Prescription Drugs & Asthma Treatment

Prescription Drugs & Asthma Treatment

Prescription Drugs & Asthma Treatment
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Maxalt (Rizatriptan)

Prescription Drugs & Asthma Treatment » Pain Medicine » Maxalt (Rizatriptan)

Maxalt (Rizatriptan) is a headache medicine. It is believed to work by narrowing the blood vessels around the brain. It also reduces substances in the body that can trigger headache pain nausea sensitivity to light and sound and other migraine symptoms. Maxalt (Rizatriptan) will only treat a headache that has already begun. It will not prevent headaches or reduce the number of attacks.

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About Maxalt (Rizatriptan):

Product Type: Pain Medicine

Brand name: Maxalt Generic name: Rizatriptan What is Maxalt (Rizatriptan)? Maxalt is a headache medicine. It is believed to work by narrowing the blood vessels around the brain. Maxalt also reduces substances in the body that can trigger headache pain nausea sensitivity to light and sound and other migraine symptoms. Maxalt is used to treat migraine headaches. Maxalt will only treat a headache that has already begun. It will not prevent headaches or reduce the number of attacks. Maxalt may also be used for other purposes not listed in this medication guide. What is the most important information I should know about rizatriptan? Maxalt can cause serious side effects on the heart including heart attack or stroke. Although these side effects are rare do not use this medication if you have a history of heart disease angina (chest pain) blood circulation problems ischemic bowel disease severe or uncontrolled high blood pressure or history of a heart attack or stroke. Before using rizatriptan tell your doctor if you have coronary artery disease or risk factors for coronary artery disease (such as diabetes menopause smoking being overweight having high blood pressure or high cholesterol having a family history of coronary artery disease being older than 40 and a man or being a woman who has had a hysterectomy). Do not use rizatriptan if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan) tranylcypromine (Parnate) rasagiline (Azilect) selegiline (Eldepryl Emsam) or phenelzine (Nardil) in the past 14 days. Do not use rizatriptan within 24 hours after taking almotriptan (Axert) eletriptan (Relpax) frovatriptan (Frova) sumatriptan (Imitrex) naratriptan (Amerge) zolmitriptan (Zomig) or ergot medicine such as methysergide (Sansert) ergotamine (Ergomar Ergostat Cafergot Ercaf Wigraine) dihydroergotamine (D.H.E. 45 Migranal Nasal Spray) ergonovine (Ergotrate) methylergonovine (Methergine). Before taking rizatriptan tell your doctor if you are also taking an antidepressant such as citalopram (Celexa) duloxetine (Cymbalta) escitalopram (Lexapro) fluoxetine (Prozac Sarafem) fluvoxamine (Luvox) paroxetine (Paxil) sertraline (Zoloft) or venlafaxine (Effexor). Maxalt will only treat a headache that has already begun. It will not prevent headaches or reduce the number of attacks. After taking a rizatriptan tablet you must wait two (2) hours before taking a second tablet. Do not take more than 30 mg of rizatriptan in 24 hours. What should I discuss with my healthcare provider before using rizatriptan? Do not use this medication if you are allergic to rizatriptan or if you have: • a history of heart disease angina (chest pain) blood circulation problems or history of a heart attack or stroke; • ischemic bowel disease; • severe or uncontrolled high blood pressure; or • a headache that is not like other headaches you have had. Do not use rizatriptan if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan) tranylcypromine (Parnate) rasagiline (Azilect) selegiline (Eldepryl Emsam) or phenelzine (Nardil) in the past 14 days. Do not use rizatriptan within 24 hours after taking any of the following medicines: • almotriptan (Axert) eletriptan (Relpax) frovatriptan (Frova) sumatriptan (Imitrex) naratriptan (Amerge) or zolmitriptan (Zomig); or • ergot medicine such as methysergide (Sansert) ergotamine (Ergomar Ergostat Cafergot Ercaf Wigraine) dihydroergotamine (D.H.E. 45 Migranal Nasal Spray) ergonovine (Ergotrate) methylergonovine (Methergine). Before using rizatriptan tell your doctor if you have: • high blood pressure; • liver disease; • kidney disease; • phenylketonuria (tablets may contain phenylalanine); • coronary artery disease (or risk factors that include diabetes menopause smoking being overweight having high blood pressure or high cholesterol having a family history of coronary artery disease being older than 40 and a man or being a woman who has had a hysterectomy). If you have any of these conditions you may need a dose adjustment or special tests to safely take rizatriptan. FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Your name may need to be listed on a rizatriptan pregnancy registry when you start using this medication. It is not known whether rizatriptan passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. This medicine should not be given to anyone younger than 18 years old. How should I use rizatriptan? Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts or take it for longer than recommended by your doctor. Follow the instructions on your prescription label. Take rizatriptan as soon as you notice headache symptoms or after an attack has already begun. Your doctor may want to give your first dose of this medicine in a hospital or clinic setting to see if you have any serious side effects. Take one rizatriptan tablet whole with a full glass of water. To take rizatriptan orally disintegrating tablets (Maxalt-MLT): • Keep the tablet in its blister pack until you are ready to take the medicine. Open the package and peel back the foil from the tablet blister. Do not push a tablet through the foil or you may damage the tablet. • Using dry hands remove the tablet and place it in your mouth. It will begin to dissolve right away. • Do not swallow the tablet whole. Allow it to dissolve in your mouth without chewing. • Swallow several times as the tablet dissolves. If desired you may drink liquid to help swallow the dissolved tablet. After taking a tablet: If your headache does not completely go away or goes away and comes back take a second tablet two (2) hours after the first. Do not take more than 30 mg of rizatriptan in 24 hours. If your symptoms have not improved contact your doctor before taking any more tablets. Contact your doctor if you have more than four headaches in one month (30 days). Store rizatriptan at room temperature away from moisture and heat. What happens if I miss a dose? Since rizatriptan is used as needed it does not have a daily dosing schedule. Call your doctor promptly if your symptoms do not improve after using rizatriptan. After taking a rizatriptan tablet you must wait two (2) hours before taking a second tablet. Do not take more than 30 mg of rizatriptan in 24 hours. What happens if I overdose? Seek emergency medical attention if you think you have used too much of this medicine. Overdose symptoms may include severe headache blurred vision trouble concentrating chest pain numbness seizure (convulsions) neck stiffness tiredness lack of coordination feeling light-headed or fainting. What should I avoid while using rizatriptan? Maxalt 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. Maxalt 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 rizatriptan and call your doctor at once if you have any of these serious side effects: • chest pain or heavy feeling pain spreading to the arm or shoulder nausea sweating general ill feeling; • sudden numbness or weakness especially on one side of the body; • sudden headache confusion problems with vision speech or balance; • fast heart rate agitation muscle stiffness hallucinations lack of coordination with nausea vomiting or diarrhea; • sudden and severe stomach pain and bloody diarrhea; or • numbness or tingling and a pale or blue-colored appearance in your fingers or toes. Less serious side effects may include: • dry mouth upset stomach; • mild headache (not a migraine); • feeling too warm or too cold; • tremors confusion; • warmth redness or tingling under your skin; • feeling of pain or pressure in your neck and throat; or • weakness dizziness sleepiness. This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. What other drugs will affect rizatriptan? Before using rizatriptan tell your doctor if you are using any of the following drugs: • propranolol (Inderal InnoPran); • an antidepressant such as citalopram (Celexa) duloxetine (Cymbalta) escitalopram (Lexapro) fluoxetine (Prozac Sarafem) fluvoxamine (Luvox) paroxetine (Paxil) sertraline (Zoloft) or venlafaxine (Effexor); or • another migraine medicine such as almotriptan (Axert) eletriptan (Relpax) frovatriptan (Frova) sumatriptan (Imitrex) naratriptan (Amerge) or zolmitriptan (Zomig). This list is not complete and there may be other drugs that can interact with rizatriptan. 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 Maxalt (Rizatriptan)

Maxalt (Rizatriptan)

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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