

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About Glucophage (Metformin):

Product Type: Diabetes

Brand name: Glucophage Generic name: Metformin What is the most important information I should know about Glucophage? • Do not use Glucophage if you have kidney disease or congestive heart failure or if you are in a state of diabetic ketoacidosis (call your doctor for treatment with insulin). • Before taking Glucophage tell your doctor if you have liver disease or a history of heart disease. • Some people have developed a life-threatening condition called lactic acidosis while taking Glucophage. Get emergency medical help if you have any of these symptoms of lactic acidosis: weakness increasing sleepiness slow heart rate cold feeling muscle pain shortness of breath stomach pain feeling light-headed and fainting. • If you need to have any type of x-ray or CT scan using a dye that is injected into a vein you may need to temporarily stop taking Glucophage. Be sure the surgeon knows ahead of time that you are using this medicaton. • Know the signs of low blood sugar (hypoglycemia) and how to recognize them including hunger headache confusion irritability drowsiness weakness dizziness tremors sweating fast heartbeat seizure (convulsions) fainting or coma (severe hypoglycemia can be fatal). Always keep a source of sugar available in case you have symptoms of low blood sugar. What is Glucophage? • Glucophage is an oral diabetes medicine that helps control blood sugar levels. • Glucophage is for people with type 2 diabetes who do not use daily insulin injections. This medication is not for treating type 1 diabetes. • Glucophage may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Glucophage? • Some people have developed a life-threatening condition called lactic acidosis while taking Glucophage. Get emergency medical help if you have any of these symptoms of lactic acidosis: weakness increasing sleepiness slow heart rate cold feeling muscle pain shortness of breath stomach pain feeling light-headed and fainting. • You may be more likely to develop lactic acidosis if you have congestive heart failure. • Do not use Glucophage if you have kidney disease or congestive heart failure or if you are in a state of diabetic ketoacidosis (call your doctor for treatment with insulin). • Before taking this medication tell your doctor if you have: liver disease; or a history of heart disease. • If you have any of these conditions you may not be able to use Glucophage or you may need a dosage adjustment or special tests during treatment. • FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. • It is not known whether Glucophage passes into breast milk or if it could harm a nursing baby. Do not take Glucophage without first talking to your doctor if you are breast-feeding a baby. • Older adults may have a higher risk of developing lactic acidosis. Talk with your doctor about your individual risk. • Glucophage should not be given to a child younger than 10 years old. Extended-release Glucophage (Glucophage XR) should not be given to a child younger than 17 years old. How should I take Glucophage? • Take this medication exactly as it was prescribed for you. Do not take the medication in larger or smaller amounts or take it for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from this medication. • Take Glucophage once daily with your evening meal unless your doctor tells you otherwise. • Glucophage is only part of a complete program of treatment that also includes diet exercise and weight control. It is important to use this medicine regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely. • Do not crush chew or break an extended-release tablet (Glucophage XR). Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time. • To be sure this medication is helping your condition your blood will need to be tested on a regular basis. Your kidney function may also need to be tested. It is important that you not miss any scheduled visits to your doctor. • Your medication needs may change if you become sick or injured if you have a serious infection or if you have any type of surgery. Your doctor may want you to stop taking Glucophage for a short time if any of these situations affect you. • Take care not to let your blood sugar get too low causing hypoglycemia. You may have hypoglycemia if you skip a meal exercise too long drink alcohol or are under stress. • Know the signs of low blood sugar (hypoglycemia) and how to recognize them: hunger headache confusion irritability; drowsiness weakness dizziness tremors; sweating fast heartbeat; seizure (convulsions); or fainting coma (severe hypoglycemia can be fatal). • Always keep a source of sugar available in case you have symptoms of low blood sugar. Sugar sources include orange juice glucose gel candy or milk. If you have severe hypoglycemia and cannot eat or drink use an injection of glucagon. Your doctor can give you a prescription for a glucagon emergency injection kit and tell you how to give the injection. • Your doctor may have you take extra vitamin B12 while you are taking Glucophage. Take only the amount of vitamin B12 that your doctor has prescribed. • If you need to have any type of x-ray or CT scan using a dye that is injected into a vein you may need to temporarily stop taking Glucophage. Be sure the surgeon knows ahead of time that you are using this medicaton. • Store Glucophage at room temperature away from moisture heat and light. What happens if I miss a dose? • Take the missed dose as soon as you remember (be sure to take the medicine with food). If it is almost time for your next dose skip the missed dose and take the medicine at the next regularly scheduled time. 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. You may have signs of low blood sugar such as hunger headache confusion irritability drowsiness weakness dizziness tremors sweating fast heartbeat seizure (convulsions) fainting or coma. • An overdose of Glucophage may cause a life-threatening condition called lactic acidosis. Get emergency medical help if you have any of these symptoms of lactic acidosis: weakness increasing sleepiness slow heart rate cold feeling muscle pain shortness of breath stomach pain feeling light-headed and fainting. What should I avoid while taking Glucophage? • Avoid drinking alcohol while taking Glucophage. Alcohol lowers blood sugar and may increase the risk of lactic acidosis while you are taking this medicine. What are the possible side effects of Glucophage? • Get emergency medical help if you have any of these symptoms of lactic acidosis: weakness increasing sleepiness slow heart rate cold feeling muscle pain shortness of breath stomach pain feeling light-headed and fainting. • Stop using Glucophage and 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: feeling short of breath even with mild exertion; swelling or rapid weight gain; or fever chills body aches flu symptoms. • Other less serious side effects may be more likely to occur such as: headache; weakness; mild nausesa vomiting diarrhea gas stomach pain; or muscle pain. • 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 Glucophage? • You may be more likely to have hyperglycemia (high blood sugar) if you are taking Glucophage with other drugs that raise blood sugar. Drugs that can raise blood sugar include: isoniazid; diuretics (water pills); steroids (prednisone and others); phenothiazines (Compazine and others); thyroid medicine (Synthroid and others); birth control pills and other hormones; seizure medicines (Dilantin and others); and diet pills or medicines to treat asthma colds or allergies. • You may be more likely to have hypoglycemia (low blood sugar) if you are taking Glucophage with other drugs that lower blood sugar. Drugs that can lower blood sugar include: nonsteroidal anti-inflammatory drugs (NSAIDs); aspirin or other salicylates (including Pepto-Bismol); sulfa drugs (Bactrim and others); a monoamine oxidase inhibitor (MAOI); beta-blockers (Tenormin and others); probenecid (Benemid); or a blood thinner (warfarin Coumadin and others). • Some medications may interact with Glucophage. Tell your doctor if you are using any of the following drugs: furosemide (Lasix); nifedipine (Adalat Procardia); cimetidine (Tagamet) or ranitidine (Zantac); amiloride (Midamor) or triamterene (Dyrenium); digoxin (Lanoxin); morphine (MS Contin Kadian Oramorph); procainamide (Procan Pronestyl Procanbid); quinidine (Cardioquin Quinidex Quinaglute); trimethoprim (Proloprim Primsol Bactrim Cotrim Septra); or vancomycin (Vancocin Lyphocin). • If you are using any of these drugs you may not be able to take Glucophage or you may require a dosage adjustment or special monitoring. • There may be other drugs not listed that can affect Glucophage. 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.

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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