Drugs

Omnacortil: Uses, Side Effects, Dosage, FAQs

Omnacortil is the brand name of Prednisolone, Which belongs to a group of drugs known as corticosteroids. Macleods Pharmaceuticals Pvt. Ltd manufactures it. Omnacortil is used to treat and prevent different conditions such as breathing disorders, lupus, and skin conditions like psoriasis. It is also used to treat symptoms such as swelling, redness, rashes on the skin, inflammation, etc. Omnacortil 10 Mg also aids in providing relief from some severe health issues such as asthma, leukemia, lymphoma, nephrotic syndrome and rheumatoid arthritis. Omnacortil Tablet is available in different strengths. Omnacortil 40 mg Omnacortil 20 mg Omnacortil 10 mg Omnacortil 5 mg Omnacortil 2.5 mg Omnacortil Uses It is used in the treatment and prevention of various medical conditions, such as; Allergic states Collagen disorders Skin conditions Rheumatic disorders Neoplastic disease Gastro-Intestinal disease Hematological disorders Nephrotic syndrome. Respiratory disease Omnacortil Side Effects Common side effects associated with the use of this drug include Nausea Headache Vomiting Reduction in bone density Weight gain Excitement Skin thinning Behavioral changes Mood changes Stomach upset Increased glucose level in the blood Serious side effects and their symptoms can include the following: Severe allergic reactions Changes in emotions or moods, such as depression Changes in vision Eye pain Infection. High blood sugar. Warnings Avoid Omnacortil tablets if You suffer from kidney disease, Cirrhosis, Diabetes, Kidney diseases, Thyroid, Depression or Hypertension, Pregnant and breastfeeding women  Genetic or acquired allergies Interaction with Drugs   Omnacortil Tablet may interact with the following drugs. Avoid Concurrent use of Prednisolone with the following medications as it may cause adverse reactions   Fluoroquinolone Ethinyl Estradiol Azole antifungal agents Nonsteroidal anti-inflammatory drugs Antihypertensives Phenytoin Retinoid (for skin conditions) Barbiturates, phenytoin, phenylbutazone, primidone. Thyroid drugs Methotrexate Antacids Anticoagulant medicines are used to thin blood Aminoglutethimide, carbenoxolone or salicylates, acetazolamide. Oral contraceptives Note: This is not a complete list of Interactions. This drug may interact with other products and cause side effects. Consult Your doctor. Dosage   The usual starting dose is 5 mg to 60 mg daily, depending on the disease being treated. The amounts are adjusted according to the patient’s response. In general, the lowest effective dose is used. Corticosteroids, which are administered in multiple doses during the day, are more effective, but also more toxic, than an alternative treatment twice the daily amount allocated every morning. It is advisable to take it at the dose and duration prescribed by the doctor. It is generally recommended to dissolve the drug in a glass of water before use to maximize its effectiveness. The usual recommended dose for the treatment of multiple sclerosis is 200 mg of Omnacortil for seven days. Your doctor will prescribe a dose based on your medical condition. The usual recommended dose for adrenogenital syndrome is 5 to 10 mg of omnacortil tablet daily in a single dose. Prednisolone should be taken with a meal to reduce irritation of the stomach and intestines. Frequently Asked Questions (FAQs) 1. What is Omnacortil Tablet? This product contains prednisolone, which belongs to the group of medicines called corticosteroids. It is essentially a relief of inflammation in the human body and is also used to treat skin conditions such as asthma and arthritis. 2. What is Omnacortil used for? This medicine is used for the treatment, prevention and control of conditions such as Allergies, Asthma, Lymphoma, Nephrotic syndrome, Idiopathic Sarcoidosis, Idiopathic Thrombocytopenic, Chronic lymphatic leukemia, Multiple sclerosis, Osteoarthritis Psoriasis, Hemolytic anemia. 3. What are the side effects of Omnacortil Pills? Common side effects: nausea, headache, vomiting, excitement, thinning of the skin, decreased bone density, weight gain, mood swings, upset stomach, behavioral changes, and elevated blood sugar levels. More information can be found above. 4. How to use Omnacortil Tablet? Take this medicine at the dose and time recommended by your doctor. Swallow it as a whole. Do not chew, crush or break. 5. How does the Omnacortil Tablet work? This drug contains mainly prednisolone active salt. This belongs to the family of medicines called glucocorticosteroids. Prednisolone can inhibit leukocyte infiltration at the inflammation site, disrupt inflammatory response mediators, and suppress humoral immune responses. 6. Is it safe to take omnacortil during pregnancy? The tablet is generally considered safe for use during pregnancy. Care should be taken before taking this medicine to avoid side effects. 7. Is it safe while breastfeeding? This drug is known to be excreted in small amounts through breast milk. Use this medicine only when needed if other safe alternatives are unavailable. 8. Is it safe with alcohol? Patients are advised not to consume alcohol, as in some cases, this can cause excessive sleepiness or decrease the effectiveness of the medicine. Therefore, it is recommended to abstain from alcohol during the administration of this tablet. 9. Can I drive after consuming Omnacortil? In some cases, this tablet may cause drowsiness and dizziness. Therefore, patients are advised to avoid driving after consuming these tablets. 10. Is omnacortill a habit that forms the drug? Patients taking this medication reported a pattern of habit formation. It is advisable to read the label carefully before administering any medication. 11. What happens if I miss a dose of Omnacortil? It is advisable not to lose the dosage; even if you miss it, consume it as soon as you remember. Do not consume the missed dose if it is time for the next dose. 12. What happens if I overdose on Omnacortil Tablet? In case of overdose, you may experience symptoms such as headache, skin peeling, acne, increased heart rate, increased appetite, increased sweating, menstrual problems or a few other symptoms. In these cases, treatment should be stopped, and the doctor should be consulted immediately. 13. How to store Omnacortil? Omnacortil is recommended to keep the medication in a cool, dry place, away from moisture, direct heat, and sunlight. It is not recommended to freeze or refrigerate the tablet. It is advisable to protect it from children and pets.

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Leflox Tablet Uses, Side Effects, Dosage, & FAQs

Leflox is the brand name for Levofloxacin which belongs to a group of drugs known as Fluoroquinolones antibiotics. It is a broad spectrum antibiotic and is used in different bacterial infections such as sinuses, skin, lungs, ears, airways, bones, and joints infections. It is most commonly used antibiotic in urinary tract infections and other infections. This article will explore the Leflox tablet uses, side effects, dosage, and frequently asked questions. Quick Overview Product Name: Leflox Manufacturer: Getz Pharma Available Forms: Tablet, Infusion Uses: Respiratory tract infections, sinus infections and urinary tract infections etc. Strengths: Leflox 500mg tablet, Leflox 250mg tablet, Leflox 750mg infusion, Leflox 500mg infusion. Leflox Tablet Uses  Leflox tablets are prescribed for treating various bacterial infections in different body parts. It is effective against a wide range of bacteria and is often utilized for the following conditions: Respiratory Infections: Leflox is commonly used to treat respiratory tract infections, such as bronchitis and pneumonia. It helps in combating bacterial growth responsible for these infections. Urinary Tract Infections: The medication effectively treats urinary tract infections (UTIs) caused by susceptible bacteria. Skin and Soft Tissue Infections: Leflox can be prescribed to treat skin infections, including cellulitis and abscesses. Sinus Infections: It manages bacterial sinus infections that lead to sinusitis. Gastrointestinal Infections: Leflox may be recommended for certain gastrointestinal tract bacterial infections. Prostate Infections: In some cases, it is utilized to treat bacterial infections of the prostate gland. Dosage and Administration Leflox tablets are available in different strengths, with 500mg being a common dosage. The dosage and duration of treatment will depend on the specific infection and the severity of the condition. It’s important to follow the prescribed dosage instructions provided by your healthcare provider. The tablets are typically taken orally with a glass of water, with or without food. It’s essential to complete the full course of treatment even if you start feeling better before the prescribed duration is over. Skipping doses or stopping the medication prematurely may lead to incomplete eradication of bacteria, potentially causing the infection to return or become resistant to the antibiotic. Side Effects of Leflox Tablet  While Leflox can effectively treat bacterial infections, like any medication, it can also be associated with certain side effects. Common side effects may include: Nausea and Vomiting: Some individuals may experience stomach discomfort, nausea, and vomiting. Diarrhea: Leflox can disrupt the normal gut flora, leading to diarrhea in some cases. Headache: Headaches are a possible side effect, although generally mild. Dizziness: Some individuals may feel dizzy or lightheaded while taking Leflox. Photosensitivity: It’s important to note that fluoroquinolone antibiotics like Leflox can increase sensitivity to sunlight, potentially leading to sunburn more easily. Tendon Rupture: Although rare, fluoroquinolones have been associated with an increased risk of tendon rupture, particularly in the Achilles tendon. If you experience any severe or persistent side effects, it’s crucial to contact your healthcare provider immediately. Precautions Before taking levofloxacin, tell your doctor or pharmacist if you are Allergic to it; or other quinolone antibiotics (such as ciprofloxacin, moxifloxacin, ofloxacin); or if you have other allergies. Tell your doctor or pharmacist your medical history, especially: diabetes, joint / tendon problems (eg tendinitis, bursitis), kidney problems, mental disorders (eg depression), certain muscle disorders (myasthenia) severe), nervous problems (eg, peripheral neuropathy), epileptic disorder. Levofloxacin may cause a disease that affects the heart rhythm (prolongation of the QT interval). QT prolongation rarely results in fast / severe (rarely fatal) rapid heartbeats and other symptoms (such as severe dizziness or fainting) that require immediate medical attention. Levofloxacin Mechanism Levofloxacin, a fluoroquinolone antibiotic, operates by zeroing in on a vital bacterial enzyme called topoisomerase or DNA gyrase. These enzymes are central to bacterial DNA processes, including replication and repair. Levofloxacin disrupts their function, leading to twisted or broken bacterial DNA strands, halting their growth and multiplication. This precision targeting is a key feature, as levofloxacin’s mechanism focuses solely on bacterial cells, sparing human cells from harm. By thwarting bacterial DNA integrity, levofloxacin curtails the infection’s progression and provides an effective strategy against various bacterial infections, while its selectivity ensures minimal impact on the host. Drug Interactions with Levofloxacin (Leflox) Levofloxacin, commonly known as Leflox, is a potent antibiotic to treat bacterial infections. However, it’s important to know potential interactions with other medications that could affect their effectiveness and safety. Here’s a summary of key drug interactions to consider: NSAIDs: Combining levofloxacin with non-steroidal anti-inflammatory drugs (NSAIDs) may increase the risk of seizures and tendon issues. Anticoagulants: Levofloxacin can enhance the effects of anticoagulants, leading to an increased risk of bleeding. Corticosteroids: Co-administering corticosteroids with levofloxacin may elevate the risk of tendonitis and tendon rupture. Antiarrhythmics: Levofloxacin can lead to potentially dangerous heart rhythm disturbances when combined with certain antiarrhythmic medications. Antidiabetic Medications: Levofloxacin might affect blood sugar levels and the efficacy of antidiabetic medications like Insulin, requiring careful monitoring. Iron, Zinc, Antacids, and Sucralfate can reduce levofloxacin’s absorption, so it’s advisable to separate their administration by a few hours. Theophylline and Caffeine: Levofloxacin can increase levels of theophylline and caffeine, leading to side effects like rapid heart rate and restlessness. Leflox Tablet Alternatives: Exploring Similar Medications While Leflox (levofloxacin) is a commonly prescribed antibiotic with a wide spectrum of bacterial coverage, several alternative medications offer similar therapeutic effects. Healthcare providers may consider these alternatives based on the patient’s medical history, specific infection, and individual response to treatment. Here are a few notable options for Leflox: Levoxin (Levofloxacin) by Searle Pharma PVT Ltd: Levoxin is a pharmaceutical product by Searle Pharma PVT Ltd that contains levofloxacin as its active ingredient, similar to Leflox. Like Leflox, Levoxin is a fluoroquinolone antibiotic used to treat various bacterial infections. It is available in multiple strengths and formulations, and its usage, dosage, and potential side effects are comparable to Leflox’s. Levo (Levofloxacin) by Ferozsons:  Levo, manufactured by Ferozsons Laboratories, also contains levofloxacin and is utilized to combat bacterial infections. Like Leflox, Levo is effective against various bacterial strains causing infections in different body parts. It is essential to note that

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Nuberol Forte Tablet 650mg/50mg: Uses, Side Effects, Dosage And FAQs

Nuberol Forte is the combination of Orphenadrine and Paracetamol. These two drugs’ combined effect provides relief from the pain associated with skeletal muscle and helps reduce fever. Searle Co Ltd manufactures it. Nuberol comes in 2 strengths; one is Nuberol standard that contains 450mg of Paracetamol and 35mg of Orphenadrine. While the Nuberol Forte contains 650mg of Paracetamol and 50mg of Orphenadrine. Orphenadrine is an anticholinergic and belongs to a class of ethanolamine antihistamines; It is closely related to diphenhydramine. Orphenadrine is commonly used to treat muscle pain and help motor control Parkinson’s disease but has mainly been replaced by new drugs.  While Paracetamol belongs to a class of drugs known as Analgesics, it is a common painkiller used to treat aches and pain. It can also be used to reduce fever. Composition Orphenadrine 50 mg Paracetamol 650 mg. Nuberol Forte Tablet Uses Nuberol Forte is used to treat, prevent or control the following conditions; Best for Muscle spasms, Pain and Fever, Sprains, Relief of painful skeletal muscle spasm, Chronic low back pain, The prolapsed intervertebral disc, Non-articular rheumatism, Tension headache, Muscle injury, Dysmenorrhea, Headache, Toothache, and Ear Pain, Cold and Flu. Note: This drug may also be used for other conditions. Contraindications Nuberol Forte is contraindicated in the following conditions Don’t use it If you are hypersensitive to Paracetamol or Orphenadrine Citrate. If you have Myasthenia gravis, Also, if you are suffering from glaucoma (High pressure in the eye), Don’t use in case of urinary retention, If you are a Lactating woman. Don’t take this medicine After expiry, if the packaging shows signs of tampering. In a child under the age of 12 years. Before you start to take Nuberol Forte, Tell your doctor or pharmacist if; If you are allergic to any other medicines, foods, preservatives, or dyes; Are cardiac patient (Heart Problem) you have any liver or kidney problems; you are taking other Paracetamol-containing products. You have alcohol abuse problems. How does Nuberol Forte work? In Nuberol Forte, Paracetamol’s combined analgesic effect and the relaxing muscle action of orphenadrine citrate provide profound relief of the pain associated with skeletal muscle spasm. Paracetamol has similar analgesic and antipyretic effects as salicylates. Analgesia is mediated at the peripheral and central levels. Orphenadrine citrate is an effective oral muscle relaxant. Muscle relaxation is not based on a direct effect on the muscle itself. The place of action of Orphenadrincitrat is relatively central. Nuberol Forte Interactions Following drugs can interact with Nuberol forte and may aggravate its side effects. Alcohol Ketoconazole Leflunomide Teriflunomide Prilocaine You should avoid these drugs simultaneously and consult your doctor before taking any medicine. Nuberol Forte Dosage The usual recommended dose of Nuberol forte for adults is 1-2 tablets twice daily. You will need to take it orally after food and with a glass of water. Don’t use on empty stomach to avoid stomach upset. This is the usual recommended dose but the actual dose depends on your condition and your pharmacist or doctor will adjust the dose as per your condition. Don’t use more than prescribed, it will do more harm than any good. It is not recommended for use in children. Nuberol Forte Alternatives Various options are available when seeking alternatives to Nuberol Forte tablets, each offering its unique composition and benefits. Here are a few notable options from different pharmaceutical companies: Ridal Forte by Stanley Pharma: Ridal Forte, formulated by Stanley Pharma, is a viable alternative to Nuberol Forte tablets. This medication encompasses a distinctive blend of active ingredients that work synergistically to relieve pain, reduce fever, and alleviate discomfort. Ridal Forte is commonly prescribed for conditions such as headaches, muscle aches, and menstrual cramps, making it a compelling choice for individuals exploring alternatives. Wilgesic by Wilson’s Pharma: Wilgesic, produced by Wilson’s Pharma, is another noteworthy alternative. Engineered to address various types of pain, Wilgesic boasts a carefully crafted formulation that targets pain relief effectively. Its unique ingredients and mode of action make it a suitable option for those seeking an alternative to Nuberol Forte. Provas N by Sami Pharma: Provas N, developed by Sami Pharma, offers a distinct pain management and relief approach. With its specialized formulation, Provas N targets pain at its source and relieves discomfort. This alternative may be particularly beneficial for individuals who require pain relief while considering options for Nuberol Forte tablets. Medigesic by Wilshire Laboratory: Medigesic, a product of Wilshire Laboratory, provides an alternative solution for pain management. This medication is designed to address a range of pain types and offers relief through its carefully chosen combination of active ingredients. Medigesic’s formulation makes it an intriguing option for those exploring alternatives to Nuberol Forte. Sinaxamol by AGP Pharmaceuticals, Pakistan: Sinaxamol, developed by AGP Pharmaceuticals in Pakistan, is another viable alternative to Nuberol Forte tablets. With its unique composition, Sinaxamol aims to provide effective pain relief and manage discomfort. Individuals seeking an alternative option for pain management may find Sinaxamol a suitable choice. Selecting the Right Alternative: The decision to switch to an alternative to Nuberol Forte tablets should be made in consultation with a healthcare professional. Factors such as medical history, existing conditions, and potential interactions with other medications are crucial in determining the most suitable option. Patients are advised to thoroughly discuss with their doctor to make an informed choice that aligns with their specific needs and circumstances. Frequently asked questions (FAQs) 1. Is Nuberol Tablet safe to use when pregnant? It is not recommended for use during pregnancy. Tell your doctor if you are pregnant or intend to become pregnant. 2. Is Nuberol Tablet safe while breastfeeding? It is not recommended for use during lactation. Tell your doctor if you are breastfeeding. 3. Should I use Nuberol Tablet empty stomach, before food or after food? Take this medicine after food with a glass of water. Take Nuberol forte tablets only as directed by your doctor or pharmacist. Do not change the dose unless your doctor tells you to do so. 4. Is Nuberol Forte a Pain Killer? Nuberol contains Paracetamol and Orphenadrine. Both of these

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Cyclopam Tablet: Uses, Side Effects, Dose, & FAQs

Cyclopam Tablet is the combination of Paracetamol, Dicyclomine, and Dicycloverine. It is used to treat, prevent, and control conditions such as irritable bowel syndrome, pain in stomach, period pain, fever, headache, toothache, cold, joint pain, abdominal pain, and other conditions. Indoco Remedies Ltd manufactures Cyclopam Tablet and it is a prescription based medicine. It is composed of the following active ingredients (salts) Paracetamol – 500 MG Dicyclomine – Dicycloverine – 20 MG Cyclopam Tablet Uses It is used for the treatment, control, prevention, of the following diseases, conditions and symptoms: Irritable bowel syndrome Periods pain Painful menstruation Pain in stomach Pain in abdomen Cold Flu Fever Headache Ear pain Joint pain Toothache Your doctor may prescribe it for other conditions. Cyclopam Side Effects Following are some of the side effects associated with the use of this drug. Dizziness Drowsiness Dry mouth Anxiety Excitement Nausea Lethargy Vomiting Feeling of sickness Dryness Confusion Constipation Blurred vision Weakness Decreased sweating Nervousness Headache Heat stroke Light headedness Mydriasis Palpitations Abdominal discomfort Swollen facial features Tachycardia Increase in intraocular pressure Urine retention Urine hesitancy Insomnia Delusions Short-term memory loss Psychosis Incomprehension Coma Gesticulations This is not a complete list of side effects related to this drug. Consult your doctor. Precautions Before using Cyclopam Tablet, please consult a GP especially if you have any of the following conditions: Allergic to Cyclopam tablet or Paracetamol In case of Hypersensitivity reactions. Glaucoma It is not recommended for children & neonates. Do not take paracetamol if you consume alcoholic beverages every day. Should be used with caution in Liver and kidney Disease. Asthma or other breathing problems Breastfeeding Nerve disease. If you have cardiac tachycardia and congestive heart failure. Severe ulcerative colitis Mysthenia gravis. Mechanism Cyclopam Tablet is a combination of two medications: dicyclomine and acetaminophen, which relieve abdominal pain and cramping. Dicyclomin is an anticholinergic that relaxes the muscles of the stomach and intestines. It stops sudden muscle contractions (cramps), relieves pain, bloating and discomfort. Paracetamol / acetaminophen is an analgesic (analgesic) that blocks the release of certain messengers that cause pain. Interaction When It is combined with other medicines and consumed, the risk of drug interactions is high. The effects of all drugs are lost or their salts react and lead to undesirable results. The same case can occur when Cyclopam is consumed in certain diseases. To avoid such interactions, a healthcare professional should know the current medications and any kind of health problem. Here is a list of elements that can interact with Cyclopam tablet and have side effects: It may interact with the following drugs and products: Digoxin Antacids Benzodiazepines Ketoconazole Alcohol Amantadine Antihistamines Corticosteroids Interfere with certain laboratory tests Cyclopam Dose The usual recommended dose is 80 mg daily, in 4 divided doses. Should be consumed 1 hour before meal. For children, the dosage should be prescribed by a doctor as per the condition. Frequently Asked Questions 1. What is Cyclopam tablet? Cyclopam is the brand name for a combination of two active ingredients such as paracetamol and dicyclomine. Paracetamol is an analgesic while dicyclomine is an antispasmodic drug. 2. What are the uses of Cyclopam tablet? It treats irritable bowel syndrome, stomach pain, fever, headache, toothache, cold, joint pain, abdominal pain, etc. Check above for more. 3. What are the side effects of Cyclopam tablet? some of the side effects associated with the use of Cyclopam tablets are Dizziness, Drowsiness, Dry mouth, Anxiety, Excitement, Nausea, Lethargy, Vomiting, Feeling of sickness, Dryness, Confusion, Constipation, Blurred vision, Weakness, Decreased sweating, Nervousness and Headache. Check other side effects above. 4. How long does it take for Cyclopam to work? Most users of Cyclopam Tablet had relief and symptom relief within 24 hours after using Cyclopam. The effect depends, among other things, on the severity of the disease and the dosage. 5. How to take Cyclopam? It may be given at any time according to the doctor’s recommendations. It can be taken before, at or after meals. You should make sure that you do not consume the drug as a whole. Cyclopam should not be chewed, crushed or broken. Take this medicine at the dose and time recommended by your doctor. Swallow it as a whole. Do not chew, crush or break. These tablet can be taken with or without food, but it is best to take it at a fixed time. 6. How does Cyclopam work? The paracetamol in the drug belongs to the category of analgesics and antipyretics. It blocks the synthesis of cyclooxygenase, an enzyme already in our body. This enzyme triggers the synthesis of Prostaglandins, which causes pain, inflammation and redness. While Dicyclomine belongs to the category of cholinergic. It acts as a muscle relaxant and helps to relax the presence in the stomach and intestines (intestines). It works by preventing sudden muscle contractions, also known as cramps. It helps with pain, bloating, cramps and discomfort. 7. Is Cyclopam Tablet safe to use when pregnant? This medicine contain dicyclomine which is not recommended in pregnant women. However take if your gynecologist prescribe it. 8. Is Cyclopam tablet safe while breastfeeding? This drug is not safe in breastfeeding women because it dicyclomine which is contraindicated in breastfeeding. This drug may cross into milk and can harm your baby. 9. Can Cyclopam Tablet be used for periods pain? Yes, One of the listed indication of this drug is to provide immediate relief to patients suffering from menstrual cramps and abdominal discomfort during periods. Although it relieves the symptoms mentioned above, a doctor must be consulted before consuming this medicine. 10. Can I take Cyclopam to relieve pain after a miscarriage? Yes, most of the time, the doctor prescribed it to relieve the pain caused by miscarriage. abdominal pain. Always ask your doctor before using this medicine because it tends to cause serious side effects. 11. Should I use the Cyclopam tablet on an empty stomach before or after a meal? This medicine can be taken with or without food. However, it is advisable to

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Livogen: Uses, Side Effects, Dose & FAQs

Livogen is the brand name of two active ingredients along with some non active ingredients. The active ingredients present in this formulation are Ferrous Fumarate and Folic Acid. Livogen Tablet is mainly used for the treatment of anemia and deficiency of folic acid. It is also used as a supplemental medication for diseases which cause a deficiency of iron and folic acid in the body. It is also used in other conditions. See below Uses. Composition The active present in this formulation are Elemental Iron (Ferrous Fumarate) – 152 mg Folic Acid (Vitamin B9) – 1.5 mg Other Variants Livogen -Z Captab Livogen Hemtonic Syrup Livogen-XT Tablet Livogen Injection Livogen Tablet Uses: This medicine is used in different conditions and symptoms: Anemia During pregnancy Megaloblastic anemias due to a deficiency of folic acid Anemias of nutritional origin, Folate deficiency Anemia in Pregnancy Anemia due to folic acid deficiency Malabsorption of food Celiac disease Mechanism Of Action It works by acting on the bone marrow to produce a normoblastic marrow and promotes the production of blood cells in the body. Other conditions for which livogeni are prescribed as an additional drug include low levels of red blood cells or hemoglobin, infantile anemia and megaloblastic anemia.  It Helps to supply sufficient Elemental Iron or Ferrous Fumarate, which helps in regulating the oxygen supply through RBC to various parts of the body. The Livogen tablet should only be taken with a doctor’s prescription. Your doctor may prescribe different options depending on your health, age and needs. Livogen Side Effects Following  are some of the common side effects associated with the use of Livogen tablet are Biliousness Nausea Constipation Flatulence Allergic reactions Dark or green stools Irritability Bloating Stomach cramps Darker coloured stool Gastric irritation Pain in leg Dark coloured urine Less common side effects include Depression Confusion Easily angered and annoyed Gas Itching Loss of appetite Swelling of the abdomen Not feeling well Over-excitement Rashes Taste problems Sleep disorder Precautions Avoid Livogen tablet and tell your doctor or pharmacist: If you are allergic to any of the ingredients. People with anemia due to vitamin B12 deficiency (pernicious anemia). Hereditary disease that causes too much iron accumulation in the tissue (hemochromatosis). People with anemia due to folic acid deficiency. People with a disorder that affects the iron in the body (hemosiderosis). People with a state of sudden loss of hemoglobin (oxygen that transports proteins in the blood) in the urine during the night (paroxysmal nocturnal hemoglobinuria). People with other diseases that affect hemoglobin, such as sickle cell disease or thalassemia. People with an active gastric ulcer People receive repeated blood transfusions. Inflammatory bowel disease such as ulcerative colitis or Crohn’s disease. Children. Avoid alcohol consumption, especially if having alcoholic cirrhosis Bowel problems Colitis Diverticulitis Crohn disease Type 2 Diabetes Ulcer in intestine Child younger than 4 months old Livogen In Pregnancy & Breastfeeding This medicine is safe during pregnancy. However, you should ask your doctor or midwife if you need to take iron and folic acid supplements during pregnancy. All pregnant women should not take supplements; Your diet may contain enough nutrients. No known harmful effects when this medication is used by nursing mothers. Interaction With other drugs The following medicine can interact with Livogen and may change the effect of this drug Levothyroxine Bisphosphonates, e.g. alendronate Entacapone Levodopa Penicillamine Methyldopa (iron tablets can also reduce the effect of lowering methyldopa blood pressure) ciprofloxacin, norfloxacin, ofloxacin, levofloxacin Zinc and calcium supplements reduce the absorption of iron supplements. Separate the drugs for at least two hours. Oxytetracycline, doxycycline, minocycline, tetracycline Trientene, used to treat Wilson’s disease, also reduces the absorption of iron supplements from the intestine, making them less effective unless the doses are separated by at least two hours. Magnesium carbonate, magnesium hydroxide, aluminum hydroxide and calcium carbonate, can reduce the absorption of iron by the intestine and make the less effective supplements. Separate the drugs for at least two hours. Folic acid can reduce the blood levels of the anti-epileptic drugs phenobarbital, phenytoin and primidone. If you take folic acid in combination with any of these anti-epileptic drugs, your doctor may need to increase the dose of this antiepileptic to keep the seizures under control. Milk, milk-based products, tea, coffee and eggs can reduce the absorption of iron from the intestine, while vitamin C (ascorbic acid) increases it. Dosage The dose of this drug depend on your medical condition. Your doctor will decide the amount of dose. However it is recommended to be taken empty stomach, at least one hour before or two hours after a meal. Along with the dosage recommended for this medicine.  it is very important to follow the diet plan recommended by the doctor or healthcare provider to facilitate better absorption of the medicine. Consume enough iron-rich foods in order to get maximum iron from natural food sources. Frequently Asked Questions 1. What is Livogen? Livogen is a multivitamin supplement composed of ferrous fumarate and and folic acid (Vitamin B9). It is used in different conditions. check it above in Uses Section. 2. What is the use of Livogen? Livogen is a supplemental product mainly used for anemia, pregnancy,  low RBC or hemoglobin count, lack of iron and vitamin B9 supply in diet, childhood anemia, Megaloblastic anemia. and other conditions. 3. What are the side effects of Livogen? The most common side effects associated with the use of this drug are nausea, constipation, allergic reactions, flatulence, Dark or green stools, and dark urine. There are other side effects check above “Side effects”. 4. Can I take Livogen on an empty stomach? Take with food if this medicine cause stomach upset. Ask your pharmacist before using. 5. What happens if i Overdose Livogen? Taking more than prescribed Livogen Tablet may cause harmful side effects. Consult your doctor if you suffer any kind of side effects. 6. What happens if i Miss a dose of Livogen? If missed certain regular dose, take as earliest possible, and if it is time for the next dosage,

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Pantocid (Pantoprazole): Uses, Side Effects, Dosage

Pantoprazole is in a class of medications known as proton-pump inhibitors (PPIs).It is marketed under the brand name Protonix, Pantocid and other. It is prescription drug used as a short-term treatment for gastroesophageal reflux disease (GERD), heart burn,  and acid reflux. Pantocid is manufactured by Sun Pharma Laboratories Ltd. Pantocid Uses It is used in the treatment and prevention of various medical conditions such Gastooesophageal Reflux disease. Gastric ulcers Gastrin secreting tumour Benign gastric ulcer Small intestine ulcer Gastric ulcerative Heart Burn Acid reflux. Zollinger-Ellison Syndrome H. Pylori infection. Your doctor may have prescribed it for another reason. Ask your GP if you have any questions about why Pantoprazole has been prescribed for you. Pantocid Side effects The more common side effects that can occur with pantoprazole (Pantocid)  include: Nausea or vomiting Diarrhea Stomach pain Headache Gas Joint pain Dizziness Serious side effects Serious side effects can include the following: Low magnesium levels. Using this drug for three months or longer can cause low magnesium levels. Vitamin B-12 deficiency from long term use. Severe diarrhea. Bone fractures Kidney damage. Cutaneous lupus erythematosus (CLE). Systemic lupus erythematosus (SLE). Fundic gland polyps (don’t usually cause symptoms) Other reported side effects include: Pancreatitis Liver damage Reduced levels of blood cells Muscle breakdown. Interaction with Medicine Severe interactions occur with Methotrexate Nelfinavir While moderate interaction with Warfarin Digoxin Reduce blood levels of atazanavir or nelfinavir, reducing their effect. Precautions Do not take it if you are allergic to any medicines containing pantoprazole or any of the ingredients in this formulation. Do not use it in combination with antibiotics or other medicines if you are allergic to any of the antibiotics. Do not use it if you have severe liver disease or cirrhosis. Do not use it in combination with atazanavir. It should not be given to children. Do not take this medicine after the expiry date stated on the carton (EXP), or if the packaging is torn or showing signs of tampering. Don’t take If you are pregnant or planning to become pregnant, talk to your doctor. Tell your doctor if you want to breastfeed or breastfeed. Tell your doctor if you have or have had other illnesses. Mechanism Pantoprazole, like other proton pump inhibitors, blocks the enzyme that produces acid in the stomach. Blocking the enzyme reduces acid production, healing the stomach and esophagus. Dose of Pantocid It is common to take pantoprazole 40 mg once a day, in the morning. If you are taking pantoprazole twice a day, take 1 dose in the morning and 1 dose in the evening. Usual adult recommended dose for GERD and healing erosive esophagitis is 40 mg daily for 4-8 weeks. The usual recommended dose for treating Zollinger-Ellison syndrome is 40 mg twice daily. It is generally recommended to take the tablets about 30 minutes before meals for maximum effectiveness. The tablets should be swallowed whole and not crushed, split or chewed. Frequently Asked Questions   1. What is Pantocid 40 mg used to treat? It is the brand name for Pantoprazole. It is used in the treatment and prevention of various medical conditions such as gastroesophageal reflux disease (GERD), heart burn,  and acid reflux. 2. What are the side effect of Pantocid? Common side effects may include: dizziness; stomach pain, headache, gas, nausea, joint pain; vomiting, diarrhea. For complete list of side effects check above uses. 3. What is the best time of day to take Pantocid? It generally is recommended that Pantocid tablets be taken approximately 30 minutes prior to meals for maximal effectiveness. 4. Can you take 2 Pantocid a day? It recommended to take pantoprazole once a day, in the morning. However your doctor will determine the right dose for you based on your medical condition. 5. How Pantocid Works? Pantocid contain pantoprazole which belongs to a group of drugs known as proton pump inhibitors. It blocks the enzyme in the wall of the stomach that produces acid. By blocking the enzyme, the production of acid is decreased, and this allows the stomach and esophagus to heal. 6. Can Pantocid be used as a painkiller? No it is a proton pump inhibitor and should not be used as a painkiller. 7. Can Pantocid Tablet used over a long period of time? No, This medicine cannot be taken over a long period of time unless prescribed by a doctor. Long term use can cause bone fractures and low magnesium levels. 8. Does Pantocid cause gas? Yes, some of the side effects of using Pantocid tablet include gas or flatulence, bloating, and abdominal distension. 9. Can Pantocid cause diarrhoea? Yes, the most common side effects associated with the use of this medicine is diarrhoea. consult your physician if these symptoms persist. 10. Does it have an expiry date? Like any other medication it has an expiry date. Always check the expiry date on the packet before purchasing it. 11. Is it Safe with alcohol? Interaction with alcohol is not known. It is recommended to consult your doctor before consumption. 12. Is Pantocid habit forming? No habit-forming tendencies were reported. 13. Is Pantocid safe to take if I’m pregnant ? It is not generally recommended during pregnancy. 14. Is it safe to take it while i am breastfeeding? Pantoprazole has not been studied in females who are nursing. 15. Can i take Pantocid for long term? Long-term use of pantoprazole may make it difficult for your body to absorb vitamin B-12, which could result in a B-12 deficiency. 16. What if i Missed a Dose of Pantocid? If you miss a dose of pantocid, take it as soon as you remember. You should skip the missed dose if it is almost time for your next scheduled dose. 17. What happens if i overdose Pantocid Tablet? Seek emergency medical treatment or contact your doctor in case of an overdose. But in case of suspicion of overdose, the doctor will start emergency treatment. 18. How long should Pantocid take? Your doctor will tell you how long the tablets should be taken. 19. How to store it?  Store the tablet at room temperature between 15 and 30 ° C and protected

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Don’t believe in “Myths” about rabies because it can cost high for you and your community

Food and Agriculture Organization (FAO) United Nations has issued some facts against the common folk beliefs i.e. myths about rabies which shall be known by everyone who deals with animals or residing in areas where exposure to animal bites may occur and eventually can lead to the infection. Following is a brief description of the report of FAO. Myths   MYTH #1: ” Feeding your dog well means responsible dog ownership”. Fact: Responsible dog ownership means that you register your dog with the local authorities, you annually vaccinate your dog for rabies, you keep your dogs from roaming the streets, and you feed and care for your dog in an ethically responsible manner as stated by the FAO. MYTH #2: “Rabies is transmitted only by the bite of an animal”. Fact: Transmission by the bite of a rabid animal is the most common way. Rabies can also be transmitted through a scratch inflicted by a dog or an animal if fresh saliva is on the nail that causes scratch. Airborne transmission of rabies may also occur when handling bat guano or in bat caves. Aerosol transmission has been implied in four reports of human rabies cases and documented in experimental work with animals as reported by FAO. MYTH #3: “Dog vaccines prevent your dog from getting rabies for only a few months”. Fact: According to FAO, if your dogs are vaccinated against rabies, they are protected for at least one year with each vaccine. MYTH #4: “Dog owners can choose whether or not to vaccinate their dogs against rabies”. Fact: In the light of the FAO report, this depends on the country where you live but in most of the countries in the world, as a dog owner, you are required to vaccinate your dogs against rabies every year. This protects you, your family and friends, your community, and your dogs. MYTH #5: “A Rabies vaccine for a dog is expensive”. Fact: The cost of a complete course of human vaccination plus immunoglobulins if needed, that is necessary if a person is bitten by a non-vaccinated dog or a suspected rabid animal is far more than vaccinating a dog prophylactic-ally. MYTH #6: “If a dog bites a person, it is only important to care for the person”. Fact: Actually, according to WHO, if a dog bites a person it is necessary to catch the dog and keep it in a room or cage, isolated from other animals and people for 10 days, to observe it for abnormal or rabies-like behavior, in addition to making sure the person who was bitten receives proper treatment. MYTH #7: “Rabies is not life-threatening or fatal to humans”. Fact: Rabies is ALWAYS life-threatening and can result in death if the bite wound is not washed immediately and the post-exposure vaccination is not given in a timely fashion as per the public health requirement. MYTH #8: First aid is not necessary to help a person who has been bitten or scratched by a dog or an animal suspected to be rabid. Fact: Immediate and thorough washing and cleaning of a bite wound are ESSENTIAL. Flush the wound with a strong stream of water. Wash well with soap or detergent. Next, apply a disinfectant to the wound and surrounding tissue, taking care to get it under skin flaps. Immediately afterward, take the person to the hospital or vaccination point. MYTH #9: The vaccine shots for humans who have been exposed to rabies are dangerous and can make them sick as well as affecting their memory. Fact: There were some side-effects from the old human vaccine but the new human vaccine that is currently available does not result in those side effects. However, the source and registration of a vaccine may first be confirmed from the nearby facility or hospital or a health care team where applicable. MYTH #10: “If a traditional healer treats a bite wound, there is no need to see a doctor or go to a medical center or hospital”. Fact: People with bite wounds that are only treated with traditional medicine are at greater risk of death from rabies, once a person shows clinical symptoms, death is unpreventable. MYTH #11: Rabies virus can be detected and treated by traditional medicine when traditional healers treat bite wounds. Fact: To date, there is no traditional medicine that is proven effective against the rabies virus. Therefore, even if a traditional healer treats your bite wound, you should still proceed to a medical center or hospital so the wound can be properly cleaned and disinfected, and so you can get a post-exposure rabies vaccine. MYTH #12: If I were bitten by a vaccinated dog, I do not need a post-exposure human rabies vaccine. Fact: Even if the dog is vaccinated against rabies, you should still go to the doctor for consultation. The doctor will evaluate the bite wound and advise on whether a post-exposure vaccine is necessary. If you do not seek medical care, you are risking your life. MYTH #13: Human-to-human transmission of rabies not possible. Fact: Humans are mammals. Therefore, theoretically, human-to-human rabies transmission is possible. However, there are no laboratory-tested cases to confirm that this has actually happened. MYTH #14: The only thing I can do about the rabies problem is to make sure my pets are vaccinated annually. Fact: This is important, but only a good first start. There are other ways you can assist in controlling the disease: Do not let your dogs roam outside the house or yard without a muzzle and leash, even if they are vaccinated; Cooperate with your local vet and village head to register and vaccinate your dogs annually; Educate yourself and all members of your family about rabies. In particular, warn young children never to get close to dogs and animals that appear sick or aggressive; and Call your local vet or village heads when you spot an animal that you suspect is sick or rabid.

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Skilax (Sulfolax); Uses, Side Effects, Doses

Skilax (Sulfolax) is a laxative used to treat chronic constipation. This is the best and most effective laxative available. Relieving occasional constipation and avoid dry, hard stools. It can also be used for other conditions specified by the doctor. Sulfolax is a stool softener. It works by helping the fat and water in the stool mass to soften the stool. By increasing the amount of water absorbed by the stool in the bowel, the stool becomes softer and easier to overcome. Uses/Indications Skilax Tablets and Skilax Drops both are used for the treatment, control, prevention, conditions and symptoms: Bowel evacuation Constipation Contraindications Skilax is contraindicated in patients with the following conditions Acute surgical abdominal conditions like acute appendicitis, Ileus, Intestinal obstruction, Acute inflammatory bowel diseases, and In severe dehydration. Rare hereditary problems of fructose intolerance should not take this medicine. Known hypersensitivity to sodium picosulfate or any other component of the product. Skilax Side Effects:  Following are some of the side effects associated with the use of Skilax tablets and Drops. Stomach pain Diarrhea Loose motion Cramping Nausea Vomiting Throat Irritation Dizziness Fainting Rashes on skin. This is not a complete list of side effects. Consult your physician. Precautions Before taking this medicine always tell your doctor or pharmacist if you are Allergic to this medicine or any other ingredient Have abdominal pain Nausea Sudden change in bowel Are pregnant or breast feeding Drugs Interactions If you use other medicines or OTC products at the same time, the effects of Skilax drops may vary. This could increase the risk of side effects or prevent the medicine from functioning properly. Talk to your doctor about all the medicines, vitamins and herbal supplements you use to prevent or treat drug interactions. Skilax Drops can interact with the following drugs and products: Amoxicillin Furosemide Doxycycline Prednisolone Dosage Take this medication orally, usually at bedtime with a full glass or as directed by your doctor. Decrease your dose or stop taking this medication if you develop diarrhea. The usual adult dose  1-2 Skilax Tablets once daily  or 10 -15 drops once a day. The usual  recommended dose for Children 2-5 years is  2 – 3 drops once daily, Dose for 6 -10 years old child is  2- 5 drops once daily. The dosage may be adjusted, under medical advice,according to age and symptoms. Drink 6 to 8 glasses of water daily while using any laxative. Frequently Asked Questions (FAQS) What is Skilax drops used for? Skilax is used for Constipation and bowel evacuation. What to if i miss a dose of Skilax? If you miss a dose, use it as soon as you remember. If it is almost time for the next dose, skip the missed dose and continue the dosing schedule. Do not use an extra dose to make up for a forgotten dose. If you regularly lose cans, you should set an alarm or call someone in your family. Please consult your doctor to discuss any changes to the dosing regimen or a new dosing regimen to make up for missed doses if you forget too shortly. What happens if i Overdose of Skilax Drops? Do not use more than the prescribed dose. Taking more drugs will not improve the symptoms. Instead, they can lead to intoxication or serious side effects. If you believe you or someone else has overdid Skilax Drops, contact the nearest hospital or emergency department. Bring a box of medicines, a container or a label to help doctors get the information they need. Do not give your medicine to others, even if you know they have the same problem or if they seem to have the same problem. This can lead to overdose. How to Store Skilax drops ? Store at room temperature, protect from heat and direct light. Do not take any medication unless it is indicated in the package leaflet. Keep medicines away from children and pets. Do not throw medicine into the toilet or throw it into the sewer unless you are invited to do so. The medicines that are rejected in this way can contaminate the environment. Contact your pharmacist or doctor for further information on the safe disposal of Skilax drops. What happens if i take Expired Skilax Drops? It is unlikely that taking a single dose of expired Skilax drops will result in an adverse event. Please discuss with your doctor or pharmacist for advice or to feel bad or not. The expired drug may become ineffective in the treatment of the prescribed conditions. To be sure, it is important not to use the expired medication. If you have a chronic condition that requires constant use of medications such as heart disease, seizures and life-threatening allergies, it’s much safer to stay in touch with your doctor to get a new stock of drugs. without a prescription. expired. Can Skilax drops be used safely during pregnancy? This medication should be used only when clearly needed during pregnancy. Please consult your doctor for specific case recommendations. Is Skilax Drops safe while breastfeeding? It is not known if this drug passes into breast milk. Discuss the risks and benefits with your doctor. Can Skilax Drops be used for constipation and bowel evacuation? Yes, constipation and bowel evacuation are the most commonly reported uses of Skilax drops. Please do not use Skilax Drops for constipation and bowel evacuation before consulting your doctor. Should I take Skilax on an empty stomach before or after meals? You can use it any time but usually at bed time however The dose is based on your medical condition and response to therapy. Decrease your dose or stop taking this medication if you develop diarrhea.it’s better you consult your healthcare provider before use. Can I drive safely with this product or use heavy machinery? If you feel drowsiness, dizziness, hypotension and headache, after taking this medicine it’s recommended to avoid driving a car or operating heavy machinery. Do not drive if you are tired of taking this medication, become dizzy or lower your blood pressure. Can

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Fertility Drugs

Women with infertility issues doctors prescribe medicines to get pregnant. The medicines are called fertility drugs. These drugs are used to release hormones from your body that trigger or regulate ovulation (the release of your egg from the ovary). Even though you use another method like surrogacy, IVF treatment is still an important part of the treatment. There are a lot of drugs but the most commonly used are: 1. Clomid or Serophene This medicine is prescribed if you are not ovulating normally. This medicine has been used from past 40 years.  Uses: To treat infertility in women Clomid is used. Effect of this medicine is there is an increase in the number of hormones which supports the growth and releases a mature egg. This medication is not recommended for women whose ovaries could not make eggs. How to take medicine: Strictly prescribed by your doctor. Your dosage is based on your medical conditions. Precautions: Tell your medical health history to your doctor. If you have any allergies let your doctor know beforehand. Stop using this medication once you get pregnant. Consult your doctor for more details. And if you are in search of the best doctor for your pregnancy. Here is the list of doctor who can guide you better.  Dr. Mohit Saraogi- a medalist in DGO and FCPS. He has more than 13 years of experience in this obstetrics and gynecology. He is a part of Saraogi Hospital since 1980. Dr. R.M Saraogi- he has completed his MD and FCPS in the year 1997. He is a gold medalist in MD and he has more than 39 years of experience. He is a founder of Saraogi hospital. The hospital was established in the year 1980. He has treated many complication pregnancies. How well it works: 60% to 80% of women who take clomiphene will ovulate and About half will be able to get pregnant. 2. Letrozole: This medication is a low dose fertility medication. You need to take this medicine only for 5 days at the beginning of your menstrual cycle. They are used to increase your follicles or eggs to increase the chances of pregnancy. There are also fertility injections: Fertility injections are used only when medicines are not affecting your body. Fertility injections are only given with the advice of the doctor. Consult your doctor for your treatment. The name of the injection is HCG. You will try to conceive naturally or with an IUI treatment. Pregnancy rate is high almost 30%. Side effects of injectable fertility: Mood changes Bloating OHSS  (ovarian hyper stimulation syndrome): it is a complication of fertility treatment which results in enlarging the ovaries from bloating, stimulation, and fluid retention. OHSS can be managed by frequently monitoring your diet. Few medications are safe to take but still, you consult your doctor. The medications which are safe to take is Prenatal vitamins. And other vitamins, herbal remedies, and supplements you should consult your doctor and then take. Because few herbal remedies can harm you or it can affect during your pregnancy. IVF: If the fertility pills and injections does not work then your doctor may suggest you go for in vitro fertilization treatment. This treatment uses similar injectable fertility medications. Because at higher doses to stimulate the ovaries to make up to 20 eggs. These eggs are then retrieved from the ovaries. The retrieved eggs are then combined with the sperms in the laboratory to make embryos. The important thing is to select the proper treatment and to guide you for this you require the best gynecologist. Few best gynecologist I have mentioned above or you can contact your doctor for the same. Because Surrogacy treatment, IVF treatments are very delicate surgeries or decisions. For this, you require the experienced doctor and his/ her history about the surgeries done should be good. To conclude: I have mentioned the medicines and injections which are commonly used. But you can get proper guidance from the experienced doctors. As per my suggestion, you can consult Dr. Mohit Saraogi through his website by filling all the details or the contact number given on the website.

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Clomipramine: Uses, Side effects, Dosage

Clomipramine belongs to a group of antidepressant drugs known as  tricyclic antidepressants. It is used in the treatment of depression and obsessive-compulsive disorders (OCD). Clomipramine was first discovered in 1964 by the Swiss drug manufacturer Ciba-Geigyr. It can cause withdrawal symptoms so don’t stop taking it without talking to your doctor. Clomipramine Uses Clomipramine is used in the treatment, and preventions of the following medical conditions; Obsessive-compulsive disorder Depression, Panic disorder, Autistic disorder (limited evidence), Cataplexy and associated narcolepsy (limited evidence), Chronic pain (e.g. central pain, tension headache, neuropathic pain, idiopathic pain disorder, diabetic peripheral neuropathy) Onchophagia (limited evidence), Trichotillomania (limited evidence), Stuttering (limited evidence), Premenstrual syndrome. Premature ejaculation, and Clomipramine may also be used for purposes not listed above. Clomipramine Side Effects Common side effects include Dry mouth Weight gain Decreased sex drive (libido) Tremor Dizziness Nervousness Constipation Decreased appetite Excessive daytime sleepiness Serious Side effects Panic attacks Acting on dangerous impulses New or worsening depression, anxiety, or irritability Extreme increases in activity or talking (mania) Suicide attempts Thoughts of suicide Serotonin syndrome.   Pregnancy and Breast Feeding: It is important that you and your baby stay healthy during pregnancy. If you become pregnant while taking clomipramine, talk to your doctor. It is important that you do not stop taking your medicine unless your doctor has told you. Ask your doctor about the potential benefits of taking medication during pregnancy or breastfeeding to make informed decisions about what is good for you and your baby. Precautions Do not take this medicine if: You are or have been allergic to clomipramine, other tricyclic antidepressants or any of the ingredients listed at the end of this leaflet. If you think you have an allergic reaction, contact your doctor immediately or go to the emergency department of the nearest hospital. Do not use this medicine if you have taken MAOIs such as isocarboxazid, linezolid, methylene blue, phenelzine, rasagiline, selegiline or tranylcypromine within the last 14 days. You recently had a heart attack. This can make your condition worse. You have a heart condition called congenital long QT syndrome You are taking another tricyclic antidepressant The expiry date (EXP) printed on the packaging has been exceeded. The packaging is torn, has been tampered with or does not seem very correct. How it works Clomipramine works by preventing the reabsorption of serotonin and norepinephrine released into the nerve cells of the brain. This helps prolong their effects and, over time, relaxes mood and relieves depression. Antidepressants such as clomipramine have also been shown to be effective in relieving anxiety symptoms such as panic and anxiety. Interaction Many drugs can interact with clomipramine. Not all possible interactions are listed here. Tell your doctor about all your current medicines and any you start or stop using, especially: Cimetidine Any other antidepressant; Clonidine; Bladder or urinary medicines such as darifenacin, fesoterodine, oxybutynin, tolterodine, solifenacin; Bronchodilators such as aclidinium, ipratropium, tiotropium, or umeclidinium; Guanethidine; Medication for Parkinson’s disease; Seizure medicine such as phenytoin or phenobarbital. Cold or allergy medicine; Diet pills, stimulants, ADHD medication (such as Ritalin or Adderall); Medication to treat excess stomach acid, stomach ulcer, motion sickness, or irritable bowel syndrome. Warnings In short-term studies, antidepressants increase the risk of suicidal ideation and behavior in children, adolescents and young adults (under 24 years of age) taking antidepressants for major depressive disorder and other psychiatric disorders. This increase was not observed in patients over 24 years of age. In adults over 65, a slight decrease in suicidal ideation was observed. For children and young adults, the risks must be weighed against the benefits of taking antidepressants. Patients should be carefully monitored for changes in behavior, clinical worsening and suicidal tendencies. This should be done during the first 1-2 months of treatment and dose adjustment. The patient’s family should inform the provider of abrupt changes in behavior. Behavioral deterioration and suicidal tendencies that are not symptoms may require discontinuation of treatment. This medicinal product is not approved for use in pediatric patients. Clomipramine Dosage Treatment with clomipramine should be started at the minimum recommended dose and gradually increased according to the patient’s response to minimize the risk of side effects. Clomipramine tablets are better tolerated when taken with meals. The recommended adult clomipramine dose is between 25 mg and 200 mg daily in divided doses, preferably at mealtimes and at bedtime. The dose depends on the circumstances but generally starts little and increases as needed. Children and adolescents (10 to 17 years old) usually start with a dose of 25 mg per day, with the dose being increased by 25 mg every 3-4 days, as prescribed by your doctor. If treatment is discontinued, the dose should be gradually reduced to avoid withdrawal effects. It is important that you take this medicine as directed by your doctor. If you miss a dose, take it as soon as possible and follow the normal schedule. If it is almost time for your next dose, skip the missed dose and continue with your usual dosing schedule. Do not take a double dose to make up for the loss. Consult your doctor or pharmacist if you do not know what to do after you miss a dose. Keep this medicine at room temperature and out of the reach of children. Do not dispose of medicines in waste water (eg in the sink or toilet) or in household waste. Ask your pharmacist how to remove unnecessary or expired medicines. Frequently Asked Questions (FAQS) Q. 1 Can I drive after taking Clomipramine? Clomipramine may cause drowsiness, dizziness and blurred vision and affect the ability to drive or operate machinery safely. Do not drive and do not use machines if they are interested. Q. 2 Can I drink alcohol with clomipramine? Avoid alcohol intake while taking clomipramine, as you will probably feel very sleepy, dizzy or confused, or have blurred vision. This effect is likely to be worse if you drink alcohol at the beginning of treatment or after a dose increase. Q. 3 How to store The

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