Diabinese

Pronunciation: klor-PROE-pa-mide
Generic Name: Chlorpropamide
Brand Name: Diabinese

Diabinese is used for:

Treating type 2 diabetes in patients who cannot control blood sugar levels by diet and exercise alone. It is used along with diet and exercise. It may be used alone or with other antidiabetic medicines.

Diabinese is a sulfonylurea antidiabetic medicine. It works by causing the pancreas to release insulin, which helps to lower blood sugar.

Do NOT use Diabinese if:

• you are allergic to any ingredient in Diabinese


• you have certain severe problems associated with diabetes (eg, diabetic ketoacidosis, diabetic coma)


• you have type 1 diabetes


• you have severe liver, kidney, thyroid, or endocrine problems


• you have moderate to severe burns or very high blood acid levels (acidosis)


• you are pregnant and are within 1 month of the expected delivery date

Contact your doctor or health care provider right away if any of these apply to you.

Before using Diabinese:

Some medical conditions may interact with Diabinese. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding


• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement


• if you have allergies to medicines, foods, or other substances


• if you have had a severe allergic reaction (eg, a severe rash, hives, breathing difficulties, dizziness) to any other sulfonamide medicine, such as acetazolamide, celecoxib, certain diuretics (eg, hydrochlorothiazide), glipizide, probenecid, sulfamethoxazole, valdecoxib, or zonisamide


• if you have a history of liver, kidney, thyroid, or heart problems


• if you have stomach or bowel problems (eg, stomach or bowel blockage, stomach paralysis), you drink alcohol, or you have had poor nutrition


• if you have very poor health, a high fever, a severe infection, severe diarrhea, or high blood acid levels, or you have had a severe injury


• if you have a history of certain blood problems (eg, porphyria), certain hormonal problems (eg, adrenal or pituitary problems, syndrome of inappropriate secretion of antidiuretic hormone [SIADH]), or low blood sodium levels


• if you have a condition called glucose 6-phosphate dehydrogenase (G6PD) deficiency


• if you will be having surgery

Some MEDICINES MAY INTERACT with Diabinese. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Beta-blockers (eg, propranolol) because the risk of low blood sugar may be increased. They may also hide certain signs of low blood sugar and make it more difficult to notice


• Angiotensin-converting enzyme (ACE) inhibitors (eg, enalapril), anticoagulants (eg, warfarin), azole antifungals (eg, ketoconazole, miconazole), chloramphenicol, clofibrate, fenfluramine, insulin, monoamine oxidase inhibitors (MAOIs) (eg, phenelzine), nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen), phenylbutazone, probenecid, quinolone antibiotics (eg, ciprofloxacin), salicylates (eg, aspirin), sulfonamides (eg, sulfamethoxazole), or urinary acidifiers (eg, ammonium chloride) because the risk of low blood sugar may be increased


• Calcium channel blockers (eg, diltiazem), corticosteroids (eg, prednisone), decongestants (eg, pseudoephedrine), diazoxide, diuretics (eg, furosemide, hydrochlorothiazide), estrogens, hormonal contraceptives (eg, birth control pills), isoniazid, niacin, phenothiazines (eg, promethazine), phenytoin, rifamycins (eg, rifampin), sympathomimetics (eg, albuterol, epinephrine, terbutaline), or thyroid supplements (eg, levothyroxine) because they may decrease Diabinese's effectiveness, resulting in high blood sugar


• Gemfibrozil because blood sugar may be increased or decreased


• Barbiturates (eg, phenobarbital) because the risk of their side effects may be increased by Diabinese

This may not be a complete list of all interactions that may occur. Ask your health care provider if Diabinese may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Diabinese:

Use Diabinese as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take Diabinese by mouth with breakfast or the first main meal of the day unless your doctor tells you otherwise.


• Diabinese works best if it is taken at the same time each day.


• Continue to take Diabinese even if you feel well. Do not miss any doses.


• If you miss a dose of Diabinese, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Diabinese.

Important safety information:

• Diabinese may cause drowsiness, dizziness, blurred vision, or lightheadedness. These effects may be worse if you take it with alcohol or certain medicines. Use Diabinese with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.


• Do not drink alcohol while you are taking Diabinese. It may increase the risk of low blood sugar. Rarely, alcohol may interact with Diabinese and cause a serious reaction with symptoms such as flushing, nausea, vomiting, dizziness, or stomach pain. Discuss any questions or concerns with your doctor.


• Carry an ID card at all times that says you have diabetes. Check your blood sugar levels as directed by your doctor. If they are often higher or lower than they should be and you take Diabinese exactly as prescribed, tell your doctor.


• Proper diet, regular exercise, and regular blood sugar testing are important for best results with Diabinese. Follow the diet and exercise program given to you by your health care provider.


• It may be harder to control your blood sugar during times of stress such as fever, infection, injury, or surgery. Talk with your doctor about how to control your blood sugar if any of these occur. Do not change the dose of your medicine without checking with your doctor.


• Diabinese may cause low blood sugar levels. Low blood sugar may make you anxious, sweaty, weak, dizzy, drowsy, or faint. It may also make your heart beat faster; make your vision change; give you a headache, chills, or tremors; or make you more hungry. It is a good idea to carry a reliable source of glucose (eg, tablets or gel) to treat low blood sugar. If this is not available, you should eat or drink a quick source of sugar like table sugar, honey, candy, orange juice, or non-diet soda. This will raise your blood sugar level quickly. Tell your doctor right away if this happens. To prevent low blood sugar, eat meals at the same time each day and do not skip meals.


• Risk of low blood sugar may be increased by severe or prolonged exercise, drinking alcohol, or skipping meals.


• Diabinese is a sulfonylurea. It may increase the risk of death from heart disease. Talk with your doctor about the benefits and risks of this or other therapies to treat your condition.


• Diabinese may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Diabinese. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.


• Tell your doctor or dentist that you take Diabinese before you receive any medical or dental care, emergency care, or surgery.


• Lab tests, including fasting blood glucose and hemoglobin A_1C, may be performed while you use Diabinese. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.


• Use Diabinese with caution in the ELDERLY; they may be more sensitive to its effects, especially low blood sugar levels and low blood sodium levels.


• Diabinese should not be used in CHILDREN; safety and effectiveness in children have not been confirmed.


• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Diabinese while you are pregnant. Diabinese should not be used for at least 1 month before the expected delivery date because it may cause low blood sugar in the baby. Diabinese is found in breast milk. Do not breast-feed while taking Diabinese.

When used for long periods of time, Diabinese may not work as well. If your blood sugar has been under control and then becomes hard to manage, contact your doctor. Do not change the dose of your medicine without checking with your doctor.

Possible side effects of Diabinese:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Dizziness; headache; nausea.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); confusion; dark urine; fainting; fever, chills, or persistent sore throat; irregular heartbeat; low blood sugar symptoms (eg, anxiety, drowsiness, fast heartbeat, lightheadedness, severe or persistent dizziness or headache, tremors, unusual sweating, weakness); severe or persistent blurred vision or other vision problems; unusual bruising or bleeding; unusual tiredness or weakness; yellowing of the eyes or skin.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Diabinese side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include coma; confusion; fainting; fast heartbeat; lethargy; lightheadedness; seizures; severe dizziness or drowsiness; tremor; unusual sweating.

Proper storage of Diabinese:

Store Diabinese at room temperature, below 86 degrees F (30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Diabinese out of the reach of children and away from pets.

General information:

• If you have any questions about Diabinese, please talk with your doctor, pharmacist, or other health care provider.


• Diabinese is to be used only by the patient for whom it is prescribed. Do not share it with other people.


• If your symptoms do not improve or if they become worse, check with your doctor.


• Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Diabinese. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Diabinese resources

• Diabinese Side Effects (in more detail)
• Diabinese Use in Pregnancy & Breastfeeding
• Drug Images
• Diabinese Drug Interactions
• Diabinese Support Group
• 0 Reviews for Diabinese - Add your own review/rating

• Diabinese Prescribing Information (FDA)


• Diabinese Advanced Consumer (Micromedex) - Includes Dosage Information


• Diabinese Concise Consumer Information (Cerner Multum)


• Diabinese Monograph (AHFS DI)


• Chlorpropamide Prescribing Information (FDA)


• Chlorpropamide Professional Patient Advice (Wolters Kluwer)

Compare Diabinese with other medications

• Diabetes, Type 2

Ranitidine

Pronunciation: ra-NI-ti-deen
Generic Name: Ranitidine
Brand Name: Zantac

Ranitidine is used for:

Treating certain conditions that cause your body to make too much stomach acid (eg, Zollinger-Ellison syndrome). It is also used to treat ulcers of the small intestine that have not responded to other treatment. It may be used as a short-term alternative to oral ranitidine, in patients who are not able to take medicine by mouth. It may also be used for other conditions as determined by your doctor.

Ranitidine is an H₂-receptor blocker. It works by blocking the action of histamine in the stomach. This reduces the amount of acid the stomach makes. Reducing stomach acid helps to reduce heartburn, heal irritation of the esophagus, and heal ulcers of the stomach or intestines.

Do NOT use Ranitidine if:

• you are allergic to any ingredient in Ranitidine


• you have a history of the blood disease porphyria


• you are taking dasatinib

Contact your doctor or health care provider right away if any of these apply to you.

Before using Ranitidine:

Some medical conditions may interact with Ranitidine. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding


• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement


• if you have allergies to medicines, foods, or other substances


• if you have a history of kidney or liver problems


• if you have abnormal blood electrolyte levels or a history of irregular heartbeat

Some MEDICINES MAY INTERACT with Ranitidine. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Certain benzodiazepines (eg, midazolam, triazolam), glipizide, procainamide, or warfarin because the risk of their side effects may be increased by Ranitidine


• Dasatinib, delavirdine, gefitinib, certain HIV protease inhibitors (eg, atazanavir), itraconazole, or ketoconazole because their effectiveness may be decreased by Ranitidine

This may not be a complete list of all interactions that may occur. Ask your health care provider if Ranitidine may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Ranitidine:

Use Ranitidine as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Ranitidine is usually given as an injection at your doctor's office, hospital, or clinic. If you will be using Ranitidine at home, a health care provider will teach you how to use it. Be sure you understand how to use Ranitidine. Follow the procedures you are taught when you use a dose. Contact your health care provider if you have any questions.


• Do not use Ranitidine if it contains particles, is cloudy or discolored, or if the vial is cracked or damaged.


• Keep this product, as well as syringes and needles, out of the reach of children and pets. Do not reuse needles, syringes, or other materials. Ask your health care provider how to dispose of these materials after use. Follow all local rules for disposal.


• You may take antacids while you are using Ranitidine if you are directed to do so by your doctor.


• Continue to use Ranitidine even if you feel well. Do not miss any doses.


• If you miss a dose of Ranitidine, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use Ranitidine.

Important safety information:

• Ranitidine may rarely cause drowsiness, dizziness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Ranitidine with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.


• Ranitidine may interfere with certain lab tests, including urine protein tests. Be sure your doctor and lab personnel know you are taking Ranitidine.


• Lab tests, including liver function, may be performed while you use Ranitidine. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.


• Ranitidine should be used with extreme caution in CHILDREN younger than 1 month old; safety and effectiveness in these children have not been confirmed.


• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Ranitidine while you are pregnant. Ranitidine is found in breast milk. Do not breast-feed while taking Ranitidine.

Possible side effects of Ranitidine:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Constipation; diarrhea; headache; nausea; stomach upset.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; unusual hoarseness); change in the amount of urine produced; confusion; dark urine; depression; fast, slow, or irregular heartbeat; fever, chills, or sore throat; hallucinations; severe or persistent headache or stomach pain; unusual bruising or bleeding; yellowing of the eyes or skin.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include dizziness; trouble walking.

Proper storage of Ranitidine:

Ranitidine is usually handled and stored by a health care provider. If you are using Ranitidine at home, store Ranitidine as directed by your pharmacist or health care provider. Keep Ranitidine out of the reach of children and away from pets.

General information:

• If you have any questions about Ranitidine, please talk with your doctor, pharmacist, or other health care provider.


• Ranitidine is to be used only by the patient for whom it is prescribed. Do not share it with other people.


• If your symptoms do not improve or if they become worse, check with your doctor.


• Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Ranitidine. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Ranitidine resources

• Ranitidine Use in Pregnancy & Breastfeeding
• Drug Images
• Ranitidine Drug Interactions
• Ranitidine Support Group
• 32 Reviews for Ranitidine - Add your own review/rating

• Ranitidine Prescribing Information (FDA)


• Ranitidine Professional Patient Advice (Wolters Kluwer)


• Ranitidine Hydrochloride Monograph (AHFS DI)


• Zantac Prescribing Information (FDA)


• Zantac Consumer Overview

Compare Ranitidine with other medications

• Duodenal Ulcer
• Duodenal Ulcer Prophylaxis
• Erosive Esophagitis
• Gastric Ulcer Maintenance Treatment
• Gastrointestinal Hemorrhage
• GERD
• Indigestion
• Pathological Hypersecretory Conditions
• Stomach Ulcer
• Stress Ulcer Prophylaxis
• Surgical Prophylaxis
• Zollinger-Ellison Syndrome

Olanzapine

oh-LAN-za-peen

Oral route(Tablet;Tablet, Disintegrating)

Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death compared to placebo. Although the causes of death in clinical trials were varied, most of the deaths appeared to be either cardiovascular (eg, heart failure, sudden death) or infectious (eg, pneumonia) in nature. Observational studies suggest that antipsychotic drugs may increase mortality. It is unclear from these studies to what extent the mortality findings may be attributed to the antipsychotic drug as opposed to patient characteristics. Olanzapine is not approved for the treatment of patients with dementia-related psychosis .

Commonly used brand name(s)

In the U.S.

• Zyprexa


• Zyprexa Zydis

Available Dosage Forms:

• Tablet


• Tablet, Disintegrating

Therapeutic Class: Antipsychotic

Chemical Class: Thienobenzodiazepine

Uses For olanzapine

Olanzapine is used to treat nervous, emotional, and mental conditions (e.g., schizophrenia). It may also be used alone or with other medicines (e.g., lithium or valproate) to treat bipolar disorder (manic-depressive illness) or mania that is part of bipolar disorder. olanzapine should not be used to treat behavioral problems in older adult patients who have dementia or Alzheimer's disease.

olanzapine is available only with your doctor's prescription.

Before Using olanzapine

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For olanzapine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to olanzapine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of olanzapine in teenagers 13 to 17 years of age. However, safety and efficacy of olanzapine in children younger than 13 years of age have not been established.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of olanzapine in the elderly. However, elderly patients are more likely to have dementia or age-related liver, kidney, or heart problems, which may require caution or an adjustment in the dose for patients receiving olanzapine.

Pregnancy

	Pregnancy Category	Explanation
All Trimesters	C	Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

Breast Feeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking olanzapine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using olanzapine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

• Levomethadyl


• Metoclopramide

Using olanzapine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

• Clomipramine


• Hydromorphone


• Lithium


• Milnacipran


• Mirtazapine


• Tetrabenazine


• Tramadol

Using olanzapine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

• Betel Nut


• Carbamazepine


• Ciprofloxacin


• Fluvoxamine


• Haloperidol


• Valproic Acid

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Other Medical Problems

The presence of other medical problems may affect the use of olanzapine. Make sure you tell your doctor if you have any other medical problems, especially:

• Blood vessel disease or circulation problems or


• Dehydration or


• Heart attack or stroke, history of or


• Heart disease or


• Heart failure or


• Heart rhythm problems or


• Hypotension (low blood pressure) or


• Hypovolemia (low blood volume)—May cause side effects to become worse.

• Breast cancer, prolactin-dependent or


• Glaucoma, narrow-angle or


• Hyperlipidemia (high cholesterol or fat in the blood) or


• Hyperprolactinemia (high prolactin in the blood) or


• Liver disease or


• Paralytic ileus (severe intestinal problem), history of or


• Prostatic hypertrophy (enlarged prostate) or


• Seizures, history of—Use with caution. olanzapine may make these conditions worse.

• Diabetes or


• Hyperglycemia (high blood sugar)—olanzapine may raise your blood sugar levels.

• Phenylketonuria (PKU, a genetic disease of metabolism)—The orally disintegrating tablet (Zyprexa® Zydis®) contains phenylalanine, which can make this condition worse.

Proper Use of olanzapine

Take olanzapine exactly as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered.

olanzapine should come with a medication guide. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions. Ask your pharmacist for the medication guide if you do not have one.

If you are using the orally disintegrating tablet (Zyprexa® Zydis®), make sure your hands are dry before you handle the tablet. Do not open the blister pack that contains the tablet until you are ready to take it. Remove the tablet from the blister pack by peeling back the foil, then taking the tablet out. Do not push the tablet through the foil. Place the tablet in your mouth. It should melt quickly. After the tablet has melted, swallow or take a sip of water.

You may take olanzapine with or without food.

Tell your doctor if you smoke tobacco. You might need a different amount of olanzapine if you smoke.

Dosing

The dose of olanzapine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of olanzapine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For oral dosage form (orally disintegrating tablets, regular tablets):
  
  • For treatment of schizophrenia:
    
    • Adults—At first, 5 to 10 milligrams (mg) once a day. Your doctor may adjust your dose if needed. However, the dose is usually not more than 20 mg per day.
    
    
    • Teenagers and children 13 to 17 years of age—At first, 2.5 or 5 milligrams (mg) once a day. Your doctor may adjust your dose if needed. However, the dose is usually not more than 20 mg per day.
    
    
    • Children younger than 13 years of age—Use and dose must be determined by your doctor.
    
    
  
  
  • For treatment of bipolar disorder:
    
    • Adults—At first, 5 to 15 milligrams (mg) once a day. Your doctor may adjust your dose if needed. However, the dose is usually not more than 20 mg per day.
    
    
    • Teenagers and children 13 to 17 years of age—At first, 2.5 or 5 milligrams (mg) once a day. Your doctor may adjust your dose if needed. However, the dose is usually not more than 20 mg per day.
    
    
    • Children younger than 13 years of age—Use and dose must be determined by your doctor.
    
    
  
  
  • For treatment of mania with bipolar disorder:
    
    • Adults—At first, 10 to 15 milligrams (mg) once a day. Your doctor may adjust your dose if needed. However, the dose is usually not more than 20 mg per day.
    
    
    • Teenagers and children 13 to 17 years of age—At first, 2.5 or 5 milligrams (mg) once a day. Your doctor may adjust your dose if needed. However, the dose is usually not more than 20 mg per day.
    
    
    • Children younger than 13 years of age—Use and dose must be determined by your doctor.
    
    
  
  

Missed Dose

If you miss a dose of olanzapine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Precautions While Using olanzapine

It is very important that your doctor check your or your child's progress at regular visits to make sure olanzapine is working properly. Blood tests may be needed to check for unwanted effects.

For some patients, olanzapine can increase thoughts of suicide. Tell your doctor right away if you or your child start to feel more depressed and have thoughts about hurting yourself. Report any unusual thoughts or behaviors that trouble you, especially if they are new or are getting worse quickly. Make sure the doctor knows if you or your child have trouble sleeping, get upset easily, have a big increase in energy, or start to act reckless. Also tell the doctor if you have sudden or strong feelings, such as feeling nervous, angry, restless, violent, or scared. Let the doctor know if you or anyone in your family has bipolar disorder (manic-depressive illness) or has tried to commit suicide.

olanzapine may increase the amount of sugar in your blood. Check with your doctor right away if you have increased thirst or increased urination. If you or your child have diabetes, you may notice a change in the results of your urine or blood sugar tests. If you have any questions, check with your doctor.

olanzapine may increase your cholesterol and fats in the blood. If this condition occurs, your doctor may give you or your child some medicines that can lower the amount of cholesterol and fats in the blood.

olanzapine may increase your weight. Your doctor may need to check your or your child's weight on a regular basis while you are using olanzapine.

Stop taking olanzapine and check with your doctor right away if you or your child have any of the following symptoms while using olanzapine: convulsions (seizures), difficulty with breathing, a fast heartbeat, a high fever, high or low blood pressure, increased sweating, loss of bladder control, severe muscle stiffness, unusually pale skin, or tiredness. These could be symptoms of a serious condition called neuroleptic malignant syndrome (NMS).

olanzapine may cause tardive dyskinesia (a movement disorder). Check with your doctor right away if you or your child have any of the following symptoms while taking olanzapine: lip smacking or puckering, puffing of the cheeks, rapid or worm-like movements of the tongue, uncontrolled chewing movements, or uncontrolled movements of the arms and legs.

Dizziness, lightheadedness, or fainting may occur, especially when you get up from a lying or sitting position. Getting up slowly may help. If this problem continues or gets worse, check with your doctor.

olanzapine can temporarily lower the number of white blood cells in your blood, increasing the chance of getting an infection. If you can, avoid people with infections. Check with your doctor immediately if you or your child think you are getting an infection or if you get a fever or chills, cough or hoarseness, lower back or side pain, or painful or difficult urination.

Olanzapine may cause drowsiness, trouble with thinking, trouble with controlling body movements, or trouble with your vision. Make sure you know how you react to olanzapine before you drive, use machines, or do other jobs that require you to be alert, well-coordinated, or able to think or see well.

olanzapine may add to the effects of alcohol and other central nervous system (CNS) depressants (medicines that make you drowsy or less alert). Some examples of CNS depressants are antihistamines or medicines for allergies or colds; sedatives, tranquilizers, or sleeping medicines; prescription pain medicines or narcotics; medicines for seizures or barbiturates; muscle relaxants; or anesthetics, including some dental anesthetics. Check with your doctor before taking any CNS depressants while you are taking olanzapine.

olanzapine may make it more difficult for your body to cool down. It might reduce how much you sweat. Your body could get too hot if you do not sweat enough. If your body gets too hot, you might feel dizzy, weak, tired, or confused. You might vomit or have an upset stomach. Do not get too hot while you are exercising. Avoid places that are very hot. Call your doctor if you are too hot and can not cool down.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines) and herbal or vitamin supplements.

olanzapine Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

• Bloating or swelling of the face, arms, hands, lower legs, or feet


• blurred vision


• change in vision


• change in walking and balance


• clumsiness or unsteadiness


• difficulty with speaking


• difficulty with swallowing


• drooling


• impaired vision


• inability to sit still


• loss of balance control


• mask-like face


• muscle trembling, jerking, or stiffness


• need to keep moving


• rapid weight gain


• restlessness


• shakiness in the legs, arms, hands, or feet


• shuffling walk


• slowed movements


• slurred speech


• stiffness of the arms and legs


• tic-like (jerky) movements of the head, face, mouth, and neck


• tingling of the hands or feet


• trembling or shaking of the fingers, hands, or feet


• twisting movements of the body


• uncontrolled movements, especially of the face, neck, and back


• unusual weight gain or loss

Less common

• Bladder pain


• bloody or cloudy urine


• bruising


• burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings


• chest pain


• difficult or labored breathing


• difficult, burning, or painful urination


• dizziness


• excessive muscle tone


• frequent urge to urinate


• headache


• inability to move the eyes


• increased blinking or spasms of the eyelid


• itching of the vagina or genital area


• lack of coordination


• large, flat, blue, or purplish patches in the skin


• loss of bladder control


• loss of memory


• lower back or side pain


• muscle tension or tightness


• nervousness


• pain during sexual intercourse


• pounding in the ears


• problems with memory


• rhythmic movement of the muscles


• shortness of breath


• slow, fast, pounding, or irregular heartbeat or pulse


• speaking is less clear than usual


• sticking out the tongue


• thick, white vaginal discharge with no odor or with a mild odor


• tightness in the chest


• trouble with breathing, speaking, or swallowing


• twitching


• uncontrolled twisting movements of the neck, trunk, arms, or legs


• unusual or incomplete body or facial movements


• weakness of the arms and legs


• wheezing

Get emergency help immediately if any of the following symptoms of overdose occur:

Symptoms of overdose

• Anxiety


• attacking, assaulting, or using force


• change in consciousness


• change in patterns and rhythms of speech


• confusion as to time, place, or person


• convulsions (seizures)


• dizziness, faintness, or lightheadedness when getting up from a lying or sitting position suddenly


• drowsiness


• dry mouth


• fainting


• hallucinations


• heart stops beating


• high fever


• high or low blood pressure


• holding false beliefs that cannot be changed by fact


• increased sweating


• irregular, fast or slow, or shallow breathing


• irritability


• lightheadedness


• loss of consciousness


• mood or mental changes


• no breathing


• no pulse or blood pressure


• pale or blue lips, fingernails, or skin


• rapid breathing


• relaxed and calm


• severe muscle stiffness


• shaking or trembling


• sleepiness


• trouble with sleeping


• unconscious


• unusual excitement, nervousness, or restlessness


• unusual tiredness or weakness


• unusually pale skin

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

• Acid or sour stomach


• back pain


• belching


• change in personality


• difficulty having a bowel movement (stool)


• discouragement


• feeling sad or empty


• fever


• heartburn


• increased appetite


• increased cough


• indigestion


• lack of appetite


• lack or loss of strength


• loss of interest or pleasure


• runny nose


• sleeplessness


• sneezing


• stomach discomfort, upset, or pain


• stuffy nose


• thirst


• trouble with concentrating


• unable to sleep


• watering of the mouth


• weight gain

Less common

• Blemishes on the skin


• body aches or pain


• chills


• cold sweats


• congestion


• cough


• dry skin


• dryness or soreness of the throat


• false or unusual sense of well-being


• joint pain


• heavy menstrual bleeding (periods)


• hoarseness


• lack of feeling or emotion


• leg cramps


• pain in the arms or legs


• pimples


• sweating


• tender, swollen glands in the neck


• uncaring feelings


• voice change


• vomiting

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

See also: olanzapine side effects (in more detail)

The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.

More olanzapine resources

• Olanzapine Side Effects (in more detail)
• Olanzapine Use in Pregnancy & Breastfeeding
• Drug Images
• Olanzapine Drug Interactions
• Olanzapine Support Group
• 90 Reviews for Olanzapine - Add your own review/rating

• Olanzapine Professional Patient Advice (Wolters Kluwer)


• Olanzapine MedFacts Consumer Leaflet (Wolters Kluwer)


• Olanzapine Monograph (AHFS DI)


• Zyprexa Prescribing Information (FDA)


• Zyprexa MedFacts Consumer Leaflet (Wolters Kluwer)


• Zyprexa Consumer Overview


• Zyprexa Relprevv Prescribing Information (FDA)


• Zyprexa Relprevv MedFacts Consumer Leaflet (Wolters Kluwer)


• Zyprexa Relprevv Consumer Overview


• Zyprexa Zydis Orally Disintegrating Tablets MedFacts Consumer Leaflet (Wolters Kluwer)

Compare olanzapine with other medications

• Agitation
• Anorexia
• Asperger Syndrome
• Bipolar Disorder
• Body Dysmorphic Disorder
• Borderline Personality Disorder
• Depression
• Insomnia
• Obsessive Compulsive Disorder
• Paranoid Disorder
• Schizoaffective Disorder
• Schizophrenia
• Tourette's Syndrome

Blocadren

Pronunciation: TIM-oh-lole
Generic Name: Timolol
Brand Name: Blocadren

Do not suddenly stop taking Blocadren. Sharp chest pain, irregular heartbeat, and sometimes heart attack may occur if you suddenly stop Blocadren. The risk may be greater if you have certain types of heart disease. Your doctor should slowly lower your dose over several weeks if you need to stop taking it. This should be done even if you only take Blocadren for high blood pressure. Heart disease is common and you may not know you have it. Limit physical activity while you are lowering your dose. If new or worsened chest pain or other heart problems occur, contact your doctor right away. You may need to start taking Blocadren again.

Blocadren is used for:

Treating high blood pressure. It is also used to help prevent a second heart attack in patients who have survived a first heart attack and are stable and to prevent migraines. It may also be used for other conditions as determined by your doctor.

Blocadren is a beta-blocker. It works by interfering with body chemicals that shrink blood vessels and interfere with normal heart contractions.

Do NOT use Blocadren if:

• you are allergic to any ingredient in Blocadren or to similar medicines


• you have asthma, a history of asthma, or severe chronic obstructive pulmonary disease (COPD)


• you have severe slow heartbeat or rapid heartbeat; heart blockage, failure, or shock; or low systolic blood pressure


• you are taking mibefradil, theophyllines (eg, aminophylline), cocaine, or sympathomimetics (eg, epinephrine)

Contact your doctor or health care provider right away if any of these apply to you.

Before using Blocadren:

Some medical conditions may interact with Blocadren. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding


• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement


• if you have allergies to medicines, foods, or other substances


• if you have heart disease, heart failure, blood flow problems, bronchitis or another lung problem, tumors on your adrenal gland, diabetes mellitus, an overactive thyroid, or you are suffering from an allergic reaction, or you will be having surgery

Some MEDICINES MAY INTERACT with Blocadren. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Indomethacin and derivatives, ibuprofen, naproxen, phenylpropanolamine, sulfinpyrazone, or sulindac because they may decrease Blocadren's effectiveness


• Anticholinesterases (eg, pyridostigmine), cimetidine, diltiazem, disopyramide, flecainide, ketanserin, lithium, mefloquine, mibefradil, nifedipine and derivatives, propafenone, quinidine, reserpine, serotonin reuptake inhibitors (eg, fluoxetine), or verapamil and derivatives because side effects, such as low blood pressure and slowed heart rate, may occur


• Bupivacaine, carbonic anhydrase inhibitors (eg, acetazolamide), cocaine, disopyramide, sympathomimetics (eg, epinephrine), ergot alkaloids (eg, ergotamine), flecainide, insulin, ketanserin, mefloquine, meglitinide antidiabetics (eg, repaglinide), methyldopa, nifedipine and derivatives, quinazolines (eg, imatinib), serotonin reuptake inhibitors (eg, fluoxetine), or verapamil and derivatives because the risk of their side effects may be increased by Blocadren


• Glucagon, meglitinide antidiabetics (eg, repaglinide), phenformin, sympathomimetics (eg, pseudoephedrine, albuterol), or theophyllines (eg, aminophylline) because the their effectiveness may be decreased by Blocadren


• Clonidine because when it is discontinued it may cause rebound high blood pressure

This may not be a complete list of all interactions that may occur. Ask your health care provider if Blocadren may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Blocadren:

Use Blocadren as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take Blocadren by mouth with or without food.


• If you miss a dose of Blocadren, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Blocadren.

Important safety information:

• Blocadren may cause drowsiness or dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Blocadren with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.


• Additional monitoring of your dose or condition may be needed if you are taking prazosin.


• Tell your doctor or dentist that you take Blocadren before you receive any medical or dental care, emergency care, or surgery.


• If you have high blood pressure, do not use nonprescription products that contain stimulants. These products may include diet pills or cold medicines. Contact your doctor if you have any questions or concerns.


• Diabetes patients - Blocadren may hide signs of low blood sugar, such as a rapid heartbeat. Be sure to watch for other signs of low blood sugar. Low blood sugar may make you anxious, sweaty, weak, dizzy, drowsy, or faint. It may also make your vision change; give you a headache, chills, or tremors; or make you more hungry. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.


• Patients who take medicine for high blood pressure often feel tired or run down for a few weeks after starting treatment. Be sure to take your medicine even if you may not feel "normal." Tell your doctor if you develop any new symptoms.


• If your doctor has instructed you to check your blood pressure and heart rate regularly, be sure to do so.


• Blocadren should not be used in CHILDREN; safety and effectiveness in children have not been confirmed.


• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Blocadren while you are pregnant. Blocadren is found in breast milk. Do not breast-feed while taking Blocadren.

Possible side effects of Blocadren:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Dizziness; fatigue/tiredness; lightheadedness; mild drowsiness; slow heartbeat; unusual weakness.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); breathing problems; chest pain; irregular heart rhythms.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Blocadren side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include difficult or slowed breathing; fainting; low blood pressure; severe dizziness; very slow heart rate; weakness.

Proper storage of Blocadren:

Store Blocadren at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Blocadren out of the reach of children and away from pets.

General information:

• If you have any questions about Blocadren, please talk with your doctor, pharmacist, or other health care provider.


• Blocadren is to be used only by the patient for whom it is prescribed. Do not share it with other people.


• If your symptoms do not improve or if they become worse, check with your doctor.


• Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Blocadren. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Blocadren resources

• Blocadren Side Effects (in more detail)
• Blocadren Dosage
• Blocadren Use in Pregnancy & Breastfeeding
• Drug Images
• Blocadren Drug Interactions
• Blocadren Support Group
• 0 Reviews for Blocadren - Add your own review/rating

• Blocadren Prescribing Information (FDA)


• Blocadren Concise Consumer Information (Cerner Multum)


• Blocadren Advanced Consumer (Micromedex) - Includes Dosage Information


• Timolol eent Monograph (AHFS DI)


• Timolol Prescribing Information (FDA)


• Timolol Maleate Monograph (AHFS DI)

Compare Blocadren with other medications

• Angina
• Heart Attack
• High Blood Pressure
• Migraine Prevention

Beta-Carotene

Pronunciation: BAY-tah KARE-oh-teen
Generic Name: Beta-Carotene
Brand Name: Generic only. No brands available.

Beta-Carotene is used for:

Treating vitamin A deficiency. It may also be used for other conditions as determined by your doctor.

Beta-Carotene is a precursor to vitamin A, a fat-soluble vitamin.

Do NOT use Beta-Carotene if:

• you are allergic to any ingredient in Beta-Carotene


• you are taking vitamin A supplements or any multivitamins that contain vitamin A


• you are taking acitretin

Contact your doctor or health care provider right away if any of these apply to you.

Before using Beta-Carotene:

Some medical conditions may interact with Beta-Carotene. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding


• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement


• if you have allergies to medicines, foods, or other substances


• if you take large doses of vitamins (megadoses or multivitamin therapy)

Some MEDICINES MAY INTERACT with Beta-Carotene. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Acitretin because the risk of serious side effects may be increased

This may not be a complete list of all interactions that may occur. Ask your health care provider if Beta-Carotene may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Beta-Carotene:

Use Beta-Carotene as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take Beta-Carotene with food or milk.


• Take Beta-Carotene regularly to receive the most benefit from it. Taking Beta-Carotene at the same time each day will help you remember to take it.


• If you miss a dose of Beta-Carotene, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Beta-Carotene.

Important safety information:

• Beta-Carotene may cause increased sensitivity to the sun. Avoid exposure to the sun, sunlamps, or tanning booths until you know how you react to Beta-Carotene. Use a sunscreen or protective clothing if you must be outside for a prolonged period.


• Your skin may turn slightly yellow while you are taking Beta-Carotene. This is harmless and not a cause for concern.


• Do not take large doses of vitamins (megadoses or megavitamin therapy) while taking Beta-Carotene unless directed by your doctor.


• PREGNANCY and BREAST-FEEDING: If you plan on becoming pregnant, discuss with your doctor the benefits and risks of using Beta-Carotene during pregnancy. If you are or will be breast feeding while you are using Beta-Carotene, check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of Beta-Carotene:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Diarrhea.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue).

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Beta-Carotene side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.

Proper storage of Beta-Carotene:

Store Beta-Carotene at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Beta-Carotene out of the reach of children and away from pets.

General information:

• If you have any questions about Beta-Carotene, please talk with your doctor, pharmacist, or other health care provider.


• Beta-Carotene is to be used only by the patient for whom it is prescribed. Do not share it with other people.


• If your symptoms do not improve or if they become worse, check with your doctor.


• Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Beta-Carotene. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Beta-Carotene resources

• Beta-Carotene Side Effects (in more detail)
• Beta-Carotene Use in Pregnancy & Breastfeeding
• Beta-Carotene Drug Interactions
• Beta-Carotene Support Group
• 0 Reviews for Beta-Carotene - Add your own review/rating

Compare Beta-Carotene with other medications

• Vitamin A Deficiency

Renate DHA Extra

Generic Name: prenatal multivitamins (PRE nay tal VYE ta mins)

Brand Names: Advance Care Plus, Bright Beginnings, Cavan Folate, Cavan One, Cavan-Heme OB, Cenogen Ultra, CitraNatal Rx, Co Natal FA, Complete Natal DHA, Complete-RF, CompleteNate, Concept OB, Docosavit, Dualvit OB, Duet, Edge OB, Elite OB 400, Femecal OB, Folbecal, Folcaps Care One, Folivan-OB, Foltabs, Gesticare, Icar Prenatal, Icare Prenatal Rx, Inatal Advance, Infanate DHA, Kolnatal DHA, Lactocal-F, Marnatal-F, Maternity, Maxinate, Mission Prenatal, Multi-Nate 30, Multinatal Plus, Nata 29 Prenatal, Natachew, Natafort, Natelle, Neevo, Nestabs, Nexa Select with DHA, Novanatal, NovaStart, O-Cal Prenatal, OB Complete, OB Natal One, Ob-20, Obtrex DHA, OptiNate, Paire OB Plus DHA, PNV Select, PNV-Total, PR Natal 400, Pre-H-Cal, Precare, PreferaOB, Premesis Rx, PrenaCare, PrenaFirst, PrenaPlus, Prenatabs OBN, Prenatabs Rx, Prenatal 1 Plus 1, Prenatal Elite, Prenatal Multivitamins, Prenatal Plus, Prenatal S, Prenatal-U, Prenate Advanced Formula, Prenate DHA, Prenate Elite, Prenavite FC, PreNexa, PreQue 10, Previte Rx, PrimaCare, Pruet DHA, RE OB Plus DHA, Renate, RightStep, Rovin-NV, Se-Care, Se-Natal One, Se-Plete DHA, Se-Tan DHA, Select-OB, Seton ET, Strongstart, Stuart Prenatal with Beta Carotene, Tandem OB, Taron-BC, Tri Rx, TriAdvance, TriCare, Trimesis Rx, Trinate, Triveen-PRx RNF, UltimateCare Advance, Ultra-Natal, Vemavite PRX 2, VeNatal FA, Verotin-BY, Verotin-GR, Vinacal OR, Vinatal Forte, Vinate Advanced (New Formula), Vinate AZ, Vinate Care, Vinate Good Start, Vinate II (New Formula), Vinate III, Vinate One, Vitafol-OB, VitaNatal OB plus DHA, Vitaphil, Vitaphil Aide, Vitaphil Plus DHA, Vitaspire, Viva DHA, Vol-Nate, Vol-Plus, Vol-Tab Rx, Vynatal F.A., Zatean-CH, Zatean-PN

What are Renate DHA Extra (prenatal multivitamins)?

There are many brands and forms of prenatal vitamin available and not all brands are listed on this leaflet.

Prenatal vitamins are a combination of many different vitamins that are normally found in foods and other natural sources.

Prenatal vitamins are used to provide the additional vitamins needed during pregnancy. Minerals may also be contained in prenatal multivitamins.

Prenatal vitamins may also be used for purposes not listed in this medication guide.

What is the most important information I should know about prenatal vitamins?

There are many brands and forms of prenatal vitamin available and not all brands are listed on this leaflet.

Never take more than the recommended dose of a multivitamin. Avoid taking any other multivitamin product within 2 hours before or after you take your prenatal vitamins. Taking similar vitamin products together at the same time can result in a vitamin overdose or serious side effects.

Many multivitamin products also contain minerals such as calcium, iron, magnesium, potassium, and zinc. Minerals (especially taken in large doses) can cause side effects such as tooth staining, increased urination, stomach bleeding, uneven heart rate, confusion, and muscle weakness or limp feeling. Read the label of any multivitamin product you take to make sure you are aware of what it contains.

Seek emergency medical attention if you think you have used too much of this medicine. An overdose of vitamins A, D, E, or K can cause serious or life-threatening side effects and can also harm your unborn baby. Certain minerals contained in a prenatal multivitamin may also cause serious overdose symptoms or harm to the baby if you take too much.

Overdose symptoms may include stomach pain, vomiting, diarrhea, constipation, loss of appetite, hair loss, peeling skin, tingly feeling in or around your mouth, changes in menstrual periods, weight loss, severe headache, muscle or joint pain, severe back pain, blood in your urine, pale skin, and easy bruising or bleeding.

Do not take this medication with milk, other dairy products, calcium supplements, or antacids that contain calcium. Calcium may make it harder for your body to absorb certain ingredients of the multivitamin.

What should I discuss with my healthcare provider before taking prenatal vitamins?

Many vitamins can cause serious or life-threatening side effects if taken in large doses. Do not take more of this medication than directed on the label or prescribed by your doctor.

Before taking prenatal vitamins, tell your doctor about all of your medical conditions.

You may need to continue taking prenatal vitamins if you breast-feed your baby. Ask your doctor about taking this medication while breast-feeding.

How should I take prenatal vitamins?

Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.

Never take more than the recommended dose of prenatal vitamins.

Many multivitamin products also contain minerals such as calcium, iron, magnesium, potassium, and zinc. Minerals (especially taken in large doses) can cause side effects such as tooth staining, increased urination, stomach bleeding, uneven heart rate, confusion, and muscle weakness or limp feeling. Read the label of any multivitamin product you take to make sure you are aware of what it contains.

Take your prenatal vitamin with a full glass of water.

Swallow the regular tablet or capsule whole. Do not break, chew, crush, or open it.

The chewable tablet must be chewed or allowed to dissolve in your mouth before swallowing. You may also allow the chewable tablet to dissolve in drinking water, fruit juice, or infant formula (but not milk or other dairy products). Drink this mixture right away.

Use prenatal vitamins regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

Store at room temperature away from moisture and heat. Keep prenatal vitamins in their original container. Storing vitamins in a glass container can ruin the medication.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. 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 vitamins A, D, E, or K can cause serious or life-threatening side effects and can also harm your unborn baby. Certain minerals contained in a prenatal multivitamin may also cause serious overdose symptoms or harm to the baby if you take too much.

Overdose symptoms may include stomach pain, vomiting, diarrhea, constipation, loss of appetite, hair loss, peeling skin, tingly feeling in or around your mouth, changes in menstrual periods, weight loss, severe headache, muscle or joint pain, severe back pain, blood in your urine, pale skin, and easy bruising or bleeding.

What should I avoid while taking prenatal vitamins?

Avoid taking any other multivitamin product within 2 hours before or after you take your prenatal vitamins. Taking similar vitamin products together at the same time can result in a vitamin overdose or serious side effects.

Avoid the regular use of salt substitutes in your diet if your multivitamin contains potassium. If you are on a low-salt diet, ask your doctor before taking a vitamin or mineral supplement.

Do not take this medication with milk, other dairy products, calcium supplements, or antacids that contain calcium. Calcium may make it harder for your body to absorb certain ingredients of the prenatal vitamin.

Prenatal vitamins 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.

When taken as directed, prenatal vitamins are not expected to cause serious side effects. Less serious side effects may include:

• 
  

  upset stomach;

  
  


• 
  

  headache; or

  
  


• 
  

  unusual or unpleasant taste in your mouth.

  
  

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect prenatal vitamins?

Vitamin and mineral supplements can interact with certain medications, or affect how medications work in your body. Before taking a prenatal vitamin, tell your doctor if you also use:

• 
  

  diuretics (water pills);

  
  


• 
  

  heart or blood pressure medications;

  
  


• 
  

  tretinoin (Vesanoid);

  
  


• 
  

  isotretinoin (Accutane, Amnesteen, Clavaris, Sotret);

  
  


• 
  

  trimethoprim and sulfamethoxazole (Cotrim, Bactrim, Gantanol, Gantrisin, Septra, TMP/SMX); or

  
  


• 
  

  an NSAID (non-steroidal anti-inflammatory drug) such as ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn, Naprelan, Treximet), celecoxib (Celebrex), diclofenac (Cataflam, Voltaren), indomethacin (Indocin), meloxicam (Mobic), and others.

  
  

This list is not complete and other drugs may interact with prenatal vitamins. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

More Renate DHA Extra resources

• Renate DHA Extra Use in Pregnancy & Breastfeeding
• Renate DHA Extra Drug Interactions
• Renate DHA Extra Support Group
• 0 Reviews for Renate DHA Extra - Add your own review/rating

• Cal-Nate MedFacts Consumer Leaflet (Wolters Kluwer)


• CareNatal DHA MedFacts Consumer Leaflet (Wolters Kluwer)


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• CitraNatal Assure Prescribing Information (FDA)


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• Docosavit Prescribing Information (FDA)


• Duet DHA with Ferrazone MedFacts Consumer Leaflet (Wolters Kluwer)


• Folbecal MedFacts Consumer Leaflet (Wolters Kluwer)


• Folcal DHA Prescribing Information (FDA)


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• Gesticare DHA MedFacts Consumer Leaflet (Wolters Kluwer)


• Inatal Advance Prescribing Information (FDA)


• Inatal Ultra Prescribing Information (FDA)


• Multi-Nate DHA Prescribing Information (FDA)


• Multi-Nate DHA Extra Prescribing Information (FDA)


• MultiNatal Plus MedFacts Consumer Leaflet (Wolters Kluwer)


• Natelle One Prescribing Information (FDA)


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• Prenate Elite MedFacts Consumer Leaflet (Wolters Kluwer)


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• PrimaCare ONE capsules


• PrimaCare One MedFacts Consumer Leaflet (Wolters Kluwer)


• Renate DHA Prescribing Information (FDA)


• Se-Natal 19 Chewable Tablets MedFacts Consumer Leaflet (Wolters Kluwer)


• Se-Natal 19 Prescribing Information (FDA)


• Tandem DHA Prescribing Information (FDA)


• Tandem OB Prescribing Information (FDA)


• TriAdvance Prescribing Information (FDA)


• Triveen-One MedFacts Consumer Leaflet (Wolters Kluwer)


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Compare Renate DHA Extra with other medications

• Vitamin/Mineral Supplementation during Pregnancy/Lactation

Where can I get more information?

• Your pharmacist can provide more information about prenatal vitamins.

Oxymetholone

Pronunciation: ox-i-METH-oh-lone
Generic Name: Oxymetholone
Brand Name: Anadrol-50

Oxymetholone may cause serious liver and spleen problems, including the formation of blood-filled cysts within the liver and spleen and the formation of liver tumors. Liver failure or severe internal bleeding may sometimes result. If you develop sudden dizziness, weakness, fainting, nausea, vomiting, stomach pain, dark urine, or yellowing of the skin or eyes, contact your doctor immediately.

Oxymetholone may cause changes in lipid levels in the blood, which can affect your risk of developing blockages in the arteries (atherosclerosis) or coronary artery disease. Talk with your doctor if you have questions about taking Oxymetholone.

Oxymetholone is used for:

Treating certain types of anemia. It may also be used for other conditions as determined by your doctor.

Oxymetholone is an androgen hormone. It works by increasing the production of erythropoietin, a chemical in the body that increases the production of red blood cells.

Do NOT use Oxymetholone if:

• you are allergic to any ingredient in Oxymetholone


• you are or may become pregnant


• you have severe kidney problems (eg, nephrosis) or severe liver problems or have cancer of the prostate or breast

Contact your doctor or health care provider right away if any of these apply to you.

Before using Oxymetholone:

Some medical conditions may interact with Oxymetholone. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are breast-feeding


• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement


• if you have allergies to medicines, foods, or other substances


• if you have diabetes; an enlarged prostate; heart, kidney, or liver problems; or high blood calcium

Some MEDICINES MAY INTERACT with Oxymetholone. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Anticoagulants (eg, warfarin), carbamazepine, insulin, or oxyphenbutazone because the risk of side effects may be increased by Oxymetholone

This may not be a complete list of all interactions that may occur. Ask your health care provider if Oxymetholone may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Oxymetholone:

Use Oxymetholone as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Oxymetholone may be taken with or without food. If stomach upset occurs, take with food to reduce stomach irritation.


• If you miss a dose of Oxymetholone, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Oxymetholone.

Important safety information:

• Diabetes patients - Oxymetholone may affect your blood sugar. Check blood sugar levels closely and ask your doctor before adjusting the dose of your diabetes medicine.


• LAB TESTS, including blood cholesterol and lipid levels, iron levels, urine and blood calcium levels, liver function tests, bone growth and development, and complete blood cell counts, may be performed to monitor your progress or to check for side effects. Be sure to keep all doctor and lab appointments.


• Use Oxymetholone with caution in the ELDERLY because they may be more sensitive to its effects, especially enlarged prostate and prostate cancer.


• Oxymetholone may affect certain lab tests, including thyroid function tests. Be sure your doctors and lab personnel know you are taking Oxymetholone.


• Oxymetholone may affect the growth rate in CHILDREN and adolescents in some instances. Your child's growth may need to be checked regularly while using Oxymetholone.


• Caution is advised when using Oxymetholone in CHILDREN because they may be more sensitive to its effects, especially effects on bone growth and sexual development.


• PREGNANCY and BREAST-FEEDING: Do not use Oxymetholone if you are pregnant. If you suspect that you could be pregnant, contact your doctor immediately. It is unknown if Oxymetholone is excreted in breast milk. Do not breast-feed while using Oxymetholone.

Possible side effects of Oxymetholone:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Abnormal skin sensations; acne; anxiety; baldness; changes in sexual desire; general body discomfort; headache.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); breast growth; changes in menstrual periods; changes in skin color; deepening of the voice; depression; frequent or persistent erections; hoarseness; mood or mental problems; more hair on the face; nausea; new lumps or pain; swelling of arms or legs; trouble sleeping; trouble urinating; unusual bruising or bleeding; vomiting; weight gain; yellowing of the skin or eyes.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Oxymetholone side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.

Proper storage of Oxymetholone:

Store Oxymetholone between 68 and 77 degrees F (20 and 25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Oxymetholone out of the reach of children and away from pets.

General information:

• If you have any questions about Oxymetholone, please talk with your doctor, pharmacist, or other health care provider.


• Oxymetholone is to be used only by the patient for whom it is prescribed. Do not share it with other people.


• If your symptoms do not improve or if they become worse, check with your doctor.


• Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Oxymetholone. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Oxymetholone resources

• Oxymetholone Side Effects (in more detail)
• Oxymetholone Use in Pregnancy & Breastfeeding
• Oxymetholone Drug Interactions
• Oxymetholone Support Group
• 0 Reviews for Oxymetholone - Add your own review/rating

• Oxymetholone Professional Patient Advice (Wolters Kluwer)


• oxymetholone Concise Consumer Information (Cerner Multum)

Compare Oxymetholone with other medications

• Anemia