[anchor=index][/anchor]
[center]List of Medications

[goto=90]Adapin (DOXEPIN)[/goto]
[goto=66]Anafranil (CLOMIPRAMINE)[/goto]
[goto=54]Asendin (AMOXAPINE)[/goto]
[goto=22]Ativan Oral (LORAZEPAM)[/goto]
Aventyl HCl (NORTRIPTYLINE)
BuSpar Oral (BUSPIRONE)
[goto=6]Celexa Oral (CITALOPRAM)[/goto]
Cymbalta (DULOXETINE)
[goto=38]Effexor Oral (VENLAFAXINE)[/goto]
[goto=42]Elavil (AMITRIPTYLINE)[/goto]
Emsam (SELEGILINE)
Endep (AMITRIPTYLINE)
[goto=10]Lexapro Oral (ESCITALOPRAM)[/goto]
Ludiomil (MAPROTILINE)
Marplan (ISOCARBOXAZID)
Nardil (PHENELZINE)
Norpramin(DESIPRAMINE)
Pamelor (NORTRIPTYLINE)
Parnate (TRANYLCYPROMINE)
[goto=34]Paxil CR Oral (PAROXETINE)[/goto]
Pexeva (PAROXETINE)
[goto=1]Prozac Oral[/goto]
Reglan (Metoclopramide)
[goto=18]Remeron Oral (MIRTAZAPINE)[/goto]
Sertraline (Zoloft)
Sinequan (DOXEPIN)
Tofranil (IMIPRAMINE)
Vivactil (PROTRIPTYLINE)
[goto=26]Wellbutrin Oral (BUPROPION)[/goto]
[goto=30]Xanax XR Oral (ALPRAZOLAM)[/goto]
[goto=14]Zoloft Oral (SERTRALINE)[/goto]

IMPORTANT NOTE: The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate or effective for you. Consult your healthcare professional before using this drug.

The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. I have found this information from other sources on the Internet so I am not responsible for its content and advice.

Please note this list is being updated regularly[/center]

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Prozac Oral

[goto=2]Uses and How to Use[/goto]
[goto=3]Precautions and side affects[/goto]
[goto=4]Dosage and storage[/goto]
[goto=5]Drug images[/goto]

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Uses and How to Use

Generic Name: FLUOXETINE - ORAL
Pronounced: (flew-OX-eh-teen)


Prozac Oral Uses
Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) used to treat depression, anxiety disorders (panic attacks), obsessive-compulsive disorder (OCD), a certain eating disorder (bulimia), and a severe form of premenstrual syndrome (premenstrual dysphoric disorder).

SSRIs work by helping to restore the balance of certain natural substances in the brain (neurotransmitters such as serotonin). Fluoxetine may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease anxiety/unreasonable fears, persistent/troubling thoughts (obsessions), and unwanted urges that keep returning (compulsions). It may decrease the number and severity of panic attacks. Fluoxetine may lessen premenstrual symptoms such as irritability, increased appetite, and depression. It may decrease bingeing and purging behaviors in bulimia.

How To Use Prozac Oral
Read the Medication Guide provided by your pharmacist before you start using fluoxetine and each time you get a refill. If you have any questions, consult your doctor or pharmacist.

Take this medication by mouth with or without food, usually once daily or as directed by your doctor. This medication may make you either sleepy or wakeful. Therefore, depending on how this medication affects you, your doctor may direct you to take the entire dose once daily in either the morning or evening. If you are taking this medication twice a day, your doctor may direct you to take it in the morning and at noon.

If you are taking fluoxetine for premenstrual problems, your doctor may direct you to take it every day of the month or just for the 2 weeks before your period through the first full day of your period. To help you remember, mark your calendar.

If you are using the liquid form of this medication, measure the dose carefully using a special measuring device/spoon. Do not use a household spoon because you may not get the correct dose.

The dosage is based on your medical condition and response to treatment. To reduce your risk of side effects, your doctor may start you at a low dose and gradually increase your dose. Follow your doctor's instructions carefully. Do not take more or less medication or take it more frequently than prescribed. Your condition will not improve any faster, and your risk of side effects will increase. Use this medication regularly in order to get the most benefit from it. To help you remember, use it at the same time(s) each day.

It is important to continue taking this medication as prescribed even if you feel well. Do not stop taking this medication without first consulting your doctor. Some conditions may become worse when the drug is abruptly stopped. Your dose may need to be gradually decreased.

You should see some improvement in 1 to 2 weeks. It may take several weeks before you feel the full benefit.

Tell your doctor if your condition does not improve or if it worsens.

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Precautions and Side Effects

Prozac Oral Warning

Antidepressant medications are used to treat a variety of conditions, including depression and other mental/mood disorders. These medications can help prevent suicidal thoughts/attempts and provide other important benefits. However, studies have shown that a small number of people (especially children/teenagers) who take antidepressants for any condition may experience worsening depression, other mental/mood symptoms, or suicidal thoughts/attempts. Therefore, it is very important to talk with the doctor about the risks and benefits of antidepressant medication (especially for children/teenagers), even if treatment is not for a mental/mood condition.

Tell the doctor immediately if you notice worsening depression/other psychiatric conditions, unusual behavior changes (including possible suicidal thoughts/attempts), or other mental/mood changes (including new/worsening anxiety, panic attacks, trouble sleeping, irritability, hostile/angry feelings, impulsive actions, severe restlessness, very rapid speech). Be especially watchful for these symptoms when a new antidepressant is started or when the dose is changed.

Prozac Oral Side Effects
See also Warning section.

Nausea, drowsiness, dizziness, anxiety, trouble sleeping, loss of appetite, weakness, tiredness, sweating, or yawning may occur. If any of these effects persist or worsen, tell your doctor promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor immediately if any of these unlikely but serious side effects occur:

unusual or severe mental/mood changes (e.g., agitation, unusual high energy/excitement, thoughts of suicide)
uncontrolled movements (e.g., of the lips/tongue)
shakiness (tremor)
restlessness
inability to keep still
decreased interest in sex
changes in sexual ability
blurred vision
numbness/tingling

Tell your doctor immediately if any of these rare but very serious side effects occur:

bloody/black/tarry stools
vomit that looks like coffee grounds
easy bruising/bleeding
fainting
fast/irregular heartbeat
muscle weakness/spasm
seizures
change in amount of urine

This medication may rarely cause a very serious condition called serotonin syndrome. The risk increases when this medication is used with certain other drugs such as "triptans" used to treat migraine headaches (e.g., sumatriptan, eletriptan), certain antidepressants including other SSRIs (e.g., citalopram, paroxetine) and SNRIs (e.g., duloxetine, venlafaxine), lithium, tramadol, tryptophan, or a certain drug to treat obesity (sibutramine). See also Drug Interactions section. Before taking this drug, tell your doctor if you take any of these medications. Serotonin syndrome may be more likely when you start or increase the dose of any of these medications. Seek immediate medical attention if you develop some of the following symptoms:

hallucinations
unusual restlessness
loss of coordination
fast heartbeat
severe dizziness
unexplained fever
severe nausea/vomiting/diarrhea
twitchy muscles

For males, in the very unlikely event you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and seek immediate medical attention, or permanent problems could occur.

A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including:

rash
itching
swelling
severe dizziness
trouble breathing

If you notice other effects not listed above, contact your doctor or pharmacist.

Prozac Oral Precautions
Before taking fluoxetine, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies.

Before using this medication, tell your doctor or pharmacist your medical history, especially of:

personal or family history of bipolar/manic-depressive disorder
personal or family history of suicide attempts
liver problems
diabetes
low sodium in the blood
severe loss of body water (dehydration)
seizures
stomach/intestinal ulcers

This drug may make you dizzy or drowsy. Use caution while driving, using machinery, or doing any other activity that requires alertness. Avoid alcoholic beverages.

If you have diabetes, fluoxetine may affect your blood sugar levels. Monitor your blood sugar regularly and share the results with your doctor. Your doctor may need to adjust your medication, diet, and exercise when you start or stop fluoxetine. Liquid forms of this product may contain sugar and/or alcohol. Caution is advised if you have diabetes, alcohol dependence, or liver disease. Ask your doctor or pharmacist about using this product safely.

Caution is advised when using this product in the elderly because they may be more sensitive to its effects. The elderly are more likely to lose too much salt (hyponatremia), especially if they are also taking "water pills" (diuretics) with this medication.

This medication is not recommended for use during pregnancy. It may harm an unborn baby. Also, babies born to mothers who have used this drug during the last 3 months of pregnancy may infrequently develop withdrawal symptoms such as feeding/breathing difficulties, seizures, muscle stiffness, or constant crying. If you notice any of these symptoms in your newborn, tell the doctor promptly.

Since untreated depression can be a serious condition, do not stop taking this medication unless directed by your doctor. If you are planning pregnancy, become pregnant, or think you may be pregnant, immediately discuss the benefits and risks of using this medication during pregnancy with your doctor.

This drug may pass into breast milk and could have undesirable effects on a nursing infant. Therefore, breast-feeding is not recommended while using this drug. Consult your doctor before breast-feeding.

Prozac Oral Drug Interactions
Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.

Fluoxetine can stay in your body for many weeks after your last dose and may interact with many other medications. Before using any medication, tell your doctor or pharmacist if you have taken fluoxetine in the previous 5 weeks.

Certain medications taken with fluoxetine could result in serious (rarely fatal) drug interactions. Avoid taking MAO inhibitors (e.g., furazolidone, isocarboxazid, linezolid, moclobemide, phenelzine, procarbazine, rasagiline, selegiline, tranylcypromine) with fluoxetine for 2 weeks before, during treatment, and at least 5 weeks after your last dose of fluoxetine. Consult your doctor or pharmacist for additional information.

The following medications should not be used with fluoxetine and for 5 weeks after your last dose of fluoxetine because very serious (possibly fatal) interactions may occur:

pimozide
sibutramine
thioridazine

If you are currently using any of these medications listed above, tell your doctor or pharmacist before starting fluoxetine.

Before using fluoxetine, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of:

drugs removed from your body by certain liver enzymes (e.g., carbamazepine, cimetidine, phenytoin, vinblastine, drugs for anxiety such as alprazolam and diazepam, antipsychotics such as aripiprazole/clozapine/haloperidol/perphenazine, antiarrhythmics such as propafenone/flecainide, TCA antidepressants such as desipramine/imipramine)
fosamprenavir/ritonavir
metoprolol
"water pills" (diuretics such as furosemide)
drugs that can cause bleeding/bruising (e.g., aspirin, antiplatelet drugs such as clopidogrel, NSAIDs such as ibuprofen, "blood thinners" such as heparin/warfarin)

Aspirin can increase the risk of bleeding when used with this medication (see above). If your doctor has directed you to take low-dose aspirin for heart attack or stroke prevention (usually at dosages of 81-325 milligrams a day), you should continue taking it unless your doctor instructs you otherwise. Discuss the risks and benefits with your doctor.

Also tell your doctor if you take any other drugs that increase serotonin, such as bromocriptine, buspirone, dextromethorphan, lithium, meperidine, propoxyphene, phentermine, SSRIs, SNRIs, tryptophan, St. John's wort, drugs used to treat migraines such as "triptans" and dihydroergotamine, street drugs such as MDMA/"ecstasy," amphetamine.

Tell your doctor or pharmacist if you also take drugs that cause drowsiness, such as certain antihistamines (e.g., diphenhydramine), anti-seizure drugs (e.g., carbamazepine), medicine for sleep or anxiety (e.g., lorazepam, zolpidem), muscle relaxants, narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., chlorpromazine, quetiapine, nortriptyline, trazodone).

Check the labels on all your medicines (e.g., cough-and-cold products) because they may contain ingredients that cause drowsiness. Dextromethorphan is a commonly used cough medication and may interact with fluoxetine. Ask your pharmacist about using those products safely.

Cimetidine is a nonprescription drug that is commonly used to treat extra stomach acid. Because it may cause undesirable interactions when used with fluoxetine, ask your pharmacist about other products to treat stomach acid.

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Dosage and Storage

Prozac Oral Overdose

If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US National Poison Hotline at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: irregular heartbeat, fainting, severe dizziness, seizures.

Prozac Oral Missed Dose
If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Prozac Oral Notes
Do not share this medication with others.

Psychiatric/medical check-ups should be done periodically to monitor your progress or check for side effects. Consult your doctor for more details.

Prozac Oral Storage
Store at room temperature between 59-86 degrees F (15-30 degrees C) away from light and moisture. Do not store in the bathroom. Keep all medicines away from children and pets. Different brands may have different storage instructions. Check the product label or ask your pharmacist how to store your particular product.

Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

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Drug Images

FLUOXETINE HCL 10 MG CAPSULE


FLUOXETINE HCL 10 MG CAPSULE


FLUOXETINE HCL 10 MG TABLET


FLUOXETINE 20 MG/5 ML SOLUTION


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Celexa Oral (CITALOPRAM)

[goto=7]Uses and How to Use[/goto]
[goto=8]Precautions and Side Effects[/goto]
[goto=9]Dosage and Storage[/goto]

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Uses and How to Use

Generic Name: CITALOPRAM - ORAL
Pronounced: (sye-TAL-oh-pram)


Celexa Oral Uses
Citalopram is an antidepressant (selective serotonin reuptake inhibitor-SSRI) used to treat depression. It works by restoring the balance of certain natural substances (neurotransmitters such as serotonin) in the brain. Citalopram may improve your feelings of well-being and energy level.

How To Use Celexa Oral
Read the Medication Guide provided by your pharmacist before you start using citalopram and each time you get a refill. If you have any questions, consult your doctor or pharmacist.

Take this medication once daily in the morning or evening, with or without food or as directed by your doctor. The dosage is based on your medical condition and response to treatment. If you are using the liquid form of this medication, measure the dose carefully using a special measuring device/spoon. Do not use a household spoon because you may not get the correct dose.

To reduce your risk of side effects, your doctor may direct you to start taking this drug at a low dose and gradually increase your dose. Follow your doctor's instructions carefully. Do not take more or less medication or take it more frequently than prescribed. Your condition will not improve any faster, and your risk of side effects will increase. Use this medication regularly in order to get the most benefit from it. To help you remember, use it at the same time each day.

It is important to continue taking this medication even if you feel well. Do not stop taking this medication without consulting your doctor. Some conditions may become worse when the drug is suddenly stopped. Your dose may need to be gradually decreased.

This medication may cause dependence, especially if it has been used regularly for an extended time or if it has been used in high doses. In such cases, withdrawal reactions (e.g., nervousness, headache, numbness, tingling, trouble sleeping, nightmares) may occur if you suddenly stop this drug. To prevent withdrawal when stopping extended/regular treatment with this drug, gradually reduce the dosage as directed. Consult your doctor or pharmacist for more details, and report any withdrawal reactions immediately.

It may take 1 to 2 weeks to feel a benefit from this drug and 4 weeks to feel the full benefit of this medication. Tell your doctor if your condition persists or worsens.

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Precautions and Side Effects

Celexa Oral Warning
Antidepressant medications are used to treat a variety of conditions, including depression and other mental/mood disorders. These medications can help prevent suicidal thoughts/attempts and provide other important benefits. However, studies have shown that a small number of people (especially children/teenagers) who take antidepressants for any condition may experience worsening depression, other mental/mood symptoms, or suicidal thoughts/attempts. Therefore, it is very important to talk with the doctor about the risks and benefits of antidepressant medication (especially for children/teenagers), even if treatment is not for a mental/mood condition.

Tell the doctor immediately if you notice worsening depression/other psychiatric conditions, unusual behavior changes (including possible suicidal thoughts/attempts), or other mental/mood changes (including new/worsening anxiety, panic attacks, trouble sleeping, irritability, hostile/angry feelings, impulsive actions, severe restlessness, very rapid speech). Be especially watchful for these symptoms when a new antidepressant is started or when the dose is changed.

Celexa Oral Side Effects

Nausea, dry mouth, trouble sleeping, loss of appetite, weakness, tiredness, drowsiness, dizziness, increased sweating, blurred vision, or yawning may occur. If any of these effects persist or worsen, tell your doctor promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor immediately if any of these unlikely but serious side effects occur:

unusual or severe mental/mood changes (e.g., nervousness, unusual high energy/excitement, rare thoughts of suicide)
shakiness (tremor)
decreased interest in sex
changes in sexual ability

Tell your doctor immediately if any of these rare but very serious side effects occur:

stomach pain
fainting
bloody/black/tarry stools
vomit that looks like coffee grounds
easy bruising/bleeding
muscle weakness/cramps
seizures
fast/irregular/pounding heartbeat
difficulty urinating
change in the amount of urine

This medication may rarely cause a very serious condition called serotonin syndrome. The risk increases when this medication is used with certain other drugs such as "triptans" used to treat migraine headaches (e.g., sumatriptan, eletriptan), certain antidepressants including other SSRIs (e.g., fluoxetine, paroxetine) and SNRIs (e.g., venlafaxine), lithium, tramadol, tryptophan, or a certain drug to treat obesity (sibutramine). See also Drug Interactions section. Before taking this drug, tell your doctor if you take any of these medications. Serotonin syndrome may be more likely when you start or increase the dose of any of these medications. Seek immediate medical attention if you develop some of the following symptoms:

hallucinations
restlessness
loss of coordination
fast heartbeat
severe dizziness
unexplained fever
severe nausea/vomiting/diarrhea
twitchy muscles

For males, in the very unlikely event you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and seek immediate medical attention, or permanent problems could occur.

A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including:

rash
itching
swelling
severe dizziness
trouble breathing

If you notice other effects not listed above, contact your doctor or pharmacist.

Celexa Oral Precautions
Before taking citalopram, tell your doctor or pharmacist if you are allergic to it; or to escitalopram; or if you have any other allergies.

Before using this medication, tell your doctor or pharmacist your medical history, especially of:

personal or family history of psychiatric disorders (e.g., bipolar/manic-depressive disorder)
personal or family history of suicide attempts
bleeding problems
liver disease
seizures
severe kidney disease
stomach bleeding
severe loss of body water (dehydration)
low sodium in the blood (hyponatremia)

This drug may make you dizzy or drowsy. Use caution while driving, using machinery, or doing any other activity that requires alertness. Avoid alcoholic beverages.

Caution is advised when using this drug in the elderly because they may be more sensitive to its effects. The elderly are more likely to lose too much salt (hyponatremia), especially if they are also taking "water pills" (diuretics) with this medication.

This medication is not recommended for use during pregnancy. It may harm an unborn baby. Also, babies born to mothers who have used this drug during the last 3 months of pregnancy may infrequently develop withdrawal symptoms such as feeding/breathing difficulties, seizures, muscle stiffness, or constant crying. If you notice any of these symptoms in your newborn, tell the doctor promptly.

Since untreated depression can be a serious condition, do not stop taking this medication unless directed by your doctor. If you are planning pregnancy, become pregnant, or think you may be pregnant, immediately discuss the benefits and risks of using this medication during pregnancy with your doctor.

This medication passes into breast milk and may have undesirable effects on a nursing infant. Breast-feeding is not recommended while using this drug. Consult your doctor before breast-feeding.

Celexa Oral Drug Interactions
Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.

Taking certain medications with this product could result in serious (rarely fatal) drug interactions. Avoid taking MAO inhibitors (e.g., furazolidone, isocarboxazid, linezolid, moclobemide, phenelzine, procarbazine, rasagiline, selegiline, tranylcypromine) with citalopram for 2 weeks before treatment, during treatment, or for 2 weeks after your last dose of citalopram.

This drug should not be used with the following medications because very serious interactions may occur:

pimozide
tryptophan
weight loss drugs (e.g., sibutramine, phentermine)

If you are currently using any of these medications, tell your doctor or pharmacist before starting citalopram.

Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of:

cimetidine
metoprolol
"water pills" (diuretics such as furosemide)
drugs that can cause bleeding/bruising (e.g., aspirin, antiplatelet drugs such as clopidogrel, NSAIDs such as ibuprofen, "blood thinners" such as heparin/warfarin)

Aspirin can increase the risk of bleeding when used with this medication (see above). If your doctor has directed you to take low-dose aspirin for heart attack or stroke prevention (usually at dosages of 81-325 milligrams a day), you should continue taking it unless your doctor instructs you otherwise. Discuss the risks and benefits with your doctor.

Also tell your doctor if you take any other drugs that increase serotonin, such as buspirone, dextromethorphan, lithium, meperidine, propoxyphene, phentermine, other SSRIs (e.g., paroxetine), SNRIs (e.g., duloxetine), tryptophan, St. John's wort, drugs used to treat migraines such as "triptans" and dihydroergotamine, street drugs such as MDMA/"ecstasy," amphetamine. (See also Side Effects section.)

Tell your doctor or pharmacist if you also take drugs that cause drowsiness, such as certain antihistamines (e.g., diphenhydramine), anti-seizure drugs (e.g., carbamazepine), medicine for sleep or anxiety (e.g., lorazepam, zolpidem), muscle relaxants, narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., chlorpromazine, quetiapine, nortriptyline, trazodone). Check the labels on all your medicines (e.g., cough-and-cold products) because they may contain ingredients that cause drowsiness.

Cimetidine is a nonprescription drug that is commonly used to treat extra stomach acid. Because it may cause undesirable interactions when used with citalopram, ask your pharmacist about other products to treat stomach acid.

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Dosage and Storage

Celexa Oral Missed Dose
If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Celexa Oral Notes
Do not share this medication with others.

Psychiatric/medical check-ups and possibly lab tests should be done periodically to monitor your progress or check for side effects. Consult your doctor for more details.

Celexa Oral Storage
Store at room temperature at 77 degrees F (25 degrees C) away from light and moisture. Brief storage between 59-86 degrees F (15-30 degrees C) is permitted. Do not store in the bathroom. Keep all medicines away from children and pets.

Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

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Lexapro Oral (ESCITALOPRAM)

[goto=11]Uses and How to Use[/goto]
[goto=12]Precautions and side affects[/goto]
[goto=13]Dosage and Storage[/goto]


[anchor=11][/anchor]
Uses and How to Use

Generic Name: ESCITALOPRAM - ORAL
Pronounced: (es-sye-TAL-oh-pram)


Lexapro Oral Uses
Escitalopram is an antidepressant (selective serotonin reuptake inhibitor-SSRI) used to treat depression and anxiety. It works by restoring the balance of certain natural substances (neurotransmitters such as serotonin) in the brain. Escitalopram may improve your feelings of well-being and energy level and decrease nervousness.

How To Use Lexapro Oral
Read the Medication Guide provided by your pharmacist before you start using escitalopram and each time you get a refill. If you have any questions, consult your doctor or pharmacist.

Take this medication once daily in the morning or evening, with or without food or as directed by your doctor. The dosage is based on your medical condition and response to treatment. If you are using the liquid form of this medication, measure the dose carefully using a special measuring device/spoon. Do not use a household spoon because you may not get the correct dose.

To reduce your risk of side effects, your doctor may direct you to start taking this drug at a low dose and gradually increase your dose. Follow your doctor's instructions carefully. Do not take more or less medication or take it more frequently than prescribed. Your condition will not improve any faster, and your risk of side effects will increase. Use this medication regularly in order to get the most benefit from it. To help you remember, use it at the same time each day.

It is important to continue taking this medication even if you feel well. Do not stop taking this medication without consulting your doctor. Some conditions may become worse when the drug is suddenly stopped. Your dose may need to be gradually decreased.

This medication may cause dependence, especially if it has been used regularly for an extended time or if it has been used in high doses. In such cases, withdrawal reactions (e.g., nervousness, headache, numbness, tingling, trouble sleeping, confusion) may occur if you suddenly stop this drug. To prevent withdrawal when stopping extended/regular treatment with this drug, gradually reduce the dosage as directed. Consult your doctor or pharmacist for more details, and report any withdrawal reactions immediately.

It may take 1 to 2 weeks to feel a benefit from this drug and 4 weeks to feel the full benefit of this medication. Tell your doctor if your condition persists or worsens.

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[anchor=12][/anchor]
Precautions and Side Effects

Lexapro Oral Warning
Antidepressant medications are used to treat a variety of conditions, including depression and other mental/mood disorders. These medications can help prevent suicidal thoughts/attempts and provide other important benefits. However, studies have shown that a small number of people (especially children/teenagers) who take antidepressants for any condition may experience worsening depression, other mental/mood symptoms, or suicidal thoughts/attempts. Therefore, it is very important to talk with the doctor about the risks and benefits of antidepressant medication (especially for children/teenagers), even if treatment is not for a mental/mood condition.

Tell the doctor immediately if you notice worsening depression/other psychiatric conditions, unusual behavior changes (including possible suicidal thoughts/attempts), or other mental/mood changes (including new/worsening anxiety, panic attacks, trouble sleeping, irritability, hostile/angry feelings, impulsive actions, severe restlessness, very rapid speech). Be especially watchful for these symptoms when a new antidepressant is started or when the dose is changed.

Lexapro Oral Side Effects

Nausea, dry mouth, trouble sleeping, loss of appetite, weakness, tiredness, drowsiness, dizziness, increased sweating, or yawning may occur. If any of these effects persist or worsen, tell your doctor promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor immediately if any of these unlikely but serious side effects occur:

unusual or severe mental/mood changes (e.g., nervousness, unusual high energy/excitement, rare thoughts of suicide)
shakiness (tremor)
decreased interest in sex
changes in sexual ability

Tell your doctor immediately if any of these rare but very serious side effects occur:

stomach pain
fainting
bloody/black/tarry stools
vomit that looks like coffee grounds
easy bruising/bleeding
muscle weakness/cramps
seizures
irregular/pounding heartbeat
change in the amount of urine

This medication may rarely cause a very serious condition called serotonin syndrome. The risk increases when this medication is used with certain other drugs such as "triptans" used to treat migraine headaches (e.g., sumatriptan, eletriptan), certain antidepressants including other SSRIs (e.g., fluoxetine, citalopram) and SNRIs (e.g., venlafaxine), lithium, tramadol, tryptophan, or a certain drug to treat obesity (sibutramine). See also Drug Interactions section. Before taking this drug, tell your doctor if you take any of these medications. Serotonin syndrome may be more likely when you start or increase the dose of any of these medications. Seek immediate medical attention if you develop some of the following symptoms:

hallucinations
restlessness
loss of coordination
fast heartbeat
severe dizziness
unexplained fever
severe nausea/vomiting/diarrhea
twitchy muscles

For males, in the very unlikely event you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and seek immediate medical attention, or permanent problems could occur.

A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including:

rash
itching
swelling
severe dizziness
trouble breathing

If you notice other effects not listed above, contact your doctor or pharmacist.

Lexapro Oral Precautions
Before taking escitalopram, tell your doctor or pharmacist if you are allergic to it; or to citalopram; or if you have any other allergies.

Before using this medication, tell your doctor or pharmacist your medical history, especially of:

personal or family history of psychiatric disorders (e.g., bipolar/manic-depressive disorder)
personal or family history of suicide attempts
bleeding problems
liver disease
seizures
severe kidney disease
stomach bleeding
severe loss of body water (dehydration)
low sodium in the blood (hyponatremia)

This drug may make you dizzy or drowsy. Use caution while driving, using machinery, or doing any other activity that requires alertness. Avoid alcoholic beverages.

Caution is advised when using this drug in the elderly because they may be more sensitive to its effects. The elderly are more likely to lose too much salt (hyponatremia), especially if they are also taking "water pills" (diuretics) with this medication.

This medication is not recommended for use during pregnancy. It may harm an unborn baby. Also, babies born to mothers who have used this drug during the last 3 months of pregnancy may infrequently develop withdrawal symptoms such as feeding/breathing difficulties, seizures, muscle stiffness, or constant crying. If you notice any of these symptoms in your newborn, tell the doctor promptly.

Since untreated depression can be a serious condition, do not stop taking this medication unless directed by your doctor. If you are planning pregnancy, become pregnant, or think you may be pregnant, immediately discuss the benefits and risks of using this medication during pregnancy with your doctor.

This medication passes into breast milk and may have undesirable effects on a nursing infant. Breast-feeding is not recommended while using this drug. Consult your doctor before breast-feeding.

Lexapro Oral Drug Interactions
Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.

Taking certain medications with this product could result in serious (rarely fatal) drug interactions. Avoid taking MAO inhibitors (e.g., furazolidone, isocarboxazid, linezolid, moclobemide, phenelzine, procarbazine, rasagiline, selegiline, tranylcypromine) with escitalopram for 2 weeks before treatment, during treatment, or for 2 weeks after your last dose of escitalopram.

This drug should not be used with the following medications because very serious interactions may occur:

pimozide
tryptophan
weight loss drugs (e.g., sibutramine, phentermine)

If you are currently using any of these medications, tell your doctor or pharmacist before starting escitalopram.

Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of:

desipramine
metoprolol
"water pills" (diuretics such as furosemide)
drugs that can cause bleeding/bruising (e.g., aspirin, antiplatelet drugs such as clopidogrel, NSAIDs such as ibuprofen, "blood thinners" such as heparin/warfarin)

Aspirin can increase the risk of bleeding when used with this medication (see above). If your doctor has directed you to take low-dose aspirin for heart attack or stroke prevention (usually at dosages of 81-325 milligrams a day), you should continue taking it unless your doctor instructs you otherwise. Discuss the risks and benefits with your doctor.

Also tell your doctor if you take any other drugs that increase serotonin, such as buspirone, dextromethorphan, lithium, meperidine, propoxyphene, phentermine, other SSRIs (e.g., paroxetine), SNRIs (e.g., duloxetine), tryptophan, St. John's wort, drugs used to treat migraines such as "triptans" and dihydroergotamine, street drugs such as MDMA/"ecstasy," amphetamine. (See also Side Effects section.)

Tell your doctor or pharmacist if you also take drugs that cause drowsiness, such as certain antihistamines (e.g., diphenhydramine), anti-seizure drugs (e.g., carbamazepine), medicine for sleep or anxiety (e.g., lorazepam, zolpidem), muscle relaxants, narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., chlorpromazine, quetiapine, nortriptyline, trazodone). Check the labels on all your medicines (e.g., cough-and-cold products) because they may contain ingredients that cause drowsiness.

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Dosage and Storage

Lexapro Oral Missed Dose
If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Lexapro Oral Notes
Do not share this medication with others.

Psychiatric/medical check-ups and possibly lab tests should be done periodically to monitor your progress or check for side effects. Consult your doctor for more details.

Lexapro Oral Storage
Store at room temperature at 77 degrees F (25 degrees C) away from light and moisture. Brief storage between 59-86 degrees F (15-30 degrees C) is permitted. Do not store in the bathroom. Keep all medicines away from children and pets.

Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

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Zoloft Oral (SERTRALINE)

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Uses and How to Use

Generic Name: SERTRALINE LIQUID CONCENTRATE - ORAL
Pronounced: (SER-truh-leen)


Zoloft Oral Uses
Sertraline is used to treat depression, panic attacks, obsessive compulsive disorders, post-traumatic stress disorder, social anxiety disorder (social phobia), and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). It is known as a selective serotonin reuptake inhibitor (SSRI).

This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. It may also reduce the urge to perform repeated tasks (compulsions such as hand-washing, counting, and checking) that interfere with daily living. This medication works by helping to restore the balance of certain natural chemicals (neurotransmitters such as serotonin) in the brain.

How To Use Zoloft Oral
Read the Medication Guide (US) or Patient Information Leaflet (Canada) available from your pharmacist before you start using sertraline and each time you get a refill. If you have any questions, consult your doctor or pharmacist.

This liquid medication must be mixed with another fluid before use. Remove the prescribed amount of liquid medication from the bottle with the dropper provided. Mix the medication with half a cup (4 ounces or 120 milliliters) of water, ginger ale, lemon-lime soda, lemonade, or orange juice. Do not use any other fluid for mixing this drug. The mixture may appear cloudy. This is normal and harmless.

Mix each dose just before taking it. Do not prepare a supply for future use.

Take this medication/liquid mixture by mouth, usually once daily with or without food or as directed by your doctor. This medication may make you sleepy or wakeful. Therefore, depending on how this medication affects you, your doctor may direct you to take the entire dose once daily either in the morning or evening.

If you are taking this medication for premenstrual problems, your doctor may direct you to take this drug every day of the month or just for the 2 weeks before your period through the first full day of your period.

The dosage is based on your medical condition and response to therapy. Follow your doctor's instructions carefully. Do not take more or less medication or take it more frequently than prescribed. Your condition will not improve any faster and your risk of side effects will increase. Use this medication regularly in order to get the most benefit from it. To help you remember, use it at the same time each day.

It is important to continue taking this medication as prescribed even if you feel well. Do not stop taking this medication without consulting your doctor. Some conditions may become worse when this drug is abruptly stopped. Your dose may need to be gradually decreased to reduce side effects. Consult your doctor or pharmacist for more details.

It may take up to 4 weeks before the full benefit of this drug takes effect.

Inform your doctor if your condition persists.

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Precautions and Side Effects

Zoloft Oral Warning
Antidepressant medications are used to treat a variety of conditions, including depression and other mental/mood disorders. These medications can help prevent suicidal thoughts/attempts and provide other important benefits. However, studies have shown that a small number of people (especially children/teenagers) who take antidepressants for any condition may experience worsening depression, other mental/mood symptoms, or suicidal thoughts/attempts. Therefore, it is very important to talk with the doctor about the risks and benefits of antidepressant medication (especially for children/teenagers), even if treatment is not for a mental/mood condition.


Tell the doctor immediately if you notice worsening depression/other psychiatric conditions, unusual behavior changes (including possible suicidal thoughts/attempts), or other mental/mood changes (including new/worsening anxiety, panic attacks, trouble sleeping, irritability, hostile/angry feelings, impulsive actions, severe restlessness, very rapid speech). Be especially watchful for these symptoms when a new antidepressant is started or when the dose is changed.

Zoloft Oral Side Effects
See also Warning section.

Nausea, dizziness, dry mouth, loss of appetite, increased sweating, drowsiness, diarrhea, upset stomach, or trouble sleeping may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.

Remember that your doctor has prescribed this medication because the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor immediately if any of these unlikely but serious side effects occur:

unusual or severe mental/mood changes (e.g., agitation, nervousness, suicidal thoughts)
decrease in sexual ability (ejaculation delay)
decreased interest in sex
uncontrollable shaking (tremor)
unusual weight loss

Tell your doctor immediately if any of these highly unlikely but very serious side effects occur:

easy bruising/bleeding
persistent nausea/vomiting
severe stomach/abdominal pain
black stools
seizures
change in the amount of urine
dark urine
vomit that looks like coffee grounds
yellowing eyes/skin

This medication may rarely cause a very serious condition called serotonin syndrome. The risk increases when this medication is used with certain other drugs such as "triptans" used to treat migraine headaches (e.g., sumatriptan, eletriptan), certain antidepressants including other SSRIs (e.g., citalopram, paroxetine) and SNRIs (e.g., duloxetine, venlafaxine), lithium, tramadol, tryptophan, or a certain drug to treat obesity (sibutramine). Before taking this drug, tell your doctor if you take any of these medications. Serotonin syndrome may be more likely when you start or increase the dose of any of these medications. Seek immediate medical attention if you develop some of the following symptoms:

hallucinations
unusual restlessness
loss of coordination
fast heartbeat
severe dizziness
unexplained fever
severe nausea/vomiting/diarrhea
twitchy muscles

For males, in the very unlikely event you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and seek immediate medical attention, or permanent problems could occur.

A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include:

rash
itching
swelling
severe dizziness
trouble breathing

If you notice other effects not listed above, contact your doctor or pharmacist.

Zoloft Oral Precautions
Before taking sertraline, tell your doctor or pharmacist if you are allergic to it; or to latex; or if you have any other allergies.

Before using this medication, tell your doctor or pharmacist your medical history, especially of:

personal or family history of psychiatric disorder (e.g., bipolar/manic-depressive disorder)
personal or family history of suicide attempts
kidney disease
liver disease
seizures
thyroid disease (e.g., hypothyroidism)

This liquid medication contains alcohol. Caution is advised if you have diabetes, alcohol dependence, or liver disease. Some medications (e.g., metronidazole, disulfiram) can cause a serious reaction when combined with alcohol. Ask your doctor or pharmacist about the safe use of this product.

This drug may make you drowsy; use caution engaging in activities requiring alertness such as driving or using machinery. Avoid alcoholic beverages.

Caution is advised when using this drug in the elderly because they may be more sensitive to the side effects of the drug. The elderly are also more likely to develop a type of mineral imbalance (hyponatremia), especially if they are also taking "water pills" (diuretics) with this medication.

Caution is advised when using this drug in children because they may be more sensitive to the side effects of the drug, especially loss of appetite and weight loss. It is important to monitor weight and growth in children who are taking this drug.

This medication is not recommended for use during pregnancy. It may harm an unborn baby. Also, babies born to mothers who have used this drug during the last 3 months of pregnancy may infrequently develop withdrawal symptoms such as feeding/breathing difficulties, seizures, muscle stiffness, or constant crying. If you notice any of these symptoms in your newborn, tell the doctor promptly.

Since untreated depression can be a serious condition, do not stop taking this medication unless directed by your doctor. If you are planning pregnancy, become pregnant, or think you may be pregnant, immediately discuss the benefits and risks of using this medication during pregnancy with your doctor.

This drug passes into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breast-feeding.

Zoloft Oral Drug Interactions
See also Precautions.

Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop or change the dosage of any medicine before checking with them first.

Avoid taking MAO inhibitors (e.g., furazolidone, isocarboxazid, linezolid, moclobemide, phenelzine, procarbazine, selegiline, tranylcypromine) within 2 weeks before, during, and after treatment with this medication. In some cases a serious, possibly fatal drug interaction may occur.

This drug should also not be used with the following medications because very serious interactions may occur:

pimozide
sibutramine

If you are currently using any of these medications, tell your doctor or pharmacist before starting sertraline.

Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of:

drugs for diabetes (e.g., insulin, tolbutamide)
other antidepressants (e.g., SSRIs such as citalopram/fluvoxamine, TCAs such as amitriptyline/desipramine, other types such as venlafaxine/nefazodone/trazodone)
drugs which can cause bleeding/bruising (e.g., anticoagulants such as heparin and warfarin, anti-platelet drugs including aspirin/NSAIDs such as ibuprofen)
buspirone
dextromethorphan
certain herbal/supplement products (e.g., melatonin, St John's wort, tryptophan)
lithium
drugs for migraine (e.g., dihydroergotamine, "triptans" such as sumatriptan)
stimulants such as amphetamines/phentermine
street drugs such as MDMA ("ecstasy")

Sertraline can affect the removal of other drugs from your body by affecting certain liver enzymes. These affected drugs include cimetidine, cisapride, clozapine, and certain drugs for heart rhythm such as flecainide/propafenone, among others. Consult your doctor or pharmacist for more details.

Also report the use of drugs which might increase seizure risk (decrease seizure threshold) when combined with this medication such as bupropion, isoniazid (INH), theophylline, or tramadol, among others. Consult your doctor or pharmacist for details.

Tell your doctor or pharmacist if you also take drugs that cause drowsiness such as: certain antihistamines (e.g., diphenhydramine), anti-seizure drugs (e.g., carbamazepine, phenytoin), medicine for sleep or anxiety (e.g., alprazolam, diazepam, zolpidem), muscle relaxants, narcotic pain relievers (e.g., codeine, meperidine), psychiatric medicines (e.g., chlorpromazine, risperidone, thioridazine).

Check the labels on all your medicines (e.g., cough-and-cold products) because they may contain drowsiness-causing ingredients, pain relievers/fever reducers (NSAIDs such as aspirin, ibuprofen, or naproxen) or the cough suppressant dextromethorphan. Ask your pharmacist about the safe use of those products.

Low-dose aspirin, as prescribed by your doctor for specific medical reasons such as heart attack or stroke prevention (usually at dosages of 81-325 mg per day), should be continued. Consult your doctor or pharmacist for more details.

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Dosage and Storage

Zoloft Oral Missed Dose
If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Zoloft Oral Notes
Psychiatric/medical checkups (and possibly laboratory tests) should be done regularly to monitor your progress and check for side effects. Consult your doctor for more details.

Do not share this medication with others.

Zoloft Oral Storage
Store at room temperature at 77 degrees F (25 degrees C) away from light and moisture. Brief storage between 59-86 degrees F (15-30 degrees C) is permitted. Do not store in the bathroom. Keep all medicines away from children and pets.

Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

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Remeron Oral (MIRTAZAPINE)

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Uses and How to Use

Generic Name: MIRTAZAPINE - ORAL
Pronounced: (mer-TAZE-uh-peen)


Remeron Oral Uses
Mirtazapine is used to treat depression. It improves mood and feelings of well-being. Mirtazapine is an antidepressant that works by restoring the balance of natural chemicals (neurotransmitters) in the brain.

How To Use Remeron Oral
Read the Medication Guide provided by your pharmacist before you start using mirtazapine and each time you get a refill because new information may be available. If you have any questions regarding the information, consult your doctor or pharmacist.

Take this medication by mouth, with or without food, usually once daily at bedtime or as directed by your doctor. The dosage is based on your medical condition and response to therapy, but should not exceed 45 milligrams per day.

Use this medication regularly in order to get the most benefit from it. Remember to use it at the same time each day. It may take between 1-4 weeks to notice improvement in your symptoms. Therefore, do not increase your dose or take it more often than prescribed.

It is important to continue taking this medication even if you feel well. Do not stop taking this medication without consulting your doctor. Some conditions may become worse when the drug is abruptly stopped. Your dose may need to be gradually decreased.

Inform your doctor if your condition persists or worsens.

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Precautions and Side Effects

Remeron Oral Warning
Antidepressant medications are used to treat a variety of conditions, including depression and other mental/mood disorders. These medications can help prevent suicidal thoughts/attempts and provide other important benefits. However, studies have shown that a small number of people (especially children/teenagers) who take antidepressants for any condition may experience worsening depression, other mental/mood symptoms, or suicidal thoughts/attempts. Therefore, it is very important to talk with the doctor about the risks and benefits of antidepressant medication (especially for children/teenagers), even if treatment is not for a mental/mood condition.

Tell the doctor immediately if you notice worsening depression/other psychiatric conditions, unusual behavior changes (including possible suicidal thoughts/attempts), or other mental/mood changes (including new/worsening anxiety, panic attacks, trouble sleeping, irritability, hostile/angry feelings, impulsive actions, severe restlessness, very rapid speech). Be especially watchful for these symptoms when a new antidepressant is started or when the dose is changed.

Remeron Oral Side Effects
See also the Warning section.

Dizziness, drowsiness, lightheadedness, increased appetite, weight gain, dry mouth, or constipation may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.

To relieve dry mouth, suck on (sugarless) hard candy or ice chips, chew (sugarless) gum, drink water or use a saliva substitute.

Remember that your doctor has prescribed this medication because the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor immediately if any of these unlikely but serious side effects occur:

swelling of the hands/feet
shaking (tremor)
confusion

Tell your doctor immediately if any of these rare but very serious side effects occur:

unusual or severe mental/mood changes
signs of infection (e.g., fever, persistent sore throat)

A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include:

rash
itching
swelling
severe dizziness
trouble breathing

If you notice other effects not listed above, contact your doctor or pharmacist.

Remeron Oral Precautions
Before taking this medication, tell your doctor or pharmacist if you are allergic to it, or if you have any other allergies.

Before using this medication, tell your doctor or pharmacist your medical history, especially of:

history or family history of psychiatric disorders (e.g., bipolar/manic-depressive disorder)
history or family history of suicide attempts
liver disease
kidney disease
seizures
high blood cholesterol or triglyceride levels
heart disease (e.g., recent heart attack, angina)
stroke
severe loss of body fluids (dehydration)
low blood pressure

This drug may make you dizzy or drowsy; use caution engaging in activities requiring alertness such as driving or using machinery. Limit alcoholic beverages and ask your doctor about the safe use of alcohol.

To minimize dizziness and lightheadedness, get up slowly when rising from a seated or lying position.

Caution is advised when using this drug in the elderly because they may be more sensitive to its effects, especially drowsiness.

This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor.

If this medication is used during the last 3 months of pregnancy, infrequently your newborn may develop symptoms including feeding or breathing difficulties, seizures, muscle stiffness, jitteriness, or constant crying. However, do not stop taking this medication unless your doctor directs you to do so. Report any such symptoms to your doctor promptly.

It is not known whether this drug passes into breast milk. Consult your doctor before breast-feeding.

Remeron Oral Drug Interactions
Your healthcare professionals (e.g., doctor or pharmacist) may already be aware of any possible drug interactions and may be monitoring you for it. Do not start, stop, or change the dosage of any medicine before checking with them first.

This drug should not be used with the following medications because very serious interactions may occur:

cisapride

If you are currently using any of these medications listed above, tell your doctor or pharmacist before starting mirtazapine.

Avoid taking MAO inhibitors (e.g., furazolidone, isocarboxazid, linezolid, moclobemide, phenelzine, procarbazine, selegiline, tranylcypromine) within 2 weeks before or after treatment with this medication. In some cases a serious, possibly fatal, drug interaction may occur.

Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of:

bupropion
sibutramine
drugs that lower blood pressure (e.g., ACE inhibitors, calcium channel blockers, "water pills"/diuretics)

Tell your doctor or pharmacist if you also take drugs that cause drowsiness such as:

certain antihistamines (e.g., diphenhydramine)
anti-anxiety drugs (e.g., diazepam)
anti-seizure drugs (e.g., carbamazepine)
medicine for sleep (e.g., sedatives)
muscle relaxants
narcotic pain relievers (e.g., codeine)
psychiatric medicines (e.g., phenothiazines such as chlorpromazine, or tricyclics such as amitriptyline)
tranquilizers

Check the labels on all your medicines (e.g., cough-and-cold products) because they may contain drowsiness-causing ingredients. Ask your pharmacist about the safe use of those products.

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Dosage and Storage

Remeron Oral Missed Dose
If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Remeron Oral Notes
Psychiatric/medical checkups (and possibly laboratory tests) must be done periodically to monitor your progress and check for side effects. Consult your doctor for more details.

Do not share this medication with others.

Remeron Oral Storage
Store at room temperature (77 degrees F or 25 degrees C) away from light and moisture. Brief storage between 59-86 degrees F (15-30 degrees C) is permitted. Do not store in the bathroom. Keep all medicines away from children and pets.

Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

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Ativan Oral (LORAZEPAM)

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Uses and How to Use

Generic Name: LORAZEPAM - ORAL
Pronounced: (lor-AYE-zeh-pam)


Ativan Oral Uses

This medication is used to treat anxiety. Lorazepam belongs to a class of drugs known as benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. This drug works by enhancing the effects of a certain natural chemical in the body (GABA).

How To Use Ativan Oral

Take this medication by mouth with or without food as directed by your doctor. Dosage is based on your medical condition and response to therapy.

If directed by your doctor, use this medication regularly in order to get the most benefit from it. To help you remember, use it at the same time(s) each day.

This medication may cause dependence, especially if it has been used regularly for an extended time (more than 1-4 weeks), if it has been used in high doses, or if you have a history of alcoholism, drug abuse, or personality disorder. In such cases, if you suddenly stop this drug, withdrawal reactions may occur. Such reactions can include seizures, trouble sleeping, mental/mood changes, increased reactions to noise/touch/light, nausea, vomiting, diarrhea, loss of appetite, stomach pain, hallucinations, numbness/tingling of arms and legs, muscle pain, fast heartbeat, short-term memory loss, and very high fever. Report any such reactions to your doctor immediately. When stopping extended, regular treatment with this drug, gradually reducing the dosage as directed will help prevent withdrawal reactions. Consult your doctor or pharmacist for more details.

Though it is very unlikely to occur, this medication can also result in abnormal drug-seeking behavior (addiction/habit forming). Do not increase your dose, take it more frequently, or use it for a longer time than prescribed. Properly stop the medication when so directed. This will lessen the chances of becoming addicted.

Do not suddenly stop using this drug without your doctor's approval. Some conditions may become worse when the drug is abruptly stopped. Your dose may need to be gradually decreased.

When used for an extended time, this medication may not work as well and may require different dosing. Talk with your doctor if this medication stops working well. Do not increase your dose without first talking to your doctor.

Inform your doctor if your condition persists or worsens.

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Precautions and Side Effects

Ativan Oral Side Effects

Drowsiness, dizziness, loss of coordination, headache, nausea, blurred vision, change in sexual interest/ability, hair loss, constipation, heartburn, or change in appetite may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.

Remember that your doctor has prescribed this medication because the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor immediately if any of these unlikely but serious side effects occur:

memory loss
shaking
difficult/slurred speech
vision changes
mental/mood changes (e.g., depression, including rare thoughts of suicide)
trouble breathing (especially during sleep)
stomach/abdominal pain
yellowing of skin/eyes
dark urine
seizures
easy bruising/bleeding
signs of infection (e.g., fever, persistent sore throat)
unusual weakness
low body temperature

A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include:

rash
itching
swelling
severe dizziness
trouble breathing

If you notice other effects not listed above, contact your doctor or pharmacist.

Ativan Oral Precautions

Before taking lorazepam, tell your doctor or pharmacist if you are allergic to it; or to other benzodiazepines (e.g., diazepam, alprazolam, clonazepam); or if you have any other allergies.

This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have:

narrow-angle glaucoma

Before using this medication, tell your doctor or pharmacist your medical history, especially of:

heart disease
kidney disease
liver disease
severe lung/breathing problems (chronic obstructive pulmonary disorder-COPD, sleep apnea)
mental/mood disorders (e.g., depression, psychosis)
another type of glaucoma (open-angle type)
muscle weakness
drug/alcohol abuse

This drug may make you dizzy or drowsy or cause blurred vision; use caution engaging in activities requiring alertness or clear vision such as driving or using machinery. Avoid alcoholic beverages.

Before having surgery, tell your doctor or dentist that you are using this medication.

The elderly may be more sensitive to the effects of this drug, especially drowsiness and unsteadiness. Also, the elderly may not experience relief of anxiety with lorazepam. It may have the opposite effect on the elderly, causing mental/mood changes, sleeping problems, increase in sexual interest, or hallucinations.

Children may not experience relief of anxiety with lorazepam. It may have the opposite effect on children, causing agitation, shaking, or hallucinations.

This medication is not recommended for use during pregnancy. It may harm an unborn baby. Infants born to mothers who took this drug during the last weeks before delivery have had withdrawal symptoms, including unusual drowsiness, slowed breathing, and feeding problems. Consult your doctor for more details

This drug passes into breast milk and could have undesirable effects on a nursing infant. Breast-feeding is not recommended while using this drug. Consult your doctor before breast-feeding.

Ativan Oral Drug Interactions
Your healthcare professionals (e.g., doctor or pharmacist) may already be aware of any possible drug interactions and may be monitoring you for it. Do not start, stop or change the dosage of any medicine before checking with them first.

This drug should not be used with the following medication because a very serious interactions may occur:

sodium oxybate (also known as gamma hydroxybutyrate or GHB)

If you are currently using this medication listed above, tell your doctor or pharmacist before starting lorazepam.

Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of:

aminophylline
clozapine
kava
probenecid
theophylline
valproate

Tell your doctor or pharmacist if you also take drugs that cause drowsiness such as: certain antihistamines (e.g., diphenhydramine), anti-seizure drugs (e.g., carbamazepine), medicine for sleep or anxiety (e.g., alprazolam, diazepam, zolpidem), muscle relaxants, narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., chlorpromazine, risperidone, amitriptyline, trazodone).

Check the labels on all your medicines (e.g., cough-and-cold products) because they may contain drowsiness-causing ingredients. Ask your pharmacist about the safe use of those products.

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Dosage and Storage

Ativan Oral Missed Dose
If you miss a dose and are taking more than 1 dose daily, do not take it if it is almost time for the next dose. Instead, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up. If you take it once daily at bedtime and miss a dose, do not take it the following morning. Call your doctor to find out what to do.

Ativan Oral Notes
Lifestyle changes such as starting a stress reduction program may increase the effectiveness of this medicine. Talk to your doctor or pharmacist about lifestyle changes that might benefit you.

Do not share this medication with others. It is against the law.

Laboratory and/or medical tests (e.g., blood counts, liver function tests) should be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details.

Ativan Oral Storage
Store at room temperature between 68-77 degrees F (20-25 degrees C) away from light and moisture. Do not store in the bathroom. Keep all medicines away from children and pets.

Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

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Wellbutrin Oral (BUPROPION)

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Uses and How to Use

Generic Name: BUPROPION - ORAL
Pronounced: (byou-PRO-pee-on)


Wellbutrin Oral Uses
Bupropion is used to treat depression. It can improve your mood and feelings of well-being. It may work by helping to restore the balance of certain natural chemicals (neurotransmitters) in your brain.

The sustained release form of bupropion is also used to help people quit smoking by decreasing cravings and nicotine withdrawal effects.

How To Use Wellbutrin Oral
Read the Patient Information Leaflet and Medication Guide available from your pharmacist before you start using bupropion and each time you get a refill. Consult your doctor or pharmacist if you have any questions.

Take this medication by mouth, with or without food, usually three times daily. If stomach upset occurs, you may take this drug with food. It is important to take your doses at least 6 hours apart or as directed by your doctor to decrease your risk of having a seizure.

Do not take more or less medication or take it more frequently than prescribed. Taking more than the recommended dose of bupropion may increase your risk of having a seizure. Do not take more than 150 milligrams as a single dose, and do not take more than 450 milligrams per day.

Your dosage is based on your medical condition and response to therapy. Your dose may be slowly increased to limit side effects such as sleeplessness, and to decrease the risk of seizures. To avoid trouble sleeping, do not take this medication too close to bedtime. Let your doctor know if sleeplessness becomes a problem.

Use this medication regularly in order to get the most benefit from it. To help you remember, use it at the same times each day.

Do not stop taking this medication without consulting your doctor. Some conditions may become worse when the drug is suddenly stopped. Your dose may need to be gradually decreased.

It may take 4 or more weeks before you notice the full benefit of this drug. Continue to take this medication as directed by your doctor even after you feel better. Talk to your doctor if your condition does not improve or if it worsens.

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Precautions and Side Effects

Wellbutrin Oral Warning
Antidepressant medications are used to treat a variety of conditions, including depression and other mental/mood disorders. These medications can help prevent suicidal thoughts/attempts and provide other important benefits. However, studies have shown that a small number of people (especially children/teenagers) who take antidepressants for any condition may experience worsening depression, other mental/mood symptoms, or suicidal thoughts/attempts. Therefore, it is very important to talk with the doctor about the risks and benefits of antidepressant medication (especially for children/teenagers), even if treatment is not for a mental/mood condition.

Tell the doctor immediately if you notice worsening depression/other psychiatric conditions, unusual behavior changes (including possible suicidal thoughts/attempts), or other mental/mood changes (including new/worsening anxiety, panic attacks, trouble sleeping, irritability, hostile/angry feelings, impulsive actions, severe restlessness, very rapid speech). Be especially watchful for these symptoms when a new antidepressant is started or when the dose is changed.

Wellbutrin Oral Side Effects
See also the How to Use, Precautions, and Warning sections.

Nausea, vomiting, dry mouth, headache, constipation, increased sweating, joint aches, sore throat, blurred vision, strange taste in the mouth, or dizziness may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.

Remember that your doctor has prescribed this medication because the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor immediately if any of these unlikely but serious side effects occur:

chest pain
fainting
fast/pounding/irregular heartbeat
hearing problems
ringing in the ears
severe headache
mental/mood changes (e.g., agitation, anxiety, confusion, hallucinations)
uncontrolled movements (tremor)
unusual weight loss or gain

Tell your doctor immediately if any of these rare but very serious side effects occur:

muscle pain/tenderness/weakness
change in the amount of urine

This drug may infrequently cause seizures. Seek immediate medical attention if you experience a seizure. If you have a seizure while taking bupropion, you should not take this drug again.

A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction include:

rash
itching
swelling
severe dizziness
trouble breathing

Wellbutrin Oral Precautions
See also the How to Use and Warning sections.

Before taking bupropion, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies.

This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have or have had:

seizures
eating disorders (e.g., bulimia, anorexia nervosa)

This medication should not be used if you are suddenly stopping regular use of sedatives (e.g., benzodiazepines such as lorazepam) or alcohol. Doing so may increase your risk of seizures. Large amounts of alcohol may also increase your risk of seizures and dizziness. Discuss your use of these products with your doctor.

Before using this medication, tell your doctor or pharmacist your medical history, especially of:

alcohol/drug dependence (including benzodiazepines, narcotic pain medicines, cocaine and stimulants)
brain tumor
diabetes
head injury
heart disease (e.g., congestive heart failure, high blood pressure, recent heart attack)
kidney problems
liver problems (e.g., cirrhosis)
personal or family history of psychiatric disorder (e.g., bipolar/manic-depressive disorder)
personal or family history of suicide thoughts/attempts
intent to quit smoking

Though uncommon, depression can lead to thoughts or attempts of suicide. Tell your doctor immediately if you have any suicidal thoughts, worsening depression, or any other mental/mood changes (including new or worsening anxiety, agitation, panic attacks, trouble sleeping, irritability, hostile/angry feelings, impulsive actions, severe restlessness, rapid speech, unusual behavior changes). Keep all medical appointments so your doctor can monitor your progress closely and adjust or change your medication if needed.


This drug may make you dizzy or affect your coordination; use caution engaging in activities requiring alertness such as driving or using machinery. Avoid or limit alcoholic beverages.

Kidney function declines as you grow older. This medication is removed by the kidneys. Therefore, elderly people may be more sensitive to this drug and to side effects.

This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. Infrequently, newborns whose mothers have used certain newer antidepressants during the last 3 months of pregnancy may develop symptoms including persistent feeding or breathing difficulties, jitteriness, seizures or constant crying. Promptly report any such symptoms to the doctor. However, do not stop taking this medication unless your doctor directs you to do so.

This medication passes into breast milk and may have undesirable effects on a nursing infant. Breast-feeding while using this drug is not recommended. Consult your doctor before breast-feeding.

Wellbutrin Oral Drug Interactions
Your healthcare professionals (e.g., doctor or pharmacist) may already be aware of any possible drug interactions and may be monitoring you for it. Do not start, stop or change the dosage of any medicine before checking with them first.

This drug should not be used with the following medications because very serious interactions may occur:

certain x-ray dyes such as iomeprol
other medications containing bupropion (e.g., drugs for smoking cessation)
sibutramine
thioridazine

If you are currently using any of these medications, tell your doctor or pharmacist before starting bupropion.

Avoid taking MAO inhibitors (e.g., furazolidone, isocarboxazid, linezolid, moclobemide, phenelzine, procarbazine, selegiline, tranylcypromine) within 2 weeks before or after treatment with this medication. In some cases a serious, possibly fatal, drug interaction may occur.

Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of:

amantadine
diabetes medications (e.g., glipizide, glyburide, insulin)
certain HIV drugs (e.g., efavirenz, nelfinavir, ritonavir)
levodopa
nicotine products (e.g., patches, gum)
regular use of sedatives (e.g., alcohol, alprazolam)
stimulants (e.g., amphetamine, cocaine, "ecstasy," ephedrine)
warfarin

Also tell your doctor if you are taking drugs which may be affected by certain liver enzymes such as antidepressants (e.g., desipramine, paroxetine, fluoxetine), antiarrhythmics (e.g., propafenone and flecainide), antipsychotics (e.g., haloperidol, risperidone), beta blockers (e.g., metoprolol), orphenadrine, cyclophosphamide, thiotepa, carbamazepine, phenobarbital or phenytoin.

Report the use of drugs that might increase seizure risk (decrease seizure threshold) when combined with bupropion, such as antipsychotics (e.g., chlorpromazine), corticosteroids (e.g., prednisone), tricyclic antidepressants (e.g., amitriptyline), or theophylline, among others. Consult your doctor or pharmacist for details.

Large amounts of caffeine and other stimulants, such as those found in weight loss and cold/sinus medications, can increase the chance of seizures with this drug. Check the labels on all your nonprescription/prescription/herbal medicines (e.g., cough-and-cold products, diet aids) for caffeine and other stimulants (e.g., ephedra). Consult your doctor or pharmacist.

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Dosage and Storage

Wellbutrin Oral Missed Dose
If you miss a dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Wellbutrin Oral Notes
Do not share this medication with others.

Psychiatric/medical checkups or tests such as blood pressure monitoring may be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details.

Wellbutrin Oral Storage
Store at room temperature between 59-77 degrees F (15-25 degrees C) away from light and moisture. Bupropion tablets may have a strange odor. This is normal and the medication is still okay to use. Do not store in the bathroom. Keep all medicines away from children and pets.

Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

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Xanax XR Oral (ALPRAZOLAM)

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Uses and How to Use

Generic Name: ALPRAZOLAM EXTENDED RELEASE - ORAL
Pronounced: (al-PRAZ-oh-lam)


Xanax XR Oral Uses
This medication is used to treat the panic and anxiety symptoms associated with panic disorder. Alprazolam belongs to a class of medications called benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. It works by enhancing the effects of a certain natural chemical in the body (GABA).

How To Use Xanax XR Oral
Take this medication by mouth once daily usually in the morning; or as directed by your doctor. This medication should be swallowed whole; do not crush or chew the tablets.

This medication may cause dependence, especially if it has been used regularly for an extended period of time, or if it has been used in high doses. In such cases, if you suddenly stop this drug, withdrawal reactions including seizures may occur. Report any such reactions to your doctor immediately. When stopping extended, regular treatment with this drug, the dosage should be gradually reduced as directed to help prevent withdrawal reactions. Consult your doctor or pharmacist for more details.

Though it is very unlikely to occur, this medication can also result in abnormal drug-seeking behavior (addiction/habit-forming). Do not increase your dose, take it more frequently, or use it for a longer period of time than prescribed. Properly stop the medication when so directed. This will lessen the chances of becoming addicted.

When used for an extended period, this medication may not work as well and may require different dosing. Talk with your doctor if this medication stops working well.

Inform your doctor if your condition persists or worsens.

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Precautions and Side Effects

Xanax XR Oral Side Effects
Drowsiness, dizziness, headache, tiredness, clumsiness, decreased interest in sex, decreased appetite, nausea, constipation, or joint pain may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.

Remember that your doctor has prescribed this medication because the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor immediately if any of these serious side effects occur:

mental/mood changes
confusion
slurred speech or difficulty speaking
difficulty remembering things

An allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include:

rash
itching
swelling
severe dizziness
trouble breathing

If you notice other effects not listed above, contact your doctor or pharmacist.

Xanax XR Oral Precautions
Before taking alprazolam, tell your doctor or pharmacist if you are allergic to it; or to other benzodiazepines (e.g., diazepam, lorazepam); or if you have any other allergies.

Before using this medication, tell your doctor or pharmacist your medical history, especially of:

kidney disease
liver disease
severe lung/breathing problems (e.g., COPD, sleep apnea)
drug or alcohol abuse

This drug may make you dizzy or drowsy; use caution engaging in activities requiring alertness such as driving or using machinery. Limit alcoholic beverages.

Caution is advised when using this drug in the elderly because they may be more sensitive to its side effects, especially loss of coordination and drowsiness.

This medication is not recommended for use during pregnancy due to the potential for harm to an unborn baby. Consult your doctor for more details.

This drug passes into breast milk and may have undesirable effects on a nursing infant. Therefore, breast-feeding while using this medication is not recommended. Consult your doctor before breast-feeding.

Xanax XR Oral Drug Interactions

Your healthcare professionals (e.g., doctor or pharmacist) may already be aware of any possible drug interactions and may be monitoring you for it. Do not start, stop or change the dosage of any medicine before checking with them first.

This drug should not be used with the following medications because very serious interactions may occur:

certain azole antifungals (e.g., itraconazole, ketoconazole)
delavirdine
indinavir
sodium oxybate

If you are currently using any of these medications, tell your doctor or pharmacist before starting alprazolam.

Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of:

clozapine
digoxin
disulfiram
kava

Tell your doctor or pharmacist if you take drugs that affect the removal of alprazolam from your system (CYP 3A4 substrates, inhibitors and inducers) such as:

other azole antifungals (e.g., fluconazole, voriconazole)
certain anti-depressants (e.g., fluoxetine, fluvoxamine, nefazodone)
certain anti-seizure medications (e.g., phenytoin, phenobarbital)
cimetidine
macrolide antibiotics (e.g., erythromycin, clarithromycin)
rifamycins (e.g., rifampin)
ritonavir
St John's wort

Tell your doctor or pharmacist if you take drugs that cause drowsiness such as: antihistamines that cause drowsiness (e.g., diphenhydramine), anti-seizure drugs (e.g., carbamazepine), medicine for sleep (e.g., sedatives), muscle relaxants, narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., phenothiazines such as chlorpromazine, tricyclic anti-depressants such as amitriptyline), tranquilizers.

Check the labels on all your medicines (e.g., cough-and-cold products) because they may contain ingredients which cause drowsiness. Ask your pharmacist about the safe use of those products.

Cigarette smoking decreases blood levels of this medication (through liver enzyme induction). Tell your doctor if you smoke or if you have recently stopped smoking because your dose may need to be adjusted.

Do not start or stop any medicine without doctor or pharmacist approval.

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Dosage and Storage

Xanax XR Oral Missed Dose
If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Xanax XR Oral Notes
Do not share this medication with others. It is against the law.

If this drug is used for an extended period of time, laboratory and/or medical tests (e.g., liver function tests, complete blood count) may be performed periodically to check for side effects. Consult your doctor for more details.

Xanax XR Oral Storage
Store at room temperature (77 degrees F or 25 degrees C) away from light and moisture. Brief storage between 59-86 degrees F (15-30 degrees C) is permitted. Do not store in the bathroom. Keep all medicines away from children and pets.

Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

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Paxil CR Oral (PAROXETINE)

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Uses and How to Use

Generic Name: PAROXETINE CONTROLLED-RELEASE - ORAL
Pronounced: (pair-OX-eh-teen)


Paxil CR Oral Uses
Paroxetine is a selective serotonin reuptake inhibitor (SSRI) used to treat depression, panic attacks, obsessive-compulsive disorder (OCD), anxiety disorders, post-traumatic stress disorder, and a severe form of premenstrual syndrome (premenstrual dysphoric disorder).

SSRIs work by helping to restore the balance of certain natural substances in the brain (neurotransmitters such as serotonin). Paroxetine may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease anxiety/unreasonable fears, persistent/troubling thoughts (obsessions), and unwanted urges that keep returning (compulsions). It may decrease the number and severity of panic attacks. Paroxetine may lessen premenstrual symptoms such as irritability, increased appetite, and depression.

How To Use Paxil CR Oral
Read the Medication Guide provided by your pharmacist before you start using paroxetine and each time you get a refill. If you have any questions, consult your doctor or pharmacist.

Take this medication by mouth with or without food, usually once daily or as directed by your doctor. This medication may make you either sleepy or wakeful. Therefore, depending on how this medication affects you, your doctor may direct you to take the entire dose once daily in either the morning or evening. Swallow the medication whole. Do not crush or chew this medication.

The dosage is based on your medical condition and response to treatment. To reduce your risk of side effects, your doctor may start you at a low dose and gradually increase your dose. Follow your doctor's instructions carefully. Do not take more or less medication or take it more frequently than prescribed. Your condition will not improve any faster and your risk of side effects will increase. Use this medication regularly in order to get the most benefit from it. To help you remember, use it at the same time each day.

If you are taking paroxetine for premenstrual problems, your doctor may direct you to take it every day of the month or just for the 2 weeks before your period through the first full day of your period.

It is important to continue taking this medication as prescribed even if you feel well. Do not stop taking this medication without first consulting your doctor.

This medication may cause dependence, especially if it has been used regularly for an extended time or if it has been used in high doses. In such cases, withdrawal reactions (e.g., mood swings, headache, tiredness, sleep changes, "shock-like" feelings) may occur if you suddenly stop this drug. To prevent withdrawal when stopping extended/regular treatment with this drug, gradually reduce the dosage as directed. Consult your doctor or pharmacist for more details. Report any withdrawal reactions or worsening symptoms immediately.

You should see some improvement in 1 to 2 weeks. It may take several weeks before you feel the full benefit.

Tell your doctor if your condition does not improve or if it worsens.

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Precautions and Side Effects

Paxil CR Oral Warning
Antidepressant medications are used to treat a variety of conditions, including depression and other mental/mood disorders. These medications can help prevent suicidal thoughts/attempts and provide other important benefits. However, studies have shown that a small number of people (especially children/teenagers) who take antidepressants for any condition may experience worsening depression, other mental/mood symptoms, or suicidal thoughts/attempts. Therefore, it is very important to talk with the doctor about the risks and benefits of antidepressant medication (especially for children/teenagers), even if treatment is not for a mental/mood condition.

Tell the doctor immediately if you notice worsening depression/other psychiatric conditions, unusual behavior changes (including possible suicidal thoughts/attempts), or other mental/mood changes (including new/worsening anxiety, panic attacks, trouble sleeping, irritability, hostile/angry feelings, impulsive actions, severe restlessness, very rapid speech). Be especially watchful for these symptoms when a new antidepressant is started or when the dose is changed.

Paxil CR Oral Side Effects

Nausea, drowsiness, dizziness, trouble sleeping, loss of appetite, weakness, tiredness, dry mouth, sweating, yawning, or headache may occur. If any of these effects persist or worsen, tell your doctor promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor immediately if any of these unlikely but serious side effects occur:

unusual or severe mental/mood changes (e.g., agitation, thoughts of suicide)
shakiness (tremor)
restlessness
inability to keep still
decreased interest in sex
changes in sexual ability
blurred vision
numbness/tingling

Tell your doctor immediately if any of these rare but very serious side effects occur:

bloody/black/tarry stools
vomit that looks like coffee grounds
easy bruising/bleeding
fainting
fast/irregular heartbeat
muscle weakness/spasm
seizures
change in amount of urine

This medication may rarely cause a very serious condition called serotonin syndrome. The risk increases when this medication is used with certain other drugs such as "triptans" used to treat migraine headaches (e.g., sumatriptan, eletriptan), certain antidepressants including other SSRIs (e.g., citalopram, fluoxetine) and SNRIs (e.g., duloxetine, venlafaxine), lithium, tramadol, tryptophan, or a certain drug to treat obesity (sibutramine). Before taking this drug, tell your doctor if you take any of these medications. Serotonin syndrome may be more likely when you start or increase the dose of any of these medications. Seek immediate medical attention if you develop some of the following symptoms:

hallucinations
unusual restlessness
loss of coordination
fast heartbeat
severe dizziness
unexplained fever
severe nausea/vomiting/diarrhea
twitchy muscles

For males, in the very unlikely event you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and seek immediate medical attention, or permanent problems could occur.

A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including:

rash
itching
swelling
severe dizziness
trouble breathing

If you notice other effects not listed above, contact your doctor or pharmacist.

Paxil CR Oral Precautions
Before taking paroxetine, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies.

Before using this medication, tell your doctor or pharmacist your medical history, especially of:

personal or family history of bipolar/manic-depressive disorder
personal or family history of suicide attempts
liver problems
kidney problems
low sodium in the blood
severe loss of body water (dehydration)
seizures
stomach/intestinal ulcers
glaucoma (narrow-angle type)

This drug may make you dizzy or drowsy. Use caution while driving, using machinery, or doing any other activity that requires alertness. Avoid alcoholic beverages.

Caution is advised when using this product in the elderly because they may be more sensitive to its effects. The elderly are more likely to lose too much salt (hyponatremia), especially if they are also taking "water pills" (diuretics) with this medication.

This medication is not recommended for use during pregnancy. It may harm an unborn baby. Also, babies born to mothers who have used this drug during the last 3 months of pregnancy may infrequently develop withdrawal symptoms such as feeding/breathing difficulties, seizures, muscle stiffness, or constant crying. If you notice any of these symptoms in your newborn, tell the doctor promptly.

Since untreated depression can be a serious condition, do not stop taking this medication unless directed by your doctor. If you are planning pregnancy, become pregnant, or think you may be pregnant, immediately discuss the benefits and risks of using this medication during pregnancy with your doctor.

This drug passes into breast milk. Consult your doctor before breast-feeding.

Paxil CR Oral Drug Interactions
Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.

Certain medications taken with this product could result in serious (rarely fatal) drug interactions. Avoid taking sibutramine or MAO inhibitors (e.g., furazolidone, isocarboxazid, linezolid, moclobemide, phenelzine, procarbazine, rasagiline, selegiline, tranylcypromine) for 2 weeks before, during, or after treatment with this medication. Consult your doctor or pharmacist for additional information.

This drug should not be used with the following medications because very serious (possibly fatal) interactions may occur:

pimozide
sibutramine
thioridazine

If you are currently using any of these medications listed above, tell your doctor or pharmacist before starting paroxetine.

Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of:

drugs removed from your body by certain liver enzymes (e.g., aripiprazole, atomoxetine, fluoxetine, phenothiazines, procyclidine, risperidone, tamoxifen, antiarrhythmics such as propafenone, flecainide, TCA antidepressants such as desipramine, amitriptyline)
cimetidine
digoxin
fosamprenavir/ritonavir
metoprolol
quinidine
theophylline
tramadol
"water pills" (diuretics such as furosemide)
drugs that can cause bleeding/bruising (e.g., aspirin, antiplatelet drugs such as clopidogrel, NSAIDs such as ibuprofen, "blood thinners" such as heparin, warfarin)

Aspirin can increase the risk of bleeding when used with this medication (see above). If your doctor has directed you to take low-dose aspirin for heart attack or stroke prevention (usually at dosages of 81-325 milligrams a day), you should continue taking it unless your doctor instructs you otherwise. Discuss the risks and benefits with your doctor.

Also tell your doctor if you take any other drugs that increase serotonin, such as bromocriptine, buspirone, dextromethorphan, lithium, meperidine, propoxyphene, phentermine, SSRIs, SNRIs, tryptophan, St. John's wort, drugs used to treat migraines such as "triptans" and dihydroergotamine, street drugs such as MDMA/"ecstasy," amphetamine. (See also Side Effects section.)

Tell your doctor or pharmacist if you also take drugs that cause drowsiness such as: certain antihistamines (e.g., diphenhydramine), anti-seizure drugs (e.g., carbamazepine), medicine for sleep or anxiety (e.g., alprazolam, diazepam, zolpidem), muscle relaxants, narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., chlorpromazine, quetiapine, nortriptyline, trazodone).

Check the labels on all your medicines (e.g., cough-and-cold products) because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely.

Cimetidine is a nonprescription drug that is commonly used to treat extra stomach acid. Because it may cause undesirable interactions when used with paroxetine, ask your pharmacist about other products to treat stomach acid.

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Dosage and Storage

Paxil CR Oral Missed Dose
If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Paxil CR Oral Notes
Do not share this medication with others.

Psychiatric/medical check-ups should be done periodically to monitor your progress or check for side effects. Consult your doctor for more details.

Paxil CR Oral Storage
Store at room temperature at or below 77 degrees F (25 degrees C) away from light and moisture. Do not store in the bathroom. Keep all medicines away from children and pets.

Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

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Effexor Oral (VENLAFAXINE)

[goto=39]Uses and How to Use[/goto]
[goto=40]Precautions and Side Effects[/goto]
[goto=41]Dose and Storage[/goto]

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Uses and How to Use

Generic Name: VENLAFAXINE - ORAL
Pronounced: (ven-luh-FAX-een)


Effexor Oral Uses
Venlafaxine is an antidepressant (serotonin-norepinephrine reuptake inhibitor type-SNRI) used in the treatment of depression and anxiety. It works by restoring the balance of natural substances (neurotransmitters such as serotonin and norepinephrine) in the brain. Venlafaxine may decrease nervousness and improve your mood, feelings of well-being, and energy level.

How To Use Effexor Oral
Read the Medication Guide provided by your pharmacist before you start using venlafaxine and each time you get a refill. If you have any questions, consult your doctor or pharmacist.

Take this medication with food, usually 2 to 3 times daily or as directed by your doctor. Dosage is based on your medical condition and response to treatment. The usual maximum dose for an adult is 375 milligrams each day.

To reduce your risk of side effects, your doctor may direct you to start taking this drug at a low dose and gradually increase your dose. Follow your doctor's instructions carefully. Do not take more or less medication or take it more frequently than prescribed. Your condition will not improve any faster, and your risk of side effects will increase. Use this medication regularly in order to get the most benefit from it. To help you remember, use it at the same times each day.

It is important to continue taking this medication even if you feel well. Do not stop taking this medication without consulting your doctor. Some conditions may become worse when the drug is suddenly stopped. Your dose may need to be gradually decreased.

This medication may cause dependence, especially if it has been used regularly for an extended time or if it has been used in high doses. In such cases, withdrawal reactions (e.g., nausea, vomiting, headache, numbness, tingling, nightmares) may occur if you suddenly stop this drug. To prevent withdrawal when stopping extended/regular treatment with this drug, gradually reduce the dosage as directed. Consult your doctor or pharmacist for more details, and report any withdrawal reactions immediately.

It may take several weeks to feel the full benefit of this medication. Tell your doctor if your condition persists or worsens.


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Precautions and Side Effects

Effexor Oral Warning
Antidepressant medications are used to treat a variety of conditions, including depression and other mental/mood disorders. These medications can help prevent suicidal thoughts/attempts and provide other important benefits. However, studies have shown that a small number of people (especially children/teenagers) who take antidepressants for any condition may experience worsening depression, other mental/mood symptoms, or suicidal thoughts/attempts. Therefore, it is very important to talk with the doctor about the risks and benefits of antidepressant medication (especially for children/teenagers), even if treatment is not for a mental/mood condition.

Tell the doctor immediately if you notice worsening depression/other psychiatric conditions, unusual behavior changes (including possible suicidal thoughts/attempts), or other mental/mood changes (including new/worsening anxiety, panic attacks, trouble sleeping, irritability, hostile/angry feelings, impulsive actions, severe restlessness, very rapid speech). Be especially watchful for these symptoms when a new antidepressant is started or when the dose is changed.

Effexor Oral Side Effects

Headache, drowsiness, dizziness, nausea, weakness, dry mouth, constipation, loss of appetite, weight loss, blurred vision, tiredness, nervousness, trouble sleeping, sweating, or yawning may occur. If any of these effects persist or worsen, tell your doctor promptly.

Venlafaxine may increase blood pressure. Your blood pressure should be checked regularly while you are taking this medication.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor immediately if any of these unlikely but serious side effects occur:

fainting
severe/pounding headache
unusual or severe mental/mood changes (e.g., extreme anxiety, unusual high energy/excitement, rare thoughts of suicide)
shakiness (tremor)
decreased interest in sex
changes in sexual ability
difficulty urinating
change in the amount of urine

Tell your doctor immediately if any of these rare but very serious side effects occur:

stomach/abdominal pain
chest pain
persistent cough
shortness of breath
bloody/black/tarry stools
vomit that looks like coffee grounds
easy bruising/bleeding
fast/irregular/pounding heartbeat
muscle weakness/cramps
yellowing eyes/skin
dark urine
seizures
unusual tiredness

This medication may rarely cause a very serious condition called serotonin syndrome. The risk increases when this medication is used with certain other drugs such as "triptans" used to treat migraine headaches (e.g., sumatriptan, eletriptan), certain antidepressants including SSRIs (e.g., citalopram, paroxetine) and other SNRIs (e.g., duloxetine), lithium, tramadol, tryptophan, or a certain drug to treat obesity (sibutramine). See also Drug Interactions section. Before taking this drug, tell your doctor if you take any of these medications. Serotonin syndrome may be more likely when you start or increase the dose of any of these medications. Seek immediate medical attention if you develop some of the following symptoms:

hallucinations
restlessness
loss of coordination
fast heartbeat
severe dizziness
unexplained fever
severe nausea/vomiting/diarrhea
twitchy muscles

For males, in the very unlikely event you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and seek immediate medical attention, or permanent problems could occur.

A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including:

rash
itching
swelling
severe dizziness
trouble breathing

If you notice other effects not listed above, contact your doctor or pharmacist.

Effexor Oral Precautions
Before taking venlafaxine, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies.

Before using this medication, tell your doctor or pharmacist your medical history, especially of:

personal or family history of psychiatric disorders (e.g., bipolar/manic-depressive disorder)
personal or family history of suicide attempts
bleeding problems
severe loss of body water (dehydration)
glaucoma
high blood pressure
heart problems (e.g., chest pain, irregular heartbeat, heart failure, heart attack)
high cholesterol
kidney disease
liver disease
seizure disorder
thyroid problems
low sodium in the blood (e.g., hyponatremia)

This drug may make you dizzy or drowsy. Use caution while driving, using machinery, or doing any other activity that requires alertness. Avoid alcoholic beverages.

Caution is advised when using this product in the elderly because they may be more sensitive to its effects. The elderly are more likely to lose too much salt (hyponatremia), especially if they are also taking "water pills" (diuretics) with this medication.

Caution is advised when using this drug in children because it may affect weight, growth rate, and final height. Consult your doctor or pharmacist for more details.

This medication is not recommended for use during pregnancy. It may harm an unborn baby. Also, babies born to mothers who have used this drug during the last 3 months of pregnancy may infrequently develop withdrawal symptoms such as feeding/breathing difficulties, seizures, muscle stiffness, or constant crying. If you notice any of these symptoms in your newborn, tell the doctor promptly.

Since untreated depression can be a serious condition, do not stop taking this medication unless directed by your doctor. If you are planning pregnancy, become pregnant, or think you may be pregnant, immediately discuss the benefits and risks of using this medication during pregnancy with your doctor.

This medication passes into breast milk and may have undesirable effects on a nursing infant. Breast-feeding is not recommended while using this drug. Consult your doctor before breast-feeding.

Effexor Oral Drug Interactions
Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.

Taking certain medications with this product could result in serious (rarely fatal) drug interactions. Avoid taking MAO inhibitors (e.g., furazolidone, isocarboxazid, linezolid, moclobemide, phenelzine, procarbazine, rasagiline, selegiline, tranylcypromine) with venlafaxine for 2 weeks before treatment, during treatment, and at least 7 days after your last dose of venlafaxine. Consult your doctor or pharmacist for more information.

This drug should also not be used with the following medications because very serious (possibly fatal) interactions may occur:

weight loss drugs (e.g., sibutramine, phentermine)
tryptophan

If you are currently using any of these medications, tell your doctor or pharmacist before starting venlafaxine.

Certain drugs that may affect the heart rhythm (QTc prolongation in the EKG) include amiodarone, dofetilide, pimozide, quinidine, sotalol, procainamide, thioridazine, and erythromycin, among others. Venlafaxine may increase the risk of this effect. QTc prolongation can infrequently result in a serious (rarely fatal) irregular heartbeat. Consult your doctor or pharmacist for more details and for instructions on how you may reduce this risk of this effect.

Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of:

drugs removed from your body by certain liver enzymes (e.g., antipsychotics such as clozapine/ haloperidol, HIV medications such as indinavir, tricyclic antidepressants-TCAs such as desipramine)
drugs affecting liver enzymes that remove venlafaxine from your body (e.g., cimetidine, azole antifungals such as ketoconazole, itraconazole)
"water pills" (diuretics such as furosemide)
drugs that can cause bleeding/bruising (e.g., aspirin, antiplatelet drugs such as clopidogrel, NSAIDs such as ibuprofen, "blood thinners" such as heparin/warfarin)

Aspirin can increase the risk of bleeding when used with this medication (see above). If your doctor has directed you to take low-dose aspirin for heart attack or stroke prevention (usually at dosages of 81-325 milligrams a day), you should continue taking it unless your doctor instructs you otherwise. Discuss the risks and benefits with your doctor.

Also tell your doctor if you take any other drugs that increase serotonin, such as buspirone, dextromethorphan, lithium, meperidine, propoxyphene, SSRIs, other SNRIs, St. John's wort, drugs used to treat migraines such as "triptans" and dihydroergotamine, street drugs such as MDMA/"ecstasy," amphetamine. (See also Side Effects section.)

Tell your doctor or pharmacist if you also take drugs that cause drowsiness such as: certain antihistamines (e.g., diphenhydramine), anti-seizure drugs (e.g., carbamazepine), medicine for sleep or anxiety (e.g., alprazolam, diazepam, zolpidem), muscle relaxants, narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., chlorpromazine, risperidone, amitriptyline, trazodone). Check the labels on all your medicines (e.g., allergy, cough-and-cold products) because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely.

Cimetidine is a nonprescription drug that is commonly used to treat extra stomach acid. Because it may cause undesirable interactions when used with venlafaxine, ask your pharmacist about other products to treat stomach acid.

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Dosage and Storage

Paxil CR Oral Missed Dose
If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Effexor Oral Notes
Do not share this medication with others.

Psychiatric/medical check-ups or lab tests (e.g., blood pressure, cholesterol, growth monitoring in children) should be done periodically to monitor your progress or check for side effects. Consult your doctor for more details.

Effexor Oral Storage
Store at room temperature between 68-77 degrees F (20-25 degrees C) away from light and moisture. Do not store in the bathroom. Keep all medicines away from children and pets.

Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

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Elavil

Generic Name: amitriptyline (a mee TRIP ti leen)
Brand Names: Elavil, Endep, Vanatrip

[goto=43]What is Elavil?[/goto]
[goto=44]What is the most important information I should know about Elavil?[/goto]
[goto=45]What should I discuss with my healthcare provider before taking Elavil?[/goto]
[goto=46]How should I take Elavil?[/goto]
[goto=47]What happens if I miss a dose?[/goto]
[goto=48]What happens if I overdose?[/goto]
[goto=49]What should I avoid while taking Elavil?[/goto]
[goto=50]Elavil side effects[/goto]
[goto=51]What other drugs will affect Elavil?[/goto]
[goto=52]Where can I get more information?[/goto]
[goto=53]What does my medication look like?[/goto]
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What is Elavil?
Elavil is in a group of drugs called tricyclic antidepressants. Elavil affects chemicals in the brain that may become unbalanced.

Elavil is used to treat symptoms of depression.

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

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What is the most important information I should know about Elavil?
Do not use Elavil if you are allergic to amitriptyline, or if you have recently had a heart attack. Do not use Elavil if you have taken cisapride (Propulsid) or used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days.
You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

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What should I discuss with my healthcare provider before taking Elavil?
Do not use this medication if you are allergic to Elavil, or if you have recently had a heart attack. Do not use Elavil if you have taken cisapride (Propulsid) or used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take Elavil before the MAO inhibitor has cleared from your body.
Before taking Elavil, tell your doctor if you are allergic to any drugs, or if you have:

heart disease;

a history of heart attack, stroke, or seizures;

bipolar disorder (manic-depression);

schizophrenia or other mental illness;

diabetes (Elavil may raise or lower blood sugar);

overactive thyroid;

glaucoma; or

problems with urination.

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

You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Tell your doctor if you have worsening symptoms of depression or suicidal thoughts during the first several weeks of treatment, or whenever your dose is changed.

Your family or other caregivers should also be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.

FDA pregnancy category C. Elavil may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Elavil can pass into breast milk and may harm a nursing baby. Do not use Elavil without telling your doctor if you are breast-feeding a baby. Do not give Elavil to anyone under 18 years old without the advice of a doctor.

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How should I take Elavil?
Take Elavil exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

If you need to have any type of surgery, tell the surgeon ahead of time that you are taking Elavil. You may need to stop using the medicine for a short time.

Do not stop using Elavil without first talking to your doctor. You may need to use less and less before you stop the medication completely. Stopping this medication suddenly could cause you to have unpleasant side effects. It may take up to 4 weeks of using this medicine before your symptoms improve. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve after 4 weeks of treatment. Store Elavil at room temperature away from moisture and heat.

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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.

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What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this medicine. An overdose of Elavil can be fatal.
Symptoms of an Elavil overdose may include uneven heartbeats, extreme drowsiness, confusion, agitation, vomiting, blurred vision, feeling hot or cold, sweating, muscle stiffness, feeling light-headed, fainting, seizure (convulsions), or coma.

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What should I avoid while taking Elavil?
Avoid drinking alcohol. It can cause dangerous side effects when taken together with Elavil.
Avoid using other medicines that make you sleepy (such as cold medicine, pain medication, muscle relaxers, medicine for seizures, or other antidepressants).

Grapefruit and grapefruit juice may interact with Elavil. Discuss the use of grapefruit products with your doctor before increasing or decreasing the amount of grapefruit products in your diet.

Elavil can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Elavil can make your skin more sensitive to sunlight and sunburn may result. Use a sunscreen (minimum SPF 15) and wear protective clothing if you must be out in the sun.

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Elavil side effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

Call your doctor at once if you have any of these serious side effects:
fast, pounding, or uneven heart rate, chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;

sudden numbness or weakness, especially on one side of the body;

sudden headache, confusion, problems with vision, speech, or balance;

hallucinations, or seizures (convulsions), feeling light-headed, fainting;

restless muscle movements in your eyes, tongue, jaw, or neck, uncontrollable shaking or tremor;

skin rash, severe tingling, numbness, pain, muscle weakness;

easy bruising or bleeding;

extreme thirst with headache, nausea, vomiting, and weakness; or

urinating less than usual or not at all.

Less serious side effects may be more likely to occur, such as:

nausea, vomiting, constipation, diarrhea, loss of appetite;

dry mouth, unpleasant taste;

feeling dizzy, drowsy, or tired;

trouble concentrating;

nightmares;

blurred vision, headache, ringing in your ears;

breast swelling (in men or women); or

decreased sex drive, impotence, or difficulty having an orgasm.

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.

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What other drugs will affect Elavil?
Before taking Elavil, tell your doctor if you have used an "SSRI" antidepressant in the past 5 weeks, such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), or sertraline (Zoloft).

Before taking Elavil, tell your doctor if you are currently using any of the following drugs:

cimetidine (Tagamet);

guanethidine (Ismelin);

disulfiram (Antabuse); or

heart rhythm medications such as flecainide (Tambocor), propafenone (Rhythmol), or quinidine (Cardioquin, Quinidex, Quinaglute).

If you are using any of these drugs, you may not be able to use Elavil, or you may need dosage adjustments or special tests during treatment.

There are many other medicines that can interact with Elavil. 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. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.

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Where can I get more information?
Your pharmacist has information about Elavil written for health professionals that you may read.

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What does my medication look like?
Amitriptyline is available with a prescription generically and under the brand names Elavil, Endep and Vanatrip. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

Click here for more information on Elavil from the manufacturer.

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Asendin

Generic Name: amoxapine (a MOX a peen)
Brand Names: Asendin

[goto=55]What is Asendin?[/goto]
[goto=56]What is the most important information I should know about Asendin?[/goto]
[goto=57]What should I discuss with my healthcare provider before taking Asendin?[/goto]
[goto=58]How should I take Asendin?[/goto]
[goto=59]What happens if I miss a dose?[/goto]
[goto=60]What happens if I overdose?[/goto]
[goto=61]What should I avoid while taking Asendin?[/goto]
[goto=62]Asendin side effects[/goto]
[goto=63]What other drugs will affect Asendin?[/goto]
[goto=64]Where can I get more information?[/goto]
[goto=65]What does my medication look like?[/goto]

[anchor=55][/anchor]
What is Asendin?
Amoxapine is in a group of drugs called tricyclic antidepressants. Amoxapine affects chemicals in the brain that may become unbalanced.

Amoxapine is used to treat symptoms of depression, anxiety, or agitation.

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

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What is the most important information I should know about Asendin?
Do not use this medication if you are allergic to amoxapine, or if you have recently had a heart attack. Do not use amoxapine if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days.
You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.


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What should I discuss with my healthcare provider before taking Asendin?
Do not use this medication if you are allergic to amoxapine, or if you have recently had a heart attack. Do not use amoxapine if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take amoxapine before the MAO inhibitor has cleared from your body.
Before taking amoxapine, tell your doctor if you are allergic to any drugs, or if you have:

heart disease;

a history of heart attack, stroke, or seizures;

kidney disease;

schizophrenia or other mental illness;

diabetes (amoxapine may raise or lower blood sugar);

glaucoma; or

problems with urination.

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

You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Tell your doctor if you have worsening symptoms of depression or suicidal thoughts during the first several weeks of treatment, or whenever your dose is changed.

Your family or other caregivers should also be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of 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. Amoxapine can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Older adults may be more likely to have side effects from this medicine. Do not give this medication to anyone under 18 years old without the advice of a doctor.


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How should I take Asendin?
Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from this medication. Follow the directions on your prescription label.

It may take up to 3 weeks of using this medicine before your symptoms improve. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve after 3 weeks of treatment. Store amoxapine at room temperature away from moisture and heat.


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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.


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What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this medicine. An overdose of amoxapine can be fatal.
Symptoms of an amoxapine overdose may include uneven heartbeats, increase or decrease in urination, drowsiness, agitation, confusion, hallucinations, seizure (convulsions), or coma.


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What should I avoid while taking Asendin?
Avoid drinking alcohol. It can cause dangerous side effects when taken together with amoxapine.
Avoid using other medicines that make you sleepy (such as cold medicine, pain medication, muscle relaxers, medicine for seizures, or other antidepressants). They can add to sleepiness caused by amoxapine.

Grapefruit and grapefruit juice may interact with amoxapine. Discuss the use of grapefruit products with your doctor before increasing or decreasing the amount of grapefruit products in your diet.

Amoxapine can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Amoxapine can make your skin more sensitive to sunlight and sunburn may result. Use a sunscreen (minimum SPF 15) and wear protective clothing if you must be out in the sun.


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Asendin side effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

Call your doctor at once if you have any of these serious side effects:
fast, pounding, or uneven heart rate;

chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;

sudden numbness or weakness, especially on one side of the body;

sudden headache, confusion, problems with vision, speech, or balance;

feeling light-headed, fainting;

restless muscle movements in your eyes, tongue, jaw, or neck;

tremors or uncontrollable shaking; or

fever with confusion, muscle stiffness, sweating, and fast or uneven heartbeats.

Less serious side effects may be more likely to occur, such as:

nausea, vomiting, stomach pain, constipation, diarrhea;

dry mouth, unpleasant taste;

increased appetite, weight changes;

weakness, lack of coordination;

numbness or tingly feeling;

feeling dizzy, drowsy, or tired;

nightmares;

blurred vision, headache;

low fever;

mild skin rash;

breast swelling (in men or women); or

decreased sex drive, impotence, or difficulty having an orgasm.

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.


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What other drugs will affect Asendin?
Before taking amoxapine, tell your doctor if you have used an "SSRI" antidepressant in the past 5 weeks, such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), or sertraline (Zoloft).

Before taking amoxapine, tell your doctor if you are currently using any of the following drugs:

cimetidine (Tagamet); or

heart rhythm medications such as flecainide (Tambocor), propafenone (Rhythmol), or quinidine (Cardioquin, Quinidex, Quinaglute).

If you are using any of these drugs, you may not be able to use amoxapine, or you may need dosage adjustments or special tests during treatment.

There are many other medicines that can interact with amoxapine. 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. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.


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Where can I get more information?
Your pharmacist has information about amoxapine written for health professionals that you may read


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What does my medication look like?
Amoxapine is available with a prescription generically and under the brand name Asendin. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

Asendin 25 mg--heptagon-shaped, white, scored tablets

Asendin 50 mg--heptagon-shaped, orange, scored tablets

Asendin 100 mg--heptagon-shaped, blue, scored tablets

Asendin 150 mg--heptagon-shaped, peach, scored tablets

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Anafranil

Generic Name: clomipramine (kloe MI pra meen)
Brand Names: Anafranil

[goto=67]What is Anafranil?[/goto]
[goto=68]What is the most important information I should know about Anafranil?[/goto]
[goto=69]What should I discuss with my healthcare provider before taking Anafranil?[/goto]
[goto=70]How should I take Anafranil?[/goto]
[goto=71]What happens if I miss a dose?[/goto]
[goto=72]What happens if I overdose?[/goto]
[goto=73]What should I avoid while taking Anafranil?[/goto]
[goto=74]Anafranil side effects[/goto]
[goto=75]What other drugs will affect Anafranil?[/goto]
[goto=76]Where can I get more information?[/goto]
[goto=77]What does my medication look like?[/goto]

[anchor=67][/anchor]
What is Anafranil?
Clomipramine is a tricyclic antidepressant. It affects chemicals in the brain that may become unbalanced.

Clomipramine is used to treat symptoms of obsessive-compulsive disorder (OCD) such as recurrent thoughts or feelings and repetitive actions.

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

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What is the most important information I should know about Anafranil?
Do not use this medication if you have recently had a heart attack, or if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Do not use clomipramine if you are allergic to it or to similar drugs such as amitriptyline (Elavil, Etrafon), amoxapine (Ascendin), desipramine (Norpramin), doxepin (Sinequan), imipramine (Janimine, Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), or trimipramine (Surmontil).
You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

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What should I discuss with my healthcare provider before taking Anafranil?
Do not use this medication if you are allergic to clomipramine or to similar drugs such as amitriptyline (Elavil, Etrafon), amoxapine (Ascendin), desipramine (Norpramin), doxepin (Sinequan), imipramine (Janimine, Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), or trimipramine (Surmontil). Do not use clomipramine if you have recently had a heart attack, or if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take clomipramine before the MAO inhibitor has cleared from your body.
Before taking clomipramine, tell your doctor if you are allergic to any drugs, or if you have:

heart disease or a history of heart attack, stroke, or seizures;

bipolar disorder (manic-depression), schizophrenia or other mental illness;

kidney or liver disease;
overactive thyroid or adrenal gland tumor (pheochromocytoma);

glaucoma; or

problems with urination.

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

You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Tell your doctor if you have worsening symptoms of depression or suicidal thoughts during the first several weeks of treatment, or whenever your dose is changed.

Your family or other caregivers should also be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of 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. Clomipramine can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not give clomipramine to anyone younger than 18 years old without the advice of a doctor.

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How should I take Anafranil?
Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from this medication. Follow the directions on your prescription label.

Take clomipramine with food to reduce stomach upset.
If you need to have any type of surgery, tell the surgeon ahead of time that you are taking clomipramine. You may need to stop using the medicine for a short time.

Do not stop using clomipramine without first talking to your doctor. You may need to use less and less before you stop the medication completely. It may take up to 4 weeks of using this medicine before your symptoms improve. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve after 4 weeks of treatment. Store clomipramine at room temperature away from moisture and heat.

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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.


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What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this medicine. An overdose of clomipramine can be fatal. Symptoms may include fast or uneven heart rate, extreme drowsiness, confusion, agitation, vomiting, blurred vision, sweating, muscle stiffness, increased or decreased urination, swelling, shortness of breath, blue lips or fingernails, feeling light-headed, fainting, seizure (convulsions), or coma.

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What should I avoid while taking Anafranil?
Avoid drinking alcohol. It can cause dangerous side effects when taken together with clomipramine.
Avoid using other medicines that make you sleepy (such as cold medicine, pain medication, muscle relaxers, medicine for seizures, or other antidepressants). They can add to sleepiness caused by clomipramine.

Grapefruit and grapefruit juice may interact with clomipramine. Discuss the use of grapefruit products with your doctor before increasing or decreasing the amount of grapefruit products in your diet.

Clomipramine can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Clomipramine can make your skin more sensitive to sunlight and sunburn may result. Use a sunscreen (minimum SPF 15) and wear protective clothing if you must be out in the sun.


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Anafranil side effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

Call your doctor at once if you have any of these serious side effects:
chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;

sudden numbness or weakness, especially on one side of the body;

sudden headache, confusion, problems with vision, speech, or balance;

feeling light-headed, fainting;

fever, confusion, muscle stiffness, sweating, fast or uneven heartbeats;

pale skin, easy bruising or bleeding, unusual weakness; or

urinating more than usual.

Less serious side effects may be more likely to occur, such as:

nausea, vomiting, stomach pain, loss of appetite, constipation or diarrhea;

dry mouth, unpleasant taste;

increased appetite, weight changes;

feeling anxious, restless, dizzy, drowsy, or tired;

blurred vision, trouble concentrating;

sleep problems (insomnia), nightmares;

blurred vision;

increased sweating; or

decreased sex drive, impotence, or difficulty having an orgasm.

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.


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What other drugs will affect Anafranil?
Before taking clomipramine, tell your doctor if you have used an "SSRI" antidepressant in the past 5 weeks, such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), or sertraline (Zoloft).

Before taking clomipramine, tell your doctor if you are currently using any of the following drugs:

cimetidine (Tagamet);

guanethidine (Ismelin);

methylphenidate (Concerta, Ritalin, Daytrana);

phenytoin (Dilantin);

warfarin (Coumadin);

heart or blood pressure medication such as clonidine (Catapres) or digoxin (Lanoxin);

heart rhythm medications such as flecainide (Tambocor), propafenone (Rhythmol), or quinidine (Cardioquin, Quinidex, Quinaglute); or

anti-psychotic medications such as chlorpromazine (Thorazine), haloperidol (Haldol), thioridazine (Mellaril), clozapine (Clozaril), olanzapine (Zyprexa, Zydis), quetiapine (Seroquel), risperidone (Risperdal), or ziprasidone (Geodon).

If you are using any of these drugs, you may not be able to use clomipramine, or you may need dosage adjustments or special tests during treatment.

There are many other medicines that can interact with clomipramine. 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. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.


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Where can I get more information?
Your pharmacist has information about amoxapine written for health professionals that you may read


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What does my medication look like?
Clomipramine is available with a prescription under the brand name Anafranil. Other brand or generic forms may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.



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Adapin

Generic Name: doxepin (DOX e pin)
Brand Names: Adapin, Sinequan

[goto=91]What is Adapin?[/goto]
[goto=92]What is the most important information I should know about Adapin?[/goto]
[goto=93]What should I discuss with my healthcare provider before taking Adapin?[/goto]
[goto=94]How should I take Adapin?[/goto]
[goto=95]What happens if I miss a dose?[/goto]
[goto=96]What happens if I overdose?[/goto]
[goto=97]What should I avoid while taking Adapin?[/goto]
[goto=98]Adapin side effects[/goto]
[goto=99]What other drugs will affect Adapin?[/goto]
[goto=100]Where can I get more information?[/goto]
[goto=101]What does my medication look like?[/goto]

[anchor=91][/anchor]
What is Adapin?
Doxepin is in a group of drugs called tricyclic antidepressants. Doxepin affects chemicals in the brain that may become unbalanced.

Doxepin is used to treat symptoms of depression and/or anxiety associated with alcoholism, psychiatric conditions, or manic-depressive conditions.

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

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What is the most important information I should know about Adapin?
Do not use this medication if you are allergic to doxepin, or if you have glaucoma or problems with urination. Do not use doxepin if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days.
You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

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What should I discuss with my healthcare provider before taking Adapin?
Do not use this medication if you are allergic to doxepin, or if you have glaucoma or problems with urination. Do not use doxepin if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take doxepin before the MAO inhibitor has cleared from your body.
Before taking doxepin, tell your doctor if you are allergic to any drugs, or if you have:

bipolar disorder (manic-depression); or

diabetes (doxepin may raise or lower blood sugar).

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

You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Tell your doctor if you have worsening symptoms of depression or suicidal thoughts during the first several weeks of treatment, or whenever your dose is changed.

Your family or other caregivers should also be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.

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 whether doxepin 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. Do not give doxepin to anyone younger than 18 years old without the advice of a doctor.

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How should I take Adapin?
Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from this medication. Follow the directions on your prescription label.

Measure doxepin oral concentrate (liquid) with the special dose-measuring dropper provided. Do not use a regular table spoon. If you do not have a dose-measuring dropper, ask your pharmacist for one.

Empty the measured dose from the medicine dropper into a small glass (4 ounces) of water, milk, orange juice, tomato juice, prune juice, or pineapple juice. Do not use a carbonated soft drink to mix doxepin oral concentrate. Stir the mixture and drink all of it right away. Do not save it for later use.

It may take a few weeks of using this medicine before your symptoms improve. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve during treatment. Store doxepin at room temperature away from moisture and heat.

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[anchor=95][/anchor]
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.

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[anchor=96][/anchor]
What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this medicine. An overdose of doxepin can be fatal.
Symptoms of a doxepin overdose may include uneven heartbeats, extreme drowsiness, agitation, vomiting, blurred vision, confusion, hallucinations, feeling hot or cold, muscle stiffness, feeling light-headed, fainting, seizure (convulsions), or coma.

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What should I avoid while taking Adapin?
Avoid drinking alcohol. It can cause dangerous side effects when taken together with doxepin.
Avoid using other medicines that make you sleepy (such as cold medicine, pain medication, muscle relaxers, medicine for seizures, or other medication for depression or anxiety). They can add to sleepiness caused by doxepin.

Grapefruit and grapefruit juice may interact with doxepin. Discuss the use of grapefruit products with your doctor before increasing or decreasing the amount of grapefruit products in your diet.

Doxepin can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

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[anchor=98][/anchor]
Adapin side effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

Call your doctor at once if you have any of these serious side effects:
fast, pounding, or uneven heart rate;

confusion, hallucinations, or seizure (convulsions);

easy bruising or bleeding, unusual weakness;

feeling light-headed, fainting;

restless muscle movements in your eyes, tongue, jaw, or neck;

tremors or uncontrollable shaking;

urinating less than usual or not at all; or

extreme thirst with headache, nausea, vomiting, and weakness.

Less serious side effects may be more likely to occur, such as:

nausea, vomiting, constipation, loss of appetite;

dry mouth;

weight changes;

weakness, lack of coordination;

numbness or tingly feeling;

feeling dizzy, drowsy, or tired;

sleep problems (insomnia), nightmares;

blurred vision, headache, ringing in your ears;

increased sweating;

breast swelling (in men or women); or

decreased sex drive, impotence, or difficulty having an orgasm.

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.

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[anchor=99][/anchor]
What other drugs will affect Adapin?
Before taking doxepin, tell your doctor if you have used an "SSRI" antidepressant in the past 5 weeks, such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), or sertraline (Zoloft).

Before taking doxepin, tell your doctor if you are currently using any of the following drugs:

cimetidine (Tagamet) or;

heart rhythm medications such as flecainide (Tambocor), propafenone (Rhythmol), or quinidine (Cardioquin, Quinidex, Quinaglute).

If you are using any of these drugs, you may not be able to use doxepin, or you may need dosage adjustments or special tests during treatment.

There are many other medicines that can interact with doxepin. 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. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.

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[center][goto=index]BACK TO INDEX[/goto][/center]
[anchor=100][/anchor]
Where can I get more information?
Your pharmacist has information about amoxapine written for health professionals that you may read

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[center][goto=index]BACK TO INDEX[/goto][/center]
[anchor=101][/anchor]
What does my medication look like?
Doxepin is available with a prescription under the brand name Sinequan. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

Sinequan 10 mg--red/pink capsule

Sinequan 25 mg--blue/pink capsule

Sinequan 50 mg--pink/white capsule

Sinequan 75 mg--white/white capsule

Sinequan 100 mg--blue/white capsule

Sinequan 150 mg--blue/blue capsule

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