Metronidazole is an antibiotic. It fights bacteria in your body.

Metronidazole is used to treat bacterial infections of the vagina, stomach, skin, joints, and respiratory tract. This medication will not treat a vaginal yeast infection.

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

What is the most important information I should know about Flagyl ER (metronidazole)?

Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Metronidazole will not treat a viral infection such as the common cold or flu. Do not drink alcohol while you are taking metronidazole and for at least 3 days after you stop taking it. You may have unpleasant side effects such as fast heartbeats, warmth or redness under your skin, tingly feeling, nausea, and vomiting.

What should I discuss with my healthcare provider before taking Flagyl ER (metronidazole)?

Do not use this medication if you are allergic to metronidazole, or if you are in the first trimester of pregnancy. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

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

• liver disease;
• a stomach or intestinal disease such as Crohn’s disease;
• a blood cell disorder such as anemia (lack of red blood cells) or leukopenia (lack of white blood cells);
• epilepsy or other seizure disorder; or
• nerve disorders.

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

Metronidazole 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.

How should I take Flagyl ER (metronidazole)?

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.

Take the extended-release form of metronidazole (Flagyl ER) on an empty stomach, at least 1 hour before or 2 hours after eating a meal. Do not crush, chew, or break the 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. Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Metronidazole will not treat a viral infection such as the common cold or flu.

To be sure this medication is not causing harmful effects, your blood will need to be tested on a regular basis. Your liver function may also need to be tested. Do not miss any scheduled visits to your doctor.

This medication can cause you to have unusual results with certain medical tests. Tell any doctor who treats you that you are using metronidazole.

Store metronidazole 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 your 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 nausea, vomiting, dizziness, loss of balance or coordination, numbness and tingling, or seizures (convulsions).

Flagyl ER (metronidazole) 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:

• seizures (convulsions);
• fever, chills, body aches, sore throat, flu symptoms;
• numbness or tingling in your hands or feet;
• white patches or sores inside your mouth or on your lips;
• pain or burning when you urinate; or
• diarrhea that is watery or bloody.

Less serious side effects may include:

• nausea, stomach pain, diarrhea;
• headache, dizziness, loss of balance;
• vaginal itching or discharge;
• dry mouth or unpleasant metallic taste;
• cough, sneezing, runny or stuffy nose; or
• swollen or sore tongue.

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 Flagyl ER (metronidazole)?

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

• cimetidine (Tagamet);
• seizure medication such as phenytoin (Dilantin) or phenobarbital (Luminal, Solfoton);
• a blood thinner such as warfarin (Coumadin);
• lithium (Lithobid, Eskalith, others); or
• disulfiram (Antabuse).

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

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Doxycycline is a tetracycline antibiotic. It fights bacteria in the body.

Doxycycline is used to treat many different bacterial infections, such as urinary tract infections, acne, gonorrhea, and chlamydia, periodontitis (gum disease), and others.

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

Important information know about doxycycline

Do not use this medication if you are pregnant. It could cause harm to the unborn baby, including permanent discoloration of the teeth later in life. Doxycycline can make birth control pills less effective. Use a second method of birth control while you are taking doxycycline to keep from getting pregnant. Doxycycline passes into breast milk and may affect bone and tooth development in a nursing baby. Do not take this medication without telling your doctor if you are breast-feeding a baby. Do not use this medication if you are allergic to doxycycline, or to similar medicines such as demeclocycline (Declomycin), minocycline (Dynacin, Minocin, Solodyn, Vectrin), or tetracycline (Brodspec, Panmycin, Sumycin, Tetracap). Before taking doxycycline, tell your doctor if you have liver or kidney disease. You may not be able to take doxycycline, or you may need a dose adjustment or special tests during treatment. Do not give doxycycline to a child younger than 8 years old. Doxycycline can cause permanent yellowing or graying of the teeth, and it can affect a child’s growth. Throw away any unused doxycycline when it expires or when it is no longer needed. Do not take any doxycycline after the expiration date printed on the bottle. Expired doxycycline can cause a dangerous syndrome resulting in damage to the kidneys.

Before taking doxycycline

Do not use this medication if you are allergic to doxycycline, or to similar medicines such as demeclocycline (Declomycin), minocycline (Dynacin, Minocin, Solodyn, Vectrin), or tetracycline (Brodspec, Panmycin, Sumycin, Tetracap). Before taking doxycycline, tell your doctor if you have liver or kidney disease. You may not be able to take doxycycline, or you may need a dose adjustment or special tests during treatment.

If you are using doxycycline to treat gonorrhea, your doctor may test you to make sure you do not also have syphilis, another sexually transmitted disease.

Do not use doxycycline syrup (Vibramycin) without first talking to your doctor if you have asthma or are allergic to sulfites.

FDA pregnancy category D. This medication can cause harm to an unborn baby, including permanent discoloration of the teeth later in life. Do not use doxycycline without your doctor’s consent if you are pregnant. Tell your doctor if you become pregnant during treatment. Doxycycline can make birth control pills less effective. Use a non-hormonal method of birth control (such as a condom, diaphragm, spermicide) to prevent pregnancy while you are taking doxycycline. Doxycycline passes into breast milk and may affect bone and tooth development in a nursing infant. Do not take this medication without first talking to your doctor if you are breast-feeding a baby. Children younger than 8 years old should not take doxycycline. Doxycycline can cause permanent tooth discoloration and can also affect a child’s growth.

How should I take doxycycline?

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.

Take doxycycline with a full glass of water (8 ounces).

You may take this medication with or without food. Do not take the medication with milk or other dairy products, unless your doctor has told you to. Dairy products can make it harder for your body to absorb the medicine. Certain brands of doxycycline may not have restrictions about taking them with dairy products. If your doctor has instructed you to take doxycycline with milk, tell your pharmacist that you need a brand of doxycycline that can be taken with milk.

Do not crush, break, or open a delayed-release capsule (Orecea). Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking or opening the pill would cause too much of the drug to be released at one time. Shake the oral suspension (liquid) well just before you measure a dose. To be sure you get the correct dose, measure the liquid with a marked measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

You may take this medication with or without food.

Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Doxycycline will not treat a viral infection such as the common cold or flu. Do not give this medicine to another person, even if they have the same condition you have.

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

Throw away any unused doxycycline when it expires or when it is no longer needed. Do not take any doxycycline after the expiration date printed on the label. Using expired doxycycline can cause damage to your kidneys. 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, 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 nausea, vomiting, and diarrhea.

Doxycycline 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 doxycycline and call your doctor at once if you have any of these serious side effects:

• severe headache, dizziness, blurred vision;
• fever, chills, body aches, flu symptoms;
• severe blistering, peeling, and red skin rash;
• urinating less than usual or not at all;
• pale or yellowed skin, dark colored urine, fever, confusion or weakness;
• severe pain in your upper stomach spreading to your back, nausea and vomiting, fast heart rate;
• loss of appetite, jaundice (yellowing of the skin or eyes); or
• easy bruising or bleeding, unusual weakness.

Less serious side effects may include:

• swollen tongue, trouble swallowing;
• mild nausea, vomiting, diarrhea, or stomach upset;
• white patches or sores inside your mouth or on your lips;
• sores or swelling in your rectal or genital area; 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 doxycycline?

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

• cholesterol-lowering medications such as cholestyramine (Prevalite, Questran) or colestipol (Colestid);
• isotretinoin (Accutane);
• tretinoin (Renova, Retin-A, Vesanoid);
• an antacid such as Tums, Rolaids, Milk of Magnesia, Maalox, and others;
• a product that contains bismuth subsalicylate such as Pepto-Bismol;
• minerals such as iron, zinc, calcium, magnesium, and over-the-counter vitamin and mineral supplements;
• a blood thinner such as warfarin (Coumadin); or
• a penicillin antibiotic such as amoxicillin (Amoxil, Trimox, others), penicillin (BeePen-VK, Pen-Vee K, Veetids, others), dicloxacillin (Dynapen), carbenicillin (Geocillin), oxacillin (Bactocill), and others.

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

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Tetracycline is an antibiotic that fights bacteria in the body.

Tetracycline is used to treat many different bacterial infections, such as urinary tract infections, acne, gonorrhea, chlamydia, and others.

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

Important information about tetracycline

Do not use tetracycline if you are pregnant. It could cause harm to the unborn baby, including permanent discoloration of the teeth later in life. This medication can make birth control pills less effective. Use a second method of birth control while you are taking to keep from getting pregnant. Tetracycline passes into breast milk and may affect bone and tooth development in a nursing baby. Do not take this medication without telling your doctor if you are breast-feeding a baby. Do not give tetracycline to a child younger than 8 years old. Tetracycline can cause permanent yellowing or graying of the teeth, and it can affect a child’s growth. Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Tetracycline can make your skin more sensitive to sunlight and sunburn may result. Use a sunscreen (minimum SPF 15) and wear protective clothing if you must be out in the sun. Do not take iron supplements, multivitamins, calcium supplements, antacids, or laxatives within 2 hours before or after taking this medication. These products can make tetracycline less effective. Throw away any unused tetracycline when it expires or when it is no longer needed. Do not take any this medication after the expiration date on the label has passed. Expired tetracycline can cause a dangerous syndrome resulting in damage to the kidneys.

Before taking tetracycline

Do not use this medication if you are allergic to tetracycline, or to similar medicines such as demeclocycline (Declomycin), doxycycline (Adoxa, Doryx, Oracea, Vibramycin), or minocycline (Dynacin, Minocin, Solodyn, Vectrin). Before taking tetracycline, tell your doctor if you have liver or kidney disease. You may not be able to take tetracycline, or you may require a dosage adjustment or special monitoring during therapy.

If you are using tetracycline to treat gonorrhea, your doctor may test you to make sure you do not also have syphilis, another sexually transmitted disease.

FDA pregnancy category D. Tetracycline can cause harm to an unborn baby, including permanent discoloration of the teeth later in life. Do not use tetracycline without your doctor’s consent if you are pregnant. Tell your doctor if you become pregnant during treatment. Tetracycline can make birth control pills less effective. Use a non-hormonal method of birth control (such as a condom, diaphragm, spermicide) to prevent pregnancy while you are taking this medication. Tetracycline passes into breast milk and may affect bone and tooth development in a nursing infant. Do not take this medication without first talking to your doctor if you are breast-feeding a baby. Children younger than 8 years old should not take this medication. Tetracycline can cause permanent tooth discoloration and can also affect a child’s growth.

How should I take tetracycline?

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.

Take tetracycline with a full glass of water (8 ounces).

Take tetracycline on an empty stomach, at least 1 hour before or 2 hours after meals.

Do not take tetracycline with milk or other dairy products, unless your doctor has told you to. Dairy products can make it harder for your body to absorb the medicine.

Shake the oral suspension (liquid) well just before you measure a dose. To be sure you get the correct dose, measure the liquid with a marked measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one. Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Tetracycline will not treat a viral infection such as the common cold or flu. Do not give this medicine to another person, even if they have the same condition you have.

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

Throw away any unused tetracycline when it expires or when it is no longer needed. Do not take any tetracycline after the expiration date printed on the label. Using expired tetracycline can cause damage to your kidneys. 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, 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 nausea, vomiting, and diarrhea.

Tetracycline 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 tetracycline and call your doctor at once if you have any of these serious side effects:

• severe headache, dizziness, blurred vision;
• fever, chills, body aches, flu symptoms;
• severe blistering, peeling, and red skin rash;
• urinating less than usual or not at all;
• pale or yellowed skin, dark colored urine, fever, confusion or weakness;
• severe pain in your upper stomach spreading to your back, nausea and vomiting, fast heart rate;
• loss of appetite, jaundice (yellowing of the skin or eyes); or
• easy bruising or bleeding, unusual weakness.

Less serious side effects may include:

• sores or swelling in your rectal or genital area;
• mild nausea, vomiting, diarrhea, or stomach upset;
• white patches or sores inside your mouth or on your lips;
• swollen tongue, trouble swallowing; or
• vaginal itching or discharge.

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

What other drugs will affect tetracycline?

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

• cholesterol-lowering medications such as cholestyramine (Prevalite, Questran) or colestipol (Colestid);
• isotretinoin (Accutane);
• tretinoin (Renova, Retin-A, Vesanoid);
• an antacid such as Tums, Rolaids, Milk of Magnesia, Maalox, and others;
• a product that contains bismuth subsalicylate such as Pepto-Bismol;
• minerals such as iron, zinc, calcium, magnesium, and over-the-counter vitamin and mineral supplements;
• a blood thinner such as warfarin (Coumadin); or
• a penicillin antibiotic such as amoxicillin (Amoxil, Trimox, others), penicillin (BeePen-VK, Pen-Vee K, Veetids, others), dicloxacillin (Dynapen), carbenicillin (Geocillin), oxacillin (Bactocill), and others.

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

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Vantin is a cephalosporin antibiotic used to treat a variety of bacterial infections.

How Taken

This medication should be taken with food. The liquid suspension form of this medication must be shaken well before using. To help clear up your infection completely, keep taking this medicine for the full time of treatment , even if you begin to feel better after a few days. If you have a strep infection, you should keep taking this medicine for at least 10 days. This is especially important in strep infections since serious heart or kidney problems could develop later if your infection is not cleared up completely. Also, if you stop taking this medicine too soon, your symptoms may return.This medicine works best when there is a constant amount in the blood or urine. To help keep the amount constant, do not miss any doses. Also, it is best to take the doses at evenly spaced times, day and night . For example, if you are to take four doses a day, the doses should be spaced about 6 hours apart. If this interferes with your sleep or other daily activities, or if you need help in planning the best times to take your medicine, check with your health care professional.

Drug Class and Mechanism

Cefpodoxime is an antibiotic in a class of drugs called cephalosporins. Cefpodoxime fights bacteria in the body. Cefpodoxime is used to treat many different types of bacterial infections such as bronchitis, pneumonia, tonsillitis, ear infections, sinus infections, skin infections, gonorrhea, and urinary tract infections. Cefpodoxime may also be used for purposes other than those listed in this medication guide.

Missed Dose

If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Storage

Store tablets and capsules at room temperature between 59 and 86 degrees F (between 15 and 30 degrees C) away from moisture and sunlight. Do not store in the bathroom. Liquid suspensions should be stored in the refrigerator, but not the freezer. Check the expiration date and discard any unused medication after that date.

Warnings Precautions

Tell your doctor your medical history, especially of: any allergies (especially to penicillin or cephalosporin antibiotics), kidney disease, stomach problems, colitis. Use of this medication for prolonged or repeated periods may result in a secondary infection (e.g., oral, bladder or vaginal yeast infection). This drug should be used only if clearly needed during pregnancy. Since small amounts of this medication are found in breast milk, consult your doctor before breast-feeding.

Possible Side Effects

This medication may cause stomach upset, diarrhea, loss of appetite, nausea, vomiting, and headache. If they continue or become severe, inform your doctor promptly. Other side effects reported with this medication include anxiety, insomnia and dizziness. Inform your doctor if any of these effects occur. Unlikely to occur but report promptly: fever, easy bleeding or bruising, a change in the amount of urine, seizures. An allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: difficulty breathing, skin rash, hives, itching. If you notice other effects not listed above, contact your doctor or pharmacist.

More Information

This medication has been prescribed for your current condition only. Do not use it later for another infection or give it to someone else. A different medication may be necessary.

Vantin

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Generic Name: Cephalexin
Brand names: Keflex, Keftab, Panixine, Biocef, Zartan

Cephalexin is in a group of drugs called cephalosporin antibiotics and is used to fight bacteria in the body. It works by interfering with the bacteria’s cell wall formation, causing it to rupture, and killing the bacteria.

Cephalexin is used to treat infections caused by bacteria, including upper respiratory infections, ear infections, skin infections, and urinary tract infections.

Cephalexin may also be used for purposes other than those listed.

Important information know about cephalexin

Do not use this medication if you are allergic to cephalexin, or to similar antibiotics, such as Ceclor, Ceftin, Cefzil, Duricef, Fortaz, Omnicef, Spectracef, Suprax, and others. Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Cephalexin will not treat a viral infection such as the common cold or flu.

Before taking cephalexin

Do not use this medication if you are allergic to cephalexin, or to other cephalosporin antibiotics, such as:

• cefaclor (Ceclor);
• cefadroxil (Duricef);
• cefdinir (Omnicef);
• cefditoren (Spectracef);
• cefixime (Suprax);
• cefprozil (Cefzil);
• ceftazidime (Fortaz); or
• cefuroxime (Ceftin).

Before using this cephalexin, tell your doctor if you are allergic to any drugs (especially penicillins), or if you have:

• kidney disease;
• liver disease;
• a stomach or intestinal disorder such as colitis;
• diabetes; or
• if you are malnourished.

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

The oral suspension (liquid) form of cephalexin may contain sugar. This may affect you if you have diabetes.

FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Cephalexin 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.

How should I take cephalexin?

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

Take cephalexin with a full glass of water.

Measure the liquid form of cephalexin with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Cephalexin will not treat a viral infection such as the common cold or flu.

This medication can cause you to have unusual results with certain medical tests. Tell any doctor who treats you that you are using cephalexin.

Store the tablets and capsules at room temperature away from moisture and heat. Store the liquid medicine in the refrigerator. Throw away any unused medication after 14 days.

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 your 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 a cephalexin overdose may include nausea, vomiting, stomach pain, diarrhea, and blood in your urine.

Cephalexin 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:

• diarrhea that is watery or bloody;
• seizure (convulsions);
• fever, sore throat, and headache with a severe blistering, peeling, and red skin rash;
• pale or yellowed skin, dark colored urine, fever, confusion or weakness;
• easy bruising or bleeding, unusual weakness;
• confusion, agitation, hallucinations (seeing things that are not there); or
• urinating less than usual or not at all.

Less serious side effects are more likely to occur, such as:

• mild nausea, vomiting, diarrhea;
• dizziness, tired feeling;
• joint pain; or
• vaginal itching or discharge.

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 cephalexin?

Before using cephalexin, tell your doctor if you are using any of the following drugs:

• a blood thinner such as warfarin (Coumadin);
• meftormin (Fortamet, Glucophage, Riomet, Actoplus, Avandamet, Metaglip); or
• probenecid (Benemid).

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

There may be other drugs not listed that can affect cephalexin. 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.

Keftab

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Ivermectin is an anti-parasite medication. It causes the death of certain parasitic organisms in the body.

Ivermectin is used to treat infections caused by certain parasites.

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

What is the most important information I should know about Stromectol (ivermectin)?

Before taking ivermectin, tell your doctor about any other medical conditions that you have, especially liver disease. If you have liver problems, you may not be able to use ivermectin, or you may need a dosage adjustment or special tests during treatment. Treatment with ivermectin usually involves taking a single dose, which should be taken on an empty stomach with a full glass of water.

To be sure this medication is helping your condition, a sample of your stool (bowel movement) will need to be checked on a regular basis. It is important that you not miss any scheduled visits to your doctor.

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

You may need to be retreated with ivermectin several months to a year after your single dose.

Call your doctor at once if you have any problems with your eyes or your vision.

What should I discuss with my healthcare provider before taking Stromectol (ivermectin)?

Before taking ivermectin, tell your doctor about any other medical conditions that you have, especially liver disease. If you have liver problems, you may not be able to use ivermectin, 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. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Ivermectin 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.

How should I take Stromectol (ivermectin)?

Treatment with ivermectin usually involves taking a single dose, which should be taken on an empty stomach with a full glass of water.

To be sure this medication is helping your condition, a sample of your stool (bowel movement) will need to be checked on a regular basis. It is important that you not miss any scheduled visits to your doctor.

You may need to be retreated with ivermectin several months to a year after your single dose.

If you store ivermectin at home, keep it at room temperature away from moisture and heat.

What happens if I miss a dose?

Since ivermectin is usually given as a single dose, you will probably not be on a dosing schedule. If you are taking a repeat dose of ivermectin and you miss the dose, call your doctor for instructions.

What happens if I overdose?

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

An overdose of ivermectin may cause skin rash, swelling, headache, dizziness, weakness, nausea, vomiting, diarrhea, stomach pain, seizure (convulsions), shortness of breath, and numbness or tingling.

Stromectol (ivermectin) 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:

• vision changes or problems with your vision;
• urinary or bowel problems;
• weakness, confusion, lack of coordination;
• eye redness, swelling, or pain; or
• seizure (convulsions).

Other less serious side effects may be more likely to occur, such as:

• nausea, diarrhea;
• dizziness;
• swelling of your hands, ankles, or feet;
• swelling or tenderness of your lymph nodes;
• itching or skin rash; or
• feeling that something is in your eye(s).

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 Stromectol (ivermectin)?

There may be other drugs that can affect ivermectin. 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.

Stromectol

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Levaquin is in a group of antibiotics called fluoroquinolones (flor-o-KWIN-o-lones). It fights bacteria in the body.

Levaquin is used to treat bacterial infections that cause bronchitis, pneumonia, chlamydia, gonorrhea, skin infections, urinary tract infections, and infections of the prostate.

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

Important information about Levaquin

Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Levaquin will not treat a viral infection such as the common cold or flu. Take Levaquin with a full glass of water (8 ounces). Drink several extra glasses of fluid each day to prevent crystals from forming in the urine. Take Levaquin on an empty stomach 1 hour before or 2 hours after meals. Levaquin 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 18 years old. Levaquin may interfere with bone development in a child. There are certain medicines you should not take within the 2 hours before or after you take Levaquin. This includes antacids that contain magnesium or aluminum (Tums or Rolaids), the ulcer medicine sucralfate (Carafate), didanosine (Videx), and vitamin or mineral supplements that contain iron or zinc. Taking these other medicines too close to your dose of Levaquin can make the antibiotic much less effective.

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

You should not use this medication if you are allergic to levofloxacin or other fluoroquinolones such as ciprofloxacin (Cipro), ofloxacin (Floxin), norfloxacin (Noroxin), lomefloxacin (Maxaquin), and others.

Before taking Levaquin, tell your doctor if you have:

• kidney disease;
• seizures or epilepsy;
• a personal or family history of Long QT syndrome; or
• a history of head injury or brain tumor.

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

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. Levaquin 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 18 years old. Levaquin may interfere with bone development in a child.

How should I take Levaquin?

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.

Take Levaquin with a full glass of water (8 ounces). Drink several extra glasses of fluid each day to prevent crystals from forming in the urine. Take Levaquin on an empty stomach 1 hour before or 2 hours after meals.

Measure the liquid form of Levaquin with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.

Take Levaquin at evenly spaced intervals. Follow your doctor’s instructions.

Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Levaquin will not treat a viral infection such as the common cold or flu.

To be sure this medication is not causing harmful effects, your blood may need to be tested on a regular basis. Your kidney function may also need to be tested. Do not miss any scheduled appointments.

Levaquin can cause you to have unusual results with certain medical tests. Tell any doctor who treats you that you are using Levaquin.

Store this medication at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If you are more than 2 hours late in taking your medicine, 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 taken too much of this medicine. Overdose symptoms may include loss of balance or coordination, drooping eyelids, weakness, decreased activity, trouble breathing, sweating, tremors, or seizure (convulsions).

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

• seizure (convulsions);
• confusion, hallucinations (seeing things that are not there);
• fever, sore throat, and headache with a severe blistering, peeling, and red skin rash;
• urinating less than usual or not at all;
• tremors or shaking;
• easy bruising or bleeding, unusual weakness;
• unusual thoughts or behavior;
• nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
• sudden pain or swelling near your joints (especially in your arm or ankle);
• numbness, burning, pain, or tingly feeling; or
• diarrhea that is watery or bloody.

Less serious side effects may include:

• feeling restless or anxious;
• nausea, vomiting, diarrhea, stomach pain;
• headache, drowsiness, dizziness;
• sleep problems (insomnia);
• vaginal itching or discharge; or
• mild skin itching.

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 Levaquin?

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

• bepridil (Vascor),
• cisapride (Propulsid);
• droperidol (Inapsine);
• methadone (Methadose);
• pentamidine (NebuPent, Pentam);
• theophylline (Theo-Dur, Theolair, Slo-Phyllin, Slo-Bid, Elixophyllin);
• a blood thinner such as warfarin (Coumadin);
• cyclosporine (Neoral, Sandimmune, Gengraf);
• insulin or an oral diabetes medication such as glipizide (Glucotrol), glyburide (Micronase, Diabeta, Glynase), and others;
• aspirin or other NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen (Motrin, Advil), diclofenac (Voltaren), indomethacin, naproxen (Aleve, Naprosyn), piroxicam (Feldene), nabumetone (Relafen), etodolac (Lodine), and others;
• antibiotics such as clarithromycin (Biaxin) or erythromycin (Ery-Tab, Erythrocin, E.E.S);
• medicines to treat psychiatric disorder, such as pimozide (Orap), haloperidol (Haldol), or thioridazine (Mellaril); or
• heart rhythm medicine such as amiodarone (Cordarone, Pacerone), dofetilide (Tikosyn), disopyramide (Norpace), procainamide (Procan), quinidine (Cardioquin, Quinaglute), or sotalol (Betapace).

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

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Amoxicillin is an antibiotic in the penicillin group of drugs. It fights bacteria in your body.

Amoxicillin is used to treat many different types of infections caused by bacteria, such as ear infections, bladder infections, pneumonia, gonorrhea, and E. coli or salmonella infection. Amoxicillin is also sometimes used together with another antibiotic called clarithromycin (Biaxin) to treat stomach ulcers caused by Helicobacter pylori infection. This combination is sometimes used with a stomach acid reducer called lansoprazole (Prevacid).

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

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Azithromycin is in a group of drugs called macrolide antibiotics. Azithromycin fights bacteria in the body.

Azithromycin is used to treat many different types of infections caused by bacteria, such as respiratory infections, skin infections, ear infections, and sexually transmitted diseases.

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

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Cipro is an antibiotic in a group of drugs called fluoroquinolones. It fights bacteria in the body. It works by stopping the production of essential proteins needed by the bacteria to survive.

Cipro is used to treat different types of bacterial infections. It may also be used to prevent or slow anthrax after exposure

Cipro may also be used for other purposes not listed here.

Important information about Cipro

Do not take Cipro with dairy products such as milk or yogurt, or with calcium-fortified juice. You may eat or drink dairy products or calcium-fortified juice with a regular meal, but do not use them alone when taking Cipro. They could make the medication less effective. Take all of the Cipro that has been prescribed for you even if you begin to feel better. Your symptoms may start to improve before the infection is completely treated. Certain medicines should be taken at least 2 hours after or 6 hours before you take Cipro. This includes didanosine (Videx) chewable/buffered tablets or powder; sucralfate (Carafate); antacids that contain calcium, magnesium or aluminum (such as Tums or Rolaids); or vitamin or mineral supplements that contain calcium, iron, or zinc.

Taking this medication can make your skin more sensitive to sunlight. Avoid exposure to sunlight, sun lamps, or tanning beds.

Before taking Cipro

Before taking this medication, tell your doctor if you have:

• a history of allergic reaction to an antibiotic;
• joint problems;
• kidney disease; or
• epilepsy or seizures.

If you have any of these conditions, you may not be able to use Cipro 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. Do not use this medication without telling your doctor if you are pregnant. Tell your doctor if you become pregnant during treatment. Cipro passes 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.

How should I take Cipro?

Take this medication exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor.

Take each dose with a full glass of water (8 ounces). Drink several extra glasses of fluid each day while you are taking Cipro. Shake the oral suspension (liquid) for at least 15 seconds just before you measure a dose. To be sure you get the correct dose, measure the liquid with a marked measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

When taking the oral liquid, swallow it without chewing the medicine beads you may notice in the liquid.

Do not crush, chew or break the 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.

Cipro may be taken with or without food, but take it at the same time each day.

Do not take this medication with dairy products such as milk or yogurt, or with calcium-fortified juice. You may eat or drink these products as part of a regular meal, but do not use them alone when taking Cipro. They could make the medication less effective. Take this medication for as many days as it has been prescribed for you even if you begin to feel better. Your symptoms may get better before the infection is completely treated. Cipro will not treat a viral infection such as the common cold or flu. Store this medication at room temperature away from moisture and heat. Do not allow the liquid medicine to freeze.

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 seizures, urination problems, weakness, or blue lips with pale skin.

Cipro side effects

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

• seizure (black-out or convulsions);
• confusion, hallucinations, depression, or thoughts of hurting yourself or others;
• sudden pain or swelling near your joints (especially in your arm or ankle);
• nausea, stomach pain, low fever, lost appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
• diarrhea that is watery or bloody;
• urinating more or less than usual;
• numbness, tingling, or unusual pain anywhere in your body; or
• chest pain, pounding or fast heartbeats.

Other less serious side effects are more likely to occur, such as:

• nausea, vomiting;
• dizziness or drowsiness;
• blurred vision;
• sleep problems (insomnia);
• joint stiffness or muscle pain; or
• increased sensitivity of the skin to sunlight.

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 Cipro?

Do not use Cipro if you are also taking tizanidine (Zanaflex).

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

• didanosine (Videx, ddI);
• theophylline (Theo-Dur, Theolair, Slo-Phyllin, Slo-Bid, Elixophyllin);
• warfarin (Coumadin);
• probenecid (Benemid);
• insulin or an oral diabetes medication such as glipizide (Glucotrol), glyburide (Micronase, Diabeta, Glynase), and others;
• a nonsteroidal anti-inflammatory drug (NSAID) such as ibuprofen (Motrin, Advil, Nuprin, others), naproxen (Aleve, Naprosyn, Anaprox), ketoprofen (Orudis KT, Orudis, Oruvail), and others;
• phenytoin (Dilantin); or
• cyclosporine (Neoral, Sandimmune).

There may be other drugs not listed that can affect this medication. 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.

Cipro

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