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Avalide (Irbesartan + Hydrochlorothiazide)

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Avalide (Irbesartan + Hydrochlorothiazide) is used for treating high blood pressure. Avalide (Irbesartan + Hydrochlorothiazide) is a combination angiotensin II receptor blocker and diuretic. The angiotensin II receptor blocker works by relaxing the blood vessels. Exactly how the diuretic works to decrease blood pressure is unknown but it helps the kidneys to eliminate fluid and sodium from the body.

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About Avalide (Irbesartan + Hydrochlorothiazide):

Product Type: Blood Pressure

Brand name: Avalide Generic name: Irbesartan + Hydrochlorothiazide Avalide (Irbesartan + Hydrochlorothiazide) is used for: Treating high blood pressure. It may also be used for other conditions as determined by your doctor. Avalide (Irbesartan + Hydrochlorothiazide) is a combination angiotensin II receptor blocker and diuretic. The angiotensin II receptor blocker works by relaxing the blood vessels. Exactly how the diuretic works to decrease blood pressure is unknown but it helps the kidneys to eliminate fluid and sodium from the body. Do NOT use Avalide (Irbesartan + Hydrochlorothiazide) if: • you are allergic to any ingredient in Avalide (Irbesartan + Hydrochlorothiazide) or to any other sulfonamide medicine (eg sulfamethoxazole) • you are pregnant • you have severe kidney problems or are unable to urinate • you are taking dofetilide or ketanserin Contact your doctor or health care provider right away if any of these apply to you. Before using Avalide (Irbesartan + Hydrochlorothiazide): Some medical conditions may interact with Avalide (Irbesartan + Hydrochlorothiazide). Tell your doctor or pharmacist if you have any medical conditions especially if any of the following apply to you: • if you are planning to become pregnant or are breast-feeding • if you are taking any prescription or nonprescription medicine herbal preparation or dietary supplement • if you have allergies to medicines foods or other substances • if you have ever had a severe reaction (eg swelling of the hands face lips eyes throat or tongue; trouble swallowing or breathing; hoarseness) after taking any other angiotensin II receptor blocker or an angiotensin converting enzyme (ACE) inhibitor (eg captopril) • if you are dehydrated; have low blood volume; have low blood sodium chloride potassium or magnesium levels; or have high blood calcium levels • if you have asthma; diabetes; gout; heart problems (eg congestive heart failure); liver gall bladder or kidney problems; high blood cholesterol or lipid levels; or systemic lupus erythematosus • if you have recently had nerve surgery Some MEDICINES MAY INTERACT with Avalide (Irbesartan + Hydrochlorothiazide). Tell your health care provider if you are taking any other medicines especially any of the following: • Dofetilide or ketanserin because the risk of irregular heartbeat may be increased • Adrenocorticotropic hormone (ACTH) barbiturates (eg phenobarbital) corticosteroids (eg prednisone) diuretics (eg furosemide) narcotic pain medicines (eg morphine) or other medicines for high blood pressure because they may increase the risk of Avalide (Irbesartan + Hydrochlorothiazide)'s side effects • Cholestyramine colestipol or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg ibuprofen) because they may decrease Avalide (Irbesartan + Hydrochlorothiazide)'s effectiveness • Diazoxide digoxin lithium nondepolarizing muscle relaxants (eg tubocurarine) potassium or potassium-sparing diuretics (eg spironolactone) because risk of their side effects and toxic effects may be increased by Avalide (Irbesartan + Hydrochlorothiazide) • Diabetes medicine (eg glipizide metformin) insulin or pressor amines (eg norepinephrine) because their effectiveness may be decreased by Avalide (Irbesartan + Hydrochlorothiazide) This may not be a complete list of all interactions that may occur. Ask your health care provider if Avalide (Irbesartan + Hydrochlorothiazide) may interact with other medicines that you take. Check with your health care provider before you start stop or change the dose of any medicine. How to use Avalide (Irbesartan + Hydrochlorothiazide): Use Avalide (Irbesartan + Hydrochlorothiazide) as directed by your doctor. Check the label on the medicine for exact dosing instructions. Check the label on the medicine for exact dosing instructions. • Avalide (Irbesartan + Hydrochlorothiazide) may be taken with or without food. • Drinking extra fluids while you are taking Avalide (Irbesartan + Hydrochlorothiazide) is recommended. Check with your doctor for instructions. • Avalide (Irbesartan + Hydrochlorothiazide) may increase the amount of urine or cause you to urinate more often when you first start taking it. To keep this from disturbing your sleep try to take your dose before 6 pm. • If you take cholestyramine or colestipol ask your doctor or pharmacist how to take it with Avalide (Irbesartan + Hydrochlorothiazide). • Continue to take Avalide (Irbesartan + Hydrochlorothiazide) even if you feel well. Do not miss any doses. • If you miss a dose of Avalide (Irbesartan + Hydrochlorothiazide) take it as soon as possible. If it is almost time for your next dose skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once. Ask your health care provider any questions you may have about how to use Avalide (Irbesartan + Hydrochlorothiazide). Important safety information: • Avalide (Irbesartan + Hydrochlorothiazide) may cause drowsiness dizziness or lightheadedness. These effects may be worse if you take it with alcohol or certain medicines. Use Avalide (Irbesartan + Hydrochlorothiazide) with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it. • Avalide (Irbesartan + Hydrochlorothiazide) may cause dizziness lightheadedness or fainting; alcohol hot weather exercise or fever may increase these effects. To prevent them sit up or stand slowly especially in the morning. Sit or lie down at the first sign of any of these effects. • Report any lightheadedness or fainting to your doctor immediately. Your risk of lightheadedness or fainting may be increased if you experience diarrhea vomiting excessive sweating if you do not drink enough fluids or if you are on a low-salt diet. • Patients who take medicine for high blood pressure often feel tired or run down for a few weeks after starting treatment. Be sure to take your medicine even if you may not feel normal. Tell your doctor if you develop any new symptoms. • Avalide (Irbesartan + Hydrochlorothiazide) may cause you to become sunburned more easily. Avoid the sun sunlamps or tanning booths until you know how you react to Avalide (Irbesartan + Hydrochlorothiazide). Use a sunscreen or wear protective clothing if you must be outside for more than a short time. • Tell your doctor or dentist that you take Avalide (Irbesartan + Hydrochlorothiazide) before you receive any medical or dental care emergency care or surgery. • If you have high blood pressure do not use nonprescription products that contain stimulants. These products may include diet pills or cold medicines. Contact your doctor if you have any questions or concerns. • Your doctor may have also prescribed a potassium supplement for you. If so follow the dosing carefully. Do not start taking additional potassium on your own or change your diet to include more potassium without first checking with your doctor. • Check with your doctor before you use a salt substitute or a product that has potassium in it. • Diabetes patients — Avalide (Irbesartan + Hydrochlorothiazide) may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine. • Avalide (Irbesartan + Hydrochlorothiazide) may raise your blood sugar. High blood sugar may make you feel confused drowsy or thirsty. It can also make you flush breathe faster or have a fruit-like breath odor. If these symptoms occur tell your doctor right away. • Avalide (Irbesartan + Hydrochlorothiazide) may interfere with certain lab tests including parathyroid function tests. Be sure your doctor and lab personnel know you are taking Avalide (Irbesartan + Hydrochlorothiazide). • Lab tests including kidney function blood pressure and blood electrolytes may be performed while you use Avalide (Irbesartan + Hydrochlorothiazide). These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments. • Use Avalide (Irbesartan + Hydrochlorothiazide) with caution in the ELDERLY; they may be more sensitive to its effects. • Avalide (Irbesartan + Hydrochlorothiazide) should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed. • PREGNANCY and BREAST-FEEDING: Avalide (Irbesartan + Hydrochlorothiazide) may cause birth defects or fetal death if you take it while you are pregnant. If you think you may be pregnant contact your doctor right away. Avalide (Irbesartan + Hydrochlorothiazide) is found in breast milk. Do not breast-feed while taking Avalide (Irbesartan + Hydrochlorothiazide). Possible side effects of Avalide (Irbesartan + Hydrochlorothiazide): All medicines may cause side effects but many people have no or minor side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome: • Dizziness; nausea; tiredness; vomiting. Seek medical attention right away if any of these SEVERE side effects occur: • Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth face lips or tongue); chest pain; confusion; decrease in sexual ability; depression; drowsiness; fainting; fast or irregular heartbeat; fever chills or persistent sore throat; decreased urination; hoarseness; muscle pain tenderness or cramps; red swollen blistered or peeling skin; restlessness; seizures; severe or persistent dry mouth; severe or persistent vomiting; shortness of breath; swelling of the arms or legs; unusual bruising or bleeding; unusual thirst; unusual tiredness or weakness; yellowing of the skin or eyes. If OVERDOSE is suspected: Symptoms may include confusion; fainting; fast slow or irregular heartbeat; severe or unusual dizziness. Proper storage of Avalide (Irbesartan + Hydrochlorothiazide): Store Avalide (Irbesartan + Hydrochlorothiazide) at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat moisture and light. Do not store in the bathroom. Keep Avalide (Irbesartan + Hydrochlorothiazide) out of the reach of children and away from pets

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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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