Prescription Drugs & Asthma Treatment

Zyban (Bupropion)

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Zyban (Bupropion) is a smoking cessation aid used to help you stop smoking.

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About Zyban (Bupropion):

Product Type: Stop Smoking

Brand name: Zyban Generic name: Bupropion What is the most important information I should know about Zyban? • You should not take Zyban if you have epilepsy or a seizure disorder an eating disorder such as anorexia or bulimia if you are using a second form of Zyban or if you have suddenly stopped using alcohol or sedatives. Do not take Zyban if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan) phenelzine (Nardil) selegiline (Eldepryl) or tranylcypromine (Parnate) in the last 14 days. • You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication especially if you are 18 years of age or younger. Talk with your doctor about this risk. While you are taking this medication you will need to be monitored for worsening symptoms of depression and/ or suicidal thoughts during the first weeks of treatment or whenever your dose is changed. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment. • Contact your doctor 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) or thoughts of suicide or hurting yourself. • Do not stop taking Zyban without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly. • Avoid using Zyban to treat more than one condition at a time. If you take Wellbutrin for depression do not also take Zyban to quit smoking. Too much of this medicine can increase your risk of a seizure. • Do not smoke at any time if you are using a nicotine product along with Zyban. Too much nicotine can cause serious side effects. • Avoid drinking alcohol while taking Zyban. Alcohol may increase your risk of a seizure while you are taking Zyban. If you drink alcohol regularly talk with your doctor before changing the amount you drink. Zyban can cause seizures in people who drink a lot of alcohol and then suddenly quit drinking when they start using the medication. • There are many other drugs that can affect Zyban. 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. What is Zyban? • Zyban is an antidepressant medication. • Zyban is used to treat major depressive disorder and seasonal affective disorder. • At least one brand of Zyban (Zyban) is used to help people stop smoking by reducing cravings and other withdrawal effects. • Zyban may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Zyban? • Do not take Zyban if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan) phenelzine (Nardil) selegiline (Eldepryl) or tranylcypromine (Parnate) in the last 14 days. • You should not take Zyban if you have: epilepsy or a seizure disorder; an eating disorder such as anorexia or bulimia; if you are using a second form of Zyban; or if you have suddenly stopped using alcohol or sedatives (such as Valium). • Zyban may cause seizures especially if you have any of the following conditions: head injury brain or spinal cord tumor; bipolar disorder (manic depression); diabetes for which you use insulin or take oral medication; current use of steroids theophylline (Theo-Dur Slo-Bid Bronkodyl Theolair Respbid) or medicine to treat depression or mental illness; or recent use of alcohol sedatives (such as Valium) narcotic pain medicines diet pills or street drugs such as “speed” or cocaine. • Before taking Zyban tell your doctor if you have high blood pressure heart disease liver disease kidney disease or severe liver disease (especially cirrhosis). • You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication especially if you are under 18 years old. While you are taking Zyban you will need to be monitored for worsening symptoms of depression and/ or suicidal thoughts during the first weeks of treatment or whenever your dose is changed. In addition to you watching for changes in your own symptoms your family or other caregivers should be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment. • Contact your doctor 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) or thoughts of suicide or hurting yourself. • 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. • Zyban passes into breast milk and could be harmful to a nursing baby. Do not take Zyban without telling your doctor if you are breast-feeding a baby. • You should not smoke if you use inhaled insulin (Exubera) to treat diabetes. Smoking may cause you to have low blood sugar (hypoglycemia) while using Exubera. Do not use Exubera unless you have been smoke-free for at least 6 months. Do not start smoking again or you will have to stop using Exubera. How should I take Zyban? • Take Zyban exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from the medication. • Zyban can be taken with or without food. • Take each dose with a full glass of water. • Do not crush chew or break the extended-release tablet (Wellbutrin SR Wellbutrin XL Zyban SR). 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. • If you take Zyban to help you stop smoking you may continue to smoke for about 1 week after you start the medicine. Set a date to quit smoking during the second week of Zyban treatment. By that time you will have enough of the medicine in your blood stream to help you quit smoking. Talk to your doctor if you are having trouble quitting after you have used Zyban for at least 7 weeks. • Your doctor may prescribe nicotine patches or gum to help support your smoking cessation treatment. Be sure you read all directions and safety information for the nicotine product. Using nicotine with Zyban may raise your blood pressure and your doctor may want to check your blood pressure regularly. Do not smoke at any time if you are using a nicotine product along with Zyban. Too much nicotine can cause serious side effects. • Do not stop taking Zyban without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly. • If you use the Zyban extended-release tablet the tablet shell may pass into your stools (bowel movements). This is normal and does not mean that you are not receiving enough of the medicine. • Store Zyban 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. Symptoms of a Zyban overdose may include seizures muscle stiffness hallucinations fainting fast or uneven heartbeat shallow breathing heart failure or coma. What should I avoid while taking Zyban? • Avoid drinking alcohol while taking Zyban. Alcohol may increase your risk of a seizure while you are taking Zyban. If you drink alcohol regularly talk with your doctor before changing the amount you drink. Zyban can cause seizures in people who drink a lot of alcohol and then suddenly quit drinking when they start using the medication. • Avoid using Zyban to treat more than one condition at a time. If you take Wellbutrin for depression do not also take Zyban to quit smoking. Too much of this medicine can increase your risk of a seizure. • Zyban 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. • You should not smoke if you use inhaled insulin (Exubera) to treat diabetes. Smoking may cause you to have low blood sugar (hypoglycemia) while using Exubera. Do not use Exubera unless you have been smoke-free for at least 6 months. Do not start smoking again or you will have to stop using Exubera. What are the possible side effects of Zyban? • 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 Zyban and call your doctor at once if you have a seizure (convulsions) or fast uneven heartbeats. • Continue taking Zyban and talk to your doctor if you have any of these less serious side effects: headache or migraine; sleep problems (insomnia); nausea vomiting constipation dry mouth; confusion dizziness agitation tremors (shaking); appetite changes weight loss or gain; mild itching or skin rash increased sweating; or loss of interest in sex. • 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 Zyban? • Do not take Zyban if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan) phenelzine (Nardil) selegiline (Eldepryl) or tranylcypromine (Parnate) in the last 14 days. • There are many other drugs that can affect Zyban. 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