Prescription Drugs & Asthma Treatment

Prescription Drugs & Asthma Treatment

Prescription Drugs & Asthma Treatment
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Pamelor (Nortriptyline)

Prescription Drugs & Asthma Treatment » Anti Depressants » Pamelor (Nortriptyline)

Pamelor (Nortriptyline) is a tricyclic antidepressant used to treat depression. It may also be used to treat chronic pain and other conditions as determined by your doctor.

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About Pamelor (Nortriptyline):

Product Type: Anti Depressants

Brand name: Pamelor Generic name: Nortriptyline What is the most important information I should know about pamelor? Do not use pamelor if you have recently had a heart attack or if you have used an MAO inhibitor such as isocarboxazid (Marplan) phenelzine (Nardil) rasagiline (Azilect) selegiline (Eldepryl Emsam) or tranylcypromine (Parnate) within the past 14 days. You may have suicidal thoughts or behavior when you start taking an antidepressant especially if you are under 18 years old. You will need to be monitored for worsening symptoms of depression or suicidal thoughts. Your doctor should check you at regular visits during the first 12 weeks of treatment or whenever your dose is changed. Contact your doctor promptly if you have any of the following side effects especially if they are new symptoms or if they get worse: mood changes anxiety panic attacks trouble sleeping irritability agitation aggressiveness severe restlessness mania (mental and/or physical hyperactivity) thoughts of suicide or hurting yourself. What is pamelor? Pamelor is in a group of drugs called tricyclic antidepressants. Pamelor affects chemicals in the brain that may become unbalanced. Pamelor is used to treat symptoms of depression. Pamelor may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking pamelor? Do not use this medication if you are allergic to pamelor or if you have recently had a heart attack. Do not use pamelor if you have used an MAO inhibitor such as isocarboxazid (Marplan) phenelzine (Nardil) rasagiline (Azilect) selegiline (Eldepryl Emsam) or tranylcypromine (Parnate) within the past 14 days. Serious life-threatening side effects can occur if you take pamelor before the MAO inhibitor has cleared from your body. Before taking pamelor tell your doctor if you are allergic to any drugs or if you have: • heart disease; • a history of heart attack stroke or seizures; • bipolar disorder (manic-depression); • schizophrenia or other mental illness; • diabetes (pamelor may raise or lower blood sugar); • overactive thyroid; • glaucoma; or • problems with urination. If you have any of these conditions you may not be able to use pamelor or you may need a dosage adjustment or special tests during treatment. You may have suicidal thoughts or behavior when you first start taking an antidepressant especially if you are under 18 years old. Watch for worsening symptoms of depression or suicidal thoughts. Your doctor should check you at regular visits during the first 12 weeks of treatment or whenever your dose is changed. In addition to you watching for changes in your own symptoms your family or caregivers should be alert to changes in your mood or symptoms. Contact your doctor promptly if you have any of the following side effects especially if they are new symptoms or if they get worse: mood changes anxiety panic attacks trouble sleeping irritability agitation aggressiveness severe restlessness mania (mental and/or physical hyperactivity) thoughts of suicide or hurting yourself. This medication may 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 pamelor 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. Older adults may be more likely to have side effects from this medication. Do not give this medication to anyone under 18 years old without the advice of a doctor. How should I take pamelor? 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. Your doctor may occasionally change your dose to make sure you get the best results from this medication. Follow the directions on your prescription label. If you need to have any type of surgery tell the surgeon ahead of time that you are taking pamelor. You may need to stop using the medicine for a short time. Do not stop using pamelor without first talking to your doctor. You may need to use less and less before you stop the medication completely. Stopping this medication suddenly could cause you to have unpleasant side effects. It may take a few weeks of using this medicine before your symptoms improve. For best results keep using the medication as directed. Talk with your doctor if your symptoms do not improve during treatment with pamelor. Store pamelor 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 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. An overdose of pamelor can be fatal. Symptoms of a pamelor overdose may include extreme drowsiness confusion agitation hallucinations blurred vision vomiting muscle stiffness feeling hot or cold fainting seizure (convulsions) or coma. What should I avoid while taking pamelor? Avoid drinking alcohol. It can cause dangerous side effects when taken together with pamelor. Avoid using other medicines that make you sleepy (such as cold medicine pain medication muscle relaxers medicine for seizures or other antidepressants). They can add to sleepiness caused by pamelor. Grapefruit and grapefruit juice may interact with pamelor. Discuss the use of grapefruit products with your doctor before increasing or decreasing the amount of grapefruit products in your diet. Pamelor 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. Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Pamelor can make your skin more sensitive to sunlight and sunburn may result. Use a sunscreen (minimum SPF 15) and wear protective clothing if you must be out in the sun. What are the possible side effects of pamelor? 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: • fast pounding or uneven heart rate; • 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; • confusion hallucinations or seizure (convulsions); • easy bruising or bleeding unusual weakness; • restless muscle movements in your eyes tongue jaw or neck; • tremors; • extreme thirst with headache nausea vomiting and weakness; • feeling light-headed or fainting; or • urinating less than usual or not at all. Less serious side effects may be more likely to occur such as: • nausea vomiting stomach pain loss of appetite; • constipation or diarrhea; • weight changes; • dry mouth unpleasant taste; • weakness lack of coordination; • numbness or tingly feeling; • feeling anxious or restless; • sleep problems (insomnia) nightmares; • blurred vision headache ringing in your ears; • mild skin rash; • breast swelling (in men or women); or • increased sweating. 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 pamelor? Before taking pamelor tell your doctor if you have used an SSRI antidepressant in the past 5 weeks such as citalopram (Celexa) escitalopram (Lexapro) fluoxetine (Prozac Sarafem) fluvoxamine (Luvox) paroxetine (Paxil) or sertraline (Zoloft). Before taking pamelor tell your doctor if you are currently using any of the following drugs: • cimetidine (Tagamet); • guanethidine (Ismelin); • reserpine; or • heart rhythm medications such as flecainide (Tambocor) propafenone (Rhythmol) or quinidine (Cardioquin Quinidex Quinaglute). If you are using any of these drugs you may not be able to use pamelor or you may need dosage adjustments or special tests during treatment. There are many other medicines that can interact with pamelor. 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. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you

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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