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Common uses

Femara is used for primarily treating certain kinds of breast cancer in women past menopause. It may also be used for other conditions as determined by your doctor.
Femara is an aromatase inhibitor. It works by reducing the total amount of estrogen produced primarily in the body. This helps to starve cancer cells by depriving them of estrogen.

Before using

Some medical conditions may interact with Femara. 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 or other substances
�if you have severe liver disease
�if you are still having menstrual periods or have not completely finished menopause
�if you are taking hormone replacement therapy (HRT)
Some MEDICINES MAY INTERACT with Femara. Tell your health care provider if you are taking any other medicines, especially any of the following:
�Tamoxifen because it may decrease Femara 's effectiveness
This may not be a complete list of all interactions that may occur. Ask your health care provider if Femara 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.


Directions

Femara is a pill, taken by mouth. You should take Femara at about the same time each day. You may take Femara with or without food. If you miss a dose, do not take a double dose the next day. You should not stop taking Femara without discussing with your physician. The amount of Femara that you will receive depends on many factors, including your general health or other health problems, and the type of cancer or condition being treated. Your doctor will determine your dose and how long you will be taking Femara.

Cautions

Tell your doctor your medical history, especially of: liver problems, allergies (especially drug allergies). Limit alcohol intake as it may increase the side effects of this drug. Caution, performing tasks, requiring mental alertness (e.g., driving), since it is possible this drug may cause drowsiness. This drug is not recommended for use during pregnancy. Consult your doctor for details. It is not known if this drug is excreted into breast milk. Consult your doctor before breast-feeding.

Possible side effects

Nausea (feeling sick), and vomiting These effects are rare and usually mild. Feelings of sickness can often be relieved by taking your tablet with food or milk, or at night. Let your doctor know if any of these effects are troublesome, as medicines can usually be prescribed to control them.
Tiredness and headaches These are not common. It is important to get enough rest. Let your doctor know if you are getting headaches, as medicines can be prescribed to help.
Muscular aches and joint pain These are rare, but if they occur let your doctor know, as medication may be prescribed.
Hot flushes These are usually mild and may wear off after a period of time. Some people find that it is helpful to cut down on tea, coffee, nicotine and alcohol. Recent research suggests that progestogen or some types of antidepressants may be helpful in controlling this side effect. Your nurse or doctor can discuss this with you.
Some women have found complementary therapies helpful. Your GP may be able to give you details about obtaining these on the NHS.
Hair thinning Some women notice that their hair thins while taking Femara, although this is usually mild.
Vaginal dryness This may occur while using Femara. Gels that can help to overcome the dryness are available. The gels can be bought from any chemist or can be prescribed by your doctor.
Risk of osteoporosis Women who have osteoporosis (weakened bones) or are at risk of it, should have their bones assessed before and during treatment with Femara. In some situations it may be necessary to start treatment to help prevent osteoporosis.

Drug interactions

Femara may interact with other medicines. Let your doctor know about any medications you are taking, including non-prescribed drugs such as complementary therapies and herbal drugs.

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Treating high blood pressure and treating signs and symptoms of benign prostatic hyperplasia (BPH).

Cardura is an alpha-blocker. It works by relaxing muscles in the blood vessels resulting in lowering of blood pressure. In BPH, alpha-blockers work by relaxing muscles around the urethra (the tube that drains urine from the bladder), which improves urinary symptoms.

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you are allergic to any ingredient of Cardura or to similar medicines (eg, prazosin)

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

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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 have prostate cancer, low blood pressure, kidney problems, or liver disorders

Some MEDICINES MAY INTERACT with Cardura . Tell your health care provider if you are taking any of the following medicines.
Cimetidine or verapamil because side effects such as dizziness and lightheadedness may occur.
Phosphodiesterase type 5 inhibitors (eg, vardenafil) because severe low blood pressure may occur

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

Use Cardura as directed by your doctor. Check the label on the medicine for exact dosing instructions.
Take Cardura by mouth with or without food.
Cardura may cause a sudden drop in blood pressure after the very first dose. Take your first dose at bedtime. If you get up during the night, sit up slowly, then stand slowly.
Do not take any other over-the-counter or prescription medications without talking with your doctor. This includes any herbal preparations or dietary supplements.
If you miss a dose of Cardura , 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 Cardura .

Important safety information:

Cardura may cause drowsiness or dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Cardura with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
Dizziness or lightheadedness may occur if you stand up too fast from lying or sitting. If this occurs, get up slowly and avoid sudden posture changes. These effects will more likely occur while you are taking the first few doses or if you have increased your dose, but can occur at any time while you are taking Cardura . They can also occur if you stop taking the medicine and restart treatment.
Before drinking alcohol, discuss it with your doctor. Alcohol may worsen dizziness and lightheadedness.
Be careful during exercise, hot weather, and if you must stand for long periods of time.
Avoid situations where fainting could cause injury. If fainting occurs, lie down and stop taking this medication until you talk with your doctor.
Cardura may rarely cause a prolonged, painful erection. This could happen even when you are not having sex. If this is not treated right away, it could lead to permanent sexual problems such as impotence. Contact your doctor right away if this happens.
Patients who take medicine for high blood pressure often feel tired or run down for a few weeks after starting treatment. Be sure to take your medicine even if you may not feel 'normal.' Tell your doctor if you develop any new symptoms.
Lab tests, including blood pressure, may be performed while you use Cardura . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
Cardura should not be used in CHILDREN; safety and effectiveness in 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 Cardura while you are pregnant. It is not known if Cardura is found in breast milk. If you are or will be breast-feeding while you use Cardura , check with your doctor. Discuss any possible risks to your baby.

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Flagyl is used for:

Treating certain infections caused by bacteria or amoebas. It may also be used for other conditions as determined by your doctor.

Flagyl is an oral antiprotozoal and antibacterial. It is thought to work by entering the bacterial cell, acting on some components of the cell and destroying the bacteria.

Do NOT use Flagyl if:

you are allergic to any ingredient in Flagyl or to other nitroimidazoles (eg, tinidazole)
you are in the first 3 months of pregnancy
you are taking busulfan, an ergot alkaloid (eg, ergotamine), or you have taken disulfiram within the past 2 weeks
you are taking an HIV protease inhibitor that contains alcohol (eg, amprenavir solution); check with your pharmacist if you are unsure if the medicine contains alcohol
you drink alcohol

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

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Some medical conditions may interact with Flagyl . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
if you are pregnant, planning to become pregnant, or are breast-feeding
if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
if you have allergies to medicines, foods, or other substances
if you have nerve, brain, or blood problems; Crohn disease; or a history of liver problems

Some MEDICINES MAY INTERACT with Flagyl . Tell your health care provider if you are taking any other medicines, especially any of the following:
Barbiturates (eg, phenobarbital) or phenytoin because they may decrease Flagyl 's effectiveness
Anticoagulants (eg, warfarin), busulfan, ergot alkaloids (eg, ergotamine), HIV protease inhibitors containing alcohol (eg, amprenavir solution), lithium, or macrolide immunosuppressants (eg, tacrolimus) because their risk of side effects may be increased by Flagyl
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If you miss a dose of Flagyl , 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.

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Important safety information:

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Do not drink alcohol while you are taking Flagyl and for at least 1 day after the last dose.
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.
Flagyl only works against bacteria; it does not treat viral infections (eg, the common cold).
Be sure to use Flagyl 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 Flagyl 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.
Hormonal birth control (eg, birth control pills) may not work as well while you are using Flagyl . To prevent pregnancy, use an extra form of birth control (eg, condoms).
Flagyl may interfere with certain lab tests. Be sure your doctor and lab personnel know you are taking Flagyl .
Lab tests, including liver function and white blood cell counts, may be performed while you use Flagyl . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
Use Flagyl with caution in the ELDERLY; they may be more sensitive to its effects.
Flagyl should be used with extreme caution in CHILDREN; safety and effectiveness in 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 Flagyl while you are pregnant. Do not use Flagyl in the first 3 months of pregnancy. Flagyl is found in breast milk. Do not breast-feed while taking Flagyl .

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Enalapril is used for:

Treating high blood pressure, heart failure, and other heart problems. It may be used alone or with other medicines. It may also be used for other conditions as determined by your doctor.

Enalapril is an angiotensin-converting enzyme (ACE) inhibitor. It works by helping to relax blood vessels. This helps to lower blood pressure.

Do NOT use Enalapril if:

* you are allergic to any ingredient in Enalapril or similar medicines (eg, captopril, lisinopril)
* you are pregnant
* you are taking dextran sulfate or potassium-sparing diuretics (eg, amiloride)

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

Before using Enalapril :

Some medical conditions may interact with Enalapril . 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 or have ever had liver or kidney problems or kidney transplantation
* if you are receiving dialysis
* if you have bone marrow suppression, low blood counts, low blood sodium, high blood potassium, porphyria (a blood disease), giant hives, systemic lupus erythematosus (SLE or lupus), scleroderma, or a collagen vascular disease
* if you have narrowing or hardening of the arteries of the brain or heart, chest pain, or discomfort known as angina

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

* Diuretics (eg, furosemide, hydrochlorothiazide) because excessive decreases in blood pressure may occur, which may cause dizziness, especially upon standing, or fainting
* Dextran sulfate because it may increase the risk of allergic reaction (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue) and lightheadedness upon standing
* Nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, aspirin, indomethacin) because the effectiveness of Enalapril may be decreased and the risk of kidney damage may be increased
* Lithium or thiopurines (eg, azathioprine) because the risk of serious side effects may be increased by Enalapril
* Oral diabetes medicine (eg, glyburide) because side effects, including a low blood sugar level (eg, hunger, shakiness or weakness, dizziness, headache, sweating), may be increased by Enalapril
* Potassium supplements or potassium-sparing diuretics (eg, amiloride) may cause high blood potassium levels (eg, listlessness, confusion, abnormal skin sensations of the arms and legs, heaviness of the limbs, slow or irregular heartbeat, or stopping of the heart) when used with Enalapril

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

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

* Enalapril may be taken with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
* If you miss a dose of Enalapril , 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 Enalapril .

Important safety information:

* Enalapril may cause dizziness or lightheadedness. These effects may be worse if you take it with alcohol or certain medicines. Use Enalapril with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
* Check with your doctor before you use a salt substitute or a product that has potassium in it.
* If vomiting or diarrhea occurs, you will need to take care not to become dehydrated. Contact your doctor for instructions.
* Patients who take medicine for high blood pressure often feel tired or run down for a few weeks after starting treatment. Be sure to take your medicine even if you may not feel 'normal.' Tell your doctor if you develop any new symptoms.
* Enalapril may not work as well in black patients. They may also be at greater risk of side effects. Contact your doctor if your symptoms do not improve or if they become worse.
* Enalapril may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Enalapril . Use a sunscreen or wear protective clothing if you must be outside for more than a short time.
* Tell your doctor or dentist that you take Enalapril before you receive any medical or dental care, emergency care, or surgery.
* LAB TESTS, including liver function, kidney function, and complete blood counts, may be performed while you use Enalapril . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
* PREGNANCY and BREAST-FEEDING: Do not take Enalapril after the third month of pregnancy. It may cause injury or death to the fetus. If you become pregnant, contact your doctor right away. Enalapril is found in breast milk. If you are or will be breast-feeding while you use Enalapril , check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Enalapril :

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 or lightheadedness when sitting up or standing; headache; nausea; persistent, dry cough; tiredness; vomiting.

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

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Your doctor may choose to use a medication for conditions other than the ones listed in these drug information articles. If you're unsure why you are taking this medication, contact your doctor.

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Betoptic contains a medication that lowers internal eye pressure and is used to treat open-angle glaucoma (high pressure of the fluid in the eye).

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In some circumstances this medicine may not be suitable for you and your doctor may wish to give you a different medicine.
If your doctor is unaware that you suffer from any of the following conditions please inform your doctor before starting to take this medicine.
�If you have a history of heart failure, bradycardia (slow heart beat), heart block or other heart disease.
�If you are diabetic.
�If you have an overactive thyroid gland.
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�If you are about to have an operation which requires a general anaesthetic.
�If you are pregnant or intending to become pregnant.
�If you are breast feeding a baby.
�If you have ever had to stop taking a medicine because you were allergic to it.
Betoptic may have effects on other medicines that you are also taking e.g. adrenaline, other betablockers taken orally for heart disease or high blood pressure or other medicines taken to reduce high blood pressure e.g. reserpine. Make sure your doctor knows what other medicines you are taking.
�You must not wear soft contact lenses whilst using this medicine.
�If your sight is affected in any way following the use of Betoptic you should not drive or operate machinery.

Directions

Use this medication exactly as prescribed. You may need to use other medications at the same time.
Betoptic S Suspension should be shaken well before each dose.
Administer Betoptic as follows:
1.Wash your hands thoroughly.
2.Gently pull your lower eyelid down to form a pocket between your eye and eyelid.
3.Hold the bottle on the bridge of your nose or on your forehead.
4.Do not touch the applicator tip to any surface, including your eye.
5.Tilt your head back and squeeze the medication into your eye.
6.Close your eyes gently.
7.Keep your eyes closed for 1 to 2 minutes.
8.Wait for 5 to 10 minutes before using any other eyedrops.
9.Do not rinse the dropper.
-If you miss a dose...
Use it as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Do not use 2 doses at once.
-Storage instructions...
Store at room temperature.

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Before you use Betoptic, tell your doctor if you have any of the following:
AsthmaDiabetesHeart diseaseThyroid disease
If you are having surgery, your doctor may advise you to gradually stop using Betoptic before you undergo general anesthesia.
This drug may lose some of its effectiveness for glaucoma after you have been taking it a long time.

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Temporary stinging/discomfort of the eye, watery/dry/itchy/red eyes, blurred vision, feeling as if something is in the eye, headache, trouble sleeping, or dizziness may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.
Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
Tell your doctor immediately if any of these unlikely but serious side effects occur: eye pain/swelling/discharge, vision changes, increased eye sensitivity to light, swelling of the ankles/feet, tiredness, slow/irregular heartbeat, muscle weakness, mental/mood changes, hair loss.
Seek immediate medical attention if any of these rare but very serious side effects occur: trouble breathing, sudden unexplained weight gain, chest pain, weakness on one side of the body, slurred speech, confusion, persistent dizziness, fainting.
A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any of the following symptoms of a serious allergic reaction: rash, itching, swelling, severe dizziness, trouble breathing.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

If you take too much

Any medication used in excess can have serious consequences. If you suspect an overdose of Betoptic, seek medical attention immediately.
With an oral beta blocker, symptoms of overdose might include:
Heart failure, low blood pressure, slow heartbeat

Additional information

Although Betoptic, a type of drug called a beta blocker, is applied directly to the eye, it may be absorbed into the bloodstream. Because it may have effects in other parts of the body, you should use Betoptic cautiously if you have diabetes, asthma or other respiratory diseases, or decreased heart function.

Drug interactions

Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with them first.
Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: certain diabetes drugs (e.g., insulin, sulfonylureas such as glyburide), certain psychiatric drugs (e.g., venlafaxine, tricyclic antidepressants such as amitriptyline), drugs for high blood pressure (e.g., clonidine, reserpine, oral beta blockers such as propranolol, calcium channel blockers such as diltiazem), epinephrine.


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This medicine is a beta blocker used to treat high blood pressure and angina pectoris (chest pain). It is also used after a heart attack. This medicine is also used to prevent migraine attacks and to treat other conditions as determined by your doctor.

Before using

Warning: if you have angina or have had heart problems, do not suddenly stop using this medicine without first consulting your doctor. If your doctor decides you should no longer use this medicine, you must stop this medicine gradually according to your doctor's instructions. Do not take this medicine if you are also taking mibefradil or theophylline. Additional monitoring of your dose or condition may be needed if you are taking amiodarone, barbiturates, cimetidine, clonidine, disopyramide, flecainide, indomethacin, insulin, ketanserin, phenothiazines, prazosin, quinidine, verapamil, or medicine for thyroid conditions. Inform your doctor of any other medical conditions, allergies, pregnancy, or breast-feeding.

Use of this medicine is not recommended if you have a history of asthma or other breathing problems, heart block, heart failure, or other heart rhythm conditions. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.

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Follow the directions for using this medicine provided by your doctor. This medicine may be taken on an empty stomach or with food. Take this medicine at the same time(s) each day.

Store this medicine at room temperature, away from heat and light. If you miss a dose of this medicine, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Cautions

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Common uses

Arimrdex is approved for adjuvant treatment (treatment following surgery with or without radiation) of postmenopausal women with hormone receptor-positive early breast cancer.
Arimrdex is also approved for the initial treatment of postmenopausal women with hormone receptor-positive or hormone receptor-unknown locally advanced or metastatic breast cancer and for the treatment of postmenopausal women with advanced breast cancer that has progressed following treatment with tamoxifen. Patients with hormone receptor-negative disease and patients who did not previously respond to tamoxifen therapy rarely responded to Arimidex.

Before using

You should not use this medication if you are allergic to anastrozole, or if you are pregnant or breast-feeding.
Before using anastrozole, tell your doctor if you are allergic to any drugs, or if you have:
�severe liver disease;
�severe kidney disease; or
�not yet completed menopause.
If you have any of these conditions, you may need a dose adjustment or special tests to safely take anastrozole.
FDA pregnancy category D. This medication can cause harm to an unborn baby. Do not use anastrozole without telling your doctor if you are pregnant. It could harm the unborn baby. Use effective birth control, and tell your doctor if you become pregnant during treatment.
You may need to take a pregnancy test before using anastrozole, to make sure you are not pregnant.
It is not known whether anastrozole passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Directions

Take this medication exactly as prescribed by your doctor. Do not take it in larger amounts or for longer than recommended. Follow the directions on your prescription label.
Anastrozole is usually taken once per day. You may need to keep taking take this medication for up to 5 years. Follow your doctor's instructions.
Store anastrozole at room temperature away from moisture and heat.

Cautions

Arimidex can cause fetal harm when administered to a pregnant woman. Anastrozole has been found to cross the placenta following oral administration of 0.1 mg/kg in rats and rabbits (about 1 and 1.9 times the recommended human dose, respectively, on a mg/m2 basis). Studies in both rats and rabbits at doses equal to or greater than 0.1 and 0.02 mg/kg/day, respectively (about 1 and 1/3, respectively, the recommended human dose on a mg/m2 basis), administered during the period of organogenesis showed that anastrozole increased pregnancy loss (increased pre- and/or post-implantation loss, increased resorption, and decreased numbers of live fetuses); effects were dose related in rats. Placental weights were significantly increased in rats at doses of 0.1 mg/kg/day or more.
Possible side effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:
�swollen glands;
�a bone fracture; or
�swelling in your hands or feet;
Less serious side effects may include:
�hot flashes;
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�weakness;
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�depression, mood changes;
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�back pain, bone pain.
This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

If you take too much

Seek emergency medical attention if you think you have used too much of this medicine. Overdose symptoms may include stomach pain, nausea, vomiting, or blood in your stools.

Additional information

Arimidex is contraindicated in any patient who has shown a hypersensitivity reaction to the drug or to any of the excipients.
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Anastrozole may not work as well if you take it together with tamoxifen or an estrogen medication. Before you start taking anastrozole, tell your doctor if you also take tamoxifen or estrogen.
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Nirdosh is used to give up the habit of tobacco and marijuana smoking. It increases metabolism, helping digestion and the removal of toxins from the chest and lungs.

Directions

Smoke a cigarette of Nirdosh as soon as you get tempted to smoke a normal one. It can be smoked during the morning and early evening for a balancing effect. Dose varies according to season, time of day and individual suitability. Minimal and moderate use is always the safest way to administer herbs, however when attempting to reduce the addictions of tobacco it may be considered safe to smoke Nirdosh more frequently.

Cautions

No absolute contradictions. All the herbs have a positive action on the lungs, digestive system and the mind.

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No side effects which may interfere with any treatment have been reported.

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Nirdosh is truley a herball product where each stick is hand-made based on charak samhita (Ancient classical text in Ayurveda) such as - Basil, Clove, Liquorice, Turmeric, Gangal, Tendu leaf, Indian Cinnamon, Bishops Weed, Indian Bedellium.


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Common uses:

This medication is used to treat many different types of infections, such as pneumonia, bronchitis, venereal disease (VD), gonorrhea, and infections of the ears, nose, throat, urinary tract, and skin. It is also used before some surgery or dental work to prevent infection and used in combination with other medicines to treat patients with H. pylori infections.

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Do not use this medication if you are allergic to Amoxil or to any other penicillin antibiotic, such as ampicillin (Omnipen, Principen), carbenicillin (Geocillin), dicloxacillin (Dycill, Dynapen), oxacillin (Bactocill), penicillin (Beepen-VK, Ledercillin VK, Pen-V, Pen-Vee K, Pfizerpen, V-Cillin K, Veetids), and others.
Before using Amoxil, tell your doctor if you are allergic to cephalosporins such as Ceclor, Ceftin, Duricef, Keflex, and others. Also tell your doctor if you have asthma, liver or kidney disease, a bleeding or blood clotting disorder, mononucleosis (also called 'mono'), or any type of allergy.
Amoxil can make birth control pills less effective, which may result in pregnancy. Before taking Amoxil, tell your doctor if you use birth control pills. Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Amoxil will not treat a viral infection such as the common cold or flu. Do not give this medication to another person, even if they have the same symptoms you do.
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Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.
If you are taking amoxicillin with clarithromycin and/or lansoprazole to treat stomach ulcer, use all of your medications as directed. Be sure to read the medication guide or patient instructions provided with each of your medications. Do not change your doses or medication schedule without advice from your doctor.
You may take amoxicillin with or without food.
Shake the oral suspension (liquid) well just before you measure a dose. To be sure you get the correct dose, measure the liquid with a marked measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.
You may place the liquid directly on the tongue, or you may mix it with water, milk, baby formula, fruit juice, or ginger ale. Drink all of the mixture right away. Do not save any for later use.
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To be sure this medication is helping your condition, your blood may need to be tested. Your kidney or liver function may also need to be tested. Do not miss any scheduled visits to your doctor.
If you are being treated for gonorrhea, your doctor may also have you tested for syphilis, another sexually transmitted disease.
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This medication can cause you to have unusual results with certain medical tests. Tell any doctor who treats you that you are using amoxicillin.
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If you have ever had asthma, hives, hay fever, or other allergies, consult with your doctor before taking Amoxil.
You should stop using Amoxil if you experience reactions such as bruising, fever, skin rash, itching, joint pain, swollen lymph nodes, and/or sores on the genitals. If these reactions occur, stop taking Amoxil unless your doctor advises you to continue.
For infections such as strep throat, it is important to take Amoxil for the entire amount of time your doctor has prescribed. Even if you feel better, you need to continue taking Amoxil. If you stop taking Amoxil before your treatment time is complete, you may get other infections, such as glomerulonephritis (a kidney infection) or rheumatic fever.
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The chewable tablet form of Amoxil contains phenylalanine. If you or your child has the hereditary disease phenylketonuria, this form of Amoxil should not be used.
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Nausea, vomiting or diarrhea may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly. Tell your doctor immediately if any of these highly unlikely but very serious side effects occur: dark urine, persistent nausea or vomiting, stomach/abdominal pain, yellowing eyes or skin, easy bruising or bleeding, persistent sore throat or fever. This medication may rarely cause a severe intestinal condition (pseudomembranous colitis) due to a resistant bacteria. This condition may occur weeks after treatment has stopped. Do not use anti-diarrhea products or narcotic pain medications if you have the following symptoms because these products may make them worse. Tell your doctor immediately if you develop: persistent diarrhea, abdominal or stomach pain/cramping, or blood/mucus in your stool. Use of this medication for prolonged or repeated periods may result in oral thrush or a new vaginal yeast infection (oral or vaginal fungal infection). Contact your doctor if you notice white patches in your mouth, a change in vaginal discharge or other new symptoms. A serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

If you take too much

Any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately.
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Amoxil should be used during pregnancy only when clearly needed. If you are pregnant or plan to become pregnant, inform your doctor immediately. Since Amoxil may appear in breast milk, you should consult your doctor if you plan to breastfeed your baby.

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If Amoxil is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Amoxil with the following:
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This medicine is an antipsychotic agent used to treat emotional and mood disorders. It may also be used to treat other conditions as determined by your doctor.

Before using

Warning: this medicine should not be used to treat elderly patients who have a certain mental condition (dementia-related psychosis). These patients have an increased risk of death, usually due to heart problems (such as heart failure) or infection (such as pneumonia), while taking this medicine. Talk with your doctor or pharmacist for more information. Some medicines or medical conditions may interact with this medicine. Inform your doctor or pharmacist of all prescription and over-the-counter medicine that you are taking. Additional monitoring of your dose or condition may be needed if you are taking clozapine, other medicines for mental or mood conditions, certain antidepressants known as SSRIs, or medicine to lower blood pressure.

Do not start or stop any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions including heart disease (heart failure, history of heart attacks or ischemia, conduction problems), diabetes, strokes (cerebrovascular disease), dehydration (too little body water), seizures, dementia, infections (such as pneumonia), swallowing problems, allergies, pregnancy, or breast-feeding. Contact your doctor or pharmacist if you have any questions or concerns about using this medicine.

Directions

Follow the directions for using this medicine provided by your doctor. This medicine may be taken on an empty stomach or with food. Store this medicine at room temperature in a tightly-closed container, away from heat and light. Taking this medicine at the same time(s) each day will help you remember.

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

Cautions

Do not take this medicine if you have had an allergic reaction to it or are allergic to any ingredient in this product. If your symptoms do not improve in a few weeks or if they become worse, check with your doctor. It may take several days to weeks for this medicine to work. Do not stop taking this medicine without checking with your doctor. Keep all doctor and laboratory appointments while you are taking this medicine. Laboratory and/or medical tests, such as fasting blood sugar levels, may be performed to monitor your progress or to check for side effects.

This medicine may cause drowsiness or dizziness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to this medicine. Using this medicine alone, with other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks. Do not drink alcohol while you are taking this medicine without first discussing it with your doctor. This medicine may cause dizziness, lightheadedness, or fainting. Alcohol, hot weather, exercise, and fever can increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Also sit or lie down at the first sign of dizziness, lightheadedness, or weakness. Do not become overheated in hot weather or during exercise or other activities since risk of heatstroke may be increased.

This medicine may increase your risk of developing diabetes or cause hyperglycemia (high blood sugar), sometimes severe. Symptoms of hyperglycemia include thirst, increased urination, confusion, drowsiness, flushing, rapid breathing, weakness, or fruity breath odor. High blood sugar levels can cause serious problems if left untreated. If these symptoms occur, tell your doctor immediately. Before you begin taking any new medicine, either prescription or over-the-counter, check with your doctor or pharmacist.

Caution is advised when using this medicine in the elderly, especially those with dementia related problems, because they may be more sensitive to the effects of this medicine.

For women: if you plan on becoming pregnant, discuss with your doctor the benefits and risks of using this medicine during pregnancy. This medicine is excreted in breast milk. Do not breast-feed while taking this medicine. Diabetics: this medicine may affect your blood sugar. Check blood sugar levels closely and ask your doctor before adjusting the dose of your diabetes medicine.

Possible side effects

Side effects, that may go away during treatment, include dizziness, drowsiness, fatigue, nausea, constipation, runny nose, weight gain, nervousness, difficulty concentrating, or difficulty sleeping. If they continue or are bothersome, check with your doctor. Check with your doctor as soon as possible if you experience fainting or confusion. Contact your doctor immediately if you experience symptoms of high blood sugar (such as increased thirst, increased urination, vision changes, confusion, weakness, or unusual drowsiness), muscle spasm or twitching, uncontrolled muscle movements (such as your tongue or facial muscles), drooling, difficulty swallowing, seizures, chest pain, one-sided weakness, numbness in the face/arms/legs, sudden vision changes, slurred speech, unexplained fever, extreme muscle stiffness, fast or irregular heartbeat, unusual increased sweating, or unusual changes in your mental alertness.

This medicine may in rare instances increase your blood level of a certain hormone (prolactin). In females, this rare increase in prolactin levels may result in unwanted breast milk production, stopping of your menstrual period, or difficulty in becoming pregnant. In males, this rare effect may result in decreased sexual ability, inability to produce sperm, or enlarged breasts. If you develop any of these symptoms, tell your doctor immediately.

For men: in the unlikely event you have a painful, prolonged erection, stop using this medicine and seek immediate medical attention or permanent problems could occur.

An allergic reaction to this medicine is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash, itching, swelling, severe dizziness, or trouble breathing. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

If you take too much

If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include unusual drowsiness; rapid pulse; fainting; unusual muscle movement or rigidity of the face, neck, or limbs; seizures; and loss of consciousness.

Additional information

Do not share this medicine with others for whom it was not prescribed. Do not use this medicine for other health conditions. Keep this medicine out of the reach of children and pets. If using this medicine for an extended period of time, obtain refills before your supply runs out.

Drug interactions

Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Some medicines or medical conditions may interact with this medicine. Inform your doctor or pharmacist of all prescription and over-the-counter medicine that you are taking.

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