Vitaliq is a multivitamin and multimineral supplement, providing 100% Daily Value of all the vitamins and large amounts of the required minerals.

How Taken

Take one (1) capsule 15 minutes before meals. Do not exceed 6 capsules daily. Drink at least 6 glasses of water daily between meals.

Drug Class and Mechanism

Vitaliq also contains Lycopene, a carotenoid found in plants, such as tomatoes, which has been shown to reduce the risk of prostate and lung cancer as well as cardiovascular(heart) disease 1,2. In addition, Vitaliq supplies more Biotin than other multivitamins and Lutein, a carotenoid shown to be protective against age-related macular degeneration(ARMD), cataracts and other eye problems.

Missed Dose

If you miss a dose of Vitaliq, 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 Vitaliq at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Keep Vitaliq out of the reach of children and away from pets.

Warnings Precautions

Seek the advice of a health care professional if you have any medical condition.

Possible Side Effects

Because Vitaliq is an all-natural nutritional supplement containing only the finest botanicals, there are no harmful side effects when taken as directed.

More Information

Vitaliq is not a pharmaceutical drug and contains none of the synthetic chemicals found in prescription medications. It is a safe alternative to prescription drugs, which can sometimes have serious side effects.

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Hydroxyurea affects certain cells in the body, such as cancer cells or sickled red blood cells.

Hydroxyurea is used to treat melanoma (a type of skin cancer), chronic myelocytic leukemia, cancer of the ovary, and primary squamous cell (skin) cancer of the head and neck. Hydroxyurea is also used to treat sickle cell anemia.

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

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Dimenhydrinate is used to prevent and treat nausea, vomiting, dizziness, and vertigo associated with motion sickness.

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

What is the most important information I should know about Dramamine (dimenhydrinate)?

Use caution when driving, operating machinery, or performing other hazardous activities. Dimenhydrinate may cause dizziness, drowsiness, or blurred vision. If you experience dizziness, drowsiness, or blurred vision, avoid these activities. Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking dimenhydrinate.

Who should not take Dramamine (dimenhydrinate)?

Before taking this medication, tell your doctor if you have

• kidney or liver disease,
• an enlarged prostate,
• difficulty urinating,
• bladder problems,
• glaucoma,
• asthma, or
• an irregular heartbeat or any other type of heart disease.

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

Dimenhydrinate is in the FDA pregnancy category B. This means that it is unlikely to harm an unborn baby. Do not take dimenhydrinate without first talking to your doctor if you are pregnant. Dimenhydrinate passes into breast milk and may harm a nursing baby. Do not take dimenhydrinate without first talking to your doctor if you are breast-feeding a baby. Dimenhydrinate is not recommended for use by children younger than 2 years of age, except under the direction of a doctor.

How should I take Dramamine (dimenhydrinate)?

Take dimenhydrinate 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.

To ensure that you get a correct dose, measure the liquid form of dimenhydrinate with a special dose-measuring spoon or cup, not with a regular tablespoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.

Dimenhydrinate is usually taken every 4 to 6 hours as needed. Do not take more than 400 mg of this medication in one day.

Store dimenhydrinate 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 your next dose, skip the missed dose and take only your 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 dimenhydrinate overdose include drowsiness, seizures or convulsions, difficulty breathing, and death.

Dramamine (dimenhydrinate) side effects

Stop taking dimenhydrinate and seek emergency medical attention if you experience an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives).

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

• drowsiness or dizziness;
• restlessness, excitation, nervousness, or insomnia;
• blurred or double vision;
• dry mouth, nose, or throat;
• decreased appetite, nausea, vomiting, or diarrhea;
• difficulty urinating; or
• an irregular or fast heartbeat.

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 Dramamine (dimenhydrinate)?

Dimenhydrinate may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any medicine unless your doctor approves.

Drugs other than those listed here may also interact with dimenhydrinate. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

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Prednisone is used in the management of inflammatory conditions or diseases in which the immune system plays an important role. Since prednisone is used in so many conditions, only the most common or established uses are mentioned here. Prednisone most often is used for treating several types of arthritis, ulcerative colitis, Crohn’s disease, systemic lupus, allergic reactions, asthma and severe psoriasis. It also is used for treating leukemias, lymphomas, idiopathic thrombocytopenic purpura and autoimmune hemolytic anemia. Corticosteroids, including prednisone, are commonly used to suppress the immune system and prevent the body from rejecting transplanted organs. Prednisone is used as replacement therapy in patients whose adrenal glands are unable to produce sufficient amounts of cortisol.

How Taken

Tablets of 2.5, 5, 10, 20, and 50 mg. Oral solution or syrup of 5mg/5ml. The initial dose of prednisone varies depending on the condition being treated and the age of the patient. The starting dose may be from 5 to 60 mg per day and often is adjusted based on the response of the condition being treated. Corticosteroids typically do not produce immediate effects and must be used for several days before maximal effects are seen. It may take much longer before conditions respond to treatment. Prolonged therapy with prednisone causes the adrenal glands to atrophy and stop producing cortisol. When prednisone is discontinued after a period of prolonged therapy, the dose of prednisone must be tapered (lowered gradually) to allow the adrenal glands time to recover. (See side effects.) It is recommended that prednisone be taken with food.

Drug Class and Mechanism

Prednisone is an oral, synthetic (man-made) corticosteroid used for suppressing the immune system and inflammation. It has effects similar to other corticosteroids such as triamcinolone (Kenacort), methylprednisolone (Medrol), prednisolone (Prelone) and dexamethasone (Decadron). These synthetic corticosteroids mimic the action of cortisol (hydrocortisone), the naturally-occurring corticosteroid produced in the body by the adrenal glands. Corticosteroids have many effects on the body, but they most often are used for their potent anti-inflammatory effects, particularly in those conditions in which the immune system plays an important role. Such conditions include arthritis, colitis, asthma, bronchitis, certain skin rashes, and allergic or inflammatory conditions of the nose and eyes. Prednisone is inactive in the body and, in order to be effective, first must be converted to prednisolone by enzymes in the liver. Therefore, prednisone may not work as effectively in people with liver disease whose ability to convert prednisone to prednisolone is impaired.

Missed Dose

If you take one dose daily, take the missed dose as soon as you remember. However, if you don’t remember until the next day, skip the dose you missed and take only your regular daily dose. If you take more than one dose daily, you can either take the missed dose as soon as you remember, or you can take two doses at the next dose time. If you take one dose every other day, take the missed dose as soon as you remember, then go back to your regular every-other-day schedule.

Storage

Store at room temperature 20-25 degrees C (68-77 degrees F), and keep away from moisture.

Warnings Precautions

Avoid alcohol. Acting together, alcohol and prednisone can be damaging to the stomach. Avoid sources of infection. Wash your hands frequently and keep them away from the mouth and eyes. Your immune system may be weakened while taking prednisone. Do not receive any immunizations during treatment with prednisone without first talking to your doctor. Prednisone may interact with estrogens and phenytoin (Dilantin). Estrogens may reduce the action of enzymes in the liver that break down (eliminate) the active form of prednisone, prednisolone. As a result, the levels of prednisolone in the body may increase and lead to more frequent side effects. Phenytoin increases the activity of enzymes in the liver that break down (eliminate) prednisone and thereby may reduce the effectiveness of prednisone. Thus, if phenytoin is being taken, an increased dose of prednisone may be required. Corticosteroids are secreted in breast milk and can cause side effects in the nursing infant. Prednisone is less likely than other corticosteroids to be secreted in breast milk, but it may still pose a risk to the infant.

Possible Side Effects

Side effects of prednisone and other corticosteroids range from mild annoyances to serious, irreversible damage, and they occur more frequently with higher doses and more prolonged treatment. Side effects include retention of sodium (salt) and fluid, weight gain, high blood pressure, loss of potassium, headache and muscle weakness. Prednisone also causes puffiness of the face (moon face), growth of facial hair, thinning and easy bruising of the skin, impaired wound-healing, glaucoma, cataracts, ulcers in the stomach and duodenum, worsening of diabetes, irregular menses, rounding of the upper back (”buffalo hump”), obesity, retardation of growth in children, convulsions, and psychiatric disturbances. The psychiatric disturbances include depression, euphoria, insomnia, mood swings, personality changes, and even psychotic behavior. Prednisone suppresses the immune system and, therefore, increases the frequency or severity of infections and decreases the effectiveness of vaccines and antibiotics. Prednisone may cause osteoporosis that results in fractures of bones. Patients taking long-term prednisone often receive supplements of calcium and vitamin D to counteract the effects on bones. Calcium and vitamin D probably are not enough, however, and treatment with bisphosphonates such as alendronate (Fosamax) and risedronate (Actonel) may be necessary. Calcitonin (Miacalcin) also is effective. The development of osteoporosis and the need for treatment can be monitored, using bone density scans.

More Information

If you experience any of the following serious side effects, stop taking prednisone and seek emergency medical attention or contact your doctor immediately: an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives); increased blood pressure (severe headache or blurred vision); or sudden weight gain (more than 5 pounds in a day or two). Other, less serious side effects may be more likely to occur. Continue to take prednisone and talk to your doctor if you experience insomnia; nausea, vomiting, or stomach upset; fatigue or dizziness; muscle weakness or joint pain; problems with diabetes control; or increased hunger or thirst. Other side effects that occur only rarely, usually with high doses of prednisone, include acne, increased hair growth, thinning of the skin, cataracts, glaucoma, osteoporosis, roundness of the face, and changes in behavior. 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.

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ReVia is prescribed to treat alcohol dependence and narcotic addiction. ReVia is not a cure. You must be ready to make a change and be willing to undertake a comprehensive treatment program that includes professional counseling, support groups, and close medical supervision.

Most important fact about ReVia

Before taking ReVia for narcotic addiction, you must be drug-free for at least 7 to 10 days. You must also be free of any drug withdrawal symptoms. If you think you are still in withdrawal, be sure to tell your doctor, since taking ReVia while narcotics are still in your system could cause serious physical problems. Your doctor will perform tests to confirm your drug-free condition.

How should you take ReVia?

It is important to take ReVia on schedule as directed by your doctor, and to follow through with your counseling and support group therapy.

If you take small doses of heroin or other narcotic drugs while taking ReVia, they will have no effect. Large doses combined with ReVia can be fatal.

–If you miss a dose…

Take the missed dose as soon as possible. If you do not remember until the next day, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

–Storage instructions…

No special measures are needed.

What side effects may occur?

Side effects cannot be anticipated. If any side effects develop or change in intensity, tell your doctor immediately. Only your doctor can determine whether it is safe for you to continue taking ReVia.

• Side effects of treatment for alcoholism may include:
  Dizziness, fatigue, headache, nausea, nervousness, sleeplessness, vomiting

• Side effects of treatment for narcotic addiction may include:
  Abdominal pain/cramps, anxiety, difficulty sleeping, headache, joint and muscle pain, low energy, nausea and/or vomiting, nervousness

Possible food and drug interactions when taking ReVia

Since studies to evaluate the interaction of ReVia with drugs other than narcotics have not been performed, do not take any medications, either over-the-counter or prescription, without first notifying your doctor.

Do not use Antabuse while you are taking ReVia; both drugs can damage your liver.

Do not take Mellaril (a drug used to treat depression and anxiety) while on ReVia therapy, as the combination may make you feel very sleepy and sluggish.

While taking ReVia avoid medicines that contain narcotics, including cough and cold preparations, such as Actifed-C, Ryna-C, and Dimetane-DC; antidiarrheal medications such as Lomotil; and narcotic painkillers such as Percodan, Tylox, and Tylenol No. 3.

Special information if you are pregnant or breastfeeding

The effects of ReVia during pregnancy have not been adequately studied. If you are pregnant or are planning to become pregnant, tell your doctor immediately. ReVia should be used during pregnancy only if clearly needed. ReVia may appear in breast milk. If this medication is essential to your health, your doctor may tell you to discontinue breastfeeding your baby until your treatment with ReVia is finished.

Recommended dosage

ALCOHOLISM

The usual starting dose is 50 milligrams once a day.

NARCOTIC DEPENDENCE

The usual starting dose is 25 milligrams once a day. If no withdrawal symptoms occur, the doctor may increase the dosage to 50 milligrams a day.

Overdosage

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

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Galantamine improves the function of nerve cells in the brain. It works by preventing the breakdown of a chemical called acetylcholine (ah see til KO leen). People with dementia usually have lower levels of this chemical, which is important for the processes of memory, thinking, and reasoning.

Galantamine is used to treat mild to moderate dementia caused by Alzheimer’s disease.

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

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Chloroquine is an antimalarial drug. The exact way that chloroquine works is unknown.

Chloroquine is used to treat and to prevent malaria. Chloroquine is also used to treat infections caused by amoebae.

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

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

Use caution when driving or performing other hazardous activities until you know how this medication affects you. Chloroquine may cause visual disturbances such as blurred vision, misty vision, and difficulty focusing. Report any vision or hearing changes to your doctor.

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

Before taking this medication, tell your doctor if you have

• had a previous allergic reaction to chloroquine;
• glucose-6-phosphate dehydrogenase (G-6-PD) deficiency;
• psoriasis;
• porphyria; or
• liver disease.

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

It is not known whether chloroquine will be harmful to an unborn baby. Do not take chloroquine without first talking to your doctor if you are pregnant or could become pregnant during treatment. It is not known how chloroquine will affect a nursing infant. Do not take chloroquine without first talking to your doctor if you are breast-feeding a baby.

How should I take chloroquine?

Take chloroquine 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. Take chloroquine with food to lessen stomach upset.

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

Store chloroquine 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 only take the next regularly scheduled dose. Do not take a double dose of this medication.

What happens if I overdose?

Seek emergency medical attention if an overdose is suspected.

Symptoms of a chloroquine overdose include headache, drowsiness, nausea, vomiting, visual changes, seizures, difficulty breathing, and unconsciousness.

Chloroquine side effects

Stop taking chloroquine and seek emergency medical attention if you experience an allergic reaction (flushing; swelling of the lips, tongue, or face; difficulty breathing; closing of the throat; vision problems; rash; itching; or fever).

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

• visual disturbances such as blurred vision, misty vision, and difficulty focusing;
• hearing loss or ringing in the ears;
• diarrhea, nausea, stomach pain or upset, vomiting, or loss of appetite;
• muscle weakness; 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.

What other drugs will affect chloroquine?

Cimetidine (Tagamet, Tagamet HB) may increase the effects of chloroquine, which could lead to toxicity. Do not take cimetidine without first talking to your doctor.

Kaolin and magnesium trisilicate may decrease the effects of chloroquine. These ingredients can be found in products such as Kaopectate Advanced Formula, Parepectolin, K-Pek, K-C, Kaodene Non-Narcotic, Kao-Spen, Gaviscon, and others.

Drugs other than those listed here may also interact with chloroquine. Do not take any other prescription or over-the-counter medicines, including vitamins, minerals, and herbal products, without frist talking to your doctor.

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Pilocarpine causes constriction of the pupils (miosis) and reduces pressure within the eye. It is used to treat the increased pressure of open-angle glaucoma and to lower eye pressure before surgery for acute angle-closure glaucoma. It can be used alone or in combination with other medications.

How Taken

Use Pilocarpine as directed by your doctor.

• Wash your hands thoroughly.
• Gently pull your lower eyelid down to form a pocket next to your eye.
• Brace the eyedrop bottle on the bridge of your nose or your forehead.
• Tilt your head back and squeeze the medication into your eye.
• Close your eyes gently. Keep them closed for 1 to 2 minutes.
• Do not rinse the dropper.
• Wait for 5 to 10 minutes before using a second eye medication.
• The usual starting dose is 1 or 2 drops up to 6 times a day, depending on the severity of the glaucoma and your response. During a severe attack, your doctor will tell you to put drops into the unaffected eye as well.

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

Drug Class and Mechanism

Pilocarpine acts on a subtype of muscarinic receptor (M3) found on the iris sphincter muscle, causing the muscle to contract and produce miosis. This opens the trabecular meshwork through increased tension on the scleral spur. This action facilitates the rate that aqueous humor leaves the eye to decrease intraocular pressure.

Missed Dose

Apply it as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Do not take 2 doses at once.

Storage

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

Warnings Precautions

Do not use Pilocarpine if:

• you are allergic to any ingredient in Pilocarpine.

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

Possible Side Effects

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

• Cloudy vision, detached retina, headache over your eye, nearsightedness, reduced vision in poor light, spasms of the eyelids, tearing eyes.

More Information

If you have any questions about Pilocarpine, please talk with your doctor, pharmacist, or other health care provider.
Pilocarpine is to be used only by the patient for whom it is prescribed. Do not share it with other people.

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Nitrofurantoin is an antibiotic that fights bacteria in the body.

Nitrofurantoin is used to treat and prevent urinary tract infections. It works by interfering with various chemical processes in the bacteria, which results in the death of the bacteria.

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

Important information about nitrofurantoin

Call your doctor at once if you have a serious side effect such as: feeling short of breath (even with mild exertion), fever, chills, cough, chest pain, yellowing of the skin or eyes; pale skin, unusual weakness, numbness or tingling, or diarrhea that is watery or bloody.

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 nitrofurantoin.

Take nitrofurantoin for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Nitrofurantoin will not treat a viral infection such as the common cold or flu. Take nitrofurantoin with food or milk.

Before taking nitrofurantoin

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

• severe kidney disease;
• if you are urinating less than usual or not at all; or
• if you are in the last 2 to 4 weeks of pregnancy.

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

• kidney disease,
• anemia,
• diabetes,
• glucose-6-phosphate dehydrogenase (G6PD) deficiency; or
• any type of debilitating disease.

If you have any of these conditions, you may need a dose adjustment or special tests to safely take this medication.

FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby, unless it is used during the last 2 to 4 weeks of pregnancy. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Nitrofurantoin passes into breast milk and may harm a nursing baby. Do not take nitrofurantoin without telling your doctor if you are breast feeding a baby. Do not give nitrofurantoin to a child younger than 12 years old.

How should I take nitrofurantoin?

Take nitrofurantoin 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.

Take each dose with a full glass of water. Take nitrofurantoin with food or milk. Shake the oral suspension (liquid) well before measuring a dose. To ensure that you get the correct dose, measure the suspension with a dose-measuring spoon or dropper, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.

You may mix your liquid dose with water, milk, or fruit juice to make it easier to swallow. Drink the entire mixture right away.

Take nitrofurantoin for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Nitrofurantoin will not treat a viral infection such as the common cold or flu.

To be sure nitrofurantoin is not causing harmful effects, your kidney function may need to be tested. Do not miss any scheduled appointments.

This medication can cause you to have unusual results with certain urine glucose (sugar) tests. Tell any doctor who treats you that you are using nitrofurantoin.

Store this medication 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 nausea or vomiting.

Nitrofurantoin 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:

• shortness of breath, running out of breath easily;
• fever, chills, cough, chest pain;
• jaundice (yellowing of the skin or eyes);
• pale skin, easy bruising, unusual weakness;
• numbness or tingling; or
• diarrhea that is watery or bloody.

Less serious side effects may include:

• rust-colored or brownish urine;
• headache;
• nausea, vomiting, upset stomach;
• bloating or gas, constipation;
• feeling dizzy or drowsy;
• blurred vision; or
• vaginal itching or discharge.

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 nitrofurantoin?

Before taking nitrofurantoin, tell your doctor if you are taking:

• magnesium salicylate (Doan’s Pills, Mobidin, Momentum);
• choline magnesium salicylate (Tricosal, Trilisate);
• probenecid (Benemid); or
• sulfinpyrazone (Anturane).

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

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Lanoxin helps the heart to beat more strongly and regularly.

Lanoxin is used to treat conditions such as congestive heart failure and atrial fibrillation/atrial flutter (types of fast heartbeats).

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

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

Do not stop taking Lanoxin suddenly. Stopping suddenly could make your condition worse. Even if you feel better, you need to keep taking this medication to help the heart work properly. Make sure you always have enough Lanoxin on hand for vacations and holidays.

Ask your doctor to teach you how to monitor your heart rate and at what heart rate you should notify them before taking any more medication.

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

Before taking this medication, tell your doctor if you:

• have kidney disease;
• have thyroid disease, or
• are taking any other heart medication.

You may require a dosage adjustment or special monitoring while taking Lanoxin.

Lanoxin is in the FDA pregnancy category C. This means that it is not known whether Lanoxin will be harmful to an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment. Lanoxin passes into breast milk and may harm a nursing infant. Do not take this medication without first talking to your doctor if you are breast-feeding a baby. If you are over 65 years of age, you may be more likely to experience side effects from Lanoxin. You may require a dosage adjustment or special monitoring.

How should I take Lanoxin?

Take Lanoxin 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.

Try to take Lanoxin at the same time every day.

Ask your doctor to teach you how to monitor your heart rate and at what heart rate you should notify them before taking any more medication.

Do not stop taking Lanoxin suddenly. Stopping suddenly could make your condition worse. Even if you feel better, you may need to keep taking this medication to help the heart work properly. Make sure you always have enough Lanoxin on hand for vacations and holidays.

Your doctor may want to perform blood tests during treatment with Lanoxin to monitor the amount of medication in your body.

Store this medication at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose up to 12 hours late. If more than 12 hours have passed, 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 Lanoxin overdose include nausea, vomiting, decreased appetite, diarrhea, confusion, seizures, hallucinations, light “halos around objects, green or yellow vision, fatigue, irregular heartbeats, and abnormally fast or slow heartbeats.

What are the possible side effects of Lanoxin?

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

• an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
• a severe headache, fainting, or extreme drowsiness or dizziness;
• irregular heartbeats;
• slow heartbeats (fewer than 60 beats per minute);
• abnormally fast heartbeats;
• vision changes (e.g., yellow-green or blurred vision);
• hallucinations; or
• abnormal or psychotic behavior.

If you experience any of the following less serious side effects, continue to take Lanoxin and talk to your doctor if you experience

• decreased appetite and diarrhea;
• unusual tiredness or weakness;
• depression;
• nausea or vomiting;
• drowsiness or dizziness;
• decreased sex drive; or
• enlarged breasts in males.

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 Lanoxin?

Before taking Lanoxin, tell your doctor if you are taking any of the following medicines:

• another medication for irregular heartbeats, such as quinidine (Quinidex, Quinora, Cardioquin, others), amiodarone (Cordarone), or propafenone (Rythmol);
• an antacid or laxative that contains aluminum, magnesium, or kaolin-pectin such as Maalox, Rolaids, Mylanta, Milk of Magnesia, and others;
• a beta-blocker such as atenolol (Tenormin), propranolol (Inderal), acebutolol (Sectral), metoprolol (Lopressor), carteolol (Cartrol), labetalol (Normodyne, Trandate), or nadolol (Corgard);
• a calcium channel blocker such as diltiazem (Cardizem, Dilacor XR, Tiazac), amlodipine (Norvasc), felodipine (Plendil), nifedipine (Procardia, Adalat), verapamil (Verelan, Calan, Isoptin, Covera-HS), and others;
• a cancer chemotherapy drug;
• a diuretic (water pill) such as hydrochlorothiazide (HCTZ, HydroDiuril, others), chlorothiazide (Diuril), chlorthalidone (Hygroton, Thalitone), furosemide (Lasix), torsemide (Demadex), bumetanide (Bumex), ethacrynic acid (Edecrin), triamterene (Dyrenium, Maxzide, Dyazide), amiloride (Midamor), spironolactone (Aldactone), eplerenone (Inspra), and others;
• a steroid medicine such as prednisone (Deltasone), methylprednisolone (Medrol, others), prednisolone (Prelone, Pediapred, others), dexamethasone (Decadron), and others;
• a thyroid medication;
• alprazolam (Xanax);
• amphotericin B (Fungizone);
• cholestyramine (Questran, Prevalite) or colestipol (Colestid);
• erythromycin (E.E.S., E-Mycin, Eryc, Ery-Tab, PCE, others) or clarithromycin (Biaxin);
• indomethacin (Indocin);
• itraconazole (Sporanox);
• metoclopramide (Reglan);
• rifampin (Rifadin, Rimactane);
• sulfasalazine (Azulfidine); or
• tetracycline (Broadspec, Emtet, Panmycin, Sumycin, Tetracap, others).

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 Lanoxin or affect your condition. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Lanoxin

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