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Generic Name: E: CODEINE (KOE-deen)

Drug Manufacturer: ROXANE

Common Uses: This medicine is a narcotic analgesic used to treat or prevent moderate to severe pain. It is also an antitussive used to control cough. It may also be used to treat other conditions as determined by your doctor.

How to use this Medicine: Follow the directions for using this medicine provided by your doctor. STORE THIS MEDICINE at room temperature in a tightly-closed container, away from heat and light. IF YOU MISS A DOSE OF THIS MEDICINE and you are using it regularly, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Cautions: DO NOT TAKE THIS MEDICINE IF YOU HAVE HAD A SEVERE ALLERGIC REACTION to codeine, hydrocodone, dihydrocodeine, or oxycodone (such as Tylox, Tylenol with Codeine, Vicodin). A severe allergic reaction includes a severe rash, hives, breathing difficulties, or dizziness. If you have a question about whether you are allergic to this medicine or if a certain medicine contains codeine, hydrocodone, dihydrocodeine, or oxycodone, contact your doctor or pharmacist. DO NOT TAKE MORE OF THIS MEDICINE or take it more often than recommended by your doctor. Exceeding the recommended dose or taking this medicine for longer than prescribed may be habit-forming. BEFORE YOU HAVE ANY MEDICAL OR DENTAL SURGERY OR EMERGENCY TREATMENT, tell the doctor or dentist that you are taking this medicine. AVOID ALCOHOL while you are using this medicine. This medicine will add to the effects of alcohol and other depressants. DO NOT DRIVE, OPERATE MACHINERY, OR DO ANYTHING ELSE THAT COULD BE DANGEROUS until you know how you react to this medicine. Using this medicine alone, with other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. Caution should be used in the elderly since they may be more sensitive to the effects of this drug. FOR WOMEN: IF YOU PLAN ON BECOMING PREGNANT, discuss with your doctor the benefits and risks of using this medicine during pregnancy. THIS MEDICINE IS EXCRETED IN BREAST MILK. IF YOU ARE OR WILL BE BREAST-FEEDING while you are using this medicine, check with your doctor or pharmacist to discuss the risks to your baby.

Possible Side Effects: SIDE EFFECTS, that may go away during treatment, include drowsiness, dizziness, lightheadedness, nausea, vomiting, headache, or constipation. If they continue or are bothersome, check with your doctor. CHECK WITH YOUR DOCTOR AS SOON AS POSSIBLE if you experience excessive drowsiness, rash, itching, sweating, seizures, shortness of breath, or difficulty breathing. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

 

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Generic Name: E: FEXOFENADINE (fex-oh-FEN-a-deen) and PSEUDOEPHEDRINE (soo-doe-e-FED-rin)

Drug Manufacturer: AVENTIS

Common Uses: This medicine is an antihistamine and decongestant combination that is used to relieve symptoms of seasonal allergies such as watery or itchy eyes, runny nose, itchy throat, sneezing, and stuffy nose (nasal congestion).

How to use this Medicine: Follow the directions for using this medicine provided by your doctor. This medicine is usually taken by mouth twice daily. SWALLOW WHOLE. Do not break, crush, or chew before swallowing. Take this medicine on an empty stomach at least 1 hour before or 2 hours after eating. High-fat meals may decrease the absorption of the medicine into your bloodstream. DO NOT TAKE ANTACIDS (CONTAINING ALUMINUM OR MAGNESIUM) within 2 hours of taking this medicine. These antacids may decrease the absorption of this medicine. The U.S. manufacturer recommends that you STORE THIS MEDICINE at room temperature between 68 and 77 degrees F (20 to 25 degrees C). The Canadian manufacturer recommends that you STORE THIS MEDICINE at room temperature between 59 and 86 degrees F (15-30 degrees C). Store this medicine in a tightly-closed container, away from heat, moisture, and light. IF YOU MISS A DOSE OF THIS MEDICINE, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do NOT take 2 doses at once.

Cautions: DO NOT INCREASE YOUR DOSE or take more of this medicine than prescribed without checking with your doctor. THIS MEDICINE MAY CAUSE DIZZINESS. DO NOT DRIVE, OPERATE MACHINERY, OR DO ANYTHING ELSE THAT COULD BE DANGEROUS until you know how you react to this medicine. LIMIT ALCOHOLIC BEVERAGES while taking this medicine. THIS MEDICINE MAY INTERFERE with allergy test results. Check with your doctor for instruction on how long you will need to stop taking this medicine prior to those tests. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. This includes any medicines which contain diet or appetite control medicines, antihistamines, or decongestants. Ask your pharmacist about the safe use of these medicines. CAUTION IS ADVISED WHEN THIS MEDICINE IS USED IN THE ELDERLY because they may be more sensitive to the effects of the medicine. FOR WOMEN: IF YOU PLAN ON BECOMING PREGNANT, discuss with your doctor the benefits and risks of using this medicine during pregnancy. ONE OF THE INGREDIENTS IN THIS MEDICINE (PSEUDOEPHDRINE) IS EXCRETED IN BREAST MILK. DO NOT BREAST-FEED while taking this medicine.

Possible Side Effects: SIDE EFFECTS, that may go away during treatment, include nausea, stomach upset, trouble sleeping, headache, dizziness, nervousness, or dry mouth. If they continue or are bothersome, check with your doctor. CONTACT YOUR DOCTOR IMMEDIATELY if you experience unusually fast/irregular heartbeat, or uncontrolled shaking or tremor. CONTACT YOUR DOCTOR IMMEDIATELY if you experience any serious but unlikely side effects including seizures, chest pain, mental or mood changes. AN ALLERGIC REACTION TO THIS MEDICINE is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash, itching, swelling, severe dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.



Valium

02:26, 10/16/2006 .. 0 comments .. Link

Generic Name: E: DIAZEPAM (dye-AZ-e-pam)

Drug Manufacturer: ROCHE

Common Uses: This medicine is a benzodiazepine used to treat anxiety, alcohol withdrawal, and muscle spasms. It may also be used to treat seizures, insomnia, and other conditions as determined by your doctor.

How to use this Medicine: Follow the directions for using this medicine provided by your doctor. STORE THIS MEDICINE at room temperature, away from heat and light. IF YOU MISS A DOSE OF THIS MEDICINE and you are using it regularly, take it as soon as possible. If you do not remember until later, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Cautions: DO NOT EXCEED THE RECOMMENDED DOSE or take this medicine for longer than prescribed without checking with your doctor. Exceeding the recommended dose or taking this medicine for longer than prescribed may be habit-forming. DO NOT DRIVE, OPERATE MACHINERY, OR DO ANYTHING ELSE THAT COULD BE DANGEROUS until you know how you react to this medicine. Using this medicine alone, with other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. FOR WOMEN: THIS MEDICINE HAS BEEN SHOWN TO CAUSE HARM to the human fetus. IF YOU PLAN ON BECOMING PREGNANT, discuss with your doctor the benefits and risks of using this medicine during pregnancy. THIS MEDICINE IS EXCRETED IN BREAST MILK. DO NOT BREAST-FEED while taking this medicine.

Possible Side Effects: SIDE EFFECTS, that may go away during treatment, include excessive daytime drowsiness, unusual weakness, dizziness, lightheadedness, headache, clumsiness, or unsteadiness. If they continue or are bothersome, check with your doctor. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

 

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What is Vicodin?

02:26, 10/16/2006 .. 0 comments .. Link

What is Vicodin?

 

Vicodin is an opiod drug (also known as a narcotic) that dulls pain and gives a feeling of euphoria when used. Commonly prescribed for moderate pain, Vicodin is a combination of acetaminophen (often sold under the brand name Tylenol) and hydrocodone. Acetaminophen stops the production of prostaglandins, which cause the feeling of pain in the body. Hydrocodone binds to pain receptors and reduces the sensation of pain. Hydrocodone is the habit-forming part of the drug mix in Vicodin.

Vicodin attaches to specific receptors in the brain, spinal chord, and gastrointestinal tract. When used as prescribed, it can be a powerful pain reducer for those with back pain, pain after car accidents, surgery-related pain, and athletic injuries. But, Vicodin addiction can occur after just one to four weeks when not used properly. If used for a long period of time, higher doses will be needed to create the initial desired effect and physical dependence becomes an issue.

Regular, intended use of Vicodin comes with the following precautions:

  • Do not take alcohol when using Vicodin.
  • To avoid potential liver damage, be careful how many acetaminophen products you use while taking Vicodin.
  • Do not operate vehicles or machinery when using Vicodin.
  • People allergic to codeine and hydrocodone should not take Vicodin.
  • Vicodin has drug interactions with MAO inhibitors and tricyclic antidepressants.

Common side effects of regular Vicodin use include:

  • Dizziness
  • Drowsiness
  • Nausea, vomiting, or constipation

When taken in large doses, respiratory depression may also occur.

Signs of Vicodin Addiction

Both psychological and physical signs present themselves when a patient becomes addicted to Vicodin. Most addicts begin using medication like Vicodin without a prescription, for example as a recreational drug. Less commonly, addiction develops in a patient who was prescribed the medication for a legitimate reason. Some heroin addicts have found Vicodin a cheaper substitute. Warning signs of a Vicodin addiction are:

  • Using more pills at intervals that are closer together than recommended by your doctor
  • Shopping for new doctors to refill prescriptions more rapidly
  • Stealing prescription pads or product from pharmacies
  • Purchasing Vicodin pills from an Internet pharmacy
  • Feeling guilty about taking too many pills
  • Hiding the number of prescriptions that are refilled
  • Denying there is a problem

Treatment for Vicodin Addiction

Treatment for Vicodin addiction is similar to other drug treatments. Detoxification in a medically supervised setting may be needed. Withdrawal symptoms from Vicodin include muscle or bone pain, vomiting, cold flashes, loss of appetite, insomnia, watery eyes, and runny nose.

Once detox has taken place, it is imperative that follow-up treatment occurs. Detox is not considered adequate treatment in and of itself. Therapy can be helpful to those with Vicodin addictions. Behavioral counseling has also been found to be an effective form of therapy for addicts.

Additionally, medications like methadone or buprenorphine may be given to patients during the treatment process. Use of medications depends on the circumstances of each recovering addict. Medications should only be used under close medical supervision.

Admitting you have a problem is the first step in getting treatment. Vicodin addictions can ruin lives, relationships, financial situations, and business relations. When taken in large enough doses, Vicodin can even cause death.



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Deze site is samengesteld door gezondheidsprofessionals voor uw informatie. U vindt hier alle gangbare informatie over het geneesmiddel Viagra, ook wel sildenafil genoemd. U kunt Viagra bestellen bij Dokteronline.com of via uw eigen huisarts en apotheek.

Viagra is sinds 1988 door meer dan 23 miljoen mannen gebruikt ter behandeling van hun erectiestoornis. Viagra was gelijk vanaf de introductie in 1988 een groot succes, en de hulp voor mannen met impotentie of verschillende graden van erectiele disfunctie.

Deze erectiepil is een receptgeneesmiddel voor de behandeling van een erectiestoornis. We hebben het over een erectiestoornis als je penis niet stijf (genoeg) wordt of niet lang genoeg stijf blijft om bevredigende
seks te hebben.
Sildenafil (de werkzamestof) ontspant indirect de bloedvaten in de penis. Zo kan er makkelijker bloed in de penis stromen als je seksueel opgewonden wordt, waardoor je gemakkelijker een erectie krijgt. Je krijgt bij het gebruik van Sildenafil alleen een erectie als je sexueel opgewonden bent. Dus niet spontaan door het slikken van een pilletje.

Viagra was het eerste geneesmiddel voor erectiestoornis, en wordt nog steeds zeer veel gebruikt door mensen over de gehele wereld.

Viagra filmomhulde tabletten zijn blauw en hebben een diamantvorm met afgeronde randen. Aan 1 kant staat PFIZER en aan de andere kant staat VGR (of VGR 50, of VGR 100). De tabletten zijn verkrijgbaar in blisterverpakkingen met 1, 4, 8 of 12 tabletten. Sommige verpakkingen zijn mogelijk niet in Nederland beschikbaar. In Nederland is een verpakking van 4 gebruikelijke en meervouden hiervan.

Neem deze erectiepil niet in:
als u geneesmiddelen gebruikt die nitraten bevatten of stikstofmonoxide afgeven, zoals amylnitriet (poppers). Deze geneesmiddelen worden vaak ter verlichting van angina pectoris (pijn op de borst) gegeven. Sildenafil kan een belangrijke toename van de effecten van deze geneesmiddelen veroorzaken. Vertel uw dokter dat u deze geneesmiddelen gebruikt. Wanneer u dit niet zeker weet, vraag het dan aan uw arts of apotheker.

http://www.dokteronline.com/viagra/img/seks_en_viagra.jpg

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Te vroeg klaarkomen, kan een probleem zijn van het verleden. Na een pil tegen impotentie, is er nu ook een pil tegen deze kwaal. Het middel dapoxetine is speciaal hiervoor ontwikkeld en is volgens onderzoekers veilig en werkt goed.

Het middel is getest onder 2600 mensen die last hadden van premature ejaculatie. De pil was effectief en stelde het orgasme uit. "Door dapoxetine hadden de patiënten ook het gevoel meer controle te hebben over de ejaculatie, werd geslachtsgemeenschap bevredigender en ook de partners hadden voordeel door meer bevrediging van de seksuele gemeenschap", zegt hoofdonderzoek Dr. Jon Pryor tegen The Lancet.

Bij het onderzoek zijn de mannen in drie groepen ingedeeld en kregen de opdracht het middel een tot drie uur voor de seks in te nemen. Bij de placebogroep was na twaalf weken de ejaculatietijd opgelopen tot 1,75 minuten na penetratie. De groep die 30 mg dapoxetine slikte, bleek 2,78 minuten na penetratie te ejaculeren. De patiënten die 60 mg innamen, kwamen pas na drieënhalve minuut klaar.

Bijwerkingen van het middel zijn misselijkheid, diarree, hoofdpijn en duizeligheid. Vorig jaar oktober werd het middel in Amerika nog niet goedgekeurd. Producent Johnson & Johnson's Alza Corporation gaf toen aan het middel verder te onwikkelen. In totaal hebben meer mensen last van voortijdige zaadlozing, dan van problemen met het krijgen van een erectie, waar het populaire Viagra voor op de markt kwam.
Bron: Reuters, Artsennet

8 september 2006


Onderzoek naar werking erectiepil op het geheugen

Of het geheugen van ouderen baat heeft bij erectiepillen is onduidelijk. De Universiteit Maastricht onderzoekt het in ieder geval. Studente neuropsychologie L. Ringoir zal achttien 50-plussers bij wie het geheugen achteruit gaat een erectiepil geven.

Enige jaren geleden wees experimenteel onderzoek in Maastricht uit dat ratten en muizen met Viagra in hun voer bepaalde voorwerpen beter konden onthouden. De onderzoekers verwachten eind oktober met resultaten te kunnen komen.

Bron: ANP,18 augustus 2006


What is Xanax?

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 Xanax belongs to the group of prescription medicines called central nervous system (CNS) depressants. Xanax is usually used as a tranquilizer for the short-term relief of symptoms of anxiety or the treatment of anxiety disorders. Anxiety disorder is marked by unrealistic worry or excessive fears and concerns. The drug is also used in the treatment of panic disorder, which appears as unexpected panic attacks. Sometimes xanax prescription is made to treat alcohol withdrawal, fear of open spaces and strangers, depression and premenstrual syndrome. It can help to control the insomnia and muscle spasms. Take the medicine as prescribed, with or without food. Never take two doses at the same time. Buy xanax online fast and securely in our online pharmacy. We deliver the medication right to your doorpressants. Xanax is usually used as a tranquilizer for the short-term relief of symptoms of anxiety or the treatment of anxiety disorders. Anxiety disorder is marked by unrealistic worry or excessive fears and concerns. The drug is also used in the treatment of panic disorder, which appears as unexpected panic attacks. Sometimes xanax prescription is made to treat alcohol withdrawal, fear of open spaces and strangers, depression and premenstrual syndrome. It can help to control the insomnia and muscle spasms. Take the medicine as prescribed, with or without food. Never take two doses at the same time. Buy xanax online fast and securely in our online pharmacy. We deliver the medication right to your door!

 

 

 



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A lot of people all over the world suffer from mental derangement, anxiety disorders and depression. We have created Xanax site for the effective treatment of patients with such a disease.

Xanax medicine is a tranquilizer used in the short-term relief of symptoms of anxiety or the treatment of anxiety disorders. Anxiety disorder is marked by unrealistic worry or excessive fears and concerns. Anxiety associated with depression is also responsive to Xanax.

Xanax and the extended-release formulation, Xanax XR, are also used in the treatment of panic disorder, which appears as unexpected panic attacks and may be accompanied by a fear of open or public places called agoraphobia. Only your doctor can diagnose panic disorder and best advise you about treatment.

Some doctors prescribe Xanax to treat alcohol withdrawal, fear of open spaces and strangers, depression, irritable bowel syndrome, and premenstrual syndrome.

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The total number of people who have tried Ecstasy in the UK is estimated at over 5 million.

01:36, 10/16/2006 .. 0 comments .. Link

The total number of people who have tried Ecstasy in the UK is estimated at over 5 million.

Each weekend, an estimated 400,000 people take E and there are some 1.2 million regular users. This figure has remained constant over several years as elder ravers get bored and move on, and young new acolytes rise up to swell the ranks.

Through Acid House, Hardcore, Drum 'n Bass, Techno and the current Trance boom, every rebirth of dance music brings new people into nightclubs and into contact with Ecstasy.

In America, the rave scene is growing, despite harsh law enforcement, poor quality 'electronica' music and huge amounts of ecstasy hysteria.

Between October 1, 1999, and February 29, 2000, US Customs agents confiscated 4 million tablets of the drug, one million more than in the whole of last year. Seizures of Ecstasy are expected to grow eight-fold by the end of the year.

the perfect E space
The modern nightclub, with its sound-activated vibrating floor, intense lasers, light shows, and 20K state-of-the-art sound system, is the result of the continuing evolution of the perfect space in which to take ecstasy.

And while bouncers conduct strict front-door searches, the back doors are freely open to dealers as the DJs and VIPs 'large it' away from public view.

rite of passage
Ecstasy has brought drugs into the mainstream. It has even been suggested that trying ecstasy and cannabis is now a teenage rite-of-passage, almost as casual as alcohol and cigarettes were in the past.

Ecstasy may be replacing alcohol for a new generation. Booze is now packaged with ever more club-like branding. Strobe, K and NT (Night Time) are aggressively marketed to appeal to the disinterested youth market. Alcohol sales in Luton decrease by a third on the nights of the huge EXODUS free parties.

back to top

decriminalisation
At present, political contingents in Holland, Spain and Denmark are leading calls in Europe for decriminalisation, while Switzerland is conducting clinical trials to facilitate medical use once again.

The Dutch government even fund pill-testing stations in an attempt to protect the public from dangerous pills. It also gives them a knowledge of what's 'down on the streets'. All the weak, fake and possibly contaminated pills that wouldn't be accepted by knowledgeable Dutch users now get shipped to Britain and the rest of Europe.

back to top

just say 'know'
In Britain, Ecstasy remains a political hand grenade that nobody wants to be near. Although 87% of the public support debate on drugs and the British police have repeatedly recommended reclassification of Ecstasy to Class C, the Westminster political machine is determined to 'Just say No'.

In the UK, the Green Party remain on the leading edge of political reform. Its Drugs Group supplies Ecstasy testing kits, carries out pill testing at large scale raves, and runs its own ongoing 'Just Say Know' drug awareness campaign.



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Tramadol is used to relieve moderate to moderately severe pain. It works by decreasing the body's sense of pain. Tramadol has been prescribed to more than 55 million patients worldwide.

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Generic Name: acetaminophen and tramadol (ah see tah MIH no fen and TRA ma doll)

Brand Name:Ultracet

What is the most important information I should know about acetaminophen and tramadol?

  • Seizures have been reported as a rare side effect of treatment with acetaminophen and tramadol. The risk of seizures may be increased in patients who take more than the prescribed dose, have a history of seizures or epilepsy, have head trauma, have a metabolic disorder, have a central nervous system infection, are experiencing alcohol or drug withdrawal, or are taking certain medications. Talk to your doctor about factors that may increase the risk of seizures during treatment.
  • Do not drink alcohol while taking acetaminophen and tramadol. Alcohol may cause a dangerous decrease in breathing and/ or liver problems when used during treatment with acetaminophen and tramadol.
  • Use caution when driving, operating machinery, or performing other hazardous activities. Acetaminophen and tramadol may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
  • Do not take more of this medication than is prescribed for you. If the pain is not being controlled, talk to your doctor. Taking more than the prescribed amount of this medication could result in seizures or decreased breathing.
  • Do not take other prescription or over-the-counter medicines that contain acetaminophen (Tylenol, pain relievers, cold and flu medicines, others) during treatment with acetaminophen and tramadol. Taking too much acetaminophen may be harmful.

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  • Acetaminophen and tramadol are both pain relievers. The exact way that acetaminophen and tramadol works is unknown.
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  • Acetaminophen and tramadol may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking acetaminophen and tramadol?

  • Seizures have been reported as a rare side effect of treatment with acetaminophen and tramadol. The risk of seizures may be increased in patients who have any of the conditions or are taking any of the medications listed below: Do not take acetaminophen and tramadol without first talking to your doctor if you
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    • are experiencing alcohol or drug withdrawal;
    • are taking a tricyclic antidepressant such as amitriptyline (Elavil), nortriptyline (Pamelor), doxepin (Sinequan), imipramine (Tofranil), clomipramine (Anafranil), and others;
    • are taking a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate);
    • are taking a psychiatric medication such as chlorpromazine (Thorazine), fluphenazine (Prolixin), haloperidol (Haldol), loxapine (Loxitane), mesoridazine (Serentil), perphenazine (Trilafon), thioridazine (Mellaril), thiothixene (Navane), and others;
    • are taking a selective serotonin reuptake inhibitor (SSRI) such as fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), sertraline (Zoloft), or citalopram (Celexa);
    • are taking a narcotic pain reliever such as codeine, fentanyl (Duragesic), hydromorphone (Dilaudid), meperidine (Demerol), hydrocodone (Vicodin, Lorcet, Lortab, others), morphine (MS Contin, MSIR, RMS, Roxanol, others), oxycodone (Roxicodone, Percocet, Percodan, others), propoxyphene (Darvon, Darvocet, others), and others;
    • are taking promethazine (Phenergan) or prochlorperazine (Compazine);
    • are taking sibutramine (Meridia);
    • are taking bupropion (Wellbutrin, Zyban); or
    • are taking cyclobenzaprine (Flexeril).
  • Before taking acetaminophen and tramadol, tell your doctor if you have
    • kidney disease;
    • liver disease; or
    • a history of alcohol or drug dependence.
  • You may not be able to take acetaminophen and tramadol, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
  • Acetaminophen and tramadol is in the FDA pregnancy category C. This means that it is not known whether it will harm an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment.
  • Acetaminophen and tramadol passes into breast milk and may affect a nursing baby. Do not take acetaminophen and tramadol without first talking to your doctor if you are breast-feeding a baby.
  • If you are over 65 years of age, you may be more likely to experience side effects from acetaminophen and tramadol. Your doctor may prescribe a lower dose or special monitoring during treatment.

How should I take acetaminophen and tramadol?

  • Take acetaminophen and tramadol exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
  • Acetaminophen and tramadol can be taken with or without food.
  • For the short-term treatment of pain, the usual dose is 2 tablets taken every 4 to 6 hours, up to eight tablets per day. People over 65 years of age and those with other medical conditions such as seizures or epilepsy, liver disease, kidney disease, and others may need lower daily doses. Follow your doctor's directions.
  • Do not take more of this medication than is prescribed for you. If the pain is not being controlled, talk to your doctor. Taking more than the prescribed amount of this medication could result in seizures or decreased breathing.
  • Store acetaminophen and tramadol at room temperature away from moisture and heat.

What happens if I miss a dose?

Since acetaminophen and tramadol is taken on an as-needed basis, missing a dose is usually not a problem. Take the dose as soon as you remember, and do not take another dose for the amount of time prescribed by your doctor. Do not take a double dose of this medication.

What happens if I overdose?

Seek emergency medical attention. Symptoms of a acetaminophen and tramadol overdose include nausea; vomiting; sweating; difficulty breathing; shallow, weak breathing; and seizures.

What should I avoid while taking acetaminophen and tramadol?

  • Use caution when driving, operating machinery, or performing other hazardous activities. Acetaminophen and tramadol may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
  • Do not drink alcohol while taking acetaminophen and tramadol. Alcohol may cause a dangerous decrease in breathing and/ or liver problems when used during treatment with acetaminophen and tramadol.
  • Do not take other prescription or over-the-counter medicines that contain acetaminophen (Tylenol, pain relievers, cold and flu medicines, others) during treatment with acetaminophen and tramadol. Taking too much acetaminophen may be harmful.
  • Avoid sleeping pills, tranquilizers, sedatives and antihistamines except under the supervision of your doctor. Acetaminophen and tramadol may cause drowsiness and these agents may worsen this effect.

What are the possible side effects of acetaminophen and tramadol?

  • If you experience any of the following serious side effects, stop taking acetaminophen and tramadol and seek emergency medical attention or contact your doctor immediately:
    • an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives); or
    • seizures.
  • Other, less serious side effects may be more likely to occur. Continue to take acetaminophen and tramadol and talk to your doctor if you experience
    • dizziness, drowsiness, or headache;
    • nervousness, tremor, or anxiety;
    • nausea, vomiting, constipation, or diarrhea; or
    • itching, dry mouth, or sweating.
  • The tramadol component of acetaminophen and tramadol may be habit forming. Physical and/ or psychological dependence can occur, and withdrawal effects are possible if the medication is stopped suddenly after prolonged or high-dose treatment.
  • Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect acetaminophen and tramadol?

  • Acetaminophen and tramadol may increase the risk of seizures especially in patients who have epilepsy or another seizure disorder. Also, acetaminophen and tramadol may increase the risk of seizures if you are taking any of the following drugs:
    • a tricyclic antidepressant such as amitriptyline (Elavil), nortriptyline (Pamelor), doxepin (Sinequan), imipramine (Tofranil), clomipramine (Anafranil), and others;
    • a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate);
    • an antipsychotic medication such as chlorpromazine (Thorazine), fluphenazine (Prolixin), haloperidol (Haldol), loxapine (Loxitane), mesoridazine (Serentil), perphenazine (Trilafon), thioridazine (Mellaril), thiothixene (Navane), and others;
    • a selective serotonin reuptake inhibitor (SSRI) such as fluoxetine (Prozac), fluvoxamine (Luvox), paroxetine (Paxil), sertraline (Zoloft), or citalopram (Celexa);
    • a narcotic pain reliever such as codeine, fentanyl (Duragesic), hydromorphone (Dilaudid), meperidine (Demerol), hydrocodone (Vicodin, Lorcet, Lortab, others), morphine (MS Contin, MSIR, RMS, Roxanol, others), oxycodone (Roxicodone, Percocet, Percodan, others), propoxyphene (Darvon, Darvocet, others), and others;
    • promethazine (Phenergan) or prochlorperazine (Compazine);
    • bupropion (Wellbutrin, Zyban); or
    • cyclobenzaprine (Flexeril).
  • Do not take acetaminophen and tramadol without first talking to your doctor if you are taking any of the medicines listed above.
  • Before taking acetaminophen and tramadol, tell your doctor if you are taking any of the following medicines:
    • carbamazepine (Tegretol);
    • quinidine (Quinaglute Dura-Tabs, Cardioquin, Quinora, others);
    • warfarin (Coumadin); or
    • digoxin (Lanoxin, Lanoxicaps).
  • You may not be able to take acetaminophen and tramadol, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.
  • Do not take other prescription or over-the-counter medicines that contain acetaminophen (Tylenol, pain relievers, cold and flu medicines, others) during treatment with acetaminophen and tramadol. Taking too much acetaminophen may be harmful.
  • Avoid sleeping pills, tranquilizers, sedatives and antihistamines except under the supervision of your doctor. Acetaminophen and tramadol may cause drowsiness and these agents may worsen this effect.
  • Drugs other than those listed here may also interact with acetaminophen and tramadol. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Where can I get more information?

Your pharmacist has more information about acetaminophen and tramadol written for health professionals that you may read. Alternatively, please visit the FDA official website.

Disclaimer:
This information is not intended to substitute for professional medical advice. Be sure to contact your physician, pharmacist, or other health care provider for more information about this medication.



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-VIAGRA is a prescription drug used to treat erection difficulties, such as erectile dysfunction (ED). Since it first became available in 1998, the prescription drug VIAGRA has helped about 16 million men around the world improve their sex lives. Amazingly, 9 tablets are dispensed every second worldwide. And no other therapy or prescription drug for erectile dysfunction has been studied as much or has the same amount of real-world experience as VIAGRA since its launch. It’s no wonder more than 600,000 doctors have chosen the prescription drug http://www.fid.shopmagazin.info/search.php?q=buy+viagra for their patients with ED.
When taken correctly, VIAGRA works for most men. Studies show that it works for up to 4 out of 5 men (versus 1 out of 4 on sugar pill). VIAGRA improves erections in most men no matter how long they have had ED, what caused it, how often they have it, or how old they are. And VIAGRA has been proven to work in clinical studies of thousands of men.
VIAGRA is a prescription drug that works by increasing blood flow to the penis. It is not a hormone or an aphrodisiac. Once you take it, VIAGRA can work in as quickly as 30 minutes. VIAGRA works for 4 hours so you can set your own pace. And, in most patients, VIAGRA can be taken as often as once a day.

How Does Viagra Work?
-ED is often a physical problem. VIAGRA is a medicine that treats this problem by increasing blood flow where you need it. With VIAGRA, you must be sexually excited to get an erection. If you take VIAGRA and are not sexually stimulated, nothing will happen. You won't get an erection just by taking the pill. VIAGRA is not an aphrodisiac or a hormone. It’s a medicine that treats the physical problem of ED.
Here’s what usually happens when a man is sexually excited:
1. The arteries in the penis relax and widen (this allows more blood to flow into the penis).
2. The increased blood flow causes the penis to become hard and erect.
3. The veins that normally carry blood away from the penis get compressed (this restricts the blood flow out of the penis).
4. More blood begins flowing in and less flows out, making the penis larger; this causes an erection.
For most men, the nerves or blood vessels that play a part in this process work properly. For other men, this may not be true. In these cases, the man may not be able to get an erection. VIAGRA works by increasing blood flow to the penis. This way, when a man is sexually excited, he can get and keep an erection.

How Well Does Viagra Work?
-VIAGRA works for most men who take it. In studies, more than 4 out of every 5 men taking VIAGRA had better erections versus 1 out of 4 on sugar pill. VIAGRA works in most men no matter how long they have had ED, what caused it, or how old they are. And VIAGRA has been shown to work time and again in studies of thousands of patients. In those studies, patients had ED that ranged from mild to severe.
And VIAGRA works fast. In fact, VIAGRA works in as quickly as 30 minutes. Then, you have at least 4 hours to have a romantic experience at your own pace. In most patients, VIAGRA can be taken once a day as needed.

Is Viagra Right For Me?
-There’s only one way to know for sure if VIAGRA is right for you. You have to visit your doctor. Only your doctor can tell you for sure. It’s important you see your doctor for a physical exam and a face-to-face conversation about ED. Do not use an Internet service that offers an online diagnosis (Learn about buy VIAGRA online). Only your doctor can decide if VIAGRA is right for you.
It’s important to know that VIAGRA isn't for everyone. If you use nitrate drugs, often used to control chest pain (also known as angina), don’t take VIAGRA. This combination could cause your blood pressure to drop to an unsafe or life-threatening level. Be sure to ask your doctor if your heart is healthy enough for sexual activity.
It's important to tell your doctor about any medicines you take, both prescription and nonprescription. A medicine you are taking for another health problem might be causing your ED. Talk with your doctor about the medicines you are taking. And never stop taking any medicine before talking to your doctor.

What side effects can Viagra cause?
Side effects from Viagra are not common, but they can occur. If any of these symptoms are severe or do not go away tell your doctor:

-headache
-upset stomach
-diarrhea
-dizziness or lightheadedness
-flushing (feeling of warmth)
-nasal congestion (stuffiness)
-changes in vision
-breast enlargement


Call your doctor immediately if you experience any of the following symptoms:

-rash
-painful erection
-prolonged erection (longer than 4 hours)
-fainting
-chest pain
-itching or burning during urination



*This information is not intended to replace the advice of your health care provider. Always speak with your physician before starting or stopping any medication.


How should Tramadol be used?

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Why is Tramadol prescribed?
Tramadol is used to relieve moderate to moderately severe pain. It also may be used to treat pain caused by surgery and conditions such as chronic joint pain or cancer. Tramadol is sometimes prescribed for other uses; check with your doctor or pharmacist for more information about Tramadol.

How should Tramadol be used?
Tramadol comes as a tablet or capsule to be taken orally. Tramadol is usually taken every 4-6 hours as needed. You may take Tramadol with or without food. Follow all directions from your doctor as well as the any directions on your prescription label carefully, and ask your doctor to explain anything you don't understand. Tramadol can be habit-forming; Do not take a larger dose than recommended and don't take it more often or for longer than your doctor instructs.

Before taking Tramadol be sure to:
• let your doctor and pharmacist know if you are allergic to Tramadol, codeine, or any other prescription drugs.
• let your doctor and pharmacist know if you are taking any prescription and nonprescription medications, particularly other pain relievers like (but not limited to): MAO inhibitors [phenelzine (Nardil), carbamazepine (Tegretol), or tranylcypromine (Parnate)]; depression medications; quinidine; sleeping aids; tranquilizers; and multi-vitamins.
• let your doctor know if you have or have ever had liver or kidney disease, a history of alcohol or drug abuse, or a history of seizures.
• let your doctor know if you are pregnant, or if you plan to become pregnant, or are currently breast-feeding. Call your doctor if you become pregnant while taking Tramadol.
• let your doctor know if you are having surgery (including dental) that you are taking Tramadol.
• Tramadol may make you drowsy. Do not operate heavy machinery (including an automobile) until you know how you will respond to Tramadol.
• remember that alcohol can increase the drowsiness caused by Tramadol.

What should I do if I forget a dose of Tramadol?
If you happen to miss a dose take missed dose as soon as you remember, but if it is almost time for your next dose, you should skip the missed dose and continue on with your regular dosing schedule. You should not take a double dose of Tramadol.

What side effects can Tramadol cause?
Side effects from Tramadol are not common, but they can occur. If any of these symptoms are severe or do not go away tell your doctor:
• vomiting
• headache
• diarrhea
• blurred vision
• dizziness
• upset stomach
• drowsiness

You should call your doctor immediately if you experience any of the following serious symptoms:
• speeded heartbeat
• hindored breathing
• numbness or tingling sensation of the hands and feet
• seizures
• changes in urination
• redness, swelling, and itching of the face

*This information is not intended to replace the advice of your health care provider. Always speak with your physician before starting or stopping any medication.

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