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Drugstore

Popularity: 7% [?]

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Viagra Soft Tabs are used to treat impotence in men by increasing the body’s ability to achieve and maintain an erection during sexual stimulation.

How Taken

Take Viagra Soft Tabs in the mouth as needed 10 - 20 minutes before sexual activity. The manufacturer recommends a maximum of 1 dose per day (1 dose every 2 days for those taking ritonavir).

Drug Class and Mechanism

Soft Tabs Viagra are oral lozenges containing quick-dissolving compounds. As with the standard Viagra, Generic Soft Tabs Viagra will stimulate the dopamine receptors in the hypothalamus and mid-brain, enhancing the natural erection process.

Excitory signals are then transmitted down the spinal cord to the sacral parasympathetic nucleus, stimulating parasympathetic activity of the sacral nerves supplying the penis. The penile smooth muscle then relaxes, and the pelvic arteries dilate. Dilated arteries of the penis fill with blood, and corpora cavernosa engorges, and the penis becomes erect.

Missed Dose

Viagra is used as needed, so you are not likely to miss a dose. If you miss a dose of Viagra, 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.

Storage

Keep Viagra Soft Tabs in its original container. Store at 25 degrees C (77 degrees F); excursions permitted to 15-30 degrees C (59-86 degrees F). Keep out of the reach of children.

Warnings Precautions

Do not take Viagra Soft Tabs if you are taking any nitrate-based drug, including nitroglycerin patches (Nitro-Dur, Transderm-Nitro), nitroglycerin ointment (Nitro-Bid, Nitrol), nitroglycerin pills (Nitro-Bid, Nitrostat), and isosorbide pills (Dilatrate-SR, Isordil, Sorbitrate). Combining Viagra with these drugs can cause a severe drop in blood pressure.

If you have heart problems severe enough to make sexual activity a danger, you should avoid using Viagra Soft Tabs. Use it cautiously if you’ve had a heart attack, stroke, or life-threatening heart irregularities within the past 6 months. Be equally cautious if you have severe high or low blood pressure, heart failure, or unstable angina.

If you take Viagra Soft Tabs and develop cardiac symptoms (for example, dizziness, nausea, and chest pain) during sexual activity, do not continue. Alert your doctor to the problem as soon as possible.

If you have a condition that might result in long-lasting erections, such as sickle cell anemia, multiple myeloma (a disease of the bone marrow), or leukemia, use Viagra Soft Tabs with caution. Also use cautiously if you have a genital problem or deformity such as Peyronie’s disease. If an erection lasts more than 4 hours, seek treatment immediately. Permanent damage and impotence could result.

If you have a bleeding disorder, a stomach ulcer, or the inherited eye condition known as retinitis pigmentosa, use Viagra Soft Tabs with caution. Its safety under these circumstances has not yet been studied.

Possible Side Effects

If you experience any of the following serious side effects, stop taking Viagra Soft Tabs and seek emergency medical attention or notify your doctor immediately:

• an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
• chest pain or an irregular heartbeat;
• swelling of the ankles or legs;
• shortness of breath;
• prolonged or severe dizziness;
• a prolonged (lasting longer than 4 hours) or painful erection; or
• dizziness, nausea, or angina (pain, tightness, discomfort, numbness, or tingling in the chest, arms, neck, or jaw).

Other, less serious side effects may be more likely to occur. Continue to take Viagra Soft Tabs and talk to your doctor if you experience

• flushing;
• mild dizziness;
• headache;
• nasal congestion;
• diarrhea;
• temporary blue tint in vision or other vision abnormalities; or
• itching or a rash.

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.

More Information 

If you are over 65 years of age, you may be more likely to experience side effects from Viagra. Your doctor may prescribe a lower dose of this medication.

Viagra Soft Tabs

Popularity: 11% [?]

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Cialis Professional is a newly formulated and chemically improved prescription medicine that is taken orally for the treatment of erectile dysfunction only in men, extremely enhancing male sexual activity that is resulted in boosted penile potency, multiplied orgasms and increased penis size.

Benefits:

• 36-48 Hour’ Response Period;
• Sexual Concentration Peak;
• Penile Nerves Angered;
• Non-Stoppable Desire ;
• Innerved Male Stamina;
• Rapid Chemical Uptake;
• Sensational Hardness and Firmness;
• Prolonged Sexual Activity;
• Piece and Fantasy in Mind.

How Taken

Cialis Professional will help the vast majority of erectile dysfunction sufferers regain the ability to achieve and maintain fantastic erections, sufficient enough to improve their lovemaking experience.

Taking Cialis Professional about 20 minutes to 30 minutes before your sexual intercourse will make you feel comfortable and eager to experience all the recreational amenities , connected with the pleasuring your second half in the way you like.

Note, than Cialis Professional is indifferent to any high-fat meal (such as fish & chips, cheeseburger or French fries) or drinks. Cialis Professional allows you to respond to your partner when the moment is right. You can take Cialis Professional in advance so you and your partner can take your time to let an intimate moment develop spontaneously.

Drug Class and Mechanism

Cialis Professional enhances the effect of nitric oxide at the nerve ending and endothelial cells in the corpus cavernosum by inhibiting phosphodiesterase type 5 in the corpus cavernosum of the penis. This results in vasodilation, increased inflow of blood into the corporus cavernosum, and ensuing penile erection upon sexual stimulation.

Thus, by relaxing the smooth muscle of the blood vessels to the fullest, the amplified blood flow to the penis will promote your erection and sexual state to unbelievable borders.

If you experience some lapses in your sexual life, please, do not hesitate or make your life worse. Just a pill will cure all your doubts and restore the life you will not help enjoying.

Missed Dose

If you miss a dose of Cialis Professional, 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.

Storage

Store Cialis Professional at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Keep Cialis Professional out of the reach of children and away from pets.

Warnings Precautions

Do not use Cialis Professional if:

• you are allergic to any ingredient in Cialis Professional;
• you have severe liver problems or certain hereditary degenerative eye problems (e.g., retinitis pigmentosa);
• you have certain heart problems (e.g., unstable angina, angina during sexual intercourse, severe heart failure, uncontrolled irregular heartbeat), low blood pressure, or uncontrolled high blood pressure;
• you have had a heart attack within the past 90 days or a stroke within the past 6 months;
• you are taking nitrates (e.g., isosorbide, nitroglycerin) in any form (e.g., tablet, capsule, patch, ointment) or nitroprusside;
• you have been advised by your doctor to avoid sexual activity because of heart problems;
• you use certain recreational drugs called poppers (e.g., amyl nitrate, butyl nitrate).

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

Important :

• Cialis Professional may cause dizziness, drowsiness, fainting, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Cialis Professional with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Cialis Professional 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.
• Do not drink large amounts of alcohol (e.g., 5 drinks or more) while you take Cialis Professional. Doing so may increase your risk of dizziness, headache, fast heartbeat, and low blood pressure.
• Do not use other medicines or treatments for erectile dysfunction while you are taking Cialis Professional.
• Cialis Professional does not stop the spread of HIV or other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier methods of birth control (e.g., condoms) if you have HIV infection or an STD.
• Cialis Professional will not prevent pregnancy. If your partner may become pregnant and you wish to avoid pregnancy, be sure to use an effective form of birth control.
• Use Cialis Professional with caution in the elderly; they may be more sensitive to its effects.
• Cialis Professional is not recommended for use in children; safety and effectiveness in children have not been confirmed.
• Pregnancy and breast-feeding: Cialis Professional is not approved for use in women. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Cialis Professional while you are pregnant. It is not known if Cialis is found in breast milk. If you are or will be breast-feeding while you use Cialis Professional, check with your doctor. Discuss any possible risks to your baby

Possible Side Effects

If you experience any of the following serious side effects, stop taking Cialis Professional and seek emergency medical attention or notify your doctor immediately:

• an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
• chest pain or an irregular heartbeat;
• swelling of the ankles or legs;
• shortness of breath;
• prolonged or severe dizziness;
• a prolonged (lasting longer than 4 hours) or painful erection; or
• dizziness, nausea, or angina (pain, tightness, discomfort, numbness, or tingling in the chest, arms, neck, or jaw).

Other, less serious side effects may be more likely to occur. Continue to take Cialis Professional and talk to your doctor if you experience

• flushing;
• mild dizziness;
• headache;
• nasal congestion;
• diarrhea;
• temporary blue tint in vision or other vision abnormalities; or
• itching or a rash.

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.

More Information 

The efficacy and safety of Cialis Professional for the treatment of erectile dysfunction was assessed in a 6-month study. Men with mild, moderate or severe erectile dysfunction were given Cialis Professional (20 mg) as needed or placebo.

Cialis Professional significantly improved erectile function compared with placebo. At the end of the study, sexual intercourse attempts success rate for those using Cialis Professional was 73.5% (this only refers to the ability to achieve erection and have intercourse, not speaking about other advantages of Cialis Professional.

Cialis Professional

Popularity: 9% [?]

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 Viagra Professional is a new generation extra-strength prescription medicine that is taken orally for the treatment of erectile dysfunction only in men, powerfully activating the natural blood flow, followed by hardness and expansion of your sexually excited penis for peak sexual performance.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:
• anatomical deformity of the penis, Peyronie’s disease, or ever had an erection that lasted more than 4 hours
• benign prostatic hypertrophy (BPH)
• bleeding disorder
• cancer
• diabetes
• frequent heartburn or gastroesophageal reflux disease (GERD)
• heart disease, angina, high or low blood pressure, a history of heart attack, or other heart problems
• high cholesterol
• kidney disease
• liver disease
• sickle cell disease
• stomach or intestinal ulcer
• stroke
• eye or vision problems, including a rare inherited eye disease called retinitis pigmentosa
• an unusual or allergic reaction to sildenafil, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I take this medicine?

Take sildenafil tablets by mouth. Follow the directions on the prescription label. The dose is usually taken 1 hour before sexual activity. You should not take this dose more than once per day. Swallow the tablets with a drink of water. Do not take double or extra doses.

Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.

What drug(s) may interact with sildenafil?

Do not take sildenafil if you are taking the following medications:
• nitroglycerin-type drugs for the heart or chest pain such as amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin, even if these are only taken occasionally

Sildenafil may also interact with the following medications:
• alpha blockers, used for high blood pressure or an enlarged prostate. NOTE: Do not take doses of sildenafil higher than 25 mg within 4 hours of taking alpha blockers, such as alfuzosin (UroXatral®), doxazosin (Cardura®), prazosin (Minipress®), or terazosin (Hytrin®).
• bosentan
• certain drugs used for seizures such as carbamazepine, phenytoin, and phenobarbital
• certain drugs used for fungal or yeast infections, such as fluconazole, ketoconazole, and voriconazole
• certain drugs for the treatment of HIV infection or AIDS
• cimetidine
• cisapride
• clarithromycin
• diltiazem
• erythromycin
• grapefruit juice
• mibefradil
• monoamine oxidase inhibitors (Azilect®, Eldepryl®, Emsam®, Marplan®, Nardil®, Parnate®, Zelapar™)
• nitroprusside
• rifabutin
• rifampin
• quinidine
• some drugs for treating depression, anxiety or other mood problems (examples: fluoxetine, fluvoxamine, nefazodone)
• verapamil

Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.

What side effects may I notice from taking sildenafil?

Side effects that you should report to your prescriber or health care professional as soon as possible:
•changes in vision such as loss of vision, blurred vision, eyes being more sensitive to light, or trouble telling the difference between blue and green objects or objects having a blue color tinge to them
•difficulty breathing, shortness of breath
•chest pain or palpitations
•prolonged erection (lasting longer than 4 hours)
•skin rash, itching

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
•diarrhea
•dizziness
•flushing
•headache
•indigestion
•nasal congestion

What should I watch for while taking sildenafil?

If you notice any changes in your vision while taking this drug, notify your prescriber or health care professional as soon as possible. Stop using sildenafil right away if you have a loss of sight in one or both eyes. Contact your healthcare provider immediately.

Contact you physician immediately if the erection lasts longer than 4 hours or if it becomes painful. This may be a sign of priapism and must be treated immediately to prevent permanent damage.

If you experience symptoms of nausea, dizziness, chest pain or arm pain upon initiation of sexual activity after sildenafil use, you should refrain from further activity and should discuss the episode with your prescriber or health care professional as soon as possible.
Do not change the dose of your medication. Please call your prescriber or health care professional to determine if your dose needs to be reevaluated.

Using Viagra® (sildenafil) does not protect you or your partner against HIV infection (the virus that causes AIDS) or other sexually transmitted diseases.

Where can I keep my medicine?

Keep out of reach of children in a container that small children cannot open.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.

 Viagra Professional

Popularity: 16% [?]

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We are deleting the folloving item:

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Gemfibrozil helps reduce cholesterol and triglycerides (fatty acids) in the blood. High levels of these types of fat in the blood are associated with an increased risk of atherosclerosis (clogged arteries).

Gemfibrozil is used to treat very high cholesterol and triglyceride levels in people with pancreatitis.

Gemfibrozil is also used to lower the risk of stroke, heart attack, or other heart complications in people with high cholesterol and triglycerides who have not been helped by other treatment methods.

Gemfibrozil may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Lopid (gemfibrozil)?

You should not use this medication if you are allergic to gemfibrozil or if you have gallbladder disease, liver disease, or severe kidney disease.

Gemfibrozil is only part of a complete program of treatment that also includes diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely.

Avoid eating foods that are high in fat or cholesterol. Gemfibrozil will not be as effective in lowering your cholesterol if you do not follow a cholesterol-lowering diet plan.

To be sure this medication is helping your condition, your blood will need to be tested on a regular basis. Your kidney or liver function may also need to be tested. Do not miss any scheduled appointments.

Call your doctor at once if you have a serious side effect such as sharp pain in your upper stomach (especially after eating), jaundice (yellowing of your skin or eyes), blurred vision, eye pain, or seeing halos around lights, or pain or burning when you urinate.

What should I discuss with my healthcare provider before taking Lopid (gemfibrozil)?

You should not use this medication if you are allergic to gemfibrozil or have certain conditions. Be sure your doctor knows if you have:

• liver disease;
• severe kidney disease; or
• gallbladder disease.

Before taking this medication, tell your doctor if you have a history of liver disease, kidney disease, or gallbladder disease. You may need a dose adjustment or special tests to safely use gemfibrozil.

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 gemfibrozil 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 Lopid (gemfibrozil)?

Take this medication exactly as prescribed by your doctor. Do not take it in larger amounts or for longer than recommended. Follow the directions on your prescription label.

Gemfibrozil is usually taken twice daily, 30 minutes before breakfast and dinner. Follow your doctor’s instructions.

It is important to use gemfibrozil regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

Gemfibrozil is only part of a complete program of treatment that also includes diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely.

To be sure this medication is helping your condition, your blood will need to be tested on a regular basis. Your kidney or liver function may also need to be tested. Do not miss any scheduled appointments.

Store gemfibrozil 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, wait until then to take the medicine and skip the missed 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.

Overdose symptoms may include stomach cramps, nausea, vomiting, diarrhea, and joint or muscle pain.

Lopid (gemfibrozil) 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 a serious side effect such as:

• sharp pain in your upper stomach (especially after eating);
• jaundice (yellowing of your skin or eyes);
• blurred vision, eye pain, or seeing halos around lights; or
• pain or burning when you urinate.

Less serious side effects may include:

• heartburn, upset stomach;
• nausea, vomiting, diarrhea, constipation, stomach pain;
• dizziness, spinning sensation;
• drowsiness, tired feeling;
• unusual or unpleasant taste in your mouth;
• cough or cold symptoms;
• numbness or tingly feeling;
• joint or muscle pain;
• mild skin rash; 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.

What other drugs will affect Lopid (gemfibrozil)?

Before taking this gemfibrozil, tell your doctor if you are using any of the following drugs:

• a blood thinner such as warfarin (Coumadin);
• insulin or diabetes medication you take by mouth; or
• another cholesterol-lowering drug such as atorvastatin (Lipitor), lovastatin (Mevacor, Altocor), simvastatin (Zocor), pravastatin (Pravachol), fluvastatin (Lescol, Lescol XL), and others.

This list is not complete and there may be other drugs that can interact with gemfibrozil. 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.

Lopid

Popularity: 10% [?]

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Procardia and Procardia XL are used to treat angina (chest pain caused by lack of oxygen to the heart due to clogged arteries or spasm of the arteries). Procardia XL is also used to treat high blood pressure. Procardia and Procardia XL are calcium channel blockers. They ease the workload of the heart by relaxing the muscles in the walls of the arteries, allowing them to dilate. This improves blood flow through the heart and throughout the body, reduces blood pressure, and helps prevent angina. Procardia XL is taken once a day and provides a steady rate of medication over a 24-hour period.

Most important fact about Procardia

If you have high blood pressure, you must take Procardia XL regularly for it to be effective. Since blood pressure declines gradually, it may be several weeks before you get the full benefit of Procardia XL; and you must continue taking it even if you are feeling well. Procardia XL does not cure high blood pressure; it merely keeps it under control.

How should you take Procardia?

Procardia and Procardia XL should be taken exactly as prescribed by your doctor, even if your symptoms have disappeared.

Procardia XL tablets are specially designed to release the medication into your bloodstream slowly. As a result, something that looks like a tablet may occasionally appear in your stool. This is normal and simply means that the medication has been released, and the shell that contained the medication has been eliminated from your body.

Procardia and Procardia XL tablets should be swallowed whole. Do not break, crush, or chew.

Procardia and Procardia XL can be taken with or without food. Adalat CC should be taken on an empty stomach.

Do not substitute another brand of nifedipine for Procardia or Procardia XL unless your doctor directs.

Procardia XL should be taken once a day. You can take it in the morning or evening, but should hold to the same time each day.

–If you miss a dose…

Take the forgotten dose as soon as you remember. If it is almost time for your next dose, skip the one you missed. Never take 2 doses at the same time.

–Storage instructions…

Procardia and Procardia XL can be stored at room temperature. Protect from moisture, light, humidity, and excessive heat.

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 whether it is safe for you to continue taking Procardia or Procardia XL.

• More common side effects may include:
  Constipation, cough, dizziness, fatigue, flushing, giddiness, headache, heartburn, heat sensation, light-headedness, mood changes, muscle cramps, nasal congestion, nausea, sore throat, swelling of arms, legs, hands, and feet, tremors, wheezing

Possible food and drug interactions when taking Procardia

If Procardia or Procardia XL is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Procardia or Procardia XL with the following:
Cimetidine (Tagamet)
Digoxin (Lanoxin)
Quinidine (Quinaglute, Quinidex)

Taking Procardia with grapefruit juice can dramatically increase the effect of the drug. Do not combine the two.

Special information if you are pregnant or breastfeeding

The effects of Procardia and Procardia XL during pregnancy have not been adequately studied, although new animal research points to possible birth defects in humans. If you are pregnant or plan to become pregnant, inform your doctor immediately. It is not known whether Procardia or Procardia XL appears in breast milk and can affect a nursing infant. If this medication is essential to your health, your doctor may advise you to discontinue breastfeeding until your treatment is finished.

Recommended dosage

ADULTS

The usual starting dose of Procardia and Adalat is one 10-milligram capsule, 3 times a day. The usual range is 10 to 20 milligrams 3 times a day. Some people may need 20 to 30 milligrams, 3 or 4 times a day. Usually you will not take more than 120 milligrams in a day and should take no more than 180 milligrams.

The starting dose of Procardia XL and Adalat CC is usually a 30- or 60-milligram tablet, taken once daily. Your doctor may increase the dose over 1 to 2 weeks if not satisfied with the way the drug is working. Doses above 120 milligrams per day are not recommended.

Although no serious side effects have been reported when Procardia XL is stopped, your doctor will probably have you lower the dose gradually under close supervision.

Overdosage

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

 Procardia

Popularity: 14% [?]

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We are deleting the folloving item:

Actos 45mg

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Drugstore

Popularity: 7% [?]

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Warfarin is an anticoagulant (blood thinner). Warfarin reduces the formation of blood clots.

Warfarin is used to prevent heart attacks, strokes, and blood clots in veins and arteries.

Warfarin may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about warfarin?

This medication can cause birth defects in an unborn baby. Do not use if you are pregnant. Use an effective form of birth control, and tell your doctor if you become pregnant during treatment. Never take a double dose of this medication.

If you need to have a lumbar puncture (spinal tap) or any type of surgery, you may need to temporarily stop using warfarin. Be sure the surgeon knows ahead of time that you are using this medication.

Carry an ID card or wear a medical alert bracelet stating that you are taking warfarin, in case of emergency. Any doctor, dentist, or emergency medical care provider who treats you should know that you are taking warfarin. Warfarin interacts with many other drugs, and these interactions can be dangerous, even fatal. 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. Do not take aspirin or other NSAIDs (non-steroidal anti-inflammatory drugs) unless your doctor has told you to. NSAIDs include celecoxib (Celebrex), diclofenac (Voltaren), ibuprofen (Motrin, Advil), indomethacin, naproxen (Aleve, Naprosyn), piroxicam (Feldene), and others.These medicines can affect blood clotting and may cause serious bleeding in your stomach or intestines.Avoid sudden changes in your diet. Vitamin K decreases the effects of warfarin. Large amounts of vitamin K are found in foods such as liver, broccoli, brussels sprouts, spinach, Swiss chard, coriander, collards, cabbage, and other green leafy vegetables. Do not change the amount of these foods in your diet without first talking to your doctor.

Avoid eating cranberries, drinking cranberry juice, or taking cranberry herbal products.

Avoid drinking alcohol, which can increase some of the side effects of this medication.

What should I discuss with my healthcare provider before taking warfarin?

Do not take this medicine if you have:

• a bleeding disorder such as hemophilia;
• a blood cell disorder such as anemia;
• a stomach ulcer or bleeding in the stomach;
• a history of aneurysm, blood clot, or bleeding in your brain; or
• an infection of your heart, fluid or swelling around your heart.

FDA pregnancy category X. This medication can cause miscarriage, stillbirth, birth defects, or fatal bleeding in an unborn baby. Do not use warfarin if you are pregnant. Tell your doctor right away if you become pregnant during treatment. Use an effective form of birth control while you are using this medication.Before taking warfarin, tell your doctor if you have:

• kidney disease;
• liver disease;
• celiac sprue (an intestinal disorder);
• a recent injury, surgery, or medical emergency;
• high blood pressure;
• severe or uncontrolled diabetes;
• polycythemia vera;
• congestive heart failure;
• cancer;
• overactive thyroid;
• a seizure disorder for which you take an anticonvulsant such as phenytoin (Dilantin) or phenobarbital (Luminal); or
• a connective tissue disorder such as Marfan Syndrome, Sjogren syndrome, scleroderma, rheumatoid arthritis, or lupus.

If you have any of these conditions, you may not be able to use warfarin, or you may need a dosage adjustment or special tests during treatment.

Warfarin may pass into breast milk and cause bleeding problems in the nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Older adults and people who are severely ill or debilitated may have a greater risk of bleeding while taking warfarin. Talk with your doctor about your individual risk. Warfarin should not be given to anyone younger than 18 years old.Tell your doctor (or dentist) that you are taking warfarin before you take an antibiotic or before having surgery.

How should I take warfarin?

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. Your doctor may occasionally change your dose to make sure you get the best results from this medication. Follow the directions on your prescription label.

Take each dose with a full glass of water. Take warfarin at the same time every day. Warfarin can be taken with or without food.Your body’s response to warfarin can be affected by your diet, environment, physical well-being, and other medicines or herbal (botanical) products you use.

Avoid dieting to lose weight while taking warfarin. Tell your doctor if your body weight changes for any reason.It is important to take warfarin regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

To be sure this medication is helping your condition, your blood will need to be tested on a regular basis. Do not miss any scheduled visits to your doctor.

If you need to have a lumbar puncture (spinal tap) or any type of dental work or surgery, you may need to temporarily stop using warfarin. Be sure your doctors know ahead of time that you are using this medication.

Carry an ID card or wear a medical alert bracelet stating that you are taking warfarin, in case of emergency. Any doctor, dentist, or emergency medical care provider who treats you should know that you are taking warfarin. Store this medication at room temperature away from heat, moisture, and light.

What happens if I miss a dose?

Take the missed dose as soon as you remember, and call your doctor as soon as possible. You may take two doses on the same day, but do not take two doses at the same 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 bruising, broken blood vessels under the skin, excessive bleeding from cuts or wounds, blood in the urine or stools, and heavy menstrual periods in women.

Warfarin 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:

• skin changes or discoloration anywhere on your body;
• purple toes or fingers;
• pain in your stomach, back, or sides;
• low fever, loss of appetite, dark urine, jaundice (yellowing of the skin or eyes);
• diarrhea, fever, chills, body aches, flu symptoms;
• easy bruising or bleeding that will not stop;
• blood in your urine;
• black, bloody, or tarry stools;
• nosebleeds, bleeding gums, coughing up blood;
• feeling weak or light-headed;
• sudden headache, confusion, problems with vision, speech, or balance;
• sudden leg or foot pain; or
• sudden numbness or weakness, especially on one side of the body.

Less serious side effects may include:

• nausea, vomiting, stomach pain;
• gas and bloating; or
• hair loss.

This is not a complete list of side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect warfarin?

Warfarin interacts with many other drugs, and these interactions can be dangerous, even fatal. 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.

Warfarin can interact with the following herbal (botanical) products:

• bromelains;
• coenzyme Q10;
• danshen;
• dong quai;
• garlic;
• ginkgo biloba;
• ginseng; or
• St. John’s wort.

Do not use any of these products without first asking your doctor. Some of these herbal products can cause you to bleed while you are also taking warfarin.

Coumadin

Popularity: 11% [?]

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Verapamil is in a class of drugs called calcium channel blockers. Verapamil relaxes (widens) blood vessels (veins and arteries), which makes it easier for the heart to pump and reduces its workload.

Verapamil is used to treat hypertension (high blood pressure), to treat angina (chest pain), and to control some types of irregular heartbeats.

Verapamil may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about verapamil?

Do not stop taking this medication without first talking to your doctor. If you stop taking the medication, your condition could become worse. Do not crush, chew, or break extended-release forms of verapamil such as generic Covera-HS and Verelan PM. Swallow them whole. Generic verapamil SR, Isoptin SR, and Calan SR may be divided in half but should not be crushed or chewed.

What should I discuss with my healthcare provider before taking verapamil?

Before taking this medication, tell your doctor if you have

• kidney or liver disease;
• other diseases of the heart or blood vessels such as sick sinus syndrome, aortic stenosis, heart failure, heart block, Wolff-Parkinson-White syndrome, coronary artery disease, or low blood pressure; or
• muscular dystrophy.

You may not be able to take verapamil, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.

Verapamil is in the FDA pregnancy category C. This means that it is not known whether verapamil will be harmful to an unborn baby. Do not take verapamil without first talking to your doctor if you are pregnant or could become pregnant during treatment. Verapamil passes into breast milk and may harm a nursing infant. Do not take verapamil without first talking to your doctor if you are breast-feeding a baby.

How should I take verapamil?

Take verapamil exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Take each dose with a full glass of water.Verelan, Verelan PM, Calan, Isoptin, Covera-HS, and generic forms of regular-release verapamil can be taken with or without food. Taking the medication with food may reduce stomach upset if it occurs.

Calan SR, Isoptin SR, and generic sustained-release verapamil (verapamil SR) may be more likely to cause stomach upset and should be taken with food to reduce this side effect.Take Covera-HS and Verelan PM at bedtime.

If you have trouble swallowing the Verelan pellet-filled capsules, they can be opened and the contents can be sprinkled onto cold, soft food such as applesauce. This mixture must be swallowed without chewing. Use the mixture immediately. Do not save it for later use. (Do not use this procedure for the Verelan PM capsules.)

Do not crush, chew, or break extended-release forms of verapamil such as Covera-HS and Verelan PM. Swallow them whole. Generic verapamil SR, Isoptin SR, and Calan SR may be divided in half if the tablets are scored, but should not be crushed or chewed.If you are taking Covera-HS, do not be concerned if you find what looks like an undissolved tablet in your stool. This medication is formulated with an outer shell that does not dissolve. This shell allows the medicine to be released slowly into your body before it is passed out in the stool.

It is important to take verapamil regularly to get the most benefit.

Do not stop taking this medication without first talking to your doctor. If you stop taking the medication, your condition could become worse.Grapefruit and grapefruit juice may interact with verapamil. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.

Your doctor may want you to have blood tests, blood pressure monitoring, or other medical evaluations during treatment with verapamil to monitor progress and side effects.

Store verapamil at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication.

What happens if I overdose?

Seek emergency medical attention.

Symptoms of a verapamil overdose include dizziness, weakness, chest pain, shortness of breath, fainting, an unusually fast or slow heartbeat, coma, slurred speech, and confusion.

What should I avoid while taking verapamil?

Grapefruit and grapefruit juice may interact with verapamil. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.

Avoid the use alcohol. Alcohol may further lower blood pressure and increase drowsiness and dizziness while taking verapamil.Follow any recommendations your doctor makes about diet or exercise.

Verapamil side effects

If you experience any of the following serious side effects, stop taking verapamil and contact your doctor immediately or seek emergency medical treatment:

• an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
• an unusually fast or slow heartbeat;
• shortness of breath (heart failure);
• fainting;
• abnormal behavior or psychosis;
• jaundice (yellowing of the skin or eyes); or
• swelling of the legs or ankles.

Other, less serious side effects may be more likely to occur. Continue to take verapamil and talk to your doctor if you experience

• unusual headache, fatigue, or tiredness;
• insomnia or trouble sleeping;
• vivid dreams;
• hair loss;
• nausea or diarrhea; or
• increased urination.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect verapamil?

Before taking this medication, tell your doctor if you are taking any of the following drugs:

• cyclosporine (Sandimmune, Neoral);
• cimetidine (Tagamet, Tagamet HB);
• carbamazepine (Tegretol, Carbatrol);
• lithium (Lithobid, Eskalith, others);
• theophylline (Theo-Dur, Theochron, Theolair, Theobid, Elixophyllin, Slo-Phyllin, others);
• rifampin (Rifadin, Rimactane);
• phenobarbital (Luminal, Solfoton);
• an HMG CoA reductase inhibitor such as atorvastatin (Lipitor), lovastatin (Mevacor), simvastatin (Zocor), and others; or
• another heart medication such as propranolol (Inderal), metoprolol (Lopressor, Toprol XL), atenolol (Tenormin), digoxin (Lanoxin), quinidine (Quinora, Quinidex, Quinaglute), flecainide (Tambocor), disopyramide (Norpace), captopril (Capoten), enalapril (Vasotec), and others.

You may not be able to take verapamil, or you may require a dosage adjustment or special monitoring if you are taking any of the medicines listed above.

Drugs other than those listed here may also interact with verapamil or affect your condition. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.

Isoptin

Popularity: 12% [?]

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