Apr
3rd

Changes in assortment

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Changes in assortment

The following items has been deleted:
Antabuse 250 mg
Lisinopril 20 mg
Feldene 10 mg

The prices has been increased for:

Diflucan 200 mg
Noroxin 400 mg
Atacand 4 mg
Soma
Procardia 30 mg
Myambutol
Monoket 20 mg
Imdur 20 mg
Cordarone
Advair Diskus 500 mcg
Lopid
Ansaid
Mysoline

The following item has been added to the shops:

Atacand 30 pills x 4 mg
Energy Patch
Kick Smoking Patch
Breast Enlargement Patch
Awake Patch
DHEA Patch
L-Arginine Patch
Sleep Patch
Male Potency Patch
Ginkgo Biloba Patch
Female Libido Patch
Pain Relief Patch
Insect Repellant Patch

Drugstore

Popularity: 7% [?]

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Apr
3rd

Cafergot (Caffeine/Ergotamine)

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Cafergot (Caffeine/Ergotamine)

Cafergot is prescribed for the relief or prevention of vascular headaches–for example, migraine, migraine variants, or cluster headaches.

Most important fact about Cafergot

The excessive use of Cafergot can lead to ergot poisoning resulting in symptoms such as headache, pain in the legs when walking, muscle pain, numbness, coldness, and abnormal paleness of the fingers and toes. If this condition is not treated, it can lead to gangrene (tissue death due to decreased blood supply).

How should you take Cafergot?

Cafergot is available in both tablet and suppository form. Be sure to take it exactly as prescribed, remaining within the limits of your recommended dosage.

Cafergot works best if you use it at the first sign of a migraine attack. If you get warning signals of a coming migraine, take the drug before the headache actually starts.

Lie down and relax in a quiet, dark room for at least a couple of hours or until you feel better.

Avoid exposure to cold.

To use the suppositories, follow these steps:
1. If the suppository feels too soft, leave it in the refrigerator for about 30 minutes or put it, still wrapped, in ice water until it hardens.
2. Remove the foil wrapper and dip the tip of the suppository in water.
3. Lie down on your side and with a finger insert the suppository into the rectum. Hold it in place for a few moments.

–If you miss a dose…

Take this medication only when threatened with an attack.

–Storage instructions…

Store at room temperature in a tightly closed container away from light. Keep suppositories away from 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 if it is safe for you to continue taking Cafergot.

  • More common side effects may include:
    Fluid retention, high blood pressure, itching, nausea, numbness, rapid heart rate, slow heartbeat, tingling or pins and needles, vertigo, vomiting, weakness

Possible food and drug interactions when taking Cafergot

If Cafergot 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 Cafergot with the following:

Beta-blocker drugs (blood pressure medications such as Inderal and Tenormin)
Drugs that constrict the blood vessels, such as EpiPen and the oral decongestant Sudafed
Macrolide antibiotics such as PCE, E.E.S., and Biaxin
Nicotine (Nicoderm, Habitrol, others)

Special information if you are pregnant or breastfeeding

Do not take Cafergot if you are pregnant. Cafergot appears in breast milk and may have serious effects in your baby. If this medication is essential for your health, your doctor may advise you to discontinue breastfeeding.

Recommended dosage

Dosage should start at the first sign of an attack.

ADULTS

Orally

The total dose for any single attack should not exceed 6 tablets.

Rectally

The maximum dose for an individual attack is 2 suppositories.

The total weekly dosage should not exceed 10 tablets or 5 suppositories.

A preventive, short-term dose may be given at bedtime to certain people, but only as prescribed by a doctor.

Overdosage

If you suspect an overdose of Cafergot, seek emergency medical treatment immediately.

  • Symptoms of Cafergot overdose include:
    Coma, convulsions, diminished or absent pulses, drowsiness, high or low blood pressure, numbness, shock, stupor, tingling, pain and bluish discoloration of the limbs, unrespon­siveness, vomiting

Cafergot

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Apr
3rd

Ultracet (Acetaminophen/Tramadol)

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Ultracet (Acetaminophen/Tramadol)

Tramadol is a narcotic-like pain reliever.

Acetaminophen is a less potent pain reliever that increases the effects of tramadol.

The combination of acetaminophen and tramadol is used to treat moderate to severe pain.

Acetaminophen and tramadol may also be used for purposes other than those listed in this medication guide.

How should I take Ultracet (Acetaminophen Tramadol)?

Take acetaminophen and tramadol exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Follow the directions on your prescription label.

Do not take more of this medication than is recommended. An acetaminophen and tramadol overdose can be fatal. The maximum amount of acetaminophen and tramadol is 2 tablets per dose, or 8 tablets per day.

Take this medicine with a full glass of water.

Acetaminophen and tramadol can be taken with or without food, but take it the same way each time.

Do not stop using this medication suddenly without talking to your doctor. You may need to gradually reduce the dose. Withdrawal symptoms such as anxiety, sweating, nausea, diarrhea, tremors, chills, hallucinations, trouble sleeping, or breathing problems may occur when you stop using acetaminophen and tramadol.

Call your doctor at once if you have any of these withdrawal symptoms after you stop using acetaminophen and tramadol.

Store acetaminophen and tramadol at room temperature away from moisture and heat.

What are the possible side effects of Ultracet (Acetaminophen Tramadol)?

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.

Stop using acetaminophen and tramadol and call your doctor at once if you have any of these serious side effects:

  • seizure (convulsions)
  • a red, blistering, peeling skin rash; or
  • shallow breathing, weak pulse

Continue taking acetaminophen and tramadol and talk to your doctor if you have any of these less serious side effects:

  • dizziness, drowsiness, weakness
  • nausea, vomiting, constipation, loss of appetite
  • blurred vision
  • flushing (redness, warmth, or tingly feeling); or
  • sleep problems (insomnia)

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 affect Ultracet (Acetaminophen Tramadol)?

Before taking acetaminophen and tramadol, tell your doctor if you also use:

  • carbamazepine (Tegretol)
  • warfarin (Coumadin)
  • digoxin (Lanoxin, Lanoxicaps)
  • ketoconazole (Nizoral)
  • erythromycin (E-Mycin, E.E.S., Ery-Tab)
  • rifampin (Rifadin, Rimactane, Rifater)
  • St. John’s wort
  • quinidine (Quinaglute, Quinadex, Cardioquin, Quinora); or
  • an antidepressant such as amitriptyline (Elavil), citalopram (Celexa), clomipramine (Anafranil), desipramine (Norpramin), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), imipramine (Tofranil), nortriptyline (Pamelor); paroxetine (Paxil), or sertraline (Zoloft)

If you are using any of these drugs, you may not be able to use acetaminophen and tramadol or you may need dosage adjustments or special tests during treatment.

There may be other drugs not listed that can affect acetaminophen and tramadol. 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 avoid while taking Ultracet (Acetaminophen Tramadol)?

Do not drink alcohol while you are taking acetaminophen and tramadol. Alcohol may cause a dangerous decrease in your breathing when used together with acetaminophen and tramadol.

Avoid using drugs that make you sleepy (such as cold medicine, other pain medications, muscle relaxants, and medicine for seizures, depression or anxiety). These drugs may slow your breathing or increase drowsiness when used together with acetaminophen and tramadol.

Acetaminophen and tramadol 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.

Do not use any other over-the-counter cough, cold, allergy, or pain medication without first asking your doctor or pharmacist. Acetaminophen is contained in many cold and pain medicines available over the counter. If you take certain products together you may accidentally take too much acetaminophen. Read the label of any other medicine you are using to see if it contains acetaminophen.

What happens if I overdose on Ultracet (Acetaminophen Tramadol)?

Seek emergency medical attention if you think you have used too much of this medicine. A acetaminophen and tramadol overdose can be fatal.

Symptoms of a acetaminophen and tramadol overdose may include drowsiness, shallow breathing, slow heartbeat, extreme weakness, cold or clammy skin, stomach pain, loss of appetite, dark urine, jaundice (yellowing of the skin or eyes, feeling light-headed, fainting, or coma.

What happens if I miss a dose of Ultracet (Acetaminophen Tramadol)?

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 is the most important information I should know about Ultracet (Acetaminophen Tramadol)?

Do not take more of this medication than is recommended. An acetaminophen and tramadol overdose can be fatal. The maximum amount of acetaminophen and tramadol is 2 tablets per dose, or 8 tablets per day.

Do not use any other over-the-counter cough, cold, allergy, or pain medication without first asking your doctor or pharmacist. Acetaminophen is contained in many cold and pain medicines available over the counter. If you take certain products together you may accidentally take too much acetaminophen. Read the label of any other medicine you are using to see if it contains acetaminophen.

Tell your doctor if you drink more than three alcoholic beverages per day or if you have ever had alcoholic liver disease (cirrhosis). You may not be able to take medication that contains acetaminophen.

Seizures (convulsions) have occurred in some people taking acetaminophen and tramadol. You may be more likely to have a seizure while taking acetaminophen and tramadol if you have a history of seizures or head injury, a metabolic disorder, a brain or spinal cord infection, or if you are taking certain medicines. Talk with your doctor about your individual risk of having a seizure from this medicine.

While you are taking acetaminophen and tramadol, do not drink alcohol or use drugs that make you sleepy (such as cold medicine, other pain medications, muscle relaxants, and medicine for seizures, depression or anxiety). These drugs may slow your breathing or increase drowsiness when used together with acetaminophen and tramadol.

Acetaminophen and tramadol 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.

What should I discuss with my healthcare provider before taking Ultracet (Acetaminophen Tramadol)?

Do not take this medication if you are allergic to acetaminophen and tramadol, if you are intoxicated (drunk), or if you have recently used any of the following drugs:

  • alcohol
  • narcotic pain medicine
  • sedatives or tranquilizers (such as Valium)
  • medicine for depression or anxiety
  • medicine for mental illness (such as bipolar disorder, schizophrenia); or
  • street drugs

Tell your doctor if you drink more than three alcoholic beverages per day or if you have ever had alcoholic liver disease (cirrhosis). You may not be able to take medication that contains acetaminophen.

Seizures have occurred in some people taking acetaminophen and tramadol. Your risk of a seizure may be higher if you have any of these conditions:

  • a history of drug or alcohol addiction
  • a history of epilepsy or other seizure disorder
  • a history of head injury
  • a metabolic disorder
  • an infection of your brain or spinal cord, such as meningitis or encephalitis
  • if you are also taking an antidepressant, mood stabilizer, or another narcotic pain medicine; or
  • if you have taken an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days

Talk with your doctor about your individual risk of having a seizure from this medicine.

Before taking acetaminophen and tramadol, tell your doctor if you are allergic to any drugs, or if you have:

  • kidney disease
  • liver disease
  • asthma or other breathing disorder
  • a stomach disorder; or
  • a history of depression, mental illness, or suicide attempt

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

FDA pregnancy category C. This medication may be harmful to an unborn baby. Acetaminophen and tramadol may also cause serious or fatal side effects in a newborn if the mother uses the medication during pregnancy or labor. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

Acetaminophen and tramadol 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.

Do not give this medicine to a child younger than 16 years of age.

Ultracet

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Apr
3rd

Ultram (Tramadol)

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Ultram (Tramadol)

Tramadol is a narcotic-like pain reliever.

Tramadol is used to treat moderate to severe pain. Tramadol extended-release is used to treat moderate to severe chronic pain when treatment is needed around the clock.

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

How should I take Ultram (Tramadol)?

Take tramadol exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Follow the directions on your prescription label. Do not take more than 300 milligrams of tramadol in one day.

Take each dose with a full glass of water.

Tramadol can be taken with or without food, but take it the same way each time.

Do not crush the tramadol tablet. This medicine is for oral (by mouth) use only. Powder from a crushed tablet should not be inhaled or diluted with liquid and injected into the body. Using this medicine by inhlation or injection can cause life-threatening side effects, overdose, or death.

Do not crush, chew, or break an extended-release tablet. 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.

If you use the tramadol extended-release tablet, the tablet shell may pass into your stools (bowel movements). This is normal and does not mean that you are not receiving enough of the medicine.

Tramadol may be habit-forming. Tell your doctor if you feel the medicine is not working as well in relieving your pain. Do not change your dose without talking to your doctor.

Do not stop using this medication suddenly without talking to your doctor. You may need to gradually reduce the dose. Withdrawal symptoms may occur when you stop using tramadol. Withdrawal symptoms include anxiety, sweating, nausea, diarrhea, tremors, chills, hallucinations, trouble sleeping, or breathing problems. Call your doctor at once if you have any of these withdrawal symptoms after you stop using tramadol.

Store tramadol at room temperature away from moisture and heat.

What are the possible side effects of Ultram (Tramadol)?

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.

Stop using tramadol and call your doctor at once if you have any of these serious side effects:

  • seizure (convulsions)
  • a red, blistering, peeling skin rash; or
  • shallow breathing, weak pulse

Continue taking tramadol and talk to your doctor if you have any of these less serious side effects:

  • dizziness, drowsiness, weakness
  • nausea, vomiting, constipation, loss of appetite
  • blurred vision
  • flushing (redness, warmth, or tingly feeling); or
  • sleep problems (insomnia)

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 be more likely to have a seizure (convulsions) if you take tramadol while you are using certain other medicines. Do not take tramadol without telling your doctor if you also use any of the following:

  • an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam); or
  • an antidepressant such as amitriptyline (Elavil), citalopram (Celexa), clomipramine (Anafranil), desipramine (Norpramin), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), imipramine (Tofranil), nortriptyline (Pamelor); paroxetine (Paxil), or sertraline (Zoloft)

Before taking tramadol, tell your doctor if you also use:

  • carbamazepine (Tegretol)
  • warfarin (Coumadin)
  • digoxin (Lanoxin, Lanoxicaps)
  • ketoconazole (Nizoral)
  • erythromycin (E-Mycin, E.E.S., Ery-Tab)
  • rifampin (Rifadin, Rimactane, Rifater)
  • St. John’s wort
  • quinidine (Quinaglute, Quinadex, Cardioquin, Quinora); or
  • drugs that make you sleepy (such as cold medicine, other pain medications, muscle relaxants, and medicine for seizures, depression or anxiety)

If you are using any of these drugs, you may not be able to use tramadol or you may need dosage adjustments or special tests during treatment.

There may be other drugs not listed that can affect tramadol. 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 avoid while taking Ultram (Tramadol)?

Do not drink alcohol while you are taking tramadol. Alcohol may cause a dangerous decrease in your breathing when used together with tramadol.

Avoid using drugs that make you sleepy (such as cold medicine, other pain medications, muscle relaxants, and medicine for seizures, depression or anxiety). These drugs may slow your breathing or increase drowsiness when used together with tramadol.

Tramadol 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.

What happens if I overdose on Ultram (Tramadol)?

Seek emergency medical attention if you think you have used too much of this medicine. A tramadol overdose can be fatal.

Symptoms of a tramadol overdose may include drowsiness, shallow breathing, slow heartbeat, extreme weakness, cold or clammy skin, feeling light-headed, fainting, or coma.

What happens if I miss a dose of Ultram (Tramadol)?

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.

You should not take tramadol if you have ever been addicted to drugs or alcohol.

Take tramadol exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Do not take more than 300 milligrams of tramadol in one day.

Do not stop using this medication suddenly without talking to your doctor. You may need to gradually reduce the dose. Withdrawal symptoms may occur when you stop using tramadol. Withdrawal symptoms include anxiety, sweating, nausea, diarrhea, tremors, chills, hallucinations, trouble sleeping, or breathing problems. Call your doctor at once if you have any of these withdrawal symptoms after you stop using tramadol.

Do not crush the tramadol tablet. This medicine is for oral (by mouth) use only. Powder from a crushed tablet should not be inhaled or diluted with liquid and injected into the body. Using this medicine by inhlation or injection can cause life-threatening side effects, overdose, or death.

Seizures (convulsions) have occurred in some people taking tramadol. You may be more likely to have a seizure while taking tramadol if you have a history of seizures or head injury, a metabolic disorder, or if you are taking certain medicines such as antidepressants, muscle relaxers, or medicine for nausea and vomiting.

Seek emergency medical attention if you think you have used too much of this medicine. A tramadol overdose can be fatal. Symptoms of a tramadol overdose may include drowsiness, shallow breathing, slow heartbeat, extreme weakness, cold or clammy skin, feeling light-headed, fainting, or coma.

While you are taking tramadol, do not drink alcohol or use drugs that make you sleepy (such as cold medicine, other pain medications, muscle relaxants, and medicine for seizures, depression or anxiety). These drugs may slow your breathing or increase drowsiness when used together with tramadol.

Tramadol 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.

What should I discuss with my healthcare provider before taking Ultram (Tramadol)?

You should not take tramadol if you have ever been addicted to drugs or alcohol.

Do not take tramadol if you are intoxicated (drunk), or if you have recently used any of the following drugs:

  • alcohol
  • narcotic pain medicine
  • sedatives or tranquilizers (such as Valium)
  • medicine for depression or anxiety
  • medicine for mental illness (such as bipolar disorder, schizophrenia); or
  • street drugs

Seizures have occurred in some people taking tramadol. Your risk of a seizure may be higher if you have any of these conditions:

  • a history of drug or alcohol addiction
  • a history of epilepsy or other seizure disorder
  • a history of head injury; or
  • a metabolic disorder

Talk with your doctor about your individual risk of having a seizure from this medicine.

Before taking tramadol, tell your doctor if you are allergic to any drugs, or if you have:

  • kidney disease
  • liver disease
  • a stomach disorder; or
  • a history of depression, mental illness, or suicide attempt

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

FDA pregnancy category C. This medication may be harmful to an unborn baby. Tramadol may also cause serious or fatal side effects in a newborn if the mother uses the medication during pregnancy or labor. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

Tramadol 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.

Older adults may be more sensitive to the effects of tramadol. If you are over 65, your doctor may recommend a lower dose.

Tramadol should not be given to a child younger than 16 years of age.

Ultram

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Apr
3rd

Tramadol

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Tramadol

Tramadol is used to treat moderate to severe chronic pain when treatment is needed around the clock. Tramadol may also be used for other purposes not listed in this medication guide.

How Taken

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

  • Take Tramadol by mouth with or without food.
  • Swallow Tramadol whole. Do not break, crush, or chew before swallowing.
  • Continue to take Tramadol even if you feel well. Do not miss any doses.

Drug Class and Mechanism

Tramadol is used to treat moderate to severe chronic pain when treatment is needed around the clock. Tramadol may also be used for other purposes not listed in this medication guide.

Missed Dose

If you miss a dose of Tramadol, skip the missed dose. Go back to your regular dosing schedule. Do not take 2 doses at once.

Storage

Store Tramadol 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 Tramadol out of the reach of children and away from pets.

Warnings Precautions

Do not use Tramadol if:

  • you are allergic to any ingredient in Zyban;
  • you have severe diarrhea due to taking an antibiotic;
  • you are intoxicated with alcohol, other opioids or narcotics (e.g., morphine, codeine), sedatives or sleeping medicines (e.g., temazepam, zolpidem), or other medicines;
  • you are taking nefazodone, carbamazepine, or sodium oxybate (GHB).

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

Important:

  • Tramadol may cause drowsiness and dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Tramadol with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Do not drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Tramadol ; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
  • Tramadol may cause dizziness; alcohol, hot weather, exercise, or fever may increase this effect. To prevent it, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of this effect.
  • Tell your doctor or dentist that you take Tramadol before you receive any medical or dental care, emergency care, or surgery.
  • Use Tramadol with caution in the elderly; they may be more sensitive to its effects.
  • Tramadol should not be used in children younger than 16 years old; safety and effectiveness in these children have not been confirmed.
  • Pregnancy and breast-feeding: Tramadol has been shown to cause harm to the fetus. If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and risks of using Tramadol while you are pregnant. Tramadol is found in breast milk. Do not breast-feed while taking Tramadol.

Possible Side Effects

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

  • constipation; diarrhea; dizziness; drowsiness; increased sweating; loss of appetite; nausea.

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

  • severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); agitation; fainting; fever; incoordination; muscle stiffness or tremor; seizures.

More Information

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

Tramadol

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