Prescription Drug Viagra

For bacterial infections: For injection dosage form: Adults, teenagers, and children weighing more than 40 kilograms (kg) (88 pounds)—1 gram injected into a muscle every four to six hours; or 1 gram injected into a vein every six hours. Children weighing up to 40 kg (88 pounds)—Dose is based on body weight and must be determined by your doctor. The usual dose is 25 milligrams (mg) per kg (11.4 mg per pound) of body weight, injected into a vein or muscle every six hours. For mezlocillin For bacterial infections: For injection dosage form: Adults and teenagers—Dose is based on body weight and must be determined by your doctor. The usual dose is 33.3 to 87.5 milligrams (mg) per kilogram (kg) (15.1 to 39.8 mg per pound) of body weight, injected into a vein or muscle every four to six hours; or 3 to 4 grams every four to six hours. Infants over 1 month of age and children up to 12 years of age—Dose is based on body weight and must be determined by your doctor. The usual dose is 50 mg per kg (22.7 mg per pound) of body weight, injected into a vein or muscle every four hours. For nafcillin For bacterial infections: For oral dosage form (capsules and tablets): Adults and teenagers—250 milligrams (mg) to 1 gram every four to six hours. Older infants and children—Dose is based on body weight and must be determined by your doctor. The usual dose is 6.25 to 12.5 mg per kilogram (kg) (2.8 to 5.7 mg per pound) of body weight every six hours. Newborns—Dose is based on body weight and must be determined by your doctor. The usual dose is 10 mg per kg (4.5 mg per pound) of body weight every six to eight hours. For injection dosage form: Adults and teenagers—500 mg to 2 grams injected into a vein or muscle every four to six hours. Infants and children—Dose is based on body weight and must be determined by your doctor. The usual dose is 10 to 25 mg per kg (4.5 to 11.4 mg per pound) of body weight, injected into a muscle every twelve hours; or 10 to 40 mg per kg (4.5 to 18.2 mg per pound) of body weight, injected into a vein every four to eight hours. For oxacillin For bacterial infections: For oral dosage form (capsules and oral solution): Adults, teenagers, and children weighing more than 40 kilograms (kg) (88 pounds)—500 milligrams (mg) to 1 gram every four to six hours. Children weighing up to 40 kg (88 pounds)—Dose is based on body weight and must be determined by your doctor. The usual dose is 12.5 to 25 mg per kg (5.7 to 11.4 mg per pound) of body weight every six hours. For injection dosage form: Adults, teenagers, and children weighing more than 40 kg (88 pounds)—250 mg to 1 gram injected into a vein or muscle every four to six hours. Children weighing up to 40 kg (88 pounds)—Dose is based on body weight and must be determined by your doctor. The usual dose is 12.5 to 25 mg per kg (5.7 to 11.4 mg per pound) of body weight, injected into a vein or muscle every four to six hours. Premature infants and newborns—Dose is based on body weight and must be determined by your doctor. The usual dose is 6.25 mg per kg (2.8 mg per pound) of body weight, injected into a vein or muscle every six hours. For penicillin G For bacterial infections: For oral dosage form (oral solution, oral suspension, and tablets): Adults and teenagers—200,000 to 500,000 Units (125 to 312 milligrams [mg]) every four to six hours. Infants and children less than 12 years of age—Dose is based on body weight and must be determined by your doctor. The usual dose is 4167 to 30,000 Units per kilogram (kg) (189 to 13,636 Units per pound) of body weight every four to eight hours. For benzathine injection dosage form: Adults and teenagers—1,200,000 to 2,400,000 Units injected into a muscle as a single dose. Infants and children—300,000 to 1,200,000 Units injected into a muscle as a single dose; or 50,000 Units per kg (22,727 Units per pound) of body weight injected into a muscle as a single dose. For injection dosage forms (potassium and sodium salts): Adults and teenagers—1,000,000 to 5,000,000 Units, injected into a vein or muscle every four to six hours. Older infants and children—Dose is based on body weight and must be determined by your doctor. The usual dose is 8333 to 25,000 Units per kg (3788 to 11,363 Units per pound) of body weight, injected into a vein or muscle every four to six hours. Premature infants and newborns—Dose is based on body weight and must be determined by your doctor. The usual dose is 30,000 Units per kg (13,636 Units per pound) of body weight, injected into a vein or muscle every twelve hours. For procaine injection dosage form: Adults and teenagers—600,000 to 1,200,000 Units injected into a muscle once a day. Children—Dose is based on body weight and must be determined by your doctor. The usual dose is 50,000 Units per kg (22,727 Units per pound) of body weight, injected into a muscle once a day. For penicillin V For bacterial infections: For the benzathine salt oral dosage form (oral solution): Adults and teenagers—200,000 to 500,000 Units every six to eight hours. Children—100,000 to 250,000 Units every six to eight hours. For the potassium salt oral dosage forms (oral solution, oral suspension, and tablets): Adults and teenagers—125 to 500 milligrams (mg) every six to eight hours. Children—Dose is based on body weight and must be determined by your doctor. The usual dose is 2.5 to 16.7 mg per kilogram (kg) (1.1 to 7.6 mg per pound) of body weight every four to eight hours. For piperacillin For bacterial infections: For injection dosage form: Adults and teenagers—3 to 4 grams, injected into a vein or muscle every four to six hours. Infants and children—Dose must be determined by your doctor. For pivampicillin For bacterial infections: For oral dosage form (oral suspension): Adults, teenagers, and children 10 years of age and older—525 to 1050 milligrams (mg) two times a day. Children 7 to 10 years of age—350 mg two times a day. Children 4 to 6 years of age—262.5 mg two times a day. Children 1 to 3 years of age—175 mg two times a day. Infants 3 to 12 months of age—Dose is based on body weight and must be determined by your doctor. The usual dose is 20 to 30 mg per kilogram (kg) (9.1 to 13.6 mg per pound) of body weight two times a day. For oral dosage form (tablets): Adults, teenagers, and children 10 years of age and older—500 mg to 1 gram two times a day. Children up to 10 years of age—Dose must be determined by your doctor. For pivmecillinam For bacterial infections: For oral dosage form (tablets): Adults, teenagers, and children weighing more than 40 kilograms (kg) (88 pounds)—200 milligrams (mg) two to four times a day for three days. Children up to 40 kg (88 pounds)—Dose must be determined by your doctor. For ticarcillin For bacterial infections: For injection dosage form: Adults, teenagers, and children weighing more than 40 kilograms (kg) (88 pounds)—3 grams injected into a vein every four hours; or 4 grams injected into a vein every six hours. Children up to 40 kg (88 pounds)—Dose is based on body weight and must be determined by your doctor. The usual dose is 33.3 to 75 milligrams (mg) per kg (15 to 34 mg per pound) of body weight, injected into a vein every four to six hours.

Drug Interactions

Other Prescription Drug Viagras—Although certain medicines should not be used together at all, in other cases two different Prescription Drug 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 clopidogrel, it is especially important that your health care professional know if you are taking any of the following: Inflammation or pain medicine, except narcotics—The chance of serious bleeding may be increased

Common Brand Names

In the U.S.— Plavix

Contraindications

In deciding to use a medicine, the risks of taking the Prescription Drug Viagra must be weighed against the good it will do. This is a decision you and your doctor will make. For clopidogrel, the following should be considered: Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to clopidogrel. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes. Pregnancy—Studies with clopidogrel have not been done in pregnant women. this Prescription Drug Viagra did not cause birth defects in animal studies. However, discuss with your doctor whether or not you should take Prescription Drug Viagra if you are pregnant. Breast-feeding—It is not known whether clopidogrel passes into breast milk. Although most medicines pass into breast milk in small amounts, many of them may be used safely while breast-feeding. Mothers who are taking Prescription Drug Viagra and who wish to breast-feed should discuss this with their doctor. Children—There is no specific information comparing use of clopidogrel in children with use in other age groups. Older adults—Although blood levels of clopidogrel may be higher in elderly patients than in younger adults, it is not expected to cause different side effects or problems in older people than it does in other adults. Other medical problems—The presence of other medical problems may affect the use of clopidogrel. Make sure you tell your doctor if you have any other medical problems, especially: Bleeding problems or Liver disease (severe) or Stomach ulcers—The chance of serious bleeding may be increased

Drug

Plavix

Side Effects

Side Effects of this Prescription Drug Viagra Along with its needed effects, a

Prescription Drug Viagra

may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor immediately if any of the following side effects occur: More common Red or purple spots on skin, varying in size from pinpoint to large bruises Less common Nosebleed; vomiting of blood or material that looks like coffee grounds Rare Black, tarry stools; blistering, flaking, or peeling of skin; blood in urine or stools; fever, chills, or sore throat; headache (sudden, severe); stomach pain (severe); ulcers, sores, or white spots in mouth; unusual bleeding or bruising; weakness (sudden) Also, check with your doctor as soon as possible if any of the following side effects occur: More common Chest pain; cough; generalized pain; runny nose; sneezing Less common Fainting; frequent urination; irregular heartbeat; joint pain; painful or difficult urination; shortness of breath; swelling of feet or lower legs 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 Prescription Drug Viagra. However, check with your doctor if any of the following side effects continue or are bothersome: More common Abdominal or stomach pain (mild); aching muscles; back pain; dizziness ; general feeling of discomfort or illness; headache; heartburn Less common Anxiety; constipation; diarrhea; itching; leg cramps; mental depression; numbness or tingling; nausea; skin rash; trouble in sleeping; unusual tiredness; vomiting; weakness Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.

Precautions

Tell all medical doctors, dentists, nurses, and pharmacists you go to that you are taking this medicine. Clopidogrel may increase the risk of serious bleeding during an operation or some kinds of dental work. Therefore, treatment may have to be stopped about 7 days before the operation or dental work is done. Check with your doctor immediately if you notice bruising or bleeding, especially bleeding that is hard to stop. Bleeding inside the body sometimes appears as bloody or black, tarry stools, or faintness.

Notes

Clopidogrel (kloh-PID-oh-grel) is used to lessen the chance of heart attack or stroke. It is given to people who have already had a heart attack or stroke or to people with other blood circulation problems that could lead to a stroke or heart attack. A heart attack or stroke may occur when a blood vessel in the heart or brain is blocked by a blood clot. Clopidogrel reduces the chance that a harmful blood clot will form by preventing certain cells in the blood from clumping together. This effect of clopidogrel may also increase the chance of serious bleeding in some people. this Prescription Drug Viagra is available only with your doctor's prescription, in the following dosage form(s): Oral Tablets (U.S.)

Storage

To store this medicine: 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 Prescription Drug Viagra to break down. Do not keep outdated Prescription Drug Viagra or Prescription Drug Viagra no longer needed. Be sure that any discarded Prescription Drug Viagra is out of the reach of children.

Missed Dose

If you miss a dose of Prescription Drug Viagra, take it as soon as possible. However, if it is almost time for the next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Monograph

Clopidogrel (kloh-PID-oh-grel) is used to lessen the chance of heart attack or stroke. It is given to people who have already had a heart attack or stroke or to people with other blood circulation problems that could lead to a stroke or heart attack. A heart attack or stroke may occur when a blood vessel in the heart or brain is blocked by a blood clot. Clopidogrel reduces the chance that a harmful blood clot will form by preventing certain cells in the blood from clumping together. This effect of clopidogrel may also increase the chance of serious bleeding in some people.

How To Use

Take this Prescription Drug Viagra only as directed by your doctor. Clopidogrel will not work properly if you take less of it than directed. Taking more clopidogrel than directed may increase the chance of serious side effects without increasing the helpful effects. Dosing— The dose of clopidogrel may be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average dose of clopidogrel. If your dose is different, do not change it unless your doctor tells you to do so. For oral dosage form (tablets): For prevention of heart attacks or strokes: Adults—1 tablet (75 milligrams [mg]) once a day. Children—It is not likely that clopidogrel would be used to help prevent heart attacks or strokes in children. If a child needs this Prescription Drug Viagra, however, the dose would have to be determined by the doctor.

Drug Interactions

Other medicines—Although certain medicines should not be used together at all, in other cases two different Prescription Drug 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 HMG-CoA reductase inhibitors, it is especially important that your health care professional know if you are taking any of the following: Cyclosporine (e.g., Sandimmune) or Gemfibrozil (e.g., Lopid) or Clofibrate (e.g., Atromid-S) or Fenofibrate (e.g., Tricor) or Niacin—Use of these medicines with an HMG-CoA reductase inhibitor may increase the risk of developing muscle problems and kidney failure Digoxin (e.g., Lanoxin)—Use with atorvastatin, fluvastatin, or simvastatin may increase blood levels of digoxin, increasing the risk of side effects Oral contraceptives, (birth control tablets)—Atorvastatin may increase the blood levels of the birth control hormones, increasing the risk of side effects HIV protease inhibitors (Amprenavir [e.g., Agenerase], Indinavir [e.g., Crixivan], Nelfinavir [e.g., Viracept], Ritonavir [e.g., Norvir], Saquinavir [e.g., Fortovase, Invirase]) or Nefazodone (e.g. Serzone)—Use with simvastatin may increase the risk of developing muscle problems and kidney failure Verapamil (e.g. Calan, Isoptin)—Use with simvastatin may increase the risk of muscle problems

Common Brand Names

Some commonly used brand names are: In the U.S.— Lescol1 Lipitor5 Mevacor2 Pravachol3 Zocor4 Baycol6 In Canada— Lescol1 Mevacor2 Pravachol3 Zocor4 Note: For quick reference, the following HMG-CoA reductase inhibitors are numbered to match the corresponding brand names. Other commonly used names are: Epistatin Eptastatin Mevinolin Synvinolin This information applies to the following medicines: 1. Fluvastatin (FLOO-va-sta-tin) 2. Lovastatin (LOE-va-sta-tin) 3. Pravastatin (PRA-va-stat-in) 4. Simvastatin (SIM-va-stat-in) 5. Atorvastatin (a-TOR-va-sta-tin) 6. Cerivastatin (se-RIV-a-sta-tin) #* ‡ 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 Prescription Drug Viagra must be weighed against the good it will do. This is a decision you and your doctor will make. For HMG-CoA reductase inhibitors, the following should be considered: Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to HMG-CoA reductase inhibitors. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes. Diet—Before prescribing medicines to lower your cholesterol, your doctor will probably try to control your condition by prescribing a personal diet for you. Such a diet will be lower in total fat, particularly saturated fat, and dietary cholesterol. Many people are able to control their condition by carefully following their doctor's orders for proper diet and exercise. medicine is prescribed only when additional help is needed and is effective only when a schedule of diet and exercise is properly followed. Also, Prescription Drug Viagra is less effective if you are greatly overweight. It may be very important for you to go on a reducing diet. However, check with your doctor before going on any diet. Pregnancy—HMG-CoA reductase inhibitors should not be used during pregnancy or by women who plan to become pregnant in the near future. These Prescription Drug Viagras block formation of cholesterol, which is necessary for the fetus to develop properly. HMG-CoA reductase inhibitors may cause birth defects or other problems in the baby if taken during pregnancy. An effective form of birth control should be used during treatment with these medicines. Check with your doctor immediately if you think you have become pregnant while taking Prescription Drug Viagra. Be sure you have discussed this with your doctor. Breast-feeding—These Prescription Drug Viagras are not recommended for use during breast-feeding because they may cause unwanted effects in nursing babies. Children—Studies on this medicine have been done only in adult patients, and there is no specific information comparing use of HMG-CoA reductase inhibitors in children with use in other age groups. However, atorvastatin, lovastatin, and simvastatin have been used in a limited number of children under 18 years of age. Early information seems to show that these medicines may be effective in children, but their long-term safety has not been studied. Older adults—Prescription Drug Viagra has been tested in a limited number of patients 65 years of age or older 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 HMG-CoA reductase inhibitors. Make sure you tell your doctor if you have any other medical problems, especially: Alcohol abuse (or history of) or Liver disease—Use of this medicine may make liver problems worse Convulsions (seizures), not well-controlled, or Organ transplant with therapy to prevent transplant rejection or If you have recently had major surgery—Patients with these conditions may be at risk of developing problems that may lead to kidney failure

Drug

Pravachol

Side Effects

Side Effects of this medicine Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor as soon as possible if any of the following side effects occur: Less common or rare Fever; muscle aches or cramps; severe stomach pain; unusual tiredness or weakness 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 Prescription Drug Viagra. However, check with your doctor if any of the following side effects continue or are bothersome: More common Constipation; diarrhea; dizziness; gas; headache; heartburn; nausea ; skin rash; stomach pain Rare Decreased sexual ability; trouble in sleeping 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 very important that your doctor check your progress at regular visits. This will allow your doctor to see if the Prescription Drug Viagra is working properly to lower your cholesterol levels and that it does not cause unwanted effects. Check with your doctor immediately if you think that you may be pregnant. HMG-CoA reductase inhibitors may cause birth defects or other problems in the baby if taken during pregnancy. Do not stop taking Prescription Drug Viagra without first checking with your doctor. When you stop taking Prescription Drug Viagra, your blood cholesterol levels may increase again. Your doctor may want you to follow a special diet to help prevent this from happening. Before having any kind of surgery (including dental surgery) or emergency treatment, tell the medical doctor or dentist in charge that you are taking Prescription Drug Viagra.

Notes

Atorvastatin, cerivastatin #, fluvastatin, lovastatin, pravastatin, and simvastatin are used to lower levels of cholesterol and other fats in the blood. This may help prevent medical problems caused by cholesterol clogging the blood vessels. These medicines belong to the group of medicines called 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitors. They work by blocking an enzyme that is needed by the body to make cholesterol. Thus, less cholesterol is made. HMG-CoA reductase inhibitors are available only with your doctor's prescription, in the following dosage forms: Oral Atorvastatin Tablets (U.S. and Canada) Cerivastatin Tablets # Fluvastatin Capsules (U.S. and Canada) Lovastatin Tablets (U.S. and Canada) Pravastatin Tablets (U.S. and Canada) Simvastatin Tablets (U.S. and Canada)

Storage

To store this medicine: 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 the medicine to break down. Keep the medicine from freezing. Do not refrigerate. Do not keep outdated Prescription Drug Viagra or Prescription Drug Viagra no longer needed. Be sure that any discarded Prescription Drug Viagra is out of the reach of children.

Missed Dose

If you miss a dose of Prescription Drug 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

Atorvastatin, cerivastatin #, fluvastatin, lovastatin, pravastatin, and simvastatin are used to lower levels of cholesterol and other fats in the blood. This may help prevent medical problems caused by cholesterol clogging the blood vessels. These Prescription Drug Viagras belong to the group of Prescription Drug Viagras called 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitors. They work by blocking an enzyme that is needed by the body to make cholesterol. Thus, less cholesterol is made.

How To Use

Use Prescription Drug Viagra only as directed by your doctor. Do not use more or less of it, and do not use it more often or for a longer time than your doctor ordered. Remember that Prescription Drug Viagra will not cure your condition but it does help control it. Therefore, you must continue to take it as directed if you expect to keep your cholesterol levels down. Follow carefully the special diet your doctor gave you. This is the most important part of controlling your condition, and is necessary if Prescription Drug Viagra is to work properly. For patients taking atorvastatin and simvastatin: Do not take these Prescription Drug Viagras with large amounts of grapefruit juice For patients taking lovastatin: Prescription Drug Viagra works better when it is taken with food. If you are taking this Prescription Drug Viagra once a day, take it with the evening meal. If you are taking more than one dose a day, take each dose with a meal or snack. Dosing— The dose of these Prescription Drug 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 Prescription Drug Viagras. 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 Prescription Drug Viagra. For atorvastatin For oral dosage form (tablets): For high cholesterol: Adults—10 to 80 milligrams (mg) once a day. Children—Use and dose must be determined by your doctor. For cerivastatin For oral dosage form :Note: Removed from the market by Bayer in August 2001 For fluvastatin For oral dosage form (capsules): For high cholesterol: Adults—20 to 40 milligrams (mg) once a day in the evening. Children—Use and dose must be determined by your doctor. For lovastatin For oral dosage form (tablets): For high cholesterol: Adults— 20 to 80 milligrams (mg) a day taken as a single dose or divided into smaller doses. Take with evening meals. Children—Use and dose must be determined by your doctor. For pravastatin For oral dosage form (tablets): For high cholesterol: Adults—10 to 40 mg once a day at bedtime. Children—Use and dose must be determined by your doctor. For simvastatin For oral dosage form (tablets): For high cholesterol: Adults—5 to 80 mg a day. Children—Use and dose must be determined by your doctor.

Drug Interactions

Other Prescription Drug Viagras—Although certain Prescription Drug Viagras should not be used together at all, in other cases two different Prescription Drug 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 lansoprazole, it is especially important that your health care professional know if you are taking any of the following: Sucralfate (e.g., Carafate)—Lansoprazole should be taken at least 30 minutes before sucralfate so that lansoprazole will be properly absorbed

Common Brand Names

In the U.S.— Prevacid In Canada— Prevacid

Contraindications

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 lansoprazole, the following should be considered: Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to lansoprazole. 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 humans. However, studies in animals have not shown that lansoprazole causes harm to the fetus. Breast-feeding—Lansoprazole may pass into the breast milk. Since this medicine has been shown to cause unwanted effects such as tumors in animals, it may be necessary for you to take another medicine or to stop breast-feeding during treatment. Be sure you have discussed the risks and benefits of the Prescription Drug Viagra with your doctor. Children—There is no specific information comparing the use of lansoprazole in children with use in other age groups. Older adults—In studies done to date that have included older adults, lansoprazole did not cause different side effects or problems than it did in younger adults.

Drug

Prevacid

Side Effects

Along with its needed effects, a Prescription Drug Viagra may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor as soon as possible if any of the following side effects occur: More common Diarrhea; skin rash or itching Less common Abdominal or stomach pain; increased or decreased appetite; joint pain; nausea; vomiting Rare Anxiety; cold or flu-like symptoms; constipation; increased cough; mental depression; muscle pain; rectal bleeding; unusual bleeding or bruising 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 Prescription Drug Viagra. However, check with your doctor if any of the following side effects continue or are bothersome: More common Dizziness; headache 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 intervals. If your condition does not improve, or if it becomes worse, discuss this with your doctor.

Notes

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Lansoprazole (lan-SOE-pra-zole ) is used to treat certain conditions in which there is too much acid in the stomach. It is used to treat duodenal and gastric ulcers and gastroesophageal reflux disease (GERD), a condition in which the acid in the stomach washes back up into the esophagus. Sometimes lansoprazole is used in combination with antibiotics to treat ulcers associated with infection caused by the H. pylori bacteria (germ). Lansoprazole is also used to treat Zollinger-Ellison disease, a condition in which the stomach produces too much acid. Lansoprazole works by decreasing the amount of acid produced by the stomach. this medicine is available only with your doctor's prescription. Oral Delayed-release capsules (U.S. and Canada) Lansoprazole (lan-SOE-pra-zole ) is used to treat certain conditions in which there is too much acid in the stomach. It is used to treat duodenal and gastric ulcers and gastroesophageal reflux disease (GERD), a condition in which the acid in the stomach washes back up into the esophagus. Sometimes lansoprazole is used in combination with antibiotics to treat ulcers associated with infection caused by the H. pylori bacteria (germ). Lansoprazole is also used to treat Zollinger-Ellison disease, a condition in which the stomach produces too much acid. Lansoprazole works by decreasing the amount of acid produced by the stomach. this medicine is available only with your doctor's prescription. Oral Delayed-release capsules (U.S. and Canada) Lansoprazole (lan-SOE-pra-zole ) is used to treat certain conditions in which there is too much acid in the stomach. It is used to treat duodenal and gastric ulcers and gastroesophageal reflux disease (GERD), a condition in which the acid in the stomach washes back up into the esophagus. Sometimes lansoprazole is used in combination with antibiotics to treat ulcers associated with infection caused by the H. pylori bacteria (germ). Lansoprazole is also used to treat Zollinger-Ellison disease, a condition in which the stomach produces too much acid. Lansoprazole works by decreasing the amount of acid produced by the stomach. Prescription Drug Viagra is available only with your doctor's prescription. Oral Delayed-release capsules (U.S. and Canada) Lansoprazole (lan-SOE-pra-zole ) is used to treat certain conditions in which there is too much acid in the stomach. It is used to treat duodenal and gastric ulcers and gastroesophageal reflux disease (GERD), a condition in which the acid in the stomach washes back up into the esophagus. Sometimes lansoprazole is used in combination with antibiotics to treat ulcers associated with infection caused by the H. pylori bacteria (germ). Lansoprazole is also used to treat Zollinger-Ellison disease, a condition in which the stomach produces too much acid. Lansoprazole works by decreasing the amount of acid produced by the stomach. this medicine is available only with your doctor's prescription. Oral Delayed-release capsules (U.S. and Canada)

Storage

To store this Prescription Drug 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 the medicine to break down. Do not keep outdated medicine or Prescription Drug Viagra no longer needed. Be sure that any discarded medicine is out of the reach of children.

Missed Dose

If you miss a dose of this medicine, 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

Lansoprazole (lan-SOE-pra-zole ) is used to treat certain conditions in which there is too much acid in the stomach. It is used to treat duodenal and gastric ulcers and gastroesophageal reflux disease (GERD), a condition in which the acid in the stomach washes back up into the esophagus. Sometimes lansoprazole is used in combination with antibiotics to treat ulcers associated with infection caused by the H. pylori bacteria (germ). Lansoprazole is also used to treat Zollinger-Ellison disease, a condition in which the stomach produces too much acid. Lansoprazole works by decreasing the amount of acid produced by the stomach.

How To Use

Take lansoprazole before a meal, preferably in the morning. Swallow the capsule whole. Do not crush, break, or chew the capsule. If you cannot swallow the capsule whole, you may open it and sprinkle the granules contained in the capsule on one tablespoonful of applesauce and swallow it immediately; or you may mix the granules in some fruit or vegetable juice and drink it immediately. Juices you may use include apple, cranberry, grape, orange, pineapple, prune, tomato, and V-8 vegetable juice. Do not chew or crush the granules. Take this Prescription Drug Viagra for the full time of treatment, even if you begin to feel better. Also, keep your appointments with your doctor for check-ups so that your doctor will be better able to tell you when to stop taking this Prescription Drug Viagra. Dosing— The dose of lansoprazole 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 lansoprazole. If your dose is different, do not change it unless your doctor tells you to do so. The number of doses you take each day and the length of time you take Prescription Drug Viagra depend on the medical problem for which you are taking lansoprazole. For oral dosage form (delayed-release capsule): To treat gastroesophageal reflux disease (GERD): Adults—15 to 30 mg once a day, preferably taken in the morning before a meal. Children up to 18 years of age—Use and dose must be determined by your doctor. To treat duodenal ulcers: Adults—At first, 15 milligrams (mg) once a day, preferably taken in the morning before a meal. Your doctor may increase your dose if needed. Children up to 18 years of age—Use and dose must be determined by your doctor. To treat duodenal ulcers related to infection with H. pylori: Adults—30 mg plus amoxicillin 1000 mg (1 gram) plus clarithromycin 500 mg, taken together before meals twice a day for ten to fourteen days. Alternatively, your doctor may want you to take lansoprazole 30 mg plus amoxicillin 1000 mg (1 gram) before meals three times a day for fourteen days. Children up to 18 years of age—Use and dose must be determined by your doctor. To treat gastric ulcers: Adults—15 to 30 mg once a day, preferably taken in the morning before a meal. Children up to 18 years of age—Use and dose must be determined by your doctor. To treat conditions in which the stomach produces too much acid: Adults—At first, 60 mg once a day, preferably taken in the morning before a meal. Your doctor may increase your dose if needed. Children up to 18 years of age—Use and dose must be determined by your doctor.

Drug Interactions

Other medicines—Although certain Prescription Drug Viagras should not be used together at all, in other cases two different Prescription Drug Viagras may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking or receiving ACE inhibitors it is especially important that your health care professional know if you are taking any of the following: Alcohol or Diuretics (water pills)—Effects on blood pressure may be increased. In addition, some diuretics make the increase in potassium in the blood caused by ACE inhibitors even greater Potassium-containing Prescription Drug Viagras or supplements or Salt substitutes or Low-salt milk—Use of these substances with ACE inhibitors may result in an unusually high potassium level in the blood, which can lead to heart rhythm and other problems

Common Brand Names

Some commonly used brand names are: In the U.S.— Accupril10 Aceon9 Altace11 Capoten2 Lotensin1 Mavik12 Monopril6 Prinivil7 Univasc8 Vasotec Zestril7 In Canada— Accupril10 Altace11 Capoten2 Coversyl9 Inhibace3 Lotensin1 Mavik12 Monopril6 Prinivil7 Vasotec Zestril7 Note: For quick reference, the following angiotensin-converting enzyme (ACE) inhibitors are numbered to match the corresponding brand names. This information applies to the following Prescription Drug Viagras: 1. Benazepril (ben-AY-ze-pril) 2. Captopril (KAP-toe-pril) 3. Cilazapril (sye-LAY-za-pril)* 4. Enalapril (e-NAL-a-pril) 5. Enalaprilat (e-NAL-a-pril-at) 6. Fosinopril (foe-SIN-oh-pril) 7. Lisinopril (lyse-IN-oh-pril) 8. Moexipril (moe-EX-i-pril)† 9. Perindopril (per-IN-doe-pril) 10. Quinapril (KWIN-a-pril) 11. Ramipril (ra-MI-pril) 12. Trandolapril (tran-DOE-la-pril) ‡ 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 Prescription Drug Viagra, the risks of taking Prescription Drug Viagra must be weighed against the good it will do. This is a decision you and your doctor will make. For the angiotensin-converting enzyme (ACE) inhibitors, the following should be considered: Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to benazepril, captopril, cilazapril, enalapril, fosinopril, lisinopril, moexipril, perindopril, quinapril, ramipril, or trandolapril. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes. Pregnancy—Use of ACE inhibitors during pregnancy, especially in the second and third trimesters (after the first three months) can cause low blood pressure, severe kidney failure, too much potassium, or even death in the newborn. Therefore, it is important that you check with your doctor immediately if you think that you may be pregnant. Be sure that you have discussed this with your doctor before taking this medicine. In addition, if you are taking: Benazepril—Benazepril has not been shown to cause birth defects in animals when given in doses more than 3 times the highest recommended human dose. Captopril—Studies in rabbits and rats at doses up to 400 times the recommended human dose have shown that captopril causes an increase in deaths of the fetus and newborn. Also, captopril has caused deformed skulls in the offspring of rabbits given doses 2 to 70 times the recommended human dose. Enalapril—Studies in rats at doses many times the recommended human dose have shown that use of enalapril causes the fetus to be smaller than normal. Studies in rabbits have shown that enalapril causes an increase in fetal death. Enalapril has not been shown to cause birth defects in rats or rabbits. Fosinopril—Studies in rats have shown that fosinopril causes the fetus to be smaller than normal. Studies in rabbits have shown that fosinopril causes fetal death, probably due to extremely low blood pressure. In rats, birth defects such as skeletal and facial deformities were seen. However, it is not clear that the deformities were related to fosinopril. Birth defects were not seen in rabbits. Lisinopril—Studies in mice and rats at doses many times the recommended human dose have shown that use of lisinopril causes a decrease in successful pregnancies, a decrease in the weight of infants, and an increase in infant deaths. It has also caused a decrease in successful pregnancies and abnormal bone growth in rabbits. Lisinopril has not been shown to cause birth defects in mice, rats, or rabbits. Moexipril—Studies in rats given up to 90 times the recommended human dose, and studies in rabbits given up to 0.7 times the recommended human dose, did not show that moexipril causes birth defects in animals. Perindopril—Studies in rabbits given up to 50 times the recommended human dose, and monkeys given up to 17 times the recommended human dose, did not show that perindopril causes birth defects in animals. Quinapril—Studies in rats have shown that quinapril causes lower birth weights and changes in kidney structure of the fetus. However, birth defects were not seen in rabbits given quinapril. Ramipril—Studies in animals have shown that ramipril causes lower birth weights. Trandolapril—Studies in rabbits, rats, and monkeys did not show that trandolapril causes any birth defects in animals. Breast-feeding—Breast-feeding— Benazepril, captopril, enalapril enalaprilat, and fosinopril—These Prescription Drug Viagras pass into breast milk. Cilazapril, lisinopril, moexipril, perindopril, quinapril, ramipril, and trandolapril—It is not known whether these Prescription Drug Viagras pass into breast milk. However, these Prescription Drug Viagras have not been reported to cause problems in nursing babies. Children—Children may be especially sensitive to the blood pressure–lowering effect of ACE inhibitors. This may increase the chance of side effects or other problems during treatment. Therefore, it is especially important that you discuss with the child's doctor the good that Prescription Drug Viagra may do as well as the risks of using it. Older adults—Prescription Drug Viagra has been tested in a limited number of patients 65 years of age or older 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 the ACE inhibitors. Make sure you tell your doctor if you have any other medical problems, especially: Diabetes mellitus (sugar diabetes)—Increased risk of potassium levels in the body becoming too high, or increased effect of insulin on control of blood sugar Heart or blood vessel disease or Low sodium diet—Lowering blood pressure may make problems resulting from these conditions worse Kidney disease or Liver disease—ACE inhibitors' effects may be increased because of slower removal of Prescription Drug Viagra from the body Kidney transplant—Increased risk of kidney disease caused by ACE inhibitors Systemic lupus erythematosus (SLE)—Increased risk of blood problems caused by ACE inhibitors Previous reaction to any ACE inhibitor or previous occurrence involving hoarseness; swelling of face, mouth, hands, or feet; or sudden trouble in breathing—Reaction is more likely to occur again

Drug

Prinivil

Side Effects

Side Effects of this Prescription Drug Viagra Along with its needed effects, a Prescription Drug Viagra may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor immediately if any of the following side effects occur: Rare Fever and chills; hoarseness; swelling of face, mouth, hands, or feet; trouble in swallowing or breathing (sudden); stomach pain, itching of skin, or yellow eyes or skin Check with your doctor as soon as possible if any of the following side effects occur: Less common Dizziness, light-headedness, or fainting; skin rash, with or without itching, fever, or joint pain Rare Abdominal pain, abdominal distention, fever, nausea, or vomiting ; chest pain Signs and symptoms of too much potassium in the body Confusion; irregular heartbeat; nervousness; numbness or tingling in hands, feet, or lips; shortness of breath or difficulty breathing; weakness or heaviness of legs 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 Prescription Drug Viagra. However, check with your doctor if any of the following side effects continue or are bothersome: More common Cough (dry, persistent); headache Less common Diarrhea; loss of taste; nausea; unusual tiredness 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 to make sure that Prescription Drug Viagra is working properly and to check for unwanted effects. For patients taking this medicine for high blood pressure : Do not take other medicines unless they have been discussed with your doctor. This especially includes over-the-counter (nonprescription) Prescription Drug Viagras for appetite control, asthma, colds, cough, hay fever, or sinus problems, since they may tend to increase your blood pressure. Dizziness or light-headedness may occur after the first dose of Prescription Drug Viagra, especially if you have been taking a diuretic (water pill). Make sure you know how you react to this Prescription Drug Viagra before you drive, use machines, or do anything else that could be dangerous if you are dizzy. Check with your doctor right away if you become sick while taking this Prescription Drug Viagra, especially with severe or continuing nausea and vomiting or diarrhea. These conditions may cause you to lose too much water and lead to low blood pressure. Notify your doctor immediately if you are or become pregnant while taking this Prescription Drug Viagra. Check with your doctor if you have any signs of infection such as chills, fever, or sore throat, because these may be signs of neutropenia. Dizziness, light-headedness, or fainting also may occur if you exercise or if the weather is hot. Heavy sweating can cause loss of too much water and low blood pressure. Use extra care during exercise or hot weather. Avoid alcoholic beverages until you have discussed their use with your doctor. Alcohol may make the low blood pressure effect worse and/or increase the possibility of dizziness or fainting. 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 Prescription Drug Viagra. For patients taking captopril or fosinopril: Before you have any medical tests, tell the doctor in charge that you are taking this Prescription Drug Viagra. The results of some tests may be affected by Prescription Drug Viagra.

Notes

ACE inhibitors belong to the class of medicines called high blood pressure Prescription Drug Viagras (antihypertensives). They are 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. Lisinopril, captopril, ramipril, and trandolapril are used in some patients after a heart attack. After a heart attack, some of the heart muscle is damaged and weakened. The heart muscle may continue to weaken as time goes by. This makes it more difficult for the heart to pump blood. Lisinopril use may be started within 24 hours after a heart attack to increase survival rate. Captopril, ramipril, and trandolapril help slow down the further weakening of the heart. Captopril is also used to treat kidney problems in some diabetic patients who use insulin to control their diabetes. Over time, these kidney problems may get worse. Captopril may help slow down the further worsening of kidney problems. In addition, some ACE inhibitors are used to treat congestive heart failure or may be used for other conditions as determined by your doctor. The exact way that these Prescription Drug Viagras work is not known. They block an enzyme in the body that is necessary to produce a substance that causes blood vessels to tighten. As a result, they relax blood vessels. This lowers blood pressure and increases the supply of blood and oxygen to the heart. These medicines are available only with your doctor's prescription, in the following dosage forms: Oral Benazepril Tablets (U.S. and Canada) Captopril Tablets (U.S. and Canada) Cilazapril Tablets (Canada) Enalapril Tablets (U.S. and Canada) Fosinopril Tablets (U.S. and Canada) Lisinopril Tablets (U.S. and Canada) Moexipril Tablets (U.S.) Perindopril Tablets (U.S. and Canada) Quinapril Tablets (U.S. and Canada) Ramipril Capsules (U.S. and Canada) Trandolapril Tablets (U.S. and Canada) Parenteral Enalaprilat Injection (U.S. and Canada)

Storage

To store Prescription Drug 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 Prescription Drug Viagra to break down. Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded Prescription Drug Viagra is out of the reach of children.

Missed Dose

If you miss a dose of this Prescription Drug 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

ACE inhibitors belong to the class of Prescription Drug Viagras called high blood pressure Prescription Drug Viagras (antihypertensives). They are 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. Lisinopril, captopril, ramipril, and trandolapril are used in some patients after a heart attack. After a heart attack, some of the heart muscle is damaged and weakened. The heart muscle may continue to weaken as time goes by. This makes it more difficult for the heart to pump blood. Lisinopril use may be started within 24 hours after a heart attack to increase survival rate. Captopril, ramipril, and trandolapril help slow down the further weakening of the heart. Captopril is also used to treat kidney problems in some diabetic patients who use insulin to control their diabetes. Over time, these kidney problems may get worse. Captopril may help slow down the further worsening of kidney problems. In addition, some ACE inhibitors are used to treat congestive heart failure or may be used for other conditions as determined by your doctor.

Other Uses

Once a Prescription Drug 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, ACE inhibitors are used in certain patients with the following medical conditions: Hypertension in scleroderma (high blood pressure in patients with hardening and thickening of the skin) Renal crisis in scleroderma (kidney problems in patients with hardening and thickening of the skin) Other than the above information, there is no additional information relating to proper use, precautions, or side effects for these uses.

How To Use

To help you remember to take your Prescription Drug Viagra, try to get into the habit of taking it at the same time each day. For patients taking captopril or moexipril : These medicines are best taken on an empty stomach 1 hour before meals, unless you are otherwise directed by your doctor. For patients taking Prescription Drug Viagra for high blood pressure : In addition to the use of the Prescription Drug Viagra your doctor has prescribed, treatment for your high blood pressure may include weight control and care in the types of foods you eat, especially foods high in sodium. Your doctor will tell you which of these 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 Prescription Drug 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 medicine 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 the ACE inhibitor 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. 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 medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the Prescription Drug Viagra depend on the medical problem for which you are taking the ACE inhibitor. For benazepril For oral dosage form (tablets): For high blood pressure: Adults—10 milligrams (mg) once a day at first. Then, your doctor may increase your dose to 20 to 40 mg a day taken as a single dose or divided into two doses. Children—Use and dose must be determined by your doctor. For captopril For oral dosage form (tablets): For congestive heart failure: Adults—25 to 100 mg two or three times a day. Children—Dose must be determined by your doctor. For high blood pressure: Adults—25 to 50 mg two or three times a day. Children—Dose must be determined by your doctor. For kidney problems related to diabetes: Adults—25 mg three times a day. For treatment after a heart attack: Adults—12.5 to 50 mg three times a day. For cilazapril For oral dosage form (tablets): For congestive heart failure: Adults—0.5 mg once a day at first. Then your doctor may increase your dosage up to 5 mg once a day. Children—Use and dose must be determined by your doctor. For high blood pressure: Adults—2.5 to 10 mg once a day. Children—Use and dose must be determined by your doctor. For enalapril For oral dosage form (tablets): For congestive heart failure: Adults—2.5 mg once a day or two times a day at first. Your doctor may increase your dose to 5 to 40 mg a day taken as a single dose or divided into two doses. Children—Use and dose must be determined by your doctor. For high blood pressure: Adults—5 mg once a day at first. Then, your doctor may increase your dose to 10 to 40 mg a day taken as a single dose or divided into two doses. Children—Use and dose must be determined by your doctor. For treating weakened heart muscle: Adults—2.5 mg two times a day at first. Then, your doctor may increase your dose up to 20 mg a day taken in divided doses. For injection dosage form: For high blood pressure: Adults—1.25 mg every six hours injected into a vein. Children—Use and dose must be determined by your doctor. For fosinopril For oral dosage form (tablets): For congestive heart failure: Adults—10 mg once a day at first. Then your doctor may increase your dose to 20 to 40 mg once a day. For high blood pressure: Adults—10 to 40 mg once a day. Children—Use and dose must be determined by your doctor. For lisinopril For oral dosage form (tablets): For congestive heart failure: Adults—5 to 20 mg once a day. Children—Use and dose must be determined by your doctor. For high blood pressure: Adults—10 to 40 mg once a day. Children—Use and dose must be determined by your doctor. For immediate treatment after a heart attack: Adults—5 mg once a day at first. Your doctor may increase the dose to 10 mg once a day. Children—Use and dose must be determined by your doctor. For moexipril For oral dosage form (tablets): For high blood pressure: Adults—7.5 mg once a day. Then, your doctor may increase your dose up to 30 mg a day taken as a single dose or divided into two doses. Children—Use and dose must be determined by your doctor. For perindopril For oral dosage form (tablets): For high blood pressure: Adults—4 mg once a day. Then, your doctor may increase your dosage up to 16 mg a day taken as a single dose or divided into two doses. Children—Use and dose must be determined by your doctor. For quinapril For oral dosage form (tablets): For high blood pressure: Adults—10 to 20 mg once a day at first. Then, your doctor may increase your dosage up to 80 mg a day taken as a single dose or divided into two doses. Children—Use and dose must be determined by your doctor. For congestive heart failure: Adults—5 mg twice a day at first. Then, your doctor may increase your dose to 20 to 40 mg a day taken in two divided doses. For ramipril For oral dosage form (capsules): For high blood pressure: Adults—2.5 mg once a day at first. Then, your doctor may increase your dosage up to 20 mg a day taken as a single dose or divided into two doses. Children—Use and dose must be determined by your doctor. For congestive heart failure after a heart attack: Adults—2.5 to 5 mg twice a day. For reducing risk of heart attack, stroke or death from cardiovascular causes Adults— 2.5 mg once a day for one week. For the next three weeks the dose is 5 mg a day, and then increased as needed to 10 mg a day. The dose may be divided if needed.Note: For use in people aged 55 and older. For trandolapril For oral dosage form (tablets): For high blood pressure: Adults—1 to 2 mg once a day at first. Then, your doctor may increase your dose to 2 to 4 mg a day taken as a single or divided into two doses. Children—Use and dose must be determined by your doctor. For treatment after a heart attack: Adults—1 mg once a day at first. Then, your doctor may increase your dose up to 4 mg a day taken as a single or divided into two doses.

Drug Interactions

Other Prescription Drug Viagras—Although certain Prescription Drug 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 phenothiazine-derivative antihistamines, it is especially important that your health care professional know if you are taking/receiving any of the following: Amoxapine (e.g., Asendin) or Antipsychotics (medicine for mental illness) or 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 Rauwolfia alkaloids (alseroxylon [e.g., Rauwiloid], deserpidine [e.g., Harmonyl], rauwolfia serpentina [e.g., Raudixin], reserpine [e.g., Serpasil])—Side effects of these medicines, such as uncontrolled body movements, may become more severe and frequent if they are used together with phenothiazine-derivative antihistamines Anticholinergics (medicine for abdominal or stomach spasms or cramps)—Side effects of phenothiazine-derivative antihistamines or anticholinergics, such as dryness of mouth, may be more likely to occur Central nervous system (CNS) depressants (medicines that cause drowsiness) or Maprotiline or Tricyclic antidepressants (medicine for depression)—Effects of CNS depressants or antihistamines, such as drowsiness, may become more severe; also, taking maprotiline or tricyclic antidepressants may cause some side effects of antihistamines, such as dryness of mouth, to become more severe Contrast agent, injected into spinal canal—If you are having an x-ray test of the head, spinal canal, or nervous system for which you are going to receive an injection into the spinal canal, phenothiazine-derivative antihistamines may increase the chance of seizures; stop taking any phenothiazine-derivative antihistamine 48 hours before the test and do not start taking it until 24 hours after the test Levodopa—When used together with phenothiazine-derivative antihistamines, the levodopa may not work as it should Monoamine oxidase (MAO) inhibitor activity (isocarboxazid [e.g., Marplan], isocarboxazid [e.g., Marplan], phenelzine [e.g., Nardil], procarbazine [e.g., Matulane], selgiline [e.g., Eldepryl], tranylcypromine [e.g., Parnate])—If you are now taking or have taken within the past 2 weeks any of the MAO inhibitors, the side effects of the phenothiazine-derivative antihistamines may become more severe; these medicines should not be used together

Common Brand Names

Some commonly used brand names are: In the U.S.— Anergan 252 Anergan 502 Antinaus 502 Pentazine2 Phenazine 252 Phenazine 502 Phencen-502