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Spiriva (Tiotropium) |
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Anti Depressants » Allergy » Spiriva (Tiotropium) Spiriva is an anticholinergic medication. Spiriva prevents narrowing of the airways. Spiriva is used in the treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD) such as chronic bronchitis and emphysema. Buy Spiriva (Tiotropium) and other Allergy products online at Medstore. Buy Online at Medstore - Click Here!
About Spiriva (Tiotropium): Product Type: Allergy Brand name: Spiriva Generic name: Tiotropium What is the most important information I should know about Spiriva? Spiriva is not intended for use during acute bronchospastic attacks (sudden occurrence of difficulty breathing). It may not be able to open your airways and allow you to breath. Tiotropium is used to prevent attacks it should not be used as a rescue medication. It is very important that you use the tiotropium inhaler properly so that the medicine gets into the lungs. Talk to your healthcare provider about proper inhaler use. In rare cases Spiriva has been associated with the development of narrow-angle glaucoma an eye disorder. Contact your doctor immediately if you develop symptoms suggestive of narrow-angle glaucoma such as eye pain or discomfort blurred vision visual halos around objects color distortion or redness of the eyes. Do not allow the powder to come into contact with the eyes. This may cause blurring of vision and dilation of the pupils. If contact with the eyes occurs flush with water and seek medical attention if side effects occur. What is Spiriva? Spiriva is an anticholinergic medication. Tiotropium prevents narrowing of the airways. Spiriva is used in the treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD) such as chronic bronchitis and emphysema. Spiriva may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before using Spiriva? Do not use Spiriva without first talking to your doctor if you have: • an allergy to ipratropium (Atrovent Combivent) or atropine; • narrow-angle glaucoma; • kidney disease; • enlargement of the prostate; or • difficulty urinating. You may not be able to use Spiriva or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. Spiriva 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 use Spiriva without first talking to your doctor if you are pregnant or could become pregnant during treatment. It is not known whether tiotropium passes into breast milk. Do not use Spiriva without first talking to your doctor if you are breast-feeding a baby. How should I use Spiriva? Use Spiriva exactly as directed by your doctor. If you do not understand these instructions ask your pharmacist nurse or doctor to explain them to you. Tiotropium capsules are intended for use in the inhaler provided. Do not swallow the capsules. Do not use the inhaler device to administer any medications other than tiotropium. The tiotropium capsules should be stored in the sealed blisters and only removed immediately before use. The drug should be used immediately after the packaging over an individual capsule is opened or else its effectiveness may be reduced. If additional capsules are accidentally exposed to air they should be thrown away and not used. Separate a blister card along the perforated line. Carefully peel back the aluminum foil using the tab until one capsule is fully visible. Peel back the foil only as far as the "STOP" line printed on the foil to prevent exposure of more than one capsule. After using the first capsule the 2 remaining capsules in the blister strip should be used over the next 2 consecutive days. To use the inhaler: • Open the dust cap on the inhaler device by pulling it upwards. Then open the mouthpiece. Insert the capsule in the center chamber. It does not matter which end of the capsule is placed in the chamber. Close the mouthpiece firmly until you hear a click leaving the dust cap open. • Hold the inhaler device with the mouthpiece upwards and press the piercing button completely in one time and release. This makes holes in the capsule and allows the medication to be released when you breathe in through the mouthpiece. • Breathe out fully away from the mouthpiece. Never breathe into the mouthpiece. • Raise the inhaler to your mouth and close your lips tightly around the mouthpiece. Keep your head in an upright position and breathe in slowly and deeply but at a rate sufficient to hear the capsule vibrate. Breathe in until your lungs are full. Hold your breath as long as is comfortable and at the same time take the inhaler out of your mouth. Resume normal breathing. • To ensure you get the full dose breathe out once again place the inhaler back in your mouth and breathe in deeply again. • After completing a dose open the mouthpiece and tip out the used capsule and dispose. Close the mouthpiece and dust cap for storage of the inhaler. Spiriva is usually used once a day. Follow your doctor's instructions. Do not use more of the medication or use it more often than is directed. The tiotropium capsules contain only a small amount of powder and as a result the capsule is only partially filled. After using a dose you may notice that a tiny amount of the powder is left in the capsule. This is normal. It is very important that you use the tiotropium inhaler properly so that the medicine gets into the lungs. Talk to your healthcare provider about proper inhaler use. It is important to use Spiriva regularly to get the most benefit. Spiriva is not intended for use during acute bronchospastic attacks (sudden occurrence of difficulty breathing). It may not be able to open your airways and allow you to breath. Tiotropium is used to prevent attacks it should not be used as a rescue medication. Your doctor may want you to have lung function tests or other medical evaluations during treatment with Spiriva to monitor progress and side effects. Normally during a one-month period of use the inhaler device does not need to be cleaned. However if cleaning is necessary open the dust cap and mouth piece. Open the base by lifting the piercing button. Rinse the entire inhaler with warm water to remove any powder. Do not use cleaning agents or detergents. Tip out any water and air-dry leaving the dust cap mouthpiece and base open. It takes about 24 hours to air dry so if cleaning is needed do it immediately following a dose so it will be ready for the next dose. Do not use the inhaler if it is wet. The outside of the inhaler can be cleaned with a damp not wet tissue. Store Spiriva at room temperature away from moisture and heat. Store the capsules unopened in the blister packaging. Do not store the capsules in the inhaler. What happens if I miss a dose? Use the missed dose as soon as you remember. However if it is almost time for the next regularly scheduled dose skip the missed dose and use the next one as directed. Do not use a double dose of this medication. What happens if I overdose? Seek emergency medical attention if an overdose is suspected. Symptoms of a tiotropium overdose may include altered mental status shaking abdominal pain and constipation. What should I avoid while using Spiriva? Do not allow the powder to come into contact with the eyes. This may cause blurring of vision and dilation of the pupils. If contact with the eyes occurs flush with water and seek medical attention if side effects occur. What are the possible side effects of Spiriva? In rare cases Spiriva has been associated with the development of narrow-angle glaucoma an eye disorder. Contact your doctor immediately if you develop symptoms suggestive of narrow-angle glaucoma such as eye pain or discomfort blurred vision visual halos around objects color distortion or redness of the eyes. If you experience either of the following serious side effects stop using Spiriva 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); or • increased difficulty breathing. Other less serious side effects may be more likely to occur. Continue to use Spiriva and talk to your doctor if you experience • dry mouth; • constipation; • difficult or painful urination; or • increased heart rate. 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 Spiriva? Before using Spiriva talk to your doctor if you are taking any of the following medicines: • ipratropium (Atrovent); • albuterol and ipratropium (Combivent DuoNeb); • dicyclomine (Bentyl) • propantheline (Pro-Banthine) • mepenzolate (Cantil) • methscopolamine (Pamine) and • scopolamine (Transderm-Scop). You may not be able to use Spiriva or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above. Drugs other than those listed here may also interact with Spiriva 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 Generic Spiriva (Tiotropium) Spiriva (Tiotropium) 18mcg 180 caps 18mcg 45 caps 9mcg 10 inhalers 18mcg 60 caps 9mcg 2 inhalers 18mcg 75 caps 9mcg 3 inhalers 18mcg 90 caps 9mcg 4 inhalers 9mcg 5 inhalers Tiotropium Spiriva
View more Allergy 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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