Headache drugs brand names upset stomach Asthma liver disease problem prescription information high blood pressure Allergy Medications hospital emergency room Treatment generic name medication Ibuprofen Warnings drug interactions pregnancy Brand Name prostate gland blood dizziness doctor dose inflammation Prescribed GENERIC General Drug kidney Interactions drug interaction testosterone stomach zyrtec effectiveness kidney disease General Information dosage Nausea prostate cancer prostate rash
Archives
Recent Posts
Categories
Pages
- About My Pharmacy Data Blog

RSS

Aug

13

Ezetimibe - Famciclovir - Famotidine - Felbamate - Felodipine

August 13, 2009 | Leave a Comment

Ezetimibe (eh-HIHI-firri-ibe)
Brand Name Zetia
Combination Product
Generic Ingredients: Ezetimibe + Simvastatin Vytorin
Type of Drug
Cholesterol - lowering agent.
Prescribed For
High cholesterol, high LDL (”bad”) cholesterol, high triglycerides, and low HDL (”good”) cholesterol; also prescribed for two rare genetic disorders called homozygous familial hypercholesterolemia and homozygous sitosterolemia.
General Information
Unlike statin drugs, ezetimibe interferes with the absorption of cholesterol through the intestine and into the bloodstream. Ezetimibe may be helpful for people whose LDL (”bad”) cholesterol remains high despite treatment with a statin drug. Cholesterol-lowering medicines should always be used together with appropriate diet and exercise.
Ezetimibe may be taken alone but is often taken in combination with a statin drug (generally simvastatin). Vytorin is a brand-name combination of these 2 medications. See Stalin Cholesterol-Lowering Agents, page 1052.
Cautions and Warnings
Do not take this drug if you are allergic or sensitive to any of its ingredients.
People with liver disease or elevated liver enzyme measurements should not take ezetimibe because its effects on the liver are not known.
Ezetimibe does not slow hardening of the arteries.
There may be a risk of myopathy (skeletal muscle disorder) with ezetimibe; contact your doctor if you experience any unexplained muscle pain, tenderness, or weakness. Ezetimibe + simvastatin has the same effect as simvastatin alone; see Statin Cholesterol-Lowering Agents, page 1052.
Possible Side Effects
Ezetimibe side effects are similar to those reported by people taking a placebo (sugar pill).
V Most common: headache, back pain, joint pain, and abdominal pain.
C,Ibmrnon: muscle ache and respiratory infection.
V Less common: fatigue, chest pain, diarrhea, sore throat, and cough.
For additional information about ezetimibe + simvastatin, see Statin Cholesterol- Lowering Agents, page 1052.
Drug Interactions
•   Cholestyramine reduces the amount of ezetimibe absorbed
in the blood. Separate these drugs by 2 hours or more.
•   Cyclosporine (to prevent organ transplant rejection) may substantially increase the amount of ezetimibe in the blood. This combination must be monitored closely by your doctor.
•   Gemfibrozil (another blood-fat reducer) can increase the amount of ezetimibe in the blood.
•   Fenofibrate may increase the effects of ezetimibe. Fibrates
other than fenofibrate should not be used with ezetimibe due to
the risk of gallbladder complications. For additional informa-
tion about ezetimibe + simvastatin, see Statin Cholesterol-
Lowering Agents, page 1052.
Food Interactions
This drug can be taken without regard to food or meals.
Usual Dose
Ezetimibe
Adult and Child (age 10 and over): 10 mg once a day. Child (age 9 and under): not recommended.
Ezetimibe + Simvastatin
Adult: 10 mg ezetimibe plus 10-80 mg simvastatin once a day in the evening. The simavastatin dose depends on individual need.
Overdosage
Little is known about the effects of ezetimibe overdose. Call your local poison control center or a hospital emergency room for information. If you seek treatment, ALWAYS bring the prescription bottle or container.
Special Information
If you are taking more than one drug to lower cholesterol or another blood fat, consider the side effects of all of those drugs combined.
,S’D'L’6a) Populations
Pregnancy/Breast-feeding: Little is known about the effects of ezetimibe during pregnancy. When this drug is considered crucial by your doctor, its potential benefits must be carefully weighed against its risks. Statin drugs should never be taken by a pregnant woman or nursing mother.
It is not known if ezetimibe passes into breast milk. Nursing mothers who must take it should use infant formula.
Seniors: Seniors may use this drug without special precaution.

Generic Name
Famciclovir (fam-SYE-kloe-vere)
Brand Name Famvir
Type of Drug Antiviral.
Prescribed For
Herpes zoster (shingles), genital herpes, herpes labilalis (cold sores), and herpes simplex in HIV-infected people.
General Information
Famciclovir is absorbed into the body and converted to the antiviral penciclovir, the drug that actually works against shingles by interfering with the reproduction of DNA in the herpes virus. Famciclovir does not affect DNA in uninfected body cells. Famciclovir is broken down by the liver and eliminated from the body through the kidneys.
Cautions and Warnings
Do not take famiciclovir if you are allergic or sensitive to any of its ingredients.
Those with reduced kidney function should have their dosage adjusted accordingly.
Severe liver disease reduces the maximum possible concentration of Famciclovir in the blood and increases the time it takes to reach this maximum level; however, dosage adjustment is not normally required.
Possible Side Effer.%
♦   Most common: headache, nausea, and diarrhea.
♦   Less common: fever, fatigue, pain, vomiting, constipation, appetite loss, dizziness, tingling in the hands or feet, sleepiness, sore throat, sinus irritation, itching, gas, dysmemorrhea, and signs of shingles.
Possible Side Effects (continued)
Rare: chills, abdominal pain, back or joint pain, and upset stomach. Contact your doctor if you experience any side effect not listed above.
Drug Interactions
•   Probenecid, cimetidine, and theophylline interfere with the elimination of famciclovir from the body, possibly leading to higher levels of famciclovir in the blood.
•   People who took famciclovir and digoxin together experienced increased digoxin In their blood.
Food Interactions None known.
Usual Dose
Shingles
Adult (age 18 and over): 500 mg every 8 hours for 1 week. People with reduced kidney function may require a reduced dose taken as infrequently as once a day.
Genital Herpes
Adult (age 18 and over): 1000 mg twice daily for 1 day; or 250 mg twice a day for up to 1 year for suppression; or 250 mg 3 times a day for 7 days for initial episode. People with reduced kidney function take the same dose but less often, as infrequently as once every 2 days. HIV-infected people should take 500 mg twice a day for 7 days.
Cold Sores
Adult (age 18 and over): 1500 mg as a single dose. Initiate therapy at the earliest sign or symptom of a cold sore (tingling, itching, or burning).
Overdosage
Little is known about the effects of famciclovir ovecdose. Overdose victims should be %Mn to a hospital emergency room for treatment. ALWAYS bring the prescription bottle or container.
Special Information
Famciclovir treatment should be started as soon as shingles is diagnosed. For maximum benefit, be sure to complete the full week of treatment.
Famciclovir is not a cure for genital herpes and it is not known if it will prevent the transmission of the herpes virus to another person. Avoid sexual intercourse when herpes lesions are present even while taking famciclovir for genital herpes.
Begin taking famciclovir at the first sign of a herpes attack (symptoms include pain, tenderness, burning, itching, tingling, ulcers, or scabs). The effectiveness of starting famciclovir 6 hours or more after symptoms or lesions appear has not been established.
Call your doctor if you experience any unusual or intolerable side effects.
If you forget a dose of famciclovir, take it as soon as you remember. If it is almost time for your next dose, skip the dose you forgot. Do not take a double dose. Call your doctor if you forget more than 2 doses in a row.
Special Populations
Pregnancy/Breast-feeding: Famciclovir should only be taken by a pregnant woman if it is absolutely necessary and the possible benefits outweigh the risks to the fetus.
In animal studies, penciclovir (the active form of famciclovir) passed into breast milk in high concentrations but it is not known if this holds true for humans. Nursing mothers who must take this drug should use infant formula.
Seniors: Seniors clear famciclovir from the bloodstream more slowly than younger people and should have their dosage adjusted according to their level of kidney function.

Generic Name
Famotidine (fam-OE-tih-dine) 91
Brand Names
Fluxid   Pepcid AC
Pepcid   Pepcid Complete
Type of Drug Histamine H2 antagonist.
Prescribed For
Ulcers of the stomach and duodenum (upper intestine). This drug is also used to treat gastroesophageal reflux disease (GERD),
stress ulcer, and other conditions characterized by the production of large amounts of gastric fluids; to prevent stress ulcer and stomach and upper intestinal bleeding; and to stop the production of stomach acid during surgery. Pepcid AC is approved for heartburn.
General Information
Histamine H2 antagonists work by turning off the system that produces stomach acid and other secretions. Famotidine is effective in treating the symptoms of ulcer and preventing complications of the disease, although an ulcer that does not respond to another histamine H2 antagonist will probably not respond to famotidine. Histamine H2 antagonists differ only in their potency. Cimetidine is the least potent; 1000 mg are roughly equal to 300 mg of either nizatidine or ranitidine, or 40 mg of famotidine. All these drugs have roughly equivalent success rates in treating ulcer disease and comparable risk of side effects.
Cautions and Warnings
Do not take famotidine if you are allergic or sensitive to any of its ingredients or to any histamine H2 antagonist.
People with kidney or liver disease should take famotidine with caution because 1/3 of each dose is broken down in the liver and the rest passes out of the body through the kidneys.
Do not self-treat with over-the-counter (OTC) forms of famotidine without the advice and supervision of your doctor.
Possible Side Effects
✓   Most common: headache.
✓   Less common: dizziness, mild diarrhea, and constipation.
✓   Rare: 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
•   T-_Meat-coated tablets should not be taken with famotidine. The change in stomach acidity that famotidine produces causes the tablets to disintegrate prematurely in the stomach.
•   Antacids, anticholinergics, and metoclopramide may slightly reduce the amount of famotidine absorbed into the blood. No special precaution is needed.
Food Interactions
Famotidine may be taken without regard to food or meals.
Usual Dose
Adult 20-40 mg at bedtime, or 20 mg twice a day for 4-8 weeks. Dosage should be reduced in people with severe kidney disease.
Child (age 1-16): 0.23-0.45 mg per lb. of body weight, at bedtime or in 2 divided doses, up to 40 mg a day.
Child (under age 1): Consult your doctor.
Over-the-counter forms of famotidine such as Pepcid AC or Pepcid Complete should only be used for the temporary relief of heartburn, and are not recommended for children under 12 years of age. Do not take more than 2 capsules or chewable tablets in 24 hours.
Overdosage
Little is known about the effects of famotidine overdose, but victims may experience exaggerated side effects. Your local poison control center may advise giving ipecac syrup—available at any pharmacy—to induce vomiting and remove any remaining drug from the stomach. Victims who have definite symptoms should be taken to a hospital emergency room. ALWAYS bring the prescription bottle or container.
Special Information
Take famotidine exactly as directed and follow your doctor’s instructions regarding diet and other treatment in order to get the maximum benefit from the drug. Antacids may be taken together with famotidine if needed.
Do not take the maximum dose continuously for more than 2 weeks without the consent and supervision of your doctor.
Cigarettes worsen stomach ulcers and may reduce famotidine’s effectiveness.
Call your doctor at once if you develop any unusual side eiiecls such as bleeding or bruising,’ iWness, diarrhea, dizziness, or rash. &’A&, tarry stools or vomiting material that resembles coffee grounds may indicate your ulcer is bleeding.
If you forget a dose of famotidine, take it as soon as you remember. If it is almost time for your next dose, skip the one you forgot and continue with your regular schedule. Do not take a double dose.
Special Populations   revealed no Pregnancy/Breast-feeding: Although animal studies
damage to the fetus, famotidine should be avoided by women who are or might be pregnant. When this drug is considered crucial by your doctor, its possible benefits must be carefully weighed against
its risks.
Famotidine may pass into breast milk. Nursing mothers who
must take this drug should use infant formula.
Seniors: Seniors may need lower doses due to loss of kidney function and may be more susceptible to side effects.

Generic Name
Felbamate (FEL-bam-ate)
Brand Name Felbatol
Type of Drug Anticonvulsant.
Prescribed For
Partial seizures and Lennox-Gastaut syndrome in children.
General Information
Felbamate is related to the older sedative meprobamate. Exactly how felbamate works is not known, but it raises the seizure threshold and prevents the seizure impulse from spreading in the brain, as do other anticonvulsants. Felbamate should only be used when other seizure drugs have failed because of the risks associated with it. About half of each dose passes out of the body through the kidneys; the other half is broken down and eliminated by the liver.
Cautions and Warnings
Do not take felbamate if you am allergic or sensitive to any of its ‘Irigredlents or to any related drugs such as meprobamate.
Felbamate is associated with an increase in the risk of aplastic anemia, a potentially fatal condition.
Possibly fatal liver failure occurs in people taking felbamate much more often than normal. Regular liver function tests are recommended. People with liver disease should not take felbamate.
Felbamate is not recommended as first-line epilepsy treatment. Felbamate should be used only by those with severe epilepsy for whom the benefits outweigh the risks. Doctors prescribing felbamate should be thoroughly familiar with the drug and must obtain written, informed consent from patients before prescribing.
Felbamate should never be suddenly stopped or seizures may become more frequent. Dosage should be gradually reduced or replaced by another anticonvulsant.
Felbamate may cause increased sensitivity to the sun. Wear protective clothing and use sunscreen while taking this drug. People with kidney disease may require lower doses.
Possible Side Effects
Adult
♦   Most common: sleeplessness, sleepiness, fatigue, headache, dizziness, nervousness, upset stomach, vomiting, constipation, nausea, and appetite loss.
V Common: anxiety, tremors, walking unusually, depression, tingling in the hands or feet, diarrhea, liver inflammation, abdominal pains, respiratory infections, abnormal vision, and taste changes.
✓   Less common: weakness, dry mouth, stupor, abnormal thinking, rash, sinus irritation, sore throat, muscle aches, fever, and chest pain.
♦   Rare: Rare side effects can occur in almost any part of the body. Contact your doctor if you experience any side effect not listed above.
Child
✓   Most common: abdominal pain, fever, respiratory infections, sleeplessness, sleepiness, nervousness, vomiting, constipation, and black-and-blue marks.
✓   Common: headache, appetite loss, hiccups, sore throat, coughing, middle ear infections, fatigue, weight loss, temporary loss of urine control, qak”,,NbNW)ng unusually, weak-))855, abnormal thinking, emotional instability, pinpoint pupils, rash, upset stomach, and low white-blood-cell count.
✓   Rare: Rare side effects can occur in almost any part of the body. Contact your doctor if your child experiences any side effect not listed above.
Drug Interactions
•   Combining felbamate and other antiseizure drugs usually requires dosage adjustments due to the risk of drug interaction. Dosage of felbamate should be reduced by 20-33% to reduce the risks of associated side effects.
•   Combining felbamate and carbamazepine reduces blood levels of both drugs by roughly half. Dosage adjustments are necessary.
•   Combining phenobarbital and felbamate increases the amount of phenobarbital in the blood and decreases felbamate levels. Dosage adjustments are necessary.
•   If you combine felbamate and phenytoin, your phenytoin dosage may have to be reduced by as much as 40%. This combination also decreases felbamate blood levels by almost 50%.
•   Felbamate increases blood levels of valproic acid and methsuximide.
Food Interactions
Felbamate is best taken on an empty stomach but may be taken with food if it causes upset stomach.
Usual Dose
Adult and Child (age 14 and over): 1200-3600 mg a day, divided into 3-4 doses.
Child (age 2-13): 6.8-20.5 mg per lb. a day, divided into 3-4 doses.
Overdosage
Overdose symptoms may include upset stomach, increased heart rate, and felbamate side effects. Call your local poison control center or a hospital emergency room for more information. If you seek treatment, ALWAYS bring the prescription bottle or container.
Special Information
Do not take more felbamate than your doctor has prescribed. Felbamate can cause drowsiness; be careful when, driving perfQ(ft g
Avoid prolonged exposure to the sun while taking felbamate. Call your doctor if you develop any bothersome or persistent side effect.
Maintain good dental hygiene while taking felbamate and use extra care when brushing or flossing because this drug can cause swollen gums. See your dentist regularly.
km ,s %2& nq6re concentration.
If you forget a dose, take it as soon as you remember. If it is almost time for your next dose, take 1 dose right away and another in 3 or 4 hours, then go back to your regular schedule. Do not take
a double dose.
Special Populations
Pregnancy/Breast-feeding: This drug may cross into fetal circulation. When the drug is considered crucial by your doctor, its potential benefits must be carefully weighed against its risks.
Felbamate passes into breast milk. Nursing mothers who must take this drug should consider using infant formula.
Seniors: Seniors, especially those with liver, kidney, or heart disease, may be more sensitive to the effects of this drug and should receive lower doses.

Generic Name
Felodipine (feh-LOE-dih-pene) 91
Brand Name Plendil
Combination Product
Generic Ingredients: Enalapril + Felodipine Lexxel
Type of Drug
Calcium channel blocker.
Prescribed For High blood pressure.
General Information
Felodipine is one of many calcium channel blockers available in the U.S. Its once-daily dosage schedule makes it particularly stilted to treating high blood Felodipine blocks the passage of calcium, an essential factor in muscle contraction, into the heart and smooth muscles. Such blockage interferes with the contraction of these muscles, which in turn dilates (widens) the veins and vessels that supply blood to them. This dilating effect reduces blood pressure, the amount of oxygen used by the heart muscle, and the risk of blood vessel spasm. Felodipine is therefore useful in
treating not only high blood pressure but also angina pectoris (brief attacks of chest pain), a condition related to poor oxygen supply
to the heart muscles.
Felodipine only affects the movement of calcium into muscle cells-, it has no effect on calcium in the blood.
Lexxel is a combination of felodipine and enalapril, an angiotensin converting enzyme (ACE) inhibitor.
Cautions and Warnings
Do not take felodipine if you are allergic or sensitive to any of its ingredients.
On rare occasions, felodipine may cause very low blood pressure that may lead to stimulation of the heart and rapid heartbeat and can worsen angina. This reaction may happen when treatment is first started, when dosage is increased, or if the drug is rapidly withdrawn; it may be avoided by reducing dosage gradually.
Studies have shown that people taking calcium channel blockers—usually those taken several times a day, not those taken only once daily—have a greater chance of having a heart attack than do people taking beta blockers or other medications for the same purpose. Discuss this with your doctor to be sure you are receiving the best possible treatment.
Patients taking a beta-blocking drug who begin taking felodipine may develop heart failure or increased angina.
People with severe liver disease may require dosage adjustments.
People taking felodipine who have had a heart attack and have lung congestion may experience worsened heart failure, since this drug can actually reduce the force of each heartbeat.
Possible Side Effects
Side effects produced by calcium channel blockers are generally mild and rarely cause people to stop taking them. Side effects are more common with higher doses and in older patients.
I Most common: swelling in the ankles, feet, or legs; dizziness; lightheadedness; muscle weakness or cramps; facial flushing; and headache.
V Less common: respiratory infections, cough, tingling in the hands or feet, upset stomach, abdominal pains, chest pains,
stomach, , heart palpitations,
Drug Interactions
•   Felodipine may increase the amount of beta-blocking drugs in the bloodstream. This can lead to heart failure, very low blood pressure, or an increased incidence of angina. However, in many cases these drugs have been taken together with no problem.
•   Felodipine increases the effects of other blood-pressurelowering drugs. Such drug combinations are often used to treat hypertension.
•   Cimetidine, ranitidine, and azole antifungals such as ketoconazole and itraconazole increase the amount of felodipine in the blood and may account for a slight increase in the drug’s effect.
•   Phenytoin and other hydantoin antiseizure medicines, carbamazepine, and barbiturate sleeping pills and sedatives may decrease the amount of felodipine in the blood, reducing its effect on the body.
•   Erythromycin and cyclosporine may increase the side effects of felodipine.
•   Felodipine may increase the effects of digoxin, theophylline (prescribed for asthma and other respiratory problems), and oral anticoagulant (blood-thinning) drugs.
•   Felodipine may also interact with quinidine (prescribed for abnormal heart rhythm) to produce low blood pressure, very slow heart rate, abnormal heart rhythms, and swelling in the arms or legs.
•   Qd(Gii= Channel blockers may cause bleeding when taken alone or combined with aspirin.
Food Interactions
You may take felodipine with food if it upsets your stomach. Avoid taking felodipine with grapefruit juice—it doubles the amount of drug absorbed.
Possible Side Effects (continued) nausea, constipation, diarrhea
throat, runny nose, back pain,   rash.
and
♦ Rare: Rare side effects can affect the heart,
blood, and joints. It can affect   and
your mood, sex drive,
urinary tract. Contact your do   you experience side effect not listed above.
ctor if   any Usual Dose
2.5-10 mg a day. No patient should take more than 20 mg a day. Do not stop taking felodipine abruptly. The dosage should be reduced gradually over a period of time.
Overdosage
Felodipine overdose can cause low blood pressure. If you think you have taken an overdose of felodipine, call your doctor or go to a hospital emergency room. ALWAYS bring the prescription bottle or container.
Special Information
Call your doctor if you develop constipation, nausea, very low blood pressure, breathing difficulties, increased heart pain, dizziness, or lightheadedness, or if other side effects are bothersome or persistent.
Swelling of the hands or feet may develop within 2 or 3 weeks of starting felodipine. The chances of this happening depend on age and dosage. It occurs in less than 10% of people under age 50 taking 5 mg a day and in more than 30% of those over age 60 taking 20 mg a day.
Be sure to continue taking your medication even if you feel well, and follow any instructions for diet restriction or other treatments to help maintain lower blood pressure.
Do not break or crush felodipine tablets.
It is important to maintain good dental hygiene while taking felodipine and to use extra care when using your toothbrush or dental floss because of the chance that the drug will make you more susceptible to certain infections.
If you forget to take a dose of felodipine, take it as soon as you remember. If it is almost time for your next dose, skip the dose you forgot and continue with your regular schedule. Do not take a double dose.
Special Populations
Pregnancy1filreast-feeding. Animal studies of felodipk”e have shown that it crosses RAW the Zeta) circulation and causes birth iNlfEcls. Women who are or who might become pregnant while taking this drug should not take it without their doctor’s approval. The potential benefit of taking felodipine must be carefully weighed against its risks.
It is not known if felodipine passes into breast milk. Nursing mothers who take felodipine should use infant formula.
Seniors: Seniors, especially those with liver disease, are more sensitive to the effects of this drug.

Tags: abdominal pain, anticonvulsant, appetite, appropriate diet, channel, cholesterol lowering agents, cholesterol lowering medicines, diarrhea, dizziness, drug interaction, elevated liver enzyme, epilepsy, erythromycin, exercise, ezetimibe, ezetimibe simvastatin, familial hypercholesterolemia, felbamate, function, GENERIC, generic ingredients, good cholesterol, hardening of the arteries, Headache, heart failure, high blood pressure, high triglycerides, information, Interactions, intercourse, Lennox-Gastaut, liver disease, maximum, muscle ache, muscle disorder, nervousness, placebo, pregnancy, rare genetic disorders, statin drugs, stomach, supervision, theophylline, upset stomach, vomiting, weight

Aug

13

Entecavir - Guaifenesin - Epoetin - Sildenafil Citrate - Ergoloid Mesylates

August 13, 2009 | Leave a Comment

Generic Name
Entecavir (m-M-ah-veer)
Brand Name Baraclude
Information in this monograph also applies to:
Generic Ingredient: Telbivudine Tyzeka
Type of Drug Antiviral.
Prescribed For
Chronic hepatitis B infection in adults.
General Information
Entecavir is a prescription medicine for adults with chronic hepatitis B virus (HBV) infection in which the virus is multiplying and damaging the liver. Entecavir can reduce the amount of virus in the body, make it harder for new liver cells to be infected by the virus, and improve the general condition of the liver. They work by attacking HBV polymerase, an enzyme essential to the reproduction of the hepatitis B virus inside an infected cell. These drugs are eliminated from the bodj,4kalbe kidney. Telbivudine does not wGCK alg4msl HIV infection and can be taken together with HIV drug therapy. These medicines do not cure HBV or stop you from spreading HBV to others, generally through sexual contact or exposure to infected blood. The HBV virus can live outside the body for one week.
Cautions and Warnings
Do not take these medicines if you are allergic or sensitive to any
of their ingredients.
Entecavir should be used with caution in people who have both HIV and HBV because of possible HIV resistance developing after entecavir is taken.
Severe worsening of HBV has occurred in people who stopped taking this medication.
These drugs can lead to further liver damage. In rare cases, they have been associated with liver failure that resulted in death. The safety of this drug in people who have had a liver transplant is not known.
These drugs are eliminated through the kidneys. People with kidney disease may require lower doses.
Telbivudine has also been associated with lactic acidosis, a condition in which excess lactic acid in the body causes the blood to become acidic. Feeling very weak or tired, experiencing unusual Muscle pain, difficulty breathing, stomach pain with nausea and vomiting, feeling cold—especially in your arms and legs, feeling dizzy or lightheaded, and a fast or irregular heartbeat may be signs of lactic acidosis. It is a medical emergency and must be treated in the hospital. This has happened in some people taking these medications.
Possible Side Effects
Entecavir
♦    Most common: headache, fatigue, dizziness, and nausea.
✓    Less common: diarrhea, upset stomach, vomiting, tiredness, and sleeplessness.
✓    Rare: Rare side effects may affect almost any part of the body. Contact your doctor if you experience any side effect not listed above.
Telbivudine
✓    Most common: upper respiratory infection, latigue, not feeling well, missO2 tenderness or weakness, abdominal pain, nasal irritation, and sore throat.
♦    Common: flu or flu-like symptoms, diarrhea or loose stools, and throat pain.
✓    Less common: fever, joint pain, rash, back pain, dizziness, muscle ache, sleeplessness, and upset stomach.
Drug Interactions     low in-
•    These drugs do not affect liver enzymes and have a
teraction potential.
•    Drugs that affect kidney function may affect blood concentrations of entecavir and telbivudine.
•    Other hepatitis B treatments (lamivudine, adefovir, cy-
closporine, and pegylated interferon-alpha 2a) do not affect
either entecavir or telbivudine and are not affected by them. Food Interactions
Take entecavir at least 2 hours after a meal and 2 hours before the next meal. Telbivudine may be taken without regard to food or meals. Usual Dose
Entecavir
Adult and Child (age 16 and over): 0.5-1 mg once daily. People with kidney failure may be treated with as little as 0.05-0.1 mg a day. Child (under age 16): not recommended.
Telbivudine
Adult and Child (age 16 and over): 600 mg once daily. People with moderate to severe kidney failure may be treated with a single 600 mg dose every 2, 3, or 4 days depending on the seriousness of kidney disease.
Child (under age 16): not recommended.
Overdosage
There are no reports of entecavir overdose. People taking single doses up to 40 mg or multiple doses up to 20 mg per day for up to 14 days had no unusual side effects. One person accidentally took an overdose with no consequences. People taking up to 1800 mg a day of telbivudine had no increase in side effects. Overdose victims should be taken to a hospital emergency room for treatment, where dialysis may be necessary to remove the drug from the blood. ALWAYS bring the prescription bottle or container.
Special Information
Call your doctor il you develop muscle aches, pains, or weakness; ‘it your skin or the white part of your eyes turns yellow; if your urine becomes dark; if your bowel movements turn light in color; if you don’t feeling like eating food for several days or longer; if you become nauseous; or if you have lower stomach pain. These can be signs of a serious liver problem called hepatotoxicity, which has occurred in some people taking these medications.
Your hepatitis B may get worse or become very serious if you stop taking these medications. Do not stop taking them or change your daily dose without talking to your doctor.
If you forget to take your daily entecavir dose, take it as soon as you remember but do not take a double dose. Call your doctor if you forget to take 2 or more doses in a row.
Entecavir oral solution is a ready-to-use product and should not be mixed with water or any other liquid product. Each bottle of the oral solution comes with a dosing spoon that is calibrated in 1 -mL increments, up to 10 mL. Hold the spoon upright and gradually fill it to the mark next to the prescribed dose. Drink the liquid directly from the dosing spoon. Your pharmacist can help you properly measure your medication dose. Rinse the dosing spoon with water after each daily dose and allow it to air dry.
Special Populations
Pregnancy/Breast-feeding: Animal studies of entecavir revealed slowed development of the skeleton. Animal studies of telbivudine did not reveal any effects on the developing fetus. However, it is not known if either medicine is safe to use during pregnancy or if it helps prevent the hepatitis B virus from passing on to a developing fetus. If your doctor considers entecavir or telbivudine crucial for you, potential benefits must be carefully weighed against their risks. A data bank has been established to collect information from doctors on pregnant women who do take these medicines.
These medicines may pass into breast milk. Nursing mothers who must take these drugs should use infant formula.
Seniors: Dosage reduction may be needed in seniors because of normal declines in kidney function.

Brand Name
Entex PSE
Generic Ingredients
Guaifenesin + Pseudoephedrine Hydrochloride M
Other Brand Names
Anatuss LA    Coldmist Jr.
Aquatab D Dosepack    Coldmist LA
Coldmist    Congess Jr.
Congess SR    Nasabid
Congestac    Nasabid-SR
Deconsal LA    Nasatab LA
D-Feda 11    PanMist
Durasal U    PanMist-Jr.
Duratuss AM/PM    PanMist LA
Dynex    Profen 11
Endal-SR    Pseudovent
Guaimax-D    Sudal 60/500
Guaipax PSE    SudaI120/600
Guaitab    Sudal SR
Guaituss PE    Syn-RX
Guai-Vent PSE    Touro LA
losal El    Tuss-LA
Maxifed    V-Dec-M
Maxifed G    Versacaps
Med-RX    Zephrex
Miraphen PSE    Zephrex LA
The information in this profile also applies to the following drugs:
Generic Ingredients: Guaifenesin + Ephedrine Hydrochloride 19 Broncholate    Bronkaid
Generic Ingredients: Guaifenesin + Phenylephrine Hydrochloride 91
Deconsal Il    PhenaVent
Deconsal Pediatric    PhenaVent D
Endal    PhenaVent LA
Entex LA    PhenaVent PED
Liquibid D    Rescon GG
Liquibid-D 1200    Sinupan
Liquibid-PD    Sinuvent PE
Type of Drug
Decongestant and expectorant combination.
Prescribed For
Cold or allergy and for nasal congestion, runny nose and cough associated with other upper respiratory conditions.
General Information
The decongestant ingredient in Entex PSE, pseudoephedrine, dramatically reduces congestion and stuffiness. The decongestant ingredients ephedrine and phenylephrine act similarly. The expectorant, guaifenesin, is used to help loosen thick mucus that may contribute to chest congestion; the effectiveness of guaifenesin and other expectorants has not been established. There are other drugs on the market using this same general formula—an expectorant plus a decongestant—but they use different decongestant ingredients or a combination of decongestants plus guaifenesin. Nothing cures a cold or allergy, but Entex PSE may provide relief from symptoms.
Cautions and Warnings
Do not take Entex PSE if you are allergic or sensitive to any of its ingredients.
Entex PSE may cause anxiety or nervousness or interfere with sleep.
Do not use Entex PSE if you have ventricular tachycardia (quickened heartrate), or hypertension (high blood pressure).
Entex PSE should be used with extreme caution in those with heart disease, other heart rhythm disorders, thyroid disease, diabetes, glaucoma, stomach ulcer, urinary blockage, or a prostate condition.
Entex PSE should not be used over extended periods of time to treat persistent or chronic cough especially one that may be caused by cigarette smoking, asthma, or emphysema.
Possible Side Effects
Mritl common: anxiety, restlessness, sleeplessness, tension, excitation, dizziness, drowsiness, and headache.
♦ Less common: nausea, vomiting, upset stomach, low blood pressure, heart palpitations, chest pain, rapid or slow heartbeat, abnormal heart rhythms, irritability, euphoria (feeling Possible Side Effects (continued)
“high”), eye irritation and tearing, hysterical reaction, appetite loss, kidney stones, urinary difficulties in men with a prostate condition, weakness, loss of facial color, and breathing difficulties.
Drug Interactions
•    Entex PSE should be avoided if you are taking a monoamine oxidase inhibitor (MAGI) antidepressant for depression or hypertension because the MAGI may cause a very rapid rise in blood pressure or increase side effects such as dry mouth or nose, blurred vision, and abnormal heart rhythms.
•    The decongestant in Entex PSE may interfere with bloodpressure-lowering medication.
Food Interactions
Take Entex PSE with food if it upsets your stomach.
Usual Dose
Adult and Child (age 12 and over): 1 tablet or capsule twice a day or 2 tsp. of liquid 4 times a day.
Child (age 6-11):1/2-1 tablet or 1 capsule twice a day or 1 tsp. of liquid 4 times a day.
Overdosage
Most cases of overdose are not severe. Symptoms include sedation, sleepiness, increased sweating, and increased blood pressure. Hallucinations, convulsions, nervous system depression, and breathing difficulties are more prominent in older adults. Most cases of overdose are not severe. Induce vomiting with ipecac syrup—available at any pharmacy. Call your local poison control center or a hospital emergency room before doing this. If you lseey, treatment. ALWAYS bring the prescription bottle or container.
-SIDt’dial Information
Call your doctor if your side effects are severe or gradually become intolerable.
If you forget a dose, take it as soon as you remember. If it is almost time for your next dose, skip the one you forgot and continue with your regular schedule. Do not take a double dose.
Special Populations
Pregnancy/Breast-feeding: Women who are or might be pregnant should avoid Entex PSE. When your doctor considers this drug crucial, its potential benefits must be carefully weighed
against its risks.
The decongestant in Entex PSE may pass into breast milk. Nursing mothers who must take Entex PSE should consider using in-
fant formula.
Seniors: Seniors are more sensitive to the effects of Entex PSE.

Adefovir

July 16, 2009 | Leave a Comment

Recovery from Prostate Surgery.

July 15, 2009 | Leave a Comment

Recovery from
Prostate Surgery
Whatever anyone tells you, a prostatectomy is a major opera-tion and you need to allow yourself sufficient time to
recover from it bupropion and synthroid . Men are notoriously impatient, especially if they have to go back to work, but you must accept that you
will probably have to slow down for a while cost of bromocriptine .
Don’t expect miracles, and don’t be too hard on yourself flomax tamsulosin florida . You may not have had a leg amputated, but you have nevertheless
had a major operation and you must make allowances for this lancet avandia . You must not expect too much of yourself during your
recovery period in order to give yourself the best chance to get better as quickly as possible prilosec otc cheapest prices . Any impatience may, in
the long run, only make matters worse and set you back on your road to recovery aggrenox and plavix efficacy .
Exactly how long it takes you to get yourself back to a state of good health depends to a large extent on how fit you
were before you had the operation lithium ion hammer drill driver . It also depends on how large your prostate gland was, and on whether or not there were
any complications as a result of surgery lexapro comments .
Remember that old cliche about time being the great healef? It may not be very original but, like a lot of cliches, it’s
true recreational use of methocarbamol . So grit your teeth and take things easy for a while dangers of prozac and phentermine . It may take as long as three months before you feel completely
well again, but once you do, you’ll be utterly convinced that it was worth every minute!
Your bladder
In the first few weeks after your operation, don’t be surprised if your symptoms do not seem any better than before how to use clomiphene . They
may even seem worse tetracycline regime ngu dosage . This doesn’t mean that the operation hasn’t been a success - only that you haven’t healed yet clomid triplets quadruplets .
It can take anything up to about six weeks for the cut surface inside the prostate to heal over completely viagra levitra studies . Expecting
everything to work perfectly before this happens is unrealistic hydrocodene ibuprofen . Until then, you will have to be prepared to make
allowances active ingrediant in nexium .
Even when your urinary system returns to a state of good health, do not be surprised if you have problems getting used to
this overdoeses on anafranil . You’ve probably spent a long time - years maybe - getting used to having to empty your bladder all too frequently,
and it may take a long time -several weeks, probably, or even months - before you succeed in unlearning those habits methotrexate headaches . Be
patient and you will gradually build up confidence in your bladder again until you are able to forget about it
completely singular montelukast .
Medication
You will probably still be taking a course of antibiotics when you leave hospital caffeine and adrenal gland . You must be disciplined about taking
these viagra exposed . Remember to finish the course, and don’t just stop taking the pills as soon as you feel better herb comparable to metronidazole . This could set you
back a long way and allow any leftover bacteria to multiply and mount another attack just when you’re least expecting it
and you’re congratulating yourself on getting better erythromycin compatibility with doxycycline .
AFTER AN OPEN PROSTATECTOMY
If you’ve had an open prostatectomy, you will have stitches in your abdomen and you will have been given strict
instructions on what you can and can’t do imdur contraindications . You will be tired after your general anaesthetic and you will need to look
after your wound cheapest ultram overnight . A district nurse will probably come to your house every other day to change the dressing, and she will
take the stitches out when necessary zantac 300 tablets .
You will have been told what movements you can make to avoid putting too great a strain on both the scar and the
surrounding muscles testosterone propionate takes affect . You should also:
• Avoid carrying anything at all heavy - even a full kettle may be too heavy, so fill it only half full va paying for valtrex medication .
• Get out of your chair cautiously and gently by wriggling your way to the edge of the chair before getting up paxil news .
• Build up slowly to normal activities children’s loratadine .
• Use your common sense at all times and don’t attempt to do too much hyperkalemia with augmentin .
• STOP immediately if you suspect you are doing too much duricef therapy . Once you’ve had the stitches removed
Even when you’ve had the stitches removed, you will still need to be careful cardiolite persantine . It takes a good six weeks for the wound to
heal itself, and several months before the abdominal muscles get back to their full strength drug reactions skin nexium .
AFTER A TRANSURETHRAL PROSTATECTOMY (TURP)
If, on the other hand, you’ve had the more common transurethral prostatectomy (TURP), you won’t have any visible signs of
your operation, like a scar, and it’s all too easy to forget that you’ve actually had an operation at all vytorin side affests . But you have,
and you mustn’t forget it wellbutrin 150xl .
Any operation puts a great physical strain on the body and, as a result, takes a surprisingly long time for you to get
over clindamycin pharmacophore . In hospital, you will have spent most of your time sitting or lying in bed clozapine food . You probably won’t have done anything
more strenuous than reading or watching television weight loss and seroquel . As soon as you get home, the temptation will be to resume all your
favourite occupations - going for a walk in the park, perhaps, or doing a bit of gardening vibramycin 200 mg . But it is not a good idea to
get back into the swing of things too soon vicoden and ibuprofen . This should be a slow and gradual process, and you must be careful not to
push yourself too far, or to do more than you can genuinely cope with hypertension medications inspra norvasc propyl .
In the meantime, make sure that you get plenty of rest buy cardizem . Get up late, have a rest whenever you feel you need one, and go
to bed early levitra viagr cialis . Whenever you are sitting, remember that a firm seat is more comfortable than a soft one that can press
upwards between the buttocks olanzapine .
The problem is obviously greater for people who live alone and who are looking after themselves alternatives to lasix . But even where this is
the case -perhaps even more so, in fact, because you can’t risk driving yourself so hard that you make yourself ill - you
must restrict yourself at First to doing the essentials who makes plavix . You’ll obviously need to do the cooking and washing, but most
other things can wait prednisone alternatives .
There is absolutely no shame in spoiling yourself at a time like this misoprostol en valdivia . Your priority is to get well, and everything else
comes second to that average testosterone in a young male .
HAVING PLENTY TO DRINK
Whatever type of prostatectomy you’ve just had, it is a good idea to keep up your intake of fluids - preferably as much
as 3 rituxan and cellcept .4 litres/6 pints a day lamivudine brand name . This may sound a lot, particularly if you’ve been used to limiting your fluid intake because
of your need to urinate so frequently, but it is important because it helps your bladder to build up its strength and to
return to normal pseudo ephedrine loratadine .
Drinking plenty of liquid also helps to ward off infection and to soothe any bladder irritation celebrex lawyers tx . It helps, too, to wash
out any little pieces of scab and blood from the cut surface inside the prostate, which is likely to happen for the first
six to eight weeks after the operation allegra information page . Although you may notice signs of blood in your urine at first, you should not
feel any pain lovastatin pravastatin conversion .
Contact your doctor if:
• You feel pain fluoxetine causes eps .
• You notice any large amounts of deep red blood in your urine headache morning caffeine .
• You see any blood clots eldepryl cheap no rx .
• You are still passing large bits of scab after the first few days following the operation determination ivermectin in fat .
BLADDER CONTROL
The great majority of prostatectomies are successful, and recovery is usually straightforward prednisone methotrexate arthritis dosages . Having said that, though,
recovery can sometimes be slow, and efficient urination is something you may have to work at will clomid upset normal cycles .
Just after the operation, the urethra may be swollen, which may in turn be painful augmentin dose children . This pain can make the urethral
muscles contract from time to time, which can mean that the flow of urine is either slow or intermittent what are the dossages of lexapro . Bruising of the
tissues around the urethra can also prevent the muscles surrounding the urethra working properly, which can mean that the
urethra neither opens nor closes completely tylenol motrin alternating chart . This can result in a low stream of urine, of continual leakage of urine paste ivermectin dogs .
Such problems are, of course, unpleasant and debilitating, but they should disappear as soon as the swelling and bruising
get better, which should take only a fortnight or so body surface area prednisone .
Another problem following the operation may be that you suffer from just as bad - if not worse - a degree of frequency
and urgency of urination as you did before the operation information about amiodarone . This is likely to be brought about by inflammation of the
prostate and urethra, and may continue until the cut surface of the prostate is completely healed, which can take as long
as six to eight weeks plavix nose bleeds . It can last even longer 11′ you develop a urinary tract infection, which is a good reason to have
your urine tested at your six-week check-up pied piper of prozac acolyte .
It may surprise you to know that the opposite problem of an absence of urgency can, contrary to what you might expect, be
even more worrying than its presence zantac 15 . This is because if you suffered from chronic retention of urine before your
operation, your bladder may have become so accustomed to holding a large amount of urine that it does not send the right
signal when it is full plavix about . The danger, in this case, is that the bladder may become so full that it will be unable to
contract properly and empty itself efficiently lithium batteries rechargeable . You will have to empty it by the clock - say every hour or so - until you
begin to feel the natural urge to urinate caffeine content in chocolate vs coffee . This should happen spontaneously, if gradually caffeine capsules .
In short, you can expect your bladder to behaving abnormally for up to six weeks or so after the operation how is metformin excreted .
Bladder training
You will probably benefit from training - or retraining - your bladder to hold more urine and to last comfortably for
longer periods of time levothroid price . This should help reduce increased frequency and urgency of urination, as well as night-time
urination zanaflex and food .
Start by making a urination chart, or frequency/volume chart, detailing the time and amount of urine each time you go to
the toilet pharmacy purchasing cyclosporine microemulsion . Equip yourself with a measuring jug, of the type you can buy in hardware or kitchen equipment shops, so as to
measure the volume of urine premarin topical . Continue keeping this chart while you are bladder training zoloft morphine interaction .
You will probably be used to emptying your bladder each time you feel the slightest urge to do so, or even each time you
pass a toilet ‘just in case’ orlistat substitute . Stop doing this and gradually increase the time between visits to the toilet acyclovir online prescription . Start by
holding on for another two minutes after you feel the need to go to the toilet, then increase this to five minutes, then
another five minutes, and so on pletal side effects .
All this is easier said than done, but there are a few ‘tricks’ that should make it easier for you to hold on between
visits furosemide 500mg .
• Sit rather than stand when you feel the desire to urinate makita 10.8 lithium .
• Keep still rather than moving around zyprexa mdl orders .
• Pull up your pelvic floor muscles (see below) lipitor itchy skin .
• Cross your legs reglan side efffects .
• Hold your penis, if you can do this discreetly allegra cause does indigestion .
• Take regular, slow, deep breaths azithromycin impurity a .
• Think about something else to keep your mind off your bladder 50mg clomid .
• Try to do something else to take your mind off your bladder,
such as making a telephone call, or reading the newspaper shbg anastrozole .
You will find that you can gradually manage to hold on for longer and longer intervals enalapril side effects in dogs . Aim, ultimately, for an interval
of three to four hours serum sickness clinical signs amoxicillin .
Bladder training can achieve a lot for most people in just four weeks methotrexate sulfa drug allergy . Try to keep it up for three months or, even
better, six months probecid penicillin powder . Don’t expect to have dealt with all your problems even after six months clomid and metformin twin . Symptoms can continue to
improve for as long as a year -or even longer clomid without insurance .
PELVIC FLOOR EXERCISES
Most women are familiar with their pelvic floor muscles, particularly if they have had a baby high estradiol concerns . A lot of men, on the other
hand, may not even know that they have any pelvic floor muscles, let alone what or where they are chemical composition of lithium .
Pelvic floor exercises strengthen the pelvic floor muscles, which support and help to close the urethra provera rx . Strengthening
these muscles will help increase your ability to hold on before you go to the toilet sideeffects of avelox .
Try tensing up the muscles between your scrotum and anus, in much the same way as you would to prevent the flow of urine,
or to hold back the urge to break wind fexofenadine de . If you are not sure if you are doing this right, put a finger there and you will
feel a ring of muscle around the anus become firmer spironolactone hair loss . Another way of doing it is to try stopping the flow ofurine while
you are actually urinating home recipe dog ivermectin comfortis . If the muscles are very weak, you may only be able to weaken the flow of urine and not
actually to stop it cheap vardenafil . Try this once a day until you can stop the stream of urine efficiently and completely adhd treatment caffeine . When you are
able to tense up the muscles, you can continue practising in other positions and while doing other things - on the bus,
doing the washing-up, waiting for a bus, whatever is most convenient cholesterol caffeine . Hold the muscles tense for five seconds, then relax
for five seconds discount generic viagra soft tabs . Repeat the whole cycle of tensing and relaxing five times, which will take about a minute articles on manufacturers of lithium batteries . Ideally, you
should do this for a total of 15 minutes (at least) a day exelon rivastigmine .
You have to stick at it to obtain results, because it takes time for weakened muscles to build up strength renal scan with lasix washout . Stick to
between three and six months of diligent exercise, and you are bound to notice results seroquel cause numb .
RESUMING SEXUAL ACTIVITY
You can resume sexual activity as soon as you feel up to it mefenamic acid its indication . Some doctors are wary of advising patients to do this, in
case of disturbing clots and scabs, others say that the passage of semen cannot do any more harm than the passage of
urine list of herbs that contain caffeine . Be alert to how you feel, and follow your natural inclinations find cheapest tramadol ambien .
You may, however, not feel like sex for some time after the operation tegretol once a day . If this happens to you, you shouldn’t worry about veterinary drugs famotidine .
It does not mean that you have lost your sex drive or your potency as a result of the operation - it simply means that
you have a natural degree of fatigue after what is, after all, a major operation side affects altace 25mg . This is even more likely if you have
had a general anaesthetic sildenafil 50mg kamagra tablets .
Retrograde ejaculation
You are unlikely to ejaculate in quite the same way as you did before the operation and may experience retrograde
ejaculation (see Chapter 7) celexa phentermine gt . This means that semen goes backwards up the urethra into the bladder, rather than forwards
and down into the urethra cozaar and drug interactions . This often has the effect of making you sterile, and a lot of men find this a very difficult
hurdle to deal with, even if they do not actually want to father any more children prevacid non prescription . In their eyes, the fact that they are
now sterile seems to emasculate them in some way, to make them less of a man foods that have theophylline . It is important that a man is told that
this is a likely side-effect of a prostatectomy before the operation, as this seems to help them deal with it better olanzapine dangers . If
a man is not told until afterwards, when it is aAit accompli in which lie had no say, he may be very angry drug information prescription ultram .
Even if you do have retrograde ejaculation, this cannot guarantee that your partner won’t become pregnant and you should
still use some form of contraception if this is an issue cardizem norvasc . You cannot rely on a prostatectomy to give you a reliable form
of contraception medicare warfarin genetic test policy . It is estimated that between 5 and 10 per cent of men are still fertile afterwards metronidazole neurotoxicosis in cats . If you want a
reliable and permanent method of contraception, you may want to discuss the possibility of having a vasectomy with your
surgeon, as this can easily be done at the same time as a prostatectomy information about depo provera .
Your urine will probably look a little cloudy after intercourse, as the semen that went into the bladder is washed out nexium patient assistance .
You may also find that you bleed slightly after intercourse during the first six weeks or so after the operation - just
as you notice a little blood in your urine - but as long as this is not a large amount of blood, you should not have
anything to worry about boniva infusions .
YOUR SIX-WEEK CHECK-UP
By six weeks after the operation, most of your symptoms should have cleared up, though you may still be suffering from
frequency and urgency of urination altace and garlic .
You will probably have a check-up after six weeks, which is your opportunity to discuss anything that is worrying you celebrex 200 mg 30 .
It is particularly important to have a test done on a urine sample, just to check that you are free of any urine
infection risperdal blood sugar . Some hospital clinics also like to repeat the urine flow test, which will indicate that the operation has been
successful actos drugs glipizide .

Tags: aggrenox, altace, avandia, bacteria, bromocriptine, caffeine, celexa, chocolate, cholesterol, cliches, clinda, clomid, clomiphene, erythromycin, everything, ffects, hammer drill, HAVING, Headache, hypertension, Ibuprofen, indigestion, inflammation, information, irritation, lancet, lithium, lithium ion, male, methocarbamol, metronidazole, nexium, plavix, PLENTY, prednisone, premarin, prilosec, problem, prostate gland, prostate surgery, prostatectomy, recovery period, retention, shame, surface, synthroid, Tetracycline, theophylline, tract, training, triplets, urination, Urine, valdivia, volume, warfarin, zantac

keep looking »

Archives

Recent Posts

Categories

Pages

Aug

13

Aug

13

Aug

1

Aug

1

Aug

1

Aug

1

Jul

16

Jul

16

Jul

16

Jul

15