Purgo Pil may be available in the countries listed below.
Ingredient matches for Purgo Pil
Bisacodyl is reported as an ingredient of Purgo Pil in the following countries:
- Belgium
- Luxembourg
International Drug Name Search
Purgo Pil may be available in the countries listed below.
Bisacodyl is reported as an ingredient of Purgo Pil in the following countries:
International Drug Name Search
In the US, Metolazone (metolazone systemic) is a member of the drug class thiazide diuretics and is used to treat Edema and High Blood Pressure.
US matches:
Rec.INN
C03BA08
0017560-51-9
C16-H16-Cl-N3-O3-S
365
Diuretic agent
6-Quinazolinesulfonamide, 7-chloro-1,2,3,4-tetrahydro-2-methyl-3-(2-methylphenyl)-4-oxo-
International Drug Name Search
Glossary
| BAN | British Approved Name |
| DCF | Dénomination Commune Française |
| DCIT | Denominazione Comune Italiana |
| IS | Inofficial Synonym |
| JAN | Japanese Accepted Name |
| OS | Official Synonym |
| PH | Pharmacopoeia Name |
| Rec.INN | Recommended International Nonproprietary Name (World Health Organization) |
| USAN | United States Adopted Name |
Zorclone may be available in the countries listed below.
Zopiclone is reported as an ingredient of Zorclone in the following countries:
International Drug Name Search
Generic Name: cefoxitin (sef OX i tin)
Brand Names: Mefoxin
Cefoxitin is in a group of drugs called cephalosporin (SEF a low spor in) antibiotics. It works by fighting bacteria in your body.
Cefoxitin is used to treat many kinds of bacterial infections, including severe or life-threatening forms.
Cefoxitin may also be used for purposes other than those listed in this medication guide.
Before using this medication, tell your doctor if you are allergic to any drugs (especially penicillin). Also tell your doctor if you have liver or kidney disease, diabetes, heart failure, cancer, a stomach or intestinal disorder, or if you are malnourished.
Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Cefoxitin will not treat a viral infection such as the common cold or flu.
Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or has blood in it, call your doctor. Do not use any medicine to stop the diarrhea unless your doctor has told you to.
This medication can cause you to have unusual results with certain lab tests, including tests to check for glucose (sugar) in the urine. Tell any doctor who treats you that you are using cefoxitin.
cefaclor (Raniclor);
cefadroxil (Duricef);
cefazolin (Ancef);
cefdinir (Omnicef);
cefditoren (Spectracef);
cefpodoxime (Vantin);
cefprozil (Cefzil);
ceftibuten (Cedax);
cefuroxime (Ceftin);
cephalexin (Keflex);
cephradine (Velosef); and others.
If you have any of these other conditions, you may need a dose adjustment or special tests to safely take cefoxitin:
kidney disease;
liver disease;
a stomach or intestinal disorder such as colitis;
diabetes;
congestive heart failure;
cancer;
if you are malnourished; or
if you have had a very recent surgery or medical emergency.
Cefoxitin is given as an injection through a needle placed into a vein. Your doctor, nurse, or other healthcare provider will give you this injection. You may be given instructions on how to inject your medicine at home. Do not use this medicine at home if you do not fully understand how to give the injection and properly dispose of needles and other items used in giving the medicine.
Use the medication exactly as it was prescribed for you. Do not use the medication in larger amounts, or use it for longer than recommended by your doctor. Follow the instructions on your prescription label.
Use this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Cefoxitin will not treat a viral infection such as the common cold or flu.
This medication can cause you to have unusual results with certain lab tests, including tests to check for glucose (sugar) in the urine. Tell any doctor who treats you that you are using cefoxitin.
To be sure this medication is helping your condition, your blood may need to be tested on a regular basis. Your kidney or liver function may also need to be tested. Do not miss any scheduled visits to your doctor.
To use the medicine, thaw it in a refrigerator or at room temperature. Do not warm in a microwave or boiling water. Keep thawed medicine in the refrigerator and use it within 28 days after thawing it. Do not refreeze.
Use the medication as soon as you remember the missed dose. If it is almost time for your next dose, skip the missed dose and use the medicine at your next regularly scheduled time. Do not use extra medicine to make up the missed dose.
Symptoms of a cefoxitin overdose may include seizure (convulsions).
Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or has blood in it, call your doctor. Do not use any medicine to stop the diarrhea unless your doctor has told you to.
diarrhea that is watery or bloody;
fever, sore throat, and headache with a severe blistering, peeling, and red skin rash;
swelling, pain, or irritation where the injection was given;
skin rash, bruising, severe tingling, numbness, pain, muscle weakness;
feeling light-headed, fainting;
easy bruising or bleeding, unusual weakness;
fever, chills, body aches, flu symptoms;
urinating less than usual or not at all;
seizure (black-out or convulsions); or
jaundice (yellowing of the eyes or skin).
Less serious side effects are more likely to occur, such as:
nausea, vomiting, stomach pain;
mild skin rash; or
vaginal itching or discharge.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Before using cefoxitin, tell your doctor if you are using any of the following drugs:
an antibiotic such as amikacin (Amikin), gentamicin (Garamycin), kanamycin (Kantrex), neomycin (Mycifradin, Neo-Fradin, Neo-Tab), netilmicin (Netromycin), streptomycin, or tobramycin (Nebcin, Tobi).
This list is not complete and there may be other drugs that can interact with cefoxitin. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.
See also: Mefoxin side effects (in more detail)
Generic Name: guaifenesin and phenylephrine (gwye FEN e sin and FEN il EFF rin)
Brand Names: Aldex G, Aquatab D, Crantex, D-Phen 1000, D-Tab, Deconex, Deconsal II, Deconsal Pediatric, Despec, Donatussin Drops, Duomax, Duraphen 1000, Duraphen II, Duratuss, Dynex LA, ExeTuss, Extendryl G, Fenesin PE IR, Genexa LA, Gentex LA, Gilphex TR, Guaiphen-D 1200, Guaiphen-D 600, Guaiphen-PD, Guiadex PD, Guiatex PE, J-Max, Liquibid D-R, Liquibid-D, Liquibid-PD, Lusonex, Maxiphen, Medent-PE, MontePhen, Mucinex Children's Cold, Mucus Relief Sinus, Mydex, Nariz, Nasex, Nescon-PD, Nexphen PD, Norel EX, PE-Guai, Pendex, Prolex D, Refenesen PE, Reluri, Rescon-GG, Respa-PE, Robitussin Head & Chest Congestion, Simuc, Simuc-GP, Sina-12X, Sinupan, SINUvent PE, Sitrex PD, Sudafed PE Non-Drying Sinus, Sudex, Triaminic Chest & Nasal Congestion, Visonex, Wellbid-D, Xedec, Xedec II, Xpect-PE, Zotex GPX
There are many brands and forms of guaifenesin and phenylephrine available and not all brands are listed on this leaflet.
Guaifenesin is an expectorant. It helps loosen congestion in your chest and throat, making it easier to cough out through your mouth.
Phenylephrine is a decongestant that shrinks blood vessels in the nasal passages. Dilated blood vessels can cause nasal congestion (stuffy nose).
The combination of guaifenesin and phenylephrine is used to treat stuffy nose and sinus congestion, and to reduce chest congestion caused by the common cold or flu.
Guaifenesin and phenylephrine may also be used for purposes not listed in this medication guide.
There are many brands and forms of guaifenesin and phenylephrine available and not all brands are listed on this leaflet.
Ask a doctor or pharmacist if it is safe for you to take this medication if you have:
heart disease or high blood pressure;
diabetes;
circulation problems;
glaucoma;
overactive thyroid; or
enlarged prostate or problems with urination.
Artificially-sweetened liquid forms of cold medicine may contain phenylalanine. This would be important to know if you have phenylketonuria (PKU). Check the ingredients and warnings on the medication label if you are concerned about phenylalanine.
Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Cold medicine is usually taken only for a short time until your symptoms clear up.
Measure the liquid form of this medicine with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.
Since cough or cold medicine is taken as needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.
Overdose symptoms may include nausea, vomiting, numbness or tingly feeling, dizziness, and feeling restless or nervous.
Avoid taking this medication with diet pills, caffeine pills, or other stimulants (such as ADHD medications) without your doctor's advice. Taking a stimulant together with a decongestant can increase your risk of unpleasant side effects.
fast, pounding, or uneven heartbeat;
severe dizziness, anxiety, restless feeling, or nervousness;
easy bruising or bleeding, unusual weakness, fever, chills, body aches, flu symptoms;
dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, confusion, chest pain, shortness of breath, uneven heartbeats, seizure); or
nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).
Less serious side effects may include:
vomiting, upset stomach;
warmth, tingling, or redness under your skin;
feeling excited or restless (especially in children);
sleep problems (insomnia);
skin rash or itching;
headache; or
dizziness.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Ask a doctor or pharmacist if it is safe for you to take guaifenesin and phenylephrine if you are also using any of the following drugs:
medicines to treat high blood pressure;
a beta-blocker such as atenolol (Tenormin, Tenoretic), carvedilol (Coreg), labetalol (Normodyne, Trandate), metoprolol (Dutoprol, Lopressor, Toprol), nadolol (Corgard), propranolol (Inderal, InnoPran), sotalol (Betapace), and others; or
an antidepressant such as amitriptyline (Elavil, Vanatrip, Limbitrol), doxepin (Sinequan, Silenor), desipramine (Norpramin), imipramine (Janimine, Tofranil), nortriptyline (Pamelor), and others.
This list is not complete and other drugs may interact with guaifenesin and phenylephrine. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.
See also: Medent-PE side effects (in more detail)
A certain severe condition called progressive multifocal leukoencephalopathy (PML) has been reported with use of Adcetris. PML is often fatal. Discuss any questions or concerns with your doctor. Tell your doctor right away if you notice new or worsening symptoms, such as confusion; memory problems; difficulty talking or walking; changes in mood or behavior; or changes in thinking, eyesight, balance, or strength.
Treating certain types of lymphoma. It may also be used for other conditions as determined by your doctor.
Adcetris is a monoclonal antibody. It works by killing cancer cells.
Contact your doctor or health care provider right away if any of these apply to you.
Some medical conditions may interact with Adcetris. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
Some MEDICINES MAY INTERACT with Adcetris. Tell your health care provider if you are taking any other medicines, especially any of the following:
This may not be a complete list of all interactions that may occur. Ask your health care provider if Adcetris 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.
Use Adcetris as directed by your doctor. Check the label on the medicine for exact dosing instructions.
Ask your health care provider any questions you may have about how to use Adcetris.
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:
Back pain; constipation; cough; diarrhea; dizziness; dry skin; hair loss; headache; joint pain; loss of appetite; mild muscle pain or spasms; mild sore throat or mouth pain; mild weight loss; night sweats; nausea; stomach pain; tiredness; trouble sleeping; vomiting.
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); anxiety; changes in mood or behavior; changes in thinking, eyesight, balance, or strength; chest pain; confusion; coughing up blood; dark, tarry, or bloody stools; difficulty talking or walking; irregular heartbeat; memory problems; new or worsening nerve problems (eg, burning, numbness, or tingling; decreased or increased sense of touch or sensation; muscle weakness); red, swollen, blistered, or peeling skin; severe or persistent tiredness or weakness; shortness of breath; swelling of the hands, ankles, or feet; symptoms of infection (eg, fever; chills; persistent sore throat or cough; increased, difficult, or painful urination); unusual bruising or bleeding.
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: Adcetris side effects (in more detail)
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include symptoms of infection (eg, fever, chills, persistent sore throat).
Adcetris is usually handled and stored by a health care provider. If you are using Adcetris at home, store Adcetris as directed by your pharmacist or health care provider. Keep Adcetris out of the reach of children and away from pets.
Doxazosina Ratiopharm may be available in the countries listed below.
Doxazosin mesilate (a derivative of Doxazosin) is reported as an ingredient of Doxazosina Ratiopharm in the following countries:
International Drug Name Search
Generic Name: varenicline (ver EN e kleen)
Brand names: Chantix, Chantix Starter Pack, Chantix Continuing Month
Varenicline is a smoking cessation medicine. It is used together with behavior modification and counseling support to help you stop smoking.
Varenicline may also be used for purposes not listed in this medication guide.
After you stop smoking, the doses of any medications you are using may need to be adjusted. Tell your doctor about all other medicines you use, especially insulin, blood thinners, or asthma medication.
heart disease, circulation problems;
kidney disease (or if you are on dialysis); or
a history of depression or mental illness.
Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.
Set a date to quit smoking and start taking varenicline one week before that date. This will allow the drug to build up in your body.
You may also start taking varenicline before you set a planned quit date. Once you start taking the medicine, choose a quit date that is between 8 and 35 days after you start treatment.
When you first start taking varenicline, you will take a low dose and then gradually increase your dose over the first several days of treatment. Follow your doctor's dosing instructions very carefully.
In most cases, varenicline treatment lasts for 12 weeks. Your doctor may recommend a second 12-week course of varenicline to improve the chance that you will quit smoking long-term.
Use varenicline regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely. You should remain under the care of a doctor while taking varenicline.
See also: Varenicline dosage (in more detail)
Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.
Do not use other medications to quit smoking while you are taking varenicline, unless your doctor tells you to.
Your family or other caregivers should also be alert to changes in your mood or behavior.
chest pain or pressure, tight feeling in your neck or jaw, pain spreading to your arm or shoulder, vomiting, sweating, general ill feeling;
feeling light-headed or short of breath;
sudden numbness or weakness, especially on one side of the body;
sudden severe headache, confusion, problems with vision, speech, or balance;
easy bruising, unusual bleeding, blood in your urine or stools, coughing up blood or vomit that looks like coffee grounds;
fever, sore throat, and headache with a severe blistering, peeling, and red skin rash; or
the first sign of any blistering type of skin rash, no matter how mild.
Less serious side effects may include:
nausea (may persist for several months);
stomach pain, indigestion, constipation, gas;
weakness, tired feeling;
dry mouth, unpleasant taste in your mouth;
headache; or
sleep problems (insomnia) or unusual dreams.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Usual Adult Dose for Smoking Cessation:
Days 1 to 3: 0.5 mg orally once a day
Days 4 to 7: 0.5 mg orally twice a day
Days 8 to end of treatment: 1 mg orally twice a day
After you stop smoking, the doses of any medications you are using may need to be adjusted. Tell your doctor about all other medicines you use, especially:
insulin;
a blood thinner such as warfarin (Coumadin, Jantoven); or
asthma medication such as theophylline (Respbid, Theobid, Theoclear, Theo-Dur, Uniphyl).
This list is not complete and other drugs may interact with varenicline. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.
See also: varenicline side effects (in more detail)
Vigamox is a brand name of moxifloxacin ophthalmic, approved by the FDA in the following formulation(s):
No. There is currently no therapeutically equivalent version of Vigamox available.
Note: Fraudulent online pharmacies may attempt to sell an illegal generic version of Vigamox. These medications may be counterfeit and potentially unsafe. If you purchase medications online, be sure you are buying from a reputable and valid online pharmacy. Ask your health care provider for advice if you are unsure about the online purchase of any medication.
See also: About generic drugs.
Patents are granted by the U.S. Patent and Trademark Office at any time during a drug's development and may include a wide range of claims.
Generic Name: zinc oxide topical (ZINK OX ide)
Brand Names: ARC, Balmex, Boudreaux Butt Paste, Caldesene, Calmol-4 Suppository, Critic-Aid Skin Paste, Delazinc, Dermagran BC, Desitin, Desitin Maximum Strength Original, Desitin Rapid Relief Creamy, Diaper Rash Ointment, Diaper Relief, Dr. Smith's Diaper, Flanders Buttocks Ointment, Geri-Protect, Medi-Paste, PeriGuard, Pinxav, Rash Relief, RVPaque, Seniortopix Healix, Soothe & Cool Skin Paste, Sportz Block Dark, Sportz Block Light, Sportz Block Medium, Triple Paste, Tronolane Suppositories, Unna-Flex Elastic Unna Boot 3 inch, Unna-Flex Elastic Unna Boot 4 inch, Znlin
Zinc oxide is a mineral.
Zinc oxide topical (for the skin) is used to treat diaper rash, minor burns, severely chapped skin, or other minor skin irritations.
Zinc oxide rectal suppositories are used to treat itching, burning, irritation, and other rectal discomfort caused by hemorrhoids or painful bowel movements.
Zinc oxide topical may also be used for purposes not listed in this medication guide.
Zinc oxide topical will not treat a bacterial or fungal infection. Call your doctor if you have any signs of infection such as redness and warmth or oozing skin lesions.
Keep the diaper area clean and dry to prevent worsening of skin rash. Change wet diapers as soon as possible. Allow the skin to dry thoroughly before putting on a fresh diaper.
Avoid using other medications on the areas you treat with zinc oxide unless you doctor tells you to.
Zinc oxide topical will not treat a bacterial or fungal infection. Call your doctor if you have any signs of infection such as redness and warmth or oozing skin lesions.
Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.
Apply enough of this medication to cover the entire area to be treated. Zinc oxide often leaves a thin white residue that may not be entirely rubbed in.
To treat chapped skin, minor burn wounds, or other skin irritations, use the medication as often as needed. Apply a thin layer to the affected area and rub in gently.
To treat diaper rash, use this medication each time the diaper is changed. It is especially important to apply the medication at bedtime or whenever there will be a long period of time between diaper changes.
Keep the diaper area clean and dry to prevent worsening of skin rash. Change wet diapers as soon as possible. Allow the skin to dry thoroughly before putting on a fresh diaper.
Zinc oxide rectal suppositories come with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.
Try to empty your bowel and bladder just before using the suppository. Cleanse and dry your rectal area thoroughly.
Remove the outer wrapper from the suppository before inserting it. Avoid handling the suppository too long or it will melt in your hands.
For best results, stay lying down after inserting the suppository and hold it in your rectum for a few minutes. The suppository will melt quickly once inserted and you should feel little or no discomfort while holding it in.
Since zinc oxide is used on an as needed basis, you are not likely to miss a dose. Using extra zinc oxide to make up a missed dose will not make the medication more effective.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Avoid applying other skin medications on the same treatment area with zinc oxide, unless your doctor has told you to.
There may be other drugs that can interact with zinc oxide topical or rectal suppositories. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.
See also: Medi-Paste side effects (in more detail)
Medebar Plus is a fruity-cola flavored, low viscosity (rapid flow), ready-to-use suspension, for x-ray examinations of the gastrointestinal tract.
It contains 100% w/v (55% w/w) barium sulfate USP, dispersing agent, vegetable gums, simethicone, preservatives, flavoring, saccharin sodium and water. Barium sulfate has the empirical formula of BaSO4.
Barium sulfate products are contraindicated in patients with known or suspected obstruction of the colon, known or suspected gastrointestinal tract perforation, suspected tracheoesophageal fistula, obstructing lesions of the small intestine, pyloric stenosis, inflammation or neoplastic lesions of the rectum, recent rectal biopsy, or known hypersensitivity to barium sulfate formulations.
Known hypersensitivity or allergy to latex is a contraindication for the use of balloon retention enema tips containing latex. The use of a retention cuff enema tip is not necessary or desirable in patients with normal sphincter tone. The presence of adequate sphincter tone can be judged by preliminary rectal digital examination.
The use of rectal balloon is contraindicated in patients having a history of pencil stools, recent rectal surgery or low rectal anastomosis, perianal inflammation, colitis, rectal stricture or other suspected lesions that could lead to further injury through distention by a rectal balloon or when proctitis or other rectal conditions such as inflammatory or neoplastic diseases are suspected.
Serious adverse reactions, including death, have been reported with the administration of barium sulfate formulations and are usually associated with the technique of administration, the underlying pathological condition and/or patient hypersensitivities.
Oral administration of barium sulfate suspension by an infant sucking a bottle and administration of large quantities by catheter are reported to be likely to result in aspiration into the tracheobronchial tree.
Vomiting following oral administration of barium sulfate may lead to aspiration pneumonitis. Cardiopulmonary arrest leading to fatality has been reported in infants following aspiration. Aspiration of smaller amounts may cause inflammation.
Barium sulfate preparations used as radiopaque media contain a number of additives to provide diagnostic properties and patient palatability. Allergic responses following the use of barium sulfate suspensions have been reported. In patients with increased cranial pressure, barium sulfate suspension enemas present an additional risk of further increasing intracranial pressure.
Barium sulfate suspension intravasation can be a serious complication. Mortality has been reported as a result of vaginal or rectal intravasation and is believed to be due to massive pulmonary embolism occurring within minutes of the inciting event.
Skin irritation, redness, inflammation and hives have been reported in infants and small children following spillage of barium sulfate suspension on their skin. These responses are thought to be caused by the flavors and/or preservatives used in the product.
Barium sulfate suspension has been reported to cause obstruction of the small bowel (impaction) in pediatric patients with cystic fibrosis. It has also been reported to cause fluid overload from the absorption of water during studies in infants when Hirschsprung’s Disease is suspected.
Care must be taken during the insertion of an enema tip into the patient to prevent application of pressure to the vagus nerve which can lead to vasovagal reactions and syncopal episodes. Cardiac arrhythmia or other cardiovascular side effects can occur as a result of colon distension.
Diagnostic procedures which involve the use of radiopaque contrast agents should be carried out under the direction of personnel with the requisite training and with a thorough knowledge of the particular procedure to be performed. A history of bronchial asthma, atopy, as evidenced by hay fever and eczema, a family history of allergy, or a previous reaction to a contrast agent warrant special attention. Caution should be exercised with the use of radiopaque media in severely debilitated patients and in those with marked hypertension or advanced cardiac disease.
Anaphylactic and allergic reactions have been reported during double contrast examinations in which glucagon has been used.
Ingestion of barium sulfate suspension is not recommended in patients with a history of food aspiration. If barium sulfate suspension is aspirated into the larynx, further administration of the suspension should be immediately discontinued.
Patient preparation for diagnostic gastrointestinal examinations frequently requires cathartics and a liquid diet. The various preparations can result in water loss for the patient. Patients should be rehydrated quickly following a barium sulfate suspension examination of the gastrointestinal tract. In patients with reduced colon motility, saline cathartics may be required after the barium sulfate suspension enema. Saline cathartics are recommended on a routine basis in patients with a history of constipation unless clinically contraindicated.
Where enema tips are used, care must be taken during insertion into the patient, since forceful or too deep insertion may cause tearing or perforation of the rectum. Insertion of an enema tip should be done only after digital examination by qualified medical personnel. When balloon retention tips are used, care should be taken to avoid over-inflation of the balloon, since overfilling or asymmetrical filling may cause displacement of the tip. Such a displacement can lead to rectal perforation or barium sulfate granulomas. Inflation of the balloon should be done under fluoroscopic control by qualified medical personnel. Do not unnecessarily move the enema tip once inserted.
A specially designed enema tip is required for a barium sulfate suspension examination of a colostomy patient.
Intubation of an enteroclysis catheter should be done by qualified medical personnel. Perforation of the duodenum has been reported.
Because of reported anaphylactoid reactions to latex, the use of non-latex gloves during the procedure should be considered.
Safe use of barium sulfate during pregnancy has not been established. Barium sulfate should be used in pregnant women only if the possible benefits outweigh the potential risks. Elective radiography of the abdomen is considered to be contraindicated during pregnancy due to the risk to the fetus from radiation exposure. Radiation is known to cause harm to the unborn fetus exposed in utero.
Adverse reactions accompanying the use of barium sulfate formulations are infrequent and usually mild, though severe reactions (approximately 1 in 500,000) and fatalities (approximately 1 in 2,000,000) have occurred. Procedural complications are rare, but may include aspiration pneumonitis, barium sulfate impaction, granuloma formation, intravasation, embolization and peritonitis following intestinal perforation, vasovagal and syncopal episodes, and fatalities. EKG changes have been shown to occur following or during barium sulfate suspension enemas. It is of the utmost importance to be completely prepared to treat any such occurrence.
Due to the increased likelihood of allergic reactions in atopic patients, a complete history of known and suspected allergies as well as allergic-like symptoms, such as rhinitis, bronchial asthma, eczema and urticaria, must be obtained prior to any medical procedure.
Aspiration of large amounts of barium sulfate suspension may cause pneumonitis or nodular granulomas of interstitial lung tissues and lymph nodes; asphyxiation and death have been reported.
Transient bacteremia, beginning almost immediately and lasting up to 15 minutes, may occur during rectal administration of barium sulfate suspension, and rarely septicemia has been reported.
A rare mild allergic reaction would most likely be generalized pruritis, erythema or urticaria (approximately 1 in 100,000 reactions). Such reactions will often respond to an antihistamine. More serious reactions (approximately 1 in 500,000) may result in laryngeal edema, bronchospasm or hypotension.
Severe reactions which may require emergency measures are often characterized by peripheral vasodilation, hypotension, reflex tachycardia, dyspnea, bronchospasm, agitation, confusion and cyanosis, progressing to unconsciousness. Treatment should be initiated immediately according to established standard of care.
Apprehensive patients may develop weakness, pallor, tinnitus, diaphoresis and bradycardia following the administration of any diagnostic agent. Such reactions are usually non-allergic in nature.
Allergic reactions to the enema examination accessories, in particular to retention catheters (tips) with latex cuffs, can occur. Such reactions could occur immediately and result in the previously mentioned acute allergic-like responses or might be delayed in appearance and result in a contact dermatitis. Known atopic patients, particularly those with a history of asthma or eczema, should be evaluated for alternative methods of administration in order to avoid these adverse reactions. These plastic / rubber accessories are disposable, single-use devices that must not be reused or left in the body cavity for an extended period of time.
The following adverse experiences have been reported in patients receiving products containing barium sulfate. These adverse experiences are listed alphabetically: abdominal cramping, abdominal pain, diarrhea, fever, foreign body trauma relating to procedural complications, headache, laryngeal burning and irritation, leukocytosis, nausea, procedural site reactions, rash and vomiting.
In rare instances, immediate repeat oral examinations utilizing standard dosages may lead to severe stomach cramps and diarrhea. Cases reported implicate total dose in the range of 30 ounces (900 mL) of suspension. Instances of this type have resolved spontaneously and they are not considered to be life-threatening.
The volume and concentration used will vary depending upon the method of patient preparation, the desired level of contrast density, individual variation in patient anatomy and radiographic equipment. The following dilutions are suggested for Medebar Plus:
| TEST | DILUTION FORMULA | % BARIUM SULFATE (w/v) |
| Double Contrast Colon | Medebar Plus undiluted | 100 |
| Single Contrast Esophagus | Medebar Plus undiluted | 100 |
| Small Bowel, Enteroclysis | Medebar Plus undiluted | 100 |
| Single Contrast Stomach | Medebar Plus undiluted or diluted 1:1 with water | 100 50 |
| Single Contrast Colon | From 7 to 3 parts water to 1 part Medebar Plus | 14-33 |
| Shake VIGOROUSLY prior to use. | ||
The examination should be performed by properly trained medical personnel only. Approximately 500 mL Medebar Plus is required to reach the splenic flexure, and it should be introduced by an enema administration system.
An enema administration system with 1/2” ID tubing, such as Medebar Plus Kit or Aircon is used for ease of administration. The usual method uses introduced air to move the column of barium sulfate suspension around the hepatic flexure and into the cecum. Patient positioning is critical during this process to ensure that air does not get ahead of the barium column. Such an eventuality may reduce the volume of suspension that reaches the cecum, and will adversely affect the quality of its coating. Conversely, should excessive quantities of suspension flood the cecum, double contrast views may be obscured by the barium pool.
The following procedure is suggested for double contrast examination of a well prepared, adult colon using Medebar Plus Kit (650 mL Medebar Plus). The actual procedure used will depend upon patient symptoms and conditions as well as physician preference and judgement.
Shake the Medebar Plus bottle well and attach the tubing unit.
With the patient in the left lateral position and the right knee flexed, insert the enema tip and inflate the retention cuff. Introduce a small amount of Medebar Plus into the rectal area. Check the rectal area by fluoroscopy for contraindications.
Place the table slightly Trendelenburg. With the fluoroscopy unit off, introduce the remainder of the Medebar Plus. Close the clamp on the large bore tubing. Introduce approximately five pumps of air into the patient using the blue multi-puff insufflator provided with each case.
Turn the patient LAO and introduce five pumps of air. Turn the patient prone, bring the table horizontal and introduce five pumps of air. Turn the patient RAO and introduce five pumps of air. Position the patient right lateral and introduce five pumps of air. If, at this point, the barium sulfate suspension has not coated the cecum, tilt the patient slightly head up. This should bring the barium sulfate suspension pool to the cecum.
Next turn the patient supine and tilt the table slightly Trendelenburg. Turn the patient LPO and bring the table to horizontal. Turn the patient left lateral and position the table with the patient slightly head up. This should cause the barium sulfate suspension pool to collect in the rectal area.
Place the Medebar Plus bottle on the floor and open the 1/2” tubing clamp to drain excess barium sulfate suspension from the rectum. The physician may prefer to have the patient either left lateral or prone for rectal drainage. When drainage is complete, close the tubing clamp. Spot films of the rectosigmoid may now be obtained.
Fluoroscopy is then used to evaluate colon distension. Introduce additional air to provide optimum distension as determined by the physician. Removal of the enema tip at this time is optional, according to the preference of the examiner. Rotate the patient slowly 360° taking spot films and overhead radiographs.
For single patient use only. Properly discard unused portion.
Catalog No. 129794. NDC 68240-737-90. 900 mL bottle; twelve (12) bottles per case.
Medebar Plus Kit. Catalog No. 129722. NDC 68240-737-65. 650 mL bottles. Six (6) bottles with six (6) enema tip-tubing assemblies per case.
Store at 25°C (77°F); excursions permitted to 15° to 30°C (59° to 86°F). Protect from freezing.
Shake VIGOROUSLY prior to use.
Medebar™ All trademark rights reserved.
DIN: 02216388
Distributed in Canada by:
tyco Healthcare
Pointe-Claire, QC, Canada H9R 5H8
Establishment License # 100689-A
Made in Mexico
Manufactured by:
Mallinckrodt Inc.
St. Louis, MO 63042 USA
www.Mallinckrodt.com
MID 1295215
Rev 03/2009
tyco
Healthcare
Mallinckrodt
L A F A Y E T T E
MEDEBAR™ PLUS
BARIUM SULFATE SUSPENSION
DOUBLE CONTRAST / LOWER G.I. EXAMS
Rx only
NDC 68240-737-90
Catalog No. 129794
A fruity-cola flavored, low viscosity, ready-to-use 100% w/v (55% w/w) barium sulfate USP suspension for x-ray examinations of the gastrointestinal tract.
Contents: Barium sulfate USP, dispersing agent, vegetable gums, simethicone, preservatives, flavoring, saccharin sodium and water.
Contraindications: Do not use in patients with suspected gastrointestinal tract perforation or known hypersensitivity to barium sulfate formulations.
Dosage and Administration: See package insert for complete instructions.
Shake VIGOROUSLY prior to use.
For single patient use only. Properly discard unused portion.
Storage: Store at 25°C (77°F); excursions permitted to 15° to 30°C (59° to 86°F). Protect from freezing.
Net Contents: 900 mL
DIN: 02216388
Distributed in Canada by:
tyco Healthcare
Pointe-Claire, QC, Canada H9R 5H8
Establishment License # 100689-A
Made in Mexico
Manufactured by Mallinckrodt Inc.
St. Louis, MO 63042 USA
www.Mallinckrodt.com
MID 1600170
Rev 03/2009
O3™ ANTIMICROBIAL TECHNOLOGY
tyco/Healthcare
MALLINCKRODT
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| Marketing Information | |||
| Marketing Category | Application Number or Monograph Citation | Marketing Start Date | Marketing End Date |
| unapproved other | 12/01/2009 | ||
| Labeler - Mallinckrodt, Inc. (810407189) |
| Establishment | |||
| Name | Address | ID/FEI | Operations |
| Mallinckrodt Medical, S.A. de C.V. | 810407189 | analysis, manufacture | |
Lisinopril Generic Health may be available in the countries listed below.
Lisinopril dihydrate (a derivative of Lisinopril) is reported as an ingredient of Lisinopril Generic Health in the following countries:
International Drug Name Search
Tear off “Instructions for Use” and dispense with container in carton.
Medihaler Ergotamine (ergotamine tartrate) is an oral aerosol device which contains a fine particle suspension of 9.0 mg ergotamine tartrate per ml in an insert, nontoxic aerosol vehicle. The inert ingredients are dichlorodifluoromethane, dichlorotetrafluoroethane, sorbitan trioleate and trichloromonofluoromethane. Each depression of the valve delivers a measured dose of 0.36 mg to the patient.
Ergotamine exerts a constrictor action upon cranial vessels.
As therapy to abort vascular headache, e.g., migraine, migraine variants, or so-called “histaminic cephalalgia.”
Ergotamine tartrate should not be used in the presence of coronary artery disease, peripheral vascular disease, hypertension, impaired renal or hepatic function, infectious states or malnutrition.
Ergotamine tartrate is contraindicated in patients with a history of hypersensitivity reactions.
Pregnancy: Ergotamine tartrate is contraindicated in pregnancy.
Patients who are being treated with Medihaler Ergotamine should be informed adequately of the symptoms of ergotism. Close medical supervision by the physician is recommended so that he may react appropriately should signs of ergotism develop. Six inhalations per day, if continued daily, entail the risk of vasospastic complications. Avoid prolonged administration or in excess of the recommended dosage because of the danger of ergotism and gangrene.
Pediatric Patients: Since there is no experience in children who have received this drug, safety and efficacy in children have not been established.
Nursing Mothers: Whether ergotamine tartrate is excreted in mothers' milk is not known. As a general rule, nursing should not be undertaken while a patient is on a drug (since many drugs are excreted in human milk).
Ergotamine tartrate may cause nausea and vomiting. Patients with headaches may become nauseated and drug induced distress may be difficult to evaluate.
Ergotamine in large doses raises arterial pressure, produces coronary vasoconstriction and slows the heart both by direct action and its effect on the vagus. Under this condition, ergotamine also has oxytocic and spasmolytic properties. The above conditions are seen as a consequence of overdosage and may be manifested at the dosage recommended for control of headaches.
Vasoconstrictive complications, at times of a serious nature, may occur. These include pulselessness, weakness, muscle pains and paresthesias of the extremities and precordial distress and pain. Although these effects occur most commonly with long term therapy at relatively high doses, they have also been reported with short term or normal doses. Other adverse effects include transient tachycardia or bradycardia, nausea, vomiting, localized edema and itching.
Adults: A single oral inhalation at the first sign of a headache or prodrome. Repeat this procedure in 5 minutes if relief is not obtained. Space and additional inhalations at no less than 5-minute intervals. No more than 6 inhalations should be administered in any 24-hour period, and no more than 15 in a one week period.
Children: A recommended dose for children has not been determined.
Before each use, remove dust cap and shake MEDIHALER ERGOTAMINE.
Metal vial (2.5 ml) and adapter. Each depression of the valve delivers 0.36 mg ergotamine tartrate.
(NDC 0089-0762-21)
Federal law prohibits dispensing without prescription.
Do not puncture or incinerate container. Do not expose to heat or store at temperatures above 120°F. KEEP OUT OF THE REACH OF CHILDREN.
3M Riker
3M Health Care
Northridge, CA 91324
ERG-16
JUNE 1989
Medihaler Ergotamine®
(ergotamine tartrate)
FOR ORAL INHALATION THERAPY ONLY
SHAKE WELL before each use.
To get the medication deep into lungs, follow these five simple steps. (can be completed within 5 seconds):
Start with one inhalation – then wait five minutes; if not relieved, use Medihaler Ergotamine again. Any additional inhalations should be spaced at intervals of no less than five minutes. Take no more than six inhalations in any 24-hour period, and no more than 15 in a one-week period. Medihaler Ergotamine was designed to deliver a full dose for most people in one or two inhalations. Do not use Medihaler Ergotamine indiscriminately; use only the number of inhalations actually required for relief.
The oral adapter (plastic mouthpiece) should be kept clean. Simply remove metal vial and wash oral adapter with soap and hot water and rinse thoroughly. Dry and replace the vial and the dust cap.
WARNING: CONTENTS UNDER PRESSURE.
Do not puncture or incinerate container. Do not expose to heat or store at temperatures above 120°F. Keep out of the reach of children.
Medihaler Ergotamine®
(ergotamine tartrate)
For speed of relief and convenience the Medihaler Ergotamine oral inhaler comes ready-to-use. It consists of two parts:
ADVANTAGES:
3M Riker
3M Health Care
Northridge, CA 91324
JUNE 1989
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