What is Zithromax?

Zithromax is an macrolide antibiotic related to erythromycin. Zithromax fights bacteria in the body.
You can buy Zithromax for treatment of many different types of infections that are caused by bacteria, such as respiratory infections, ear infections, skin infections, and also sexually transmitted diseases.

In children, Zithromax is used for treatment of middle ear infection, tonsillitis, pneumonia, and strep throat.

How does Zithromax work?

Zithromax capsules and suspension contain the active ingredient azithromycin, that is a type of medicine called a macrolide antibiotic. Azithromycin is also available without a brand name, as the generic medicine. Zithromax is used for treatment of infections caused by bacteria.

Zithromax works by preventing bacteria from producing proteins that are essential to them. Without these proteins the bacteria cannot grow and increase in numbers. Zithromax therefore stops the spread of infection and kills bacteria.

Zithromax is a broad-spectrum antibiotic that is active against a wide variety of bacteria that cause different infections.

You can buy Zithromax for treatment of infections of skin or soft tissue, the upper or lower airways, or ears. It is also used for treatment of the chlamydia (sexually-transmitted infection).

To make sure the bacteria causing an infection are susceptible to Zithromax your healthcare provider may take a tissue sample, (a swab from the throat or skin).

Before you buy Zithromax.

You must know that:
Broad-spectrum antibiotics like Zithromax can sometimes cause colitis(inflammation of the bowel). That’s why if you get diarrhea that becomes severe or persistent or contains blood or mucus, either during or after taking zithromax, you should report your doctor immediately.

Zithromax capsules should not be taken with food. Take it at least one hour before or two hours after food. However Zithromax suspension can be taken with food.

Taking antibiotics can sometimes lead to overgrowth of organisms that are not susceptible to the antibiotic such as fungi.

You should let your doctor know if you think you have developed any other infections while you are taking Zithromax, so that they can be treated appropriately.

It is very important that you finish the prescribed course of Zithromax, even if you feel better or it seems the infection has cleared up. Stopping the course of Zithromax early increases the chance that the infection will come back and that the bacteria will grow resistant to Zithromax.

If you have any of the following conditions, you may need a dose adjustment or special tests to safely use Zithromax: kidney disease; a heart rhythm disorder; liver disease; Long QT syndrome; myasthenia gravis.

Zithromax interactions

Do not buy Zithromax if you have ever had any allergic reactions to azithromycin or erythromycin, Biaxin (clarithromycin), Ketek (telithromycin) or troleandomycin.

Interactions of Zithromax with following medications were mentioned: cyclosporine (Neoral, Sandimmune); digoxin (Lanoxin, Lanoxicaps); triazolam (Halcion); pimozide (Orap); carbamazepine (Carbatrol, Tegretol); warfarin (Coumadin); phenytoin (Dilantin);theophylline (Theo-Dur, Theolair, Theochron); a calcium channel blocker such as diltiazem (Cartia, Cardizem), nifedipine (Procardia, Nifedical), verapamil ( Covera, Isoptin, Calan, Verelan), felodipine (Plendil),and others; ergot medicine such as methysergide (Sansert), ergotamine (Ergostat, Medihaler, Ercaf, Cafergot, Wigraine), dihydroergotamine mesylate (D.H.E., Migranal Nasal Spray); cholesterol-lowering medicines such as atorvastatin (Lipitor), lovastatin (Mevacor), or simvastatin (Zocor); HIV medicines such as nelfinavir (Viracept), ritonavir (Norvir) or saquinavir (Invirase).

There are many other medicines that can have interactions with Zithromax. Tell your pharmacist about all the prescription and over-the-counter drugs you use. This includes minerals, vitamins, herbal products, and drugs prescribed by other doctors. Do not start using Zithromax without telling your doctor.

If you buy Zithromax, take it for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Don’t buy Zithromax to treat a viral infection such as the common cold or flu.

Take Zithromax capsules on an empty stomach one hour before or two hours after a meal. Zithromax tablets or powder oral suspension may be taken with or without food.

Avoid taking antacids that contain aluminum or magnesium within two hours before or after you take Zithromax. This includes Rolaids, Mylanta, Milk of Magnesia, Maalox, Pepcid Complete, and others. These antacids can make Zithromax less effective when taken at the same time.

Zithromax and pregnancy.
FDA pregnancy category B. Zithromax is not expected to be harmful to an unborn baby. Tell your pharmacist if you are pregnant or plan to become pregnant during Zithromax treatment. It is not known whether azithromycin passes into breast milk or if it could harm a nursing baby. Do not buy zithromax without telling your doctor if you are breast-feeding a baby.

Take Zithromax exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than it was prescribed by your doctor. The dose and length of treatment with Zithromax may not be the same for every type of infection.

Take each tablet or capsule with a full glass of water.

If you use the oral suspension of Zithromax, Open the packet and pour the medicine into 2 ounces of water. Stir this mixture and drink all of it. Do not save for later use. Throw away any mixed Zithromax oral suspension that has not been used within twelve hours.

To be sure you get the entire dose of Zithromax, add a little more water to the same glass, swirl gently and drink right away.

Zithromax Dosage for Bacterial Infections
The recommended Zithromax dosage for most types of common bacterial infections is 250 mg or 500 mg once a day for 3-5 days. For chronic or more serious infections, your doctor may continue treatment for an extended period.

In children, the dosage can range (depending on body weight) from 5 mg to 20 mg per kilogram of body weight per day (mg/kg/day), once a day for 3-5 days.

Zithromax Dosage for Sexually Transmitted Diseases

The recommended dose of Zithromax for the treatment of sexually transmitted diseases (STDs) is 1 gram (1000 mg) to 2 grams (2000 mg) given one time only.

Zithromax capsules must be taken on an empty stomach. Zithromax tablets or oral suspension may be taken with or without food. Take the Zithromax tablet or oral suspension with food if the medicine upsets your stomach.

Shake the oral suspension (liquid) well just before you measure a dose. To be sure you get the proper dose, measure the liquid with a marked measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your healthcare provider for one.

Avoid exposure of Zithromax to sunlight or artificial UV rays (sunlamps or tanning beds). Zithromax can make your skin more sensitive to sunlight and this can lead to sunburns. Use a sunscreen (minimum SPF 15) and wear protective clothing if you plan to be out in the sun.

Zithromax side effects

Get emergency medical help if you have any of these signs of an allergic reaction to Zithromax: difficulty breathing; hives; swelling of your face, tongue, lips, or throat. Report your doctor immidiatly if you have a serious side effect such chest pain, uneven heartbeats; diarrhea that is watery or bloody; stomach pain or upset; sore throat, fever, and headache with a severe blistering, peeling, and red skin rash; nausea, low fever, loss of appetite, dark urine, clay-colored stools, stomach pain, jaundice (yellowing of the skin or eyes);

Less serious Zithromax side effects may include: vaginal itching or discharge; dizziness, tired feeling, or headache; mild itching or skin rash; mild nausea, vomiting, diarrhea, constipation; nervous feeling, sleep disorders (insomnia); decreased sense of taste or smell; ringing in your ears, problems with hearing.

What is Neurontin

Neurontin is an anti-epileptic drug, also called an anticonvulsant. It affects nerves and chemicals in the body that are involved in the cause of seizures and various types of pain.

Neurontin is used alone or with other drugs to treat seizures that are caused by epilepsy in adults and children above 12 years old. Neurontin is used with other medications to treat partial seizures in children of 3-12 years old as well.

Neurontin is also used for treatment of nerve pain that is caused by shingles or herpes virus.

If you are about to buy Neurontin, we recommend you to order it in Confident pharmacy. You’ll get qualitative medication and you will save money…

What you should know when you buy Neurontin.

Don’t use Neurontin if you are allergic to gabapentin.

Before buying Neurontin, tell your doctor if you have liver, kidney or heart disease.

Some patients have thoughts about suicide while taking Neurontin. Your pharmacist will need to check you regularly.

Report your doctor at once if you have any new or worsening symptoms such as: anxiety, mood or behavior changes, depression, or if you feel agitated, restless, hostile, hyperactive (physically or mentally), or have thoughts about suicide or even hurting yourself.

Do not stop using Neurontin for seizures without first talking to your doctor, even in case you feel better. You may have increased seizures if you stop taking Neurontin by your own without advise of your doctor. You will need to use less and less before you stop taking Neurontin completely.

Call your doctor immediately if your seizures get worse or you have them more often when you take Neurontin.

Carry your ID card or wear a medical alert bracelet stating that you are using Neurontin, in case of emergency. Any doctors, dentists, or emergency medical care providers who treat you must know that you are taking Neurontin.

Before you buy Neurontin, you must know that you may need a dose adjustment or special tests to take Neurontin if you have any of these conditions: heart disease, kidney disease or liver disease.

Neurontin FDA pregnancy category is C. It is not well known if Neurontin is harmful to an unborn child. Before you buy Neurontin, tell your pharmacist if you are pregnant or plan to become pregnant during Neurontin treatment. Neurontin can pass into breast milk and also may harm a nursing baby. Do not buy Neurontin without telling your pharmacist if you are breast-feeding a baby.

Common Side Effects of Neurontin
Neurontin has been studied thoroughly in different clinical trials. In all these studies, the side effects that occur in a group of people that take Neurontin are compared to side effects that occur in another group of people that doesn’t take Neurontin. So it is possible to see what side effects occur, how often do they appear, and how do they compare to the group that doen’t take Neurontin.

In these studies the most common side effects of Neurontin were listed:
1 ) Dizziness – 28 percent
2 ) Drowsiness – 21.4 percent
3 ) Coordination problems – 12.5 percent
4 ) Infections – 10.9 percent
5 ) Fever – 10.1 percent
6 ) Nausea or vomiting – 8.4 percent
7 ) Swelling or fluid retention in the feet, legs, hands or arms – 8.3 percent
8 ) Unusual eye movements – 8.3 percent.

Some other common side effects of Neurontin, occurring in less than 7 percent of people, included: Memory loss (amnesia); Bronchitis; Speech problems;Shakiness (tremor); Diarrhea or constipation; Sore throat; Ear infection; Accidental injury; Double vision or blurred vision; Back pain; Hyperactivity (in children); Problems walking; Weakness or fatigue; Conjunctivitis (”pink eye”); Dry mouth; High blood sugar (hyperglycemia); Changes in thinking (such as difficulty concentrating); Nervousness; Increased appetite or weight gain; Indigestion or heartburn; Twitching; Flushing or hot flashes; Gas.

Serious Side Effects of Neurontin
Some Neurontin side effects, are potentially serious and should be reported immediately to your doctor, while occurring infrequently. These side effects of Neurontin include: Hostility; Severe dizziness, confusion; Signs of an allergic reaction (Itching, Unexplained rash, Unexplained swelling, Hives); Depression; Suicidal thinking or behavior.

Neurontin is used with other drugs to help control seizures in adults and kids (3 years of age and older). It is also used to relieve nerve pain that associates with herpes zoster (shingles) infection in adults.Neurontin may also be used to treat other nerve pain conditions (such as peripheral neuropathy, diabetic neuropathy, trigeminal neuralgia).

How to use Neurontin: Take Neurontin by mouth, with or without food, as directed by your healthcare provider. The Neurontin dosage is based on your medical condition and your response to therapy. During the first few days, your pharmacist may gradually increase Neurontin dosage so your body can adjust to the drug. To minimize side effects of neurontin, take the very first dose at bedtime. Use Neurontin regularly in order to get the most benefit from it. Neurontin works best when the amount of medicine in your body is kept at a constant level. Thats why it is best to take neurontin at evenly spaced intervals throughout the day and night. Do not take neurontin more often or increase your dose without consulting your pharmacist. Your condition will not improve any faster and the risk of serious side effects of neurontin may be increased. Do not stop taking neurontin without consulting your healthcare provider. Some conditions such as seizures may become even worse when neurontin is abruptly stopped. Your dose may need to be slowly decreased. Antacids containing magnesium or aluminum may interfere with the absorption of Neurontin. Therefore it is best to take neurontin at least 2 hours after taking an antacid.

Precautions: Before you buy Neurontin, tell your healthcare provider if you are allergic to it; or if you have any other allergies. Before buying Neurontin, tell your doctor your medical history, especially of: kidney or liver diseases. Neurontin may make you dizzy or drowsy; use caution engaging in any activities that require alertness such as using machinery or driving. Limit alcoholic beverages as they may worsen these neurontin side effects. Caution is advised when you buy neurontin in the elderly because they may be more sensitive to its effects, especially swollen legs/arms or just loss of coordination. Caution is advised when using neurontin in children because they may be more sensitive to its effects, especially the mood/mental changes (hostility). You should not buy and use Neurontin during pregnancy. Discuss the risks and benefits with your pharmacist.

Neurontin passes into breast milk. Because the effects of neurontin on the nursing infant are unknown, consult your healthcare provider before breast-feeding.

Neurontin Interactions:Before you buy Neurontin, tell your pharmacist of all prescription and nonprescription/herbal products that you use, especially of: antacids containing morphine, aluminum or magnesium. This product can affect the results of certain drug tests for urine protein. Make sure laboratory personnel and your doctors know you use neurontin. Do not start or stop using neurontin without doctor approval.

Overdose of Neurontin: If overdose is suspected, contact your local poison control center or emergency room at once. Symptoms of overdose include:slurred speech, severe drowsiness, or extreme lethargy.

Do not share this medication with others.

Missed dose of Neurontin: If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, you should skip the missed dose and resume your regular dosing schedule. Do not double the dose of Neurontin to catch up.

Storage of Neurontine: Store Neurontin at room temperature (77 degrees F or 25 degrees C) away from light and moisture. Brief storage between 59-86 degrees F (15-30 degrees C) is alsopermitted. Do not store neurontin in the bathroom. Keep all medicines away from your children and pets.

Neurontine Dosage:
Patients > 12 years of age
The effective dose of Neurontin is 900 to 1800 mg/day and should be given in divided doses (three times a day) using 300 or 400 mg capsules, or 600 or 800 mg tablets. The starting dose of neurontin is 300 mg three times a day. If it is necessary, the dose of neurontin may be increased using 300 or 400 mg capsules, or 600 or 800 mg tablets also three times a day up to 1800 mg/day. Dosages of neurontin up to 2400 mg/day have been well tolerated in long-term clinical studies. Doses of neurontin of 3600 mg/day have been administered to a small number of patients for a relatively short treatment, and have been well tolerated. The maximum time between doses of neurontin in the TID schedule should not exceed 12 hours.

Pediatric Patients Age 3–12 years

The starting dose of neurontin should range from 10-15 mg/kg/day in 3 divided doses, and the effective dose of neurontin reached by upward titration over a period of 3 days. The effective dose of Neurontin in patients 5 years of age and older is 25–35 mg/kg/day and given in divided doses (three times a day). The effective dose of neurontin in pediatric patients ages 3 and 4 years is 40 mg/kg/day and given in divided doses (three times a day).

Neurontin may be administered as the oral solution, tablet or capsule or using combinations of these formulations. Dosages of neurontin up to 50 mg/kg/day have been well-tolerated in a long-term clinical study. The maximum time interval between doses should not exceed 12 hours.

It is not necessary to monitor your gabapentin plasma concentrations to optimize Neurontin therapy. Further, because there are no significant pharmacological interactions among Neurontin and other commonly used anti epileptic drugs, the addition of Neurontin does not alter the plasma levels of any of these drugs appreciably.

If Neurontin is discontinued or if any other alternate anticonvulsant medication is added to the therapy, this should be done gradually over a minimum of 1 week.

If you are about to buy Neurontin, we recommend you to order it in Confident pharmacy. You’ll get qualitative medication and you will save money…

Doxycycline is a synthetic antibiotic derived from tetracycline. Doxycycline interruptes the production of proteins by bacteria. Doxycycline is effective against a wide variety of bacteria, such as Mycoplasma pneumoniae, Hemophilus influenzae, Neisseria gonorrhoea, Chlamydia psittaci, Streptococcus pneumoniae, Chlamydia trachomatis and many others.

Doxycycline is used for different types of infections, including respiratory tract infections due to Hemophilus influenzae or Streptococcus pneumoniae. It also is used for the treatment of nongonococcal urethritis (due to Ureaplasma), typhus, chancroid, cholera, Rocky mountain spotted fever, brucellosis, syphilis, anthrax and acne.

If you are about to buy Doxycycline, we recommend you to order it in Canadian pharmacy. You’ll get qualitative medication and you will save money…

Doxycycline Side Effects:
As with any other medications, side effects are possible with doxycycline. However, not everyone who uses Doxycycline will experience any side effects. In fact, most people tolerate doxycycline rather well. If Doxycycline side effects do occur, in most cases, they are minor and either require no treatment or are easily treated by you or your doctor.

Common Doxycycline Side Effects
Doxycycline has been studied extensively in clinical trials, with thousands of people from all over the world having been evaluated. In these trials, side effects are always documented. The most common side effects of doxycycline are:
Diarrhea, Nausea, Indigestion and heartburn, Loss of appetite, Skin reaction to sunlight (photosensitivity) and Vomiting.

Serious Doxycycline Side Effects
If you experience any of following side effects, stop taking doxycycline and call your doctor at once: Watery diarrhea, Bloody stools, Difficulty swallowing (dysphagia) or severe throat pain, Unusual headaches, Severe stomach cramps, Feeling tired, Joint pain, Blurred vision, Signs of an allergic reaction (such as: Wheezing, An unexplained rash, Difficulty breathing, Itching, Swelling of the throat or mouth, Hives), or Fever.

Some Rare doxycycline side effects may occur in less than 1 percent of people taking doxycycline. Because these side effects are very uncommon, it is hard to tell whether they are actually caused by the medication or by something else.
These Rare doxycycline side effects include: Vision changes, Tongue swelling (glossitis), Allergic reaction, Ulcers of the esophagus, Vaginal yeast infection, Increased pressure in the skull (intracranial hypertension), Liver damage, Reduced amount of platelets in the blood (thrombocytopenia), lupus erythematosus symptoms, Irritation of the esophagus (esophagitis), Increased rate of red blood cell destruction, Serious intestinal infection (enterocolitis).

The Physician Desk Reference (PDR) notes warnings about doxycycline side effects that are usually not known, nor labeled on the bottle. Esophageal esophagus damage or irritation happens to be one of them, an unpleasant thing to learn from the school of hard knocks. This is only one doxycycline side effect that is largely preventable.

Doxycycline, like most antibiotics, affects people differently, but one of the most common complaints is stomach irritation and nausea. Also Another doxycycline side effect is a yeast infection, which is more difficult to prevent in some individuals.

How can I Reduce Doxycycline Side Effects?
1. Ensure that your pharmacist is aware of all herbal remedies, medications and over-the-counter vitamin supplements that you are taking. Antacids and certain minerals and vitamins are known to interact with doxycycline absorption.
2. Take doxycycline following a meal or with food. If you used to tale doxycycline on an empty stomach before and gotten away with it, the next time may be different. That is because Doxycycline induced nausea is quite unpleasant and more serious stomach irritation occurs sometimes.
3.Don’t lie down for an hour after taking doxycycline to prevent one of the most common doxycycline side effects, esophageal damage. If reclined, doxycycline may dissolve in the esophagus not in the stomach. If this doxycycline side effect occurs, a patient may gag on something as innocuous as sips of water.It may take days to treat this condition to abate, depending on the extent of the irritation or damage.
4.Don’t take doxycycline along with other medications that can bother your stomach. Space out different medications accordingly and add more food intake if needed. Pain medications and NSAIDs (e.g., ibuprofen) combined with doxycycline may cause significant stomach distress.
5. Talk to your pharmacist about the benefits of acid reducers instead of antacids, as these may be helpful in reducing or eliminating some of doxycycline side effects.

Doxycycline dosage: The absorption of doxycycline is not markedly affected by food, so you can use it with meals. For most infections, doxycycline is taken once or twice daily for up to 14 days. For adult infections, the usual dosage of is 200 mg on the first day of treatment (100 mg every 12 hours) and then by a dose of 100 mg/day as a single dose or 50 mg twice daily.

Doxycycline interactions: You should not take doxycycline at the same time as magnesium, aluminum, or calcium based antacids, such as Maalox, Mylanta, Tums, or Rolaids because, as food, these drugs bind doxycycline in the intestine and prevent its absorption. Doxycycline should not be used with minerals (such as iron or calcium) or with bismuth subsalicylate (Pepto Bismol).

Doxycycline may enhance the activity of Coumadin (warfarin) and cause excessive “thinning” of the blood leading to exaggerated bleeding, necessitating a reduction in the dose of warfarin. carbamazepine (Tegretol), Phenytoin (Dilantin), and barbiturates (such as phenobarbital) may enhance the metabolism (destruction) of doxycycline that makes it less effective.

Taking doxycycline during pregnancy: Tetracycline antibiotics, such as doxycycline, can have some toxic effects on development of bone in the fetus. Thats why doxycycline is not recommended during pregnancy unless there is no other appropriate antibiotic.
Doxycycline is secreted into breast milk but the extent of absorption by the breastfed infant is not known. Since doxycycline can cause toxic effects on bones, the use of tetracyclines in nursing mothers is of concern. The pharmacist must decide whether to recommend that a nursing mother discontinue nursing during doxycycline treatment or change to a different antibiotic.

Cautions and side effects of doxycycline are similar to other members of the tetracycline antibiotic group. However, the risk of photosensitivity skin reactions is of particular importance for those who intend long-term use for malaria prophylaxis because it can cause permanent sensitive and thin skin.
Reports of GERD have been cited with the use of doxycycline.
Unlike some other members of the tetracycline group, it may be used in those with renal impairment.

Previously, it was believed that doxycycline impairs the effectiveness of many types of hormonal contraception due to CYP450 induction. Recent research has shown no significant loss of effectiveness in oral contraceptives while using doxycycline, although many pharmacists still recommend the use of barrier contraception for people taking the drug to prevent unwanted pregnancy.

Doxycycline is not approved for use in children under the age of 9 years because of two reasons: 1) it can cause permanent yellowing or graying of their teeth, and 2), according to CDC patient information on doxycycline, it can inhibit bone growth in premature infants during the time of doxycycline treatment. This last effect disappears when the doxycycline treatment is over. Specific exceptions are made for potentially fatal illnesses where the benefits outweigh the risks and there are no other alternatives, such as with Rocky Mountain spotted fever or anthrax.

If you are about to buy Doxycycline, we recommend you to order it in Canadian pharmacy. You’ll get qualitative medication and you will save money…

What is Lipitor?

Lipitor is a cholesterol lowering drug that blocks the production of cholesterol (a type of fat) in your body.
Lipitor reduces low-density LDL (lipoprotein) cholesterol and total cholesterol in your blood. Lowering your cholesterol level can help prevent certain heart disease and hardening of your arteries, conditions that can lead to serious heart attack, stroke, or a vascular disease.

Lipitor is usually used for treatment of high cholesterol. Lipitor is also used to lower the risk of heart attack, stroke, or other heart problems in people with type 2 diabetes or coronary heart disease.

Generic Name: atorvastatin (a TOR va sta tin)
Brand Names: Lipitor

If you are about to buy Lipitor, we recommend you to order it in Confident pharmacy. You’ll get qualitative medication and you will save money…

Important information about Lipitor

In rare cases, Lipitor causes a condition that can result in the breakdown of skeletal muscle tissue. Sometimes these conditions can lead to kidney failure. You must report your doctor at once if you have unexplained muscle pain, muscle weakness, or tenderness, fever or flu symptoms, and if you have dark colored urine.

Lipitor can cause birth defects in an unborn baby. So you should not use if you are pregnant.Do not use Lipitor if you are pregnant or if you are breast-feeding, or if you have any liver diseases.

Before taking Lipitor, tell your pharmacist if you have diabetes,kidney disease, underactive thyroid, a muscle disorder, or a history of any liver diseases.

Avoid eating foods that are high in fat or cholesterol while taking lipitor. Lipitor will not be as effective in lowering your cholesterol in case you do not follow a cholesterol-lowering diet.

Don’t drink alcohol when taking Lipitor. Alcohol can raise triglyceride levels, and it may also damage your liver while you are using Lipitor.

Some other drugs can interact with Lipitor. Tell your pharmacist about all the prescriptions and over-the-counter medications that you use. This includes minerals, vitamins, herbal products, and drugs prescribed by any other doctors. Do not start taking lipitor without telling your doctor.

Do not start using lipitor if you are allergic to atorvastatin, if you are pregnant or breast-feeding, or if you have liver disease.

If you have any of these conditions, you may need special tests or a dose adjustment to safely take Lipitor. Lipitor can cause birth defects. Do not use Lipitor if you are pregnant. Tell your pharmacist right away if you become pregnant during treatment. Use an effective form of birth control while you are using Lipitor.
Lipitor is not for use in children younger than 10 years of age.

How should I take Lipitor?

You should take Lipitor exactly as it was prescribed. Do not take Lipitor in larger amounts, or take it for a longer period than recommended by your pharmacist. Follow the directions on your prescription label.

Take Lipitor with water. Lipitor can be taken with or without food.

Lipitor is usually taken once a day. Try to take your dose at the same time each day. Follow your pharmacist’s instructions.

In rare cases, Lipitor causes a condition that results in the breakdown of skeletal muscle tissue. This condition can lead to kidney failure. Report your doctor at once if you have muscle weakness, unexplained muscle pain or tenderness, fever or flu symptoms or dark colored urine.

Lipitor is only part of a complete treatment that also includes exercises, diet and weight control.

You may need to take Lipitor on a long-term basis for the treatment of a high level of cholesterol.

Lipitor is stores at room temperature. Protecte Lipitor from moisture, heat, and light.

What happens if I miss a dose of Lipitor?

Take the missed dose of Lipitor as soon as you remember. If it is almost time for the next dose, just skip the missed dose and take only the one scheduled dose. Do not take extra medicine to make up the missed dose.

Overdosage of Lipitor

An overdose of Lipitor is not expected to produce any life-threatening symptoms but you should Seek emergency medical attention if you think you have used too much of Lipitor.

What should I avoid while taking Lipitor?

Avoid eating foods that are high in cholesterol or fat. Lipitor will not be as effective as it can be in lowering your cholesterol if you do not follow your cholesterol-lowering diet plan.

Don’t drink alcohol while taking Lipitor. Alcohol raises triglyceride levels, and may also damage your liver while you take Lipitor.

Note, that grapefruit juice may interact with Lipitor and lead to potentially dangerous effects.

Lipitor side effects

You should get emergency medical help if you have any of these signs of allergic reactions: difficulty breathing; hives; swelling of your face, tongue, lips or throat; If you experience tenderness, muscle pain, or weakness with flu or symptoms; stomach pain, nausea, low fever, dark urine, loss of appetite, clay-colored stools, yellowing of the skin or eyes(jaundice).

Less serious Lipitor side effects may include: stomach upset, heartburn, stuffy nose, mild nausea or stomach pain, bloating, headache, constipation,itching and skin rash.

Lipitor interactions.

Many drugs can interact with Lipitor. Report your doctor before starting Lipitor if you are using:
gemfibrozil (Lopid) or fenofibrate (Tricor), digoxin (digitalis, Lanoxin, Lanoxicaps), erythromycin (E-Mycin, Ery-Tab, E.E.S.,) or clarithromycin (Biaxin), an antifungal medication such as itraconazole (Sporanox), or ketoconazole (Nizoral), fluconazole (Diflucan), niacin (Nicolar, Slo-Niacin, Nicobid, others), HIV or AIDS medication such as ritonavir (Norvir), indinavir (Crixivan), lopinavir-ritonavir (Kaletra), nelfinavir (Viracept) or saquinavir (Invirase, Fortovase), drugs that weaken your immune system such as cancer medicine or steroids, tacrolimus (Prograf), cyclosporine (Neoral, Gengraf, Sandimmune), sirolimus (Rapamune), and others.

Common Side Effects of Lipitor

Lipitor has been studied thoroughly in different clinical trials that included thousands of people worldwide. In these studies, side effects that occurre in a group of people who take Lipitor are always documented and compared to the side effects that occur in a similar group of people taking a placebo (a “sugar pill” with no active ingredients). So it is possible to see what side effects occur, how often they appear, and how they compare to the group taking the placebo.

As a result of these studies, a list of the most common Lipitor side effects includes:

1) Headache – 16.7 percent of people
2) Infections – 10.3 percent
3) Muscle pain – 5.6 percent
4) Diarrhea -5.3 percent
5) Joint pain -5.1 percent
6) Inflammation of the sinuses (sinusitis) – 6.4 percent
7) Accidental injury – 4.2 percent.

Other Lipitor side effects that were observed in not more than 4 percent of people included: The flu, Unexplained rash, Back pain, Abdominal pain (stomach pain), Sore throat (pharyngitis), General feeling of weakness (asthenia), Constipation, Allergic reaction, Inflammation of the sinuses (sinusitis).

Some of Lipitor side effects should be reported immediately to your doctor. These include: Muscle pain, tenderness, or weakness, especially if you also have a fever or feel ill, since these may be signs of serious breakdown of muscle, known as rhabdomyolysis. Signs of liver damage, such as yellow eyes or skin, upper right abdominal pain, dark urine, and elevated liver enzymes. Significant, unexplained changes in the amount of urine you produce (which may be a sign of kidney problems). Allergic reactions (such as: Wheezing or difficulty breathing, Itching, a rash, hives, Swelling of the tongue, mouth, or throat )

Before you start taking Lipitor, read the Patient Information that comes with it.
Know all the medicines you take. Keep a list of them with you to show your doctor and pharmacist.

You may experience some or none of the Lipitor side effects explained in this article. Unfortunately, there is no way for your doctor to know ahead of time if you will have side effects from Lipitor if you have never tried it.

Therefore, make sure to let your pharmacist know if you develop any side effects during treatment.

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Uses of Prevacid: Prevacid works by blocking production of acid in the stomach. This medication is a proton pump inhibitor (PPI). Prevacid is used to treat acid-related stomach and throat (esophagus) problems (such as GERD or acid reflux, ulcers, Zollinger-Ellison syndrome, erosive esophagitis). Prevacid (Lansoprazole) may also be used to treat ulcers due to the long-term use of NSAIDs (nonsteroidal anti-inflammatory drugs) for pain or swelling. Prevacid also may be used in combination with antibiotics for treatment certain types of ulcers caused by bacterial infection.

Take Prevacid by mouth, usually before a meal once daily; or as directed by your pharmacist. Do not chew or crush the capsules. Swallow prevacid whole. If you have difficulty swallowing this medication whole, the capsule may be opened and its contents sprinkled onto soft food (such as yogurt, , cottage cheese or applesauce), or just empty a capsule into a small amount of juice and take as directed. Rinse the container with a small amount of juice and drink the contents to make sure the entire dose was taken. Do not chew the food/prevacid mixture or prepare a supply in advance; this may destroy the medication and/or increase prevacid’s side effects. Antacids may be taken along with this medication, if needed. The dosage and length of prevacid treatment is based on your medical condition and your response to therapy. Use Prevacid regularly in order to get the most benefit from it. Remember to use it at the same time every day. Dont’t stop taking prevacid for the prescribed length of treatment even if you are feeling better. Inform your pharmacist if your condition persists or worsens.

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Side Effects of Prevacid: Constipation or diarrhea may occur. If any of these prevacid side effects persist or worsen, notify your doctor or pharmacist promptly.

Report your doctor immediately if any of these unlikely but serious side effects occur: stomach pain, signs of vitamin B-12 deficiency with long-term (over 3 years) treatment (e.g., sore tongue, unusual weakness, numbness or tingling of the hands/feet). A serious allergic reaction to prevacid is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include: itching, rash,swelling, trouble breathing or dizziness. If you notice other side effects while using prevacid that are not listed above, contact your pharmacist.

Before taking prevacid (lansoprazole), tell your doctor or pharmacist if you are allergic to it; or to similar drugs (such as pantoprazole or omeprazole).

Before using prevacid, tell your doctor or pharmacist your medical history, especially of: liver disease and other stomach problems (e.g., tumors). Some symptoms may actually be signs of a more serious condition. Report your doctor immediately if you have: heartburn combined with lightheadedness/dizziness/sweating, chest pain or shoulder/jaw pain, pain spreading to arms/shoulders/neck or even unexplained weight loss. Prevacid should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your pharmacist. It is not known whether this drug passes into breast milk. Breast-feeding while using this drug is not recommended.

Prevacid Interactions: Prevacid should not be used with atazanavir because very serious interactions may occur. If you are currently using atazanavir, tell your doctor or pharmacist before starting prevacid(lansoprazole). Before using prevacid, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: voriconazole, theophylline, cilostazol,warfarin.

Prevacid can decrease the effectiveness of certain medications which require stomach acid in order to be absorbed. Before using prevacid, consult your doctor or pharmacist on how to manage such a potential interaction if you are taking ampicillin, azole antifungals (like itraconazole or ketoconazole) or iron supplements.

Based on information for similar drugs, prevacid may increase the amount of digoxin that is absorbed into your blood. If you take digoxin, you should consult your doctor or pharmacist for details. Do not start or stop any drug without doctor or pharmacist approval.

If overdose of prevacid is suspected, contact your local poison control center or emergency room immediately.

Do not share Prevacid with others. Laboratory and/or medical tests may be performed periodically to monitor your progress or check for prevacid side effects.

If you miss a dose of prevacid, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule.

Do not double the dose of prevacid to catch up.

Store prevacid at room temperature (77 degrees F or 25 degrees C) away from light and moisture. Brief storage between 59-86F (15-30C) is permitted.

Do not store in the bathroom. Keep all your medicines away from children and pets.

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Seroquel (Quetiapine fumarate) is an atypical antipsychotic used in the management of schizophrenia, bipolar I depression, bipolar I mania, bipolar II depression, and also used for a variety of other purposes, including anxiety disorders and insomnia.

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Seroquel (quetiapine fumarate) is a psychotropic agent belonging to the dibenzothiazepine derivatives.
Seroquel is used for the treatment of schizophrenia. The efficacy of Seroquel in schizophrenia was established in three 6-week trials in adults and one 6-week trial in adolescents (from 13 to 17 years).

Common Seroquel Side Effects
Seroquel has been studied thoroughly in clinical trials. During these studies, the side effects that occur in a group of people that take the drug are documented and then they were compared to side effects that occur in another group of people that were not taking Seroquel.

In these surveys, the most common Seroquel side effects included:
1) Dry mouth – in 44 percent of people
2) Drowsiness – in 34 percent
3) High triglycerides – in 23 percent
4) Headaches – in 21 percent
5) Agitation – in 20 percent
6) Dizziness – in 18 percent
7) High cholesterol – in 16 percent
8 ) Weakness – in 10 percent
9) Constipation – in 10 percent
10) Fatigue – in 10 percent.

Some other common Seroquel side effects (occurring in less than 10 percent of people taking the Seroquel) included:
Vomiting, Lethargy , Back pain, Sore throat, Increased appetite, Shakiness (tremor), Fever, Indigestion or heartburn, Irritated or runny nose, Large or rapid weight gain, Rapid heart rate (tachycardia), Nasal congestion, Feelings of internal restless or jitteriness, Vision problems, Confusion, Suicidal thoughts, Abdominal pain (stomach pain), Sweating, Irregular pulse or blood pressure, weight gain, Dizziness, Stiff muscles, Hives, Wheezing, A high fever, Itching, An increased heart rate (tachycardia), Difficulty breathing or swallowing, Unexplained rash, Irregular heart rhythms (arrhythmias), Unexplained swelling.

Because clinical studies are conducted under widely varying conditions, Seroquel side effects observed in the clinical studies of Seroquel can’t be directly compared to rates in the clinical studies of another drug and may not reflect the rates observed in practice.

The statistics is derived from a clinical trial database for Seroquel consisting of over 4500 patients. This database includes 700 patients exposed to Seroquel for the treatment of bipolar depression, 500 patients exposed to Seroquel for the acute bipolar mania treatment (monotherapy and adjunct therapy), 668 patients exposed to Seroquel for the maintenance treatment of bipolar disorder as adjunct therapy, and approximately 3000 patients and/or normal subjects exposed to several doses of Seroquel for the schizophrenia treatment.

Seroquel side effects were assessed by collecting adverse events, results of physical examinations, vital signs, weights, laboratory analyses, ECGs, and also results of ophthalmologic examinations. Seroquel side effects during exposure were obtained by general inquiry and were recorded by clinical investigators using terminology of their own choosing. Consequently, it is not possible to provide a meaningful estimate of the proportion of individuals experiencing side effects while taking seroquel without first grouping similar types of reactions into a smaller number of standardized reaction categories.

In elderly patients that have lost touch with reality due to dementia (memory loss and confusion), there is a higher risk of death with Seroquel. You Must Know that Seroquel XR is not approved for treating these patients.

Antidepressants have been shown to increase the risk of suicidal thoughts and other dangerous actions in some children, teenagers, and young adults. Patients of all ages starting using Seroquel should be watched closely by family members and caregivers, and any worsening of depression or suicidal thoughts, agitation, or actions, or unusual changes in behavior, and irritability should be immediately reported to their physician. Note, that Seroquel is not approved for patients under the age of 18 years.

The following have been reported with Seroquel and some medicines like it. Tell your doctor if you have any of following side effects while using Seroquel: Excessive thirst or hunger, increased urination or weakness, as these may be signs of high blood sugar or diabetes, High cholesterol or triglycerides, or if you experience weight gain, Very high fever; rigid muscles; sweating; shaking; confusion; changes in heart rate or in pulse, or blood pressure; or muscle pain and weakness as these may be a sign of a rare, but potentially fatal, side effect of Seroquel known as neuroleptic malignant syndrome (NMS): Dizziness, Trouble swallowing, Uncontrollable movements of the face.

The most common Seroquel side effects are drowsiness, increases in cholesterol and triglycerides, dry mouth, constipation, upset stomach, a sudden drop in blood pressure upon standing, dizziness, weight gain, increased hunger, tiredness, difficulty speaking, increases in blood sugar, and stuffy nose. Report your pharmacist if you mention one or more Seroquel side effects, mentioned above.

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Nexium (Esomeprazole) belongs to the group of medications known as PPIs (proton pump inhibitors). Proton pump inhibitors are used for treatment of conditions such as stomach ulcers or gastroesophageal reflux disease (GERD, reflux esophagitis) by reducing the amount of the amount of acid that your stomach produces. Nexium is also used along with antibiotics to treat stomach ulcers that may be caused by bacteria Helicobacter pylori.

Nexium can also be used to reduce the risk of stomach ulcers caused by medications that irritate the stomach known as NSAIDs. Nexium is also used to treat different conditions associated with the over-production of stomach acid, including Zollinger-Ellison syndrome.

The recommended dose of nexium reflux esophagitis treatment is 40 mg once daily for 4-8 weeks. Treatment may be alsomaintained at a dose of 20 mg once daily.

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To treat gastroesophageal reflux disease (GERD) or heartburn, the recommended does is 20 mg once daily for 2-4 weeks. To treat or to prevent stomach ulcers caused by NSAID use, the dose is 20 mg daily.

For treatment of stomach ulcers that are caused by Helicobacter pylori in adults, the dose of nexium is 20 mg twice daily taken with amoxicillin 1,000 mg twice daily and clarithromycin 500 mg twice daily – all for a week.

For children 1-11 years of age, the recommended dose of nexium to treat GERD is 10 mg to 20 mg (depending on the child’s weight) daily for 2 months.

There is limited experience with use of nexium during pregnancy. This medication should not be used during pregnancy unless you are sure that the benefits outweigh the risks.

This medication has not been studied for the breast-feeding period. If you are a breast-feeding mother and you take nexium, it may affect your child. Talk to your pharmacist about whether you should continue taking nexium.

The safety of Nexium was evaluated in over 15,000 patients (18-84 y.o.) in clinical trials worldwide that included over 8,500 patients in the US and over 6,500 patients in Canada and Europe . Over 300 patients were treated in long-term studies for up to a year. In general, Nexium was well tolerated in both short and long-term clinical trials.

A study was performed evaluating the safety of Nexium in treatment of GERD inchildren at the age 12-17. The safety in the treatment of healing of the erosive esophagitis was assessed in four randomized comparative clinical trials. They included more than one thousand patients taking Nexium 20 mg, more than 2 thousand patients on Nexium 40 mg, and 3 thousand patients on omeprazole 20 mg daily. The most frequent side events (>1%) in all three groups was headache and diarrhea. Abdominal pain, nausea, constipation, flatulence and dry mouth occurred at similar rates among patients taking Nexium or omeprazole.

Additional Nexium side events that were reported as possibly or probably related to Nexium with an incidence < 1% are listed below:

Body as a Whole: allergic reaction, abdomen enlarged, dysphagia, asthenia, back pain, chest pain, , facial edema, peripheral edema, hot flushes, fatigue, fever, flu-like disorder, generalized edema, leg edema, malaise, pain, rigors;

Cardiovascular side effects: flushing, hypertension, tachycardia;

Endocrine side effects: goiter;

Gastrointestinal side effects: bowel irregularity, constipation aggravated, GI hemorrhage, dyspepsia, dysplasia GI, epigastric pain, chest pain, esophageal disorder, frequent stools,gastroenteritis, GI symptoms not otherwise specified, hiccup, melena, mouth disorder, pharynx disorder, rectal disorder, serum gastrin increased, tongue disorders, tongue edema, ulcerative stomatitis, vomiting;

Hearing side effects: earache, tinnitus;

Hematologic side effects: anemia, anemia hypochromic, cervical lymphoadenopathy, leukocytosis, epistaxis, leukopenia, thrombocytopenia;

Hepatic side effects: bilirubinemia, hepatic function abnormal, SGOT increased, SGPT increased;

Metabolic/Nutritional side effects: hyperuricemia, hyponatremia, increased alkaline phosphatase, thirst, vitamin B12 deficiency, weight increase, glycosuria, weight decrease;

Musculoskeletal side effects: arthralgia, arthritis aggravated, arthropathy, cramps, fibromyalgia syndrome, hernia, polymyalgia rheumatica;

Nervous System/Psychiatric side effects: anorexia, appetite increased, confusion, depression aggravated, dizziness, vertigo, hypertonia,insomnia, nervousness, impotence, apathy,migraine, migraine aggravated, paresthesia, sleep disorder, somnolence, tremor, hypoesthesia,;

Reproductive side effects: dysmenorrhea, menstrual disorder, vaginitis;

Respiratory side effects: pharyngitis, asthma aggravated, coughing, dyspnea, larynx edema, rhinitis, sinusitis;

Skin and Appendages side effects: acne, angioedema, sweating increased, dermatitis, pruritus, pruritus ani, rash, skin inflammation, rash erythematous, urticaria;

Special Senses side effects: otitis media, parosmia, taste loss, dysuria, taste perversion;

Urogenital side effects: abnormal urine,albuminuria, cystitis, fungal infection, hematuria, moniliasis, genital moniliasis, micturition frequency, polyuria;

Visual side effects: visual field defect, conjunctivitis, vision abnormal.

Endoscopic findings that were reported as side effects include: esophagitis, esophageal stricture, duodenitis, esophageal ulceration, gastric ulcer, gastritis, hernia, esophageal varices, benign polyps or nodules, Barrett's esophagus, and also mucosal discoloration.

The incidence of treatment-related side effects during 6-month maintenance treatment was similar to placebo. There were no real differences in types of related side effects seen during maintenance treatment up to a year compared to short-term treatment.

Nexium Overdose

A single oral dose of Nexium at 500 mg/kg , was lethal to rats. The major signs of acute toxicity were reduced motor activity, changes in respiratory frequency, ataxia, tremor,and also intermittent clonic convulsions.

There have been some reports of overdosage with nexium. Reports have been received of overdosage with omeprazole in humans.

Doses ranged up to 2gm (120 times the usual recommended clinical dose). Manifestations were variable, but they included drowsiness, confusion, blurred vision, nausea, diaphoresis, tachycardia, flushing, headache, dry mouth, and other side nexium effects similar to those seen in normal clinical experience. No specific antidote for nexium is known. Since esomeprazole is extensively protein bound, it is not expected to be removed by dialysis. In case of overdosage, treatment should be supportive and symptomatic.

Main facts about Side Effects of Nexium
Nexium has been studied extensively in clinical trials, with over 15,000 people worldwide having been evaluated. And in these studies, the side effects occurred in a group of people taking the medication were documented and then they were compared to the side effects that occurred in the other group of people taking a placebo (that is a “sugar pill” that does not contain any active ingredients). As a result, it was possible to mention what side effects occurred, how often they appeared, and how they compared to the group not taking nexium.

The most common side effects of Nexium, occurring in more than 1 percent of patients, were: Diarrhea, Flatulence, Headache, Constipation, Nausea, Abdominal pain and Dry mouth.

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Prednisone is a corticosteroid medication. In contrast to anabolic steroids (used by “bodybuilders”), corticosteroids are usually used in inflammatory conditions because of their certain anti–inflammatory effects. They have a rapid onset of action, and profoundly causes effect on many parts of the immune system as well as most of other body systems. Corticosteroids are a cornerstone of treating most types of vasculitis, and are usually used in combination with other immunosuppressive medications as well.

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Prednisone is a drug that is often prescribed as a treatment for a flare-up of inflammatory bowel disease (IBD), and also for many other conditions. Prednisone is a steroid that has a considerable number of side effects. It is inexpensive and has proven to be really effective at calming inflammation in many people with IBD.

Side effects of Prednisone are legendary in both the patient and medical communities. Patients usually take this non-synthetic corticosteroid drug orally. However, pharmacists administer prednisone in the form of intramuscular injection as well. Doctors prescribe prednisone for a lot of medical conditions.

Prednisone turns into the steroidal product prednisolone after your liver processes prednisone following administration.

Its usual use is as an immunosuppressant that can act on almost the entire immune system. It makes this very useful in the treatment inflammatory diseases like asthma, or autoimmune diseases, severe poison ivy dermatitis, rheumatoid arthritis , ulcerative colitis, and also a Crohn’s disease.

Pharmacists usually prescribe prednisone to treat the symptoms of several kidney diseases such as nephrotic syndrome, and also to avoid and reverse tissue rejection that may follow organ transplantation. Usually the adult dose of prednisone at the beginning of treatment ranges from 20 to 80 milligrams a day. But the dosage for kids may be 1 milligram per kilogram of body weight, with a maximum dose of 50 milligrams.

The prednisone side effects may include adrenal suppression, which can occur with periods of prednisone use up to 7 days. Adrenal suppression refers to the body’s inability to synthesize natural corticosteroids, resulting in a certain dependency on the prednisone taken by the patient. This is why pharmacists don’t recommend the cessation of prednisone when the patient takes it for longer than 6-7 days. They reduce the dose gradually over a few days in the case of short-term of prednisone usage, and over weeks or months during the long-term treatment. If you stop using prednisone abruptly it can cause the life-threatening Addison’s disease, when your body no longer produces sufficient amounts of adrenal steroid hormones.

The short-term side effects of prednisone use may include high blood glucose levels. It may happen most commonly in patients that already have diabetes mellitus or if they use medications that increase their blood glucose. Some other short-term prednisone side effects may include insomnia, euphoria and, in some cases, even mania.

Using prednisone for long periods can cause side effects such as Cushing’s syndrome, osteoporosis, weight gain, glaucoma and type II diabetes mellitus. Upon withdrawal of prednisone after long-term use, some people also suffer from depression. Almost all patients that are on a long-term treatment of prednisone experience a reduction in their sex drive, as well.

Prednisone use can also affect your eyes. The most common side effects while using prednisone are glaucoma and cataract formation. These often occur with topical or intraocular administration of prednisone, but they can also appear with intravenous,oral, or even inhaled administration.

Prednisone use of any period can rise up many other side effects such as blurring of vision, unnatural fatigue or weakness, abdominal pain, pain in the hips or shoulders, peptic ulcers, infections, increase in appetite and hyperactivity, osteoporosis, occurrence of acne and also sleeplessness. Some of the less serious side effects of prednisone may include stretch marks on the skin, weight gain, nervousness, swelling in the face.

For reasons that are not known, high doses of prednisone (greater than 20 milligrams a day) predisposes some patients to joint damage, most often of the hips. Or in osteonecrosis (avascular necrosis) of the hip, the part of the leg bone that inserts into the pelvis dies, resulting in pain with weight–bearing and some loss of joint function. A lot of patients with avascular necrosis require joint replacements.

High dosage of prednisone may lead to sleep disorders. Many patients also find that they are more irritable than usual. Steroids sometimes induce depression, which improves when the drug is decreased or discontinued.

Prednisone also causes “thin skin”. Patients on moderate to high doses of prednisone often notice that they bruise easily, even with only slight trauma. Prednisone may cause thinning of the bones. And even in people that are not usually at a risk for osteoporosis (young people and males). In people susceptible to osteoporosis, prednisone may accelerate the process of bone loss.

Fortunately, in the past few years, excellent treatments and preventive measures have become available for different types of osteoporosis. So all patients, taking prednisone for long-time periods are candidates for these medicines.

Weight gain is usually the most dreaded side–effect of steroid use, incurred to some degree by nearly all patients who use them. The amount of weight gain varies from person to person. In addition to causing weight gain, prednisone leads to a redistribution of body fat to places that are undesirable. The common places are the face, back of the neck, and abdomen. Accumulation of fat in the neck area is sometimes referred to as a “buffalo hump”.

Pharmacists treat these prednisone side effects of symptomatically, because it is usually not feasible to stop prednisone administration even if any of severe side effects occur. These are situations where they have to weigh the disadvantages of using a medication against the advantages and make a certain decision. You must remember that when prednisone definitely gives rise to different side effects, it is also a life-saving medication.

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Cymbalta (duloxetine) is an antidepressant medication that is also used to treat diabetic neuropathy. It is classed as an SNRI – Serotonin-Norepinephrine Reuptake Inhibitor. It is used to treat depressive symptoms that may include pains and aches that can be caused by depression.

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Some of the most common side effects of Cymbalta include drowsiness, nausea and dizziness. Usually Cymbalta side effects are minor and are easily treated by you or your pharmacist. However, there are several side effects that you should report to your doctor. They include: suicidal thoughts, a fast heart rate, and hallucinations (they are rare but dangerous). Some of the other rare Cymbalta side effects include high cholesterol, canker sores, and acne.

A certain survey about side effects of Cymbalta has been performed. The clinical trials in which the side effects of a group of people that take the drug were compared to another group that doesn’t take Cymbalta. As a result, it is possible to see the statistics of side effects, how often they appear, and how they compare to the group that didn’t use Cymbalta.

In this survey the most common side effects of Cymbalta were listed:

• Nausea – 30 percent of people
• Drowsiness – 21 percent of patients
• Headaches – 20 percent
• Dry mouth – 18 percent
• Dizziness – 17 percent
• Insomnia – 16 percent
• Constipation – 15 percent
• Fatigue – 15 percent
• Diarrhea – 13 percent
• Loss of appetite – 11 percent
• Sore throat or runny nose – 9 percent
• Weakness – 8 percent
• Sweating – 8 percent
• Vomiting – 8 percent
• A decreased sex drive (libido) – 7 percent
• Upper respiratory tract infection (such as the common cold) – 7 percent
• Coughing -6 percent.

Other common Cymbalta side effects (occurring in 2 to 5 percent of people) included:
Muscle pain,Chills, Anxiety or agitation, Abnormal dreams, Hot flashes, Cough, Gas, Indigestion or heartburn, Vertigo (a spinning sensation), Yawning, Muscle spasms, Frequent urination, Abdominal pain, Taste changes, Blurred vision, Shakiness (tremors), Seasonal allergies, Sexual side effects, including ejaculation problems,erectile dysfunction, a decreased sex drive (libido).

It is possible that you may experience some or none of the side effects listed above. Unfortunately, there is no way for your pharmacist to know in advance if you will have side effects from Cymbalta, if you haven’t ever tried it before. So make sure to let your doctor know if you develop any side effects while taking Cymbalta. Also, let your pharmacist know if you develop something that “just does not seem right.” While it may not be a side effect of Cymbalta, your health care provider will be able to diagnose and treat that kind of problems.

CYMBALTA Withdrawal Symptoms May Include:
blurred vision , aggression, anxiety, balance issues , brain zaps, concentration impairment, constipation, flu-like symptoms, crying spells, stomach cramps, depersonalization, severe internal restlessness (akathasia), diarrhea, dizziness.

Other withdrawal symptoms of Cymbalta may include: electric shock sensations, fatigue, flatulence, hallucinations, hostility, highly emotional, tremors, indigestion, irritability, impaired speech, insomnia, jumpy nerves, nervousness, lack of coordination, vivid dreams, lethargy, migraine headaches or increased headaches, nausea, over-reacting to situations, paranoia, repetitive thoughts or songs, sensory and sleep disturbances, tinnitus (ear ringing or buzzing), tingling sensations, troubling thoughts, visual hallucinations or illusions, speech visual changes, worsened depression.

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Antidepressants are medicines that are used to treat depression. Your doctor can prescribe them for you. They can improve your sleep, mood, appetite and concentration. It may take several weeks for them to start working. There are several types of antidepressants. You and your doctor may have to try several before finding what will work best for you.

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Antidepressants sometimes cause unwanted side effects. For example, when you first start your antidepressant you may feel tired, have trouble sleeping or even feel sick to your stomach. The side effects usually go away in a short period. Tell your doctor if you have any side effects. You should also let your doctor know if you take any other drugs, vitamins or any herbal supplements.

It is important to keep taking your medicines, even after you feel better. Do not stop taking your antidepressants without talking to your pharmacist. You often need to stop antidepressants gradually.

Most typical antidepressants have a delayed action (2–6 weeks) and are usually administered for anywhere from months to years. Antidepressants are often used to treat other conditions, such as obsessive compulsive disorder, anxiety disorders, chronic pain, eating disorders, and some hormone-mediated disorders as dysmenorrhea. Alone or together with anticonvulsants (e.g., Depakote or Tegretol), antidepressants can be used to treat attention-deficit hyperactivity disorder (ADHD) and substance abuse by addressing underlying depression. Also, antidepressants have been used for hypercytorism, with mixed reviews, and are sometimes used to treat migraines or snoring.

Here is a list of different types of antidepressants.

1) TCAs (Tricyclic antidepressants)

Tricyclic antidepressants are the oldest class of antidepressant drugs. Tricyclics block the reuptake of neurotransmitters as serotonin and noradrenaline (norepinephrine). Tricyclic antidepressants are used less commonly now due to the development of safer and more selective drugs.

Tricyclic antidepressants include: Secondary Amine Tricyclic Antidepressants as Protriptyline (Vivactil), Desipramine (Norpramin), Nortriptyline (Pamelor, Aventyl) and Tertiary Amine Tricyclic Antidepressants as Imipramine (Tofranil), Clomipramine (Anafranil), Trimipramine (Surmontil), Amitriptyline (Elavil, Endep) and Doxepin (Adapin, Sinequan)

Side effects of Tricyclic antidepressants include increased drowsiness, heart rate, dry mouth, blurred vision, constipation, urinary retention, confusion, dizziness, and sexual dysfunction. Toxicity occurs at approximately ten times normal dosages; !!ATTENTION!! these drugs are often lethal in overdoses, as they lead to a fatal arrhythmia. However, tricyclic antidepressants are still used because of their effectiveness, especially in severe cases of major depression.

2) SSRIs(Selective serotonin reuptake inhibitors)

SSRIs are a family of antidepressants that consider the current standard of drug treatment. This family of drugs includes: Sertraline (Zoloft), Fluoxetine (Prozac), Paroxetine (Paxil), Citalopram (Celexa), Fluvoxamine (Luvox) and Escitalopram (Lexapro, Cipralex).

Within side effects of Selective serotonin reuptake inhibitors there should be mentioned: anxiety, drowsiness, dry mouth, decreased appetite, nervousness, insomnia, agitation, headaches and decreased ability to function sexually such as loss of libido, failure to reach orgasm and erectile dysfunction. Though safer than first generation antidepressants, SSRIs may not work on as many patients as previous classes of antidepressants, suggesting the role of norepinephrine in depression is still important. The Food and Drug Administration requires Black Box warnings on all SSRIs, which state that they double suicidal rates (from 2 in 1,000 to 4 in 1,000) in children and adolescents. The increased risk for suicidality and suicidal behaviour among adults under 25 approaches that seen in children and adolescents.

3) SNRIs (Serotonin-norepinephrine reuptake inhibitors) are a newer form of antidepressants. They work on both norepinephrine and 5-HT. They are:

Duloxetine (Cymbalta), Venlafaxine (Effexor), Desvenlafaxine (Pristiq) and Milnacipram (Ixel).
Theese antidepressants usually have similar side effects to the SSRIs, though there may be a withdrawal syndrome on discontinuation that may necessitate dosage tapering.

4) NaSSAs (Noradrenergic and specific serotonergic antidepressants)

Noradrenergic and specific serotonergic antidepressants (NaSSAs) work to increase norepinephrine (noradrenaline) and serotonin neurotransmission by blocking presynaptic alpha-2 adrenergic receptors. And at the same time they block certain serotonin receptors. NaSSAs include Mirtazapine (Remeron, Zispin, Avanza) and Mianserin (Tolvon). Side effects of Noradrenergic and specific serotonergic antidepressants include drowsiness, increased appetite, and weight gain.

5) NRIs (Norepinephrine (noradrenaline) reuptake inhibitors)

Norepinephrine (noradrenaline) reuptake inhibitors (NRIs) act via norepinephrine (also known as noradrenaline). NRIs are used because of their positive effect on the concentration and motivation in particular. NRIs include: Mazindol (Sanorex, Mazanor), Viloxazine (Vivalan), Atomoxetine (Strattera) and Reboxetine (Edronax)

6) MAOIs (Monoamine oxidase inhibitor)

Monoamine oxidase inhibitors (MAOIs) are usually used when other antidepressant medications are ineffective.
MAOIs include: Phenelzine (Nardil), Tranylcypromine (Parnate), Isocarboxazid (Marplan), Selegiline (Emsam, Eldepryl)and Moclobemide (Manerix, Aurorix).

MAOIs are rarely prescribed anymore. The reason is that there are potentially fatal interactions between this class of antidepressants and certain foods (especially those containing tyramine), red wine, as well as certain drugs . However, this does not apply to Emsam, the transdermal patch form of selegiline, which due to its bypassing of the stomach has never been reported to induce such terrible side effects. MAOIs work by blocking the enzyme monoamine oxidase which breaks down the neurotransmitters serotonin, dopamine, and noradrenaline (norepinephrine). Monoamine oxidase inhibitors are as effective as tricyclic antidepressants, although they can have a higher incidence of dangerous side effects (as a result of inhibition of cytochrome P450 in the liver). Modern generation of Monoamine oxidase inhibitors has been introduced; moclobemide (Manerix), known as RIMA ( a reversible inhibitor of monoamine oxidase A), acts in a selective andmore short-lived manner and does not require a special diet. As one of the side effects is weight gain and could be extreme.

Side effects of MAOIs (monoamine oxidase inhibitors): Rare side effects of MAOIs like phenelzine (Nardil) and tranylcypromine (Parnate) include heart attack, hepatitis, stroke, and seizures. Serotonin syndrome is a side effect of MAOIs when combined with other certain drugs.

There are also some other groups of antidepressants: NDRIs (Norepinephrine-dopamine reuptake inhibitors ) such as Bupropion (Wellbutrin, Zyban). SSREs (Selective serotonin reuptake enhancers) such as Tianeptine ( Coaxil, Stablon, Tatinol). Melatonergic agonists such as Agomelatine ( Melitor, Valdoxan, Thymanax).

Some antidepressants were found to work better in some patients when used in combination with another drug. Theese drugs are called “Augmenter drugs” such as Trazodone (Desyrel), Nefazodone (Serzone), Gepirone (Ariza), Buspirone (Buspar), Tandospirone (Sediel).

Lithium is often used in conjunction with other medications, depending on whether mania or depression is being treated. Lithium’s potential side effects include nausea, tremors, thirst, light-headedness and diarrhea. Some of the anticonvulsants, such as lamotrigine (Lamictal),sodium valproate (Epilim) and carbamazepine (Tegretol) are also used as mood stabilizers, particularly in bipolar disorder.

Antipsychotics such as olanzapine (Zyprexa), risperidone (Risperdal) and quetiapine (Seroquel) are prescribed as mood stabilizers and to treat anxiety. Their use as mood stabilizers is a recent phenomenon, and controversial among some patients. Antipsychotics may also be prescribed to augment an antidepressant, to increase the blood concentration of another drug, or to relieve the psychotic or paranoid symptoms that usually accompany clinical depression. However, they can cause serious side effects, especially if used at high dosages, wich include tardive dyskinesia, restlessness, blurred vision, muscle spasms or weight gain.

Tranquillizers and sedatives, typically the benzodiazepines, are usually prescribed to ease anxiety and to promote sleep. Because of the high risk of dependency, these drugs are intended only for short-term or occasional use. Tranquillizers are often used not for their primary functions, but to decrease side effects. Quetiapine fumarate (Seroquel) is designed primarily to treat bipolar disorder and schizophrenia, but frequently causes somnolence because of its affinity for histamine (H1 and H2) receptors, exploiting the same side effects as diphenhydramine (Benadryl).

Psychostimulants may be added to an antidepressant regimen if the patient suffers from hypersomnia, anhedonia and/or excessive eating as well as low motivation. These symptoms are common in atypical depression, and can be resolved by adding low to moderate doses of methylphenidate (Ritalin) or amphetamine (Adderall) because these chemicals can enhance motivation and social behavior, and also to suppress appetite and sleep. They can also restore sex drive. Stimulants are known to trigger manic episodes in people suffering from bipolar disorder. Close supervision is urged of those with substance abuse disorders.

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