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It is pertinent to note that side effects of Generic Dilantin cannot be anticipated. If any side effects of Generic Dilantin develop or change in intensity, the doctor should be informed as soon as possible.

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Is it possible for me to take Generic Dilantin with other drugs?
Should certain beverages, foods and other products be avoided when I take Generic Dilantin?
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How to reduce the risk of Generic Dilantin drug interactions and side effects?

What drug(s) may interact with Generic for Dilantin?

Many drugs can increase the effects of Dilantin, which can lead to heavy sedation. Dilantin may interact with the following drugs:

. Alcohol
. Antacids
. Aspirin and aspirin-like medicines
. Calcium supplements
. Carbamazepine
. Ciprofloxacin
. Clopidogrel
. Cyclosporine
. Chloramphenicol
. Corticosteroid hormones such as prednisone or cortisone
. Female hormones, including contraceptive or birth control pills
. Fluconazole
. Folic acid, vitamin B9
. Heart medicines such as digoxin or digitoxin
. Isoniazid
. Itraconazole
. Kava kava
. Ketoconazole
. Leucovorin
. Levodopa
. Medicines for hay fever and other allergies
. Medicines for mental depression, anxiety or other mood problems
. Medicines to control heart rhythm
. Medicines used to treat HIV infection or AIDS
. Modafinil
. Omeprazole
. Rifampin, rifabutin or rifapentine
. St. John’s wort
. Sucralfate
. Tacrolimus
. Theophylline
. Tramadol
. Valproic acid
. Voriconazole
. Warfarin
. Zonisamide

Drugs other than those listed here may also interact with Dilantin. Talk to your prescriber or health care professional about other medicines that may increase the effect of Dilantin before taking any prescription or over-the-counter medicines.

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How to take Generic for Dilantin :

The dosage of Generic for Dilantin prescribed to each patient will vary. Always follow your physician’s instructions and/or the directions on the prescription drug label. The following dosage information includes some common doses of Generic for Dilantin. If your dose is different, do not follow any of the dosages described below unless your physician has approved.

The recommended oral dosage of Generic for Dilantin is 100 milligrams taken once a day. If you have any problems with your kidneys or if you are also taking a diuretic or for adults over the age of 65 the starting dose may vary based on the doctor’s advice.

The number of tablets or capsules prescribed per-day depends on the strength of the prescription drug Generic for Dilantin. In addition, the amount of tablets or capsules taken, the time between doses, and the duration the drug is taken is dependant on the medical problem related to the prescription and the discretion of the physician prescribing the drug. Always follow the instructions given to you by your physician.

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Any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately.

Medical Alert when taking Generic for Dilantin :

Do not share this Generic for Dilantin with others. Lifestyle changes such as stress reduction programs, exercise and dietary changes may increase the effectiveness of this medicine. Talk to your physician or pharmacist about lifestyle changes that might benefit you. Laboratory and/or medical tests (e.g., kidney function, potassium blood level) should be performed periodically to monitor your progress or check for side effects. Consult your physician for more details. Have your blood pressure checked regularly while taking this medication. Learn how to monitor your own blood pressure at home. Discuss this with your own physician.

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The health and medical information provided here is intended to supplement and not substitute for the expertise and judgment of your physician, pharmacists or other health care professional. It should not be understood to indicate that the use of Generic for Dilantin is safe, appropriate or effective for you. Always consult your health care professional before using this, or any other, drug.

The use of Dilantin brand name and generic drugs should be done so only after receiving a consultation, and written prescription by a licensed physician.

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Mar 07 2010

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GENERIC NAME: valproic acid, divalproex
BRAND NAME: Depakote, Depakote ER, Depakene, Depacon, Stavzor

DRUG CLASS AND MECHANISM: Valproic acid and its derivative, divalproex, are oral drugs that are used for the treatment of convulsions, migraines and bipolar disorder. The active ingredient in both products is valproic acid or valproate. Scientists do not know the mechanism of action of valproate. The most popular theory is that valproate exerts its effects by increasing the concentration of gamma-aminobutyric acid (GABA) in the brain. Gamma-aminobutyric acid is a neurotransmitter, a chemical that nerves use to communicate with one another.

PRESCRIPTION: yes

GENERIC AVAILABLE: yes (valproic acid and divalproex)

PREPARATIONS: Depakote delayed release tablets: 125, 250 and 500 mg. Depakote sprinkle capsules: 125 mg. Depakote ER tablets: 500 mg. Depakene capsules: 250 mg. Depakene syrup: 250 mg/5 ml. Depacon (valproate sodium) injection: 100 mg/5 ml. Valproic acid capsules: 250 mg. Valproic acid syrup: 250 mg/5mL


STORAGE: Store at room temperature, 15-30 C (59-86 F).

PRESCRIBED FOR: Valproic acid and divalproex are used for the treatment of seizures, bipolar disorder and prevention of migraines. Depakote extended- release (ER) is used 1) for the prevention of migraine 2) as sole and adjunctive therapy for complex partial seizures in isolation or in association with other types of seizures and simple and complex absence seizures in children with epilepsy ages 10 and above 3) for the treatment of acute manic or mixed episodes associated with bipolar disorder.

DOSING: For seizures, therapy is initiated at 10-15 mg/kg/day and increased by 5-10 mg/kg/day every week to achieve the desired response. Response is usually seen when the blood concentration of valproic acid is 50-100 mcg/mL.

For acute mania due to bipolar disorder, treatment is started at 750 mg per day of divalproex delayed-release tablets in divided doses. The dose should be increased rapidly to achieve the desired effect. The maximum dose is 60 mg/kg/day.

The recommended dose for prevention of migraines is 250 mg twice daily of divalproex delayed-release tablets. The maximum recommended dose is 1000 mg/day. When using divalproex ER tablets, the recommended dose is 500-1000 mg given once daily.

DRUG INTERACTIONS: Valproic acid and divalproex have numerous suspected or proven drug interactions. Although the following drug interactions refer to valproic acid, similar interactions would be expected to occur with divalproex.

Valproic acid can reduce the number of platelets or inhibit the ability of platelets to stick together and form a blood clot. Therefore, it may exaggerate the effects of other medications which inhibit the stickiness of platelets or inhibit other steps in the clotting of blood. This can lead to abnormal bleeding due to the inability of blood to clot. Such medications include warfarin (Coumadin), heparin or low-molecular weight heparin (Lovenox), clopidogrel (Plavix), ticlopidine (Ticlid), and nonsteroidal antiinflammatory drugs (NSAIDs) such as ibuprofen (Motrin, Advil), naproxen (Naprosyn, Aleve), indomethacin (Indocin), nabumetone (Relafen), diclofenac (Voltaren, Cataflam, Arthrotec), ketorolac (Toradol) and aspirin.

Aspirin and felbamate (Felbatol) can reduce the elimination of valproic acid and result in elevated blood concentrations of valproic acid.

Rifampin (Rifadin; Rimactane), carbamazepine (Tegretol), phenytoin (Dilantin) can increase the elimination of valproic acid, thereby reducing blood concentrations. Since this can result in loss of seizure control and seizures, adjustments in the dose of valproic acid may be necessary if these medications are begun.

Cholestyramine (Questran) can reduce the absorption of valproic acid from the intestine. Therefore, valproic acid should be taken at least 2 hours before or 6 hours after doses of cholestyramine.

Valproic acid can significantly decrease the elimination of lamotrigine (Lamictal), ethosuximide (Zarontin), diazepam (Valium), zidovudine (AZT) and phenobarbital, thereby increasing their concentrations in blood. Valproic acid also increases the blood levels of warfarin and phenytoin by displacing them from blood proteins that they bind to. Since increased blood concentrations of these drugs may lead to an increase in side effects, the dose of warfarin and phenytoin may need to be altered when they are taken with valproic acid.

PREGNANCY: The use of valproic acid during pregnancy has been associated with fetal abnormalities such as spina bifida, cardiovascular abnormalities, and neural tube defects. The risk of spina bifida in the offspring of mothers taking valproic acid during pregnancy is 1%-2%. Valproic acid also may cause reduced clotting in the mother and baby. Because of the risk of harm to the newborn, valproic acid should only be used by pregnant women when its benefits outweigh the risks.

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Mar 07 2010

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Like other medicines, Generic Effexor Xr can cause some side effects. If they occur, the side effects of Generic Effexor Xr are most likely to be minor and temporary. However, some may be serious and need medical attention and may require the individual to inform the doctor or visit the nearest hospital.

It is pertinent to note that side effects of Generic Effexor Xr cannot be anticipated. If any side effects of Generic Effexor Xr develop or change in intensity, the doctor should be informed as soon as possible.

Some of the most serious Generic Effexor Xr side Effects include agitation, anxiety, or restlessness, especially in the first week of treatment or when doses are changed,changes in vision (blurred vision), sexual difficulties (abnormal ejaculation or orgasm, difficult or painful erections, impotence), vomiting and abnormal body movements.

This is not a complete list of all Side effects. Do concur with your doctor and follow his directions completely when you are taking Generic Effexor Xr.

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Usually drug interactions occur when the effect of a particular drug is altered when it is taken with another drug or with food. Before one takes a medication for a particular ailment, the health expert should be informed of any other medications including non-prescription medications and dietary supplements like vitamins, minerals and herbal, so that the doctor can warn you of any possible drug interactions.

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Is it possible for me to take Generic Effexor Xr with other drugs?
Should certain beverages, foods and other products be avoided when I take Generic Effexor Xr?
What are the possible drug interactions of Generic Effexor Xr?
How will Generic Effexor Xr work in my body?
How should Generic Effexor Xr be taken?
How to reduce the risk of Generic Effexor Xr drug interactions and side effects?

What drug(s) may interact with Generic for Effexor Xr?

Many drugs can increase the effects of Effexor Xr, which can lead to heavy sedation. Effexor Xr may interact with the following drugs:

. Alcohol
. Migraine headache medicines like almotriptan, eletriptan, frovatriptan, naratriptan
. Cimetidine
. Dextroamphetamine
. Lithium
. Medicines for heart rhythm or blood pressure
. Medications for weight control or appetite isocarboxazid (Marplan®)
. Other medicines for mental depression, mania, psychosis, or anxiety
. Procarbazine
. Selegiline
. St. John’s wort, Hypericum perforatum

Drugs other than those listed here may also interact with Effexor Xr. Talk to your prescriber or health care professional about other medicines that may increase the effect of Effexor Xr before taking any prescription or over-the-counter medicines.

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How to take Generic for Effexor Xr :

The dosage of Generic for Effexor Xr prescribed to each patient will vary. Always follow your physician’s instructions and/or the directions on the prescription drug label. The following dosage information includes some common doses of Generic for Effexor Xr. If your dose is different, do not follow any of the dosages described below unless your physician has approved.

The recommended oral dosage of Generic for Effexor Xr is 75 milligrams taken once a day. If you have any problems with your kidneys or if you are also taking a diuretic or for adults over the age of 65 the starting dose may vary based on the doctor’s advice.

The number of tablets or Capsules prescribed per-day depends on the strength of the prescription drug Generic for Effexor Xr. In addition, the amount of tablets or Capsules taken, the time between doses, and the duration the drug is taken is dependant on the medical problem related to the prescription and the discretion of the physician prescribing the drug. Always follow the instructions given to you by your physician.

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If your physician has instructed or directed you to take Generic for Effexor Xr medication in a regular schedule and you have missed a dose of this medicine, take it as soon as you remember. However, if it is almost time for your next dose, instead skip the missed dose and go back to your regular dosing schedule. Do not double the doses unless otherwise directed.

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Any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately.

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Do not share this Generic for Effexor Xr with others. Lifestyle changes such as stress reduction programs, exercise and dietary changes may increase the effectiveness of this medicine. Talk to your physician or pharmacist about lifestyle changes that might benefit you. Laboratory and/or medical tests (e.g., kidney function, potassium blood level) should be performed periodically to monitor your progress or check for side effects. Consult your physician for more details. Have your blood pressure checked regularly while taking this medication. Learn how to monitor your own blood pressure at home. Discuss this with your own physician.

Ask your doctor about Generic for Effexor Xr :

The health and medical information provided here is intended to supplement and not substitute for the expertise and judgment of your physician, pharmacists or other health care professional. It should not be understood to indicate that the use of Generic for Effexor Xr is safe, appropriate or effective for you. Always consult your health care professional before using this, or any other, drug.

The use of Effexor Xr brand name and generic drugs should be done so only after receiving a consultation, and written prescription by a licensed physician.

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Mar 07 2010

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GENERIC NAME: mirtazapine
BRAND NAME: Remeron

DRUG CLASS AND MECHANISM: Mirtazapine is in a class of medications called tetracyclic antidepressants that includes maprotiline (Ludiomil). Although the precise mechanism of action of this class of antidepressants is not known, they increase the amount of norepinephrine and serotonin in the brain. Norepinephrine and serotonin are neurotransmitters, chemicals that nerves use to communicate with each other. Mirtazapine also acts as an antihistamine similar to diphenhydramine (Benadryl). Mirtazapine was approved by the FDA in 1996.

GENERIC AVAILABLE: Yes

PRESCRIPTION: Yes

PREPARATIONS: Tablets: 7.5, 15, 30, and 45 mg

STORAGE: Tablets should be stored at room temperature, 15-30°C (59-86°F).

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PRESCRIBED FOR: Mirtazapine is used for the treatment of major depression.

DOSING: The usual starting dose for mirtazapine is 15 mg once daily, usually at bedtime. Doses may be increased every 1-2 weeks up to a maximum dose of 45 mg daily. It may be taken with or without food.

DRUG INTERACTIONS: Mirtazapine adds to the sedating effects of alcohol and other drugs that can cause sedation such as the benzodiazepine class of anti-anxiety drugs (e.g., Valium, Ativan, Klonopin, Xanax), the narcotic class of pain medications and its derivatives (e.g., Percocet, Vicodin, Dilaudid, Codeine, Darvon), the tricyclic class of antidepressants (e.g., Elavil, Tofranil, Norpramin), certain antihypertensive medications (e.g., Catapres, Inderal), and some antihistamines (e.g., Benadryl; Atarax; Vistaril).

Fluvoxamine (Luvox) may increase the levels of mirtazapine in the blood which may lead to increased side effects from mirtazapine.

Because of the possibility of developing an increased body temperature (hyperpyrexia), high blood pressure, or seizures, use of mirtazapine is not recommended together with monoamine oxidase inhibitors (MAO’s), such as furazolidone (Furoxone), phenelzine (Nardil), procarbazine (Matulane), selegiline (Carbex), or tranylcypromine (Parnate). An interval of 14 days is recommended between stopping MAO inhibitor therapy and starting mirtazapine and vice versa.

PREGNANCY: There are no adequate studies of mirtazapine in pregnant women . Thus, physicians must balance potential benefits against potential risks when considering mirtazapine therapy in pregnant women.

NURSING MOTHERS: It is not known if mirtazapine is secreted in breast milk.

SIDE EFFECTS: Approximately half of the patients who take mirtazapine develop sleepiness. For this reason, it usually is taken at bedtime. In clinical trials, about 1 in 10 persons had to stop therapy because of this side effect. About 1 in 14 persons develop dizziness, and 1 in 6 develop an increase in appetite. Some persons experience weight gain, sometimes requiring discontinuation of treatment. Mirtazapine may increase blood levels of cholesterol and triglycerides. One in four persons develops a dry mouth.

If antidepressants are discontinued abruptly, withdrawal symptoms such as dizziness, headache, nausea, changes in mood may occur. Such symptoms may occur when even a few doses of antidepressant are missed. Therefore, it is recommended that the dose of antidepressant be reduced gradually when therapy is discontinued. Antidepressants may increase the risk of suicide in children and adolescents. There are concerns that antidepressants may also induce suicide in adults. Patients with major depression may experience worsening of depression or suicidal thoughts regardless of whether or not they are treated. Therefore, patients started on antidepressants should be closely observed for signs of worsening, suicidal thinking or change in behavior.

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Mar 07 2010

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BRAND NAME: Flagyl

DRUG CLASS AND MECHANISM: Metronidazole is an antibiotic effective against anaerobic bacteria and certain parasites. Anaerobic bacteria are single-celled, living organisms that thrive in environments in which there is little oxygen (anaerobic environments) and can cause disease in the abdomen (bacterial peritonitis), liver (liver abscess), and pelvis (abscess of the ovaries and the Fallopian tubes). Giardia lamblia and ameba are intestinal parasites that can cause abdominal pain and diarrhea in infected individuals. Trichomonas is a vaginal parasite that causes inflammation of the vagina (vaginitis). Metronidazole selectively blocks some of the functions within the bacterial cells and the parasites resulting in their death.

PRESCRIPTION: Yes

GENERIC AVAILABLE: Yes

PREPARATIONS: Tablets: 250 and 500 mg. Tablets, extended release: 750 mg. Capsule: 375 mg. Cream: 0.75% and 1%. Lotion: 0.75%. Gel: 0.75% and 1%. Injection: 5 mg/ml

STORAGE: Metronidazole should be stored at room temperature and protected from light.

PRESCRIBED FOR: Metronidazole is used to treat parasitic infections including Giardia infections of the small intestine, amebic liver abscess and amebic dysentery (infection of the colon causing bloody diarrhea), bacterial vaginosis, trichomonas vaginal infections, and carriers of trichomonas (both sexual partners) who do not have symptoms of infection. Metronidazole is also used alone or in combination with other antibiotics in treating abscesses in the liver, pelvis, abdomen and brain caused by susceptible anaerobic bacteria. Metronidazole is also used in treating infection of the colon caused by a bacterium called C. difficile. (Many commonly-used antibiotics can alter the type of bacteria that inhabit the colon. C. difficile is an anaerobic bacterium that can infect the colon when the normal types of bacteria in the colon are inhibited by common antibiotics. This leads to inflammation of the colon (pseudomembranous colitis) with severe diarrhea and abdominal pain.) Metronidazole also is used in combination with other drugs to treat Helicobacter pylori (H. pylori) that causes stomach or intestinal ulcers. Metronidazole topical gel is used for treating acne rosacea, and the vaginal gel is used for treating bacterial vaginosis.

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DOSING: Metronidazole may be taken orally with or without food. In the hospital, metronidazole can be administered intravenously to treat serious infections. The liver is primarily responsible for eliminating metronidazole from the body, and doses may need to be reduced in patients with liver disease and abnormal liver function.

Various metronidazole regimens are used. Some examples are listed below.
Amebic dysentery: 750 mg orally 3 times daily for 5-10 days

Amebic liver abscess: 500-750 mg orally three times daily for 5-10 days

Anaerobic infections: 7.5 mg/kg orally every 6 hours not to exceed 4 grams daily

Bacterial Vaginosis: 750 mg (extended release tablets) once daily for 7 days. One applicator-full of 0.75% vaginal gel, once or twice daily for 5 days.

Clostridium difficile infection: 250-500 mg orally 4 times daily or 500-750 orally 3 times daily

Giardia: 250 mg orally three times daily for 5 days

Helicobacter pylori: 800-1500 mg orally daily for several days in combination with other drugs.

Pelvic inflammatory disease (PID): 500 mg orally twice daily for 14 days in combination with other drugs.

Trichomoniasis: 2 g single dose or 1 g twice

Rosacea: apply topical gel 0.75-1% once daily

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Mar 06 2010

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Bactrim, an antibacterial combination drug, is prescribed for the treatment of certain urinary tract infections, severe middle ear infections in children, long-lasting or frequently recurring bronchitis in adults that has increased in seriousness, inflammation of the intestine due to a severe bacterial infection, and travelers’ diarrhea in adults. Bactrim is also prescribed for the treatment of Pneumocystis carinii pneumonia, and for prevention of this type of pneumonia in people with weakened immune systems.
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Sulfamethoxazole, an ingredient in Bactrim, is one of a group of drugs called sulfonamides, which prevent the growth of bacteria in the body. Rare but sometimes fatal reactions have occurred with use of sulfonamides. These reactions include Stevens-Johnson syndrome (severe eruptions around the mouth, anus, or eyes), progressive disintegration of the outer layer of the skin, sudden and severe liver damage, a severe blood disorder (agranulocytosis), and a lack of red and white blood cells because of a bone marrow disorder.

Notify your doctor at the first sign of an adverse reaction such as skin rash, sore throat, fever, joint pain, cough, shortness of breath, abnormal skin paleness, reddish or purplish skin spots, or yellowing of the skin or whites of the eyes.

Frequent blood counts by a doctor are recommended for patients taking sulfonamide drugs.
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It is important that you drink plenty of fluids while taking this medication in order to prevent sediment in the urine and the formation of stones.

Bactrim works best when there is a constant amount in the blood. Take Bactrim exactly as prescribed; try not to miss any doses. It is best to take doses at evenly spaced times day and night.

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Mar 06 2010

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Mar 06 2010

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DOSTINEX [cabergoline], marketed by Pharmacia & Upjohn is a dopamine receptor agonist which works by stimulating a part of the brain that can decrease the production of the hormone prolactin that causes milk production.

DOSTINEX is primarily indicated for the treatment of hyperprolactinemia, either idiopathic or due to pituitary adenomas.

With regards to hyperprolactinemia, it is way beyond drugs like Parlodel (Bromocriptine). It induces a complete biochemical response and shows much better clinical efficacy and at the same time was better tolerated than bromocriptine in the majority of patients.

Hyperprolactinemia

It is a condition seen in females in which there is an increased level of the hormone PROLACTIN in blood.

Normal levels are less than 580 mIU/L for women, and less than 450 mIU/L for men

Increased prolactin levels are usually associated during pregnancy, lactation, stress and sleep.

Pathologically, the most common cause is a pituitary gland tumor called an adenoma also called as a prolactinoma.

The levels are usually around 1000 mIU/L though levels of more than 5000 mIU/L are also seen.

The regulation of prolactin is under the control of dopamine and estrogen.

Prolactin secretion in the pituitary is normally suppressed by dopamine hence drugs which inhibit or deplete dopamine stores are commonly associated with increased levels of prolactin. These include tranquilizers, trifluoperazine and haloperidol some antipsychotic medications; metoclopramide, which is used to treat gastro esophageal reflux and the nausea caused by certain cancer drugs; and, less often, alpha-methyldopa and reserpine, used to control hypertension; and estrogens and TRH.

Other causes include Cushing’s syndrome, chronic renal failure, hypothyroidism and sarcoidosis. It is also seen in patients with polycystic ovarian disease.

SIGNS & SYMPTOMS:

In females a high blood level of prolactin often causes hypoestrogenism with anovulatory infertility and a decrease in menstruation. In some women may experience amenorrhea while some may experience irregular flow. Non gravid or non lactating females may experience breast milk secretion. Some might encounter a loss of libido (interest in sex). Coitus may become painful because of vaginal dryness.

In men, the most common symptoms of hyperprolactinemia are decreased libido, erectile dysfunction, and infertility. In men excess prolactin may also cause Gynecomastia. Since men do not have any indicators like menstrual abnormalities in females, the diagnosis of hyperprolactinemia is usually delayed. They present late with symptoms like headache, ocular disturbances due to compression of the optic nerve by the tumor.

Hyperprolactinemia can lead to osteoporosis, due to low estrogen levels.

USES OF DOSTINEX:

prolactin-producing pituitary gland tumors and hyperprolactinemia

Monotherapy of Parkinson’s disease in the early phase since it is a dopamine receptor agonist whereas Parkinson’s disease is associated with depletion of dopamine levels

Combination therapy, together with levodopa and a decarboxylase inhibitor such as carbidopa, in progressive-phase Parkinson’s disease.

When the patient is unresponsive to bromocriptine

OFF LABEL USES:

- used as an adjunct to SSRI antidepressants as there is evidence that it counteracts certain side effects of those drugs, like decreased libido.

- Used by Bodybuilders who use anabolic steroids which can cause gynecomastia due to elevated levels of serum prolactin hormone.

SIDE EFFECTS

The most notable side effect of DOSTINEX is Nausea

Body As a Whole: facial edema, influenza-like symptoms, malaise

Cardiovascular System: hypotension, syncope, palpitations

Digestive System: dry mouth, flatulence, diarrhea, anorexia

Metabolic and Nutritional System: weight loss, weight gain

Nervous System: somnolence, nervousness, paresthesia, insomnia, anxiety

Respiratory System: nasal stuffiness, epistaxis

Skin and Appendages: acne, pruritis

Special Senses: abnormal vision

Urogenital System: dysmenorrhea, increased libido.

With regards to increased libido, it is also at times used as a substitute for VIAGRA.

CONTRAINDICATIONS AND PRECAUTIONS

Hypersensitivity to cabergoline or to ergot derivatives

Children due to lack of any trial on them

Severely impaired liver function or cholestasis

Co-medication with drugs metabolized mainly by CYP P450 such as erythromycin and ketoconazole, because increased plasma levels of cabergoline may result, however cabergoline undergoes minimal CYP450 metabolism.

Precautions: Raynaud’s disease severe cardiovascular disease, gastro duodenal ulcers, active gastrointestinal bleeding, hypotension.

Dosage: 500 mcg once a week, increased by 500 mcg increments, up to a maximum of 2 mg

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Mar 06 2010

Online Pharmacy – Myths and Facts

Category: ViagraPrescription Search @ 11:06 pm

While browsing the Internet, one may have noted that there are thousands of websites, which are selling medicines, drugs and other pharmaceutical products. These types of websites are called online pharmacy websites or online prescription website. To much extent they claim to be safe and ethical but the question to be raised is, ‘is it really true’? Are they safe enough to be trusted by anyone who is looking for something genuine to cure his/her ailment? To be very fair, not all the communication between a consumer and an Online Pharmacy website are wrong. Neither all online drug websites are illegal.


There is usually no tension until the pharmacy websites leaves or skips the most important step of making sure that a physician who has written a prescription is familiar with the patient and his past medical history. But indeed, there is a problem with this type of selling of drugs over Internet. Recently, in the state of Texas in USA, the Texas State Board filed a complaint against a doctor who worked with the now-banned Web site, www.thepillbox.com. The Board suspected that the physician prescribed Viagra over the Internet to around 1,300 patients without knowing their medical history or any physical examination. Prescribing any drug in this way brings patients in a very high risk zone. In this article, we will try to discover answers to many questions like this and more specifically the safety and danger to customers from purchasing drugs online, and scan recent initiatives to check the online pharmacy and online drug prescription industry.


For those costumers who prefer to go to these online drug stores because of lower prices they are offered, convenience and privacy points. Since the prices of almost all drugs are lower in other counties than in their countries, these foreign pharmacy websites provides consumers a cheaper rate alternative. For example a consumer from Canada will pay 20-50 percent less than a consumer of America for all prescription drugs available on these online pharmacy websites. So it is not a surprise that it brings Canadian drug prices to the world and saves their consumers up to 50% on all the prescription drugs available. The most part of the costumers of these online pharmacy websites are the elderly people who prefer for convenience of ordering and getting drugs without going out of their home. So finally it can be said that these online pharmacy websites allow it’s consumers to order the products they want and consult with a pharmacist in the privacy of their homes. Because and that is why the most popular drugs sold through internet pharmacies are the drugs used to improve lifestyle, which includes Viagra for erectile dysfunction, Propecia for hair loss, and Xenical for obesity.


Sometimes, anonymous consultation with a distant pharmacist is easier than a visit to the family doctor. While, supplying or sending drugs and medicines through Internet is illegal and justifiable, prescribing drugs on Internet bring a major health risk to the patients. At the websites that prescribes drugs, a patient gets a drug prescribed only by answering a questionnaire provided by the website. Through this questionnaire form patient can’t tell every single detail about his health status and body’s past medical history to the Internet pharmacist. This exposes patients to dangerous side effects from inappropriately prescribed medicines and dangerous drug interactions. Also this self diagnosis stops a patient from taking the correct and necessary medical treatment. Mostly websites like the ones trapped by the FDA in recent times was selling drugs without any prescription or any type of questionnaire. These types of online pharmacy websites and all the products sold on these websites can be called illegal, if guidelines given by FDA and WHO are reviewed. Moreover, there are certain other things to check while approaching an online pharmacy website. Some of them are; is the website you are about to buy medicines and drugs from, certified by square trade organization? If yes, it means that the website is declared legal for trade after many rounds of intensive tests and examinations. After this only, these websites are allowed to apply a logo of square trade on their pages. To see whether this logo is original or the work of an internet scam artist, you need to click on that logo, which will link you to the official website of square trade organization.


The other things are to check whether the online pharmacy website has hundred percent complete information of the drug they are selling. Are these online drug stores working in cooperation with the rules and regulations recommended by FDA and WHO? Whether they are not using outdated and expired medicines and are they using medicines and drugs manufactures by top pharmacy companies? For this they need to be certified by Joint Commission on Accreditation of Healthcare Organizations (JCAHO). Whether they are keeping you very private and confidential? Are they selling drugs on comparatively lower costs and they are not taking chances with the patient’s health to cover the loss done by these lowered prices?


Some consciousness and awareness and a little information is all that is needed by all consumers from preventing them from getting entangled into the trap of these online pharmacy websites and wasting their money, time and most important of all, their health. But it is very harsh and sad to say; very often people have nothing from consciousness and awareness and a little information.

Antony Virgese is an associated editor to the website: www.i-pharmacy.md – The Online Pharmacy Portal. I-Pharmacy.md is committed to provide visitors with complete information on Phentermine, Viagra, Cialis and all Diet Pills. Your Feedback will be highly appreciated at partner@i-pharmacy.md.

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Mar 06 2010

Buy Generic Albenza Online

Category: AlbenzaPrescription Search @ 11:06 pm

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Antihelminthic are drugs that are capable of either killing or expelling the infesting helminthes. The former is referred to as vermicide and the latter as vermifuge. Helminthiasis is a world wide problem which is more prevalent in the developing and underdeveloped countries. It can be attributed to the poor hygiene and wide spread poverty coupled with overcrowding. People lack even the basic hygiene that needs to be followed. Say for example in the rural areas of the developing and underdeveloped countries, the people wash, bathe, drink and do all their basic activities in the same pond or lake. The risk of helminthic infections is much higher due to malnutrition and other infectious diseases.

It is essential to note that multiple infestations in the same individual are quite frequent. In human beings, gastrointestinal system is the abode of many helminthes though they stay in body tissues too. They harm the host by depriving him of food, causing blood loss, injury to organs, intestinal or lymphatic obstruction and by secreting toxins. Helminthiasis is rarely fatal, but is the major cause of ill health.

There are a number of drugs in this class. It includes Albendazole (Generic Albenza), mebendazole, thiabendazole, pyrantel pamoate, piperazine, levamisole, tetramisole, DEC or diethyl carbamazine citrate, ivermectin, niclosamide, and praziquantel. All of them have more or less the same mechanism of action. Many of them have immobilizing and paralyzing action or interfere with oxidative phosphorylation mechanism thereby killing and expelling the organisms.

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The classification for the antihelminthic drugs goes by the parasite that needs to be combated. The parasites includes round worm, hook worm, thread worm, whip worm, filarial, guinea worm, tape worm and hydatid disease. Each of these parasites has two main drugs- the first line drugs and the alternative ones. The dosage and duration of administration of these drugs varies with the parasite and weight/age of the person.

Usually these antihelminthics are well tolerated with few mild gastrointestinal symptoms. It includes mild abdominal discomfort, nausea, vomiting or diarrhea. There are also instances where the use of mebendazole has brought out the expulsion of ascaris from mouth or nose. Very high doses may produce allergic reactions, loss of hair, granulocytopenia, etc.

The mode of administering the drug varies for different infestations. Say for example, Albendazole must be given on empty stomach for intestinal worms whereas for cysticercosis, hydatid and cutaneous larva migrans, it should be given with a fatty meal.

The two major issues relating to the use of antihelminthics are; under dosage and over dosage. Some of the parasites which when left inadequately expelled may multiply inside the body and produce irritative effects, mechanical effects and nutritional effects. Increased worm load in the gastrointestinal tract would decrease the appetite of the person, interfere with its absorption, and decreases the nutrition leading to malnutrition. Malnutrition in turn decreases the immunity and increases the risk of intestinal parasites and other infections. It is a vicious circle. Parasitic infections are one of the major causes for occult anemia.

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