Hot PLR Content Directory Idaho: 2016

Thursday, 8 September 2016

Magnevist

Generic Name: gadopentetate dimeglumine (gad oh PEN te tate dye MEG loo meen)

Brand Names: Magnevist

What is gadopentetate dimeglumine?

Gadopentetate dimeglumine is a contrast agent that produces magnetic effects. It is used in combination with magnetic resonance imaging (MRI) to allow blood vessels, organs, and other non-bony tissues to be seen more clearly on the MRI.

Gadopentetate dimeglumine is used to help diagnose certain disorders of the heart, brain, blood vessels, and spinal tissues.

Gadopentetate dimeglumine may also be used for purposes not listed in this medication guide.

What is the most important information I should know about gadopentetate dimeglumine?

Gadopentetate dimeglumine can cause a life-threatening condition in people with advanced kidney disease. The symptoms of this condition include:

burning, itching, swelling, scaling, and tightening or hardening of your skin;

muscle weakness;

joint stiffness in your arms, hands, legs, or feet;

deep bone pain in your ribs or your hips;

trouble moving; or

skin redness or discoloration.

Before receiving this medication, tell your doctor if you have kidney disease or if you are on dialysis. You may not be able to receive gadopentetate dimeglumine. Your doctor or other healthcare provider may want to watch you for a short time after your test is over. This is to make sure you do not have any unwanted side effects or delayed reactions.

What should I discuss with my health care provider before receiving gadopentetate dimeglumine?

Gadopentetate dimeglumine can cause a life-threatening condition in people with advanced kidney disease. The symptoms of this condition include:

burning, itching, swelling, scaling, and tightening or hardening of your skin;

muscle weakness;

joint stiffness in your arms, hands, legs, or feet;

deep bone pain in your ribs or your hips;

trouble moving; or

skin redness or discoloration.

Before receiving this medication, tell your doctor if you have kidney disease or if you are on dialysis. You may not be able to receive gadopentetate dimeglumine.

To make sure you can safely receive this medication, tell your doctor if you have any of these other conditions:

diabetes;

high blood pressure;

liver disease (or liver transplant);

asthma, hay fever, or a history of food or drug allergies;

if you are over 60 years old;

if you have ever had any type of reaction to a contrast agent; or

if you have recently had an injury, surgery, or severe infection.

FDA pregnancy category C. It is not known whether gadopentetate dimeglumine will harm an unborn baby. Before you receive this medication, tell your doctor if you are pregnant. Gadopentetate dimeglumine can pass into breast milk and may harm a nursing baby. Do not receive this medication without telling your doctor if you are breast-feeding a baby.

How is gadopentetate dimeglumine used?

Gadopentetate dimeglumine is injected into a vein through an IV. You will receive this injection in a clinic or hospital setting during your MRI.

Your doctor or other healthcare provider may want to watch you for a short time after your test is over. This is to make sure you do not have any unwanted side effects or delayed reactions.

What happens if I miss a dose?

Since gadopentetate dimeglumine is used only during your MRI, you will not be on a dosing schedule.

What happens if I overdose?

Since this medication is given by a healthcare professional in a medical setting, an overdose is unlikely to occur.

What should I avoid after receiving gadopentetate dimeglumine?

Follow your doctor's instructions about any restrictions on food, beverages, or activity.

Gadopentetate dimeglumine side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have a serious side effect such as:

urinating less than usual or not at all;

drowsiness, confusion, mood changes, increased thirst, loss of appetite;

swelling, weight gain, feeling short of breath; or

swelling, irritation, or skin changes where the injection was given.

Less serious side effects may include:

headache;

dizziness; or

nausea.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect gadopentetate dimeglumine?

This medication can harm the kidneys in certain people, and this effect may be increased if you also use other medicines harmful to the kidneys. Before you receive gadopentetate dimeglumine, tell your doctor about all other medications you use. Many other drugs (including some over-the-counter medicines) can be harmful to the kidneys.

There may be other drugs that can affect gadopentetate dimeglumine. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

More Magnevist resources

Magnevist Side Effects (in more detail)
Magnevist Use in Pregnancy & Breastfeeding
Magnevist Drug Interactions
Magnevist Support Group
1 Review for Magnevist - Add your own review/rating

Magnevist Prescribing Information (FDA)

Magnevist Advanced Consumer (Micromedex) - Includes Dosage Information

Magnevist MedFacts Consumer Leaflet (Wolters Kluwer)

Magnevist Consumer Overview

Compare Magnevist with other medications

CNS Magnetic Resonance Imaging
Vascular Magnetic Resonance Imaging

Where can I get more information?

Your doctor or pharmacist can provide more information about gadopentetate dimeglumine.

See also: Magnevist side effects (in more detail)

Macugen

Generic Name: pegaptanib ophthalmic injection (peg AP ta nib off THAL mik in JEK tion)

Brand Names: Macugen

What is pegaptanib ophthalmic?

Pegaptanib is made from a human antibody fragment. It works by keeping new blood vessels from forming under the retina (a sensory membrane that lines the inside of the eye). In people with a certain type of eye disease, new blood vessels grow under the retina where they leak blood and fluid. This is known as the "wet form" of macular degeneration.

Pegaptanib ophthalmic (for the eyes) is used to treat wet age-related macular degeneration.

Pegaptanib ophthalmic may also be used for purposes not listed in this medication guide.

What is the most important information I should know about pegaptanib ophthalmic?

You should not receive pegaptanib if you are allergic to it, or if you have cataracts or glaucoma, or any type of bacterial, fungal, or viral infection in or around your eyes. Call your doctor at once if you have eye pain or redness, swelling or puffiness around your eyes, or sudden vision problems at any time during treatment.

What should I discuss with my healthcare provider before taking pegaptanib ophthalmic?

You should not receive pegaptanib if you are allergic to it, or if you have any type of bacterial, fungal, or viral infection in or around your eyes. FDA pregnancy category B. Pegaptanib is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether pegaptanib passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take pegaptanib ophthalmic?

Pegaptanib ophthalmic is given as an injection into your eye. Your doctor will use a medicine to numb your eye before giving you the injection. You will receive this injection in your doctor's office or other clinic setting.

For a short time after your injection, your eyes will be checked periodically to make sure the injection has not caused any side effects.

Pegaptanib is usually given once every 6 weeks. Follow your doctor's dosing instructions very carefully.

What happens if I miss a dose?

Call your doctor for instructions if you miss an appointment for your pegaptanib injection.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while taking pegaptanib ophthalmic?

This medication may cause blurred vision. Be careful if you drive or do anything that requires you to be able to see clearly.

Pegaptanib ophthalmic side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have a serious side effect such as:

eye pain or redness, swelling around your eyes;

sudden vision problems;

seeing flashes of light or "floaters" in your vision;

eyes being more sensitive to light;

sudden numbness or weakness, especially on one side of the body; or

sudden severe headache, confusion, problems with speech or balance.

Less serious side effects may include:

watery eyes;

blurred vision;

swelling of the eyelids; or

mild eye pain or discomfort after the injection.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect pegaptanib ophthalmic?

It is not likely that other drugs you take orally or inject will have an effect on pegaptanib used in the eyes. But many drugs can interact with each other. Tell your doctor about all medicines you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

More Macugen resources

Macugen Side Effects (in more detail)
Macugen Use in Pregnancy & Breastfeeding
Macugen Drug Interactions
Macugen Support Group
0 Reviews for Macugen - Add your own review/rating

Macugen Prescribing Information (FDA)

Macugen Monograph (AHFS DI)

Macugen Advanced Consumer (Micromedex) - Includes Dosage Information

Macugen MedFacts Consumer Leaflet (Wolters Kluwer)

Macugen Consumer Overview

Compare Macugen with other medications

Macular Degeneration

Where can I get more information?

Your pharmacist can provide more information about pegaptanib ophthalmic.

See also: Macugen side effects (in more detail)

Monoclate-P injection

Generic Name: antihemophilic factor (factor VIII) (injection) (an TEE hee moe FIH lick FAC tor)

Brand Names: Advate rAHF-PFM, Alphanate, Helixate, Helixate FS, Hemofil-M, Humate-P, Koate-DVI, Koate-HP, Kogenate, Kogenate FS, Monarc-M, Monoclate-P, Recombinate, Refacto

What is antihemophilic factor (factor VIII)?

Antihemophilic factor (factor VIII) is a naturally occurring protein in the blood that helps blood to clot. A lack of factor VIII is the cause of hemophilia A.

Antihemophilic factor (factor VIII) is used to treat or prevent bleeding in people with hemophilia A.

Antihemophilic factor (factor VIII) may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about antihemophilic factor (factor VIII)?

Some forms of this medication are made from human plasma (part of the blood) and may contain viruses and other infectious agents that can cause disease. Although donated human plasma is screened, tested, and treated to reduce the risk of it containing anything that could cause disease, there is still a small possibility it could transmit disease. Talk with your doctor about the risks and benefits of using this medication.

Some viruses, such as parovovirus B19 and hepatitis A, may be more difficult to identify or remove from antihemophilic factor (factor VIII). Parovovirus can seriously affect pregnant women and people with weak immune systems. Symptoms of parovovirus B19 infection include fever, chills, runny nose, and drowsiness followed about 2 weeks later by a rash and joint pain. Symptoms of hepatitis A may include several days to weeks of poor appetite, tiredness, and low-grade fever followed by nausea, vomiting, and stomach pain. Dark-colored urine and jaundice (yellowing of the skin or eyes) may also occur. Contact your doctor if you develop any of these symptoms after treatment with antihemophilic factor (factor VIII).

Carry an ID card or wear a medical alert bracelet stating that you have hemophilia, in case of emergency. Any doctor, dentist, or emergency medical care provider who treats you should know that you have a bleeding disorder.

Your body may develop antibodies to this medication, making it less effective. Contact your doctor if this medicine does not seem to be working as well as before in controlling your bleeding.

If you need to have any type of surgery, tell the surgeon ahead of time that you are using antihemophilic factor (factor VIII). You may need to stop using the medicine for a short time.

What should I discuss with my healthcare provider before using antihemophilic factor (factor VIII)?

This medication comes in many different strengths. Be sure the strength printed on the medicine bottle label is correct for the dose your doctor has prescribed for you.

Do not use this medication if you have:

a history of allergy to antihemophilic factor; or

a history of allergy to products made with human or animal proteins, especially mouse proteins.

FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether this medication passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I use antihemophilic factor (factor VIII)?

This medication is given as an injection through a needle placed into a vein. Your doctor, nurse, or other healthcare provider will give your first injection. Then you will be given instructions on how to use your injections at home. Do not use this medicine at home if you do not fully understand how to give the injection and properly dispose of needles and other items used in giving the medicine.

To be sure this medication is helping your condition, your blood will need to be tested on a regular basis. Do not miss any scheduled visits to your doctor.

Your body may develop antibodies to this medication, making it less effective. Contact your doctor if this medicine does not seem to be working as well as before in controlling your bleeding.

If you need to have any type of surgery, tell the surgeon ahead of time that you are using antihemophilic factor (factor VIII). You may need to stop using the medicine for a short time.

Store the powder medicine in the refrigerator. Do not freeze. Do not mix this medicine with the liquid diluent until you are ready to give the injection. Once the medicine has been mixed, you must use it within 3 hours. Do not refrigerate the mixed medicine. Keep it at room temperature. You may also store the powder at room temperature for up to 6 months or until the expiration date printed on the label (whichever comes first). Do not put the medicine back into the refrigerator once you have kept it at room temperature.

What happens if I miss a dose?

Contact your doctor for instructions if you miss a dose of this medication.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.

What should I avoid while using antihemophilic factor (factor VIII)?

There are no restrictions on food, beverages, or activity while using this medication unless your doctor has told you otherwise.

Antihemophilic factor (factor VIII) side effects

nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);

fever, chills, runny nose, and drowsiness followed about 2 weeks later by a rash and joint pain;

fast heart rate, chest pain, trouble breathing;

feeling light-headed, fainting; or

pain, redness, swelling, or oozing where the medicine was injected.

Other, less serious side effects may be more likely to occur, such as:

unusual taste in your mouth;

cough, runny or stuffy nose;

mild itching;

swelling in your hands, ankles, or feet;

headache or dizziness;

mild nausea, diarrhea, stomach pain;

sweating;

joint pain; or

chills or flushing (warmth or tingly feeling).

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect antihemophilic factor (factor VIII)?

Other drugs that affect bleeding or blood-clotting may interact with antihemophilic factor (factor VIII) and cause dangerous side effects or make the medicine less effective.

There may be other drugs that can affect antihemophilic factor (factor VIII). Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

Your pharmacist has additional information about antihemophilic factor (factor VIII) written for health professionals that you may read.

What does my medication look like?

Antihemophilic factor (factor VIII) is available with a prescription under several brand names. Generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

Magnesium Oxide

Pronunciation: mag-NEE-zee-um OX-ide
Generic Name: Magnesium Oxide
Brand Name: Examples include Mag-Ox and Uro-Mag

Magnesium Oxide is used for:

Treating acid indigestion, heartburn, sour stomach, and low magnesium levels in the body. It also may be used for other conditions as determined by your doctor.

Magnesium Oxide is an essential mineral. It works by adding magnesium to your body if your magnesium levels are low. As an antacid, it works by neutralizing stomach acid.

Do NOT use Magnesium Oxide if:

you are allergic to any ingredient in Magnesium Oxide

Contact your doctor or health care provider right away if any of these apply to you.

Before using Magnesium Oxide:

Some medical conditions may interact with Magnesium Oxide. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

if you are pregnant, planning to become pregnant, or are breast-feeding

if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

if you have allergies to medicines, foods, or other substances

if you have appendicitis, diarrhea, a blockage of your intestines, heart problems, or kidney problems

Some MEDICINES MAY INTERACT with Magnesium Oxide. Tell your health care provider if you are taking any other medicines, especially any of the following:

Anticoagulants (eg, warfarin) because the risk of their side effects may be increased by Magnesium Oxide

Penicillamine because its effectiveness may be decreased by Magnesium Oxide

This may not be a complete list of all interactions that may occur. Ask your health care provider if Magnesium Oxide may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Magnesium Oxide:

Use Magnesium Oxide as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Take Magnesium Oxide by mouth with food.

If you also take a bisphosphonate (eg, alendronic acid), digoxin, a quinolone (eg, ciprofloxacin), or a tetracycline (eg, doxycycline), do not take them within 2 to 4 hours before or after taking Magnesium Oxide. Check with your doctor if you have questions.

If you miss a dose of Magnesium Oxide and are using it regularly, take it as soon as possible. If it is almost time for the next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Magnesium Oxide.

Important safety information:

Do not take more than 2 tablets in a 24-hour period or use for more than 2 weeks without checking with your health care provider.

If you are taking Magnesium Oxide for relief of acid indigestion, heartburn, or sour stomach and your symptoms do not improve within 2 weeks, if they become worse, or if you experience black, tarry stools or vomit that looks like coffee grounds, check with your doctor.

Lab tests, including magnesium levels, may be performed while you use Magnesium Oxide. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.

Magnesium Oxide should not be used in CHILDREN younger than 6 years old; safety and effectiveness in these children have not been confirmed.

PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Magnesium Oxide while you are pregnant. It is not known if Magnesium Oxide is found in breast milk. If you are or will be breast-feeding while you use Magnesium Oxide, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Magnesium Oxide:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Diarrhea.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); black, tarry stools; nausea; slow reflexes; vomit that looks like coffee grounds.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Magnesium Oxide side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include confusion; dizziness; flushing; loss of consciousness; muscle weakness; severe drowsiness; slow heartbeat.

Proper storage of Magnesium Oxide:

Store Magnesium Oxide at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Magnesium Oxide out of the reach of children and away from pets.

General information:

If you have any questions about Magnesium Oxide, please talk with your doctor, pharmacist, or other health care provider.

Magnesium Oxide is to be used only by the patient for whom it is prescribed. Do not share it with other people.

If your symptoms do not improve or if they become worse, check with your doctor.

Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Magnesium Oxide. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012

Database Edition 12.1.1.002

More Magnesium Oxide resources

Magnesium Oxide Side Effects (in more detail)
Magnesium Oxide Dosage
Magnesium Oxide Use in Pregnancy & Breastfeeding
Drug Images
Magnesium Oxide Drug Interactions
Magnesium Oxide Support Group
8 Reviews for Magnesium Oxide - Add your own review/rating

Magnesium Oxide Professional Patient Advice (Wolters Kluwer)

magnesium oxide Concise Consumer Information (Cerner Multum)

Compare Magnesium Oxide with other medications

Constipation
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Maternity

Generic Name: prenatal multivitamins (PRE nay tal VYE ta mins)

Brand Names: Advance Care Plus, Bright Beginnings, Cavan Folate, Cavan One, Cavan-Heme OB, Cenogen Ultra, CitraNatal Rx, Co Natal FA, Complete Natal DHA, Complete-RF, CompleteNate, Concept OB, Docosavit, Dualvit OB, Duet, Edge OB, Elite OB 400, Femecal OB, Folbecal, Folcaps Care One, Folivan-OB, Foltabs, Gesticare, Icar Prenatal, Icare Prenatal Rx, Inatal Advance, Infanate DHA, Kolnatal DHA, Lactocal-F, Marnatal-F, Maternity, Maxinate, Mission Prenatal, Multi-Nate 30, Multinatal Plus, Nata 29 Prenatal, Natachew, Natafort, Natelle, Neevo, Nestabs, Nexa Select with DHA, Novanatal, NovaStart, O-Cal Prenatal, OB Complete, OB Natal One, Ob-20, Obtrex DHA, OptiNate, Paire OB Plus DHA, PNV Select, PNV-Total, PR Natal 400, Pre-H-Cal, Precare, PreferaOB, Premesis Rx, PrenaCare, PrenaFirst, PrenaPlus, Prenatabs OBN, Prenatabs Rx, Prenatal 1 Plus 1, Prenatal Elite, Prenatal Multivitamins, Prenatal Plus, Prenatal S, Prenatal-U, Prenate Advanced Formula, Prenate DHA, Prenate Elite, Prenavite FC, PreNexa, PreQue 10, Previte Rx, PrimaCare, Pruet DHA, RE OB Plus DHA, Renate, RightStep, Rovin-NV, Se-Care, Se-Natal One, Se-Plete DHA, Se-Tan DHA, Select-OB, Seton ET, Strongstart, Stuart Prenatal with Beta Carotene, Tandem OB, Taron-BC, Tri Rx, TriAdvance, TriCare, Trimesis Rx, Trinate, Triveen-PRx RNF, UltimateCare Advance, Ultra-Natal, Vemavite PRX 2, VeNatal FA, Verotin-BY, Verotin-GR, Vinacal OR, Vinatal Forte, Vinate Advanced (New Formula), Vinate AZ, Vinate Care, Vinate Good Start, Vinate II (New Formula), Vinate III, Vinate One, Vitafol-OB, VitaNatal OB plus DHA, Vitaphil, Vitaphil Aide, Vitaphil Plus DHA, Vitaspire, Viva DHA, Vol-Nate, Vol-Plus, Vol-Tab Rx, Vynatal F.A., Zatean-CH, Zatean-PN

What are Maternity (prenatal multivitamins)?

There are many brands and forms of prenatal vitamin available and not all brands are listed on this leaflet.

Prenatal vitamins are a combination of many different vitamins that are normally found in foods and other natural sources.

Prenatal vitamins are used to provide the additional vitamins needed during pregnancy. Minerals may also be contained in prenatal multivitamins.

Prenatal vitamins may also be used for purposes not listed in this medication guide.

What is the most important information I should know about prenatal vitamins?

There are many brands and forms of prenatal vitamin available and not all brands are listed on this leaflet.

Never take more than the recommended dose of a multivitamin. Avoid taking any other multivitamin product within 2 hours before or after you take your prenatal vitamins. Taking similar vitamin products together at the same time can result in a vitamin overdose or serious side effects.

Many multivitamin products also contain minerals such as calcium, iron, magnesium, potassium, and zinc. Minerals (especially taken in large doses) can cause side effects such as tooth staining, increased urination, stomach bleeding, uneven heart rate, confusion, and muscle weakness or limp feeling. Read the label of any multivitamin product you take to make sure you are aware of what it contains.

Seek emergency medical attention if you think you have used too much of this medicine. An overdose of vitamins A, D, E, or K can cause serious or life-threatening side effects and can also harm your unborn baby. Certain minerals contained in a prenatal multivitamin may also cause serious overdose symptoms or harm to the baby if you take too much.

Overdose symptoms may include stomach pain, vomiting, diarrhea, constipation, loss of appetite, hair loss, peeling skin, tingly feeling in or around your mouth, changes in menstrual periods, weight loss, severe headache, muscle or joint pain, severe back pain, blood in your urine, pale skin, and easy bruising or bleeding.

Do not take this medication with milk, other dairy products, calcium supplements, or antacids that contain calcium. Calcium may make it harder for your body to absorb certain ingredients of the multivitamin.

What should I discuss with my healthcare provider before taking prenatal vitamins?

Many vitamins can cause serious or life-threatening side effects if taken in large doses. Do not take more of this medication than directed on the label or prescribed by your doctor.

Before taking prenatal vitamins, tell your doctor about all of your medical conditions.

You may need to continue taking prenatal vitamins if you breast-feed your baby. Ask your doctor about taking this medication while breast-feeding.

How should I take prenatal vitamins?

Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.

Never take more than the recommended dose of prenatal vitamins.

Take your prenatal vitamin with a full glass of water.

Swallow the regular tablet or capsule whole. Do not break, chew, crush, or open it.

The chewable tablet must be chewed or allowed to dissolve in your mouth before swallowing. You may also allow the chewable tablet to dissolve in drinking water, fruit juice, or infant formula (but not milk or other dairy products). Drink this mixture right away.

Use prenatal vitamins regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

Store at room temperature away from moisture and heat. Keep prenatal vitamins in their original container. Storing vitamins in a glass container can ruin the medication.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

What should I avoid while taking prenatal vitamins?

Avoid taking any other multivitamin product within 2 hours before or after you take your prenatal vitamins. Taking similar vitamin products together at the same time can result in a vitamin overdose or serious side effects.

Avoid the regular use of salt substitutes in your diet if your multivitamin contains potassium. If you are on a low-salt diet, ask your doctor before taking a vitamin or mineral supplement.

Prenatal vitamins side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

When taken as directed, prenatal vitamins are not expected to cause serious side effects. Less serious side effects may include:

upset stomach;

headache; or

unusual or unpleasant taste in your mouth.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect prenatal vitamins?

Vitamin and mineral supplements can interact with certain medications, or affect how medications work in your body. Before taking a prenatal vitamin, tell your doctor if you also use:

diuretics (water pills);

heart or blood pressure medications;

tretinoin (Vesanoid);

isotretinoin (Accutane, Amnesteen, Clavaris, Sotret);

trimethoprim and sulfamethoxazole (Cotrim, Bactrim, Gantanol, Gantrisin, Septra, TMP/SMX); or

an NSAID (non-steroidal anti-inflammatory drug) such as ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn, Naprelan, Treximet), celecoxib (Celebrex), diclofenac (Cataflam, Voltaren), indomethacin (Indocin), meloxicam (Mobic), and others.

This list is not complete and other drugs may interact with prenatal vitamins. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

More Maternity resources

Maternity Use in Pregnancy & Breastfeeding
Maternity Drug Interactions
Maternity Support Group
0 Reviews for Maternity - Add your own review/rating

Cal-Nate MedFacts Consumer Leaflet (Wolters Kluwer)

CareNatal DHA MedFacts Consumer Leaflet (Wolters Kluwer)

CitraNatal 90 DHA MedFacts Consumer Leaflet (Wolters Kluwer)

CitraNatal Assure Prescribing Information (FDA)

CitraNatal Harmony Prescribing Information (FDA)

Concept DHA Prescribing Information (FDA)

Docosavit Prescribing Information (FDA)

Duet DHA with Ferrazone MedFacts Consumer Leaflet (Wolters Kluwer)

Folbecal MedFacts Consumer Leaflet (Wolters Kluwer)

Folcal DHA Prescribing Information (FDA)

Folcaps Care One Prescribing Information (FDA)

Gesticare DHA Prescribing Information (FDA)

Gesticare DHA MedFacts Consumer Leaflet (Wolters Kluwer)

Inatal Advance Prescribing Information (FDA)

Inatal Ultra Prescribing Information (FDA)

Multi-Nate DHA Prescribing Information (FDA)

Multi-Nate DHA Extra Prescribing Information (FDA)

MultiNatal Plus MedFacts Consumer Leaflet (Wolters Kluwer)

Natelle One Prescribing Information (FDA)

Neevo Caplets MedFacts Consumer Leaflet (Wolters Kluwer)

Neevo DHA MedFacts Consumer Leaflet (Wolters Kluwer)

OB Complete 400 MedFacts Consumer Leaflet (Wolters Kluwer)

Paire OB Plus DHA Prescribing Information (FDA)

PreNexa MedFacts Consumer Leaflet (Wolters Kluwer)

PreNexa Prescribing Information (FDA)

PreferaOB Prescribing Information (FDA)

Prenatal Plus Prescribing Information (FDA)

Prenatal Plus Iron Prescribing Information (FDA)

Prenate Elite Prescribing Information (FDA)

Prenate Elite MedFacts Consumer Leaflet (Wolters Kluwer)

Prenate Elite tablets

Prenate Essential Prescribing Information (FDA)

PrimaCare Advantage MedFacts Consumer Leaflet (Wolters Kluwer)

PrimaCare ONE capsules

PrimaCare One MedFacts Consumer Leaflet (Wolters Kluwer)

Renate DHA Prescribing Information (FDA)

Se-Natal 19 Chewable Tablets MedFacts Consumer Leaflet (Wolters Kluwer)

Se-Natal 19 Prescribing Information (FDA)

Tandem DHA Prescribing Information (FDA)

Tandem OB Prescribing Information (FDA)

TriAdvance Prescribing Information (FDA)

Triveen-One MedFacts Consumer Leaflet (Wolters Kluwer)

Triveen-PRx RNF Prescribing Information (FDA)

UltimateCare ONE NF Prescribing Information (FDA)

Ultra NatalCare MedFacts Consumer Leaflet (Wolters Kluwer)

Vinate AZ Prescribing Information (FDA)

Vitafol-One MedFacts Consumer Leaflet (Wolters Kluwer)

Zatean-CH Prescribing Information (FDA)

Compare Maternity with other medications

Vitamin/Mineral Supplementation during Pregnancy/Lactation

Where can I get more information?

Your pharmacist can provide more information about prenatal vitamins.

Mag 64

Generic Name: magnesium chloride (mag NEE see um KLOE ride)

Brand Names: Mag 64, Mag-Delay, Mag-SR, Slow-Mag

What is Mag 64 (magnesium chloride)?

Magnesium is a mineral that occurs naturally in the body and is found in certain foods. Magnesium is important for many systems in the body especially the muscles, nerves, heart, and bones.

Magnesium chloride is used to treat or prevent magnesium deficiency (lack of natural magnesium in the body).

Magnesium chloride may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Mag 64 (magnesium chloride)?

You should not use this medication if you are allergic to it, or if you have kidney disease, a stomach ulcer or disorder, or if you are dehydrated.

Before taking magnesium chloride, tell your doctor if you have any other medical conditions or any type of allergy.

Tell your doctor if you are pregnant or breast-feeding. It is not known whether magnesium chloride could harm an unborn baby, or if it passes into breast milk and could harm a nursing baby. Your dose needs may be different while you are pregnant or breast-feeding.

Avoid using antacids or laxatives without your doctor's advice. These medications may contain minerals and if you take certain products together you may get too much magnesium.

Tell your doctor about all other medications you use, especially antibiotics, ADHD medication, thyroid medication, or medication for osteoporosis or Paget's disease.

To be sure this medication is helping your condition and not causing harmful effects, your blood may need to be tested on a regular basis. Your kidney function may also need to be tested. Do not miss any follow-up visits to your doctor.

Call your doctor at once if you have signs of too much magnesium in your blood, such as depression, feeling tired or irritable, muscle cramps, or severe or ongoing diarrhea.

What should I discuss with my healthcare provider before taking Mag 64 (magnesium chloride)?

You should not use this medication if you are allergic to it, or if you have:

kidney disease;

a stomach ulcer or disorder; or

if you are dehydrated.

Before taking magnesium chloride, tell your doctor if you have any other medical conditions or any type of allergy.

It is not known whether magnesium chloride is harmful to an unborn baby. Your dose needs may be different during pregnancy. Before taking this medication, tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether magnesium chloride passes into breast milk or if it could harm a nursing baby. Your dose needs may be different while you are nursing. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take Mag 64 (magnesium chloride)?

Use this medication exactly as directed on the label, or as prescribed by your doctor. Do not use it in larger amounts or for longer than recommended.

Take this medication with a full glass of water. Magnesium chloride should be taken with food if it upsets your stomach or causes diarrhea. Follow your doctor's instructions. Do not crush, chew, or break an extended-release tablet. Swallow the pill whole. Breaking the pill may cause too much of the drug to be released at one time.

It is important to use magnesium chloride regularly to get the most benefit. Try to take your dose(s) at the same time each day.

Magnesium chloride is only part of a complete program of treatment that may also includes a special diet. It is very important to follow the diet plan created for you by your doctor or nutrition counselor. You should become very familiar with the list of foods you should eat to help control your condition.

Store magnesium chloride at room temperature away from moisture, heat, and light.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include thirst, confusion, severe drowsiness, slow heart rate, urinating less than usual or not at all, swelling, weight gain, feeling short of breath, or fainting.

What should I avoid while taking Mag 64 (magnesium chloride)?

Avoid using antacids or laxatives without your doctor's advice. Use only the specific type of antacid your doctor recommends. These medications may contain minerals and if you take certain products together you may get too much magnesium.

If you are taking a tetracycline antibiotic, avoid taking it within 2 hours before or 3 hours after you take magnesium chloride. Tetracycline antibiotics include doxycycline (Adoxa, Doryx, Oracea, Vibramycin), minocycline (Dynacin, Minocin, Solodyn, Vectrin), or tetracycline (Brodspec, Panmycin, Sumycin, Tetracap, and others).

Mag 64 (magnesium chloride) side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; severe dizziness, difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have signs that you magnesium blood levels are too low, such as:

depression, feeling tired or irritable;

muscle cramps; or

severe or ongoing diarrhea.

Less serious side effects may include:

mild diarrhea;

nausea, stomach pain; or

upset stomach.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Mag 64 (magnesium chloride)?

Tell your doctor about all other medications you use, especially:

digoxin (Lanoxin, Lanoxicaps);

sodium polystyrene sulfonate (Kalexate, Kayexalate, Kionex);

an amphetamine such as ADHD medication (Adderall, Vyvanse, Dexedrine, and others);

an antibiotic such as ciprofloxacin (Cipro), ofloxacin (Floxin), norfloxacin (Noroxin), levofloxacin (Levaquin), and others;

medication for osteoporosis or Paget's disease, such as alendronate (Fosamax), ibandronate (Boniva), etidronate (Didronel), pamidronate (Aredia), or risedronate (Actonel); or

thyroid replacement medication such as levothyroxine (Synthroid, Levothroid, Unithroid).

This list is not complete and there may be other drugs that can interact with magnesium chloride. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

More Mag 64 resources

Mag 64 Side Effects (in more detail)
Mag 64 Use in Pregnancy & Breastfeeding
Mag 64 Drug Interactions
Mag 64 Support Group
0 Reviews for Mag 64 - Add your own review/rating

Magnesium Chloride Professional Patient Advice (Wolters Kluwer)

Chloromag Prescribing Information (FDA)

Mag-SR Sustained-Release Tablets MedFacts Consumer Leaflet (Wolters Kluwer)

Compare Mag 64 with other medications

Heart Attack
Hypomagnesemia

Where can I get more information?

Your pharmacist can provide more information about magnesium chloride.

See also: Mag 64 side effects (in more detail)

Mellaril-S

Generic Name: thioridazine (THYE oh RID a zeen)

Brand Names:

What is Mellaril-S (thioridazine)?

Thioridazine is an anti-psychotic medication in a group of drugs called phenothiazines (FEEN-oh-THYE-a-zeens). It works by changing the actions of chemicals in your brain.

Thioridazine is used to treat psychotic disorders such as schizophrenia.

Thioridazine is usually given after other medications have been tried without successful treatment of schizophrenia.

Thioridazine may also be used for purposes not listed in this medication guide.

What is the most important information I should know about Mellaril-S (thioridazine)?

Stop using this medication and call your doctor at once if you have twitching or uncontrollable movements of your eyes, lips, tongue, face, arms, or legs. These could be early signs of dangerous side effects. Thioridazine is not for use in psychotic conditions related to dementia. Thioridazine may cause heart failure, sudden death, or pneumonia in older adults with dementia-related conditions. You should not use thioridazine if you have brain damage, bone marrow depression, severe heart disease, a heart rhythm disorder, a history of "Long QT syndrome," or if you are also using large amounts of alcohol or medicines that make you sleepy.

Do not take thioridazine together with large amounts of alcohol or medicines that make you sleepy, or with medications that can affect heart rhythm. There are many medicines that should not be taken together with thioridazine because they may cause serious medical problems. Tell your doctor about all other medications you use.

Before you take thioridazine, tell your doctor if you have heart disease, high blood pressure, a heart rhythm disorder, low levels of calcium or potassium in your blood, past or present breast cancer, liver or kidney disease, severe asthma or breathing problems, a history of seizures, Parkinson's disease, adrenal gland tumor, enlarged prostate or urination problems, glaucoma, or if you have ever had a serious side effect while using thioridazine or a similar medication.

What should I discuss with my healthcare provider before taking Mellaril-S (thioridazine)?

Thioridazine is not for use in psychotic conditions related to dementia. Thioridazine may cause heart failure, sudden death, or pneumonia in older adults with dementia-related conditions. You should not use thioridazine if you are allergic to it, or if you have brain damage, bone marrow depression, severe heart disease, a heart rhythm disorder, a history of "Long QT syndrome," or if you are also using large amounts of alcohol or medicines that make you sleepy.

There are many medicines that should not be taken together with thioridazine because they may cause serious medical problems. Tell your doctor about all other medications you take, including:

antibiotics;

antidepressants;

blood pressure medications;

medications to treat or prevent malaria;

cancer medications;

certain HIV/AIDS medications;

migraine headache medicine;

heart rhythm medications;

medicine to prevent or treat nausea and vomiting;

certain narcotic pain medicines; and

other anti-psychotic medicines.

To make sure you can safely take thioridazine, tell your doctor if you have any of these other conditions:

heart disease, high blood pressure, or a heart rhythm disorder;

low levels of potassium in your blood (hypokalemia);

past or present breast cancer;

liver or kidney disease;

severe asthma, emphysema, or other breathing problem;

a history of seizures;

Parkinson's disease;

adrenal gland tumor (pheochromocytoma);

enlarged prostate or urination problems;

low levels of calcium in your blood (hypocalcemia);

glaucoma; or

if you have ever had a serious side effect while using thioridazine or another phenothiazine.

It is not known whether thioridazine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. Taking antipsychotic medication during the last 3 months of pregnancy may cause problems in the newborn, such as withdrawal symptoms, breathing problems, feeding problems, fussiness, tremors, and limp or stiff muscles. However, you may have withdrawal symptoms or other problems if you stop taking your medicine during pregnancy. If you become pregnant while taking thioridazine, do not stop taking it without your doctor's advice. Thioridazine can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take Mellaril-S (thioridazine)?

Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results.

To be sure this medication is not causing harmful effects, your heart function may need to be checked using an electrocardiograph or ECG (sometimes called an EKG). This machine measures electrical activity of the heart. Visit your doctor regularly.

Store thioridazine at room temperature away from moisture, heat, and light.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include stomach cramps, extreme dizziness, dry skin, decreased urination, uncontrollable muscle movements, confusion, agitation, feeling hot or cold, fast or pounding heartbeat, fainting, slow heart rate, weak or shallow breathing, and seizure (convulsions).

What should I avoid while taking Mellaril-S (thioridazine)?

Thioridazine may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall. Drinking alcohol can increase certain side effects of thioridazine. Avoid exposure to sunlight or tanning beds. Thioridazine can make you sunburn more easily. Wear protective clothing and use sunscreen (SPF 30 or higher) when you are outdoors.

Mellaril-S (thioridazine) side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using thioridazine and call your doctor at once if you have a serious side effect such as:

fast or pounding heartbeat;

twitching or uncontrollable movements of your eyes, lips, tongue, face, arms, or legs;

tremor (uncontrolled shaking), drooling, trouble swallowing, problems with balance or walking;

feeling restless, jittery, or agitated;

very stiff (rigid) muscles, high fever, sweating, confusion, fast or uneven heartbeats, feeling like you might pass out;

seizure (convulsions);

decreased night vision, tunnel vision, watery eyes, increased sensitivity to light;

pale skin, easy bruising or bleeding, sore throat, flu symptoms;

urinating less than usual or not at all;

nausea and stomach pain, skin rash, and jaundice (yellowing of the skin or eyes);

joint pain or swelling with fever, swollen glands, muscle aches, chest pain, vomiting, unusual thoughts or behavior, and patchy skin color; or

slow heart rate, weak pulse, fainting, slow breathing (breathing may stop).

Less serious side effects may include:

dizziness, drowsiness, anxiety;

dry mouth, stuffy nose, constipation;

blurred vision, headache;

breast swelling or discharge;

changes in your menstrual periods;

weight gain, swelling in your hands or feet;

impotence, trouble having an orgasm;

increased or decreased interest in sex;

sleep problems (insomnia), strange dreams; or

mild itching or skin rash.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Mellaril-S (thioridazine)?

Cold or allergy medicine, sedatives, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression or anxiety can add to sleepiness caused by thioridazine. Tell your doctor if you regularly use any of these medicines, or any other anti-psychotic medications.

atropine (Atreza, Sal-Tropine);

lithium (Eskalith, Lithobid);

an antibiotic;

birth control pills or hormone replacement estrogens;

a blood thinner such as warfarin (Coumadin);

certain asthma medications or bronchodilators;

incontinence medications;

insulin or diabetes medications you take by mouth;

medication for nausea, vomiting, or motion sickness;

medications used for general anesthesia;

numbing medicine such as lidocaine or Novocain;

medicines used to prevent organ transplant rejection;

a stimulant or ADHD medication;

ulcer or irritable bowel medications; or

medicines to treat Parkinson's disease, restless leg syndrome, or pituitary gland tumor (prolactinoma).

This list is not complete and there are many other drugs that can cause serious or life-threatening medical problems if you take them together with thioridazine. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor. Keep a list of all your medicines and show it to any healthcare provider who treats you.

More Mellaril-S resources

Mellaril-S Side Effects (in more detail)
Mellaril-S Use in Pregnancy & Breastfeeding
Mellaril-S Drug Interactions
Mellaril-S Support Group
0 Reviews for Mellaril-S - Add your own review/rating

Thioridazine Prescribing Information (FDA)

Thioridazine MedFacts Consumer Leaflet (Wolters Kluwer)

Compare Mellaril-S with other medications

Schizophrenia

Where can I get more information?

Your pharmacist can provide more information about thioridazine.

See also: Mellaril-S side effects (in more detail)

MiraLax

Generic Name: polyethylene glycol 3350 (pol ee ETH il een GLYE kol)

Brand Names: GlycoLax, MiraLax

What is MiraLax (polyethylene glycol 3350)?

Polyethylene glycol 3350 is a laxative solution that increases the amount of water in the intestinal tract to stimulate bowel movements.

Polyethylene glycol 3350 is used as a laxative to treat occasional constipation or irregular bowel movements.

Polyethylene glycol 3350 may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about MiraLax (polyethylene glycol 3350)?

Do not use this medication if you are allergic to polyethylene glycol, or if you have a bowel obstruction or intestinal blockage. If you have any these conditions, you could have dangerous or life-threatening side effects from polyethylene glycol 3350. People with eating disorders (such as anorexia or bulimia) should not use this medication without the advice of a doctor.

Before taking polyethylene glycol 3350, tell your doctor if you are allergic to any drugs, or if you have ulcerative colitis, irritable bowel syndrome, kidney disease, nausea or vomiting with severe stomach pain, or if you have had a sudden change in bowel habits that has lasted 2 weeks or longer.

Polyethylene glycol 3350 should produce a bowel movement within 1 to 3 days of using the medication. Polyethylene glycol 3350 normally causes loose or even watery stools.

Do not use polyethylene glycol 3350 more than once per day. Call your doctor if you are still constipated or irregular after using this medication for 7 days in a row.

What should I discuss with my healthcare provider before taking MiraLax (polyethylene glycol 3350)?

Before taking polyethylene glycol 3350, tell your doctor if you are allergic to any drugs, or if you have:

nausea, vomiting, or severe stomach pain;

ulcerative colitis;

irritable bowel syndrome;

kidney disease; or

if you have had a sudden change in bowel habits that has lasted 2 weeks or longer.

If you have any of these conditions, you may need a dose adjustment or special tests to safely take this medication.

FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether polyethylene glycol 3350 passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take MiraLax (polyethylene glycol 3350)?

Use this medication exactly as directed on the label, or as it has been prescribed by your doctor. Do not use the medication in larger amounts or for longer than recommended.

To use the powder form of this medicine, measure your dose with the medicine cap on the bottle. This cap should contain dose marks on the inside of it. Pour the powder into 4 to 8 ounces of a cold or hot beverage such as water, juice, soda, coffee, or tea. Stir this mixture and drink it right away. Do not save for later use.

Polyethylene glycol 3350 should produce a bowel movement within 1 to 3 days of using the medication. Polyethylene glycol 3350 normally causes loose or even watery stools.

Do not use polyethylene glycol 3350 more than once per day. Call your doctor if you are still constipated or irregular after using this medication for 7 days in a row. Store polyethylene glycol 3350 at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the dose you missed and take only the next regularly scheduled dose. Do not take a double dose of this medication.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include nausea, vomiting, flushing, low blood pressure, a slow heartbeat, drowsiness, coma, and death.

What should I avoid while taking MiraLax (polyethylene glycol 3350)?

Follow your doctor's instructions about any restrictions on food, beverages, or activity while you are using polyethylene glycol 3350.

MiraLax (polyethylene glycol 3350) side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop taking polyethylene glycol 3350 and call your doctor at once if you have any of these serious side effects:

severe or bloody diarrhea;

bleeding from your rectum;

blood in your stools; or

severe and worsening stomach pain, cramping, or bloating.

Less serious side effects may include:

bloating, gas, upset stomach;

dizziness; or

increased sweating.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect MiraLax (polyethylene glycol 3350)?

There may be other drugs that can interact with polyethylene glycol electrolyte solution. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

More MiraLax resources

MiraLax Side Effects (in more detail)
MiraLax Use in Pregnancy & Breastfeeding
MiraLax Drug Interactions
MiraLax Support Group
27 Reviews for MiraLax - Add your own review/rating

MiraLax Powder for Oral Solution MedFacts Consumer Leaflet (Wolters Kluwer)

ClearLax Prescribing Information (FDA)

Gavilax Prescribing Information (FDA)

MiraLAX Prescribing Information (FDA)

Compare MiraLax with other medications

Bowel Preparation
Constipation
Constipation, Acute

Where can I get more information?

Your pharmacist can provide more information about polyethylene glycol 3350.

See also: MiraLax side effects (in more detail)

Monoket

Pronunciation: eye-soe-SOR-bide mon-oh-NYE-trate
Generic Name: Isosorbide Mononitrate
Brand Name: Examples include ISMO and Monoket

Monoket is used for:

Preventing angina (chest pain) caused by heart disease.

Monoket is a nitrate vasodilator. It works by widening the blood vessels in the body. This reduces the workload of the heart and helps to relieve chest pain.

Do NOT use Monoket if:

you are allergic to any ingredient in Monoket or to other nitrate medicines

you are also taking a phosphodiesterase type 5 inhibitor (eg, sildenafil, tadalafil, vardenafil)

you drink alcohol

Contact your doctor or health care provider right away if any of these apply to you.

Before using Monoket:

Some medical conditions may interact with Monoket. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

if you are pregnant, planning to become pregnant, or are breast-feeding

if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

if you have allergies to medicines, foods, or other substances

if you have heart problems (eg, heart failure, heart attack, hypertrophic cardiomyopathy), low blood pressure, blood problems (eg, anemia), dehydration, bleeding the brain, an overactive thyroid, or have had a recent head injury

Some MEDICINES MAY INTERACT with Monoket. Tell your health care provider if you are taking any other medicines, especially any of the following:

Calcium channel blockers (eg, diltiazem, verapamil) or phosphodiesterase type 5 inhibitors (eg, sildenafil, tadalafil, vardenafil) because the risk of severe low blood pressure may be increased

This may not be a complete list of all interactions that may occur. Ask your health care provider if Monoket may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Monoket:

Use Monoket as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Take Monoket by mouth with or without food.

This medication should be taken twice daily, with the doses 7 hours apart. The first dose should preferably be taken in the morning upon waking up, unless directed otherwise by your doctor.

Do not suddenly stop taking Monoket. You may have an increased risk of side effects (eg, angina attacks). If you need to stop Monoket or add a new medicine, your doctor will gradually lower your dose.

If you miss a dose of Monoket, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Monoket.

Important safety information:

Monoket may cause dizziness or lightheadedness. These effects may be worse if you take it with alcohol or certain medicines. Use Monoket with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.

Monoket may cause dizziness or lightheadedness; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.

Do not drink alcohol while you are taking Monoket.

When you begin taking Monoket, headaches are likely to occur. Ask your doctor for instructions on ways to reduce this side effect.

Monoket should not be used to stop an attack of angina; it is intended only for prevention of an attack.

Monoket may interfere with certain lab tests. Be sure your doctor and lab personnel know you are taking Monoket.

Monoket should not be used in CHILDREN; safety and effectiveness in children have not been confirmed.

PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Monoket while you are pregnant. It is not known if Monoket is found in breast milk. If you are or will be breast-feeding while you use Monoket, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Monoket:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Dizziness; headache; nausea.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); changes in vision; fainting; numbness of an arm or leg; severe stomach pain; sharp or crushing chest pain; sudden leg pain; sudden, severe headache; sudden shortness of breath; vomiting.

See also: Monoket side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include breathing problems; confusion; dizziness; fainting; fever; flushing; headache; increased pressure in the head; irregular heartbeat; loss of appetite; nausea; paralysis; sweating; visual disturbances; vomiting.

Proper storage of Monoket:

Store Monoket at 59 to 86 degrees F (15 to 30 degrees C). Store away from heat, moisture, and light. Keep Monoket in the original container with the lid tightly closed. Do not store in the bathroom. Keep Monoket out of the reach of children and away from pets.

General information:

If you have any questions about Monoket, please talk with your doctor, pharmacist, or other health care provider.

Monoket is to be used only by the patient for whom it is prescribed. Do not share it with other people.

If your symptoms do not improve or if they become worse, check with your doctor.

Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Monoket. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012

Database Edition 12.1.1.002

More Monoket resources

Monoket Side Effects (in more detail)
Monoket Use in Pregnancy & Breastfeeding
Drug Images
Monoket Drug Interactions
Monoket Support Group
0 Reviews for Monoket - Add your own review/rating

Monoket Prescribing Information (FDA)

Monoket Advanced Consumer (Micromedex) - Includes Dosage Information

Isosorbide Mononitrate Prescribing Information (FDA)

Isosorbide Mononitrate Professional Patient Advice (Wolters Kluwer)

Imdur Prescribing Information (FDA)

Imdur Consumer Overview

Ismo Prescribing Information (FDA)

Compare Monoket with other medications

Angina Pectoris Prophylaxis
Heart Failure

Monoket

Generic Name: isosorbide mononitrate (Oral route)

eye-soe-SOR-bide mon-oh-NYE-trate

Commonly used brand name(s)

In the U.S.

Imdur

Imdur ER

Ismo

Monoket

Available Dosage Forms:

Tablet, Extended Release

Tablet

Therapeutic Class: Antianginal

Chemical Class: Nitrate

Uses For Monoket

Isosorbide mononitrate is used to prevent angina (chest pain) caused by coronary artery disease (heart disease). It does not work fast enough to relieve the pain of an angina attack that has already started.

Isosorbide mononitrate belongs to the group of medicines called nitrates. It works by relaxing the blood vessels and increasing the supply of blood and oxygen to the heart while reducing its work load. When used regularly on a long-term basis, this helps prevent angina attacks from occurring.

This medicine is available only with your doctor's prescription.

Before Using Monoket

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 this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies have not been performed on the relationship of age to the effects of isosorbide mononitrate in the pediatric population. Safety and efficacy have not been established.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of isosorbide mononitrate in the elderly. However, elderly patients are more likely to have age-related liver, kidney, or heart problems, which may require caution and an adjustment in the dose for patients receiving isosorbide mononitrate.

Pregnancy

	Pregnancy Category	Explanation
All Trimesters	C	Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

Breast Feeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Interactions with Medicines

Although certain medicines 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 this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

Sildenafil

Tadalafil

Vardenafil

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Proper Use of isosorbide mononitrate

This section provides information on the proper use of a number of products that contain isosorbide mononitrate. It may not be specific to Monoket. Please read with care.

Take this medicine exactly 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.

This form of nitrate is used to reduce the number of angina attacks over a long time. It will not relieve an attack that has already started because it works too slowly. The extended-release form releases medicine gradually to provide its effect for 8 to 10 hours. Check with your doctor if you also need a fast-acting medicine to relieve the pain of an angina attack.

You should take this medicine first thing in the morning and follow the same schedule each day. This medicine works best if you have a "drug-free" period of time every day when you do not take it. Your doctor will schedule your doses during the day to allow for a drug-free time. Follow the schedule of dosing carefully so the medicine will work properly.

Swallow the extended-release tablet whole with a half glass of water. Do not split, crush, or chew it.

Dosing

The dose of this medicine 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 this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

For angina prevention:
- For oral dosage form (extended-release tablets):
  - Adults—At first, 30 or 60 milligrams (mg) once a day. Take the dose in the morning right after you wake up. Your doctor may increase your dose as needed.
  - Children—Use and dose must be determined by your doctor.
- For oral dosage form (tablets):
  - Adults—20 milligrams (mg) two times a day. Take the first dose in the morning right after you wake up, and the second dose 7 hours later.
  - Children—Use and dose must be determined by your doctor.

Missed Dose

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

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Precautions While Using Monoket

If you will be taking this medicine for a long time, it is very important that your doctor check your progress at regular visits to make sure that this medicine is working properly. Blood tests may be needed to check for unwanted effects.

Do not take sildenafil (Viagra®), tadalafil (Cialis®), or vardenafil (Levitra®) while you are using this medicine. Using these medicines together may cause blurred vision, dizziness, lightheadedness, or fainting. If you are taking these medicines and you experience an angina attack, you must go to the hospital right away.

This medicine may cause headaches. These headaches are a sign that the medicine is working. Do not stop using the medicine or change the time you use it in order to avoid the headaches. If you have severe pain, talk with your doctor.

Dizziness, lightheadedness, or faintness may occur, especially when you get up quickly from a lying or sitting position. Getting up slowly may help.

Dizziness, lightheadedness, or fainting is also more likely to occur if you drink alcohol, stand for long periods of time, exercise, or if the weather is hot. While you are taking this medicine, be careful to limit the amount of alcohol you drink. Also, use extra care during exercise or hot weather or if you must stand for long periods of time.

Do not stop using this medicine without checking first with your doctor. Your doctor may want you to gradually reduce the amount you are using before stopping it completely.

Monoket 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:

Less common

Abnormal heart sound

absence of or decrease in body movement

arm, back, or jaw pain

black, tarry stools

bladder pain

bleeding after defecation

bleeding gums

blood in the urine or stools

blurred vision

body aches or pain

burning while urinating

burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings

chest pain or discomfort

chest tightness or heaviness

chills

cold sweats

colds

confusion

convulsions

cough or hoarseness

decreased urine

diarrhea

difficult or labored breathing

difficult, burning, or painful urination

dilated neck veins

dizziness

dizziness, faintness, or lightheadedness when getting up from a lying or sitting position suddenly

dry mouth

ear congestion

extra heartbeats

fainting

fast, slow, irregular, pounding, or racing heartbeat or pulse

fever or chills

flu-like symptoms

frequent urge to urinate

frequent urination

general feeling of discomfort or illness

headache

headache, severe and throbbing

heart murmur

increased need to urinate

increased sweating

increased thirst

increased volume of pale, dilute urine

irregular breathing

itching, pain, redness, or swelling on the leg

joint pain, stiffness, or swelling

lightheadedness

loss of appetite

loss of voice

lower back, side, or stomach pain

mood changes

muscle aches and pains

muscle cramps

nasal congestion

nausea or vomiting

nervousness

numbness or tingling in the hands, feet, or lips

pain or discomfort in the arms, jaw, back, or neck

pain, tension, and weakness upon walking that subsides during periods of rest

partial or slight paralysis

passing urine more often

pinpoint red or purple spots on the skin

pounding in the ears

runny nose

shakiness in the legs, arms, hands, or feet

shivering

shortness of breath

sneezing

sore on the leg

sore throat

sudden decrease in the amount of urine

sweating

swelling

swelling of the face, fingers, feet, or lower legs

tightness in the chest

trembling or shaking of the hands or feet

trouble with sleeping

troubled breathing

uncomfortable swelling around the anus

unusual bleeding or bruising

unusual tiredness or weakness

vomiting of blood or material that looks like coffee grounds

weakness

weight gain

wheezing

Rare

Bluish-colored lips, fingernails, or palms

dark urine

pale skin

rapid heart rate

Get emergency help immediately if any of the following symptoms of overdose occur:

Symptoms of overdose

Blurred or loss of vision

bulging soft spot on the head of an infant

change in consciousness

change in the ability to see colors, especially blue or yellow

cold, clammy skin

disturbed color perception

double vision

feeling of constant movement of self or surroundings

halos around lights

headache, severe and throbbing

loss of consciousness

night blindness

overbright appearance of lights

paralysis

sensation of spinning

tunnel vision

Some 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. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Less common

Acid or sour stomach

anxiety

back pain

belching

blemishes on the skin

bloated

breast pain

burning feeling in the chest or stomach

burning, dry, or itching eyes

change in color vision

changes in vision

cold sweats

congestion

constipation

continuing ringing or buzzing or other unexplained noise in the ears

cough producing mucus

decreased interest in sexual intercourse

difficulty seeing at night

difficulty with moving

discharge, excessive tearing

double vision

drooping upper eyelids

dull ache or feeling of pressure or heaviness in the legs

earache

excess air or gas in the stomach or intestines

feeling of constant movement of self or surroundings

feeling of warmth

feeling unusually cold

frequent urge to defecate

frozen shoulder

full feeling

hearing loss

heartburn

hyperventilation

inability to have or keep an erection

increased appetite

increased sensitivity of the eyes to sunlight

increased sputum

indigestion

irritability

itching skin near damaged veins

lack or loss of strength

loss in sexual ability, desire, drive, or performance

muscle or bone pain

muscle stiffness or weakness

nightmares

noisy breathing

pain or tenderness around the eyes and cheekbones

passing gas

pimples

poor concentration

rash

redness of the face, neck, arms, and occasionally, upper chest

redness, pain, swelling of the eye, eyelid, or inner lining of the eyelid

redness, swelling, or soreness of the tongue

restlessness

seeing double

sensation of spinning

sleepiness or unusual drowsiness

sleeplessness

small clicking, bubbling, or rattling sounds in the lung when listening with a stethoscope

small lumps under the skin

sore mouth or tongue

stiff neck

stomach bloating, burning, cramping, or pain

stomach discomfort or upset

straining while passing stool

stuffy nose

sudden sweating

swollen feet and ankles

tender, swollen glands in the neck

tenderness in the stomach area

terrifying dreams causing sleep disturbances

tooth disorder

trouble with swallowing

unable to sleep

uncontrolled twisting movements of the neck

voice changes

weight loss

white patches in the mouth, tongue, or throat

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

See also: Monoket side effects (in more detail)

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Monoket Side Effects (in more detail)
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