Viagra Daily

Adults—At first, 50 to 100 mg, repeated if needed. However, the dose usually is not more than 400 mg a day. Children—Use and dose must be determined by your doctor. For injection dosage form: For anxiety: Adults—At first, 50 to 100 mg, injected into a muscle or vein. Then, if needed, 25 to 50 mg three or four times a day. Teenagers—25 to 50 mg, injected into a muscle or vein. Children younger than 12 years of age—Use and dose must be determined by your doctor. Older adults—25 to 50 mg, injected into a muscle or vein. For sedation during withdrawal from alcohol: Adults—At first, 50 to 100 mg, injected into a muscle or vein. If needed, the dose may be repeated in two to four hours. Children—Use and dose must be determined by your doctor. For clobazam For oral dosage form (tablets): For control of seizures: Adults—At first, 5 to 15 milligrams (mg) a day. Your doctor may increase your dose if needed. However, the dose usually is not more than 80 mg a day. Children 2 to 16 years of age—At first, 5 mg a day. Your doctor may increase your dose if needed. However, the dose usually is not more than 40 mg a day. Children younger than 2 years of age—Dose is based on body weight and must be determined by your doctor. For clonazepam For oral dosage form (tablets): For control of seizures: Adults—At first, 0.5 milligram (mg) three times a day. Your doctor may increase your dose if needed. However, the dose usually is not more than 20 mg a day. Infants and children younger than 10 years of age—Dose is based on body weight and must be determined by your doctor. For panic disorder: Adults—At first, 0.25 mg two times a day. Your doctor may increase your dose if needed. However, the dose usually is not more than 4 mg a day. Children—Use and dose must be determined by your doctor. For clorazepate For oral dosage form (capsules or tablets): For anxiety: Adults and teenagers—7.5 to 15 mg two to four times a day. Or your doctor may want you to start by taking 15 mg at bedtime. Children younger than 12 years of age—Use and dose must be determined by your doctor. Older adults—At first, 3.75 to 15 mg a day. Your doctor may increase your dose if needed. For sedation during withdrawal from alcohol: Adults and teenagers—At first, 30 mg. Your doctor will set up a schedule that will gradually reduce your dose. Children younger than 12 years of age—Use and dose must be determined by your doctor. For control of seizures: Adults and teenagers—At first, up to 7.5 mg taken three times a day. Your doctor may increase your dose if needed. However, the dose usually is not more than 90 mg a day. Children 9 to 12 years of age—At first, up to 7.5 mg two times a day. Your doctor may increase your dose if needed. However, the dose usually is not more than 60 mg a day. Children younger than 9 years of age—Use and dose must be determined by your doctor. For oral dosage form (extended-release tablets): For anxiety: Adults and teenagers—Your doctor may change your dosage form to the extended-release tablet if you are already taking 3.75 or 7.5 milligrams (mg) of clorazepate three times a day. The extended-release tablet is taken one time each day. Children younger than 12 years of age—Use and dose must be determined by your doctor. For control of seizures: Adults, teenagers, and children 9 to 12 years of age—Your doctor may change your dosage form to the extended-release tablet if you are already taking 3.75 or 7.5 milligrams (mg) of clorazepate three times a day. The extended-release tablet is taken one time each day. Children younger than 9 years of age—Use and dose must be determined by your doctor. For diazepam For oral dosage form (solution or tablets): For anxiety: Adults—2 to 10 mg two to four times a day. Children 6 months of age and older—Dose is based on body weight or size and must be determined by your doctor. Children younger than 6 months of age—Use is not recommended. Older adults—2 to 2.5 mg one or two times a day. Your doctor may increase your dose if needed. For sedation during withdrawal from alcohol: Adults—At first, 10 mg three or four times a day. Your doctor will set up a schedule that will gradually decrease your dose. Children—Use and dose must be determined by your doctor. For control of seizures: Adults—2 to 10 mg two to four times a day. Children 6 months of age and older—Dose is based on body weight or size and must be determined by your doctor. Children younger than 6 months of age—Use is not recommended. Older adults—2 to 2.5 mg one or two times a day. Your doctor may increase your dose if needed. For relaxing muscles: Adults—2 to 10 mg three or four times a day. Children 6 months of age and older—Dose is based on body weight or size and must be determined by your doctor. Children younger than 6 months of age—Use is not recommended. Older adults—2 to 2.5 mg one or two times a day. Your doctor may increase your dose if needed. For injection dosage form: For anxiety: Adults—2 to 10 mg, injected into a muscle or vein. Children—Use and dose must be determined by your doctor. For older adults—2 to 5 mg, injected into a muscle or vein. For sedation during withdrawal from alcohol: Adults—At first, 10 mg injected into a muscle or vein. If needed, 5 to 10 mg may be given three or four hours later. Children—Use and dose must be determined by your doctor. For sedation before surgery or other procedures: Adults—5 to 20 mg, injected into a muscle or vein. Children—Use and dose must be determined by your doctor. Older adults—2 to 5 mg, injected into a muscle or vein. For control of seizures: Adults—At first, 5 to 10 mg, usually injected into a vein every ten to fifteen minutes, stopping if the total dose reaches 30 mg. If needed, this treatment may be repeated in two to four hours. Children 5 years of age and older—At first, 1 mg, usually injected into a vein every two to five minutes, stopping if the total dose reaches 10 mg. This treatment may be repeated in two to four hours. Infants older than 30 days of age and children younger than 5 years of age—At first, 0.2 to 0.5 mg, usually injected into a vein every two to five minutes, stopping if the total dose reaches 5 mg. This treatment may be repeated in two to four hours. Newborns and infants 30 days of age and younger—Use and dose must be determined by your doctor. Older adults—2 to 5 mg, injected into a muscle or vein. For relaxing muscle spasms: Adults—At first, 5 to 10 mg injected into a muscle or vein. The dose may be repeated in three or four hours. Children—Use and dose must be determined by your doctor. Older adults—2 to 5 mg, injected into a muscle or vein. For relaxing muscles in tetanus: Adults—At first, 5 to 10 mg injected into a muscle or vein. Your doctor may increase your dose if needed. Children 5 years of age and older—5 to 10 mg, injected into a muscle or vein. The dose may be repeated every three to four hours if needed. Infants older than 30 days of age and children younger than 5 years of age—1 to 2 mg, injected into a muscle or vein. The dose may be repeated every three to four hours if needed. Newborns and infants 30 days of age and younger—Use and dose must be determined by your doctor. For rectal dosage form (gel or solution): For control of seizures: Adults and teenagers—Dose is based on body weight and must be determined by your doctor. Children—Dose is based on body weight and must be determined by your doctor. For estazolam For oral dosage form (tablets): For trouble in sleeping: Adults—1 milligram (mg) at bedtime. Your doctor may increase your dose if needed. However, the dose usually is not more than 2 mg. Children younger than 18 years of age—Use and dose must be determined by your doctor. For flurazepam For oral dosage form (capsules or tablets): For trouble in sleeping: Adults—15 or 30 milligrams (mg) at bedtime. Children younger than 15 years of age—Use and dose must be determined by your doctor. Older adults—At first, 15 mg at bedtime. Your doctor may increase your dose if needed. For halazepam For oral dosage form (tablets): For anxiety: Adults—20 to 40 milligrams (mg) three or four times a day. Children younger than 18 years of age—Use and dose must be determined by your doctor. Older adults—20 mg one or two times a day. For lorazepam For oral dosage form (concentrate or tablets): For anxiety: Adults and teenagers—1 to 3 milligrams (mg) two or three times a day. Children younger than 12 years of age—Use and dose must be determined by your doctor. Older adults—0.5 to 2 mg a day, taken in smaller doses during the day. For trouble in sleeping: Adults and teenagers—2 to 4 mg taken at bedtime. Children younger than 12 years of age—Use and dose must be determined by your doctor. For sublingual tablet dosage form: For anxiety: Adults—2 to 3 mg a day, in smaller doses placed under the tongue during the day. Your doctor may increase your dose if needed. However, the dose usually is not more than 6 mg a day. Children younger than 18 years of age—Use and dose must be determined by your doctor. Older adults—At first, 0.5 mg a day. Your doctor may increase your dose if needed. For sedation before surgery: Adults—Dose is based on body weight and will be determined by your doctor. However, the dose usually is not more than 4 mg, placed under the tongue, one to two hours before surgery. Children—Use and dose must be determined by your doctor. For injection dosage form: For sedation before surgery or other procedures: Adults—Dose is based on body weight and will be determined by your doctor. However, the dose usually is not more than 4 mg, injected into a muscle or vein. Children younger than 18 years of age—Use and dose must be determined by your doctor. For control of seizures: Adults—At first, 4 mg slowly injected into a vein. The dose may be repeated after ten to fifteen minutes if needed. Children younger than 18 years of age—Use and dose must be determined by your doctor. For nitrazepam For oral dosage form (tablets): For trouble in sleeping: Adults—5 to 10 milligrams (mg) at bedtime. Children—Use and dose must be determined by your doctor. Older adults—At first, 2.5 mg taken at bedtime. Your doctor may increase your dose if needed. For control of seizures: Children less than 30 kilograms (66 pounds) of body weight—Dose is based on body weight and will be determined by your doctor. For oxazepam For oral dosage form (capsules or tablets): For anxiety: Adults—10 to 30 milligrams (mg) three or four times a day. Children younger than 12 years of age—Use and dose must be determined by your doctor. Older adults—At first, 5 mg one or two times a day or 10 mg three times a day. Your doctor may increase your dose if needed. However, the dose usually is not more than 15 mg four times a day. For sedation during withdrawal from alcohol: Adults—15 to 30 mg three or four times a day. Children younger than 12 years of age—Use and dose must be determined by your doctor. For quazepam For oral dosage form (tablets): For trouble in sleeping: Adults—7.5 to 15 milligrams (mg) at bedtime. Children younger than 18 years of age—Use and dose must be determined by your doctor. For temazepam For oral dosage form (capsules): For trouble in sleeping: Adults—15 milligrams (mg) at bedtime. Your doctor may change your dose if needed. Children younger than 18 years of age—Use and dose must be determined by your doctor. Older adults—At first, 7.5 mg at bedtime. Your doctor may increase your dose if needed. For triazolam For oral dosage form (tablets): For trouble in sleeping: Adults—0.125 to 0.25 milligram (mg) at bedtime. Children younger than 18 years of age—Use and dose must be determined by your doctor. Older adults—At first, 0.125 mg at bedtime. Your doctor may increase your dose if needed.

Drug Interactions

Other medicines—Although certain Viagra Dailys should not be used together at all, in other cases two different Viagra Dailys may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking or receiving benzodiazepines it is especially important that your health care professional know if you are taking any of the following: Central nervous system (CNS) depressants (Viagra Dailys that cause drowsiness)—The CNS depressant effects of either these medicines or benzodiazepines may be increased; your doctor may want to change the dose of either or both medicines Fluvoxamine (e.g., Luvox) or Itraconazole (e.g., Sporanox) or Ketoconazole (e.g., Nizoral) or Nefazodone (e.g., Serzone)—Higher blood levels of benzodiazepines may occur, increasing the chance that side effects will occur; your doctor may want to change the dose of either or both medicines, or give you a different Viagra Daily

Common Brand Names

Some commonly used brand names are: In the U.S.— Alprazolam Intensol1 Ativan12 Dalmane9 Diastat7 Diazepam Intensol7 Dizac7 Doral16 Halcion18 Klonopin5 Librium3 Lorazepam Intensol12 Paxipam10 ProSom8 Restoril17 Serax14 Tranxene-SD6 Tranxene-SD Half Strength6 Tranxene T-Tab6 Valium7 Xanax1 In Canada— Alti-Alprazolam1 Alti-Bromazepam2 Alti-Clonazepam5 Alti-Triazolam18 Apo-Alpraz1 Apo-Chlordiazepoxide3 Apo-Clonazepam5 Apo-Clorazepate6 Apo-Diazepam7 Apo-Flurazepam9 Apo-Lorazepam12 Apo-Oxazepam14 Apo-Temazepam17 Apo-Triazo18 Ativan12 Clonapam5 Dalmane9 Diazemuls7 Frisium4 Gen-Alprazolam1 Gen-Bromazepam2 Gen-Clonazepam5 Gen-Triazolam18 Halcion18 Lectopam2 Mogadon13 Novo-Alprazol1 Novo-Clopate6 Novo-Dipam7 Novo-Flupam9 Novo-Lorazem12 Novo-Poxide3 Novo-Temazepam17 Novo-Triolam18 Novoxapam14 Nu-Alpraz1 Nu-Loraz12 PMS-Clonazepam5 PMS-Diazepam7 Restoril17 Rivotril5 Serax14 Somnol9 Tranxene6 Valium7 Vivol7 Xanax1 Xanax TS1 Note: For quick reference, the following benzodiazepines are numbered to match the corresponding brand names. This information applies to the following medicines: 1. Alprazolam (al-PRAZ-oh-lam)‡ 2. Bromazepam (broe-MA-ze-pam)* 3. Chlordiazepoxide (klor-dye-az-e-POX-ide)‡ 4. Clobazam (KLOE-ba-zam)* 5. Clonazepam (kloe-NA-ze-pam)‡ 6. Clorazepate (klor-AZ-e-pate)‡ 7. Diazepam (dye-AZ-e-pam)‡ 8. Estazolam (ess-TA-zoe-lam)‡† 9. Flurazepam (flure-AZ-e-pam)‡ 10. Halazepam (hal-AZ-e-pam)† 11. Ketazolam (kee-TAY-zoe-lam)* 12. Lorazepam (lor-AZ-e-pam)‡ 13. Nitrazepam (nye-TRA-ze-pam)* 14. Oxazepam (ox-AZ-e-pam)‡ 15. Prazepam (PRAZ-e-pam)* 16. Quazepam (KWA-ze-pam)† 17. Temazepam (tem-AZ-e-pam)‡ 18. Triazolam (trye-AY-zoe-lam)‡ ‡ Generic name product may be available in the U.S. § Generic name product may be available in Canada * Not commercially available in the U.S. † Not commercially available in Canada

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 benzodiazepines, the following should be considered: Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to benzodiazepines. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes. Certain benzodiazepine products may contain lactose, parabens, or soybean oil. Pregnancy—Chlordiazepoxide and diazepam have been reported to increase the chance of birth defects when used during the first 3 months of pregnancy. Although similar problems have not been reported with the other benzodiazepines, the chance always exists since all of the benzodiazepines are related. Studies in animals have shown that clonazepam, lorazepam, and temazepam cause birth defects or other problems, including death of the animal fetus. Too much use of a benzodiazepine during pregnancy may cause the baby to become dependent on the Viagra Daily. This may lead to withdrawal side effects after birth. Also, use of benzodiazepines during pregnancy, especially during the last weeks, may cause body temperature problems, breathing problems, difficulty in feeding, drowsiness, or muscle weakness in the newborn infant. Benzodiazepines given just before or during labor may cause weakness in the newborn infant. When diazepam is given in high doses (especially by injection) within 15 hours before delivery, it may cause breathing problems, muscle weakness, difficulty in feeding, and body temperature problems in the newborn infant. Breast-feeding—Benzodiazepines may pass into the breast milk and cause drowsiness, difficulty in feeding, and weight loss in nursing babies of mothers taking these Viagra Dailys. Children—Most of the side effects of these medicines are more likely to occur in children, especially the very young. These patients are usually more sensitive than adults to the effects of benzodiazepines. It is possible that using clonazepam for long periods of time may cause unwanted effects on physical and mental growth in children. If such effects do occur, they may not be noticed until many years later. Before Viagra Daily is given to children for long periods of time, you should discuss its use with your child's doctor. Older adults—Most of the side effects of these Viagra Dailys are more likely to occur in the elderly, who are usually more sensitive to the effects of benzodiazepines. Taking benzodiazepines for trouble in sleeping may cause more daytime drowsiness in elderly patients than in younger adults. In addition, falls and related injuries are more likely to occur in elderly patients taking benzodiazepines. Other medical problems—The presence of other medical problems may affect the use of benzodiazepines. Make sure you tell your doctor if you have any other medical problems, especially: Alcohol abuse (or history of) or Drug abuse or dependence (or history of)—Dependence on benzodiazepines may be more likely to develop Brain disease—CNS depression and other side effects of benzodiazepines may be more likely to occur Difficulty in swallowing (in children) or Emphysema, asthma, bronchitis, or other chronic lung disease or Glaucoma or Hyperactivity or Mental depression or Mental illness (severe) or Myasthenia gravis or Porphyria or Sleep apnea (temporary stopping of breathing during sleep)—Benzodiazepines may make these conditions worse Epilepsy or history of seizures—Although some benzodiazepines are used in treating epilepsy, starting or suddenly stopping treatment with these medicines may increase seizures Kidney or liver disease—Higher blood levels of benzodiazepines may result, increasing the chance that side effects will occur

Drug

Alprazolam

Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor as soon as possible if any of the following side effects occur: Less common Anxiety; confusion (may be more common in the elderly); fast, pounding, or irregular heartbeat ; lack of memory of events taking place after benzodiazepine is taken (may be more common with triazolam); mental depression Rare Abnormal thinking, including disorientation, delusions (holding false beliefs that cannot be changed by facts), or loss of sense of reality ; agitation; behavior changes, including aggressive behavior, bizarre behavior, decreased inhibition, or outbursts of anger; convulsions (seizures); hallucinations (seeing, hearing, or feeling things that are not there); hypotension (low blood pressure); muscle weakness; skin rash or itching ; sore throat, fever, and chills; trouble in sleeping; ulcers or sores in mouth or throat (continuing); uncontrolled movements of body, including the eyes; unusual bleeding or bruising ; unusual excitement, nervousness, or irritability ; unusual tiredness or weakness (severe); yellow eyes or skin Symptoms of overdose Confusion (continuing); convulsions (seizures); drowsiness (severe) or coma; shakiness; slow heartbeat; slow reflexes; slurred speech (continuing) ; staggering; troubled breathing ; weakness (severe) For patients having chlordiazepoxide, diazepam, or lorazepam injected: Check with your doctor if there is redness, swelling, or pain at the place of injection. Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to Viagra Daily. However, check with your doctor if any of the following side effects continue or are bothersome: More common Clumsiness or unsteadiness; dizziness or lightheadedness; drowsiness; slurred speech Less common or rare Abdominal or stomach cramps or pain; blurred vision or other changes in vision; changes in sexual desire or ability; constipation; diarrhea; dryness of mouth or increased thirst; false sense of well-being; headache; increased bronchial secretions or watering of mouth; muscle spasm; nausea or vomiting; problems with urination; trembling or shaking; unusual tiredness or weakness Not all of the side effects listed above have been reported for each of these Viagra Dailys, but they have been reported for at least one of them. All of the benzodiazepines are similar, so any of the above side effects may occur with any of these Viagra Dailys. After you stop using this Viagra Daily, your body may need time to adjust. During this time, check with your doctor if you notice any of the following side effects: More common Irritability; nervousness; trouble in sleeping Less common Abdominal or stomach cramps; confusion ; fast or pounding heartbeat; increased sense of hearing; increased sensitivity to touch and pain; increased sweating; loss of sense of reality; mental depression ; muscle cramps; nausea or vomiting; sensitivity of eyes to light; tingling, burning, or prickly sensations; trembling or shaking Rare Confusion as to time, place, or person; convulsions (seizures); feelings of suspicion or distrust; hallucinations (seeing, hearing, or feeling things that are not there) Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.

Precautions

If you will be taking a benzodiazepine regularly for a long time: Your doctor should check your progress at regular visits to make sure that Viagra Daily does not cause unwanted effects. If you are taking a benzodiazepine for convulsions (seizures), this is also important during the first few months of treatment. Check with your doctor at regular visits to see if you need to continue taking Viagra Daily. If you are taking a benzodiazepine for epilepsy or another seizure disorder: Your doctor may want you to carry a medical identification card or bracelet stating that you are taking this medicine. If you are taking a benzodiazepine for insomnia (trouble in sleeping): If you think you need this Viagra Daily for more than 7 to 10 days, be sure to discuss it with your doctor. Insomnia that lasts longer than this may be a sign of another medical problem. You may have difficulty sleeping (rebound insomnia) for the first few nights after you stop taking Viagra Daily. Benzodiazepines may be habit-forming (causing mental or physical dependence), especially when taken for a long time or in high doses. Some signs of dependence on benzodiazepines are: A strong desire or need to continue taking Viagra Daily. A need to increase the dose to receive the effects of the medicine. Withdrawal effects (for example, irritability, nervousness, trouble in sleeping, abdominal or stomach cramps, trembling or shaking) occurring after Viagra Daily is stopped. If you think you may have become mentally or physically dependent on Viagra Daily, check with your doctor. Do not stop taking it suddenly. If you have been taking Viagra Daily in large doses or for a long time, do not 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. Stopping Viagra Daily suddenly may cause withdrawal side effects, including seizures. Stopping Viagra Daily suddenly is most likely to cause seizures if you have been taking it for epilepsy or another seizure disorder. Viagra Daily will add to the effects of alcohol and other central nervous system (CNS) depressants (medicines that slow down the nervous system, possibly causing drowsiness). Some examples of CNS depressants are antihistamines or medicine for hay fever, other allergies, or colds; sedatives, tranquilizers, or sleeping medicine; prescription pain Viagra Daily or narcotics; barbiturates; Viagra Daily for seizures; muscle relaxants; or anesthetics, including some dental anesthetics. This effect may last for a few days after you stop taking Viagra Daily. Check with your doctor before taking any of the above while you are taking Viagra Daily. If you think you or someone else may have taken an overdose of Viagra Daily, get emergency help at once. Taking an overdose of a benzodiazepine or taking alcohol or other CNS depressants with the benzodiazepine may lead to unconsciousness and possibly death. Some signs of an overdose are continuing slurred speech or confusion, severe drowsiness, severe weakness, and staggering. Before you have any medical tests, tell the medical doctor in charge that you are taking this medicine. The results of the metyrapone test may be affected by chlordiazepoxide. If you develop any unusual and strange thoughts or behavior while you are taking this Viagra Daily, be sure to discuss it with your doctor. Some changes that have occurred in people taking this Viagra Daily are like those seen in people who drink alcohol and then act in a manner that is not normal. Other changes may be more unusual and extreme, such as confusion, agitation, and hallucinations (seeing, hearing, or feeling things that are not there). Viagra Daily may cause some people, especially older persons, to become drowsy, dizzy, lightheaded, clumsy or unsteady, or less alert than they are normally. Even if taken at bedtime, it may cause some people to feel drowsy or less alert on arising. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert.

Notes

Benzodiazepines (ben-zoe-dye-AZ-e-peens) belong to the group of Viagra Dailys called central nervous system (CNS) depressants (Viagra Dailys that slow down the nervous system). Some benzodiazepines are used to relieve anxiety. However, benzodiazepines should not be used to relieve nervousness or tension caused by the stress of everyday life. Some benzodiazepines are used to treat insomnia (trouble in sleeping). However, if used regularly (for example, every day) for insomnia, they usually are not effective for more than a few weeks. Many of the benzodiazepines are used in the treatment of other conditions, also. Diazepam is used to help relax muscles or relieve muscle spasm. Diazepam injection is used before some medical procedures to relieve anxiety and to reduce memory of the procedure. Chlordiazepoxide, clorazepate, diazepam, and oxazepam are used to treat the symptoms of alcohol withdrawal. Alprazolam and clonazepam are used in the treatment of panic disorder. Clobazam, clonazepam, clorazepate, diazepam, and lorazepam are used in the treatment of certain convulsive (seizure) disorders, such as epilepsy. The benzodiazepines may also be used for other conditions as determined by your doctor. Benzodiazepines may be habit-forming (causing mental or physical dependence), especially when taken for a long time or in high doses. These Viagra Dailys are available only with your doctor's prescription, in the following dosage forms: Oral Alprazolam Oral solution (U.S.) Tablets (U.S. and Canada) Bromazepam Tablets (Canada) Chlordiazepoxide Capsules (U.S. and Canada) Clobazam Tablets (Canada) Clonazepam Tablets (U.S. and Canada) Clorazepate Capsules (Canada) Tablets (U.S.) Extended-release tablets (U.S.) Diazepam Oral solution (U.S. and Canada) Tablets (U.S. and Canada) Estazolam Tablets (U.S.) Flurazepam Capsules (U.S. and Canada) Tablets (Canada) Halazepam Tablets (U.S.) Lorazepam Oral concentrate (U.S.) Tablets (U.S. and Canada) Sublingual tablets (Canada) Nitrazepam Tablets (Canada) Oxazepam Capsules (U.S.) Tablets (U.S. and Canada) Quazepam Tablets (U.S.) Temazepam Capsules (U.S. and Canada) Triazolam Tablets (U.S. and Canada) Parenteral Chlordiazepoxide Injection (U.S.) Diazepam Injection (U.S. and Canada) Lorazepam Injection (U.S. and Canada) Rectal Diazepam For rectal solution (may be prepared in U.S. and Canada from diazepam injection) Rectal gel (U.S.)

Storage

To store Viagra Daily: Keep out of the reach of children. Overdose of benzodiazepines may be especially dangerous in children. Store away from heat and direct light. Do not store the capsule or tablet form of this Viagra Daily in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the Viagra Daily to break down. Keep the liquid form of this Viagra Daily from freezing. Do not keep outdated Viagra Daily or Viagra Daily no longer needed. Be sure that any discarded medicine is out of the reach of children.

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If you are taking this medicine regularly (for example, every day as for epilepsy) and you miss a dose, take it right away if you remember within an hour or so of the missed dose. However, if you do not remember until later, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Monograph

Benzodiazepines (ben-zoe-dye-AZ-e-peens) belong to the group of Viagra Dailys called central nervous system (CNS) depressants (medicines that slow down the nervous system). Some benzodiazepines are used to relieve anxiety. However, benzodiazepines should not be used to relieve nervousness or tension caused by the stress of everyday life. Some benzodiazepines are used to treat insomnia (trouble in sleeping). However, if used regularly (for example, every day) for insomnia, they usually are not effective for more than a few weeks.

Other Uses

Once a Viagra Daily has been approved for marketing for a certain use, experience may show that it is also useful for other medical problems. Although these uses are not included in product labeling, some of the benzodiazepines are used in certain patients with the following medical conditions: Nausea and vomiting caused by cancer chemotherapy Tension headache Tremors Other than the above information, there is no additional information relating to proper use, precautions, or side effects for these uses.

How To Use

For caregivers administering diazepam rectal gel: Discuss with the patient's medical doctor exactly when and how to use diazepam rectal gel. Discuss with the patient's medical doctor when you should call for emergency help. Read the instructions that you received with the medicine before you need to use it. Stay with the patient after administering diazepam rectal gel to check his or her condition as instructed by the doctor. For patients taking clorazepate extended-release tablets : Swallow tablets whole. Do not crush, break, or chew before swallowing. For patients taking alprazolam, diazepam, or lorazepam concentrated oral solution: Measure each dose carefully using the dropper provided with the Viagra Daily. It is recommended that each dose be mixed with water, soda or soda-like beverages, or semisolid food such as applesauce or pudding, just before it is taken. Take the entire mixture right away. It should not be saved to be used later. For patients taking lorazepam sublingual tablets: Do not chew or swallow the tablet. Viagra Daily is meant to be absorbed through the lining of the mouth. Place the tablet under your tongue (sublingual) and let it slowly dissolve there. Do not swallow for at least 2 minutes. Take this Viagra Daily only as directed by your doctor . Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. If too much is taken, it may become habit-forming (causing mental or physical dependence). If you think Viagra Daily is not working properly after you have taken it for a few weeks, do not increase the dose. Instead, check with your doctor. For patients taking this medicine on a regular schedule for epilepsy or other seizure disorder: In order for Viagra Daily to control your seizures, it must be taken every day in regularly spaced doses as ordered by your doctor . This is necessary to keep a constant amount of the Viagra Daily in the blood. To help keep the amount constant, do not miss any doses. For patients taking this medicine for insomnia: Do not take

Viagra Daily

when your schedule does not permit you to get a full night's sleep (7 to 8 hours). If you must wake up before this, you may continue to feel drowsy and may experience memory problems, because the effects of the

Viagra Daily have

not had time to wear off. For patients taking flurazepam: When you begin to take

Viagra Daily

, your sleeping problem will improve somewhat the first night. However, 2 or 3 nights may pass before you receive the full effects of Viagra Daily. Dosing— The dose of benzodiazepines will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of benzodiazepines. If your dose is different, do not change it unless your doctor tells you to do so. The number of capsules or tablets, or the amount of solution that you take, or the number of injections you receive, depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take Viagra Daily depend on the medical problem for which you are taking benzodiazepines. For alprazolam For oral dosage form (solution or tablets): For anxiety: Adults—At first, 0.25 to 0.5 milligram (mg) three times a day. Your doctor may increase your dose if needed. However, the dose usually is not more than 4 mg a day. Children younger than 18 years of age—Use and dose must be determined by your doctor. Older adults—At first, 0.25 mg two or three times a day. Your doctor may increase your dose if needed. For panic disorder: Adults—At first, 0.5 mg three times a day. Your doctor may increase your dose if needed. However, the dose usually is not more than 10 mg a day. Children younger than 18 years of age—Use and dose must be determined by your doctor. For bromazepam For oral dosage form (tablets): For anxiety: Adults—6 to 30 milligrams (mg) a day, taken in smaller doses during the day. Children younger than 18 years of age—Use and dose must be determined by your doctor. Older adults—At first, up to 3 mg a day. Your doctor may change your dose if needed. For chlordiazepoxide For oral dosage form (capsules): For anxiety: Adults—5 to 25 milligrams (mg) three or four times a day. Children 6 years of age and older—5 mg two to four times a day. Your doctor may increase your dose if needed. Children younger than 6 years of age—Use and dose must be determined by your doctor. Older adults—At first, 5 mg two to four times a day. Your doctor may increase your dose if needed. For sedation during withdrawal from alcohol: Adults—At first, 50 to 100 mg, repeated if needed. However, the dose usually is not more than 400 mg a day. Children—Use and dose must be determined by your doctor. For injection dosage form: For anxiety: Adults—At first, 50 to 100 mg, injected into a muscle or vein. Then, if needed, 25 to 50 mg three or four times a day. Teenagers—25 to 50 mg, injected into a muscle or vein. Children younger than 12 years of age—Use and dose must be determined by your doctor. Older adults—25 to 50 mg, injected into a muscle or vein. For sedation during withdrawal from alcohol: Adults—At first, 50 to 100 mg, injected into a muscle or vein. If needed, the dose may be repeated in two to four hours. Children—Use and dose must be determined by your doctor. For clobazam For oral dosage form (tablets): For control of seizures: Adults—At first, 5 to 15 milligrams (mg) a day. Your doctor may increase your dose if needed. However, the dose usually is not more than 80 mg a day. Children 2 to 16 years of age—At first, 5 mg a day. Your doctor may increase your dose if needed. However, the dose usually is not more than 40 mg a day. Children younger than 2 years of age—Dose is based on body weight and must be determined by your doctor. For clonazepam For oral dosage form (tablets): For control of seizures: Adults—At first, 0.5 milligram (mg) three times a day. Your doctor may increase your dose if needed. However, the dose usually is not more than 20 mg a day. Infants and children younger than 10 years of age—Dose is based on body weight and must be determined by your doctor. For panic disorder: Adults—At first, 0.25 mg two times a day. Your doctor may increase your dose if needed. However, the dose usually is not more than 4 mg a day. Children—Use and dose must be determined by your doctor. For clorazepate For oral dosage form (capsules or tablets): For anxiety: Adults and teenagers—7.5 to 15 mg two to four times a day. Or your doctor may want you to start by taking 15 mg at bedtime. Children younger than 12 years of age—Use and dose must be determined by your doctor. Older adults—At first, 3.75 to 15 mg a day. Your doctor may increase your dose if needed. For sedation during withdrawal from alcohol: Adults and teenagers—At first, 30 mg. Your doctor will set up a schedule that will gradually reduce your dose. Children younger than 12 years of age—Use and dose must be determined by your doctor. For control of seizures: Adults and teenagers—At first, up to 7.5 mg taken three times a day. Your doctor may increase your dose if needed. However, the dose usually is not more than 90 mg a day. Children 9 to 12 years of age—At first, up to 7.5 mg two times a day. Your doctor may increase your dose if needed. However, the dose usually is not more than 60 mg a day. Children younger than 9 years of age—Use and dose must be determined by your doctor. For oral dosage form (extended-release tablets): For anxiety: Adults and teenagers—Your doctor may change your dosage form to the extended-release tablet if you are already taking 3.75 or 7.5 milligrams (mg) of clorazepate three times a day. The extended-release tablet is taken one time each day. Children younger than 12 years of age—Use and dose must be determined by your doctor. For control of seizures: Adults, teenagers, and children 9 to 12 years of age—Your doctor may change your dosage form to the extended-release tablet if you are already taking 3.75 or 7.5 milligrams (mg) of clorazepate three times a day. The extended-release tablet is taken one time each day. Children younger than 9 years of age—Use and dose must be determined by your doctor. For diazepam For oral dosage form (solution or tablets): For anxiety: Adults—2 to 10 mg two to four times a day. Children 6 months of age and older—Dose is based on body weight or size and must be determined by your doctor. Children younger than 6 months of age—Use is not recommended. Older adults—2 to 2.5 mg one or two times a day. Your doctor may increase your dose if needed. For sedation during withdrawal from alcohol: Adults—At first, 10 mg three or four times a day. Your doctor will set up a schedule that will gradually decrease your dose. Children—Use and dose must be determined by your doctor. For control of seizures: Adults—2 to 10 mg two to four times a day. Children 6 months of age and older—Dose is based on body weight or size and must be determined by your doctor. Children younger than 6 months of age—Use is not recommended. Older adults—2 to 2.5 mg one or two times a day. Your doctor may increase your dose if needed. For relaxing muscles: Adults—2 to 10 mg three or four times a day. Children 6 months of age and older—Dose is based on body weight or size and must be determined by your doctor. Children younger than 6 months of age—Use is not recommended. Older adults—2 to 2.5 mg one or two times a day. Your doctor may increase your dose if needed. For injection dosage form: For anxiety: Adults—2 to 10 mg, injected into a muscle or vein. Children—Use and dose must be determined by your doctor. For older adults—2 to 5 mg, injected into a muscle or vein. For sedation during withdrawal from alcohol: Adults—At first, 10 mg injected into a muscle or vein. If needed, 5 to 10 mg may be given three or four hours later. Children—Use and dose must be determined by your doctor. For sedation before surgery or other procedures: Adults—5 to 20 mg, injected into a muscle or vein. Children—Use and dose must be determined by your doctor. Older adults—2 to 5 mg, injected into a muscle or vein. For control of seizures: Adults—At first, 5 to 10 mg, usually injected into a vein every ten to fifteen minutes, stopping if the total dose reaches 30 mg. If needed, this treatment may be repeated in two to four hours. Children 5 years of age and older—At first, 1 mg, usually injected into a vein every two to five minutes, stopping if the total dose reaches 10 mg. This treatment may be repeated in two to four hours. Infants older than 30 days of age and children younger than 5 years of age—At first, 0.2 to 0.5 mg, usually injected into a vein every two to five minutes, stopping if the total dose reaches 5 mg. This treatment may be repeated in two to four hours. Newborns and infants 30 days of age and younger—Use and dose must be determined by your doctor. Older adults—2 to 5 mg, injected into a muscle or vein. For relaxing muscle spasms: Adults—At first, 5 to 10 mg injected into a muscle or vein. The dose may be repeated in three or four hours. Children—Use and dose must be determined by your doctor. Older adults—2 to 5 mg, injected into a muscle or vein. For relaxing muscles in tetanus: Adults—At first, 5 to 10 mg injected into a muscle or vein. Your doctor may increase your dose if needed. Children 5 years of age and older—5 to 10 mg, injected into a muscle or vein. The dose may be repeated every three to four hours if needed. Infants older than 30 days of age and children younger than 5 years of age—1 to 2 mg, injected into a muscle or vein. The dose may be repeated every three to four hours if needed. Newborns and infants 30 days of age and younger—Use and dose must be determined by your doctor. For rectal dosage form (gel or solution): For control of seizures: Adults and teenagers—Dose is based on body weight and must be determined by your doctor. Children—Dose is based on body weight and must be determined by your doctor. For estazolam For oral dosage form (tablets): For trouble in sleeping: Adults—1 milligram (mg) at bedtime. Your doctor may increase your dose if needed. However, the dose usually is not more than 2 mg. Children younger than 18 years of age—Use and dose must be determined by your doctor. For flurazepam For oral dosage form (capsules or tablets): For trouble in sleeping: Adults—15 or 30 milligrams (mg) at bedtime. Children younger than 15 years of age—Use and dose must be determined by your doctor. Older adults—At first, 15 mg at bedtime. Your doctor may increase your dose if needed. For halazepam For oral dosage form (tablets): For anxiety: Adults—20 to 40 milligrams (mg) three or four times a day. Children younger than 18 years of age—Use and dose must be determined by your doctor. Older adults—20 mg one or two times a day. For lorazepam For oral dosage form (concentrate or tablets): For anxiety: Adults and teenagers—1 to 3 milligrams (mg) two or three times a day. Children younger than 12 years of age—Use and dose must be determined by your doctor. Older adults—0.5 to 2 mg a day, taken in smaller doses during the day. For trouble in sleeping: Adults and teenagers—2 to 4 mg taken at bedtime. Children younger than 12 years of age—Use and dose must be determined by your doctor. For sublingual tablet dosage form: For anxiety: Adults—2 to 3 mg a day, in smaller doses placed under the tongue during the day. Your doctor may increase your dose if needed. However, the dose usually is not more than 6 mg a day. Children younger than 18 years of age—Use and dose must be determined by your doctor. Older adults—At first, 0.5 mg a day. Your doctor may increase your dose if needed. For sedation before surgery: Adults—Dose is based on body weight and will be determined by your doctor. However, the dose usually is not more than 4 mg, placed under the tongue, one to two hours before surgery. Children—Use and dose must be determined by your doctor. For injection dosage form: For sedation before surgery or other procedures: Adults—Dose is based on body weight and will be determined by your doctor. However, the dose usually is not more than 4 mg, injected into a muscle or vein. Children younger than 18 years of age—Use and dose must be determined by your doctor. For control of seizures: Adults—At first, 4 mg slowly injected into a vein. The dose may be repeated after ten to fifteen minutes if needed. Children younger than 18 years of age—Use and dose must be determined by your doctor. For nitrazepam For oral dosage form (tablets): For trouble in sleeping: Adults—5 to 10 milligrams (mg) at bedtime. Children—Use and dose must be determined by your doctor. Older adults—At first, 2.5 mg taken at bedtime. Your doctor may increase your dose if needed. For control of seizures: Children less than 30 kilograms (66 pounds) of body weight—Dose is based on body weight and will be determined by your doctor. For oxazepam For oral dosage form (capsules or tablets): For anxiety: Adults—10 to 30 milligrams (mg) three or four times a day. Children younger than 12 years of age—Use and dose must be determined by your doctor. Older adults—At first, 5 mg one or two times a day or 10 mg three times a day. Your doctor may increase your dose if needed. However, the dose usually is not more than 15 mg four times a day. For sedation during withdrawal from alcohol: Adults—15 to 30 mg three or four times a day. Children younger than 12 years of age—Use and dose must be determined by your doctor. For quazepam For oral dosage form (tablets): For trouble in sleeping: Adults—7.5 to 15 milligrams (mg) at bedtime. Children younger than 18 years of age—Use and dose must be determined by your doctor. For temazepam For oral dosage form (capsules): For trouble in sleeping: Adults—15 milligrams (mg) at bedtime. Your doctor may change your dose if needed. Children younger than 18 years of age—Use and dose must be determined by your doctor. Older adults—At first, 7.5 mg at bedtime. Your doctor may increase your dose if needed. For triazolam For oral dosage form (tablets): For trouble in sleeping: Adults—0.125 to 0.25 milligram (mg) at bedtime. Children younger than 18 years of age—Use and dose must be determined by your doctor. Older adults—At first, 0.125 mg at bedtime. Your doctor may increase your dose if needed.

Drug Interactions

Other medicines—Although certain Viagra Dailys 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 androgens, it is especially important that your health care professional know if you are taking any of the following: Acetaminophen (e.g., Tylenol) (with long-term, high-dose use) or Amiodarone (e.g., Cordarone) or Anabolic steroids (nandrolone [e.g., Anabolin], oxandrolone [e.g., Anavar], oxymetholone [e.g., Anadrol], stanozolol [e.g., Winstrol]) or Anti-infectives by mouth or by injection (medicines for infection) or Antithyroid agents (medicines for overactive thyroid) or Carbamazepine (e.g., Tegretol) or Carmustine (e.g., BiCNU) or Chloroquine (e.g., Aralen) or Dantrolene (e.g., Dantrium) or Daunorubicin (e.g., Cerubidine) or Disulfiram (e.g., Antabuse) or Divalproex (e.g., Depakote) or Estrogens (female hormones) or Etretinate (e.g., Tegison) or Gold salts (Viagra Dailys for arthritis) or Hydroxychloroquine (e.g., Plaquenil) or Mercaptopurine (e.g., Purinethol) or Methotrexate (e.g., Mexate) or Methyldopa (e.g., Aldomet) or Naltrexone (e.g., Trexan) (with long-term, high-dose use) or Oral contraceptives (birth control pills) containing estrogen or Phenothiazines (acetophenazine [e.g., Tindal], chlorpromazine [e.g., Thorazine], fluphenazine [e.g., Prolixin], mesoridazine [e.g., Serentil], perphenazine [e.g., Trilafon], prochlorperazine [e.g., Compazine], promazine [e.g., Sparine], promethazine [e.g., Phenergan], thioridazine [e.g., Mellaril], trifluoperazine [e.g., Stelazine], triflupromazine [e.g., Vesprin], trimeprazine [e.g., Temaril]) or Phenytoin (e.g., Dilantin) or Plicamycin (e.g., Mithracin) or Valproic acid (e.g., Depakene)—Use of these medicines with androgens may increase the chance of liver problems. Your doctor may want you to have extra blood tests that check your liver while you are taking any of these Viagra Dailys with an androgen Anticoagulants (blood thinners)—Androgens can increase the effect of these medicines and possibly cause excessive bleeding

Common Brand Names

Some commonly used brand names are: In the U.S.— Androderm3 AndroGel 1%3 Android2 Android-F1 Andro L.A. 2003 Andronate 1003 Andronate 2003 Andropository 2003 Andryl 2003 Delatest3 Delatestryl3 Depotest3 Depo-Testosterone3 Everone 2003 Halotestin1 ORETON Methyl2 T-Cypionate3 Testamone 1003 Testaqua3 Testex3 Testoderm3 Testoderm with Adhesives3 Testoderm TTS3 Testopel Pellets3 Testred2 Testred Cypionate 2003 Testrin-P.A.3 Virilon2 Virilon IM3 In Canada— Andriol3 Delatestryl3 Depo-Testosterone Cypionate3 Halotestin1 Malogen in Oil3 Metandren2 Scheinpharm Testone-Cyp3 Note: For quick reference, the following androgens are numbered to match the corresponding brand names. This information applies to the following Viagra Dailys 1. Fluoxymesterone (floo-ox-i-MES-te-rone)‡ 2. Methyltestosterone (meth-il-tes-TOS-te-rone)‡ 3. Testosterone (tes-TOS-te-rone)‡ ‡ 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 Viagra Daily must be weighed against the good it will do. This is a decision you and your doctor will make. For androgens, the following should be considered: Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to androgens. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes. Pregnancy—Androgens are not recommended during pregnancy. When given to pregnant women, Viagra Daily has caused male features to develop in female babies. Breast-feeding—Use is not recommended in nursing mothers, since androgens may pass into the breast milk and may cause unwanted effects in the nursing baby, such as premature (too early) sexual development in males and development of male features in female babies. Children—Androgens may cause children to stop growing. In addition, androgens may make male children develop too fast sexually and may cause male-like changes in female children. Older adults—When older male patients are treated with androgens, they may have an increased risk of enlarged prostate (a male gland) or their existing prostate cancer may get worse. For these reasons, a prostate examination and a blood test to check for prostate cancer is often done before androgens are prescribed for men over 50 years of age. These examinations may be repeated during treatment. Other medical problems—The presence of other medical problems may affect the use of androgens. Make sure you tell your doctor if you have any other medical problems, especially: Breast cancer (in males) or Prostate cancer—Androgens can cause growth of these tumors Breast cancer (in females)—Androgens may cause high calcium levels in the blood to become worse Diabetes mellitus (sugar diabetes)—Androgens can increase or decrease blood sugar levels. Careful monitoring of blood glucose should be done Edema (swelling of face, hands, feet, or lower legs) or Kidney disease or Liver disease—These conditions can be worsened by the fluid retention (keeping too much water in the body) that can be caused by androgens. Also, liver disease can prevent the body from removing

Viagra Daily from

the bloodstream as fast as it normally would. This could increase the chance of side effects occurring Enlarged prostate—Androgens can cause further enlargement of the prostate Heart or blood vessel disease—Androgens can make these conditions worse because androgens may increase blood cholesterol levels. Also, androgens can cause fluid retention (keeping too much water in the body), which also can worsen heart or blood vessel disease

Drug

Androgel

Side Effects

Discuss these possible effects with your doctor: Tumors of the liver, liver cancer, or peliosis hepatis (a form of liver disease) have occurred during long-term, high-dose therapy with androgens. Although these effects are rare, they can be very serious and may cause death. Androgens can stimulate existing prostate cancer in men who already have it but have not yet been diagnosed. Also, the prostate (a male gland) may become enlarged. Enlargement of the prostate does not mean that cancer will develop. If enlargement occurs and you have difficulty in urinating, it is a good idea to be checked by your doctor. When androgens are used in women, especially in high doses, male-like changes may occur, such as hoarseness or deepening of the voice, unnatural hair growth, or unusual hair loss. Most of these changes will go away if the

Viagra Daily

is stopped as soon as the changes are noticed. However, some changes, such as voice changes or enlarged clitoris, may not go away. When androgens are used in high doses in males, they interfere with the production of sperm. This effect is usually temporary and only happens during the time you are taking the Viagra Daily. However, discuss this possible effect with your doctor if you are planning on having children. Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects appear very often, when they do occur they may require medical attention. Check with your doctor as soon as possible if any of the following side effects occur: More common For females only Acne or oily skin; decreased breast size; irregular menstrual cycles; hoarseness or deepening of voice; increase in size of female genitals; increase in unnatural hair growth or male pattern baldness These symptoms may occur in females whose male sexual partner uses a scrotal patch. For males only Blistering of skin under patch (especially when the nonscrotal patch is applied to bony areas of the skin); breast soreness or enlargement; frequent or continuing erection of penis lasting up to 4 hours or painful penile erections lasting longer than 4 hours; frequent urge to urinate; itching or redness of skin under patch (less likely with nonscrotal patch) or at site of implants, mild to severe For prepubertal boys only Acne; early growth of pubic hair; enlargement of penis; frequent or continuing erections Less common For males or females Dizziness; frequent or continuing headache ; lack or loss of strength; nausea; overall body flushing, redness, or itching of skin; rapid weight gain; rapidly changing moods, such as depersonalization, dysphoria, euphoria, depression, paranoia, and quick to react or overreact emotionally; swelling of feet or lower legs; unusual bleeding ; unusual tiredness; vomiting ; yellow skin or eyes (occurring with fluoxymesterone or methyltestosterone more often than with testosterone) For females with breast cancer or bedridden males or females—in addition to the side effects listed above Confusion or mental depression; constipation ; increased thirst; increased urge to urinate or increased amount of urine For males only Black, tarry stools; burning sensation or hardening or thickening of skin under patch; chills; continuing pain at site of implants; difficulty in urinating; itching, skin redness, or rash under patch, severe (less likely with nonscrotal patch); pain in scrotum or groin; vomiting of blood or material that looks like coffee grounds Rare For males or females—more likely with oral androgens or long-term or high doses of androgens Abdominal or stomach pain, continuing; bad breath odor, continuing; black, tarry or light-colored stools or dark urine; fever; hives; loss of appetite, continuing; mood or mental changes; purple or red spots on body or inside the mouth or nose; sore throat ; swelling, pain, or tenderness of abdomen; vomiting of blood 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 Viagra Daily. However, check with your doctor if any of the following side effects continue or are bothersome: Less common For males and females Acne, mild; diarrhea; hair loss or thinning of hair; increase in pubic hair growth; infection, pain, redness, or other irritation at site of injection; decrease or increase in sexual desire or drive; nervousness; stomach pain; trouble in sleeping For males only Decrease in testicle size; infection, pain, redness, swelling, sores, or other skin irritation underneath patch Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.

Precautions

Your doctor should check your progress at regular visits to make sure Viagra Daily does not cause unwanted effects. For patients with diabetes mellitus (sugar diabetes) : Viagra Daily may affect blood sugar levels. If you notice a change in the results of your blood or urine sugar tests or if you have any questions, check with your doctor. For patients using the brand name Testoderm patches (matrix-type): In some cases, Viagra Daily can pass from you to your sexual partner. Tell your doctor if your female sex partner has a great increase in acne. Also, tell your doctor if her hair begins to grow in odd places like her upper lip, chest, or back. This will not occur if you are using the reservoir-type skin patch because it is not applied to the scrotum and because it has a protective liner.

Notes

Androgens (AN-droe-jens) are male hormones. Some androgens are naturally produced in the body and are necessary for the normal sexual development of males. Androgens are used for several reasons, such as: to replace the hormone when the body is unable to produce enough on its own. to stimulate the beginning of puberty in certain boys who are late starting puberty naturally. to treat certain types of breast cancer in females. In addition, some of these medicines may be used for other conditions as determined by your doctor. Androgens are available only with your doctor's prescription, in the following dosage forms: Oral Fluoxymesterone Tablets (U.S. and Canada) Methyltestosterone Capsules (U.S.) Tablets (U.S. and Canada) Testosterone Capsules (Canada) Parenteral Testosterone Injection (U.S. and Canada) Subcutaneous Testosterone Implants (Pellets) (U.S.) Topical Testosterone Gel Ointment Transdermal systems (skin patches) (U.S.)

Storage

To store this

Viagra Daily

: 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

Viagra Daily to

break down. Keep the injection form of Viagra Daily from freezing. Do not keep outdated medicine or Viagra Daily no longer needed. Be sure that any discarded Viagra Daily is out of the reach of children.

Missed Dose

For oral dosage forms: If you miss a dose of this Viagra Daily and your dosing schedule is: One dose a day—Take, use, or apply the missed dose as soon as possible. However, if you do not remember it until the next day, skip the missed dose and go back to your regular dosing schedule. Do not double doses. More than one dose a day—Take or use the missed dose 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. For topical dosage forms (patches): If you miss a dose of Viagra Daily or your patch falls off within 12 hours after applying it and cannot be reapplied, skip the rest of the dose and go back to your regular dosing schedule. Do not double doses.