In deciding to use a Low Cost Viagra, the risks of taking Low Cost Viagra 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 the medicine. This may lead to withdrawal side effects in the newborn baby. Also, some of these medicines 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 Low Cost 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 medicines. 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 Low Cost Viagras) can make some kinds of heart disease worse
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Along with its needed effects, a Low Cost Viagra 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 Low Cost Viagra. 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 Low Cost Viagras. After you stop using Low Cost 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 Low Cost 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 Low Cost Viagra 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 Low Cost Viagras you now take. If any contain acetaminophen or a narcotic be especially careful, since taking them while taking this medicine may lead to overdose. If you have any questions about this, check with your medical doctor, dentist, or pharmacist. The narcotic analgesic in Low Cost Viagra will add to the effects of alcohol and other CNS depressants (Low Cost Viagras that slow down the nervous system, possibly causing drowsiness). Some examples of CNS depressants are antihistamines or Low Cost 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 the Low Cost Viagras listed above, while you are using this medicine. Too much use of the acetaminophen in this combination medicine together with certain other Low Cost Viagras may increase the chance of unwanted effects. The risk will depend on how much of each Low Cost Viagra you take every day, and on how long you take the Low Cost 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 this Low Cost Viagra together with any of the following medicines 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 Low Cost 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 Low Cost 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 Low Cost 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 this Low Cost Viagra, get emergency help at once. Taking an overdose of this Low Cost Viagra or taking alcohol or CNS depressants with this Low Cost 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 Low Cost 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
To store Low Cost Viagra: Keep out of the reach of children. Overdose is very dangerous in young 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 Low Cost Viagra to break down. Keep the liquid forms of this Low Cost Viagra from freezing. Do not keep outdated
If your medical doctor or dentist has ordered you to take this Low Cost 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 Low Cost 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 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 the medicine. 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 Low Cost Viagra.
Take this Low Cost 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 Low Cost Viagra 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 medicines. 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 Low Cost 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 medicines—Although certain Low Cost 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 a narcotic analgesic and acetaminophen combination, it is especially important that your health care professional know if you are taking any of the following: Carbamazepine (e.g., Tegretol)—Propoxyphene may increase the blood levels of carbamazepine, which increases the chance of serious side effects Central nervous system (CNS) depressants or Monoamine oxidase (MAO) inhibitor activity (isocarboxazid [e.g., Marplan], phenelzine [e.g., Nardil], procarbazine [e.g., Matulane], selegiline [e.g., Eldepryl], tranylcypromine [e.g., Parnate]) (taken currently or within the past 2 weeks) or Tricyclic antidepressants (amitriptyline [e.g., Elavil], amoxapine [e.g., Asendin], clomipramine [e.g., Anafranil], desipramine [e.g., Pertofrane], doxepin [e.g., Sinequan], imipramine [e.g., Tofranil], nortriptyline [e.g., Aventyl], protriptyline [e.g., Vivactil], trimipramine [e.g., Surmontil])—Taking these medicines together with a narcotic analgesic may increase the chance of serious side effects Naltrexone (e.g., Trexan)—Naltrexone keeps narcotic analgesics from working to relieve pain; people taking naltrexone should take pain relievers that do not contain a narcotic Zidovudine (e.g., AZT, Retrovir)—Acetaminophen may increase the blood levels of zidovudine, which increases the chance of serious side effects
Some commonly used brand names are: In the U.S.— Allay4 Anexsia 5/5004 Anexsia 7.5/6504 Anolor DH 54 Bancap-HC4 Capital with Codeine1 Co-Gesic4 Darvocet-N 507 Darvocet-N 1007 DHCplus3 Dolacet4 Dolagesic4 Duocet4 E-Lor7 Endocet5 EZ III1 Hycomed4 Hyco-Pap4 Hydrocet4 Hydrogesic4 HY-PHEN4 Lorcet 10/6504 Lorcet-HD4 Lorcet Plus4 Lortab4 Lortab 2.5/5004 Lortab 5/5004 Lortab 7.5/5004 Lortab 10/5004 Margesic #31 Margesic-H4 Oncet4 Panacet 5/5004 Panlor4 Percocet 2.5/3255 Percocet 5/3255 Percocet 7.5/5005 Percocet 10/6505 Phenaphen with Codeine No.31 Phenaphen with Codeine No.41 Polygesic4 Propacet 1007 Pyregesic-C1 Roxicet5 Roxicet 5/5005 Roxilox5 Stagesic4 Talacen6 T-Gesic4 Tylenol with Codeine Elixir1 Tylenol with Codeine No.21 Tylenol with Codeine No.31 Tylenol with Codeine No.41 Tylox5 Ugesic4 Vanacet4 Vendone4 Vicodin4 Vicodin ES4 Wygesic7 Zydone4 In Canada— Acet-22 Acet-32 Acet Codeine 301 Acet Codeine 601 Atasol-82 Atasol-152 Atasol-302 Cetaphen with Codeine2 Cetaphen Extra-Strength with Codeine2 Cotabs2 Empracet-301 Empracet-601 Emtec-301 Endocet5 Exdol-82 Lenoltec with Codeine No.12 Lenoltec with Codeine No.22 Lenoltec with Codeine No.32 Lenoltec with Codeine No.41 Novo-Gesic C82 Novo-Gesic C152 Novo-Gesic C302 Oxycocet5 Percocet5 Percocet-Demi5 PMS-Acetaminophen with Codeine1 Roxicet5 Triatec-82 Triatec-301 Triatec-8 Strong2 Tylenol with Codeine Elixir1 Tylenol with Codeine No.12 Tylenol with Codeine No.22 Tylenol with Codeine No.32 Tylenol with Codeine No.41 Tylenol with Codeine No.1 Forte2 Note: For quick reference, the following narcotic analgesics and acetaminophen combinations are numbered to match the corresponding brand names. Other commonly used names are: APAP with codeine Co-codAPAP Co-hycodAPAP Co-oxycodAPAP Co-proxAPAP Drocode, acetaminophen, and caffeine Hydrocodone with APAP Oxycodone with APAP Propoxyphene with APAP This information applies to the following medicines: 1. Acetaminophen and Codeine (a-seat-a-MIN-oh-fen and KOE-deen)‡ 2. Acetaminophen, Codeine, and Caffeine (a-seat-a-MIN-oh-fen, KOE-deen, and kaf-EEN)§* 3. Dihydrocodeine, Acetaminophen, and Caffeine (dye-hye-droe-KOE-deen, a-seat-a-MIN-oh-fen, and kaf-EEN)† 4. Hydrocodone and Acetaminophen (hye-droe-KOE-done and a-seat-a-MIN-oh-fen)‡† 5. Oxycodone and Acetaminophen (ox-i-KOE-done and a-seat-a-MIN-oh-fen)‡ 6. Pentazocine and Acetaminophen (pen-TAZ-oh-seen and a-seat-a-MIN-oh-fen)† 7. Propoxyphene and Acetaminophen (proe-POX-i-feen and a-seat-a-MIN-oh-fen)‡† ‡ 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 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.
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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 Low Cost Viagra. This may lead to withdrawal side effects in the newborn baby. Also, some of these Low Cost 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 medicines) 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 medicines. 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 medicines) can make some kinds of heart disease worse
Lorcet
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 Low Cost Viagra. 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 medicines. After you stop using Low Cost Viagra, your body may need time to adjust. The length of time this takes depends on which of these Low Cost Viagras you were taking, the amount of Low Cost 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 Low Cost Viagra 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 Low Cost Viagra may lead to overdose. If you have any questions about this, check with your medical doctor, dentist, or pharmacist. The narcotic analgesic in Low Cost 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 Low Cost Viagra for hay fever, other allergies, or colds; sedatives, tranquilizers, or sleeping medicine; other prescription pain medicine or narcotics; barbiturates; Low Cost Viagra 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 the Low Cost Viagras listed above, while you are using Low Cost Viagra. Too much use of the acetaminophen in this combination Low Cost Viagra together with certain other medicines may increase the chance of unwanted effects. The risk will depend on how much of each Low Cost Viagra you take every day, and on how long you take Low Cost 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 this medicine together with any of the following medicines 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) Low Cost Viagra 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 Low Cost 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 Low Cost 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 Low Cost 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 Low Cost Viagra, get emergency help at once. Taking an overdose of this Low Cost Viagra or taking alcohol or CNS depressants with Low Cost 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 Low Cost 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 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 the medicine. 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 the medicine. 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 Low Cost Viagras 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 medicines 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.)
To store this Low Cost Viagra: Keep out of the reach of children. Overdose is very dangerous in young 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 the liquid forms of Low Cost Viagra from freezing. Do not keep outdated medicine or Low Cost Viagra no longer needed. Be sure that any discarded Low Cost Viagra is out of the reach of children.
If your medical doctor or dentist has ordered you to take this medicine 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 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 Low Cost Viagra used alone. In some cases, relief of pain may come at lower doses of each Low Cost Viagra.
Take this Low Cost 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 Low Cost Viagra 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 medicines. 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 Low Cost 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 medicines—Although certain medicines should not be used together at all, in other cases two different Low Cost 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 a nonsteroidal anti-inflammatory drug, it is especially important that your health care professional know if you are taking any of the following: Anticoagulants (blood thinners) or Cefamandole (e.g., Mandol) or Cefoperazone (e.g., Cefobid) or Cefotetan (e.g., Cefotan) or Heparin or Plicamycin (e.g., Mithracin) or Valproic acid—The chance of bleeding may be increased Aspirin—The chance of serious side effects may be increased if aspirin is used together with a nonsteroidal anti-inflammatory drug on a regular basis Ciprofloxacin (e.g., Cipro) or Enoxacin (e.g., Penetrex) or Itraconazole (e.g., Sporanox) or Ketoconazole (e.g., Nizoral) or Lomefloxacin (e.g., Maxaquin) or Norfloxacin (e.g., Noroxin) or Ofloxacin (e.g., Floxin) or Tetracyclines, oral—The buffered form of phenylbutazone (e.g., Alka Butazolidin) may keep these medicines from working properly if the 2 medicines are taken too close together Cyclosporine (e.g., Sandimmune) or Digitalis glycosides (heart Low Cost Viagra) or Lithium (e.g., Lithane) or Methotrexate (e.g., Mexate) or Phenytoin (e.g., Dilantin)—Higher blood levels of these medicines and an increased chance of side effects may occur Penicillamine (e.g., Cuprimine)—The chance of serious side effects may be increased, especially with phenylbutazone (e.g., Cotylbutazone) Probenecid (e.g., Benemid)—Higher blood levels of the nonsteroidal anti-inflammatory drug and an increased chance of side effects may occur Triamterene (e.g., Dyrenium)—The chance of kidney problems may be increased, especially with indomethacin Zidovudine (e.g., AZT, Retrovir)—The chance of serious side effects may be increased, especially with indomethacin
Some commonly used brand names are: In the U.S.— Actron9 Advil7 Advil Caplets7 Advil, Children's7 Aleve14 Anaprox14 Anaprox DS14 Ansaid6 Bayer Select Ibuprofen Pain Relief Formula Caplets 7 Cataflam1 Clinoril18 Cotylbutazone16 Cramp End7 Daypro15 Dolgesic7 Dolobid2 EC-Naprosyn14 Excedrin IB7 Excedrin IB Caplets7 Feldene17 Genpril7 Genpril Caplets7 Haltran7 Ibifon 600 Caplets7 Ibren7 Ibu7 Ibu-2007 Ibu-47 Ibu-67 Ibu-87 Ibuprin7 Ibuprohm7 Ibuprohm Caplets7 Ibu-Tab7 Indocin8 Indocin SR8 Lodine3 Lodine XL3 Meclomen10 Medipren7 Medipren Caplets7 Midol IB7 Mobic12 Motrin7 Motrin Chewables7 Motrin, Children's7 Motrin, Children's Oral Drops7 Motrin-IB7 Motrin-IB Caplets7 Motrin, Junior Strength Caplets7 Nalfon4 Nalfon 2004 Naprelan14 Naprosyn14 Nuprin7 Nuprin Caplets7 Orudis9 Orudis KT9 Oruvail9 Pamprin-IB7 Ponstel11 Q-Profen7 Relafen13 Rufen7 Tolectin 20021 Tolectin 60021 Tolectin DS21 Trendar7 Voltaren1 In Canada— Actiprofen Caplets7 Advil7 Advil Caplets7 Albert Tiafen20 Alka Butazolidin16 Anaprox14 Anaprox DS14 Ansaid6 Apo-Diclo1 Apo-Diflunisal2 Apo-Flurbiprofen6 Apo-Ibuprofen7 Apo-Indomethacin8 Apo-Keto9 Apo-Keto-E9 Apo-Napro-Na14 Apo-Napro-Na DS14 Apo-Naproxen14 Apo-Phenylbutazone16 Apo-Piroxicam17 Apo-Sulin18 Apo-Tenoxicam19 Butazolidin16 Clinoril18 Daypro15 Dolobid2 Feldene17 Froben6 Froben SR6 Idarac5 Indocid8 Indocid SR8 Medipren Caplets7 Mobiflex19 Motrin7 Motrin-IB7 Nalfon4 Naprosyn14 Naprosyn-E14 Naprosyn-SR14 Naxen14 Novo-Difenac1 Novo-Difenac SR1 Novo-Diflunisal2 Novo-Flurprofen6 Novo-Keto-EC9 Novo-Methacin8 Novo-Naprox14 Novo-Naprox Sodium14 Novo-Naprox Sodium DS14 Novo-Pirocam17 Novo-Profen7 Novo-Sundac18 Novo-Tenoxicam19 Novo-Tolmetin21 Nu-Diclo1 Nu-Flurbiprofen6 Nu-Ibuprofen7 Nu-Indo8 Nu-Naprox14 Nu-Pirox17 Orudis9 Orudis-E9 Orudis-SR9 Oruvail9 PMS-Piroxicam17 Ponstan11 Relafen13 Rhodis9 Rhodis-EC9 Surgam20 Surgam SR20 Synflex14 Synflex DS14 Tolectin 20021 Tolectin 40021 Tolectin 60021 Voltaren1 Voltaren Rapide1 Voltaren SR1 Note: For quick reference, the following nonsteroidal anti-inflammatory drugs are numbered to match the corresponding brand names. Other commonly used names are: Etodolic acid; Indometacin; Meclofenamic acid This information applies to the following Low Cost Viagras: 1. Diclofenac (dye-KLOE-fen-ak) 10. Meclofenamate (me-kloe-FEN-am-ate)‡† 11. Mefenamic Acid (me-fe-NAM-ik) 12. Meloxicam (mel-OX-i-cam)‡ 13. Nabumetone (na-BYOO-me-tone) 14. Naproxen (na-PROX-en)‡ 15. Oxaprozin (ox-a-PROE-zin) 16. Phenylbutazone (fen-ill-BYOO-ta-zone)‡ 17. Piroxicam (peer-OX-i-kam)‡ 18. Sulindac (sul-IN-dak)‡ 19. Tenoxicam (ten-OX-i-kam)* 2. Diflunisal (dye-FLOO-ni-sal)‡ 20. Tiaprofenic Acid (tie-a-pro-FEN-ik)* 21. Tolmetin (TOLE-met-in)‡ 3. Etodolac (ee-TOE-doe-lak)† 4. Fenoprofen (fen-oh-PROE-fen)‡ 5. Floctafenine (flok-ta-FEN-een)* 6. Flurbiprofen (flure-BI-proe-fen)‡ 7. Ibuprofen (eye-byoo-PROE-fen)‡ 8. Indomethacin (in-doe-METH-a-sin)‡ 9. Ketoprofen (kee-toe-PROE-fen)‡ ‡ 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 Low Cost Viagra, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your health care professional will make. For the nonsteroidal anti-inflammatory drugs, the following should be considered: Allergies—Tell your health care professional if you have ever had any unusual or allergic reaction to any of the nonsteroidal anti-inflammatory drugs, or to any of the following Low Cost Viagras: Aspirin or other salicylates Ketorolac (e.g., Toradol) Oxyphenbutazone (e.g., Oxalid, Tandearil) Suprofen (e.g., Suprol) Zomepirac (e.g., Zomax) Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes. Diet—Make certain your health care professional knows if you are on any special diet, such as a low-sodium or low-sugar diet. Some of these Low Cost Viagras contain sodium or sugar. Pregnancy—Studies on birth defects with these Low Cost Viagras have not been done in humans. However, there is a chance that these medicines may cause unwanted effects on the heart or blood flow of the fetus or newborn baby if they are taken regularly during the last few months of pregnancy. Also, studies in animals have shown that these medicines, if taken late in pregnancy, may increase the length of pregnancy, prolong labor, or cause other problems during delivery. If you are pregnant, do not take any of these Low Cost Viagras, including nonprescription (over-the-counter [OTC]) ibuprofen or naproxen, without first discussing its use with your doctor. Studies in animals have not shown that fenoprofen, floctafenine, flurbiprofen, ibuprofen, ketoprofen, nabumetone, naproxen, phenylbutazone, piroxicam, tiaprofenic acid, or tolmetin causes birth defects. Diflunisal caused birth defects of the spine and ribs in rabbits, but not in mice or rats. Diclofenac and meclofenamate caused unwanted effects on the formation of bones in animals. Etodolac and oxaprozin caused birth defects in animals. Indomethacin caused slower development of bones and damage to nerves in animals. In some animal studies, sulindac caused unwanted effects on the development of bones and organs. Studies on birth defects with mefenamic acid have not been done in animals. Even though most of these Low Cost Viagras did not cause birth defects in animals, many of them did cause other harmful or toxic effects on the fetus, usually when they were given in such large amounts that the pregnant animals became sick. Breast-feeding— For indomethacin: Indomethacin passes into the breast milk and has been reported to cause unwanted effects in nursing babies. For meclofenamate: Use of meclofenamate by nursing mothers is not recommended, because in animal studies it caused unwanted effects on the newborn's development. For phenylbutazone: Phenylbutazone passes into the breast milk and may cause unwanted effects, such as blood problems, in nursing babies. For piroxicam: Studies in animals have shown that piroxicam may decrease the amount of milk. Although other anti-inflammatory analgesics have not been reported to cause problems in nursing babies, diclofenac, diflunisal, fenoprofen, flurbiprofen, meclofenamate, mefenamic acid, naproxen, piroxicam, and tolmetin pass into the breast milk. It is not known whether etodolac, floctafenine, ibuprofen, ketoprofen, nabumetone, oxaprozin, sulindac, or tiaprofenic acid passes into human breast milk. Children— For ibuprofen: Ibuprofen has been tested in children 6 months of age and older. It has not been shown to cause different side effects or problems than it does in adults. For indomethacin and for tolmetin: Indomethacin and tolmetin have been tested in children 2 years of age and older and have not been shown to cause different side effects or problems than they do in adults. For naproxen: Studies with naproxen in children 2 years of age and older have shown that skin rash may be more likely to occur. For oxaprozin: Oxaprozin has been used in children with arthritis. However, there is no specific information comparing use of this Low Cost Viagra in children with use in other age groups. For phenylbutazone: Use of phenylbutazone in children up to 15 years of age is not recommended. For other anti-inflammatory analgesics: There is no specific information on the use of other anti-inflammatory analgesics in children.