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Anafranil (Clomipramine HCI)

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Remeron (Mirtazapine)

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Trivastal (Piribedil)

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Wellbutrin XL (Bupropion XL)

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Niacin (Nicotinic acid)

Anti Depressants » Cholesterol » Niacin (Nicotinic acid)

Niacin (Nicotinic acid) is used for improving cholesterol levels reducing the risk for a second heart attack slowing or treating hardening of the arteries and lowering very high serum triglyceride levels. It is used in combination with diet. It may be used alone or with other medicines. Niacin (Nicotinic acid) is an antihyperlipidemic. It works by reducing low-density lipoprotein ('bad') cholesterol and triglycerides and increasing high-density lipoprotein ('good') cholesterol.

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About Niacin (Nicotinic acid):

Product Type: Cholesterol

Brand name: Niacin Generic name: Nicotinic acid Niacin (Nicotinic acid) is used for: Improving cholesterol levels reducing the risk for a second heart attack slowing or treating hardening of the arteries and lowering very high serum triglyceride levels. It is used in combination with diet. It may be used alone or with other medicines. It may also be used for other conditions as determined by your doctor. Niacin (Nicotinic acid) is an antihyperlipidemic. It works by reducing low-density lipoprotein (“bad”) cholesterol and triglycerides and increasing high-density lipoprotein (“good”) cholesterol. Do NOT use Niacin (Nicotinic acid) if: • you are allergic to any ingredient in Niacin (Nicotinic acid) • you have severe or unexplained liver problems an active peptic ulcer or a history of arterial bleeding Contact your doctor or health care provider right away if any of these apply to you. Before using Niacin (Nicotinic acid): Some medical conditions may interact with Niacin (Nicotinic acid). Tell your doctor or pharmacist if you have any medical conditions especially if any of the following apply to you: • if you are pregnant planning to become pregnant or are breast-feeding • if you are taking any prescription or nonprescription medicine herbal preparation or dietary supplement • if you have allergies to medicines foods or other substances • if you have a history of chest pain diabetes gallbladder problems glaucoma gout heart problems or a recent heart attack kidney or liver problems low blood pressure low phosphate levels muscle problems (eg rhabdomyolysis) stomach problems (eg peptic ulcers) or thyroid problems • if you have a history of bleeding problems or are taking anticoagulants (eg warfarin) • if you consume large amounts of alcohol Some MEDICINES MAY INTERACT with Niacin (Nicotinic acid). Tell your health care provider if you are taking any other medicines especially any of the following: • Anticoagulants (eg warfarin) because side effects such as bleeding may occur • Fibrates (eg gemfibrozil fenofibrate) or HMG-CoA reductase inhibitors (“statins”) (eg simvastatin) because side effects such as serious muscle aches and weakness that may be a symptom of a serious medical condition called rhabdomyolysis may occur • Medicine for high blood pressure (eg diltiazem) or angina (eg nitroglycerin) because side effects such as dizziness upon standing and very low blood pressure may be increased by Niacin (Nicotinic acid) • Alcohol because toxic effects such as delirium or lactic acidosis may occur This may not be a complete list of all interactions that may occur. Ask your health care provider if Niacin (Nicotinic acid) 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 Niacin (Nicotinic acid): Use Niacin (Nicotinic acid) as directed by your doctor. Check the label on the medicine for exact dosing instructions. • To minimize flushing and upset stomach take Niacin (Nicotinic acid) at bedtime after a low-fat snack (eg low-fat yogurt banana crackers with a glass of milk) unless your doctor directs otherwise. Do not take Niacin (Nicotinic acid) with alcohol a hot drink or spicy foods. • Do not take bile acid sequestrants (eg colestipol cholestyramine) within 4 to 6 hours of taking Niacin (Nicotinic acid). • If you miss a dose of Niacin (Nicotinic acid) take it as soon as possible. If it is almost time for the next dose skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once. Ask your health care provider any questions you may have about how to use Niacin (Nicotinic acid). Important safety information: • Niacin (Nicotinic acid) may cause dizziness or lightheadedness. These effects may be worse if you take it with alcohol or certain medicines. Use Niacin (Nicotinic acid) with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it. • Niacin (Nicotinic acid) may cause dizziness; alcohol hot weather exercise or fever may increase this effect. To prevent it sit up or stand slowly especially in the morning. Sit or lie down at the first sign of this effect. • Do NOT take more than the recommended dose without checking with your doctor. • Niacin (Nicotinic acid) may reduce the number of clot-forming cells (platelets) in your blood. Avoid activities that may cause bruising or injury. Tell your doctor if you have unusual bruising or bleeding. Tell your doctor if you have dark tarry or bloody stools. • Do not substitute Niacin (Nicotinic acid) for any other type of niacin without talking with your doctor. Severe liver damage can occur. • If you stop taking Niacin (Nicotinic acid) for an extended period contact your doctor before you start taking it again. Your dose may need to be adjusted. • Flushing occurs with Niacin (Nicotinic acid) and may last for several hours. Talk with your doctor if flushing becomes bothersome. • Take Niacin (Nicotinic acid) at bedtime so that flushing will occur during sleep. If you are awakened by flushing at night get up slowly especially if you feel dizzy or faint or if you are taking blood thinners. Take aspirin or a nonsteroidal anti-inflammatory drug (NSAID) (eg ibuprofen) 30 minutes before taking Niacin (Nicotinic acid) to lessen flushing. • Diabetes patients — Niacin (Nicotinic acid) may cause the results of some tests for urine glucose to be wrong. Ask your doctor before you change your diet or the dose of your diabetes medicine. • Do not take large doses of vitamins while you use Niacin (Nicotinic acid) unless your doctor tells you to. • Report any unexplained muscle pain tenderness or weakness to your doctor right away especially if you also have a fever or general body discomfort. • Niacin (Nicotinic acid) may interfere with certain lab tests including plasma or urinary catecholamine tests or urine glucose tests. Be sure your doctor and lab personnel know you are taking Niacin (Nicotinic acid). • Lab tests including liver function tests blood glucose and serum creatine kinase tests may be performed while you use Niacin (Nicotinic acid). These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments. • Niacin (Nicotinic acid) should be used with extreme caution in CHILDREN; safety and effectiveness in 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 Niacin (Nicotinic acid) while you are pregnant. It is not known if Niacin (Nicotinic acid) is found in breast milk. Do not breast-feed while taking Niacin (Nicotinic acid). Possible side effects of Niacin (Nicotinic acid): 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: • Diarrhea; dizziness; headache; heartburn; increased cough indigestion or upset stomach; nausea; temporary skin redness itching tingling or feelings of warmth (flushing); vomiting. Seek medical attention right away if any of these SEVERE side effects occur: • Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth face lips or tongue; unusual hoarseness); black tarry or bloody stools; changes in vision (eg cloudy or blurred vision); decrease in urine or dark-colored urine; fainting; fast or irregular heartbeat; flu-like symptoms (eg chills fever persistent sore throat); increased sweating; loss of appetite; muscle pain tenderness swelling or weakness (with or without fever and fatigue); numbness or persistent tingling of the skin; severe dizziness or headache; severe or persistent diarrhea nausea or vomiting; shortness of breath; stomach pain; swelling of the hands legs or feet; unusual bruising or bleeding; vomit that looks like coffee grounds; yellowing of the skin or eyes. 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. If OVERDOSE is suspected: • Symptoms may include flushing. Proper storage of Niacin (Nicotinic acid): Store Niacin (Nicotinic acid) at room temperature between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat moisture and light. Do not store in the bathroom. Keep Niacin (Nicotinic acid) out of the reach of children and away from pets.

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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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