Ester-C

Generic Name: ascorbic acid (vitamin C) (as KORE bik AS id)

Brand Names: Acerola, Ascorbic Acid Quick Melts, C-Time, C/Rose Hips, Cecon, Cemill 1000, Cemill 500, Ester-C, N Ice with Vitamin C, Sunkist Vitamin C, Vicks Vitamin C Drops, Vitamin C, Vitamin C TR, Vitamin C with Rose Hips

What is ascorbic acid?

Ascorbic acid (vitamin C) occurs naturally in foods such as citrus fruit, tomatoes, potatoes, and leafy vegetables. Ascorbic acid is important for bones and connective tissues, muscles, and blood vessels. Vitamin C also helps the body absorb iron, which is needed for red blood cell production.

Ascorbic acid is used to treat and prevent vitamin C deficiency.

Ascorbic acid may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about ascorbic acid?

You should not use this medication if you have ever had an allergic reaction to ascorbic acid.

Ask a doctor or pharmacist about using ascorbic acid if you have kidney disease or a history of kidney stones, liver disease (especially cirrhosis), or an enzyme deficiency called glucose-6-phosphate dehydrogenase deficiency (G6PD).

It is not known whether ascorbic acid is harmful to an unborn baby or a nursing baby. Some vitamins and minerals are needed during pregnancy or for breast milk production, but some may be harmful if taken in large doses. Do not take ascorbic acid without telling your doctor if you are pregnant or breast-feeding.

Ascorbic acid can be harmful to the kidneys, and this effect is increased when ascorbic acid is used together with other medicines that can harm the kidneys. Before taking ascorbic acid, tell your doctor if you are receiving chemotherapy, or using medicines to treat a bowel disorder, medication to prevent organ transplant rejection, antiviral medications, pain or arthritis medicines, or any injected antibiotics. You may need dose adjustments or special tests when taking any of these medications together with ascorbic acid.

Before taking ascorbic acid, tell your doctor about all other medications you take.

Stop using ascorbic acid and call your doctor at once if you have severe pain in your lower back or side, blood in your urine, pain when you urinate, severe or ongoing diarrhea, or feel like you might pass out.

What should I discuss with my healthcare provider before taking ascorbic acid?

You should not use this medication if you have ever had an allergic reaction to ascorbic acid.

Ask a doctor or pharmacist about using ascorbic acid if you have:

• kidney disease or a history of kidney stones;


• liver disease (especially cirrhosis); or


• 
  

  an enzyme deficiency called glucose-6-phosphate dehydrogenase deficiency (G6PD).

  
  

It is not known whether ascorbic acid is harmful to an unborn baby. Some vitamins and minerals can harm an unborn baby if taken in large doses. You may need to use a prenatal vitamin specially formulated for pregnant women. Do not take ascorbic acid without telling your doctor if you are pregnant. Ascorbic acid can pass into breast milk, but it is not known whether it would be harmful to a nursing baby. Some vitamins and minerals are needed for breast milk production, but some may harm a nursing baby. Do not take ascorbic acid without telling your doctor if you are breast-feeding a baby.

How should I take ascorbic acid?

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.

The recommended dietary allowance of ascorbic acid increases with age, and whether you are pregnant or breast-feeding. Follow your doctor's instructions. You may also consult the National Academy of Sciences "Dietary Reference Intake" or the U.S. Department of Agriculture's "Dietary Reference Intake" (formerly "Recommended Daily Allowances" or RDA) listings for more information.

Take the ascorbic acid regular tablet or capsule with a full glass (8 ounces) of water.

The ascorbic acid chewable tablet must be chewed before swallowing. Ascorbic acid gum may be chewed over a long period and then spit out and thrown away.

Remove the disintegrating tablet from the package using dry hands, and place the tablet in your mouth. It will begin to dissolve right away. Do not swallow the tablet whole. Allow it to dissolve in your mouth without chewing. Swallow several times as the tablet dissolves.

Measure liquid medicine with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

Dissolve the powder form of ascorbic acid in a small amount of water or other liquid. Follow the directions on the package label about what types of liquid you may use. Stir the mixture and drink all of it right away. To make sure you get the entire dose, add a little more water to the same glass, swirl gently and drink right away.

Store ascorbic acid at room temperature away from moisture and heat.

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 if you think you have used too much of this medicine.

An overdose of ascorbic acid is not likely to cause life-threatening symptoms.

What should I avoid while taking ascorbic acid?

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

Smoking can make ascorbic acid less effective.

Ascorbic acid 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. Stop using ascorbic acid and call your doctor at once if you have a serious side effect such as:

• 
  

  severe pain in your lower back or side;

  
  


• 
  

  blood in your urine;

  
  


• 
  

  pain when you urinate;

  
  


• 
  

  severe or ongoing diarrhea; or

  
  


• 
  

  feeling like you might pass out.

  
  

Less serious side effects may include:

• 
  

  heartburn, stomach cramps;

  
  


• 
  

  nausea, vomiting, diarrhea;

  
  


• 
  

  headache, dizziness;

  
  


• 
  

  flushing (warmth, redness, or tingling under your skin);

  
  

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 ascorbic acid?

Ascorbic acid can be harmful to the kidneys, and this effect is increased when ascorbic acid is used together with other medicines that can harm the kidneys. Before taking ascorbic acid, tell your doctor if you are receiving chemotherapy, or using medicines to treat a bowel disorder, medication to prevent organ transplant rejection, antiviral medications, pain or arthritis medicines, or any injected antibiotics.

You may need dose adjustments or special tests when taking any of these medications together with ascorbic acid.

The following drugs can interact with ascorbic acid. Tell your doctor if you are using any of these:

• 
  

  aspirin or acetaminophen (Tylenol);

  
  


• 
  

  fluphenazine (Permitil);

  
  


• 
  

  indinavir (Crixivan);

  
  


• 
  

  levodopa (Atamet, Larodopa, Parcopa, Sinemet);

  
  


• 
  

  nicotine patches (Nicoderm, Habitrol, Commit);

  
  


• 
  

  antacids that contain aluminum (such as Amphojel, Maalox, Mylanta, Rulox, and others);

  
  


• 
  

  an antibiotic such as demeclocycline (Declomycin), doxycycline (Adoxa, Doryx, Oracea, Vibramycin), minocycline (Dynacin, Minocin, Solodyn, Vectrin), or tetracycline (Brodspec, Panmycin, Sumycin, Tetracap); or

  
  


• 
  

  a barbiturate such as butabarbital (Butisol), secobarbital (Seconal), pentobarbital (Nembutal), or phenobarbital (Solfoton);

  
  


• 
  

  birth control pills or hormone replacement therapy, including Premarin, Estratest, Vivelle, Climara, Estring, Estrace, and others; or

  
  


• 
  

  a blood thinner such as warfarin (Coumadin).

  
  

This list is not complete and there may be other drugs that can interact with ascorbic acid. 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 Ester-C resources

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

• Ascorbic Acid Monograph (AHFS DI)


• ascorbic acid Advanced Consumer (Micromedex) - Includes Dosage Information


• Ascorbic Acid MedFacts Consumer Leaflet (Wolters Kluwer)


• Acerola Natural MedFacts for Consumers (Wolters Kluwer)


• Acerola Natural MedFacts for Professionals (Wolters Kluwer)


• Cecon Solution MedFacts Consumer Leaflet (Wolters Kluwer)


• Cenolate Injection MedFacts Consumer Leaflet (Wolters Kluwer)


• Cevi-Bid Controlled-Release Capsules MedFacts Consumer Leaflet (Wolters Kluwer)

Compare Ester-C with other medications

• Dietary Supplementation
• Scurvy
• Urinary Acidification

Where can I get more information?

• Your doctor, pharmacist, or health care provider may have more information about ascorbic acid.

See also: Ester-C side effects (in more detail)

technetium tc 99m albumin aggregated Intravenous

tek-NEE-shee-um Tc 99m al-BUE-min AG-re-gay-ted

Commonly used brand name(s)

In the U.S.

• MPI MAA


• Pulmolite


• Technescan MAA

Available Dosage Forms:

• Kit

Therapeutic Class: Diagnostic Agent, Radiopharmaceutical Imaging

Uses For technetium tc 99m albumin aggregated

Technetium Tc 99m albumin aggregated injection is a radiopharmaceutical. Radiopharmaceuticals are radioactive agents, which may be used to find and treat certain diseases or to study the function of the body's organs.

Technetium Tc 99m albumin aggregated injection is used to help your doctor see an image of your lungs to help evaluate lung problems in children and adults. It is also used to help your doctor see an image of your peritoneovenous [LeVeen] shunt.

technetium tc 99m albumin aggregated is to be given only by or under the direct supervision of a doctor with specialized training in nuclear medicine.

Before Using technetium tc 99m albumin aggregated

In deciding to use a diagnostic test, any risks of the test must be weighed against the good it will do. This is a decision you and your doctor will make. Also, other things may affect test results. For this test, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to technetium tc 99m albumin aggregated 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 performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of Technetium Tc 99m albumin aggregated injection in children.

Geriatric

No information is available on the relationship of age to the effects of technetium Tc 99m albumin aggregated injection in geriatric patients.

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. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

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.

Other Medical Problems

The presence of other medical problems may affect the use of this diagnostic test. Make sure you tell your doctor if you have any other medical problems, especially:

• Allergy to human serum albumin, history of or


• Pulmonary hypertension (increased blood pressure in the lungs), severe—Should not be used in patients with these conditions.

• Blood circulation problems or


• Cor pulmonale (serious heart condition)—Use with caution. May make these conditions worse.

• Heart problems (e.g., right-to-left heart shunts)—It is not known if technetium tc 99m albumin aggregated is safe in patients with this condition.

Proper Use of technetium tc 99m albumin aggregated

A doctor or other trained health professional will give you or your child technetium tc 99m albumin aggregated. technetium tc 99m albumin aggregated is given through a needle placed in one of your veins before you have a scan.

Precautions While Using technetium tc 99m albumin aggregated

It is very important that your doctor check you or your child closely while you are receiving technetium tc 99m albumin aggregated. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to use it.

While using technetium tc 99m albumin aggregated, you or your child may be exposed to radiation. Talk with your doctor if you have concerns about this.

technetium tc 99m albumin aggregated 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 or nurse immediately if any of the following side effects occur:

Incidence not known

• Confusion


• faintness


• fever and chills


• skin rash or itching


• wheezing

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:

Incidence not known

• Bleeding, blistering, burning, coldness, discoloration of the skin, feeling of pressure, hives, infection, inflammation, itching, lumps, numbness, pain, rash, redness, scarring, soreness, stinging, swelling, tenderness, tingling, ulceration, or warmth at the injection site

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.

The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.

Ip-Max

Ip-Max may be available in the countries listed below.

Ingredient matches for Ip-Max

Sildenafil

Sildenafil is reported as an ingredient of Ip-Max in the following countries:

• Peru

International Drug Name Search

Vasoclear

Generic Name: naphazoline (Ophthalmic route)

naf-AZ-oh-leen

Commonly used brand name(s)

In the U.S.

• AK-Con


• Albalon


• Allersol


• Clear Eyes


• Naphcon


• Ocu-Zoline


• Vasoclear

Available Dosage Forms:

• Solution


• Gel/Jelly

Therapeutic Class: Decongestant

Pharmacologic Class: Sympathomimetic

Chemical Class: Imidazoline

Uses For Vasoclear

Naphazoline is used to relieve redness due to minor eye irritations, such as those caused by colds, dust, wind, smog, pollen, swimming, or wearing contact lenses.

Some of these preparations are available only with your doctor's prescription.

Before Using Vasoclear

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

Use by infants and children is not recommended, since they are especially sensitive to the effects of naphazoline.

Geriatric

Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults or if they cause different side effects or problems in older people. There is no specific information comparing use of naphazoline in the elderly with use in other age groups.

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. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

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.

Other Medical Problems

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

• Type 2 diabetes mellitus or


• Heart disease or


• High blood pressure or


• Overactive thyroid—Use of ophthalmic naphazoline may make the condition worse

• Eye disease, infection, or injury—The symptoms of the condition may be confused with possible side effects of ophthalmic naphazoline

Proper Use of naphazoline

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

Do not use naphazoline ophthalmic solution if it becomes cloudy or changes color.

Naphazoline should not be used in infants and children . It may cause severe slowing down of the central nervous system (CNS), which may lead to unconsciousness. It may also cause a severe decrease in body temperature.

Use this medicine only as directed. Do not use more of it, do not use it more often, and do not use it for more than 72 hours, unless otherwise directed by your doctor. To do so may make your eye redness and irritation worse and may also increase the chance of side effects.

To use:

• First, wash your hands. With the middle finger, apply pressure to the inside corner of the eye (and continue to apply pressure for 1 or 2 minutes after the medicine has been placed in the eye). Tilt the head back and with the index finger of the same hand, pull the lower eyelid away from the eye to form a pouch. Drop the medicine into the pouch and gently close the eyes. Do not blink. Keep the eyes closed for 1 or 2 minutes to allow the medicine to be absorbed.


• To keep the medicine as germ-free as possible, do not touch the applicator tip to any surface (including the eye). Also, keep the container tightly closed.

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 ophthalmic solution (eye drop) dosage form:
  
  • For eye redness:
    
    • Adults—Use one drop not more often than every four hours.
    
    
    • Children—Use is not recommended.
    
    
  
  

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.

Precautions While Using Vasoclear

If eye pain or change in vision occurs or if redness or irritation of the eye continues, gets worse, or lasts for more than 72 hours, stop using the medicine and check with your doctor.

Vasoclear Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

With overuse or long-term use

• Increase in eye irritation

Symptoms of too much medicine being absorbed into the body

• Dizziness


• headache


• increased sweating


• nausea


• nervousness


• weakness

Symptoms of overdose

• Decrease in body temperature


• drowsiness


• slow heartbeat


• weakness (severe)

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 or rare

• Blurred vision


• large pupils

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: Vasoclear side effects (in more detail)

The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.

More Vasoclear resources

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

• Albalon Prescribing Information (FDA)


• Clear Eyes Drops MedFacts Consumer Leaflet (Wolters Kluwer)


• Naphcon Prescribing Information (FDA)


• Naphcon Forte Prescribing Information (FDA)


• VasoClear Concise Consumer Information (Cerner Multum)


• VasoClear Drops MedFacts Consumer Leaflet (Wolters Kluwer)


• Vasocon Prescribing Information (FDA)

Compare Vasoclear with other medications

• Eye Dryness/Redness
• Eye Redness/Itching

Cialis 5mg film-coated tablets

CIALIS 5 mg film-coated tablets

tadalafil

Read all of this leaflet carefully before you start taking this medicine.

• Keep this leaflet. You may need to read it again.


• If you have any further questions, ask your doctor or pharmacist.


• This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.


• If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

In this leaflet:

• 1. What CIALIS is and what it is used for


• 2. Before you take CIALIS


• 3. How to take CIALIS


• 4. Possible side effects


• 5. How to store CIALIS


• 6. Further information

What Cialis Is And What It Is Used For

CIALIS is a treatment for men with erectile dysfunction. This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity.

CIALIS belongs to a group of medicines called phosphodiesterase type 5 inhibitors. Following sexual stimulation CIALIS works by helping the blood vessels in your penis to relax, allowing the flow of blood into your penis. The result of this is improved erectile function. CIALIS will not help you if you do not have erectile dysfunction.

It is important to note that CIALIS does not work if there is no sexual stimulation. You and your partner will need to engage in foreplay, just as you would if you were not taking a medicine for erectile dysfunction.

Before You Take Cialis

Do not take CIALIS

• if you are allergic (hypersensitive) to tadalafil or any of the other ingredients of CIALIS.



• if you are taking any form of organic nitrate or nitric oxide donors such as amyl nitrite. This is a group of medicines (“nitrates”) used in the treatment of angina pectoris (“chest pain”). CIALIS has been shown to increase the effects of these medicines. If you are taking any form of nitrate or are unsure tell your doctor.



• if you have serious heart disease or have had a recent heart attack.



• if you have had a recent stroke.



• if you have low blood pressure or uncontrolled high blood pressure.



• if you have ever had loss of vision because of non-arteritic anterior ischemic optic neuropathy (NAION), a condition sometimes described as “stroke of the eye”.

Take special care with CIALIS

Be aware that sexual activity carries a possible risk to patients with heart disease because it puts an extra strain on your heart. If you have a heart problem you should tell your doctor.

The following are reasons why CIALIS may also not be suitable for you. If any of them apply to you, talk to your doctor before you take the medicine:

• You have sickle cell anaemia (an abnormality of red blood cells), multiple myeloma (cancer of the bone marrow), leukaemia (cancer of the blood cells) or any deformation of your penis.


• You have a serious liver problem.


• You have a severe kidney problem.

It is not known if CIALIS is effective in patients who have undergone pelvic surgery or radical non-nerve-sparing prostatectomy

If you experience sudden decrease or loss of vision, stop taking CIALIS and contact your doctor immediately.

CIALIS is not intended for use by women or by adolescents under the age of 18.

Using other medicines

Please tell your doctor if you are taking or have recently taken any other medicines, including medicines obtained without a prescription, because they might interact.

This is particularly important if you are treated with nitrates as you should not take CIALIS if you are taking these medicines.

A type of medicine called an alpha blocker is sometimes used to treat high blood pressure and enlarged prostate. Tell your doctor if you are being treated for either of these conditions or if you take other medicines to treat high blood pressure.

If you are taking medicines that can inhibit an enzyme called CYP3A4 (for example ketoconazole or protease inhibitors for treatment of HIV) the frequency of side effects might increase.

Do not take CIALIS with other medicines if your doctor tells you that you may not.

You should not use CIALIS together with any other treatments for erectile dysfunction.

Taking CIALIS with food and drink

You may take CIALIS with or without food.

Information on the effect of alcohol is in section 3.

Driving and using machines

Some men taking CIALIS in clinical studies have reported dizziness. Check carefully how you react to the medicines before driving or using any machinery.

Important information about some of the ingredients of CIALIS:

CIALIS contains lactose. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.

How To Take Cialis

Always take CIALIS exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.

Once a day dosing of CIALIS may be useful to men who anticipate having sexual activity two or more times per week. The recommended dose is one 5 mg tablet taken once a day at approximately the same time of the day. Your doctor may adjust the dose to 2.5 mg based on your response to CIALIS. CIALIS tablets are for oral use. Swallow the tablet whole with some water. You may take CIALIS with or without food.

When taken once a day CIALIS allows you to obtain an erection, when sexually stimulated, at any time point during the 24 hours of the day. It is important to note that CIALIS does not work if there is no sexual stimulation. You and your partner will need to engage in foreplay, just as you would if you were not taking a medicine for erectile dysfunction.

Drinking alcohol may affect your ability to get an erection. Drinking alcohol may temporarily lower your blood pressure. If you have taken or are planning to take CIALIS, avoid excessive drinking (blood alcohol level of 0.08% or greater), since this may increase the risk of dizziness when standing up.

You should NOT take CIALIS more than once a day.

If you take more CIALIS than you should

Tell your doctor.

If you forget to take CIALIS

Do not take a double dose to make up for a forgotten tablet.

If you have any further questions on the use of this product, ask your doctor or pharmacist.

Possible Side Effects

Like all medicines, CIALIS can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.

In this leaflet, when a side effect is described as “very common” this means that it has been reported in at least 1 in 10 patients taking the medicine. When a side effect is described as “common” this means that it has been reported in more than 1 in every 100 patients but less than 1 in every 10 patients. When a side effect is described as “uncommon”, this means it has been reported in more than 1 in every 1,000 patients, but less than 1 in every 100 patients. When a side effect is described as “rare”, this means it has been reported in more than 1 in every 10,000 patients, but less than 1 in every 1,000 patients.

Very commonly reported side effects in patients taking CIALIS were headache and indigestion.

Commonly reported side effects in patients taking CIALIS include back pain, muscle aches, facial flushing, nasal congestion, dizziness, pounding heartbeat sensation, abdominal pain and reflux.

Uncommon side effects are allergic reactions including rashes and hives, blurred vision, swelling of the eyelids, eye pain, red eyes, increased sweating, nose bleeds, a fast heart rate, high blood pressure, low blood pressure and chest pain. In case of chest pain occurring during or after sexual activity you should NOT use nitrates but you should seek immediate medical assistance.

Rare side effects in patients taking CIALIS include fainting, migraine and swelling of the face.

In rare instances it is possible that a prolonged and possibly painful erection may occur after taking CIALIS. If you have such an erection, which lasts continuously for more than 4 hours, you should contact a doctor immediately.

Heart attack and stroke have also been reported rarely in men taking CIALIS. Most, but not all of these men had known heart problems before taking this medicine. It is not possible to determine whether these events were directly related to CIALIS.

Partial, sudden, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely reported.

Some additional side effects have been reported in men taking CIALIS that were not seen in clinical trials and their incidence is unknown. These include seizures and passing memory loss, some disorders affecting blood flow to the eyes, irregular heartbeats and angina, serious skin rashes and sudden cardiac death. Sudden decrease or loss of hearing has been reported.

Effects were seen in one animal species that might indicate impairment of fertility. Subsequent studies in man suggest that this effect is unlikely in humans, although a decrease in sperm concentration was seen in some men.

If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

How To Store Cialis

Keep out of the reach and sight of children.

Do not use CIALIS after the expiry date stated on the carton and blister.

Store in the original package in order to protect from moisture. Do not store above 25°C.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

Further Information

What CIALIS contains

The active substance is tadalafil. Each tablet contains 5 mg of tadalafil.

The other ingredients are:

Tablet core: lactose monohydrate, croscarmellose sodium, hydroxypropylcellulose, microcrystalline cellulose, sodium laurilsulfate, magnesium stearate.

Film-coat: lactose monohydrate, hypromellose, triacetin, titanium dioxide (E171), iron oxide yellow (E172), talc.

What CIALIS looks like and contents of the pack

CIALIS 5 mg strength comes as light yellow film-coated tablets. They are in the shape of almonds and have "C 5" marked on one side.

CIALIS 5 mg is available in blister packs containing 14 or 28 tablets.

Not all pack sizes may be marketed.

Marketing Authorisation Holder and Manufacturer

Marketing Authorisation Holder:

Eli Lilly Nederland B.V.

Grootslag 1-5

NL-3991 RA

Houten

The Netherlands

Manufacturer:

Eli Lilly and Company Ltd

Kingsclere Road

Basingstoke

Hampshire

RG21 6XA

United Kingdom

Lilly S.A.

Avda. de la Industria 30

28108 Alcobendas

Madrid

Spain

For any information about this medicinal product, please contact the local representative of the Marketing Authorisation Holder.

United Kingdom

Eli Lilly and Company Limited

Tel:+44-(0) 1256 315999

This leaflet was last approved in March 2008.

Detailed information on this medicine is available on the European Medicines Agency (EMEA) web site: http://www.emea.europa.eu

Good Sense Hair Regrowth Treatment

Generic Name: minoxidil

Dosage Form: topical solution
Perrigo Hair Regrowth Treatment Drug Facts

Active ingredient

Minoxidil 5% w/v

Purpose

Hair regrowth treatment for men

Uses

to regrow hair on the top of the scalp (vertex only, see pictures on side of carton)

Warnings

For external use only. For use by men only.

Flammable: Keep away from fire or flame

Do not use if

• you are a woman


• your amount of hair loss is different than that shown on the side of this carton or your hair loss is on the front of the scalp. Minoxidil topical solution 5% is not intended for frontal baldness or receding hairline.


• you have no family history of hair loss


• your hair loss is sudden and/or patchy


• you do not know the reason for your hair loss


• you are under 18 years of age. Do not use on babies and children.


• your scalp is red, inflamed, infected, irritated, or painful


• you use other medicines on the scalp

Ask a doctor before use if you have

heart disease

When using this product

• do not apply on other parts of the body


• avoid contact with the eyes. In case of accidental contact, rinse eyes with large amounts of cool tap water.


• some people have experienced changes in hair color and/or texture


• it takes time to regrow hair. Results may occur at 2 months with twice a day usage. For some men, you may need to use this product for at least 4 months before you see results.


• the amount of hair regrowth is different for each person. This product will not work for all men.

Stop use and ask a doctor if

• chest pain, rapid heartbeat, faintness, or dizziness occurs


• sudden, unexplained weight gain occurs


• your hands or feet swell


• scalp irritation or redness occurs


• unwanted facial hair growth occurs


• you do not see hair regrowth in 4 months

May be harmful if used when pregnant or breast-feeding.

Keep out of reach of children.

If swallowed, get medical help or contact a Poison Control Center right away.

Directions

• apply one mL with dropper 2 times a day directly onto the scalp in the hair loss area


• using more or more often will not improve results continued use is necessary to increase and keep your hair regrowth, or hair loss will begin again

Other information

• see hair loss pictures on side of this carton


• before use, read all information on carton and enclosed leaflet


• keep the carton. It contains important information.


• hair regrowth has not been shown to last longer than 48 weeks in large clinical trials with continuous treatment with minoxidil topical solution 5% for men


• in clinical studies with mostly white men aged 18-49 years with moderate degrees of hair loss, minoxidil topical solution 5% for men provided more hair regrowth than minoxidil topical solution 2%


• store at 20° to 25°C (68° to 77°F). Keep tightly closed.

Inactive ingredients

alcohol, propylene glycol, purified water

Questions or comments?

1-800-719-9260

Principal Display Panel

Extra Strength

Minoxidil Topical Solution USP, 5%

Hair Regrowth Treatment

For Men

Clinically Proven to Help Regrow Hair

Revitalizes Hair Follicles

Unscented

# Month Supply

Topical Solution

Not for Use by Women

Compare to active ingredient of Men’s Rogaine® Extra Strength

Hair Regrowth Treatment Carton

Good Sense Hair Regrowth Treatment  FOR MEN minoxidil  solution

Product Information Product Type HUMAN OTC DRUG NDC Product Code (Source) 0113-0798 Route of Administration TOPICAL DEA Schedule

Active Ingredient/Active Moiety Ingredient Name Basis of Strength Strength MINOXIDIL (MINOXIDIL) MINOXIDIL 3 g  in 60 mL

Inactive Ingredients Ingredient Name Strength No Inactive Ingredients Found

Product Characteristics Color YELLOW (Light Amber) Score      Shape Size Flavor Imprint Code Contains

Packaging # NDC Package Description Multilevel Packaging 1 0113-0798-30 1 BOTTLE In 1 CARTON contains a BOTTLE 1 60 mL In 1 BOTTLE This package is contained within the CARTON (0113-0798-30)

Marketing Information
Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
ANDA	ANDA075598	12/31/2009

Labeler - L Perrigo Company (006013346)

Revised: 06/2009L Perrigo Company

More Good Sense Hair Regrowth Treatment resources

• Good Sense Hair Regrowth Treatment Use in Pregnancy & Breastfeeding
• Good Sense Hair Regrowth Treatment Drug Interactions
• Good Sense Hair Regrowth Treatment Support Group
• 7 Reviews for Good Sense Hair Regrowth Treatment - Add your own review/rating

Compare Good Sense Hair Regrowth Treatment with other medications

• Alopecia

Nurofen for Children Singles

NUROFEN FOR CHILDREN

Ibuprofen

Singles

Ibuprofen 100mg/5ml

PLEASE READ ALL OF THIS LEAFLET CAREFULLY BEFORE YOU START TO TAKE YOUR MEDICINE.

Keep this leaflet. You may want to read it again.

What Is In The Pack?

This pack contains 8 or 16 sachets each of 5ml.

Each 5ml of oral suspension contains the active ingredient Ibuprofen 100 mg.

Also contains: Maltitol Syrup, Water, Glycerol, Citric Acid, Sodium Citrate, Sodium Chloride, Sodium Saccharin, Orange Flavour, Xanthan Gum, Polysorbate 80, Domiphen Bromide.

Licence Holder and Manufacturer:

Crookes Healthcare Limited

Nottingham

NG2 3AA

PL 00327/0140

How Does Nurofen For Children Singles Work?

Nurofen For Children Singles provides relief by changing the body's response to high temperature, pain and swelling.

Nurofen For Children Singles contains the active ingredient ibuprofen, which belongs to a group of medicines known as non-steroidal anti-inflammatory drugs (NSAIDs). It acts by targeting the source of fever and pain.

What Is It For?

Nurofen For Children Singles is specially formulated for babies and children from 3 months. It is given by mouth to:

• provide fast, effective and long lasting reduction in your child's temperature


• soothes away pain from dental pain, minor aches and sprains, headaches and cold and flu symptoms.

Check Before You Give/Take This Product

Do not give to babies or children who:

• are under 3 months old or weigh less than 5 kg


• have or have ever had a stomach ulcer, or perforation or bleeding of the stomach


• are allergic to any of the ingredients or to aspirin or to other painkillers


• suffer from severe liver, kidney or heart problems


• are taking other NSAID painkillers


• have inherited problems coping with fructose/fruit sugar (hereditary fructose intolerance). This is because the body can make some fructose from the ingredient Maltitol.

Adults taking this product should be aware of these factors and additionally not take the product if you:

• are taking other NSAID painkillers, or aspirin with a daily dose above 75mg


• are in the last 3 months of pregnancy.

Talk to your doctor before giving Nurofen For Children Singles if they/you

• have asthma or have suffered from asthma


• have kidney, heart, liver or bowel problems


• have Systemic Lupus Erythematosus (SLE) – a condition to the immune system affecting connective tissue resulting in joint pains, skin changes and disorder of other organs


• are taking any regular medication, especially:
  
  
  • if you are on low dose aspirin (up to 75mg daily)
  • medicines for high blood pressure and water tablets (diuretics)
  • medicines for thinning the blood (anti-coagulants)
  • corticosteroids
  • Methotrexate
  • Lithium (used to treat depression)
  • Zidovudine (an anti-viral drug)


• are in the first 6 months of pregnancy or breast-feeding.


• Nurofen For Children Singles belongs to a group of medicines which may impair fertility in women. This is reversible on stopping the medicine. It is unlikely that Nurofen For Children Singles, used occasionally, will affect your chances of
  becoming pregnant. However, tell your doctor before taking this medicine if you have problems becoming pregnant.

Some people may react badly to certain ingredients, such as maltitol and glycerin (also known as glycerol)

• Maltitol may have a mild laxative effect.


• Glycerol may cause headache, stomach ache or diarrhoea.


• Medicines such as Nurofen For Children Singles may be associated with a small increased risk of heart attack ("myocardial infarction") or stroke. Any risk is more likely with high doses and prolonged treatment. Do not exceed the recommended dose or take for longer than necessary to control the symptoms.


• If you have heart problems, previous stroke or think that you might be at risk of these conditions (for example if you have high blood pressure, diabetes or high cholesterol or are a smoker) you should discuss your treatment with your doctor or
  pharmacist.

How Should Nurofen For Children Singles Be Given?

Before opening, massage the sachet to mix the contents well. Gently squeeze the liquid onto the 2-ended measuring spoon (2.5ml or 5ml) provided.

You must measure the dose accurately.

Wash and dry the spoon between doses. Throw away half used sachets.

Fever and Pain:

This medicine is for short term use only.

Do not give it to babies aged 3 to 6 months for more than 24 hours.

Do not give to children aged 6 months and older for more than 3 days.

Talk to your doctor promptly if your child’s symptoms persist for longer than
these times or if you are concerned.

• 
  Babies 3-6 months weighing more than 5 kg: One 2.5ml spoonful may be taken three times in 24 hours.


• 
  Babies 6-12 months: One 2.5ml spoonful may be taken three to four times in 24 hours.


• 
  Children 1-3 years: One 5ml spoonful may be taken three times in 24 hours.


• 
  Children 4-6 years: One 7.5ml (5ml +2.5ml) spoonful may be taken three times in 24 hours.


• 
  Children 7-9 years: Two 5ml spoonfuls may be taken three times in 24 hours.

The doses should be given approximately every 6 to 8 hours, (or with a minimum
of 4 hours between each dose if required).

WARNING: Do not exceed the stated dose

What To Do If You Give Too Much

If you accidentally give more than the recommended dose contact your doctor straight away.

Side Effects:

Although side effects are uncommon, your child may get one of the known side effects of NSAIDs. If they do, or if you have concerns, stop giving this medicine to your child and talk to your doctor as soon as possible.
Elderly people using the product are at increased risk of developing problems associated with side effects.

Disorders of the stomach and bowel including abdominal discomfort or pain, nausea, dyspepsia, diarrhoea, flatulence (wind), constipation, stomach ulcer, vomiting containing either blood or brown grit (like coffee grounds), black tarry stools, worsening of
existing bowel diseases (ulcerative colitis or Crohn’s disease).

Blood disorders resulting in unexplained or unusual bruising or bleeding, fever, sore throat, mouth ulcers, extreme pallor or weakness.

Allergic reactions including worsening of asthma, unexplained wheezing or shortness of breath, swelling of the face and tongue, collapse. In addition, there may be skin reaction (including hives and itching): these can sometimes be severe with blistering and peeling of skin.

Liver disorders that may be indicated by yellowing of the skin and eyes and/or pale stools and dark urine.
Kidney disorders that may be indicated by passing less
or more urine than normal, cloudy urine, blood in the
urine, pain in the back and /or swelling (particularly of
the legs).

Nervous system disorders indicated by severe
headaches, neck stiffness, disorientation, and light
hurting the eyes.

Medicines such as Nurofen For Children Singles may
be associated with a small increased risk of heart attack
( 'myocardial infarction' ) or stroke.

If you experience any of these, or have any
other unusual symptoms or concerns, stop
taking the product immediately and see
your doctor.

Storage

Do not store above 25°C.

Use by the date shown on the label and carton.

Remember: Keep all medicines out of the
reach and sight of children.

How Can You Obtain More Information About Nurofen For Children Singles?

This leaflet gives you the most important patient
information about Nurofen For Children Singles. If
you have any questions after you have read it, ask
your doctor or pharmacist, who will give you further
information.

Date of revision April 2007

Crookes Healthcare Limited

Nottingham

NG2 3AA