Monday, September 12, 2016

Capozide 50/15


Generic Name: captopril and hydrochlorothiazide (Oral route)


KAP-toe-pril, hye-droe-klor-oh-THYE-a-zide


Oral route(Tablet)

ACE inhibitors can cause injury or death to the developing fetus when used during the second and third trimesters. Stop therapy as soon as possible when pregnancy is detected .



Commonly used brand name(s)

In the U.S.


  • Capozide 25/15

  • Capozide 25/25

  • Capozide 50/15

  • Capozide 50/25

Available Dosage Forms:


  • Tablet

Therapeutic Class: ACE Inhibitor/Thiazide Combination


Pharmacologic Class: ACE Inhibitor


Chemical Class: Thiazide


Uses For Capozide 50/15


Captopril and hydrochlorothiazide combination is used to treat high blood pressure (hypertension). High blood pressure adds to the work load 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. Hypertension may also increase the risk of heart attacks. These problems may be less likely to occur if blood pressure is controlled .


Captopril works by blocking an enzyme in the body that is necessary to produce a substance that causes blood vessels to tighten. As a result, the blood vessels relax. Hydrochlorothiazide works by helping reduce the amount of salt and water in the body by acting on the kidneys to increase the flow of urine. Both of these medicines lower blood pressure and increase the supply of blood and oxygen to the heart .


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


Before Using Capozide 50/15


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 captopril and hydrochlorothiazide combination in the pediatric population. Safety and efficacy have not been established .


Geriatric


No information is available on the relationship of age to the effects of captopril and hydrochlorothiazide combination in geriatric patients. However, elderly patients are more likely to have age-related kidney problems, which may require an adjustment of dose in patients receiving captopril and hydrochlorothiazide combination .


Pregnancy














Pregnancy CategoryExplanation
1st TrimesterCAnimal 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.
2nd TrimesterDStudies in pregnant women have demonstrated a risk to the fetus. However, the benefits of therapy in a life threatening situation or a serious disease, may outweigh the potential risk.
3rd TrimesterDStudies in pregnant women have demonstrated a risk to the fetus. However, the benefits of therapy in a life threatening situation or a serious disease, may outweigh the potential risk.

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 not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.


  • Dofetilide

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.


  • Acetyldigoxin

  • Allopurinol

  • Alteplase, Recombinant

  • Amiloride

  • Arsenic Trioxide

  • Azathioprine

  • Canrenoate

  • Deslanoside

  • Digitalis

  • Digitoxin

  • Digoxin

  • Droperidol

  • Eplerenone

  • Flecainide

  • Interferon Alfa-2a

  • Ketanserin

  • Levomethadyl

  • Lithium

  • Metildigoxin

  • Ouabain

  • Potassium

  • Proscillaridin

  • Sotalol

  • Spironolactone

  • Triamterene

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.


  • Aceclofenac

  • Acemetacin

  • Alacepril

  • Alclofenac

  • Aliskiren

  • Apazone

  • Aspirin

  • Azosemide

  • Bemetizide

  • Benazepril

  • Bendroflumethiazide

  • Benoxaprofen

  • Benzthiazide

  • Bepridil

  • Bromfenac

  • Bufexamac

  • Bumetanide

  • Bupivacaine

  • Buthiazide

  • Capsaicin

  • Captopril

  • Carbamazepine

  • Carprofen

  • Celecoxib

  • Chlorothiazide

  • Chlorpromazine

  • Chlorpropamide

  • Chlorthalidone

  • Cholestyramine

  • Cilazapril

  • Clometacin

  • Clonixin

  • Clopamide

  • Cyclopenthiazide

  • Cyclophosphamide

  • Cyclothiazide

  • Delapril

  • Dexketoprofen

  • Diclofenac

  • Diflunisal

  • Dipyrone

  • Droxicam

  • Enalaprilat

  • Enalapril Maleate

  • Ethacrynic Acid

  • Etodolac

  • Etofenamate

  • Felbinac

  • Fenbufen

  • Fenoprofen

  • Fentiazac

  • Floctafenine

  • Flufenamic Acid

  • Flurbiprofen

  • Fosinopril

  • Furosemide

  • Ginkgo

  • Glipizide

  • Gold Sodium Thiomalate

  • Gossypol

  • Hydrochlorothiazide

  • Hydroflumethiazide

  • Ibuprofen

  • Ibuprofen Lysine

  • Icatibant

  • Imidapril

  • Indapamide

  • Indomethacin

  • Indoprofen

  • Isoxicam

  • Ketoprofen

  • Ketorolac

  • Licorice

  • Lisinopril

  • Lornoxicam

  • Magnesium Salicylate

  • Meclofenamate

  • Mefenamic Acid

  • Meloxicam

  • Methyclothiazide

  • Metolazone

  • Moexipril

  • Nabumetone

  • Naproxen

  • Nepafenac

  • Nesiritide

  • Niflumic Acid

  • Nimesulide

  • Oxaprozin

  • Oxyphenbutazone

  • Pentopril

  • Perindopril

  • Phenylbutazone

  • Pirazolac

  • Piretanide

  • Piroxicam

  • Pirprofen

  • Polythiazide

  • Propyphenazone

  • Proquazone

  • Quinapril

  • Quinethazone

  • Ramipril

  • Salicylic Acid

  • Salsalate

  • Spirapril

  • Sulindac

  • Suprofen

  • Temocapril

  • Tenidap

  • Tenoxicam

  • Tiaprofenic Acid

  • Tolmetin

  • Topiramate

  • Torsemide

  • Trandolapril

  • Trichlormethiazide

  • Xipamide

  • Zofenopril

  • 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. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.


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:


  • Angioedema, history of—May increase the risk of this condition occurring again .

  • Anuria (not able to pass urine)—This medicine should not be used in patients with this condition .

  • Asthma, bronchial—This medicine may cause sensitivity reactions .

  • Dehydration or

  • Diarrhea or

  • Heart failure or

  • Hyponatremia (low sodium in the blood) or

  • Kidney disease—These conditions may cause the blood pressure to fall too low with this medicine .

  • Diabetes or

  • Gout or

  • Hyperuricemia (high uric acid in the blood) or

  • Liver disease or

  • Systemic lupus erythematosus (SLE)—These conditions may be made worse .

Proper Use of captopril and hydrochlorothiazide

This section provides information on the proper use of a number of products that contain captopril and hydrochlorothiazide. It may not be specific to Capozide 50/15. 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. 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. Therefore, 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.


It is best to take this medicine on an empty stomach at least 1 hour before eating any food .


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 (tablets):
    • For high blood pressure:
      • Adults—1 or 2 tablets once 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.


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


Keep out of the reach of children.


Do not keep outdated medicine or medicine no longer needed.


Precautions While Using Capozide 50/15


It is very important that your doctor check your progress at regular visits to make sure this medicine is working properly and to check for unwanted effects. Blood tests may be needed to check for unwanted effects .


Using this medicine while you are pregnant can harm your unborn baby. If you think you have become pregnant while using this medicine, tell your doctor right away .


Stop using this medicine and call your doctor right away if you have swelling of the face, arms, legs, eyes, lips, or tongue, or problems with swallowing or breathing. These are symptoms of a condition called angioedema .


Stop using this medicine and call your doctor right away if you have severe stomach pain. This could be a symptom of a condition called intestinal angioedema .


Tell your doctor immediately if you have any signs of infection such as chills, sore throat, or fever. These may be symptoms of an immune system condition called neutropenia .


If your symptoms do not improve within a few days or if they become worse, check with your doctor. Do not stop using this medicine unless your doctor tells you to .


You may experience lightheadedness during the first few days with this medicine. If this becomes severe and you faint, stop using this medicine and talk to your doctor right away .


This medicine may affect blood sugar levels. If you notice a change in the results of your blood or urine sugar tests, or if you have any questions, check with your doctor .


Check with your doctor right away if you have symptoms of jaundice (yellow skin or eyes) because these may be signs of a serious liver condition .


This medicine may increase the amount of potassium in your blood. Do not use salt substitutes containing potassium without first checking with your doctor .


Make sure any doctor or dentist who treats you knows that you are using this medicine. You may need to stop using this medicine several days before having surgery or medical tests .


Capozide 50/15 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
  • Black, tarry stools

  • chest pain

  • chills

  • cough

  • fever

  • painful or difficult urination

  • shortness of breath

  • sore throat

  • sores, ulcers, or white spots on lips or in mouth

  • swollen glands

  • unusual bleeding or bruising

  • unusual tiredness or weakness

Less common
  • Blurred vision

  • cloudy urine

  • confusion

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

  • fast, pounding, or irregular heartbeat or pulse

  • sweating

Rare
  • Arm, back or jaw pain or discomfort

  • bloody urine

  • chest discomfort

  • chest tightness or heaviness

  • decreased blood pressure

  • decreased frequency or amount of urine

  • dilated neck veins

  • increased need to urinate

  • increased thirst

  • irregular breathing

  • large, hive-like swelling on face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs

  • loss of appetite

  • lower back or side pain

  • nausea

  • paleness or cold feeling in fingertips and toes

  • passing urine more often

  • problems in urination or increase in amount of urine

  • swelling of face, fingers, feet or lower legs

  • tingling or pain in fingers or toes when exposed to cold

  • troubled breathing

  • vomiting

  • weight gain

  • 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
  • Difficulty in moving

  • itching skin

  • muscle pain or stiffness

  • pain in joints

  • rash

Less common
  • Change in taste

  • loss of taste

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: Capozide 50/15 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.


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More Capozide 50/15 resources


  • Capozide 50/15 Side Effects (in more detail)
  • Capozide 50/15 Use in Pregnancy & Breastfeeding
  • Drug Images
  • Capozide 50/15 Drug Interactions
  • Capozide 50/15 Support Group
  • 0 Reviews for Capozide 50/15 - Add your own review/rating


  • Capozide 50/15 Concise Consumer Information (Cerner Multum)



Compare Capozide 50/15 with other medications


  • Heart Failure
  • High Blood Pressure

Cortone Acetate


Generic Name: cortisone (KOR ti sone)

Brand Names: Cortone Acetate


What is Cortone Acetate (cortisone)?

Cortisone is a steroid that prevents the release of substances in the body that cause inflammation.


Cortisone is used to treat many different conditions such as allergic disorders, skin conditions, ulcerative colitis, arthritis, lupus, psoriasis, or breathing disorders.


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


What is the most important information I should know about Cortone Acetate (cortisone)?


You should not use this medication if you are allergic to cortisone, or if you have a fungal infection anywhere in your body.

Before taking cortisone, tell your doctor about all of your medical conditions, and about all other medicines you are using. There are many other diseases that can be affected by steroid use, and many other medicines that can interact with steroids.


Your dosage needs may change if you have surgery, are ill, are under stress, or have a fever or infection. Do not change your medication dose or schedule without your doctor's advice. Tell your doctor about any illness or infection you have had within the past several weeks.


Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using a steroid.


Do not receive a "live" vaccine while using cortisone. The vaccine may not work as well during this time, and may not fully protect you from disease.


Do not stop using cortisone suddenly, or you could have unpleasant withdrawal symptoms. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication. Wear a medical alert tag or carry an ID card stating that you take cortisone. Any medical care provider who treats you should know that you take steroid medication.

What should I discuss with my healthcare provider before taking Cortone Acetate (cortisone)?


You should not use this medication if you are allergic to cortisone, or if you have a fungal infection anywhere in your body.

Steroid medication can weaken your immune system, making it easier for you to get an infection. Steroids can also worsen an infection you already have, or reactivate an infection you recently had. Before taking this medication, tell your doctor about any illness or infection you have had within the past several weeks.


To make sure you can safely take cortisone, tell your doctor if you have any of these other conditions:



  • liver disease (such as cirrhosis);




  • kidney disease;




  • a thyroid disorder;




  • diabetes;




  • a history of malaria;




  • tuberculosis;




  • osteoporosis;




  • a muscle disorder such as myasthenia gravis;




  • glaucoma or cataracts;




  • herpes infection of the eyes;




  • stomach ulcers, ulcerative colitis, or diverticulitis;




  • depression or mental illness;




  • congestive heart failure; or




  • high blood pressure.




It is not known whether cortisone will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. Cortisone can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are using cortisone.

Steroids can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using this medication.


How should I take Cortone Acetate (cortisone)?


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


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


Your dosage needs may change if you have surgery, are ill, are under stress, or have a fever or infection. Do not change your medication dose or schedule without your doctor's advice. Tell your doctor about any illness or infection you have had within the past several weeks.


This medication can cause unusual results with certain medical tests. Tell any doctor who treats you that you are using cortisone. Do not stop using cortisone suddenly, or you could have unpleasant withdrawal symptoms. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication. Wear a medical alert tag or carry an ID card stating that you take cortisone. Any medical care provider who treats you should know that you take steroid medication. Store at room temperature away from moisture, heat, and light.

What happens if I miss a dose?


Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take 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 cortisone 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 taking Cortone Acetate (cortisone)?


Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using a steroid.

Do not receive a "live" vaccine while using cortisone. The vaccine may not work as well during this time, and may not fully protect you from disease. Live vaccines include measles, mumps, rubella (MMR), Bacillus Calmette-Guérin (BCG), oral polio, rotavirus, smallpox, typhoid, yellow fever, varicella (chickenpox), H1N1 influenza, and nasal flu vaccine.


Avoid drinking alcohol while you are taking cortisone.

Cortone Acetate (cortisone) side effects


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

  • problems with your vision;




  • swelling, rapid weight gain, feeling short of breath;




  • severe depression, unusual thoughts or behavior, seizure (convulsions);




  • bloody or tarry stools, coughing up blood;




  • pancreatitis (severe pain in your upper stomach spreading to your back, nausea and vomiting, fast heart rate);




  • low potassium (confusion, uneven heart rate, extreme thirst, increased urination, leg discomfort, muscle weakness or limp feeling); or




  • dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, confusion, chest pain, shortness of breath, uneven heartbeats, seizure).



Less serious side effects may include:



  • sleep problems (insomnia), mood changes;




  • acne, dry skin, thinning skin, bruising or discoloration;




  • slow wound healing;




  • increased sweating;




  • headache, dizziness, spinning sensation;




  • nausea, stomach pain, bloating; or




  • changes in the shape or location of body fat (especially in your arms, legs, face, neck, breasts, and waist).



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 Cortone Acetate (cortisone)?


Many drugs can interact with cortisone. Below is just a partial list. Tell your doctor if you are using:



  • aspirin (taken on a daily basis or at high doses);




  • a diuretic (water pill);




  • a blood thinner such as warfarin (Coumadin, Jantoven);




  • cyclosporine (Gengraf, Neoral, Sandimmune);




  • insulin or diabetes medications you take by mouth;




  • ketoconazole (Nizoral);




  • rifampin (Rifadin, Rifater, Rifamate, Rimactane); or




  • seizure medications such as phenytoin (Dilantin) or phenobarbital (Luminal, Solfoton).



This list is not complete and there are many other drugs that can interact with cortisone. 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. Keep a list of all your medicines and show it to any healthcare provider who treats you.



More Cortone Acetate resources


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


  • Cortisone MedFacts Consumer Leaflet (Wolters Kluwer)

  • Cortisone Acetate Monograph (AHFS DI)



Compare Cortone Acetate with other medications


  • Adrenal Insufficiency
  • Ankylosing Spondylitis
  • Berylliosis
  • Bursitis
  • Chorioditis
  • Chorioretinitis
  • Conjunctivitis
  • Dermatomyositis
  • Epicondylitis, Tennis Elbow
  • Erythroblastopenia
  • Gouty Arthritis
  • Hemolytic Anemia
  • Idiopathic Thrombocytopenic Purpura
  • Iridocyclitis
  • Iritis
  • Keratitis
  • Loeffler's Syndrome
  • Lymphoma
  • Nephrotic Syndrome
  • Osteoarthritis
  • Psoriatic Arthritis
  • Rheumatoid Arthritis
  • Sarcoidosis
  • Shock
  • Systemic Lupus Erythematosus
  • Uveitis


Where can I get more information?


  • Your pharmacist can provide more information about cortisone.

See also: Cortone Acetate side effects (in more detail)


Clearskin Cream


Pronunciation: BEN-zoe-il per-OX-ide
Generic Name: Benzoyl Peroxide
Brand Name: Examples include Acne Treatment and Clearskin


Clearskin Cream is used for:

Treating acne.


Clearskin Cream is a keratolytic agent with antibacterial actions. The effectiveness of benzoyl peroxide appears to be due to its antibacterial, peeling (keratolytic), and drying actions.


Do NOT use Clearskin Cream if:


  • you are allergic to any ingredient in Clearskin Cream

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



Before using Clearskin Cream:


Some medical conditions may interact with Clearskin Cream. 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

Some MEDICINES MAY INTERACT with Clearskin Cream. However, no specific interactions with Clearskin Cream are known at this time.


Ask your health care provider if Clearskin Cream 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 Clearskin Cream:


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


  • Clearskin Cream is only to be used on the skin.

  • To use the shaving cream - Apply the cream, gently rub over the area, and shave. Rinse and pat dry.

  • To use the cream - Wash and completely dry the affected area. Gently rub the medicine in until it is evenly distributed.

  • To use the cream prefilled sponge applicators - Wash and completely dry the affected area. Firmly squeeze the prefilled sponge applicator until the seal between the applicator and sponge has broken. Apply Clearskin Cream by rubbing the sponge in small circular motions over the affected area. Dispose of each applicator after a single use.

  • If you notice Clearskin Cream or a white residue remaining on your skin after application of the cream, you may be applying too much.

  • Wash your hands immediately before and after using Clearskin Cream.

  • If you miss a dose of Clearskin Cream, use 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 use 2 doses at once.

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



Important safety information:


  • Clearskin Cream is for external use only. Avoid getting Clearskin Cream in your eyes, on the inside of your nose or mouth, on highly inflamed or damaged skin, or on your lips. If you get Clearskin Cream in any of these areas, immediately wash with cool tap water.

  • Avoid applying Clearskin Cream to raw or irritated skin, including sunburns, or to open wounds.

  • Several weeks may pass before you see improvement in your acne. Continue to use Clearskin Cream for the full time recommended by your doctor. If your acne does not improve or if it gets worse, check with your doctor.

  • Talk with your doctor before you use any other medicines, special cleansers, aftershave, or cosmetics on your skin.

  • If you use topical products too often, your condition may become worse.

  • Clearskin Cream may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Clearskin Cream. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.

  • Clearskin Cream may cause bleaching. Avoid contact with hair, fabrics, or carpeting.

  • Clearskin Cream should be used with extreme caution in CHILDREN younger than 12 years old; safety and effectiveness in these children have not been confirmed.

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


Possible side effects of Clearskin Cream:


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:



Dryness; feeling of warmth; irritation; itching; peeling; redness; stinging; swelling of the skin.



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

Severe allergic reactions (rash; hives; itching; dizziness; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); excessive burning, itching, redness, swelling, or tenderness of your skin; extreme dryness.



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: Clearskin 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 excessive scaling; flushing; redness; swelling.


Proper storage of Clearskin Cream:

Store at room temperature between 59 and 77 degrees F (15 and 25 degrees C). Store in a tightly closed container, away from fire, flame, heat, and light. Keep Clearskin Cream out of the reach of children and away from pets.


General information:


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

  • Clearskin Cream 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 Clearskin Cream. 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 Clearskin resources


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


Compare Clearskin with other medications


  • Acne
  • Perioral Dermatitis

Canakinumab


Pronunciation: KAN-a-KIN-ue-mab
Generic Name: Canakinumab
Brand Name: Ilaris


Canakinumab is used for:

Treating certain auto-inflammatory diseases known as cryopyrin-associated periodic syndrome (CAPS), including familial cold autoinflammatory syndrome (FCAS) and Muckle-Wells syndrome (MWS). It may also be used for other conditions as determined by your doctor.


Canakinumab is an interleukin-1 beta-blocker. It works by decreasing the activity of a protein called interleukin-1 beta, which may help to decrease inflammation.


Do NOT use Canakinumab if:


  • you are allergic to any ingredient in Canakinumab

  • you are using another interleukin-1 blocker (eg, anakinra) or a tumor necrosis factor (TNF) blocker (eg, adalimumab)

  • you will be receiving a live vaccine

  • you have a severe infection (eg, sepsis), HIV, hepatitis B or C, or any other active infection

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



Before using Canakinumab:


Some medical conditions may interact with Canakinumab. 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, including rubber

  • if you have a history of an infection that keeps coming back, a tuberculosis (TB) infection or positive TB skin test, hepatitis B infection, or cancer

  • if you have an autoimmune disorder (eg, lupus) or other immune system problems, have recently received a vaccine, are scheduled to receive a vaccine, or are scheduled to have surgery

  • if you have open cuts or sores on your body or flu-like symptoms or other signs of infection (eg, fever; chills; cough; warm, red, or painful skin), or if you are using medicine to treat an infection

  • if you have ever lived in or traveled to an area where TB is common, or if you have come into close contact with a person with active TB

  • if you take medicine that may decrease your immune system (eg, cyclosporine)

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


  • Another interleukin-1 blocker (eg, anakinra) or a tumor necrosis factor (TNF) blocker (eg, adalimumab) because the risk of serious infection may be increased

  • Warfarin because the risk of its side effects may be increased by Canakinumab

This may not be a complete list of all interactions that may occur. Ask your health care provider if Canakinumab 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 Canakinumab:


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


  • An extra patient leaflet is available with Canakinumab. Talk to your pharmacist if you have questions about this information.

  • Canakinumab is given as an injection under the skin at your doctor's office, hospital, or clinic.

  • Canakinumab is usually used every 8 weeks. Do not use more often than every 8 weeks unless your doctor tells you otherwise.

  • If you miss a dose of Canakinumab, contact your doctor right away.

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



Important safety information:


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

  • Do NOT use more than the recommended dose or use for longer than prescribed without checking with your doctor.

  • Canakinumab may lower the ability of your body to fight infection. Avoid contact with people who have colds or infections. Tell your doctor if you notice signs of infection like fever, sore throat, rash, or chills.

  • The safety of Canakinumab in patients with inactive TB has not been confirmed. You may need to have a TB skin test before you start Canakinumab to determine if you have TB infection. Discuss any questions or concerns with your doctor.

  • Medicines that suppress the immune system, including Canakinumab, may increase the risk of developing certain types of cancer. Talk with your doctor if you have questions or concerns.

  • Tell your doctor or dentist that you take Canakinumab before you receive any medical or dental care, emergency care, or surgery.

  • It is recommended that your vaccines be up to date before you begin Canakinumab. Check with your doctor if you have any questions.

  • Do not receive a live vaccine (eg, measles, mumps) while you are taking Canakinumab. Talk with your doctor before you receive any vaccine.

  • Canakinumab should not be used in CHILDREN younger than 4 years old; safety and effectiveness in these children have not been confirmed.

  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Canakinumab while you are pregnant. It is not known if Canakinumab is found in breast milk. If you are or will be breast-feeding while you use Canakinumab, check with your doctor. Discuss any possible risks to your baby.


Possible side effects of Canakinumab:


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:



Cold or flu symptoms; diarrhea; dizziness; headache; mild pain, redness, or swelling at the injection site; mild sore throat; nausea; sinus inflammation; stomach pain.



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); fainting; open sore that does not heal; persistent cough; persistent pain, swelling, or redness at the injection site; severe or persistent headache or dizziness; signs of infection (eg, fever, chills, or sore throat; warm, red, or painful skin; increased or painful urination); unusual bruising; unusual lumps; unusual tiredness or weakness.



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: Canakinumab 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.


Proper storage of Canakinumab:

Canakinumab is usually handled and stored by a health care provider. If you are using Canakinumab at home, store Canakinumab as directed by your pharmacist or health care provider. Keep Canakinumab out of the reach of children and away from pets.


General information:


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

  • Canakinumab 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 Canakinumab. 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 Canakinumab resources


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


  • Canakinumab Professional Patient Advice (Wolters Kluwer)

  • canakinumab Subcutaneous Advanced Consumer (Micromedex) - Includes Dosage Information

  • Ilaris Prescribing Information (FDA)

  • Ilaris Consumer Overview



Compare Canakinumab with other medications


  • Cryopyrin-Associated Periodic Syndromes
  • Familial Cold Autoinflammatory Syndrome
  • Muckle Wells Syndrome

CitraNatal Assure



ascorbic acid, calcium citrate, iron, vitamin d, .alpha.-tocopherol acetate, dl-, thiamine, riboflavin, niacinamide, pyridoxine hydrochloride, folic acid, iodine, zinc, copper, docusate sodium, doconexent and icosapent

Dosage Form: capsule
CitraNatalAssure®

Rx Prenatal Vitamin Tablet and 300 mg DHA Capsule

CitraNatal Assure Description


CitraNatal Assure® is a prescription prenatal/postnatal multivitamin/mineral tablet with Ferr-Ease™, a patented dual-iron delivery comprising both a quick release and slow release iron, and a capsule of an essential fatty acid. The prenatal vitamin is a white, coated, oval multivitamin/mineral tablet. The tablet is debossed "0893" on one side and is blank on the other. The essential fatty acid DHA capsule is clear and contains an amber to light/dark orange semi-solid mixture.




















































Each prenatal capsule contains:
Vitamin C (Ascorbic acid)120  mg
Calcium (Calcium citrate)125  mg
Iron (Carbonyl iron, ferrous gluconate)35  mg
Vitamin D3 (Cholecalciferol)400  IU
Vitamin E (dl-alpha tocopheryl acetate)30  IU
Thiamin (Vitamin B1)3  mg
Riboflavin (Vitamin B2)3.4  mg
Niacinamide (Vitamin B3)20  mg
Vitamin B6 (Pyridoxine HCl)25  mg
Folic Acid1  mg
Iodine (Potassium iodide)150  mcg
Zinc (Zinc oxide)25  mg
Copper (Cupric oxide)2  mg
Docusate Sodium50  mg
Each DHA gelatin capsule contains:
Docosahexaenoic Acid (DHA)300  mg
Eicosapentaenoic Acid (EPA)Not more than 0.750  mg

DHA is contained in the oil derived from microalgae.


Other ingredients in DHA gelatin capsule: Gelatin, Glycerin USP, Water.



INDICATIONS


CitraNatal Assure® is a multivitamin/mineral prescription drug indicated for use in improving the nutritional status of women prior to conception, throughout pregnancy, and in the postnatal period for both lactating and nonlactating mothers.



Contraindications


This product is contraindicated in patients with a known hypersensitivity to any of the ingredients.



WARNING

Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children under 6. KEEP THIS PRODUCT OUT OF THE REACH OF CHILDREN. In case of accidental overdose, call a doctor or poison control center immediately.




Warning


Ingestion of more than 3 grams of omega-3 fatty acids per day has been shown to have potential antithrombotic effects, including an increased bleeding time and INR. Administration of omega-3 fatty acids should be avoided in patients on anticoagulants and in those known to have an inherited or acquired bleeding diathesis.



Warning


Folic acid alone is improper therapy in the treatment of pernicious anemia and other megaloblastic anemias where vitamin B12 is deficient.



Precautions


Folic acid in doses above 0.1 mg daily may obscure pernicious anemia in that hematologic remission can occur while neurological manifestations progress.



Adverse Reactions


Allergic sensitization has been reported following both oral and parenteral administration of folic acid.



CAUTION


Exercise caution to ensure that the prescribed dosage of DHA does not exceed 1 gram (1000 mg) per day.



CitraNatal Assure Dosage and Administration


One tablet and one capsule daily or as directed by a physician.



Store at controlled room temperature.



NOTICE


Contact with moisture can discolor or erode the tablet.



How is CitraNatal Assure Supplied


Six child-resistant blister packs of 5 tablets and 5 capsules each - NDC 0178-0893-30



To report a serious adverse event or obtain product information, call (210) 696-8400.


50289

C02 Rev 010090


Mission®

PHARMACAL


DHA capsules manufactured for:

MISSION PHARMACAL COMPANY

San Antonio, TX USA 78230 1355

Prenatal tablets manufactured by:

MISSION PHARMACAL COMPANY

San Antonio, TX USA 78230 1355


www.missionpharmacal.com


Copyright © 2009 Mission Pharmacal Company.


All rights reserved.


Ferr-Ease™

Dual-iron delivery


Trademark of Mission Pharmacal Company

U.S. Patent No. 6,521,247


life's DHA™

HEALTHY BRAIN, EYES, HEART


Trademark of Martek Biosciences Corporation

U.S. Patent No. 5,407,957

U.S. Patent No. 5,492,938


*March of Dimes does not endorse

specific products or brands.

March of Dimes is a registered trademark

of the March of Dimes Foundation.



PRINCIPAL DISPLAY PANEL - Six 5-day Blister Pack Carton


Rx Only

NDC 0178-0893-30


Its gentle nature

is its strength


CitraNatalAssure®


Rx Prenatal Vitamin Tablet and 300 mg DHA Capsule


An Rx prenatal

vitamin and

omega-3 (DHA)

derived from an

all natural

plant source


march of dimes®


Mission Pharmacal is a proud

supporter of the March of Dimes.*


CONTAINS

Six 5-day Blister Packs


Mission®

PHARMACAL
























CitraNatal Assure 
ascorbic acid, calcium citrate, iron, vitamin d, .alpha.-tocopherol acetate, dl-, thiamine, riboflavin, niacinamide, pyridoxine hydrochloride, folic acid, iodine, zinc, copper, docusate sodium, doconexent and icosapent  kit






Product Information
Product TypeHUMAN PRESCRIPTION DRUGNDC Product Code (Source)0178-0893














Packaging
#NDCPackage DescriptionMultilevel Packaging
10178-0893-306 BLISTER PACK In 1 CARTONcontains a BLISTER PACK
11 KIT In 1 BLISTER PACKThis package is contained within the CARTON (0178-0893-30)











QUANTITY OF PARTS
Part #Package QuantityTotal Product Quantity
Part 1 5 
Part 2 5 



Part 1 of 2
PRENATAL VITAMIN 
ascorbic acid, calcium citrate, iron, vitamin d, .alpha.-tocopherol acetate, dl-, thiamine, riboflavin, niacinamide, pyridoxine hydrochloride, folic acid, iodine, zinc, copper and docusate sodium  tablet, coated










Product Information
   
Route of AdministrationORALDEA Schedule    















































Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
ascorbic acid (ascorbic acid)ascorbic acid120 mg
calcium citrate (calcium)calcium citrate125 mg
Iron (Iron )Iron35 mg
Cholecalciferol (Cholecalciferol)Cholecalciferol400 [iU]
ALPHA-TOCOPHEROL (ALPHA-TOCOPHEROL)ALPHA-TOCOPHEROL30 [iU]
Thiamine (Thiamine)Thiamine3 mg
Riboflavin (Riboflavin)Riboflavin3.4 mg
Niacinamide (Niacinamide)Niacinamide20 mg
Pyridoxine Hydrochloride (Pyridoxine)Pyridoxine Hydrochloride25 mg
Folic Acid (Folic Acid)Folic Acid1 mg
Iodine (Iodine)Iodine150 ug
Zinc (Zinc)Zinc25 mg
Copper (Copper)Copper2 mg
Docusate Sodium (Docusate)Docusate Sodium50 mg


















Inactive Ingredients
Ingredient NameStrength
POVIDONE K30 
Croscarmellose Sodium 
Titanium Dioxide 
Magnesium Silicate 
Magnesium Stearate 
Shellac 
VANILLIN 


















Product Characteristics
ColorWHITEScoreno score
ShapeOVALSize20mm
FlavorImprint Code0893
Contains      







Packaging
#NDCPackage DescriptionMultilevel Packaging
Package Information Not Applicable










Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
Unapproved drug other11/19/2008




Part 2 of 2
DHA 
doconexent and icosapent  capsule










Product Information
   
Route of AdministrationORALDEA Schedule    











Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
DOCONEXENT (DOCONEXENT)DOCONEXENT300 mg
ICOSAPENT (ICOSAPENT)ICOSAPENT0.75 mg










Inactive Ingredients
Ingredient NameStrength
Gelatin 
Glycerin 
Water 


















Product Characteristics
ColorORANGE (clear, amber to light/dark orange)Scoreno score
ShapeCAPSULESize23mm
FlavorImprint Code
Contains      







Packaging
#NDCPackage DescriptionMultilevel Packaging
Package Information Not Applicable










Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
Unapproved drug other11/19/2008











Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
Unapproved drug other11/19/2008


Labeler - Mission Pharmacal Company (008117095)









Establishment
NameAddressID/FEIOperations
Accucaps Industries Ltd248441727MANUFACTURE









Establishment
NameAddressID/FEIOperations
Mission Pharmacal Company927726893MANUFACTURE
Revised: 05/2011Mission Pharmacal Company

More CitraNatal Assure resources


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


  • CitraNatal Assure MedFacts Consumer Leaflet (Wolters Kluwer)

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  • PrimaCare Advantage MedFacts Consumer Leaflet (Wolters Kluwer)

  • PrimaCare ONE capsules

  • PrimaCare One MedFacts Consumer Leaflet (Wolters Kluwer)

  • Se-Natal 19 Chewable Tablets MedFacts Consumer Leaflet (Wolters Kluwer)

  • Triveen-One MedFacts Consumer Leaflet (Wolters Kluwer)

  • Ultra NatalCare MedFacts Consumer Leaflet (Wolters Kluwer)

  • Vitafol-One MedFacts Consumer Leaflet (Wolters Kluwer)



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  • Vitamin/Mineral Supplementation during Pregnancy/Lactation

C-Tanna 12D


Generic Name: carbetapentane, phenylephrine, and pyrilamine (kar BET a PEN tane, FEN il EFF rin, and pir IL a meen)

Brand Names: C-Tanna 12D, Tannate 12D S, Tannihist-12D, Tussi-12D, Tussi-12D S


What is C-Tanna 12D (carbetapentane, phenylephrine, and pyrilamine)?

Carbetapentane is a cough suppressant.


Pyrilamine is an antihistamine that reduces the natural chemical histamine in the body. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose.


Phenylephrine is a decongestant that shrinks blood vessels in the nasal passages. Dilated blood vessels can cause nasal congestion (stuffy nose).


The combination of carbetapentane, phenylephrine, and pyrilamine is used to treat runny or stuffy nose, sinus congestion, and cough caused by allergies, the common cold, or flu.


Carbetapentane, phenylephrine, and pyrilamine may also be used for other purposes not listed in this medication guide.


What is the most important information I should know about C-Tanna 12D (carbetapentane, phenylephrine, and pyrilamine)?


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.

Tell your doctor about all your medical conditions before you take this carbetapentane, phenylephrine, and pyrilamine.


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. Avoid drinking alcohol while you are taking this medication.

Do not use any other over-the-counter cough, cold, allergy, or sleep 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 an antihistamine, decongestant, or cough suppressant.


What should I discuss with my healthcare provider before taking C-Tanna 12D (carbetapentane, phenylephrine, and pyrilamine)?


You should not use this medication if you are allergic to carbetapentane, phenylephrine, or pyrilamine, or to other decongestants or antihistamines. 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.

Before using this medication, tell your doctor if you are allergic to any drugs, or if you have:



  • heart disease, high blood pressure, or a heart rhythm disorder;




  • asthma, emphysema, or chronic obstructive pulmonary disease (COPD);




  • epilepsy or other seizure disorder;




  • diabetes;




  • a thyroid disorder;




  • glaucoma;




  • kidney disease;




  • gallbladder disease;




  • Addison's disease;




  • a stomach ulcer or obstruction;




  • an enlarged prostate; or




  • problems with urination.



If you have any of these conditions, you may not be able to take carbetapentane, phenylephrine, and pyrilamine, or you may need a dose adjustment or special tests during treatment.


This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. This medication may pass into breast milk and could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take C-Tanna 12D (carbetapentane, phenylephrine, and pyrilamine)?


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


Always ask a doctor before giving cough or cold medicine to a child. Death can occur from the misuse of cough or cold medicine in very young children. Shake the oral suspension (liquid) well just before you measure a dose. To be sure you get the correct dose, measure the liquid with a marked measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

This medication can cause you to have unusual results with allergy skin tests. Tell any doctor who treats you that you are taking an antihistamine.


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. Store the medicine at room temperature away from moisture and heat.

What happens if I miss a dose?


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


What happens if I overdose?


Seek emergency medical attention if you think you have used too much of this medicine. Overdose symptoms may include feeling restless or nervous, nausea, vomiting, stomach pain, dizziness, drowsiness, dry mouth, warmth or tingly feeling, or seizure (convulsions).

What should I avoid while taking C-Tanna 12D (carbetapentane, phenylephrine, and pyrilamine)?


Avoid drinking alcohol while you are taking this medicine. Do not use any other over-the-counter cough, cold, allergy, pain, or sleeping medication without first asking your doctor or pharmacist. Decongestants, antihistamines, and cough suppressants are contained in many medicines available over the counter. If you take certain products together you may accidentally take too much of a certain drug. Read the label of any other medicine you are using to see if it contains a decongestant, antihistamine, or cough suppressant.

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


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 using other medicines that make you sleepy (such as pain medication, sleeping pills, muscle relaxers, and medicine for seizures, depression or anxiety). They can add to sleepiness caused by carbetapentane, phenylephrine, and pyrilamine.

C-Tanna 12D (carbetapentane, phenylephrine, and pyrilamine) 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:

  • fast, pounding, or uneven heartbeat;




  • slow, shallow breathing;




  • confusion, hallucinations, unusual thoughts or behavior;




  • severe dizziness, anxiety, restless feeling, or nervousness;




  • urinating less than usual or not at all;




  • easy bruising or bleeding, unusual weakness, fever, chills, body aches, flu symptoms;




  • increased blood pressure (severe headache, blurred vision, trouble concentrating, chest pain, numbness, seizure); or




  • jaundice (yellowing of the skin or eyes).



Less serious side effects may include:



  • dizziness, drowsiness, blurred vision;




  • dry mouth, nose, or eyes;




  • nausea, stomach pain, constipation, loss of appetite;




  • warmth, tingling, or redness under your skin;




  • problems with memory or concentration;




  • ringing in your ears;




  • feeling excited or restless; or




  • sleep problems (insomnia).



This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.


What other drugs will affect C-Tanna 12D (carbetapentane, phenylephrine, and pyrilamine)?


The following drugs can interact with carbetapentane, phenylephrine, and pyrilamine. Tell your doctor if you are using any of these:



  • celecoxib (Celebrex);




  • cinacalcet (Sensipar);




  • imatinib (Gleevec);




  • quinidine (Quinaglute, Quinidex);




  • ranolazine (Ranexa)




  • ritonavir (Norvir);




  • sibutramine (Meridia);




  • terbinafine (Lamisil);




  • an antidepressant;




  • a diuretic (water pill);




  • medicines to treat high blood pressure;




  • medication to treat irritable bowel syndrome;




  • bladder or urinary medications such as oxybutynin (Ditropan, Oxytrol) or tolterodine (Detrol); or




  • aspirin or salicylates (such as Disalcid, Doan's Pills, Dolobid, Salflex, Tricosal, and others).



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



More C-Tanna 12D resources


  • C-Tanna 12D Side Effects (in more detail)
  • C-Tanna 12D Use in Pregnancy & Breastfeeding
  • C-Tanna 12D Drug Interactions
  • C-Tanna 12D Support Group
  • 0 Reviews for C-Tanna2D - Add your own review/rating


  • Carbetapentane/Phenylephrine/Pyrilamine MedFacts Consumer Leaflet (Wolters Kluwer)



Compare C-Tanna 12D with other medications


  • Cough and Nasal Congestion


Where can I get more information?


  • Your pharmacist can provide more information about carbetapentane, phenylephrine, and pyrilamine.

See also: C-Tanna2D side effects (in more detail)


cortisone


Generic Name: cortisone (KOR ti sone)

Brand Names: Cortone Acetate


What is cortisone?

Cortisone is a steroid that prevents the release of substances in the body that cause inflammation.


Cortisone is used to treat many different conditions such as allergic disorders, skin conditions, ulcerative colitis, arthritis, lupus, psoriasis, or breathing disorders.


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


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


You should not use this medication if you are allergic to cortisone, or if you have a fungal infection anywhere in your body.

Before taking cortisone, tell your doctor about all of your medical conditions, and about all other medicines you are using. There are many other diseases that can be affected by steroid use, and many other medicines that can interact with steroids.


Your dosage needs may change if you have surgery, are ill, are under stress, or have a fever or infection. Do not change your medication dose or schedule without your doctor's advice. Tell your doctor about any illness or infection you have had within the past several weeks.


Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using a steroid.


Do not receive a "live" vaccine while using cortisone. The vaccine may not work as well during this time, and may not fully protect you from disease.


Do not stop using cortisone suddenly, or you could have unpleasant withdrawal symptoms. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication. Wear a medical alert tag or carry an ID card stating that you take cortisone. Any medical care provider who treats you should know that you take steroid medication.

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


You should not use this medication if you are allergic to cortisone, or if you have a fungal infection anywhere in your body.

Steroid medication can weaken your immune system, making it easier for you to get an infection. Steroids can also worsen an infection you already have, or reactivate an infection you recently had. Before taking this medication, tell your doctor about any illness or infection you have had within the past several weeks.


To make sure you can safely take cortisone, tell your doctor if you have any of these other conditions:



  • liver disease (such as cirrhosis);




  • kidney disease;




  • a thyroid disorder;




  • diabetes;




  • a history of malaria;




  • tuberculosis;




  • osteoporosis;




  • a muscle disorder such as myasthenia gravis;




  • glaucoma or cataracts;




  • herpes infection of the eyes;




  • stomach ulcers, ulcerative colitis, or diverticulitis;




  • depression or mental illness;




  • congestive heart failure; or




  • high blood pressure.




It is not known whether cortisone will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. Cortisone can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are using cortisone.

Steroids can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using this medication.


How should I take cortisone?


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


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


Your dosage needs may change if you have surgery, are ill, are under stress, or have a fever or infection. Do not change your medication dose or schedule without your doctor's advice. Tell your doctor about any illness or infection you have had within the past several weeks.


This medication can cause unusual results with certain medical tests. Tell any doctor who treats you that you are using cortisone. Do not stop using cortisone suddenly, or you could have unpleasant withdrawal symptoms. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication. Wear a medical alert tag or carry an ID card stating that you take cortisone. Any medical care provider who treats you should know that you take steroid medication. Store at room temperature away from moisture, heat, and light.

See also: Cortisone dosage (in more detail)

What happens if I miss a dose?


Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take 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 cortisone 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 taking cortisone?


Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using a steroid.

Do not receive a "live" vaccine while using cortisone. The vaccine may not work as well during this time, and may not fully protect you from disease. Live vaccines include measles, mumps, rubella (MMR), Bacillus Calmette-Guérin (BCG), oral polio, rotavirus, smallpox, typhoid, yellow fever, varicella (chickenpox), H1N1 influenza, and nasal flu vaccine.


Avoid drinking alcohol while you are taking cortisone.

Cortisone side effects


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

  • problems with your vision;




  • swelling, rapid weight gain, feeling short of breath;




  • severe depression, unusual thoughts or behavior, seizure (convulsions);




  • bloody or tarry stools, coughing up blood;




  • pancreatitis (severe pain in your upper stomach spreading to your back, nausea and vomiting, fast heart rate);




  • low potassium (confusion, uneven heart rate, extreme thirst, increased urination, leg discomfort, muscle weakness or limp feeling); or




  • dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, confusion, chest pain, shortness of breath, uneven heartbeats, seizure).



Less serious side effects may include:



  • sleep problems (insomnia), mood changes;




  • acne, dry skin, thinning skin, bruising or discoloration;




  • slow wound healing;




  • increased sweating;




  • headache, dizziness, spinning sensation;




  • nausea, stomach pain, bloating; or




  • changes in the shape or location of body fat (especially in your arms, legs, face, neck, breasts, and waist).



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.


Cortisone Dosing Information


Usual Adult Dose for Adrenal Insufficiency:

25 mg to 300 mg per day, oral or IM, in 1 to 2 divided doses.

Usual Adult Dose for Idiopathic (Immune) Thrombocytopenic Purpura:

25 mg to 300 mg per day, oral or IM, in 1 to 2 divided doses.

Usual Adult Dose for Shock:

25 mg to 300 mg per day, oral or IM, in 1 to 2 divided doses.

Usual Adult Dose for Hemolytic Anemia:

25 mg to 300 mg per day, oral or IM, in 1 to 2 divided doses.

Usual Adult Dose for Erythroblastopenia:

25 mg to 300 mg per day, oral or IM, in 1 to 2 divided doses.

Usual Adult Dose for Loeffler's Syndrome:

25 mg to 300 mg per day, oral or IM, in 1 to 2 divided doses.

Usual Adult Dose for Sarcoidosis:

25 mg to 300 mg per day, oral or IM, in 1 to 2 divided doses.

Usual Adult Dose for Berylliosis:

25 mg to 300 mg per day, oral or IM, in 1 to 2 divided doses.

Usual Adult Dose for Lymphoma:

25 mg to 300 mg per day, oral or IM, in 1 to 2 divided doses.

Usual Adult Dose for Nephrotic Syndrome:

25 mg to 300 mg per day, oral or IM, in 1 to 2 divided doses.

Usual Adult Dose for Uveitis:

25 mg to 300 mg per day, oral or IM, in 1 to 2 divided doses.

Usual Adult Dose for Iritis:

25 mg to 300 mg per day, oral or IM, in 1 to 2 divided doses.

Usual Adult Dose for Keratitis:

25 mg to 300 mg per day, oral or IM, in 1 to 2 divided doses.

Usual Adult Dose for Conjunctivitis:

25 mg to 300 mg per day, oral or IM, in 1 to 2 divided doses.

Usual Adult Dose for Iridocyclitis:

25 mg to 300 mg per day, oral or IM, in 1 to 2 divided doses.

Usual Adult Dose for Chorioretinitis:

25 mg to 300 mg per day, oral or IM, in 1 to 2 divided doses.

Usual Adult Dose for Choroiditis:

25 mg to 300 mg per day, oral or IM, in 1 to 2 divided doses.

Usual Adult Dose for Systemic Lupus Erythematosus:

25 mg to 300 mg per day, oral or IM, in 1 to 2 divided doses.

Usual Adult Dose for Dermatomyositis:

25 mg to 300 mg per day, oral or IM, in 1 to 2 divided doses.

Usual Adult Dose for Ankylosing Spondylitis:

25 mg to 300 mg per day, oral or IM, in 1 to 2 divided doses.

Usual Adult Dose for Bursitis:

25 mg to 300 mg per day, oral or IM, in 1 to 2 divided doses.

Usual Adult Dose for Osteoarthritis:

25 mg to 300 mg per day, oral or IM, in 1 to 2 divided doses.

Usual Adult Dose for Rheumatoid Arthritis:

25 mg to 300 mg per day, oral or IM, in 1 to 2 divided doses.

Usual Adult Dose for Gouty Arthritis:

25 mg to 300 mg per day, oral or IM, in 1 to 2 divided doses.

Usual Adult Dose for Psoriatic Arthritis:

25 mg to 300 mg per day, oral or IM, in 1 to 2 divided doses.

Usual Adult Dose for Epicondylitis:

25 mg to 300 mg per day, oral or IM, in 1 to 2 divided doses.

Usual Pediatric Dose for Adrenal Insufficiency:

0.5 mg to 0.75 mg/kg/day orally given in equally divided doses every 8 hours. Alternatively, 0.25 mg to 0.35 mg/kg IM once daily


What other drugs will affect cortisone?


Many drugs can interact with cortisone. Below is just a partial list. Tell your doctor if you are using:



  • aspirin (taken on a daily basis or at high doses);




  • a diuretic (water pill);




  • a blood thinner such as warfarin (Coumadin, Jantoven);




  • cyclosporine (Gengraf, Neoral, Sandimmune);




  • insulin or diabetes medications you take by mouth;




  • ketoconazole (Nizoral);




  • rifampin (Rifadin, Rifater, Rifamate, Rimactane); or




  • seizure medications such as phenytoin (Dilantin) or phenobarbital (Luminal, Solfoton).



This list is not complete and there are many other drugs that can interact with cortisone. 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. Keep a list of all your medicines and show it to any healthcare provider who treats you.



More cortisone resources


  • Cortisone Side Effects (in more detail)
  • Cortisone Dosage
  • Cortisone Use in Pregnancy & Breastfeeding
  • Drug Images
  • Cortisone Drug Interactions
  • Cortisone Support Group
  • 1 Review for Cortisone - Add your own review/rating


  • Cortisone MedFacts Consumer Leaflet (Wolters Kluwer)

  • Cortisone Acetate Monograph (AHFS DI)



Compare cortisone with other medications


  • Adrenal Insufficiency
  • Ankylosing Spondylitis
  • Berylliosis
  • Bursitis
  • Chorioditis
  • Chorioretinitis
  • Conjunctivitis
  • Dermatomyositis
  • Epicondylitis, Tennis Elbow
  • Erythroblastopenia
  • Gouty Arthritis
  • Hemolytic Anemia
  • Idiopathic Thrombocytopenic Purpura
  • Iridocyclitis
  • Iritis
  • Keratitis
  • Loeffler's Syndrome
  • Lymphoma
  • Nephrotic Syndrome
  • Osteoarthritis
  • Psoriatic Arthritis
  • Rheumatoid Arthritis
  • Sarcoidosis
  • Shock
  • Systemic Lupus Erythematosus
  • Uveitis


Where can I get more information?


  • Your pharmacist can provide more information about cortisone.

See also: cortisone side effects (in more detail)