Motilium is a medicine that increases the movements or contractions of the stomach and bowel. Motilium is also used to treat nausea and vomiting caused by other drugs used to treat Parkinson’s Disease.

How Taken

Use Motilium as directed by your doctor.

• The usual dose in adults is one tablet three to four times a day, best taken 15 to 30 minutes before meals or food, and if necessary at bedtime.
• Sometimes your doctor may increase the dose to two tablets three to four times a day after you have taken Motilium for 2 weeks.
• You should not take more than a total of eight tablets in a single day.
• Your doctor may ask you to take Motilium for up to 6 months.

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

Drug Class and Mechanism

Motilium works by blocking the action of a chemical messenger in the brain which causes the feeling of nausea and vomiting, as well as increasing the movement or contractions of the stomach and intestines, allowing food to move more easily through the stomach.

Missed Dose

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

Warnings Precautions

Do not use Motilium if:

• you have an allergy to Motilium, or any of the ingredients. See Product Description at the end of this leaflet for a list of ingredients;
• you have a tumour of the pituitary gland called prolactinoma;
• an increase in stomach or bowel contractions can harm you. For example, if you have had bleeding, a blockage or puncture in your gastrointestinal tract;
• you are taking another medicine containing the active ingredient ketoconazole, fluconazole or voriconazole which is used to treat fungal infections;
• you are taking an antibiotic containing the active ingredient erythromycin, clarithromycin or telithromycin;
• you are taking another medicine containing the active ingredient amiodarone, which is used to treat fast heart rate.

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:

• uncontrollable movements; irregular or no menstrual period; unusual secretion of breast milk or decrease in sex drive in men or women; breast tenderness or breast enlargement in men.

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

• headache, trouble sleeping, nervousness, dizziness, tiredness or irritability; dry mouth or thirst; stomach cramps, diarrhoea, constipation, nausea, changes in appetite or heartburn; rash or itchy skin; itchy eyes and crusty eyelids with discharge; mouth ulcers or cold sores.

More Information

Motilium is to be used only by the patient for whom it is prescribed. Do not share it with other people.
If your symptoms do not improve or if they become worse, check with your doctor.

Motilium

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Antabuse interferes with the metabolism of alcohol resulting in unpleasant effects when alcohol is consumed.

Antabuse is used to treat chronic alcoholism.

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

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

Do not drink alcohol while taking Antabuse. Flushing, fast heartbeats, nausea, thirst, chest pain, vertigo, and low blood pressure may occur when alcohol is ingested during Antabuse therapy.

Do not take Antabuse for at least 12 hours after drinking alcohol.

Reactions may occur from drinking alcohol for several weeks after you have stopped taking Antabuse.

Be aware of the alcohol content of other common products such as cough and cold medicines, mouth washes, tonics, sauces, vinegars, and other food products. Alcohol in these products can also cause a reaction.

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

Before taking this medication, tell your doctor if you have

• liver disease,
• kidney disease;
• thyroid disease;
• diabetes;
• brain damage or mental disorders;
• epilepsy or another seizure disorder.

You may not be able to take Antabuse, or you may require a lower dose or special monitoring during your therapy if you have any of these conditions.

Your doctor may want you to carry an identification card that states you are taking Antabuse. Ask your health care provider if you have any questions about this.

Disulfiram is in the FDA pregnancy category C. This means that it is not known whether Disulfiram 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. Disulfiram passes into breast milk in small amounts and may affect a nursing baby. Do not take Antabuse without first talking to your doctor if you are breast-feeding a baby.

How should I take Antabuse?

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

Take each dose with a full glass (8 ounces) of water. Store Antabuse at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Take the rest of the day’s doses at evenly spaced intervals unless otherwise directed by your doctor.

What happens if I overdose?

Seek emergency medical attention.

Symptoms of a Antabuse overdose include nausea, vomiting, dizziness, loss of coordination, numbness and tingling, and seizures.

What are the possible side effects of Antabuse?

Severe and sometimes fatal liver problems have occurred in patients taking Antabuse even without a prior history of liver problems.

If you experience any of the following serious side effects, stop taking Antabuse and seek emergency medical attention:

• an allergic reaction (swelling of your lips, tongue, or face; shortness of breath; closing of your throat; or hives);
• seizures;
• extreme tiredness;
• dark urine;
• yellowing of the skin or eyes (jaundice);
• large appetite changes;
• weakness, dizziness or loss of coordination; or
• severe diarrhea or vomiting.

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

• skin rash or acne;
• mild headaches;
• mild drowsiness or tiredness;
• impotence;
• metallic taste in the mouth; or
• swollen or sore tongue.

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 Antabuse?

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

• isoniazid (Nydrazid);
• a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate);
• a benzodiazepine such as diazepam (Valium), alprazolam (Xanax), chlordiazepoxide (Librium), clorazepate (Tranxene), temazepam (Restoril), triazolam (Halcion), and others;
• a tricyclic antidepressant such as amitriptyline (Elavil), imipramine (Tofranil), doxepin (Sinequan), nortriptyline (Pamelor), and others;
• warfarin (Coumadin);
• metronidazole (Flagyl);
• theophylline (Theo-Dur);
• phenytoin (Dilantin);
• lithium (Lithobid, Eskalith, others).

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

Antabuse

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Generic Name: oxcarbazepine
Brand Names: Trileptal

Trileptal is in a group of drugs called anticonvulsants, or antiepileptic drugs. It works by decreasing nerve impulses that cause seizures.

Trileptal is used to treat partial seizures in adults and children with epilepsy who are at least 2 years old. It may be used alone or in combination with other medicines.

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

Important information about Trileptal

Do not take this medication if you are allergic to oxcarbazepine or to a similar medicine called carbamazepine (Carbatrol, Tegretol).

Before taking Trileptal, tell your doctor if you have liver or kidney disease.

Do not use Trileptal without your doctor’s consent if you are pregnant. It could cause harm to the unborn baby. This medication should not be used during pregnancy, but taking the medicine can make birth control pills less effective. Use a non-hormone method of birth control (not birth control pills) to prevent pregnancy while you are taking Trileptal. Tell your doctor if you become pregnant during treatment.

Trileptal can reduce the sodium in your body to dangerously low levels, which can cause a life-threatening electrolyte imbalance. Contact your doctor right away if you have nausea with vomiting, weakness, headache, confusion, mood changes, and/or increased or more severe seizures.

You may have thoughts about suicide while taking this medication. Your doctor will need to check you at regular visits. Do not miss any scheduled appointments.

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, depression, anxiety, or if you feel agitated, hostile, restless, hyperactive (mentally or physically), or have thoughts about suicide or hurting yourself.

There are many other medicines that can interact with Trileptal. 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.

Before taking Trileptal

Do not take this medication if you are allergic to oxcarbazepine or to a similar medicine called carbamazepine (Carbatrol, Tegretol).

Before taking Trileptal, tell your doctor if you have liver or kidney disease. If you have any of these conditions you may not be able to use this medication, or you may require a dose adjustment or special tests during treatment.

You may have thoughts about suicide while taking this medication. Tell your doctor if you have new or worsening depression or suicidal thoughts during the first several months of treatment, or whenever your dose is changed.

Your family or other caregivers should also be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits. Do not miss any scheduled appointments.

FDA pregnancy category D. This medication can cause harm to an unborn baby. Trileptal should not be used during pregnancy, but taking the medicine can make birth control pills less effective. Use a non-hormone method of birth control (not birth control pills) to prevent pregnancy while you are taking Trileptal. Tell your doctor if you become pregnant during treatment. Trileptal can pass into breast milk and may harm a nursing baby. Do not use Trileptal without telling your doctor if you are breast-feeding a baby. Do not give Trileptal to a child younger than 2 years old.

How should I take Trileptal?

Take Trileptal exactly as it was prescribed for you. Do not take this 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.

Take Trileptal with a full glass of water. Shake the Trileptal oral suspension (liquid) well just before you measure a dose. To be sure you get the correct dose, use the oral dosing syringe provided with this medicine. If you did not receive an oral syringe with your medication, ask your pharmacist for one.

Give the Trileptal oral liquid directly from the oral syringe, or mix the medicine with a small glass of water. After using the syringe, rinse it with water and allow it to air dry.

Do not stop taking this medication even if you feel better. It is important to take Trileptal regularly to prevent seizures from recurring. Get your prescription refilled before you run out of medicine completely. Call your doctor promptly if this medicine does not seem to be working as well in preventing your seizures. Carry an ID card or wear a medical alert bracelet stating that you are taking Trileptal, in case of emergency. Any doctor, dentist, or emergency medical care provider who treats you should know that you have a seizure disorder.

Seizures are often treated with a combination of different drugs. To best treat your condition, use all of your medications as directed by your doctor. Be sure to read the medication guide or patient instructions provided with each of your medications. Do not change your doses or medication schedule without advice from your doctor.

Store Trileptal at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.

Symptoms of an Trileptal overdose are unknown.

Trileptal 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.

Trileptal can reduce the sodium in your body to dangerously low levels, which can cause a life-threatening electrolyte imbalance. Contact your doctor right away if you have nausea, vomiting, weakness, thirst, loss of appetite, headache, confusion, hallucinations, muscle pain or weakness, and/or increased or more severe seizures.

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, depression, anxiety, or if you feel agitated, hostile, restless, hyperactive (mentally or physically), or have thoughts about suicide or hurting yourself.

Call your doctor at once if you have any of these serious side effects:

• sore throat, and headache with a severe blistering, peeling, and red skin rash;
• jaundice (yellowing of the skin or eyes);
• fever, swollen glands, flu-like symptoms;
• easy bruising or bleeding, unusual weakness;
• urinating less than usual or not at all; or
• increased seizures.

Less serious side effects may include:

• mild nausea, vomiting, stomach pain, diarrhea;
• problems with speech, balance, or coordination;
• blurred vision;
• mental slowness, trouble concentrating;
• tremors or shaking;
• dizziness, drowsiness; or
• skin rash.

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 Trileptal?

Before using Trileptal, tell your doctor about all other seizure medications you are taking, including:

• carbamazepine (Carbatrol, Tegretol);
• phenobarbital (Luminal, Solfoton);
• phenytoin (Dilantin); or
• valproic acid (Depakene).

There are many other medicines that can interact with Trileptal. 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.

Trileptal

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This items have been added:

Levitra Plus
Viagra Plus

Deleted:

Amoxi-Tabs 30 pills x 500 mg
Vibramycin 30 pills x 150 mg
Vibramycin 60 pills x 100 mg
Clomicalm 30 pills x 25 mg
Soloxine 30 pills x 0.1 mg
Soloxine 60 pills x 0.1 mg
Soloxine 30 pills x 0.2 mg
Soloxine 60 pills x 0.2 mg
Xenical 10 pills x 60 mg
Orlistat 10 pills x 60 mg
Alli 10 pills x 60 mg
Ultracet
Foradil

Price has been decreased for this items:

Amoxi-Tabs
Vibramycin
Clavamox
Clomicalm
Soloxine
Simplicef
Medrol
Depo-Medrol

Drugstore

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Brand Names: Aricept, Aricept ODT

Donepezil 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.

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

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

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

Before taking donepezil, tell your doctor if you have a heart rhythm disorder such as “sick sinus syndrome” (slow heartbeats), an enlarged prostate, urination problems, asthma, obstructive pulmonary disease, or a seizure disorder such as epilepsy.

If you need to have any type of surgery, tell the surgeon ahead of time that you are taking donepezil.

Donepezil 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 donepezil?

Do not take this medication if you are allergic to donepezil.

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

• a heart rhythm disorder such as “sick sinus syndrome” (slow heartbeats);
• a history of stomach ulcers;
• an enlarged prostate or urination problems;
• epilepsy or other seizure disorder; or
• asthma or chronic obstructive pulmonary disease (COPD).

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

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 donepezil 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 donepezil?

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

If you need to have any type of surgery, tell the surgeon ahead of time that you are taking donepezil. You may need to stop using the medicine for a short time.

Donepezil can be taken with or without food or milk.

Take the donepezil regular tablets with a full glass of water.

To take donepezil orally disintegrating tablet (Aricept ODT):

• Keep the tablet in its blister pack until you are ready to take the medicine. Open the package and peel or cut the backing from the tablet blister. Do not push a tablet through the backing or you may damage the tablet.
• Using dry hands, remove the tablet and place it in your mouth. It will begin to dissolve right away.
• Do not swallow the tablet whole. Allow it to dissolve in your mouth without chewing.
• Swallow several times as the tablet dissolves. After the tablet dissolves completely, drink a glass of water.

Donepezil is usually taken at bedtime. Follow your doctor’s instructions. Store donepezil at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include severe nausea, vomiting, drooling, sweating, blurred vision, feeling light-headed, slow heartbeat, shallow breathing, muscle weakness, fainting, or seizure (convulsions).

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

• black, bloody, or tarry stools;
• coughing up blood or vomit that looks like blood or coffee grounds;
• painful or difficult urination;
• seizure (black-out or convulsions);

Less serious side effects may include:

• nausea, vomiting, diarrhea;
• loss of appetite;
• muscle cramps;
• tired feeling; or
• sleep problems (insomnia).

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

What other drugs will affect donepezil?

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

• atropine (Donnatal, and others);
• belladonna;
• carbamazepine (Tegretol);
• clidinium (Quarzan);
• dexamethasone (Decadron);
• dicyclomine (Bentyl);
• glycopyrrolate (Robinul);
• hyoscyamine (Anaspaz, Cystospaz, Levsin, and others);
• mepenzolate (Cantil);
• methantheline (Provocholine);
• methscopolamine (Pamine), scopolamine (Transderm-Scop);
• phenobarbital (Luminal, Solfoton);
• phenytoin (Dilantin);
• propantheline (Pro-Banthine);
• quinidine (Cardioquin, Quinidex, Quinaglute, others);
• rifampin (Rifadin, Rifamate, Rifater);
• a fungal antibiotic such as ketoconazole (Nizoral), fluconazole (Diflucan), or itraconazole (Sporanox); or
• aspirin or other NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen (Motrin, Advil), naproxen (Aleve, Naprosyn), diclofenac (Voltaren), diflunisal (Dolobid), etodolac (Lodine), flurbiprofen (Ansaid), indomethacin (Indocin), ketoprofen (Orudis), ketorolac (Toradol), mefenamic acid (Ponstel), meloxicam (Mobic), nabumetone (Relafen), piroxicam (Feldene), and others.

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

Aricept

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