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Calan (Verapamil)

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Calan (Verapamil) is a calcium channel blocker used to treat angina (chest pain) or high blood pressure. It is also used to treat and prevent a rapid heart rate.

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About Calan (Verapamil):

Product Type: Blood Pressure

Brand name: Calan Generic name: Verapamil What is the most important information I should know about Calan? • Do not stop taking this medication without first talking to your doctor. If you stop taking the medication your condition could become worse. • Do not crush chew or break extended-release forms of Calan such as generic Covera-HS and Verelan PM. Swallow them whole. Generic Calan SR Isoptin SR and Calan SR may be divided in half but should not be crushed or chewed. What is Calan? • Calan is in a class of drugs called calcium channel blockers. Calan relaxes (widens) blood vessels (veins and arteries) which makes it easier for the heart to pump and reduces its workload. • Calan is used to treat hypertension (high blood pressure) to treat angina (chest pain) and to control some types of irregular heartbeats. • Calan may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Calan? • Before taking this medication tell your doctor if you have kidney or liver disease; other diseases of the heart or blood vessels such as sick sinus syndrome aortic stenosis heart failure heart block Wolff-Parkinson-White syndrome coronary artery disease or low blood pressure; or muscular dystrophy. • You may not be able to take Calan or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. • Calan is in the FDA pregnancy category C. This means that it is not known whether Calan will be harmful to an unborn baby. Do not take Calan without first talking to your doctor if you are pregnant or could become pregnant during treatment. • Calan passes into breast milk and may harm a nursing infant. Do not take Calan without first talking to your doctor if you are breast-feeding a baby. How should I take Calan? • Take Calan exactly as directed by your doctor. If you do not understand these directions ask your pharmacist nurse or doctor to explain them to you. • Take each dose with a full glass of water. • Verelan Verelan PM Calan Isoptin Covera-HS and generic forms of regular-release Calan can be taken with or without food. Taking the medication with food may reduce stomach upset if it occurs. • Calan SR Isoptin SR and generic sustained-release Calan (Calan SR) may be more likely to cause stomach upset and should be taken with food to reduce this side effect. • Take Covera-HS and Verelan PM at bedtime. • If you have trouble swallowing the Verelan pellet-filled capsules they can be opened and the contents can be sprinkled onto cold soft food such as applesauce. This mixture must be swallowed without chewing. Use the mixture immediately. Do not save it for later use. (Do not use this procedure for the Verelan PM capsules.) • Do not crush chew or break extended-release forms of Calan such as Covera-HS and Verelan PM. Swallow them whole. Generic Calan SR Isoptin SR and Calan SR may be divided in half if the tablets are scored but should not be crushed or chewed. • If you are taking Covera-HS do not be concerned if you find what looks like an undissolved tablet in your stool. This medication is formulated with an outer shell that does not dissolve. This shell allows the medicine to be released slowly into your body before it is passed out in the stool. • It is important to take Calan regularly to get the most benefit. • Do not stop taking this medication without first talking to your doctor. If you stop taking the medication your condition could become worse. • Grapefruit and grapefruit juice may interact with Calan. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor. • Your doctor may want you to have blood tests blood pressure monitoring or other medical evaluations during treatment with Calan to monitor progress and side effects. • Store Calan at room temperature away from moisture and heat. What happens if I miss a dose? • Take the missed dose as soon as you remember. However if it is almost time for the next dose skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication. What happens if I overdose? • Seek emergency medical attention. • Symptoms of a Calan overdose include dizziness weakness chest pain shortness of breath fainting an unusually fast or slow heartbeat coma slurred speech and confusion. What should I avoid while taking Calan? • Grapefruit and grapefruit juice may interact with Calan. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor. • Avoid the use alcohol. Alcohol may further lower blood pressure and increase drowsiness and dizziness while taking Calan. • Follow any recommendations your doctor makes about diet or exercise. What are the possible side effects of Calan? • If you experience any of the following serious side effects stop taking Calan and contact your doctor immediately or seek emergency medical treatment: an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips tongue or face; or hives); an unusually fast or slow heartbeat; shortness of breath (heart failure); fainting; abnormal behavior or psychosis; jaundice (yellowing of the skin or eyes); or swelling of the legs or ankles. • Other less serious side effects may be more likely to occur. Continue to take Calan and talk to your doctor if you experience unusual headache fatigue or tiredness; insomnia or trouble sleeping; vivid dreams; hair loss; nausea or diarrhea; or increased urination. • Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect Calan? • Before taking this medication tell your doctor if you are taking any of the following drugs: cyclosporine (Sandimmune Neoral); cimetidine (Tagamet Tagamet HB); carbamazepine (Tegretol Carbatrol); lithium (Lithobid Eskalith others); theophylline (Theo-Dur Theochron Theolair Theobid Elixophyllin Slo-Phyllin others); rifampin (Rifadin Rimactane); phenobarbital (Luminal Solfoton); an HMG CoA reductase inhibitor such as atorvastatin (Lipitor) lovastatin (Mevacor) simvastatin (Zocor) and others; or another heart medication such as propranolol (Inderal) metoprolol (Lopressor Toprol XL) atenolol (Tenormin) digoxin (Lanoxin) quinidine (Quinora Quinidex Quinaglute) flecainide (Tambocor) disopyramide (Norpace) captopril (Capoten) enalapril (Vasotec) and others. • You may not be able to take Calan or you may require a dosage adjustment or special monitoring if you are taking any of the medicines listed above. • Drugs other than those listed here may also interact with Calan or affect your condition. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines including vitamins minerals and herbal products

Generic Calan (Verapamil)

Calaptin Apo-Verap Arpamyl Berkatens Cardiagutt Cardibeltin Cordilox Covera-HS Dignover Dilacoran Drosteakard Geangin Iproveratril Isoptimo Isoptin NU-Verap Novo-Veramil Quasar Securon Univer Vasolan Veracim Veramex Veraptin Verelan Verexamil

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Women's Health: Aygestin (Norethindrone Acetate) Aygestin (Norethindrone Acetate) is a progestin used to treat endometriosis a disorder of the lining of the uterus. It may also be used to treat menstrual disorders and to treat other conditions as determined by your doctor. Buy Aygestin (Norethindrone Acetate) and other Women's Health products online at Medstore. About Aygestin (Norethindrone Acetate): Product Type: Women's Health Brand name: Aygestin Generic name: Norethindrone Acetate What is the most important information I should know about Aygestin? • Using Aygestin while you are pregnant can cause harm to the unborn baby. Do not use Aygestin if you are pregnant. Stop using the medication and tell your doctor if you become pregnant during treatment. • Avoid smoking cigarettes while taking Aygestin. Smoking increases your risk of developing a heart attack stroke or blood clot. • Aygestin does not protect you from sexually transmitted diseases — including HIV and AIDS. Using a condom is the only way to help protect yourself from these diseases. What is Aygestin? • Aygestin is a form of progesterone a female hormone. • Aygestin is used for birth control (contraception) to prevent pregnancy. Aygestin is also used to treat menstrual disorders endometriosis or abnormal vaginal bleeding caused by a hormone imbalance. • Aygestin may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before using Aygestin? • Aygestin is in the FDA pregnancy category X. This means that using the medication while you are pregnant can cause birth defects in the baby. Do not take Aygestin if you are pregnant. Stop taking the medication and tell your doctor if you become pregnant. If you plan to become pregnant after you stop taking Aygestin ask your doctor how long you should wait before trying to get pregnant. • You should not take Aygestin if you have: a history of stroke or blood clots; liver disease; a history of stroke or blood clots; cancer of the breast of ovary; unusual vaginal bleeding that a doctor has not diagnosed; or complications from a recent miscarriage or abortion. • Taking Aygestin may be dangerous if you have any of the conditions listed above. • Before taking Aygestin tell your doctor if you have: high blood pressure angina or heart disease; a bleeding disorder such as hemophilia; diabetes; high cholesterol; migraines; a history of depression or mental illness; asthma; or seizures or epilepsy. • If you have any of the conditions listed above you may not be able to use Aygestin or you may require a dosage adjustment or special monitoring during treatment. • This medication can pass into breast milk and may harm a nursing baby. Do not use Aygestin without telling your doctor if you are breast-feeding. • Taking Aygestin can cause you to have unusual results to certain medical tests. Tell any doctor who treats you that you are using Aygestin. How should I take Aygestin? • The dose schedule for Aygestin may be different for birth control than for treating other conditions. To best treat your condition Aygestin should be used exactly as your doctor has prescribed it for you. Do not use more of the medication than recommended. Do not take Aygestin for longer than your doctor has prescribed. • Take the medication at the same time each dose day. Taking a pill late or missing a pill can increase your chances of having breakthrough bleeding or getting pregnant. • For birth control start a new pack of pills the day after your last pack is finished. There is no break between packs. • If you vomit soon after taking Aygestin use a backup method of birth control (such as a condom and/ or spermicide) for 48 hours. • You may have some light bleeding or spotting between periods. Continue taking Aygestin even if this occurs. • If your menstrual period is late you may be pregnant. If it has been more than 45 says since the start of your last period call your doctor or use a home pregnancy test. • You will need to have yearly physical exams and Pap smears while you are using Aygestin. Examine your breasts at home every month to check for lumps. It is important that you not miss any scheduled visits to your doctor. • After you stop using Aygestin you may start bleeding within a few days. • Store Aygestin at room temperature away from moisture and heat. What happens if I miss a dose? • Take the missed dose as soon as you remember. Then take the next dose at your regularly scheduled time. Do not take extra medicine to make up the missed dose. • If you were more than 3 hours late in taking your dose use a backup method of birth control (such as a condom and/ or spermicide). Keep using the backup method for at least 48 hours to ensure protection from pregnancy. • If you are not sure what to do about a missed dose keep taking Aygestin and use a backup method of birth control until you can talk to your doctor. What happens if I overdose? • An overdose of Aygestin is not likely to cause serious overdose symptoms. Call your doctor if you think you have used too much of this medicine. • Symptoms of a Aygestin overdose have not been reported. What should I avoid while taking Aygestin? • Women who use hormone medication should not smoke. Smoking will increase your risk of having a serious side effect from Aygestin such as heart attack stroke or a blood clot. • Aygestin does not protect you from sexually transmitted diseases — including HIV and AIDS. Using a condom is the only way to protect yourself from these diseases. What are the possible side effects of Aygestin? • Stop using Aygestin and call your doctor at once if you have any of these serious side effects: an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips tongue or face; or hives); abnormal vaginal bleeding; late or missed menstrual period; a partial or complete loss of vision blurred vision double vision or a sudden onset of bulging eyes; sudden and severe headache pain behind your eyes dizziness or fainting; speech problems; vomiting or jaundice (yellowing of the skin or eyes); or sudden or severe pain in your lower stomach. • Other less serious side effects may be more likely to occur. Continue to take Aygestin and talk to your doctor if you experience: nausea; swollen or tender breasts; sleep problems (insomnia); depression mood swings; acne freckles or darkened skin areas; increased hair growth; weight gain or loss; or changes in your menstrual cycle or vaginal discharge. • Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect Aygestin? • Before taking Aygestin tell your doctor if you are taking any of the following medicines: rifampin (Rifadin); phenytoin (Dilantin); carbamazepine (Tegretol); or a barbiturate such as amobarbital (Amytal) butabarbital (Butisol) mephobarbital (Mebaral) secobarbital (Seconal) or phenobarbital (Luminal Solfoton). • If you are using any of these drugs Aygestin may not work as well and you may get pregnant. You may need to use a second form of birth control if you are taking any of the medicines listed above. • There may be other drugs not listed that can affect Aygestin. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins minerals herbal products and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. 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