Dream Pharmaceuticals: Online pharmacy for discount prescription drugs

LIST OF DRUGS AVAILABLE (Partial)

Aciphex

Uses
Aciphex (Generic: Rabeprazole) is used for short-term healing of a gradual breakdown (erosion) or sore (ulceration) in the esophagus which may be caused by the backward flow of gastric acid from the stomach into the esophagus (gastroesophageal reflux disease or GERD); maintenance of healing of erosive or ulcerative GERD; treatment of daytime and nighttime heartburn and other symptoms associated with GERD; short-term (up to 4 weeks) healing of an ulcer in the duodenum; elimination of Helicobacter pylori, in combination with amoxicillin and clarithromycin, to reduce the risk of duodenal ulcer recurrence in patients with a current duodenal ulcer or a duodenal ulcer in the past 5 years; medical conditions that result in the body secreting too much acid, including Zollinger-Ellison syndrome.

Precautions
Aciphex does not work for everyone. Improvement in your symptoms does not prevent you from having other stomach-related medical conditions. Because Aciphex lowers the level of acid in your stomach, certain other medications can interact with Aciphex. Review all medications that you are taking with your health care provider, including those that you take without a prescription. Because Aciphex lowers the level of acid in your stomach, certain other medications can interact with Aciphex. Review all medications that you are taking with your health care provider, including those that you take without a prescription. Tell your health care provider if you are trying to become pregnant, are already pregnant, or are breast-feeding. Aciphex is generally well tolerated. The most common side effect is headache. Your health care provider can discuss with you a complete list of possible side effects. For more detailed information about Aciphex, ask your health care provider.

Side Effects
Rabeprazole like other PPIs is well-tolerated. The most common side effects are diarrhea, nausea, vomiting, constipation, rash and headaches. Dizziness, nervousness, abnormal heartbeat, muscle pain, weakness, leg cramps and water retention rarely occur.

Storage
Store at room temperature, 15-30°C (59-86°F). Keep away from moisture.

Acyclovir

Uses
Acyclovir is an antiviral used to treat shingles, chickenpox, or genital herpes. It may also be used to treat other conditions.

How To Use
Follow the directions for using Acyclovir provided by your doctor. Take Acyclovir with food or milk if it upsets your stomach. Store Acyclovir at room temperature, away from light and moisture. To clean up your infection completely, continue taking Acyclovir for the full course of treatment even if you feel better in a few days. Do not miss any doses. If you miss a dose of Acyclovir, 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.

Side Effects
Side effects, that may go away during treatment, include nausea, vomiting, diarrhea, or headache. If they continue or are bothersome, check with your doctor. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

Precautions
If your symptoms do not improve within a few days or if they become worse, check with your doctor. If you are using Acyclovir for genital herpes, begin using it as soon as you notice symptoms (pain, burning, blisters) of an infection. Use a condom during sexual intercourse. If you plan on becoming pregnant, discuss with your doctor the benefits and risks of using Acyclovir during pregnancy. If you are or may be pregnant, check with your doctor for instructions on using Acyclovir during pregnancy. Before you begin taking any new medicine, either prescription or over-the-counter, check with your doctor or pharmacist. Acyclovir is excreted in breast milk. If you are or will be breast-feeing while you are using Acyclovir, check with your doctor or pharmacist to discuss the risks to your baby.

Drug Interactions
Drug interactions can result in unwanted side effects or prevent a medicine from doing its job.

Notes
Acyclovir is most effective if it is started within 48 hours of when the rash first appears.

Missed Dose
Try to take each dose at the scheduled time. If you miss a dose, take it as soon as remembered; do not take it if it is near the time for the next dose, instead, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up.

Storage
Store Acyclovir at room temperature between 59 and 77 degrees F (15 to 25 degrees C) away from heat and light. Keep this and all medications out of the reach of children.

Aldara

Uses
Aldara is used by topical application to treat external genital warts and warts that appear around the anal opening in patients 12 years of age and older.

How To Use
How much medicine you use and how often it is used depend on many factors, including the condition being treated and the age and weight of the patient. If you have any questions about the amount and/or frequency of the medicine being used, talk with your health care provider.Carefully read the patient leaflet provided with Aldara and reread it each time you get this prescription refilled.Use Aldara exactly as prescribed by your health care provider.Aldara is for topical use only. Avoid contact with the eyes.Wash your hands before and after using Aldara.Apply Aldara in a thin layer to the affected area 3 times a week(Monday, Wednesday, and Friday, or Tuesday, Thursday, and Saturday)before bedtime. Gently rub the cream in until it is no longer visible.Do not apply excessive amounts of Aldara to the affected area.Do not wrap or otherwise cover the treated area with bandages or wear tight-fitting clothing unless specifically directed by your doctor.Remove the medicine with warm water and mild soap 6 to 10 hours after you apply it.Aldara can weaken condoms or vaginal diaphragms. Do not use condoms or diaphragms while using Aldara. Avoid sexual (genital, anal, oral) contact while the cream is on the skin.Males who have not been circumcised and are treating warts under the foreskin should pull back the foreskin and clean the area daily. Skin reactions such as redness, erosion, flacking, and swelling may occur at the application site or surrounding area. Most skin reactions are mild to moderate. If a serious skin reaction or discomfort occurs while using Aldara, remove the medicine with soap and water. Talk with your doctor before using Aldara again. Use cotton gauze or wear cotton underwear until the reaction stops. Contact your health care provider before using Aldara in children under 12 years of age. Do not take any other over-the-counter or prescription medications without talking with your health care provider. This includes any herbal preparations or dietary supplements.

Side Effects
Every medicine can cause side effects, but many people have no, or minor, side effects. Tell your health care provider or pharmacist if any of the following occurs: Severe allergic reactions (rash; hives; itching; swelling). Itching; burning; stinging; pain; redness; swelling; flaking; skin ulcers;scabbing at application site; soreness; headache; flu-like symptoms. Fatigue; muscle pain; diarrhea; fever; loss of skin color; irritation;rash; tenderness.

Precautions
Before using Aldara, tell your health care provider about any of the following: if you are pregnant, planning to become pregnant, or breastfeeding ;if you are taking any other prescription medicine, nonprescription medicine, herbal preparation, or dietary supplement ;if your warts are located anywhere other than the area described above ;if you have any other medical condition ;if you have any open sores on the area being treated.

Drug Interactions
Before using Aldara, tell your health care provider about any of the following: if you are pregnant, planning to become pregnant, or breastfeeding ;if you are taking any other prescription medicine, nonprescription medicine, herbal preparation, or dietary supplement ;if your warts are located anywhere other than the area described above ;if you have any other medical condition ;if you have any open sores on the area being treated.

Notes
Contact your health care provider at once if you feel you have used too much of Aldara.

Missed Dose
If you have any questions about your medicine, please talk with your doctor, pharmacist, or health care provider.

Storage
Store below 77 degrees F. Do not freeze.

Alesse

Uses
Alesse (Ethinyl Estradiol and Levonorgestrel) contains a combination of hormones, estrogen and progesterone, which are female hormones involved in conception. Alesse prevents ovulation. Alesse also causes the cervical mucous to thicken, which makes it harder for sperm to move toward the uterus, and prevents the attachment of the egg to the uterus, thus preventing pregnancy. Alesse may also be used for purposes other than preventing pregnancy.

How to use
Take Alesse 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 the first pill in the package on the first Sunday after your period begins (unless otherwise directed by your doctor). Take one pill every day, within 24 hours period since your last dose. Try to take the pills at a time that you will remember every day--for example just before bed, with a meal, or first thing in the morning, etc. Taking your pill at night may help to reduce any nausea or headache that you may experience due to the hormones. If you are on a 28-day cycle, take one pill every day. When the pack runs out, throw it away. Begin a new pack the following day.

Precautions
Follow your doctor's instructions about using a second form of birth control when you first start taking Alesse, when you are taking antibiotics, or if you miss a pill. If you are unsure what to do with any of these cases, talk to your pharmacist, nurse, or doctor about how to ensure the prevention of pregnancy.

Side Effects
If you experience any of the following serious side effects, stop taking Alesse and seek emergency medical attention: an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives); a blood clot in the lung (shortness of breath or pain in the chest); a blood clot in an arm or leg (pain, redness, swelling, or numbness of an arm or leg); high blood pressure (severe headache, flushing, blurred vision); liver damage (yellowing of the skin or eyes, nausea, abdominal pain or discomfort, unusual bleeding or bruising, severe fatigue). Less serious side effects may be more likely to occur. Continue to take Alesse and talk to your doctor if you experience: headache or dizziness; nausea, vomiting, or diarrhea; breakthrough bleeding; or breast tenderness. Rare forms of side effects that could occur include: depression, changes in weight or appetite, vaginal yeast infection, changes in menstrual cycle, oily skin or acne, changes in sex drive, lethargy or fatigue, bloating, changes in skin color, changes in your blood sugar.

Storage
Store Alesse at room temperature away from moisture and heat.

Allegra

Uses
Allegra contains an antihistamine and decongestant used to relieve allergy symptoms such as itchy, red eyes, stuffy nose and throat irritation.

How To Use
Take Allegra by mouth on an empty stomach 1 hour before or two hours after meals as directed, usually twice daily. Taking Allegra with a high fat meal can decrease its effectiveness. Do not take antacids containing aluminum and magnesium within 2 hours of taking Allegra. Swallow the medicine whole. Do not crush or chew the tablet, and do not take more than prescribed. Do not take this product within 14 days after stopping an MAO Inhibitor (see Drug Interactions).

Side Effects
Nausea, stomach upset, trouble sleeping, headache, or cold symptoms may occur. If these persist or worsen, notify your doctor promptly. Unlikely but report promptly: dizziness, mental/mood changes, fast heartbeat, fever. Very unlikely but report promptly: irregular pulse, seizures, fainting. Although drowsiness is very uncommon at usual doses under normal circumstances, be aware that Allegra may have such an effect before performing tasks requiring alertness (e.g., driving). If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions
Tell your doctor your medical history, including: allergies, kidney/urinary problems, enlarged prostate, glaucoma (narrow angle), severe high blood pressure, heart disease, diabetes, thyroid problems (hyperthyroid). Limit alcohol intake, as it may aggravate drug side effects. Allegra should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. The pseudoephedrine in this product is excreted into breast milk. Consult your doctor before breast-feeding. Caution is advised when this product is used in the elderly since this group may be more sensitive to side effects.

Overdose
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include irregular or unusually slow or fast heartbeat, unusual nervousness or excitement, rapid breathing, confusion, hallucinations, and seizures.

Notes
Do not share Allegra with others.

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-up" the dose to catch up.

Storage
Store at room temperature between 68 and 77 degrees F (20-25 degrees C) away from sunlight and moisture.

Amitriptyline

Uses
Amitriptyline, an antidepressant (mood elevator), is used to treat depression.

How To Use
Amitriptyline comes as a tablet to take by mouth. It is usually taken one to four times a day and may be taken with or without food. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take amitriptyline exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Side Effects
Side effects from amitriptyline are common: upset stomach drowsiness weakness or tiredness excitement or anxiety insomnia nightmares dry mouth skin more sensitive to sunlight than usual changes in appetite or weight

Overdose
In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.

Missed Dose
If you take several doses per day, take the missed dose as soon as you remember it and take any remaining doses for that day at evenly spaced intervals. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule.

Storage
Keep Amitriptyline in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.

Bupropion

Uses
Bupropion hydrochloride (Generic Wellbutrin) is indicated for the treatment of depression. Consult your doctor about the possible risks of using this drug for your condition. Effectiveness of bupropion in long-term use, that is, for more than 6 weeks, has not been systematically evaluated in controlled trials. Therefore, the physician who elects to use bupropion for extended periods should periodically re-evaluate the long-term usefulness of the drug for the individual patient.

How to use
Use exactly as instructed by your doctor or pharmacist. Read instructions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand.

Precautions
A physician considering bupropion for the management of a patient's first episodes of depression should be aware that the drug may cause generalized seizures with an approximate incidence of 0.4%. This incidence of seizures may exceed that of other marketed antidepressants by as much as fourfold. This relative risk is only an approximate estimate because no direct comparative studies have been conducted. Effectiveness of bupropion in long-term use, that is, for more than 6 weeks, has not been systematically evaluated in controlled trials. Therefore, the physician who elects to use bupropion for extended periods should periodically re-evaluate the long-term usefulness of the drug for the individual patient. Important: Do not take this drug if you are taking any type of monoamine oxidase inhibitor (MAO) or have taken one within the past two weeks. Do not take this drug if you have any type of seizure disorder. Do not take this drug if you have a history of anorexia or bulimia. Do not drink alcohol while taking this drug. Do not take this drug if you are pregnant. Try some non-drug alternatives. Do not take this drug if planning to become pregnant. Do not take if you are breast-feeding. Do not give this drug to any one under eighteen. If over sixty only use drug in small doses and with close monitoring of its side effects. The habit-forming potential is none.

Side Effects
Although side effects from buspirone are not common, they can occur. Tell your doctor if any of these symptoms are severe or do not go away: drowsiness, upset stomach, vomiting, constipation, diarrhea, stomach pain, headache, dry mouth, depression, excitement, fatigue, nervousness, difficulty sleeping, lightheadedness, weakness, numbness. If you experience any of the following symptoms, call your doctor immediately: skin rash, itching, fast or irregular heartbeat, blurred vision, unusual movements or the head or neck muscles. See physician always: Acne, blurred vision, chest pain, chills, coordination problems, confusion, decrease in white blood cell count, fever, gum irritation, hair color changes, hair loss, hallucinations, hives, indigestion, itching, liver toxicity, loss of movement, racing heartbeat / palpitations, seizure, skin rash, sexual problems, suicidal thoughts, tinnitus ( ringing in the ears ), excessive thirst, toothaches, tremors, urinary problems, vomiting, or weight gain/loss. See physician if severe: Agitation, change in appetite, constipation, diarrhea, dizziness, dry mouth, headache, increased perspiration, insomnia, nightmares, or nausea.

Storage
Store Bupropion at room temperature away from moisture and heat.Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature, away from light, excess heat, and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.

Buspar

Uses
Buspar (Buspirone) is used to relieve nervousness, anxiety and tension.

How To Use
Take Buspar with food or milk if stomach upset occurs. It is important to take Buspar exactly as prescribed. Do not increase your dose or take more often than prescribed. Symptoms will begin to improve within 7 to 10 days of starting Buspar. However, it may take 3 to 4 weeks for the full benefit of the medication to be apparent

Side Effects
Buspar may cause drowsiness, dizziness, lightheadedness, fatigue, weakness, vivid dreams, sleeplessness, dry skin, blurred vision, altered sense of taste and smell, weight gain, muscle aches, ringing in the ears, nausea, headaches. If these effects persist or worsen, notify your doctor. Notify your doctor if you experience: abnormal movements or "twitches" of the face or neck muscles, other involuntary movements or tremors, depression, confusion, incoordination, chest pain, breathing difficulties. If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions
Before taking buspirone, tell your doctor your medical history especially: kidney or liver disease, any drug allergies. Limit alcohol intake as it may intensify the dizziness and/or drowsiness effects of buspirone. Use caution when engaging in activities requiring alertness such as driving. Tell your doctor if you are pregnant before using Buspar. It is not known if Buspar is excreted into breast milk. Consult your doctor before breast-feeding.

Overdose
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include nausea, vomiting, dizziness, drowsiness, and decreased pupil size.

Notes
Do not share Buspar with others.

Missed Dose
Take any missed dose as soon as possible but not if it is almost time for the next dose. If it is time for the next dose, skip the missed dose and resume your regular schedule. Do not "double-up" the dose. If more than one dose is missed, contact your doctor or pharmacist to establish a new dosing schedule.

Storage
Store at room temperature and keep away from moisture and sunlight. Do not store in the bathroom.

Buspirone

Uses
Buspirone HCl (Generic Buspar) is an antianxiety agent, or a psychotropic drug with anxiolytic properties which belongs chemically to the class of compounds known as the azaspirodecanediones. Buspirone is used for short-term symptomatic relief of excessive anxiety in patients with generalized anxiety disorder (psychoneurotic disorder). Buspirone is also used to treat the symptoms of premenstrual syndrome. Talk to your doctor about the possible risks of using this drug for your condition.

How to use
Take Buspirone exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you. Continue to take buspirone even if you feel well. Do not stop taking buspirone without talking to your doctor, especially if you have taken large doses for a long time. Your doctor probably will decrease your dose gradually. This drug must be taken regularly for a few weeks before its full effect is felt.

Precautions
Buspirone is contraindicated in patients with severe hepatic or severe renal impairment. The occurrence of elevated blood pressure in patients receiving both buspirone and a MAO inhibitor has been reported. Therefore, it is recommended that buspirone should not be used concomitantly with a MAO inhibitor. Pregnancy and Lactation: The safety of buspirone during pregnancy and lactation has not been established and, therefore, it should not be used in women of childbearing potential or nursing mothers, unless, in the opinion of the physician, the potential benefits to the patient outweigh the possible hazards to the fetus. Buspirone and its metabolites are excreted in milk in rats. The extent of excretion in human milk has not yet been determined.

Side Effects
The most common adverse reactions encountered with buspirone are dizziness, headache, drowsiness and nausea. During premarketing clinical trials, approximately 10% of the patients discontinued treatment due to an adverse event. Adverse reactions reported include the following. CNS: Dizziness, headache, drowsiness, lightheadedness, insomnia, fatigue, nervousness, decreased concentration, excitement, depression, confusion, nightmares/vivid dreams, anger/hostility. Infrequently (<1%) depersonalization, noise intolerance, euphoria/feeling high, dissociative reaction, fear, loss of interest, dysphoria, hallucinations, seizures, suicidal thoughts. Rarely, slurred speech, claustrophobia, cold intolerance, stupor, psychosis. Neurologic: Paresthesia, weakness, incoordination, tremor, numbness. Infrequently, muscle cramps and spasms, rigid/stiff muscles, involuntary movements, akathisia, slowed reaction time. Rarely, tingling of limbs, stiff neck, rigidity of jaw, ataxia. Autonomic: Dry mouth, sweating/clamminess, blurred vision, constipation. Infrequently, urinary frequency, retention and burning, flushing. Cardiovascular: Tachycardia, chest pain, palpitations. Infrequently, syncope, hypotension, hypertension. Rarely, congestive heart failure, cerebrovascular accident, myocardial infarction, cardiomyopathy, bradycardia, EKG change. Gastrointestinal: Nausea, gastrointestinal distress, diarrhea, vomiting. Infrequently, flatulence, increased appetite, anorexia, hypersalivation, rectal bleeding, irritable colon. Rarely, burning tongue. Respiratory: Nasal congestion. Infrequently, shortness of breath, chest congestion, difficulty breathing, hyperventilation. Rarely, epistaxis. Endocrine: Infrequently, decreased and increased libido, weight gain, weight loss, menstrual irregularity/breakthrough bleeding. Rarely, delayed ejaculation, impotence, galactorrhea, amenorrhea, thyroid abnormality. Allergic or Toxic: Skin rash, sore throat. Infrequently, edema/facial edema, pruritus, chills/fever. Rarely, photophobia, erythema, flu-like symptoms. Clinical Laboratory: Infrequently, increases in liver enzymes. Rarely, eosinophilia, leukopenia, thrombocytopenia. Miscellaneous: Tinnitus, muscle aches/pains. Infrequently, redness/itching of eyes, altered taste/smell, roaring sensation in head, malaise, easy bruising, dry skin, arthralgia, blisters, hair loss. Rarely, acne, thinning of nails, sore eyes, inner ear abnormality, pressure on eyes, nocturia, enuresis, hiccups, voice loss, alcohol abuse. Post Introduction Clinical Experience: Post-marketing experience in the US has shown an adverse experience profile similar to that given above. Additional reports have included rare occurrences of allergic reaction, cogwheel rigidity, dystonic reaction, ecchymosis, emotional lability and tunnel vision. Because of the uncontrolled nature of these spontaneous reports, a causal relationship to buspirone treatment has not been determined.

Storage
Store Buspirone as indicated on the label.

Butalbital

Uses
Butalbital (Generic Fioricet) is a pain reliever and relaxant, and used to treat tension headaches. Butalbital is an active ingredient in Fioricet. It is sold for headach relief as a generic form of Fioricet. The breakdown of ingredients is: 50mg Butalbital - 325mg Acetaminophen - 40mg Caffeine. Butalbital belongs to the group of medicines called barbiturates. Barbiturates act in the central nervous system (CNS) to produce their effects.

How To Use
Take this medicine only as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. This medicine will relieve a headache best if you take it as soon as the headache begins. If you get warning signs of a migraine, take this medicine as soon as you are sure that the migraine is coming. This may even stop the headache pain from occurring. Lying down in a quiet, dark room for a while after taking the medicine also helps to relieve headaches.

Side Effects
Butalbital may cause some people to become drowsy, dizzy, or lightheaded. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert and clearheaded. Check with your doctor in case Butalbital no longer works to the same extent as it used to, which may indicate that you may be in danger of becoming dependent on this medicine. Do not try to get pain relief simply by increasing the dose. If you have headaches more often than you did before starting to take this medicine, see your doctor. Check with your doctor immediately if any of the following side effects occur, especially if several of them occur together. Rare cases: bleeding or crusting sores on lips; chest pain; fever with or without chills; hive-like swellings (large) on eyelids, face, lips, and/or tongue ; muscle cramps or pain; red, thickened, or scaly skin; shortness of breath, troubled breathing, tightness in chest, or wheezing; skin rash, itching, or hives; sores, ulcers, or white spots in mouth (painful); sore throat. Check with your doctor as soon as possible if any of the following side effects occur. Less commonly: Confusion (mild), mental depression, unusual excitement (mild); Rarely: Bloody or black/tarry stools, bloody urine, pinpoint red spots on skin, swollen or painful glands, unusual bleeding or bruising, unusual tiredness or weakness (mild). Symptoms of overdose include: Anxiety, confusion, excitement, irritability, nervousness, restlessness, diarrhea, especially if occurring together with increased sweating, loss of appetite, and stomach cramps or pain, dizziness, lightheadedness, drowsiness, or weakness, hallucinations (seeing, hearing, or feeling things that are not there), insomnia, nausea or vomiting, sometimes with blood; ringing or other sounds in ears (for products containing caffeine), seeing flashes of zig-zag lights (for products containing caffeine), shortness of breath or unusually slow or troubled breathing, changes in heartbeat (slow, fast or irregular), slurred speech, staggering, swelling, pain, or tenderness in the upper abdomen or stomach area, unusual movements of the eyes.

Precautions
Barbiturates such as butalbital have been shown to increase the chance of birth defects in humans. Also, one study in humans has suggested that barbiturates taken during pregnancy may increase the chance of brain tumors in the baby. Butalbital may cause breathing problems in the newborn baby if taken just before or during delivery. Although studies on birth defects with acetaminophen have not been done in pregnant women, it has not been reported to cause birth defects or other problems.

Storage
Keep out of the reach of children. Overdose is especially dangerous in young children. Store away from heat and direct light. Do not store this medicine in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the medicine to break down. Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children.

Celebrex

Uses
Celebrex is a nonsteroidal anti-inflammatory drug (NSAID) which relieves pain and inflammation (swelling). It is used to treat pain, swelling and stiffness due to arthritis.

How To Use
Take by mouth, generally once or twice daily, as directed by your doctor. To decrease the chance of stomach upset, Celebrex is best taken with food. Dosage is based on your medical condition and response to therapy.Take Celebrex with 6 to 8 ounces (180-240ml) of water.Do not lie down for at least 30 minutes after taking Celebrex.

Side Effects
Stomach upset, diarrhea, gas or nausea may occur. If these effects persist or worsen, notify your doctor promptly.Very unlikely but report promptly: unusual fatigue, yellowing eyes or skin, severe headache, unexplained weight gain, change in amount of urine.If you notice any of the following unlikely but very serious side effects, stop taking Celebrex and consult your doctor or pharmacist immediately: black stools, persistent stomach/abdominal pain, vomit that looks like coffee grounds.In the unlikely event you have an allergic reaction to Celebrex, seek immediate medical attention. Symptoms of an allergic reaction include rash, itching, swelling, dizziness or trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions
Tell your doctor your medical history, including: allergies (especially allergies to drugs such as sulfas or NSAID like ibuprofen), kidney problems, liver problems, heart disease, alcohol use, high blood pressure, swelling (edema), blood disorders (anemia), serious infections, stomach problems (bleeding or ulcers), asthma, growths in the nose (nasal polyps). Celebrex may cause stomach bleeding. Daily use of alcohol, especially when combined with Celebrex, may increase your risk for stomach bleeding. Check with your doctor or pharmacist for more information. Celebrex should be used only when clearly needed during the first 3 months of pregnancy. It is not recommended for use during the last 6 months of pregnancy. Discuss the risks and benefits with your doctor.It is not known whether Celebrex is excreted into breast milk. Due to the potential risk to the infant, breast-feeding while using Celebrex is not recommended. Consult your doctor before breast-feeding.Caution is advised when Celebrex is used in the elderly, as they may be more sensitive to the side effects of Celebrex.

Overdose
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include severe stomach pain, coffee ground-like vomit, dark stool, ringing in the ears, change in amount of urine, unusually fast or slow heartbeat, muscle weakness, slow or shallow breathing, confusion, severe headache or loss of consciousness.

Notes
Do not share Celebrex with others.Laboratory and/or medical tests may be performed to monitor your progress.

Storage
Store at room temperature between 59 and 86 degrees F(15 - 30 degrees C) away from light and moisture.

Celexa

Uses
Celexa (Citalopram) is used to treat depression. Celexa works by helping to restore the balance of certain natural chemicals in the brain.

How To Use
Take Celexa by mouth usually once daily, with or without food; or as directed by your doctor. The dosage is based on your medical condition and response to therapy. It is important to continue taking Celexa as prescribed even if you feel well. Also, do not stop taking Celexa without consulting your doctor. It may take up to several weeks before the full benefit of Celexa takes effect.

Side Effects
Nausea, drowsiness, diarrhea, trouble sleeping, upset stomach, or dry mouth may occur. If any of these effects persist or worsen, notify your doctor promptly. Tell your doctor immediately if any of these serious side effects occur: vomiting, loss of appetite, unusual or severe mental/mood changes, increased sweating/flushing, unusual fatigue, uncontrolled movements (tremor). Tell your doctor immediately if any of these unlikely but serious side effects occur: blurred vision, stomach pain, fever, joint pain, muscle pain, unusually fast heartbeat, decreased interest in sex, changes in sexual ability, change in amount of urine. Tell your doctor immediately if any of these highly unlikelybut very serious side effects occur: weight changes, taste changes, changes in menstrual period, unusual swelling of the hands/feet/face, seizures, painful and/or prolonged erection. If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions
Tell your doctor your medical history, especially of: liver problems, kidney problems, seizures, heart problems, other mental/mood disorders (e.g., bipolar disorder), thyroid problems, any allergies. Celexa may make you dizzy or drowsy; use caution engaging in activities requiring alertness such as driving or using machinery. Limit alcoholic beverages. Caution is advised when using this product in the elderly because they may be more sensitive to the effects of the drug. Celexa should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. Celexa passes into breast milk. Because of the potential risk to the infant, breast-feeding while using Celexa is not recommended. Consult your doctor before breast-feeding.

Overdose
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include: irregular heartbeat, fainting, severe dizziness or lightheadedness.

Notes
Do not share Celexa with others. Laboratory and/or medical tests may be performed to monitor your progress.

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 at room temperature between 59 and 86 degrees F (15 and 30 degrees C) away from light and moisture.

Cialis

Uses
Cialis is a new drug from Eli Lilly and Company to treat erectile dysfunction. Cialis acts in the same way as Viagra, by blocking an enzyme called phosphodiesterase -5, or PDE-5. This helps the smooth muscles in the penis to relax, which effectively increases blood flow. Thus, allowing the penis to become and stay harder longer.

How To Use
Cialis can be taken with our without food and should not be taken more than once every 24 hours. For most men Cialis begins working within 30 minutes and can last up to 36 hours.

Side Effects
Possible side effects include headache, flushing, upset stomach, stuffy nose, urinary tract infection, diarrhea, and visual changes such as mild and temporary changes in blue/green colors or increased sensitivity to light.

Drug Interactions
Tell your online doctor of all nonprescription and prescription medication you may use, especially any nitrate medications (e.g., nitroglycerin, isosorbide dinitrate), nitroprusside, (any "nitric oxide donor" medicines), cimetidine, erythromycin, azole antifungals (e.g., itraconazole, ketoconazole), mibefradil, rifamycins (e.g., rifampin), high blood presure medicine or alpha blocker medicineslike Hytrin (terazosin), Cardura (doxasosin), and Flomax."

Storage
Cialis storage-Store Cialis at room temperature between 59 and 89 degrees F and keep away from light and moisture.

Clarinex

Uses
Clarinex(desloratadine) is an antihistamine drug, and used to treat symptoms of hay fever (seasonal allergic rhinitis) and relieve itching due to hives in patient with recurrent hives. These symptoms include sneezing, runny nose, and red/tearing/itch eyes. Clarinex is to be used for patients older than 12. This drug may cause less drowsiness than other antihistamines.

How To Use
Clarinex can be taken with or without food. Take it exactly as directed.

Side Effects
Usually side effects are not expected. If side effects does develop, immediately consult your doctor who can determine if Clarinex is safe for you. Some of the possible side effects of Clarinex includes pharyngitis (sore throat), dry mouth, sleepiness, flu-like symptoms, nausea, muscle pain, and fatigue. Rare case side effects are: acute allergic reaction, hives, itching, rapid heartbeat, shortness in breath, rash, and swelling.

Precautions
Tell you doctor if you have or had liver problems or kidney problems. Tell your doctor if you are pregnant, or breast feeding, or if you plan to be pregnant. Tell your doctor about the medications or vitamin supplements you are currently taking. Do not increase the dose of this drug, or take it more than once a day. Higher dose will not increase the effectiveness on hay fever, but may only cause drowsiness. Clarinex should not be used for children under age 12.

Missed Dose
If a dose is missed, use/give it as soon as possible. If several hours have passed or if it is nearing time for the next dose, do not double the dose to catch up, unless advised by your doctor.

Storage
Store Clarinex in the container it came in, tightly closed. Keep it out of the reach of children. Store at room temperature, away form heat and moisture.

Claritin D

Uses
Claritin_D is used to relieve symptoms of seasonal allergies and hives in adults and children 12 years of age and older.

Side Effects
Every medicine can cause side effects, but many people have no, or minor, side effects. Tell your doctor or pharmacist if any of the following occurs: Headache; tiredness; dry mouth.

Precautions
Before using Claritin D, tell your health care provider about any of the following: if you are pregnant, plan on becoming pregnant, or breastfeeding; if you are taking any prescription or nonprescription medicine; if you have any other medical condition.

Drug Interactions
Do not take Claritin D if you are allergic to any ingredient in Claritin D

Overdose
Contact doctor or pharmacist immediately.

Notes
If you have any questions about your medicine, please talk with your doctor, pharmacist, or health care provider.

Missed Dose
If a dose is missed, take it as soon as possible. If several hours have passed or if it is nearing time for the next dose, do not double the dose to catch up, unless advised by your doctor. If more than one dose is missed, contact your doctor or pharmacist.

Storage
Store between 36 and 86 degrees F.

Cleocin T

Uses
Cleocin-T hydrochloride or Clindamycin is an antibiotic used to treat acne. Clindamycin is an antiparasitic drug used in combination with pyrimethamine for maintenance treatment of toxoplasmosis. Clindamycin is used for treatment of skin infections, respiratory tract infections, septicemia, abdominal infections, gynecologic infections, and topical treatment of severe acne.

How to use
Use Cleocin-T exactly as exactly as prescribed. Excessive use of Cleocin T can cause your skin to become too dry or irritated.

Precautions
It is important that your doctor check your progress at regular visits. If your symptoms do not improve within a few days, or if they become worse, check with your doctor. In some patients, clindamycin may cause diarrhea.

Side Effects
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 Cleocin T. More common side effects may include: burning, itching, peeling skin, reddened skin, skin dryness. Less common or rare side effects may include: bbdominal pain, bloody diarrhea, colitis, diarrhea, oily skin, skin inflammation and irritation, stomach and intestinal disturbances.

Storage
Keep out of the reach of children. Store at room temperature. Keep from freezing. Store liquids in tightly closed containers. Store away from heat and direct light. Do not store the capsule form of this medicine in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the medicine to break down. Do not refrigerate the oral liquid form of clindamycin. If chilled, the liquid may thicken and be difficult to pour. Follow the directions on the label. Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children.

Condylox

Uses
Condylox Gel 0.5% or Solution 0.5% is indicated for the topical treatment of anogenital warts (external genital warts and perianal warts.

How To Use
Use it exactly as the doctor prescribed it. Condylox is to be applied twice each day for 3 consecutive days, followed by 4 days without treatment. It is recommended that no more than 10 cm of wart tissue and no more than 0.5 ml of the solution should be used in a day. This cycle is repeated at weekly intervals for a maximum of 4 weeks.

Side Effects
The most common side effects include inflammation, burning, pain, itching or bleeding. Talk with your doctor or pharmacist if any of these occur and become uncomfortable or intolerable.

Precautions
Notify your doctor or pharmacist if you have difficulty breathing, closing of your throat, swelling of your lips, swelling of your tongue, swelling of your face, rash, an irregular heartbeat, or seizures. Only use this product externally. Do not give your medication to others.

Notes
Keep away from children and throw away any unused drug after the expiration date. Wash hands before and after application of medication.

Missed Dose
If you miss a dose, take it when you realize it. If it’s almost time for the next dose, skip the missed dose. Do not take a double dose to catch up.

Storage
Store CONDYLOX® at room temperature away from moisture.

Cyclobenzaprine

Uses
Treats pain and stiffness of muscle spasms. Belongs to a class of drugs called muscle relaxants.

Side Effects
Call your doctor right away if you have any of these side effects: Trouble breathing Fever Severe weakness Changes in vision Swelling Skin rash If you have problems with these less serious side effects, talk with your doctor. Drowsiness Dizziness Headache Irritability Trouble sleeping

Precautions
Do not use within 14 days after discontinuing MAOI9s.

Missed Dose
If you miss a dose of Cyclobenzaprine and remember within an hour or so of the missed dose, take it right away. If you do not remember until later, skip the missed dose and go back to your regular dosing schedule. You should not use two doses at one time.

Storage
Your doctor will tell you how much medicine to take and how often. Keep all medicine away from children.

Denavir

Uses
Denavir is for the treatment of recurring herpes (cold sores)in adults.

Side Effects
Every medicine can cause side effects, but many people have no, or minor, side effects. Tell your health care provider or pharmacist if any of the following occurs: Headache, initiation at the site of application.

Precautions
Before using Denavir, tell your health care provider about any of the following: if you are pregnant, plan on becoming pregnant, or breastfeeding; if you are taking any prescription or nonprescription medicine; if you have any other medical condition

Notes
If you have any questions about your medicine, please talk with your doctor, pharmacist, or health care provider

Missed Dose
If a dose is missed, take it as soon as possible. If several hours have passed or if it is nearing time for the next dose, do not double the dose to catch up, unless advised by your health care provider. If more than one dose is missed, contact your health care provider or pharmacist.

Storage
Store at or below 86 degrees F. Do not freeze.

Diclofenac

Uses
Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID) used to treat minor aches and pains associated with the common cold, headache, muscle aches, backache, and arthritis. It may also be used to reduce fever. Diclofenac works by blocking the enzyme in your body that makes prostaglandins. Decreasing prostaglandins helps to reduce pain, swelling, and fever.

How To Use
Follow the directions for using Diclofenac provided by your doctor. SWALLOW WHOLE. Do not break, crush, or chew before swallowing. TAKE THIS MEDICINE WITH A FULL GLASS OF water. Diclofenac may be taken with food to prevent stomach upset. STORE THIS MEDICINE at room temperature, away from heat and light. IF YOU MISS A DOSE OF THIS MEDICINE, 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.

Side Effects
SIDE EFFECTS, that may go away during treatment, include nausea, vomiting, diarrhea, gas, constipation, indigestion, dizziness, drowsiness, or headache. If they continue or are bothersome, check with your doctor. CHECK WITH YOUR DOCTOR AS SOON AS POSSIBLE if you experience swelling of hands or ankles, ringing in ears, fatigue, itching, yellow eyes or skin, flu symptoms. CONTACT YOUR DOCTOR IMMEDIATELY if you experience swelling of hands, face, lips, eyes, throat, or tongue; difficulty swallowing or breathing; or hoarseness. CONTACT YOUR DOCTOR IMMEDIATELY AND STOP TAKING THIS MEDICINE if you notice any of the following unlikely but very serious side effects: black stools, persistent stomach/abdominal pain, or vomit that looks like coffee grounds. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

Drug Interactions
Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Use our drug interaction checker to find out if your medicines interact with each other.

Overdose
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include vomiting and loss of consciousness.

Diflucan

Uses
Diflucan is used to treat certain yeast infections of the mouth and throat, the urinary tract, vagina, the lining of the stomach and pelvis, and to treat pneumonia. It may be prescribed for other reasons.

Side Effects
Every medicine can cause side effects, but many people have no, or minor, side effects. Tell your doctor or pharmacist if any of the following occurs: Liver damage; severe allergic reaction; scaly, red skin over a large portion of the body. Headache; nausea; stomach pain; diarrhea.

Precautions
Use of Diflucan has been associated with rare cases of serious liver damage, including deaths mainly in patients with serious medical conditions. Fluconazole-associated liver damage has not been attributed to total daily dose, length of therapy, or sex or age of the patient. This type of liver damage has usually, but not always been reversible when Diflucan was stopped. Lab tests to check Diflucan's effects on your liver will be needed.Before using Diflucan, tell your health care provider about any of the following: if you are pregnant or plan to become pregnant; if you are taking, will be taking or stop taking any prescription or nonprescription medicine; if you have any other medical conditions

Notes
If you have any questions about your medicine, please talk with your doctor, pharmacist, or health care provider.

Storage
Store between 41 to 86 degrees F.

Effexor XR

Uses
Effexor XR is used to treat depression.

How To Use
How much medicine you take and how often you take it depends on many factors, including the condition being treated and the age and weight of the patient. If you have any questions about the amount and/or frequency of the medicine you are taking, talk with your health care provider. Swallow capsules whole. Do not chew, crush, divide, or place the capsule in water before taking. Effexor XR may lessen your ability to judge, think, or handle complex motor skills. Use caution when driving or performing other tasks requiring alertness, coordination, or physical dexterity. Dizziness or lightheadedness can occur when rising from a seated or lying position. If this occurs, sit or lie down and avoid sudden changes in posture. Notify your doctor if a rash, hives or any sign of allergy develops. Avoid alcohol while taking Effexor XR. Have your blood pressure checked regularly. Do not stop taking Effexor XR suddenly. The stopping of using Effexor XR should be done gradually. At least 14 days should pass between stopping the use of a monoamine oxidase inhibitor and the starting of Effexor XR. In addition, at least 7 days should pass after stopping Effexor XR before starting a monoamine oxidase inhibitor. Do not take more medicine than prescribed unless advised to do so by your doctor or health care provider. Patients with previous medical conditions should talk with their health care provider before taking Effexor XR. Do not take any other over-the-counter or prescription medicines without talking with your doctor.

Side Effects
Every medicine can cause side effects, but many people have no, or minor, side effects. Tell your doctor or pharmacist if any of the following occurs: Seizure. Nausea; drowsiness; dizziness. Chest pain; fast heartbeat; itching; decreased sex drive; agitation;confusion; abnormal thinking; personality changes; depression; impaired urination;twitching; menstrual disorder; impotence; headache; dry mouth; sleeplessness;constipation; nervousness; weakness; sweating; abnormal ejaculation/orgasm;appetite/weight loss; diarrhea; anxiety; blurred vision; vomiting; shakiness;abnormal dreams; chills; sore throat; indigestion; gas; muscle stiffness;abnormal skin sensations; mood changes; flushing; rash; yawn; taste change;ringing in the ears.

Precautions
Before using Effexor XR, tell your health care provider about any of the following: if you are pregnant, plan on becoming pregnant, or breastfeeding; if you are taking or planning to take any prescription or nonprescription medicine; if you have any other medical condition

Overdose
Call doctor or pharmacist immediately.

Notes
If you have any questions about your medicine, please talk with your doctor, pharmacist, or health care provider.

Storage
Store capsules between 68 to 77 degrees F. Protect from moisture.

Esgic Plus

Uses
Esgic Plus is an analgesic, barbiturate, and stimulant combination used to treat tension headaches.

How To Use
Follow the directions for using Esgic Plus provided by your doctor. STORE THIS MEDICINE at room temperature in a tightly-closed container, away from heat and light. IF YOU MISS A DOSE OF THIS MEDICINE and you are using it regularly, 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.

Side Effects
SIDE EFFECTS, that may go away during treatment, include drowsiness, dizziness, lightheadedness, or nausea. If they continue or are bothersome, check with your doctor. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

Precautions
DO NOT EXCEED THE RECOMMENDED DOSE or take Esgic Plus for longer than prescribed without checking with your doctor. Exceeding the recommended dose or taking Esgic Plus for longer than prescribed may be habit-forming. AVOID ALCOHOL while you are using Esgic Plus. Esgic Plus will add to the effects of alcohol and other depressants. DO NOT DRIVE, OPERATE MACHINERY, OR DO ANYTHING ELSE THAT COULD BE DANGEROUS until you know how you react to Esgic Plus. Using Esgic Plus alone, with other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks. THIS MEDICINE CONTAINS ACETAMINOPHEN. Do not take additional acetaminophen for pain or fever without checking with your doctor or pharmacist. Ask your pharmacist if you have questions about which medicines contain acetaminophen. Acetaminophen may cause liver damage. If you drink alcohol on a daily basis, do not take Esgic Plus without first discussing it with your doctor. Alcohol use combined with acetaminophen may increase your risk for liver damage. Pain medications work best if they are used as the first signs of pain (or first signs of migraine) occur. If you wait until the pain has significantly worsened, the pain medicine may not work as well. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. FOR WOMEN TAKING BIRTH CONTROL PILLS: Esgic Plus may decrease the effectiveness of your birth control pills. To prevent pregnancy, use an additional form of birth control while you are taking Esgic Plus. IF YOU PLAN ON BECOMING PREGNANT, discuss with your doctor the benefits and risks of using Esgic Plus during pregnancy. THIS MEDICINE IS EXCRETED IN BREAST MILK. DO NOT BREAST-FEED while taking Esgic Plus.

Overdose
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include vomiting, excessive sweating, dark urine, stomach pain, extreme fatigue, unusual drowsiness or dizziness, lack of feeling alert, slow or shallow breathing, cold or clammy skin, and loss of consciousness.

Notes
IF YOUR HEADACHE SYMPTOMS do not improve or if they become worse, contact your doctor. DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain refills before your supply runs out.

Evista

Uses
Evista is used to prevent osteoporosis (brittle bones) in postmenopausal women.

How To Use
How much medicine you take and how often you take it depends on many factors, including the condition being treated and the age and weight of the patient. If you have any questions about the amount and/or frequency of the medicine you are taking, talk with your health care provider. Evista may be taken any time of the day with or without food. Stop taking Evista 72 hours before and during prolonged immobilization such as postsurgical recovery and prolonged bed rest. Avoid prolonged restriction of movement during travel because of increased blood-clotting risk.Evista does not reduce hot flashes or flushes associated with estrogen deficiency. Hot flashes may occur upon beginning therapy. Take additional calcium and vitamin D if daily dietary intake is inadequate. Consider weight-bearing exercise and reduction of cigarette smoking and alcohol consumption. Evista should not be taken if you have not gone through menopause. Evista may cause an increased risk of blood clots, especially during the first 4 months of treatment. Read the package insert before beginning Evista and re-read upon prescription renewal. Do not stop or change the amount of medicine you are taking unless advised to do so by your health care provider. Patients with other medical conditions should talk with their health care provider before taking Evista. Do not take any other over-the-counter or prescription medications or dietary supplements without talking with your doctor.

Side Effects
Every medicine can cause side effects, but many people have no, or minor, side effects. Tell your health care provider if any of the following occurs: Common: Hot flashes; leg cramps; infection; flu syndrome; chest pain; fever;migraine; nausea; indigestion; vomiting; gas; gastrointestinal disorders;stomach ache; weight gain; swelling of the hands or feet; joint pain; muscle pain; depression; sleeplessness; sinus inflammation; sore throat; increased cough; laryngitis; rash; sweating; vaginal inflammation; urinary tract infection;bladder inflammation; vaginal discharge; breast pain; vaginal bleeding.

Precautions
Before using Evista, tell your health care provider about any of the following: if you are taking any prescription medicine, especially estrogen replacement therapy, or nonprescription medicine or dietary supplements; if you have any other medical conditions (eg, congestive heart failure, cancer)

Drug Interactions
o not take Evista if you are allergic to any ingredient in Evista; you are pregnant, planning to become pregnant, or breastfeeding; you have a history of blood clots in the legs, lungs, or eyes; you are going to be bedridden or immobile; you have not gone through menopause ; you are taking estrogen

Overdose
Contact your health care provider at once if you feel you have taken or given too much of Evista

Notes
If you have any questions about Evista, please talk with your doctor, pharmacist, or health care provider.

Missed Dose
If a dose is missed, take or give it as soon as possible. If several hours have passed or if it is nearing time for the next dose, do not double the dose to catch up, unless advised by your doctor. If more than one dose is missed, restart medication and advise your doctor or pharmacist at your next visit.

Storage
Store at room temperature (59 to 86 degrees F).

Famvir

Uses
Famvir is an antiviral used to treat herpes zoster (shingles) and genital herpes. It may also be used to treat other conditions as determined by your doctor.

How To Use
Follow the directions for using Famvir provided by your doctor. Famvir may be taken on an empty stomach or with food. TO CLEAR UP YOUR INFECTION COMPLETELY, continue taking Famvir for the full course of treatment, even if you feel better in a few days. Do not miss any doses. IF YOU MISS A DOSE OF THIS MEDICINE, 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.

Side Effects
SIDE EFFECTS, that may go away during treatment, include headache, nausea, vomiting, diarrhea, or tiredness. If they continue or are bothersome, check with your doctor. CONTACT YOUR DOCTOR IMMEDIATELY if you experience hallucinations, disorientation, or confusion. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

Precautions
If your symptoms do not improve within a few days or if they become worse, check with your doctor. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. IT IS UNKNOWN IF THIS DRUG IS EXCRETED in breast milk. DO NOT BREAST-FEED while taking Famvir.

Overdose
If overdose is suspected, contact your local poison control center or emergency room immediately.

Notes
DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain refills before your supply runs out.

Fioricet

Uses
Fioricet is a pain reliever and sedative. It is used to relieve mild to moderate pain and tension headaches.

How To Use
To prevent upset stomach, take Fioricet with food or milk. Pain medications work best in preventing pain before it occurs. Once the pain becomes intense, the medication is not as effective in relieving it. Take this as prescribed. Do not increase your dose or take it more frequently without your doctor's approval.

Side Effects
May cause lightheadedness, dizziness, drowsiness, stomach upset, nausea, and sleeping disturbances the first few days as your body adjusts to the medication. If these symptoms persist or become bothersome, inform your doctor. Notify your doctor immediately if you develop: a rapid/ irregular heartbeat. An allergic reaction to Fioricet is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching, swelling, severe dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions
Tell your doctor your medical history, especially of: serious liver disease, alcohol or narcotic dependence, emotional/mental conditions, heart disease (arrhythmias, recent MI), stomach/intestinal ulcers, any allergies. Acetaminophen may cause liver damage. Daily use of alcohol, especially when combined with acetaminophen, may increase your risk for liver damage. Check with your doctor or pharmacist for more information. To prevent oversedation, avoid using alcohol and other sedative type medications while taking this. Fioricet may make you dizzy or drowsy; use caution engaging in activities requiring alertness such as driving or using machinery. Avoid alcoholic beverages. Fioricet contains caffeine. Avoid drinking large amounts of caffeinated beverages while taking Fioricet as excessive nervousness and irritability can occur. Fioricet should be used during pregnancy only if clearly needed. Small amounts of Fioricet appear in breast milk. Consult your doctor before breast-feeding.

Drug Interactions
Tell your doctor of all prescription and nonprescription drugs you may use, especially of: "blood thinners" Tell your doctor or pharmacist of all prescription and nonprescription drugs you may use that cause drowsiness such as: medicine for sleep (e.g., sedatives), tranquilizers, anti-anxiety drugs (e.g., diazepam), narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., phenothiazines such as chlorpromazine, or tricyclics such as amitriptyline), anti-seizure drugs (e.g., carbamazepine), muscle relaxants, antihistamines that cause drowsiness (e.g., diphenhydramine). Because Fioricet contains acetaminophen, check with your doctor or pharmacist before taking other medications containing acetaminophen which is commonly found in nonprescription pain relievers and cough-and-cold products. Read labels carefully to check ingredients. Fioricet may interfere with the effectiveness of birth control pills. Discuss using other methods of birth control with your doctor. Do not start or stop any medicine without doctor or pharmacist approval.

Overdose
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include vomiting, unusual drowsiness, lack of feeling alert, slow or shallow breathing, cold or clammy skin, loss of consciousness, dark urine, stomach pain, and extreme fatigue.

Notes
Do not share this product with others.

Missed Dose
If you miss a dose, take it as soon as remembered; do not take if it is almost time for the next dose, instead, skip the missed dose and resume your usual dosing schedule. Do not double-up the dose to catch up.

Storage
Store at room temperature away from moisture and sunlight. Do not store in the bathroom.

Flexeril

Uses
Flexeril treats pain and stiffness caused by muscle spasms.

How To Use
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.Unless approved by your doctor, You should not use Flexeril with alcohol, tricyclic antidepressant drugs (e.g., imipramine, desipramine, doxepin, Elavil®, Aventyl®), or medicines like sleeping pills, tranquilizers, antihistamines, narcotic-type pain killers, sedatives, or other muscle relaxants.

Side Effects
Call your doctor right away if you have any of these side effects:Tightness in chest, trouble breathing Swelling of face, tongue, or lips Severe skin rash or hives Fast, pounding or irregular heartbeat Seizures Severe drowsiness, fainting, confusion Not urinating for more than 6 hours

Precautions
Check with your doctor before taking if you have had an unusual reaction to other muscle relaxants or if you have trouble with urination or glaucoma. You should not use more of Flexeril, or take it for longer periods, than your doctor has ordered.

Notes
You should not use Flexeril if you have ever had an allergic reaction to cyclobenzaprine, or if you have an overactive thyroid, heart problems, heart failure, or a recent heart attack. You should not use Flexeril if you have taken an MAO inhibitor such as Nardil®, Parnate® or Marplan® within the past 14 days.

Missed Dose
May be taken as soon as possible. Skip the missed dose if it is almost time for your next dose. You should not use two doses at the same time.

Storage
May be taken on an empty or full stomach. Store at room temperature, away from heat and moisture. Keep all medicine out of reach of children.

Fluoxetine

Uses
Fluoxetine (Prozac), a serotonin-specific antidepressant (mood elevator), is mainly used for the treatment of depression for the patients who do not respond to heterocyclic antidepressants. Fluoxetine is also used to treat other psychological disorders, including OCD (obsessive-compulsive disorder), panic disorder, and antiphobic effects. This drug may also be used in the treatment of bulimia. Fluoxetine is also used to treat alcoholism, some eating disorders, attention-deficit disorders, borderline personality disorders, sleep disorders, headaches, premenstrual syndrome, irregular heartbeat, schizophrenia, Tourette's syndrome, anxiety, and phobias. Talk to your doctor about the possible risks of using this drug for your condition.

How to use
Take Fluoxetine exactly as directed by your doctor.

Precautions
The habit-forming potential for this drug is none. This drug may be taken about six months, up to a year, if proven beneficial. Do not take this drug if you are pregnant, try some non-drug alternatives. Do not take this drug if planning to become pregnant. Do not take if you are breast-feeding. Do not give this drug to children or infants. If over sixty only use drug in small doses and with close monitoring of it's side effects. Do not use if: You had negative reactions to this drug in the past. Inform your Doctor if: You had negative reactions to this drug in the pass. If you have epilepsy. If you have liver or kidney disease. If you are taking any other prescription or nonprescription drug. If you plan to be under anesthesia or having any surgery in the next few months, also if you will be undergoing any medical tests.

Side Effects
Common: Anxiety or nervousness. Rare: Abnormal sweating, change in appetite, constipation, diarrhea, headache, nausea, sedation, seizure, skin rash, stomach cramps, or trouble sleeping. See physician for abnormal sweating, anxiety, change in appetite, headache, nausea, nervousness, seizure, skin rash, stomach cramps, or trouble sleeping. See physician if severe diarrhea, sedation, or constipation develop. Stop taking and see physician immediately in case of seizures or skin rash.

Storage
Store Fluoxetine as indicated in the label.

Fosamax

Uses
Fosamax is a hormone used treat adults with Paget's disease of the bone and osteoporosis in postmenopausal women.

How To Use
Follow the patient instructions provided with the medicine exactly. How much medicine you take and how often you take it depends on many factors, including the condition being treated and the age and weight of the patient. If you have any questions about the amount and/or frequency of the medicine you are taking, talk with your health care provider. Do not stop taking Fosamax without checking with your health care provider. Do not take more medicine than prescribed unless advised to do so by your health care provider. Do not take any other over-the-counter or prescription medications without talking with your doctor. If a dose is missed, take it as soon as possible. If several hours have passed or if it is nearing time for the next dose, do not double the dose to catch up, unless advised by your doctor. If more than one dose is missed, contact your doctor or pharmacist. Patients with previous conditions should talk with their health care provider before taking Fosamax. Take each tablet first thing in the morning with a full glass of water(6 to 8 oz), at least 30 minutes before the first food, beverage or medication of the day. Taking Fosamax with orange juice or coffee can decrease its effectiveness. Do not chew or suck on the tablet. After taking Fosamax, remain upright(sitting/standing)for 30 minutes. Do not lie down until after eating. Do not take at bedtime. Do not take at the same time as other medicines(including aspirin), antacids or calcium supplements. Wait at least one-half hour before taking any other drug.

Side Effects
Every medicine can cause side effects, but many people have no, or minor, side effects. Tell your doctor or pharmacist if any of the following occurs: Common: Abdominal pain;nausea;upset stomach;constipation;diarrhea;gas;heartburn;muscle and joint pain;headache;vomiting;bloating;difficulty swallowing.

Precautions
Before using Fosamax, tell your health care provider about any of the following: if you are pregnant, plan on becoming pregnant, or breastfeeding; if you are taking any prescription or nonprescription medicine; if you have any other medical conditions

Overdose
Contact your health care provider at once if you feel you have taken too much of Fosamax.

Notes
Contact your doctor if any throat or swallowing problems occur.Do not change the dose or discontinue taking Fosamax unless advised to do so by your health care provider. May cause stomach upset, nausea or diarrhea. Patients should maintain adequate nutrition, particularly an adequate intake of calcium and vitamin D. Supplemental calcium and vitamin D may be required.Avoid cigarette smoking and alcohol, which deplete calcium from bones.Consider weight-bearing exercises to increase to increase the calcium density of bones.

Missed Dose
If a dose is missed, do not take it later in the day. The next day, continue your usual schedule of 1 tablet once a day. Continue use of Fosamax.

Storage
Store at room temperature 59 to 86 degrees F, in a tightly sealed container.

Imitrex

Uses
Imitrex is a cerebral vasoconstrictor used to relieve migraine headache attacks as they occur. It will not prevent or reduce the number of attacks you experience.

How To Use
Use Imitrex exactly as directed by your doctor. THIS MEDICINE COMES WITH A PATIENT INFORMATION LEAFLET. Read it carefully. Ask your doctor, nurse, or pharmacist any questions that you may have about Imitrex before you need to use it for a migraine headache. Imitrex relieves migraine pain at any time during an attack. IT IS BEST TO INJECT A DOSE OF THIS MEDICINE as soon as you notice symptoms of a migraine attack. Be sure to inject each dose just below the skin. Do not use a second dose for the same migraine. If your migraine symptoms come back, a second dose may be used. DO NOT USE MORE THAN 2 doses in 24 hours. Allow at least 1 hour between doses. STORE THIS MEDICINE in the case provided at room temperature. IF YOUR MEDICINE EXPIRES (the expiration date is printed on the treatment pack), throw it away as instructed. Do not throw away the auto-injector.

Imitrex Oral

Uses
Imitrex_Oral is a cerebral vasoconstrictor used to relieve migraine headache attacks as they occur. It will not prevent or reduce the number of attacks you experience.

How To Use
Use Imitrex Oral exactly as directed by your doctor. THIS MEDICINE COMES WITH A PATIENT INFORMATION LEAFLET. Read it carefully. Ask your doctor, nurse, or pharmacist any questions that you may have about Imitrex Oral before you need to use it for a migraine headache. Imitrex Oral relieves migraine pain at any time during an attack. IT IS BEST TO INJECT A DOSE OF THIS MEDICINE as soon as you notice symptoms of a migraine attack. Be sure to inject each dose just below the skin. Do not use a second dose for the same migraine. If your migraine symptoms come back, a second dose may be used. DO NOT USE MORE THAN 2 doses in 24 hours. Allow at least 1 hour between doses. STORE THIS MEDICINE in the case provided at room temperature. IF YOUR MEDICINE EXPIRES (the expiration date is printed on the treatment pack), throw it away as instructed. Do not throw away the auto-injector.

Levitra

Uses
Levitra is used to treat male sexual function problems (erection problems).

How To Use
Levitra is taken by mouth as needed between four hours and one-half hour before sexual activity (about one hour before is most effective). Take only as directed, usually once daily as needed. Ildenafil works along with sexual stimulation to help achieve an erection.

Side Effects
Headache, flushing, stomach upset, nasal stuffiness, diarrhea and dizziness might occur. If these effects persist or worsen, notify your doctor promptly. Unlikely but report promptly: painful or other urination problems, vision problems, skin rash. Very unlikely but report promptly: chest pain, fainting, foot or ankle swelling. If you experience a painful or prolonged erection (lasting longer than 4 hours), stop using Levitra and seek immediate medical attention. If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions
Before using Levitra, tell your doctor your medical history, including: allergies (especially drug allergies), penis conditions such as fibrosis/scarring (e.g., Peyronie's disease), history of painful/prolonged erection (priapism), sickle cell anemia, blood system cancers (such as leukemia or yeloma), eye problems (retina diseases), kidney or liver disease, bleeding disorders, active stomach lcers, heart disease, stroke, very high or low blood pressure. Limit alcohol intake, as it may aggravate side effects of Levitra. Since Levitra may cause dizziness, caution is advised when performing tasks requiring alertness (e.g., driving). To avoid dizziness and lightheadedness when rising from a seated or lying position, get up slowly. Levitra is not to be used in women or children. The elderly may be more sensitive to the side effects of Levitra, therefore caution is advised in this group.

Overdose
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include severe dizziness, fainting, or prolonged erection.

Notes
Do not share Levitra with others, since they may have a problem that is not effectively treated by Levitra. Use of Levitra does not protect against sexually transmitted diseases (e.g., HIV, Hepatitis B, gonorrhea, syphilis).

Missed Dose
Not applicable.

Storage
Store at room temperature between 59 and 86 degrees F

Lexapro

Uses
Lexapro is an anti-depressant from the family of drugs known as selective serotonin reuptake inhibitors or SSRIs. Lexapro helps to restore the brain's chemical balance by increasing the supply of a substance in the brain called serotonin. Lexapro appears to relieve depression by increasing serotonin without affecting many of the other chemicals in the brain that influence mood.

How To Use
Simple 10 mg/day starting dose for all patients. LEXAPRO should be taken once every day. It may be taken with or without food, in the morning or evening. Also remember to fill prescriptions ahead of time to avoid missing a dose. To get the best results, it is important to follow all of your healthcare provider's instructions about how and when you should take LEXAPRO.

Side Effects
LEXAPRO is well tolerated by most people. The most commonly reported side effects of LEXAPRO are nausea, insomnia, problems with ejaculation, drowsiness, increased sweating, and fatigue. Most of the side effects experienced by patients taking LEXAPRO are mild and go away with continued treatment, and usually do not cause patients to stop taking LEXAPRO.

Precautions
LEXAPRO can be taken with most other medications except another family of antidepressants called monoamine oxidase inhibitors (MAOIs). LEXAPRO and MAOIs should not be taken together or within 14 days of each other. Before you begin taking LEXAPRO, make sure to tell your healthcare provider if you are taking any other medications, including over-the-counter medications, herbal remedies, diet supplements, etc.

Overdose
If overdose is suspected, contact your local poison control center or emergency room immediately.

Missed Dose
If you do miss a dose of Lexapro, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage
Keep out of the reach of children. Store away from heat and direct light. Do not store the capsule or tablet form of Lexapro in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the medicine to break down. Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children.

Mircette

Uses
Mircette (desogestrel/ethinyl estradiol and ethinyl estradiol) is a bi-phasic" oral contraceptive pill. Mircette tablets contain the hormones that are delivered in two stages. This combination oral contraceptives act by suppression of gonadotropins, inhibition of ovulation, and changes in the cervical mucus (which increase the difficulty of sperm entry into the uterus) and the endometrium (which reduce the likelihood of implantation).

How to use
To achieve maximum contraceptive effectiveness, Mircette (desogestrel/ethinyl estradiol and ethinyl estradiol) Tablets must be taken exactly as directed and at intervals not exceeding 24 hours. Mircette may be initiated using either a Sunday start or a Day 1 start. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Precautions
Oral contraceptives should not be used in women who currently have the following conditions: thrombophlebitis or thromboembolic disorders, past history of deep vein thrombophlebitis or thromboembolic disorders, cerebral vascular or coronary artery disease, known or suspected carcinoma of the breast, carcinoma of the endometrium or other known or suspected estrogen-dependent neoplasia, undiagnosed abnormal genital bleeding, cholestatic jaundice of pregnancy or jaundice with prior pill use, hepatic adenomas of carcinomas, known or suspected pregnancy. Oral contraceptives may compound the effects of well-known risk factors, such as hypertension, diabetes, hyperlipidemias ,and obesity. In particular, some progestogens are known to decrease HDL cholesterol and cause glucose intolerance, while estrogens may create a state of hyperinsulinism. Oral contraceptives have been shown to increase blood pressure among users. Similar effects on risk factors have been associated with an increased risk of heart disease. Oral contraceptives must be used with caution in women with cardiovascular disease risk factors.

Side Effects
An increased risk of the following serious adverse reactions has been associated with the use of oral contraceptives: thrombophlebitis and venous thrombosis, arterial thromboembolism, pulmonary embolism, myocardial infarction, cerebral hemorrhage, cerebral thrombosis, hypertension, gallbladder disease, and hepatic adenomas or benign liver tumors. The following adverse reactions have been reported in patients receiving oral contraceptives and are believed to be drug-related: nausea, vomiting, gastrointestinal symptoms (such as abdominal cramps and bloating), change in menstrual flow, amenorrhea, temporary infertility after discontinuation of treatment, Edema Melasma which may persist, breast changes: tenderness, enlargement, secretion, Change in weight (increase or decrease), change in cervical erosion and secretion, diminution in lactation when given immediately postpartum, cholestatic jaundice, Migraine Rash (allergic), mental depression, reduced tolerance to carbohydrates, vaginal candidiasis, change in corneal curvature (steepening), intolerance to contact lenses, etc. The following adverse reactions have been reported in users of oral contraceptives and the association has been neither confirmed nor refuted: pre-menstrual syndrome, cataracts, changes in appetite, cystitis-like syndrome, headache, nervousness, dizziness, hirsutism, loss of scalp hair, erythema multiforme, erythema nodosum, hemorrhagic eruption, vaginitis, porphyria, impaired renal function, hemolytic uremic syndrome, acne, changes in libido, colitis, Budd-Chiari Syndrome, effects on menses (increased menstrual cycle regularity, decreased blood loss and decreased incidence of iron deficiency anemia, decreased incidence of dysmenorrhea), effects related to inhibition of ovulation (decreased incidence of functional ovarian cysts, decreased incidence of ectopic pregnancies).

Storage
Store Mircette at room temperature away from moisture and heat.

Nasacort AQ

Uses
Nasacort AQ is used to treat nasal allergy symptoms including itching, runny nose, nasal congestion, and sneezing in patients 6 years of age and older.

How To Use
How much medicine you take and how often you take it depends on many factors, including the condition being treated and the age and weight of the patient. If you have any questions about the amount and/or frequency of the medicine you are taking, talk with your health care provider. Shake Nasacort AQ well before use. Avoid spraying in the eyes. Be sure to throw away Nasacort AQ after the recommended number of sprays because the medicine may not be as effective. Read and follow patient instructions provided with Nasacort AQ. Usual dosage for adults and children is 2 sprays per nostril per day. Effects of Nasacort AQ are not immediate and depend on regular daily use; benefit usually occurs in a week. Clear nasal passages prior to use by blowing nose. If nasal passages are blocked, use a topical decongestant spray to ensure penetration of the spray. Do not use topical spray longer than 3 consecutive days. Nasacort AQ may be used alone, or with a systemic antihistamine or decongestant. Contact your doctor if sores or injuries occur in the nasal passages(eg, nasal surgery, frequent nosebleed). Nasacort AQ may prevent or slow proper healing. Infection of the nose and throat has been linked with long-term use. Such infection may require stopping Nasacort AQ to allow healing. If symptoms do not improve within 3 weeks or worsen, contact your health care provider. After the desired effect is obtained, reduce the maintenance dose to the smallest amount necessary to control the symptoms. Avoid exposure to chickenpox, measles, or other infections; if exposed, contact your health care provider at once. Do not continue therapy beyond 3 weeks if there is no improvement. Report any unusual fever, muscle or joint pain, weakness, hives, sneezing, nasal irritation, depression, or fluid retention to your health care provider. Exams may be necessary while taking Nasacort AQ. Be sure to keep appointments.

Side Effects
Every medicine can cause side effects, but many people have no, or minor, side effects. Tell your doctor or pharmacist if any of the following occurs: Common- Adults and children 12 years of age and older: Headache; dry nasal tissues;nasal congestion; throat discomfort; sneezing; nosebleed. Children 6 to 11 years of age: Nosebleed; cough; fever; nausea; throat discomfort; ear infection;indigestion. Other- Nasal irritation; burning; stinging.

Precautions
Before using Nasacort AQ, tell your health care provider about any of the following: if you are pregnant, plan on becoming pregnant, or breastfeeding; if you are taking any prescription or nonprescription medicine; if you have any other medical condition

Drug Interactions
Do not take Nasacort AQ if you are allergic to any ingredient in Nasacort AQ; you have infections of the nose; you have sores or injuries (eg, nasal surgery, frequent nosebleed) in the nasal passages; you have herpes infection near the eyes; you have tuberculosis.

Notes
If you have any questions about your medicine, please talk with your doctor, pharmacist, or health care provider.

Storage
Store between 68 to 77 degrees F away from heat or open flame.

Nexium

Uses
Nexium is used to decrease the amount of acid produced in the stomach.

How To Use
Take each dose with a full glass (8 ounces) of water. ? Esomeprazole should be taken at least one hour before a meal. Follow your doctor's instructions. ? Do not break or chew the capsules. Swallow them whole. They are specially formulated to release slowly in the body. ? If you have difficulty swallowing the capsules, one tablespoon of applesauce can be added to an empty bowl and the esomeprazole capsule can be opened, and the pellets inside the capsule carefully emptied onto the applesauce. The pellets should be mixed with the applesauce and then swallowed immediately. The applesauce should not be hot and should be soft enough to be swallowed without chewing. The pellets should not be chewed or crushed. The pellet / applesauce mixture should not be stored for later use. ? Do not stop taking esomeprazole even if you begin to feel better. Your symptoms may improve before the condition is fully treated. ? Store esomeprazole at room temperature away from moisture and heat.

Side Effects
If you experience an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives), stop taking esomeprazole and seek emergency medical attention. Other, less serious side effects may be more likely to occur. Continue to take esomeprazole and talk to your doctor if you experience ? headache; ? diarrhea; ? nausea, flatulence, abdominal pain, or constipation; or ? dry mouth. 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.

Precautions
Before taking esomeprazole, tell your doctor if you have ever had any type of liver disease. You may not be able to take esomeprazole, or you may require a dosage adjustment or special monitoring. Esomeprazole is in the FDA pregnancy category B. This means that it is unlikely to harm an unborn baby. Do not take esomeprazole without first talking to your doctor if you are pregnant. It is not known whether esomeprazole passes into breast milk. Do not take esomeprazole without first talking to your doctor if you are breast-feeding a baby. There are no restrictions on food, beverages, or activities while taking esomeprazole, unless otherwise directed by your doctor.

Drug Interactions
Before taking esomeprazole, tell your doctor if you are taking any of the following medicines: ? digoxin (Lanoxin, Lanoxicaps); ? itraconazole (Sporanox) or ketoconazole (Nizoral); or ? iron (Feosol, Mol-Iron, Fergon, Femiron, others). You may not be able to take esomeprazole, 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 esomeprazole. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

Overdose
Seek emergency medical attention. Symptoms of an esomeprazole overdose include drowsiness, shortness of breath, tremor, loss of coordination, and seizures.

Missed Dose
Take the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take only your next regularly scheduled dose. Do not take a double dose of Nexium unless otherwise directed by your doctor.

Ortho Evra Patch

Uses
Ortho_Evra_Patch is a combination hormone patch used to prevent pregnancy. It contains hormones similar to those in birth control pills. The hormones release from the patch slowly over time. Using Ortho Evra Patch patch does not protect you or your partner against HIV or other sexually transmitted diseases (STDs).

How To Use
Review the Patient Information Leaflet. Follow all instructions on how to use Ortho Evra Patch patch and also the best time (during your menstrual cycle) to start using the patch. If any of the information is unclear, consult your doctor or pharmacist. Open the patch container and apply one patch to an area of clean, dry skin on the buttock, abdomen, upper outer arm, or upper body (torso) exactly as directed by your doctor. The patch is worn for 7 days. Do not apply the patch to the breast(s), the area around the breast(s); to red, cut, or irritated skin; or over other topical products (e.g., make-up, creams, lotions, powders). After 7 days, remove the old patch and apply a new patch. Repeat this weekly cycle for 3 weeks (3 patches equal 1 cycle). After your third patch is removed, you will have one week without using the patch. Your menstrual cycle (period) usually should start during the week when you do not use the patch. If your menstrual cycle (period) does not begin during this week, consult your doctor. After your 4th week, begin a new patch cycle, even if you still are experiencing some bleeding (still having your period). Do not go longer than 7 days without a patch. Doing so may make Ortho Evra Patch less effective. If the medication patch accidentally comes off, is removed, or if it becomes detached, apply a new patch. If it is detached or comes off for longer than 24 hours, or if you are not sure how long the patch has been detached or removed, use additional forms of birth control (e.g., condoms, spermicide) for at least 7 days and continue with the same cycle. After removing each patch, fold the patch in half so it sticks to itself and discard it in a trash container. Do not discard or flush the patches down a toilet. If you weigh more than 198 pounds (90 kg), this patch may not work as well for you. Make sure your doctor knows your current weight and ask about which form of birth control is best for you. If any of this information is unclear, consult the Patient Information Leaflet or your doctor or pharmacist.

Side Effects
Nausea, vomiting, headache, redness or itching at the patch application site, dizziness, breast tenderness, vaginal discomfort/irritation, or stomach cramping/bloating may occur. If any of these effects persist or worsen, notify your doctor. Promptly tell your doctor if any of these side effects occur: dark patches on the skin (melasma), change in appetite, weight changes (gain or loss), problem wearing contact lenses. Tell your doctor immediately if any of these serious side effects occur: unusual vaginal discharge, changes in vaginal bleeding (e.g., spotting, breakthrough bleeding, prolonged or complete stoppage of bleeding), swelling, severe headache, mental/mood changes. Tell your doctor immediately if any of these unlikely but serious side effects occur: pain in the groin or lower legs, trouble breathing, rash, chest pain, stomach pain, vision or eye problems. Tell your doctor immediately if any of these highly unlikely but very serious side effects occur: yellowing eyes or skin, dark urine, one-sided weakness, numbness in the arms/legs, lumps in the breast. If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions
Ortho Evra Patch is not recommended for use if you have the following medical conditions: blood circulation problems (e.g., history of blood clots in the legs or groin), history of heart disease or stroke, severe high blood pressure, diabetes (especially affecting the circulation), severe headaches, recent major surgery, long periods of sitting or lying down (e.g., immobility such as being bedridden), liver problems, history of yellowing eyes and skin (jaundice) during pregnancy or while using birth control pills, cancer (especially endometrial or breast cancer), undiagnosed abnormal vaginal bleeding, currently pregnant, heavy tobacco use (if 35 years old or greater). Tell your doctor your medical history, especially of: high cholesterol or triglyceride (fat) levels, depression, high blood pressure, gallbladder problems, thyroid problems, any allergies. Do not smoke cigarettes. Hormonal birth control (e.g., pills, injections, devices) products combined with smoking cigarettes significantly increase your risk for strokes, blood clots, high blood pressure, and heart attacks; especially in women older than 35 years of age. Ask your doctor or pharmacist or consult the patient information leaflet that comes with this product for more details. Before having surgery, including dental surgery, tell the doctor(s) that you are using this product. The drugs in this patch may cause blotchy, dark areas on your skin (melasma) and sunlight may intensify this effect. If this occurs, avoid prolonged sun exposure, use a sunscreen, and wear protective clothing when outdoors. If you are near-sighted or wear contact lenses, you may develop vision problems or may have problems wearing your contact lenses. Contact your eye doctor if these problems occur. Ortho Evra Patch device must not be used in pregnancy. If you become pregnant or think you may be pregnant, inform your doctor immediately. The medication from this patch passes into breast milk and may have undesirable effects on the nursing infant. Consult your doctor before breast-feeding.

Drug Interactions
Tell your doctor of all prescription and nonprescription medication you may use, especially: anti-seizure medicine (e.g., carbamazepine, felbamate, phenobarbital, phenytoin, topiramate), certain antibiotics (e.g., ampicillin, erythromycin), HIV protease inhibitors (e.g., indinavir, ritonavir), phenylbutazone, griseofulvin, atorvastatin, azole antifungals (e.g., itraconazole, ketoconazole), rifampin, St John's wort, cyclosporine, temazepam, prednisolone, morphine, theophylline, ascorbic acid (vitamin C), acetaminophen, aspirin, clofibric acid, modafinil, troglitazone. This product can affect the results of certain lab tests (e.g., blood tests such as glucose, clotting factors, or thyroid). Make sure laboratory personnel and your doctors know you use this product. Do not start or stop any medicine without doctor or pharmacist approval.

Overdose
Overdose with this product is highly unlikely. If overdose is suspected, remove the patch (or patches) and contact your local poison control center or emergency room immediately. Ortho Evra Patch device may be harmful if swallowed. Symptoms of overdose may include: severe nausea, vomiting, unusual vaginal bleeding or irregular menstrual periods.

Notes
Do not share Ortho Evra Patch patch with others. Keep all appointments with your doctor and when having laboratory tests performed. You should have a complete physical exam including blood pressure, breast exams, pelvic exams, and PAP smears at least once a year.

Ortho Tri Cyclen

Uses
Ortho Tri-Cyclen is an estrogen and progestin combination used to prevent pregnancy. It may also be used to regulate the menstrual cycle, treat symptoms of menopause, or treat other conditions as determined by your doctor.

How To Use
Follow the directions for using Ortho Tri Cyclen provided by your doctor. Ortho Tri Cyclen comes with a patient information leaflet. Read it carefully. Ask your doctor, nurse, or pharmacist any questions that you may have before using Ortho Tri Cyclen. Try to take Ortho Tri Cyclen at the same time every day, not more than 24 hours apart. Store Ortho Tri Cyclen at room temperature, away from heat and light. If you miss a dose of Ortho Tri Cyclen, take it as soon as you remember. Take your next dose at the regular time. This means you may take 2 doses on the same day. If you miss more than 1 dose of Ortho Tri Cyclen, refer to the patient information that came with Ortho Tri Cyclen. If you have any questions, contact your doctor, nurse, or pharmacist.

Side Effects
Side effects, that may go away during treatment, include nausea, vomiting, bleeding between menstrual periods, breast tenderness, or weight change. If they continue or are bothersome, check with your doctor. Check with your doctor as soon as possible if you experience persistent or recurrent abnormal vaginal bleeding, a missed menstrual period, dizziness or fainting, swelling of fingers or ankles, headache, or difficulty wearing contact lenses. Contact your doctor immediately if you experience sharp or crushing chest pain, sudden shortness of breath, sudden severe headache or leg pain, yellow skin or eyes, changes in vision, numbness of an arm or leg, or severe stomach pain. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

Precautions
Smoking cigarettes while using Ortho Tri Cyclen may increase your risk of stroke, heart attack, blood clots, high blood pressure, or other diseases of the heart and blood vessels. If you have vomiting or diarrhea for any reason, your medicine may not work as well. Taking certain antibiotics or anticonvulsants while you are using Ortho Tri Cyclen may decrease the effectiveness of Ortho Tri Cyclen. To prevent pregnancy, use an additional form of birth control until your next period. If you have any questions, contact your doctor, nurse, or pharmacist. Before you have any medical or dental treatments, emergency care, or surgery, tell the doctor or dentist that you are using Ortho Tri Cyclen. If you wear contact lenses and you develop problems with them, contact your doctor. Before you begin taking any new medicine, either prescription or over-the-counter, check with your doctor or pharmacist. Ortho Tri Cyclen may cause dark skin patches on your face. Exposure to the sun may make these patches darker. If patches develop, use a sunscreen or protective clothing when exposed to the sun, sunlamps, or tanning booths. Use of Ortho Tri Cyclen will not prevent the spread of sexually transmitted diseases (STDs). Do not use Ortho Tri Cyclen if you are pregnant. If you suspect that you could be pregannt, contact your doctor immediately. Ortho Tri Cyclen is excreted in breast milk. If you are or will be breast-feeding while you are using Ortho Tri Cyclen, check with your doctor or pharmacist to discuss the risks to your baby.

Drug Interactions
Tell your doctor of all nonprescription and prescription medication you may use, especially any nitrate medications (e.g., nitroglycerin, isosorbide dinitrate), nitroprusside (any "nitric oxide donor" medicines), cimetidine, erythromycin, azole antifungals (e.g., itraconazole, ketoconazole), mibefradil, rifamycins (e.g., rifampin) or high blood pressure medicines.

Missed Dose
If you miss a dose, do not double the next dose. Instead, skip the missed dose and resume your usual dosing schedule.

Storage
Store at room temperature away from light and moisture. Keep this and all medications out of the reach of children.

Paxil CR

Uses
Paxil_CR is used to treat depression and panic disorders with or without the fear of being in open or public places.

How To Use
How much medicine you take and how often you take it depends on many factors, including the condition being treated, your age, and weight. If you have any questions about the amount and/or frequency of the medicine you are taking, talk with your health care provider. Carefully read the patient leaflet provided with Paxil CR and reread it each time you get this prescription refilled. Take Paxil CR exactly as directed by your health care provider. Paxil CR may be taken without regard to food. Swallow tablets whole. Do not crush or chew them. Symptoms usually improve within 1 to 4 weeks. Continue taking Paxil CR even though you feel better. Paxil CR may cause dizziness, drowsiness, or blurred vision. Use caution while driving or performing other tasks requiring alertness, coordination, or physical dexterity. Avoid drinking alcohol while taking Paxil CR. Paxil CR may cause sensitivity to sunlight. Avoid prolonged exposure to the sun and other ultraviolet light. Use sunscreens and wear protective clothing until tolerance can be determined. Do not take Paxil CR if you are currently taking or have taken an MAO inhibitor within the last 14 days. If you are uncertain whether your other medications contain an MAO inhibitor, check with your health care provider. Do not stop taking Paxil CR without checking with your doctor. Stopping Paxil CR suddenly may cause certain side effects, such as dizziness, nausea, sweating, agitation; abnormal skin sensations, and abnormal dreams. Do not take more medicine than prescribed unless advised to do so by your doctor or health care provider. Do not take any other over-the-counter or prescription medicines without talking with your doctor. This includes any herbal preparations or dietary supplements.

Side Effects
Every medicine can cause side effects, but many people have no, or minor, side effects. Tell your doctor or pharmacist if any of the following occurs:Severe- Depression: Allergic reaction (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); increased heartbeat;breathing problems. Panic disorder: Allergic reaction (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue);increased heartbeat; breathing problems. Common- Depression: Nausea; abnormal ejaculation; blurred vision; constipation;decreased sex drive; diarrhea; dizziness; drowsiness; tremor; female genital disorders; sweating; yawning; decreased appetite; dry mouth; impotence; infection(fever, chills, sore throat); headache; weakness; stomach pain; back pain;pain; gas; changes in appetite; indigestion; vomiting; sleeplessness; muscle tightness or stiffness; abnormal skin sensations; runny nose; increased cough;sensitivity to sunlight; urinary tract infection; menstrual disorder; vaginal infection. Panic disorder: Nausea; abnormal ejaculation; drowsiness; impotence;decreased sex drive; sweating; female genital disorders; weakness; stomach pain; dry mouth; diarrhea; constipation; decreased appetite; muscle aches;sleeplessness; nervousness; drowsiness; tremor; anxiety; agitation; muscle tightness or stiffness; muscle contractions; sinus inflammation; yawning;sweating; blurred vision; impotence; female genital disorder; frequent urination;inability to urinate. Other- Depression: Flushing; depression; confusion; bronchitis; abnormal dreams;anxiety; joint pain; painful menstruation; indigestion; muscle pain; nervousness;sore throat; rash; respiratory disorder; sinus inflammation; frequent urination;weight gain. Panic disorder: Headache; weight loss; vaginal infection; abnormal dreams; back pain; bronchitis; chest pain; impaired concentration; confusion;increased cough; depression; dizziness; painful menstruation; indigestion;fever; gas; increased appetite; infection (fever, chills, sore throat); menstrual disorder; migraine; pain; abnormal skin sensations; sore throat; respiratory disorder; runny nose; changes in taste; abnormal thinking; urinary tract infection;vomiting.

Precautions
Before using Paxil CR, tell your health care provider about any of the following: if you are pregnant, planning to become pregnant, or breastfeeding; if you are taking any prescription medicine, nonprescription medicine, herbal preparation, or dietary supplement; if you have a history of seizures or mania; if you have thoughts of suicide; if you have severe liver or kidney problems; if you have a history of substance or alcohol abuse; if you have a history of narrow-angle glaucoma; if you have any other medical condition

Notes
If you have any questions about Paxil CR, please talk with your doctor, pharmacist, or health care provider.

Storage
Store at or below 77 degrees F.

Paxil

Uses
Paxil is used to treat depression and panic disorders with or without the fear of being in open or public places.

How To Use
How much medicine you take and how often you take it depends on many factors, including the condition being treated, your age, and weight. If you have any questions about the amount and/or frequency of the medicine you are taking, talk with your health care provider. Carefully read the patient leaflet provided with Paxil and reread it each time you get this prescription refilled. Take Paxil exactly as directed by your health care provider. Paxil may be taken without regard to food. Swallow tablets whole. Do not crush or chew them. Symptoms usually improve within 1 to 4 weeks. Continue taking Paxil even though you feel better. Paxil may cause dizziness, drowsiness, or blurred vision. Use caution while driving or performing other tasks requiring alertness, coordination, or physical dexterity. Avoid drinking alcohol while taking Paxil. Paxil may cause sensitivity to sunlight. Avoid prolonged exposure to the sun and other ultraviolet light. Use sunscreens and wear protective clothing until tolerance can be determined. Do not take Paxil if you are currently taking or have taken an MAO inhibitor within the last 14 days. If you are uncertain whether your other medications contain an MAO inhibitor, check with your health care provider. Do not stop taking Paxil without checking with your doctor. Stopping Paxil suddenly may cause certain side effects, such as dizziness, nausea, sweating, agitation; abnormal skin sensations, and abnormal dreams. Do not take more medicine than prescribed unless advised to do so by your doctor or health care provider. Do not take any other over-the-counter or prescription medicines without talking with your doctor. This includes any herbal preparations or dietary supplements.

Precautions
Before using Paxil, tell your health care provider about any of the following: if you are pregnant, planning to become pregnant, or breastfeeding; if you are taking any prescription medicine, nonprescription medicine, herbal preparation, or dietary supplement; if you have a history of seizures or mania; if you have thoughts of suicide; if you have severe liver or kidney problems; if you have a history of substance or alcohol abuse; if you have a history of narrow-angle glaucoma; if you have any other medical condition

Notes
If you have any questions about Paxil, please talk with your doctor, pharmacist, or health care provider.

Storage
Store at or below 77 degrees F.

Prevacid

Uses
Prevacid is a proton pump inhibitor (PPI) used to treat ulcers, gastroesophageal reflux (GERD), erosive esophagitis, or Zollinger-Ellison syndrome. Lansoprazole may also be used to treat ulcers due to long-term use of certain pain/anti-inflammatory drugs (NSAIDs). Prevacid works by blocking acid production in the stomach. It may be used in combination with antibiotics (e.g., amoxicillin, clarithromycin) to treat certain types of ulcers. It may also be used to treat other conditions as determined by your doctor.

How To Use
Follow the directions for using Prevacid provided by your doctor. TAKE THIS MEDICINE in the morning unless your doctor directs otherwise. TAKE THIS MEDICINE before eating. SWALLOW WHOLE. Do not break, crush, or chew before swallowing. IF YOU HAVE TROUBLE SWALLOWING THE CAPSULE, the capsule may be opened and the contents sprinkled into soft food (e.g., applesauce, cottage cheese, yogurt),