Professional Plasma Tooth Whitening Kit gives you a chance to in-office tooth bleaching with a professional lightening effect.
How to use
Kit Includes:
1 Handheld Laser Unit;
2 Teeth Bleaching Gel Syringes (3mL each) or 1 10mL Teeth Bleaching Gel Syringe (up to 36 individual tray applications, more than you need – containing 35% Carbamide Peroxide).
Apply the gel onto your teeth – you have no need in using trays. Switch on the Handheld Laser Unit and keep it on for the period, indicated in the instructions.
Drug Class and Mechanism
Bleaching Gel contains 35% of Carbamide Peroxide that is an effective bleaching agent, activated when in contact with your teeth and warmed up by the Handheld Laser Unit. It produces a gradual lightening of the surface enamel in the minimal period of 3 days.
Missed Dose
If you miss a session, take it as soon as you can. If it is almost time for your next session, take only that one.
Storage
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F).
Warnings/Precautions
The teeth whitening gel should stay on your teeth and not leak into your mouth.
Possible Side Effects
Studies, evaluating Carbamide Peroxide whiteners have found minimal or no effect on the microhardness or mineral content of tooth enamel surfaces. Scanning electron microscope studies of the enamel of teeth that have been bleached have typically not shown damage either. As a point of comparison, studies have shown that exposure to soft drinks and fruit juices can cause comparable or greater alteration of tooth enamel than tooth whiteners.
More Information
Our formula consists of fully-licensed products and is considered as the most effective and safe systems available in the market. We use a 35% Carbamide Peroxide content which is 40% stronger than what most dentists use.
Hydrochlorothiazide is a thiazide diuretic (water pill) that helps prevent your body from absorbing too much salt, which can cause fluid retention.
Hydrochlorothiazide treats fluid retention (edema) in people with congestive heart failure, cirrhosis of the liver, or kidney disorders, or edema caused by taking steroids or estrogen. This medication is also used to treat high blood pressure (hypertension).
Hydrochlorothiazide may also be used for other purposes not listed in this medication guide.
Important information about Hydrochlorothiazide
Do not use this medication if you are allergic to hydrochlorothiazide or if you are unable to urinate.
Before using this medication, tell your doctor if you have liver disease, kidney disease, asthma or allergies, gout, diabetes, or if you are allergic to sulfa drugs.
Avoid drinking alcohol, which can increase some of the side effects of hydrochlorothiazide.
Avoid becoming overheated or dehydrated during exercise and in hot weather. Follow your doctor’s instructions about the type and amount of liquids you should drink. In some cases, drinking too much liquid can be as unsafe as not drinking enough.
There are many other medicines that can interact with hydrochlorothiazide. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.
If you are being treated for high blood pressure, keep using hydrochlorothiazide even if you feel fine. High blood pressure often has no symptoms.
Before taking Hydrochlorothiazide
Do not use this medication if you are allergic to hydrochlorothiazide, or if you are unable to urinate.
Before using hydrochlorothiazide, tell your doctor if you have:
kidney disease;
liver disease;
asthma or allergies;
gout;
diabetes; or
an allergy to sulfa drugs.
If you have any of these conditions, you may need a dose adjustment or special tests to safely take hydrochlorothiazide.
FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Hydrochlorothiazide can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
How should I take Hydrochlorothiazide?
Take hydrochlorothiazide exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.
Your doctor may occasionally change your dose to make sure you get the best results from this medication.
To be sure this medication is not causing harmful effects, your blood pressure will need to be checked on a regular basis. Do not miss any scheduled appointments.
Your blood and urine may both be tested if you have been vomiting or are dehydrated.
Hydrochlorothiazide can interfere with the results of a thyroid test. Tell any doctor who treats you that you are using a thiazide diuretic.
If you are being treated for high blood pressure, keep using this medication even if you feel fine. High blood pressure often has no symptoms.
Store the tablets at room temperature away from heat, light, and moisture.
What happens if I miss a dose?
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.
What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this medicine. Overdose symptoms may include nausea, weakness, dizziness, dry mouth, thirst, and muscle pain or weakness.
Hydrochlorothiazide side effects
Get emergency medical help if you have any of these signs of an allergic reaction to hydrochlorothiazide: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using this medication and call your doctor at once if you have a serious side effect such as:
dry mouth, thirst, nausea, vomiting;
feeling weak, drowsy, restless, or light-headed;
fast or uneven heartbeat;
muscle pain or weakness;
numbness or tingly feeling;
a red, blistering, peeling skin rash; or
nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).
Less serious hydrochlorothiazide side effects may include:
diarrhea;
mild stomach pain;
constipation; or
blurred vision.
This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.
Hydrochlorothiazide Dosing Information
Usual Adult Dose for Edema:
25 to 100 mg orally as a single or divided dose.
Usual Adult Dose for Hypertension:
Initial dose: 25 mg orally once a day.
Maintenance dose: May increase to 50 mg orally as a single or 2 divided doses.
Usual Adult Dose for Nephrocalcinosis:
Initial: 25 mg orally once a day
Maintenance dose: May increase to 50 mg twice a day
Usual Adult Dose for Osteoporosis:
Initial: 25 mg orally once a day
Maintenance dose: May increase to 50 mg per day
Usual Adult Dose for Diabetes Insipidus:
Initial: 50 mg orally once a day
Maintenance dose: May increase to 100 mg per day
Usual Pediatric Dose for not applicable:
less than 6 months: 3 mg/kg/day orally in 2 divided doses.
less than 2 years: 1 to 2 mg/kg/day orally as a single or 2 divided doses.
Maximum dose 37.5 mg/day.
2 to 12 years: 1 to 2 mg/kg/day orally as a single or 2 divided doses.
Maximum dose 100 mg/day.
What other drugs will affect Hydrochlorothiazide?
Before taking this medication, tell your doctor if you are using any of the following drugs:
lithium;
digoxin (Lanoxin);
cholestyramine (Prevalite, Questran) or colestipol (Colestid);
steroids (prednisone and others);
other blood pressure medications;
NSAIDs (non-steroidal anti-inflammatory drugs) such as aspirin, ibuprofen (Motrin, Advil), diclofenac (Voltaren), indomethacin, naproxen (Aleve, Naprosyn), piroxicam (Feldene), nabumetone (Relafen), etodolac (Lodine), and others; or
insulin or diabetes medicine taken by mouth.
This list is not complete and there may be other drugs that can interact with hydrochlorothiazide. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
Nitroglycerin is prescribed to prevent and treat angina pectoris (suffocating chest pain). This condition occurs when the coronary arteries become constricted and are not able to carry sufficient oxygen to the heart muscle. Nitroglycerin is thought to improve oxygen flow by relaxing the walls of arteries and veins, thus allowing them to dilate.
Nitroglycerin is used in different forms. As a patch or ointment, nitroglycerin may be applied to the skin. The patch and the ointment are for prevention of chest pain.
Swallowing nitroglycerin in capsule or tablet form also helps to prevent chest pain from occurring.
In the form of sublingual (held under the tongue) or buccal (held in the cheek) tablets, or in oral spray (sprayed on or under the tongue), nitroglycerin helps relieve chest pain that has already occurred. The spray can also prevent anginal pain. The type of nitroglycerin you use will depend on your condition.
Most important fact about Nitroglycerin
Nitroglycerin may cause severe low blood pressure (possibly marked by dizziness or light-headedness), especially if you are in an upright position or have just gotten up from sitting or lying down. You may also find your heart rate slowing and your chest pain increasing. People taking diuretic medication, or who have low systolic blood pressure (less than 90 mm Hg) should use nitroglycerin with caution.
How should you take Nitroglycerin?
Since nitroglycerin is available in many forms, it is crucial for you to follow your doctor’s directions for taking the type of nitroglycerin prescribed for you. Never interchange brands.
Ideally, you should take nitroglycerin while sitting down—especially if you feel dizzy or light-headed—so as to avoid a fall.
If you miss a dose…
If you are using a skin patch or ointment:
Apply it as soon as you remember. If it is almost time for your regular dose, skip the one you missed and go back to your regular schedule. Never apply 2 skin patches at the same time. If you are taking oral tablets or capsules:
Take the forgotten dose as soon as you remember. However, if it is within 2 hours of your next dose, skip the one you missed and go back to your regular schedule. Never take 2 doses at the same time.
Storage instructions…
Keep Nitroglycerin in the container it came in, tightly closed. Store it at room temperature. Do not refrigerate.
Avoid puncturing the spray container and keep it away from excess heat.
Do not open the container of sublingual tablets until you need a dose. Close the container tightly immediately after each use. Do not put other medications, a cotton plug, or anything else in the container. Keep the sublingual tablets handy at all times. Keep the patches in the protective pouches they come in until use.
What side effects may occur?
Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking nitroglycerin.
Side effects may include:
Dizziness, flushed skin (neck and face), headache, light-headedness, worsened angina pain
Why should Nitroglycerin not be prescribed?
You should not be using nitroglycerin if you are allergic to it or to the adhesive in the patch, if you have a head injury, or if you have any condition caused by increased fluid pressure in your head. Nitroglycerin should not be taken if you have severe anemia or if you recently had a heart attack. The capsule form should not be used if you have closed-angle glaucoma (pressure in the eye) or suffer from postural hypotension (dizziness upon standing up). Do not take the tablets if you are using the impotence drug sildenafil.
Special warnings about Nitroglycerin
If your vision becomes blurry or your mouth becomes dry while taking nitroglycerin, it should be discontinued. Contact your doctor immediately if these symptoms develop.
You may develop acute headaches if you take nitroglycerin excessively. Also, some people may develop a tolerance to nitroglycerin, and it may become less beneficial over time, especially if used in excess.
Nitroglycerin tablets lose their effectiveness when exposed to air. If you are taking sublingual nitroglycerin, you may notice a burning or tingling sensation. This does not necessarily mean that tablets which have been exposed to air for a long period of time are still good.
Take no more than the smallest possible amount needed to relieve pain.
Daily headaches may be an indicator of the drug’s activity. Do not change your dose to avoid the headache, because you may reduce the drug’s effectiveness at the same time.
Before taking nitroglycerin, tell your doctor if you have had a recent heart attack, head injury, or stroke; or if you have anemia, glaucoma (pressure in the eye), or heart, kidney, liver, or thyroid disease.
If you use a patch, dispose of it carefully. There is enough drug left in a used patch to be harmful to children and pets.
Since nitroglycerin can cause dizziness, you should observe caution while driving, operating machinery, or performing other tasks that demand concentration.
The benefits of applying nitroglycerin to the skin of people experiencing heart attacks or congestive heart failure have not been established. If you are using the medication for these conditions, your doctor will monitor you to prevent low blood pressure and pounding heartbeat.
Possible food and drug interactions when taking Nitroglycerin
If nitroglycerin is taken with certain other drugs, the effects of either could be increased, decreased, or altered.
Taken with many high blood pressure drugs, nitroglycerin may cause extreme low blood pressure (dizziness, fainting, numbness). Take particular care with calcium channel blockers such as nifedipine and verapamil, as well as isosorbide dinitrate, isosorbide mononitrate, blood vessel dilators such as minoxidil, and beta-blocker medications such as atenolol. Nitroglycerin may also cause a severe drop in blood pressure when taken with the impotence drug sildenafil.
Aspirin can increase the effects of nitroglycerin.
Alcohol may interact with nitroglycerin and cause a swift decrease in blood pressure, possibly causing dizziness and fainting.
Also be alert for an interaction with dihydroergotamine. Check with your doctor if you are uncertain about any combination you plan to take.
Special information if you are pregnant or breastfeeding
It has not been determined whether nitroglycerin might harm a fetus or a pregnant woman. As a result, nitroglycerin should be used only when the benefits of therapy clearly outweigh the potential risks to the fetus and woman. It is not known if nitroglycerin appears in breast milk; therefore, a nursing mother should use nitroglycerin only on advice of her doctor.
Recommended dosage for Nitroglycerin
The following section is intended to provide guidelines for taking nitroglycerin. Follow your doctor’s instructions carefully for using nitroglycerin in the form prescribed for you.
ADULTS
Sublingual or Buccal Tablets
At the first sign of chest pain, 1 tablet should be dissolved under the tongue or inside the cheek. You may repeat the dose every 5 minutes until the pain is relieved. If your pain continues after you have taken 3 tablets in a 15-minute period, notify your doctor or seek medical attention immediately.
You may take sublingual or buccal nitroglycerin from 5 to 10 minutes before starting activities that may cause chest pain.
Patch Form
A patch is applied to the skin for 12 to 14 hours. After this time, the patch is removed; it is not applied again for 10 to 12 hours (a “patch-off” period). Apply the patch as soon as you remove it from its protective pouch.
Spray Form
At the first sign of chest pain, spray 1 or 2 pre-measured doses onto or under the tongue. You should not use more than 3 doses within a 15-minute period. If your chest pain continues, you should contact your doctor or seek medical attention immediately.
The spray can be used 5 to 10 minutes before activity that might precipitate an attack.
Ointment Form
Your initial dose may be a daily total of 1 inch of ointment. Apply one-half inch on rising in the morning, and the remaining one-half inch 6 hours later. If needed, follow your doctor’s instructions for increasing your dosage. Apply in a thin, uniform layer, regardless of the amount of your dosage. There should be a daily period where no ointment is applied. Usually, the “ointment-off” period will last from 10 to 12 hours.
Absorption varies with site of application—more is absorbed through the chest.
Sustained-Release Capsules or Tablets
The smallest effective amount should be taken 2 or 3 times a day at 8- to 12-hour intervals.
CHILDREN
The safety and effectiveness of nitroglycerin have not been established for children.
OLDER ADULTS
In general, dosages less than the above adult dosages are recommended, since the elderly may be more susceptible to low blood pressure and headaches.
Overdosage
Any medication taken in excess can have serious consequences. Severe overdosage of nitroglycerin may result in death. If you suspect an overdose, seek medical attention immediately.
Symptoms of overdose may include:
Bluish skin, clammy skin, colic, coma, confusion, diarrhea (may be bloody), difficult and/or slow breathing, dizziness, fainting, fever, flushed skin, headache (persistent, throbbing), increased pressure within the skull, irregular pulse, loss of appetite, nausea, palpitations (an abnormally rapid throbbing or fluttering of the heart), paralysis, rapid decrease in blood pressure, seizures, slow or fast pulse/heartbeat, sweating, vertigo, visual disturbances, vomiting
Dipyridamole keeps the platelets in your blood from coagulating (clotting) to prevent blood clots from forming on or around an artificial heart valve.
Dipyridamole is used to prevent blood clots after heart valve replacement surgery.
Dipyridamole may also be used for other purposes not listed in this medication guide.
What is the most important information I should know about Dipyridamole?
Before taking dipyridamole, tell your doctor if you have liver disease, low blood pressure, coronary artery disease, angina (chest pain), or if you have recently had a heart attack.
Dipyridamole is often taken together with other medications to prevent blood clots. To best treat your condition, use all of your medications as directed by your doctor. Be sure to read the medication guide or patient instructions provided with each of your medications. Do not change your doses or medication schedule without advice from your doctor.
To be sure this medication is not causing harmful effects, your doctor may need to check your progress on a regular basis. Do not miss any scheduled visits to your doctor.
While you are taking dipyridamole, do not take aspirin or other NSAIDs (non-steroidal anti-inflammatory drugs) without your doctor’s advice. NSAIDs include ibuprofen (Motrin, Advil), naproxen (Aleve, Naprosyn), diclofenac (Voltaren), diflunisal (Dolobid), etodolac (Lodine), flurbiprofen (Ansaid), indomethacin (Indocin), ketoprofen (Orudis), ketorolac (Toradol), mefenamic acid (Ponstel), meloxicam (Mobic), nabumetone (Relafen), piroxicam (Feldene), and others.
There may be other drugs that can affect dipyridamole. During your treatment with dipyridamole, you may also be taking another blood thinner such as warfarin (Coumadin). There are many drugs that can interact with blood thinners.
Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
What should I discuss with my healthcare provider before taking Dipyridamole?
Do not use this medication if you are allergic to dipyridamole.
If you have any of these other conditions, you may not be able to use dipyridamole, or you may need a dose adjustment or special tests to safely take this medication:
liver disease;
low blood pressure;
severe coronary artery disease (also called atherosclerosis);
uncontrolled chest pain (angina); or
if you have recently had a heart attack.
FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Dipyridamole can pass into breast milk and may harm a nursing infant. Do not take this medication without telling your doctor if you are breast-feeding a baby. Do not give this medication to a child younger than 12 years old without the advice of a doctor.
How should I take Dipyridamole?
Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.
Take dipyridamole with a full glass (8 ounces) of water.
Dipyridamole is often taken together with other medications to prevent blood clots. To best treat your condition, use all of your medications as directed by your doctor. Be sure to read the medication guide or patient instructions provided with each of your medications. Do not change your doses or medication schedule without advice from your doctor.
To be sure this medication is not causing harmful effects, your doctor may need to check your progress on a regular basis. Do not miss any scheduled visits to your doctor.
Store dipyridamole at room temperature away from moisture and heat.
What happens if I miss a dose?
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose.
What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this medicine.
Overdose symptoms may include sweating, warmth or tingly feeling under your skin, dizziness, weakness, restlessness, fast heart rate, feeling light-headed, or fainting.
What should I avoid while taking Dipyridamole?
While you are taking dipyridamole, do not take aspirin or other NSAIDs (non-steroidal anti-inflammatory drugs) without your doctor’s advice. NSAIDs include ibuprofen (Motrin, Advil), naproxen (Aleve, Naprosyn), diclofenac (Voltaren), diflunisal (Dolobid), etodolac (Lodine), flurbiprofen (Ansaid), indomethacin (Indocin), ketoprofen (Orudis), ketorolac (Toradol), mefenamic acid (Ponstel), meloxicam (Mobic), nabumetone (Relafen), piroxicam (Feldene), and others.
Dipyridamole side effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have any of these serious side effects:
nosebleed or other bleeding that will not stop;
black, bloody, or tarry stools; or
coughing up blood or vomit that looks like coffee grounds.
Less serious side effects may include:
dizziness;
upset stomach, diarrhea, vomiting;
warmth, redness, or tingly feeling under your skin;
muscle or joint pain;
headache; or
mild skin rash or itching.
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.
Dipyridamole Dosing Information
Usual Adult Dose for Prosthetic Heart Valves:
Thromboembolic prophylaxis: 75 to 100 mg orally 3 to 4 times a day. Given as an adjunct to warfarin. Aspirin 80 to 100 mg may be given instead of dipyridamole.
Usual Adult Dose for Radionuclide Myocardial Perfusion Study:
0.57 mg/kg (up to 60 mg) IV over 4 minutes.
What other drugs will affect Dipyridamole?
There may be other drugs that can affect dipyridamole. During your treatment with dipyridamole, you may also be taking another blood thinner such as warfarin (Coumadin). There are many drugs that can interact with blood thinners.
Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
Where can I get more information?
Your pharmacist can provide more information about dipyridamole.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. (‘Multum’) is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum’s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum’s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
Metformin is an oral diabetes medicine that helps control blood sugar levels.
Metformin is for people with type 2 (non-insulin-dependent) diabetes. Metformin is sometimes used in combination with insulin or other medications, but it is not for treating type 1 diabetes.
Metformin may also be used for purposes other than those listed in this medication guide.
What is the most important information I should know about Metformin?
Do not use metformin if you have kidney disease, or if you are in a state of diabetic ketoacidosis (call your doctor for treatment with insulin).
Before taking metformin, tell your doctor if you have liver disease or a history of heart disease.
Some people have developed a life-threatening condition called lactic acidosis while taking metformin. Get emergency medical help if you have any of these symptoms of lactic acidosis: weakness, increasing sleepiness, slow heart rate, cold feeling, muscle pain, shortness of breath, stomach pain, feeling light-headed, and fainting.
If you need to have any type of x-ray or CT scan using a dye that is injected into a vein, you may need to temporarily stop taking metformin. Be sure the doctor knows ahead of time that you are using metformin.
Know the signs of low blood sugar (hypoglycemia) and how to recognize them, including hunger, headache, confusion, irritability, drowsiness, weakness, dizziness, tremors, sweating, fast heartbeat, seizure (convulsions), fainting, or coma (severe hypoglycemia can be fatal). Always keep a source of sugar available in case you have symptoms of low blood sugar.
What should I discuss with my healthcare provider before taking Metformin?
Some people have developed a life-threatening condition called lactic acidosis while taking metformin. Get emergency medical help if you have any of these symptoms of lactic acidosis: weakness, increasing sleepiness, slow heart rate, cold feeling, muscle pain, shortness of breath, stomach pain, feeling light-headed, and fainting.
You may be more likely to develop lactic acidosis if you have congestive heart failure. Older adults may also have a higher risk of developing lactic acidosis. Talk with your doctor about your individual risk.
Do not use this medication if you are allergic to metformin, if you have kidney disease or kidney failure, or if you are in a state of diabetic ketoacidosis (call your doctor for treatment with insulin).
Before taking metformin, tell your doctor if you are allergic to any drugs, or if you have:
liver disease; or
a history of heart disease.
If you have any of these conditions, you may need a dose adjustment or special tests to safely take metformin.
FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether metformin passes into breast milk or if it could harm a nursing baby. Do not take metformin without first talking to your doctor if you are breast-feeding a baby. Metformin should not be given to a child younger than 10 years old. Extended-release metformin (Glucophage XR) should not be given to a child younger than 17 years old.
How should I take Metformin?
Take metformin exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.
Your doctor may occasionally change your dose to make sure you get the best results from metformin.
Take metformin with a meal, unless your doctor tells you otherwise. Some forms of metformin are taken only once daily with the evening meal. Follow your doctor’s instructions.
metformin is only part of a complete program of treatment that also includes diet, exercise, and weight control. It is important to use this medicine regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.
Do not crush, chew, or break an extended-release tablet (Glucophage XR). Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time.
To be sure metformin is helping your condition, your blood will need to be tested on a regular basis. Your kidney function may also need to be tested. It is important that you not miss any scheduled appointments.
Your medication needs may change if you become sick or injured, if you have a serious infection, or if you have any type of surgery. Your doctor may want you to stop taking metformin for a short time if any of these situations affect you.
Take care not to let your blood sugar get too low, causing hypoglycemia. You may have hypoglycemia if you skip a meal, exercise too long, drink alcohol, or are under stress.
Know the signs of low blood sugar (hypoglycemia) and how to recognize them:
hunger, headache, confusion, irritability;
drowsiness, weakness, dizziness, tremors;
sweating, fast heartbeat;
seizure (convulsions); or
fainting, coma (severe hypoglycemia can be fatal).
Always keep a source of sugar available in case you have symptoms of low blood sugar. Sugar sources include orange juice, glucose gel, candy, or milk. If you have severe hypoglycemia and cannot eat or drink, use an injection of glucagon. Your doctor can give you a prescription for a glucagon emergency injection kit and tell you how to give the injection.
Your doctor may have you take extra vitamin B12 while you are taking metformin. Take only the amount of vitamin B12 that your doctor has prescribed.
If you need to have any type of x-ray or CT scan using a dye that is injected into a vein, you may need to temporarily stop taking metformin. Be sure the doctor knows ahead of time that you are using metformin.
Store metformin at room temperature away from moisture, heat, and light.
What happens if I miss a dose?
Take the missed dose as soon as you remember (be sure to take the medicine with food). If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.
What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this medicine. You may have signs of low blood sugar, such as hunger, headache, confusion, irritability, drowsiness, weakness, dizziness, tremors, sweating, fast heartbeat, seizure (convulsions), fainting, or coma. An overdose of metformin may cause a life-threatening condition called lactic acidosis. Get emergency medical help if you have any of these symptoms of lactic acidosis: weakness, increasing sleepiness, slow heart rate, cold feeling, muscle pain, shortness of breath, stomach pain, feeling light-headed, and fainting.
What should I avoid while taking Metformin?
Avoid drinking alcohol while taking metformin. Alcohol lowers blood sugar and may increase the risk of lactic acidosis while you are taking this medicine.
Metformin side effects
Get emergency medical help if you have any of these symptoms of lactic acidosis: weakness, increasing sleepiness, slow heart rate, cold feeling, muscle pain, shortness of breath, stomach pain, feeling light-headed, and fainting. Stop using metformin and get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have any of these serious side effects:
You may be more likely to have hyperglycemia (high blood sugar) if you are taking metformin with other drugs that raise blood sugar. Drugs that can raise blood sugar include:
isoniazid;
diuretics (water pills);
steroids (prednisone and others);
phenothiazines (Compazine and others);
thyroid medicine (Synthroid and others);
birth control pills and other hormones;
seizure medicines (Dilantin and others); and
diet pills, or medicines to treat asthma, colds or allergies.
You may be more likely to have hypoglycemia (low blood sugar) if you are taking metformin with other drugs that lower blood sugar. Drugs that can lower blood sugar include:
some nonsteroidal anti-inflammatory drugs (NSAIDs);
aspirin or other salicylates (including Pepto-Bismol);
sulfa drugs (Bactrim and others);
a monoamine oxidase inhibitor (MAOI);
beta-blockers (Tenormin and others); or
probenecid (Benemid).
Some medications may interact with metformin. Tell your doctor if you are using any of the following drugs:
furosemide (Lasix);
nifedipine (Adalat, Procardia);
cimetidine (Tagamet) or ranitidine (Zantac);
amiloride (Midamor) or triamterene (Dyrenium);
digoxin (Lanoxin);
morphine (MS Contin, Kadian, Oramorph);
procainamide (Procan, Pronestyl, Procanbid);
quinidine (Cardioquin, Quinidex, Quinaglute);
trimethoprim (Proloprim, Primsol, Bactrim, Cotrim, Septra); or
vancomycin (Vancocin, Lyphocin).
This list is not complete and there may be other drugs that can interact with metformin. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugsprescribed by other doctors. Do not start using a new medication without telling your doctor.
Cholestoplex maintains healthy cholesterol levels in your body (something we all know is essential for good health and longevity). This patented formulation provides needed phytonutrients to lower the “bad cholesterol” in your system.
How to use
As a dietary supplement, take 3 capsules daily with meals and a glass of water.
Drug Class and Mechanism
Body cells transport the cholesterol, intaking the “good cholesterol” it requires. Excess cholesterol is returned to the liver. However, some of the excess fatty (“bad”) cholesterol may adhere to the walls of arteries. These fatty deposits are what imbues the risks of cardio-vascular function dysfunctions. “Bad cholesterol” is also linked to gall stones and impotence, as well as high blood pressure. Doctors agree that the best defense against the “bad cholesterol” is a nutritional diet that is high in fiber content (especially fruits and vegetables, also whole grain foods). Saturated fat is one of the prime culprits in the fatty deposits.
Cholestoplex will help get “bad cholesterol” deposits fast where we don’t want them to stick. Use this product in conjunction with good eating habits as the rule and keep your cardio-vascular system “running clean.”
Missed Dose
If you miss a dose of Cholestoplex, use it as soon as possible. If it is almost time to take the next dose, skip the dose and go back to the regular dosing schedule. Do not double the dose to catch up.
Storage
Store Cholestoplex at 77 degrees F (25 degrees C). Brief storage 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 Cholestoplex out of the reach of children and away from pets.
Warnings/Precautions
Himplasia should be used with caution in patients with hypertension.
Possible Side Effects
Cholestoplex is not known to have any side effects if taken as per the prescribed dosage.
More Information
This product contains only 100% pure pharmaceutical and medical grade ingredients and is regularly tested to ensure the safety and quality. Each ingredient has been approved as safe by the FDA and all appear on the FDA’s GRAS (Generally Recognized As Safe) list. This product is manufactured under stringent GMP guidelines that have been set by the FDA. Each bottle comes with a 2 year expiration date and is double sealed to ensure freshness and potency.
Doxazosin is in a group of drugs called alpha-adrenergic blockers. Doxazosin causes the blood vessels (veins and arteries) to relax and expand, improving blood flow. Doxazosin also relaxes muscles in the prostate and bladder neck, making it easier to urinate.
Doxazosin is used to treat hypertension (high blood pressure) and benign prostatic hyperplasia (enlarged prostate).
Doxazosin may also be used for other purposes not listed in this medication guide.
What is the most important information I should know about Doxazosin?
You should not use this medication if you are allergic to doxazosin or similar medicines such as prazosin (Minipress), tamsulosin (Flomax), or terazosin (Hytrin). Doxazosin lowers blood pressure and may cause dizziness or fainting, especially when you first start taking it, or when you start taking it again. To avoid falling, take the first dose of doxazosin at bedtime. You may wish to continue taking this medication only at bedtime if it causes you to feel light-headed.
You may feel very dizzy when you first wake up. Be careful when standing or sitting up from a lying position.
If you stopped taking doxazosin for any reason and have started taking it again, you may feel especially dizzy or light-headed after your first few doses.
Doxazosin can affect the pupils of your eyes during cataract surgery. If you have cataract surgery during your treatment with doxazosin, tell the surgeon ahead of time that you take doxazosin. Do not stop using the medication before surgery unless your surgeon tells you to.
What should I discuss with my doctor before taking Doxazosin?
You should not use this medication if you are allergic to doxazosin or similar medicines such as prazosin (Minipress), tamsulosin (Flomax), or terazosin (Hytrin). If you have liver disease or a history of prostate cancer, you may need a dose adjustment or special tests to safely take doxazosin.
Doxazosin can affect the pupils of your eyes during cataract surgery. If you have cataract surgery during your treatment with doxazosin, tell the surgeon ahead of time that you take doxazosin. Do not stop using the medication before surgery unless your surgeon tells you to.
FDA pregnancy category C. It is not known whether this medication is harmful to an unborn baby. Before taking doxazosin, tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether doxazosin passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
How should I take Doxazosin?
Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the instructions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results from this medication.
Take each dose with a full glass of water. Doxazosin lowers blood pressure and may cause dizziness or fainting, especially when you first start taking it, or when you start taking it again. To avoid falling, take the first dose of doxazosin at bedtime. You may wish to continue taking this medication only at bedtime if it causes you to feel light-headed.
You may feel very dizzy when you first wake up. Be careful when standing or sitting up from a lying position.
If you stopped taking doxazosin for any reason and have started taking it again, you may feel especially dizzy or light-headed after your first few doses.
To be sure this medication is helping your condition, your blood pressure or prostate will need to be checked on a regular basis. It is important that you not miss any scheduled visits to your doctor.
If you are being treated for high blood pressure, keep using this medication even if you feel fine. High blood pressure often has no symptoms.
Store doxazosin at room temperature away from moisture and heat.
What happens if I miss a dose?
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.
If you miss doses for several days in a row, call your doctor before taking any additional doses. You may need to use a lower dose of doxazosin for a short time.
What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this medicine.
Overdose symptoms may include drowsiness, fainting, or seizure (convulsions).
Doxazosin side effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:
fast or pounding heartbeats;
feeling light-headed, fainting;
swelling in your hands, ankles, or feet; or
penis erection that is painful or lasts 4 hours or longer.
Less serious side effects may include:
weakness;
headache;
dizziness; or
diarrhea, stomach pain.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.
Doxazosin Dosing Information
Usual Adult Dose for Hypertension:
Initial dose: 1 mg orally once a day.
Maintenance dose: 1 to 16 mg orally once a day.
Usual Adult Dose for Benign Prostatic Hyperplasia:
Initial dose:
Immediate-release: 1 mg orally once a day.
Extended-release: 4 mg orally once a day with breakfast
Maintenance dose:
Immediate-release: 1 to 8 mg orally once a day.
Extended-release: 4 to 8 mg orally once a day with breakfast. Depending on the patient’s symptomatic response and tolerability, the dose may be increased to 8 mg (the maximum recommended dose). The recommended titration interval is 3 to 4 weeks.
If switching from immediate-release doxazosin to doxazosin extended-release tablets, therapy should be initiated with the lowest dose (4 mg once daily). Prior to starting therapy with doxazosin extended-release tablets, the final evening dose of immediate-release doxazosin should not be taken. If doxazosin extended-release is discontinued for several days, therapy should be restarted using the 4 mg once daily dose.
Usual Geriatric Dose for Hypertension:
Initial dose: 0.5 mg orally once a day.
What other drugs will affect Doxazosin?
Before using doxazosin, tell your doctor if you regularly use other medicines that make you sleepy (such as cold or allergy medicine, sedatives, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety). They can add to sleepiness caused by doxazosin.
Tell your doctor about all other medications you use, especially:
sildenafil (Viagra, Revatio)
tadalafil (Cialis); or
vardenafil (Levitra).
This list is not complete and there may be other drugs that can interact with doxazosin. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.
Sotalol is in a group of drugs called beta-blockers. Beta-blockers affect the heart and circulation (blood flow through arteries and veins).
Sotalol is used to help keep the heart beating normally in people with certain heart rhythm disorders of the ventricles (the lower chambers of the heart that allow blood to flow out of the heart). Sotalol is used in people with ventricular tachycardia or ventricular fibrillation.
Another form of this medicine, called Sotalol AF, is used to treat heart rhythm disorders of the atrium (the upper chambers of the heart that allow blood to flow into the heart). Sotalol AF is used in people with atrial fibrillation or atrial flutter. Sotalol (Betapace and Sorine) is not used for the same conditions that sotalol AF (Betapace AF) is used for.
Sotalol may also be used for purposes other than those listed in this medication guide.
What is the most important information I should know about Betapace (Sotalol)?
You will receive your first few doses of sotalol in a hospital setting where your heart rhythm can be monitored, in case the medication causes serious side effects.
If there are any changes in the brand or strength of sotalol you use, your dosage needs may change. Betapace and Sorine are not used for the same conditions that Betapace AF is used for. Always check your medicine when it is refilled to make sure you have received the correct brand and type as prescribed by your doctor. Ask the pharmacist if you have any questions about the medicine given to you at the pharmacy.
Do not skip doses or stop taking sotalol without first talking to your doctor. Stopping suddenly may make your condition worse. You may need to use less and less before you stop the medication completely.
If you need to have any type of surgery, you may need to temporarily stop using sotalol. Be sure the surgeon knows ahead of time that you are using sotalol.
What should I discuss with my healthcare provider before taking Betapace (Sotalol)?
Do not use this medication if you are allergic to sotalol, or if you have:
asthma;
certain heart conditions, especially “AV block” (unless you have a pacemaker);
a history of “Long QT syndrome”; or
severe or uncontrolled congestive heart failure.
Before using sotalol, tell your doctor if you are allergic to any drugs, or if you have:
breathing problems such as bronchitis or emphysema;
a history of heart disease or congestive heart failure;
diabetes;
kidney disease;
a thyroid disorder;
an electrolyte imbalance such as low levels of potassium or magnesium in your blood; or
if you have recently had a heart attack.
If you have any of these conditions, you may not be able to use sotalol, or you may need a dosage adjustment or special tests during treatment.
FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Sotalol can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
How should I take Betapace (Sotalol)?
You will receive your first few doses of sotalol in a hospital setting where your heart can be monitored in case the medication causes serious side effects.
Take sotalol exactly as it was prescribed for you. Do not take the medication in larger amounts or for longer than recommended by your doctor. Follow the directions on your prescription label.
If there are any changes in the brand or strength of sotalol you use, your dosage needs may change. Betapace and Sorine are not used for the same conditions that Betapace AF is used for. Always check your medicine when it is refilled to make sure you have received the correct brand and type as prescribed by your doctor. Ask the pharmacist if you have any questions about the medicine given to you at the pharmacy.
Take this medication with a full glass of water.
Take sotalol at the same time every day.
Do not skip doses or stop taking sotalol without first talking to your doctor. Stopping suddenly may make your condition worse. You may need to use less and less before you stop the medication completely.
Tell your doctor if you have an illness that involves diarrhea or vomiting lasting more than a few hours. Prolonged diarrhea or vomiting can lower your potassium levels, making it dangerous for you to use sotalol.
To be sure this medication is helping your condition, your blood pressure will need to be checked on a regular basis. Your heart and kidney function will also need to be tested. Do not miss any scheduled visits to your doctor.
This medication can cause you to have unusual results with certain medical tests. Tell any doctor who treats you that you are using sotalol.
If you need to have any type of surgery, tell the surgeon that you are using sotalol. You may need to briefly stop using sotalol before having surgery.
Store sotalol at room temperature away from moisture and heat.
What happens if I miss a dose?
Take the missed dose as soon as you remember. If your next dose is less than 8 hours away, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.
What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a sotalol overdose may include slow or fast heartbeats, shortness of breath, chest pain, swelling, hunger, weakness, confusion, sweating, feeling light-headed, fainting, or seizure (convulsions).
What should I avoid while taking Betapace (Sotalol)?
Do not take an antacid within 2 hours before or after taking sotalol. Avoid using antacids without your doctor’s advice. Use only the specific type of antacid your doctor recommends. Antacids contain different medicines and some types can make it harder for your body to absorb sotalol.
Betapace (Sotalol) side effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:
fast or pounding heartbeat, chest pain, shortness of breath;
feeling light-headed, fainting;
slow heartbeat;
unusual sweating, increased thirst; or
swelling, rapid weight gain.
Other less serious side effects are more likely to occur, such as:
mild diarrhea, nausea, vomiting;
headache;
sleep problems (insomnia); or
tired feeling.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. You may report side effects to FDA at 1-800-FDA-1088.
What other drugs will affect Betapace (Sotalol)?
Before taking sotalol, tell your doctor if you are using:
drugs that can affect heart rhythm, such as bepridil (Vascor), cisapride (Propulsid), droperidol (Inapsine), methadone (Methadose), pentamidine (NebuPent, Pentam);
any other heart rhythm medications, especially amiodarone (Cordarone, Pacerone), dofetilide (Tikosyn), disopyramide (Norpace), procainamide (Procan), quinidine (Cardioquin, Quinaglute), sotalol (Betapace);
antibiotics such as azithromycin (Zithromax), clarithromycin (Biaxin), dirithromycin (Dynabac), erythromycin (E-Mycin, E.E.S., Erythrocin, Ery-Tab), telithromycin (Ketek);
medicines to treat psychiatric disorder, such as pimozide (Orap), haloperidol (Haldol), thioridazine (Mellaril);
a phenothiazine such as chlorpromazine (Thorazine), mesoridazine (Serentil), thioridazine (Mellaril), fluphenazine (Permitil, Prolixin), perphenazine (Trilafon), prochlorperazine (Compazine), trifluoperazine (Stelazine);
a diabetes medication such as insulin, glyburide (Diabeta, Micronase, Glynase), glipizide (Glucotrol), chlorpropamide (Diabinese), metformin (Glucophage);
a calcium channel blocker such as amlodipine (Norvasc), diltiazem (Tiazac, Cartia, Cardizem), felodipine (Plendil), nicardipine (Cardene), nifedipine (Procardia, Adalat), nimodipine (Nimotop), nisoldipine (Sular), verapamil (Calan, Covera, Isoptin, Verelan); or
medicine for asthma other breathing disorders, such as albuterol (Ventolin, Proventil), bitolterol (Tornalate), metaproterenol (Alupent), pirbuterol (Maxair), terbutaline (Brethaire, Brethine, Bricanyl), and theophylline (Theo-Dur, Theolair).
If you are using any of these drugs, you may not be able to take sotalol, or you may need dosage adjustments or special tests during treatment.
There may be other drugs not listed that can affect sotalol. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
Bystolic is in a group of drugs called beta-blockers. Beta-blockers affect the heart and circulation (blood flow through arteries and veins).
Bystolic is used to treat hypertension (high blood pressure). It works by slowing down the heart and decreasing the amount of blood it pumps out. This helps to decrease blood pressure.
Bystolic may also be used for other purposes not listed in this guide.
Important information about Bystolic (Nebivolol)
Do not skip doses or stop taking Bystolic without first talking to your doctor. Stopping suddenly may make your condition worse or cause other serious heart problems such as severe chest pain or heart attack. You may need to use less and less before you stop the medication completely. If you need to have any type of surgery, tell the surgeon ahead of time that you are using Bystolic. You may need to stop using the medicine for a short time. Bystolic can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
Bystolic is only part of a complete program of treatment for hypertension that may also include diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely if you are being treated for hypertension.
Hypertension often has no symptoms, so you may not even feel that you have high blood pressure. Continue using this medicine as directed, even if you feel well. You may need to use blood pressure medication for the rest of your life.
Before taking Bystolic (Nebivolol)
Do not use Bystolic if you are allergic to nebivolol or if you have:
severe liver disease; or
a heart problem such as heart block, sick sinus syndrome, slow heart rate, or heart failure.
Before taking Bystolic, tell your doctor if you are allergic to any drugs, or if you have:
asthma, bronchitis, emphysema;
liver or kidney disease;
diabetes;
a thyroid disorder;
problems with circulation (such as Raynaud’s syndrome);
pheochromocytoma; or
if you have recently had a heart attack.
If you have any of these conditions, you may not be able to use Bystolic, or you may need a dose adjustment or special tests during treatment.
FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether Bystolic passes into breast milk or if it could harm a nursing baby. Do not use Bystolic without telling your doctor if you are breast-feeding a baby.
How should I take Bystolic (Nebivolol)?
Take Bystolic exactly as it was prescribed for you. Do not take the medication in larger amounts or for longer than recommended by your doctor. Follow the directions on your prescription label.
Take Bystolic at the same time every day. You may take the medication with or without food.
Do not skip doses or stop taking Bystolic without first talking to your doctor. Stopping suddenly may make your condition worse or cause other serious heart problems such as severe chest pain or heart attack. You may need to use less and less before you stop the medication completely.
To be sure Bystolic is helping your condition, your blood pressure will need to be checked on a regular basis. Do not miss any scheduled appointments.
If you need to have any type of surgery, tell the surgeon ahead of time that you are using Bystolic. You may need to stop using the medicine for a short time.
Bystolic is only part of a complete program of treatment for hypertension that may also include diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely if you are being treated for hypertension.
Hypertension often has no symptoms, so you may not even feel that you have high blood pressure. Keep using this medicine as directed, even if you feel well. You may need to use blood pressure medication for the rest of your life.
Store Bystolic at room temperature away from moisture and heat.
What happens if I miss a dose?
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.
What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this medicine.
Overdose symptoms may include slow heart rate, dizziness, vomiting, trouble breathing, or feeling like you might pass out.
What should I avoid while taking Bystolic (Nebivolol)?
Bystolic can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
Bystolic (Nebivolol) side effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:
feeling short of breath, even with mild exertion;
swelling of your ankles or feet;
slow or uneven heartbeats; or
numbness or cold feeling in your hands and feet.
Less serious side effects may include:
headache;
tired feeling;
nausea, stomach pain;
diarrhea; or
sleep problems (insomnia).
This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.
What other drugs will affect Bystolic (Nebivolol)?
Before taking Bystolic, tell your doctor if you are using:
digitalis (digoxin, Lanoxin);
clonidine (Catapres);
reserpine;
guanethidine (Ismelin);
a heart medication such as nifedipine (Procardia, Adalat), reserpine (Serpasil), verapamil (Calan, Verelan, Isoptin), diltiazem (Cartia, Cardizem);
heart rhythm medicine such as amiodarone (Cordarone, Pacerone), disopyramide (Norpace), procainamide (Procan, Pronestyl), propafenone (Rythmol), quinidine (Quinidex, Quin-Release Quin-G), and others;
an antidepressant such as fluoxetine (Prozac), paroxetine (Paxil), and others; or
another beta-blocker such as atenolol (Tenormin), bisoprolol (Zebeta), labetalol (Normodyne, Trandate), metoprolol (Lopressor, Toprol), propranolol (Inderal, InnoPran), sotalol (Betapace), or timolol (Blocadren), and others.
This list is not complete and there may be other drugs that can interact with Bystolic. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
Treating fluid retention (edema) and high blood pressure. It may be used alone or with other medicines. It may also be used to treat other conditions as determined by your doctor.
Triamterene / Hydrochlorothiazide is a diuretic (water pill) and is a combination of a potassium-sparing diuretic (triamterene) and a thiazide diuretic (hydrochlorothiazide). It works by making the kidneys eliminate sodium (salt) and water from the body, which helps to lower blood pressure. The triamterene component helps minimize potassium loss.
Do NOT use Triamterene / Hydrochlorothiazide if:
you are allergic to any ingredient in Triamterene/Hydrochlorothiazide or any other sulfonamide (eg, sulfamethoxazole)
you are unable to urinate, have severe kidney problems, or high blood potassium
you are taking other potassium-sparing diuretics (eg, spironolactone), salt substitutes containing potassium, or dofetilide
Contact your doctor or health care provider right away if any of these apply to you.
Before using Triamterene / Hydrochlorothiazide :
Some medical conditions may interact with Triamterene/Hydrochlorothiazide . 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 cirrhosis or liver problems, diabetes, gout, kidney problems or kidney stones, or systemic lupus erythematosus (SLE or lupus)
if you have dehydration, elevated blood acid, low folic acid levels, or electrolyte problems
Some MEDICINES MAY INTERACT with Triamterene/Hydrochlorothiazide . Tell your health care provider if you are taking any other medicines, especially any of the following:
Potassium sparing diuretics (eg, spironolactone), potassium supplements, or salt substitutes containing potassium because high blood potassium levels may occur and cause listlessness, confusion, abnormal skin sensations of the arms and legs, heaviness of limbs, slowed heart rate, irregular heart rhythm, or stopping of the heart
Nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, indomethacin) because the effectiveness of Triamterene/Hydrochlorothiazide may be decreased and the risk of kidney problems may be increased
Certain chemotherapy medicines or dofetilide because the risk of serious side effects may be increased by Triamterene/Hydrochlorothiazide
Diazoxide, lithium, or nondepolarizing neuromuscular blockers (eg, pancuronium) because the actions and side effects may be increased by Triamterene/Hydrochlorothiazide
Angiotensin-converting enzyme (ACE) inhibitors (eg, enalapril) because the risk of high blood potassium and kidney problems may be increased by Triamterene / Hydrochlorothiazide
This may not be a complete list of all interactions that may occur. Ask your health care provider if Triamterene / Hydrochlorothiazide 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 Triamterene / Hydrochlorothiazide :
Use Triamterene/Hydrochlorothiazide as directed by your doctor. Check the label on the medicine for exact dosing instructions.
Take Triamterene/Hydrochlorothiazide by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
Triamterene / Hydrochlorothiazide may increase the amount of urine or cause you to urinate more often when you first start taking it. To keep this from disturbing your sleep, try to take your dose before 6 pm.
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 you miss a dose of Triamterene/Hydrochlorothiazide , 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 Triamterene/Hydrochlorothiazide .
Important safety information:
Triamterene/Hydrochlorothiazide may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Triamterene/Hydrochlorothiazide with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
Triamterene/Hydrochlorothiazide may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
Triamterene/Hydrochlorothiazide may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Triamterene/Hydrochlorothiazide . 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 Triamterene/Hydrochlorothiazide before you receive any medical or dental care, emergency care, or surgery.
Diabetes patients – Triamterene/Hydrochlorothiazide may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
LAB TESTS, including liver function, kidney function, lung function, blood pressure, and fasting blood glucose, may be performed while you use Triamterene/Hydrochlorothiazide . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
Triamterene/Hydrochlorothiazide should not be used in CHILDREN; safety and effectiveness in children have not been confirmed.
PREGNANCY and BREAST-FEEDING: If you plan on becoming pregnant, contact your doctor. You will need to discuss the benefits and risks of using Triamterene/Hydrochlorothiazide while you are pregnant. Triamterene / Hydrochlorothiazide is found in breast milk. Do not breast-feed while taking Triamterene / Hydrochlorothiazide .
Possible side effects of Triamterene / Hydrochlorothiazide :
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:
Changes in blood sugar; constipation; dizziness; fatigue; headache; inflammation of a salivary gland; loss of appetite; nausea; sensitivity to sunlight; stomach pain; 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); dry mouth; excessive thirst; impotence; leg or muscle cramps; mental confusion; rapid, weak, or irregular heartbeat; stomach pain; urination problems; vomiting; yellowing of skin or eyes.
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