Aug
1
Cholestyramine
August 1, 2009 | Leave a Comment
Generic Name
Cholestyramine (kol-es-TYE-rah-meen) 0
Brand Names
LoCHOLEST Questran
LoCHOLEST Light Questran Light Prevalite
The information in this profile also applies to the following drugs:
Generic Ingredient: Colesevelam Hydrochloride WelChol
Generic Ingredient: Colestipol Hydrochloride Colestid
Type of Drug
Anti -hyperli pidemic (blood-fat reducer).
Prescribed For
High blood-cholesterol levels; generalized itching associated with bile duct obstruction—cholestyramine only; colitis; digitalis or thyroid overdose; and pesticide poisoning.
General Information
Cholestyramine resin lowers blood-cholesterol levels by absorbing bile acids in the bowel. Since the body uses cholesterol to make the bile acids—needed to digest fat—fat digestion can only continue by making more bile acid from blood cholesterol. This results in lower blood-cholesterol levels 4-7 days after starting cholestyramine.
Cholestyramine w3Cks entirely Within the bowel and is never absorbed into the bloodstream. Though usually given 3-4 times a day, there appears to be no advantage to taking it more often than twice a day. The cholesterol-lowering effect of cholestyramine may be increased when it is taken with an HMG-CoA inhibitor or nicotinic acid. In some kinds of hyperlipidemia, colestipol may be more effective in lowering total blood cholesterol than clofibrate.
Cautions and Warnings
Do not use cholestyramine if you are allergic or sensitive to any of its ingredients or if your bile duct is blocked. The powder form should not be taken dry; doing so may result in the inhalation of powder into your lungs or a clogged esophagus.
If you are being treated for hypothyroidism, diabetes, kidney or blood vessel disorder, obstructive liver disease, or alcholism, consult your doctor before taking cholestyramine.
Cholestyramine may cause or worsen constipation and hemorrhoids. Most constipation is mild, but some people may need to stop the medication or take less of it.
Possible Side Effects
✓ Most common: constipation, which may be severe and in rare cases result in bowel impaction. Hemorrhoids may be worsened.
♦ Less common: abdominal pain and bloating, and bleeding disorders or black-and-blue marks due to interference with the absorption of vitamin K, a necessary factor in the blood clotting process. One person developed night-blindness because the medication interfered with vitamin A absorption into the blood. Other side effects include belching, gas, nausea, vomiting, diarrhea, heartburn, and appetite loss. Your stool may have an unusual appearance because of a high fat level.
✓ Rare: Rare side effects can affect your mouth, stomach and intestines, muscles and joints, mental status, urinary tract, and breathing. Contact your doctor if you experience any side effect not listed above.
Drug Interactions
O Cholestyramine interferes with the absorption of virtually all oral drugs, including acetaminophen, amiodarone, aspirin, cephalexin, chenodiol, clindamycin, clofibrate, contraceptive drugs, corticosteroids, diclofenac, iopanoic acid, iron, digitalis drugs, furosemide, gemfibrozil, glipizide, hydrocortisone, imipramine (an antidepressant), methyldopa, mycophenolate, nicotinic acid, penicillin, phenobarbital, phenytoin, piroxicam, propranolol, tetracycline, thiazide diuretics, thyroid drugs, tolbutamide, trimethoprim, ursodiol, warfarin and other anticoagulant (blood-thinning) drugs, and vitamins A, D, E, and K. Take other medications at least 1 hour before or 4-6 hours after taking cholestyramine.
Food Interactions
Take this medication before meals. The powder may be mixed with soda, water, juice, cereal, or pulpy fruits, such as applesauce or crushed pineapple. Cholestyramine bars should be thoroughly chewed and taken with plenty of fluids. Colestipol pills are swallowed whole.
Usual Dose
Cholestyramine: 4 g (1 packet) or 1 level scoopful taken 1-2 times a day or up to 6 times a day.
Colesevelam: 6 tablets once a day or in 2 divided doses. Colestipol: 2-16 g (1-6 packets) once a day or in divided doses.
Overdosage
The most severe effect of overdose is obstruction of the gastrointestinal tract. Take the overdose victim to a hospital emergency room. ALWAYS bring the prescription bottle or container.
Special Information
Do not swallow the granules or powder in their dry form. Prepare each packet of powder by mixing it with soup, cereal, or pulpy fruit or by adding the powder to a 6-oz. glass of liquid, such as a carbonated beverage. If some of the drug sticks to the sides of the glass, rinse it with liquid and drink the remainder.
Constipation, gas, nausea, and heartburn may occur and then disappear with continued use of this medication. If constipation is a problem, your doctor may recommend drinking more fluids and taking a fiber supplement. Call your doctor if these side effects persist or if you develop unusual problems such as bleeding from the gums or rectum.
If you miss a dose of cholestyramine, skip it and continue with your regular scheduke. Do not take a double dose.
Special Populations
Pregnancy/Breast-feeding: While cholestyramine does not affect the fetus directly, it may prevent the absorption of vitamins A, D, and E and other nutrients essential to the fetus’ proper development–even when you take, a prenatal vitamin supplement.
When this drug is considered crucial by your doctor, its potential benefits must be carefully weighed against its risks.
Cholestyramine is not absorbed into the body. However, reduced absorption of vitamins A, D, and E and other nutrients may make your milk less nutritious. Nursing mothers who must take cholestyramine should use infant formula.
Seniors: Seniors are more likely to experience side effects, especially those relating to the bowel.
Aug
1
Cevimeline
August 1, 2009 | Leave a Comment
Generic Name
Cevimeline (seh-VIM-ih-lene) 9
Brand Name Evoxac
Type of Drug Cholinergic.
Prescribed For
Dry mouth in people with syndrome.
General Information
Sj6gren’s syndrome jS a group 0j symptoms related to a lack of bodily secretions. People with this condition have very dry eyes and mucous membranes, facial lesions, and neck swelling. It often occurs in menopausal woman and is often associated with rheumatoid arthritis, poor blood circulation in the legs, and tooth decay. Cevimeline increases secretions in the mouth by binding to specific nervous system receptors and causing the release of more saliva.
Cautions and Warnings
Do not take cevimeline if you are allergic or sensitive to any of its
ingredients.
This drug may make breathing more difficult and worsen lung conditions such as asthma, chronic bronchitis, or chronic obstructive pulmonary disease (COPD).
Eye conditions like glaucoma or inflammation of the iris may be worsened by cevimeline.
Cevimeline may affect the heart, and some people with severe heart disease, including those with a history of severe angina or heart attack, may not be able to compensate for this effect.
Cevimeline may worsen gallstones and kidney stones and should be avoided by people with a history of these conditions.
Cevimeline may cause visual blurring, especially at night.
Possible Side Effects
✓ Most common: excessive sweating, headache, nausea, sinus irritation, respiratory infection, runny nose, and diarrhea.
✓ Common: upset stomach, abdominal pains, urinary infection, coughing, and sore throat.
✓ Less common: vomiting, back pain, injury, rash, conjunctivitis (pinkeye), dizziness, bronchitis, severe joint pain, fatigue, bone pain, sleeplessness, hot flushes, excess salivation, chills, and anxiety.
✓ Rare: frequent urination, weakness, and flushing. Other rare side effects can occur in almost any part of the body. Contact your doctor if you experience any side effect not listed above.
Drug Interactions
• Combining cevimeline with a beta blocker can lead to heart rhythm disturbances.
• Cevimeline may interfere with the effects of anticholinergics, found in Some medications for abdominal or stomach spasms or cramps.
• Cholinergics such as bethanechol, donepezil, physostigmine, pilocarpine, and pyridostigmine can add to the effects of cevimeline.
• Some drugs may interfere with the breakdown of cevimeline in the liver, increasing the chance of drug side effects. These include amiodarone, celecoxib, chlorpheniramine, cimetidine, ciprofloxacin, clarithromycin, clomipramine, cocaine, diltiazem, erythromycin, fluconazole, fluoxetine, halofantrine, indinavir, itraconazole, ketoconazole, methadone, mibefradil, nelfinavir, paroxetine, quinidine, ranitidine, ritonavir, saquinavir, and terbinafine.
Food Interactions
Grapefruit juice may interfere with the breakdown of cevimeline in the liver, increasing the chance of drug side effects. Food interferes with the absorption of cevimeline into the bloodstream. Take this drug on an empty stomach.
Usual Dose
Adult: 30 mg 3 times a day. Child: not recommended.
Overdosage
Overdose symptoms can include exaggerated drug side effects including headache, visual impairment, excess tearing and/or sweating, difficulty breathing, stomach or intestinal spasms, nausea, vomiting, diarrhea, changes in heart rhythm, blood pressure changes, shock, mental confusion, and tremors. Overdose victims should be taken to a hospital emergency room. ALWAYS bring the prescription bottle or container.
Special Information
cevimeline may cause blurred vision, possibly interfering with driving or performing tasks that require reliable vision, especially at night or in low light.
If you sweat excessively while taking cevimeline, be sure to drink a lot of water. Excessive sweating can lead to dehydration.
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose.
Special Populations
Pregnancy/Breast-feeding: Pregnant women should take cevimeline only if it is considered crucial by your doctor, since its effect on the developing fetus is not known.
It is not known if cevimeline passes into breast milk, but nursing mothers who must take this drug should consider using infant formula.
Seniors: Older adults should be cautious about using this drug because of its possible effects on the kidney, liver, and heart, and on other diseases or medications.
Jul
15
The Prostate in Sexual Activity.
July 15, 2009 | Leave a Comment
The Prostate in Sexual Activity
The prostate is part of the male reproductive system and supplies part of the seminal fluid viagra and oxycodone . It is not essential for the
man’s sexuality, though, nor even for his ability to reproduce ezetimibe simvastatin lawsuit .
When a man’s prostate is removed, male sexuality is not normally affected ripped fuel testosterone booster . His sex drive is intact, and his ability to
achieve and maintain an erection is unchanged caffeine free pepsi one .
SEMINAL FLUID
Sperm makes up only a small part of the seminal (laid asprin ec 8 . In fact most of the fluid you ejaculate isn’t sperm at all seroquel negative side effects . Most
of the fluid consists mainly of secretions from a number of glands promethazine hcl and codeine phosphate syrup . The largest of these glands is the prostate lithium hydrated .
‘The various secretions from these glands probably serve the purpose of providing the sperm with a greater motility after
they have been ejaculated, which stimulates their activity and enables them to move towards the egg get rid of caffeine jitters .
It is thought by some people that the prostate also has a lot to do with the feeling that an orgasm gives you boniva model . When a man
has an orgasm, sperm fluid from the seminal vesicles and the secretions from the prostate all mix together as semen at
the top of the urethra, just below the bladder xanax and zyrtec . A man gets an intensely pleasurable sensation when the semen floods down
the urethra into the penis erythromycin in dogs . He also gets a pleasurable feeling when the semen squirts out of the penis and into the tight
region of a woman’s vagina casa allegra rockport tx . The prostate gland can be felt, as a man’s orgasm proceeds, to contract i-liythmically, which
some people believe to be very much an integral part of the pleasure he experiences on orgasm side effects celexa long term use .
What prostate fluid contains
• Water penicillin and bismuth .
• Salts steroid and benzoyl peroxide .
• Minerals labetalol for treating pregnancy induced hypertension .
• Proteins azithromycin and eating .
• Antibodies lamictal and libido .
• Enzymes prevacid for toddlers .
• Citric acid wellbutrin withdraw .
• Fats buy domain fioricet tramadol .
• Prostaglandins, which are hormone-like chemicals omeprazole sa 20mg .
PROSTATIC DISEASE
Prostatic disease can have an effect not only on the urinary system, but also on the reproductive system seroquel prescription . The male
reproductive and urinary systems are, of course, closely linked, if only because they share the same exit route - the
penis - or, to be more exact, the urethra which runs through the centre of the penis testosterone normal range .
The prostate gland is the site at which the male sex hormone testosterone, which is made by the testicles, is broken
down clomid and robitussin . It is here that it then forms another hormone called dihydrotestosterone (DHT) abilify rx . The conversion is controlled by an
enzyme called 5-alphareductase biaxin side effects in children .
Ina study conducted by Imperato-McGinley (Science, 1974), the males in an obscure tribe in the Dominican Republic are
deficient in 5-alpha-reductase and are often mistaken for girls until they reach puberty enalapril and muscle pain . Until then, they have a very
small penis and scrotum, which suddenly enlarge at puberty, along with the development of a deep voice angiomyolipoma finasteride . These males only
ever develop a very small prostate gland, they never go bald, and they do not suffer from acne check the price on plavix medicine .
It is this genetic deficiency in 5-alpha-reductase that has enabled researchers to comprehend the role played by
dihydrotestosterone in the enlargement of the prostate gland lamictal 2006 .
Testosterone
As well as prostate enlargement, the male hormone testosterone also has several other effects on the male body digoxin level after digibind pharmacokinetics .
These include the following:
• The growth of the penis how viagra works in the body .
• The growth of testes body resisting coumadin .
• The production of sperm
• A deeper voice amiodarone and thyroid function .
• The growth of facial and body hair preventative risperdal .
• The male sex drive cialis generic pills .
• Bone growth hair loss information propecia propecia .
• Strength pseudoephedrine hydrochloride .
• Acne erythema multiforme bupropion .
• Baldness
A MAN’S GREATEST FEARS
One of man’s greatest fears on seeing a urologist and considering the prospect of a prostatectomy is what effect this
will have on his sexuality allegra gomez . The idea of having any sexual organ tampered with by a surgeon is very frightening for most
men, who worry that it may have a deleterious effect on their sex lives allegra hotel golden sands .
Many men are so frightened that their prostate problems will affect their sex lives, particularly if they have to have an
operation, that they put off going to the doctor gastroparesis caused by prozac . And even when they do eventually go to the doctor, they may be too
embarrassed to discuss sexual matters generic cialis viagra caverta buy online . Sex is something that all too many men find difficult -if not impossible - to talk
about with their doctor zyprexa and parkinson’s disease symptoms .
But this is foolish ibuprofen therapy for dogs . It is only by talking the matter over with their doctor that they will find their fears were
groundless and that they can therefore be reassured naproxen while pregnant .
The doctor’s role
To make matters worse, some doctors and urologists are sometimes insensitive on this subject metformin side effects sleeping problems . It is quite wrong of them
to assume that their patients are too old to be interested in sex tocicity of ibuprofen . Sex can play an important role in the lives of many
rnen until well into old age, and they should treat their fears as real and serious lexapro concerta interactions .
A inan who is due to have a prostatectomy should not just fret about this in secret, he should talk to his doctors about
it - his GP, his consultant, his surgeon gabapentin 100mg tablets picture . Most importantly, the doctor should respect his fears, and him for coming to
air them with him bupropion hcl sulfa .
It’s not easy for any man to do this, and if he succeeds in overcoming his reluctance to do so, the doctor should
recognise what that has cost him altace blood pressure medicine side effects . If the doctor reacts badly, it might have catastrophic effects: it might just send him
scuttling back to his burrow, his pride injured, and he might never be able to take the risk again asprin and alzhiemer .
Only when both doctor and patient can talk about this calmly, sensibly, realistically, will the patient be reassured that
it will have no effect on his sexuality - neither on his libido, nor his ability to obtain or maintain an erection, nor
on his performance lexapro morning or night .
Retrograde ejaculation
What it may well do, however, is cause him to be infertile after the operation (see Chapters 7 and 
dostinex and bodybuilding .
Even a man who has no intention of becoming a father again may find the idea of losing his potential to be a father very
distressing cube carisoprodol . A man may find this emasculating, as if it were questioning his manhood methotrexate liver cancer . He’s only lost his ability to
procreate, not his sexuality, but this can have a devastating effect on him angle closure glaucoma from topamax . This is reminiscent of a woman who regrets
the loss of her womb after a hysterectomy, even though she is beyond childbearing, and feels she has lost her femininity prevacid 15 mg .
A doctor should have the sensitivity to talk to his patient about this dilantin and keppra combined . Only with patience and understanding can he help
him come to terms with his feelings of fear and loss following beverages originally contained lithium salts .
Retrograde ejaculation will not make a man impotent, nor - in most cases - will it prevent him from having orgasms heart attacks and plavix . It
will, however, make the sensation of orgasm a different one - and, in all honesty, probably not as good a one aldactone pharmacia . Some
women, too, are disappointed by the new feeling of a ‘dry’ climax in their male partner terazosin diarrhea .
These changes in a man’s sexuality should be addressed beforehand metformin surgery . He should be told what to expect toprol side affects . A sensitive doctor
will also help a couple come to terms with their new-found sexuality lithium orotate alzheimer’s .
Impotence
It is possible, though by no means certain - nor even common -that prostatectomy may cause impotence tramadol al english . Some men are
frightened that it might have this effect, probably because they have heard tales of the old perineal prostate operation
(which is hardly ever done nowadays) or the radical prostatectomy in which the entire prostate, including the capsule in
which it is enclosed, is removed (sometimes performed for prostate cancer) kamagra leverans stockholm . In both these operations, the nerves
supplying the penis were sometimes cut, which led to a man’s impotentence hydroxyzine hcl 10 . 11′ these operations are done today, it is
usually -though not always - possible to avoid cutting these nerves diflucan cipro . The problem of impotence is therefore unlikely but
it may arise can minocycline cause weight gain .
If a man is very frightened that the operation may lead to impotence, he may actually experience a kind of psychological
impotence afterwards board carisoprodol direc dynu net href . This underlines how important it is for a man to be reassured before the operation propecia medica . If a
psychological problem does occur, a counsellor or sex therapist should be able to deal with it lamictal cause hair loss .
An excuse to avoid sex
In spite of all the evidence that prostate surgery has no effect at all on a man’s sexuality (other than retrograde
ejaculation), it does occasionally seem to happen which works better motrin or darvocet . An obvious explanation for this is that some men may use surgery as an
excuse to avoid sex, which they had stopped enjoying ages ago anyway demadex 1 mg . Occasionally, if a man is not in very good health,
a prostate operation - which is, after all, a major operation requiring a long convalescence period - may be enough to
push his sexuality over the edge ranitidine drug class .
Generally, though, most men do not have any problems with their sex lives after the operation can zyrtec raise blood pressure . In fact, a man may
actually find that his sex life has greatly improved since he had his prostatectomy, if only because he now has full
control of his bladder adderal prozac combination .
AN EROGENOUS ZONE
Some people believe that the prostate gland is a highly erogenous zone and that awareness of this can greatly heighten a
man’s sexual pleasure breastfeeding levoxyl cranio .
Many sex therapists consider that the man’s prostate gland is the equivalent to a woman’s G-spot compazine suppository . In fact the female
G-spot and the male prostate gland are located in very much the same position heart problems and imitrex .
In order to find a man’s prostate gland, proceed in the following way:
• With the man lying face down on the bed, with a couple of pillows under his hips, insert a well-lubricated finger
into his rectum, palm facing downwards cyclosporine opthalmic .
• You should feel his prostate as a firm mass, about the size of a large chestnut diflucan safety . Stroke it with your fingers reaction to wellbutrin .
• Be guided by what he tells you erythromycin op oin fougera . This should feel very pleasurable and produce intense sexual sensations soma listening . Ask him
how it feels, and do what he likes best zyprexa lilly can you break .
• Keep on stroking his prostate until he ejaculates how does brethine stop labor . Many men ejaculate while this is being done without ever
having an erection depo provera health risks .
• An alternative position to this is with the man on his back and his legs drawn right up hydrochlorothiazide and depression . In this position, the prostate
can be felt on the front wall of the rectum nexium ec .
A woman’s objections
Some women object to doing this to their lover because they are frightened that it will be messy over night tramadol . It may be, but the
lower part of the rectum is usually empty anyway, so there should not be a problem ramipril slows .
One way of dealing with this is for the woman to use a latex finger stall, which is available from the chemist to cover a
finger that has an open wound on it how do i purchace viagra . This is intended to keep the finger waterproof side effect nightmares paroxetine .
Whatever you use - a naked finger or a finger with a finger stall -you should wash it carefully afterwards lovastatin anger effects . The anus is a
breeding ground for bacteria, and it pays to be careful about hygiene prevacid sexual side affects .
Some women are frightened that they might hurt their lover when they do this does white chocolate have caffeine . It is true that the anal area is very
sensitive and they should therefore always be careful tetracycline dose acne . They should, in particular, make sure that they do not have a
sharp or jagged nail on the finger they use to do this cymbalta night sweats .
They should be careful, too, not do this if they have any open cuts on the finger used, in case of the transmission of
HIV or hepatitis B mixing imitrex with crack cocaine .