Clobetasol Cream

Pronunciation: kloe-BAY-tah-sahl
Generic Name: Clobetasol
Brand Name: Examples include Embeline and Temovate

Clobetasol Cream is used for:

Reducing itching, redness, and swelling associated with many skin conditions.

Clobetasol Cream is a topical corticosteroid. It works by decreasing certain immune responses, which reduces redness and itching of skin.

Do NOT use Clobetasol Cream if:

• you are allergic to any ingredient in Clobetasol Cream

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

Before using Clobetasol Cream:

Some medical conditions may interact with Clobetasol Cream. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding


• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement


• if you have allergies to medicines, foods, or other substances


• if you have measles, tuberculosis (TB), chickenpox, shingles, or have had a recent vaccination


• if you have a skin infection or thinning of the skin (atrophy)

Some MEDICINES MAY INTERACT with Clobetasol Cream. However, no specific interactions with Clobetasol Cream are known at this time.

Ask your health care provider if Clobetasol Cream may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Clobetasol Cream:

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

• Apply a small amount of medicine to the affected area. Gently rub the medicine in until it is evenly distributed. Wash your hands immediately after applying Clobetasol Cream, unless your hands are part of the treated area. Do not bandage or wrap the affected area unless directed otherwise by your doctor.


• Treatment must be limited to 2 consecutive weeks.


• If you miss a dose of Clobetasol Cream, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use Clobetasol Cream.

Important safety information:

• Do not use more than 50 grams per week.


• Avoid contact with the eyes.


• Do not use Clobetasol Cream for other skin conditions at a later time.


• Do not use Clobetasol Cream for diaper rash.


• Clobetasol Cream has a corticosteroid in it. Before you start any new medicine, check the label to see if it has a corticosteroid (eg, hydrocortisone) in it too. If it does or if you are not sure, check with your doctor or pharmacist.


• Corticosteroids may affect growth rate in CHILDREN and teenagers in some cases. They may need regular growth checks while they use Clobetasol Cream.


• Clobetasol Cream should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.


• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Clobetasol Cream while you are pregnant. It is not known if Clobetasol Cream is found in breast milk after topical use. If you are or will be breast-feeding while you use Clobetasol Cream, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Clobetasol Cream:

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

Irritation; stinging.

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

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); burning; itching; redness; skin thinning or discoloration; swelling.

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

See also: Clobetasol side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Clobetasol Cream may be harmful if swallowed.

Proper storage of Clobetasol Cream:

Store Clobetasol Cream at room temperature, between 68 and 77 degrees F (20 and 25 degrees C), in a tightly closed container. Store away from heat, moisture, and light. Do not use near an open flame. Keep Clobetasol Cream out of the reach of children and away from pets.

General information:

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


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


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


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

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

Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Clobetasol resources

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

Compare Clobetasol with other medications

• Anal Itching
• Atopic Dermatitis
• Cutaneous T-cell Lymphoma
• Dermatitis
• Lichen Planus
• Lichen Sclerosus
• Necrobiosis Lipoidica Diabeticorum
• Psoriasis
• Seborrheic Dermatitis

Chloraseptic Sore Throat Lozenge

Dosage Form: lozenge
Chloraseptic Total Wild Cherry Lozenge

Drug Facts

Active Ingredients

(in each lozenge)

Benzocaine 6 mg

Purpose

Oral Anesthetic/Analgesic

Active Ingredients

(in each lozenge)

Dextromethorphan HBr 5 mg

Purpose

Cough Suppressant

Active Ingredients

(in each lozenge)

Menthol 10 mg

Purpose

Oral Anesthetic/Analgesic

Uses

Temporarily relieves:

• occasional minor irritation, pain, sore throat and sore mouth
  


• cough due to minor throat and bronchial irritation as may occur with the common cold

Warnings

Allergy Alert: Do not use this product if you have a history of allergy to local anesthetics such as procaine, butacaine, benzocaine or other “caine” anesthetics.

Sore Throat Warning: Severe or persistent sore throat or sore throat accompanied by high fever, headache, nausea, and vomiting may be serious. Consult doctor promptly. Do not use more than 2 days or administer to children under 6 years of age unless directed by a doctor.

Do not use:

• this product if you are now taking a prescription monoamine oxidase inhibitor (MAOI) (certain drugs for depression, psychiatric or emotional conditions, or Parkinson’s disease), or for 2 weeks after stopping the MAOI drug. If you are uncertain whether your prescription drug contains an MAOI, consult a health care professional before taking this product.
  


• this product for persistent or chronic cough such as occurs with smoking, asthma, or emphysema, or if cough is accompanied by excessive phlegm (mucus) unless directed by a doctor.

When using this product:

do not exceed recommended dosage.

Stop use and ask a dentist or doctor if:

• sore mouth symptoms do not improve in 7 days
  


• irritation, pain or redness persists or worsens
  


• swelling, rash or fever develops
  


• cough persists for more than 1 week, tends to recur, or is accompanied by a high fever, rash, or persistent headache. These could be symptoms of a serious condition.

If pregnant or breast-feeding,

ask a health care professional before use.

Keep out of reach of children.

In case of overdose or accidental poisoning, get medical help or contact a Poison Control Center right away.

Directions

• Adults and children over 12 years of age: 2 lozenges every 4 hours – not to exceed 12 lozenges every 24 hours.
  


• Children 6-12 years of age: 1 lozenge every 4 hours – not to exceed 6 lozenges every 24 hours.
  


• Children under 6 years of age: consult a doctor.

Other Information

• Store between 59ºF and 86ºF (15ºC - 30ºC).
  


• Protect from moisture.
  


• Tamper Evident: Do not use if blister package with “Chloraseptic®” name has been disturbed or opened.
  


• Check expiration date before using.

Inactive Ingredients

Corn Syrup, FD&C Blue #1, FD&C Red #40, Flavor, Glycerine, Soy Lecithin, Sucrose, Water

Questions?

1-800-552-7932 or www.chloraseptic.com

PRINCIPAL DISPLAY PANEL

Chloraseptic® Total

SORE THROAT + COUGH FAST ACTING RELIEF

15 lozenges | Wild Cherry

CHLORASEPTIC SORE THROAT LIQUID CENTER  menthol and benzocaine and dextromethorphan hydrobromide  lozenge

Product Information Product Type HUMAN OTC DRUG NDC Product Code (Source) 67172-016 Route of Administration ORAL DEA Schedule

Active Ingredient/Active Moiety Ingredient Name Basis of Strength Strength MENTHOL (MENTHOL) MENTHOL 10 mg BENZOCAINE (BENZOCAINE) BENZOCAINE 6 mg DEXTROMETHORPHAN HYDROBROMIDE (DEXTROMETHORPHAN) DEXTROMETHORPHAN HYDROBROMIDE 5 mg

Inactive Ingredients Ingredient Name Strength CORN SYRUP   FD&C BLUE NO. 1   FD&C RED NO. 40   GLYCERIN   LECITHIN, SOYBEAN   SUCROSE   WATER

Product Characteristics Color RED Score 2 pieces Shape OVAL Size 4mm Flavor CHERRY Imprint Code C Contains

Packaging # NDC Package Description Multilevel Packaging 1 67172-016-11 1 BLISTER In 1 CARTON contains a BLISTER PACK 1 15 LOZENGE In 1 BLISTER PACK This package is contained within the CARTON (67172-016-11)

Marketing Information
Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
OTC MONOGRAPH FINAL	part356	08/01/2010

Labeler - Prestige Brands Holdings, Inc. (159655021)

Establishment
Name	Address	ID/FEI	Operations
BestSweet, Inc.		002149136	MANUFACTURE

Revised: 11/2010Prestige Brands Holdings, Inc.

Cranberry

Pronunciation: Not applicable.
Generic Name: Cranberry
Brand Name: Generics only. No brands available.

Cranberry is used for:

Urinary tract infections, to decrease odor from loss of bladder control (incontinence), and for kidney stones. It may also have other uses. Check with your pharmacist for more details regarding the particular brand you use.

Cranberry is an herbal product. It contains a substance that blocks bacteria from attaching to the bladder wall.

Do NOT use Cranberry if:

• you are allergic to any ingredient in Cranberry

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

Before using Cranberry:

Some medical conditions may interact with Cranberry. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding


• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement


• if you have allergies to medicines, foods, or other substances


• if you have diabetes or a history of kidney stones

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

• Warfarin because side effects such as bleeding may be increased by Cranberry

This may not be a complete list of all interactions that may occur. Ask your health care provider if Cranberry may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Cranberry:

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

• Cranberry may be taken as the juice or as capsules or tablets containing the dried cranberry powder.


• Drinking extra fluids while you are taking this product is recommended.


• Dosing depends on the use and the source of the product.


• Use as directed on the package, unless instructed otherwise by your doctor.


• If you miss taking a dose of Cranberry for 1 or more days, there is no cause for concern. If your doctor recommended that you take it, try to remember your dose every day.

Ask your health care provider any questions you may have about how to use Cranberry.

Important safety information:

• This product has not been approved by the Food and Drug Administration (FDA) as safe and effective for any medical condition. The long-term safety of herbal products is not known. Before using any alternative medicine, talk with your doctor or pharmacist.


• Diabetes patients - Use a form of cranberry that is sugar-free.


• PREGNANCY and BREAST-FEEDING: If you plan on becoming pregnant, discuss with your doctor the benefits and risks of using this product during pregnancy. If you are or will be breast-feeding while you are using this product, check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of Cranberry:

All medicines may cause side effects, but many people have no, or minor, side effects. No COMMON side effects have been reported with the proper use of Cranberry. Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue).

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

See also: Cranberry side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include diarrhea.

Proper storage of Cranberry:

Store at room temperature away from heat, moisture, and light unless otherwise directed on the package label. Do not store in the bathroom. Most herbal products are not in childproof containers. Keep Cranberry out of the reach of children and away from pets.

General information:

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


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


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


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

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

Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Cranberry resources

• Cranberry Side Effects (in more detail)
• Cranberry Use in Pregnancy & Breastfeeding
• Cranberry Drug Interactions
• Cranberry Support Group
• 1 Review for Cranberry - Add your own review/rating

• Cranberry Natural MedFacts for Professionals (Wolters Kluwer)


• Cranberry Natural MedFacts for Consumers (Wolters Kluwer)


• cranberry Concise Consumer Information (Cerner Multum)

Compare Cranberry with other medications

• Urinary Incontinence
• Urinary Tract Infection

Cosopt

Generic Name: dorzolamide and timolol (Ophthalmic route)

dor-ZOLE-a-mide hye-droe-KLOR-ide, TIM-oh-lol MAL-ee-ate

Commonly used brand name(s)

In the U.S.

• Cosopt


• Cosopt Ocumeter


• Cosopt Ocumeter Plus

Available Dosage Forms:

• Solution

Therapeutic Class: Antiglaucoma, Beta-Adrenergic Blocker/Carbonic Anhydrase Inhibitor Combination

Pharmacologic Class: Dorzolamide

Uses For Cosopt

Dorzolamide and timolol ophthalmic (eye) drops is used to treat increased pressure in the eye caused by open-angle glaucoma or a condition called hypertension of the eye. Both eye conditions are caused by high pressure in your eye and can lead to pain from pressure in your eye and then can eventually harm your vision. This medicine can help you keep your sight by reducing the pressure in your eye and stopping eye pain.

This medicine is available only with your doctor's prescription.

Before Using Cosopt

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

Allergies

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

Pediatric

Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of dorzolamide and timolol eye drops in children 2 years of age and older. However, safety and efficacy have not been established in children younger than 2 years of age.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of dorzolamide and timolol eye drops in the elderly.

Pregnancy

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

Breast Feeding

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

Interactions with Medicines

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

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

• Albuterol


• Amiodarone


• Arformoterol


• Bambuterol


• Bitolterol


• Broxaterol


• Clenbuterol


• Clonidine


• Colterol


• Diltiazem


• Dronedarone


• Epinephrine


• Fenoldopam


• Fenoterol


• Formoterol


• Hexoprenaline


• Indacaterol


• Isoetharine


• Levalbuterol


• Metaproterenol


• Pirbuterol


• Procaterol


• Reproterol


• Rimiterol


• Ritodrine


• Salmeterol


• Terbutaline


• Timolol


• Tretoquinol


• Tulobuterol


• Verapamil

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

• Acarbose


• Aceclofenac


• Acemetacin


• Acetohexamide


• Alclofenac


• Alfuzosin


• Amlodipine


• Apazone


• Arbutamine


• Benfluorex


• Benoxaprofen


• Bromfenac


• Bufexamac


• Bunazosin


• Carprofen


• Chlorpropamide


• Cimetidine


• Clometacin


• Clonixin


• Dexketoprofen


• Diclofenac


• Diflunisal


• Digoxin


• Dipyrone


• Doxazosin


• Droxicam


• Etodolac


• Etofenamate


• Felbinac


• Felodipine


• Fenbufen


• Fenoprofen


• Fentiazac


• Floctafenine


• Flufenamic Acid


• Flurbiprofen


• Gliclazide


• Glimepiride


• Glipizide


• Gliquidone


• Glyburide


• Guar Gum


• Ibuprofen


• Indomethacin


• Indoprofen


• Insulin


• Insulin Aspart, Recombinant


• Insulin Glulisine


• Insulin Lispro, Recombinant


• Isoxicam


• Ketoprofen


• Ketorolac


• Lacidipine


• Lercanidipine


• Lornoxicam


• Manidipine


• Meclofenamate


• Mefenamic Acid


• Meloxicam


• Metformin


• Methyldopa


• Mibefradil


• Miglitol


• Moxisylyte


• Nabumetone


• Naproxen


• Nicardipine


• Nifedipine


• Niflumic Acid


• Nilvadipine


• Nimesulide


• Nimodipine


• Nisoldipine


• Nitrendipine


• Oxaprozin


• Oxyphenbutazone


• Phenoxybenzamine


• Phentolamine


• Phenylbutazone


• Pirazolac


• Piroxicam


• Pirprofen


• Pranidipine


• Prazosin


• Propyphenazone


• Proquazone


• Quinidine


• Repaglinide


• St John's Wort


• Sulindac


• Suprofen


• Tamsulosin


• Tenidap


• Tenoxicam


• Terazosin


• Tiaprofenic Acid


• Tolazamide


• Tolbutamide


• Tolmetin


• Trimazosin


• Troglitazone


• Urapidil


• Zomepirac

Interactions with Food/Tobacco/Alcohol

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

Other Medical Problems

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

• Acute angle-closure glaucoma—Use of dorzolamide and timolol eye drops in these patients have not been studied. This condition may need other medicine or treatment besides dorzolamide.

• Allergy, history of—Severity and duration of allergic reactions to other substances may be increased.

• Asthma, or history of or


• Bradycardia (unusually slow heartbeat) or


• Chronic obstructive pulmonary disease (COPD), severe or


• Heart block or


• Heart failure or


• Shock—Should not be used in patients with these conditions.

• Bacterial eye infection (e.g., keratitis) or


• Cornea (part of the eye) problems, history of or


• Eye surgery, recent—Use with caution. May make these conditions worse.

• Diabetes or


• Hyperthyroidism (overactive thyroid) or


• Hypoglycemia (low blood sugar)—May cover up some of the signs and symptoms of these disease, such as a fast heartbeat.

• Kidney disease, severe or


• Liver disease—Use with caution. The effects may be increased because of slower removal of the medicine from the body.

• Myasthenia gravis (severe muscle disease)—May worsen symptoms of this condition, such as muscle weakness.

Proper Use of dorzolamide and timolol

This section provides information on the proper use of a number of products that contain dorzolamide and timolol. It may not be specific to Cosopt. Please read with care.

Your eye doctor will tell you how much of this medicine to use and how often. Do not use more medicine or use it more often than your doctor tells you to.

This medicine comes with a patient information insert. Read and follow the instructions in the insert carefully. Ask your doctor if you have any questions.

If you normally wear soft contact lenses, remove them before you use dorzolamide and timolol eye drops. Wait at least for 15 minutes before putting the contact lenses back in.

To use the eye drops:

• The bottle is only partially full to provide proper drop control.


• First, wash your hands with soap and water.


• Before using this medicine for the first time, make sure that the safety strip on the bottle is unbroken.


• Tear off the safety strip to break the seal and open the bottle by unscrewing the cap by turning as indicated by the arrows on the top of the cap. Do not pull the cap directly up and away from the bottle.


• Tilt your head back and, pressing your finger gently on the skin just beneath the lower eyelid, pull the lower eyelid away from the eye to make a space. Drop the medicine into this space.


• Invert the bottle, and press lightly the "finger push area" using your thumb or index finger.


• Let go of the eyelid and gently close the eyes. Do not blink. Keep the eyes closed and apply pressure to the inner corner of the eye with your finger for 1 or 2 minutes to allow the medicine to be absorbed by the eye.


• If you think you did not get the drop of medicine into your eye properly, replace the cap on the bottle and tighten. Then, remove by turning the cap in the opposite direction as indicated by the arrows on the top of the cap and repeat the process with another drop.


• Replace the cap by turning until it is firmly touching the bottle. Do not overtighten or you may damage the bottle and cap.


• Immediately after using the eye drops, wash your hands to remove any medicine that may be on them.


• To keep the medicine as germ-free as possible, do not touch the applicator tip to any surface (including the eye). Also, keep the container tightly closed. Serious damage to the eye and possible loss of vision may result from using contaminated eye drops.

If your doctor ordered two different eye drops to be used together, wait at least 10 minutes between the times you apply the medicines. This will help to keep the second medicine from “washing out” the first one.

Dosing

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

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

• For ophthalmic dosage form (eye drops):
  
  • For glaucoma or hypertension of the eye:
    
    • Adults—Use one drop in the affected eye two times a day (morning and evening).
    
    
    • Children 2 years of age or older—Dose must be determined by your doctor.
    
    
    • Children less than 2 years of age—Use and dose must be determined by your doctor.
    
    
  
  

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

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

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Precautions While Using Cosopt

It is very important that your doctor check the progress of you or your child at regular visits to make sure that this medicine is working properly and to check for unwanted effects.

If itching, redness, swelling, or other signs of eye or eyelid irritation occur, stop using this medicine and check with your doctor. These signs may mean that you or your child are allergic to this medicine.

This medicine may cause heart failure in some patients. Check with your doctor right away if you or your child are having chest pain or discomfort; dilated neck veins; extreme fatigue; irregular breathing; an irregular heartbeat; shortness of breath; swelling of the face, fingers, feet, or lower legs; weight gain; or wheezing.

Serious allergic reactions may occur while using this medicine. Stop using this medicine and check with your doctor right away if you or your child have any of the following symptoms: black, tarry stools; blistering, peeling, or loosening of the skin; chills; dark urine; joint or muscle pain; rash; red skin lesions, often with a purple center; sores, ulcers, or white spots in the mouth or on the lips; unusual bleeding or bruising; unusual tiredness or weakness; or yellow eyes or skin.

This medicine may cause changes in your blood sugar levels. Also, this medicine may cover up signs of low blood sugar, such as a rapid pulse rate. Check with your doctor if you or your child have these problems or if you notice a change in the results of your blood or urine sugar tests.

Before you have any kind of surgery, dental treatment, or emergency treatment, tell the medical doctor or dentist in charge that you are using this medicine. You may need to stop using this medicine several days before having surgery or medical tests.

It is very important that you check with your doctor if you get an injury or infection in your eye or if you are scheduled to have eye surgery. Your doctor will tell you whether to keep using the same container of eye drops or whether you should start using a fresh bottle of eye drops.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

Cosopt Side Effects

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

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

More common

• Blurred vision


• burning or stinging of the eye (when medicine is applied)


• feeling of something in the eye


• itching of the eye


• redness of the eye and lining of the eyelid


• sensitivity of the eyes to light

Less common

• Back, abdominal, or stomach pain


• change in vision


• coughing, shortness of breath, troubled breathing, tightness in the chest, or wheezing


• discharge from the eye


• dizziness


• eye or eyelid pain, swelling, discomfort, or irritation


• increased blood pressure


• increased frequency of urination or painful urination


• itching of the eyelid


• seeing flashes or sparks of light


• seeing floating spots before the eyes


• swelling of lining of the eyelid


• tiny bumps on lining of the eyelid

Rare

• Blistering, peeling, or loosening of the skin


• blood in the urine


• blue lips, fingernails, or skin


• chest pain or discomfort


• chills


• cough


• diarrhea


• difficult or troubled breathing


• fainting


• headache or weakness, severe and sudden


• irregular, fast or slow, or shallow breathing


• itching


• joint or muscle pain


• lightheadedness


• mental depression


• nausea or vomiting


• pain, numbness, tingling, or burning feeling in the hands or feet


• red, irritated eyes


• red skin lesions, often with a purple center


• shortness of breath


• skin rash


• slow or irregular heartbeat


• sore throat


• sores, ulcers, or white spots in the mouth or on the lips


• sweating


• unusual tiredness or weakness

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

Symptoms of overdose

• Confusion


• muscle cramps or pain


• numbness, tingling, pain, or weakness in the hands or feet


• seizures


• trembling


• weakness and heaviness of the legs

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

• Bitter, sour, or unusual taste

Less common

• Cold- or flu-like symptoms


• crusting or scales on eyelid


• dryness of the eyes


• indigestion or upset stomach


• sore throat


• stuffy or runny nose


• tearing of the eye

Rare

• Burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings


• depression


• dry mouth


• stuffy nose

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

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

See also: Cosopt side effects (in more detail)

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

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

More Cosopt resources

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

• Cosopt Prescribing Information (FDA)


• Cosopt Drops MedFacts Consumer Leaflet (Wolters Kluwer)


• Cosopt Consumer Overview

Compare Cosopt with other medications

• Glaucoma, Open Angle
• Intraocular Hypertension

Cotuss V

Generic Name: guaifenesin and hydrocodone (gwye FEN e sin and HYE droe KOE done)

Brand Names: A-Cof DH, Canges-XP, Codiclear DH, Condasin, Cotuss V, Execlear, Extendryl HC, Hycotuss Expectorant, Hydrocod-GF, Kwelcof, Monte-G HC, Narcof, Pancof XP, Pneumotussin 2.5, Relasin-HCX, Touro HC, Tussicle, Tusso-DF, Vi-Q-Tuss, Vitussin Expectorant, Xpect-HC, Z-Cof HCX

What is Cotuss V (guaifenesin and hydrocodone)?

Guaifenesin is an expectorant. It helps loosen congestion in your chest and throat, making it easier to cough out through your mouth.

Hydrocodone is a narcotic cough suppressant.

Guaifenesin and hydrocodone is used to treat cough and reduce chest congestion caused by the common cold, flu, or allergies.

Guaifenesin and hydrocodone may also be used for purposes not listed in this medication guide.

What is the most important information I should know about Cotuss V (guaifenesin and hydrocodone)?

This medication may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Drinking alcohol can increase certain side effects of guaifenesin and hydrocodone. Tell your doctor if you regularly use other medicines that make you sleepy (such as other cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety). They can add to sleepiness caused by guaifenesin and hydrocodone. Hydrocodone may be habit-forming and should be used only by the person it was prescribed for. Keep the medication in a secure place where others cannot get to it.

What should I discuss with my healthcare provider before taking Cotuss V (guaifenesin and hydrocodone)?

Hydrocodone may be habit forming and should be used only by the person it was prescribed for. Never share this medication with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it. Do not use this medicine if you are allergic to hydrocodone or guaifenesin.

To make sure you can safely take guaifenesin and hydrocodone, tell your doctor if you have any of these other conditions:

• 
  

  liver or kidney disease;

  
  


• 
  

  asthma;

  
  


• 
  

  urination problems;

  
  


• 
  

  an enlarged prostate;

  
  


• 
  

  a thyroid disorder;

  
  


• 
  

  seizures or epilepsy;

  
  


• 
  

  gallbladder disease;

  
  


• 
  

  a head injury; or

  
  


• 
  

  Addison's disease.

  
  

FDA pregnancy category C. It is not known whether this medication will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. Guaifenesin and hydrocodone 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.

How should I take Cotuss V (guaifenesin and hydrocodone)?

Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Guaifenesin and hydrocodone can be taken with or without food.

Measure liquid medicine with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

Call your doctor if your symptoms do not improve, or if they get worse. Store at room temperature away from moisture and heat.

Keep track of the amount of medicine used from each new bottle. Guaifenesin and hydrocodone is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.

What happens if I miss a dose?

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

What happens if I overdose?

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

Overdose symptoms may include extreme drowsiness, sweating, pinpoint pupils, nausea, vomiting, dry mouth, confusion, cold and clammy skin, muscle weakness, fainting, weak pulse, slow heart rate, seizure (convulsions), weak or shallow breathing, or breathing that stops.

What should I avoid while taking Cotuss V (guaifenesin and hydrocodone)?

This medication may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Drinking alcohol can increase certain side effects of guaifenesin and hydrocodone.

Ask a doctor or pharmacist before using any other cough, cold, allergy, pain, or sleep medicine. Guaifenesin is contained in many combination medicines. Taking certain products together can cause you to get too much guaifenesin. Check the label to see if a medicine contains guaifenesin.

Cotuss V (guaifenesin and hydrocodone) side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using this medication and call your doctor at once if you have a serious side effect such as:

• 
  

  slow heart rate, weak or shallow breathing;

  
  


• 
  

  feeling like you might pass out;

  
  


• 
  

  confusion, fear, unusual thoughts or behavior;

  
  


• 
  

  seizure (convulsions); or

  
  


• 
  

  urinating less than usual or not at all.

  
  

Less serious side effects may include:

• 
  

  dizziness, drowsiness;

  
  


• 
  

  nausea, vomiting, upset stomach;

  
  


• 
  

  blurred vision;

  
  


• 
  

  constipation;

  
  


• 
  

  dry mouth; or

  
  


• 
  

  sweating.

  
  

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

What other drugs will affect Cotuss V (guaifenesin and hydrocodone)?

Tell your doctor if you regularly use other medicines that make you sleepy (such as other cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety). They can add to sleepiness caused by guaifenesin and hydrocodone.

Tell your doctor about all other medicines you use, especially:

• 
  

  antidepressants such as amitriptyline (Elavil, Vanatrip, Limbitrol), doxepin (Sinequan), nortriptyline (Pamelor), and others;

  
  


• 
  

  atropine (Donnatal, and others), benztropine (Cogentin), dimenhydrinate (Dramamine), glycopyrrolate (Robinul), mepenzolate (Cantil), methscopolamine (Pamine), or scopolamine (Transderm-Scop);

  
  


• 
  

  bladder or urinary medications such as darifenacin (Enablex), flavoxate (Urispas), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or solifenacin (Vesicare);

  
  


• 
  

  a bronchodilator such as ipratropium (Atrovent) or tiotropium (Spiriva); or

  
  


• 
  

  irritable bowel medications such as dicyclomine (Bentyl), hyoscyamine (Anaspaz, Cystospaz, Levsin, and others), or propantheline (Pro-Banthine).

  
  

This list is not complete and other drugs may interact with guaifenesin and hydrocodone. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

More Cotuss V resources

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

• CodiCLEAR DH Liquid MedFacts Consumer Leaflet (Wolters Kluwer)


• Entuss Liquid MedFacts Consumer Leaflet (Wolters Kluwer)


• Tusso-HC Sustained-Release Tablets MedFacts Consumer Leaflet (Wolters Kluwer)

Compare Cotuss V with other medications

• Cough

Where can I get more information?

• Your pharmacist can provide more information about guaifenesin and hydrocodone.

See also: Cotuss V side effects (in more detail)

Contac Severe Cold/Flu No-Drowsiness

Pronunciation: a-seet-a-MIN-oh-fen/dex-troe-meth-OR-fan/sue-doe-eh-FED-rin
Generic Name: Acetaminophen/Dextromethorphan/Pseudoephedrine
Brand Name: Examples include Contac Severe Cold/Flu No-Drowsiness and Tylenol Flu No Drowsiness

Contac Severe Cold/Flu No-Drowsiness is used for:

Relieving pain, congestion, and cough due to colds, flu, or hay fever. It may also be used for other conditions as determined by your doctor.

Contac Severe Cold/Flu No-Drowsiness is an analgesic, decongestant, and cough suppressant combination. It works by constricting blood vessels and reducing swelling in the nasal passages, which helps you breathe more easily. The analgesic and cough suppressant work in the brain to decrease pain and reduce the cough reflex.

Do NOT use Contac Severe Cold/Flu No-Drowsiness if:

• you are allergic to any ingredient in Contac Severe Cold/Flu No-Drowsiness


• you have severe high blood pressure, rapid heartbeat, or other severe heart problems (eg, heart blood vessel disease)


• you have taken furazolidone or a monoamine oxidase (MAO) inhibitor (eg, phenelzine) within the last 14 days

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

Before using Contac Severe Cold/Flu No-Drowsiness:

Some medical conditions may interact with Contac Severe Cold/Flu No-Drowsiness. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding


• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement


• if you have allergies to medicines, foods, or other substances


• if you have a history of glaucoma, an enlarged prostate gland or other prostate problems, heart problems, diabetes, high blood pressure, blood vessel problems, adrenal gland problems, an overactive thyroid, seizures, stroke, or liver problems, or if you consume more than 3 alcohol-containing drinks per day


• if you have a history of asthma, chronic cough, chronic obstructive pulmonary disease (COPD), or other lung problems (eg, chronic bronchitis, emphysema), or if your cough produces large amounts of mucus

Some MEDICINES MAY INTERACT with Contac Severe Cold/Flu No-Drowsiness. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Beta-blockers (eg, propranolol), COMT inhibitors (eg, tolcapone), furazolidone, indomethacin, isoniazid, MAO inhibitors (eg, phenelzine), or tricyclic antidepressants (eg, amitriptyline) because the risk of side effects from Contac Severe Cold/Flu No-Drowsiness may be increased


• Anticoagulants (eg, warfarin), digoxin, or droxidopa because the risk of side effects such as bleeding, irregular heartbeat, or heart attack may be increased


• Bromocriptine because the risk of side effects may be increased by Contac Severe Cold/Flu No-Drowsiness


• Guanadrel, guanethidine, mecamylamine, methyldopa, or reserpine because their effectiveness may be decreased by Contac Severe Cold/Flu No-Drowsiness

This may not be a complete list of all interactions that may occur. Ask your health care provider if Contac Severe Cold/Flu No-Drowsiness may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Contac Severe Cold/Flu No-Drowsiness:

Use Contac Severe Cold/Flu No-Drowsiness as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Contac Severe Cold/Flu No-Drowsiness may be taken with or without food.


• If you miss a dose of Contac Severe Cold/Flu No-Drowsiness, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Contac Severe Cold/Flu No-Drowsiness.

Important safety information:

• Contac Severe Cold/Flu No-Drowsiness may cause dizziness or drowsiness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Contac Severe Cold/Flu No-Drowsiness. Using Contac Severe Cold/Flu No-Drowsiness alone, with certain other medicines, or with alcohol may lessen your ability to drive or perform other potentially dangerous tasks.


• Do not take appetite suppressants while you are taking Contac Severe Cold/Flu No-Drowsiness without checking with your doctor.


• Contac Severe Cold/Flu No-Drowsiness contains acetaminophen and pseudoephedrine. Before you begin taking any new prescription or nonprescription medicine, read the ingredients to see if it also contains acetaminophen or pseudoephedrine. If it does or if you are uncertain, contact your doctor or pharmacist.


• Do NOT exceed the recommended dose or take Contac Severe Cold/Flu No-Drowsiness for longer than prescribed without checking with your doctor.


• If your symptoms do not improve within 5 to 7 days or if they become worse, check with your doctor.


• Contac Severe Cold/Flu No-Drowsiness may cause liver damage. If you consume 3 or more alcohol-containing drinks every day, ask your doctor if you should take Contac Severe Cold/Flu No-Drowsiness or other pain relievers/fever reducers. Alcohol use combined with Contac Severe Cold/Flu No-Drowsiness may increase your risk for liver damage.


• Contac Severe Cold/Flu No-Drowsiness may interfere with certain lab test results. Make sure that all of your doctors and lab personnel know that you are taking Contac Severe Cold/Flu No-Drowsiness.


• Before you have any medical or dental treatments, emergency care, or surgery, tell the doctor or dentist that you are using Contac Severe Cold/Flu No-Drowsiness.


• Use Contac Severe Cold/Flu No-Drowsiness with caution in the ELDERLY because they may be more sensitive to its effects.


• Caution is advised when using Contac Severe Cold/Flu No-Drowsiness in CHILDREN because they may be more sensitive to its effects.


• PREGNANCY and BREAST-FEEDING: If you become pregnant while taking Contac Severe Cold/Flu No-Drowsiness, discuss with your doctor the benefits and risks of using Contac Severe Cold/Flu No-Drowsiness during pregnancy. It is unknown if Contac Severe Cold/Flu No-Drowsiness is excreted in breast milk. Do not breast-feed while taking Contac Severe Cold/Flu No-Drowsiness.

Possible side effects of Contac Severe Cold/Flu No-Drowsiness:

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

Dizziness; excitability; headache; nausea; nervousness or anxiety; trouble sleeping; weakness.

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

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); difficulty urinating; fast or irregular heartbeat; hallucinations; seizures; severe dizziness, lightheadedness, or headache; stomach pain; tremor; yellowing of skin or eyes.

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

See also: Contac Severe Cold/Flu No-Drowsiness side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include blurred vision; confusion; hallucinations; seizures; severe dizziness, lightheadedness, or headache; severe drowsiness; stomach pain; unusually fast, slow, or irregular heartbeat; vomiting; yellowing of skin or eyes.

Proper storage of Contac Severe Cold/Flu No-Drowsiness:

Store Contac Severe Cold/Flu No-Drowsiness at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Contac Severe Cold/Flu No-Drowsiness out of the reach of children and away from pets.

General information:

• If you have any questions about Contac Severe Cold/Flu No-Drowsiness, please talk with your doctor, pharmacist, or other health care provider.


• Contac Severe Cold/Flu No-Drowsiness is to be used only by the patient for whom it is prescribed. Do not share it with other people.


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


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

This information is a summary only. It does not contain all information about Contac Severe Cold/Flu No-Drowsiness. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Contac Severe Cold/Flu No-Drowsiness resources

• Contac Severe Cold/Flu No-Drowsiness Side Effects (in more detail)
• Contac Severe Cold/Flu No-Drowsiness Use in Pregnancy & Breastfeeding
• Contac Severe Cold/Flu No-Drowsiness Drug Interactions
• 1 Review for Contac Severe Cold/Flu No-Drowsiness - Add your own review/rating

Compare Contac Severe Cold/Flu No-Drowsiness with other medications

• Cold Symptoms

Crolom ophthalmic

Generic Name: cromolyn sodium (ophthalmic) (KROE moe lin off THAL mik)

Brand Names: Crolom, Opticrom

What is Crolom (cromolyn sodium (ophthalmic))?

Cromolyn sodium is an anti-inflammatory medication. It works by preventing the release of substances in the body that cause inflammation.

Cromolyn sodium ophthalmic (for the eyes) is used to treat allergy symptoms that affect the eyes, such as itching, burning, watering, swelling, redness, or sensitivity to light.

Cromolyn sodium ophthalmic may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Crolom (cromolyn sodium (ophthalmic))?

You should not use this medication if you are allergic to cromolyn sodium.

Do not allow the tip of the eye dropper to touch any surface, including the eyes or hands. If the dropper becomes contaminated it could cause an infection in your eye, which can lead to vision loss or serious damage to the eye.

It may take up to 6 weeks of using cromolyn sodium before your symptoms improve. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve after 6 weeks of treatment.

Do not wear contact lenses while using cromolyn sodium ophthalmic, or when you have allergy symptoms affecting your eyes.

During treatment with cromolyn sodium ophthalmic, avoid using any other eye medications that your doctor has not prescribed.

What should I tell my healthcare provider before using Crolom (cromolyn sodium (ophthalmic))?

You should not use this medication if you are allergic to cromolyn sodium.

If you have certain conditions, you may need a dose adjustment or special tests to safely use this medication. Before you use cromolyn sodium ophthalmic, tell your doctor about all of your medical conditions.

FDA pregnancy category B. Cromolyn sodium is not expected to 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 cromolyn sodium 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 this medication to a child younger than 4 years old.

How should I use Crolom (cromolyn sodium (ophthalmic))?

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

For best results, use this medication at regular intervals.

Wash your hands before using the eye drops.

To apply the eye drops:

• 
  

  Tilt your head back slightly and pull down your lower eyelid to create a small pocket. Hold the dropper above the eye with the dropper tip down. Look up and away from the dropper as you squeeze out a drop, then close your eye.

  
  


• 
  

  Use only the number of drops your doctor has prescribed.

  
  


• 
  

  Gently press your finger to the inside corner of the eye (near your nose) for about 1 minute to keep the liquid from draining into your tear duct. If you use more than one drop in the same eye, wait about 5 minutes before putting in the next drop.

  
  


• 
  

  Do not allow the dropper tip to touch any surface, including the eyes or hands. If the dropper becomes contaminated it could cause an infection in your eye, which can lead to vision loss or serious damage to the eye.

  
  

It may take up to 6 weeks of using cromolyn sodium before your symptoms improve. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve after 6 weeks of treatment.

Store cromolyn sodium ophthalmic at room temperature away from moisture, heat, and light. Keep the bottle tightly closed when not in use.

What happens if I miss a dose?

Use the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to use the medicine and skip the missed dose. Do not use 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.

An overdose of this medication is not expected to produce serious side effects.

What should I avoid while using Crolom (cromolyn sodium (ophthalmic))?

Do not wear contact lenses while using this medication, or when you have allergy symptoms affecting your eyes.

During treatment with cromolyn sodium ophthalmic, avoid using any other eye medications that your doctor has not prescribed.

Crolom (cromolyn sodium (ophthalmic)) side effects

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

Stop using this medication and call your doctor if you have severe burning, stinging, or irritation in your eyes after using the eye drops.

Less serious side effects may include:

• 
  

  mild burning or stinging after you use the eye drops;

  
  


• 
  

  dry or irritated eyes;

  
  


• 
  

  puffy eyes; or

  
  


• 
  

  watery eyes.

  
  

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Crolom (cromolyn sodium (ophthalmic))?

It is not likely that other drugs you take orally or inject will have an effect on cromolyn sodium used in the eyes. But many drugs can interact with each other. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

More Crolom resources

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

Compare Crolom with other medications

• Conjunctivitis, Allergic
• Keratitis
• Keratoconjunctivitis

Where can I get more information?

• Your pharmacist can provide more information about cromolyn sodium ophthalmic.

See also: Crolom side effects (in more detail)

Covera-HS

Generic Name: verapamil (Oral route)

ver-AP-a-mil

Commonly used brand name(s)

In the U.S.

• Calan


• Calan SR


• Covera-HS


• Isoptin SR


• Verelan


• Verelan PM

Available Dosage Forms:

• Tablet, Extended Release


• Capsule, Extended Release


• Tablet


• Tablet, Extended Release, 24 HR


• Capsule, Extended Release, 24 HR

Therapeutic Class: Cardiovascular Agent

Pharmacologic Class: Calcium Channel Blocker

Chemical Class: Phenylalkylamine

Uses For Covera-HS

Verapamil is used alone or together with other medicines to treat heart rhythm problems, severe chest pain (angina), or high blood pressure (hypertension). High blood pressure adds to the workload of the heart and arteries. If it continues for a long time, the heart and arteries may not function properly. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart failure, or kidney failure. High blood pressure may also increase the risk of heart attacks. These problems may be less likely to occur if blood pressure is controlled .

Verapamil is a calcium channel blocker. It works by affecting the movement of calcium into the cells of the heart and blood vessels. As a result, verapamil relaxes blood vessels and increases the supply of blood and oxygen to the heart while reducing its workload .

This medicine is available only with your doctor's prescription .

Before Using Covera-HS

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

Allergies

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

Pediatric

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

Geriatric

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

Pregnancy

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

Breast Feeding

Studies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding.

Interactions with Medicines

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

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

• Dofetilide

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

• Acebutolol


• Adenosine


• Alprenolol


• Amiodarone


• Atazanavir


• Atenolol


• Atorvastatin


• Betaxolol


• Bevantolol


• Bisoprolol


• Bucindolol


• Bupivacaine


• Carteolol


• Carvedilol


• Celiprolol


• Clonidine


• Clozapine


• Colchicine


• Crizotinib


• Dantrolene


• Digoxin


• Dilevalol


• Dronedarone


• Eplerenone


• Erythromycin


• Esmolol


• Everolimus


• Labetalol


• Levobunolol


• Lovastatin


• Mepindolol


• Mepivacaine


• Metipranolol


• Metoprolol


• Nadolol


• Nebivolol


• Oxprenolol


• Penbutolol


• Pindolol


• Propranolol


• Ranolazine


• Simvastatin


• Sotalol


• Talinolol


• Tertatolol


• Timolol


• Tizanidine


• Tolvaptan

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

• Aspirin


• Buspirone


• Carbamazepine


• Clarithromycin


• Cyclosporine


• Dalfopristin


• Digitoxin


• Dutasteride


• Flecainide


• Fosphenytoin


• Indinavir


• Itraconazole


• Lithium


• Midazolam


• Nevirapine


• Oxcarbazepine


• Pancuronium


• Phenobarbital


• Phenytoin


• Quinidine


• Quinupristin


• Rifapentine


• Ritonavir


• Sirolimus


• St John's Wort


• Tedisamil


• Telithromycin


• Tubocurarine


• Vecuronium

Interactions with Food/Tobacco/Alcohol

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

Using this medicine with any of the following may cause an increased risk of certain side effects but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.

• Ethanol


• Grapefruit Juice

Other Medical Problems

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

• Congestive heart failure or


• Muscle disease (e.g., Duchenne's muscular dystrophy, myasthenia gravis) or


• Pulmonary edema (fluid in the lungs)—Use with caution. May make these conditions worse .

• Heart block (type of abnormal heart rhythm) or


• Heart problems (e.g., Wolff-Parkinson-White syndrome, Lown-Ganong-Levine syndrome) or


• Low blood pressure (hypotension) or


• Sick sinus syndrome (heart rhythm problem, can use if have a pacemaker that works properly)—Should not be used in patients with these conditions .

• Kidney problems or


• Liver problems—Use with caution. The effects may be increased because of slower removal of the medicine from the body .

Proper Use of verapamil

This section provides information on the proper use of a number of products that contain verapamil. It may not be specific to Covera-HS. Please read with care.

In addition to the use of this medicine, treatment for your high blood pressure may include weight control and changes in the types of foods you eat, especially foods high in sodium. Your doctor will tell you which of these are most important for you. You should check with your doctor before changing your diet .

Many patients who have high blood pressure will not notice any signs of the problem. In fact, many may feel normal. It is very important that you take your medicine exactly as directed and that you keep your appointments with your doctor even if you feel well .

Remember that this medicine will not cure your high blood pressure, but it does help control it. You must continue to take it as directed if you expect to lower your blood pressure and keep it down. You may have to take high blood pressure medicine for the rest of your life. If high blood pressure is not treated, it can cause serious problems such as heart failure, blood vessel disease, stroke, or kidney disease .

Swallow the extended-release tablet whole with a full glass of water. Do not break, crush, or chew it. It is best to take this medicine with food .

If you cannot swallow the verapamil extended-release capsules, you may open it and sprinkle the pellets contained in the capsule on one tablespoon of applesauce. This mixture must be swallowed immediately with a glass of cool water. The applesauce should not be hot and should be soft enough to be swallowed without chewing. Do not chew or crush the pellets .

If you are taking the extended-release tablets, you may sometimes notice what looks like a tablet in your stool. This is the empty tablet shell that is left after the medicine has been absorbed .

Dosing

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

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

• For chest pain:
  
  • For oral dosage form (tablets):
    
    • Adults—The usual dose is 80 to 120 milligrams (mg) three times a day. Your doctor may adjust your dose if needed.
    
    
    • Children—Use and dose must be determined by your doctor .
    
    
  
  
  • For oral dosage form (extended-release tablets, 24 hr):
    
    • Adults—At first, 180 milligrams (mg) once daily at bedtime. Your doctor may adjust your dose if needed.
    
    
    • Children—Use and dose must be determined by your doctor .
    
    
  
  


• For heart rhythm problems:
  
  • For oral dosage form (tablets):
    
    • Adults—The total usual dose is 240 to 480 milligrams (mg) divided in three or four equal doses per day.
    
    
    • Children—Use and dose must be determined by your doctor .
    
    
  
  


• For high blood pressure:
  
  • For oral dosage form (tablets):
    
    • Adults—At first, 80 milligrams (mg) three times a day. Your doctor may adjust your dose if needed.
    
    
    • Children—Use and dose must be determined by your doctor .
    
    
  
  
  • For oral dosage form (extended-release capsules):
    
    • Adults—At first, 200 milligrams (mg) once daily at bedtime. Your doctor may adjust your dose if needed.
    
    
    • Children—Use and dose must be determined by your doctor .
    
    
  
  
  • For oral dosage form (extended-release tablets):
    
    • Adults—At first, 180 milligrams (mg) once daily in the morning. Your doctor may adjust your dose if needed.
    
    
    • Children—Use and dose must be determined by your doctor .
    
    
  
  
  • For oral dosage form (extended-release tablets, 24 hr):
    
    • Adults—At first, 180 milligrams (mg) once daily at bedtime. Your doctor may adjust your dose if needed.
    
    
    • Children—Use and dose must be determined by your doctor .
    
    
  
  

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

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

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Precautions While Using Covera-HS

It is very important that your doctor check your progress at regular visits to make sure this medicine is working properly and to check for unwanted effects .

Low blood pressure (hypotension) may occur while taking this medicine. Check with your doctor right away if you have the following symptoms: blurred vision; confusion; severe dizziness, faintness, or lightheadedness when getting up from a lying or sitting position suddenly; sweating; or unusual tiredness or weakness .

While you are taking this medicine be careful to limit the amount of alcohol that you drink. Alcohol increases dizziness and drowsiness and also lowers blood pressure .

Covera-HS Side Effects

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

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

Less common

• Blue lips and fingernails


• blurred vision


• burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings


• chest pain


• confusion


• coughing that sometimes produces a pink frothy sputum


• difficult, fast, noisy breathing, sometimes with wheezing


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


• increased sweating


• lightheadedness, dizziness, or fainting


• pale skin


• shortness of breath


• slow or irregular heartbeat


• sore throat


• sweating


• swelling in legs and ankles


• unusual tiredness or weakness

Rare

• Chills


• cold sweats


• feeling of warmth


• redness of the face, neck, arms and occasionally, upper chest

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

• Difficulty having a bowel movement (stool)


• headache

Less common

• Acid or sour stomach


• belching


• difficulty in moving


• heartburn


• indigestion


• joint pain


• muscle aching or cramping


• muscle pains or stiffness


• nausea


• rash


• stomach discomfort, upset, or pain


• trouble sleeping


• unusual drowsiness, dullness, tiredness, weakness, or feeling of sluggishness


• swollen joints

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

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

See also: Covera-HS side effects (in more detail)

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

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

More Covera-HS resources

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

• Covera-HS Sustained-Release Tablets (Controlled Onset) MedFacts Consumer Leaflet (Wolters Kluwer)


• Covera-HS Concise Consumer Information (Cerner Multum)


• Covera-HS Prescribing Information (FDA)


• Verapamil Prescribing Information (FDA)


• Calan Prescribing Information (FDA)


• Calan MedFacts Consumer Leaflet (Wolters Kluwer)


• Calan SR Prescribing Information (FDA)


• Calan SR Controlled-Release Tablets MedFacts Consumer Leaflet (Wolters Kluwer)


• Isoptin Concise Consumer Information (Cerner Multum)


• Isoptin SR Prescribing Information (FDA)


• Verapamil Hydrochloride Monograph (AHFS DI)


• Verelan Prescribing Information (FDA)


• Verelan Sustained-Release Pellet-Filled Capsules MedFacts Consumer Leaflet (Wolters Kluwer)


• Verelan PM Prescribing Information (FDA)


• Verelan PM Sustained-Release Capsules Controlled Onset MedFacts Consumer Leaflet (Wolters Kluwer)

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