Anti Depressants

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Anti Depressants
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Anafranil (Clomipramine HCI)

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Actos (Pioglitazone)

Anti Depressants » Diabetes » Actos (Pioglitazone)

Actos (Pioglitazone) is used to treat type 2 diabetes by reducing the resistance your body has to insulin. It is used either alone or in combination with other anti-diabetes medicines including metformin or insulin as part of a diet and exercise program.

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About Actos (Pioglitazone):

Product Type: Diabetes

Brand name: Actos Generic name: Pioglitazone What is the most important information I should know about Actos? • Usually liver function is monitored with blood tests at the start of treatment every two months for the first year of treatment and periodically thereafter during treatment with Actos. Notify your doctor immediately if you develop nausea vomiting abdominal pain unusual fatigue loss of appetite yellow skin or eyes or dark urine. These symptoms may be early signs of liver problems. • Notify your doctor immediately if you experience an unusually rapid increase in weight or edema (water retention) shortness of breath or chest pain during treatment with Actos. These may be early symptoms of heart problems. • Actos usually does not cause hypoglycemia (low blood sugar). However hypoglycemia may occur as a result of skipped meals excessive exercise or alcohol consumption while taking Actos. Know the signs and symptoms of hypoglycemia which include headache drowsiness weakness dizziness fast heartbeat sweating tremor and nausea. Carry non-dietetic hard candy or glucose tablets with you to treat episodes of low blood sugar. • Actos may decrease the effects of some birth control pills. Additional measures may be necessary to prevent pregnancy while taking Actos. Talk to your doctor about the use of birth control. What is Actos? • Actos is an antihyperglycemic agent. It helps the body respond better to insulin and it reduces the amount of sugar produced by the liver. It can help control blood sugar levels. • Actos is used along with diet and exercise in the treatment of type 2 diabetes. Actos may also be used with a sulfonylurea (e.g. Diabeta Glucotrol Micronase others) metformin (Glucophage) or insulin when diet and exercise plus any one of these medicines alone do not result in adequate blood sugar control. • Actos may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Actos? • Do not take Actos without first talking to your doctor if you have liver disease. • Before taking this medication tell your doctor if you have heart failure or heart disease; have edema (water retention or swelling); have type 1 diabetes mellitus; have a serious infection illness or injury; or need surgery. • You may not be able to take Actos or you may need a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. • Contact your doctor if you develop a fever or an infection require surgery or if you experience a serious injury. Illness or injury may cause a loss of blood sugar control and insulin (or an adjustment of a current insulin dose) may be required for a period of time. • Treatment with Actos may cause resumption of fertility by allowing for the return of ovulation (production of eggs) in certain women with insulin resistance who were not ovulating before treatment with Actos. Talk to your doctor about adequate forms of birth control while taking Actos if birth control is desired. • Actos is in the FDA pregnancy category C. This means that it is not known whether Actos will be harmful to an unborn baby. Generally insulin is the drug of choice for controlling diabetes during pregnancy. Do not take Actos without first talking to your doctor if you are pregnant or could become pregnant during treatment. • It is not known whether Actos passes into breast milk. Do not take Actos without first talking to your doctor if you are breast-feeding a baby. • The safety and effectiveness of Actos have not been established for children. How should I take Actos? • Take Actos exactly as directed by your doctor. If you do not understand these instructions ask your pharmacist nurse or doctor to explain them to you. • Take each dose with a full glass of water. • Actos can be taken with or without food or meals. • It is important to take Actos regularly to get the most benefit. • Your doctor may want you to have blood or urine tests or other medical evaluations during treatment with Actos to monitor blood sugar levels liver function or other factors. • Usually liver function is monitored with blood tests at the start of treatment every two months for the first year of treatment and periodically thereafter during treatment with Actos. Notify your doctor immediately if you develop nausea vomiting abdominal pain unusual fatigue loss of appetite yellow skin or eyes or dark urine. These symptoms may be early signs of liver problems. • Although Actos does not usually cause hypoglycemia (low blood sugar) hypoglycemia may result from skipped meals excessive exercise or alcohol consumption. Know the signs and symptoms of hypoglycemia which include headache drowsiness weakness dizziness fast heartbeat sweating tremor and nausea. Carry a piece of non-dietetic hard candy or glucose tablets with you to treat episodes of low blood sugar. • Store Actos 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 you do not remember until the next day skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose. What happens if I overdose? • Seek emergency medical attention if an overdose is suspected. • Symptoms of a Actos overdose are not known. What should I avoid while taking Actos? • Follow any diet medication and exercise routines closely. Changing any of these factors can affect blood sugar levels. • Avoid alcohol. It lowers blood sugar and may interfere with diabetes treatment. • Tell your doctor and dentist that you are taking this medication before having surgery. • Do not take over-the-counter or prescription cough cold allergy pain or weight-loss medications during treatment with Actos without first talking to your doctor. What are the possible side effects of Actos? • If you experience any of the following serious side effects stop taking Actos and seek emergency medical attention or notify your doctor immediately: an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips tongue or face; or hives); nausea vomiting abdominal pain or loss of appetite; unusual fatigue; yellowing of the skin or eyes; or dark urine. • Notify your doctor immediately if you experience an unusually rapid increase in weight or edema (swelling water retention) shortness of breath or chest pain during treatment with Actos. These may be early symptoms of heart problems. • Although Actos does not usually cause hypoglycemia (low blood sugar) hypoglycemia may result from skipped meals excessive exercise or alcohol consumption. Know the signs and symptoms of hypoglycemia which include headache drowsiness weakness dizziness fast heartbeat sweating tremor and nausea. Carry a piece of non-dietetic hard candy or glucose tablets with you to treat episodes of low blood sugar. • Other less serious side effects may also occur. Continue to take Actos and talk to your doctor if you experience: headache; muscle aches; or sore throat nasal discharge or cold symptoms. • 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 Actos? • Actos may decrease the effects of some birth control pills. Additional measures may be necessary to prevent pregnancy while taking Actos. Talk to your doctor about the use of birth control. • Do not take over-the-counter or prescription cough cold allergy pain or weight-loss medications during treatment with Actos without first talking to your doctor. • Drugs other than those listed here may also interact with Actos or affect your condition. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines including vitamins minerals and herbal products.

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Anti Depressants: Anafranil (Clomipramine HCI) Anafranil (Clomipramine HCI) is a tricyclic antidepressant used to treat depression and obsessive-compulsive disorder. Buy Anafranil (Clomipramine HCI) and other Anti Depressants products online at Medstore. About Anafranil (Clomipramine HCI): Product Type: Anti Depressants Brand name: Anafranil Generic name: Clomipramine HCI What is the most important information I should know about Anafranil? • While you are taking Anafranil you may need to be monitored for worsening symptoms of depression and/ or suicidal thoughts at the start of therapy or when doses are changed. This concern about the increased risk of suicidal thoughts or behaviors may be greater if you are 18 years of age or younger and are taking Anafranil. In patients younger than 18 years the period of risk may extend beyond start of therapy or when doses are changed. Your doctor may want you to monitor for the following symptoms: anxiety panic attacks difficulty sleeping irritability hostility impulsivity severe restlessness and mania (mental and/ or physical hyperactivity). These symptoms may be associated with the development of worsening symptoms of depression and/ or suicidal thoughts or actions. Contact your healthcare provider if you develop any new or worsening mental health symptoms during treatment with Anafranil. Do not stop taking Anafranil. • It may be 4 weeks or more before you start to feel better but do not stop taking Anafranil without first talking to your doctor. • Use caution when driving operating machinery or performing other hazardous activities. Anafranil may cause drowsiness or dizziness. If you experience drowsiness or dizziness avoid these activities. • Dizziness is likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall. • Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking Anafranil. What is Anafranil? • Anafranil is in a class of drugs called tricyclic antidepressants. Anafranil affects chemicals in the brain that may become unbalanced and cause obsessive-compulsive disorder. • Anafranil is used to relieve symptoms of obsessive-compulsive disorder such as recurrent thoughts or feelings and repetitive actions. • Anafranil may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Anafranil? • Do not take Anafranil if you have taken a monoamine oxidase inhibitor such as isocarboxazid (Marplan) phenelzine (Nardil) or tranylcypromine (Parnate) within the last 14 days. • Before taking Anafranil tell your doctor if you have liver disease kidney disease asthma thyroid disease diabetes stomach or intestinal problems high blood pressure or heart disease had a heart attack in the last 6 weeks an enlarged prostate or difficulty urinating glaucoma or seizures. • You may not be able to take Anafranil or you may require a dosage adjustment or special monitoring during therapy if you have any of the conditions listed above. • While you are taking Anafranil you may need to be monitored for worsening symptoms of depression and/ or suicidal thoughts at the start of therapy or when doses are changed. This concern about the increased risk of suicidal thoughts or behaviors may be greater if you are 18 years of age or younger and are taking Anafranil. In patients younger than 18 years the period of risk may extend beyond start of therapy or when doses are changed. Your doctor may want you to monitor for the following symptoms: anxiety panic attacks difficulty sleeping irritability hostility impulsivity severe restlessness and mania (mental and/ or physical hyperactivity). These symptoms may be associated with the development of worsening symptoms of depression and/ or suicidal thoughts or actions. Contact your healthcare provider if you develop any new or worsening mental health symptoms during treatment with Anafranil. Do not stop taking Anafranil. • Anafranil is in the FDA pregnancy category C. This means that it is not known whether Anafranil will harm an unborn baby. Do not take Anafranil without first talking to your doctor if you are pregnant or could become pregnant during treatment. • Anafranil passes into breast milk and may affect a nursing baby. Do not take Anafranil without first talking to your doctor if you are breast-feeding a baby. How should I take Anafranil? • Take Anafranil exactly as directed by your doctor. If you do not understand these directions ask your pharmacist nurse or doctor to explain them to you. • Take each dose with a full glass (8 oz) of water. • Anafranil may be taken several times a day or in one daily dose (usually at bedtime). Follow your doctor's instructions. • Grapefruit and grapefruit juice may interact with Anafranil. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor. • It may be 4 weeks or more before you start to feel better but do not stop taking Anafranil without first talking to your doctor. • Store Anafranil 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 the next regularly scheduled dose skip the missed dose and take the next one as directed. Do not take a double dose of this medication unless otherwise directed by your doctor. What happens if I overdose? • Seek emergency medical attention. • Symptoms of a Anafranil overdose include seizures confusion drowsiness agitation hallucinations and low blood pressure (dizziness fatigue fainting). What should I avoid while taking Anafranil? • Use caution when driving operating machinery or performing other hazardous activities. Anafranil may cause drowsiness or dizziness. If you experience drowsiness or dizziness avoid these activities. • Dizziness is likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall. • Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking Anafranil. • Grapefruit and grapefruit juice may interact with Anafranil. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor. • Do not stop taking Anafranil suddenly. This could cause symptoms such as nausea headache and malaise. What are the possible side effects of Anafranil? • If you experience any of the following serious side effects stop taking Anafranil and contact your doctor immediately or seek emergency medical treatment: an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips face or tongue; or hives); seizures; a fast or irregular heartbeat; a heart attack; high blood pressure (blurred vision severe headache); difficulty urinating; or fever with increased sweating muscle stiffness or severe muscle weakness. • Other less serious side effects may be more likely to occur. Continue to take Anafranil and talk to your doctor if you experience drowsiness or dizziness; dry mouth and eyes; constipation; mild tremor; sweating; mild agitation weakness or headache; ringing in the ears; nausea; or loss of weight or appetite. • 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 Anafranil? • Do not take Anafranil if you have taken a monoamine oxidase inhibitor such as isocarboxazid (Marplan) phenelzine (Nardil) or tranylcypromine (Parnate) within the last 14 days. • Anafranil may increase the effects of other drugs that cause drowsiness including other antidepressants alcohol antihistamines sedatives (used to treat insomnia) pain relievers anxiety medicines and muscle relaxants. Tell your doctor about all medicines that you are taking and do not take any other prescription or over-the-counter medicines without first talking to your doctor. • Drugs other than those listed here may also interact with Anafranil. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines including herbal products. 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