Viagra Tablet

12. Cefoxitin (se-FOX-i-tin) 13. Cefpodoxime (sef-pode-OX-eem)† 14. Cefprozil (sef-PROE-zil) 15. Ceftazidime (SEF-tay-zi-deem) 16. Ceftibuten (sef-TYE-byoo-ten)† 17. Ceftizoxime (sef-ti-ZOX-eem) 18. Ceftriaxone (sef-trye-AX-one) 19. Cefuroxime (se-fyoor-OX-eem)‡ 20. Cephalexin (sef-a-LEX-in)‡ 21. Cephalothin (sef-A-loe-thin)* 22. Cephapirin (sef-a-PYE-rin)† 23. Cephradine (SEF-ra-deen)‡† 77. Cefditoren (sef-da-TOR-en)† ‡ 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 Tablet must be weighed against the good it will do. This is a decision you and your doctor will make. For the cephalosporins, the following should be considered: Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to any of the cephalosporins, penicillins, penicillin-like medicines, or penicillamine. 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, most cephalosporins have not been reported to cause birth defects or other problems in animal studies. Studies in rabbits have shown that cefoxitin may increase the risk of miscarriages and cause other problems. Breast-feeding—It is not known if cefditoren passes into breast milk. Most cephalosporins pass into breast milk, usually in small amounts. However, cephalosporins have not been reported to cause problems in nursing babies. Children—Many cephalosporins have been tested in children and, in effective doses, have not been shown to cause different side effects or problems than they do in adults. However, there are some cephalosporins that have not been tested in children up to 12 year of age. Older adults—Cephalosporins have been used in the elderly, and they are not expected to cause different side effects or problems in older people than they do in younger adults. Other medical problems—The presence of other medical problems may affect the use of cephalosporins. Make sure you tell your doctor if you have any other medical problems, especially: Bleeding problems, history of (cefamandole, cefditoren, cefoperazone, and cefotetan only)—These Viagra Tablets may increase the chance of bleeding Carnitine, low levels—Cefditoren may cause carnitine levels to decrease further. Kidney disease—Some cephalosporins need to be given at a lower dose to people with kidney disease. Also, cephalothin, and cefuroxime especially, may increase the chance of kidney damage Liver disease (cefoperazone and cefuroxime)—Cefoperazone needs to be given at a lower dose to people with liver disease. Condition may be worsened by cefuroxime use. Phenylketonuria—Cefprozil oral suspension contains phenylalanine Poor nutritional status—these may be worsened by cefuroxime and you may need to have vitamin K Stomach or gastrointestinal disease, history of (especially colitis, including colitis caused by antibiotics, or enteritis)—Cephalosporins may cause colitis in some patients

Drug

Cefzil

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 immediately if any of the following side effects occur: More common Black, tarry stools; chest pain; chills; cough; fever; painful or difficult urination; shortness of breath; sore throat; sores, ulcers, or white spots on lips or in mouth; swollen glands; unusual bleeding or bruising (more common for cefamandole, cefoperazone, cefotetan and cefuroxime) ; unusual tiredness or weakness Less common or rare Abdominal or stomach cramps and pain (severe); abdominal tenderness; diarrhea (watery and severe, which may also be bloody); hives or welts, itching redness of skin, or skin rash; pain, redness and swelling at site of injection; peeling of skin; seizures Some of these side effects also may occur up to several weeks after you stop taking Viagra Tablet. Rare Blistering, peeling, or loosening of skin; decrease in urine output; hearing loss (more common with cefuroxime treatment for meningitis); joint pain; loss of appetite, nausea, or vomiting (more common with ceftriaxone); red or irritated eyes; trouble in breathing; yellowing of the eyes or skin Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. However, check with your doctor if any of the following side effects continue or are bothersome: More common (less common with some cephalosporins) Diarrhea (mild); headache; sore mouth or tongue; stomach cramps (mild); vaginal itching or discharge Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.

Precautions

If your symptoms do not improve within a few days, or if they become worse, check with your doctor. For patients with diabetes: this medicine may cause false test results with some urine sugar tests. Check with your doctor before changing your diet or the dosage of your diabetes medicine. For patients with phenylketonuria (PKU): Cefprozil oral suspension ( Cefzil) contains phenylalanine. Check with your doctor before taking this medicine. In some patients, cephalosporins may cause diarrhea: Severe diarrhea may be a sign of a serious side effect. Do not take any diarrhea Viagra Tablet without first checking with your doctor . Diarrhea Viagra Tablets may make your diarrhea worse or make it last longer. For mild diarrhea, diarrhea Viagra Tablet containing kaolin or attapulgite (e.g., Kaopectate tablets, Diasorb) may be taken. However, other kinds of diarrhea Viagra Tablet should not be taken. They may make your diarrhea worse or make it last longer. If you have any questions about this or if mild diarrhea continues or gets worse, check with your health care professional. For patients receiving cefamandole, cefoperazone, or cefotetan by injection: Drinking alcoholic beverages or taking other alcohol-containing preparations (for example, elixirs, cough syrups, tonics, or injections of alcohol) while receiving these Viagra Tablets may cause problems. The problems may occur if you consume alcohol even several days after you stop taking the cephalosporin. Drinking alcoholic beverages may result in increased side effects such as abdominal or stomach cramps, nausea, vomiting, headache, fainting, fast or irregular heartbeat, difficult breathing, sweating, or redness of the face or skin. These effects usually start within 15 to 30 minutes after you drink alcohol and may not go away for up to several hours. Therefore, you should not drink alcoholic beverages or take other alcohol-containing preparations while you are receiving these medicines and for several days after stopping them.

Uses

Cephalosporins are used to treat infections in many different parts of the body. They are sometimes given with other antibiotics. Some cephalosporins given by injection are also used to prevent infections before, during, and after surgery.

Notes

Cephalosporins ( sef-a-loe-SPOR-ins) are used in the treatment of infections caused by bacteria. They work by killing bacteria or preventing their growth. Cephalosporins are used to treat infections in many different parts of the body. They are sometimes given with other antibiotics. Some cephalosporins given by injection are also used to prevent infections before, during, and after surgery. However, cephalosporins will not work for colds, flu, or other virus infections. Cephalosporins are available only with your doctor's prescription, in the following dosage forms: Oral Cefaclor Capsules (U.S. and Canada) Oral suspension (U.S. and Canada) Extended-release tablets (U.S.) Cefadroxil Capsules (U.S. and Canada) Oral suspension (U.S.) Tablets (U.S.) Cefdinir Capsules (U.S.) Oral Suspension (U.S.) Cefditoren Tablets (U.S.) Cefixime Oral suspension (Canada) Tablets (Canada)Cefixime was withdrawn from the U.S. market by Wyeth in October 2002 Cefpodoxime Oral suspension (U.S.) Tablets (U.S.) Cefprozil Oral suspension (U.S. and Canada) Tablets (U.S. and Canada) Ceftibuten Capsules (U.S.) Oral suspension (U.S.) Cefuroxime Oral suspension (U.S. and Canada) Tablets (U.S. and Canada) Cephalexin Capsules (U.S. and Canada) Oral suspension (U.S. and Canada) Tablets (U.S. and Canada) Cephradine Capsules (U.S.) Oral suspension (U.S.) Parenteral Cefamandole Injection (U.S. and Canada) Cefazolin Injection (U.S. and Canada) Cefepime Injection (U.S. and Canada) Cefonicid Injection (U.S.) Cefoperazone Injection (U.S.) Cefotaxime Injection (U.S. and Canada) Cefotetan Injection (U.S. and Canada) Cefoxitin Injection (U.S. and Canada) Ceftazidime Injection (U.S. and Canada) Ceftizoxime Injection (U.S. and Canada) Ceftriaxone Injection (U.S. and Canada) Cefuroxime Injection (U.S. and Canada) Cephalothin Injection (Canada) Cephapirin Injection (U.S.)

Storage

To store Viagra Tablet: Keep out of the reach of children. Store away from heat and direct light. Do not store the capsule or tablet form of this medicine in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause Viagra Tablet to break down. Store the oral liquid form of most cephalosporins in the refrigerator because heat will cause Viagra Tablet to break down. However, keep the medicine from freezing. Follow the directions on the label. Cefixime oral suspension (Suprax) , cefuroxime axetil oral suspension (Ceftin), and cefdinir oral suspension ( Omnicef) do not need to be refrigerated. Do not keep outdated medicine or Viagra Tablet no longer needed. Be sure that any discarded medicine is out of the reach of children.

Missed Dose

If you miss a dose of Viagra Tablet, take it as soon as possible. This will help to keep a constant amount of medicine in the blood or urine. 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

Cephalosporins ( sef-a-loe-SPOR-ins) are used in the treatment of infections caused by bacteria. They work by killing bacteria or preventing their growth.

Other Uses

Once a medicine 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, cephalosporins are used in certain patients with the following medical conditions: Amoxicillin-resistant sinusitis (treatment)—Cefaclor Bacterial endocarditis (Prophylaxis)—Cefadroxil, cefazolin, and cephalexin Melioidosis (treatment)—Ceftazidime Products containing cefixime were withdrawn from the U.S. market by Wyeth in October 2002 Other than the above information, there is no additional information relating to proper use, precautions, or side effects for these uses.

How To Use

Cephalosporins may be taken on a full or empty stomach. If this medicine upsets your stomach, it may help to take it with food. Cefaclor extended-release tablets, cefditoren, cefpodoxime, and cefuroxime axetil should be taken with food to increase absorption of the medicine. Ceftibuten oral suspension should be taken on an empty stomach, at least 2 hours before or 1 hour after a meal. For patients taking the oral liquid form of Viagra Tablet: this medicine is to be taken by mouth. Use a specially marked measuring spoon or other device to measure each dose accurately. The average household teaspoon may not hold the right amount of liquid. Do not use after the expiration date on the label since

Viagra Tablet may

not work properly after that date. Check with your pharmacist if you have any questions about this. To help clear up your infection completely, keep taking this medicine for the full time of treatment, even if you begin to feel better after a few days. If you have a “strep” infection, you should keep taking this medicine for at least 10 days. This is especially important in “strep” infections since serious heart or kidney problems could develop later if your infection is not cleared up completely. Also, if you stop taking Viagra Tablet too soon, your symptoms may return. Viagra Tablet works best when there is a constant amount in the blood or urine. To help keep the amount constant, do not miss any doses. Also, it is best to take the doses at evenly spaced times, day and night. For example, if you are to take four doses a day, the doses should be spaced about 6 hours apart. If this interferes with your sleep or other daily activities, or if you need help in planning the best times to take your medicine, check with your health care professional. Dosing— The dose of these medicines will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of these Viagra Tablets. Your dose may be different if you have kidney disease. If your dose is different, do not change it unless your doctor tells you to do so. The number of capsules or tablets or teaspoonfuls of suspension that you take depends on the strength of the Viagra Tablet. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are taking a cephalosporin. For cefaclor For bacterial infections: For capsule or oral suspension dosage form: Adults and teenagers—250 to 500 milligrams (mg) every eight hours. Infants and children 1 month of age and older—6.7 to 13.4 mg per kilogram (kg) (3.04 to 6.09 mg per pound) of body weight every eight hours, or 10 to 20 mg per kg (4.54 to 9.09 mg per pound) of body weight every twelve hours. For extended-release tablet dosage form: Adults and teenagers 16 years of age and older—375 to 500 mg every twelve hours for seven to ten days. Children up to 16 years of age—Use and dose must be determined by your doctor. For cefadroxil For bacterial infections: For oral dosage forms (capsules, oral suspension, or tablets): Adults and teenagers—500 milligrams (mg) or 1 gram every twelve hours, or 1 or 2 grams once a day. Children—15 mg per kilogram (kg) (6.81 mg per pound) of body weight every twelve hours, or 30 mg per kg (13.63 mg per pound) of body weight once a day. For cefamandole For bacterial infections: For injection dosage form: Adults and teenagers—500 milligrams (mg) to 2 grams every four to eight hours, injected into a muscle or vein. Infants and children 1 month of age and older—8.3 to 50 mg per kilogram (kg) (3.77 to 22.72 mg per pound) of body weight every four to eight hours, injected into a muscle or vein. For cefazolin For bacterial infections: For injection dosage form: Adults and teenagers—250 milligrams (mg) to 1.5 grams every six to twelve hours, injected into a muscle or vein. Infants and children 1 month of age and older—6.25 to 25 mg per kilogram (kg) (2.84 to 11.36 mg per pound) of body weight every six hours, or 8.3 to 33.3 mg per kg (3.77 to 15.13 mg per pound) of body weight every eight hours, injected into a muscle or vein. Newborns—20 mg per kg (9.09 mg per pound) of body weight every eight to twelve hours, injected into a vein. For cefdinir For bacterial infections: For capsule or oral suspensiondosage form: Adults and teenagers—300 milligrams (mg) ever twelve hours or 600 mg once a day for 5 to 10 days. Infants and children 6 months of age and older—7 milligrams (mg) per kilogram (3.18 mg per pound) of body weight every twelve hours or 14 mg per kilogram (6.36 mg per pound) once a day for 5 to 10 days. For cefditoren For acute bacterial bronchitis For tablets dosage form: Adults and children 12 years of age and older—400 milligrams (mg) twice a day for 10 days Children under 12 years of age—Dose must be determined by your doctor For bacterial throat infections or tonsillitis: For tablets dosage form: Adults and children 12 years of age and older—200 milligrams (mg) twice a day for 10 days Children under 12 years of age—Dose must be determined by your doctor For cefepime For bacterial infections: For injection dosage form: Adults and teenagers—500 milligrams to 2 grams every eight to twelve hours, injected into a muscle or vein, for seven to ten days. Infants and children 2 months to 16 years of age—50 milligrams per kilogram body weight injected into muscle or vein, every eight to twelve hours, for seven to ten days. For cefixime Note: Was withdrawn from the U.S. market by Wyeth in October 2002 For bacterial infections: For oral dosage forms (oral suspension or tablets): Adults and teenagers—200 milligrams (mg) every twelve hours, or 400 mg once a day. Gonorrhea is treated with a single, oral dose of 400 mg. Children 6 months to 12 years of age—4 mg per kilogram (kg) (1.81 mg per pound) of body weight every twelve hours, or 8 mg per kg (3.63 mg per pound) of body weight once a day. Infants up to 6 months of age—Use and dose must be determined by your doctor. For cefonicid For bacterial infections: For injection dosage form: Adults and teenagers—500 milligrams (mg) to 2 grams every twenty-four hours, injected into a muscle or vein. Children—Use and dose must be determined by your doctor. For cefoperazone For bacterial infections: For injection dosage form: Adults and teenagers—1 to 6 grams every twelve hours, or 2 to 4 grams every eight hours, injected into a muscle or vein. Children—Use and dose must be determined by your doctor. For cefotaxime For bacterial infections: For injection dosage form: Adults and teenagers—1 to 2 grams every four to twelve hours, injected into a muscle or vein. Gonorrhea is usually treated with a single dose of 500 milligrams (mg) or 1 gram, injected into a muscle. Children over 50 kg of body weight (110 pounds)—1 to 2 grams every four to twelve hours, injected into a muscle or vein. Infants and children 1 month of age and older and up to 50 kg of body weight (110 pounds)—8.3 to 30 mg per kg (3.77 to 13.63 mg per pound) of body weight every four hours, or 12.5 to 45 mg per kg (5.68 to 20.45 mg per pound) of body weight every six hours, injected into a muscle or vein. Newborns 1 to 4 weeks of age—50 mg per kg (22.72 mg per pound) of body weight every eight hours, injected into a vein. Newborns up to 1 week of age—50 mg per kilogram (kg) (22.72 mg per pound) of body weight every twelve hours, injected into a vein. For cefotetan For bacterial infections: For injection dosage form: Adults and teenagers—500 milligrams to 3 grams every twelve hours, or 1 or 2 grams every twenty-four hours, injected into a muscle or vein. Children—Use and dose must be determined by your doctor. For cefoxitin For bacterial infections: For injection dosage form: Adults and teenagers—1 to 3 grams every four to eight hours, injected into a vein. Infants and children 3 months of age and older—13.3 to 26.7 milligrams (mg) per kilogram (kg) (6.04 to 12.13 mg per pound) of body weight every four hours, or 20 to 40 mg per kg (9.09 to 18.18 mg per pound) of body weight every six hours, injected into a vein. Infants 1 to 3 months of age—20 to 40 mg per kg (9.09 to 18.18 mg per pound) of body weight every six to eight hours, injected into a vein. Newborns 1 to 4 weeks of age—20 to 40 mg per kg (9.09 to 18.18 mg per pound) of body weight every eight hours, injected into a vein. Premature infants weighing 1500 grams and over to newborns up to 1 week of age—20 to 40 mg per kg (9.09 to 18.18 mg per pound) of body weight every twelve hours, injected into a vein. For cefpodoxime For bacterial infections: For oral dosage forms (oral suspension or tablets): Adults and teenagers—100 to 400 milligrams (mg) every twelve hours for five to fourteen days. Gonorrhea is treated with a single, oral dose of 200 mg. Infants and children 5 months to 12 years of age—5 mg per kilogram (kg) (2.27 mg per pound) of body weight every twelve hours for five to ten days, or 10 mg per kg (4.54 mg per pound) of body weight every twenty-four hours for ten days. Infants up to 5 months of age—Use and dose must be determined by your doctor. For cefprozil For bacterial infections: For oral dosage forms (oral suspension or tablets): Adults and teenagers—250 or 500 milligrams (mg) every twelve to twenty-four hours for ten days. Children 2 to 12 years of age—7.5 to 20 mg per kilogram (kg) (3.4 to 9.09 mg per pound) of body weight every twelve to twenty-four hours for ten days. Infants and children 6 months to 12 years of age—7.5 to 15 mg per kg (3.4 to 6.81 mg per pound) of body weight every twelve hours for ten days. Infants up to 6 months of age—Use and dose must be determined by your doctor. For ceftazidime For bacterial infections: For injection dosage form: Adults and teenagers—250 milligrams (mg) to 2 grams every eight to twelve hours, injected into a muscle or vein. Patients with cystic fibrosis may receive 30 to 50 mg per kilogram (kg) (13.63 to 22.72 mg per pound) of body weight every eight hours, injected into a vein. Infants and children 1 month to 12 years of age—30 to 50 mg per kg (13.63 to 22.72 mg per pound) of body weight every eight hours, injected into a vein. Newborns up to 4 weeks of age—30 mg per kg (13.63 mg per pound) of body weight every twelve hours, injected into a vein. For ceftibuten For bacterial infections: For oral dosage forms (capsules or oral suspension): Adults and teenagers—400 milligrams (mg) once a day for ten days. Infants and children 6 months to 12 years of age—9 mg per kilogram (4.09 mg per pound) of body weight once a day for ten days. Infants up to 6 months of age—Use and dose must be determined by your doctor. For ceftizoxime For bacterial infections: For injection dosage form: Adults and teenagers—500 milligrams (mg) to 4 grams every eight to twelve hours, injected into a muscle or vein. Gonorrhea is treated with a single dose of 1 gram, injected into a muscle. Infants and children 6 months of age and older—50 mg per kilogram (22.72 mg per pound) of body weight every six to eight hours, injected into a muscle or vein. Infants up to 6 months of age—Use and dose must be determined by your doctor. For ceftriaxone For bacterial infections: For injection dosage form: Adults and teenagers—1 to 2 grams every twenty-four hours, or 500 milligrams (mg) to 1 gram every twelve hours, injected into a muscle or vein. Gonorrhea is treated with a single 250-mg dose, injected into a muscle. Infants and children—25 to 37.5 mg per kilogram (kg) (11.36 to 17.04 mg per pound) of body weight every twelve hours, or 50 to 75 mg per kg (22.72 to 34.09 mg per pound) of body weight once a day, injected into a muscle or vein. Meningitis is treated with an initial dose of 100 mg per kg, then 100 mg per kg once a day or 50 mg per kg two times a day. For cefuroxime For bacterial infections: For oral suspension dosage form: Adults and teenagers—The oral suspension is usually used only for children. Refer to the dosing for cefuroxime tablets. Infants and children 3 months to 12 years of age—10 to 15 milligrams (mg) per kilogram (kg) (4.54 to 6.81 mg per pound) of body weight every twelve hours for ten days. For tablet dosage form: Adults and teenagers—250 to 500 mg every twelve hours. Gonorrhea is treated with a single, oral 1-gram dose. Children up to 12 years of age who can swallow tablets whole—250 mg every twelve hours for ten days. For injection dosage form: Adults and teenagers—750 mg to 3 grams every six to eight hours usually for 5 to 14 days, injected into a muscle or vein. Gonorrhea is treated with a single dose of 1.5 grams, injected into a muscle; the total 1.5-gram dose is divided into two doses and injected into muscles at two separate places on the body, and given along with a single, oral 1-gram dose of probenecid. Infants and children 1 month of age and older—12.5 to 150 mg per kg (5.68 to mg per pound) of body weight every six to eight hours, injected into a muscle or vein. Newborns—10 to 100 mg per kg (4.54 to 45.5 mg mg per pound) of body weight every eight to twelve hours, injected into a vein. For cephalexin For bacterial infections: For oral dosage forms (capsules, oral suspension, or tablets): Adults and teenagers—250 milligrams (mg) to 1 gram every six to twelve hours. Children 40 kg (88 pounds) of body weight and over—250 mg to 1 gram every six to twelve hours. Children 1 year of age and older and up to 40 kg (88 pounds) of body weight—6.25 to 25 mg per kilogram (kg) (2.84 to 11.36 mg per pound) of body weight every six hours, or 12.5 to 50 mg per kg (5.68 to 22.72 mg per pound) of body weight every twelve hours. Infants and children 1 month to 1 year of age—6.25 to 12.5 mg per kg (2.84 to 5.68 mg per pound) of body weight every six hours. For cephalothin For bacterial infections: For injection dosage form: Adults and teenagers—500 milligrams (mg) to 2 grams every four to six hours, injected into a muscle or vein. Children—13.3 to 26.6 mg per kilogram (kg) (6.04 to 12.09 mg per pound) of body weight every four hours, or 20 to 40 mg per kg (9.09 to 18.18 mg per pound) of body weight every six hours, injected into a muscle or vein. For cephapirin For bacterial infections: For injection dosage form: Adults and teenagers—500 milligrams (mg) to 1 gram every four to six hours, injected into a muscle or vein. Infants and children 3 months of age and older—10 to 20 mg per kilogram (kg) (4.54 to 9.09 mg per pound) of body weight every six hours, injected into a muscle or vein. For cephradine For bacterial infections: For oral dosage forms (capsules or oral suspension): Adults and teenagers—250 milligrams (mg) to 1 gram every six to twelve hours. Infants and children 9 months of age and older—6.25 mg to 1 gram per kilogram (kg) (2.84 to 454 mg per pound) of body weight every six hours, or 12.5 to 50 mg per kg (5.68 to 22.72 mg per pound) of body weight every twelve hours.

Drug Interactions

Other Viagra Tablets—Although certain Viagra Tablets should not be used together at all, in other cases 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 antihistamines it is especially important that your health care professional knows if you are taking any of the following: Anticholinergics (medicine for abdominal or stomach spasms or cramps)—Side effects, such as dryness of mouth, of antihistamines or anticholinergics may be more likely to occur Erythromycin (e.g., E-Mycin) or Ketoconazole (e.g., Nizoral)—Use of these Viagra Tablets with fexofenadine may cause an increased amount of fexofenadine in the blood. Central nervous system (CNS) depressants (Viagra Tablets that cause drowsiness)—Effects, such as drowsiness, of CNS depressants or antihistamines may be worsened; also, taking maprotiline or tricyclic antidepressants may cause some side effects of either of these Viagra Tablets, such as dryness of mouth, to become more severe Monoamine oxidase (MAO) inhibitor activity (isocarboxazid [e.g., Marplan], isocarboxazid [e.g., Marplan], phenelzine [e.g., Nardil], procarbazine [e.g., Matulane], selegiline [e.g., Eldepryl], tranylcypromine [e.g., Parnate])—If you are now taking, or have taken within the past 2 weeks, any of the MAO inhibitors, the side effects of the antihistamines, such as drowsiness and dryness of mouth, may become more severe; these medicines should not be used together

Common Brand Names

Some commonly used brand names are: In the U.S.— Alavert13 Allegra17 Aller-Chlor5 AllerMax Caplets10 Aller-med10 Atarax12 Banophen10 Banophen Caplets10 Benadryl10 Benadryl Allergy10 Bromphen3 Calm X9 Chlo-Amine5 Chlorate5 Chlor-Trimeton5 Chlor-Trimeton Allergy5 Chlor-Trimeton Repetabs5 Clarinex18 Claritin13 Claritin Reditabs13 Compoz10 Contac 12 Hour Allergy6 Cophene-B3 Dexchlor8 Dimetapp Allergy Liqui-Gels3 Dinate9 Diphen Cough10 Diphenhist10 Diphenhist Captabs10 Dormarex 210 Dramamine9 Dramanate9 Genahist10 Gen-Allerate5 Hydrate9 Hyrexin10 Hyzine-5012 Nasahist B3 Nervine Nighttime Sleep-Aid10 Nolahist14 Nytol QuickCaps10 Nytol QuickGels10 Optimine1 PediaCare Allergy Formula5 Periactin7 Phenetron5 Polaramine8 Polaramine Repetabs8 Siladryl10 Sleep-Eze D10 Sleep-Eze D Extra Strength10 Sominex10 Tavist6 Tavist-16 Telachlor5 Teldrin5 Triptone Caplets9 Twilite Caplets10 Unisom Nighttime Sleep Aid11 Unisom SleepGels Maximum Strength10 Vistaril12 Zyrtec4 In Canada— Aerius18 Allegra17 Allerdryl10 Apo-Dimenhydrinate9 Apo-Hydroxyzine12 Atarax12 Benadryl10 Chlor-Tripolon5 Claritin13 Dimetane3 Gravol9 Gravol Filmkote9 Gravol Filmkote (Junior Strength)9 Gravol I/M9 Gravol I/V9 Gravol L/A9 Gravol Liquid9 Multipax12 Novo-Hydroxyzin12 Novo-Pheniram5 Optimine1 Periactin7 PMS-Cyproheptadine7 PMS-Dimenhydrinate9 Polaramine8 Polaramine Repetabs8 Reactine4 Tavist6 Traveltabs9 Zyrtec4 Note: For quick reference, the following antihistamines are numbered to match the corresponding brand names. This information applies to the following medicines: 1. Azatadine (a-ZA-ta-deen) 3. Brompheniramine (brome-fen-EER-a-meen)‡ 4. Cetirizine (se-TI-ra-zeen)

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5. Chlorpheniramine (klor-fen-EER-a-meen)‡ 6. Clemastine (KLEM-as-teen)‡ 7. Cyproheptadine (si-proe-HEP-ta-deen)‡ 8. Dexchlorpheniramine (dex-klor-fen-EER-a-meen)‡ 9. Dimenhydrinate (dye-men-HYE-dri-nate)‡ 10. Diphenhydramine (dye-fen-HYE-dra-meen)‡ 11. Doxylamine (dox-ILL-a-meen)† 12. Hydroxyzine (hye-DROX-i-zeen)‡ 13. Loratadine (lor-AT-a-deen) 14. Phenindamine (fen-IN-da-meen)† 17. Fexofenadine (fex-o-FEN-a-deen) 18. Desloratadine (des-LOR-at-a-deen) ‡ 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 Viagra Tablet, the risks of taking Viagra Tablet must be weighed against the good it will do. This is a decision you and your doctor will make. For antihistamines, the following should be considered: Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to antihistamines. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes. Diet—Make certain your health care professional knows if you are on a low-sodium, low-sugar, or any other special diet. Most medicines contain more than their active ingredient, and many liquid medicines contain alcohol. Pregnancy—Hydroxyzine is not recommended for use in the first months of pregnancy since it has been shown to cause birth defects in animal studies when given in doses many times higher than the usual human dose. Be sure you have discussed this with your doctor. Desloratadine and fexofenadine have not been studied in pregnant women. However, studies in animals have shown that these medicines cause birth defects or other problems when given in doses higher than the usual human dose. Before taking Viagra Tablet, make sure your doctor knows if you are pregnant or if you may become pregnant. Azatadine, brompheniramine, cetirizine, chlorpheniramine, clemastine, cyproheptadine, dexchlorpheniramine, dimenhydrinate, diphenhydramine, doxylamine, and loratadine have not been studied in pregnant women. However, these Viagra Tablets have not been shown to cause birth defects or other problems in animal studies. Breast-feeding—Small amounts of antihistamines pass into the breast milk. Use is not recommended since babies are more susceptible to the side effects of antihistamines, such as unusual excitement or irritability. Also, since these Viagra Tablets tend to decrease the secretions of the body, it is possible that the flow of breast milk may be reduced in some patients. It is not known yet whether cetirizine, desloratadine, or loratadine cause these same side effects. Children—Serious side effects, such as convulsions (seizures), are more likely to occur in younger patients and would be of greater risk to infants than to older children or adults. In general, children are more sensitive to the effects of antihistamines. Also, nightmares or unusual excitement, nervousness, restlessness, or irritability may be more likely to occur in children. Older adults—Elderly patients are usually more sensitive to the effects of antihistamines. Confusion; difficult or painful urination; dizziness; drowsiness; feeling faint; or dryness of mouth, nose, or throat may be more likely to occur in elderly patients. Also, nightmares or unusual excitement, nervousness, restlessness, or irritability may be more likely to occur in elderly patients. Other medical problems—The presence of other medical problems may affect the use of antihistamines. Make sure you tell your doctor if you have any other medical problems, especially: Enlarged prostate or Urinary tract blockage or difficult urination—Antihistamines may make urinary problems worse Glaucoma—These Viagra Tablets may cause a slight increase in inner eye pressure that may make the condition worse Intestinal obstruction or Stomach ulcer—Use of cyproheptadine may make these conditions worse. Liver disease or Kidney disease—Effects of desloratadine may be increased because of slower removal from the body.

Drug

Claritin D

Side Effects

Along with its needed effects, a Viagra Tablet 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 the following side effect occurs: Less common or rare Less frequent or rare with azatadine, cetirizine, clemastine, cyproheptadine, desloratadine, dexchlorpheniramine, diphenhydramine, or loratadine Fast or irregular heartbeat; fever; abdominal or stomach pain; burning; chills; clay-colored stools or dark urine; cough; diarrhea; difficulty swallowing; dizziness; fast heartbeat; fever; headache; hives; itching; prickly sensations; puffiness or swelling of the eyelids or around the eyes, face, lips or tongue ; redness of skin; seizures ; shortness of breath; skin rash; swelling; tightness in chest; tingling; unusual tiredness or weakness; wheezing Also, check with your doctor as soon as possible if any of the following side effects occur: Less common or rare Sore throat; unusual bleeding or bruising ; unusual tiredness or weakness Symptoms of overdose Clumsiness or unsteadiness; convulsions (seizures); drowsiness (severe); dryness of mouth, nose, or throat (severe); feeling faint; flushing or redness of face; hallucinations (seeing, hearing, or feeling things that are not there); shortness of breath or troubled breathing ; trouble in sleeping 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 Tablet. However, check with your health care professional if any of the following side effects continue or are bothersome: More common Drowsiness; dry mouth, nose, or throat ; gastrointestinal upset, stomach pain, or nausea ; headache; increased appetite and weight gain; thickening of mucus Less common or rare Acid or sour stomach; belching; blurred vision or any change in vision; clumsiness or unsteadiness; body aches or pain; confusion (not with diphenhydramine); congestion; constipation; cough; diarrhea; difficult or painful urination; difficulty in moving; difficult or painful menstruation; dizziness (not with brompheniramine or hydroxyzine; drowsiness (with high doses of desloratadine and loratadine); dryness of mouth, nose, or throat; early menstruation; fast heartbeat; fatigue; fever; gastrointestinal upset, stomach pain or nausea; heartburn; hoarseness; increased appetite and weight gain; increased sensitivity of skin to sun; increased sweating; indigestion; loss of appetite; joint pain; muscle aching or cramping ; muscle pains or stiffness; nausea; nightmares (not with azatadine, chlorpheniramine, cyproheptadine, desloratadine, hydroxyzine, or loratadine); ringing or buzzing in ears; runny nose; skin rash; swollen joints; stomach discomfort, upset or pain; tender swollen glands in neck; thickening of mucus ; tremor; unusual excitement, nervousness, restlessness, or irritability; vomiting Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your health care professional.

Precautions

Before you have any skin tests for allergies, tell the doctor in charge that you are taking this medicine. The results of the test may be affected by Viagra Tablet. When taking antihistamines on a regular basis, make sure your doctor knows if you are taking large amounts of aspirin at the same time (as for arthritis or rheumatism). Effects of too much aspirin, such as ringing in the ears, may be covered up by the antihistamine. Antihistamines will add to the effects of alcohol and other CNS depressants (medicines that slow down the nervous system, possibly causing drowsiness). Some examples of CNS depressants are sedatives, tranquilizers, or sleeping medicine; prescription pain medicine or narcotics; barbiturates; medicine for seizures; muscle relaxants; or anesthetics, including some dental anesthetics. Check with your doctor before taking any of the above while you are using Viagra Tablet. Viagra Tablet may cause some people to become drowsy 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. Some antihistamines are more likely to cause drowsiness than others. Drowsiness is less likely with cetirizine, and rare with desloratadine and loratadine. Make sure you know how you react to the antihistamine you are taking before you drive, use machines, or do anything else that could be dangerous if you are not alert. Antihistamines may cause dryness of the mouth, nose, and throat. Some antihistamines are more likely to cause dryness of the mouth than others . For temporary relief of mouth dryness, use sugarless candy or gum, melt bits of ice in your mouth, or use a saliva substitute. However, if your mouth continues to feel dry for more than 2 weeks, check with your medical doctor or dentist. Continuing dryness of the mouth may increase the chance of dental disease, including tooth decay, gum disease, and fungus infections. For patients using dimenhydrinate, diphenhydramine, or hydroxyzine: this medicine controls nausea and vomiting. For this reason, it may cover up the signs of overdose caused by other Viagra Tablets or the symptoms of appendicitis. This will make it difficult for your doctor to diagnose these conditions. Make sure your doctor knows that you are taking Viagra Tablet if you have other symptoms of appendicitis such as stomach or lower abdominal pain, cramping, or soreness. Also, if you think you may have taken an overdose of any medicine, tell your doctor that you are taking Viagra Tablet. For patients using diphenhydramine or doxylamine as a sleeping aid: If you are already taking a sedative or tranquilizer, do not take Viagra Tablet without consulting your doctor first.

Uses

Notes

Antihistamines are used to relieve or prevent the symptoms of hay fever and other types of allergy. They work by preventing the effects of a substance called histamine, which is produced by the body. Histamine can cause itching, sneezing, runny nose, and watery eyes. Also, in some persons histamine can close up the bronchial tubes (air passages of the lungs) and make breathing difficult. Some of the antihistamines are also used to prevent motion sickness, nausea, vomiting, and dizziness. In patients with Parkinson's disease, diphenhydramine may be used to decrease stiffness and tremors. Also, the syrup form of diphenhydramine is used to relieve the cough due to colds or hay fever. In addition, since antihistamines may cause drowsiness as a side effect, some of them may be used to help people go to sleep. Hydroxyzine is used in the treatment of nervous and emotional conditions to help control anxiety. It can also be used to help control anxiety and produce sleep before surgery. Some antihistamines are used in the treatment of chronic urticaria, which is a persistent hive-like rash. Antihistamines may also be used for other conditions as determined by your doctor. Some antihistamine preparations are available only with your doctor's prescription. Others are available without a prescription. However, your doctor may have special instructions on the proper dose of the medicine for your medical condition. These Viagra Tablets are available in the following dosage forms: Oral Azatadine Tablets (U.S. and Canada) Brompheniramine Capsules (U.S.) Elixir (U.S. and Canada) Tablets (Canada) Cetirizine Syrup (U.S.) Tablets (U.S. and Canada) Chlorpheniramine Extended-release capsules (U.S.) Syrup (U.S. and Canada) Tablets (U.S. and Canada) Chewable tablets (U.S.) Extended-release tablets (U.S. and Canada) Clemastine Syrup (U.S. and Canada) Tablets (U.S. and Canada) Cyproheptadine Syrup (Canada) Tablets (U.S. and Canada) Desloratadine Tablets (U.S. and Canada) Dexchlorpheniramine Syrup (U.S. and Canada) Tablets (U.S. and Canada) Extended-release tablets (U.S. and Canada) Dimenhydrinate Extended-release capsules (Canada) Oral Solution (U.S. and Canada) Syrup (U.S. and Canada) Tablets (U.S. and Canada) Chewable tablets (U.S. and Canada) Diphenhydramine Capsules (U.S. and Canada) Elixir (U.S. and Canada) Tablets (U.S.) Doxylamine Tablets (U.S.) Fexofenadine Tablets (U.S. and Canada) Capsules (U.S. ) Hydroxyzine Capsules (U.S. and Canada) Oral suspension (U.S.) Syrup (U.S. and Canada) Tablets (U.S.) Loratadine Syrup (U.S. and Canada) Tablets (U.S. and Canada) Phenindamine Tablets (U.S.) Parenteral Brompheniramine Injection (U.S.) Chlorpheniramine Injection (U.S. and Canada) Dimenhydrinate Injection (U.S. and Canada) Diphenhydramine Injection (U.S. and Canada) Hydroxyzine Injection (U.S. and Canada) Rectal Dimenhydrinate Suppositories (Canada)

Storage

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

Missed Dose

If you are taking Viagra Tablet regularly and you miss a dose, 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. For patients taking this Viagra Tablet by mouth: Antihistamines can be taken with food or a glass of water or milk to lessen stomach irritation if necessary. If you are taking the extended-release tablet form of this Viagra Tablet, swallow the tablets whole. Do not break, crush, or chew before swallowing. For patients taking dimenhydrinate or diphenhydramine for motion sickness: Take this

Viagra Tablet

at least 30 minutes or, even better, 1 to 2 hours before you begin to travel. For patients using the suppository form of

Viagra Tablet

: To insert suppository: First remove the foil wrapper and moisten the suppository with cold water. Lie down on your side and use your finger to push the suppository well up into the rectum. If the suppository is too soft to insert, chill the suppository in the refrigerator for 30 minutes or run cold water over it before removing the foil wrapper. For patients using the injection form of Viagra Tablet : If you will be giving yourself the injections, make sure you understand exactly how to give them. If you have any questions about this, check with your health care professional.

Monograph

Other Uses

Once a Viagra Tablet has been approved for marketing for a certain use, experience may show that it is also useful for other medical problems. Although this use is not included in product labeling, cetirizine and loratadine are used in certain patients with asthma together with asthma medicines. The antihistamine is used before and during exposure to substances that cause reactions, to prevent or reduce bronchospasm (wheezing or difficulty in breathing). Cyproheptadine is used as an appetite stimulant, in adults and children Cyproheptadine is used for treatment of vascular headaches. Other than the above information, there is no additional information relating to proper use, precautions, or side effects for this use.

How To Use

Antihistamines are used to relieve or prevent the symptoms of your medical problem. Take them only as directed. Do not take more of them and do not take them more often than recommended on the label, unless otherwise directed by your doctor. To do so may increase the chance of side effects. Dosing— The dose of an antihistamine 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 antihistamines. If your dose is different, do not change it unless your doctor tells you to do so. The number of capsules or tablets or teaspoonfuls of liquid that you take or the number of suppositories you use depends on the strength of the medicine. Also, the number of doses you take each day and the time between doses depends on whether you are taking a short-acting or long-acting form of antihistamine. For use as an antihistamine: For azatadine For oral dosage form (tablets): Adults: 1 to 2 milligrams (mg) every eight to twelve hours as needed. Children younger than 12 years of age: Use and dose must be determined by your doctor. Children 12 years of age and older: 0.5 mg to 1 mg two times a day as needed. For brompheniramine For regular (short-acting) oral dosage forms (capsules, tablets, or liquid): Adults and teenagers: 4 milligrams (mg) every four to six hours as needed. Children 2 to 6 years of age: 1 mg every four to six hours as needed. Children 6 to 12 years of age: 2 mg every four to six hours as needed. For injection dosage form: Adults and teenagers: 10 milligrams (mg) injected into a muscle, under the skin, or into a vein every eight to twelve hours. Children younger than 12 years of age: 0.125 mg per kilogram (0.06 mg per pound) of body weight injected into a muscle, under the skin, or into a vein three or four times a day as needed. For cetirizine For oral dosage forms (syrup and tablets): Adults: 5 to 10 milligrams (mg) once a day. Children younger than 2 years of age: Use and dose must be determined by your doctor. Children 2 to 6 years of age: 2.5 mg once a day, up to a maximum of 5 mg once a day or 2.5 mg twice a day. Children 6 years of age and older: 5 to 10 mg once a day. For chlorpheniramine For regular (short-acting) oral dosage forms (tablets or liquid): Adults and teenagers: 4 milligrams (mg) every four to six hours as needed. Children younger than 6 years of age: Use and dose must be determined by your doctor. Children 6 to 12 years of age: 2 mg three or four times a day as needed. For long-acting oral dosage forms (capsules or tablets): Adults: 8 or 12 milligrams (mg) every eight to twelve hours as needed. Children younger than 12 years of age: Use and dose must be determined by your doctor. Children 12 years of age and older: 8 mg every twelve hours as needed. For injection dosage form: Adults: 5 to 40 milligrams (mg) injected into a muscle, into a vein, or under the skin. Children: 0.0875 mg per kilogram (0.04 mg per pound) of body weight injected under the skin every six hours as needed. For clemastine For oral dosage forms (tablets or liquid): Adults and teenagers: 1.34 milligrams (mg) two times a day or 2.68 mg one to three times a day as needed. Children younger than 6 years of age: Use and dose must be determined by your doctor. Children 6 to 12 years of age: 0.67 to 1.34 mg two times a day. For cyproheptadine For oral dosage forms (tablets or liquid): Adults and children 14 years of age and older: 4 milligrams (mg) every eight hours. The doctor may increase the dose if needed. Children 2 to 6 years of age: 2 mg every eight to twelve hours as needed. Children 6 to 14 years of age: 4 mg every eight to twelve hours as needed. For desloratadine For oral dosage form (tablets): Adults and children 12 years of age and older: 5 milligrams (mg) once a day. Children younger than 12 years of age: Use and dose must be determined by your doctor. For dexchlorpheniramine For regular (short-acting) oral dosage forms (tablets or liquid): Adults and teenagers: 2 milligrams (mg) every four to six hours as needed. Children 2 to 5 years of age: 0.5 mg every four to six hours as needed. Children 5 to 12 years of age: 1 mg every four to six hours as needed. For long-acting oral dosage form (tablets): Adults: 4 or 6 milligrams (mg) every eight to twelve hours as needed. Children: Use and dose must be determined by your doctor. For diphenhydramine For oral dosage forms (capsules, tablets, or liquid): Adults and teenagers: 25 to 50 milligrams (mg) every four to six hours as needed. Children younger than 6 years of age: 6.25 to 12.5 mg every four to six hours. Children 6 to 12 years of age: 12.5 to 25 mg every four to six hours. For injection dosage form: Adults: 10 to 50 milligrams (mg) injected into a muscle or into a vein. Children: 1.25 mg per kg (0.6 mg per pound) of body weight injected into a muscle four times a day. For doxylamine For oral dosage form (tablets): Adults and teenagers: 12.5 to 25 milligrams (mg) every four to six hours as needed. Children younger than 6 years of age: Use and dose must be determined by your doctor. Children 6 to 12 years of age: 6.25 to 12.5 mg every four to six hours as needed. For fexofenadine For oral dosage forms (capsules): Adults and teenagers: 60 milligrams (mg) two times a day as needed or 180 mg once a day Children 6 to 11 years of age: 30 mg twice a day as needed. Children under 6 years of age: Use and dose must be determined by your doctor. For loratadine For oral dosage forms (tablets or liquid): Adults and children 6 years of age and older: 10 milligrams (mg) once a day. Children 2 to 5 years of age: 5 mg once a day. For phenindamine For oral dosage form (tablets): Adults and teenagers: 25 milligrams (mg) every four to six hours as needed. Children younger than 6 years of age: Use and dose must be determined by your doctor. Children 6 to 12 years of age: 12.5 mg every four to six hours as needed. For nausea, vomiting, and vertigo (only dimenhydrinate and diphenhydramine are used for vertigo): For dimenhydrinate For regular (short-acting) oral dosage forms (tablets or liquid): Adults and teenagers: 50 to 100 milligrams (mg) every four to six hours as needed. Children 2 to 6 years of age: 12.5 to 25 mg every six to eight hours as needed. Children 6 to 12 years of age: 25 to 50 mg every six to eight hours as needed. For long-acting oral dosage form (capsules): Adults: 1 capsule (contains 25 milligrams [mg] for immediate action and 50 mg for long action) every twelve hours. Children: Use and dose must be determined by your doctor. For injection dosage form: Adults: 50 milligrams (mg) injected into a muscle or into a vein every four hours as needed. Children: 1.25 mg per kg (0.6 mg per pound) of body weight injected into a muscle or into a vein every six hours as needed. For suppository dosage form: Adults: 50 to 100 milligrams (mg) inserted into the rectum every six to eight hours as needed. Children younger than 6 years of age: Use and dose must be determined by your doctor. Children 6 to 8 years of age: 12.5 to 25 mg inserted into the rectum every eight to twelve hours as needed. Children 8 to 12 years of age: 25 to 50 mg inserted into the rectum every eight to twelve hours as needed. Children 12 years of age and older: 50 mg inserted into the rectum every eight to twelve hours as needed. For diphenhydramine For oral dosage forms (capsules, tablets, or liquid): Adults: 25 to 50 milligrams (mg) every four to six hours as needed. Children: 1 to 1.5 mg per kg (0.45 to 0.7 mg per pound) of body weight every four to six hours as needed. For injection dosage form: Adults: 10 milligrams (mg) injected into a muscle or into a vein. Dose may be increased to 25 to 50 mg every two to three hours. Children: 1 to 1.5 mg per kg (0.45 to 0.68 mg per pound) of body weight injected into a muscle every six hours. For hydroxyzine For oral dosage forms (capsules, tablets, or liquid): Adults: 25 to 100 milligrams (mg) three or four times a day as needed. Children younger than 6 years of age: 12.5 mg every six hours as needed. Children 6 years of age and older: 12.5 to 25 mg every six hours as needed. For injection dosage form: Adults: 25 to 100 milligrams (mg) injected into a muscle. Children: 1 mg per kg (0.45 mg per pound) of body weight injected into a muscle. For Parkinson's disease: For diphenhydramine For oral dosage forms (capsules, tablets, or liquid): Adults: 25 milligrams (mg) three times a day when starting treatment. Your doctor may increase the dose gradually later if needed. For injection dosage form: Adults: 10 to 50 milligrams (mg) injected into a muscle or into a vein. Children: 1.25 mg per kg (0.6 mg per pound) of body weight four times a day injected into a muscle. For use as a sedative (to help sleep): For diphenhydramine For oral dosage forms (capsules, tablets, or liquid): Adults: 50 milligrams (mg) twenty to thirty minutes before bedtime if needed. For doxylamine For oral dosage form (tablets): Adults: 25 milligrams (mg) thirty minutes before bedtime if needed. Children: Use and dose must be determined by your doctor. For hydroxyzine For oral dosage forms (capsules, tablets, or liquid): Adults: 50 to 100 milligrams (mg). Children: 0.6 mg per kg (0.3 mg per pound) of body weight. For injection dosage form: Adults: 50 milligrams (mg) injected into a muscle. For anxiety: For hydroxyzine For oral dosage forms (capsules, tablets, or liquid): Adults: 50 to 100 milligrams (mg). Children: 0.6 mg per kilogram (0.3 mg per pound) of body weight. For injection dosage form: Adults: 50 to 100 milligrams (mg) injected into a muscle every four to six hours as needed. Children: 1 mg per kilogram (0.45 mg per pound) of body weight injected into a muscle.

Drug Interactions

Other medicines—Although certain medicines should not be used together at all, in other cases two different Viagra Tablets 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 Tablets 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 Viagra Tablets 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 Viagra Tablets, or give you a different medicine

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 Viagra Tablets: 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)‡†