Anti Depressants » Anti Narcoleptic » Modalert
Modalert is used to improve wakefulness in patients with narcolepsy (sudden uncontrollable attacks of daytime sleepiness) obstructive sleep apnea/hypopnea syndrome or in patients with shift work sleep disorder.
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About Modalert:
Product Type: Anti Narcoleptic
Brand name: Modalert
What is the most important information I should know about modalert?
Use caution when driving operating machinery or performing other hazardous activities. Modalert may affect your judgment thinking or motor skills. If you experience any of these effects avoid hazardous activities. It is best to avoid alcohol while taking modalert. Alcohol or modalert may have altered effects if taken together.
Modalert may decrease the effects of hormonal methods of birth control including birth control pills and depot and implantable formulations (e.g. Norplant Depo-Provera). Use a second nonhormonal form of birth control while taking modalert and for one month after stopping modalert if prevention of pregnancy is desired.
Modalert may be habit forming. You should discuss the abuse and dependence potential of modalert with your doctor. Do not stop taking modalert without first talking to your doctor. Your doctor may want to gradually lower the dose of the medication before stopping treatment.
What is modalert?
The exact way that modalert works is not known.
Modalert is used to improve wakefulness in patients with excessive daytime sleepiness associated with narcolepsy obstructive sleep apnea/hypoapnea syndrome (OSAHS) and shift work sleep disorder (SWSD).
Modalert may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking modalert?
Before taking modalert tell your doctor if you have
• left ventricular hypertrophy (enlarged left heart ventricle);
• chest pain irregular heartbeats or other symptoms of mitral valve prolapse due to central nervous system stimulant use;
• a recent history of a heart attack;
• high blood pressure;
• angina (chest pain);
• abused medicines called stimulants or street drugs;
• a history of mental illness;
• kidney disease; or
• liver disease.
You may not be able to take modalert or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
Modalert is in the FDA pregnancy category C. This means that it is not known whether it will be harmful to an unborn baby. Do not take modalert without first talking to your doctor if you are pregnant or could become pregnant during treatment. It is not known whether modalert passes into breast milk. Do not take modalert without first talking to your doctor if you are breast-feeding. If you are older than 65 years of age you may be more likely to experience side effects from modalert. You may require a lower dose or special monitoring during treatment.
How should I take modalert?
Take modalert exactly as directed by your doctor. If you do not understand these directions ask your pharmacist nurse or doctor to explain them to you.
Take each dose with a full glass of water.
Modalert can be taken with or without food.
Modalert is usually taken once a day. Follow your doctor's instructions.
It is important to take modalert regularly to get the most benefit.
Modalert is not a replacement for sleep. Modalert may reduce the signs of sleepiness but may not completely treat this problem. Some drowsiness may continue. Potentially hazardous activities such as driving or operating machinery should only be performed if the level of wakefulness achieved is sufficient to permit such activities.
Other treatments such as CPAP (continuous positive airway pressure) use should be continued as directed by your doctor if you have obstructive sleep apnea/hypoapnea syndrome (OSAHS) and are taking modalert.
Modalert may be habit forming. You should discuss the abuse and dependence potential of modalert with your doctor. Do not stop taking modalert without first talking to your doctor. Your doctor may want to gradually lower the dose of the medication before stopping treatment. Store modalert at room temperature away from moisture and heat.
What happens if I miss a dose?
Take the missed dose as soon as you remember as directed by your doctor. A missed dose taken late in the waking day may cause insomnia. If you don't remember until 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 unless otherwise directed by your doctor.
What happens if I overdose?
Seek emergency medical attention if an overdose is suspected.
Symptoms of a modalert overdose may include excitation agitation insomnia sleep disturbances anxiety irritability aggressiveness confusion nervousness tremor palpitations nausea and diarrhea.
What should I avoid while taking modalert?
Use caution when driving operating machinery or performing other hazardous activities. Modalert may affect your judgment thinking or motor skills. If you experience any of these effects avoid hazardous activities. It is best to avoid alcohol while taking modalert. Alcohol or modalert may have altered effects if taken together.
Modalert may decrease the effects of hormonal methods of birth control including birth control pills and depot and implantable formulations (e.g. Norplant Depo-Provera). Use a second nonhormonal form of birth control while taking modalert and for one month after stopping modalert if prevention of pregnancy is desired.
What are the possible side effects of modalert?
If you experience any of the following uncommon but serious side effects stop taking modalert and seek emergency medical attention or contact your doctor immediately:
• an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips tongue or face; or hives);
• irregular heartbeats;
• low or high blood pressure; or
• shortness of breath.
Other less serious side effects may be more likely to occur. Continue to take modalert and talk to your doctor if you experience
• headache;
• infection;
• nausea decreased appetite or diarrhea;
• chills;
• dry mouth;
• runny nose;
• sore throat;
• nervousness;
• anxiety;
• dizziness;
• insomnia;
• depression; or
• numbness or tingling.
Modalert may be habit forming. You should discuss the abuse and dependence potential of modalert with your doctor. Do not stop taking modalert without first talking to your doctor. Your doctor may want to gradually lower the dose of the medication before stopping treatment.
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 modalert?
Modalert may decrease the effects of hormonal methods of birth control including birth control pills and depot and implantable formulations (e.g. Norplant Depo-Provera). Use a second nonhormonal form of birth control while taking modalert and for one month after stopping modalert if prevention of pregnancy is desired.
Before taking modalert tell your doctor if you are taking any of the following drugs:
• a monoamine oxidase inhibitor (MAO inhibitor) such as isocarboxazid (Marplan) tranylcypromine (Parnate) or phenelzine (Nardil);
• a tricyclic antidepressant such as clomipramine (Anafranil) or desipramine (Norpramin);
• another CNS stimulant such as amphetamine-dextroamphetamine (Adderall) methylphenidate (Ritalin Methylin Metadate ER Concerta) pemoline (Cylert) and others;
• phenytoin (Dilantin);
• carbamazepine (Tegretol);
• phenobarbital;
• rifampin (Rifadin Rimactane);
• ketoconazole (Nizoral);
• itraconazole (Sporanox);
• cyclosporine (Neoral Sandimmune);
• theophylline (Theolair Theochron Theo-Bid Theo-Dur Elixophyllin Slo-Phyllin and others);
• warfarin (Coumadin);
• diazepam (Valium); or
• propranolol (Inderal).
You may not be able to take modalert or you may require a dosage adjustment or special monitoring during your treatment if you are taking any of the medicines listed above.
Drugs other than those listed here may also interact with modalert. Talk to your doctor and pharmacist before taking or using any other prescription or over-the-counter medicines including vitamins minerals and herbal products
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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. 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