Monday, 27 July 2009

Amlodipino Argenol




Amlodipino Argenol may be available in the countries listed below.


Ingredient matches for Amlodipino Argenol



Amlodipine

Amlodipine besilate (a derivative of Amlodipine) is reported as an ingredient of Amlodipino Argenol in the following countries:


  • Spain

International Drug Name Search

Thursday, 23 July 2009

Torrem




Torrem may be available in the countries listed below.


Ingredient matches for Torrem



Torasemide

Torasemide is reported as an ingredient of Torrem in the following countries:


  • Belgium

  • Luxembourg

International Drug Name Search

Saturday, 18 July 2009

Robinul


Pronunciation: GLYE-koe-PIR-oh-late
Generic Name: Glycopyrrolate
Brand Name: Robinul


Robinul is used for:

Reducing secretions in the mouth, throat, airway, and stomach before surgery. It is used before and during surgery to block certain reflexes and to protect against certain side effects of some medicines. It is also used along with other medicines to treat peptic ulcers. It may also be used for other conditions as determined by your doctor.


Robinul is an anticholinergic. It works by blocking the activity of a certain substance (acetylcholine) in the body, which decreases secretions and decreases side effects caused by medicines that may increase the action of acetylcholine in the body.


Do NOT use Robinul if:


  • you are allergic to any ingredient in Robinul

  • you are being treated for a peptic ulcer and you also have glaucoma, urinary blockage (eg, inability to urinate), certain stomach or bowel problems (eg, stomach or bowel blockage, bowel paralysis, severe ulcerative colitis, toxic megacolon), myasthenia gravis, or heart problems caused by bleeding

  • you are taking a solid oral doseform of potassium (eg, a tablet)

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



Before using Robinul:


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


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

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

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

  • if you have nerve problems (eg, autonomic neuropathy), Down syndrome, prostate problems, trouble urinating, liver problems, kidney problems, or increased pressure in the eyes

  • if you have heart problems (eg, coronary heart disease, heart failure), a fast or irregular heartbeat, high blood pressure, or an overactive thyroid

  • if you have stomach or bowel problems (eg, ulcerative colitis), constipation or diarrhea, hiatal hernia along with reflux disease, or if you have an ileostomy or colostomy

  • if you have a personal or family history of glaucoma

  • if the patient is a child with spastic paralysis or brain damage

  • if you are in poor health

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


  • Solid oral potassium products (eg, tablets) because the risk of stomach or bowel irritation may be increased by Robinul

  • Anticholinergics (eg, benztropine), phenothiazines (eg, chlorpromazine), or tricyclic antidepressants (eg, amitriptyline) because they may increase the risk of Robinul's side effects

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


How to use Robinul:


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


  • Robinul is usually given as an injection at your doctor's office, hospital, or clinic. If you will be using Robinul at home, a health care provider will teach you how to use it. Be sure you understand how to use Robinul. Follow the procedures you are taught when you use a dose. Contact your health care provider if you have any questions.

  • Do not use Robinul if it contains particles, is cloudy or discolored, or if the vial is cracked or damaged.

  • Keep this product, as well as syringes and needles, out of the reach of children and pets. Do not reuse needles, syringes, or other materials. Ask your health care provider how to dispose of these materials after use. Follow all local rules for disposal.

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

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



Important safety information:


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

  • Check with your doctor before you drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Robinul; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.

  • Drinking fluids, maintaining good oral hygiene, and sucking on hard sugarless candy can help relieve dry mouth.

  • Do not become overheated in hot weather or while being active; heatstroke may occur.

  • Use Robinul with extreme caution if you have a fever because heatstroke caused by decreased sweating may occur.

  • Robinul may make your eyes more sensitive to sunlight. It may help to wear sunglasses.

  • Use Robinul with caution in the ELDERLY; they may be more sensitive to its effects.

  • Robinul has benzyl alcohol in it. Do not use it in NEWBORNS or INFANTS. It may cause serious and sometimes fatal nervous system problems and other side effects.

  • Robinul should not be used in CHILDREN to treat peptic ulcer; safety and effectiveness in children have not been confirmed.

  • Caution is advised when using Robinul in CHILDREN; they may be more sensitive to its effects.

  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Robinul while you are pregnant. It is not known if Robinul is found in breast milk. Robinul may decrease milk production. If you are or will be breast-feeding while you use Robinul, check with your doctor. Discuss any possible risks to your baby, as well as any questions or concerns about this information.


Possible side effects of Robinul:


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



Bloated feeling; blurred vision; constipation; decreased sweating; dizziness; drowsiness; dry mouth; dry skin; enlarged pupils; headache; loss of taste; nausea; nervousness; pain, swelling, or redness at the injection site; sleeplessness; weakness.



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

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; confusion; decreased sexual ability; diarrhea; difficulty focusing the eyes; difficulty urinating; excitement; fainting; fast, slow, or irregular heartbeat; fever; seizures; severe or persistent dizziness, light-headedness, or headache; shortness of breath; unusual weakness; vomiting.



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


See also: Robinul side effects (in more detail)


If OVERDOSE is suspected:


Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include blurred vision; convulsions; difficulty breathing; disorientation; dry mouth; enlarged pupils; excessive thirst; flushed, hot, dry skin; muscle weakness; nausea; restlessness; seizures; unusual dizziness or drowsiness; vomiting.


Proper storage of Robinul:

Robinul is usually handled and stored by a health care provider. If you are using Robinul at home, store Robinul as directed by your pharmacist or health care provider. Keep Robinul out of the reach of children and away from pets.


General information:


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

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

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

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

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



Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Robinul resources


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


  • Robinul Prescribing Information (FDA)

  • Robinul Monograph (AHFS DI)

  • Robinul Advanced Consumer (Micromedex) - Includes Dosage Information

  • Glycopyrrolate Professional Patient Advice (Wolters Kluwer)

  • Cuvposa Consumer Overview

  • Cuvposa Prescribing Information (FDA)



Compare Robinul with other medications


  • Anesthesia
  • Peptic Ulcer

Saturday, 4 July 2009

Restasis eent



Generic Name: Cyclosporine eent
Class: Anti-inflammatory Agents, Miscellaneous
VA Class: IM600
Chemical Name: Cyclo[[(E) - (2S,3R,4R) - 3 - hydroxy - 4 - methyl - 2 - (methylamino) - 6 - octenoyl] - l - 2 - aminobutyryl - N - methylglycyl - N - methyl - l - leucyl - l - valyl - N - methyl - l - leucyl - l - alanyl - d - alanyl - N - methyl - l - leucyl - N - methyl - l - leucyl - N - methyl - l - valyl]
CAS Number: 59865-13-3

Introduction

Topical immunomodulator; systemic immunosuppressive agent.1 2 3 5 6 7 8 10


Uses for Restasis


Keratoconjunctivitis Sicca


Used to increase tear production in adults whose tear production presumably is suppressed secondary to ocular inflammation related to keratoconjunctivitis sicca.1


Increased tear production not observed in patients already receiving topical anti-inflammatory agents or using punctal plugs.1


Restasis Dosage and Administration


Administration


For ophthalmic use only.1 Not for injection.1 Not for subconjunctival injection or introduction directly into the anterior chamber of the eye.1 4


Ophthalmic Administration


Apply topically to the eye as an ophthalmic emulsion.1


Avoid contamination of emulsion container.1


Invert unit-dose vial a few times before use to obtain a uniform, opaque, white emulsion.1


Preservative-free emulsion is for single use only in one or both eyes; discard any unused portion immediately after administration.1


Remove contact lenses prior to administration; may reinsert lenses 15 minutes after dose.1


When used concomitantly with artificial tears, administer ophthalmic preparations at least 15 minutes apart.1


Dosage


Adults


Keratoconjunctivitis Sicca

Ophthalmic

1 drop of a 0.05% emulsion into each eye twice daily, approximately 12 hours apart.1


Cautions for Restasis


Contraindications



  • Known hypersensitivity to cyclosporine or any ingredient in the formulation.1




  • Active ocular infections.1



Warnings/Precautions


Warnings


Safety and efficacy not established in patients with history of herpes keratitis.1


Specific Populations


Pregnancy

Category C.1


Lactation

Distributed into milk after systemic administration; it is not known whether distributed into milk after topical application to the eye.1 Caution advised if used in nursing women.1


Pediatric Use

Safety and efficacy not established in children <16 years of age.1


Geriatric Use

No substantial differences in safety and efficacy relative to younger adults.1


Common Adverse Effects


Ocular burning, conjunctival hyperemia, discharge, epiphora, ocular pain, foreign body sensation, pruritus, stinging, visual disturbance (e.g., blurring).1


Interactions for Restasis


No formal drug interaction studies to date.9


Restasis Pharmacokinetics


Absorption


Bioavailability


Blood cyclosporin A concentrations were below quantitation limit (0.1 ng/mL) after topical application of cyclosporine 0.05% emulsion to the eye twice daily for up to 12 months.1 7 No detectable drug accumulation in blood during 12 months of treatment.1 7


Distribution


Extent


Not known whether distributed into milk after topical application to the eye.1


Stability


Storage


Ophthalmic


Emulsion

15–25°C.1


ActionsActions



  • Exact mechanism of action not fully elucidated, but thought to act as a partial immunomodulator with anti-inflammatory effects when administered topically to the eye.1 2 3 5 6 7 8 10




  • Topical application to the eye reduces cell-mediated inflammatory responses associated with inflammatory ocular surface diseases.2 3




  • Exhibits immunosuppressive activity when administered systemically.1



Advice to Patients



  • Importance of learning and adhering to proper administration techniques to avoid contamination of the product.1




  • Importance of administering ophthalmic emulsion immediately after opening single-use vial and discarding any unused portion immediately after administration.1




  • Importance of not wearing contact lenses in presence of decreased tear production.1 If contact lenses are worn, importance of removing lenses prior to administration and delaying reinsertion of lenses for 15 minutes after instillation.1




  • Importance of women informing clinicians if they are or plan to become pregnant or to breast-feed.1




  • Importance of informing clinicians of existing or contemplated concomitant therapy, including prescription and OTC drugs.1




  • If using artificial tears and ophthalmic cyclosporine, importance of allowing at least 15 minutes to elapse between administration.1




  • Importance of informing patients of other important precautionary information.1 (See Cautions.)



Preparations


Excipients in commercially available drug preparations may have clinically important effects in some individuals; consult specific product labeling for details.













Cyclosporine

Routes



Dosage Forms



Strengths



Brand Names



Manufacturer



Ophthalmic



Emulsion



0.05%



Restasis (preservative-free)



Allergan


Comparative Pricing


This pricing information is subject to change at the sole discretion of DS Pharmacy. This pricing information was updated 03/2011. Actual costs to patients will vary depending on the use of specific retail or mail-order locations and health insurance copays.


Restasis 0.05% Emulsion (ALLERGAN): 30/$146.62 or 90/$411.8



Disclaimer

This report on medications is for your information only, and is not considered individual patient advice. Because of the changing nature of drug information, please consult your physician or pharmacist about specific clinical use.


The American Society of Health-System Pharmacists, Inc. and Drugs.com represent that the information provided hereunder was formulated with a reasonable standard of care, and in conformity with professional standards in the field. The American Society of Health-System Pharmacists, Inc. and Drugs.com make no representations or warranties, express or implied, including, but not limited to, any implied warranty of merchantability and/or fitness for a particular purpose, with respect to such information and specifically disclaims all such warranties. Users are advised that decisions regarding drug therapy are complex medical decisions requiring the independent, informed decision of an appropriate health care professional, and the information is provided for informational purposes only. The entire monograph for a drug should be reviewed for a thorough understanding of the drug's actions, uses and side effects. The American Society of Health-System Pharmacists, Inc. and Drugs.com do not endorse or recommend the use of any drug. The information is not a substitute for medical care.

AHFS Drug Information. © Copyright, 1959-2011, Selected Revisions April 2010. American Society of Health-System Pharmacists, Inc., 7272 Wisconsin Avenue, Bethesda, Maryland 20814.




References



1. Allergan, Inc. Restasis (cyclosporine) ophthalmic emulsion 0.05% prescribing information. Irvine, CA; 2002 Dec.



2. Sall K, Stevenson OD, Mundorf TK et al. Two multicenter, randomized studies of the efficacy and safety of cyclosporine ophthalmic emulsion in moderate to severe dry eye disease. Ophthalmology. 2000; 107:631-9. [IDIS 453300] [PubMed 10768324]



3. Stevenson D, Tauber J, Reis BL et al. Efficacy and safety of cyclosporin A ophthalmic emulsion in the treatment of moderate-to-severe dry eye disease. A dose-ranging randomized trial. Ophthalmology. 2000; 107:967-74. [IDIS 446941] [PubMed 10811092]



4. Allergan, Inc, Irvine, CA: Personal communication.



5. Laibovitz R, Solch S, Andriano K et al. Pilot trial of cyclosporine 1% ophthalmic ointment in the treatment of keratoconjunctivitis sicca. Cornea. 1993; 12:315-23. [PubMed 8339560]



6. Tauber J, for the Cyclosporine Study Group. A dose-ranging clinical trial to assess the safety and efficacy of cyclosporine ophthalmic emulsion in patients with keratoconjunctivitis sicca. Adv Exp Med Biol. 1998; 438:969-72. [PubMed 9634996]



7. Small DS, Acheampong A, Reis B et al. Blood cyclosporin A during long-term treatment with cyclosporin A ophthalmic emulsions in patients with moderate to severe dry eye disease. J Ocul Pharmacol Ther. 2002; 18:411-8. [PubMed 12419092]



8. Kunert KS, Tisdale AS, Gipson IK. Goblet cell numbers and epithelial proliferation in the conjunctiva of patients with dry eye syndrome treated with cyclosporine. Arch Ophthalmol. 2002; 120:330-7. [IDIS 478231] [PubMed 11879137]



9. Allergan, Inc. Restasis (cyclosporine ophthalmic emulsion) 0.05% formulary kit. Irvine, CA; 2003.



10. Anon. Ophthalmic cyclosporine (Restasis) for dry eye disease. Med Lett Drugs Ther. 2003; 45:42-3. [PubMed 12766701]



More Restasis eent resources


  • Restasis eent Side Effects (in more detail)
  • Restasis eent Use in Pregnancy & Breastfeeding
  • Restasis eent Support Group
  • 1 Review for Restasis eent - Add your own review/rating


Compare Restasis eent with other medications


  • Keratoconjunctivitis Sicca

Friday, 3 July 2009

Selumito




Selumito may be available in the countries listed below.


Ingredient matches for Selumito



Trimebutine

Trimebutine maleate (a derivative of Trimebutine) is reported as an ingredient of Selumito in the following countries:


  • Japan

International Drug Name Search