NeoBenz Micro SD

Generic Name: benzoyl peroxide topical (BEN zoyl per OX ide)

Brand Names: Acne Treatment, Acne-Clear, Benzac AC, Benzac W, Benzashave 10, Benzashave 5, BenzEFoam, Benziq, Benziq Wash, BPO Foaming Cloths, Brevoxyl, Brevoxyl Acne Wash Kit, Brevoxyl-4 Creamy Wash Complete Pack, Brevoxyl-8 Creamy Wash Complete Pack, Breze, Clearplex, Clearskin, Clinac BPO, Desquam-E, Desquam-X 10, Desquam-X 5, Desquam-X Wash, Fostex Bar 10%, Fostex Gel 10%, Fostex Wash 10%, Inova, Lavoclen-4, Lavoclen-8, Loroxide, NeoBenz Micro, Neutrogena Acne Mask, Neutrogena On Spot Acne Treatment, Oscion, Oscion Cleanser, Oxy 10 Balance, Oxy Balance, Oxy Daily Wash Chill Factor, Oxy-10, Pacnex, PanOxyl, Panoxyl 10, Panoxyl 5, Panoxyl Aqua Gel, PanOxyl Maximum Strength Foaming Acne Wash, Persa-Gel, Seba-Gel, SoluCLENZ Rx, Triaz, Triaz Cleanser, Zaclir

What is NeoBenz Micro SD (benzoyl peroxide topical)?

Benzoyl peroxide has an antibacterial effect. It also has a mild drying effect, which allows excess oils and dirt to be easily washed away from the skin.

Benzoyl peroxide topical (for the skin) is used to treat acne.

Benzoyl peroxide topical may also be used for purposes not listed in this medication guide.

What is the most important information I should know about NeoBenz Micro SD (benzoyl peroxide topical)?

There are many brands and forms of benzoyl peroxide available and not all brands are listed on this leaflet.

Do not use benzoyl peroxide topical while you are also using tretinoin (Altinac, Avita, Renova, Retin-A, Tretin-X). Using these medications together could cause severe skin irritation.

Use this medication exactly as directed on the label, or as prescribed by your doctor. Do not use it in larger amounts or for longer than recommended.

Avoid getting this medication in your mouth or eyes. If it does get into any of these areas, rinse with water. Do not use benzoyl peroxide topical on sunburned, windburned, dry, chapped, irritated, or broken skin. Also avoid using benzoyl peroxide topical on wounds or on areas of eczema. Wait until these conditions have healed before using this medication.

Avoid using skin products that can cause irritation, such as harsh soaps, shampoos, or skin cleansers, hair coloring or permanent chemicals, hair removers or waxes, or skin products with alcohol, spices, astringents, or lime. Do not use other medicated skin products unless your doctor has told you to.

Benzoyl peroxide may bleach hair or fabrics. Avoid allowing this medication to come into contact with your hair or clothing.

It may take several weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve.

What should I discuss with my healthcare provider before using NeoBenz Micro SD (benzoyl peroxide topical)?

Do not use benzoyl peroxide topical while you are also using tretinoin (Altinac, Avita, Renova, Retin-A, Tretin-X). Using these medications together could cause severe skin irritation. FDA pregnancy category C. It is not known whether benzoyl peroxide topical will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. It is not known whether benzoyl peroxide 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.

How should I use NeoBenz Micro SD (benzoyl peroxide topical)?

Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.

Wash your hands before and after applying this medication. Shake the lotion well just before each use.

Clean and pat dry the skin to be treated. Apply benzoyl peroxide in a thin layer and rub in gently.

Do not cover the treated skin area unless your doctor has told you to.

Benzoyl peroxide topical is usually applied one to three times daily. Follow your doctor's instructions.

Benzoyl peroxide may bleach hair or fabrics. Avoid allowing this medication to come into contact with your hair or clothing.

It may take several weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve.

Store at room temperature away from moisture and heat.

What happens if I miss a dose?

Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while using NeoBenz Micro SD (benzoyl peroxide topical)?

Avoid getting this medication in your mouth or eyes. If it does get into any of these areas, rinse with water. Do not use benzoyl peroxide topical on sunburned, windburned, dry, chapped, irritated, or broken skin. Also avoid using benzoyl peroxide topical on wounds or on areas of eczema. Wait until these conditions have healed before using this medication.

Avoid using skin products that can cause irritation, such as harsh soaps, shampoos, or skin cleansers, hair coloring or permanent chemicals, hair removers or waxes, or skin products with alcohol, spices, astringents, or lime. Do not use other medicated skin products unless your doctor has told you to.

Avoid using sunscreen containing PABA on the same skin treated with benzoyl peroxide, or skin discoloration may occur.

NeoBenz Micro SD (benzoyl peroxide topical) 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. Stop using benzoyl peroxide and call your doctor at once if you have severe stinging or burning of your skin.

Less serious side effects may include:

• 
  

  mild stinging or burning;

  
  


• 
  

  itching or tingly feeling;

  
  


• 
  

  skin dryness, peeling, or flaking; or

  
  


• 
  

  redness or other irritation.

  
  

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect NeoBenz Micro SD (benzoyl peroxide topical)?

It is not likely that other drugs you take orally or inject will have an effect on topically applied benzoyl peroxide topical. But many drugs can interact with each other. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

More NeoBenz Micro SD resources

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

• Acne Treatment Cream MedFacts Consumer Leaflet (Wolters Kluwer)


• BenzEFoam Foam MedFacts Consumer Leaflet (Wolters Kluwer)


• Benzac Topical Advanced Consumer (Micromedex) - Includes Dosage Information


• Benzac AC Wash MedFacts Consumer Leaflet (Wolters Kluwer)


• Benzefoam Prescribing Information (FDA)


• Benzefoam Ultra Prescribing Information (FDA)


• Brevoxyl Gel MedFacts Consumer Leaflet (Wolters Kluwer)


• Brevoxyl Creamy Wash Prescribing Information (FDA)


• Desquam-X Wash Prescribing Information (FDA)


• Inova Pads MedFacts Consumer Leaflet (Wolters Kluwer)


• NeoBenz Micro Wash Plus Pack Cream MedFacts Consumer Leaflet (Wolters Kluwer)


• Neobenz Micro SD Prescribing Information (FDA)


• Neobenz Micro Wash Plus Pack Prescribing Information (FDA)


• Oxy Balance Topical Advanced Consumer (Micromedex) - Includes Dosage Information


• Pacnex LP Prescribing Information (FDA)


• PanOxyl Bar MedFacts Consumer Leaflet (Wolters Kluwer)


• Triaz Cloths MedFacts Consumer Leaflet (Wolters Kluwer)


• Triazolam Monograph (AHFS DI)

Compare NeoBenz Micro SD with other medications

• Acne
• Perioral Dermatitis

Where can I get more information?

• Your pharmacist can provide more information about benzoyl peroxide topical.

See also: NeoBenz Micro SD side effects (in more detail)

Namenda Solution

Pronunciation: me-MAN-teen
Generic Name: Memantine
Brand Name: Namenda

Namenda Solution is used for:

Treating moderate to severe Alzheimer-type dementia. It may also be used for other conditions as determined by your doctor.

Namenda Solution is an N-methyl-D-aspartate (NMDA)-receptor antagonist. It works by blocking excess activity of a substance in the brain called glutamate, which may reduce the symptoms associated with Alzheimer disease. Namenda Solution is not a cure for Alzheimer disease.

Do NOT use Namenda Solution if:

• you are allergic to any ingredient in Namenda Solution

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

Before using Namenda Solution:

Some medical conditions may interact with Namenda Solution. 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 liver problems, kidney problems, seizures, or a condition that raises your urine pH balance (eg, urinary tract infection)

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

• Amantadine, carbonic anhydrase inhibitors (eg, acetazolamide), dextromethorphan, ketamine, or sodium bicarbonate because they may increase the risk of Namenda Solution's side effects

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

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

• An extra patient leaflet is available with Namenda Solution. Talk to your pharmacist if you have questions about this information.


• Take Namenda Solution by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.


• Use the measuring device marked for medicine dosing that came with Namenda Solution. Ask your pharmacist for help if you are unsure of how to measure your dose.


• If you miss a dose of Namenda Solution, 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 Namenda Solution.

Important safety information:

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


• Do NOT take more than the recommended dose without checking with your doctor.


• Namenda Solution 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 Namenda Solution while you are pregnant. It is not known if Namenda Solution is found in breast milk. If you are or will be breast-feeding while you use Namenda Solution, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Namenda Solution:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Back pain; constipation; diarrhea; dizziness; drowsiness; headache; pain; weight gain.

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

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); change in behavior, such as aggressiveness, depression, or anxiety; chest pain or tightness; fainting; hallucinations; one-sided weakness; seizures; severe tiredness; speech changes; sudden, severe headache; vision changes.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Namenda side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include confusion; loss of consciousness; mental or mood changes; restlessness; seeing things that are not there (hallucinations); severe drowsiness or dizziness; slow heartbeat; sluggishness; unsteadiness; unusual tiredness or weakness.

Proper storage of Namenda Solution:

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

General information:

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


• Namenda Solution is to be used only by the patient for whom it is prescribed. Do not share it with other people.


• If your symptoms do not improve or if they become worse, check with your doctor.


• Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Namenda Solution. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Namenda resources

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

Compare Namenda with other medications

• Alzheimer's Disease

naphazoline ophthalmic

Generic Name: naphazoline ophthalmic (na FAZ oh leen)

Brand names: AK-Con, Albalon, Allerest Eye Drops, Clear Eyes, Degest 2, Estivin II, Nafazair, Naphcon, Naphcon Forte, VasoClear, Vasocon, Allersol, Ocu-Zoline, Redness Relief Eye Drops, Clear Eyes + Redness Relief

What is naphazoline ophthalmic?

Naphazoline ophthalmic causes constriction of blood vessels in the eyes. It also decreases itching and irritation of the eyes.

Naphazoline ophthalmic is used to relieve redness, burning, irritation, and dryness of the eye caused by wind, sun, and other minor irritants.

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

What is the most important information I should know about naphazoline ophthalmic?

Do not touch the dropper to any surface, including the eyes or hands. The dropper is sterile. If it becomes contaminated, it could cause an infection in the eye.

If you wear contact lenses, remove them before applying naphazoline ophthalmic. Ask your doctor if contact lenses can be reinserted after application of the medication. Naphazoline ophthalmic may contain a preservative (benzalkonium chloride), which may cause discoloration of contact lenses.

Do not use naphazoline ophthalmic more often or continuously for longer than 48 to 72 hours without consulting a doctor. Chronic use of this medication may damage the blood vessels (veins and arteries) in the eyes. Consult a doctor if your symptoms do not improve or appear to worsen.

What should I discuss with my healthcare provider before using naphazoline ophthalmic?

Do not use naphazoline ophthalmic if you have glaucoma, except under the supervision of your doctor.

Before using this medication, tell your doctor if you

• 
  

  have any type of heart condition, including high blood pressure;

  
  


• 
  

  take any medicines to treat a heart condition;

  
  


• 
  

  have asthma;

  
  


• 
  

  have diabetes; or

  
  


• 
  

  have thyroid problems.

  
  

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

If you wear contact lenses, remove them before applying naphazoline ophthalmic. Ask your doctor if contact lenses can be reinserted after application of the medication. Naphazoline ophthalmic may contain a preservative (benzalkonium chloride), which may cause discoloration of contact lenses.

Naphazoline ophthalmic is in the FDA pregnancy category C. This means that it is not known whether naphazoline ophthalmic will be harmful to an unborn baby. Do not use this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment. It is not known whether naphazoline passes into breast milk. Do not use naphazoline ophthalmic without first talking to your doctor if you are breast-feeding a baby.

How should I use naphazoline ophthalmic?

Use naphazoline eye drops exactly as directed by your doctor, or follow the directions that accompany the package. If you do not understand these instructions, ask your doctor, pharmacist, or nurse to explain them to you.

Wash your hands before and after using the eye drops.

To apply the eye drops:

If you wear contact lenses, remove them before applying naphazoline ophthalmic. Ask your doctor if contact lenses can be reinserted after application of the medication. Naphazoline ophthalmic may contain a preservative (benzalkonium chloride), which may cause discoloration of contact lenses.

• 
  

  Tilt the head back slightly and pull down on the lower eyelid. Position the dropper above the eye. Look up and away from the dropper. Squeeze out a drop and close the eye. Apply gentle pressure to the inside corner of the eye (near the nose) for about 1 minute to prevent the liquid from draining down your tear duct. Repeat the process in the other eye if needed..

  
  

Do not use naphazoline ophthalmic more often or continuously for longer than 48 to 72 hours without consulting a doctor. Chronic use of this medication may damage the blood vessels (veins and arteries) in the eyes. Consult a doctor if your symptoms do not improve or appear to worsen. Do not touch the dropper to any surface, including the eyes or hands. The dropper is sterile. If it becomes contaminated, it could cause an infection in the eye. Do not use any eye drop that is discolored or has particles in it. Store naphazoline ophthalmic at room temperature away from moisture and heat. Keep the bottle properly capped.

What happens if I miss a dose?

Apply the missed dose as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the missed dose and apply the next one as directed. Do not use a double dose of this medication.

What happens if I overdose?

An overdose of this medication is unlikely to be harmful. If you do suspect an overdose, or if the drops have been ingested (taken by mouth), contact an emergency room or poison control center for advice.

What should I avoid while using naphazoline ophthalmic?

Do not touch the dropper to any surface, including the eyes or hands. The dropper is sterile. If it becomes contaminated, it could cause an infection in the eye.

If you wear contact lenses, remove them before applying naphazoline ophthalmic. Ask your doctor if contact lenses can be reinserted after application of the medication. Naphazoline ophthalmic may contain a preservative (benzalkonium chloride), which may cause discoloration of contact lenses.

Do not use naphazoline ophthalmic more often or continuously for longer than 48 to 72 hours without consulting a doctor. Chronic use of this medication may damage the blood vessels (veins and arteries) in the eyes. Consult a doctor if your symptoms do not improve or appear to worsen.

Naphazoline ophthalmic side effects

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

• 
  

  an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, face, or tongue; or hives);

  
  


• 
  

  an irregular or fast heart rate; or

  
  


• 
  

  high blood pressure (severe headache, blurred vision, or flushed skin).

  
  

Other, less serious side effects may be more likely to occur. Continue to use naphazoline ophthalmic and talk to your doctor if you experience

• 
  

  burning, stinging, pain, or increased redness of the eye;

  
  


• 
  

  tearing or blurred vision;

  
  


• 
  

  headache;

  
  


• 
  

  tremor;

  
  


• 
  

  nausea;

  
  


• 
  

  sweating;

  
  


• 
  

  nervousness;

  
  


• 
  

  dizziness; or

  
  


• 
  

  drowsiness.

  
  

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect naphazoline ophthalmic?

Do not use other eye medications during treatment with naphazoline ophthalmic except under the direction of your doctor.

Although drug interactions between naphazoline ophthalmic and drugs taken by mouth are not expected, they can occur. Before using this medication, tell your doctor if you are taking any of the following medicines:

• 
  

  a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), tranylcypromine (Parnate), or phenelzine (Nardil); or

  
  


• 
  

  a beta-blocker such as propranolol (Inderal), metoprolol (Lopressor, Toprol XL), or labetalol (Normodyne, Trandate).

  
  

You may not be able to use naphazoline ophthalmic, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.

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

More naphazoline ophthalmic resources

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

• AK-Con Advanced Consumer (Micromedex) - Includes Dosage Information


• Albalon Prescribing Information (FDA)


• Clear Eyes Drops MedFacts Consumer Leaflet (Wolters Kluwer)


• Naphcon Drops MedFacts Consumer Leaflet (Wolters Kluwer)


• Naphcon Prescribing Information (FDA)


• Naphcon Forte Prescribing Information (FDA)


• Vasocon Prescribing Information (FDA)

Compare naphazoline ophthalmic with other medications

• Eye Dryness/Redness
• Eye Redness/Itching

Where can I get more information?

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

neomycin Topical

nee-oh-MYE-sin

Available Dosage Forms:

• Cream


• Ointment

Therapeutic Class: Antibacterial

Chemical Class: Aminoglycoside

Uses For neomycin

Neomycin belongs to the family of medicines called antibiotics. Neomycin topical preparations are used to help prevent infections of the skin. neomycin may be used for other problems as determined by your doctor.

Neomycin topical preparations are available without a prescription.

Before Using neomycin

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For neomycin, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to neomycin or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Studies on neomycin have been done only in adult patients, and there is no specific information comparing use of topical neomycin in children with use in other age groups.

Geriatric

Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults or if they cause different side effects or problems in older people. There is no specific information comparing use of topical neomycin in the elderly with use in other age groups.

Pregnancy

	Pregnancy Category	Explanation
All Trimesters	D	Studies in pregnant women have demonstrated a risk to the fetus. However, the benefits of therapy in a life threatening situation or a serious disease, may outweigh the potential risk.

Breast Feeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Proper Use of neomycin

If you are using neomycin without a prescription, do not use it to treat deep wounds, puncture wounds, serious burns, or raw areas without first checking with your health care professional.

Do not use neomycin in the eyes.

Before applying neomycin, wash the affected area with soap and water, and dry thoroughly.

For patients using the cream form of neomycin:

• Apply a generous amount of cream to the affected area, and rub in gently until the cream disappears.

For patients using the ointment form of neomycin:

• Apply a generous amount of ointment to the affected area, and rub in gently.

After neomycin is applied, the treated area may be covered with a gauze dressing if desired.

To help clear up your infection completely, keep using neomycin for the full time of treatment, even if your symptoms have disappeared. Do not miss any doses.

Dosing

The dose of neomycin will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of neomycin. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For topical dosage forms (cream or ointment):
  
  • For minor bacterial skin infections:
    
    • Adults and children—Apply to the affected area(s) of the skin one to three times a day.
    
    
  
  

Missed Dose

If you miss a dose of neomycin, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Precautions While Using neomycin

If your skin problem does not improve within 1 week, or if it becomes worse, check with your health care professional.

neomycin Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

• Itching, rash, redness, swelling, or other sign of skin irritation not present before use of neomycin

Rare

• Any loss of hearing

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.

More neomycin Topical resources

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

Compare neomycin Topical with other medications

• Skin and Structure Infection

Nimotop

Generic Name: nimodipine (nih MO dih peen)

Brand Names: Nimotop

What is Nimotop (nimodipine)?

Nimodipine is in a group of drugs called calcium channel blockers. Nimodipine relaxes (widens) blood vessels and improves blood flow.

Nimodipine is used to prevent brain damage caused by reduced blood flow to the brain resulting from aneurysm (AN-yor-iz-m), a dilated or ruptured blood vessel in the brain.

Nimodipine may also be used for purposes other than those listed here.

What is the most important information I should know about Nimotop (nimodipine)?

Before taking nimodipine, tell your doctor if you have liver disease, low blood pressure, high blood pressure (hypertension) for which you take medicine, or a history of heart problems such as a slow heart rate, congestive heart failure, or heart attack.

Nimodipine gel capsules are to be taken by mouth only. The medicine in the capsule should never be placed into a needle and syringe and injected into a vein. If the person taking nimodipine cannot swallow the capsule, use a needle to make a hole in each end of the capsule, and squeeze the medicine out into an oral syringe. The syringe can then be used to give the medicine through a nasogastric (through the nose and into the stomach) tube.

If you are able to swallow capsules, take nimodipine on an empty stomach, one hour before or two hours after meals. Avoid drinking alcohol while you are taking nimodipine. Alcohol and nimodipine may cause low blood pressure, drowsiness, or dizziness. Do not stop taking nimodipine without first talking to your doctor, even if you begin to feel better. If you stop taking the medication, your condition could become worse.

What should I discuss with my healthcare provider before taking Nimotop (nimodipine)?

Before taking nimodipine, tell your doctor if you have:

• liver disease;


• 
  

  low blood pressure;

  
  


• 
  

  high blood pressure for which you take medication; or

  
  


• 
  

  a history of heart problems such as a slow heart rate, congestive heart failure, or heart attack.

  
  

If you have any of these conditions, you may not be able to use nimodipine, or you may need a dosage adjustment or special tests during treatment.

FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known if nimodipine passes into breast milk or if it could harm a nursing infant. Do not take nimodipine without telling your doctor if you are breast-feeding a baby. If you are over 65 years of age, you may be more likely to have side effects from nimodipine. Your doctor may prescribe a lower dose of this medication.

How should I take Nimotop (nimodipine)?

Take nimodipine exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor.

Nimodipine gel capsules are to be taken by mouth only. The medicine in the capsule should never be placed into a needle and syringe and injected into a vein. If the person taking nimodipine cannot swallow the capsule, use a needle to make a hole in each end of the capsule, and squeeze the medicine out into an oral syringe. The syringe can then be used to give the medicine through a nasogastric (through the nose and into the stomach) tube.

If you are able to swallow capsules, take nimodipine on an empty stomach, one hour before or two hours after meals. Take each dose with a full glass of water.

It is important to take nimodipine regularly to get the most benefit.

Do not stop taking nimodipine without first talking to your doctor, even if you begin to feel better. If you stop taking the medication, your condition could become worse.

To be sure this medication is helping your condition, your blood pressure will need to be tested on a regular basis. Your liver function may also need to be tested. It is important that you not miss any scheduled visits to your doctor.

Store nimodipine at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.

Symptoms of a nimodipine overdose may include dizziness, weakness, chest pain, shortness of breath, fainting, an unusually fast or slow heartbeat, slurred speech, confusion, or coma.

What should I avoid while taking Nimotop (nimodipine)?

Avoid drinking alcohol while you are taking nimodipine. Alcohol and nimodipine may cause low blood pressure, drowsiness, or dizziness.

Nimotop (nimodipine) 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. Stop using nimodipine and call your doctor at once if you have any of these serious side effects:

• 
  

  unusually fast or slow heartbeats;

  
  


• 
  

  fainting or severe dizziness;

  
  


• 
  

  easy bruising or bleeding, unusual weakness;

  
  


• 
  

  swelling in your legs or ankles.

  
  

Other, less serious side effects may be more likely. Continue taking nimodipine and talk to your doctor if you have any of these less serious side effects:

• 
  

  mild dizziness;

  
  


• 
  

  flushing (redness, warmth, or tingling feeling);

  
  


• 
  

  headache;

  
  


• 
  

  nausea, constipation; or

  
  


• 
  

  sweating.

  
  

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Nimotop (nimodipine)?

There may be other drugs that can affect nimodipine, resulting in side effects and/or reduced effectiveness. 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.

More Nimotop resources

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

• Nimotop Prescribing Information (FDA)


• Nimotop MedFacts Consumer Leaflet (Wolters Kluwer)


• Nimotop Monograph (AHFS DI)


• Nimotop Advanced Consumer (Micromedex) - Includes Dosage Information


• Nimodipine Prescribing Information (FDA)


• Nimodipine Professional Patient Advice (Wolters Kluwer)

Compare Nimotop with other medications

• Ischemic Stroke
• Migraine Prevention
• Subarachnoid Hemorrhage

Where can I get more information?

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

See also: Nimotop side effects (in more detail)

Nalmefene Hydrochloride

Class: Opiate Antagonists
VA Class: CN102
Chemical Name: (5α)-17-(Cyclopropylmethyl)-4,5-epoxy-6-methylene-morphinan-3,14-diol hydrochloride
Molecular Formula: C₂₁H₂₅NO₃•HCl
CAS Number: 58895-64-0
Brands: Revex

Introduction

Synthetic opiate antagonist.¹

Uses for Nalmefene Hydrochloride

Postoperative Opiate Depression

Treatment of opiate-induced depression, including respiratory depression, caused by natural and synthetic opiates.¹

Opiate Overdosage

Management of known or suspected opiate overdosage.¹

Nalmefene Hydrochloride Dosage and Administration

Administration

Principally administered by IV injection; can be administered by IM or sub-Q injection if venous access cannot be established.^a

For reversal of postoperative opiate depression, administer blue-labeled commercially available injection containing 100 mcg/mL nalmefene.^a

For management of known or suspected opiate overdose, administer green-labeled commercially available injection containing 1 mg/mL nalmefene.^a

Proper steps should be taken to prevent use of incorrect concentration of injection.^a

IV Administration

Administer as an IV bolus.^a

Dilution

When used for treatment of postoperative opiate-induced depression in patients with increased cardiovascular risk, it may be desirable to dilute to a final ratio of 1:1 in 0.9% sodium chloride injection or sterile water for injection.¹ (See Cardiovascular Disease under Cautions.)

Dosage

Available as nalmefene hydrochloride; dosage expressed in terms of nalmefene.¹

Titrate dosage to reverse opiate-induced effects; when adequate opiate reversal has been established, additional doses of nalmefene are not required and may cause unwanted reversal of analgesia or precipitate withdrawal.^a

Adults

Postoperative Opiate Depression

IV

Initially, 0.25 mcg/kg given at 2- to 5-minute intervals until the desired response is obtained.¹

Weight-based Initial Dosage in Postoperative Patients a

Patient Weight	Initial Dosage (0.25 mcg/kg)	Volume of Nalmefene 100 mcg/mL Solution (Blue-label) to Administer
50 kg	12.5 mcg	0.125 mL
60 kg	15 mcg	0.15 mL
70 kg	17.5 mcg	0.175 mL
80 kg	20 mcg	0.2 mL
90 kg	22.5 mcg	0.225 mL
100 kg	25 mcg	0.25 mL

Cumulative total dosage >1 mcg/kg does not provide additional therapeutic effect.¹

Patients at increased cardiovascular risk: Initially, 0.1 mcg/kg given at 2- to 5- minute intervals until desired response is obtained.¹

Opiate Overdosage

IV

Opiate naive patients: Initially, 7.14 mcg/kg (0.5 mg/70 kg), followed by a second dose of 14.29 mcg/kg (1 mg/70 kg) 2–5 minutes later, if necessary.¹

If no response is observed after a total dose of 21.43 mcg/kg (1.5 mg/70 kg), additional doses are unlikely to provide therapeutic effect.¹

Patients suspected of opiate dependency: Initially, 1.43 mcg/kg (100 mcg/70 kg).¹ If no withdrawal is observed within 2 minutes, 7.14 mcg/kg (0.5 mg/70 kg), followed by 14.29 mcg/kg (1 mg/70 kg) 2–5 minutes later, if necessary;¹ observe closely for withdrawal symptoms.^a

If recurrence of respiratory depression occurs, titrate dosage incrementally to response to avoid over-reversal.¹

Prescribing Limits

Adults

Postoperative Opiate Depression

IV

Cumulative dosage >1 mcg/kg does not provide additional therapeutic effect.¹

Opiate Overdosage

IV

Cumulative dosages ≥21.43 mcg/kg (1.5 mg/70 kg) unlikely to increase therapeutic response.¹

Special Populations

Hepatic Impairment

Decreased clearance; however, dosage adjustment not required.^a

Renal Impairment

Decreased clearance.^a Dosage adjustment not required, however, administer incremental doses slowly (e.g., over 60 seconds) to minimize hypertension and dizziness associated with rapid administration in such patients.¹

Geriatric Patients

Dosage adjustment not required.^a

Cautions for Nalmefene Hydrochloride

Contraindications

• 
  

  Known hypersensitivity to nalmefene or any ingredient in the formulation.^a

  
  

Warnings/Precautions

Warnings

Additional Resuscitative Measures

When used in emergency settings, other resuscitative measures (e.g., maintenance of an adequate airway, artificial respiration, administration of oxygen, vasopressor agents) should be readily available and used first when necessary.^a

Respiratory Depression

Risk of recurrent respiratory depression in postoperative and overdose patients after initial response to nalmefene.^a

Carefully monitor patients who have responded to nalmefene since the duration of action of some opiates (e.g., methadone and levo-alpha-acetylmethadol [LAAM]) may exceed that of nalmefene; monitor patients until there is no reasonable risk of recurrent respiratory depression.^a

General Precautions

Cardiovascular Disease

Serious adverse cardiovascular effects (e.g., VT and VF, pulmonary edema, hypertension, hypotension, cardiovascular instability) reported in postoperative patients and in emergency department settings following administration of nalmefene; may be associated with excessive doses.^a

Use with caution in patients with preexisting cardiovascular disease or in those receiving potentially cardiotoxic drugs.^a Reduced dosage recommended in postoperative patients at high risk for cardiovascular complications.^a (See Adults under Dosage and Administration.)

Precipitation of Withdrawal

Possible precipitation of acute withdrawal symptoms.^a Use with extreme caution in patients with known physical dependence on opiates or following surgery involving high doses of opiates.^a

Observe patients suspected of opiate dependency for symptoms of withdrawal following initial and subsequent nalmefene injections.^a

Incomplete Reversal of Buprenorphine

Incomplete reversal of buprenorphine-induced analgesia reported in animal models; therefore, nalmefene may not completely reverse buprenorphine-induced respiratory depression.^a

Seizures

Possible risk of seizures.^a

Specific Populations

Pregnancy

Category B.^a

Lactation

Distributed into milk in rats; not known whether distributed into human milk.^a Use caution.^a

Pediatric Use

Safety and efficacy not established in children <18 years of age.^{1 a}

Safety and efficacy not established in neonates, however, nalmefene may be used in the resuscitation of neonates when benefits outweigh the risks.^a

Geriatric Use

Insufficient experience in patients ≥65 years of age to determine whether geriatric patients respond differently than younger adults.^a (See Special Populations under Pharmacokinetics.)

Select dosage with caution because of age-related decreases in hepatic, renal, and/or cardiac function and potential for concomitant disease and drug therapy.^a

Hepatic Impairment

Decreased clearance; however, dosage adjustments not recommended because nalmefene is administered as an acute course of therapy.^a

Renal Impairment

Decreased clearance; administer dosages slowly to minimize adverse effects.^a (See Renal Impairment under Dosage and Administration.)

Common Adverse Effects

Nausea, vomiting, tachycardia, hypertension.^a

Interactions for Nalmefene Hydrochloride

Specific Drugs

Drug	Interaction	Comments
Anesthetics, inhalational	No deleterious interactions observed when nalmefene was administered after inhalation anestheticsa
Benzodiazepines	No deleterious interactions observed when nalmefene was administered after benzodiazepinesa
Flumazenil	Risk of seizuresa
Skeletal muscle relaxants	No deleterious interactions observed when nalmefene was administered after skeletal muscle relaxantsa
Skeletal muscle relaxant antagonists	No deleterious interactions observed when nalmefene was administered after skeletal muscle relaxant antagonists and general anesthesiaa

Nalmefene Hydrochloride Pharmacokinetics

Absorption

Bioavailability

Completely absorbed following IM or sub-Q administration; mean bioavailability is about 101.5% and 99.7%, respectively.^a

Onset

Therapeutic plasma concentrations occurred 5–15 minutes following administration of a single IM or sub-Q dose.^a

Duration

Duration of opiate antagonist activity is variable and depends on the dose, the half-life and plasma concentration of opiate being reversed, the presence or absence of other drugs affecting the brain or muscles of respiration, and the dose of nalmefene being administered.^a

Effects persist for not >30–60 minutes following administration of a partial reversing dose (i.e., 1 mcg/kg).^a Effects may persist for several hours following administration of a full reversing dose (i.e., 1 mg/70 kg).^a

Distribution

Extent

Rapidly distributed following IV administration, with 80% of brain opiate receptors blocked within 5 minutes of administration.^a

Distributed into milk in rats; not known whether distributed into human milk.^a

Plasma Protein Binding

45%.^a

Elimination

Metabolism

Metabolized in the liver, primarily by glucuronide conjugation to nalmefene glucuronide, an inactive metabolite.^a

Elimination Route

Excreted principally in urine, mainly as metabolites, and in feces (17%).^a

Half-life

Biphasic; terminal half-life is approximately 10.8 hours.^a

Special Populations

In patients with end-stage renal disease, clearance of nalmefene is reduced by 25–27% compared with that in healthy adults and half-life is increased to around 26.1 hours.^a

In patients with hepatic impairment, clearance of nalmefene is reduced by 28.3%.^a

In geriatric patients, no substantial differences in clearance, steady-state volume of distribution, or half-life relative to younger adults.^a

Stability

Storage

Parenteral

Injection

15–30 ºC.^a

ActionsActions

• 
  

  A long-acting opiate antagonist.^{1 a}

  
  


• 
  

  Antagonizes the effects of opiates (e.g., respiratory depression, sedation, hypotension).^a

  
  


• 
  

  In patients who have not recently received opiates, nalmefene exerts no pharmacologic effect.^a

  
  


• 
  

  Does not produce tolerance, physical dependence, or have abuse potential.^a May precipitate acute withdrawal in individuals physically dependent on opiates.^a

  
  

Advice to Patients

• 
  

  Importance of informing clinicians of existing or contemplated concomitant therapy, including prescription and OTC drugs as well as any concomitant illnesses. ^a

  
  


• 
  

  Importance of women informing clinicians if they are or plan to become pregnant or plan to breast-feed. ^a

  
  


• 
  

  Importance of informing patients of other important precautionary information. (See Cautions.)

  
  

Preparations

Excipients in commercially available drug preparations may have clinically important effects in some individuals; consult specific product labeling for details.

Nalmefene Hydrochloride

Routes	Dosage Forms	Strengths	Brand Names	Manufacturer
Parenteral	Injection	100 mcg (of nalmefene) per mL	Revex	Baxter
		1 mg (of nalmefene) per mL	Revex	Baxter

Disclaimer

This report on medications is for your information only, and is not considered individual patient advice. Because of the changing nature of drug information, please consult your physician or pharmacist about specific clinical use.

The American Society of Health-System Pharmacists, Inc. and Drugs.com represent that the information provided hereunder was formulated with a reasonable standard of care, and in conformity with professional standards in the field. The American Society of Health-System Pharmacists, Inc. and Drugs.com make no representations or warranties, express or implied, including, but not limited to, any implied warranty of merchantability and/or fitness for a particular purpose, with respect to such information and specifically disclaims all such warranties. Users are advised that decisions regarding drug therapy are complex medical decisions requiring the independent, informed decision of an appropriate health care professional, and the information is provided for informational purposes only. The entire monograph for a drug should be reviewed for a thorough understanding of the drug's actions, uses and side effects. The American Society of Health-System Pharmacists, Inc. and Drugs.com do not endorse or recommend the use of any drug. The information is not a substitute for medical care.

AHFS Drug Information. © Copyright, 1959-2011, Selected Revisions February 2008. American Society of Health-System Pharmacists, Inc., 7272 Wisconsin Avenue, Bethesda, Maryland 20814.

References

1. Ohmeda Pharmaceuticals. Revex (nalmefene hydrochloride) injection prescribing information. Library Corner, NJ; 1996 Mar.

a. Baxter Healthcare Corporation. Revex (nalmefene hydrochloride) injection prescribing information. Decatur, IL; 2006 May.

b. Baxter Healthcare Corporation, Round Lake; IL: Personal communication.

More Nalmefene Hydrochloride resources

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

Compare Nalmefene Hydrochloride with other medications

• Opioid Overdose
• Reversal of Opioid Sedation

nitroglycerin Intravenous

nye-troe-GLIS-er-in

Commonly used brand name(s)

In the U.S.

• Nitro-Bid

Available Dosage Forms:

• Solution


• Kit


• Injectable

Therapeutic Class: Coronary Vasodilator

Chemical Class: Nitrate

Uses For nitroglycerin

Nitroglycerin injection is used to treat hypertension (high blood pressure) during surgery or to control congestive heart failure in patients who have had a heart attack. It may also be used to produce hypotension (low blood pressure) during surgery. Nitroglycerin injection is sometimes used to treat angina (chest pain) in patients who have been treated with other medicines that did not work well.

Nitroglycerin injection belongs to the group of medicines called nitrates. It works by relaxing the blood vessels and increasing the supply of blood and oxygen to the heart while reducing its work load.

nitroglycerin is available only with your doctor's prescription.

Before Using nitroglycerin

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For nitroglycerin, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to nitroglycerin or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies have not been performed on the relationship of age to the effects of nitroglycerin injection in the pediatric population. Safety and efficacy have not been established.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of nitroglycerin injection in the elderly. However, elderly patients are more likely to have age-related liver, kidney, or heart problems, which may require caution and an adjustment in the dose for patients receiving nitroglycerin injection.

Pregnancy

	Pregnancy Category	Explanation
All Trimesters	C	Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

Breast Feeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are receiving nitroglycerin, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using nitroglycerin with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

• Sildenafil


• Tadalafil


• Vardenafil

Using nitroglycerin with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

• Alteplase, Recombinant


• Heparin

Using nitroglycerin with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

• Acetylcysteine


• Aspirin


• Dihydroergotamine


• Pancuronium

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Other Medical Problems

The presence of other medical problems may affect the use of nitroglycerin. Make sure you tell your doctor if you have any other medical problems, especially:

• Constrictive pericarditis (a heart disease) or


• Pericardial tamponade (a heart disease) or


• Restrictive cardiomyopathy (a heart disease)—Should not be used in patients with these conditions.

• Hypertrophic cardiomyopathy (a heart disease) or


• Hypotension (low blood pressure) or


• Hypovolemia (low amount of blood)—Use with caution. May make these conditions worse.

Proper Use of nitroglycerin

A nurse or other trained health professional will give you nitroglycerin in a hospital. nitroglycerin is given through a needle placed in one of your veins.

Precautions While Using nitroglycerin

It is very important that your doctor check your progress closely while you are receiving nitroglycerin to make sure it is working properly.

Do not take sildenafil (Viagra®), tadalafil (Cialis®), or vardenafil (Levitra®) while you are using nitroglycerin. Using these medicines together may cause blurred vision, dizziness, lightheadedness, or fainting. If you are taking these medicines and you experience an angina attack, you must go to the hospital right away.

Dizziness, lightheadedness, or faintness may occur, especially when you get up quickly from a lying or sitting position. Getting up slowly may help.

nitroglycerin may cause headaches. These headaches are a sign that the medicine is working. If you have severe pain, talk with your doctor.

nitroglycerin Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor or nurse immediately if any of the following side effects occur:

Rare

• Bluish-colored lips, fingernails, or palms


• dark urine


• difficulty with breathing


• dizziness or lightheadedness


• fever


• headache


• pale skin


• rapid heart rate


• shortness of breath


• sore throat


• unusual bleeding or bruising


• unusual tiredness or weakness

Incidence not known

• Arm, back, or jaw pain


• blurred vision


• chest pain or discomfort


• chest tightness or heaviness


• confusion


• dizziness, faintness, or lightheadedness when getting up from a lying or sitting position suddenly


• fainting


• fast or irregular heartbeat


• sweating

Get emergency help immediately if any of the following symptoms of overdose occur:

Symptoms of overdose

• Blurred or loss of vision


• bulging soft spot on the head of an infant


• change in consciousness


• change in the ability to see colors, especially blue or yellow


• cold, clammy skin


• convulsions


• disturbed color perception


• double vision


• feeling of constant movement of self or surroundings


• flushed skin


• halos around lights


• headache, severe and throbbing


• increased sweating


• loss of appetite


• loss of consciousness


• nausea or vomiting


• night blindness


• overbright appearance of lights


• paralysis


• sensation of spinning


• slow or irregular heartbeat


• tunnel vision


• wheezing

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

See also: nitroglycerin Intravenous side effects (in more detail)

The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.

More nitroglycerin Intravenous resources

• Nitroglycerin Intravenous Side Effects (in more detail)
• Nitroglycerin Intravenous Use in Pregnancy & Breastfeeding
• Drug Images
• Nitroglycerin Intravenous Drug Interactions
• Nitroglycerin Intravenous Support Group
• 6 Reviews for Nitroglycerin Intravenous - Add your own review/rating

Compare nitroglycerin Intravenous with other medications

• Anal Fissure and Fistula
• Angina
• Angina Pectoris Prophylaxis
• Heart Attack
• Heart Failure
• High Blood Pressure
• Raynaud's Syndrome