Zestoretic is used in the treatment of high blood pressure. It combines an ACE inhibitor drug with a diuretic. Lisinopril, the ACE inhibitor, works by limiting production of a substance that promotes salt and water retention in your body. Hydrochlorothiazide, a diuretic, prompts your body to produce and eliminate more urine, which helps in lowering blood pressure. Combination products such as Zestoretic are usually not prescribed until therapy is already under way.

Most important fact about Lisinopril, Hydrochlorothiazide

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

How should you take Lisinopril, Hydrochlorothiazide ?

Zestoretic can be taken with or without food once a day. Take it exactly as prescribed.

–If you miss a dose…

Take the forgotten dose as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Never take a double dose.

–Storage instructions…

Zestoretic should be stored at room temperature. Keep the container tightly closed.

What side effects may occur?

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Zestoretic.

• More common side effects may include:
  Cough, dizziness, dizziness when standing up, fatigue, headache

Possible food and drug interactions when taking Lisinopril, Hydrochlorothiazide

Zestoretic may intensify the effects of alcohol. Do not drink alcohol while taking Lisinopril, Hydrochlorothiazide .

If Zestoretic is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Zestoretic with the following:

Barbiturates such as Nembutal and Seconal
Cholestyramine (Questran)
Colestipol (Colestid)
Corticosteroids such as prednisone
High blood pressure drugs such as Procardia XL and Aldomet
Indomethacin (Indocin)
Insulin
Lithium (Lithonate)
Narcotics such as Darvon and Dilaudid
Nonsteroidal anti-inflammatory drugs such as Naprosyn
Oral antidiabetic drugs such as Micronase
Potassium supplements such as K-Dur and Slow-K
Potassium-containing salt substitutes
Potassium-sparing diuretics such as Midamor

Special information if you are pregnant or breastfeeding

During the second and third trimesters, lisinopril can cause birth defects, prematurity, and death in the fetus and newborn. If you are pregnant or plan to become pregnant, contact your doctor immediately to discuss the potential hazard to your unborn child. Zestoretic may appear in breast milk and could affect a nursing infant. If Lisinopril, Hydrochlorothiazide is essential to your health, your doctor may advise you to discontinue breastfeeding until your treatment with Lisinopril, Hydrochlorothiazide is finished.

Recommended dosage

ADULTS

Zestoretic is designed to replace higher doses of either component. Dosages of the lisinopril component range from 10 to 80 milligrams a day; dosages of hydrochlorothiazide typically fall between 6.25 and 50 milligrams daily. If either component, when prescribed alone, fails to control your blood pressure, your doctor may try the Zestoretic combination, starting with either 10 or 20 milligrams of lisinopril and 12.5 milligrams of hydrochlorothiazide, and gradually increasing the dosage as needed.

If you are age 65 or older, or have kidney problems, your doctor will adjust your dosage with caution. This drug is not prescribed for people with severe kidney damage.

CHILDREN

Safety and effectiveness in children have not been established.

Overdosage

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

• Symptoms of Zestoretic overdose may include:
  Dehydration, low blood pressure

Zestoretic

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Furosemide is a loop diuretic (water pill) that prevents your body from absorbing too much salt, allowing the salt to instead be passed in your urine.

Furosemide treats fluid retention (edema) in people with congestive heart failure, liver disease, or a kidney disorder such as nephrotic syndrome. This medication is also used to treat high blood pressure (hypertension).

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

How should I take Furosemide?

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

Your doctor may occasionally change your dose to make sure you get the best results from this medication.

Furosemide will make you urinate more often and you may get dehydrated easily. Follow your doctor’s instructions about using potassium supplements or getting enough salt and potassium in your diet.

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

If you are being treated for high blood pressure, keep using this medication even if you feel fine. High blood pressure often has no symptoms.

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

What are the possible side effects of Furosemide?

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

• dry mouth, thirst, nausea, vomiting
• feeling weak, drowsy, restless, or light-headed
• fast or uneven heartbeat
• muscle pain or weakness
• urinating less than usual or not at all
• easy bruising or bleeding, unusual weakness
• a red, blistering, peeling skin rash
• hearing loss; or
• nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes)

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

• diarrhea, constipation, or stomach pain
• headache
• numbness, burning, pain, or tingly feeling
• dizziness; or
• blurred vision

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

What other drugs affect Furosemide?

If you take sucralfate (Carafate), take it at least 2 hours before or after you take furosemide.

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

• lithium
• digoxin (Lanoxin)
• steroids (prednisone and others)
• ethacrynic acid (Edecrin)
• diet pills or cold medicine
• other blood pressure medications
• amikacin (Amikin), gentamicin (Garamycin), netilmicin (Netromycin), streptomycin, tobramycin (Nebcin, Tobi)
• salicylates such as aspirin, Disalcid, Doan’s Pills, Dolobid, Salflex, Tricosal, and others; or
• indomethacin

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

There may be other drugs not listed that can affect furosemide. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

What should I avoid while taking Furosemide?

Avoid becoming dehydrated. Follow your doctor’s instructions about the type and amount of liquids you should drink while you are taking furosemide.

Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Furosemide 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.

What happens if I overdose on Furosemide?

Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a furosemide overdose may include ringing in your ears, loss of appetite, weakness, dizziness, confusion, feeling light-headed, or fainting.

What happens if I miss a dose of Furosemide?

Furosemide is sometimes used only once, so you may not be on a dosing schedule. If you are using the medication regularly, take the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not take extra medicine to make up the missed dose.

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

Do not use this medication if you are unable to urinate.

Before using this medication, tell your doctor if you have kidney disease, liver disease, gout, lupus, diabetes, or an allergy to sulfa drugs.

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

Furosemide will make you urinate more often and you may get dehydrated easily. Follow your doctor’s instructions about using potassium supplements or getting enough salt and potassium in your diet.

Avoid becoming dehydrated. Follow your doctor’s instructions about the type and amount of liquids you should drink while you are taking furosemide.

If you are being treated for high blood pressure, keep using this medication even if you feel fine. High blood pressure often has no symptoms.

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

Do not use this medication if you are unable to urinate.

Before using furosemide, tell your doctor if you have:

• kidney disease
• liver disease
• gout
• lupus
• diabetes; or
• an allergy to sulfa drugs

If you have any of these conditions, you may not be able to use furosemide, 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.

Furosemide 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.

Furosemide

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Clonidine lowers blood pressure by decreasing the levels of certain chemicals in your blood. This allows your blood vessels (veins and arteries) to relax (widen) and your heart to beat more slowly and easily.

Clonidine is used to treat hypertension (high blood pressure).

Although not approved by the FDA for these purposes, clonidine has also been used to relieve alcohol withdrawal, as an aid in methadone and opiate detoxification, as an aid in quitting smoking, to treat diabetic diarrhea, to treat Tourette’s Syndrome, to reduce menopausal flushing, to treat postherpetic neuralgia, to treat ulcerative colitis, and to diagnose pheochromocytoma.Clonidine may also be used for purposes other than those listed in this medication guide.

Who should not take Clonidine?

Before taking this medication, tell your doctor if you

• have any type of heart disease,
• have had a heart attack or a stroke,
• have liver disease, or
• have kidney disease.

You may need a lower dose or special monitoring during treatment with clonidine if you have any of the conditions listed above.

Clonidine is in the FDA pregnancy category C. This means that it is not known whether clonidine will harm an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant. Clonidine passes into breast milk. It is not known whether clonidine will harm a nursing infant. Do not take clonidine without first talking to your doctor if you are breast-feeding a baby. If you are over 60 years of age, you may be more likely to experience side effects from clonidine therapy. You may require a lower dose.

How should I take Clonidine?

Take clonidine 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 tablet with a full glass of water.Take clonidine at bedtime unless otherwise directed by your doctor. Clonidine may make you drowsy and may cause some dizziness. Taking it at bedtime may prevent falls and injuries.

Do not stop taking this medication suddenly even if you feel better. You may need to take clonidine for the rest of your life to control your condition.

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

What happens if I miss a dose of Clonidine?

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

What happens if I overdose with Clonidine?

Seek emergency medical attention.Symptoms of a clonidine overdose include drowsiness, lethargy, weakness, lightheadedness, a slow heart rate, nausea, vomiting, and possibly seizures.

What should I avoid while taking Clonidine?

Use caution when driving, operating machinery, or performing other hazardous activities. Clonidine may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.Use caution when rising from a sitting or lying position, especially first thing in the morning. You may become dizzy while taking clonidine and you may fall and injure yourself if you get up quickly.

Avoid alcohol while taking clonidine. It may increase the drowsiness and may also increase dizziness. Use caution even with small amounts of alcohol.Avoid other drugs such as sleeping pills, antihistamines, prescription pain relievers, and antidepressants unless they are approved by your doctor. These medicines will increase the drowsiness caused by clonidine. Talk to your doctor or pharmacist about any other prescription or over-the-counter medications you are taking.

What are the possible side effects of Clonidine?

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

• an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);
• a very slow heart rate (fewer than 60 beats per minute); or
• unusually high or low blood pressure (severe headache, redness of the face, neck, and chest, dizziness, and fainting).

Other, less serious side effects may be more likely to occur. Continue to take clonidine and talk to your doctor if you experience any of the following:

• unusual fatigue, dizziness, or tiredness;
• headache;
• constipation, nausea, vomiting, or diarrhea;
• insomnia; or
• a dry mouth (sucking on ice chips or sugarless hard candy may relieve this side effect).

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 Clonidine?

Clonidine 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.

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

• a beta-blocker such as atenolol (Tenormin), acebutolol (Sectral), propranolol (Inderal), metoprolol (Lopressor), carvedilol (Coreg), carteolol (Cartrol), labetalol (Normodyne, Trandate), or nadolol (Corgard);
• levodopa (Dopar, Larodopa, Sinemet);
• prazosin (Minipress); or
• verapamil (Verelan, Calan, Isoptin, Covera-HS); or
• a tricyclic antidepressant such as amitriptyline (Elavil, Endep), imipramine (Tofranil), nortriptyline (Pamelor, doxepin (Sinequan), and others.

You may require special monitoring or a dose adjustment if you are taking any of the medicines listed above.

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

Clonidine

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Olmesartan is in a class of drugs called angiotensin II receptor antagonists. Olmesartan prevents the constriction (narrowing) of blood vessels (veins and arteries).

Olmesartan is used to treat hypertension (high blood pressure).

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

How should I take Benicar (Olmesartan)?

Take olmesartan 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 (8 ounces) of water.

Olmesartan can be taken with or without food.

Do not stop taking olmesartan without first talking to your doctor. If you stop taking the medication, your condition could become worse.

Store olmesartan at room temperature away from moisture and heat.

What are the possible side effects of Benicar (Olmesartan)?

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

• an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives); or
• little or no urine

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

• diarrhea or upset stomach
• dizziness
• headache
• insomnia; or
• congestion or cough (very unlikely)

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

What other drugs affect Benicar (Olmesartan)?

Before taking olmesartan, tell your doctor if you

• take a potassium supplement such as K-Dur, Klor-Con, and others
• take a potassium-sparing diuretic (water pill) such as amiloride (Midamor), spironolactone (Aldactone), or triamterene (Dyrenium, Dyazide, Maxzide); or
• use a salt substitute

Olmesartan can affect potassium levels in the body. You may not be able to take olmesartan, or you may require a dosage adjustment or special monitoring if you are taking any of the products listed above.

Tell your doctor about any other medicines you take to treat high blood pressure or other heart conditions. Olmesartan may cause very low blood pressure if it is taken with other heart medications.

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

What should I avoid while taking Benicar (Olmesartan)?

Use caution when driving, operating machinery, or performing other hazardous activities. Olmesartan may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities. Also use caution when rising from a sitting or lying position.

Use alcohol cautiously. Alcohol may further lower blood pressure and increase drowsiness and dizziness while taking olmesartan.

Do not use salt substitutes or take potassium supplements without first talking to your doctor. Olmesartan can affect potassium levels in the body.

What happens if I overdose on Benicar (Olmesartan)?

Seek emergency medical attention.

Symptoms of an olmesartan overdose are not well known, but might include dizziness, weakness, fainting, fatigue, and chest pain.

What happens if I miss a dose of Benicar (Olmesartan)?

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

What is the most important information I should know about Benicar (Olmesartan)?

Do not take olmesartan if you are pregnant or could become pregnant. When used during the second and third trimesters of pregnancy, olmesartan can cause injury and even death to the developing baby. Notify your doctor immediately if you think you might be pregnant.

Use caution when driving, operating machinery, or performing other hazardous activities. Olmesartan may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities. Also use caution when rising from a sitting or lying position.

Use alcohol cautiously. Alcohol may further lower blood pressure and increase drowsiness and dizziness while taking olmesartan.

Benicar

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Avalide is a combination medication used to treat high blood pressure. One component, irbesartan, belongs to a class of blood pressure medications that prevents the hormone angiotensin II from constricting the blood vessels, thereby allowing blood to flow more freely and keeping blood pressure down. The other component, hydrochlorothiazide, is a diuretic that increases the output of urine, removing excess fluid from the body and thus lowering blood pressure.

Combinations such as Avalide are usually prescribed only when treatment with a single medication fails to lower blood pressure sufficiently. Avalide can be combined with yet other blood pressure medicines if your pressure remains too high.

Most important fact about Avalide

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

How should you take Avalide?

Avalide can be taken with or without food.

• If you miss a dose…
  Take 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. Never take 2 doses at the same time.

• Storage instructions…
  Store Avalide at room temperature.

What side effects may occur?

Avalide is unlikely to produce side effects, and if any do occur they are usually mild and temporary. Nevertheless, be sure to report all side effects to your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Avalide.

• Side effects may include:
  Dizziness, fatigue, influenza, muscle and bone pain, nausea, swelling due to water retention, vomiting

Possible food and drug interactions when taking Avalide

Alcohol may increase the effects of Avalide. Use it with caution.

If Avalide is taken with certain other drugs the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Avalide with the following:

Adrenocorticotropic hormone (ACTH)Barbiturates such as phenobarbital and secobarbitalCholestyramineColestipolInsulinLithiumNarcotic painkillers such as acetaminophen, codeine phosphate, meperidine hydrochloride, and oxycodone hydrochlorideNonsteroidal anti-inflammatory drugs such as ibuprofen and naproxen sodiumOther blood pressure medications such as atenolol and nifedipineOral diabetes drugs such as chlorpropamide, glipizide, and glyburideSteroids such as prednisone

Special information if you are pregnant or breastfeeding

When used in the second and third trimesters of pregnancy, Avalide can cause injury and even death to the unborn child. Stop taking Avalide as soon as you know you are pregnant. If you know you are pregnant or plan to become pregnant, tell your doctor immediately.

Avalide appears in breast milk and can affect the nursing infant. If this medication is essential to your health, your doctor may advise you to stop breastfeeding while you are taking Avalide.

Recommended dosage for Avalide

Avalide tablets come in two strengths:

150 milligrams irbesartan with 12.5 milligrams hydrochlorothiazide

300 milligrams irbesartan with 12.5 milligrams hydrochlorothiazide

ADULTS

The usual starting dose of Avalide is 1 lower-strength tablet daily.

It will take 2 to 4 weeks for Avalide to reach its maximum effectiveness. If your blood pressure does not respond to the initial dosage, your doctor may increase the dosage to 1 higher-strength tablet or 2 lower-strength tablets taken once a day.

Overdosage

Any medication taken in excess can have serious consequences. Information on Avalide overdosage is limited, but extremely low blood pressure and an unusually rapid or slow heartbeat are likely signs of an overdose. Other signs may include dry mouth, excessive thirst, muscle cramps, weakness, restlessness, confusion, and nausea. If you suspect an overdose, seek medical attention immediately.

Avalide

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Lipostatin is the phamraceutical quality non-prescription product designed to help control cholesterol levels without harmful side effects.

Benefits:

• Reduction of overall cholesterol levels;
• Reduction of LDL (bad cholesterol);
• Increase of HDL (good cholesterol);
• Reduction of Triglyceride Levels;
• Improved Blood Circulation.

How Taken

As a dietary supplement take two (2) capsules daily.

Drug Class and Mechanism

Typically, it takes a statin 3-4 weeks to lower cholesterol to the point in which it is able…but it must be taken lifelong to maintain lower cholesterol. Furthermore, higher doses may be required to reach goals and other medications may need to be added to reach goals.

Missed Dose

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

Warnings Precautions

Do not use Viagra Professional if:

• you are allergic to any ingredient in Viagra Professional;
• you have been advised by your doctor to avoid sexual activity because of heart problems;
• you are taking nitrates (e.g., isosorbide, nitroglycerin) in any form (e.g., tablet, capsule, patch, ointment) or nitroprusside;
• you use certain recreational drugs called poppers (e.g., amyl nitrate, butyl nitrate).

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

Important :

• Viagra Professional may cause dizziness, drowsiness, fainting, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Viagra Professional with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Viagra Professional may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
• Patients with heart problems who take Viagra Professional may be at increased risk for heart-related side effects, including heart attack or stroke. Symptoms of a heart attack may include chest, shoulder, neck, or jaw pain; numbness of an arm or leg; severe dizziness, headache, nausea, stomach pain, or vomiting; fainting; or vision changes. Symptoms of a stroke may include confusion, vision or speech changes, one-sided weakness, or fainting. Contact your doctor or seek medical attention right away if you experience these symptoms.
• Viagra Professional may rarely cause a prolonged, painful erection. This could happen even when you are not having sex. If this is not treated right away, it could lead to permanent sexual problems such as impotence. Contact your doctor right away if this happens.
• Do not use other medicines or treatments for erectile dysfunction while you are taking Viagra Professional.
• Viagra does not stop the spread of HIV or other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier methods of birth control (eg, condoms) if you have HIV infection or an STD.
• Viagra Professional will not prevent pregnancy. If your partner may become pregnant and you wish to avoid pregnancy, be sure to use an effective form of birth control.
• Use Viagra Professional with caution in the elderly; they may be more sensitive to its effects.
• Viagra Professional is not recommended for use in children; safety and effectiveness in children have not been confirmed.
• Pregnancy and breast-feeding: Viagra Professional is not approved for use in women. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Viagra Professional while you are pregnant. It is not known if Viagra Professional is found in breast milk. If you are or will be breast-feeding while you use Viagra Professional, check with your doctor. Discuss any possible risks to your baby.

Possible Side Effects

This product contains only 100% pure pharmaceutical grade ingredients and is regularly tested to ensure the safety and quality. Each ingredient has been approved as safe by the FDA and all appear on the FDAs GRAS (Generally Recognized As Safe) list.

More Information

If your total cholesterol number is over 200, you could be at risk. But you can do something about it. By lowering your total cholesterol by as little as 10%, you could reduce your risk for heart disease by 30%.

Lipostatin

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

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

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

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

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

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

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

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

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

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

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

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

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

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

FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether gemfibrozil passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take Lopid (gemfibrozil)?

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

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

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

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

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

Store gemfibrozil at room temperature away from moisture and heat.

What happens if I miss a dose?

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

What happens if I overdose?

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

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

Lopid (gemfibrozil) side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have a serious side effect such as:

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

Less serious side effects may include:

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

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

What other drugs will affect Lopid (gemfibrozil)?

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

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

This list is not complete and there may be other drugs that can interact with gemfibrozil. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

Lopid

Popularity: 9% [?]

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

Most important fact about Procardia

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

How should you take Procardia?

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

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

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

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

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

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

–If you miss a dose…

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

–Storage instructions…

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

What side effects may occur?

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine whether it is safe for you to continue taking Procardia or Procardia XL.

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

Possible food and drug interactions when taking Procardia

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

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

Special information if you are pregnant or breastfeeding

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

Recommended dosage

ADULTS

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

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

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

Overdosage

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

 Procardia

Popularity: 13% [?]

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

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

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

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

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

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

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

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

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

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

Do not take this medicine if you have:

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

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

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

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

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

How should I take warfarin?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from this medication. Follow the directions on your prescription label.

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

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

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

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

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

What happens if I miss a dose?

Take the missed dose as soon as you remember, and call your doctor as soon as possible. You may take two doses on the same day, but do not take two doses at the same time.

What happens if I overdose?

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

Overdose symptoms may include bruising, broken blood vessels under the skin, excessive bleeding from cuts or wounds, blood in the urine or stools, and heavy menstrual periods in women.

Warfarin side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:

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

Less serious side effects may include:

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

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

What other drugs will affect warfarin?

Warfarin interacts with many other drugs, and these interactions can be dangerous, even fatal. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.

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

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

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

Coumadin

Popularity: 10% [?]

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

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

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

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

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

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

Before taking this medication, tell your doctor if you have

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

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

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

How should I take verapamil?

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

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

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

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

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

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

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

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

Store verapamil at room temperature away from moisture and heat.

What happens if I miss a dose?

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

What happens if I overdose?

Seek emergency medical attention.

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

What should I avoid while taking verapamil?

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

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

Verapamil side effects

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

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

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

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

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

What other drugs will affect verapamil?

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

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

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

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

Isoptin

Popularity: 11% [?]

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