Prescription Drugs & Asthma Treatment

Prescription Drugs & Asthma Treatment

Prescription Drugs & Asthma Treatment
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Rulide (Roxithromycin)

Prescription Drugs & Asthma Treatment » Antibiotics » Rulide (Roxithromycin)

Rulide (Roxithromycin) is used to treat infections in different parts of the body caused by bacteria. For example:acute pharyngitis (sore throat and discomfort when swallowing)tonsillitissinusitisacute bronchitis (infection of the bronchi causing coughing)pneumonia (lung infection characterised by fever malaise headache)skin and soft tissue infectionsnon gonoccocal urethritisimpetigo (bacterial infection causing sores on the skin)Rulide is an antibiotic that belongs to a group of medicines called macrolides.

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About Rulide (Roxithromycin):

Product Type: Antibiotics

Brand name: Rulide Generic name: Roxithromycin Common uses This medicine is used to treat infections in different parts of the body caused by bacteria. For example: • acute pharyngitis (sore throat and discomfort when swallowing) • tonsillitis • sinusitis • acute bronchitis (infection of the bronchi causing coughing) • pneumonia (lung infection characterised by fever malaise headache) • skin and soft tissue infections • non gonoccocal urethritis • impetigo (bacterial infection causing sores on the skin) Rulide is an antibiotic that belongs to a group of medicines called macrolides. These antibiotics work by killing or stopping the growth of the bacteria that are causing your infection. Rulide like other antibiotics does not work against viral infections such as the flu. Your doctor may have prescribed Rulide for another reason. Ask your doctor if you have any questions about why Rulide has been prescribed for you. This medicine is available only with a doctor's prescription. Rulide is not addictive. Before using Do not take Rulide if you have an allergy to: roxithromycin or any other macrolide antibiotic eg. azithromycin clarithromycin or erythromycin. Any of the ingredients listed at the end of this leaflet (see product description). If you are taking certain medicines for migraine headache called ergot alkaloids. Before you start taking this medicine tell your doctor if: you are pregnant or intend to become pregnant; you are breast-feeding or plan to breast-feed; you have or have ever had any other health problems/medical conditions including: kidney problems (impaired function) liver problems (hepatic cirrhosis with jaundice and /or ascites) Tell your doctor if you are taking any other medicines including medicines that you buy without a prescription from your pharmacy supermarket or health food shop. Directions Follow all directions given to you by your doctor and pharmacist carefully. They may differ from the information you read. If you do not understand the instructions on the box ask your doctor or pharmacist for help. Swallow Rulide tablets whole with a glass of water. Rulide should be taken at least 15 minutes before food or on an empty stomach (ie. more than 3 hours after a meal). Rulide works best if you take it on an empty stomach. For treating infections Rulide is usually taken for 5 to 10 days. However your doctor may prescribe Rulide for longer periods. Check with your doctor if you are not sure how long you should be taking it. Continue taking Rulide until you finish the pack or until your doctor recommends. If you miss a dose: If it is almost time for your next dose skip the dose you missed and take your next dose when you are meant to. Otherwise take it as soon as you remember and then go back to taking your tablets as you would normally. If you are not sure whether to skip the dose talk to your doctor or pharmacist. Do not double a dose to make up for the dose that you missed. Cautions If you are about to start taking any new medicine tell your doctor and pharmacist that you are taking Rulide. Tell all the doctors dentists and pharmacists who are treating you that you are taking Rulide. Do not stop taking your tablets because you are feeling better unless advised by your doctor. If you do not complete the full course prescribed by your doctor all of the bacteria causing your infection may not be killed. These bacteria may continue to grow and multiply so that your infection may not clear completely or it may return. Do not give Rulide to anyone else even if they have the same condition as you. Do not use Rulide to treat any other complaints unless your doctor tells you to. Keep your tablets in the blister pack until it is time to take them. If you take the tablets out of the blister pack they may not keep well. Keep Rulide in a cool dry place where the temperature stays below 30°C. Do not store it or any other medicine in the bathroom or near a sink. Do not leave it in the car or on window sills. Heat and dampness can destroy some medicines. Keep it where children cannot reach it. A locked cupboard at least one-and-a-half metres (5 ft) above the ground is a good place to store medicines. If your doctor tells you to stop taking the tablets or the tablets have passed their expiry date ask your pharmacist what to do with any tablets that are left over. If you take too much Immediately contact your doctor if you think that you or anyone else may have taken too much Rulide. Do this even if there are no signs of discomfort or poisoning. You may need urgent medical attention. Possible side effects If the symptoms of your infection do not improve within a few days or if they become worse tell your doctor. If you get severe diarrhoea tell your doctor pharmacist or nurse immediately. Do this even if it occurs several weeks after Rulide has been stopped. Diarrhoea may mean that you have a serious condition affecting your bowel. You may need urgent medical care. Do not take any diarrhoea medicine without first checking with your doctor. If you get a sore white mouth or tongue while taking or soon after stopping Rulide tell your doctor or pharmacist. Also tell your doctor or pharmacist if you get vaginal itching or discharge. This may mean you have a fungal/yeast infection called thrush. Sometimes the use of Rulide allows fungi/yeast to grow and the above symptoms to occur. Rulide does not work against fungi/yeast. Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Rulide. Rulide helps many people with bacterial infections but it may have unwanted side effects in some people. All medicines can have side effects. Sometimes they are serious most of the time they are not. Medical treatment may be required for some of the side effects. Ask your doctor or pharmacist to answer any questions you may have regarding side effects. Tell your doctor if you notice any of the following and they worry you: • oral thrush — white furry sore tongue and mouth • vaginal thrush — sore and itchy vagina and/or discharge • nausea vomiting stomach pain diarrhoea flatulence • loss of appetite • red and/or itchy skin • headache dizziness ringing in the ears • tiredness • altered taste Tell your doctor immediately or go to casualty at your nearest hospital if you notice any of the following: • swelling of the face lips mouth and tongue • severe persistent diarrhoea • an allergic reaction (for example itchy skin rash swelling asthma) These may be signs of a serious allergic reaction. Other side effects not listed above may also occur in some patients. Tell your doctor if you notice any other effects. After finishing taking this medicine: tell your doctor immediately if you notice any of the following side effects particularly if they occur several weeks after stopping treatment with Rulide: • severe abdominal cramps or stomach cramps • watery and severe diarrhoea which may also be bloody • fever in combination with one or both of the above These are rare but serious side effects. You may have a serious condition affecting your bowel. Therefore you may need urgent medical attention. However this side effect is rare. Do not take any diarrhoea medicine without first checking with your doctor. Some people may get other side effects while taking Rulide. Do not be alarmed by this list of possible side effects. Most people do not experience any of them. Drug interactions Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Some medicines or medical conditions may interact with this medicine. Inform your doctor or pharmacist of all prescription and over-the-counter medicine that you are taking

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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