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Epivir (Lamivudine)

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Epivir (Lamivudine) is a nucleoside analogue used with other medicines (such as zidovudine or ritonavir) to treat Human Immunodeficiency Virus infection (HIV).

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About Epivir (Lamivudine):

Product Type: Anti Viral

Brand name: Epivir Generic name: Lamivudine What is the most important information I should know about Epivir? • Before taking Epivir tell your doctor if you have kidney disease liver disease a pancreas disorder or problems with your muscles. • Call your doctor at once if you have liver problems while you are using Epivir. Symptoms to watch for include stomach pain nausea and vomiting low fever lost appetite dark urine clay-colored stools or jaundice (yellowing of the skin or eyes). • If you have hepatitis B you may develop liver symptoms after you stop taking Epivir even months after stopping. Your doctor may want to check your liver at regular visits for several months after you stop using this medication. Do not miss any scheduled visits. • Swelling of the pancreas (pancreatitis) may occur during treatment especially in children using Epivir. Call your doctor right away if you notice any of these symptoms of pancreatitis: sudden and severe pain in the upper middle or left side of your stomach nausea and/ or vomiting fever chills rapid pulse or stomach pain that gets worse after eating or when lying down flat. • Call your doctor at once if you have muscle pain or weakness numbness or tingling in any part of your body and nausea with vomiting. These could be signs of lactic acidosis. • Epivir tablets and liquid contain a higher dose of Epivir than Epivir-HBV. Epivir is for treating HIV and Epivir-HBV is for treating hepatitis B. Each time you get a refill of this medication be sure you have received the correct brand to treat your condition. What is Epivir? • Epivir is an antiviral medication. It is in a group of human immunodeficiency virus (HIV) medicines called reverse transcriptase inhibitors. Epivir helps keep the HIV virus from reproducing in the body. • The Epivir brand of Epivir is used to treat HIV which causes the acquired immunodeficiency syndrome (AIDS). Epivir is not a cure for HIV or AIDS. The Epivir-HBV brand of Epivir is used to treat chronic hepatitis B. • Epivir may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Epivir? • Before taking Epivir tell your doctor if you have: kidney disease; liver disease; pancreatitis; or problems with your muscles. • If you have any of the conditions listed above you may not be able to use Epivir or you may need a dosage adjustment or special tests during treatment. • If you have hepatitis B you may develop liver symptoms after you stop taking Epivir even months after stopping. Your doctor may want to check your liver at regular visits for several months after you stop using this medication. Do not miss any scheduled visits. • If you have diabetes you should know that the liquid forms of this medication contain 3 to 4 grams of sucrose (sugar) per dose. • Epivir is in the FDA pregnancy category C. This means that it is not known if it will be harmful to an unborn baby. Do not use this medication without telling your doctor if you are pregnant. It is very important to treat HIV/ AIDS during pregnancy to reduce the risk of infecting the baby. Tell your doctor if you become pregnant during treatment. • It is not known if Epivir passes into breast milk or if it could harm a nursing baby. Women with HIV or AIDS should not breast-feed. Even if your baby is born without HIV you may still pass the virus to the baby in your breast milk. How should I take Epivir? • Take this medication exactly as your doctor has prescribed it for you. Do not use more of the medication than recommended. Do not take Epivir for longer than your doctor has prescribed. • 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. • Epivir can be taken with or without food. • To ensure that you get a correct dose measure the liquid forms of Epivir with a special dose-measuring spoon or cup not with a regular table spoon. If you do not have a dose-measuring device ask your pharmacist for one. • Epivir tablets and liquid contain a higher dose of Epivir than Epivir-HBV. Epivir is for treating HIV and Epivir-HBV is for treating hepatitis B. Each time you get a refill of this medication be sure you have received the correct brand to treat your condition. • Treatment of HIV/ AIDS almost always requires using many medicines together. To best treat your condition use all of your medications as directed by your doctor. Do not change your doses or medication schedule without advice from your doctor. Every person with HIV or AIDS should remain under the care of a doctor. • To be sure this medication is helping your condition your blood will need to be tested on a regular basis. Your kidney or liver function may also need to be tested. It is important that you not miss any scheduled visits to your doctor. • Store this medication at room temperature away from moisture and heat. You may keep the oral solution (liquid) in the refrigerator but do not let it freeze. What happens if I miss a dose? • 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 the 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. The symptoms of a Epivir overdose are not known. What should I avoid while taking Epivir? • Avoid having unprotected sex or sharing needles razors or toothbrushes. Taking this medication will not keep you from passing HIV to other people. Talk with your doctor about safe methods of preventing HIV transmission during sex such as using a condom and spermicide. Sharing drug or medicine needles is never safe even for a healthy person. • Avoid drinking alcohol while taking Epivir. Alcohol may increase the risk of damage to your pancreas or liver. What are the possible side effects of Epivir? • Stop using Epivir 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. • Call your doctor at once if you have any problems with your liver while you are using Epivir. Symptoms to watch for include stomach pain nausea and vomiting low fever lost appetite dark urine clay-colored stools or jaundice (yellowing of the skin or eyes). • Swelling of the pancreas (pancreatitis) may occur during treatment with Epivir especially in children using this medication. Call your doctor right away if you notice any of these symptoms of pancreatitis: sudden and severe pain in the upper middle or left side of your stomach nausea and/ or vomiting fever chills rapid pulse or stomach pain that gets worse after eating or when lying down flat. • Call your doctor at once if you have any of these other serious side effects: lactic acidosis — muscle pain or weakness numb or tingly feeling and nausea with vomiting; signs of a new infection — fever chills body aches flu symptoms; or white patches or sores inside your mouth or on your lips. • Less serious side effects may be more likely to occur. Talk with your doctor if you have any of these side effects: changes in the shape or location of body fat (especially in your arms legs face neck breasts and trunk); sleep problems (insomnia) strange dreams; headache dizziness; or a runny or stuffy nose. • 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 Epivir? • Before taking Epivir tell your doctor if you are also taking zalcitabine (Hivid) or ribavirin (Rebetol Ribasphere Ribavirin Virazole). There may be other drugs that can affect Epivir. 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

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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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