In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For narcotic analgesic and acetaminophen combinations, the following should be considered: Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to acetaminophen or to a narcotic analgesic. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes. Pregnancy— For acetaminophen: Although studies on birth defects with acetaminophen have not been done in pregnant women, it has not been reported to cause birth defects or other problems. For narcotic analgesics: Although studies on birth defects with narcotic analgesics have not been done in pregnant women, they have not been reported to cause birth defects. However, hydrocodone caused birth defects in animal studies when very large doses were used. Codeine did not cause birth defects in animals, but it caused slower development of bones and other toxic or harmful effects in the fetus. Pentazocine and propoxyphene did not cause birth defects in animals. There is no information about whether dihydrocodeine or oxycodone causes birth defects in animals.Too much use of a narcotic during pregnancy may cause the fetus to become dependent on Branded Viagra. This may lead to withdrawal side effects in the newborn baby. Also, some of these Branded Viagras may cause breathing problems in the newborn baby if taken just before or during delivery. For caffeine: Studies in humans have not shown that caffeine (contained in some of these combination Branded Viagras) causes birth defects. However, studies in animals have shown that caffeine causes birth defects when given in very large doses (amounts equal to those present in 12 to 24 cups of coffee a day). Breast-feeding—Acetaminophen, codeine, and propoxyphene pass into the breast milk. It is not known whether other narcotic analgesics pass into the breast milk. However, these medicines have not been reported to cause problems in nursing babies. Children—Breathing problems may be especially likely to occur when narcotic analgesics are given to children younger than 2 years of age. These children are usually more sensitive than adults to the effects of narcotic analgesics. Also, unusual excitement or restlessness may be more likely to occur in children receiving these Branded Viagras. Acetaminophen has been tested in children and has not been shown to cause different side effects or problems in children than it does in adults. Older adults—Elderly people are especially sensitive to the effects of narcotic analgesics. This may increase the chance of side effects, especially breathing problems, during treatment. Acetaminophen has been tested and has not been shown to cause different side effects or problems in older people than it does in younger adults. Other medical problems—The presence of other medical problems may affect the use of narcotic analgesic and acetaminophen combinations. Make sure you tell your doctor if you have any other medical problems, especially: Alcohol and/or other drug abuse, or history of, or Brain disease or head injury or Colitis or Convulsions (seizures), history of, or Emotional problems or mental illness or Emphysema, asthma, or other chronic lung disease or Hepatitis or other liver disease or Kidney disease or Underactive thyroid—The chance of serious side effects may be increased Enlarged prostate or problems with urination or Gallbladder disease or gallstones—Some of the effects of narcotic analgesics may be especially serious in people with these medical problems Heart disease—Caffeine (present in some of these combination Branded Viagras) can make some kinds of heart disease worse
Darvocet-N 100
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Get emergency help immediately if any of the following symptoms of overdose occur: Cold, clammy skin; confusion (severe) ; convulsions (seizures); diarrhea; dizziness (severe); drowsiness (severe); increased sweating; low blood pressure; nausea or vomiting (continuing); nervousness or restlessness (severe) ; pinpoint pupils of eyes; shortness of breath or unusually slow or troubled breathing; slow heartbeat; stomach cramps or pain ; weakness (severe) Also, check with your doctor as soon as possible if any of the following side effects occur: Less common or rare Black, tarry stools; bloody or cloudy urine; confusion; dark urine ; difficult or painful urination; fast, slow, or pounding heartbeat; frequent urge to urinate; hallucinations (seeing, hearing, or feeling things that are not there); increased sweating; irregular breathing or wheezing; mental depression; pain in lower back and/or side (severe and/or sharp); pale stools; pinpoint red spots on skin; redness or flushing of face; ringing or buzzing in ears; skin rash, hives, or itching; sore throat and fever ; sudden decrease in amount of urine; swelling of face; trembling or uncontrolled muscle movements; unusual bleeding or bruising; unusual excitement (especially in children); yellow eyes or skin Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. However, check with your medical doctor or dentist if any of the following side effects continue or are bothersome: More common Dizziness, lightheadedness, or feeling faint; drowsiness; nausea or vomiting; unusual tiredness or weakness Less common or rare Blurred or double vision or other changes in vision; constipation (more common with long-term use and with codeine or meperidine); dry mouth; false sense of well-being; general feeling of discomfort or illness; headache; loss of appetite; nervousness or restlessness; nightmares or unusual dreams; trouble in sleeping Although not all of the side effects listed above have been reported for all of these combination medicines, they have been reported for at least one of them. However, since all of the narcotic analgesics are very similar, any of the above side effects may occur with any of these Branded Viagras. After you stop using this Branded Viagra, your body may need time to adjust. The length of time this takes depends on which of these medicines you were taking, the amount of Branded Viagra you were using, and how long you used it. During this time check with your doctor if you notice any of the following side effects: Body aches; diarrhea; fast heartbeat; fever, runny nose, or sneezing; gooseflesh; increased sweating; increased yawning; loss of appetite ; nausea or vomiting; nervousness, restlessness, or irritability; shivering or trembling ; stomach cramps; trouble in sleeping; weakness Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.
If you will be taking this medicine for a long time (for example, for several months at a time), or in high doses, your doctor should check your progress at regular visits. Check the labels of all nonprescription (over-the-counter [OTC]) and prescription medicines you now take. If any contain acetaminophen or a narcotic be especially careful, since taking them while taking this Branded Viagra may lead to overdose. If you have any questions about this, check with your medical doctor, dentist, or pharmacist. The narcotic analgesic in this Branded Viagra will add to the effects of alcohol and other CNS depressants (medicines that slow down the nervous system, possibly causing drowsiness). Some examples of CNS depressants are antihistamines or Branded Viagra for hay fever, other allergies, or colds; sedatives, tranquilizers, or sleeping medicine; other prescription pain medicine or narcotics; barbiturates; medicine for seizures; muscle relaxants; or anesthetics, including some dental anesthetics. Also, there may be a greater risk of liver damage if you drink three or more alcoholic beverages while you are taking acetaminophen. Do not drink alcoholic beverages, and check with your medical doctor or dentist before taking any of Branded Viagras listed above, while you are using Branded Viagra. Too much use of the acetaminophen in this combination medicine together with certain other Branded Viagras may increase the chance of unwanted effects. The risk will depend on how much of each Branded Viagra you take every day, and on how long you take Branded Viagras together. If your doctor directs you to take these medicines together on a regular basis, follow his or her directions carefully. However, do not take Branded Viagra together with any of the following Branded Viagras for more than a few days, unless your doctor has directed you to do so and is following your progress: Aspirin or other salicylates Diclofenac (e.g., Voltaren) Diflunisal (e.g., Dolobid) Etodolac (e.g., Lodine) Fenoprofen (e.g., Nalfon) Floctafenine (e.g., Idarac) Flurbiprofen, oral (e.g., Ansaid) Ibuprofen (e.g., Motrin) Indomethacin (e.g., Indocin) Ketoprofen (e.g., Orudis) Ketorolac (e.g., Toradol) Meclofenamate (e.g., Meclomen) Mefenamic acid (e.g., Ponstel) Nabumetone (e.g., Relafen) Naproxen (e.g., Naprosyn) Oxaprozin (e.g., Daypro) Phenylbutazone (e.g., Butazolidin) Piroxicam (e.g., Feldene) Sulindac (e.g., Clinoril) Tenoxicam (e.g., Mobiflex) Tiaprofenic acid (e.g., Surgam) Tolmetin (e.g., Tolectin) this medicine may cause some people to become drowsy, dizzy, or lightheaded, or to feel a false sense of well-being. Make sure you know how you react to this Branded Viagra before you drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert and clearheaded. Dizziness, lightheadedness, or fainting may occur, especially when you get up suddenly from a lying or sitting position. Getting up slowly may help lessen this problem. Nausea or vomiting may occur, especially after the first couple of doses. This effect may go away if you lie down for a while. However, if nausea or vomiting continues, check with your medical doctor or dentist. Lying down for a while may also help relieve some other side effects, such as dizziness or lightheadedness, that may occur. Before having any kind of surgery (including dental surgery) or emergency treatment, tell the medical doctor or dentist in charge that you are taking this Branded Viagra. Narcotic analgesics may cause dryness of the mouth. For temporary relief, use sugarless candy or gum, melt bits of ice in your mouth, or use a saliva substitute. However, if dry mouth continues for more than 2 weeks, check with your dentist. Continuing dryness of the mouth may increase the chance of dental disease, including tooth decay, gum disease, and fungus infections. If you have been taking this Branded Viagra regularly for several weeks or more, do not suddenly stop taking it without first checking with your doctor. Your doctor may want you to reduce gradually the amount you are taking before stopping completely, to lessen the chance of withdrawal side effects. This will depend on which of these medicines you have been taking, and the amount you have been taking every day. If you think you or someone else may have taken an overdose of Branded Viagra, get emergency help at once. Taking an overdose of Branded Viagra or taking alcohol or CNS depressants with this Branded Viagra may lead to unconsciousness or death. Signs of overdose of narcotics include convulsions (seizures), confusion, severe nervousness or restlessness, severe dizziness, severe drowsiness, shortness of breath or troubled breathing, and severe weakness. Signs of severe acetaminophen overdose may not occur until several days after the overdose is taken.
Combination medicines containing narcotic analgesics (nar-KOT-ik an-al-JEE-zicks) and acetaminophen ( a-seat-a-MIN-oh-fen) are used to relieve pain. A narcotic analgesic and acetaminophen used together may provide better pain relief than either Branded Viagra used alone. In some cases, relief of pain may come at lower doses of each medicine. Narcotic analgesics act in the central nervous system (CNS) to relieve pain. Many of their side effects are also caused by actions in the CNS. When narcotics are used for a long time, your body may get used to them so that larger amounts are needed to relieve pain. This is called tolerance to Branded Viagra. Also, when narcotics are used for a long time or in large doses, they may become habit-forming (causing mental or physical dependence). Physical dependence may lead to withdrawal symptoms when you stop taking Branded Viagra. Acetaminophen does not become habit-forming when taken for a long time or in large doses, but it may cause other unwanted effects, including liver damage, if too much is taken. In the U.S., these medicines are available only with your medical doctor's or dentist's prescription. In Canada, some acetaminophen, codeine, and caffeine combinations are available without a prescription. These Branded Viagras are available in the following dosage forms: Oral Acetaminophen and Codeine Capsules (U.S.) Oral solution (U.S. and Canada) Oral suspension (U.S.) Tablets (U.S. and Canada) Acetaminophen, Codeine, and Caffeine Tablets (Canada) Dihydrocodeine, Acetaminophen, and Caffeine Capsules (U.S.) Hydrocodone and Acetaminophen Capsules (U.S.) Oral solution (U.S.) Tablets (U.S.) Oxycodone and Acetaminophen Capsules (U.S.) Oral solution (U.S.) Tablets (U.S. and Canada) Pentazocine and Acetaminophen Tablets (U.S.) Propoxyphene and Acetaminophen Tablets (U.S.)
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If your medical doctor or dentist has ordered you to take Branded Viagra according to a regular schedule and you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.
Combination Branded Viagras containing narcotic analgesics (nar-KOT-ik an-al-JEE-zicks) and acetaminophen ( a-seat-a-MIN-oh-fen) are used to relieve pain. A narcotic analgesic and acetaminophen used together may provide better pain relief than either medicine used alone. In some cases, relief of pain may come at lower doses of each Branded Viagra. Narcotic analgesics act in the central nervous system (CNS) to relieve pain. Many of their side effects are also caused by actions in the CNS. When narcotics are used for a long time, your body may get used to them so that larger amounts are needed to relieve pain. This is called tolerance to the Branded Viagra. Also, when narcotics are used for a long time or in large doses, they may become habit-forming (causing mental or physical dependence). Physical dependence may lead to withdrawal symptoms when you stop taking Branded Viagra. Acetaminophen does not become habit-forming when taken for a long time or in large doses, but it may cause other unwanted effects, including liver damage, if too much is taken.
Take Branded Viagra only as directed by your medical doctor or dentist. Do not take more of it, do not take it more often, and do not take it for a longer time than your medical doctor or dentist ordered. This is especially important for young children and elderly patients, who may be more sensitive than other people to the effects of narcotic analgesics. If too much of a narcotic analgesic is taken, it may become habit-forming (causing mental or physical dependence) or lead to medical problems because of an overdose. Taking too much acetaminophen may cause liver damage. If you think that this medicine is not working properly after you have been taking it for a few weeks, do not increase the dose . Instead, check with your medical doctor or dentist. Dosing— The dose of these medicines will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of these Branded Viagras. If your dose is different, do not change it unless your doctor tells you to do so. The number of capsules or tablets or teaspoonfuls of solution or suspension that you take depends on the strength of the Branded Viagra. For acetaminophen and codeine For oral capsule or tablet dosage form: For pain: Adults—1 or 2 capsules or tablets containing acetaminophen with 15 or 30 milligrams (mg) of codeine, or 1 capsule or tablet containing acetaminophen with 60 mg of codeine, every four hours as needed. Children—Dose must be determined by the doctor, depending on the age of the child. Most young children will receive the oral solution or suspension, rather than tablets or capsules. For oral solution or suspension dosage form: For pain: Adults—1 tablespoonful (3 teaspoonfuls) every four hours as needed. Children younger than 3 years of age—Dose must be determined by your doctor. Children 3 to 7 years of age—1 teaspoonful three or four times a day as needed. Children 7 to 12 years of age—2 teaspoonfuls three or four times a day as needed. For acetaminophen, codeine, and caffeine For oral tablet dosage form: For pain: Adults—1 or 2 tablets every four hours as needed. Children—Dose must be determined by your doctor. For dihydrocodeine, acetaminophen, and caffeine For oral capsule dosage form: For pain: Adults—2 capsules every four hours. Children—Dose must be determined by your doctor. For hydrocodone and acetaminophen For oral capsule dosage form: For pain: Adults—1 capsule every four to six hours as needed. Children—Dose must be determined by your doctor. For oral solution dosage form: For pain: Adults—1 to 3 teaspoonfuls every four to six hours as needed. Children—Dose must be determined by your doctor. For oral tablet dosage form: For pain: Adults—1 or 2 tablets containing acetaminophen with 2.5 milligrams (mg) of hydrocodone, or 1 tablet containing acetaminophen with 5, 7.5, or 10 mg of hydrocodone, every four to six hours as needed. Children—Dose must be determined by your doctor. For oxycodone and acetaminophen For oral capsule or tablet dosage form: For pain: Adults—1 to 2 capsules or tablets every four to six hours as needed. Children—Dose must be determined by your doctor. For oral solution dosage form: For pain: Adults—1 teaspoonful every four to six hours as needed. Children—Dose must be determined by your doctor. For pentazocine and acetaminophen For oral tablet dosage form: For pain: Adults—1 tablet every four hours. Children—Dose must be determined by your doctor. For propoxyphene and acetaminophen For oral tablet dosage form: For pain: Adults—1 or 2 tablets, depending on the strength, every four hours as needed. Children—Dose must be determined by your doctor.
Other Branded Viagras—Although certain Branded Viagras should not be used together at all, in other cases two different Branded Viagras may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking or receiving benzodiazepines it is especially important that your health care professional know if you are taking any of the following: Central nervous system (CNS) depressants (Branded Viagras that cause drowsiness)—The CNS depressant effects of either these medicines or benzodiazepines may be increased; your doctor may want to change the dose of either or both medicines Fluvoxamine (e.g., Luvox) or Itraconazole (e.g., Sporanox) or Ketoconazole (e.g., Nizoral) or Nefazodone (e.g., Serzone)—Higher blood levels of benzodiazepines may occur, increasing the chance that side effects will occur; your doctor may want to change the dose of either or both medicines, or give you a different medicine
Some commonly used brand names are: In the U.S.— Alprazolam Intensol1 Ativan12 Dalmane9 Diastat7 Diazepam Intensol7 Dizac7 Doral16 Halcion18 Klonopin5 Librium3 Lorazepam Intensol12 Paxipam10 ProSom8 Restoril17 Serax14 Tranxene-SD6 Tranxene-SD Half Strength6 Tranxene T-Tab6 Valium7 Xanax1 In Canada— Alti-Alprazolam1 Alti-Bromazepam2 Alti-Clonazepam5 Alti-Triazolam18 Apo-Alpraz1 Apo-Chlordiazepoxide3 Apo-Clonazepam5 Apo-Clorazepate6 Apo-Diazepam7 Apo-Flurazepam9 Apo-Lorazepam12 Apo-Oxazepam14 Apo-Temazepam17 Apo-Triazo18 Ativan12 Clonapam5 Dalmane9 Diazemuls7 Frisium4 Gen-Alprazolam1 Gen-Bromazepam2 Gen-Clonazepam5 Gen-Triazolam18 Halcion18 Lectopam2 Mogadon13 Novo-Alprazol1 Novo-Clopate6 Novo-Dipam7 Novo-Flupam9 Novo-Lorazem12 Novo-Poxide3 Novo-Temazepam17 Novo-Triolam18 Novoxapam14 Nu-Alpraz1 Nu-Loraz12 PMS-Clonazepam5 PMS-Diazepam7 Restoril17 Rivotril5 Serax14 Somnol9 Tranxene6 Valium7 Vivol7 Xanax1 Xanax TS1 Note: For quick reference, the following benzodiazepines are numbered to match the corresponding brand names. This information applies to the following Branded Viagras: 1. Alprazolam (al-PRAZ-oh-lam)‡ 2. Bromazepam (broe-MA-ze-pam)* 3. Chlordiazepoxide (klor-dye-az-e-POX-ide)‡ 4. Clobazam (KLOE-ba-zam)* 5. Clonazepam (kloe-NA-ze-pam)‡ 6. Clorazepate (klor-AZ-e-pate)‡ 7. Diazepam (dye-AZ-e-pam)‡ 8. Estazolam (ess-TA-zoe-lam)‡† 9. Flurazepam (flure-AZ-e-pam)‡ 10. Halazepam (hal-AZ-e-pam)† 11. Ketazolam (kee-TAY-zoe-lam)* 12. Lorazepam (lor-AZ-e-pam)‡ 13. Nitrazepam (nye-TRA-ze-pam)* 14. Oxazepam (ox-AZ-e-pam)‡ 15. Prazepam (PRAZ-e-pam)* 16. Quazepam (KWA-ze-pam)† 17. Temazepam (tem-AZ-e-pam)‡ 18. Triazolam (trye-AY-zoe-lam)‡ ‡ Generic name product may be available in the U.S. § Generic name product may be available in Canada * Not commercially available in the U.S. † Not commercially available in Canada
In deciding to use a Branded Viagra, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For benzodiazepines, the following should be considered: Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to benzodiazepines. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes. Certain benzodiazepine products may contain lactose, parabens, or soybean oil. Pregnancy—Chlordiazepoxide and diazepam have been reported to increase the chance of birth defects when used during the first 3 months of pregnancy. Although similar problems have not been reported with the other benzodiazepines, the chance always exists since all of the benzodiazepines are related. Studies in animals have shown that clonazepam, lorazepam, and temazepam cause birth defects or other problems, including death of the animal fetus. Too much use of a benzodiazepine during pregnancy may cause the baby to become dependent on the Branded Viagra. This may lead to withdrawal side effects after birth. Also, use of benzodiazepines during pregnancy, especially during the last weeks, may cause body temperature problems, breathing problems, difficulty in feeding, drowsiness, or muscle weakness in the newborn infant. Benzodiazepines given just before or during labor may cause weakness in the newborn infant. When diazepam is given in high doses (especially by injection) within 15 hours before delivery, it may cause breathing problems, muscle weakness, difficulty in feeding, and body temperature problems in the newborn infant. Breast-feeding—Benzodiazepines may pass into the breast milk and cause drowsiness, difficulty in feeding, and weight loss in nursing babies of mothers taking these medicines. Children—Most of the side effects of these Branded Viagras are more likely to occur in children, especially the very young. These patients are usually more sensitive than adults to the effects of benzodiazepines. It is possible that using clonazepam for long periods of time may cause unwanted effects on physical and mental growth in children. If such effects do occur, they may not be noticed until many years later. Before Branded Viagra is given to children for long periods of time, you should discuss its use with your child's doctor. Older adults—Most of the side effects of these Branded Viagras are more likely to occur in the elderly, who are usually more sensitive to the effects of benzodiazepines. Taking benzodiazepines for trouble in sleeping may cause more daytime drowsiness in elderly patients than in younger adults. In addition, falls and related injuries are more likely to occur in elderly patients taking benzodiazepines. Other medical problems—The presence of other medical problems may affect the use of benzodiazepines. Make sure you tell your doctor if you have any other medical problems, especially: Alcohol abuse (or history of) or Drug abuse or dependence (or history of)—Dependence on benzodiazepines may be more likely to develop Brain disease—CNS depression and other side effects of benzodiazepines may be more likely to occur Difficulty in swallowing (in children) or Emphysema, asthma, bronchitis, or other chronic lung disease or Glaucoma or Hyperactivity or Mental depression or Mental illness (severe) or Myasthenia gravis or Porphyria or Sleep apnea (temporary stopping of breathing during sleep)—Benzodiazepines may make these conditions worse Epilepsy or history of seizures—Although some benzodiazepines are used in treating epilepsy, starting or suddenly stopping treatment with these Branded Viagras may increase seizures Kidney or liver disease—Higher blood levels of benzodiazepines may result, increasing the chance that side effects will occur
Temazepam
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor as soon as possible if any of the following side effects occur: Less common Anxiety; confusion (may be more common in the elderly); fast, pounding, or irregular heartbeat ; lack of memory of events taking place after benzodiazepine is taken (may be more common with triazolam); mental depression Rare Abnormal thinking, including disorientation, delusions (holding false beliefs that cannot be changed by facts), or loss of sense of reality ; agitation; behavior changes, including aggressive behavior, bizarre behavior, decreased inhibition, or outbursts of anger; convulsions (seizures); hallucinations (seeing, hearing, or feeling things that are not there); hypotension (low blood pressure); muscle weakness; skin rash or itching ; sore throat, fever, and chills; trouble in sleeping; ulcers or sores in mouth or throat (continuing); uncontrolled movements of body, including the eyes; unusual bleeding or bruising ; unusual excitement, nervousness, or irritability ; unusual tiredness or weakness (severe); yellow eyes or skin Symptoms of overdose Confusion (continuing); convulsions (seizures); drowsiness (severe) or coma; shakiness; slow heartbeat; slow reflexes; slurred speech (continuing) ; staggering; troubled breathing ; weakness (severe) For patients having chlordiazepoxide, diazepam, or lorazepam injected: Check with your doctor if there is redness, swelling, or pain at the place of injection. Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. However, check with your doctor if any of the following side effects continue or are bothersome: More common Clumsiness or unsteadiness; dizziness or lightheadedness; drowsiness; slurred speech Less common or rare Abdominal or stomach cramps or pain; blurred vision or other changes in vision; changes in sexual desire or ability; constipation; diarrhea; dryness of mouth or increased thirst; false sense of well-being; headache; increased bronchial secretions or watering of mouth; muscle spasm; nausea or vomiting; problems with urination; trembling or shaking; unusual tiredness or weakness Not all of the side effects listed above have been reported for each of these Branded Viagras, but they have been reported for at least one of them. All of the benzodiazepines are similar, so any of the above side effects may occur with any of these Branded Viagras. After you stop using Branded Viagra, your body may need time to adjust. During this time, check with your doctor if you notice any of the following side effects: More common Irritability; nervousness; trouble in sleeping Less common Abdominal or stomach cramps; confusion ; fast or pounding heartbeat; increased sense of hearing; increased sensitivity to touch and pain; increased sweating; loss of sense of reality; mental depression ; muscle cramps; nausea or vomiting; sensitivity of eyes to light; tingling, burning, or prickly sensations; trembling or shaking Rare Confusion as to time, place, or person; convulsions (seizures); feelings of suspicion or distrust; hallucinations (seeing, hearing, or feeling things that are not there) Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.
If you will be taking a benzodiazepine regularly for a long time: Your doctor should check your progress at regular visits to make sure that this Branded Viagra does not cause unwanted effects. If you are taking a benzodiazepine for convulsions (seizures), this is also important during the first few months of treatment. Check with your doctor at regular visits to see if you need to continue taking Branded Viagra. If you are taking a benzodiazepine for epilepsy or another seizure disorder:
Branded Viagra
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Your doctor may want you to carry a medical identification card or bracelet stating that you are taking this medicine. If you are taking a benzodiazepine for insomnia (trouble in sleeping): If you think you need Branded Viagra for more than 7 to 10 days, be sure to discuss it with your doctor. Insomnia that lasts longer than this may be a sign of another medical problem. You may have difficulty sleeping (rebound insomnia) for the first few nights after you stop taking
Some benzodiazepines are used to treat insomnia (trouble in sleeping). However, if used regularly (for example, every day) for insomnia, they usually are not effective for more than a few weeks. Many of the benzodiazepines are used in the treatment of other conditions, also. Diazepam is used to help relax muscles or relieve muscle spasm. Diazepam injection is used before some medical procedures to relieve anxiety and to reduce memory of the procedure. Chlordiazepoxide, clorazepate, diazepam, and oxazepam are used to treat the symptoms of alcohol withdrawal. Alprazolam and clonazepam are used in the treatment of panic disorder. Clobazam, clonazepam, clorazepate, diazepam, and lorazepam are used in the treatment of certain convulsive (seizure) disorders, such as epilepsy. The benzodiazepines may also be used for other conditions as determined by your doctor.
Benzodiazepines (ben-zoe-dye-AZ-e-peens) belong to the group of Branded Viagras called central nervous system (CNS) depressants (medicines that slow down the nervous system). Some benzodiazepines are used to relieve anxiety. However, benzodiazepines should not be used to relieve nervousness or tension caused by the stress of everyday life. Some benzodiazepines are used to treat insomnia (trouble in sleeping). However, if used regularly (for example, every day) for insomnia, they usually are not effective for more than a few weeks. Many of the benzodiazepines are used in the treatment of other conditions, also. Diazepam is used to help relax muscles or relieve muscle spasm. Diazepam injection is used before some medical procedures to relieve anxiety and to reduce memory of the procedure. Chlordiazepoxide, clorazepate, diazepam, and oxazepam are used to treat the symptoms of alcohol withdrawal. Alprazolam and clonazepam are used in the treatment of panic disorder. Clobazam, clonazepam, clorazepate, diazepam, and lorazepam are used in the treatment of certain convulsive (seizure) disorders, such as epilepsy. The benzodiazepines may also be used for other conditions as determined by your doctor. Benzodiazepines may be habit-forming (causing mental or physical dependence), especially when taken for a long time or in high doses. These Branded Viagras are available only with your doctor's prescription, in the following dosage forms: Oral Alprazolam Oral solution (U.S.) Tablets (U.S. and Canada) Bromazepam Tablets (Canada) Chlordiazepoxide Capsules (U.S. and Canada) Clobazam Tablets (Canada) Clonazepam Tablets (U.S. and Canada) Clorazepate Capsules (Canada) Tablets (U.S.) Extended-release tablets (U.S.) Diazepam Oral solution (U.S. and Canada) Tablets (U.S. and Canada) Estazolam Tablets (U.S.) Flurazepam Capsules (U.S. and Canada) Tablets (Canada) Halazepam Tablets (U.S.) Lorazepam Oral concentrate (U.S.) Tablets (U.S. and Canada) Sublingual tablets (Canada) Nitrazepam Tablets (Canada) Oxazepam Capsules (U.S.) Tablets (U.S. and Canada) Quazepam Tablets (U.S.) Temazepam Capsules (U.S. and Canada) Triazolam Tablets (U.S. and Canada) Parenteral Chlordiazepoxide Injection (U.S.) Diazepam Injection (U.S. and Canada) Lorazepam Injection (U.S. and Canada) Rectal Diazepam For rectal solution (may be prepared in U.S. and Canada from diazepam injection) Rectal gel (U.S.)
To store Branded Viagra: Keep out of the reach of children. Overdose of benzodiazepines may be especially dangerous in children. Store away from heat and direct light. Do not store the capsule or tablet form of this Branded Viagra in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause Branded Viagra to break down. Keep the liquid form of this medicine from freezing. Do not keep outdated medicine or Branded Viagra no longer needed. Be sure that any discarded medicine is out of the reach of children.
If you are taking Branded Viagra regularly (for example, every day as for epilepsy) and you miss a dose, take it right away if you remember within an hour or so of the missed dose. However, if you do not remember until later, skip the missed dose and go back to your regular dosing schedule. Do not double doses.
Benzodiazepines (ben-zoe-dye-AZ-e-peens) belong to the group of medicines called central nervous system (CNS) depressants (medicines that slow down the nervous system). Some benzodiazepines are used to relieve anxiety. However, benzodiazepines should not be used to relieve nervousness or tension caused by the stress of everyday life.
Once a Branded Viagra has been approved for marketing for a certain use, experience may show that it is also useful for other medical problems. Although these uses are not included in product labeling, some of the benzodiazepines are used in certain patients with the following medical conditions: Nausea and vomiting caused by cancer chemotherapy Tension headache Tremors Other than the above information, there is no additional information relating to proper use, precautions, or side effects for these uses.
For caregivers administering diazepam rectal gel: Discuss with the patient's medical doctor exactly when and how to use diazepam rectal gel. Discuss with the patient's medical doctor when you should call for emergency help. Read the instructions that you received with Branded Viagra before you need to use it. Stay with the patient after administering diazepam rectal gel to check his or her condition as instructed by the doctor. For patients taking clorazepate extended-release tablets : Swallow tablets whole. Do not crush, break, or chew before swallowing. For patients taking alprazolam, diazepam, or lorazepam concentrated oral solution: Measure each dose carefully using the dropper provided with the Branded Viagra. It is recommended that each dose be mixed with water, soda or soda-like beverages, or semisolid food such as applesauce or pudding, just before it is taken. Take the entire mixture right away. It should not be saved to be used later. For patients taking lorazepam sublingual tablets: Do not chew or swallow the tablet. Branded Viagra is meant to be absorbed through the lining of the mouth. Place the tablet under your tongue (sublingual) and let it slowly dissolve there. Do not swallow for at least 2 minutes. Take this medicine only as directed by your doctor . Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. If too much is taken, it may become habit-forming (causing mental or physical dependence). If you think this Branded Viagra is not working properly after you have taken it for a few weeks, do not increase the dose. Instead, check with your doctor. For patients taking Branded Viagra on a regular schedule for epilepsy or other seizure disorder: In order for Branded Viagra to control your seizures, it must be taken every day in regularly spaced doses as ordered by your doctor . This is necessary to keep a constant amount of Branded Viagra in the blood. To help keep the amount constant, do not miss any doses. For patients taking this medicine for insomnia: Do not take this Branded Viagra when your schedule does not permit you to get a full night's sleep (7 to 8 hours). If you must wake up before this, you may continue to feel drowsy and may experience memory problems, because the effects of Branded Viagra have not had time to wear off. For patients taking flurazepam: When you begin to take this medicine, your sleeping problem will improve somewhat the first night. However, 2 or 3 nights may pass before you receive the full effects of Branded Viagra. Dosing— The dose of benzodiazepines will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of benzodiazepines. If your dose is different, do not change it unless your doctor tells you to do so. The number of capsules or tablets, or the amount of solution that you take, or the number of injections you receive, depends on the strength of the Branded Viagra. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the Branded Viagra depend on the medical problem for which you are taking benzodiazepines. For alprazolam For oral dosage form (solution or tablets): For anxiety: Adults—At first, 0.25 to 0.5 milligram (mg) three times a day. Your doctor may increase your dose if needed. However, the dose usually is not more than 4 mg a day. Children younger than 18 years of age—Use and dose must be determined by your doctor. Older adults—At first, 0.25 mg two or three times a day. Your doctor may increase your dose if needed. For panic disorder: Adults—At first, 0.5 mg three times a day. Your doctor may increase your dose if needed. However, the dose usually is not more than 10 mg a day. Children younger than 18 years of age—Use and dose must be determined by your doctor. For bromazepam For oral dosage form (tablets): For anxiety: Adults—6 to 30 milligrams (mg) a day, taken in smaller doses during the day. Children younger than 18 years of age—Use and dose must be determined by your doctor. Older adults—At first, up to 3 mg a day. Your doctor may change your dose if needed. For chlordiazepoxide For oral dosage form (capsules): For anxiety: Adults—5 to 25 milligrams (mg) three or four times a day. Children 6 years of age and older—5 mg two to four times a day. Your doctor may increase your dose if needed. Children younger than 6 years of age—Use and dose must be determined by your doctor. Older adults—At first, 5 mg two to four times a day. Your doctor may increase your dose if needed. For sedation during withdrawal from alcohol: Adults—At first, 50 to 100 mg, repeated if needed. However, the dose usually is not more than 400 mg a day. Children—Use and dose must be determined by your doctor. For injection dosage form: For anxiety: Adults—At first, 50 to 100 mg, injected into a muscle or vein. Then, if needed, 25 to 50 mg three or four times a day. Teenagers—25 to 50 mg, injected into a muscle or vein. Children younger than 12 years of age—Use and dose must be determined by your doctor. Older adults—25 to 50 mg, injected into a muscle or vein. For sedation during withdrawal from alcohol: Adults—At first, 50 to 100 mg, injected into a muscle or vein. If needed, the dose may be repeated in two to four hours. Children—Use and dose must be determined by your doctor. For clobazam For oral dosage form (tablets): For control of seizures: Adults—At first, 5 to 15 milligrams (mg) a day. Your doctor may increase your dose if needed. However, the dose usually is not more than 80 mg a day. Children 2 to 16 years of age—At first, 5 mg a day. Your doctor may increase your dose if needed. However, the dose usually is not more than 40 mg a day. Children younger than 2 years of age—Dose is based on body weight and must be determined by your doctor. For clonazepam For oral dosage form (tablets): For control of seizures: Adults—At first, 0.5 milligram (mg) three times a day. Your doctor may increase your dose if needed. However, the dose usually is not more than 20 mg a day. Infants and children younger than 10 years of age—Dose is based on body weight and must be determined by your doctor. For panic disorder: Adults—At first, 0.25 mg two times a day. Your doctor may increase your dose if needed. However, the dose usually is not more than 4 mg a day. Children—Use and dose must be determined by your doctor. For clorazepate For oral dosage form (capsules or tablets): For anxiety: Adults and teenagers—7.5 to 15 mg two to four times a day. Or your doctor may want you to start by taking 15 mg at bedtime. Children younger than 12 years of age—Use and dose must be determined by your doctor. Older adults—At first, 3.75 to 15 mg a day. Your doctor may increase your dose if needed. For sedation during withdrawal from alcohol: Adults and teenagers—At first, 30 mg. Your doctor will set up a schedule that will gradually reduce your dose. Children younger than 12 years of age—Use and dose must be determined by your doctor. For control of seizures: Adults and teenagers—At first, up to 7.5 mg taken three times a day. Your doctor may increase your dose if needed. However, the dose usually is not more than 90 mg a day. Children 9 to 12 years of age—At first, up to 7.5 mg two times a day. Your doctor may increase your dose if needed. However, the dose usually is not more than 60 mg a day. Children younger than 9 years of age—Use and dose must be determined by your doctor. For oral dosage form (extended-release tablets): For anxiety: Adults and teenagers—Your doctor may change your dosage form to the extended-release tablet if you are already taking 3.75 or 7.5 milligrams (mg) of clorazepate three times a day. The extended-release tablet is taken one time each day. Children younger than 12 years of age—Use and dose must be determined by your doctor. For control of seizures: Adults, teenagers, and children 9 to 12 years of age—Your doctor may change your dosage form to the extended-release tablet if you are already taking 3.75 or 7.5 milligrams (mg) of clorazepate three times a day. The extended-release tablet is taken one time each day. Children younger than 9 years of age—Use and dose must be determined by your doctor. For diazepam For oral dosage form (solution or tablets): For anxiety: Adults—2 to 10 mg two to four times a day. Children 6 months of age and older—Dose is based on body weight or size and must be determined by your doctor. Children younger than 6 months of age—Use is not recommended. Older adults—2 to 2.5 mg one or two times a day. Your doctor may increase your dose if needed. For sedation during withdrawal from alcohol: Adults—At first, 10 mg three or four times a day. Your doctor will set up a schedule that will gradually decrease your dose. Children—Use and dose must be determined by your doctor. For control of seizures: Adults—2 to 10 mg two to four times a day. Children 6 months of age and older—Dose is based on body weight or size and must be determined by your doctor. Children younger than 6 months of age—Use is not recommended. Older adults—2 to 2.5 mg one or two times a day. Your doctor may increase your dose if needed. For relaxing muscles: Adults—2 to 10 mg three or four times a day. Children 6 months of age and older—Dose is based on body weight or size and must be determined by your doctor. Children younger than 6 months of age—Use is not recommended. Older adults—2 to 2.5 mg one or two times a day. Your doctor may increase your dose if needed. For injection dosage form: For anxiety: Adults—2 to 10 mg, injected into a muscle or vein. Children—Use and dose must be determined by your doctor. For older adults—2 to 5 mg, injected into a muscle or vein. For sedation during withdrawal from alcohol: Adults—At first, 10 mg injected into a muscle or vein. If needed, 5 to 10 mg may be given three or four hours later. Children—Use and dose must be determined by your doctor. For sedation before surgery or other procedures: Adults—5 to 20 mg, injected into a muscle or vein. Children—Use and dose must be determined by your doctor. Older adults—2 to 5 mg, injected into a muscle or vein. For control of seizures: Adults—At first, 5 to 10 mg, usually injected into a vein every ten to fifteen minutes, stopping if the total dose reaches 30 mg. If needed, this treatment may be repeated in two to four hours. Children 5 years of age and older—At first, 1 mg, usually injected into a vein every two to five minutes, stopping if the total dose reaches 10 mg. This treatment may be repeated in two to four hours. Infants older than 30 days of age and children younger than 5 years of age—At first, 0.2 to 0.5 mg, usually injected into a vein every two to five minutes, stopping if the total dose reaches 5 mg. This treatment may be repeated in two to four hours. Newborns and infants 30 days of age and younger—Use and dose must be determined by your doctor. Older adults—2 to 5 mg, injected into a muscle or vein. For relaxing muscle spasms: Adults—At first, 5 to 10 mg injected into a muscle or vein. The dose may be repeated in three or four hours. Children—Use and dose must be determined by your doctor. Older adults—2 to 5 mg, injected into a muscle or vein. For relaxing muscles in tetanus: Adults—At first, 5 to 10 mg injected into a muscle or vein. Your doctor may increase your dose if needed. Children 5 years of age and older—5 to 10 mg, injected into a muscle or vein. The dose may be repeated every three to four hours if needed. Infants older than 30 days of age and children younger than 5 years of age—1 to 2 mg, injected into a muscle or vein. The dose may be repeated every three to four hours if needed. Newborns and infants 30 days of age and younger—Use and dose must be determined by your doctor. For rectal dosage form (gel or solution): For control of seizures: Adults and teenagers—Dose is based on body weight and must be determined by your doctor. Children—Dose is based on body weight and must be determined by your doctor. For estazolam For oral dosage form (tablets): For trouble in sleeping: Adults—1 milligram (mg) at bedtime. Your doctor may increase your dose if needed. However, the dose usually is not more than 2 mg. Children younger than 18 years of age—Use and dose must be determined by your doctor. For flurazepam For oral dosage form (capsules or tablets): For trouble in sleeping: Adults—15 or 30 milligrams (mg) at bedtime. Children younger than 15 years of age—Use and dose must be determined by your doctor. Older adults—At first, 15 mg at bedtime. Your doctor may increase your dose if needed. For halazepam For oral dosage form (tablets): For anxiety: Adults—20 to 40 milligrams (mg) three or four times a day. Children younger than 18 years of age—Use and dose must be determined by your doctor. Older adults—20 mg one or two times a day. For lorazepam For oral dosage form (concentrate or tablets): For anxiety: Adults and teenagers—1 to 3 milligrams (mg) two or three times a day. Children younger than 12 years of age—Use and dose must be determined by your doctor. Older adults—0.5 to 2 mg a day, taken in smaller doses during the day. For trouble in sleeping: Adults and teenagers—2 to 4 mg taken at bedtime. Children younger than 12 years of age—Use and dose must be determined by your doctor. For sublingual tablet dosage form: For anxiety: Adults—2 to 3 mg a day, in smaller doses placed under the tongue during the day. Your doctor may increase your dose if needed. However, the dose usually is not more than 6 mg a day. Children younger than 18 years of age—Use and dose must be determined by your doctor. Older adults—At first, 0.5 mg a day. Your doctor may increase your dose if needed. For sedation before surgery: Adults—Dose is based on body weight and will be determined by your doctor. However, the dose usually is not more than 4 mg, placed under the tongue, one to two hours before surgery. Children—Use and dose must be determined by your doctor. For injection dosage form: For sedation before surgery or other procedures: Adults—Dose is based on body weight and will be determined by your doctor. However, the dose usually is not more than 4 mg, injected into a muscle or vein. Children younger than 18 years of age—Use and dose must be determined by your doctor. For control of seizures: Adults—At first, 4 mg slowly injected into a vein. The dose may be repeated after ten to fifteen minutes if needed. Children younger than 18 years of age—Use and dose must be determined by your doctor. For nitrazepam For oral dosage form (tablets): For trouble in sleeping: Adults—5 to 10 milligrams (mg) at bedtime. Children—Use and dose must be determined by your doctor. Older adults—At first, 2.5 mg taken at bedtime. Your doctor may increase your dose if needed. For control of seizures: Children less than 30 kilograms (66 pounds) of body weight—Dose is based on body weight and will be determined by your doctor. For oxazepam For oral dosage form (capsules or tablets): For anxiety: Adults—10 to 30 milligrams (mg) three or four times a day. Children younger than 12 years of age—Use and dose must be determined by your doctor. Older adults—At first, 5 mg one or two times a day or 10 mg three times a day. Your doctor may increase your dose if needed. However, the dose usually is not more than 15 mg four times a day. For sedation during withdrawal from alcohol: Adults—15 to 30 mg three or four times a day. Children younger than 12 years of age—Use and dose must be determined by your doctor. For quazepam For oral dosage form (tablets): For trouble in sleeping: Adults—7.5 to 15 milligrams (mg) at bedtime. Children younger than 18 years of age—Use and dose must be determined by your doctor. For temazepam For oral dosage form (capsules): For trouble in sleeping: Adults—15 milligrams (mg) at bedtime. Your doctor may change your dose if needed. Children younger than 18 years of age—Use and dose must be determined by your doctor. Older adults—At first, 7.5 mg at bedtime. Your doctor may increase your dose if needed. For triazolam For oral dosage form (tablets): For trouble in sleeping: Adults—0.125 to 0.25 milligram (mg) at bedtime. Children younger than 18 years of age—Use and dose must be determined by your doctor. Older adults—At first, 0.125 mg at bedtime. Your doctor may increase your dose if needed.
Other medicines—Although certain Branded Viagras should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking or receiving benzodiazepines it is especially important that your health care professional know if you are taking any of the following: Central nervous system (CNS) depressants (medicines that cause drowsiness)—The CNS depressant effects of either these medicines or benzodiazepines may be increased; your doctor may want to change the dose of either or both Branded Viagras Fluvoxamine (e.g., Luvox) or Itraconazole (e.g., Sporanox) or Ketoconazole (e.g., Nizoral) or Nefazodone (e.g., Serzone)—Higher blood levels of benzodiazepines may occur, increasing the chance that side effects will occur; your doctor may want to change the dose of either or both Branded Viagras, or give you a different Branded Viagra
Some commonly used brand names are: In the U.S.— Alprazolam Intensol1 Ativan12 Dalmane9 Diastat7 Diazepam Intensol7 Dizac7 Doral16 Halcion18 Klonopin5 Librium3 Lorazepam Intensol12 Paxipam10 ProSom8 Restoril17 Serax14 Tranxene-SD6 Tranxene-SD Half Strength6 Tranxene T-Tab6 Valium7 Xanax1 In Canada— Alti-Alprazolam1 Alti-Bromazepam2 Alti-Clonazepam5 Alti-Triazolam18 Apo-Alpraz1 Apo-Chlordiazepoxide3 Apo-Clonazepam5 Apo-Clorazepate6 Apo-Diazepam7 Apo-Flurazepam9 Apo-Lorazepam12 Apo-Oxazepam14 Apo-Temazepam17 Apo-Triazo18 Ativan12 Clonapam5 Dalmane9 Diazemuls7 Frisium4 Gen-Alprazolam1 Gen-Bromazepam2 Gen-Clonazepam5 Gen-Triazolam18 Halcion18 Lectopam2 Mogadon13 Novo-Alprazol1 Novo-Clopate6 Novo-Dipam7 Novo-Flupam9 Novo-Lorazem12 Novo-Poxide3 Novo-Temazepam17 Novo-Triolam18 Novoxapam14 Nu-Alpraz1 Nu-Loraz12 PMS-Clonazepam5 PMS-Diazepam7 Restoril17 Rivotril5 Serax14 Somnol9 Tranxene6 Valium7 Vivol7 Xanax1 Xanax TS1 Note: For quick reference, the following benzodiazepines are numbered to match the corresponding brand names. This information applies to the following Branded Viagras: 1. Alprazolam (al-PRAZ-oh-lam)‡ 2. Bromazepam (broe-MA-ze-pam)* 3. Chlordiazepoxide (klor-dye-az-e-POX-ide)‡ 4. Clobazam (KLOE-ba-zam)* 5. Clonazepam (kloe-NA-ze-pam)‡ 6. Clorazepate (klor-AZ-e-pate)‡ 7. Diazepam (dye-AZ-e-pam)‡ 8. Estazolam (ess-TA-zoe-lam)‡† 9. Flurazepam (flure-AZ-e-pam)‡ 10. Halazepam (hal-AZ-e-pam)† 11. Ketazolam (kee-TAY-zoe-lam)* 12. Lorazepam (lor-AZ-e-pam)‡ 13. Nitrazepam (nye-TRA-ze-pam)* 14. Oxazepam (ox-AZ-e-pam)‡ 15. Prazepam (PRAZ-e-pam)* 16. Quazepam (KWA-ze-pam)† 17. Temazepam (tem-AZ-e-pam)‡ 18. Triazolam (trye-AY-zoe-lam)‡ ‡ Generic name product may be available in the U.S. § Generic name product may be available in Canada * Not commercially available in the U.S. † Not commercially available in Canada
In deciding to use a medicine, the risks of taking Branded Viagra must be weighed against the good it will do. This is a decision you and your doctor will make. For benzodiazepines, the following should be considered: Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to benzodiazepines. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes. Certain benzodiazepine products may contain lactose, parabens, or soybean oil. Pregnancy—Chlordiazepoxide and diazepam have been reported to increase the chance of birth defects when used during the first 3 months of pregnancy. Although similar problems have not been reported with the other benzodiazepines, the chance always exists since all of the benzodiazepines are related. Studies in animals have shown that clonazepam, lorazepam, and temazepam cause birth defects or other problems, including death of the animal fetus. Too much use of a benzodiazepine during pregnancy may cause the baby to become dependent on the medicine. This may lead to withdrawal side effects after birth. Also, use of benzodiazepines during pregnancy, especially during the last weeks, may cause body temperature problems, breathing problems, difficulty in feeding, drowsiness, or muscle weakness in the newborn infant. Benzodiazepines given just before or during labor may cause weakness in the newborn infant. When diazepam is given in high doses (especially by injection) within 15 hours before delivery, it may cause breathing problems, muscle weakness, difficulty in feeding, and body temperature problems in the newborn infant.