Prescription Drugs & Asthma Treatment

Lanoxin (Digoxin)

Prescription Drugs & Asthma Treatment » Cardiovascular » Lanoxin (Digoxin)

Lanoxin (Digoxin) is a cardiac glycoside used to treat heart failure and some irregular heart rhythms.

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About Lanoxin (Digoxin):

Product Type: Cardiovascular

Brand name: Lanoxin Generic name: Digoxin What is lanoxin? Digoxin helps the heart to beat more strongly and regularly. Digoxin is used to treat conditions such as congestive heart failure and atrial fibrillation/atrial flutter (types of fast heartbeats). Digoxin may also be used for purposes other than those listed in this medication guide. What is the most important information I should know about lanoxin? Do not stop taking lanoxin suddenly. Stopping suddenly could make your condition worse. Even if you feel better you need to keep taking this medication to help the heart work properly. Make sure you always have enough lanoxin on hand for vacations and holidays. Ask your doctor to teach you how to monitor your heart rate and at what heart rate you should notify them before taking any more medication. What should I discuss with my healthcare provider before taking lanoxin? Before taking this medication tell your doctor if you: • have kidney disease; • have thyroid disease or • are taking any other heart medication. You may require a dosage adjustment or special monitoring while taking lanoxin. Digoxin is in the FDA pregnancy category C. This means that it is not known whether lanoxin will be harmful to an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment. Digoxin passes into breast milk and may harm a nursing infant. Do not take this medication without first talking to your doctor if you are breast-feeding a baby. If you are over 65 years of age you may be more likely to experience side effects from lanoxin. You may require a dosage adjustment or special monitoring. How should I take lanoxin? Take lanoxin exactly 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. Try to take lanoxin at the same time every day. Ask your doctor to teach you how to monitor your heart rate and at what heart rate you should notify them before taking any more medication. Do not stop taking lanoxin suddenly. Stopping suddenly could make your condition worse. Even if you feel better you may need to keep taking this medication to help the heart work properly. Make sure you always have enough lanoxin on hand for vacations and holidays. Your doctor may want to perform blood tests during treatment with lanoxin to monitor the amount of medication in your body. Store this medication at room temperature away from moisture and heat. What happens if I miss a dose? Take the missed dose up to 12 hours late. If more than 12 hours have passed skip the missed dose and take only the next regularly scheduled dose. Do Not take a double dose of this medication. What happens if I overdose? Seek emergency medical attention. Symptoms of a lanoxin overdose include nausea vomiting decreased appetite diarrhea confusion seizures hallucinations light "halos" around objects green or yellow vision fatigue irregular heartbeats and abnormally fast or slow heartbeats. What should I avoid while taking lanoxin? There are no restrictions on food beverages or activity while taking lanoxin unless otherwise directed by your doctor. Digoxin side effects If you experience any of the following serious side effects stop taking lanoxin and seek medical attention or contact your doctor immediately: • an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips tongue or face; or hives); • a severe headache fainting or extreme drowsiness or dizziness; • irregular heartbeats; • slow heartbeats (fewer than 60 beats per minute); • abnormally fast heartbeats; • vision changes (e.g. yellow-green or blurred vision); • hallucinations; orv • abnormal or psychotic behavior. If you experience any of the following less serious side effects continue to take lanoxin and talk to your doctor if you experience • decreased appetite and diarrhea; • unusual tiredness or weakness; • depression; • nausea or vomiting; • drowsiness or dizziness; • decreased sex drive; or • enlarged breasts in males. 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 lanoxin? Before taking lanoxin tell your doctor if you are taking any of the following medicines: • another medication for irregular heartbeats such as quinidine (Quinidex Quinora Cardioquin others) amiodarone (Cordarone) or propafenone (Rythmol); • an antacid or laxative that contains aluminum magnesium or kaolin-pectin such as Maalox Rolaids Mylanta Milk of Magnesia and others; • a beta-blocker such as atenolol (Tenormin) propranolol (Inderal) acebutolol (Sectral) metoprolol (Lopressor) carteolol (Cartrol) labetalol (Normodyne Trandate) or nadolol (Corgard); • a calcium channel blocker such as diltiazem (Cardizem Dilacor XR Tiazac) amlodipine (Norvasc) felodipine (Plendil) nifedipine (Procardia Adalat) verapamil (Verelan Calan Isoptin Covera-HS) and others; • a cancer chemotherapy drug; • a diuretic (water pill) such as hydrochlorothiazide (HCTZ HydroDiuril others) chlorothiazide (Diuril) chlorthalidone (Hygroton Thalitone) furosemide (Lasix) torsemide (Demadex) bumetanide (Bumex) ethacrynic acid (Edecrin) triamterene (Dyrenium Maxzide Dyazide) amiloride (Midamor) spironolactone (Aldactone) eplerenone (Inspra) and others; • a steroid medicine such as prednisone (Deltasone) methylprednisolone (Medrol others) prednisolone (Prelone Pediapred others) dexamethasone (Decadron) and others; • a thyroid medication; • alprazolam (Xanax); • amphotericin B (Fungizone); • cholestyramine (Questran Prevalite) or colestipol (Colestid); • erythromycin (E.E.S. E-Mycin Eryc Ery-Tab PCE others) or clarithromycin (Biaxin); • indomethacin (Indocin); • itraconazole (Sporanox); • metoclopramide (Reglan); • rifampin (Rifadin Rimactane); • sulfasalazine (Azulfidine); or • tetracycline (Broadspec Emtet Panmycin Sumycin Tetracap others). You may require a dosage adjustment or special monitoring if you are taking any of the medicines listed above. Drugs other than those listed here may also interact with lanoxin or affect your condition. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines including herbal products.

Generic Lanoxin (Digoxin)

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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