Thursday, 23 August 2012

Retinal Hemorrhage Medications


There are currently no drugs listed for "Retinal Hemorrhage". See Retinal Disorders.

Definition of Retinal Hemorrhage: Retinal hemorrhage is excessive discharge of blood/profuse bleeding from the retina (the membrane that lines the inner eyeball and connects via the optic nerve to the brain.)





Drug List:

Emadine Drops


Pronunciation: EM-e-DAS-teen
Generic Name: Emedastine
Brand Name: Emadine


Emadine Drops are used for:

Preventing itchy, red, or watery eyes caused by allergies (eg, pollen, pollution, dust, animal dander).


Emadine Drops are an antihistamine. It works by blocking the action of histamine, which reduces the eye symptoms of an allergic reaction (eg, itchy, red, watery).


Do NOT use Emadine Drops if:


  • you are allergic to any ingredient in Emadine Drops

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



Before using Emadine Drops:


Tell your health care provider 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 wear contact lenses

Some MEDICINES MAY INTERACT with Emadine Drops. However, no specific interactions with Emadine Drops are known at this time.


Ask your health care provider if Emadine Drops 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 Emadine Drops:


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


  • Emadine Drops are only for the eye. Do not get it in your nose or mouth.

  • Emadine Drops may cause blurred vision. Use Emadine Drops with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.

  • Do NOT use Emadine Drops in your eyes while you are wearing contact lenses. Soft contact lenses may absorb a chemical in Emadine Drops; wait 10 minutes after you use Emadine Drops before you put your contacts back in. Only reinsert your contact lenses if your eyes are not red.

  • Do not use Emadine Drops if it changes color.

  • To use Emadine Drops in the eye, first, wash your hands. Tilt your head back. Using your index finger, pull the lower eyelid away from the eye to form a pouch. Drop the medicine into the pouch and gently close your eyes. Immediately use your finger to apply pressure to the inside corner of the eye for 1 to 2 minutes. Do not blink. Remove excess medicine around your eye with a clean, dry tissue, being careful not to touch your eye. Wash your hands to remove any medicine that may be on them.

  • To prevent germs from contaminating your medicine, do not touch the applicator tip to any surface, including the eye. Keep the container tightly closed.

  • Use Emadine Drops on a regular schedule to get the most benefit from it. Using Emadine Drops at the same time each day will help you remember to use it.

  • If you miss a dose of Emadine Drops, 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 Emadine Drops.



Important safety information:


  • Do not use Emadine Drops to treat contact lens irritation. Redness caused by contact lens wear may not be caused by allergies. Do not wear contact lenses if your eyes are red. If redness continues, talk to your health care provider.

  • Do not use Emadine Drops for future eye problems without first checking with your health care provider.

  • Emadine Drops should be used with extreme caution in CHILDREN younger than 3 years old; safety and effectiveness in these children have not been confirmed.

  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Emadine Drops while you are pregnant. It is not known if Emadine Drops are found in breast milk. If you are or will be breast-feeding while you use Emadine Drops, check with your doctor. Discuss any possible risks to your baby.


Possible side effects of Emadine Drops:


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:



Blurred vision; headache.



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); severe or persistent eye burning, stinging, itching, redness, or irritation.



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: Emadine 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. Emadine Drops may be harmful if swallowed. Symptoms may include drowsiness and general feeling of being unwell.


Proper storage of Emadine Drops:

Store Emadine Drops between 39 and 86 degrees F (4 and 30 degrees C) in a tightly closed container. Store away from heat, moisture, and light. Keep Emadine Drops out of the reach of children and away from pets.


General information:


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

  • Emadine Drops are 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 Emadine Drops. 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 Emadine resources


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


Compare Emadine with other medications


  • Conjunctivitis, Allergic

Wednesday, 22 August 2012

Norfloxacin


Pronunciation: nor-FLOX-a-sin
Generic Name: Norfloxacin
Brand Name: Noroxin

Norfloxacin is associated with an increased risk of tendon problems. These include pain, swelling, inflammation, and possible breakage of tendons. The risk of tendon problems is greater in patients who are older than 60 years, patients who take corticosteroids (eg, prednisone), or in those who have received kidney, heart, or lung transplants. The Achilles tendon in the back of the foot/ankle is most often affected. However, problems may also occur in other tendons (eg, in the arm, hand, shoulder). Problems may occur while you take Norfloxacin or up to several months after you stop taking it.


Signs of tendon problems may include pain, soreness, redness, or swelling of a tendon or joint; bruising right after an injury in a tendon area; hearing or feeling a snap or pop in a joint or tendon area; or inability to move or bear weight on a joint or tendon area. Tell your doctor right away if you experience any of these symptoms while you take Norfloxacin or within several months after you stop it.


Norfloxacin may worsen muscle weakness and breathing problems in patients with myasthenia gravis. Do not take Norfloxacin if you have a history of myasthenia gravis.





Norfloxacin is used for:

Treating bacterial infections.


Norfloxacin is a fluoroquinolone antibiotic. It works by killing sensitive bacteria.


Do NOT use Norfloxacin if:


  • you are allergic to any ingredient in Norfloxacin or to any other fluoroquinolone antibiotic (eg, levofloxacin)

  • you have inflammation of a tendon (tendonitis) or a history of ruptured tendon caused by Norfloxacin or another fluoroquinolone (eg, levofloxacin)

  • you have a history of myasthenia gravis

  • you are taking certain antiarrhythmic medicines (eg, amiodarone, procainamide, quinidine, sotalol) or nitrofurantoin

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



Before using Norfloxacin:


Some medical conditions may interact with Norfloxacin. 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 a stomach infection, liver problems, brain or nervous system problems, muscle problems (eg, myasthenia gravis), increased pressure in the brain, Alzheimer disease, brain blood vessel problems, or a history of seizures

  • if you have a history of severe or persistent diarrhea, skin sensitivity to the sun, a recent heart attack, blood problems (eg, anemia, hemolysis), or glucose-6-phosphate dehydrogenase (G6PD) problems

  • if you have a personal or family history of irregular heartbeat (eg, QT prolongation), heart problems (eg, slow heartbeat), or low blood potassium levels

  • if you have a history of joint or tendon problems; rheumatoid arthritis; kidney problems or decreased kidney function; or a heart, kidney, or lung transplant

  • if you take a corticosteroid (eg, prednisone) or participate in strenuous physical work or exercise

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


  • Antiarrhythmics (eg, amiodarone, disopyramide, dofetilide, quinidine , sotalol), cisapride, diuretics (eg, furosemide, hydrochlorothiazide), macrolide or ketolide antibiotics (eg, erythromycin, telithromycin), medicines for mental or mood disorders, medicines that may affect your heartbeat, phenothiazines (eg, chlorpromazine), or tricyclic antidepressants (eg, amitriptyline) because the risk of serious side effects, including irregular heartbeat and other heart problems, may be increased. Check with your doctor or pharmacist if you are unsure if any of your medicines may affect your heartbeat

  • Nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) because the risk of side effects, such as seizures, may be increased

  • Corticosteroids (eg, prednisone) because the risk of tendon damage may be increased

  • Probenecid because it may increase the risk of Norfloxacin's side effects

  • Nitrofurantoin because it may decrease Norfloxacin's effectiveness

  • Anticoagulants (eg, warfarin), caffeine, clozapine, cyclosporine, methotrexate, ropinirole, serotonin-norepinephrine reuptake inhibitors (SNRIs) (eg, venlafaxine), sulfonylureas (eg, glyburide), tacrine, theophyllines, or tizanidine because the risk of their side effects may be increased by Norfloxacin

  • Live vaccines or mycophenolate because their effectiveness may be decreased by Norfloxacin

This may not be a complete list of all interactions that may occur. Ask your health care provider if Norfloxacin 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 Norfloxacin:


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


  • Norfloxacin comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Norfloxacin refilled.

  • Take Norfloxacin by mouth on an empty stomach at least 1 hour before or 2 hours after a meal or eating or drinking milk or other dairy products.

  • Take Norfloxacin with a full glass of water (8 oz/240 mL).

  • Drinking extra fluids while you are taking Norfloxacin is recommended. Check with your doctor for instructions.

  • Do not take any products containing magnesium, aluminum, calcium, iron, or zinc (eg, antacids, quinapril, vitamins/minerals); didanosine; sucralfate; or bismuth subsalicylate within 2 hours before or 2 hours after taking Norfloxacin.

  • To clear up your infection completely, take Norfloxacin for the full course of treatment. Keep taking it even if you feel better in a few days.

  • Do not miss any doses. If you miss a dose of Norfloxacin, 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.

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



Important safety information:


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

  • Tell your doctor or dentist that you take Norfloxacin before you receive any medical or dental care, emergency care, or surgery.

  • Be sure to use Norfloxacin for the full course of treatment. If you do not, the medicine may not clear up your infection completely. The bacteria could also become less sensitive to this or other medicines. This could make the infection harder to treat in the future.

  • Long-term or repeated use of Norfloxacin may cause a second infection. Tell your doctor if signs of a second infection occur. Your medicine may need to be changed to treat this.

  • Norfloxacin only works against bacteria; it does not treat viral infections (eg, the common cold).

  • Avoid large amounts of food or drink that have caffeine (eg, chocolate, cocoa, coffee, cola, tea).

  • If you experience pain or swelling of a tendon or weakness or loss of use of a joint area, notify your doctor right away. Rest the area and avoid exercise until your doctor gives you instructions.

  • Diabetes patients - Norfloxacin may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.

  • Norfloxacin may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Norfloxacin. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.

  • Mild diarrhea is common with antibiotic use. However, a more serious form of diarrhea (pseudomembranous colitis) may rarely occur. This may develop while you use the antibiotic or within several months after you stop using it. contact your doctor right away if stomach pain or cramps, severe diarrhea, or bloody stools occur. Do not treat diarrhea without first checking with your doctor.

  • Norfloxacin may cause changes in certain heart tests (eg, electrocardiogram [ECG]). Be sure to your doctor and lab personnel know you are using Norfloxacin.

  • Lab tests, including complete blood cell counts and liver and kidney function, may be performed while you use Norfloxacin. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.

  • Use Norfloxacin with caution in the ELDERLY; they may be more sensitive to its effects (eg, tendon problems), especially if they take corticosteroids (eg, prednisone). They may also be more sensitive to other effects (eg, irregular heartbeat).

  • Norfloxacin should be used with extreme caution in CHILDREN younger than 18 years; safety and effectiveness in these children have not been confirmed. The risk of joint and tendon problems may be increased in CHILDREN.

  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of taking Norfloxacin while you are pregnant. It is not known if Norfloxacin is found in breast milk. Do not breast-feed while taking Norfloxacin.


Possible side effects of Norfloxacin:


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:



Diarrhea; dizziness; headache; loss of appetite; nausea; stomach upset or cramps; vomiting.



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); bloody or tarry stools; burning, numbness, tingling, pain, or weakness of the arms, hands, legs, or feet; change in sense of touch or temperature; chest pain; dark urine or change in the amount of urine; decreased amount of urine; fainting; fever, chills, or unusual cough; hallucinations; hearing changes (eg, ringing in the ears, hearing loss); inability to move or bear weight on a joint or tendon area; irregular heartbeat; joint pain or swelling; moderate to severe sunburn; mood or mental changes (eg, new or worsening anxiety, agitation, confusion, depression, restlessness, sleeplessness); muscle pain or weakness; pain, soreness, redness, swelling, weakness, or bruising of a tendon or joint area; pale stools; persistent sore throat; red, swollen, blistered, or peeling skin; seizures; severe or persistent dizziness; severe or persistent diarrhea; severe stomach pain or cramps; shortness of breath or trouble breathing; suicidal thoughts or actions; tremors; unusual bruising or bleeding; unusual fatigue; vaginal yeast infection; vision changes; yellowing of the skin or eyes.



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.



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.


Proper storage of Norfloxacin:

Store Norfloxacin at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Do not freeze. Keep Norfloxacin out of the reach of children and away from pets.


General information:


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

  • Norfloxacin 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 Norfloxacin. 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 Norfloxacin resources


  • Norfloxacin Dosage
  • Norfloxacin Use in Pregnancy & Breastfeeding
  • Norfloxacin Drug Interactions
  • Norfloxacin Support Group
  • 0 Reviews for Norfloxacin - Add your own review/rating


  • Norfloxacin Monograph (AHFS DI)

  • Norfloxacin Professional Patient Advice (Wolters Kluwer)

  • norfloxacin Concise Consumer Information (Cerner Multum)

  • norfloxacin Advanced Consumer (Micromedex) - Includes Dosage Information

  • Noroxin Prescribing Information (FDA)



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Monday, 20 August 2012

Solid Tumors Medications


Drugs associated with Solid Tumors

The following drugs and medications are in some way related to, or used in the treatment of Solid Tumors. This service should be used as a supplement to, and NOT a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners.





Drug List:

Tuesday, 14 August 2012

Cortomycin





Dosage Form: ear drops
Neomycin and Polymyxin B Sulfates

and Hydrocortisone

Description


Neomycin and Polymyxin B Sulfates and Hydrocortisone Otic Solution USP is a sterile antibacterial and anti-inflammatory solution for otic use.


Each mL Contains: ACTIVES: Neomycin Sulfate equivalent to 3.5 mg neomycin base, Polymyxin B Sulfate equivalent to 10,000 polymyxin B units, Hydrocortisone 10 mg (1%). INACTIVES: Propylene Glycol, Hydrochloric Acid, Potassium Metabisulfite, Cupric Sulfate, Glycerin, Purified Water. The pH range is 2.0 to 4.5.


Neomycin Sulfate is the sulfate salt of neomycin B and C, which are produced by the growth of Streptomyces fradiae Waksman (Fam. Streptomycetaceae). It has a potency equivalent of not less than 600 micrograms of neomycin standard per milligram, calculated on an anhydrous basis. The structural formulae are:



Polymyxin b Sulfate is the sulfate salt of polymyxin B1 and B2 which are produced by the growth of bacillus polymyxa (Prazmowski) Migula (Fam. Bacillaceae). It has a potency of not less than 6,000 polymyxin B units per milligram, calculated on an anhydrous basis. The structural formulae are:



Hydrocortisone, 11β, 17, 21 - trihydroxypregn-4-ene-3, 20-dione, is an anti-inflammatory hormone. Its structural formula is:



C21H30O5 Mol. Wt. 362.47



Clinical Pharmacology


Corticoids suppress the inflammatory response to a variety of agents and they may delay healing. Since corticoids may inhibit the body’s defense mechanism against infection, a concomitant antimicrobial drug may be used when this inhibition is considered to be clinically significant in a particular case.


The anti-infective components in the combination are included to provide action against specific organisms susceptible to them. Neomycin sulfate and polymyxin B sulfate together are considered active against the following microorganisms: Staphylococcus aureus, Escherichia coli, Haemophilus influenzae, Klebsiella-Enterobacter species, Neisseria species, and Pseudomonas aeruginosa. This product does not provide adequate coverage against Serratia marcescens and streptococci, including Streptococcus pneumoniae.


The relative potency of corticosteroids depends on the molecular structure, concentration, and release from the vehicle.



Indications and Usage


For the treatment of superficial bacterial infections of the external auditory canal caused by organisms susceptible to the action of the antibiotics.



Contraindications


This product is contraindicated in those individuals who have shown hypersensitivity to any of its components. This product should not be used if the external auditory canal disorder is suspected or known to be due to cutaneous viral infection (for example, herpes simplex virus or varicella zoster virus).



Warnings


Neomycin can induce permanent sensorineural hearing loss due to cochlear damage, mainly destruction of hair cells in the organ of Corti. The risk of ototoxicity is greater with prolonged use; therefore, duration of therapy should be limited to 10 consecutive days (see PRECAUTIONS: General).


Patients being treated with eardrops containing neomycin should be under close clinical observation. Due to its acidity which may cause burning and stinging, neomycin and polymyxin B sulfates and hydrocortisone otic solution should not be used in any patients with a perforated tympanic membrane.


Neomycin sulfate may cause cutaneous sensitization. A precise incidence of hypersensitivity reactions (primarily skin rash) due to topical neomycin is not known. Discontinue this product promptly if sensitization or irritation occurs.


When using neomycin-containing products to control secondary infection in the chronic dermatoses, such as chronic otitis externa or stasis dermatitis, it should be borne in mind that the skin in these conditions is more liable than is normal skin to become sensitized to many substances, including neomycin. The manifestation of sensitization to neomycin is usually a low-grade reddening with swelling, dry scaling and itching; it may be manifest simply as a failure to heal. Periodic examination for such signs is advisable, and the patient should be told to discontinue the product if they are observed. These symptoms regress quickly on withdrawing the medication. Neomycin-containing applications should be avoided for the patient thereafter.


Contains potassium metabisulfite, a sulfite that may cause allergic-type reactions including anaphylactic symptoms and life-threatening or less severe asthmatic episodes in certain susceptible people. The overall prevalence of sulfite sensitivity in the general population is unknown and probably low. Sulfite sensitivity is seen more frequently in asthmatic than in nonasthmatic people.



Precautions



General


As with other antibiotic preparations, prolonged use may result in overgrowth of nonsusceptible organisms, including fungi.


If the infection is not improved after 1 week, cultures and susceptibility tests should be repeated to verify the identity of the organism and to determine whether therapy should be changed.


Treatment should not be continued for longer than 10 days.


Allergic cross-reactions may occur which could prevent the use of any or all of the following antibiotics for the treatment of future infections: kanamycin; paromomycin; streptomycin; and possibly, gentamicin.



Information for patients


Avoid contaminating bottle tip with material from the ear, fingers or other source. This caution is necessary if the sterility of the drops is to be preserved.


If sensitization or irritation occurs, discontinue use immediately and contact your physician.


Do not use in the eyes.



Laboratory tests


Systemic effects of excessive levels of hydrocortisone may include a reduction in the number of circulating eosinophils and a decrease in urinary excretion of 17-hydroxycorticosteroids.



Carcinogenesis, mutagenesis, impairment of fertility


Long-term studies in animals (rats, rabbits, mice) showed no evidence of carcinogenicity attributable to oral administration of corticosteroids.



Pregnancy


Teratogenic effects

Pregnancy Category C: Corticosteroids have been shown to be teratogenic in rabbits when applied topically at concentrations of 0.5% on days 6 to 18 of gestation and in mice when applied topically at a concentration of 15% on days 10 to 13 of gestation. There are no adequate and well-controlled studies in pregnant women. Corticosteroids should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.



Nursing mothers


Hydrocortisone appears in human milk following oral administration of the drug. Since systemic absorption of hydrocortisone may occur when applied topically, caution should be exercised when neomycin and polymyxin B sulfates and hydrocortisone otic solution is used by a nursing woman.



Pediatric use


The safety and effectiveness of neomycin and polymyxin B sulfates and hydrocortisone otic solution in otitis externa have been established in the pediatric age group 2 years to 16 years of age. There is inadequate data to establish safety and effectiveness in otitis externa for pediatric patients under 2 years of age 1.



1


Jones, RN, Milazzo J, Seidlin, M. Ofloxacin Otic Solution for Treatment of Otitis Externa in Children and Adults. Arch Otolaryngol Head Neck Surg. 1997; 123; 1193-1200.




Geriatric use


Clinical studies of neomycin and polymyxin B sulfates and hydrocortisone otic solution did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other reported clinical experience has not identified differences in responses between the elderly and younger patients.



Adverse Reactions


Neomycin occasionally causes skin sensitization. Ototoxicity and nephrotoxicity have also been reported (see WARNINGS). Adverse reactions have occurred with topical use of antibiotic combinations including neomycin and polymyxin B. Exact incidence figures are not available since no denominator of treated patients is available. The reaction occurring most often is allergic sensitization. In one clinical study, using a 20% neomycin patch, neomycin-induced allergic skin reactions occurred in two of 2,175 (0.09%) individuals in the general population. 2 In another study, the incidence was found to be approximately 1%.3


The following local adverse reactions have been reported with topical corticosteroids, especially under occlusive dressings: burning, itching, irritation, dryness, folliculitis, hypertrichosis, acneiform eruptions, hypopigmentation, perioral dermatitis, allergic contact dermatitis, maceration of the skin, secondary infection, skin atrophy, striae, and miliaria. Stinging and burning have been reported when this product has gained access to the middle ear.



2


Leyden JJ. Kligman AM. Contact dermatitis to neomycin sulfate. JAMA 1979; 242: 276-1278.



3


Prystowsky SD, Allen AM, Smith RW, Nonomura JH, Odum RB, Akers WA. Allergic contact hypersensitivity to nickel, neomycin, ethylenediamine, and benzocaine: relationships between age, sex, history of exposure, and reactivity to standard patch tests and use tests in general population. Arch Dermatol 1979; 115:959-962.




Dosage and Administration


Therapy with this product should be limited to 10 consecutive days. The external auditory canal should be thoroughly cleansed and dried with a sterile cotton applicator.


For adults, four drops of the solution should be instilled into the affected ear 3 or 4 times daily. For infants and children, three drops are suggested because of the smaller capacity of the ear canal.


The patient should lie with the affected ear upward and then the drops should be instilled. This position should be maintained for 5 minutes to facilitate penetration of the drops into the ear canal. Repeat, if necessary, for the opposite ear.


If preferred, a cotton wick may be inserted into the canal and then the cotton may be saturated with the solution. This wick should be kept moist by adding further solution every 4 hours. The wick should be replaced at least once every 24 hours.



How Supplied


Neomycin and Polymyxin B Sulfates and Hydrocortisone Otic Solution USP is supplied in a white plastic dropper bottle in the following size:


10 mL - Prod. No. 10009


STERILE OTIC SOLUTION


Rx only


FOR USE IN THE EARS ONLY


NOT FOR USE IN THE EYES



Storage


Store between 15°-30°C (59°- 86°F).


Securely tighten cap between uses.


DO NOT USE IF IMPRINTED NECKBAND IS NOT INTACT



Manufacturer Information


Bausch & Lomb Incorporated


Tampa, FL 33637

©Bausch & Lomb Incorporated


Revised February 2008


9072201 (Folded)

9072101 (Flat)

Prod. No. 10009



Principle Display Panel











Cortomycin 
neomycin and polymyxin b sulfates and hydrocortisone  solution/ drops










Product Information
Product TypeHUMAN PRESCRIPTION DRUGNDC Product Code (Source)0904-3141 (0904-3141)
Route of AdministrationOPHTHALMICDEA Schedule    














Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
NEOMYCIN SULFATE (NEOMYCIN)NEOMYCIN SULFATE3.5 mg  in 1 mL
POLYMYXIN B SULFATE (POLYMYXIN B)POLYMYXIN B SULFATE10000 [USP'U]  in 1 mL
HYDROCORTISONE (HYDROCORTISONE)HYDROCORTISONE10 mg  in 1 mL





Inactive Ingredients
Ingredient NameStrength
No Inactive Ingredients Found


















Product Characteristics
Color    Score    
ShapeSize
FlavorImprint Code
Contains      














Packaging
#NDCPackage DescriptionMultilevel Packaging
10904-3141-101 BOTTLE In 1 CARTONcontains a BOTTLE, DROPPER
110 mL In 1 BOTTLE, DROPPERThis package is contained within the CARTON (0904-3141-10)










Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
ANDAANDA06405306/01/2004


Labeler - Major Pharmaceuticals (191427277)
Revised: 10/2009Major Pharmaceuticals

More Cortomycin resources


  • Cortomycin Use in Pregnancy & Breastfeeding
  • Cortomycin Drug Interactions
  • Cortomycin Support Group
  • 0 Reviews for Cortomycin - Add your own review/rating


  • Cortomycin Concise Consumer Information (Cerner Multum)

  • Cortomycin Advanced Consumer (Micromedex) - Includes Dosage Information

  • Cortomycin Solution MedFacts Consumer Leaflet (Wolters Kluwer)

  • AK-Spore HC Otic Suspension Concise Consumer Information (Cerner Multum)



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  • Blepharitis
  • Conjunctivitis, Bacterial
  • Keratitis
  • Keratoconjunctivitis
  • Uveitis

Prednisolone/Sulfacetamide Ointment


Pronunciation: pred-NISS-oh-lone/sul-fa-SEE-ta-mide
Generic Name: Prednisolone/Sulfacetamide
Brand Name: Blephamide S.O.P.


Prednisolone/Sulfacetamide Ointment is used for:

Treating inflammation (swelling, warmth, redness, pain) of the eyes and eyelids when infection or risk of infection is present.


Prednisolone/Sulfacetamide Ointment is an antibacterial and corticosteroid combination. It works by reducing the itching, redness, and swelling of the eye. It also works to stop the growth of certain bacteria that cause eye infections.


Do NOT use Prednisolone/Sulfacetamide Ointment if:


  • you are allergic to any ingredient in Prednisolone/Sulfacetamide Ointment, to other corticosteroids (eg, dexamethasone), or to other sulfonamides (eg, acetazolamide, celecoxib, hydrochlorothiazide, glyburide, probenecid, sulfamethoxazole, valdecoxib, zonisamide)

  • you have a viral eye infection (eg, herpes simplex, vaccinia, chickenpox), tuberculosis eye infection, or fungal infection of the eye or eye structures

  • you have thinning of the cornea of the eye

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



Before using Prednisolone/Sulfacetamide Ointment:


Some medical conditions may interact with Prednisolone/Sulfacetamide Ointment. 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 thinning of the eye tissues (eg, cornea, sclera), other eye problems (eg, glaucoma, cataracts, nerve damage), severe dry eyes, or diabetes

  • if you have recently had cataract surgery

Some MEDICINES MAY INTERACT with Prednisolone/Sulfacetamide Ointment. Tell your health care provider if you are taking any other medicine, especially any of the following:


  • Silver-containing medicines (eg, silver nitrate) because the risk of side effects may be increased

This may not be a complete list of all interactions that may occur. Ask your health care provider if Prednisolone/Sulfacetamide Ointment 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 Prednisolone/Sulfacetamide Ointment:


Use Prednisolone/Sulfacetamide Ointment as directed by your doctor. Check the label on the medicine for exact dosing instructions.


  • Prednisolone/Sulfacetamide Ointment may be used around the eye or in the eye. To use Prednisolone/Sulfacetamide Ointment in the eye, first, wash your hands. Using your index finger, pull the lower eyelid away from your eye to form a pouch. Squeeze a thin strip of ointment into the pouch. After using Prednisolone/Sulfacetamide Ointment, gently close your eyes for 1 to 2 minutes. Wash your hands to remove any medicine that may be on them. Wipe the applicator tip with a clean, dry tissue.

  • To prevent germs from contaminating your medicine, do not touch the applicator tip to any surface, including the eye. Keep the container tightly closed.

  • To clear up your infection completely, use Prednisolone/Sulfacetamide Ointment for the full course of treatment. Keep using it even if you feel better in a few days.

  • Do not use Prednisolone/Sulfacetamide Ointment if it is dark brown or has darkened since you began using it. Contact your doctor or pharmacist if you have questions about whether you should use Prednisolone/Sulfacetamide Ointment.

  • Do not wear contact lenses while you are using Prednisolone/Sulfacetamide Ointment. Take care of your contact lenses as directed by the manufacturer. Check with your doctor before you use them.

  • If you miss a dose of Prednisolone/Sulfacetamide Ointment, 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 Prednisolone/Sulfacetamide Ointment.



Important safety information:


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

  • If your symptoms do not get better within 2 days or if they get worse, check with your doctor.

  • Be sure to use Prednisolone/Sulfacetamide Ointment for the full course of treatment. If you do not, the medicine may not clear up your infection completely. The bacteria could also become less sensitive to this or other medicines. This could make the infection harder to treat in the future.

  • Long-term or repeated use of Prednisolone/Sulfacetamide Ointment may cause a second infection. Tell your doctor if signs of a second infection occur. Your medicine may need to be changed to treat this.

  • Tell your doctor or dentist that you take Prednisolone/Sulfacetamide Ointment before you receive any medical or dental care, emergency care, or surgery.

  • Do not use Prednisolone/Sulfacetamide Ointment for future eye problems unless directed by your doctor.

  • Lab tests, including eye pressure, may be performed while you use Prednisolone/Sulfacetamide Ointment. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.

  • Prednisolone/Sulfacetamide Ointment should be used with extreme caution in CHILDREN younger than 6 years old; safety and effectiveness in these children have not been confirmed.

  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Prednisolone/Sulfacetamide Ointment while you are pregnant. It is not known if Prednisolone/Sulfacetamide Ointment is found in breast milk. Do not breast-feed while using Prednisolone/Sulfacetamide Ointment.


Possible side effects of Prednisolone/Sulfacetamide Ointment:


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:



Temporary burning or stinging.



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); changes in vision; eye pain, itching, redness, swelling, irritation, or sores not present when you began using Prednisolone/Sulfacetamide Ointment; fever, chills, or sore throat; red, swollen, or blistered skin; severe or persistent blurred vision; unusual tiredness or weakness; yellowing of the eyes or skin.



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: Prednisolone/Sulfacetamide 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.


Proper storage of Prednisolone/Sulfacetamide Ointment:

Store Prednisolone/Sulfacetamide Ointment at room temperature, between 59 and 77 degrees F (15 and 25 degrees C). Do not freeze. Store away from heat and light. Keep Prednisolone/Sulfacetamide Ointment out of the reach of children and away from pets.


General information:


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

  • Prednisolone/Sulfacetamide Ointment 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 Prednisolone/Sulfacetamide Ointment. 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 Prednisolone/Sulfacetamide resources


  • Prednisolone/Sulfacetamide Side Effects (in more detail)
  • Prednisolone/Sulfacetamide Dosage
  • Prednisolone/Sulfacetamide Use in Pregnancy & Breastfeeding
  • Prednisolone/Sulfacetamide Drug Interactions
  • Prednisolone/Sulfacetamide Support Group
  • 1 Review for Prednisolone/Sulfacetamide - Add your own review/rating


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  • Blepharitis
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Saturday, 11 August 2012

altretamine


Generic Name: altretamine (all TREH tah mean)

Brand Names: Hexalen


What is altretamine?

Altretamine is a cancer (antineoplastic) medication. Altretamine interferes with the growth of cancer cells and slows their growth and spread in the body.


Altretamine is used to treat cancer of the ovaries.


Altretamine may also be used for purposes other than those listed in this medication guide.


What is the most important information I should know about altretamine?


Altretamine should only be administered under the supervision of a qualified healthcare provider experienced in the use of cancer chemotherapeutic agents.


Serious side effects have been reported with the use of altretamine including: allergic reactions (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives); decreased bone marrow function and blood problems (extreme fatigue; easy bruising or bleeding; black, bloody or tarry stools; fever or chills; or signs of infection such as fever; chills, or sore throat); neurologic problems (mood disorders, altered consciousness, weakness, dizziness, vertigo); and others. Talk to your doctor about the possible side effects from treatment with altretamine.


What should I discuss with my healthcare provider before taking altretamine?


Before taking altretamine, tell your doctor if you have:



  • any nervous system (brain and nerves) problems; or




  • bone marrow problems.



You may not be able to take altretamine, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.


Altretamine is in the FDA pregnancy category D. This means that altretamine is known to cause birth defects in an unborn baby. Do not take altretamine without first talking to your doctor if you are pregnant or could become pregnant during treatment. Contraceptive measures are recommended during treatment with altretamine. It is not known whether altretamine passes into breast milk. Do not take altretamine without first talking to your doctor if you are breast feeding a baby.

How should I take altretamine?


Take altretamine exactly as directed by your doctor. If you do not understand these instructions, as your doctor, nurse or pharmacist to explain them to you.


Your doctor will determine the correct amount and frequency of treatment with altretamine depending upon the cancer being treated and other factors. Talk to your doctor if you have any questions or concerns regarding the treatment schedule.


Altretamine is usually taken four times a day, after meals and at bedtime.


Take each oral dose with a large glass of water.

Your doctor will probably want you to have regularly scheduled blood tests and other medical evaluations during treatment with altretamine to monitor progress and side effects.


Store altretamine capsules at room temperature away from heat and moisture. Keep this product out of the reach of children.

See also: Altretamine dosage (in more detail)

What happens if I miss a dose?


Contact your doctor if you miss a dose of altretamine.


What happens if I overdose?


If for any reason an overdose of altretamine is suspected, seek emergency medical attention or contact your healthcare provider immediately.

Symptoms of an altretamine overdose tend to be similar to side effects caused by the medication, although often more severe.


What should I avoid while taking altretamine?


Altretamine can lower the activity of your immune system making you susceptible to infections. Avoid contact with people who have colds, the flu, or other contagious illnesses and do not receive vaccines that contain live strains of a virus (e.g., live oral polio vaccine) during treatment with altretamine. In addition, avoid contact with individuals who have recently been vaccinated with a live vaccine. There is a chance that the virus can be passed on to you.


Altretamine side effects


If you experience any of the following serious side effects, seek emergency medical attention or contact your doctor immediately:

  • an allergic reaction (shortness of breath; closing of your throat; difficulty breathing; swelling of your lips, face, or tongue; or hives);




  • decreased bone marrow function and blood problems (extreme fatigue; easy bruising or bleeding; black, bloody or tarry stools; or fever, chills, or signs of infection);




  • pain, tremors, tingling, burning, or prickling in hands or feet;




  • mood changes;




  • severe drowsiness or loss of consciousness;




  • loss of coordination, weakness, dizziness, unsteadiness or falling; or




  • severe nausea or vomiting.



Other less serious side effects may be more likely to occur. Talk to your doctor if you experience:



  • temporary hair loss;




  • itching or rash; or




  • mild to moderate nausea or vomiting.



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. You may report side effects to FDA at 1-800-FDA-1088.


Altretamine Dosing Information


Usual Adult Dose for Ovarian Cancer:

260 mg/m2/day administered either for 14 or 21 consecutive days in a 28 day cycle. The total daily dose should be given as 4 divided oral doses after meals and at bedtime.

Altretamine should be temporarily discontinued (for 14 days or longer) and subsequently restarted at 200 mg/m2/day for any of the following situations:

Gastrointestinal intolerance unresponsive to symptomatic measures;
White blood count Platelet count Progressive neurotoxicity.

If neurologic symptoms fail to stabilize on the reduced dose schedule, altretamine should be discontinued indefinitely.


What other drugs will affect altretamine?


Before taking altretamine, tell your doctor if you are taking a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate). You may require a dosage adjustment or special monitoring during treatment if you are taking one of these medicines.


Before taking altretamine, tell your doctor if you are taking cimetidine (Tagamet, Tagamet HB). You may require a dosage adjustment or special monitoring during treatment.


Do not receive "live" vaccines during treatment with altretamine. Administration of a live vaccine may be dangerous during treatment with altretamine.

Drugs other than those listed here may also interact with altretamine. Talk to your doctor and pharmacist before taking any other prescription or over-the-counter medicines, including herbal products, during treatment with altretamine.



More altretamine resources


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


  • altretamine Advanced Consumer (Micromedex) - Includes Dosage Information

  • Altretamine Professional Patient Advice (Wolters Kluwer)

  • Altretamine Monograph (AHFS DI)

  • Altretamine MedFacts Consumer Leaflet (Wolters Kluwer)

  • Hexalen Prescribing Information (FDA)



Compare altretamine with other medications


  • Ovarian Cancer


Where can I get more information?


  • Your pharmacist has additional information about altretamine written for health professionals that you may read.

See also: altretamine side effects (in more detail)