Azithromycin - Patient Info

PATIENT INFO - AZITHROMYCIN
Azithromycin may be one of the medicines used in a Combined Antibiotic Treatment Protocol (CAPi [1]) to treat Chlamydia Pneumoniae.   Azithromycin is one of a group of antibioticsi [2] called macrolides. It is used to treat infectionsi [3] caused by bacteria and other micro-organisms.  Azithromycin may be capsules of 250mg or tablets of 500mg.
 

Before you take your medicine
If the answer to any of the questions below is YES do not take Azithromycin. Go and see your doctor.
·        

• Have you ever had an allergic reaction, skin rash or wheezing after taking Azithromycin or any other macrolide antibiotic such as erythromycin?
• Do you have liver problems?
  
• Are you taking any ergot derivatives such as ergotamine (used to treat migraine)?

If the answer to any of the questions below is YES ask your doctor or pharmacist before taking Azithromycin.

• Are you pregnant, or trying to get pregnant?
  
• Are you breast feeding?
  
• Do you have kidney problems?
  
• Do you suffer from any heart conditions?
  
• Are you taking warfarin or any similar medicine to prevent blood clots?
  
• Are you taking cyclosporin (used to suppress the immunei [4] system to prevent and treat rejection of a transplanted organ or bone marrow), digoxin (used to treat heart failure) or theophylline (used to treat asthmai [5])?
  
• Are you taking antacids (for indigestion)?
  
• Are you taking terfenadine (for hay fever or a skin allergy)?
  
• Are you taking any other medicine which your doctor may not know about?
  

How to take your medicine
Take Azithromycin capsules 1 hr before a meal or 2 hrs after a meal. Azithromycin Tablets may be taken with food.  Should you require to take an antacid for indigestion, take your Azithromycin one hour before or two hours after the antacid.

What if you take too many?
If you take too many tablets you may feel unwell. Tell your doctor or contact your nearest hospital Emergency Department immediately.
 
What if you miss a dose?
If you miss a dose, take it as soon as you remember. Then go on as before. No more than one dose should be taken in a single day.
 
  
Does this medicine cause undesirable effects?
The following effects may occur with Azithromycin:

• stomach upset
  
• stomach cramps
  
• feeling or being sick
  
• loss of appetite
  
• diarrhoea and loose stools
  
• wind
  
• constipation
  
• indigestion
  

Vomiting and diarrhoea rarely result in dehydration. It is important to drink adequate amounts of fluid if you experience sickness and/or diarrhoea.
Rare reports of poor hearing have occurred in patients taking high doses for a long time. Deafness and ringing in the ear have occurred. Effects on hearing are usually reversible.
All medicines can cause allergic reactions. Serious allergic reactions are very rare and seldom life-threatening. Any sudden wheeziness, difficulty in breathing, swelling, rash or itching (especially affecting the whole body) should be reported to a doctor immediately.
Less serious allergic reactions may occur and should also be reported to your doctor. Rash, sensitivity to sunlight and joint pain have been reported.
Yeast infections of the mouth and vagina (thrush), and inflammationi [6] of the vagina have been reported.
The following effects have also been experienced in patients taking Azithromycin: dizziness, dizziness on standing, fits, headache, sleepiness, changes in liver enzymes or hepatitis (inflammation of the liver), jaundice, liver damage, liver failure (rarely life-threatening), taste perversion, reductions in white blood cells, bruising, prolonged bleeding after injury, tiredness, numbness, feelings of aggression, nervousness, agitation, and anxiety.
Inflammation of kidney tissue or kidney failure, rapid or irregular heart beat. Rarely, serious skin reactions characterised by discomfort, redness, flaking and swelling, and tongue discolouration.
It is important to tell your doctor if any unwanted effect causes you concern, including those which may not be listed above.
 
Can you drive whilst taking this medicine?
This medicine should not affect your ability to drive.
 
Where to keep your medicine

• Keep all medicines out of the reach of children.

Doxycycline - Patient Info

PATIENT INFO - DOXYCYCLINE
Doxycycline may be one of the medicines used in a Combined Antibiotic Treatment Protocol (CAPi [1]) to treat Chlamydia Pneumoniae.   Doxycycline is one of a group of medicines called tetracycline antibioticsi [2]. It is used to treat many different types of infectionsi [3].

Before you take your medicine
If the answer to any of the questions below is YES do not take Doxycycline. Go and see your doctor.

• Have been told you are allergic to Doxycycline or any other tetracycline antibiotic?
  
• Are pregnant or trying to become pregnant?
  
• Are breast feeding?
  

Tetracyclines should not be used during tooth development (during pregnancy, infancy and children below 12 years old) as such use may lead to permanent discolouration or underdevelopment of the teeth (yellow-grey-brown).
 
Avoid exposure to strong sunlight while taking this medicine. Your skin may be more sensitive to sunburn than normal. If you get a skin rash, itching, redness or severe sunburn when out in strong sunlight or under ultraviolet light (e.g. on a sun bed) stop taking the medicine and check with your doctor.
 
 
How to take your medicine

• Take Doxycycline capsules with a full glass of water.
  
• It is best to take your capsules at the same time(s) each day, when standing or while sitting.
  
• It is important not to lie down for at least thirty minutes after taking Doxycycline capsules, so that the capsule can move as swiftly as possible into the stomach and prevent irritation of the throat or oesophagus (canal taking food from the mouth to the stomach).
  
• Doxycycline may be taken with milk or a meal.
  

 
Can Doxycycline be taken with other medicines?
Some medicines may interfere with Doxycycline. You should tell your doctor if you are taking any of the medicines listed below. Also check with your doctor if you are taking any other medicines:

• Antacids (indigestion remedies), iron preparations, oral zinc or bismuth. If you take these at the same time of day as Doxycycline it may stop this medicine from working properly.
  
• Warfarin or coumarins (used to prevent blood clots). Tetracyclines may increase the action of these drugs.
  
• Oral contraceptives (birth control pills). Use of birth control pills with tetracyclines may impair the effect of the birth control pill and increase the chance of unwanted pregnancy.
  
• Penicillin antibiotics (used to treat infections). Doxycycline may reduce the effect of these antibiotics.
  
• Alcohol. Alcohol may reduce the effect of Doxycycline.
  
• Carbamazepine, phenytoin (medicines used to control epilepsy) and barbiturates (used to control epilepsy or as a sedative).
  
• Cyclosporin (used to affect the body's immunei [4] response).
  
• Methoxyflurane (an anaesthetic). If you are going to have a general anaesthetic for an operation or dental surgery you must tell your anaesthetist or dentist that you are taking doxycycline.
  

What if you take too many?
An occasional extra dose taken by accident is unlikely to be a problem, but if a large overdose has been taken contact your doctor or your nearest hospital Emergency Department immediately.
 
What if you miss a dose?
Do not worry. If you forget to take a dose take it as soon as you can. Take your next dose at the right time.
 
Does this medicine cause undesirable effects?
Doxycycline may cause some undesirable effects.
The undesirable effects listed below are infrequent:

• Upset stomach
  
• Feeling or being sick
  
• Stomach pain
  
• Heartburn
  
• Diarrhoea
  
• Difficulty in swallowing
  
• Sore or painful tongue or mouth
  
• Loss of appetite
  
• Flushing
  
• A ringing or buzzing noise in the ear
  
• Soreness and itching of the rectal and/or genital area.
  

These undesirable effects are usually mild. If they are troublesome, severe, or do not wear off as treatment goes on tell your doctor.
 
All medicines can cause allergic reactions. Serious allergic reactions are very rare. Any sudden wheeziness, difficulty in breathing, chest pain, fever, sudden swellings, rash or itching (especially affecting the whole body) should be reported to a doctor immediately.  It is important to tell your doctor or pharmacist if you suffer any other undesirable effects which are not listed above.
 
Can you drive whilst taking this medicine?
This medicine should not affect your ability to drive.
 
Where to keep your medicine

• Keep your medicine below 25°C (80°F).
  
• Keep all medicines out of the reach of children.

Metronidazole - Flagyl - Patient Info

 Metronidazole - Flagyl - Patient Info

Source: http://www.drugs.com/flagyl.html [7] 

Flagyl

Generic Name: metronidazole (me troe NI da zole)
Brand Names: Flagyl, Flagyl 375, Flagyl ER, Protostat

What is Flagyl?

Flagyl is an antibiotic. It fights bacteria in your body.

Flagyl is used to treat bacterial infectionsi [3] of the vagina, stomach, skin, joints, and respiratory tract. Flagyl will not treat a vaginal yeast infection.

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

Important information about Flagyl

Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Flagyl will not treat a viral infection such as the common cold or flu. Do not drink alcohol while you are taking Flagyl and for at least 3 days after you stop taking it. You may have unpleasant side effects such as fast heartbeats, warmth or redness under your skin, tingly feeling, nausea, and vomiting.

Before taking Flagyl

Do not use this medication if you are allergic to metronidazole, or if you are in the first trimester of pregnancy.

Before taking Flagyl, tell your doctor if you are allergic to any drugs, or if you have:

• liver disease;

• a stomach or intestinal disease such as Crohn's disease;

• a blood cell disorder such as anemia (lack of red blood cells) or leukopenia (lack of white blood cells);

• epilepsy or other seizure disorder; or

• nerve disorders.

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

FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Flagyl can pass into breast milk and may harm a nursing baby. Do not use Flagyl without telling your doctor if you are breast-feeding a baby.

How should I take Flagyl?

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

Take the extended-release form of metronidazole (Flagyl ER) on an empty stomach, at least 1 hour before or 2 hours after eating a meal. Do not crush, chew, or break the extended-release tablet. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time. Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Flagyl will not treat a viral infection such as the common cold or flu.

To be sure this medication is not causing harmful effects, your blood will need to be tested on a regular basis. Your liver function may also need to be tested. Do not miss any scheduled visits to your doctor.

This medication can cause you to have unusual results with certain medical tests. Tell any doctor who treats you that you are using Flagyl.

Store Flagyl at room temperature away from moisture and heat.

What happens if I miss a dose?

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

What happens if I overdose?

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

Symptoms of a Flagyl overdose may include nausea, vomiting, dizziness, loss of balance or coordination, numbness and tingling, or seizures (convulsions).

What should I avoid while taking Flagyl?

Do not drink alcohol while you are taking Flagyl and for at least 3 days after you stop taking it. You may have unpleasant side effects such as fast heartbeats, warmth or redness under your skin, tingly feeling, nausea, and vomiting.

Check the labels of any medicines or food products you use to make sure they do not contain alcohol.

Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or has blood in it, call your doctor. Do not use any medicine to stop the diarrhea unless your doctor has told you to.

Flagyl side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:

• seizures (convulsions);

• fever, chills, body aches, sore throat, flu symptoms;

• numbness or tingling in your hands or feet;

• white patches or sores inside your mouth or on your lips;

• pain or burning when you urinate; or

• diarrhea that is watery or bloody.

Keep taking Flagyl and talk with your doctor if you have any of these less serious side effects:

• nausea, stomach pain, diarrhea;

• headache, dizziness, loss of balance;

• vaginal itching or discharge;

• dry mouth or unpleasant metallic taste;

• cough, sneezing, runny or stuffy nose; or

• swollen or sore tongue.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Flagyl?

Before taking this medication, tell your doctor if you are taking any of the following medicines:

• cimetidine (Tagamet);

• seizure medication such as phenytoin (Dilantin) or phenobarbital (Luminal, Solfoton);

• a blood thinner such as warfarin (Coumadin);

• lithium (Lithobid, Eskalith, others); or

• disulfiram (Antabuse).

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

There may be other drugs not listed that can affect Flagyl. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitaminsi [8], minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

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

What does my medication look like?

Flagyl is available with a prescription under the brand names Flagyl and Protostat. 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.

• Flagyl 250 mg - blue tablets

• Flagyl 375 mg - light-green/grey capsules

• Flagyl 500 mg - oblong, blue tablets

• Flagyl ER 750 mg - oval, blue film-coated tablets

• Protostat 250 mg - capsule-shaped, white tablets

• Protostat 500 mg - capsule-shaped, white tablets

• Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
• Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

___________________________________________________________

Louise  CFSi [9]i [9], CPN+/Bb+,Wheldon CAPi [1] 6/07, Cholestyramine 1-2 pks @ HS for Porphyriai [10]i [10] & Endotoxinsi [11]i [11] PRN, Doxyi [12]i [12] 200daily, Roxi 300BID, Tini500BIDx14day pulses,VitD3-10,000IU, Iodoral 12.5mg, {S.O.D.3/QD[KAL Brand], Pyruvate 3.75G, SAM-e For Energy Support

Tinidazole - Tindamax - Patient Info

Tinidazole - Tindamax - Patient Info

source of information:

http://www.drugs.com/pdr/tinidazole.html [13]

Generic name: Tinidazole
Brand names: Tindamax

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 the use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before taking this drug.

Tinidazole

Generic name: Tinidazole
Brand names: Tindamax

Why is Tinidazole prescribed?

Tindamax is prescribed to treat infectionsi [3] caused by a variety of parasites, including:

• Trichomoniasis, a common sexually transmitted disease that affects men and women. It can contribute to reduced fertility in both sexes and may enhance the acquisition and transmission of HIV. Trichomoniasis has also been linked to cervical cancer, preterm birth, and postoperative infection. Symptoms in women include yellow or green vaginal discharge (often with a foul odor) and vaginal burning, itching, soreness or redness. Urination and intercourse may also be painful. Men who are infected with trichomoniasis frequently do not have symptoms and often unknowingly transmit the infection to their partner. When symptoms are present in men, they may include urethral discharge and irritation.
• Giardiasis, an intestinal infection caused by drinking untreated water. Symptoms include abdominal pain, nausea, vomiting, diarrhea, cramping, bloating, and weight loss.
• Intestinal amebiasis (commonly known as dysentery), an infection caused by consuming contaminated water or food. Symptoms may include loose stools, stomach pain, and cramping. In more severe cases, symptoms can include severe stomach pain, weight loss, bloody stools, and fever.
• Amebic liver abscess, a severe and potentially life-threatening infection caused by the same parasite that causes intestinal amebiasis. Symptoms may not be detectable. When symptoms do appear, they can include fever, jaundice, loss of appetite, diarrhea, and intense stomach pain, especially in the upper right-hand side near the liver.

Most important fact about Tinidazole

Do not drink alcohol while taking Tindamax or for 3 days after you stop taking the drug. Combining alcohol with Tindamax can cause stomach cramps, nausea, vomiting, headaches, and flushing. When Tindamax is combined with alcohol and the drug disulfiram (Antabuse), a severe mental disorder can occur. Always check the labels on foods and over-the-counter products to make sure they do not contain alcohol.

How should you take Tinidazole?

Take Tindamax with food at about the same time each day. The drug works best when there's a constant amount in the bloodstream.

For people who cannot swallow tablets, a pharmacist can make Tindamax into a syrup.

--If you miss a dose...

Take the forgotten dose as soon as you remember. However, if it is almost time for your next dose, skip the one you missed and return to your regular schedule. Do not take two doses at once.

--Storage instructions...

Store at room temperature.

What side effects may occur?

Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe to continue using Tindamax.

• Side effects may include:
  Abdominal pain, appetite loss, bitter or metallic taste, confusion, depression, difficulty breathing, drowsiness, fatigue, headache, loss of consciousness, nausea, skipped heartbeat, vaginal discharge, vomiting, weakness

Although rare, Tindamax has caused seizures and numbness or tingling in the arms, hands, legs, and feet (see "Special warnings about Tinidazole").

Why should Tinidazole not be prescribed?

Do not use Tindamax if you have ever had an allergic reaction to other drugs in the same class such as metronidazolei [14] (Flagyl).

You should not take Tindamax within 2 weeks of the drug disulfiram (Antabuse).

Tindamax should not be used during the first 3 months of pregnancy.

Special warnings about Tinidazole

Use Tindamax cautiously if you have any disease of the central nervous system. In rare cases, the drug has caused seizures or peripheral neuropathy (a painful nerve disorder marked by numbness or tingling in the arms, hands, legs and feet). If you experience these symptoms, stop taking Tindamax and call your doctor immediately.

Tindamax can make some medical conditions worse. If you have a blood disorder, liver disease, or yeast infection, your doctor will monitor you closely during treatment with Tindamax.

If you're taking Tindamax to treat the sexually transmitted disease trichomoniasis, your partner should be treated at the same time to prevent you from getting infected again.

Possible food and drug interactions when taking Tinidazole

Do not combine Tindamax with alcohol or any product containing alcohol (see "Most important fact about Tinidazole").

If Tindamax is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Tindamax with the following:

Blood thinners such as warfarin (Coumadin)
Cholestyramine (Questran, Questran Light)
Cimetidine (Tagamet)
Cyclosporine (Neoral, Sandimmune)
Disulfiram (Antabuse)
Fluorouracil (Adrucil)
Fosphenytoin (Cerebyx)
Ketoconazole (Nizoral)
Lithium (Eskalith, Lithobid)
Oxytetracycline (Terramycin)
Phenobarbital
Phenytoin (Dilantin)
Rifampin (Rifadin, Rimactane)
Tacrolimus (Prograf)

Special information if you are pregnant or breastfeeding

If you are pregnant or plan to become pregnant, inform your doctor immediately. Tindamax has not been studied in pregnant women. However, because lab and animal studies indicate that Tindamax does cross the placenta, it should not be used during the first 3 months of pregnancy. Tindamax should only be used in the last 6 months of pregnancy if your doctor decides the benefits outweigh the risks.

Because Tindamax appears in breast milk, you should not take it while breastfeeding. If your doctor decides to treat you with Tindamax, you'll have to avoid breastfeeding while you're taking the drug and for 3 days after the last dose.

Recommended dosage

ADULTS

Trichomoniasis

The treatment consists of a single 2-gram dose. Your sexual partner should be treated at the same time.

Giardiasis

The treatment consists of a single 2-gram dose.

Intestinal Amebiasis

The recommended dose is 2 grams a day for 3 days.

Amebic Liver Abscess

The recommended dose is 2 grams a day for 3 to 5 days.

CHILDREN 3 YEARS OF AGE AND OLDER

Giardiasis

The treatment consists of a single dose based on the child's weight (50 milligrams per 2.2 pounds), up to a maximum of 2 grams.

Intestinal Amebiasis

The daily dose is based on the child's weight (50 milligrams per 2.2 pounds), up to a maximum of 2 grams, taken for 3 days.

Amebic Liver Abscess

The daily dose is based on the child's weight (50 milligrams per 2.2 pounds), up to a maximum of 2 grams, taken for 3 to 5 days. Children who take Tindamax for more than 3 days must be closely monitored.

Overdosage

There are no reported overdoses with Tindamax. However, any medication taken in excess can have serious consequences. If you suspect an overdose, seek emergency treatment immediately.

___________________________________________________________

Louise  CFSi [9]i [9], CPN+/Bb+,Wheldon CAPi [1]i [1] 6/07, Cholestyramine 1-2 pks @ HS for Porphyriai [10]i [10] & Endotoxinsi [11]i [11] PRN, Doxyi [12]i [12] 200daily, Roxi 300BID, Tini500BIDx14day pulses,VitD3-10,000IU, Iodoral 12.5mg, {S.O.D.3/QD[KAL Brand], Pyruvate 3.75G, SAM-e For Energy Support

Roxithromycin - Rulide - Rulid - Patient Info

 Roxi - Roxithromycin - Rulide - Rulid - Patient Information

http://www.sanofi-aventis.com.au/products/aus_cmi_rulide.pdf 

___________________________________________________________

Louise  CFSi [9]i [9], CPN+/Bb+,Wheldon CAPi [1]i [1] 6/07, Cholestyramine 1-2 pks @ HS for Porphyriai [10]i [10] & Endotoxinsi [11]i [11] PRN, Doxyi [12]i [12] 200daily, Roxi 300BID, Tini500BIDx14day pulses,VitD3-10,000IU, Iodoral 12.5mg, {S.O.D.3/QD[KAL Brand], Pyruvate 3.75G, SAM-e For Energy Support