The medication Claritin-D is an antihistamine and decongestant combination used to treat the nasal congestion (stuffy nose), sneezing, and runny nose caused by colds and hay fever. Remember we have FREE OVERNIGHT SHIPPING on Claritin-D and the Lowest Online Claritin-D Prices possible!

CLARITIN-D DRUG INFO

LORATADINE WITH PSEUDOEPHEDRINE 24 HOUR TABLET – ORAL (lor-AT-uh-deen WITH sue-doh-eff-ED-rin)

COMMON BRAND NAME(S): Claritin-D

USES: Loratadine is an antihistamine that provides relief from symptoms of seasonal and allergic rhinitis (e.g., hay fever) such as watery eyes, runny nose, itching eyes and sneezing. Pseudoephedrine is a decongestant that relieves congestion, promotes sinus draining and improves breathing.

HOW TO USE: Swallow the tablet whole with a full glass of water. Do not chew or crush the tablet, as doing so will destroy the long action and may increase the side effects. Do not increase the dose or take this more frequently than prescribed.

SIDE EFFECTS: May cause difficulty in sleeping, dry mouth, mild stomach upset, headache, nervousness, dizziness, loss of appetite or thirst. These effects should subside as your body adjusts to the medication. If they persist or become bothersome, inform your doctor. Loratadine does not usually cause drowsiness when used at recommended doses and under normal circumstances. However, be sure of the drug’s effects before engaging in activities that require alertness. Notify your doctor if you develop: heart pounding, irregular heartbeat, chest pain, ringing in the ears, difficulty urinating. An allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching, swelling, severe dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: If you have glaucoma, diabetes, difficulty urinating, an enlarged prostate gland, heart, kidney, liver, or respiratory disease, high blood pressure, an overactive thyroid gland or have serious difficulty in swallowing, do not use this drug unless your doctor knows of your medical condition. Limit alcohol intake, as it may intensify drug side effects. This drug should be used only if clearly needed during pregnancy. It is not known if this medication is found in breast milk. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: Tell your doctor of any over-the-counter or prescription medication you may take, especially of: high blood pressure drugs, antidepressants, sleeping pills, sedatives, tranquilizers, muscle relaxants, other cold or allergy medicines. Do not take this drug if you have taken an MAO inhibitor (e.g., furazolidone, linezolid, phenelzine, selegiline, tranylcypromine) within the last two weeks. Do not start or stop any medicine without doctor or pharmacist approval.

OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include drowsiness, nausea, vomiting, shakiness, sweating, insomnia, hallucinations, rapid or irregular heartbeat, and seizures.

NOTES: Do not share this product with others.

MISSED DOSE: If you miss a dose, take it as soon as remembered. If it is almost time for the next dose, skip the missed dose and resume your usual dosing schedule. Do not “double-up” the doses.

STORAGE: Store at room temperature away from sunlight and moisture. Do not store in the bathroom.

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The prescription medicine SINGULAIR is approved to help control asthma in adults and children as young as 12 months and to help relieve the symptoms of seasonal allergies in adults and children as young as 2 years. Singulair will NOT replace fast-acting inhalers for sudden symptoms. You should still have rescue medication available and continue to take your other asthma medications unless your doctor tells you to stop. For asthma, Singulair should be taken once a day, in the evening as prescribed, whether or not you have asthma symptoms. If your symptoms get worse or you need to increase the use of your rescue inhaler, call your doctor at once. Remember we have FREE OVERNIGHT SHIPPING on Singulair and the Lowest Online Singulair Prices possible!

SINGULAIR^� (montelukast sodium) is a prescription medicine approved to help control asthma in adults and children as young as 12 months and to help relieve the symptoms of indoor and outdoor allergies (outdoor allergies in adults and children as young as 2 years, and indoor allergies in adults and children as young as 6 months).

IMPORTANT SAFETY INFORMATION

SINGULAIR should be taken once a day, as prescribed. SINGULAIR is available by prescription only.

Side effects are generally mild and vary by age, and may include headache, ear infection, sore throat, and upper respiratory infection. Side effects generally did not stop patients from taking SINGULAIR. SINGULAIR should not be taken by people who are sensitive to any of its ingredients.

Patient Information

SINGULAIR� (SING-u-lair) Tablets, Chewable Tablets, and Oral Granules Generic name: montelukast (mon-te-LOO-kast) sodium Read this information before you start taking SINGULAIR�. Also, read the leaflet you get each time you refill SINGULAIR, since there may be new information in the leaflet since the last time you saw it. This leaflet does not take the place of talking with your doctor about your medical condition and/or your treatment.

What is SINGULAIR*?

SINGULAIR is a medicine called a leukotriene receptor antagonist. It works by blocking substances in the body called leukotrienes. Blocking leukotrienes improves asthma and allergic rhinitis. SINGULAIR is not a steroid. Studies have shown that SINGULAIR does not affect the growth rate of children. (See the end of this leaflet for more information about asthma and allergic rhinitis.) SINGULAIR is prescribed for the treatment of asthma, the prevention of exercise-induced asthma, and allergic rhinitis:

1. Asthma. SINGULAIR should be used for the long-term management of asthma in adults and children ages 12 months and older. Do not take SINGULAIR for the immediate relief of an asthma attack. If you get an asthma attack, you should follow the instructions your doctor gave you for treating asthma attacks.

2. Prevention of exercise-induced asthma. SINGULAIR is used for the prevention of exercise-induced asthma in patients 15 years of age and older.

3. Allergic Rhinitis. SINGULAIR is used to help control the symptoms of allergic rhinitis (sneezing, stuffy nose, runny nose, itching of the nose). SINGULAIR is used to treat seasonal allergic rhinitis (outdoor allergies that happen part of the year) in adults and children ages 2 years and older, and perennial allergic rhinitis (indoor allergies that happen all year) in adults and children ages 6 months and older.

Who should not take SINGULAIR?

Do not take SINGULAIR if you are allergic to SINGULAIR or any of its ingredients. The active ingredient in SINGULAIR is montelukast sodium. See the end of this leaflet for a list of all the ingredients in SINGULAIR. What should I tell my doctor before I start taking SINGULAIR? Tell your doctor about:

Pregnancy: If you are pregnant or plan to become pregnant, SINGULAIR may not be right for you.

Breast-feeding: If you are breast-feeding, SINGULAIR may be passed in your milk to your baby. You should consult your doctor before taking SINGULAIR if you are breast-feeding or intend to breast-feed.

Medical Problems or Allergies: Talk about any medical problems or allergies you have now or had in the past.

Other Medicines: Tell your doctor about all the medicines you take, including prescription and non-prescription medicines, and herbal supplements. Some medicines may affect how SINGULAIR works, or SINGULAIR may affect how your other medicines work.

How should I take SINGULAIR?

For adults and children 12 months of age and older with asthma:
Take SINGULAIR once a day in the evening.
Take SINGULAIR every day for as long as your doctor prescribes it, even if you have no asthma symptoms.
You may take SINGULAIR with food or without food.
If your asthma symptoms get worse, or if you need to increase the use of your inhaled rescue medicine for asthma attacks, call your doctor right away.
Do not take SINGULAIR for the immediate relief of an asthma attack. If you get an asthma attack, you should follow the instructions your doctor gave you for treating asthma attacks.
Always have your inhaled rescue medicine for asthma attacks with you.
Do not stop taking or lower the dose of your other asthma medicines unless your doctor tells you to.

For patients 15 years of age and older for the prevention of exercise-induced asthma:

Take SINGULAIR at least 2 hours before exercise.
Always have your inhaled rescue medicine for asthma attacks with you.
If you are taking SINGULAIR daily for chronic asthma or allergic rhinitis, do not take an additional dose to prevent exercise-induced asthma. Speak to your doctor about your treatment of exercise-induced asthma.
Do not take an additional dose of SINGULAIR within 24 hours of a previous dose. For adults and children 2 years of age and older with seasonal allergic rhinitis, or for adults and children 6 months of age and older with perennial allergic rhinitis:
Take SINGULAIR once a day, at about the same time each day.
Take SINGULAIR every day for as long as your doctor prescribes it.
You may take SINGULAIR with food or without food. How should I give SINGULAIR oral granules to my child? Do not open the packet until ready to use.

SINGULAIR 4-mg oral granules can be given:

directly in the mouth;
dissolved in 1 teaspoonful (5 mL) of cold or room temperature baby formula or breast milk
mixed with a spoonful of one of the following soft foods at cold or room temperature: applesauce, mashed carrots, rice, or ice cream.

Be sure that the entire dose is mixed with the food, baby formula, or breast milk and that the child is given the entire spoonful of the food, baby formula, or breast milk mixture right away (within 15 minutes).

IMPORTANT: Never store any oral granules mixed with food, baby formula, or breast milk for use at a later time. Throw away any unused portion. Do not put SINGULAIR oral granules in any liquid drink other than baby formula or breast milk. However, your child may drink liquids after swallowing the SINGULAIR oral granules.

What is the dose of SINGULAIR? For asthma – Take once daily in the evening:

One 10-mg tablet for adults and adolescents 15 years of age and older,
One 5-mg chewable tablet for children 6 to 14 years of age,
One 4-mg chewable tablet or one packet of 4-mg oral granules for children 2 to 5 years of age, or
One packet of 4-mg oral granules for children 12 to 23 months of age. For exercise-induced asthma – Take at least 2 hours before exercise, but not more than once daily:
One 10-mg tablet for adults and adolescents 15 years of age and older.

For allergic rhinitis – Take once daily at about the same time each day:

One 10-mg tablet for adults and adolescents 15 years of age and older,
One 5-mg chewable tablet for children 6 to 14 years of age,
One 4-mg chewable tablet for children 2 to 5 years of age, or
One packet of 4-mg oral granules for children 2 to 5 years of age with seasonal allergic rhinitis, or for children 6 months to 5 years of age with perennial allergic rhinitis.

What should I avoid while taking SINGULAIR?

If you have asthma and if your asthma is made worse by aspirin, continue to avoid aspirin or other medicines called non-steroidal anti-inflammatory drugs while taking SINGULAIR. What are the possible side effects of SINGULAIR? The side effects of SINGULAIR are usually mild, and generally did not cause patients to stop taking their medicine. The side effects in patients treated with SINGULAIR were similar in type and frequency to side effects in patients who were given a placebo (a pill containing no medicine).

The most common side effects with SINGULAIR include:
stomach pain
stomach or intestinal upset
heartburn
tiredness
fever
stuffy nose
cough
flu
upper respiratory infection
dizziness
headache
rash Less common side effects that have happened with SINGULAIR include:
increased bleeding tendency
allergic reactions [including swelling of the face, lips, tongue, and/or throat (which may cause trouble breathing or swallowing), hives and itching]
behavior and mood related changes [agitation including aggressive behavior, bad/vivid dreams, depression, feeling anxious, hallucinations (seeing things that are not there), irritability, restlessness, suicidal thoughts and actions (including suicide), tremor, trouble sleeping]
drowsiness, pins and needles/numbness, seizures (convulsions or fits)
palpitations
nose bleed
diarrhea, indigestion, inflammation of the pancreas, nausea, vomiting
hepatitis
bruising
joint pain, muscle aches and muscle cramps
swelling

Rarely, asthmatic patients taking SINGULAIR have experienced a condition that includes certain symptoms that do not go away or that get worse. These occur usually, but not always, in patients who were taking steroid pills by mouth for asthma and those steroids were being slowly lowered or stopped. Although SINGULAIR has not been shown to cause this condition, you must tell your doctor right away if you get one or more of these symptoms:
a feeling of pins and needles or numbness of arms or legs
a flu-like illness
rash
severe inflammation (pain and swelling) of the sinuses (sinusitis) These are not all the possible side effects of SINGULAIR. For more information ask your doctor or pharmacist.

Talk to your doctor if you think you have side effects from taking SINGULAIR. General Information about the safe and effective use of SINGULAIR Medicines are sometimes prescribed for conditions that are not mentioned in patient information leaflets. Do not use SINGULAIR for a condition for which it was not prescribed. Do not give SINGULAIR to other people even if they have the same symptoms you have. It may harm them. Keep SINGULAIR and all medicines out of the reach of children.

Store SINGULAIR at 25�C (77�F). Protect from moisture and light. Store in original package. This leaflet summarizes information about SINGULAIR. If you would like more information, talk to your doctor. You can ask your pharmacist or doctor for information about SINGULAIR that is written for health professionals.
What are the ingredients in SINGULAIR?
Active ingredient: montelukast sodium SINGULAIR chewable tablets contain aspartame, a source of phenylalanine. Phenylketonurics: SINGULAIR 4-mg and 5-mg chewable tablets contain 0.674 and 0.842 mg phenylalanine, respectively.

Inactive ingredients:
4-mg oral granules: mannitol, hydroxypropyl cellulose, and magnesium stearate.
4-mg and 5-mg chewable tablets: mannitol, microcrystalline cellulose, hydroxypropyl cellulose, red ferric oxide, croscarmellose sodium, cherry flavor, aspartame, and magnesium stearate.
10-mg tablet: microcrystalline cellulose, lactose monohydrate, croscarmellose sodium, hydroxypropyl cellulose, magnesium stearate, hydroxypropyl methylcellulose, titanium dioxide, red ferric oxide, yellow ferric oxide, and carnauba wax.

What is asthma?
Asthma is a continuing (chronic) inflammation of the bronchial passageways which are the tubes that carry air from outside the body to the lungs. Symptoms of asthma include:
coughing
wheezing
chest tightness
shortness of breath

What is exercise-induced asthma?
Exercise-induced asthma, more accurately called exercise-induced bronchoconstriction occurs when exercise triggers symptoms of asthma.

What is allergic rhinitis?

Seasonal allergic rhinitis, also known as hay fever, is triggered by outdoor allergens such as pollens from trees, grasses, and weeds.
Perennial allergic rhinitis may occur year-round and is generally triggered by indoor allergens such as dust mites, animal dander, and/or mold spores.
Symptoms of allergic rhinitis may include:
stuffy, runny, and/or itchy nose
sneezing

Rx only
US Patent No.: 5,565,473
Distributed by:
MERCK & CO., INC.
Whitehouse Station, NJ 08889, USA
Issued July 2008

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This medication is an antihistamine which provides relief of allergy symptoms such as watery eyes, runny nose, itching eyes, sneezing, itching and hives.

ZYRTEC DRUG INFO

CETIRIZINE – ORAL TABLET (set-EYE-rizz-een)

COMMON BRAND NAME(S): Zyrtec

USES: This medication is an antihistamine which provides relief of allergy symptoms such as watery eyes, runny nose, itching eyes, sneezing, itching and hives.

HOW TO USE: Take this medication by mouth once a day as directed. May be taken with or without food. Do not increase your dose or take this more often than directed.

SIDE EFFECTS: Drowsiness, sleepiness, dry mouth, fatigue, dizziness, increased appetite, and nausea may occur. These effects should subside as your body adjusts to the medication. If they continue or become bothersome, inform your doctor. Notify your doctor if you develop any of these serious effects while taking this medication: chest pain, rash, trouble breathing. This medication may cause dizziness or drowsiness. Use caution engaging in activities requiring alertness. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: Tell your doctor your medical history, especially of: liver or kidney disease, asthma, any blood disorders, any any allergies. This medication can increase sensitivity to sunlight. Avoid prolonged sun exposure. Wear protective clothing and a sunscreen when outdoors. Limit intake of alcohol to prevent excessive drowsiness. Tell your doctor if you are pregnant before taking this medication. This medication is excreted into human breast milk. Discuss the risks of breast-feeding with your doctor.

DRUG INTERACTIONS: Tell your doctor of any over-the-counter and prescription medication you may take including: sedatives, tranquilizers, narcotic pain relievers, sleep medicine, drugs for anxiety, barbiturates (e.g., phenobarbital), psychiatric medicines, other antihistamines. Do not start or stop any medicine without doctor or pharmacist approval.

OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include sleepiness, shortness of breath, clumsiness, hallucinations, and seizures.

NOTES: This medication can affect results of allergy tests. Remind your doctor you are taking this drug if you are scheduled for any tests.

MISSED DOSE: If you miss a dose, take it as soon as remembered; do not take it if it is near the time for the next dose, instead, skip the missed dose and resume your usual dosing schedule. Do not “double-up” the dose to catch up.

STORAGE: Store between 59 and 86 degrees F (15 to 30 degrees C) away from heat and light. Do not store in the bathroom.

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This is a nasal steroid that works directly on nasal tissue to reduce swelling and inflammation. It is used to treat nasal itching, runny nose, postnasal drip, nasal congestion and sneezing associated with allergic rhinitis.

NASACORT DRUG INFO

TRIAMCINOLONE ACETONIDE – NASAL (try-am-SIN-oh-lone uh-SET-oh-nide)

COMMON BRAND NAME(S): Nasacort

USES: This is a nasal steroid that works directly on nasal tissue to reduce swelling and inflammation. It is used to treat nasal itching, runny nose, postnasal drip, nasal congestion and sneezing associated with allergic rhinitis.

HOW TO USE: To get the most benefit from this medication, make sure you understand how to use the nasal spray properly. Ask your doctor or pharmacist to demonstrate the correct way to use a nasal spray. Shake well before using. The medication must reach the nasal tissue to be effective. Therefore, blow your nose to clear the nasal passage before using the medication. If passages are blocked, a nasal decongestant may be used first (for a maximum of 3 to 5 days) to open the passages allowing proper penetration of the medication. Be sure to aim spray away from the middle of the nose, that is, away from the nasal septum and toward the inflamed areas inside the nasal passages. Use this medication exactly as prescribed. It must be used routinely to be effective. Do not increase your dose or use this more frequently than directed without your doctor’s approval. It may take a few days before the benefits of the medication are noticed. If after 2 to 3 weeks no improvement in symptoms is noticed, consult your doctor. Use this medication with caution if sores or injuries are present in the nasal passages.

SIDE EFFECTS: This medication may cause irritation, stinging, burning, or dryness of the nasal passages. Sneezing, nosebleed, headache, lightheadedness, loss of taste, throat irritation or nausea may also occur. If these effects continue or become bothersome, inform your doctor. Unlikely but report promptly: persistent nose or throat irritation/soreness, white patchy areas. Very unlikely but report promptly: broken or damaged nasal membranes, unusual weakness, weight loss, nausea/vomiting, fainting, dizziness, vision changes. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: This medication should be used with caution if the following medical conditions exist: glaucoma, herpes-type infection of the eye, infection, recent nasal surgery or existing nasal sores, liver disease, tuberculosis, underactive thyroid, allergies to corticosteroids. Though very unlikely, it is possible this medication will be absorbed into your bloodstream. This may have undesirable consequences that may require additional corticosteroid treatment. This is especially true for children and for those who have used this for an extended period if they also have serious medical problems such as serious infections, injuries or surgeries. This precaution applies for up to one year after stopping use of this drug. Consult your doctor or pharmacist for more details. Caution is advised in children as this drug may affect growth patterns. Consult child’s doctor. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is unknown if this form of triamcinolone is excreted into breast milk. Other dosage forms of triamcinolone are excreted into breast milk. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: Tell your doctor of all prescription and nonprescription medication you use, especially of: other nasal products. Do not start or stop any medicine without doctor or pharmacist approval.

OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately.

NOTES: If no improvement in your symptoms is noted after 3 weeks of using this medication, notify your doctor. Another medication may be needed or the dose may need adjusting. Inform all your doctors you use, or have used, this medication. Watering or itching eyes often associated with allergies are not significantly relieved by this medication. Each canister contains approximately 100-120 sprays.

MISSED DOSE: If you miss a dose, use it as soon as remembered; do not use if it is almost time for the next dose, instead, skip the missed dose and resume your usual dosing schedule. Do not “double-up” the dose to catch up.

STORAGE: Store at room temperature away from sunlight and moisture. Avoid freezing.

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This is a nasal corticosteroid that works directly on nasal tissue to reduce swelling and inflammation. The medication is used to treat itching, runny nose, postnasal drip, nasal congestion and sneezing in people with a history of rhinitis.

FLONASE DRUG INFO

FLUTICASONE – NASAL SPRAY (flew-TICK-uh-sown)

COMMON BRAND NAME(S): Flonase

USES: This is a nasal corticosteroid that works directly on nasal tissue to reduce swelling and inflammation. The medication is used to treat itching, runny nose, postnasal drip, nasal congestion and sneezing in people with a history of rhinitis.

HOW TO USE: To get the most benefit from this medication, make sure you understand how to use the nasal spray properly. Ask your doctor or pharmacist to show you how to use the pump and nasal adapter. Shake gently before each use. Before using the medication for the first time, the unit must be “primed” with 3 to 4 pumps of the spray. Use this medication exactly as prescribed. Do not use more than two sprays in each nostril daily. It may take a few days before the benefits of the medication are noticed. If no improvement occurs after several days, notify your doctor.

SIDE EFFECTS: The more common side effects are nose bleeding, blood in nasal mucus, or nasal burning or irritation. Less common or rare occurrences are headache, sneezing, runny nose, nasal dryness, congestion, or stomach upset. If these effects continue or become bothersome, inform your doctor. Long-term use of nasal steroids may cause fungal infections of the nose or throat. Inform your doctor if you develop an infection. The medication may be discontinued while the infection is treated. Very unlikely to occur but report: vision problems, headache, increased thirst or urination, unusual weakness, weight loss, nausea, dizziness. In the very unlikely event you have an allergic reaction to this drug, seek immediate medical attention. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: Tell your doctor your medical history, especially of: any allergies, eye problems (glaucoma), infections, recent nasal surgery, nasal sores. If you are prescribed doses higher than those usually recommended, avoid exposure to chickenpox or measles. If you do become exposed, notify your doctor promptly. Though very unlikely, it is possible this medication will be absorbed into your bloodstream. This may have undesirable consequences that may require additional corticosteroid treatment. This is especially true for children and for those who have used this for an extended period if they also have serious medical problems such as serious infections, injuries or surgeries. This precaution applies for up to one year after stopping use of this drug. Consult your doctor or pharmacist for more details. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is not known if this drug is excreted into breast milk. Consult your doctor before breast-feeding. Caution is advised in children as this drug may affect growth patterns. Consult child’s doctor. Avoid use in children under 4.

DRUG INTERACTIONS: Tell your doctor of all other prescription or nonprescription medicines you use, especially of: other nasal products (such as cold products), other corticosteroids (e.g., prednisone), antibiotics. Do not start or stop any medicine without doctor or pharmacist approval.

OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately.

NOTES: Do not share this medication with others. Watering or itching eyes often associated with allergies are not significantly relieved by this medication. Inform all your doctors you use (or have used) this medication.

MISSED DOSE: Use the missed dose as soon as remembered unless it is almost time for the next dose. If so, skip the missed dose and resume your regular dosing schedule. Do not “double-up” the doses to catch up.

STORAGE: Store at room temperature and keep away from moisture and sunlight.

MEDICAL ALERT: Your condition can cause complications in a medical emergency. For enrollment information call MedicAlert at 1-800-854-1166 (USA), or 1-800-668-1507 (Canada).

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This medication contains an antihistamine and decongestant used to relieve allergy symptoms such as itchy red eyes, stuffy nose and throat irritation.

ALLEGRA-D DRUG INFO

FEXOFENADINE-PSEUDOEPHEDRINE EXTENDED RELEASE – ORAL (fex-oh-FEN-uh-deen WITH sue-doh-eff-ED-rin)

COMMON BRAND NAME(S): Allegra D

USES: This medication contains an antihistamine and decongestant used to relieve allergy symptoms such as itchy red eyes, stuffy nose and throat irritation.

HOW TO USE: Take this medication by mouth on an empty stomach 1 hour before or two hours after meals as directed, usually twice daily. Taking this medicine with a high fat meal can decrease its effectiveness. Do not take antacids containing aluminum and magnesium within 2 hours of taking this medication. Swallow the medicine whole. Do not crush or chew the tablet, and do not take more than prescribed. Do not take this product within 14 days after stopping an MAO Inhibitor (see Drug Interactions).

SIDE EFFECTS: Nausea, stomach upset, trouble sleeping, headache, or cold symptoms may occur. If these persist or worsen, notify your doctor promptly. Unlikely but report promptly: dizziness, mental/mood changes, fast heartbeat, fever. Tell your doctor immediately if any of these highly unlikely but very serious side effects occur: fainting, irregular heartbeat. Although drowsiness is very uncommon at usual doses under normal circumstances, be aware that drowsiness may occur and may effect the ability to perfom tasks requiring alertness (e.g., driving). If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: Tell your doctor your medical history, including: allergies, kidney/urinary problems, enlarged prostate, glaucoma (narrow angle), severe high blood pressure, heart disease, diabetes, thyroid problems (hyperthyroid). Limit alcohol intake, as it may aggravate drug side effects. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. The pseudoephedrine in this product is excreted into breast milk. Consult your doctor before breast-feeding. Caution is advised when this product is used in the elderly since this group may be more sensitive to side effects.

DRUG INTERACTIONS: Tell your doctor of all nonprescription and prescription medication you may use, especially: MAO inhibitors (e.g., selegiline, furazolidone, phenelzine, tranylcypromine, moclobemide, procarbazine, linezolid), certain blood pressure drugs (e.g., methyldopa, mecamylamine, reserpine, prazosin), digoxin, all adrenaline-like drugs. Report other drugs which affect the heart rhythm (QTc prolongation), such as: dofetilide, pimozide, quinidine, sotalol, procainamide, sparfloxacin, “water pills” (diuretics such as furosemide or hydrochlorothiazide). Ask your doctor or pharmacist for more details. Check the labels carefully on all nonprescription products, such as cough-and-cold medicines which contain antihistamines and decongestants. Consult your pharmacist. Do not take this medication for several days before any allergy testing since test results can be affected. Do not start or stop any medicine without doctor or pharmacist approval.

OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include irregular or unusually slow or fast heartbeat, unusual nervousness or excitement, rapid breathing, confusion, hallucinations, and seizures.

NOTES: Do not share this medication with others.

MISSED DOSE: If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not “double-up” the dose to catch up.

STORAGE: Store at room temperature between 68 and 77 degrees F (20-25 degrees C) away from sunlight and moisture.

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