Anti Depressants

Trisul Bactrim

Anti Depressants » Prescription Drugs 16 » Trisul Bactrim

IndicationsTRISUL should only be used where in the judgement of the physician the benefits of treatment outweigh any possible risks; consideration should be given to the use of a single effective antibacterial agent.Urinary tract infectionsRespiratory tract infectionsTreatment of acute exacerbations of chronic bronchitis.Treatment and prevention of Pneumocystis Jirovecii. Genital tract infectionsTreatment of chancroid. Treatment granuloma inguinale (venereum) Gastrointestinal tract infectionsTreatment of shigellosisTreatment of travellers' diarrhoea (including gastroenteritis due to enterotoxigenic E. coli).Treatment and prophylaxis of toxoplasmosis treatment of nocardosis.Dosage and AdministrationIt may be preferable to take TRISUL with some food or drink to minimise the possibility of gastrointestinal disturbances.Acute InfectionsAdults and Children over 12 yearsStandard dosage - 2 tablets every 12 hours.This dosage approximates to 6 mg trimethoprim and 30 mg sulfamethoxazole per kilogram body weight per 24 hours.Treatment should be continued until the patient has been symptom free for two days; the majority will require treatment for at least 5 days. If clinical improvement is not evident after 7 days' therapy the patient should be reassessed.As an alternative to STANDARD DOSAGE for acute uncomplicated lower urinary tract infections short term therapy of 1 to 3 days' duration has been shown to be effective.Use in the ElderlyParticular care is always advisable when treating elderly patients because as a group they are more susceptible to adverse reactions and more likely to suffer serious effects as a result particularly when complicating conditions exist e.g. impaired kidney and/or liver function and/or concomitant use of other medications.Special Dosage RecommendationsUnless otherwise specified STANDARD DOSAGE applies.Where dosage is expressed as "tablets" this refers to the adult tablet ie. 80 mg trimethoprim and 400 mg sulfamethoxazole. If other formulations are to be used appropriate adjustment should be made.Impaired renal functionAdults and Children over 12 years: (No information is available for children under 12 years of age).Creatinine Clearance (ml/min) Recommended Dosage > 30 Standard dosage 15 - 30 Half the standard dosage < 15 Not recommended Pneumocystis JiroveciiTreatmentA higher dosage is recommended using 20 mg trimethoprim and 100 mg sulfamethoxazole per kg body-weight per day in two or more divided doses for two weeks. The aim is to obtain peak plasma or serum levels of trimethoprim of greater than or equal to 5 micrograms/ml.PreventionAdultsThe following dose schedules may be used:160 mg trimethoprim/800 mg sulfamethoxazole daily 7 days per week.160 mg trimethoprim/800 mg sulfamethoxazole three times per week on alternate days.320 mg trimethoprim/1600 mg sulfamethoxazole per day in two divided doses three times per week on alternate days.ChildrenThe following dose schedules may be used for the duration of the period at risk:Standard dosage taken in two divided doses seven days per weekStandard dosage taken in two divided doses three times per week on alternate daysStandard dosage taken in two divided doses three times per week on consecutive daysStandard dosage taken as a single dose three times per week on consecutive daysThe daily dose given on a treatment day approximates to 150 mg trimethoprim/m2/day and 750 mg sulfamethoxazole/m2/day. The total daily dose should not exceed 320 mg trimethoprim and 1600 mg sulfamethoxazole.GonorrhoeaIn uncomplicated cases 4 tablets every 12 hours for two days; or5 tablets followed by a further 5 tablets eight hours later; or10 tablets once daily for 3 days.If poor patient compliance is expected a single dose of 8 tablets taken under supervision may be employed.Oro-pharyngeal gonococcal infection2 tablets three times daily for seven days.Ano-rectal gonorrhoeaThe standard dosage recommendations for gonorrhoea are applicable.Chancroid2 tablets twice daily for 7 days; if no evidence of healing is apparent after 7 days a further 7 days' treatment can be considered however physicians should be aware that failure to respond may indicate that the disease is caused by a resistant organism.Granuloma Inguinale2 tablets twice daily for up to 2 weeks.NocardiosisThere is no consensus on the most appropriate dosage. Adult doses of 6 to 8 tablets daily for up to 3 months have been used.

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Product Type: Prescription Drugs 16

Trisul ( Bactrim Bethaprim Cotrim Septra Generic Trimethoprim/Sulphamethoxazole )

Trisul (Bactrim Bethaprim Cotrim Septra Generic Trimethoprim/Sulphamethoxazole)

Bactrim Bethaprim Cotrim Septra Generic Trimethoprim/Sulphamethoxazole

480mg Bactrim Bethaprim Cotrim Septra Generic Trimethoprim/Sulphamethoxazole Trisul

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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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