A streamof juicesrun intomy mouthas sheclimaxes.
Ifeel Michelletrembling forminutes, butdon't stopsucking herwet vagina.
My God,it's terrific!
Let mesee yourprick!
Standup andfuck yourfist now!
Slowly, Ineed toenjoy this!"
I'mstanding infront ofher, whileshe studiesme closely.
My dickis hardas arock nowand ispointing towardthe ceiling;my ballsare hot.
I liketo masturbatein frontof Michelle'seyes wideopen.
Stop!"she says."Ihave tosmell you!"
Sheis smellingmy balls.
Oh, it'sso good, Iforgot thetaste ofmanhood" shewhispers.
Continue,slave, butnow rubonly themushroom head!"
Mypenis becomesvery sensitive.
Than shetakes myround nutsin herwarm palmsand squeezesthem hard.
Cum, youpig, allthe menare filthyanimals, cum,I wantto seeyour whitesemen thrownout!"
I shoutin painand Icum copiously.
The condomis halffilled withmy cumand precum.
Michelle takesit out,very carefully,empty itin twocups, mixesthe spermwith champagneand weshare thedrink.
Whatare wedrinking for?"
Iask. "Fora longnight ofpassion!"
PART TWOWe bathtogether.
Iadmire againher curves.
She isso talland sofull ofpassion.
Herlong, darkponytail givesher theaspect ofa proudwarrior.
Later,we arein bed,hand inhand.
Themoon lightsour nudebodies.
Michelleasks me:"Are youmad onme, Felix?
Think Iwas toobrutal".
No,Michelle, Iloved everysecond".
Metoo...You know,I'm nota bitch,but Ifelt anamazing powerand thatwas extraordinary!
Thanks!" Aftera while,she whispersin myear: "Now,I willdo everythingyou want"then kissesmy neckand slowlyfondles myballs.
Iam hardagain. Weare kissing,a coupleof longfrench kisses.
Then Ilook straightin hereyes andtell her:"Michelle, youhave anice buttand Ineed tocum betweenthe cheeksof yourderriere!"
She bitesmy shoulderand says:"If youwant that,I wantit, too.
But, please,be niceto me,I'm virginback there!"
Thanshe rollson herbelly, exposingher magnificentholes tome: thepussy encircledby softpink lipsand thebrown asshole.
I slowlyinsert afinger inher anus,then takeit out.
Michelle isshivering.
Ikiss herback andher shoulders,to encourageher.
Ilick hercunt tillI giveher anintense orgasm.
After thatshe ispurring likea bigcat.
Ioil mythrobbing dickwith herown pussyjuices.
Itry toenter thebrown hole,but Ican't; it'stoo tight.
Relax, Michelle!"Iwhisper.
Ilick heranal hole,trying towet it;I spitthere severaltimes.
Itry againand slowly,but surely,I'm gettingin.
Shebegins tocry andsays: "It's sopainful, please,stop, let'sdo itanother time,darling!"
But Iam soaroused Ican't stop.
I makesome movesand finallyI'm inher warmanus.
Ihave thedelicious sensationof dominatinga realclassy ladyby screwingher mostsecret place.
I fuckMichelle's buttfor aboutten minutes.
She yells:"You filthyanimal, fuckmy dirtyanus, rapemy poorhole withyour horsecock!
Scum,take yourMistress' assand splitit!"
I can'thold itanymore, soI ejaculatedeep inher.
Salivaand spermare drippingfrom herhole.
Itake herbreasts inmy handsand kissagain herback.
Sheweaps, butI amstill buriedin herasshole anddon't wantto getout ofthere.
Aftera while,she stopsweaping andtells me: "Nexttime, mister,beware ofme, Iwill punishyou!
Andnow, getthe fuckout ofmy ass!"
Ismile andsay tomyself: "ThankGod therewill bea nexttime, baby!
I amat yourorders!" PARTTHREE Wemeet againa weeklater, inthe samepark.
Michelleis dressedin blackas usual,and herdark brownmakeup makesher verymisterious.
Wetalk awhile, then,suddenly, shesays: "Myhusband leftme!"
Why?" "He'shaving anaffair, Icaught himin bedwith hissecretary!"
Sorry...What canI dofor you?"
Iask. "Youare mybest friend,Michelle!"
Well, youcan dosomething forme..I wantrevenge!"
What areyou thinkingof?"
I didn'ttell youall aboutme...I havea stepdaughter, myhusband wasmarried coupleof yearsbefore wemet, thanhe divorced.
His daughter'sname isChristina..He lovesher verymuch.
Sheis almost14 y/o."Michelle stopsthan speaksagain: "Iwant youto takeChristine's virginity.
I'll bethere, watching, eventuallyhelping you."
But,Michelle, sheis achild!"
I reply."So what?Make hera woman!
By theway, sheis there,on thegreen bench."
Let'smeet her!""No way,I havesome thingsto prepare,first.
Comewith me,Felix, Ineed you."
Wheredo wego?" "You'llsee" Nottoo farfrom therewe finda publictoilet.
Wesneak inan emptycompartiment.
Michellesits andbegins topee.
Atthe sametime sheunzippes myjeans, pullsout mydick andtakes itin hergreedy mouth.
She isgiving mean astonishingblowjob.
Aftercouple ofminutes sheis simultaneouslyshitting andsucking mypenis.
Ican't standit anymoreand cumin betweenher lips.
Later weexit andagree tomeet inthe ourhotel room,in theevening.
Wekiss. It'sour firstkiss outside.
PART FOURI amalone inthe room.
I wait.I fixedsome cocktails.
I feelstrange somehow;a motherwants meto fuckher daughter.
And Ifucked themother, too.
I becomevery aroused.
Never inmy wildestdreams couldI haveimagined this.
I heara knockat thedoor andI open.
Michelle andChristina enter.
The girlseems tobe veryshy.
Sheis about140 cmtall andvery cute.
She wearswhite socks,a blackskirt anda whiteblouse.
Michelletells herdaughter: "Christina,you knowyour fatherleft usalone.
Weneed theprotection ofa man,and thatis Mr.
Felix. Wehave toobey himand toworship himfor hiskindness.
Mr.Felix isdoctor inmedicine andhe wantsto seeyou masturbating."
But,mom, Ican't dothis infront ofthis gentleman!"
Youcan, darling,because heis adoctor anda gentleman.
He wantsto examineyou.
It'sa greathonour foryou.
Now,proceed, sugar."The 14y/o liftsher skirtrevealing herthighs anda pairof pinklace panties.
She isvery naiveand dowhat shewas told.
Her littleleft palmslips underthe panties.
She isfingering hercunt.
Herhand, hiddenunder thelace, lookslike alittle animalwhich ismoving aboveher pussy.
Me andher motherenjoy theshow, andI feelmy penisrising.
Michellecomes besideme andwhispers: "Itaught herhow tomassage andto scratchher clit!"
Wekiss whileChristina hasher firstorgasm.
Shescreams alittle. Herpanties arewet.
Michelletells her:"Now undress,Christina, MrFelix wantsto seeyou fullnaked!
Andgive himyour panties."
Whatfor, mom?""Well, dear,men haveto smelland tastea virgin'sjuice, fromtime totime."
Christina givesme herpink panties.
Their scentis amazing.
Meantime, younggirl finishesto undress.
She hasa flatchest andno pubichair.
Sheis ratherskinny. Despiteof theseaspects, Ifind herfresh anddesirable.
Michellecontinues: "Siton thebed, pumpkin,and spreadyour legsapart!"
I approachand examinethe cuntof thatlovely teenwith tremblingfingers.Then Iknee andlick theinner thighsand thesmooth pussy.
Christina isbreathing hard.
Her mothercommands: "Layback, andshut upyour eyes,darling!
Mr.Felixis goingto inserthis penisin youradorable hole."
Mother..I'mafraid..Will ithurt?"
Only abit, thenyou'll likethe sensation..Yousee, sugar,all girlshave tomake loveone day,sooner thebest.
Mr.Felix isan expertand he'salso verygentle.
Nowstop complainingand lethim dohis job"I amready.
Mycock isready, too.
Michelle rubsmy prick'shead alittle, thenguides itinto thevirgin, delicatepussy ofher stepdaughter.
Christinabegins toweap andbegs meto stop.
Her faceis fullof tears.
I don'tcare, thatslim bodyis mineand Ishow myfull lovefucking younggirl hardand deep.
Michelle comesbehind meand takesmy ballsin herpalm.
Thismakes mereally hard.
Don't stop,Felix, takeher, fuckher juicycunt...Harder, she'sonly agirl...Take hercherry!"
I fuckChristina againand again.
Her stepmother massagesher tinynipples.
Ismile andMichelle smilesto me.
Finally Ishoot ahuge amountof spermin thedepths ofthat flatbelly.
Thereare blooddrops andstains allover thewhite sheets.
Michelle embracesher stepdaughter andkisses her:"You wereso brave,sugar; Mr.
Felix isvery pleasedand Iam, too.
You area realwoman, likeme, now!"
Inthe end,they areasleep andI exitthe room.
It wasall verylikely inevitableanyway.
Afterall, Maggieand Georgelived inthe sametownhouse.
Downtownand amile northof thetheater district,they ownedthe oldstone uprightoutright, wereits onlyoccupants, andso hadthe entireplace tothemselves.
Maggiecuddling withGeorge onthe overstuffedsofa, lyingback againsthis chestand cradledbetween hislegs, hisarms drapedloose abouther midsection.
He hadbegun restinghis handsunder hershirt andplaying withher naveland sometimessoftly andunexpectedly kissingher throatand neither,least ofall George,minded.
Maggiewould godownstairs toher apartmentand Georgewould pourhimself anightcap orfour tocalm thenervy chargerunning thelength ofhis body.
In time,their gamewas notso platonic.
This eveningthough, yearslater andeach overtlypredatory ofthe other,she archedheavily andagreeably againsther brother,her headthrown backon hisshoulder andher faceto histhroat.
Shekissed theunderside ofhis jawline andthey continuedto cozy,watching thenews andcomfortably sayingnothing.
Anhour later,before leavingfor herown apartmentand stillwithout aword betweenthem regardingher glow,they bidgoodnight witha looseembrace andan unhurriedkiss, theirtongues slowlyswirling aboutat theheart oftheir incest.
Taking along pullfrom hercigarette andthen alonger swallowof wine,she setthe magazineaside andpulled fromthe drawerfrom beneathsome videotapesa framedphotograph ofherself.
Itwas an8x10 inchglossy originalof hermodeling anindiscreet bluebikini forthe celebrityswimsuit editionof asports theshirts andslacks andjackets thathung abouther andpacked closeon theirhangers suddenlysmelled sostrongly ofGeorge thathe mightjust aswell havebeen present.
Reconsidering, shereached backinto thedrawer and,retrieving herportrait, sheas welldiscovered anunopened 13oz.
His ballshung fromhim likepowder kegs.
He hadcut backhis pubichair tobristles.
Heput hishands toher shouldersand nudgedher tomove toher knees.
Her tanhad paledalmost entirelysince lastsummer, butbefore shecould prompthim hewas alreadyaffectionately smoothinghis palmsalong thefaint fleshof herthighs.
Aswell adoring,she tookhis facein herhands.
Hewas feelingmuch better.
She leanedforward andkissed hislips.
Fromher totebag besidethe recliner,she broughtout andshowed himthe swimwearportrait ofherself.
Hetook herleft breastin hishand andbrushed athumb acrossher nipple,a smallrock.
Maggiereached backinto thebag andretrieved thefirst twovideocassettes andheld themup oneafter theother, theirtitles labeledin boldprint andunmistakably legibleat aglance.
Georgeswallowed, agulp.
Maggiewithdrew fromthe bagthe lasttorment, thetube oflubricant, andheld ita littletoo closelyto hisface.
Georgeleaned forwardas ifto returnher bussand slidhis handsfrom herthighs toher buttocks,and massagingher tushdivided wide,he swiftlyslipped hishand underthe waistbandof herbikini andwith hisforefinger gaveher anusa thickdry gouge,a vengefullittle stabat herpucker.
Maggiestarted sharplyand slammedthe heelsof herhands againsthis chest,banging himback intohis seat.
She leanedin closeagain, herbreathing raggedand clipped,panting.
Hecould smellher control:smoke andsoap, wrathand arousal.
George carefully,cautiously kissedher andMaggie rejoinedwith asmile, foxy.
George wassilent, histruths indefensible.
She broughthis handaround herwaist andagain downthe backof herswimsuit andbetween hercheeks, encouraginghis forefingerto salveher anuswith hersaliva.
Drawinghis handback out,she thenplaced thetip ofthat samemiddle fingerbetween hislips.
Georgecame upbehind herand heldher bythe hips,motioning her,feeling hisgrip.
Heran hispalms upand downthe sidesof herwaist andribs, massagingher entireupper andlower backand sheparted herknees fartheron thesofa seat,relaxing, casuallybracing.
Heslipped afinger downthe steamyfront ofher swimpanties andtouched andtoyed withher clitoris,kissing herthroat andshoulders andthe fragranceof herhair andscalp intoxicatingand waftingabout hismind andshe swallowed,a gulp,and moanedand writhedwithin hishug.
Hehooked histhumbs inher waistbandand Maggieleaned forwardagain againstthe sofaback andscooted herknees together.
George reverentlydisrobed herof theswim pantiesand laidthem aside.
She reassumedthe positionand kneelingbehind her,he heldher firmlyby herhips andfelt herbody tense,clutch.
Georgedropped tohis kneesbetween herlegs andMaggie grabbedhim bythe shoulders,neither pullinghim towardher norpushing himaway, justtrying tosteady thechaos aroundher.
Heremained motionlessuntil shehad finishedinjuring him,unclenching herteeth andthen suckinghis wound,nursing theinjury shehad inflictedon him.
George thenheld Maggieaway fromhim atarms lengthand sawher furiouswith emotion,no lessthan thestorm outsidetheir window.
Lowering hishead, heslung hisarms underher legsand kissedand lickedher lowerbelly, whereher legsjoined herhips, andalong herinner thighs;he wouldnot concedeher realpleasure justyet andshe knewhe wasstalking herand herwarm aromagrew evermore moist.
Maggie finallyplaced herhands atthe backof hishead andGeorge allowedher hisundivided attention,luxurious andexcruciating.
Resurfacing,he uncappedthe tubeof lubricantand Maggieraised herknees towardher ears.
He setaside thedispenser andsmeared thejelly overher surfaceand rimand insertedone fingerto thefirst knuckle,snug andstubborn, thentwo andthree fingers,somewhat moreso, andsliding upto thelast knuckleshe turnedand twistedhis fingersaround insideher, coatingher orificeand ensuringshe wasagape andgooey andseeping withpreparation.
Hewithdrew hisfingers fromher andstood, andshe loweredher legsand satup.
Shewiped theexcess fromher handson hisbuttocks andalong thelength ofhis thighsand lookedup intohis eyes.
George kneltbehind Maggieand lockedhis kneesto theinside ofhers, spreadingher legsapart andher backsidewide, exposingher pristinepink squint.
He startedthe timerand itbegan countingdown theminutes inelectronic silencefrom sixty.
He wedgedthe headof hiscock betweenher cheeksand, pressedblunt againstthe fragileaperture ofher anus,he heldher hipsinescapably inplace.
Untilthis moment,sexplay withher brotherfelt asif shehad awakenedunderwater todiscover thatshe couldstill breathe,or thatshe wereasleep andyet awareshe wasdreaming.
Shefelt himpush andshe knewruefully hewould nextbe supremelyinside herand makeher yelland thatshe desiredit, thatshe wantedhis intimatehurt ofher, andthis atrocitywould thenbe now.
Until thismoment, sexplaywith hissister wasa playfulif volatileexchange ofcontrol, eachalternately seducingthe other,their mutualmanipulation ofone anotherswinging backand forthas afeather floatsto earthuntil theirinstincts alightedonto theirpurest ground.
He beganto pushand knewruefully hewould nextbe supremelyinside herand makeher yelland thathe wouldenjoy it,that hecraved hisintimate hurtof her,and thisatrocity wouldthen benow.
Andwith thiscollapse ofher resolveand hermind andmuscles slackwith wholesubmissiveness, Georgehalved therate andredoubled thepower ofhis paceup herbackside froma gallopto amarch, gloriouslyparading themboth throughtheir intercoursewhile therainfall outsideapplauded theirsin.
Theywashed ashorefrom theirorgasms asif survivorsof ashipwreck: breathlessand clumsily,their stumblingthrusts into/ontoeach otherstaggered andhalting.
Maggiehad felther assholecooked.
Thendry andburning asit gotraw assalt.
Georgemanaged onlyanother dozenor sochops withhis diminishingerection untilhe couldfinally remainonly stillto thehilt insideMaggie, deflating,and shefelt herbrother atlast softeningand thendoughy insideher beforehe reluctantly,sloppily, uncorkedfrom herbutt andstepped down.
Maggie turnedaround, gingerly,and seatedherself uprightwith herleg tuckedunder her.
He askedher tonot escapehim, tonot washoff theiriniquity, andshe toldhim therewas awedge ofcheese inthe fridge.
In themain room,their smellsremained awakeand allover; thecamera couldrecord onlythe stillfor thenext hour,then ranout oftape.
Maggiesat straddlingher brother,wearing onlyone ofhis dressshirts andtwirling herbikini pantiesaround herindex finger,watching himwake up.
It wasthe followingafternoon andshe washungry.
Smiling,she watchedhis eyeswhile heheld hergaze forthe tenseconds hecould effectbefore hissight irresistiblyswept herexposure and,having wonanother point,she casuallycovered up.
Checkmate. Gin.Game, Set,Match.
Theyarrived infront oftheir buildingand thedriver assistedMaggie outof thecar asif shewere aqueen.
Georgeimagined makingMaggie cryout inhis ownbed, herface inhis unwashedsheets, beforethis timenext weekand hehardened.
Shetold himto makehimself comfortableas sheleft himin themain room,so hestripped nakedand wentto therefrigerator fora beer.
He thistime lookedfor abottle openerand aftera swigof brewhe snoopedfor somethingslick andyet reasonablyfit fororal consumption.
He decidedagainst vegetableoil infavor ofeither maplesyrup orCool Whip;Maggie hadbeen starknaked fromthe bathroomsome thirtyseconds beforeand hadbeen watchingGeorge smearhis erectionwith thewhipped cream,swirling thetip ofhis cockin theplastic tub,and gigglingshe indicatedhe followher intoher bedroom.
She turnedon thestereo, andfollowing herinto herroom Georgeturned itback off.
George thrusttwice more,lifting Maggieoff herheels.
Helet herback toher feetand stoodbehind her,motionless insideher, fora fullminute, soakinghimself inher implicitfilth, sheknew.
Whenhe spokehe thrilledand defeatedher inone fellswoop.
Shestraddled itbackwards andfolded herarms overthe chairback, restingher chin,not shootinghim.
Shereached backfor hishand andsqueezed ashe wasfinishing onher, thenunbelted fromhim andgot outof bedas thoughan unrelatedthought hadjust occurredto her:is thedoor locked?
George wasin apawnshop acrossthe streetbuying hera promisering.
Shethen quietlyrolled backover withher facein thebedsheets, toplessand withher pajamabottoms stillbunched aroundher knees.
Maggie clawedat thebed mattressfor thefirst severalseconds, eventhrowing herselfdeeper ontohim tobuck himoff, beforeshe reachedback withboth handsto pushhim outof herbody.
Hegrabbed herwrists andbrought themaround towardher head,only tohave hercooperatively pulltheir handstogether beneathher betweenher breastsas ifthey werein tandemprayer toensure aswell hestayed inside.
Maggie boltedto herfeet fromhim, clutchingat herback crackand hurryingtoward thebathroom.
Heheard herlock thedoor behindher andturn thebathtub spigotson full.
George kissedthe backof herneck, pattedher rightbutt cheek,and leftthe room,leaving herto thedevice.
Sheheard himrummage througha drawerand runthe icemachine andthought shehad nowhiskey.
Hecrossed hisleft armover herchest, holdingher steadyto him,her rightbreast inhis coldpalm, andhe madeclear toher whathe wanted.
She kneltclose intohis lap,sitting onher heels,her mouthhesitating athis tip,and hecradled herhead inhis hands,careful tonot pull.
But morningfor themarrived anhour beforesunrise asthey wordlesslymoved oneach otherin thedark.
Hehad beenlistening toher breathing,uneven, betrayher wakefulness(as ithad whenthey werekids), androlling heronto herback sheopened herlegs.
Atnoon theywere atHigh Massat St.
Lovers recognizeother lovers,and theirbody languagegave themaway; butonly Godremembered them.
I wasthe onlychild ofmy parents,and bothmy parentswere doctors,most ofthe timeI wasalone athome andon manyoccasions friendsused tocome andwe usedto studytogether.
Thetime Iam narratingabout waswhen ourmatric examswere nearing.
To lookafter thehousehold mymother hadhired amaid, shewas about45 yearsold shewould cookand lookafter thehouse andmake teaor softdrinks forme andmy friend.
One dayit wasin themonth ofFebruary themaid servantdid notcome, insteadshe senther daughterKusum, shemust havebeen 17or soa yearor twoelder tome, shewas quitefair, butvery thinand hada pimplyface, shewas almostas tallas me,she waswearing aghagra anda choliand hadput achunni overit, whenshe camein shetook offher chunniand startedworking sinceI wasalone athome andshe wasknew Ialso helpedher inher workand Iwent tothe marketand askedwhat sheliked insweets atfirst shewas shybut thenshe toldme Rabdi,so Igot Rabdifor herand weate foodI askedher tosit withmeat thetable andeat, hesistatinglyshe agreedand satdown, slowlywe becamefriendly andI madeher tastemy sweetswith myhand andshe gaveme somewith herhand, thenshe saidthat shehas nobrother andwould Ibecome herbrother Isaid Yes.
After foodI wentto mybedroom andshe followed,I askedher tochange andI changedinto shortsand laydown onthe bed,but shewas stillstanding, shehad noclothes towear, Iasked herif shewould wearone ofmy shorts,she agreed,she tookthe shortswent intothe bathroomand cameout, Icouldn't stoplaughuing becauseit wasquite loose,I toldher tolie downon thesame bedand wewould watcha movie,I putone softcore Bluemovie onthe VCRand wewatched, itwas instory formof aboy andgirl fallingin loveand onan occasionthe girlis hurtand hetakes herhome andwhen heis takingher clothesoff andapplying medicinethey bothget excitedand embraceeach other,as wewatched themovie Iput anarm aroundher, andmy cockgot erected,as ittouchedher atfirst shecould notunderstand butas Icontinued torub iton herhips shemoved alittle forwardand saidshe wouldgo anddo theutensils, Istopped herand toldher Iam herbrother andshe ismy sisterwould shenot liketo pleaseher brothelike thesister isdoing inthe mivie.
Shewas surprised," Theyare notbrother andsister, theyare likehusband andwife, Ihave seenmy paremntsdo likethis.
Sayingso shegot upin ahurry sheforgot thenicker wasvery looseand itfell aroundher ankles.
I sawher cuntwith somehair aroundit shewas quitethin, shehad blackcurly hairon hermound, Iimmediately gotup andembraced herand kissed,I didnot allowher topick uphr shortsshe layon thebed andtold me,"Please donot doanything Iwill becomepregnant andmy motherwill killme" Itook herwith meto myfathers roomand pickedout apacket ofNirodh andshowed itto herand said,"don't worryI willuse this"She lookedrelaxed," ThenI tookoff hercholi andher breastswere small,but hadlong elongatednipples whichI tookon mymouth, Shestarted makinghissing sounds.
Then Iasked hr"That putall myfears away,then Isaid toher," Iwill giveyou muchmore youdo allyou dowith him."
ThenI alsoundressed, assoo asI undressed,she gothold ofmy cockand said," OH!
She pulledmy foreskinback andtook meinto hermouth thenshe tookit outand kissedit andlicked theglans, thenshe turnedand cameover meastride myface, "Aap bhimujhe chooso, mainbhi aapko khoobchoosingee."
Ipushed afinger insideher choot,and keptpushing itin andout, sheshuddered andgave offlot ofwhite discharge,her dischargewas quitesmelly, verystrong andalso alot ofit Ilapped someswallowed someand letit flowon herthighs, shesuddenly squeezedmy Lundwith hermouth andsucked mehard Icould notcontrol myselfand camein hermouth atfirst itlokked shewould takeaway hermouth butshe soontookmy wholecock insideher mouthand letme cumin pleasure,she swallowedand said," Inever swallowthat man'scum, itis pungent,because hedrinks" Sheremoved hermouth andwas surprisedto findmy cockstill erect,then Ilaid heron thebed andall thatI hadseen inthe bluemovies Itried thosetricks withher, thoughshewas youngher cuntwas notall thatthight.
Ithought shemust havefucked othersalso, soI pulledout andthrew awaythe condom,and askedher tolie onher stomach,then Iscooped allher cumfrom herpussy andspread itonand inher arsehole,she wasa virginthere, soI rubbeda littlecoconut oilalso onher arseholeas wellas myerect cock,and thenasked herto loosenher arsehole,the wayI haddone itto afew boysand thenI slipppedmy cockinside hershe squirmeda littlebut shetook itan Ifound itmuch tighterthis time,and Ifucked herlong andhard andcame insideher arseand asI pulledit outof hersome ofmy cumoozed outof heranus.
Hermother didnot comeor twomoredays andI toldmy friendsthat mymother wouldbe homefor twodays, withthat andnobody athome Ifucked Kusummany times, thelast fuckI hadwith herI madher callme Bhaiyaas shecame andI calledher Didias Icame intoher shestill comesat homesometimes withher motherand alwayscalls mebhaiya.
Soif youare notinto thistype ofthing oryou're notold enoughto bereading itany waythen leavenow.
Ihope youlike thisstory.
Introduction: Notmine Theboys reallyhad noidea whatkind ofsurprise Ihad forthem.
Ihad snuckand madea largeorder froma bunchof localstores tobe deliveredall aroundthe sametime onthe sameday soI couldhave everything togetherfor whenI gavethem thestuff.
Ihad orderedthem 2new bicycles,2 newskate boards,all thesafety padsand helmets,a ps2,new computerand lotsof otherthings kidstheir ageusually hasin theUSA today.
I wokeup thenext morninga fewhours beforethe boysto waiton thedeliveries toshow up.
Now thatthe boyswere onAmerican timeI knewthat itwouldn't belong beforethey gotup, soI hadto rushto geteverything together.
Everything showedup righton time.
In aboutan hourI hadeverything inthe garageset upand readyto go.
While Iwas inthe garagethe boysboth sleptpeacefully inVladi's bedtogether.
Theyhad alwaysslept inthe samebed andcouldn't adjustto beingalone inbed justyet.
Vladiwas thefirst towake upof thetwo.
Whenhe wokehe foundhis littlebrother snuggledup tohis sidewith hisleg kindof drapedover hiVladi's.
Vladijust smiledand gavehis brothera lighthug sonot towake him.
He lovedhis youngerbrother morethan anythingin theworld, andhad alwaysprotected him.
Vladi wasonly 30minutes olderthan Yuri,but Yuricherished histwins protectivenature towardshim.
Vladilay inthe bedtangled inhis brothersarms andlegs tryingto wakeall theway upwhen hefelt somethingsticking himin hiship.
Ittook hima minuteto figureout whatit waswhen herealized itwas Yuri'shard peckerpoking him.
When herealized thisVladi's cockstarted tostiffen.
Hedidn't knowwhy hisdick wasgetting hardbut heliked it.
In facthe likedit somuch heslowly reachedhis handdown andslowly andlightly rubbedhis brothersunderwear coveredcock.
VLadicouldn't understandwhy buthe wasenjoying thefeeling oftouching hisbrothers' tool.
His owncock gotcompletely hardand startedto strainhis underwear.
Helaid andrubbed Yuri'scock untilhe startedto wakeup thenquickly tookhis handaway infear ofhis brothercatching him.
When Yuriwas awakehe noticedhe washalf ontop ofhis brotherand rolledoff ofhim.
Yuri)sorry.. didn'tknow Iwas onyou.
Vladi)it's okI don'tmind.
Youfeel bettertoday?
Yuri)yep, much.VLadi) I'dsay.
Yourpecker lookslike itsgoing toburst!
Yuri)yeah Iknow it'sbeen doingthat alot lately.
Yuri) areyou sure?What ifdad comesin?
Vladi)he won'tcare hehas alreadyseen them.
Yuri) ok, butyou gofirst.
Vladihooked hisfingers inthe waistband ofhis undiesand pulledthe downin thefront torelease hishard on.
When hepulled hisundies overthe headof hiscock itsnapped backand hithis stomachwith asmack makinghis brothergiggle.
Vladi)ok, yourturn now!
Yuri copiedhis brothersactions andreleased hiscock also.
The boysjust lookedand comparedtheir cocksto eachothers.
Yurithen gotbrave andasked thequestion.
Yuri)do youwant totouch eachothers?
Vladi)ok. Theboys thenstarted tofreely touchand fondleeach othershard on.
Then theturned towardseach otherand startedto rubtheir cockheads togethersending joltsof pleasurethrough theirbodies.
Neitherof themhad thoughtof doinganything likethis beforeand neverknew howpleasurable itcould feelto dowhat theywere nowdoing.
Afterabout 4or5 minutesof rubbingtheir headstogether Yuristarted toget thepissy feelingthat camebefore anorgasm.
Hehad noidea ofwhat itmeant atthis timethough.
Yuri)Vlad stopIt feelslike Ihave togo andpee!
Vladi)ok goahead then.
The boysstopped rubbingtheir cocksthen pulledtheir undiesback up,and Yurigot offthe bedand wentto thebathroom.
Hestood overthe toiletaiming hisdick atthe boweltrying topiss, butnothing wantedto comeout atfirst.
Aftera fewminutes ofstanding therehe didfinally takea longpiss.
Whenhe wasdone hiscock hadgone limp,so hejust shruggedit offand wentback tothe bedroom.
OnceYuri wasdone Vladidecided thathe nowneeded topiss sohe wentin thebathroom andrelieved hisbladder.
Oncehe wasdone hecame backout towhere hisbrother was.
Yuri) I'mhungry, areyou?
Vladi)I'm starving!Lets goeat!
Iwas nowsitting inthe kitchenfixing breakfast,and waitingfor theboys tocome downstairs forthe day.
I didn'twait longbecause thetwins camebounding downthe stairstogether stillwearing onlytheir underwear.
Mygod thesetwo haveno modestyat alland Ilove it.
The boyssat downat thetable andlooked readyto eatthe assout ofa deadhorse.
Thesetwo werealways hungrynow itseemed like,but thatis ok,I'm gladtheir finallygaining someweight.
Ilooked atthem andsmiled.
Me)morning boys.Are youhungry?
Thetwins) ohyeah starved!
Me) ok.Ok. Mybottomless pits,what doyou want?
Yuri) hehecereal Vladi)waffles, hehe.
Me) okok Iknow yourwasting awayjust aminute.
HahaI fedthe boysand asusual theyinhaled theirfood andmade ofmess ofthemselves.
Yurihad milkall overthe tableand hisface, antVladi seemedto getmaple cyrrupall overhis self.
After theywere doneI sentthem upto theshower toget cleanedup.
Afterthey boundback upthe stairsI cleanedthe nessin thekitchen upand wentup stairsto joinmy hotlittle angels.
Once Imade itto thebathroom theywere alreadyin theshower againtogether.
Iwalked tothe bathroomcloset toget themsome clotheready.
ThenI walkedback intothe bathroomand toldthem, Me)you guysmake sureto washyour peckerslike Itold You.
And washyour hairgood too.
Both twins)yes father(sarcastically) Me)ok wiseasses!
Haha, Justhurry upwe've gota lotTo dotoday.
Iwalked tomy roomto getdressed myself.
While Iwas dressingthe boystook turnswashing eachothers hairand rinsingoff.
Theywere bothsporting semihard on'sremembering whatthey didin bedearlier, whentheir cocksturned intorocks again.
They wereso closeto eachother crammedin theshower theycouldn't helpbut bumpinto eachother.
WhenYuri feltVladi's cockbrush againsthis asscheek hegot avery warmfeeling inhis peckerand itseemed tojerk andpulsate abit.
Vladinoticed Yurilooking athis cockand smiledVladi) youwant towash eachothers peckers?
Yuri) ok!The boyssoaped uptheir handsand gentlywrapped theirfingers aroundeach otherslittle pricksand beganwashing.
Theyboth washedeach otherlonger thanthey shouldhave butthey wereliking ittoo muchYuri) Vlad.
Does yoursfeel realgood now?!
Vladi) yes!It kindof ticklesbut itfeels good!
What aboutYours? Yuri) minetoo.
Letskeep washing.The boyskept onwashing andfondling eachothers peckerstill Vladifelt thepissy sensationthat Yurihad gottenwhile theywere inthe bedearlier.
Vladi)Yuri okstop Ihave topee!
Yuri)ok, butdon't peeon mehehe.
Vladi)ok youbetter getout then.
Yuri) oklet merinse offfirst.
Yuririnsed thesoap sudsoff hiscock andthe restof hisbody andstepped outof theshower, sohis brothercould pee.
Vladi stoodin theshower tryinghard topiss butlike Yuriearlier nothingwanted tocome out.
Little didboth boysknow justhow closethey cameto makingsomething CUMout theircocks whilethey wererubbing theircocks.
Aftera fewminutes Vladidid finallystart topiss whilehe rinsedoff.
Afterboth boyswere finallyout ofthe showerI walkedback inand driedthem off.
They werevery capableof dryingthem selvesoff butI lovedthat theywanted meto doit forthem.
Againwhen Idried themoff Ipaid alittle moreattention totheir littlepeckers.
Idried themoff andwhen Iwas donethey wereboth hardagain.
Goodthing Ihad agood levelof selfcontrol orI mighthave sunkthose cocksin mymoth rightthen!
Afterthey weredry andhard Islipped thenew boxersup ontheir hipsand theirlittle peckerspoked throughthe holein thefront ofthe shorts.
Me) thosethings bettergo downbefore Igo tozip yourJeans upor somethingmight getcaught inthe zipper!
Both theboys cringedand gotred cheekedin embarrassment.
They madea facelike tosay ouchwhen Isaid thething aboutzipping uptheir peckertips.
Ijust laughedand pulledtheir shortsup andtucked theirlittle pricksinto theirboxers soI couldzip themup.
Afterthe boyswere fullydressed andready forthe dayI figuredit wastime forthe littlesurprise inthe garage.
Me) okboys Ihave alittle surprisefor you,but weneed toHave atalk lateron beforebed time.
Yuri) what'sthe surprisedad?
Vladi)yes dad!Tell usplease!
Me)ok okboys, youneed togo putyour shoeson firstok.
Theboys almostbroke theirnecks tryingto getto theirroom toget theirshoes.
Theywere backin afew minutesalmost droolingwanting toknow whattheir surprisewas.
Itold themto followme Iwalked slowlyand patientlydown thestairs onlyto buildup thesuspense inthe boysand theyknew it.
When wefinally gotto thegarage doorthey werewound uptighter thana clockand readyto bustwith anticipation.
Me) okguys areyou ready?
Both boys)yes yesyes!!!!
Me)ok heregoes. Ipushed thebutton onthe garagedoor openerand theireyes almostpopped outof theirheads.
Theirmouths openedreally bigand Iwas clearlyfor surethey wereshocked.
Yuri)is thisall oursdad?!
Me)yes sonit is.Vladi) ohmy god!
Yuri hegot usa ps2and acomputer!!!
Yuri)he gotus skateboardsand bikestoo!!!
Me)your'e welcomeboys!
Bothboys) THANKYOU DAD!!!
They bothtacked mein ahuge hugknocking allthree ofus downin thegrass.
Ijust huggedthem backand gavethem botha kisson thecheek.
Wegot upand theyflew intothe garageto sortthrough allof theirnew stuff.
They wereobviously themost happyright thenthan theyever hadbeen intheir wholelives.
Thatmade memisty andI hada hardtime tryingto keepthe tearsin.
Theboys rodetheir bikesand skateboards forhours onend.
Thewere happyso Ijust letthem goand bekids.
About5 pmI hadthem puttheir newstuff upso wecould geta biteto eat.
At thedinner tableYuri seemedto bea lotmore woreout thanVladimere did.
Vladi warnedme abouthow Yuriseemed toget wornout soeasy, andit wasstarting toworry me.
Yurididn;t eatmuch atdinner whichwasn't likehim.
Heusually destroyedhis dinnerquickly.
Vladinoticed hisbrother lookingworn downand gaveme apleading looklike hewas worriedabout hislittle brother.
I decidedto checkhis temperatureand sureenough hehad aslight fever.
Vladi) Yuriare youok?
Yuri)uh huh..Me) Vladigo upstairsand turnthe Jacuzzion andrun Somecool waterin it.
Vladi) okdad. Me)come onYuri letsget youbetter, can'thave yougetting Sickon uscan we.
Yuri Didn'tsay anythinghe justlooked upat mewith asweaty faceand Icould seethat hewas insome kindif pain.
I kneltdown nextto himand askedhim lowenough sohis brothercouldn't hearus, Me)son whereare youhurting?
Me)do youhurt anywhere else?
Yuri) noI justfeel badI stoodup andhooked myhands underhis armsand pickedhim upand carriedhim upstairsto themaster bathroom.
When Iwalked inthe roomVladi hadthe bathwater ranand wassitting onthe toiletbut nakedwaiting onme tobring hisbrother up.
The sightof hisnaked assmade mycock wantto stiragain, butnow wasn'tthe timefor thatI wasworried abouthis brothershealth.
Ihad Vladiget upoff ofthe toiletand getin thetub soI couldset hisbrother downon thetoilet andget himundressed.
OnceI hadYuri nakedI pickedhim backup andlowered himinto thetub nextto Vladi.
By thistime Yurihad startedto cryfrom thepain.
Hehad onehell ofa migrainehead achefrom whatI couldtell.
Itold Vladito helphis brotherand wipehis faceand headwith awet ragwhile Iwent toget somethingfor hishead ache.
I knewa simpleasprin wasn'tgoing todo thejob.
Thenext bestthing Ihad wasvicoden.
Believeme I'mnot intogiving kidsdrugs buthe neededit rightnow soI gavehim halfof one.
When Iwalked backinto thebathroom Yuriwas sobbingand inhalingdeep andquick ina cryingpain.
Ilooked atVladi andhe wascrying nowtoo.
Itold YuriI hadsome medicineand Iplaced thepill inhis mouthand heswallowed it.
I askedVladi ifhe wasok andhe justnodded yes.
After afew minutes thepill seemedto kickin andYuri calmeddown some.
I hadVladi goahead andget outof thetub andgo andget theirbed readyfor hisbrother.
Hedidn't evendry offor getdressed, heran nakedto hisroom andprepped thebed forYuri.
Ifyou haveany ofthese conditions,you maynot beable touse Lyrica,or youmay needa dosageadjustment orspecial testsduring treatment.
If aman fathersa childwhile usingthis medication,the babymay havebirth defects.
Use acondom toprevent pregnancyduring yourtreatment.
Takethis medicationexactly asit wasprescribed foryou.
Donot takethe medicationin largeramounts, ortake itfor longerthan recommendedby yourdoctor.
Followthe directionson yourprescription label.
Do notchange yourdose ofLyrica withoutyour doctorsadvice.
Tellyour doctorif themedication doesnot seemto workas wellin treatingyour condition.
Take themissed doseas soonas youremember.
Ifit isalmost timefor yournext dose,skip themissed doseand takethe medicineat yournext regularlyscheduled time.
Do nottake extramedicine tomake upthe misseddose.
Symptomsof aLyrica overdoseare notknown.
Lessserious sideeffects maybe morelikely tooccur, suchas: dizzinessor drowsiness,anxiety; blurredvision; lossof balanceor coordination;problems withmemory orconcentration; drymouth; skinrash oritching; constipation,stomach pain;increased appetite;or jointor musclepain.
Sideeffects otherthan thoselisted heremay alsooccur.
Talkto yourdoctor aboutany sideeffect thatseems unusualor thatis especiallybothersome.
Theremay beother drugsnot listedthat canaffect Lyrica.
This includesvitamins, minerals,herbal products,and drugsprescribed byother doctors.
Do notstart usinga newmedication withouttelling yourdoctor.
Pregabalinis availablewith aprescription underthe brandname Lyrica.
Other brandor genericformulations mayalso beavailable.
Askyour pharmacistany questionsyou haveabout thismedication, especiallyif itis newto you.
Do nottake itin largerdoses orfor longerthan recommendedby yourdoctor.
Donot takemore than300 milligramsof tramadolin oneday.
Donot stopusing thismedication suddenlywithout talkingto yourdoctor.
Youmay needto graduallyreduce thedose.
Withdrawalsymptoms mayoccur whenyou stopusing tramadol.
Withdrawal symptomsinclude anxiety,sweating, nausea,diarrhea, tremors,chills, hallucinations,trouble sleeping,or breathingproblems.
Callyour doctorat onceif youhave anyof thesewithdrawal symptomsafter youstop usingtramadol.
Seizures(convulsions) haveoccurred insome peopletaking tramadol.
You maybe morelikely tohave aseizure whiletaking tramadolif youhave ahistory ofseizures orhead injury,a metabolicdisorder, orif youare takingcertain medicinessuch asantidepressants, musclerelaxers, ormedicine fornausea andvomiting.
Tramadolis usedto treatmoderate tosevere pain.
Tramadol mayalso beused forpurposes otherthan thoselisted inthis medicationguide.
Valium);medicine fordepression oranxiety; medicinefor mentalillness (suchas bipolardisorder, schizophrenia);or streetdrugs.
Seizureshave occurredin somepeople takingtramadol.
Yourrisk ofa seizuremay behigher ifyou haveany ofthese conditions:a historyof drugor alcoholaddiction; ahistory ofepilepsy orother seizuredisorder; ahistory ofhead injury;or ametabolic disorder.
Talk withyour doctorabout yourindividual riskof havinga seizurefrom thismedicine.
Beforetaking tramadol,tell yourdoctor ifyou areallergic toany drugs,or ifyou have:kidney disease;liver disease;a stomachdisorder; ora historyof depression,mental illness,or suicideattempt.
Ifyou haveany ofthese conditions,you maynot beable touse tramadol,or youmay needa dosageadjustment orspecial testsduring treatment.
Take tramadolexactly asit wasprescribed foryou.
Donot takeit inlarger dosesor forlonger thanrecommended byyour doctor.
Follow thedirections onyour prescriptionlabel.
Donot takemore than300 milligramsof tramadolin oneday.
Tramadolcan betaken withor withoutfood, buttake itthe sameway eachtime.
Thisis normaland doesnot meanthat youare notreceiving enoughof themedicine.
Donot stopusing thismedication suddenlywithout talkingto yourdoctor.
Youmay needto graduallyreduce thedose.
Withdrawalsymptoms mayoccur whenyou stopusing tramadol.
Withdrawal symptomsinclude anxiety,sweating, nausea,diarrhea, tremors,chills, hallucinations,trouble sleeping,or breathingproblems.
Callyour doctorat onceif youhave anyof thesewithdrawal symptomsafter youstop usingtramadol.
Takethe misseddose assoon asyou remember.
If itis almosttime foryour nextdose, skipthe misseddose andtake themedicine atthe nextregularly scheduledtime.
Donot takeextra medicineto makeup themissed dose.
Avoid usingdrugs thatmake yousleepy (suchas coldmedicine, otherpain medications,muscle relaxants,and medicinefor seizures,depression oranxiety).
Thesedrugs mayslow yourbreathing orincrease drowsinesswhen usedtogether withtramadol.
Continuetaking tramadoland talkto yourdoctor ifyou haveany ofthese lessserious sideeffects: dizziness,drowsiness, weakness;nausea, vomiting,constipation, lossof appetite;blurred vision;flushing (redness,warmth, ortingly feeling);or sleepproblems (insomnia).
Side effectsother thanthose listedhere mayalso occur.
Talk toyour doctorabout anyside effectthat seemsunusual orthat isespecially bothersome.
You maybe morelikely tohave aseizure (convulsions)if youtake tramadolwhile youare usingcertain othermedicines.
Donot taketramadol withouttelling yourdoctor ifyou alsouse anyof thefollowing: anMAO inhibitorsuch asisocarboxazid (Marplan),tranylcypromine (Parnate),phenelzine (Nardil),or selegiline(Eldepryl, Emsam);or anantidepressant suchas amitriptyline(Elavil), citalopram(Celexa), clomipramine(Anafranil), desipramine(Norpramin), escitalopram(Lexapro), fluoxetine(Prozac, Sarafem),fluvoxamine (Luvox),imipramine (Tofranil),nortriptyline (Pamelor);paroxetine (Paxil),or sertraline(Zoloft).
John'swort; quinidine(Quinaglute, Quinadex,Cardioquin, Quinora);or drugsthat makeyou sleepy(such ascold medicine,other painmedications, musclerelaxants, andmedicine forseizures, depressionor anxiety).
If youare usingany ofthese drugs,you maynot beable touse tramadolor youmay needdosage adjustmentsor specialtests duringtreatment.
Theremay beother drugsnot listedthat canaffect tramadol.
This includesvitamins, minerals,herbal products,and drugsprescribed byother doctors.
Do notstart usinga newmedication withouttelling yourdoctor.
Tramadolis availablewith aprescription underthe brandnames Ultramand UltramER.
Otherbrand orgeneric formulationsmay alsobe available.
Ask yourpharmacist anyquestions youhave aboutthis medication,especially ifit isnew toyou.
Version:9.03. Revisiondate: 8/11/069:17:45 AM.
Codeine isused totreat mildto moderatepain.
Codeinemay alsobe usedfor purposesother thanthose listedin thismedication guide.
Before usingcodeine, tellyour doctorif youare allergicto anydrugs, orif youhave: asthma,COPD, sleepapnea, orother breathingdisorders; underactivethyroid; curvatureof thespine; ahistory ofhead injuryor braintumor; epilepsyor otherseizure disorder;low bloodpressure; gallbladderdisease; Addison'sdisease orother adrenalgland disorders;enlarged prostate,urination problems;mental illness;or ahistory ofdrug oralcohol addiction.
Older adultsmay bemore sensitiveto theeffects ofthis medicine.
Take thismedication exactlyas itwas prescribedfor you.
Never takecodeine inlarger amounts,or useit forlonger thanrecommended byyour doctor.
Follow thedirections onyour prescriptionlabel.
Tellyour doctorif themedicine seemsto stopworking aswell inrelieving yourpain.
Keeptrack ofhow manypills havebeen usedfrom eachnew bottleof thismedicine.
Codeineis adrug ofabuse andyou shouldbe awareif anyperson inthe householdis usingthis medicineimproperly orwithout aprescription.
Sincecodeine istaken asneeded, youmay notbe ona dosingschedule.
Ifyou aretaking themedication regularly,take themissed doseas soonas youremember.
Ifit isalmost timefor thenext dose,skip themissed doseand waituntil yournext regularlyscheduled dose.
Do notuse extramedicine tomake upthe misseddose.
Overdosesymptoms mayinclude extremedrowsiness, pinpointpupils, confusion,cold andclammy skin,weak pulse,shallow breathing,fainting, orbreathing thatstops.
Lessserious sideeffects include:feeling dizzyor drowsy;nausea, vomiting,constipation; sweating;headache; troublesleeping (insomnia);loss ofinterest insex; drymouth; blurredvision; ormild skinrash.
Thislist isnot completeand otherside effectsmay occur.
Tell yourdoctor aboutany unusualor bothersomeside effect.
There maybe otherdrugs thatcan interactwith codeine.
This includesvitamins, minerals,herbal products,and drugsprescribed byother doctors.
Do notstart usinga newmedication withouttelling yourdoctor.
Donot usethis medicinejust beforeor afterhaving heartbypass surgery(also calledcoronary arterybypass graft,or CABG).
Seek emergencymedical helpif youhave symptomsof heartor circulationproblems, suchas chestpain, weakness,shortness ofbreath, slurredspeech, orproblems withvision orbalance.
Thismedicine canalso increaseyour riskof seriouseffects onthe stomachor intestines,including bleedingor perforation(forming ofa hole).
These conditionscan befatal andgastrointestinal effectscan occurwithout warningat anytime whileyou aretaking Mobic.
Older adultsmay havean evengreater riskof theseserious gastrointestinalside effects.
Call yourdoctor atonce ifyou havesymptoms ofbleeding inyour stomachor intestines.
This includesblack, bloody,or tarrystools, orcoughing upblood orvomit thatlooks likecoffee grounds.
Mobic worksby reducinghormones thatcause inflammationand painin thebody.
Mobicis usedto treatpain orinflammation causedby arthritis.
Mobic mayalso beused forpurposes otherthan thoselisted inthis medicationguide.
Thisrisk willincrease thelonger youuse anNSAID.
Donot usethis medicinejust beforeor afterhaving heartbypass surgery(also calledcoronary arterybypass graft,or CABG).
NSAIDs canalso increaseyour riskof seriouseffects onthe stomachor intestines,including bleedingor perforation(forming ofa hole).
These conditionscan befatal andgastrointestinal effectscan occurwithout warningat anytime whileyou aretaking anNSAID.
Olderadults mayhave aneven greaterrisk ofthese seriousgastrointestinal sideeffects.
Beforetaking Mobic,tell yourdoctor ifyou areallergic toany drugs,or ifyou have:a historyof heartattack, stroke,or bloodclot; heartdisease, congestiveheart failure,high bloodpressure; ahistory ofstomach ulcersor bleeding,bowel problems,diverticulosis; asthma;polyps inyour nose;or ifyou smoke.
If youhave anyof theseconditions, youmay notbe ableto useMobic, oryou mayneed adosage adjustmentor specialtests duringtreatment.
Takethis medicationexactly asit wasprescribed foryou.
Donot takethe medicationin largeramounts, ortake itfor longerthan recommendedby yourdoctor.
Followthe directionson yourprescription label.
The maximumamount ofMobic foradults is15 milligrams(mg) perday.
Knowthe amountof meloxicamin thespecific productyou aretaking.
Ifyou takeMobic fora longperiod oftime, yourdoctor maywant tocheck youon aregular basisto makesure thismedication isnot causingharmful effects.
Do notmiss anyscheduled visitsto yourdoctor.
Thismedication cancause youto haveunusual resultswith certainmedical tests.
Tell anydoctor whotreats youthat youare usingMobic.
Takethe misseddose assoon asyou remember.
If itis almosttime foryour nextdose, skipthe misseddose andtake themedicine atyour nextregularly scheduledtime.
Donot takeextra medicineto makeup themissed dose.
Keep takingMobic andtalk toyour doctorif youhave anyof theseless seriousside effects:upset stomach,mild heartburnor stomachpain, diarrhea,constipation; bloating,gas; dizziness,headache, nervousness;skin itchingor rash;dry mouth;increased sweating,runny nose;blurred vision;or ringingin yourears.
Sideeffects otherthan thoselisted heremay alsooccur.
Talkto yourdoctor aboutany sideeffect thatseems unusualor thatis especiallybothersome.
Ifyou areusing anyof thesedrugs, youmay notbe ableto useMobic oryou mayneed dosageadjustments orspecial testsduring treatment.
There maybe otherdrugs notlisted thatcan affectMobic.
Thisincludes vitamins,minerals, herbalproducts, anddrugs prescribedby otherdoctors.
Donot startusing anew medicationwithout tellingyour doctor.
Meloxicam isavailable witha prescriptionunder thebrand nameMobic.
Otherbrand orgeneric formulationsmay alsobe available.
Ask yourpharmacist anyquestions youhave aboutthis medication,especially ifit isnew toyou.
Metforminis sometimesused incombination withinsulin orother medications,but itis notfor treatingtype 1diabetes.
Metforminmay alsobe usedfor purposesother thanthose listedin thismedication guide.
Before takingmetformin, tellyour doctorif youhave liverdisease ora historyof heartdisease.
Besure thedoctor knowsahead oftime thatyou areusing metformin.
You maybe morelikely todevelop lacticacidosis ifyou havecongestive heartfailure.
Olderadults mayalso havea higherrisk ofdeveloping lacticacidosis.
Talkwith yourdoctor aboutyour individualrisk.
Beforetaking metformin,tell yourdoctor ifyou areallergic toany drugs,or ifyou have:liver disease;or ahistory ofheart disease.
If youhave anyof theseconditions, youmay notbe ableto usemetformin, oryou mayneed adosage adjustmentor specialtests duringtreatment.
Takemetformin exactlyas itwas prescribedfor you.
Do nottake themedication inlarger amounts,or takeit forlonger thanrecommended byyour doctor.
Follow thedirections onyour prescriptionlabel.
Yourdoctor mayoccasionally changeyour doseto makesure youget thebest resultsfrom metformin.
It isimportant touse thismedicine regularlyto getthe mostbenefit.
Getyour prescriptionrefilled beforeyou runout ofmedicine completely.
To besure metforminis helpingyour condition,your bloodwill needto betested ona regularbasis.
Yourkidney functionmay alsoneed tobe tested.
It isimportant thatyou notmiss anyscheduled visitsto yourdoctor.
Yourmedication needsmay changeif youbecome sickor injured,if youhave aserious infection,or ifyou haveany typeof surgery.
Your doctormay wantyou tostop takingmetformin fora shorttime ifany ofthese situationsaffect you.
Take carenot tolet yourblood sugarget toolow, causinghypoglycemia.
Youmay havehypoglycemia ifyou skipa meal,exercise toolong, drinkalcohol, orare understress.
Alwayskeep asource ofsugar availablein caseyou havesymptoms oflow bloodsugar.
Sugarsources includeorange juice,glucose gel,candy, ormilk.
Ifyou havesevere hypoglycemiaand cannoteat ordrink, usean injectionof glucagon.
Your doctorcan giveyou aprescription fora glucagonemergency injectionkit andtell youhow togive theinjection.
Yourdoctor mayhave youtake extravitamin B12while youare takingmetformin.
Takeonly theamount ofvitamin B12that yourdoctor hasprescribed.
Besure thedoctor knowsahead oftime thatyou areusing metformin.
Take themissed doseas soonas youremember (besure totake themedicine withfood).
Ifit isalmost timefor yournext dose,skip themissed doseand takethe medicineat thenext regularlyscheduled time.
Do nottake extramedicine tomake upthe misseddose.
Callyour doctorat onceif youhave anyof theseserious sideeffects: feelingshort ofbreath, evenwith mildexertion; swellingor rapidweight gain;or fever,chills, bodyaches, flusymptoms.
Otherless seriousside effectsmay bemore likelyto occur,such as:headache ormuscle pain;weakness; ormild nausesa,vomiting, diarrhea,gas, stomachpain.
Sideeffects otherthan thoselisted heremay alsooccur.
Talkto yourdoctor aboutany sideeffect thatseems unusualor thatis especiallybothersome.
Youmay bemore likelyto havehyperglycemia (highblood sugar)if youare takingmetformin withother drugsthat raiseblood sugar.
Drugs thatcan raiseblood sugarinclude: isoniazid;diuretics (waterpills); steroids(prednisone andothers); phenothiazines(Compazine andothers); thyroidmedicine (Synthroidand others);birth controlpills andother hormones;seizure medicines(Dilantin andothers); anddiet pills,or medicinesto treatasthma, coldsor allergies.
You maybe morelikely tohave hypoglycemia(low bloodsugar) ifyou aretaking metforminwith otherdrugs thatlower bloodsugar.
Somemedications mayinteract withmetformin.
Tellyour doctorif youare usingany ofthe followingdrugs: furosemide(Lasix); nifedipine(Adalat, Procardia);cimetidine (Tagamet)or ranitidine(Zantac); amiloride(Midamor) ortriamterene (Dyrenium);digoxin (Lanoxin);morphine (MSContin, Kadian,Oramorph); procainamide(Procan, Pronestyl,Procanbid); quinidine(Cardioquin, Quinidex,Quinaglute); trimethoprim(Proloprim, Primsol,Bactrim, Cotrim,Septra); orvancomycin (Vancocin,Lyphocin).
Ifyou areusing anyof thesedrugs, youmay notbe ableto takemetformin, oryou mayrequire adosage adjustmentor specialmonitoring.
Theremay beother drugsnot listedthat canaffect metformin.
This includesvitamins, minerals,herbal products,and drugsprescribed byother doctors.
Do notstart usinga newmedication withouttelling yourdoctor.
Metforminis availablewith aprescription underthe brandnames Glucophage,Fortamet, andRiomet.
Otherbrand orgeneric formulationsmay alsobe available.
Ask yourpharmacist anyquestions youhave aboutmetformin, especiallyif itis newto you.
This typeof visionloss iscaused bydecreased bloodflow tothe opticnerve ofthe eye.
It isnot clearwhether Cialisis theactual causeof suchvision loss.
Cialis relaxesmuscles andincreases bloodflow toparticular areasof thebody.
Cialisis usedto treaterectile dysfunction(impotence).
Cialismay alsobe usedfor purposesother thanthose listedin thismedication guide.
A smallnumber ofpatients havehad asudden lossof eyesightafter takingCialis.
Thistype ofvision lossis causedby decreasedblood flowto theoptic nerveof theeye.
Itis notclear whetherCialis isthe actualcause ofsuch visionloss.
Beforetaking Cialis,tell yourdoctor ifyou have:heart diseaseor heartrhythm problems;a recenthistory aheart attack(within thepast 90days); arecent historyof strokeor congestiveheart failure(within thepast 6months); angina(chest pain);high orlow bloodpressure; liverdisease; kidneydisease (orif youare ondialysis); ablood celldisorder suchas sicklecell anemia,multiple myeloma,or leukemia;a bleedingdisorder suchas hemophilia;a stomachulcer; retinitispigmentosa (aninherited conditionof theeye); aphysical deformityof thepenis (suchas Peyronie'sdisease); orif youhave beentold youshould nothave sexualintercourse forhealth reasons.
If youhave anyof theseconditions, youmay notbe ableto useCialis oryou mayneed adosage adjustmentor specialtests duringtreatment.
TakeCialis exactlyas itwas prescribedfor you.
Do nottake itin largerdoses orfor longerthan recommendedby yourdoctor.
Cialiscan betaken withor withoutfood.
Cialisis usuallytaken onlywhen needed,just beforesexual activity.
The medicationcan helpachieve anerection whensexual stimulationoccurs.
Anerection willnot occurjust bytaking apill.
Followyour doctor'sinstructions.
SinceCialis isused asneeded, youare notlikely tobe ona dosingschedule.
Grapefruitand grapefruitjuice mayinteract withCialis.
Discussthe useof grapefruitproducts withyour doctor.
Do notincrease ordecrease theamount ofgrapefruit productsin yourdiet withoutfirst talkingto yourdoctor.
Sideeffects otherthan thoselisted heremay alsooccur.
Talkto yourdoctor aboutany sideeffect thatseems unusualor thatis especiallybothersome.
Ifyou areusing anyof thesedrugs, youmay notbe ableto takeCialis, oryou mayneed dosageadjustments orspecial testsduring treatment.
There maybe otherdrugs notlisted thatcan affectCialis.
Thisincludes vitamins,minerals, herbalproducts, anddrugs prescribedby otherdoctors.
Donot startusing anew medicationwithout tellingyour doctor.
Tadalafil isavailable witha prescriptionunder thebrand nameCialis.
Otherbrand orgeneric formulationsmay alsobe available.
Ask yourpharmacist anyquestions youhave aboutthis medication,especially ifit isnew toyou.
Version:2.02. Revisiondate: 7/10/063:37:10 PM.
Version: 8.01.Revision date:5/17/06.
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Soma isused togetherwith restand physicaltherapy totreat injuriesand otherpainful musculoskeletalconditions.
Somamay alsobe usedfor purposesother thanthose listedin thismedication guide.
Before usingthis medication,tell yourdoctor ifyou areallergic toany drugs,or ifyou have:epilepsy orother seizuredisorder; liverdisease; orkidney disease.
If youhave anyof theseconditions, youmay notbe ableto useSoma, oryou mayneed adosage adjustmentor specialtests duringtreatment.
Takethis medicationexactly asit wasprescribed foryou.
Donot takethe medicationin largeramounts, ortake itfor longerthan recommendedby yourdoctor.
Followthe directionson yourprescription label.
Take themissed doseas soonas youremember.
Ifit isalmost timefor yournext dose,skip themissed doseand takethe medicineat thenext regularlyscheduled time.
Do nottake extramedicine tomake upthe misseddose.
Avoidusing othermedicines thatmake yousleepy (suchas coldmedicine, painmedication, musclerelaxers, andmedicine forseizures, depressionor anxiety).
They canadd tosleepiness causedby Soma.
Continue usingSoma andtalk withyour doctorif youhave anyof theseless seriousside effects:drowsiness, dizziness,tremor; headache;depression, feelingirritable; blurredvision; sleepproblems (insomnia);or nausea,vomiting, hiccups,upset stomach.
Side effectsother thanthose listedhere mayalso occur.
Talk toyour doctorabout anyside effectthat seemsunusual orthat isespecially bothersome.
There maybe otherdrugs thatcan affectSoma.
Thisincludes vitamins,minerals, herbalproducts, anddrugs prescribedby otherdoctors.
Donot startusing anew medicationwithout tellingyour doctor.
Carisoprodol isavailable witha prescriptionunder thebrand nameSoma.
Otherbrand orgeneric formulationsmay alsobe available.
Ask yourpharmacist anyquestions youhave aboutthis medication,especially ifit isnew toyou.
Thismedicine isavailable onlywith yourdoctor's prescription,in thefollowing dosageform(s): Indeciding touse amedicine, therisks ofusing themedicine mustbe weighedagainst thegood itwill do.
This isa decisionyou andyour doctorwill make.
For amifostine,the followingshould beconsidered: AllergiesTell yourdoctor ifyou haveever hadany unusualor allergicreaction toamifostine.
PregnancyAmifostine hasnot beenstudied inpregnant women.
However, inanimal studies,large dosescaused toxicor harmfuleffects inthe fetus.
Before receivingthis treatment,make sureyour doctorknows ifyou arepregnant orif youmay becomepregnant.
Becauseamifostine maycause birthdefects orother harmfuleffects inthe fetus,it isusually recommendedthat womenbeing treatedfor canceruse birthcontrol.
ChildrenAlthough thismedicine hasbeen givento alimited numberof children,there isno specificinformation comparinguse ofamifostine inchildren withuse inother agegroups.
Olderadults Manymedicines havenot beenstudied specificallyin olderpeople.
Therefore,it maynot beknown whetherthey workexactly thesame waythey doin youngeradults orif theycause differentside effectsor problemsin olderpeople.
Althoughamifostine hasbeen givento alimited numberof elderlypeople, thereis nospecific informationcomparing useof amifostinein theelderly withuse inother agegroups.
Othermedicines Althoughcertain medicinesshould notbe usedtogether atall, inother casestwo differentmedicines maybe usedtogether evenif aninteraction mightoccur.
Inthese cases,your doctormay wantto changethe dose,or otherprecautions maybe necessary.
When youare receivingamifostine, itis especiallyimportant thatyour healthcare professionalknow ifyou aretaking anyof thefollowing: Othermedical problemsThe presenceof othermedical problemsmay affectthe useof amifostine.
Make sureyou tellyour doctorif youhave anyother medicalproblems, especially:Dosing Thedose ofamifostine willbe differentfor differentpatients.
Itdepends onthe patient'ssize.
Themedicine willbe givenby, orunder theimmediate supervisionof, thedoctor treatingyou forcancer.
Alongwith itsneeded effects,a medicinemay causesome unwantedeffects.
Althoughnot allof theseside effectsmay occur,if theydo occurthey mayneed medicalattention.
Tellthe doctoror theperson givingyou theinjection rightaway ifyou feeldizzy orfaint whilethe injectionis beinggiven.
Also,check withyour doctoras soonas possibleif anyof thefollowing sideeffects occurlater on:More commonBlurred vision;confusion; dizziness,faintness, orlightheadedness whengetting upfrom alying orsitting positionsuddenly; faintingor lossof consciousness;fast orirregular breathing;itching; nauseaand vomiting;red, scaly,swollen, orpeeling areasof skin;swelling ofeyes oreyelids; troublein breathing;tightness inchest; wheezing;skin rash;sweating; unusualtiredness orweakness RareBurning ortingling sensation;convulsions; fast,slow orirregular heartbeator pulse;loss ofbladder control;muscle cramps;muscle spasmor jerkingof allextremities; palpitationsOther sideeffects mayoccur thatusually donot needmedical attention.
These sideeffects maygo awayduring treatmentas yourbody adjuststo themedicine.
However,check withyour doctorif anyof thefollowing sideeffects continueor arebothersome: Lesscommon orrare fever;headache; nervousness;pounding inthe ears;sleepiness (severe)Other sideeffects thatsometimes occurare harmlessand willgo awaywithout treatment.
These are:Less commonor rareFeeling unusuallywarm orcold; flushingor rednessof faceor neck;hiccups Otherside effectsnot listedabove mayalso occurin somepatients.
Ifyou noticeany othereffects, checkwith yourdoctor.
Oncea medicinehas beenapproved formarketing fora certainuse, experiencemay showthat itis alsouseful forother medicalproblems.
Althoughthis useis notincluded inthe productlabeling, amifostineis usedin certainpatients withthe followingmedical conditions:Other thanthe aboveinformation, thereis noadditional informationrelating toproper use,precautions, orside effectsfor thisuse.
Developed:06/29/1998 Revised:11/28/2005 Theinformation containedin theThomson Healthcare(Micromedex) productsas deliveredby Drugs.comis intendedas aneducational aidonly.
Itis notintended asmedical advicefor individualconditions ortreatment.
Itis nota substitutefor amedical exam,nor doesit replacethe needfor servicesprovided bymedical professionals.
Talk toyour doctor,nurse orpharmacist beforetaking anyprescription orover thecounter drugs(including anyherbal medicinesor supplements)or followingany treatmentor regimen.
Only yourdoctor, nurse,or pharmacistcan provideyou withadvice onwhat issafe andeffective foryou.
Theuse ofthe ThomsonHealthcare productsis atyour solerisk.
Theseproducts areprovided "ASIS" and"as available"for use,without warrantiesof anykind, eitherexpress orimplied.
ThomsonHealthcare andDrugs.com makeno representationor warrantyas tothe accuracy,reliability, timeliness,usefulness orcompleteness ofany ofthe informationcontained inthe products.
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ALLIMPLIED WARRANTIESOF MERCHANTABILITYAND FITNESSFOR APARTICULAR PURPOSEOR USEARE HEREBYEXCLUDED.
ThomsonHealthcare doesnot assumeany responsibilityor riskfor youruse ofthe ThomsonHealthcare products.
Phentermine isan appetitesuppressant thataffects thecentral nervoussystem.
Phentermineis usedtogther withdiet andexercise totreat obesity(overweight) inpeople withrisk factorssuch ashigh bloodpressure, highcholesterol, ordiabetes.
Phenterminemay alsobe usedfor purposesother thanthose listedin thismedication guide.
Do nottake phenterminewith anyother dietmedications withoutyour doctor'sadvice.
Youmay havewithdrawal symptoms,such asdepression andextreme tiredness,when youstop usingphentermine afterusing itover along periodof time.
Do notstop usingphentermine suddenlywithout firsttalking toyour doctor.
You mayneed touse lessand lessbefore youstop themedication completely.
Do nottake phenterminewith anyother dietmedications withoutyour doctor'sadvice.
Beforetaking phentermine,tell yourdoctor ifyou areallergic toany drugs,or ifyou have:problems withyour thyroid,an anxietydisorder, epilepsyor anotherseizure disorder,or diabetes.
If youhave anyof theseconditions, youmay notbe ableto usephentermine, oryou mayneed adosage adjustmentor specialtests duringtreatment.
Takethis medicationexactly asit wasprescribed foryou.
Donot takethe medicationin largeramounts, ortake itfor longerthan recommendedby yourdoctor.
Followthe directionson yourprescription label.
Phentermine shouldbe takenonly fora shorttime, suchas afew weeks.
You mayhave withdrawalsymptoms whenyou stopusing phentermineafter usingit overa longperiod oftime.
Donot stopusing thismedication suddenlywithout firsttalking toyour doctor.
You mayneed touse lessand lessbefore youstop themedication completely.
Do nottake phenterminein theevening becauseit maycause sleepproblems (insomnia).
Stop takingphentermine ifyou haveincreased hungeror ifyou otherwisethink themedication isnot workingproperly.
Donot takemore phenterminefor anincreased effect.
Take themissed doseas soonas youremember.
Ifit isalmost timefor yournext dose,skip themissed doseand takethe medicineat yournext regularlyscheduled time.
Do nottake extramedicine tomake upthe misseddose.
Lessserious sideeffects maybe morelikely tooccur, suchas: feelingnervous oranxious; headache,dizziness, tremors;trouble sleeping(insomnia); drymouth oran unpleasanttaste inyour mouth;diarrhea orconstipation; oritching.
Sideeffects otherthan thoselisted heremay alsooccur.
Talkto yourdoctor aboutany sideeffect thatseems unusualor thatis especiallybothersome.
Beforetaking phentermine,tell yourdoctor ifyou areusing anyof thefollowing drugs:medicines totreat highblood pressure;insulin ordiabetes medicationyou takeby mouth;guanadrel (Hylorel),guanethidine (Ismelin);antidepressants suchas citalopram(Celexa), escitalopram(Lexapro), fluoxetine(Prozac, Sarafem),fluvoxamine (Luvox),paroxetine (Paxil),or sertraline(Zoloft); orantidepressants suchas amitriptyline(Elavil, Etrafon),amoxapine (Ascendin),clomipramine (Anafranil),desipramine (Norpramin),doxepin (Sinequan),imipramine (Janimine,Tofranil), nortriptyline(Pamelor), protriptyline(Vivactil), ortrimipramine (Surmontil).
If youare usingany ofthese drugs,you maynot beable touse phentermine,or youmay needdosage adjustmentsor specialtests duringtreatment.
Theremay beother drugsnot listedthat canaffect phentermine.
This includesvitamins, minerals,herbal products,and drugsprescribed byother doctors.
Do notstart usinga newmedication withouttelling yourdoctor.
Phentermineis availablewith aprescription underthe brandnames Adipexand Fastin.
Other brandor genericformulations mayalso beavailable.
Askyour pharmacistany questionsyou haveabout thismedication, especiallyif itis newto you.
Not commerciallyavailable inCanada.
Itis usedbefore surgeryaffecting thebowel tohelp preventinfection duringsurgery.
Kanamycinis availableonly withyour doctor'sprescription, inthe followingdosage form:In decidingto usea medicine,the risksof takingthe medicinemust beweighed againstthe goodit willdo.
Thisis adecision youand yourdoctor willmake.
Fororal kanamycin,the followingshould beconsidered: AllergiesTell yourdoctor ifyou haveever hadany unusualor allergicreaction tooral kanamycinor toany relatedantibiotics suchas amikacin(e.g., Amikin),gentamicin (e.g.,Garamycin), kanamycinby injection(e.g., Kantrex),neomycin (e.g.,Mycifradin), netilmicin(e.g., Netromycin),streptomycin, ortobramycin (e.g.,Nebcin).
Alsotell yourhealth careprofessional ifyou areallergic toany othersubstances, suchas foods,preservatives, ordyes.
PregnancyOral kanamycinhas notbeen reportedto causebirth defectsor otherproblems inhumans.
ChildrenAlthough thereis nospecific informationcomparing useof oralkanamycin inchildren withuse inother agegroups, thismedicine isnot expectedto causedifferent sideeffects orproblems inchildren thanit doesin adults.
Older adultsMany medicineshave notbeen studiedspecifically inolder people.
Therefore, itmay notbe knownwhether theywork exactlythe sameway theydo inyounger adultsor ifthey causedifferent sideeffects orproblems inolder people.
There isno specificinformation comparinguse oforal kanamycinin theelderly withuse inother agegroups.
Othermedicines Althoughcertain medicinesshould notbe usedtogether atall, inother casestwo differentmedicines maybe usedtogether evenif aninteraction mightoccur.
Inthese cases,your doctormay wantto changethe dose,or otherprecautions maybe necessary.
Other medicalproblems Thepresence ofother medicalproblems mayaffect theuse oforal kanamycin.
Make sureyou tellyour doctorif youhave anyother medicalproblems, especially:This medicinemay betaken ona fullor emptystomach.
Keeptaking thismedicine forthe fulltime oftreatment.
Donot missany doses.
DosingThe doseof oralkanamycin willbe differentfor differentpatients.
Followyour doctor'sorders orthe directionson thelabel .
The followinginformation includesonly theaverage dosesof oralkanamycin.
Ifyour doseis different,do notchange itunless yourdoctor tellsyou todo so.
Missed doseFor patientstaking oralkanamycin beforeany surgeryaffecting thebowel :Storage Tostore thismedicine: Alongwith itsneeded effects,a medicinemay causesome unwantedeffects.
Althoughnot allof theseside effectsmay occur,if theydo occurthey mayneed medicalattention.
Theseside effectsmay goaway duringtreatment asyour bodyadjusts tothe medicine.
If younotice anyother effects,check withyour doctor.
Revised: 03/17/1994The informationcontained inthe ThomsonHealthcare (Micromedex)products asdelivered byDrugs.com isintended asan educationalaid only.
It isnot intendedas medicaladvice forindividual conditionsor treatment.
It isnot asubstitute fora medicalexam, nordoes itreplace theneed forservices providedby medicalprofessionals.
Talkto yourdoctor, nurseor pharmacistbefore takingany prescriptionor overthe counterdrugs (includingany herbalmedicines orsupplements) orfollowing anytreatment orregimen.
Onlyyour doctor,nurse, orpharmacist canprovide youwith adviceon whatis safeand effectivefor you.
The useof theThomson Healthcareproducts isat yoursole risk.
These productsare provided"AS IS"and "asavailable" foruse, withoutwarranties ofany kind,either expressor implied.
Thomson Healthcareand Drugs.commake norepresentation orwarranty asto theaccuracy, reliability,timeliness, usefulnessor completenessof anyof theinformation containedin theproducts.
Additionally,THOMSON HEALTHCAREMAKES NOREPRESENTATION ORWARRANTIES ASTO THEOPINIONS OROTHER SERVICEOR DATAYOU MAYACCESS, DOWNLOADOR USEAS ARESULT OFUSE OFTHE THOMSONHEALTHCARE PRODUCTS.
ALL IMPLIEDWARRANTIES OFMERCHANTABILITY ANDFITNESS FORA PARTICULARPURPOSE ORUSE AREHEREBY EXCLUDED.
Thomson Healthcaredoes notassume anyresponsibility orrisk foryour useof theThomson Healthcareproducts.
Itworks byblocking nerveimpulses (orpain sensations)that aresent toyour brain.
Flexeril isused totreat pain,tenderness, andlimited motioncaused bymuscle spasms.
Flexeril mayalso beused forpurposes otherthan thoselisted inthis medicationguide.
Youshould nottake Flexerilif youhave recentlyhad aheart attack,or ifyou havea heartrhythm disorder,congestive heartfailure, heartblock, oran overactivethyroid.
Donot stoptaking Flexerilsuddenly ifyou havebeen takingit forlonger than1 week.
Stopping suddenlymay causenausea, headacheand generaldiscomfort.
Beforeusing thismedication, tellyour doctorif youhave: problemswith urination;enlarged prostate;glaucoma; orliver disease.
If youhave anyof theseconditions, youmay notbe ableto useFlexeril, oryou mayneed adosage adjustmentor specialtests duringtreatment.
Olderadults maybe moresensitive tothe sideeffects ofthis medication.
Take thismedication exactlyas itwas prescribedfor you.
Do nottake themedication inlarger amounts,or takeit forlonger thanrecommended byyour doctor.
This medicationis usuallytaken threetimes eachday fora periodof 2to 3weeks.
Donot useFlexeril forlonger than3 weeksunless yourdoctor hastold youto.
Thismedication cancause youto haveunusual resultswith certainmedical tests.
Tell anydoctor whotreats youthat youare usingFlexeril.
Symptomsof aFlexeril overdosemay includedrowsiness, fastheartbeat, tremorsor shaking,slurred speech,confusion, nausea,vomiting, hallucinations(seeing things),chest pain,or seizure(convulsions).
Avoidusing othermedicines thatmake yousleepy (suchas coldmedicine, painmedication, musclerelaxers, andmedicine forseizures, depressionor anxiety).
They canadd tosleepiness causedby Flexeril.
Continue usingFlexeril andtalk withyour doctorif youhave anyof theseless seriousside effects:dry mouth,increased thirst;blurred vision;drowsiness, dizziness,tired feeling;feeling nervousor irritable;heartburn, lossof appetite,stomach pain,nausea, vomiting;muscle weakness;diarrhea, constipation,gas; orsore throat,cold symptoms.
Side effectsother thanthose listedhere mayalso occur.
Talk toyour doctorabout anyside effectthat seemsunusual orthat isespecially bothersome.
Before takingFlexeril, tellyour doctorif youare usingany drugsthat makeyou sleepy(such asalcohol, coldmedicine, painmedication, musclerelaxers, andmedicine forseizures, depressionor anxiety).
If youare usingany ofthese drugs,you maynot beable touse Flexeril,or youmay needdosage adjustmentsor specialtests duringtreatment.
Theremay beother drugsnot listedthat canaffect Flexeril.
This includesvitamins, minerals,herbal products,and drugsprescribed byother doctors.
Do notstart usinga newmedication withouttelling yourdoctor.
Cyclobenzaprineis availablewith aprescription underthe brandname Flexeril.
Other brandor genericformulations mayalso beavailable.
Askyour pharmacistany questionsyou haveabout thismedication, especiallyif itis newto you.
It fightsbacteria inyour body.
Metronidazole isused totreat bacterialinfections ofthe vagina,stomach, skin,joints, andrespiratory tract.
This medicationwill nottreat avaginal yeastinfection.
Metronidazolemay alsobe usedfor purposesother thanthose listedin thismedication guide.
Before takingmetronidazole, tellyour doctorif youare allergicto anydrugs, orif youhave: astomach orintestinal diseasesuch asCrohns disease;a bloodcell disordersuch asanemia (lackof redblood cells)or leukopenia(lack ofwhite bloodcells); epilepsyor otherseizure disorder;or nervedisorders.
Ifyou haveany ofthese conditions,you maynot beable touse metronidazole,or youmay needa dosageadjustment orspecial testsduring treatment.
Take thismedication exactlyas itwas prescribedfor you.
Do nottake themedication inlarger amounts,or takeit forlonger thanrecommended byyour doctor.
Follow thedirections onyour prescriptionlabel.
Tobe surethis medicationis notcausing harmfuleffects, yourblood willneed tobe testedon aregular basis.
Your liverfunction mayalso needto betested.
Donot missany scheduledvisits toyour doctor.
This medicationcan causeyou tohave unusualresults withcertain medicaltests.
Tellany doctorwho treatsyou thatyou areusing metronidazole.
Take themissed doseas soonas youremember.
Ifit isalmost timefor yournext dose,skip themissed doseand takethe medicineat yournext regularlyscheduled time.
Do nottake extramedicine tomake upthe misseddose.
Symptomsof ametronidazole overdosemay includenausea, vomiting,dizziness, lossof balanceor coordination,numbness andtingling, orseizures (convulsions).
Check thelabels ofany medicinesor foodproducts youuse tomake surethey donot containalcohol.
Antibioticmedicines cancause diarrhea,which maybe asign ofa newinfection.
Ifyou havediarrhea thatis wateryor hasblood init, callyour doctor.
Do notuse anymedicine tostop thediarrhea unlessyour doctorhas toldyou to.
Keep takingmetronidazole andtalk withyour doctorif youhave anyof theseless seriousside effects:nausea, stomachpain, diarrhea;headache, dizziness,loss ofbalance; vaginalitching ordischarge; drymouth orunpleasant metallictaste; cough,sneezing, runnyor stuffynose; orswollen orsore tongue.
Side effectsother thanthose listedhere mayalso occur.
Talk toyour doctorabout anyside effectthat seemsunusual orthat isespecially bothersome.
Before takingthis medication,tell yourdoctor ifyou aretaking anyof thefollowing medicines:cimetidine (Tagamet);seizure medicationsuch asphenytoin (Dilantin)or phenobarbital(Luminal, Solfoton);a bloodthinner suchas warfarin(Coumadin); lithium(Lithobid, Eskalith,others); ordisulfiram (Antabuse).
If youare usingany ofthese drugs,you maynot beable touse metronidazoleor youmay needdosage adjustmentsor specialtests duringtreatment.
Theremay beother drugsnot listedthat canaffect metronidazole.
This includesvitamins, minerals,herbal products,and drugsprescribed byother doctors.
Do notstart usinga newmedication withouttelling yourdoctor.
Metronidazoleis availablewith aprescription underthe brandnames Flagyland Protostat.
Other brandor genericformulations mayalso beavailable.
Askyour pharmacistany questionsyou haveabout thismedication, especiallyif itis newto you.
You shouldnot usefentanyl topicalif youhave hadan allergicreaction orsevere sideeffects whenusing anynarcotic painmedicine.
Avoiddrinking alcohol,or usingother medicinesthat makeyou sleepy(such ascold medicine,other painmedication, musclerelaxers, andmedicine forseizures, depressionor anxiety).
They canadd tosleepiness causedby fentanyland maycause extremedrowsiness orbreathing problems.
Fentanyl isa narcotic(opioid) painmedicine.
TheDuragesic fentanylskin patchis usedto treatmoderate tosevere chronicpain.
TheIonsys fentanyltransdermal deviceis usedonly ina hospitalto treatacute painafter surgery.
Fentanyl topicalmay alsobe usedfor purposesother thanthose listedin thismedication guide.
COPD); ahistory ofhead injuryor braintumor; aheart rhythmdisorder; liverdisease; orkidney disease.
If youhave anyof theseconditions, youmay notbe ableto usefentanyl topical,or youmay needa dosageadjustment orspecial testsduring treatment.
Use thismedication exactlyas itwas prescribedfor you.
Do notuse themedication inlarger orsmaller amounts,or useit forlonger thanrecommended byyour doctor.
Using toomuch fentanylcan bevery harmfulor fatal.
Duragesic skinpatches maybe usedat home.
Read allpatient instructionscarefully beforeusing thepatches.
Askyour doctoror pharmacistif youhave questions.
If theskin mustbe washedbefore fentanyltopical isapplied, useclear wateronly.
Allowthe skinto drycompletely beforeapplying themedicine.
Applythe skinpatch toa flat,dry, hairlessarea ofthe chest,back, side,or outerside ofyour upperarm.
Toremove anyhair fromthese areas,clip thehair shortbut donot shaveit.
Pressthe patchfirmly withthe palmof yourhand for30 seconds.
Make surethe patchis stickingfirmly, especiallyaround theedges.
Youmay wearthe patchfor upto 72hours.
Donot wearmore than1 patchat atime.
Afterremoving askin patchfold itin half,sticky sidein, andflush thepatch downthe toilet.
Apply anew patchto adifferent skinarea onthe chest,back, side,or upperarm.
Donot usethe sameskin areatwice ina row.
The transdermaldevice willbe appliedwhere youcan reachit, suchas yourchest orthe outerside ofyour upperarm.
Thedevice isworn for24 hoursor untilthe devicehas delivered80 dosesof fentanyl.
To releasethe medicinefrom thetransdermal device,press thedosing buttontwice.
Thedevice willsound abeep whenthe dosestarts, anda redlight willcome onfor 10minutes whilethe doseis delivered.
The lightwill alsoflash betweendoses tolet yourcaregivers knowhow manydoses areleft inthe device.
Tell yourcare providerif thepatch comesloose orfalls off.
Keep eachskin patchin itsfoil pouchuntil youare readyto useit.
Ifthe pouchseal isalready broken,do notuse thepatch.
Afterremoving apatch fromthe foilpouch, applythe patchto yourskin rightaway.
Donot usea fentanyltopical skinpatch ordevice ifthe patchor devicehas beencut ordamaged.
Keeptrack ofhow manyskin patcheshave beenused fromeach newpackage ofthis medicine.
Fentanyl isa drugof abuseand youshould beaware ifany personin thehousehold isusing thismedicine improperlyor withouta prescription.
Since fentanyltopical isused asneeded, youmay notbe ona dosingschedule.
Ifyou areusing theskin patchesregularly, applythe missedpatch assoon asyou remember.
Continue wearingthe patchfor upto 72hours andthen applya newone ifneeded forpain.
Donot wearextra patchesto makeup amissed dose.
Avoid usingother medicinesthat makeyou sleepy(such ascold medicine,other painmedication, musclerelaxers, andmedicine forseizures, depressionor anxiety).
They canadd tosleepiness causedby fentanyltopical.
Avoidexposing afentanyl topicalskin patchto heatwhile youare wearingit.
Thisincludes ahot tub,heating pad,sauna, orheated waterbed.
Heatcan increasethe amountof drugyou absorbthrough yourskin andmay causeharmful effects.
Continue usingfentanyl topicaland talkwith yourdoctor ifyou haveany ofthese lessserious sideeffects: nausea,vomiting, stomachpain, constipation,gas; dizziness,drowsiness, anxiety,sleep problems(insomnia); musclestiffness, backpain; itching,blistering, redness,or swellingwhere thepatch ordevice wasworn; orincreased sweating,urinating lessthan usual.
Side effectsother thanthose listedhere mayalso occur.
Talk toyour doctorabout anyside effectthat seemsunusual orthat isespecially bothersome.
Before usingthis medication,tell yourdoctor ifyou areusing anyof thefollowing drugs:carbamazepine (Tegretol,Carbatrol); phenytoin(Dilantin); St.
There maybe otherdrugs notlisted thatcan affectfentanyl topical.
This includesvitamins, minerals,herbal products,and drugsprescribed byother doctors.
Do notstart usinga newmedication withouttelling yourdoctor.
Fentanyltopical isavailable witha prescriptionunder thebrand namesDuragesic andIonsys.
Otherbrand orgeneric formulationsmay alsobe available.
Ask yourpharmacist anyquestions youhave aboutthis medication,especially ifit isnew toyou.
Version:4.02. Revisiondate: 7/27/0610:13:01 AM.
Talk toyour doctorif youhave anysigns ofhyperglycemia suchas increasedthirst orurination, excessivehunger, orweakness.
Ifyou arediabetic, checkyour bloodsugar levelson aregular basiswhile youare takingZyprexa.
Dizzinessmay bemore likelyto occurwhen yourise froma sittingor lyingposition.
Riseslowly toprevent dizzinessand apossible fall.
Avoid usingother medicinesthat makeyou sleepy(such ascold medicine,pain medication,muscle relaxers,and medicinefor seizures,depression oranxiety).
Theycan addto sleepinesscaused byZyprexa.
Zyprexais anantipsychotic medication.
It worksby changingthe actionsof chemicalsin thebrain.
Zyprexais usedto treatthe symptomsof psychoticconditions suchas schizophreniaand bipolardisorder (manicdepression).
Zyprexamay alsobe usedfor purposesother thanthose listedin thismedication guide.
Before takingZyprexa, tellyour doctorif youhave: kidneydisease; heartdisease, highblood pressure,heart rhythmproblems; ahistory ofheart attackor stroke;a historyof breastcancer; seizuresor epilepsy;a personalor familyhistory ofdiabetes; anenlarged prostateor difficultyurinating; glaucoma;or troubleswallowing.
Ifyou haveany ofthese conditions,you maynot beable touse Zyprexa,or youmay needa dosageadjustment orspecial testsduring treatment.
Zyprexa maycause youto havehigh bloodsugar (hyperglycemia).
Talk toyour doctorif youhave anysigns ofhyperglycemia suchas increasedthirst orurination, excessivehunger, orweakness.
Ifyou arediabetic, checkyour bloodsugar levelson aregular basiswhile youare takingZyprexa.
Theolanzapine orallydisintegrating tablet(Zyprexa Zydis)may containphenylalanine.
Talkto yourdoctor beforeusing thisform ofZyprexa ifyou havephenylketonuria (PKU).
Take thismedication exactlyas itwas prescribedfor you.
Do nottake themedication inlarger amounts,or takeit forlonger thanrecommended byyour doctor.
Follow thedirections onyour prescriptionlabel.
Zyprexacan betaken withor withoutfood.
Zyprexais usuallytaken oncea day.
Follow yourdoctor's instructions.
To takeolanzapine orallydisintegrating tablets(Zyprexa Zydis):Keep thetablet inits blisterpack untilyou areready totake themedicine.
Openthe packageand peelback thefoil fromthe tabletblister.
Donot pusha tabletthrough thefoil oryou maydamage thetablet.
Usingdry hands,remove thetablet andplace itin yourmouth.
Itwill beginto dissolveright away.
Do notswallow thetablet whole.
Allow itto dissolvein yourmouth withoutchewing.
Swallowseveral timesas thetablet dissolves.
If desired,you maydrink liquidto helpswallow thedissolved tablet.
To besure thismedication ishelping yourcondition, yourdoctor willneed tocheck yourprogress ona regularbasis.
Itis importantthat younot missany scheduledvisits toyour doctor.
Take themissed doseas soonas youremember.
Ifit isalmost timefor yournext dose,skip themissed doseand takethe medicineat thenext regularlyscheduled time.
Do nottake extramedicine tomake upthe misseddose.
Dizzinessmay bemore likelyto occurwhen yourise froma sittingor lyingposition.
Riseslowly toprevent dizzinessand apossible fall.
Avoid usingother medicinesthat makeyou sleepy(such ascold medicine,pain medication,muscle relaxers,and medicinefor seizures,depression oranxiety).
Theycan addto sleepinesscaused byZyprexa.
Continuetaking Zyprexaand talkto yourdoctor ifyou haveany ofthese lessserious sideeffects: dizziness,drowsiness, orweakness; constipation;dry mouth;swelling inyour handsor feet;back pain;weight gain,increased appetite;or upsetstomach.
Sideeffects otherthan thoselisted heremay alsooccur.
Talkto yourdoctor aboutany sideeffect thatseems unusualor thatis especiallybothersome.
Beforetaking Zyprexa,tell yourdoctor ifyou aretaking anyof thefollowing medicines:a medicationto treathigh bloodpressure ora heartcondition; carbamazepine(Tegretol); fluvoxamine(Luvox); ora medicationto treatParkinson's diseaseincluding levodopa(Sinemet, Larodopa,Atamet), selegiline(Eldepryl, Emsam),pramipexole (Mirapex),ropinirole (Requip),and others.
If youare usingany ofthese drugs,you maynot beable touse Zyprexa,or youmay needdosage adjustmentsor specialtests duringtreatment.
Theremay beother drugsnot listedthat canaffect Zyprexa.
This includesvitamins, minerals,herbal products,and drugsprescribed byother doctors.
Do notstart usinga newmedication withouttelling yourdoctor.
Olanzapineis availablewith aprescription underthe brandname Zyprexa.
Other brandor genericformulations mayalso beavailable.
Askyour pharmacistany questionsyou haveabout thismedication, especiallyif itis newto you.
Methadone alsoreduces withdrawalsymptoms inpeople addictedto heroinor othernarcotic drugswithout causingthe "high"associated withthe drugaddiction.
Methadoneis usedas apain relieverand aspart ofdrug addictiondetoxification andmaintenance programs.
Methadone mayalso beused forpurposes otherthan thoselisted inthis medicationguide.
Deathmay occurif breathingbecomes tooweak.
Neveruse moremethadone thanyour doctorhas prescribed.
Call yourdoctor ifyou thinkthe medicineis notworking.
Beforetaking methadone,talk toyour doctorif youhave: apersonal orfamily historyof "LongQT syndrome";asthma, COPD,sleep apnea,or otherbreathing disorders;underactive thyroid;curvature ofthe spine;a historyof headinjury orbrain tumor;epilepsy orother seizuredisorder; lowblood pressure;gallbladder disease;Addison's diseaseor otheradrenal glanddisorders; enlargedprostate, urinationproblems; mentalillness; ora historyof drugor alcoholaddiction.
Olderadults andpeople withdebilitating conditionsmay bemore sensitiveto theeffects ofthis medication.
Use methadoneexactly asit wasprescribed foryou.
Donot usethe medicationin largeramounts orfor longerthan recommendedby yourdoctor.
Followthe directionson yourprescription label.
Death mayoccur ifbreathing becomestoo weak.
Never usemore methadonethan yourdoctor hasprescribed.
Callyour doctorif youthink themedicine isnot working.
When methadoneis usedas partof atreatment programfor drugaddiction ordetoxification, youwill receivethe medicationthrough aclinic orspecial pharmacy.
Your doctormay recommendthat methadonebe givento youby afamily memberor othercaregiver.
Thisis tomake sureyou areusing themedicine asit wasprescribed aspart ofyour treatment.
Additional formsof counselingand/or monitoringmay berecommended duringtreatment withmethadone.
Methadoneis availablein tablets,dispersible tablets,oral solution(liquid) andas aninjection.
Thepill andoral liquidforms ofmethadone mustnever beused tomake amethadone injection.
The methadonedispersible tablet(Diskets) ismade tobe dissolvedin water.
Do notchew, crush,or swallowthe tabletwhole.
Thetablet willnot dissolvecompletely.
Drinkthis mixtureright away.
To makesure youget theentire dose,add alittle moreliquid tothe sameglass, swirlgently anddrink rightaway.
Keeptrack ofhow muchof thismedicine hasbeen used.
Methadone isa drugof abuseand youshould beaware ifany personin thehousehold isusing thismedicine improperlyor withouta prescription.
Use themedication assoon asyou remember.
If itis almosttime forthe nextdose, skipthe misseddose andwait untilyour nextregularly scheduleddose.
Donot useextra medicineto makeup themissed dose.
Seek emergencymedical attentionif youthink youhave usedtoo muchof thismedicine.An overdoseof methadonecan befatal, especiallyif youtake itwith alcoholor othernarcotic medications.
Overdose symptomsmay includeextreme drowsiness,pinpoint pupils,confusion, coldand clammyskin, weakpulse, shallowbreathing, fainting,or breathingthat stops.
Other, lessserious sideeffects maybe morelikely tooccur, suchas: feelinganxious, nervous,or restless;sleep problems(insomnia); dizziness,drowsiness, orweakness; drymouth, nausea,vomiting, diarrhea,constipation, lossof appetite;or decreasedsex drive,impotence, ordifficulty havingan orgasm.
This listis notcomplete andother sideeffects mayoccur.
Tellyour doctorabout anyunusual orbothersome sideeffect.
Thislist isnot completeand thereare manyother medicinesthat maycause seriousmedical problemsif youtake themtogether withmethadone.
Thisincludes vitamins,minerals, herbalproducts, anddrugs prescribedby otherdoctors.
Donot startusing anew medicationwithout tellingyour doctor.
Keep alist withyou ofall themedicines youuse andshow thislist toany doctoror otherhealthcare providerwho treatsyou.
Methadoneis availablewith aprescription underthe brandnames Dolophineand Methadose.
Other brandor genericformulations mayalso beavailable.
Askyour pharmacistany questionsyou haveabout thismedication, especiallyif itis newto you.
This riskwill increasethe longeryou usenaproxen.
Donot usethis medicinejust beforeor afterhaving heartbypass surgery(also calledcoronary arterybypass graft,or CABG).
Seek emergencymedical helpif youhave symptomsof heartor circulationproblems, suchas chestpain, weakness,shortness ofbreath, slurredspeech, orproblems withvision orbalance.
Thismedicine canalso increaseyour riskof seriouseffects onthe stomachor intestines,including bleedingor perforation(forming ofa hole).
These conditionscan befatal andgastrointestinal effectscan occurwithout warningat anytime whileyou aretaking naproxen.
Older adultsmay havean evengreater riskof theseserious gastrointestinalside effects.
Call yourdoctor atonce ifyou havesymptoms ofbleeding inyour stomachor intestines.
This includesblack, bloody,or tarrystools, orcoughing upblood orvomit thatlooks likecoffee grounds.
Naproxen worksby reducinghormones thatcause inflammationand painin thebody.
Naproxenis usedto treatpain orinflammation causedby conditionssuch asarthritis, ankylosingspondylitis, tendinitis,bursitis, gout,or menstrualcramps.
Naproxenmay alsobe usedfor purposesother thanthose listedin thismedication guide.
This riskwill increasethe longeryou usean NSAID.
Do notuse thismedicine justbefore orafter havingheart bypasssurgery (alsocalled coronaryartery bypassgraft, orCABG).
NSAIDscan alsoincrease yourrisk ofserious effectson thestomach orintestines, includingbleeding orperforation (formingof ahole).
Theseconditions canbe fataland gastrointestinaleffects canoccur withoutwarning atany timewhile youare takingan NSAID.
Older adultsmay havean evengreater riskof theseserious gastrointestinalside effects.
Before takingnaproxen, tellyour doctorif youare allergicto anydrugs, orif youhave: ahistory ofheart attack,stroke, orblood clot;heart disease,congestive heartfailure, highblood pressure;a historyof stomachulcers orbleeding; asthma;polyps inyour nose;a bleedingor bloodclotting disorder;or ifyou smoke.
If youhave anyof theseconditions, youmay notbe ableto usenaproxen, oryou mayneed adosage adjustmentor specialtests duringtreatment.
Takethis medicationexactly asdirected onthe label,or asit hasbeen prescribedby yourdoctor.
Donot usethe medicationin largeramounts, oruse itfor longerthan recommended.
Follow yourdoctors instructions.
If youtake naproxenfor along periodof time,your doctormay wantto checkyou ona regularbasis tomake surethis medicationis notcausing harmfuleffects.
Donot missany scheduledvisits toyour doctor.
Since naproxenis sometimestaken asneeded, youmay notbe ona dosingschedule.
Ifyou aretaking themedication regularly,take themissed doseas soonas youremember.
Ifit isalmost timefor yournext dose,skip themissed doseand takethe medicineat yournext regularlyscheduled time.
Do nottake extramedicine tomake upthe misseddose.
Keeptaking naproxenand talkto yourdoctor ifyou haveany ofthese lessserious sideeffects: upsetstomach, mildheartburn orstomach pain,diarrhea, constipation;bloating, gas;dizziness, headache,nervousness; skinitching orrash; blurredvision; orringing inyour ears.
Side effectsother thanthose listedhere mayalso occur.
Talk toyour doctorabout anyside effectthat seemsunusual orthat isespecially bothersome.
If youare usingany ofthese drugs,you maynot beable touse naproxenor youmay needdosage adjustmentsor specialtests duringtreatment.
Theremay beother drugsnot listedthat canaffect naproxen.
This includesvitamins, minerals,herbal products,and drugsprescribed byother doctors.
Do notstart usinga newmedication withouttelling yourdoctor.
Otherbrand orgeneric formulationsmay alsobe available.
Ask yourpharmacist anyquestions youhave aboutthis medication,especially ifit isnew toyou.
Ibuprofenworks byreducing hormonesthat causeinflammation andpain inthe body.
Ibuprofen isused toreduce feverand treatpain orinflammation causedby manyconditions suchas headache,toothache, backpain, arthritis,menstrual cramps,or minorinjury.
Ibuprofenmay alsobe usedfor purposesother thanthose listedin thismedication guide.
This riskwill increasethe longeryou useibuprofen.
Donot usethis medicinejust beforeor afterhaving heartbypass surgery(also calledcoronary arterybypass graft,or CABG).
Seek emergencymedical helpif youhave symptomsof heartor circulationproblems, suchas chestpain, weakness,shortness ofbreath, slurredspeech, orproblems withvision orbalance.
Thismedicine canalso increaseyour riskof seriouseffects onthe stomachor intestines,including bleedingor perforation(forming ofa hole).
These conditionscan befatal andgastrointestinal effectscan occurwithout warningat anytime whileyou aretaking ibuprofen.
Older adultsmay havean evengreater riskof theseserious gastrointestinalside effects.
Call yourdoctor atonce ifyou havesymptoms ofbleeding inyour stomachor intestines.
This includesblack, bloody,or tarrystools, orcoughing upblood orvomit thatlooks likecoffee grounds.
This riskwill increasethe longeryou usean NSAID.
Do notuse thismedicine justbefore orafter havingheart bypasssurgery (alsocalled coronaryartery bypassgraft, orCABG).
NSAIDscan alsoincrease yourrisk ofserious effectson thestomach orintestines, includingbleeding orperforation (formingof ahole).
Theseconditions canbe fataland gastrointestinaleffects canoccur withoutwarning atany timewhile youare takingan NSAID.
Older adultsmay havean evengreater riskof theseserious gastrointestinalside effects.
Before takingibuprofen, tellyour doctorif youare allergicto anydrugs, orif youhave: ahistory ofheart attack,stroke, orblood clot;heart disease,congestive heartfailure, highblood pressure;a historyof stomachulcers orbleeding; asthma;polyps inyour nose;or systemiclupus erythematosus(SLE); ableeding orblood clottingdisorder; orif yousmoke.
Ifyou haveany ofthese conditions,you maynot beable touse ibuprofen,or youmay needa dosageadjustment orspecial testsduring treatment.
Take thismedication exactlyas directedon thelabel, oras ithas beenprescribed byyour doctor.
Do notuse themedication inlarger amounts,or useit forlonger thanrecommended.
Theibuprofen chewabletablet mustbe chewedbefore youswallow it.
If youtake ibuprofenfor along periodof time,your doctormay wantto checkyou ona regularbasis tomake surethis medicationis notcausing harmfuleffects.
Donot missany scheduledvisits toyour doctor.
Since ibuprofenis sometimestaken asneeded, youmay notbe ona dosingschedule.
Ifyou aretaking themedication regularly,take themissed doseas soonas youremember.
Ifit isalmost timefor thenext dose,skip themissed doseand waituntil yournext regularlyscheduled dose.
Do nottake extramedicine tomake upthe misseddose.
Keeptaking ibuprofenand talkto yourdoctor ifyou haveany ofthese lessserious sideeffects: upsetstomach, mildheartburn, diarrhea,constipation; bloating,gas; dizziness,headache, nervousness;skin itchingor rash;blurred vision;or ringingin yourears.
Sideeffects otherthan thoselisted heremay alsooccur.
Talkto yourdoctor aboutany sideeffect thatseems unusualor thatis especiallybothersome.
Ifyou areusing anyof thesedrugs, youmay notbe ableto useibuprofen oryou mayneed dosageadjustments orspecial testsduring treatment.
There maybe otherdrugs notlisted thatcan affectibuprofen.
Thisincludes vitamins,minerals, herbalproducts, anddrugs prescribedby otherdoctors.
Donot startusing anew medicationwithout tellingyour doctor.
Ask yourpharmacist anyquestions youhave aboutthis medication,especially ifit isnew toyou.
Itaffects chemicalsin thebrain andnerves thatcontribute tohyperactivity andimpulse control.
Concerta isused totreat attentiondeficit disorder(ADD), attentiondeficit hyperactivitydisorder (ADHD),and narcolepsy.
Concerta mayalso beused forpurposes otherthan thoselisted inthis medicationguide.
Donot useConcerta ifyou areallergic tomethylphenidate orif youhave: glaucoma;a personalor familyhistory oftics (muscletwitches) orTourette's syndrome;or severeanxiety, tension,or agitation(Concerta canmake thesesymptoms worse).
Before usingConcerta, tellyour doctorif youare allergicto anydrugs, orif youhave: acongenital heartdefect; highblood pressure;heart failure,heart rhythmdisorder, orrecent heartattack; apersonal orfamily historyof mentalillness, psychoticdisorder, bipolarillness, depression,or suicideattempt; epilepsyor otherseizure disorder;or ahistory ofdrug oralcohol addiction.
If youhave anyof theseconditions, youmay notbe ableto useConcerta, oryou mayneed adosage adjustmentor specialtests duringtreatment.
Tellyour doctorif thechild usingthis medicationis notgrowing orgaining weightproperly.
Takethis medicationexactly asit wasprescribed foryou.
Donot takethe medicationin largeramounts, ortake itfor longerthan recommendedby yourdoctor.
Followthe directionson yourprescription label.
To preventsleep problems,take thismedication earlyin theday, nolater than6:00 pm.
Take themissed doseas soonas youremember.
Ifit isalmost timefor yournext dose,skip themissed doseand takethe medicineat yournext regularlyscheduled time.
Do nottake extramedicine tomake upthe misseddose.
Symptomsof aConcerta overdosemay includevomiting, agitation,tremors, muscletwitching, seizure(convulsions), confusion,hallucinations, sweating,fast orpounding heartbeat,blurred vision,dry mouthand nose,and fainting.
Continue takingConcerta andtalk withyour doctorif youhave anyof theseless seriousside effects:vision problems;mild skinrash; dizziness;nervous feeling,sleep problems(insomnia); nausea,vomiting, lossof appetite;or weightloss.
Sideeffects otherthan thoselisted heremay alsooccur.
Talkto yourdoctor aboutany sideeffect thatseems unusualor thatis especiallybothersome.
Beforetaking Concerta,tell yourdoctor ifyou areusing anyof thefollowing drugs:blood pressuremedications; ablood thinnersuch aswarfarin (Coumadin);clonidine (Catapres);seizure medicinesuch asphenytoin (Dilantin),phenobarbital (Luminal),primidone (Mysoline);or antidepressantssuch asamitriptyline (Elavil,Etrafon), amoxapine(Ascendin), citalopram(Celexa), escitalopram(Lexapro), clomipramine(Anafranil), desipramine(Norpramin), doxepin(Sinequan),fluoxetine (Prozac,Sarafem), fluvoxamine(Luvox), imipramine(Janimine, Tofranil),nortriptyline (Pamelor),paroxetine (Paxil),protriptyline (Vivactil),sertraline (Zoloft),or trimipramine(Surmontil).
Ifyou areusing anyof thesedrugs, youmay notbe ableto useConcerta, oryou mayneed dosageadjustments orspecial testsduring treatment.
There maybe otherdrugs notlisted thatcan affectConcerta.
Thisincludes vitamins,minerals, herbalproducts, anddrugs prescribedby otherdoctors.
Donot startusing anew medicationwithout tellingyour doctor.
Methylphenidate isavailable witha prescriptionunder manybrand namessuch asRitalin, Methylin,Methylin ER,Metadate ER,Metadate CD,and Concerta.
Generic formulationsmay alsobe available.
Ask yourpharmacist anyquestions youhave aboutthis medication,especially ifit isnew toyou.
Donot useit inlarger amountsor forlonger thanrecommended byyour doctor.
Follow thedirections onyour prescriptionlabel.
Ifyou missa dose,use themedication assoon asyou remember.
If itis almosttime forthe nextdose, skipthe misseddose andwait untilyour nextregularly scheduleddose.
Donot useextra medicineto makeup themissed dose.
There maybe otherdrugs thatcan affectChantix.
Thisincludes vitamins,minerals, herbalproducts, anddrugs prescribedby otherdoctors.
Donot startusing anew medicationwithout tellingyour doctor.
Less seriousside effectsare morelikely, andyou mayhave noneat all.
Chantix cancause persistentnausea forup toseveral months.
Talk toyour doctorabout anyside effectthat seemsunusual oris especiallybothersome.
Chantixis asmoking cessationmedicine.
Itis usedtogether withbehavior modificationand counselingsupport tohelp youstop smoking.
Chantix mayalso beused forpurposes otherthan thoselisted inthis medicationguide.
Beforeusing Chantix,tell yourdoctor ifyou havekidney disease.
Take thismedication exactlyas itwas prescribedfor you.
Do nottake themedication inlarger amounts,or takeit forlonger thanrecommended byyour doctor.
Follow thedirections onyour prescriptionlabel.
Toimprove yourchances forsuccessful smokingcessation, seta dateto quitsmoking.
Starttaking Chantixone weekbefore yourplanned quitdate.
Whenyou firststart takingChantix, youwill takea lowdose andthen graduallyincrease yourdose overthe firstseveral daysof treatment.
Follow yourdoctor's instructions.
Your doctormay occasionallychange yourdose tomake sureyou getthe bestresults fromthis medication.
In mostcases, Chantixtreatment lastsfor 12weeks.
Itis importantto takeChantix regularlyto getthe mostbenefit.
Getyour prescriptionrefilled beforeyou runout ofmedicine completely.
To besure thismedication isnot causingharmful effects,your kidneyfunction mayneed tobe testedon aregular basis.
It isimportant thatyou notmiss anyscheduled visitsto yourdoctor.
Takethe misseddose assoon asyou remember.
If itis almosttime foryour nextdose, skipthe misseddose andtake themedicine atthe nextregularly scheduledtime.
Donot takeextra medicineto makeup themissed dose.
Be sureto takethe medicineafter eating.
There areno restrictionson food,beverages, oractivity whileusing Chantixunless yourdoctor hastold youotherwise.
Talkwith yourdoctor ifyou haveany ofthese sideeffects: nausea(may persistfor severalmonths); stomachpain, indigestion,vomiting, constipation,gas; weakness,tired feeling;increased appetite;unpleasant tastein yourmouth; headache;or sleepproblems (insomnia)or unusualdreams.
Sideeffects otherthan thoselisted heremay alsooccur.
Talkto yourdoctor aboutany sideeffect thatseems unusualor thatis especiallybothersome.
Afteryou stopsmoking, thedoses ofany medicationsyou areusing mayneed tobe adjusted.
There maybe otherdrugs notlisted thatcan affectChantix.
Thisincludes vitamins,minerals, herbalproducts, anddrugs prescribedby otherdoctors.
Donot startusing anew medicationwithout tellingyour doctor.
Varenicline isavailable witha prescriptionunder thebrand nameChantix.
Otherbrand orgeneric formsmay alsobe available.
Ask yourpharmacist anyquestions youhave aboutthis medication,especially ifit isnew toyou.
Version:1.04. Revisiondate: 8/24/0610:30:04 AM.
They arerelated totestosterone, amale sexhormone.
Anabolicsteroids helpto rebuildtissues thathave becomeweak becauseof seriousinjury orillness.
Adiet highin proteinsand caloriesis necessarywith anabolicsteroid treatment.
Anabolic steroidsare usedfor severalreasons: Anabolicsteroids mayalso beused forother conditionsas determinedby yourdoctor.
Anabolicsteroids areavailable onlywith yourdoctor's prescription,in thefollowing dosageforms: Indeciding touse amedicine, therisks oftaking themedicine mustbe weighedagainst thegood itwill do.
This isa decisionyou andyour doctorwill make.
For anabolicsteroids, thefollowing shouldbe considered:Allergies Tellyour doctorif youhave everhad anyunusual orallergic reactionto anabolicsteroids orandrogens (malesex hormones).
Also tellyour healthcare professionalif youare allergicto anyother substances,such asfoods, preservatives,or dyes.
Pregnancy Anabolicsteroids shouldnot beused duringpregnancy.
Theymay causethe developmentof malefeatures inthe femalefetus andpremature growthand developmentof malefeatures inthe malefetus.
Besure youhave discussedthis withyour doctor.
Children Anabolicsteroids shouldbe usedwith cautionin pediatricpatients.
Thismedicine maycause childrento stopgrowing ortheir bonegrowth toslow down.
Older adultsWhen elderlymale patientsare treatedwith anabolicsteroids, theymay havean increasedrisk ofenlarged prostateor cancerof theprostate.
Othermedicines Althoughcertain medicinesshould notbe usedtogether atall, inother casestwo differentmedicines maybe usedtogether evenif aninteraction mightoccur.
Inthese cases,your doctormay wantto changethe dose,or otherprecautions maybe necessary.
When youare takinganabolic steroids,it isespecially importantthat yourhealth careprofessional knowif youare takingany ofthe following:Other medicalproblems Thepresence ofother medicalproblems mayaffect theuse ofanabolic steroids.
Make sureyou tellyour doctorif youhave anyother medicalproblems, especially:Take thismedicine onlyas directed.
Donot takemore ofit anddo nottake itmore oftenthan yourdoctor ordered.
To doso mayincrease thechance ofside effects.
In orderfor thismedicine towork properly,it isimportant thatyou followa diethigh inproteins andcalories .
If youhave anyquestions aboutthis, checkwith yourhealth careprofessional.
DosingThe doseof thesemedicines willbe differentfor differentpatients.
Followyour doctor'sorders orthe directionson thelabel .
The followinginformation includesonly theaverage dosesof thesemedicines.
Ifyour doseis different,do notchange itunless yourdoctor tellsyou todo so.
The numberof tabletsthat youtake dependson thestrength ofthe medicine.
Also, thenumber ofdoses youtake eachday, thetime allowedbetween doses,and thelength oftime youtake themedicine dependon themedical problemfor whichyou aretaking theanabolic steroid.
Misseddose Ifyou missa doseof thismedicine andyour dosingschedule is:If youhave anyquestions aboutthis, checkwith yourdoctor.
StorageTo storethis medicine:Your doctorshould checkyour progressat regularvisits tomake surethat thismedicine doesnot causeunwanted effects.
Anabolic steroidsmay interferewith normalbone growth.
Although theseeffects arerare, theycan bevery seriousand maycause death.
Discuss thesepossible effectswith yourdoctor.
Alongwith itsneeded effects,a medicinemay causesome unwantedeffects.
Althoughnot allof theseside effectsmay occur,if theydo occurthey mayneed medicalattention.
Theseside effectsmay goaway duringtreatment asyour bodyadjusts tothe medicine.
However, checkwith yourdoctor ifany ofthe followingside effectscontinue orare bothersome:For bothfemales andmales Lesscommon Chills;diarrhea; feelingof abdominalor stomachfullness; musclecramps; troublein sleeping;unusual decreaseor increasein sexualdesire Formales onlyMore commonAcne Lesscommon Decreasedsexual abilityOther sideeffects notlisted abovemay alsooccur insome patients.
If younotice anyother effects,check withyour doctor.
Once amedicine hasbeen approvedfor marketingfor acertain use,experience mayshow thatit isalso usefulfor othermedical problems.
Although theseuses arenot includedin productlabeling, anabolicsteroids maybe usedin certainpatients withthe followingmedical conditions:Other thanthe aboveinformation, thereis noadditional informationrelating toproper use,precautions, orside effectsfor theseuses.
Revised:10/28/2004 Theinformation containedin theThomson Healthcare(Micromedex) productsas deliveredby Drugs.comis intendedas aneducational aidonly.
Itis notintended asmedical advicefor individualconditions ortreatment.
Itis nota substitutefor amedical exam,nor doesit replacethe needfor servicesprovided bymedical professionals.
Talk toyour doctor,nurse orpharmacist beforetaking anyprescription orover thecounter drugs(including anyherbal medicinesor supplements)or followingany treatmentor regimen.
Only yourdoctor, nurse,or pharmacistcan provideyou withadvice onwhat issafe andeffective foryou.
Theuse ofthe ThomsonHealthcare productsis atyour solerisk.
Theseproducts areprovided "ASIS" and"as available"for use,without warrantiesof anykind, eitherexpress orimplied.
ThomsonHealthcare andDrugs.com makeno representationor warrantyas tothe accuracy,reliability, timeliness,usefulness orcompleteness ofany ofthe informationcontained inthe products.
Additionally, THOMSONHEALTHCARE MAKESNO REPRESENTATIONOR WARRANTIESAS TOTHE OPINIONSOR OTHERSERVICE ORDATA YOUMAY ACCESS,DOWNLOAD ORUSE ASA RESULTOF USEOF THETHOMSON HEALTHCAREPRODUCTS.
ALLIMPLIED WARRANTIESOF MERCHANTABILITYAND FITNESSFOR APARTICULAR PURPOSEOR USEARE HEREBYEXCLUDED.
ThomsonHealthcare doesnot assumeany responsibilityor riskfor youruse ofthe ThomsonHealthcare products.
This riskwill increasethe longeryou useibuprofen.
Donot usethis medicinejust beforeor afterhaving heartbypass surgery(also calledcoronary arterybypass graft,or CABG).
Seek emergencymedical helpif youhave symptomsof heartor circulationproblems, suchas chestpain, weakness,shortness ofbreath, slurredspeech, orproblems withvision orbalance.
Thismedicine canalso increaseyour riskof seriouseffects onthe stomachor intestines,including bleedingor perforation(forming ofa hole).
These conditionscan befatal andgastrointestinal effectscan occurwithout warningat anytime whileyou aretaking ibuprofen.
Older adultsmay havean evengreater riskof theseserious gastrointestinalside effects.
Call yourdoctor atonce ifyou havesymptoms ofbleeding inyour stomachor intestines.
This includesblack, bloody,or tarrystools, orcoughing upblood orvomit thatlooks likecoffee grounds.
Ibuprofen worksby reducinghormones thatcause inflammationand painin thebody.
Ibuprofenis usedto reducefever andtreat painor inflammationcaused bymany conditionssuch asheadache, toothache,back pain,arthritis, menstrualcramps, orminor injury.
Ibuprofen mayalso beused forpurposes otherthan thoselisted inthis medicationguide.
Thisrisk willincrease thelonger youuse anNSAID.
Donot usethis medicinejust beforeor afterhaving heartbypass surgery(also calledcoronary arterybypass graft,or CABG).
NSAIDs canalso increaseyour riskof seriouseffects onthe stomachor intestines,including bleedingor perforation(forming ofa hole).
These conditionscan befatal andgastrointestinal effectscan occurwithout warningat anytime whileyou aretaking anNSAID.
Olderadults mayhave aneven greaterrisk ofthese seriousgastrointestinal sideeffects.
Beforetaking ibuprofen,tell yourdoctor ifyou areallergic toany drugs,or ifyou have:a historyof heartattack, stroke,or bloodclot; heartdisease, congestiveheart failure,high bloodpressure; ahistory ofstomach ulcersor bleeding;asthma; polypsin yournose; orsystemic lupuserythematosus (SLE);a bleedingor bloodclotting disorder;or ifyou smoke.
If youhave anyof theseconditions, youmay notbe ableto useibuprofen, oryou mayneed adosage adjustmentor specialtests duringtreatment.
Takethis medicationexactly asdirected onthe label,or asit hasbeen prescribedby yourdoctor.
Donot usethe medicationin largeramounts, oruse itfor longerthan recommended.
The ibuprofenchewable tabletmust bechewed beforeyou swallowit.
Ifyou takeibuprofen fora longperiod oftime, yourdoctor maywant tocheck youon aregular basisto makesure thismedication isnot causingharmful effects.
Do notmiss anyscheduled visitsto yourdoctor.
Sinceibuprofen issometimes takenas needed,you maynot beon adosing schedule.
If youare takingthe medicationregularly, takethe misseddose assoon asyou remember.
If itis almosttime forthe nextdose, skipthe misseddose andwait untilyour nextregularly scheduleddose.
Donot takeextra medicineto makeup themissed dose.
Keep takingibuprofen andtalk toyour doctorif youhave anyof theseless seriousside effects:upset stomach,mild heartburn,diarrhea, constipation;bloating, gas;dizziness, headache,nervousness; skinitching orrash; blurredvision; orringing inyour ears.
Side effectsother thanthose listedhere mayalso occur.
Talk toyour doctorabout anyside effectthat seemsunusual orthat isespecially bothersome.
If youare usingany ofthese drugs,you maynot beable touse ibuprofenor youmay needdosage adjustmentsor specialtests duringtreatment.
Theremay beother drugsnot listedthat canaffect ibuprofen.
This includesvitamins, minerals,herbal products,and drugsprescribed byother doctors.
Do notstart usinga newmedication withouttelling yourdoctor.
Askyour pharmacistany questionsyou haveabout thismedication, especiallyif itis newto you.
Version: 7.05.Revision date:1/4/05.
Donot startusing anew medicationwithout tellingyour doctor.
Keep alist withyou ofall themedicines youuse andshow thislist toany doctoror otherhealthcare providerwho treatsyou.
Youshould becomevery familiarwith thelist offoods youmust avoidwhile takingAzilect.
Continueavoiding thesefoods fora full14 daysafter youstop takingthe medication.
It worksby increasingthe levelsof certainchemicals inthe brain.
Azilect isused totreat thesymptoms ofParkinson's disease.
Azilect issometimes usedwith anotherdrug calledlevodopa.
Azilectmay alsobe usedfor purposesother thanthose listedin thismedication guide.
John's wort;mirtazapine (Remeron);cyclobenzaprine (Flexeril);amphetamines (suchas ADHDmedication), stimulants,diet pills;or otherMAO inhibitorssuch asisocarboxazid (Marplan),tranylcypromine (Parnate),phenelzine (Nardil),or selegiline(Eldepryl, Emsam).
Some peopletaking Azilecthave developedskin cancer(melanoma).
However,people withParkinson's diseasemay havea higherrisk thanmost peoplefor developingmelanoma.
Talkto yourdoctor aboutyour specificrisk andwhat skinsymptoms towatch for.
Take thismedication exactlyas itwas prescribedfor you.
Do nottake themedication inlarger amounts,or takeit forlonger thanrecommended byyour doctor.
Azilect isusually takenonce daily.
Your doctormay occasionallychange yourdose tomake sureyou getthe bestresults fromthis medication.
Foods thatyou mayeat include:fresh meat,poultry, orfish (includinglunch meat,hot dogs,breakfast sausage,and cookedsliced ham);any vegetablesexcept broadbean pods(fava beans);canned orbottled beer,white wine;processed cheese,mozzarella, ricotta,cottage cheese;pizza madewith cheeseslow intyramine; soymilk, yogurt;or Brewer'sor baker'syeast.
Itis importantto useAzilect regularlyto getthe mostbenefit.
Getyour prescriptionrefilled beforeyou runout ofmedicine completely.
If youneed tohave anytype ofsurgery, tellthe surgeonahead oftime thatyou aretaking Azilect.
You willneed tostop usingthe medicinefor atleast 14days beforeyour surgery.
Take themissed doseas soonas youremember.
Ifit isalmost timefor yournext dose,skip themissed doseand takethe medicineat thenext regularlyscheduled time.
Do nottake extramedicine tomake upthe misseddose.
Youshould becomevery familiarwith thelist offoods youmust avoidwhile youare takingAzilect.
Continueavoiding thesefoods fora full14 daysafter youstop takingthe medication.
Continue usingAzilect andtalk withyour doctorif youhave anyof theseless seriousside effects:joint pain;mild headache,dizziness, ordepressed mood;hair loss;numbness ortingly feeling;dry mouth,loss ofappetite; constipation,diarrhea, upsetstomach, vomiting,weight loss;decreased sexdrive, impotence,or difficultyhaving anorgasm; orflu symptoms.
Side effectsother thanthose listedhere mayalso occur.
Talk toyour doctorabout anyside effectthat seemsunusual orthat isespecially bothersome.
If youare usingany ofthese drugs,you maynot beable touse Azilect,or youmay needdosage adjustmentsor specialtests duringtreatment.
Theremay beother drugsnot listedthat canaffect Azilect.
This includesvitamins, minerals,herbal products,and drugsprescribed byother doctors.
Do notstart usinga newmedication withouttelling yourdoctor.
Rasagilineis availablewith aprescription underthe brandname Azilect.
Other brandor genericforms mayalso beavailable.
Askyour pharmacistany questionsyou haveabout thismedication, especiallyif itis newto you.
Version: 1.03.Revision date:9/26/06 9:37:42AM.
Version:4.03. Revisiondate: 7/18/03.
Herpes infectionsare contagiousand youcan infectother people,even whileyou arebeing treatedwith acyclovir.
Avoid lettinginfected areascome intocontact withother people.
Avoid touchingan infectedarea andthen touchingyour eyes.
Wash yourhands frequentlyto preventpassing theinfection toothers.
Acycloviris anantiviral drug.
It slowsthe growthand spreadof theherpes virusso thatthe bodycan fightoff theinfection.
Acyclovirwill notcure herpes,but itcan lessenthe symptomsof theinfection.
Acycloviris usedto treatinfections causedby herpesviruses.
Illnessescaused byherpes virusesinclude genitalherpes, coldsores, shingles,and chickenpox.
Acyclovirmay alsobe usedfor purposesother thanthose listedin thismedication guide.
Take thismedication exactlyas itwas prescribedfor you.
Do nottake themedication inlarger amounts,or takeit forlonger thanrecommended byyour doctor.
Follow thedirections onyour prescriptionlabel.
Treatmentwith acyclovirshould bestarted assoon aspossible afterthe firstappearance ofsymptoms (suchas tingling,burning, blisters).
Acyclovir canbe takenwith orwithout food.
Taking acyclovirwith foodmay decreasestomach upset.
Lesions causedby herpesviruses shouldbe keptas cleanand dryas possible.
Wearing looseclothing mayhelp toprevent irritationof thelesions.
Takethe misseddose assoon asyou remember.
If itis almosttime foryour nextdose, skipthe misseddose andtake themedicine atthe nextregularly scheduledtime.
Donot takeextra medicineto makeup themissed dose.
Symptoms ofan acycloviroverdose mayinclude seizure(convulsions), hallucinations,and urinatingless thanusual ornot atall.
Herpesinfections arecontagious andyou caninfect otherpeople, evenwhile youare beingtreated withacyclovir.
Avoidletting infectedareas comeinto contactwith otherpeople.
Avoidtouching aninfected areaand thentouching youreyes.
Washyour handsfrequently toprevent passingthe infectionto others.
Acyclovir willnot preventthe spreadof genitalherpes.
Avoidsexual intercourseor usea latexcondom toprevent spreadingthe virusto others.
Side effectsother thanthose listedhere mayalso occur.
Talk toyour doctorabout anyside effectthat seemsunusual orthat isespecially bothersome.
Before takingacyclovir, tellyour doctorif youare alsotaking probenecid(Benemid).
Ifyou areusing probenecid,you maynot beable touse acyclovir,or youmay needdosage adjustmentsor specialtests duringtreatment.
Theremay beother drugsthat canaffect acyclovir.
This includesvitamins, minerals,herbal products,and drugsprescribed byother doctors.
Do notstart usinga newmedication withouttelling yourdoctor.
Acycloviris availablewith aprescription underthe brandname Zovirax.
Other brandor genericformulations mayalso beavailable.
Askyour pharmacistany questionsyou haveabout thismedication, especiallyif itis newto you.
Version: 4.03.Revision date:8/22/06 2:01:52PM.
Antiviralsare usedto treatinfections causedby viruses.
Usually theywork foronly onekind orgroup ofvirus infections.
Topical docosanolis usedto treatthe symptomsof herpessimplex virusinfections aroundthe mouth.
Although topicaldocosanol willnot cureherpes simplex,it mayhelp relievethe painand discomfortand mayhelp thesores (ifany) healfaster.
Docosanolis availableover thecounter inthe followingdosage form:In decidingto usea medicine,the risksof usingthe medicinemust beweighed againstthe goodit willdo.
Thisis adecision youand yourdoctor willmake.
Fordocosanol, thefollowing shouldbe considered:Allergies Tellyour doctorif youhave everhad anyunusual orallergic reactionto docosanol.
Also tellyour healthcare professionalif youare allergicto anyother substances,such aspreservatives ordyes.
PregnancyTopical docosanolhas notbeen studiedin pregnantwomen.
However,this medicinehas notbeen shownto causebirth defectsor otherproblems inanimal studiesusing ratsor rabbits.
Children Althoughthere isno specificinformation comparinguse ofdocosanol inchildren withuse inother agegroups ,this medicineis notexpected tocause differentside effectsor problemsin childrenthan itdoes inadults.
Olderadults Manymedicines havenot beenstudied specificallyin olderpeople.
Therefore,it maynot beknown whetherthey workexactly thesame waythey doin youngeradults orif theycause differentside effectsor problemsin olderpeople.
Thereis nospecific informationcomparing useof docosanolin theelderly withuse inother agegroups.
Othermedicines Althoughcertain medicinesshould notbe usedtogether atall, inother casestwo differentmedicines maybe usedtogether evenif aninteraction mightoccur.
Inthese cases,your doctormay wantto changethe dose,or otherprecautions maybe necessary.
Tell yourhealth careprofessional ifyou areusing anyother topicalprescription ornonprescription OTCmedicine thatis tobe appliedto thesame areaof theskin.
Donot usethis medicinein oraround theeyes oron thegenitalia .
Docosanol isbest usedas soonas possibleafter thesigns andsymptoms ofherpes infection(for example,pain, burning,or blisters)begin toappear .
Apply themedication tothe sores(blisters); rubin gentlyand completely.
To helpclear upyour herpesinfection, continueusing docosanolfor thefull timeof treatment.
Donot missany doses.
However,do notuse thismedicine moreoften orfor alonger timethan yourhealth careprofessional orthe OTClabel indicates.
DosingThe doseof topicaldocosanol canbe differentfor differentpatients.
Followyour doctor'sorders.
Youmay alsofollow thedirections onthe labelif youare 12years ofage orolder.
Thefollowing informationincludes onlythe averagedose oftopical docosanol.
If yourdose isdifferent, donot changeit unlessyour doctortells youto doso.
StorageTo storethis medicine:Along withits neededeffects, amedicine maycause someunwanted effects.
Although notall ofthese sideeffects mayoccur, ifthey dooccur theymay needmedical attention.
Side effectsmay occurthat usuallydo notneed medicalattention.
Theseside effectsmay goaway duringtreatment asyour bodyadjusts tothe medicine.
However, checkwith yourdoctor ifany ofthe followingside effectscontinue orare bothersome.
More commonHeadache Lesscommon Surfaceproblems including:;acne; burning;dryness; itching;rash ;redness; soreness;swelling Otherside effectsnot listedabove mayalso occurin somepatients.
Ifyou noticeany othereffects, checkwith yourdoctor.
Revised:12/22/2000 Theinformation containedin theThomson Healthcare(Micromedex) productsas deliveredby Drugs.comis intendedas aneducational aidonly.
Itis notintended asmedical advicefor individualconditions ortreatment.
Itis nota substitutefor amedical exam,nor doesit replacethe needfor servicesprovided bymedical professionals.
Talk toyour doctor,nurse orpharmacist beforetaking anyprescription orover thecounter drugs(including anyherbal medicinesor supplements)or followingany treatmentor regimen.
Only yourdoctor, nurse,or pharmacistcan provideyou withadvice onwhat issafe andeffective foryou.
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It issimilar tomorphine.
Oxycodoneis usedto treatmoderate tosevere pain.
Oxycodone isnot fortreating painjust aftera surgeryunless youwere alreadytaking oxycodonebefore thesurgery.
Oxycodonemay alsobe usedfor purposesother thanthose listedin thismedication guide.
You shouldalso nottake oxycodoneif youare havingan asthmaattack orif youhave abowel obstructioncalled paralyticileus.
Beforeusing oxycodone,tell yourdoctor ifyou areallergic toany drugs,or ifyou have:asthma, COPD,sleep apnea,or otherbreathing disorders;underactive thyroid;curvature ofthe spine;a historyof headinjury orbrain tumor;epilepsy orother seizuredisorder; lowblood pressure;gallbladder disease;Addison's diseaseor otheradrenal glanddisorders; enlargedprostate, urinationproblems; mentalillness; ora historyof drugor alcoholaddiction.
Takethis medicationexactly asit wasprescribed foryou.
Nevertake oxycodonein largeramounts, oruse itfor longerthan recommendedby yourdoctor.
Followthe directionson yourprescription label.
Tell yourdoctor ifthe medicineseems tostop workingas wellin relievingyour pain.
Never crusha tabletor otherpill tomix intoa liquidfor injectingthe druginto yourvein.
Thispractice hasresulted indeath withthe misuseof oxycodoneand similarprescription drugs.
Keep trackof howmany pillshave beenused fromeach newbottle ofthis medicine.
Oxycodone isa drugof abuseand youshould beaware ifany personin thehousehold isusing thismedicine improperlyor withouta prescription.
After youhave stoppedusing thismedication, flushany unusedpills downthe toilet.
Throw awayany unusedliquid oxycodonethat isolder than90 days.
Since oxycodoneis sometimesused asneeded, youmay notbe ona dosingschedule.
Ifyou areusing themedication regularly,take themissed doseas soonas youremember.
Ifit isalmost timefor thenext dose,skip themissed doseand waituntil yournext regularlyscheduled dose.
Do notuse extramedicine tomake upthe misseddose.
Overdosesymptoms mayinclude extremedrowsiness, muscleweakness, confusion,cold andclammy skin,pinpoint pupils,shallow breathing,slow heartrate, fainting,or coma.
Less seriousside effectsare morelikely tooccur, suchas: nausea,vomiting, constipation,loss ofappetite; dizziness,headache, tiredfeeling; drymouth; sweating;or itching.
This listis notcomplete andother sideeffects mayoccur.
Tellyour doctorabout anyunusual orbothersome sideeffect.
Beforetaking oxycodone,tell yourdoctor ifyou areusing pentazocine(Talwin), nalbuphine(Nubain), butorphanol(Stadol), orbuprenorphine (Buprenex,Subutex).
Ifyou areusing anyof thesedrugs, youmay notbe ableto useoxycodone, oryou mayneed dosageadjustments orspecial testsduring treatment.
This listis notcomplete andthere maybe otherdrugs thatcan interactwith oxycodone.
This includesvitamins, minerals,herbal products,and drugsprescribed byother doctors.
Do notstart usinga newmedication withouttelling yourdoctor.
Youmay notbe ableto takemedication thatcontains acetaminophen.
Keep trackof howmany tabletshave beenused fromeach newbottle ofthis medicine.
Hydrocodone isa drugof abuseand youshould beaware ifany personin thehousehold isusing thismedicine improperlyor withouta prescription.
Never takemore Lortabthan isprescribed.
Tellyour doctorif themedicine seemsto stopworking aswell inrelieving yourpain.
Hydrocodoneis ina groupof drugscalled narcoticpain relievers.
It issimilar tocodeine.
Acetaminophenis aless potentpain relieverthat increasesthe effectsof hydrocodone.
The combinationof acetaminophenand hydrocodoneis usedto relievemoderate tosevere pain.
Lortab mayalso beused forpurposes otherthan thoselisted inthis medicationguide.
Beforeusing Lortab,tell yourdoctor ifyou areallergic toany drugs,or ifyou have:asthma, COPD,sleep apnea,or otherbreathing disorders;underactive thyroid;a historyof headinjury orbrain tumor;epilepsy orother seizuredisorder; lowblood pressure;gallbladder disease;Addison's diseaseor otheradrenal glanddisorders; enlargedprostate, urinationproblems; mentalillness; ora historyof drugor alcoholaddiction.
Ifyou haveany ofthese conditions,you maynot beable touse Lortab,or youmay needa dosageadjustment orspecial testsduring treatment.
Keep trackof howmany tabletshave beenused fromeach newbottle ofthis medicine.
Hydrocodone isa drugof abuseand youshould beaware ifany personin thehousehold isusing thismedicine improperlyor withouta prescription.
Use thismedication exactlyas itwas prescribedfor you.
Do notuse themedication inlarger amounts,or useit forlonger thanrecommended byyour doctor.
Follow thedirections onyour prescriptionlabel.
Ifyour medicinecontains 650mg ofacetaminophen ormore pertablet, takeno morethan 5tablets in24 hours.
If yourmedicine contains500 mgor lessof acetaminophen,take nomore than8 tabletsin 24hours.
Tellyour doctorif themedicine seemsto stopworking aswell inrelieving yourpain.
Ifyou needto haveany typeof surgery,tell thesurgeon aheadof timethat youare usingLortab.
Youmay needto stopusing themedicine fora shorttime.
SinceLortab issometimes usedas needed,you maynot beon adosing schedule.
If youare takingthe medicationregularly, takethe misseddose assoon asyou remember.
If itis almosttime forthe nextdose, skipthe misseddose andwait untilyour nextregularly scheduleddose.
Donot useextra medicineto makeup themissed dose.
Avoid usingother medicinesthat makeyou sleepy(such ascold medicine,pain medication,muscle relaxers,and medicinefor seizures,depression oranxiety).
Theycan addto sleepinesscaused byhydrocodone, whichcould resultin extremedrowsiness orcoma.
Lessserious sideeffects aremore likelyto occur,such as:constipation; urinatingless thanusual; nausea,vomiting, lossof appetite;dizziness, headache;or itching.
Side effectsother thanthose listedhere mayalso occur.
Talk toyour doctorabout anyside effectthat seemsunusual orthat isespecially bothersome.
Before takingthis medication,tell yourdoctor ifyou areusing anyof thefollowing drugs:an MAOinhibitor suchas isocarboxazid(Marplan), phenelzine(Nardil), rasagiline(Azilect), selegiline(Eldepryl, Emsam),or tranylcypromine(Parnate); orantidepressants suchas amitriptyline(Elavil, Etrafon),amoxapine (Ascendin),clomipramine (Anafranil),desipramine (Norpramin),imipramine (Janimine,Tofranil), nortriptyline(Pamelor), protriptyline(Vivactil), ortrimipramine (Surmontil).
If youare usingany ofthese drugs,you maynot beable touse Lortab,or youmay needdosage adjustmentsor specialtests duringtreatment.
Theremay beother drugsnot listedthat canaffect Lortab.
This includesvitamins, minerals,herbal products,and drugsprescribed byother doctors.
Do notstart usinga newmedication withouttelling yourdoctor.
Otherbrand orgeneric formulationsmay alsobe available.
Ask yourpharmacist anyquestions youhave aboutthis medication,especially ifit isnew toyou.
Version:7.02. Revisiondate: 8/24/062:59:34 PM.
Your kidneyor liverfunction mayalso needto betested.
Donot missany scheduledvisits toyour doctor.
There aremany othermedicines thatcan interactwith methotrexate.
This includesvitamins, minerals,herbal products,and drugsprescribed byother doctors.
Do notstart usinga newmedication withouttelling yourdoctor.
Keepa listwith youof allthe medicinesyou useand showthis listto anydoctor orother healthcareprovider whotreats you.
Methotrexate interfereswith thegrowth ofcertain cellsof thebody, especiallycells thatreproduce quickly,such ascancer cells,bone marrowcells, andskin cells.
Methotrexate isused totreat certaintypes ofcancer ofthe breast,skin, headand neck,or lung.
Methotrexate isalso usedto treatsevere psoriasisand rheumatoidarthritis.
Methotrexateis usuallygiven afterother medicationshave beentried withoutsuccessful treatmentof symptoms.
Methotrexate mayalso beused forpurposes otherthan thoselisted inthis medicationguide.
Methotrexateis sometimesused totreat cancereven whenpatients dohave oneof theconditions listedabove.
Yourdoctor willdecide ifthis treatmentis rightfor you.
Before usingmethotrexate, tellyour doctorif youare allergicto anydrugs, orif youhave: kidneydisease; liverdisease; lungdisease orpneumonia; stomachulcers; anytype ofinfection; orif youare receivingradiation treatments.
If youhave anyof theseconditions, youmay notbe ableto usemethotrexate, oryou mayneed adosage adjustmentor specialtests duringtreatment.
Usebirth controlto preventpregnancy whileyou areusing methotrexate,whether youare aman ora woman.
Methotrexate useby eitherparent maycause birthdefects.
Beforeyou starttaking methotrexate,your doctormay wantyou tohave apregnancy testto makesure youare notpregnant.
Olderadults maybe morelikely tohave sideeffects fromthis medication.
Take thismedication exactlyas itwas prescribedfor you.
Do nottake themedication inlarger amounts,or takeit forlonger thanrecommended byyour doctor.
Follow thedirections onyour prescriptionlabel.
Thismedication comeswith patientinstructions forsafe andeffective use.
Follow thesedirections carefully.
Ask yourdoctor orpharmacist ifyou haveany questions.
It isimportant touse methotrexateregularly toget themost benefit.
Get yourprescription refilledbefore yourun outof medicinecompletely.
Tobe surethis medicationis notcausing harmfuleffects, yourblood willneed tobe testedon aregular basis.
Your kidneyor liverfunction mayalso needto betested, andyou mayneed anoccasional liverbiopsy.
Donot missany scheduledvisits toyour doctor.
Call yourdoctor ifyou missa doseof methotrexate.
Symptoms ofa methotrexateoverdose mayinclude paleskin, easybruising orbleeding, unusualweakness, mouthsores, nausea,vomiting, blackor bloodystools, coughingup bloodor vomitthat lookslike coffeegrounds, andurinating lessthan usualor notat all.
Keep usingmethotrexate andtalk toyour doctorif youhave anyof theseless seriousside effects:nausea, vomiting,upset stomach;dizziness, tiredfeeling; headache;bleeding ofyour gums;or blurredvision.
Sideeffects otherthan thoselisted heremay alsooccur.
Talkto yourdoctor aboutany sideeffect thatseems unusualor thatis especiallybothersome.
Ifyou areusing anyof thesedrugs, youmay notbe ableto usemethotrexate, oryou mayneed dosageadjustments orspecial testsduring treatment.
There maybe otherdrugs notlisted thatcan affectmethotrexate.
Thisincludes vitamins,minerals, herbalproducts, anddrugs prescribedby otherdoctors.
Donot startusing anew medicationwithout tellingyour doctor.
Methotrexate isavailable witha prescriptionunder thebrand namesRheumatrex andTrexall.
Otherbrand orgeneric formsmay alsobe available.
Ask yourpharmacist anyquestions youhave aboutthis medication,especially ifit isnew toyou.
Ifthis happensto you,stop takingLunesta andtalk withyour doctorabout anothertreatment foryour sleepdisorder.
Youmay havewithdrawal symptomsif youstop takingLunesta aftertaking itover severaldays ina row.
Do notstop takingLunesta suddenlywithout firsttalking toyour doctor.
You mayneed touse lessand lessbefore youstop themedication completely.
Lunesta isa sedative,also calleda hypnotic.
It affectschemicals inyour brainthat maybecome unbalancedand causesleep problems(insomnia).
Lunestais usedto treatinsomnia.
Thismedication causesrelaxation tohelp youfall asleepand stayasleep.
Lunestamay alsobe usedfor purposesother thanthose listedin thismedication guide.
Some peopleusing thismedicine haveengaged inactivity suchas driving,eating, ormaking phonecalls andlater havingno memoryof theactivity.
Ifthis happensto you,stop takingLunesta andtalk withyour doctorabout anothertreatment foryour sleepdisorder.
Beforetaking Lunesta,tell yourdoctor ifyou areallergic toany drugs,or ifyou have:lung diseasesuch asasthma, bronchitis,emphysema, orchronic obstructivepulmonary pulmonarydisease (COPD);a historyof depression,mental illness,or suicidalthoughts; ora historyof drugor alcoholaddiction.
Ifyou haveany ofthese conditions,you maynot beable touse Lunesta,or youmay needa dosageadjustment orspecial testsduring treatment.
The sedativeeffects ofLunesta maybe strongerin olderadults.
Accidentalfalls arecommon inelderly patientswho takesedatives.
Usecaution toavoid fallingor accidentalinjury whileyou aretaking Lunesta.
Take thismedication exactlyas itwas prescribedfor you.
Do nottake themedication inlarger amounts,or takeit forlonger thanrecommended byyour doctor.
Follow thedirections onyour prescriptionlabel.
TakeLunesta onlyif youare ableto geta fullnight's sleepbefore youmust beactive again.
Never takethis medicationduring yournormal wakinghours, unlessyou haveat least8 hoursto dedicateto sleeping.
This willmake itharder foryour bodyto absorbthe medication.
You mayhave withdrawalsymptoms ifyou stoptaking Lunestaafter takingit overseveral daysin arow.
Don