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Alphagan (Brimonidine)

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Alphagan (Brimonidine) is a selective alpha-2 adrenergic agonist used to treat glaucoma and excessive pressure in the eye. It may also be used to treat other conditions as determined by your doctor.

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About Alphagan (Brimonidine):

Product Type: Eye Drops

Brand name: Alphagan Generic name: Brimonidine What is the most important information I should know about Alphagan? • Before using brimonidine tell your doctor if you have heart disease high blood pressure or circulation problems. Also tell your doctor if you take any medications to treat these conditions. • Do not use Alphagan if you have taken a monoamine oxidase (MAO) inhibitor such as isocarboxazid (Marplan) phenelzine (Nardil) selegiline (Eldepryl) or tranylcypromine (Parnate) in the last 14 days. • If you wear contact lenses remove them before applying brimonidine. Ask your doctor if contact lenses can be reinserted after putting in the brimonidine eye drops. Alphagan may contain a preservative (benzalkonium chloride) that may cause discoloration of contact lenses. • Do not touch the dropper to any surface including the eyes or hands. If the dropper becomes contaminated it could cause an infection in your eye. What is Alphagan? • Alphagan lowers the amount of fluid inside your eyes and also helps the eyes drain fluid more effectively. • Alphagan is used to treat open-angle glaucoma or ocular hypertension (high pressure inside the eye). • Alphagan may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before using Alphagan? • Before using this medication tell your doctor if you have: kidney disease; liver disease; heart disease or high blood pressure; Raynaud's disease (poor circulation); Buerger's disease or Winiwarter-Buerger disease (circulation or blood vessel disorder especially in the legs); poor blood flow in the arteries of the heart or neck; dizziness; or depression. • If you have any of the conditions listed above you may not be able to use brimonidine or you may need a dosage adjustment or special tests during treatment. • Alphagan is in the FDA pregnancy category B. This means that it is not expected to be harmful to an unborn baby. Do not use this medication without telling your doctor if you are pregnant or plan to become pregnant during treatment. • It is not known whether brimonidine passes into breast milk. Do not use Alphagan without telling your doctor if you are breast-feeding a baby. How should I use Alphagan? • Use brimonidine exactly as your doctor has prescribed it for you. Do not use more of the medication than recommended. Do not use this medication for longer than your doctor has prescribed. • Wash your hands before using the eye drops. • If you wear contact lenses remove them before applying brimonidine. Ask your doctor if contact lenses can be reinserted after putting in the brimonidine eye drops. Alphagan may contain a preservative (benzalkonium chloride) that may cause discoloration of contact lenses. • To apply the eye drops: Tilt your head back slightly and pull down on the lower eyelid. Hold the dropper above the eye with the dropper tip down. Look up and away from the dropper. Squeeze out a drop and close your eye. Gently press your finger to the inside corner of the eye (near the nose) for about 1 minute to keep the liquid from draining into your tear duct. If you use more than one drop in the same eye wait about 5 minutes before putting in the next drop. • Alphagan is usually used three times a day. Follow your doctor's directions. • Do not touch the dropper to any surface including the eyes or hands. If the dropper becomes contaminated it could cause an infection in your eye. • Do not use the eye drops if the liquid changes colors or has particles in it. • Store the drops at room temperature away from heat and moisture. Keep the bottle tightly closed when not in use. What happens if I miss a dose? • Use the medication as soon as you remember. If it is almost time for the next dose skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose. What happens if I overdose? • Seek emergency medical attention if you think you have used too much of this medicine or if anyone has accidentally swallowed it. An overdose of this medication is unlikely to be harmful. What should I avoid while using Alphagan? • Brimonidine can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. • Avoid using other medications in your eyes during treatment with Alphagan unless your doctor has told you to. What are the possible side effects of Alphagan? • Stop using brimonidine and get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face lips tongue or throat. • Other less serious side effects may be more likely to occur. Continue to use brimonidine and talk to your doctor if you have: burning stinging or itching of the eye; blurred vision; redness or watering of the eye; sensitivity to light; swollen or puffy eyes; discharge from the eye; headache fatigue or dizziness; dry nose or mouth; or a change in taste. • Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect Alphagan? • Do not use Alphagan if you have taken a monoamine oxidase (MAO) inhibitor such as isocarboxazid (Marplan) phenelzine (Nardil) selegiline (Eldepryl) or tranylcypromine (Parnate) in the last 14 days. • Although drug interactions between Alphagan and drugs taken by mouth are not expected they can occur. Drugs that make you drowsy or dizzy such as sedatives sleeping pills antihistamines (allergy medicines) alcohol and pain relievers may cause excessive drowsiness if they are taken while using Alphagan. Also Alphagan may further slow your heart rate or lower your blood pressure if you also take medicines for heart disease or high blood pressure. • There may be other drugs not listed that can affect brimonidine. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins minerals herbal products and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Generic Alphagan (Brimonidine)

Iobrim Bromoxidine

5ml/2% 10 bottles 5ml/2% 2 bottles 5ml/2% 4 bottles 5ml/2% 3 bottles 5ml/2% 5 bottles Brimonidine Alphagan

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Discount Prescription Drugs & Pain Medicine: Anaprox (Naproxen) Anaprox (Naproxen) is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain and swelling (inflammation). It is also used to treat headaches muscle aches backaches etc. Buy Anaprox (Naproxen) and other Pain Medicine products online at Medstore. About Anaprox (Naproxen): Product Type: Pain Medicine Brand name: Anaprox Generic name: Naproxen What is anaprox? Naproxen is in a group of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs). Naproxen works by reducing hormones that cause inflammation and pain in the body. Naproxen is used to treat pain or inflammation caused by conditions such as arthritis ankylosing spondylitis tendinitis bursitis gout or menstrual cramps. Naproxen may also be used for purposes other than those listed in this medication guide. What is the most important information I should know about anaprox? This medicine can increase your risk of life-threatening heart or circulation problems including heart attack or stroke. This risk will increase the longer you use anaprox. Do not use this medicine just before or after having heart bypass surgery (also called coronary artery bypass graft or CABG). Seek emergency medical help if you have symptoms of heart or circulation problems such as chest pain weakness shortness of breath slurred speech or problems with vision or balance. This medicine can also increase your risk of serious effects on the stomach or intestines including bleeding or perforation (forming of a hole). These conditions can be fatal and gastrointestinal effects can occur without warning at any time while you are taking anaprox. Older adults may have an even greater risk of these serious gastrointestinal side effects. Call your doctor at once if you have symptoms of bleeding in your stomach or intestines. This includes black bloody or tarry stools or coughing up blood or vomit that looks like coffee grounds. Do not use any other over-the-counter cold allergy or pain medication without first asking your doctor or pharmacist. Many medicines available over the counter contain aspirin or other medicines similar to anaprox (such as ibuprofen or ketoprofen). If you take certain products together you may accidentally take too much of this type of medication. Read the label of any other medicine you are using to see if it contains aspirin ibuprofen or ketoprofen. Do not drink alcohol while taking anaprox. Alcohol can increase the risk of stomach bleeding caused by anaprox. Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Naproxen can make your skin more sensitive to sunlight and sunburn may result. What should I discuss with my healthcare provider before taking anaprox? Taking an NSAID can increase your risk of life-threatening heart or circulation problems including heart attack or stroke. This risk will increase the longer you use an NSAID. Do not use this medicine just before or after having heart bypass surgery (also called coronary artery bypass graft or CABG). NSAIDs can also increase your risk of serious effects on the stomach or intestines including bleeding or perforation (forming of a hole). These conditions can be fatal and gastrointestinal effects can occur without warning at any time while you are taking an NSAID. Older adults may have an even greater risk of these serious gastrointestinal side effects. Do not use this medication if you are allergic to anaprox or if you have a history of allergic reaction to aspirin or other NSAIDs. Before taking anaprox tell your doctor if you are allergic to any drugs or if you have: • a history of heart attack stroke or blood clot; • heart disease congestive heart failure high blood pressure; • a history of stomach ulcers or bleeding; • liver or kidney disease; • asthma; • polyps in your nose; • a bleeding or blood clotting disorder; or • if you smoke. If you have any of these conditions you may not be able to use anaprox or you may need a dosage adjustment or special tests during treatment. FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Taking anaprox during the last 3 months of pregnancy may result in birth defects. Do not take anaprox during pregnancy unless your doctor has told you to. Naproxen can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not give this medicine to a child younger than 2 years old without the advice of a doctor. How should I take anaprox? Take this medication exactly as directed on the label or as it has been prescribed by your doctor. Do not use the medication in larger amounts or use it for longer than recommended. EC-Naprosyn is a slower-acting form of anaprox and this brand should be used only for treating arthritis or ankylosing spondylitis. Follow your doctor's instructions. Do not crush chew or break an extended-release or enteric-coated tablet. Swallow the pill whole. The extended-release pill is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time. The enteric-coated pill has a special coating to protect your stomach. Breaking the pill could damage this coating. Shake the oral suspension (liquid) well just before you measure a dose. To be sure you get the correct dose measure the liquid with a marked measuring spoon or medicine cup not with a regular table spoon. If you do not have a dose-measuring device ask your pharmacist for one. If you take anaprox for a long period of time your doctor may want to check you on a regular basis to make sure this medication is not causing harmful effects. Do not miss any scheduled visits to your doctor. Store anaprox at room temperature away from moisture and heat. What happens if I miss a dose? Since anaprox is sometimes taken as needed you may not be on a dosing schedule. If you are taking the medication regularly take the missed dose as soon as you remember. If it is almost time for your next dose skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a anaprox overdose may include nausea vomiting stomach pain confusion drowsiness black or bloody stools coughing up blood shallow breathing fainting or coma. What should I avoid while taking anaprox? Do not use any other over-the-counter cold allergy or pain medication without first asking your doctor or pharmacist. Many medicines available over the counter contain aspirin or other medicines similar to anaprox (such as ibuprofen or ketoprofen). If you take certain products together you may accidentally take too much of this type of medication. Read the label of any other medicine you are using to see if it contains aspirin ibuprofen or ketoprofen. Do not drink alcohol while taking anaprox. Alcohol can increase the risk of stomach bleeding caused by anaprox. Avoid prolonged exposure to sunlight. Naproxen may increase the sensitivity of the skin to sunlight. Use a sunscreen and wear protective clothing when exposure to the sun is unavoidable. Naproxen side effects Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face lips tongue or throat. Stop taking anaprox and seek medical attention or call your doctor at once if you have any of these serious side effects: • chest pain weakness shortness of breath slurred speech problems with vision or balance; • black bloody or tarry stools; • coughing up blood or vomit that looks like coffee grounds; • swelling or rapid weight gain; • urinating less than usual or not at all; • nausea stomach pain low fever loss of appetite dark urine clay-colored stools jaundice (yellowing of the skin or eyes); • fever sore throat and headache with a severe blistering peeling and red skin rash; • bruising severe tingling numbness pain muscle weakness; or • fever headache neck stiffness chills increased sensitivity to light purple spots on the skin and/or seizure (convulsions). Keep taking anaprox and talk to your doctor if you have any of these less serious side effects: • upset stomach mild heartburn or stomach pain diarrhea constipation; • bloating gas; • dizziness headache nervousness; • skin itching or rash; • blurred vision; or • ringing in your ears. Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect anaprox? Before taking anaprox tell your doctor if you are taking any of the following drugs: • a blood thinner such as warfarin (Coumadin); • lithium (Eskalith Lithobid); • methotrexate (Rheumatrex Trexall); • diuretics (water pills) such as furosemide (Lasix); • steroids (prednisone and others); • aspirin or other NSAIDs (non-steroidal anti-inflammatory drugs) such as diclofenac (Cataflam Voltaren) etodolac (Lodine) flurbiprofen (Ansaid) indomethacin (Indocin) ketoprofen (Orudis) ketorolac (Toradol) mefenamic acid (Ponstel) meloxicam (Mobic) nabumetone (Relafen) piroxicam (Feldene) and others; or • an ACE inhibitor such as benazepril (Lotensin) captopril (Capoten) fosinopril (Monopril) enalapril (Vasotec) lisinopril (Prinivil Zestril) ramipril (Altace) and others. If you are using any of these drugs you may not be able to use anaprox or you may need dosage adjustments or special tests during treatment. There may be other drugs not listed that can affect anaprox. 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