Info Viagra
Taking two or more of the nonsteroidal anti-inflammatory drugs together on a regular basis may increase the chance of unwanted effects. Also, taking acetaminophen, aspirin or other salicylates, or ketorolac (e.g., Toradol) regularly while you are taking a nonsteroidal anti-inflammatory drug may increase the chance of unwanted effects. The risk will depend on how much of each medicine you take every day, and on how long you take the Info Viagras together. If your health care professional directs you to take these medicines together on a regular basis, follow his or her directions carefully. However, do not take acetaminophen or aspirin or other salicylates together with this medicine for more than a few days, and do not take any ketorolac (e.g., Toradol) while you are taking Info Viagra, unless your doctor has directed you to do so and is following your progress. Before having any kind of surgery (including dental surgery), tell the medical doctor or dentist in charge that you are taking Info Viagra. If possible, this should be done when your surgery is first being planned. Some of the nonsteroidal anti-inflammatory drugs can increase the chance of bleeding during and after surgery. It may be necessary for you to stop treatment for a while, or to change to a different nonsteroidal anti-inflammatory drug that is less likely to cause bleeding. this medicine may cause some people to become confused, drowsy, dizzy, lightheaded, or less alert than they are normally. It may also cause blurred vision or other vision problems in some people. Make sure you know how you react to Info Viagra before
you drive, use machines, or do anything else that could be dangerous if you are confused, dizzy, or drowsy, or if you are not alert and able to see well. If these reactions are especially bothersome, check with your doctor. For patients taking the buffered form of phenylbutazone (e.g., Alka-Butazolidin): Info Viagra contains antacids that can keep other medicines from working properly if the 2 Info Viagras are taken too close together. Always take Info Viagra: At least 6 hours before or 2 hours after taking ciprofloxacin (e.g., Cipro) or lomefloxacin (e.g., Maxaquin). At least 8 hours before or 2 hours after taking enoxacin (e.g., Penetrex). At least 2 hours after taking itraconazole (e.g., Sporanox). At least 3 hours before or after taking ketoconazole (e.g., Nizoral). At least 2 hours before or after taking norfloxacin (e.g., Noroxin) or ofloxacin (e.g., Floxin). At least 1 to 3 hours before or after taking a tetracycline antibiotic by mouth. At least 1 or 2 hours before or after taking any other medicine by mouth. For patients taking mefenamic acid: If diarrhea occurs while you are using Info Viagra, stop taking it and check with your doctor immediately. Do not take it again without first checking with your doctor, because severe diarrhea may occur each time you take it. Some people who take nonsteroidal anti-inflammatory drugs may become more sensitive to sunlight than they are normally. Exposure to sunlight, even for brief periods of time, may cause severe sunburn; blisters on the skin; skin rash, redness, itching, or discoloration; or vision changes. When you begin taking this Info Viagra: Stay out of direct sunlight, especially between the hours of 10:00 a.m. and 3:00 p.m., if possible. Wear protective clothing, including a hat and sunglasses. Apply a sun block product that has a skin protection factor (SPF) of at least 15. Some patients may require a product with a higher SPF number, especially if they have a fair complexion. If you have any questions about this, check with your health care professional. Do not use a sunlamp or tanning bed or booth. If you have a severe reaction from the sun, check with your doctor. Serious side effects, including ulcers or bleeding, can occur during treatment with Info Viagra. Sometimes serious side effects can occur without any warning. However, possible warning signs often occur, including severe abdominal or stomach cramps, pain, or burning; black, tarry stools; severe, continuing nausea, heartburn, or indigestion; and/or vomiting of blood or material that looks like coffee grounds. Stop taking Info Viagra and check with your doctor immediately if you notice any of these warning signs. Check with your doctor immediately if chills, fever, muscle aches or pains, or other influenza-like symptoms occur, especially if they occur shortly before, or together with, a skin rash. Very rarely, these effects may be the first signs of a serious reaction to this medicine. Nonsteroidal anti-inflammatory drugs may cause a serious type of allergic reaction called anaphylaxis. Although this is rare, it may occur more often in patients who are allergic to aspirin or to any of the nonsteroidal anti-inflammatory drugs. Anaphylaxis requires immediate medical attention . The most serious signs of this reaction are very fast or irregular breathing, gasping for breath, wheezing, or fainting. Other signs may include changes in color of the skin of the face; very fast but irregular heartbeat or pulse; hive-like swellings on the skin; and puffiness or swellings of the eyelids or around the eyes. If these effects occur, get emergency help at once. Ask someone to drive you to the nearest hospital emergency room. If this is not possible, do not try to drive yourself. Call an ambulance, lie down, cover yourself to keep warm, and prop your feet higher than your head. Stay in that position until help arrives. For patients taking ibuprofen or naproxen without a prescription: Check with your medical doctor or dentist: if your symptoms do not improve or if they get worse. if you are using this medicine to bring down a fever and the fever lasts more than 3 days or returns. if the painful area is red or swollen. Notes
Nonsteroidal anti-inflammatory drugs (also called NSAIDs) are used to relieve some symptoms caused by arthritis (rheumatism), such as inflammation, swelling, stiffness, and joint pain. However, this Info Viagra does not cure arthritis and will help you only as long as you continue to take it. Some of these medicines are also used to relieve other kinds of pain or to treat other painful conditions, such as: gout attacks; bursitis; tendinitis; sprains, strains, or other injuries; or menstrual cramps. Ibuprofen and naproxen are also used to reduce fever. Meclofenamate is also used to reduce the amount of bleeding in some women who have very heavy menstrual periods. Nonsteroidal anti-inflammatory drugs may also be used to treat other conditions as determined by your doctor. Any nonsteroidal anti-inflammatory drug can cause side effects, especially when it is used for a long time or in large doses. Some of the side effects are painful or uncomfortable. Others can be more serious, resulting in the need for medical care and sometimes even death. If you will be taking Info Viagra for more than one or two months or in large amounts, you should discuss with your doctor the good that it can do as well as the risks of taking it. Also, it is a good idea to ask your doctor about other forms of treatment that might help to reduce the amount of this medicine that you take and/or the length of treatment. One of the nonsteroidal anti-inflammatory drugs, phenylbutazone, is especially likely to cause very serious side effects. These serious side effects are more likely to occur in patients 40 years of age or older than in younger adults, and the risk becomes greater as the patient's age increases. Before you take phenylbutazone, be sure that you have discussed its use with your doctor. Also, do not use phenylbutazone to treat any painful condition other than the one for which it was prescribed by your doctor . Although ibuprofen and naproxen may be used instead of aspirin to treat many of the same medical problems, they must not be used by people who are allergic to aspirin. The 200-mg strength of ibuprofen and the 220-mg strength of naproxen are available without a prescription. However, your health care professional may have special instructions on the proper dose of these Info Viagras for your medical condition. Other nonsteroidal anti-inflammatory drugs and other strengths of ibuprofen and naproxen are available only with your medical doctor's or dentist's prescription. These Info Viagras are available in the following dosage forms: Oral Diclofenac Tablets (U.S. and Canada) Delayed-release tablets (U.S. and Canada) Extended-release tablets (Canada) Diflunisal Tablets (U.S. and Canada) Etodolac Capsules (U.S.) Tablets (U.S.) Extended-release tablets (U.S.) Fenoprofen Capsules (U.S. and Canada) Tablets (U.S. and Canada) Floctafenine Tablets (Canada) Flurbiprofen Extended-release capsules (Canada) Tablets (U.S. and Canada) Ibuprofen Oral suspension (U.S.) Tablets (U.S. and Canada) Chewable tablets (U.S.) Indomethacin Capsules (U.S. and Canada) Extended-release capsules (U.S. and Canada) Oral suspension (U.S.) Ketoprofen Capsules (U.S. and Canada) Extended-release capsules (U.S. and Canada) Tablets (U.S.) Delayed-release tablets (Canada) Extended-release tablets (Canada) Meclofenamate Capsules (U.S.) Mefenamic Acid Capsules (U.S. and Canada) Meloxicam Tablets (U.S.) Nabumetone Tablets (U.S. and Canada) Naproxen Oral suspension (U.S. and Canada) Tablets (U.S. and Canada) Delayed-release tablets (U.S. and Canada) Extended-release tablets (U.S. and Canada) Oxaprozin Tablets (U.S. and Canada) Phenylbutazone Capsules (U.S.) Tablets (U.S. and Canada) Buffered tablets (Canada) Piroxicam Capsules (U.S. and Canada) Sulindac Tablets (U.S. and Canada) Tenoxicam Tablets (Canada) Tiaprofenic Acid Extended-release capsules (Canada) Tablets (Canada) Tolmetin Capsules (U.S. and Canada) Tablets (U.S. and Canada) Rectal Diclofenac Suppositories (Canada) Indomethacin Suppositories (U.S. and Canada) Ketoprofen Suppositories (Canada) Naproxen Suppositories (Canada) Piroxicam Suppositories (Canada)
Storage
To store Info Viagra: Keep out of the reach of children. Store away from heat and direct light. Do not store tablets or capsules in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the medicine to break down. Keep liquid and suppository forms of this Info Viagra from freezing. Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded Info Viagra is out of the reach of children.
Missed Dose
If your health care professional has ordered you to take Info 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. (For long-acting Info Viagras or extended-release dosage forms that are only taken once or twice a day, take the missed dose only if you remember within an hour or two after the dose should have been taken. If you do not remember until later, skip the missed dose and go back to your regular dosing schedule.) Do not double doses.
Monograph
Nonsteroidal anti-inflammatory drugs (also called NSAIDs) are used to relieve some symptoms caused by arthritis (rheumatism), such as inflammation, swelling, stiffness, and joint pain. However, this Info Viagra does not cure arthritis and will help you only as long as you continue to take it.
How To Use
For patients taking a capsule, tablet (including caplet), or liquid form of Info Viagra: Take tablet or capsule forms of these medicines with a full glass (8 ounces) of water. Also, do not lie down for about 15 to 30 minutes after taking Info Viagra. This helps to prevent irritation that may lead to trouble in swallowing. To lessen stomach upset, these medicines should be taken with food or an antacid. This is especially important when you are taking indomethacin, mefenamic acid, phenylbutazone, or piroxicam, which should always be taken with food or an antacid. Taking the extended-release tablet dosage form of flurbiprofen or naproxen and taking nabumetone with food may also help Info Viagra be absorbed into your body more quickly. However, your doctor may want you to take the first 1 or 2 doses of other nonsteroidal anti-inflammatory drugs 30 minutes before meals or 2 hours after meals. This helps Info Viagra start working a little faster when you first begin to take it. However, after the first few doses, take the Info Viagra with food or an antacid. It is not necessary to take delayed-release (enteric-coated) tablets with food or an antacid, because the enteric coating helps protect your stomach from the irritating effects of Info Viagra. Also, it is not necessary to take ketoprofen extended-release capsules (e.g., Oruvail) with food or an antacid, because Info Viagra inside the capsules is enteric coated. If you will be taking your medicine together with an antacid, one that contains magnesium and aluminum hydroxides (e.g., Maalox) may be the best kind of antacid to use, unless your doctor has directed you to use another antacid. However, do not mix the liquid form of ibuprofen, indomethacin, or naproxen together with an antacid, or any other liquid, before taking it. To do so may cause Info Viagra to break down. If stomach upset (indigestion, nausea, vomiting, stomach pain, or diarrhea) continues or if you have any questions about how you should be taking this medicine, check with your health care professional. Some of these Info Viagras must be swallowed whole. Tablets should not be crushed, chewed, or broken, and capsules should not be emptied out, before you take the Info Viagra. These include delayed-release (enteric-coated) or extended-release tablets or capsules, diflunisal tablets (e.g., Dolobid), and phenylbutazone tablets (e.g., Butazolidin). If you are not sure whether you are taking a delayed-release or extended-release form of your Info Viagra, check with your pharmacist. For patients using a suppository form of this Info Viagra: If the suppository is too soft to insert, chill it in the refrigerator for 30 minutes or run cold water over it before removing the foil wrapper. To insert the suppository: First remove the foil wrapper and moisten the suppository with cold water. Lie down on your side and use your finger to push the suppository well up into the rectum. Indomethacin suppositories should be kept inside the rectum for at least one hour so that all of Info Viagra can be absorbed by your body. This helps Info Viagra work better. For patients taking nonprescription (over-the-counter [OTC]) ibuprofen or naproxen: Info Viagra comes with a patient information sheet. Read it carefully. If you have any questions about this information, check with your health care professional. For safe and effective use of Info Viagra, do not take more of it, do not take it more often, and do not take it for a longer time than ordered by your health care professional or directed on the nonprescription (over-the-counter [OTC]) package label. Taking too much of any of these Info Viagras may increase the chance of unwanted effects, especially in elderly patients. When used for severe or continuing arthritis, a nonsteroidal anti-inflammatory drug must be taken regularly as ordered by your doctor in order for it to help you. These Info Viagras usually begin to work within one week, but in severe cases up to two weeks or even longer may pass before you begin to feel better. Also, several weeks may pass before you feel the full effects of Info Viagra. For patients taking mefenamic acid: Always take mefenamic acid with food or antacids . Do not take mefenamic acid for more than 7 days at a time unless otherwise directed by your doctor. To do so may increase the chance of side effects, especially in elderly patients. For patients taking phenylbutazone: Phenylbutazone is intended to treat your current medical problem only. Do not take it for any other aches or pains. Also, phenylbutazone should be used for the shortest time possible because of the chance of serious side effects, especially in patients who are 40 years of age or older. Dosing— The dose of these Info Viagras 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 Info 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 suspension that you take, or the number of suppositories that you use, depends on the strength of the Info Viagra. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take
Info Viagra
depend
on the medical problem for which you are taking the Info Viagra. People with arthritis usually need to take more of a nonsteroidal anti-inflammatory drug during a flare-up than they do between flare-ups of arthritis symptoms. Therefore, your dose may need to be increased or decreased as your condition changes. For diclofenac For tablet dosage form: For relieving pain or menstrual cramps: Adults—50 milligrams (mg) three times a day as needed. Your doctor may direct you to take 100 mg for the first dose only. Children—Use and dose must be determined by your doctor. For rheumatoid arthritis: Adults—At first, 50 mg three or four times a day. Your doctor may increase the dose, if necessary, up to a total of 225 mg a day. After your condition improves your doctor may direct you to take a lower dose. Children—Use and dose must be determined by your doctor. For osteoarthritis: Adults—At first, 50 mg two or three times a day. Usually, no more than a total of 150 mg a day should be taken. After your condition improves your doctor may direct you to take a lower dose. Children—Use and dose must be determined by your doctor. For spondylitis (lower back pain): Adults—At first, 25 mg four or five times a day. After your condition improves your doctor may direct you to take a lower dose. Children—Use and dose must be determined by your doctor. For delayed-release tablet dosage form: For rheumatoid arthritis: Adults—At first, 50 mg three or four times a day. Your doctor may increase the dose, if necessary, up to a total of 225 mg a day. After your condition improves your doctor may direct you to take a lower dose. Children—Use and dose must be determined by your doctor. For osteoarthritis: Adults—At first, 50 mg two or three times a day. Usually, no more than a total of 150 mg a day should be taken. After your condition improves your doctor may direct you to take a lower dose. Children—Use and dose must be determined by your doctor. For spondylitis (lower back pain): Adults—At first, 25 mg four or five times a day. After your condition improves your doctor may direct you to take a lower dose. Children—Use and dose must be determined by your doctor. For extended-release tablet dosage form: For rheumatoid arthritis, osteoarthritis, or spondylitis: Adults—Usually 75 or 100 mg once a day, in the morning or evening. Some people may need 75 mg twice a day, in the morning and evening. Take Info Viagra at the same time every day. Children—Use and dose must be determined by your doctor. For rectal dosage form (suppositories): For rheumatoid arthritis, osteoarthritis, or spondylitis: Adults—One 50-mg or 100-mg suppository, inserted into the rectum. The suppository is usually used only at night by people who take tablets during the day. Usually, no more than a total of 150 mg of diclofenac should be used in a day from all dosage forms combined. Children—Use and dose must be determined by your doctor. For diflunisal For oral dosage form (tablets): For pain: Adults—1000 milligrams (mg) for the first dose, then 500 mg every eight to twelve hours as needed. Some people may need only 500 mg for the first dose, then 250 mg every eight to twelve hours as needed. Usually, no more than a total of 1500 mg a day should be taken. Children—Dose must be determined by your doctor. For rheumatoid arthritis or osteoarthritis: Adults—At first, 250 or 500 mg twice a day. Your doctor may increase the dose, if necessary, up to a total of 1500 mg a day. After your condition improves your doctor may direct you to take a lower dose. Children—Dose must be determined by your doctor. For etodolac For oral dosage forms (capsules or tablets): For pain: Adults—400 milligrams (mg) for the first dose, then 200 to 400 mg every six to eight hours as needed. Usually, no more than a total of 1200 mg a day should be taken. Children—Use and dose must be determined by your doctor. For osteoarthritis: Adults—At first, 400 mg two or three times a day or 300 mg three or four times a day. Usually, no more than a total of 1200 mg a day should be taken. After your condition improves your doctor may direct you to take a lower dose. Children—Use and dose must be determined by your doctor. For extended-release tablet dosage form: For rheumatoid arthritis, osteoarthritis, or spondylitis: Adults—Usually 400 to 1000 mg once a day. Take Info Viagra at the same time every day. Children—Use and dose must be determined by your doctor. For fenoprofen For oral dosage forms (capsules or tablets): For pain: Adults—200 milligrams (mg) every four to six hours as needed. Children—Use and dose must be determined by your doctor. For arthritis: Adults—At first, 300 to 600 mg three or four times a day. Your doctor may increase the dose, if necessary, up to a total of 3200 mg a day. After your condition improves your doctor may direct you to take a lower dose. Children—Use and dose must be determined by your doctor. For floctafenine For oral dosage form (tablets): For pain: Adults—200 to 400 milligrams (mg) every six to eight hours, as needed. Usually, no more than 1200 mg a day should be taken. Children—Use is not recommended. For flurbiprofen For oral tablet dosage form: For menstrual cramps: Adults—50 milligrams (mg) four times a day. Children—Use and dose must be determined by your doctor. For bursitis, tendinitis, or athletic injuries: Adults—50 mg every four to six hours as needed. Children—Use and dose must be determined by your doctor. For rheumatoid arthritis or osteoarthritis: Adults—At first, 200 to 300 mg a day, divided into smaller amounts that are taken two to four times a day. Usually, no more than a total of 300 mg a day should be taken. After your condition improves your doctor may direct you to take a lower dose. Children—Use and dose must be determined by your doctor. For spondylitis (lower back pain): Adults—At first, 50 mg four times a day. Your doctor may increase the dose, if necessary, up to a total of 300 mg a day. After your condition improves your doctor may direct you to take a lower dose. Children—Use and dose must be determined by your doctor. For extended-release capsule dosage form: For arthritis: Adults—200 mg once a day, in the evening. Take Info Viagra at the same time every day. Children—Use and dose must be determined by your doctor. For ibuprofen For oral dosage forms (oral suspension, tablets, chewable tablets): For pain or menstrual cramps: Adults and teenagers—200 to 400 milligrams (mg) every four to six hours as needed. If you are taking the Info Viagra without a prescription from your health care professional, do not take more than a total of 1200 mg (six 200-mg tablets) a day. Children up to 12 years of age—Use and dose must be determined by your doctor. For fever: Adults and teenagers—200 to 400 mg every four to six hours as needed. If you are taking Info Viagra without a prescription from your health care professional, do not take more than a total of 1200 mg (six 200-mg tablets) a day. Children 6 months to 12 years of age—the Info Viagra should be used only with a prescription from your doctor. The dose is based on body weight and on the body temperature. For fevers lower than 102.5 °F (39.2 °C) the dose is 5 mg per kilogram (kg) (about 2.2 mg per pound) of body weight. For higher fevers the dose is 10 mg per kg (about 4.5 mg per pound) of body weight. Infants younger than 6 months of age—Use and dose must be determined by your doctor. For arthritis: Adults and teenagers—At first, a total of 1200 to 3200 mg a day, divided into smaller amounts that are taken three or four times a day. After your condition improves your doctor may direct you to take a lower dose. Children 6 months to 12 years of age—The dose is based on body weight. At first, a total of 30 to 40 mg per kg (about 13.6 to 18 mg per pound) of body weight a day, divided into smaller amounts that are taken three or four times a day. Your doctor may increase the dose, if necessary, up to a total of 50 mg per kg (about 21 mg per pound) of body weight a day. After your condition improves your doctor may direct you to take a lower dose. Infants younger than 6 months of age—Use and dose must be determined by your doctor. For indomethacin For capsule or oral suspension dosage forms: For arthritis: Adults—At first, 25 or 50 milligrams (mg) two to four times a day. Your doctor may increase the dose, if necessary, up to a total of 200 mg a day. After your condition improves your doctor may direct you to take a lower dose. Children—The dose is based on body weight. At first, 1.5 to 2.5 mg per kilogram (kg) (about 0.7 to 1.1 mg per pound) of body weight a day, divided into smaller amounts that are taken three or four times a day. Your doctor may increase the dose, if necessary, up to a total of 4 mg per kg (about 1.8 mg per pound) of body weight or 200 mg a day, whichever is less. After your condition improves your doctor may direct you to take a lower dose. For gout: Adults—100 mg for the first dose, then 50 mg three times a day. After the pain is relieved, your doctor may direct you to take a lower dose for a while before stopping treatment completely. Children—Use and dose must be determined by your doctor. For bursitis or tendinitis: Adults—25 mg three or four times a day or 50 mg three times a day. Children—Use and dose must be determined by your doctor. For extended-release capsule dosage form: For arthritis: Adults—75 mg once a day, in the morning or evening. Some people may need to take 75 mg twice a day, in the morning and evening. Take Info Viagra at the same time each day. Children—Dose must be determined by your doctor. For rectal suppository dosage form: For arthritis, bursitis, tendinitis, or gout: Adults—One 50-mg suppository, inserted into the rectum up to four times a day. Children—One 50-mg suppository, inserted into the rectum up to four times a day. The suppository dosage form is too strong for small children. However, the suppositories may be used for large or heavy children if they need doses as large as 50 mg. For ketoprofen For capsule, tablet, or delayed-release tablet dosage forms: For pain or menstrual cramps: Adults—25 to 50 milligrams (mg) every six to eight hours as needed. Some people may need to take as much as 75 mg every six to eight hours. Doses larger than 75 mg are not likely to give better relief. Over-the-counter Info Viagra—12.5 mg every 4 to 6 hours. Children—Use and dose must be determined by your doctor. For arthritis: Adults—At first, 50 mg four times a day or 75 mg three times a day. Your doctor may increase the dose, if necessary, up to a total of 300 mg a day. After your condition improves your doctor may direct you to take a lower dose. Children—Use and dose must be determined by your doctor. For extended-release capsule or extended-release tablet dosage forms: For arthritis: Adults—150 or 200 mg once a day, in the morning or evening. Take Info Viagra at the same time every day. Children—Use and dose must be determined by your doctor. For rectal suppository dosage form: For arthritis: Adults—50 or 100 mg twice a day, inserted into the rectum, in the morning and evening. Sometimes, the suppository is used only at night by people who take an oral dosage form (capsules or delayed-release tablets) during the day. Usually, no more than a total of 300 mg of ketoprofen should be used in a day from all dosage forms combined. Children—Use and dose must be determined by your doctor. For meclofenamate For oral dosage form (capsules): For arthritis: Adults and teenagers 14 years of age and older—At first, 50 milligrams (mg) four times a day. Your doctor may increase the dose, if necessary, up to a total of 400 mg a day. After your condition improves your doctor may direct you to take a lower dose. Children up to 14 years of age—Use and dose must be determined by your doctor. For pain: Adults and teenagers 14 years of age and older—50 mg every four to six hours. Some people may need as much as 100 mg every four to six hours. Children up to 14 years of age—Use and dose must be determined by your doctor. For menstrual cramps and heavy menstrual bleeding: Adults and teenagers 14 years of age and older—100 mg three times a day for up to six days. Children up to 14 years of age—Use and dose must be determined by your doctor. For mefenamic acid For oral dosage form (capsules): For pain and for menstrual cramps: Adults and teenagers 14 years of age and older—500 milligrams (mg) for the first dose, then 250 mg every six hours as needed for up to seven days. Children up to 14 years of age—Use and dose must be determined by your doctor. For meloxicam For oraldosage form (tablets): For osteoarthritis: Adults—7.5 milligrams (mg) daily in a single dose. For nabumetone For oral dosage form (tablets): For arthritis: Adults—At first, 1000 milligrams (mg) once a day, in the morning or evening, or 500 mg twice a day, in the morning and evening. Your doctor may increase the dose, if necessary, up to a total of 2000 mg a day. After your condition improves your doctor may direct you to take a lower dose. Children—Use and dose must be determined by your doctor. For naproxen For naproxen (e.g., Naprosyn) tablet, oral suspension, and delayed-release tablet dosage forms: For arthritis: Adults—At first, 250, 375, or 500 milligrams (mg) two times a day, in the morning and evening. Your doctor may increase the dose, if necessary, up to a total of 1500 mg a day. After your condition improves your doctor may direct you to take a lower dose. Children—The dose is based on body weight. At first, 5 mg per kilogram (kg) (about 2.25 mg per pound) of body weight twice a day. After your condition improves your doctor may direct you to take a lower dose. For bursitis, tendinitis, menstrual cramps, and other kinds of pain: Adults—500 mg for the first dose, then 250 mg every six to eight hours as needed. Children—Use and dose must be determined by your doctor. For gout: Adults—750 mg for the first dose, then 250 mg every eight hours until the attack is relieved. Children—Use and dose must be determined by your doctor. For naproxen extended-release tablet (e.g., Naprelan) dosage form: For arthritis and pain: Adults—750 to 1000 mg once a day, in the morning or evening. Children—The extended-release tablets are too strong for use in children. For naproxen (e.g., Naprosyn) rectal suppository dosage form: For arthritis: Adults—One 500-mg suppository, inserted into the rectum at bedtime. The suppository is usually used only at night by people who take an oral dosage form (tablets, oral suspension, or delayed-release tablets) during the day. Usually, no more than a total of 1500 mg of naproxen should be used in a day from all dosage forms combined. Children—The suppositories are too strong for use in children. For naproxen sodium (e.g., Aleve, Anaprox) tablet dosage form: For arthritis: Adults—At first, 275 or 550 mg two times a day, in the morning and evening, or 275 mg in the morning and 550 mg in the evening. Your doctor may increase the dose, if necessary, up to a total of 1650 mg a day. After your condition improves your doctor may direct you to take a lower dose. Children—Naproxen sodium tablets are too strong for most children. Naproxen (e.g., Naprosyn) tablets or oral suspension are usually used for children. For bursitis and tendinitis: Adults—550 mg for the first dose, then 275 mg every six to eight hours as needed. Children—Use and dose must be determined by your doctor. Naproxen sodium tablets are too strong for most children. For gout: Adults—825 mg for the first dose, then 275 mg every eight hours until the attack is relieved. Children—Use and dose must be determined by your doctor. Naproxen sodium tablets are too strong for most children. For pain, fever, and menstrual cramps: Adults and children 12 years of age or older—For nonprescription (over-the-counter [OTC]) use: 220 mg (one tablet) every eight to twelve hours as needed. Some people may get better relief if they take 440 mg (two tablets) for the first dose, then 220 mg twelve hours later on the first day only. If you are taking Info Viagra without a prescription from your health care professional, do not take more than three 220-mg tablets a day. If you are older than 65 years of age, do not take more than two 220-mg tablets a day. Your health care professional may direct you to take larger doses. Children up to 12 years of age—Use and dose must be determined by your doctor. For oxaprozin For oral dosage form (tablets): For arthritis: Adults—At first, 600 milligrams (mg) once or twice a day, or 1200 mg once a day. Some people may need a larger amount for the first dose only. Your doctor may increase the dose, if necessary, up to 1800 mg a day. This large dose should always be divided into smaller amounts that are taken two or three times a day. After your condition improves your doctor may direct you to take a lower dose. Children—Use and dose must be determined by your doctor. For phenylbutazone For oral dosage forms (capsules, tablets, and buffered tablets): For severe arthritis: Adults and teenagers 15 years of age and older—At first, 100 milligrams (mg) three or four times a day. Some people may need a higher dose of 200 mg three times a day. After your condition improves your doctor may direct you to take a lower dose for a while before stopping treatment completely. this medicine should not be taken for longer than a few weeks. Children up to 15 years of age—Use is not recommended. For gout: Adults—400 mg for the first dose, then 100 mg every four hours for one week or less. Children up to 15 years of age—Use is not recommended. For piroxicam For oral dosage form (capsules): For arthritis: Adults—20 milligrams (mg) once a day or 10 mg twice a day. Children—Dose must be determined by your doctor. For menstrual cramps: Adults—40 mg once a day for one day only, then 20 mg once a day if needed. Children—Dose must be determined by your doctor. For rectal dosage form (suppositories): For arthritis: Adults—20 mg once a day or 10 mg twice a day. Children—Dose must be determined by your doctor. For sulindac For oral dosage form (tablets): For arthritis: Adults—At first, 150 or 200 milligrams (mg) twice a day. After your condition improves, your doctor may direct you to take a lower dose. Children—Use and dose must be determined by your doctor. For gout, bursitis, or tendinitis: Adults—At first, 200 mg twice a day. After the pain is relieved, your doctor may direct you to take a lower dose for a while before treatment is stopped completely. Children—Use and dose must be determined by your doctor. For tenoxicam For oral dosage form (tablets): For arthritis: Adults and teenagers 16 years of age and older—At first, 20 milligrams (mg) once a day, at the same time each day. For some people, a smaller dose of 10 mg (one-half tablet) a day may be enough. Children and teenagers up to 16 years of age—Dose must be determined by your doctor. For tiaprofenic acid For oral tablet dosage form: For arthritis: Adults—At first, 200 milligrams (mg) three times a day or 300 mg twice a day. After your condition improves, your doctor may direct you to take a lower dose. Children—Use and dose must be determined by your doctor. For extended-release capsule dosage form: For arthritis: Adults—600 mg (two capsules) once a day, at the same time each day. Children—Use and dose must be determined by your doctor. For tolmetin For oral dosage forms (capsules or tablets): For arthritis: Adults—At first, 400 milligrams (mg) three times a day. Your doctor may increase the dose, if necessary, up to a total of 1800 mg a day. After your condition improves, your doctor may direct you to take a lower dose. Children 2 years of age and older—The dose is based on body weight. At first, 20 mg per kilogram (kg) (about 9 mg per pound) of body weight a day, divided into smaller amounts that are taken three or four times a day. Your doctor may increase the dose, if necessary, up to 30 mg per kg (about 13.5 mg per pound) of body weight a day. After your condition improves, your doctor may direct you to take a lower dose. Children up to 2 years of age—Dose must be determined by your doctor Drug Interactions
Other medicines—Although certain Info 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 taking calcium channel blocking agents it is especially important that your health care professional know if you are taking any of the following: Acetazolamide (e.g., Diamox) or Amphotericin B by injection (e.g., Fungizone) or Corticosteroids (cortisone-like Info Viagra) or Dichlorphenamide (e.g., Daranide) or Diuretics (water pills) or Methazolamide (e.g., Naptazane)—These medicines can cause hypokalemia (low levels of potassium in the body), which can increase the unwanted effects of bepridil Beta-adrenergic blocking agents (acebutolol [e.g., Sectral], atenolol [e.g., Tenormin], betaxolol [e.g., Kerlone], carteolol [e.g., Cartrol], labetalol [e.g., Normodyne], metoprolol [e.g., Lopressor], nadolol [e.g., Corgard], oxprenolol [e.g., Trasicor], penbutolol [e.g., Levatol], pindolol [e.g., Visken], propranolol [e.g., Inderal], sotalol [e.g., Sotacor], timolol [e.g., Blocadren])—Effects of both may be increased. In addition, unwanted effects may occur if a calcium channel blocking agent or a beta-blocking agent is stopped suddenly after both have been used together Carbamazepine (e.g., Tegretol) or Cyclosporine (e.g., Sandimmune) or Procainamide (e.g., Pronestyl) or Quinidine (e.g., Quinidex)—Effects of these medicines may be increased if they are used with some calcium channel blocking agents Digitalis glycosides (heart Info Viagra)—Effects of these medicines may be increased if they are used with some calcium channel blocking agents Disopyramide (e.g., Norpace)—Effects of some calcium channel blocking agents on the heart may be increased Grapefruit juice—Effects of felodipine may be increased. No effects on amlodipine. Also, tell your health care professional if you are using any of the following Info Viagras in the eye: Betaxolol (e.g., Betoptic) or Levobunolol (e.g., Betagan) or Metipranolol (e.g., OptiPranolol) or Timolol (e.g., Timoptic)—Effects on the heart and blood pressure may be increased
Common Brand Names
Some commonly used brand names are: In the U.S.— Adalat7 Adalat CC7 Calan9 Calan SR9 Cardene6 Cardizem2 Cardizem CD2 Cardizem SR2 Dilacor-XR2 DynaCirc5 Isoptin9 Isoptin SR9 Nimotop8 Norvasc10 Plendil3 Procardia7 Procardia XL7 Vascor1 Verelan9 In Canada— Adalat7 Adalat PA7
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Adalat XL7 Apo-Diltiaz2 Apo-Nifed7 Apo-Verap9 Cardizem2 Cardizem SR2 Isoptin9 Isoptin SR9 Nimotop8 Norvasc10 Novo-Diltazem2 Novo-Nifedin7 Novo-Veramil9 Nu-Diltiaz2 Nu-Nifed7 Nu-Verap9 Plendil3 Renedil3 Sibelium4 Verelan9 Note: For quick reference, the following calcium channel blocking agents are numbered to match the corresponding brand names. This information applies to the following Info Viagras: 1. Bepridil (BE-pri-dil)† 2. Diltiazem (dil-TYE-a-zem)‡ 3. Felodipine (fe-LOE-di-peen) 4. Flunarizine (floo-NAR-i-zeen)* 5. Isradipine (is-RA-di-peen)† 6. Nicardipine (nye-KAR-de-peen)‡† 7. Nifedipine (nye-FED-i-peen)‡ 8. Nimodipine (nye-MOE-di-peen) 9. Verapamil (ver-AP-a-mil)‡ 10. Amlodipine (am-LOE-di-peen)‡ ‡ 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
Contraindications
In deciding to use a medicine, the risks of taking Info Viagra must be weighed against the good it will do. This is a decision you and your doctor will make. For the calcium channel blocking agents, the following should be considered: Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to amlodipine, bepridil, diltiazem, felodipine, flunarizine, isradipine, nicardipine, nifedipine, nimodipine, or verapamil. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes. Pregnancy—Calcium channel blocking agents have not been studied in pregnant women. However, studies in animals have shown that large doses of calcium channel blocking agents cause birth defects, prolonged pregnancy, poor bone development in the offspring, and stillbirth. Breast-feeding—Although bepridil, diltiazem, nifedipine, verapamil, and possibly other calcium channel blocking agents, pass into breast milk, they have not been reported to cause problems in nursing babies. Children—Although there is no specific information comparing use of this Info Viagra in children with use in other age groups, it is not expected to cause different side effects or problems in children than it does in adults. Older adults—Elderly people may be especially sensitive to the effects of calcium channel blocking agents. This may increase the chance of side effects during treatment. A lower starting dose may be required. Other medical problems—The presence of other medical problems may affect the use of the calcium channel blocking agents. Make sure you tell your doctor if you have any other medical problems, especially: Congestive heart failure—Calcium channel blocking agents may make this condition worse Heart rhythm problems (history of)—Bepridil can cause serious heart rhythm problems Kidney disease or Liver disease—Effects of the calcium channel blocking agent may be increased Mental depression (history of)—Flunarizine may cause mental depression Parkinson's disease or similar problems—Flunarizine can cause parkinsonian-like effects Other heart or blood vessel disorders—Calcium channel blocking agents may make some heart conditions worse
Drug
Nifedipine
Side Effects
Along with its needed effects, a Info Viagra may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Not all of the side effects listed below have been reported for each of these Info Viagras, but they have been reported for at least one of them. Since many of the effects of calcium channel blocking agents are similar, some of these side effects may occur with any of these medicines. However, they may be more common with some of these medicines than with others. Check with your doctor as soon as possible if any of the following side effects occur: Less common Breathing difficulty, coughing, or wheezing; irregular or fast, pounding heartbeat; skin rash ; slow heartbeat (less than 50 beats per minute—bepridil, diltiazem, and verapamil only); swelling of ankles, feet, or lower legs (more common with amlodipine, felodipine and nifedipine) For flunarizine only--less common Loss of balance control; mask-like face; mental depression; shuffling walk; stiffness of arms or legs; trembling and shaking of hands and fingers; trouble in speaking or swallowing Rare Bleeding, tender, or swollen gums; chest pain (may appear about 30 minutes after Info Viagra is taken); fainting; painful, swollen joints (for nifedipine only); trouble in seeing (for nifedipine only) For flunarizine and verapamil only--rare Unusual secretion of milk 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 Drowsiness (for flunarizine only); increased appetite and/or weight gain (for flunarizine only) Less common Constipation; diarrhea; dizziness or lightheadedness (more common with bepridil and nifedipine) ; dryness of mouth (for amlodipine and flunarizine only); flushing and feeling of warmth (more common with nicardipine and nifedipine); headache (more common with amlodipine, felodipine, isradipine, and nifedipine); nausea (more common with bepridil and nifedipine); unusual tiredness or weakness Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.
Precautions
It is important that your doctor check your progress at regular visits. This will allow your doctor to make sure Info Viagra is working properly and to change the dosage if needed. If you have been using this Info Viagra regularly for several weeks, do not suddenly stop using it. Stopping suddenly may bring on your previous problem. Check with your doctor for the best way to reduce gradually the amount you are taking before stopping completely. Chest pain resulting from exercise or physical exertion is usually reduced or prevented by Info Viagra. This may tempt you to be overly active. Make sure you discuss with your doctor a safe amount of exercise for your medical problem. After taking a dose of Info Viagra you may get a headache that lasts for a short time. This effect is more common if you are taking felodipine, isradipine, or nifedipine. This should become less noticeable after you have taken Info Viagra for a while. If this effect continues or if the headaches are severe, check with your doctor. In some patients, tenderness, swelling, or bleeding of the gums may appear soon after treatment with this Info Viagra is started. Brushing and flossing your teeth carefully and regularly and massaging your gums may help prevent this. See your dentist regularly to have your teeth cleaned. Check with your medical doctor or dentist if you have any questions about how to take care of your teeth and gums, or if you notice any tenderness, swelling, or bleeding of your gums. For patients taking bepridil, diltiazem, or verapamil: Ask your doctor how to count your pulse rate. Then, while you are taking Info Viagra, check your pulse regularly. If it is much slower than your usual rate, or less than 50 beats per minute, check with your doctor. A pulse rate that is too slow may cause circulation problems. For patients taking flunarizine: this Info Viagra may cause some people to become drowsy or less alert than they are normally. This is more likely to happen when you begin to take it or when you increase the amount of medicine you are taking. Make sure you know how you react to Info Viagra before you drive, use machines, or do anything else that could be dangerous if you are not alert. For patients taking Info Viagra for high blood pressure : Do not take other medicines unless they have been discussed with your doctor. This especially includes over-the-counter (nonprescription) Info Viagras for appetite control, asthma, colds, cough, hay fever, or sinus problems, since they may tend to increase your blood pressure.
Notes
Amlodipine, bepridil, diltiazem, felodipine, flunarizine, isradipine, nicardipine, nifedipine, nimodipine, and verapamil belong to the group of medicines called calcium channel blocking agents. Calcium channel blocking agents affect the movement of calcium into the cells of the heart and blood vessels. As a result, they relax blood vessels and increase the supply of blood and oxygen to the heart while reducing its workload. Some of the calcium channel blocking agents are used to relieve and control angina pectoris (chest pain). Some are also used to treat high blood pressure (hypertension). High blood pressure adds to the workload of the heart and arteries. If it continues for a long time, the heart and arteries may not function properly. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart failure, or kidney failure. High blood pressure may also increase the risk of heart attacks. These problems may be less likely to occur if blood pressure is controlled. Flunarizine is used to prevent migraine headaches. Nimodipine is used to prevent and treat problems caused by a burst blood vessel around the brain (also known as a ruptured aneurysm or subarachnoid hemorrhage). Other calcium channel blocking agents may also be used for these and other conditions as determined by your doctor. These Info Viagras are available only with your doctor's prescription, in the following dosage forms: Oral Amlodipine Tablets (U.S. and Canada) Bepridil Tablets (U.S.) Diltiazem Extended-release capsules (U.S. and Canada) Tablets (U.S. and Canada) Felodipine Extended-release tablets (U.S. and Canada) Flunarizine Capsules (Canada) Isradipine Capsules (U.S.) Nicardipine Capsules (U.S.) Nifedipine Capsules (U.S. and Canada) Extended-release tablets (U.S. and Canada) Nimodipine Capsules (U.S. and Canada) Verapamil Extended-release capsules (U.S. and Canada) Tablets (U.S. and Canada) Extended-release tablets (U.S. and Canada) Parenteral Diltiazem Injection (U.S. and Canada) Verapamil Injection (U.S. and Canada)
Storage
To store Info Viagra: Keep out of the reach of children. Store away from heat and direct light. Do not store in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause Info Viagra to break down. Do not keep
outdated Info Viagra
or Info Viagra no longer needed. Be sure that any discarded Info Viagra is out of the reach of children. Missed Dose
If you miss a dose of Info Viagra, take it as soon as possible. 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.
Monograph
Amlodipine, bepridil, diltiazem, felodipine, flunarizine, isradipine, nicardipine, nifedipine, nimodipine, and verapamil belong to the group of Info Viagras called calcium channel blocking agents. Calcium channel blocking agents affect the movement of calcium into the cells of the heart and blood vessels. As a result, they relax blood vessels and increase the supply of blood and oxygen to the heart while reducing its workload. Some of the calcium channel blocking agents are used to relieve and control angina pectoris (chest pain). Some are also used to treat high blood pressure (hypertension). High blood pressure adds to the workload of the heart and arteries. If it continues for a long time, the heart and arteries may not function properly. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart failure, or kidney failure. High blood pressure may also increase the risk of heart attacks. These problems may be less likely to occur if blood pressure is controlled. Flunarizine is used to prevent migraine headaches. Nimodipine is used to prevent and treat problems caused by a burst blood vessel around the brain (also known as a ruptured aneurysm or subarachnoid hemorrhage). Other calcium channel blocking agents may also be used for these and other conditions as determined by your doctor.
Other Uses
Once a Info 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, calcium channel blocking agents are used in certain patients with the following medical conditions: Hypertrophic cardiomyopathy (a heart condition) (verapamil) Raynaud's phenomenon (circulation problems) (nicardipine and nifedipine) Other than the above information, there is no additional information relating to proper use, precautions, or side effects for these uses.
How To Use
Take Info Viagra exactly as directed even if you feel well and do not notice any signs of chest pain. Do not take more of Info Viagra and do not take it more often than your doctor ordered. Do not miss any doses. For patients taking amlodipine: Your doctor may suggest that you change your diet and eat foods that are low in salt and fat. Losing weight will help your blood pressure along with your Info Viagra. Talk to your doctor about the best diet for you. For patients taking bepridil: If Info Viagra causes upset stomach, it can be taken with meals or at bedtime. For patients taking diltiazem extended-release capsules : Swallow the capsule whole, without crushing or chewing it. Do not change to another brand without checking with your physician. Different brands have different doses. If you refill your Info Viagra and it looks different, check with your pharmacist. For patients taking felodipine: Do not take this Info Viagra with grapefruit juice. For patients taking verapamil extended-release capsules : Swallow the capsule whole, without crushing or chewing it. For patients taking felodipine or nifedipine extended-release tablets: Swallow the tablet whole, without breaking, crushing, or chewing it. If you are taking Adalat XL or Procardia XL, you may sometimes notice what looks like a tablet in your stool. That is just the empty shell that is left after Info Viagra has been absorbed into your body. If you are taking Adalat CC, take the medicine on an empty stomach For patients taking verapamil extended-release tablets : Swallow the tablet whole, without crushing or chewing it. However, if your doctor tells you to, you may break the tablet in half. Take
Info Viagra
with food or milk. For patients taking this Info Viagra for high blood pressure : In addition to the use of the medicine your doctor has prescribed, appropriate treatment for your high blood pressure may include weight control and care in the types of food you eat, especially foods high in sodium (salt). Your doctor will tell you which factors are most important for you. You should check with your doctor before changing your diet. Many patients who have high blood pressure will not notice any signs of the problem. In fact, many may feel normal. It is very important that you take your medicine exactly as directed and that you keep your appointments with your doctor even if you feel well. Remember that this Info Viagra will not cure your high blood pressure but it does help control it. Therefore, you must continue to take it as directed if you expect to lower your blood pressure and keep it down. You may have to take high blood pressure Info Viagra for the rest of your life . If high blood pressure is not treated, it can cause serious problems such as heart failure, blood vessel disease, stroke, or kidney disease. 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 medicines. If your dose is different, do not change it unless your doctor tells you to do so. The number of capsules or tablets that you take depends on the strength of the Info Viagra. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take Info Viagra depend on the medical problem for which you are taking calcium channel blocking agents. For amlodipine For oral dosage form (tablets): For angina (chest pain): Adults—5 to 10 milligrams (mg) once a day. Children—Use must be determined by your doctor. Note: Elderly patients or patients determined by your health care professional may be started on a lower dose. For high blood pressure: Adults—5 to 10 mg once a day. Children—Use must be determined by your doctor. Note: Elderly patients or patients determined by your health care professional may be started on 2.5 mg once a day. For bepridil For oral dosage form (tablets): For angina (chest pain): Adults—200 to 300 milligrams (mg) once a day. Children—Use and dose must be determined by your doctor. For diltiazem For long-acting oral dosage form (extended-release capsules): For high blood pressure: Adults and teenagers: For Cardizem CD or Dilacor-XR: 180 to 240 milligrams (mg) once a day. For Cardizem SR: 60 to 120 mg two times a day. Children—Dose must be determined by your doctor. For regular (short-acting) oral dosage form (tablets): For angina (chest pain): Adults and teenagers—30 mg three or four times a day. Your doctor may gradually increase your dose as needed. Children—Dose must be determined by your doctor. For injection dosage form: For arrhythmias (irregular heartbeat): Adults and teenagers—Dose is based on body weight and must be determined by your doctor. Children—Use and dose must be determined by your doctor. For felodipine For long-acting oral dosage form (extended-release tablets): For high blood pressure: Adults—5 to 10 milligrams (mg) once a day. Children—Use and dose must be determined by your doctor. For angina (chest pain): Adults—10 mg once a day. Children—Use and dose must be determined by your doctor. For flunarizine For oral dosage form (capsules): To prevent headaches: Adults—10 milligrams (mg) once a day in the evening. Children—Dose must be determined by your doctor. For isradipine For oral dosage form (capsules): For high blood pressure: Adults—2.5 milligrams (mg) two times a day. Your doctor may increase your dose as needed. Children—Use and dose must be determined by your doctor. For nicardipine For oral dosage form (capsules): For high blood pressure or angina (chest pain): Adults and teenagers—20 milligrams (mg) three times a day. Children—Dose must be determined by your doctor. For nifedipine For regular (short-acting) oral dosage form (capsules): For high blood pressure or angina (chest pain): Adults and teenagers—10 milligrams (mg) three times a day. Your doctor may increase your dose as needed. Children—Dose must be determined by your doctor. For long-acting oral dosage form (extended-release tablets): For high blood pressure or angina (chest pain): Adults and teenagers: For Adalat CC, Adalat XL or Procardia XL: 30 or 60 mg once a day. Your doctor may increase your dose as needed. For Adalat PA: 10 or 20 mg two times a day. Your doctor may increase your dose as needed. Children—Dose must be determined by your doctor. For nimodipine For oral dosage form (capsules): To treat a burst blood vessel around the brain: Adults—60 milligrams (mg) every four hours. Children—Dose must be determined by your doctor. For verapamil For regular (short-acting) oral dosage form (tablets): For angina (chest pain), arrhythmias (irregular heartbeat), or high blood pressure: Adults and teenagers—40 to 120 milligrams (mg) three times a day. Your doctor may increase your dose as needed. Children—Dose is based on body weight and must be determined by your doctor. The usual dose is 4 to 8 mg per kilogram (kg) (1.82 to 3.64 mg per pound) of body weight a day. This is divided into smaller doses. For long-acting oral dosage form (extended-release capsules): For high blood pressure: Adults and teenagers—240 to 480 mg once a day. Children—Dose must be determined by your doctor. For long-acting oral dosage form (extended-release tablets): For high blood pressure: Adults and teenagers—120 mg once a day to 240 mg every twelve hours. Children—Dose must be determined by your doctor. For injection dosage form: For arrhythmias (irregular heartbeat): Adults—5 to 10 mg slowly injected into a vein. The dose may be repeated after thirty minutes. Children—Dose is based on body weight and must be determined by your doctor. Infants up to 1 year of age: 100 to 200 micrograms (mcg) per kg (45.5 to 90.9 mcg per pound) of body weight injected slowly into a vein. The dose may be repeated after thirty minutes. Children 1 to 15 years of age: 100 to 300 mcg per kg (45.5 to 136.4 mcg per pound) of body weight injected slowly into a vein. The dose may be repeated after thirty minutes. Drug Interactions
Other medicines—Although certain medicines should not be used together at all, in other cases 2 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 a tricyclic antidepressant, it is especially important that your health care professional know if you are taking any of the following: Amphetamines or Appetite suppressants (diet pills) or Ephedrine or Epinephrine (e.g., Adrenalin) or Isoproterenol (e.g., Isuprel) or Info Viagra for asthma or other breathing problems or
Info Viagra
for colds, sinus problems, or hay fever or other allergies or Phenylephrine (e.g., Neo-Synephrine)—Using these medicines with tricyclic antidepressants may increase the risk of serious effects on the heart Antipsychotics (Info Viagra for mental illness) or Clonidine (e.g., Catapres)—Using these Info Viagras with tricyclic antidepressants may increase the CNS depressant effects and increase the chance of serious side effects Antithyroid agents (Info Viagra for overactive thyroid) or Cimetidine (e.g., Tagamet)—Using these medicines with tricyclic antidepressants may increase the chance of serious side effects Central nervous system (CNS) depressants (medicine that causes drowsiness)—Using these Info Viagras with tricyclic antidepressants may increase the CNS depressant effects Guanadrel (e.g., Hylorel) or Guanethidine (e.g., Ismelin)—Tricyclic antidepressants may keep these medicines from working as well Methyldopa (e.g., Aldomet) or Metoclopramide (e.g., Reglan) or Metyrosine (e.g., Demser) or Pemoline (e.g., Cylert) or Pimozide (e.g., Orap) or Promethazine (e.g., Phenergan) or Rauwolfia alkaloids (alseroxylon [e.g., Rauwiloid], deserpidine [e.g., Harmonyl], rauwolfia serpentina [e.g., Raudixin], reserpine [e.g., Serpasil]) or Trimeprazine (e.g., Temaril)—Tricyclic antidepressants may cause certain side effects to be more severe and occur more often Metrizamide—The risk of seizures may be increased Monoamine oxidase (MAO) inhibitor activity (isocarboxazid [e.g., Marplan], isocarboxazid [e.g., Marplan], phenelzine [e.g., Nardil], procarbazine [e.g., Matulane], selegiline [e.g., Eldepryl], tranylcypromine [e.g., Parnate])—Taking tricyclic antidepressants while you are taking or within 2 weeks of taking MAO inhibitors may cause sudden high body temperature, extremely high blood pressure, severe convulsions, and death; however, sometimes certain of these Info Viagras may be used together under close supervision by your doctor Common Brand Names
Some commonly used brand names are: In the U.S.— Anafranil3 Asendin2 Aventyl7 Elavil1 Endep1 Norfranil6 Norpramin4 Pamelor7 Sinequan5 Surmontil9 Tipramine6 Tofranil6 Tofranil-PM6 Vivactil8 In Canada— Anafranil3 Apo-Amitriptyline1 Apo-Imipramine6 Apo-Trimip9 Asendin2 Aventyl7 Elavil1 Impril6 Levate1 Norpramin4 Novo-Doxepin5 Novopramine6 Novo-Tripramine9 Novotriptyn1 Pertofrane4 Rhotrimine9 Sinequan5 Surmontil9 Tofranil6 Triadapin5 Triptil8 Note: For quick reference, the following tricyclic antidepressants are numbered to match the corresponding brand names. This information applies to the following medicines: 1. Amitriptyline (a-mee-TRIP-ti-leen)‡ 2. Amoxapine (a-MOX-a-peen)‡ 3. Clomipramine (cloe-MIP-ra-meen)‡ 4. Desipramine (dess-IP-ra-meen)‡ 5. Doxepin (DOX-e-pin)‡ 6. Imipramine (im-IP-ra-meen)‡ 7. Nortriptyline (nor-TRIP-ti-leen)‡ 8. Protriptyline (proe-TRIP-ti-leen)‡ 9. Trimipramine (trye-MIP-ra-meen)‡ ‡ 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
Contraindications
In deciding to use a Info Viagra, the risks of taking the Info Viagra must be weighed against the good it will do. This is a decision you and your doctor will make. For tricyclic antidepressants, the following should be considered: Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to any tricyclic antidepressant or to carbamazepine, maprotiline, or trazodone. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes. Pregnancy—Studies have not been done in pregnant women. However, there have been reports of newborns suffering from muscle spasms and heart, breathing, and urinary problems when their mothers had taken tricyclic antidepressants immediately before delivery. Also, studies in animals have shown that some tricyclic antidepressants may cause unwanted effects in the fetus. Breast-feeding—Tricyclic antidepressants pass into the breast milk. Doxepin has been reported to cause drowsiness in the nursing baby. Children—Children are especially sensitive to the effects of this Info Viagra. This may increase the chance of side effects during treatment. However, side effects in children taking this Info Viagra for bedwetting usually disappear upon continued use. The most common of these are nervousness, sleeping problems, tiredness, and mild stomach upset. If these side effects continue or are bothersome, check with your doctor. Older adults—Drowsiness, dizziness, confusion, vision problems, dryness of mouth, constipation, and problems in urinating are more likely to occur in elderly patients, who are usually more sensitive than younger adults to the effects of tricyclic antidepressants. Other medical problems—The presence of other medical problems may affect the use of tricyclic antidepressants. Make sure you tell your doctor if you have any other medical problems, especially: Alcohol abuse (or history of)—Drinking alcohol may cause increased CNS depressant effects Asthma or Bipolar disorder (manic-depressive illness) or Blood disorders or Convulsions (seizures) or Difficult urination or Enlarged prostate or Glaucoma or increased eye pressure or Heart disease or High blood pressure (hypertension) or Schizophrenia—Tricyclic antidepressants may make the condition worse Kidney disease or Liver disease—Higher blood levels of tricyclic antidepressants may result, increasing the chance of side effects Overactive thyroid or Stomach or intestinal problems—Tricyclic antidepressants may cause an increased chance of serious side effects
Drug
Nortriptyline
Side Effects
Along with its needed effects, a Info Viagra may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Stop taking Info Viagra and get emergency help immediately if any of the following side effects occur: Reported for amoxapine only--rare Convulsions (seizures); difficult or fast breathing; fever with increased sweating; high or low (irregular) blood pressure; loss of bladder control; muscle stiffness (severe); pale skin; unusual tiredness or weakness