Priadel tablets

Priadel 200mg and 400mg prolonged release tablets

lithium carbonate

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Read all of this leaflet carefully before you start taking this medicine

• Keep this leaflet. You may need to read it again.


• If you have any further questions, ask your doctor or pharmacist.


• This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.


• If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

In this leaflet:

• 1. What Priadel Tablets are and what they are used for


• 2. Before you take Priadel Tablets


• 3. How to take Priadel Tablets


• 4. Possible side effects


• 5. How to store Priadel Tablets


• 6. Further information

What Priadel Tablets are and what they are used for

The name of your medicine is Priadel 200mg or Priadel 400mg Prolonged Release Tablets (called Priadel Tablets in this leaflet). Priadel Tablets contain a medicine called lithium. This belongs to a group of medicines called mood stabilisers. It works by stabilising the levels of chemicals in your brain that affect your mood.

Priadel Tablets can be used to manage or control:

• Mania (feeling highly excited, being over-active and easily irritated or distracted)


• Hypo-mania (similar to mania, but less severe)


• Repeated periods of depression, where treatment with other medicines has not worked


• Aggressive or self-harming behaviour

It is also used to help prevent bipolar depression - where the mood changes between feeling very high (mania) and very low (depression).

Before you take Priadel Tablets

Do not take Priadel Tablets if:

• You are allergic (hypersensitive) to lithium carbonate or any of the other ingredients of Priadel Tablets (see Section 6: Further information) Signs of an allergic reaction include: a rash, swallowing or breathing problems, swelling of your lips, face, throat or tongue


• You are breast-feeding


• You have heart disease


• You have kidney problems


• You have an under-active thyroid gland that is not being treated


• You have low levels of sodium in your body. This can happen if you are dehydrated or on a low sodium diet


• You have an illness called ‘Addison’s disease’. This happens when your body does not produce enough hormones. This makes you feel tired, weak, light-headed and makes areas of your skin go darker.

Take special care with Priadel Tablets

Check with your doctor or pharmacist before taking your medicine if:

• You have a cold or flu


• You have gastroenteritis. This is when you have a problem with your stomach or gut. Signs include diarrhoea, stomach pain, being sick, headache, fever and chills


• You have a urinary infection


• You are elderly


• You are not eating or drinking properly

If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before taking Priadel Tablets.

Taking other medicines

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines. This includes medicines you buy without a prescription, including herbal medicines. This is because Priadel Tablets can affect the way some other medicines work. Also, some medicines can affect the way Priadel Tablets work as this can affect the levels of lithium in your blood.

In particular, check with your doctor if you are taking any of the following:

• Any other medicines containing lithium


• Medicines used for infections (antibiotics) - such as metronidazole, doxycycline or oxytetracycline


• Steroids - used for inflammation and allergies (such as prednisolone, betamethasone or
  hydrocortisone)


• Theophylline - used for wheezing or difficulty in breathing


• Caffeine found in some medicines for pain relief that you buy without a prescription


• Water tablets (diuretics) - such as furosemide, chlortalidone, indapamide, spironolactone or acetazolamide


• Urea - used in some creams that soften and moisturise the skin


• Non-steroidal anti-inflammatory drugs (NSAIDs) - used to treat pain relief and swelling (such as aspirin, ibuprofen, indomethacin or diclofenac)


• Medicines used for heart problems or high blood pressure - such as enalapril, lisinopril or ramipril (ACE inhibitors)


• Some medicines for indigestion and heartburn (antacids) - such as sodium bicarbonate

The following medicines can increase the chance of side effects when taken with Priadel Tablets. Tell your doctor if you are taking any of the following before taking Priadel Tablets:

• Some medicines used for depression (SSRIs) - such as fluvoxamine, paroxetine or fluoxetine


• Medicines used to calm emotional and mental illnesses - such as haloperidol, flupentixol, diazepam, thioridazine, fluphenazine, chlorpromazine or clozapine


• Methyldopa used for high blood pressure


• Some medicines used for fits (epilepsy) - such as carbamazepine or phenytoin


• Medicines used for chest pain (angina) or high blood pressure - such as diltiazem or verapamil

Taking Priadel with food and drink

Your diet and the amount of fluid you drink while taking Priadel Tablets is very important (see section 3 below ‘Diet, food and drink while taking Priadel Tablets).

Pregnancy and breast-feeding

Ask your doctor or pharmacist for advice before taking any medicine if you are pregnant or breast-feeding.

Information for women who could become pregnant

• Talk to your doctor before taking this medicine if you plan to get pregnant, or think you may be pregnant. It is very important that you talk to your doctor about your treatment well before you become pregnant



• You should use an effective method of contraception while taking Priadel Tablets

Information for women who are pregnant

• If you find out you are pregnant while taking Priadel Tablets, tell your doctor straight away



• Do not take Priadel Tablets if you are pregnant, especially in the first 3 months of your pregnancy

If your doctor decides that you should have Priadel Tablets while you are pregnant, he or she will:

• Keep a close eye on the level of lithium in your blood. This is because your kidneys work differently while you are pregnant



• Arrange for appropriate tests before your baby is born

If it is decided you should have Priadel Tablets during late pregnancy or during labour, your baby may appear ‘floppy’. This returns to normal without any treatment.

Breast-feeding

• Do not breast-feed if you are taking Priadel Tablets. This is because small amounts may pass into the mother’s milk

Driving and using machines

Do not drive or use any tools or machines if you feel sleepy, tired or dizzy. Priadel Tablets may also cause other effects that can make it dangerous to drive or use tools and machines such as numbness, paralysis, weakness or fits (seizures).

Important information about some of the ingredients of Priadel Tablets

Your medicine contains mannitol. This may cause mild diarrohoea.

How to take Priadel Tablets

Always take Priadel Tablets exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.

Diet, food and drink while taking Priadel Tablets

The amount you eat and drink is very important as it can affect the levels of Priadel Tablets in your blood.

• Drink the same amount of fluids every day while taking Priadel Tablets. In hot environments or if you are dehydrated, you may need to drink extra fluids



• Have a normal balanced diet while taking Priadel Tablets. Do not change your diet without talking to your doctor first

How to take your medicine

• Take this medicine by mouth


• Swallow the tablets whole. Do not crush or chew them


• The tablets can be broken in half


• Take your medicine at the same times every day


• If you feel the effect of your medicine is too weak or too strong, do not change the dose yourself, but
  ask your doctor

• Adults weighing about 70kg
  
  
  • The usual starting dose is between 400mg to 1,200mg each day
  
  



• Elderly and adults weighing under 50kg
  
  
  • The usual starting dose is between 200mg to 400mg each day
  
  
  
  • Your doctor may decide to increase this dose by 200mg to 400mg every 3 to 5 days. Increasing the
    dose is usual, but do not do this unless your doctor tells you to
  
  
  
  • The maximum dose will depend on your blood levels and illness
  
  


• Children
  
  
  Priadel Tablets are not recommended for children and adolescents.

Blood Tests

• Within the first week of treatment your doctor will give you a blood test. This is to check the level of lithium in your blood



• Your daily dose will be changed depending on the results of your blood test



• Your doctor will carry out a blood test every week until the level of lithium in your blood is steady



• You will then have your blood tested every 3 months to check the level remains steady

If you are going to have other types of blood test, tell the doctor or nurse that you are taking lithium.

If you take more Priadel Tablets than you should

If you or someone else has taken more Priadel Tablets than you should, talk to a doctor or go to your nearest hospital casualty department straight away. Remember to take the medicine pack with you. This is so the doctor knows what you have taken.

The following effects may happen: feeling sick or being sick, blurred vision, increased need to pass water, lack of control over passing water or stools, feeling lightheaded or drowsy, confusion and blackouts. You may also experience shaking or muscle weakness, muscle twitches and jerks or spasms causing unusual movements of the face, tongue, eyes or neck. In severe cases you may lose consciousness, have fits, shortness of breath or chest pain.

If you forget to take Priadel Tablets

If you forget to take a dose at the right time, take it as soon as you remember, then go on as before. Do not take a double dose to make up for a forgotten dose.

If you stop taking Priadel Tablets

Keep taking your medicine until your doctor tells you to stop. Do not stop taking Priadel Tablets just because you feel better. If you stop, your illness may return.

When your doctor says that you can stop taking Priadel Tablets, your dose will be lowered gradually. Your doctor will help you to do this.

If you have any further questions on the use of this product, ask your doctor or pharmacist.

Priadel tablets Side Effects

Like all medicines, Priadel Tablets can cause side effects, although not everybody gets them. Side- effects are more likely to happen at the start of treatment.

Allergic reactions

If you have an allergic reaction, stop taking Priadel and see a doctor or go to a hospital straight away. The signs
may include: rash, swallowing or breathing problems, swelling of your lips, face, throat or tongue.

Stop taking Priadel and see your doctor or go to a hospital straight away if you notice a combination of any of the following serious side effects:

The following side effects may be signs of lithium toxicity (too much lithium in your blood):

• Loss of appetite, diarrhoea and vomiting (being sick)



• Muscle weakness, lack of co-ordination, muscle twitching or sudden jerks and shaking



• Feeling drowsy or very tired, balance problems and feeling dizzy with a spinning sensation
  (vertigo)



• Difficulty in walking or unusual involuntary movements, such as unusual eye
  movements



• Ringing in the ears (tinnitus) or blurred vision



• Difficulty in speaking or slurred speech

Other serious side effects which need urgent medical attention:

• Swelling around the feet and ankles, face and stomach and weight gain due to water retention



• Cloudy or foamy urine (water)



• Feeling confused, dazed or loss of conciousness



• Memory problems



• Fits (seizures)



• Irregular or slow heart beats, shortness of breath, chest pain and fainting

Tell a doctor or pharmacist straight away if you notice any of the following serious side effects:

• Increased thirst and passing water (urine) more often than normal. You may also feel tired and hungry. This could be due to high blood sugar levels or a condition called ‘diabetes insipidus’ It is important to tell your doctor if you are passing more water than usual as the amount of Priadel you are taking may need to be changed



• You have a swelling or a lump on your neck (which may be caused by an enlarged thyroid gland)



• You have a fast heartbeat, sweating, stress (anxiety), increased appetite, loss of weight, weakness and
  are unable to tolerate heat. This could be due to higher levels of thyroid hormone in the blood (hyperthyroidism)



• You feel tired, have cold skin and hair becomes dry, thinning of hair or fingernails, hoarse voice, joint
  or muscle pain and gain weight. This could be due to lower levels of thyroid hormone in the blood
  (hypothyroidism)



• You have increased thirst, pass more water than usual, feel tired or depressed, muscle aches or
  pains, bone or joint pain and stomach upsets. This could be due to a hormone problem called ‘hyperparathyroidism’



• You have indigestion or heartburn and are feeling sick, being sick or have abdominal pain. You may
  also have black tarry stools (faeces) or blood in your stools or you may notice blood or dark bits (like coffee grounds) when you are being sick. This could be due to a stomach problem called ‘gastritis’



• Headaches, a ‘rushing’ sound in your ears and feeling or being sick. This could be because of increased pressure in the brain

Tell your doctor or pharmacist if any of the following side effects gets serious or lasts longer than a few days:

• Hair loss or inflamed hair follicles



• Acne, skin spots or rashes, skin ulcers and/or itching



• Slight shaking of the hands



• You have skin irritation and swelling. Skin may appear red, itchy with silvery scales (psoriasis). If you already have this condition, you could notice that it is getting worse



• Feeling sick, a watery or dry mouth and/or changes in the way things taste



• Stomach pain



• Sexual problems including being unable to get an erection, having delayed ejaculation or being unable to have an orgasm



• Blurred vision or blind spots in your eyesight



• Uncontrolled movements of the eye



• Weight gain

Tests

Blood tests may show an increase in white blood cells (leucocytosis) or changes in the way the kidney is working. They may also show changes in the levels of calcium or magnesium in your blood.

A test on your heart may show changes in the way your heart is working.

How to store Priadel Tablets

• Keep out of the reach and sight of children



• Do not use Priadel Tablets after the expiry date which is stated on the label after EXP. The expiry date refers to the last day of that month



• Do not store above 25ºC. Store in the original package to protect from moisture.



• Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment

Further information

What Priadel 200mg prolonged release tablets contain

• Each tablet contains 200mg of the the active substance, lithium carbonate



• The other ingredients are: Glycerol monostearate, glycerol distearate, mannitol, acacia spray dried, sodium laurilsulfate, magnesium stearate, maize starch and sodium starch glycolate (Type A).

What Priadel 400mg prolonged release tablets contain

• Each tablet contains 400mg of the the active substance, lithium carbonate



• The other ingredients are: Glycerol distearate, mannitol, acacia spray dried, sodium laurilsulfate, magnesium stearate, maize starch and sodium starch glycolate (Type A).

What Priadel Tablets look like and contents of the pack

Priadel 200mg prolonged release tablets are white, scored, capsule-shaped tablets engraved with P200 on one side. They are supplied in blister packs of 100 tablets.

Priadel 400mg prolonged release tablets are white, circular, bi-convex tablets engraved PRIADEL on one side, scored on the other side. They are supplied in blister packs of 100 tablets.

Marketing Authorisation Holder and Manufacturer

Marketing Authorisation Holder

Sanofi-aventis

One Onslow Street

Guildford

Surrey

GU1 4YS

UK

Tel:01483 505515

Fax:01483 535432

email:uk-medicalinformation@sanofi-aventis.com

Manufacturer

Sanofi Winthrop Industrie

6 Boulevard de l’Europe

21800 Quetigny

France

This leaflet does not contain all the information about your medicine. If you have any questions or are not sure about anything, ask your doctor or pharmacist.

This leaflet was last revised in 08/2007

© sanofi-aventis, 1997-2007

The MDF The Bipolar Organisation is a charity which can provide more information about Manic Depression/Bipolar Disorder. They can be contacted at:

MDF The Bipolar Organisation

Castle Works

21 St. Georges Road

London

SE1 6ES

Telephone:0207 793 2600

Fax:0207 7932639

E-mail:mdf@mdf.org.uk

CheeTah Chocolaty-Fudge oral and rectal

Generic Name: barium sulfate (oral and rectal) (BER ee um SUL fate)

Brand Names: Anatrast, Bar-Test, Baricon, Baro-Cat, Barosperse, Bear-E-Yum GI, CheeTah, CheeTah Butterscotch, CheeTah Chocolaty-Fudge, CheeTah Orange, CheeTah Raspberry, Digibar 190, E-Z AC, E-Z Disk, E-Z Dose Kit with Polibar Plus, E-Z Paste, E-Z-Cat, E-Z-Cat Dry, E-Z-HD, E-Z-Paque, Enecat, Eneset 2, Enhancer, Entero VU, Entero-H, Entrobar, Esopho-Cat, Intropaste, Liqui-Coat HD, Liquid Barosperse, Liquid E-Z Paque, Liquid Polibar, Liquid Polibar Plus, Maxibar, Medebar Plus, Medebar Super 250, Polibar ACB, Readi-Cat, Readi-Cat 2, Scan C, Sitzmarks, Smoothie Readi-Cat 2, Sol-O-Pake, Tagitol V, Tonojug, Tonopaque, Varibar Honey, Varibar Nectar, Varibar Pudding, Varibar Thin, Varibar Thin Honey, Volumen

What is barium sulfate?

Barium sulfate is in a group of drugs called contrast agents. Barium sulfate works by coating the inside of your esophagus, stomach, or intestines which allows them to be seen more clearly on a CT scan or other radiologic (x-ray) examination.

Barium sulfate is used to help diagnose certain disorders of the esophagus, stomach, or intestines.

Barium sulfate may also be used for purposes not listed in this medication guide.

What is the most important information I should know about barium sulfate?

You should not use this medication if you are allergic to barium sulfate. Tell your doctor if you have ever had an allergic reaction to a contrast agent.

Before you use barium sulfate, tell your doctor if you have any allergies, or if you have asthma, cystic fibrosis, heart disease or high blood pressure, rectal cancer, a colostomy, a blockage in your stomach or intestines, a condition called pseudotumor cerebri, or if you have recently had a rectal biopsy or surgery on your esophagus, stomach, or intestines.

Tell your doctor if you are pregnant or breast-feeding before your medical test.

Carefully follow your doctor's instructions about what to eat or drink within the 24-hour period before your test.

Serious side effects of barium sulfate may include severe stomach pain, sweating, ringing in your ears, pale skin, weakness, or severe cramping, diarrhea, or constipation

What should I discuss with my health care provider before using barium sulfate?

You should not use barium sulfate if you are allergic to it. Tell your doctor if you have ever had an allergic reaction to a contrast agent.

To make sure you can safely use barium sulfate, tell your doctor if you have any of these other conditions:

• 
  

  asthma, eczema, or allergies;

  
  


• 
  

  a blockage in your stomach or intestines;

  
  


• 
  

  cystic fibrosis;

  
  


• 
  

  a colostomy;

  
  


• 
  

  rectal cancer;

  
  


• 
  

  heart disease or high blood pressure;

  
  


• 
  

  Hirschsprung's disease (a disorder of the intestines);

  
  


• 
  

  a condition called pseudotumor cerebri (high pressure inside the skull that may cause headaches, vision loss, or other symptoms);

  
  


• 
  

  a recent history of surgery on your esophagus, stomach, or intestines;

  
  


• 
  

  a history of perforation (a hole or tear) in your esophagus, stomach, or intestines;

  
  


• 
  

  if you have recently had a rectal biopsy;

  
  


• 
  

  if you have ever choked on food by accidentally inhaling it into your lungs;

  
  


• 
  

  if you are allergic to simethicone (Gas-X, Phazyme, and others); or

  
  


• 
  

  if you are allergic to latex rubber.

  
  

It is not known whether barium sulfate will harm an unborn baby, but the radiation used in x-rays and CT scans may be harmful. Before your medical test, tell your doctor if you are pregnant. Barium sulfate may pass into breast milk and could harm a nursing baby. Before your medical test, tell your doctor if you are breast-feeding a baby.

How should I use barium sulfate?

Use this medication exactly as prescribed by your doctor. Do not use it in larger amounts or for longer than recommended.

Barium sulfate comes in tablets, paste, cream, or liquid forms.

In some cases, barium sulfate is taken by mouth. The liquid form may also be used as a rectal enema.

You may need to begin using this medication at home a day before your medical test. Follow your doctor's instructions about how much of the medication to use and how often.

If you are receiving barium sulfate as a rectal enema, a healthcare professional will give you the medication at the clinic or hospital where your testing will take place.

Do not crush, chew, or break a barium sulfate tablet. Swallow the pill whole.

Dissolve the barium sulfate powder in a small amount of water. Stir this mixture and drink all of it right away. To make sure you get the entire dose, add a little more water to the same glass, swirl gently and drink right away.

If you receive the medication as a liquid to take by mouth, shake the liquid well just before you measure a dose. To be sure you get the correct dose, measure the liquid with a marked measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

Carefully follow your doctor's instructions about what to eat or drink within the 24-hour period before your test.

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

What happens if I miss a dose?

If you are using barium sulfate at home, call your doctor for instructions if you miss a dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include severe stomach pain, ongoing diarrhea, confusion, or weakness.

What should I avoid before or after using barium sulfate?

Follow your doctor's instructions about any restrictions on food, beverages, or activity.

Barium sulfate side effects

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

• 
  

  severe stomach pain;

  
  


• 
  

  severe cramping, diarrhea, or constipation;

  
  


• 
  

  sweating;

  
  


• 
  

  ringing in your ears;

  
  


• 
  

  confusion, fast heart rate; or

  
  


• 
  

  pale skin, weakness.

  
  

Less serious side effects may include:

• 
  

  mild stomach cramps;

  
  


• 
  

  nausea, vomiting;

  
  


• 
  

  loose stools or mild constipation.

  
  

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect barium sulfate?

There may be other drugs that can interact with barium sulfate. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

More CheeTah Chocolaty-Fudge resources

• CheeTah Chocolaty-Fudge Side Effects (in more detail)
• CheeTah Chocolaty-Fudge Use in Pregnancy & Breastfeeding
• CheeTah Chocolaty-Fudge Support Group
• 0 Reviews for CheeTah Chocolaty-Fudge - Add your own review/rating

Compare CheeTah Chocolaty-Fudge with other medications

• Computed Tomography

Where can I get more information?

• Your doctor or pharmacist can provide more information about barium sulfate.

See also: CheeTah Chocolaty-Fudge side effects (in more detail)

Fareston

Pronunciation: tore-EM-i-feen
Generic Name: Toremifene
Brand Name: Fareston

Fareston has been shown to cause a serious type of irregular heartbeat (QT prolongation). QT prolongation can also result in another serious and sometimes fatal type of irregular heartbeat called torsades de pointes, which may also cause fainting or seizures. Do not take Fareston if you have congenital or acquired QT prolongation (long QT syndrome), or if you have low blood potassium or magnesium levels. Certain medicines may increase the risk of irregular heartbeat and should be avoided. Check with your doctor to see if any of your medicines may increase the risk of irregular heartbeat.

Fareston is used for:

Treating breast cancer in women past menopause with estrogen-dependent tumors or unknown tumors. It may also be used for other conditions as determined by your doctor.

Fareston is an antiestrogen. It works by blocking the effects of estrogen on certain body tissues, including breast tissue. This helps block the growth of estrogen-activated tumors.

Do NOT use Fareston if:

• you are allergic to any ingredient in Fareston


• you have a certain type of irregular heartbeat (congenital or acquired QT prolongation, long QT syndrome), or low blood potassium or magnesium levels


• you are taking clozapine, ondansetron, or quetiapine

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

Before using Fareston:

Some medical conditions may interact with Fareston. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding


• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement


• if you have allergies to medicines, foods, or other substances


• if you have bone cancer or an excess growth of the endometrium


• if you have a history of blood clots, cancer, or decreased blood platelets or white blood cells


• if you have a history of heart problems (eg, heart failure, irregular heartbeat), liver problems, or blood electrolyte problems


• if you take any medicine that may increase the risk of a certain type of irregular heartbeat (prolonged QT interval). Check with your doctor or pharmacist if you are unsure if any of your medicines may increase the risk of this type of irregular heartbeat

Some MEDICINES MAY INTERACT with Fareston. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Antiarrhythmics (eg, amiodarone, dofetilide, sotalol), arsenic, astemizole, bepridil, chloroquine, cisapride, clozapine, crizotinib, dolasetron, domperidone, droperidol, granisetron, halofantrine, haloperidol, macrolide antibiotics (eg, clarithromycin, erythromycin), maprotiline, methadone, nilotinib, ondansetron, paliperidone, pentamidine, phenothiazines (eg, thioridazine), pimozide, quetiapine, quinolone antibiotics (eg, levofloxacin, ofloxacin), romidepsin, tacrolimus, terfenadine, tetrabenazine, tricyclic antidepressants (eg, amitriptyline), tyrosine kinase inhibitors (eg, dasatinib), vandetanib, vemurafenib, venlafaxine, or ziprasidone because the risk of severe and possibly fatal irregular heartbeat may be increased


• Fluorouracil because the risk of liver problems may be increased


• Thiazide diuretics (eg, hydrochlorothiazide) because the risk of high blood calcium levels may be increased


• Azole antifungals (eg, itraconazole, ketoconazole, voriconazole), mitomycin C, nefazodone, protease inhibitors (eg, boceprevir, ritonavir), or telithromycin because they may increase the risk of Fareston's side effects


• Carbamazepine, dexamethasone, hydantoins (eg, phenytoin), phenobarbital, rifamycins (eg, rifabutin, rifampin), or St. John's wort because the effectiveness of Fareston may be decreased


• Anticoagulants (eg, warfarin) or hydantoins (eg, phenytoin) because the actions and side effects of these medicines may be increased

This may not be a complete list of all interactions that may occur. Ask your health care provider if Fareston may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Fareston:

Use Fareston as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Fareston may be taken with or without food.


• Do not eat grapefruit or drink grapefruit juice while you use Fareston.


• If you miss a dose of Fareston, 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.

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

Important safety information:

• Fareston may cause dizziness or changes in vision. These effects may be worse if you take it with alcohol or certain medicines. Use Fareston with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.


• If Fareston causes nausea or vomiting, ask your doctor or pharmacist about ways to minimize this effect.


• Fareston is only indicated in women who have been through menopause. If you have not been through menopause and are able to become pregnant, use effective non-hormonal birth control (eg, condoms) while you take Fareston.


• Lab tests, including complete blood cell counts, blood electrolytes (eg, potassium, magnesium, calcium), electrocardiograms (ECGs), and liver function, may be performed to monitor your progress or to check for side effects. Be sure to keep all doctor and lab appointments.


• Fareston is not indicated for use in CHILDREN.


• PREGNANCY and BREAST-FEEDING: Fareston has been shown to cause harm to the fetus. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Fareston while you are pregnant. It is not known if Fareston is found in breast milk. If you are or will be breast-feeding while you are using Fareston, check with your doctor. Discuss any possible risks to your baby. Do not breast-feed while taking Fareston.

Possible side effects of Fareston:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Dizziness; hot flashes; joint pain; loss of appetite; nausea; sweating; tiredness; vaginal discharge; vomiting.

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

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); calf or leg pain, swelling, redness, warmth, or tenderness; change in vision; chest pain; confusion; coughing up blood; decreased coordination; depression; fainting; fever, chills, or sore throat; flushing; hallucinations; irregular heartbeat; muscle or bone pain; numbness of an arm or leg; one-sided weakness; seizures; shortness of breath; sluggishness; slurred speech; sudden, severe headache or vomiting; swelling of the hands, ankles, or feet; tremor; unusual bleeding or bruising; vaginal bleeding.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Fareston side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include dizziness; hallucinations; headache; hot flashes; nausea; loss of coordination; vaginal bleeding; vomiting.

Proper storage of Fareston:

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

General information:

• If you have any questions about Fareston, please talk with your doctor, pharmacist, or other health care provider.


• Fareston is to be used only by the patient for whom it is prescribed. Do not share it with other people.


• If your symptoms do not improve or if they become worse, check with your doctor.


• Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Fareston. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Fareston resources

• Fareston Side Effects (in more detail)
• Fareston Use in Pregnancy & Breastfeeding
• Drug Images
• Fareston Drug Interactions
• Fareston Support Group
• 0 Reviews for Fareston - Add your own review/rating

• Fareston Prescribing Information (FDA)


• Fareston Concise Consumer Information (Cerner Multum)


• Fareston Monograph (AHFS DI)


• Fareston Advanced Consumer (Micromedex) - Includes Dosage Information

Compare Fareston with other medications

• Breast Cancer
• Breast Cancer, Metastatic

Hemril-30 cream, ointment, suppository

Generic Name: hydrocortisone rectal (cream, ointment, suppository) (hye dro KORT i zone REK tal)

Brand Names: Anucort-HC, Anumed-HC, Anusol-HC, Cortizone-10 Anal Itch Cream, Hemorrhoidal HC, Hemril-30, Hemril-HC Uniserts, Preparation H Hydrocortisone, Procto-Kit 1%, Procto-Kit 2.5%, Procto-Pak 1%, Proctocort, Proctocream-HC, Proctosert HC, Proctosol-HC, Proctozone HC, Proctozone-H, Recort Plus, Rectasol-HC, Tucks HC

What is hydrocortisone rectal?

Hydrocortisone is a steroid medicine that reduces inflammation in the body.

The information in this medication guide is specific to hydrocortisone rectal cream, ointment, or suppository.

Hydrocortisone rectal is used to treat itching or swelling caused by hemorrhoids or other inflammatory conditions of the rectum or anus.

Hydrocortisone rectal is also used together with other medications to treat ulcerative colitis, proctitis, and other inflammatory conditions of the lower intestines and rectal area.

Hydrocortisone rectal may also be used for purposes not listed in this medication guide.

What is the most important information I should know about hydrocortisone rectal?

The information in this medication guide is specific to hydrocortisone rectal cream, ointment, or suppository.

Do not take hydrocortisone rectal by mouth. It is for use only in your rectum.

This medication comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions. You may need to use this medication for up to 8 weeks.

Call your doctor at once if you have any bleeding from your rectum, feeling short of breath (even with mild exertion), swelling of your ankles or feet, or rapid weight gain.

There may be other drugs that can interact with hydrocortisone rectal. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

Call your doctor if your symptoms do not improve or if they get worse after using this medicine for a few days.

What should I discuss with my health care provider before using hydrocortisone rectal?

Ask a doctor or pharmacist if it is safe for you to use this medicine if you have:

• 
  

  congestive heart failure;

  
  


• 
  

  a history of tuberculosis;

  
  


• 
  

  stomach ulcer or diverticulitis;

  
  


• 
  

  a colostomy or ileostomy;

  
  


• 
  

  fever or any type of infection;

  
  


• 
  

  kidney disease;

  
  


• 
  

  high blood pressure; or

  
  


• 
  

  myasthenia gravis.

  
  

Also tell your doctor if you have diabetes. Steroid medicines may increase the glucose (sugar) levels in your blood or urine. You may also need to adjust the dose of your diabetes medications.

FDA pregnancy category C. It is not known whether hydrocortisone rectal will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. It is not known whether hydrocortisone passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I use hydrocortisone rectal?

Use exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Do not take hydrocortisone rectal by mouth. It is for use only in your rectum.

This medication comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions. You may need to use this medication for up to 8 weeks.

Wash your hands before and after using this medicine.

Try to empty your bowel and bladder just before using hydrocortisone rectal.

Remove the outer wrapper from the suppository before inserting it. Avoid handling the suppository too long or it will melt in your hands. The rectal suppository can stain clothing or other fabrics it comes into contact with.

For best results from the suppository, lie down after inserting it and hold in the suppository. The suppository will melt quickly once inserted and you should feel little or no discomfort while holding it in.

For best results from the cream, use only the applicator provided with the medication. Otherwise, follow the directions provided with your rectal cream.

Avoid using the bathroom for one to three hours after inserting the cream or suppository.

Apply the ointment to the rectum and surrounding skin of the rectal area as directed on the package label.

Call your doctor if your symptoms do not improve or if they get worse after using this medicine for a few days.

Store the rectal cream at room temperature away from moisture and heat. Store the rectal suppositories at cool room temperature away from moisture and heat. Do not refrigerate or freeze them.

What happens if I miss a dose?

Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

An overdose of hydrocortisone rectal is not expected to produce life-threatening symptoms. However, long-term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.

What should I avoid while using hydrocortisone rectal ?

Avoid getting a vaccine during your treatment with hydrocortisone rectal. Vaccines may not work as well while you are using a steroid medicine.

Hydrocortisone rectal side effects

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

• 
  

  feeling short of breath, even with mild exertion;

  
  


• 
  

  swelling of your ankles or feet;

  
  


• 
  

  muscle weakness;

  
  


• 
  

  rapid weight gain, especially in your face and midsection;

  
  


• 
  

  severe rectal pain or burning;

  
  


• 
  

  bleeding from your rectum;

  
  


• 
  

  severe stomach pain;

  
  


• 
  

  sudden and severe headache or pain behind your eyes; or

  
  


• 
  

  seizure (convulsions).

  
  

Less serious side effects may include:

• 
  

  mild rectal pain or burning;

  
  


• 
  

  acne;

  
  


• 
  

  changes in your menstrual periods;

  
  


• 
  

  increased sweating; or

  
  


• 
  

  increased facial or body hair growth.

  
  

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect hydrocortisone rectal ?

Before using hydrocortisone rectal, tell your doctor if you also use insulin or take oral diabetes medication.

There may be other drugs that can interact with hydrocortisone rectal. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

More Hemril-30 resources

• Hemril-30 Side Effects (in more detail)
• Hemril-30 Use in Pregnancy & Breastfeeding
• Hemril-30 Drug Interactions
• Hemril-30 Support Group
• 0 Reviews for Hemril-30 - Add your own review/rating

Compare Hemril-30 with other medications

• Anal Itching
• Aphthous Stomatitis, Recurrent
• Atopic Dermatitis
• Dermatitis
• Eczema
• Gingivitis
• Proctitis
• Pruritus
• Psoriasis
• Seborrheic Dermatitis
• Skin Rash
• Ulcerative Colitis, Active

Where can I get more information?

• Your pharmacist can provide more information about hydrocortisone rectal cream, ointment, or suppository.

See also: Hemril-30 side effects (in more detail)

Fenesin DM IR

Generic Name: dextromethorphan and guaifenesin (DEX troe me THOR fan and gwye FEN e sin)

Brand Names: Allfen DM, Altarussin DM, Aquatab DM, Benylin Expectorant, Drituss DM, Extuss LA, Fenesin DM IR, Glycotuss-DM, Guaifen DM, Mucinex Children's Cough, Mucinex DM, MucusRelief DM, Naldecon DX Liquigel, Relacon LAX, Respa-DM, Robitussin Cough & Congestion, Tussi-Bid, Tussi-Organidin DM NR, Vicks 44E

What is Fenesin DM IR (dextromethorphan and guaifenesin)?

Dextromethorphan is a cough suppressant. It affects the signals in the brain that trigger cough reflex.

Guaifenesin is an expectorant. It helps loosen congestion in your chest and throat, making it easier to cough out through your mouth.

The combination of dextromethorphan and guaifenesin is used to treat cough and chest congestion caused by the common cold, infections, or allergies.

Dextromethorphan will not treat a cough that is caused by smoking, asthma, or emphysema.

Dextromethorphan and guaifenesin may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Fenesin DM IR (dextromethorphan and guaifenesin)?

Do not give this medication to a child younger than 2 years old. Always ask a doctor before giving a cough or cold medicine to a child. Death can occur from the misuse of cough and cold medicines in very young children. Do not use a cough or cold medicine if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take cough or cold medicine before the MAO inhibitor has cleared from your body. Do not use any other over-the-counter cough or cold medication without first asking your doctor or pharmacist. If you take certain products together you may accidentally take too much of one or more types of medicine. Read the label of any other medicine you are using to see if it contains dextromethorphan or guaifenesin. Dextromethorphan will not treat a cough that is caused by smoking, asthma, or emphysema.

What should I discuss with my healthcare provider before taking Fenesin DM IR (dextromethorphan and guaifenesin)?

Do not use a cough or cold medicine if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take cough or cold medicine before the MAO inhibitor has cleared from your body.

Ask a doctor or pharmacist if it is safe for you to take this medication if you have emphysema or chronic bronchitis.

FDA pregnancy category C. It is not known whether dextromethorphan and guaifenesin is harmful to an unborn baby. Before you take this medication, tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether this medication passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Artificially-sweetened liquid forms of cold medicine may contain phenylalanine. This would be important to know if you have phenylketonuria (PKU). Check the ingredients and warnings on the medication label if you are concerned about phenylalanine.

How should I take Fenesin DM IR (dextromethorphan and guaifenesin)?

Use this medication exactly as directed on the label, or as prescribed by your doctor. Do not use it in larger amounts or for longer than recommended. Cold medicine is usually taken only for a short time until your symptoms clear up.

Do not give this medication to a child younger than 2 years old. Always ask a doctor before giving a cough or cold medicine to a child. Death can occur from the misuse of cough and cold medicines in very young children.

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

Do not crush, chew, or break an extended-release tablet. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time.

Dextromethorphan and guaifenesin granules should be sprinkled directly onto the tongue and swallowed right away.

Drink extra fluids to help loosen the congestion and lubricate your throat while you are taking this medication. Talk with your doctor if your symptoms do not improve after 7 days of treatment, or if you have a fever with a headache, cough, or skin rash.

If you need to have any type of surgery, tell the surgeon ahead of time if you have taken a cold medicine within the past few days.

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

What happens if I miss a dose?

Since cough or cold medicine is usually taken only as needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

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

Overdose symptoms may include feeling restless or nervous.

What should I avoid while taking Fenesin DM IR (dextromethorphan and guaifenesin)?

This medication can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Avoid drinking alcohol. It can increase some of the side effects of this medication.

Avoid taking diet pills, caffeine pills, or other stimulants (such as ADHD medications) without your doctor's advice. Taking a stimulant together with cough or cold medicine can increase your risk of unpleasant side effects.

Do not use any other over-the-counter cough or cold medication without first asking your doctor or pharmacist. Dextromethorphan and guaifenesin are contained in many medicines available over the counter. If you take certain products together you may accidentally take too much of one or more types of medicine. Read the label of any other medicine you are using to see if it contains dextromethorphan or guaifenesin.

Fenesin DM IR (dextromethorphan and guaifenesin) side effects

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

• 
  

  severe dizziness, anxiety, restless feeling, or nervousness;

  
  


• 
  

  confusion, hallucinations; or

  
  


• 
  

  slow, shallow breathing.

  
  

Less serious side effects may include:

• 
  

  dizziness;

  
  


• 
  

  headache;

  
  


• 
  

  skin rash or itching; or

  
  


• 
  

  nausea, vomiting, or stomach upset.

  
  

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Fenesin DM IR (dextromethorphan and guaifenesin)?

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

• 
  

  celecoxib (Celebrex);

  
  


• 
  

  cinacalcet (Sensipar);

  
  


• 
  

  darifenacin (Enablex);

  
  


• 
  

  imatinib (Gleevec);

  
  


• 
  

  quinidine (Quinaglute, Quinidex);

  
  


• 
  

  ranolazine (Ranexa);

  
  


• 
  

  ritonavir (Norvir);

  
  


• 
  

  sibutramine (Meridia);

  
  


• 
  

  terbinafine (Lamisil);

  
  


• 
  

  medicines to treat high blood pressure; or

  
  


• 
  

  an antidepressant such as amitriptyline (Elavil, Etrafon), bupropion (Wellbutrin, Zyban), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), imipramine (Janimine, Tofranil), paroxetine (Paxil), sertraline (Zoloft), and others.

  
  

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

More Fenesin DM IR resources

• Fenesin DM IR Side Effects (in more detail)
• Fenesin DM IR Use in Pregnancy & Breastfeeding
• Fenesin DM IR Drug Interactions
• 0 Reviews for Fenesin DM IR - Add your own review/rating

• Atuss-12 DX Extended-Release Liquid MedFacts Consumer Leaflet (Wolters Kluwer)


• Bidex-A Extended-Release Tablets MedFacts Consumer Leaflet (Wolters Kluwer)


• Duratuss DM 12 Suspension MedFacts Consumer Leaflet (Wolters Kluwer)


• Guaifenesin DM Elixir MedFacts Consumer Leaflet (Wolters Kluwer)


• Humibid CS MedFacts Consumer Leaflet (Wolters Kluwer)


• Mucinex DM Prescribing Information (FDA)


• Mucinex DM Maximum Strength Prescribing Information (FDA)


• Robitussin DM infant drops


• Scot-Tussin DM Liquid MedFacts Consumer Leaflet (Wolters Kluwer)


• Tussin DM Prescribing Information (FDA)

Compare Fenesin DM IR with other medications

• Cough
• Expectoration

Where can I get more information?

• Your pharmacist can provide more information about dextromethorphan and guaifenesin.

See also: Fenesin DM IR side effects (in more detail)

Coreg CR

Generic Name: carvedilol (Oral route)

kar-VE-dil-ol

Commonly used brand name(s)

In the U.S.

• Coreg


• Coreg CR

Available Dosage Forms:

• Tablet


• Capsule, Extended Release

Therapeutic Class: Cardiovascular Agent

Pharmacologic Class: Alpha/Beta-Adrenergic Blocker

Uses For Coreg CR

Carvedilol is used alone or together with other medicines to treat high blood pressure (hypertension). High blood pressure adds to the workload of the heart and arteries. If it continues for a long time, the heart and arteries may not function properly. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart failure, or kidney failure. High blood pressure may also increase the risk of heart attacks. These problems may be less likely to occur if blood pressure is controlled.

Carvedilol is also used to prevent further worsening of congestive heart failure. It is also used to treat left ventricular dysfunction after a heart attack. Left ventricular dysfunction occurs when the left ventricle (the main pumping chamber of the heart) stiffens and enlarges and can cause the lungs to fill with blood.

Carvedilol belongs to a group of medicines called beta-adrenergic blocking agents, beta-blocking agents, or more commonly, beta-blockers. Beta-blockers work by affecting the response to some nerve impulses in certain parts of the body. As a result, they decrease the heart's need for blood and oxygen by reducing its workload. They also help the heart to beat more regularly.

Carvedilol may also be used for other conditions as determined by your doctor.

This medicine is available only with your doctor's prescription.

Before Using Coreg CR

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies have not been performed on the relationship of age to the effects of carvedilol in the pediatric population. Safety and efficacy have not been established.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of carvedilol in the elderly.

Pregnancy

	Pregnancy Category	Explanation
All Trimesters	C	Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

Breast Feeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

• Albuterol


• Amiodarone


• Arformoterol


• Bambuterol


• Bitolterol


• Broxaterol


• Clenbuterol


• Colterol


• Diltiazem


• Dronedarone


• Epinephrine


• Fenoldopam


• Fenoterol


• Formoterol


• Hexoprenaline


• Indacaterol


• Isoetharine


• Levalbuterol


• Metaproterenol


• Pirbuterol


• Procaterol


• Reproterol


• Rimiterol


• Ritodrine


• Salmeterol


• Terbutaline


• Tretoquinol


• Tulobuterol


• Verapamil

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

• Acarbose


• Aceclofenac


• Acemetacin


• Acetohexamide


• Alclofenac


• Alfuzosin


• Amlodipine


• Apazone


• Arbutamine


• Benfluorex


• Benoxaprofen


• Bromfenac


• Bufexamac


• Bunazosin


• Carprofen


• Chlorpropamide


• Cimetidine


• Clometacin


• Clonixin


• Dexketoprofen


• Diclofenac


• Diflunisal


• Digoxin


• Dipyrone


• Dobutamine


• Doxazosin


• Droxicam


• Etodolac


• Etofenamate


• Felbinac


• Felodipine


• Fenbufen


• Fenoprofen


• Fentiazac


• Floctafenine


• Flufenamic Acid


• Flurbiprofen


• Gliclazide


• Glimepiride


• Glipizide


• Gliquidone


• Glyburide


• Guar Gum


• Ibuprofen


• Indomethacin


• Indoprofen


• Insulin


• Insulin Aspart, Recombinant


• Insulin Glulisine


• Insulin Lispro, Recombinant


• Isoxicam


• Ketoprofen


• Ketorolac


• Lacidipine


• Lercanidipine


• Lornoxicam


• Manidipine


• Meclofenamate


• Mefenamic Acid


• Meloxicam


• Metformin


• Mibefradil


• Miglitol


• Moxisylyte


• Nabumetone


• Naproxen


• Nicardipine


• Nifedipine


• Niflumic Acid


• Nilvadipine


• Nimesulide


• Nimodipine


• Nisoldipine


• Nitrendipine


• Oxaprozin


• Oxyphenbutazone


• Phenoxybenzamine


• Phentolamine


• Phenylbutazone


• Pirazolac


• Piroxicam


• Pirprofen


• Pranidipine


• Prazosin


• Propyphenazone


• Proquazone


• Repaglinide


• Rifampin


• Rifapentine


• St John's Wort


• Sulindac


• Suprofen


• Tamsulosin


• Tenidap


• Tenoxicam


• Terazosin


• Tiaprofenic Acid


• Tolazamide


• Tolbutamide


• Tolmetin


• Trimazosin


• Troglitazone


• Urapidil


• Zomepirac

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

• Angina (severe chest pain) or


• Bradycardia (slow heartbeat) or


• Breathing or other lung problems (e.g., bronchitis or emphysema) or


• Coronary artery disease or


• Diabetes or


• Edema (fluid retention or body swelling) or


• Heart or blood vessel disease or


• Hyperthyroidism (overactive thyroid) or


• Hypotension (low blood pressure) or


• Major surgery, scheduled or


• Peripheral vascular disease (blood circulation problem) or


• Pheochromocytoma (adrenal gland tumor)—Use with caution. May make these conditions worse.

• Asthma or


• AV block, second or third-degree or


• Bradycardia (slow heartbeat), severe (without a pacemaker) or


• Cardiogenic shock (shock caused by heart attack) or


• Heart failure, decompensated or


• Hypersensitivity reactions (e.g., anaphylaxis, angioedema, Stevens-Johnson syndrome), history of or


• Liver disease, severe or


• Sick sinus syndrome (type of abnormal heart rhythm)—Should not be used in patients with these conditions.

• Kidney disease or


• Liver disease—Use with caution. Effects may be increased because of slower removal of the medicine from the body.

• Low blood sugar (hypoglycemia)—May worsen low blood sugar (hypoglycemia) levels caused by insulin and may delay recovery of blood sugar levels; in patients with diabetes and heart failure, carvedilol may further increase blood sugar levels; in addition, if your diabetes medicine causes your blood sugar to be too low, carvedilol may cover up some of the symptoms (fast heartbeat).

Proper Use of carvedilol

This section provides information on the proper use of a number of products that contain carvedilol. It may not be specific to Coreg CR. Please read with care.

In addition to the use of this medicine, treatment for your high blood pressure may include weight control and changes in the types of foods you eat, especially foods high in sodium (salt). Your doctor will tell you which of these are most important for you. You should check with your doctor before changing your diet.

Many patients who have high blood pressure will not notice any signs of the problem. In fact, many may feel normal. It is very important that you take your medicine exactly as directed and that you keep your appointments with your doctor even if you feel well.

Remember that this medicine will not cure your high blood pressure, but it does help control it. You must continue to take it as directed if you expect to lower your blood pressure and keep it down. You may have to take high blood pressure medicine for the rest of your life. If high blood pressure is not treated, it can cause serious problems such as heart failure, blood vessel disease, stroke, or kidney disease.

This medicine comes with a patient information insert. Read and follow the instructions in the insert carefully. Ask your doctor if you have any questions.

You may take this medicine with food.

Swallow the extended-release capsule whole. Do not break, crush, or chew it.

If you cannot swallow the extended-release capsule, you may open it and pour the medicine into a small amount of cold, soft food such as an applesauce. Stir this mixture well and swallow it without chewing.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For oral dosage form (extended-release capsules):
  
  • For heart failure:
    
    • Adults—At first, 10 milligrams (mg) once a day for at least two weeks. Your doctor may adjust your dose as needed. However, the dose is usually not more than 80 mg once a day.
    
    
    • Children—Use and dose must be determined by your doctor.
    
    
  
  
  • For hypertension:
    
    • Adults—At first, 20 milligrams (mg) once a day for 7 to 14 days. Your doctor may adjust your dose as needed. However, the dose is usually not more than 80 mg once a day.
    
    
    • Children—Use and dose must be determined by your doctor.
    
    
  
  
  • For left ventricular dysfunction after a heart attack:
    
    • Adults—At first, 20 milligrams (mg) once a day for 3 to 10 days. Your doctor may adjust your dose as needed. However, the dose is usually not more than 80 mg once a day
    
    
    • Children—Use and dose must be determined by your doctor.
    
    
  
  

• For oral dosage form (tablets):
  
  • For congestive heart failure:
    
    • Adults—At first, 3.125 milligrams (mg) two times a day. Your doctor may adjust your dose as needed. However, the dose is usually not more than 25 or 50 mg two times a day.
    
    
    • Children—Use and dose must be determined by your doctor.
    
    
  
  
  • For high blood pressure (hypertension):
    
    • Adults—At first, 6.25 milligrams (mg) two times a day. Your doctor may adjust your dose as needed. However, the dose is usually not more than 25 mg two times a day.
    
    
    • Children—Use and dose must be determined by your doctor.
    
    
  
  
  • For left ventricular dysfunction after a heart attack:
    
    • Adults—At first, 6.25 milligrams (mg) two times a day. Some patients may start at 3.125 mg two times a day. Your doctor may adjust your dose as needed. However, the dose is usually not more than 25 mg two times a day.
    
    
    • Children—Use and dose must be determined by your doctor.
    
    
  
  

Missed Dose

If you miss a dose of this medicine, 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

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Precautions While Using Coreg CR

It is important that your doctor check your progress at regular visits to make sure this medicine is working properly and to allow for changes in the dose.

This medicine may cause dizziness, lightheadedness, or fainting. 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 not alert.

Dizziness, lightheadedness, or fainting may occur, especially when you get up from a lying or sitting position suddenly. These symptoms are more likely to occur when you begin taking this medicine, or when the dose is increased. Sitting or lying down may help alleviate these unwanted effects.

Before having any kind of surgery (including dental surgery or cataract surgery) or emergency treatment, tell the medical doctor or dentist in charge that you are taking this medicine. A serious eye problem called Intraoperative Floppy Iris Syndrome (IFIS) has occurred in some patients who were taking this medicine or who had recently taken this medicine when they had cataract surgery.

For diabetic patients:

• This medicine may cause changes in your blood sugar levels. Also, this medicine may cover up signs of hypoglycemia (low blood sugar), such as a rapid pulse rate. Check with your doctor if you have these problems or if you notice a change in the results of your blood or urine sugar tests.

For congestive heart failure patients:

• Check with your doctor if you have unexplained weight gain or increased shortness of breath. These may be signs of a worsening of your condition.

For patients who wear contact lenses:

• Carvedilol may cause your eyes to form tears less than they do normally. Check with your doctor if you have dry eyes.

Do not interrupt or stop taking this medicine without first checking with your doctor. Your doctor may want you to gradually reduce the amount you are taking before stopping completely. Some conditions may become worse when the medicine is stopped suddenly, which can be dangerous.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

Coreg CR Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

• Allergy


• chest pain, discomfort, tightness, or heaviness


• dizziness, lightheadedness, or fainting


• generalized swelling or swelling of the feet, ankles, or lower legs


• pain


• shortness of breath


• slow heartbeat


• weight gain

Less common

• Ankle, knee, or great toe joint pain


• anxiety


• arm, back, or jaw pain


• blood in the urine


• bloody, black or tarry stools


• chills


• cloudy urine


• cold sweats


• coma


• confusion


• convulsions


• cool pale skin


• cough


• dark urine


• decreased appetite


• decreased frequency or amount of urine


• depression


• difficulty with breathing


• dizziness, faintness, or lightheadedness when getting up suddenly from a lying position


• dry mouth


• fainting


• fast or irregular heartbeat


• fever


• flu-like symptoms


• flushed, dry skin


• fruit-like breath odor


• headache, sudden and severe


• inability to speak


• increased blood pressure


• increased hunger


• increased thirst


• increased urination


• itching


• joint stiffness or swelling


• large amount of cholesterol in the blood


• loss of appetite


• loss of consciousness


• lower back, side, or stomach pain


• mental depression


• muscle pain or cramps


• nervousness


• nightmares


• noisy, rattling breathing


• numbness or tingling in the hands, feet, or lips


• pinpoint red or purple spots on the skin


• pounding in the ears


• pounding, slow heartbeat


• rapid breathing


• seizures


• shakiness


• slurred speech


• stomachache


• sweating


• swelling of the fingers or hands


• temporary blindness


• tenderness on the upper right side of the body


• trouble with breathing even at rest


• unexplained weight loss


• unusual bleeding or bruising


• weakness in the arm and/or leg on one side of the body, sudden and severe


• weakness or heaviness of the legs


• yellow eyes or skin

Incidence not known

• Sores, ulcers, or white spots on the lips or in the mouth


• swollen or painful glands


• wheezing

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

• Back pain


• diarrhea


• prickling or tingling sensation


• unusual tiredness or weakness

Less common

• Abdominal or stomach pain


• bleeding gums


• blurred vision


• burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings


• changes in vision


• cold hands and feet


• decreased interest in sexual intercourse


• decreased tearing


• difficulty with moving


• feeling of constant movement of self or surroundings


• general feeling of discomfort or illness


• headache


• inability to have or keep an erection


• increased sweating


• joint or muscle pain


• lack or loss of strength


• loose teeth


• loss of sexual ability, desire, or performance


• loss of strength or energy


• muscle aches, stiffness, or weakness


• nausea


• persistent breath odor or bad taste in your mouth


• redness and swelling of the gums


• sensation of spinning


• sleepiness or unusual drowsiness


• sore throat


• stuffy or runny nose


• sugar in the urine


• trouble sleeping


• unusual weak feeling


• vomiting


• weight loss

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

See also: Coreg CR side effects (in more detail)

The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.

More Coreg CR resources

• Coreg CR Side Effects (in more detail)
• Coreg CR Use in Pregnancy & Breastfeeding
• Drug Images
• Coreg CR Drug Interactions
• Coreg CR Support Group
• 5 Reviews for Coreg CR - Add your own review/rating

• Coreg CR Extended-Release Capsules MedFacts Consumer Leaflet (Wolters Kluwer)


• Coreg CR Prescribing Information (FDA)


• Carvedilol Prescribing Information (FDA)


• Carvedilol Professional Patient Advice (Wolters Kluwer)


• Carvedilol Monograph (AHFS DI)


• Carvedilol MedFacts Consumer Leaflet (Wolters Kluwer)


• Coreg Prescribing Information (FDA)


• Coreg Consumer Overview

Compare Coreg CR with other medications

• Angina
• Atrial Fibrillation
• Heart Failure
• High Blood Pressure
• Left Ventricular Dysfunction

Nalphen

Generic Name: chlorpheniramine/ phenyltoloxamine/ phenylephrine/ phenylpropanolamine (klor fen IR a meen/fen ill toe LOX a meen/fen ill EFF rin/fen ill proe pa NOLE a meen)

Brand Names: Andecon Pediatric Drops, Naldecon, Naldelate, Nalgest, Nalphen, Nalspan, Prop-A-Hist, Sinucon, Uni Decon, West-Decon

What is Nalphen (chlorpheniramine/ phenyltoloxamine/ phenylephrine/ phenylpropanolamine)?

Chlorpheniramine and phenyltoloxamine are antihistamines. They block the effects of the naturally occurring chemical histamine in the body. Chlorpheniramine and phenyltoloxamine prevent sneezing; itchy, watery eyes and nose; and other symptoms of allergies and hay fever.

Phenylephrine and phenylpropanolamine are decongestants. They constrict blood vessels (veins and arteries). This reduces the blood flow to certain areas and allows nasal and respiratory (breathing) passages to open up.

Chlorpheniramine/phenyltoloxamine/phenylephrine/phenylpropanolamine is used to treat nasal congestion and sinusitis (inflammation of the sinuses) associated with allergies, hay fever, and the common cold.

Phenylpropanolamine, an ingredient in this product, has been associated with an increased risk of hemorrhagic stroke (bleeding into the brain or into tissue surrounding the brain) in women. Men may also be at risk. Although the risk of hemorrhagic stroke is low, the U.S. Food and Drug Administration (FDA) recommends that consumers not use any products that contain phenylpropanolamine.

Chlorpheniramine/phenyltoloxamine/phenylephrine/phenylpropanolamine may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about Nalphen (chlorpheniramine/ phenyltoloxamine/ phenylephrine/ phenylpropanolamine)?

Phenylpropanolamine, an ingredient in this product, has been associated with an increased risk of hemorrhagic stroke (bleeding into the brain or into tissue surrounding the brain) in women. Men may also be at risk. Although the risk of hemorrhagic stroke is low, the U.S. Food and Drug Administration (FDA) recommends that consumers not use any products that contain phenylpropanolamine.

Use caution when driving, operating machinery, or performing other hazardous activities. Chlorpheniramine/phenyltoloxamine/phenylephrine/phenylpropanolamine may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities. Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while taking chlorpheniramine/phenyltoloxamine/phenylephrine/phenylpropanolamine.

Do not take more of this medication than is recommended. If your symptoms do not improve, or if they worsen, talk to your doctor.

Who should not take Nalphen (chlorpheniramine/ phenyltoloxamine/ phenylephrine/ phenylpropanolamine)?

Do not take chlorpheniramine/phenyltoloxamine/phenylephrine/phenylpropanolamine if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects.

Before taking this medication, tell your doctor if you have

• kidney disease,


• liver disease,


• 
  

  diabetes,

  
  


• 
  

  glaucoma,

  
  


• 
  

  any type of heart disease or high blood pressure,

  
  


• 
  

  thyroid disease,

  
  


• 
  

  emphysema or chronic bronchitis, or

  
  


• 
  

  difficulty urinating or an enlarged prostate.

  
  

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

Chlorpheniramine/phenyltoloxamine/phenylephrine/phenylpropanolamine is in the FDA pregnancy category B. This means that it is unlikely to harm an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant. This medication passes into breast milk and may harm a nursing baby. Do not take this medication without first talking to your doctor if you are breast-feeding a baby. If you are over 60 years of age, you may be more likely to experience side effects from chlorpheniramine/phenyltoloxamine/phenylephrine/phenylpropanolamine. You may require a lower dose of this medication. Read the package label for directions or consult your doctor or pharmacist before treating a child with this medication. Children are more susceptible than adults to the effects of medicines and may have unusual reactions.

How should I take Nalphen (chlorpheniramine/ phenyltoloxamine/ phenylephrine/ phenylpropanolamine)?

Take chlorpheniramine/phenyltoloxamine/phenylephrine/phenylpropanolamine exactly as directed. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Take each dose with a full glass of water. Do not crush, chew, or break the long-acting or sustained-release forms of this medication. Swallow them whole. If you are unsure of the formulation of the medicine, ask your pharmacist for help.

If you cannot swallow the tablets or capsules, look for a liquid form of the medication.

To ensure that you get a correct dose, measure the liquid forms of chlorpheniramine/phenyltoloxamine/phenylephrine/phenylpropanolamine with a special dose-measuring spoon or cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.

Do not take more of this medication than is recommended. An overdose of this medication can cause serious harm.

Do not take chlorpheniramine/phenyltoloxamine/phenylephrine/phenylpropanolamine for longer than 7 days in a row. If your symptoms do not improve, if they get worse, or if you have a fever, talk to your doctor.

Store chlorpheniramine/phenyltoloxamine/phenylephrine/phenylpropanolamine at room temperature away from moisture and heat.

What happens if I miss a dose?

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

What happens if I overdose?

Seek emergency medical attention.

Symptoms of a chlorpheniramine/phenyltoloxamine/phenylephrine/phenylpropanolamine overdose include a dry mouth, large pupils, flushing, nausea, and vomiting.

What should I avoid while taking Nalphen (chlorpheniramine/ phenyltoloxamine/ phenylephrine/ phenylpropanolamine)?

Use caution when driving, operating machinery, or performing other hazardous activities. Chlorpheniramine/phenyltoloxamine/phenylephrine/phenylpropanolamine may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities. Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while taking chlorpheniramine/phenyltoloxamine/phenylephrine/phenylpropanolamine.

Chlorpheniramine/phenyltoloxamine/phenylephrine/phenylpropanolamine may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, other antihistamines, pain relievers, anxiety medicines, seizure medicines, and muscle relaxants. Dangerous sedation, dizziness, or drowsiness may occur if chlorpheniramine/phenyltoloxamine/phenylephrine/phenylpropanolamine is taken with any of these medications.

Nalphen (chlorpheniramine/ phenyltoloxamine/ phenylephrine/ phenylpropanolamine) side effects

Serious side effects are unlikely to occur. Stop taking chlorpheniramine/phenyltoloxamine/phenylephrine/phenylpropanolamine and seek emergency medical attention if you experience an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives).

Other, less serious side effects may be more likely to occur. Continue to take chlorpheniramine/phenyltoloxamine/phenylephrine/phenylpropanolamine and talk to your doctor or try another similar medication if you experience

• 
  

  dryness of the eyes, nose, and mouth;

  
  


• 
  

  drowsiness or dizziness;

  
  


• 
  

  blurred vision;

  
  


• 
  

  difficulty urinating; or

  
  


• 
  

  excitation in children.

  
  

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

What other drugs will affect Nalphen (chlorpheniramine/ phenyltoloxamine/ phenylephrine/ phenylpropanolamine)?

Do not take chlorpheniramine/phenyltoloxamine/phenylephrine/phenylpropanolamine if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects.

Do not take other over-the-counter cough, cold, allergy, diet, or sleep aids while taking chlorpheniramine/phenyltoloxamine/phenylephrine/phenylpropanolamine without first talking to your doctor or pharmacist. Other medications may also contain chlorpheniramine, phenyltoloxamine, phenylephrine, phenylpropanolamine, or other similar drugs. You may accidentally take too much of these medicines.

Chlorpheniramine/phenyltoloxamine/phenylephrine/phenylpropanolamine may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, other antihistamines, pain relievers, anxiety medicines, seizure medicines, and muscle relaxants. Dangerous sedation, dizziness, or drowsiness may occur if chlorpheniramine/phenyltoloxamine/phenylephrine/phenylpropanolamine is taken with any of these medications.

Drugs other than those listed here may also interact with chlorpheniramine/phenyltoloxamine/phenylephrine/phenylpropanolamine. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

More Nalphen resources

• Nalphen Drug Interactions
• Nalphen Support Group
• 0 Reviews for Nalphen - Add your own review/rating

Compare Nalphen with other medications

• Hay Fever
• Nasal Congestion
• Sinusitis
• Upper Respiratory Tract Infection

Where can I get more information?

• Your pharmacist has additional information about chlorpheniramine/ phenyltoloxamine/phenylephrine/phenylpropanolamine written for health professionals that you may read.

What does my medication look like?

Many formulations of chlorpheniramine/phenyltoloxamine/phenylephrine/phenylpropanolamine available both over the counter and with a prescription. Ask your pharmacist any questions you have about this medication, especially if it is new to you.