This medicine (Mevacor - Lovastatin) is an hmg-coa reductase inhibitor (also known as a “statin”) used to lower cholesterol and triglyceride levels in your blood. It may also be used to treat other conditions as determined by your doctor.Generic Mevacor is usually prescribed only if diet, exercise, and weight-loss fail to bring your cholesterol levels under control. It’s important to remember that Mevacor is a supplement–not a substitute–for these other measures. To get the full benefit of the medication, you need to stick to the diet and exercise program prescribed by your doctor.

Before using

Do not take this medicine if you are also taking gemfibrozil, hiv protease inhibitors (such as ritonavir, lopinavir, or nelfinavir), azole antifungals (such as itraconazole or ketoconazole), macrolide antibiotics (such as erythromycin, clarithromycin, or troleandomycin), or nefazodone. If you are currently taking any of these medicine (Lovastatin), tell your doctor or pharmacist before starting to take this medicine. Additional monitoring of your dose or condition may be needed if you are taking amiodarone, “blood thinners” such as warfarin, bosentan, cyclosporine, diltiazem, fluconazole, imatinib, high doses of niacin (1 gram or more per day), fibrates (such as clofibrate or fenofibrate), verapamil, dalfopristin, quinupristin, voriconazole, or st. John’s wort. Do not start or stop any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions, including muscle problems, alcohol use, allergies (especially to other “statins”), pregnancy, or breast-feeding.

Use of this medicine is not recommended if you have a history of liver disease or abnormal liver function test results. Certain medical conditions, including low blood pressure; severe infection; uncontrolled seizures; or serious metabolic, endocrine, or electrolyte problems may increase your risk for side effects that can result in kidney problems while taking this medicine. Contact your doctor if you develop one of these conditions. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine (Mevacor - Lovastatin).

Directions

Follow the directions for using this medicine provided by your doctor. If you take 1 dose daily, take it with your evening meal unless directed otherwise by your doctor. Dosage is based on your medical condition, response to therapy, and use of certain interacting medicine. Consult your doctor or pharmacist for more details. Do not eat grapefruit or drink grapefruit juice at the same time you take this medicine.

Store this medicine (Mevacor - Lovastatin) at room temperature, away from heat and light. If you miss a dose of this medicine, 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.

Cautions

Do not take this medicine if you have had an allergic reaction to it or are allergic to any ingredient in this product. Laboratory and/or medical tests, including liver function tests and blood cholesterol levels, may be performed to monitor your progress or to check for side effects. Keep all doctor and laboratory appointments while you are using this medicine. Before having any kind of surgery, tell your doctor that you are taking this medicine (Mevacor - Lovastatin). Eating grapefruit or drinking grapefruit juice while you are taking this medicine may increase the amount of this medicine  in your blood, which may increase your risk for serious side effects. Talk with your doctor before including grapefruit or grapefruit juice in your diet while you are taking this medicine.

Before you begin taking any new medicine (Mevacor), either prescription or over-the-counter, check with your doctor or pharmacist.

For women: do not use this medicine if you are pregnant. If you suspect that you could be pregnant, contact your doctor immediately. It is recommended that women of childbearing age use effective birth control measures while taking this medicine since lovastatin may cause fetal harm. It is unknown if this medicine is excreted in breast milk. Do not breast-feed while taking this medicine.

Possible side effects

A side effect that may occur while taking this medicine Mevacor include constipation. If it continues or is bothersome, check with your doctor. Check with your doctor as soon as possible if you experience rash, yellow skin or eyes, unusual bleeding or bruising, or sore throat. This medicine Mevacor may infrequently cause muscle damage (which can rarely lead to a very serious condition called rhabdomyolysis). Stop taking this medicine and contact your doctor immediately if you experience muscle pain/tenderness/weakness (especially with fever or unusual tiredness). An allergic reaction to this medicine (Mevacor - Lovastatin) is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash, itching, swelling, dizziness, or trouble breathing. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

If you take too much

If overdose is suspected, contact your local poison control center or emergency room immediately.

Additional information

For best results, this medicine (Mevacor - Lovastatin) should be used along with exercise, a low-cholesterol/low-fat diet, and a weight loss program if you are overweight. Follow the dietary plan provided by your doctor. Do not share this medicine (Mevacor - Lovastatin) with others for whom it was not prescribed. Do not use this medicine (Mevacor - Lovastatin) for other health conditions. Keep this medicine (Mevacor - Lovastatin) out of the reach of children and pets. If using this medicine (Mevacor - Lovastatin) for an extended period of time, obtain refills before your supply runs out.

Why should this drug not be prescribed?

If you are sensitive to or have ever had an allergic reaction to Generic Mevacor or similar anticholesterol drugs, you should not take this medication. Make sure that your doctor is aware of any drug reactions that you have experienced. Unless you are directed to do so by your doctor, do not take this medication if you are being treated for liver disease. Do not take this drug if you are pregnant or nursing.

Special information if you are pregnant or breastfeeding

You should take Generic Mevacor only if pregnancy is highly unlikely. If you become pregnant while taking this drug, discontinue using it and notify your physician immediately. There may be a potential hazard to the developing baby. This medication may appear in breast milk and may have an effect on nursing infants. If this medication is essential to your health, you should discontinue breastfeeding until your treatment with this medication is finished.

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 Mevacor

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Treating high blood pressure, heart failure, and other heart problems. It may be used alone or with other medicines. It may also be used for other conditions as determined by your doctor.

Enalapril is an angiotensin-converting enzyme (ACE) inhibitor. It works by helping to relax blood vessels. This helps to lower blood pressure.

Do NOT use Enalapril if:

• you are allergic to any ingredient in Enalapril or similar medicines (eg, captopril, lisinopril)
• you are pregnant
• you are taking dextran sulfate or potassium-sparing diuretics (eg, amiloride)

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

Before using Enalapril :

Some medical conditions may interact with Enalapril. 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 or have ever had liver or kidney problems or kidney transplantation
• if you are receiving dialysis
• if you have bone marrow suppression, low blood counts, low blood sodium, high blood potassium, porphyria (a blood disease), giant hives, systemic lupus erythematosus (SLE or lupus), scleroderma, or a collagen vascular disease
• if you have narrowing or hardening of the arteries of the brain or heart, chest pain, or discomfort known as angina

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

• Diuretics (eg, furosemide, hydrochlorothiazide) because excessive decreases in blood pressure may occur, which may cause dizziness, especially upon standing, or fainting
• Dextran sulfate because it may increase the risk of allergic reaction (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue) and lightheadedness upon standing
• Nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, aspirin, indomethacin) because the effectiveness of Enalapril may be decreased and the risk of kidney damage may be increased
• Lithium or thiopurines (eg, azathioprine) because the risk of serious side effects may be increased by Enalapril
• Oral diabetes medicine (eg, glyburide) because side effects, including a low blood sugar level (eg, hunger, shakiness or weakness, dizziness, headache, sweating), may be increased by Enalapril
• Potassium supplements or potassium-sparing diuretics (eg, amiloride) may cause high blood potassium levels (eg, listlessness, confusion, abnormal skin sensations of the arms and legs, heaviness of the limbs, slow or irregular heartbeat, or stopping of the heart) when used with Enalapril

This may not be a complete list of all interactions that may occur. Ask your health care provider if Enalapril 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 Enalapril :

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

• Enalapril may be taken with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
• If you miss a dose of Enalapril , 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 Enalapril.

Important safety information:

• Enalapril may cause dizziness or lightheadedness. These effects may be worse if you take it with alcohol or certain medicines. Use Enalapril with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Check with your doctor before you use a salt substitute or a product that has potassium in it.
• If vomiting or diarrhea occurs, you will need to take care not to become dehydrated. Contact your doctor for instructions.
• 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.
• Enalapril may not work as well in black patients. They may also be at greater risk of side effects. Contact your doctor if your symptoms do not improve or if they become worse.
• Enalapril may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Enalapril. 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 Enalapril before you receive any medical or dental care, emergency care, or surgery.
• LAB TESTS, including liver function, kidney function, and complete blood counts, may be performed while you use Enalapril. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
• PREGNANCY and BREAST-FEEDING: Do not take Enalapril after the third month of pregnancy. It may cause injury or death to the fetus. If you become pregnant, contact your doctor right away. Enalapril is found in breast milk. If you are or will be breast-feeding while you use Enalapril , check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Enalapril :

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: Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Diarrhea; dizziness or lightheadedness when sitting up or standing; headache; nausea; persistent, dry cough; tiredness; vomiting.

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

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); chest pain; hoarseness; infection (fever, sore throat); irregular or slow heartbeat; unusual stomach pain; yellowing of the skin or eyes.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

Vasotec

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Brand Names: Lasix®

Why is this medication prescribed?

Furosemide, a ‘water pill,’ is used to reduce the swelling and fluid retention caused by various medical problems, including heart or liver disease. It is also used to treat high blood pressure. It causes the kidneys to get rid of unneeded water and salt from the body into the urine.

This medicine is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

How should this medicine be used?

Furosemide comes as a tablet and liquid to take by mouth. It usually is taken once a day in the morning or twice a day in the morning and afternoon. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take furosemide exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Furosemide controls high blood pressure but does not cure it. Continue to take furosemide even if you feel well. Do not stop taking furosemide without talking to your doctor.

What special precautions should I follow?

Before taking furosemide,

• tell your doctor and pharmacist if you are allergic to furosemide, sulfa drugs, or any other drugs.
• tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially other medications for high blood pressure, aspirin, corticosteroids (e.g., prednisone), digoxin (Lanoxin), indomethacin (Indocin), lithium (Eskalith, Lithobid), medications for diabetes, probenecid (Benemid), and vitamins. If you also are taking cholestyramine or colestipol, take it at least 1 hour after taking furosemide.
• tell your doctor if you have or have ever had diabetes, gout, or kidney or liver disease.
• tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. Do not breast-feed while taking this medicine. If you become pregnant while taking furosemide, call your doctor.
• if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking furosemide.
• plan to avoid unnecessary or prolonged exposure to sunlight and to wear protective clothing, sunglasses, and sunscreen. Furosemide may make your skin sensitive to sunlight.

What special dietary instructions should I follow?

Follow your doctor’s directions. They may include a daily exercise program and a low-sodium or low-salt diet, potassium supplements, and increased amounts of potassium-rich foods (e.g., bananas, prunes, raisins, and orange juice) in your diet.

What should I do if I forget a dose?

Take the missed dose as soon as you remember it. However, if it is almost time for your next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

What side effects can this medication cause?

Frequent urination may last for up to 6 hours after a dose and should decrease after you take furosemide for a few weeks. Tell your doctor if any of these symptoms are severe or do not go away:

• muscle cramps
• weakness
• dizziness
• confusion
• thirst
• upset stomach
• vomiting
• blurred vision
• headache
• restlessness
• constipation

If you have any of the following symptoms, call your doctor immediately:

• fever
• sore throat
• ringing in the ears
• unusual bleeding or bruising
• loss of hearing
• severe rash with peeling skin
• difficulty breathing or swallowing
• rapid, excessive weight loss

What storage conditions are needed for this medicine?

Keep this medicine in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away unused furosemide liquid after 60 days. Throw away any medicine that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medicine.

What other information should I know?

Keep all appointments with your doctor and the laboratory. Your blood pressure should be checked regularly, and blood tests should be done occasionally.

Do not let anyone else take your medicine. Ask your pharmacist any questions you have about refilling your prescription.

Lasix

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