Butorphanol Solution

Pronunciation: bue-TOR-fa-nol
Generic Name: Butorphanol
Brand Name: Generic only. No brands available.

Butorphanol Solution is used for:

Relieving headache or pain due to surgery or other causes. It may also be used for other conditions as determined by your doctor.

Butorphanol Solution is a narcotic analgesic. It works in certain areas of the brain and nervous system to decrease pain.

Do NOT use Butorphanol Solution if:

• you are allergic to any ingredient in Butorphanol Solution, including the preservative benzethonium chloride


• you drink alcohol


• you are dependent on narcotic pain relievers


• you are taking sodium oxybate (GHB)

Contact your doctor or health care provider right away if any of these apply to you.

Before using Butorphanol Solution:

Some medical conditions may interact with Butorphanol Solution. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding


• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement


• if you have allergies to medicines, foods, or other substances


• if you have had an allergic reaction to any narcotic pain reliever (eg, oxycodone, dihydrocodeine, hydromorphone)


• if you have stomach or bowel problems (eg, inflammatory bowel disease); prostate problems; asthma or other lung or breathing problems; heart problems (eg, cor pulmonale, heart blood vessel problems, heart failure); liver or kidney disease; high or low blood pressure; an underactive thyroid; seizures; or urinary problems


• if you have severe drowsiness, or have or have recently had increased pressure in the brain, an unusual growth in the brain (eg, tumor), a recent head injury, or an infection of the brain or nervous system


• if you have a certain bowel problem (pseudomembranous colitis) or stomach pain, or have recently had a heart attack, stomach or bowel surgery, or an injury


• if you have developed low blood pressure from taking other narcotic pain relievers (eg, morphine)


• if you have a history drug or alcohol abuse or dependence, or suicidal thoughts or behaviors

Some MEDICINES MAY INTERACT with Butorphanol Solution. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Nasal decongestants (eg, oxymetazoline) because they may delay the time it takes for Butorphanol Solution to work


• Cimetidine because it may increase the risk of Butorphanol Solution's side effects


• Naltrexone or rifamycins (eg, rifampin) because they may decrease Butorphanol Solution's effectiveness


• Sodium oxybate (GHB) because the risk of its side effects may be increased by Butorphanol Solution

This may not be a complete list of all interactions that may occur. Ask your health care provider if Butorphanol Solution may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Butorphanol Solution:

Use Butorphanol Solution as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Butorphanol Solution comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Butorphanol Solution refilled.


• Butorphanol Solution is supplied as a nasal pump. Your pharmacist will assemble the pump for you. Contact your pharmacist if you have any questions.


• For instructions on the proper use of Butorphanol Solution, read the extra patient leaflet that is available with Butorphanol Solution. Talk to your pharmacist if you have questions about this information.


• Prime the pump before the first use and any time it has not been used within 48 hours or longer. When priming, aim the pump away from yourself, other people, and animals.


• The usual dose of Butorphanol Solution is 1 spray into 1 nostril. Do not spray into both nostrils unless directed by your doctor.


• When not in use, store Butorphanol Solution in the child-resistant plastic container.


• Tell your doctor if your pain has not improved after using Butorphanol Solution or if it becomes worse.


• If you also use sumatriptan nasal spray, ask your doctor or pharmacist how to use it if you need to use Butorphanol Solution as well.


• If you miss a dose of Butorphanol Solution and are using it regularly, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use Butorphanol Solution.

Important safety information:

• Butorphanol Solution may cause drowsiness or dizziness. These effects usually occur within the first hour after taking a dose, though they may be persist for longer periods of time. These effects may be worse if you take it with alcohol or certain medicines. Use Butorphanol Solution with caution. Do not drive or perform other possibly unsafe tasks for at least 1 hour after taking a dose until you know how you react to it.


• Do not drink alcohol while you are using Butorphanol Solution.


• Check with your doctor before you use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Butorphanol Solution; it may add to their effects. Ask your pharmacist about which medicines may cause drowsiness.


• Tell your doctor or dentist that you take Butorphanol Solution before you receive any medical or dental care, emergency care, or surgery.


• Do NOT take more than the recommended dose, use more often than prescribed, or use for longer than prescribed without checking with your doctor.


• Use Butorphanol Solution with caution in the ELDERLY; they may be more sensitive to its effects, including constipation, dizziness, drowsiness, headache, light-headedness, nausea, stuffy nose, and vomiting.


• Butorphanol Solution should not be used in CHILDREN younger than 18 years old; safety and effectiveness in these children have not been confirmed.


• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Butorphanol Solution while you are pregnant. Butorphanol Solution is found in breast milk. If you are or will be breast-feeding while you use Butorphanol Solution, check with your doctor. Discuss any possible risks to your baby.

Some people who use Butorphanol Solution for a long time may develop a need to continue taking it. People who take high doses are also at risk. This is known as DEPENDENCE or addiction. If you stop taking Butorphanol Solution suddenly, you may have WITHDRAWAL symptoms including anxiety; diarrhea; fever, runny nose, or sneezing; goose bumps and abnormal skin sensations; nausea; vomiting; pain; rigid muscles; rapid heartbeat; seeing, hearing or feeling things that are not there; shivering or tremors; sweating; and trouble sleeping.

Possible side effects of Butorphanol Solution:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Dizziness; drowsiness; dry mouth; light-headedness; nasal irritation; nausea; runny nose; sore throat; stuffy nose; trouble sleeping; unpleasant taste; vomiting.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); blurred vision; burning, numbness, or tingling; change in the amount of urine produced; chest pain; confusion; ear pain; fainting; fast, slow, or irregular heartbeat; flushing; hallucinations; mental or mood changes (eg, agitation, anxiety, depression); restlessness; ringing in the ears; seizures; severe or persistent dizziness, drowsiness, or light-headedness; severe or persistent headache or trouble sleeping; shortness of breath; slow, shallow, or difficult breathing; tremors; unusual swelling.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Butorphanol side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include cold and clammy skin; deep sleep; loss of consciousness; seizures; severe drowsiness, dizziness, or light-headedness; slow, shallow, or difficult breathing; slow heartbeat.

Proper storage of Butorphanol Solution:

Store Butorphanol Solution at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Butorphanol Solution out of the reach of children and away from pets.

General information:

• If you have any questions about Butorphanol Solution, please talk with your doctor, pharmacist, or other health care provider.


• Butorphanol Solution is to be used only by the patient for whom it is prescribed. Do not share it with other people.


• If your symptoms do not improve or if they become worse, check with your doctor.


• Check with your pharmacist about how to dispose of unused medicine.

This information is summary only. It does not contain all information about Butorphanol Solution. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Butorphanol resources

• Butorphanol Side Effects (in more detail)
• Butorphanol Use in Pregnancy & Breastfeeding
• Butorphanol Drug Interactions
• Butorphanol Support Group
• 23 Reviews for Butorphanol - Add your own review/rating

Compare Butorphanol with other medications

• Anesthesia
• Anesthetic Adjunct
• Labor Pain
• Pain

brimonidine Ophthalmic

bri-MOE-ni-deen

Commonly used brand name(s)

In the U.S.

• Alphagan P

Available Dosage Forms:

• Solution

Therapeutic Class: Antiglaucoma

Pharmacologic Class: Alpha-2 Adrenergic Agonist

Uses For brimonidine

Brimonidine ophthalmic (eye) drops is used alone or together with other medicines to treat increased pressure in the eye that is caused by open-angle glaucoma or a condition called hypertension of the eye (ocular hypertension). brimonidine is an alpha-adrenergic agonist.

brimonidine is available only with your doctor's prescription.

Before Using brimonidine

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For brimonidine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to brimonidine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of brimonidine eye drops in children 2 years of age and older. Because of brimonidine's toxicity, use in children younger than 2 years of age is not recommended.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of brimonidine eye drops in the elderly.

Pregnancy

	Pregnancy Category	Explanation
All Trimesters	B	Animal studies have revealed no evidence of harm to the fetus, however, there are no adequate studies in pregnant women OR animal studies have shown an adverse effect, but adequate studies in pregnant women have failed to demonstrate a risk to the fetus.

Breast Feeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of brimonidine. Make sure you tell your doctor if you have any other medical problems, especially:

• Depression or


• Heart attack, history of or


• Heart disease or


• Orthostatic hypotension (low blood pressure when standing up) or


• Raynaud disease (blood vessel disease) or


• Stroke, history of or


• Thromboangiitis obliterans (blood vessel disease)—Use with caution. May make these conditions worse.

Proper Use of brimonidine

Use brimonidine only as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered.

If your doctor ordered two different eye drops to be used together, wait at least 5 minutes after you put the first medicine in your eye to use the second medicine. This will prevent the second medicine from “washing out” the first one.

To use the eye drops:

• Wash your hands with soap and water before and after using brimonidine.


• Shake the eye drops well just before each use.


• Tilt your head back and press your finger gently on the skin just beneath the lower eyelid. Pull the lower eyelid away from the eye to make a space. Drop the medicine into this space. Let go of the eyelid and gently close the eyes. Do not blink. Keep the eyes closed and apply pressure to the inner corner of the eye with your finger for 1 or 2 minutes to allow the medicine to be absorbed by the eye.


• If you think you did not get the drop of medicine into your eye properly, repeat the directions with a second drop.


• To keep the medicine as germ-free as possible, do not touch the applicator tip to any surface, including the eye. Keep the container tightly closed when you are not using the drops.


• If germs get in the bottle, your eye could become infected. Serious eye infections can cause blindness.


• The eye drops will normally be a clear liquid with a greenish-yellow color. If the color changes or the liquid becomes cloudy, do not use the medicine. Get a new bottle from the pharmacy.

Dosing

The dose of brimonidine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of brimonidine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For ophthalmic dosage form (eye drops):
  
  • For glaucoma or ocular hypertension:
    
    • Adults, teenagers, and children 2 years of age and older—One drop in the affected eye 3 times a day, about 8 hours apart.
    
    
    • Children younger than 2 years of age—Use is not recommended.
    
    
  
  

Missed Dose

If you miss a dose of brimonidine, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Precautions While Using brimonidine

The eye doctor will want to examine your or your child's eyes at regular visits to make sure the medicine is working properly and is not causing unwanted effects.

If itching, redness, swelling, or other signs of eye or eyelid irritation occur, stop using brimonidine and check with your doctor. These symptoms may mean that you or your child are allergic to brimonidine.

If you or your child have an eye injury or infection, or need to have eye surgery, talk with your doctor right away. You may need to change the medicine or stop using it.

brimonidine may cause some people to become lightheaded, dizzy, drowsy, tired, or less alert than they are normally. Make sure you know how you react to brimonidine before you drive, use machines, or do anything else that could be dangerous if you are not alert.

brimonidine may add to the effects of alcohol and other CNS depressants (medicines that make you drowsy or less alert). Some examples of CNS depressants are antihistamines or medicines for allergies; sedatives or sleeping medicine; prescription pain medicine or narcotics; medicine for seizures or barbiturates; muscle relaxants; or anesthetics, including some dental anesthetics. Check with your doctor before taking any of the above while you are using brimonidine.

Brimonidine may cause your eyes to become more sensitive to light than they are normally. Wearing sunglasses and avoiding too much exposure to bright light may help lessen the discomfort.

brimonidine Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

• Blurred or loss of vision


• burning, dry, or itching eyes


• discharge or excessive tearing


• disturbed color perception


• double vision


• halos around lights


• headache


• itching of the eye


• night blindness


• overbright appearance of lights


• redness of the eye or inner lining of the eyelid


• swelling of the eyelid


• tearing of the eye


• tunnel vision

Less common

• Ache or pain in the eye


• blindness


• bloody eye


• blurred vision or other change in vision


• change in color vision


• confusion


• decreased vision


• difficult or labored breathing


• difficulty seeing at night


• dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position


• drainage from the eye


• fainting


• fast heartbeat


• feeling of something in the eye


• gradual blurring or loss of vision


• increased blood pressure


• increased sensitivity of the eye to light


• mental depression


• muscle pain


• nausea or vomiting


• oozing in the eye


• redness, swelling, or itching of the eye or eyelid


• runny or stuffy nose


• seeing flashes or sparks of light


• seeing floating dark spots or material before eyes


• seeing floating spots before the eyes or a veil or curtain appearing across part of vision


• shortness of breath


• skin rash


• sneezing


• sweating


• swelling of the eye


• tightness in the chest


• unusual tiredness or weakness


• watery eyes


• wheezing

Incidence not known

• Bluish lips or skin


• chest pain or discomfort


• confusion


• fast, pounding, or irregular heartbeat or pulse


• feeling of warmth or heat


• flushing or redness of the skin, especially on the face and neck


• irregular, fast, slow, or shallow breathing


• low body temperature


• muscle aches or weakness


• shivering


• slow or irregular heartbeat


• weak or feeble pulse


• weight gain

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

• Burning, stinging, or tearing of the eye


• drowsiness or tiredness


• dryness of the mouth

Less common

• Acid or sour stomach


• anxiety


• bad, unusual, or unpleasant (after) taste


• belching


• body aches or pain


• change in taste


• chills


• congestion


• cough


• cough producing mucus


• crusting on eyelid or corner of eye


• diarrhea


• difficulty breathing


• discoloration of white part of the eye


• dryness of the eye


• dryness or soreness of the throat


• fever


• general feeling of discomfort or illness


• hoarseness


• indigestion


• joint pain


• lack or loss of strength


• large amounts of cholesterol in the blood


• lid disorder


• loss of appetite


• muscle aches and pains


• pain or tenderness around the eyes and cheekbones


• paleness of the eye or inner lining of the eyelid


• passing of gas


• pounding heartbeat


• rash


• shivering


• sleepiness or unusual drowsiness


• sleeplessness


• sneezing


• sore throat


• stomach discomfort, fullness, upset, or pain


• tender, swollen glands in the neck


• trouble with sleeping


• trouble with swallowing


• troubled breathing


• unable to sleep


• voice changes

Incidence not known

• Constricted, pinpoint, or small pupils (black part of the eye)


• redness of the skin


• sensitivity to light


• throbbing pain


• unusual drowsiness, dullness, tiredness, weakness, or feeling of sluggishness


• unusual weak feeling


• unusually warm skin

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

See also: brimonidine Ophthalmic side effects (in more detail)

The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.

More brimonidine Ophthalmic resources

• Brimonidine Ophthalmic Side Effects (in more detail)
• Brimonidine Ophthalmic Use in Pregnancy & Breastfeeding
• Brimonidine Ophthalmic Drug Interactions
• Brimonidine Ophthalmic Support Group
• 3 Reviews for Brimonidine Ophthalmic - Add your own review/rating

• Alphagan Consumer Overview


• Alphagan P Prescribing Information (FDA)


• Alphagan P MedFacts Consumer Leaflet (Wolters Kluwer)


• Alphagan P Monograph (AHFS DI)

Compare brimonidine Ophthalmic with other medications

• Glaucoma, Open Angle
• Intraocular Hypertension

Bright Beginnings

Generic Name: prenatal multivitamins (PRE nay tal VYE ta mins)

Brand Names: Advance Care Plus, Bright Beginnings, Cavan Folate, Cavan One, Cavan-Heme OB, Cenogen Ultra, CitraNatal Rx, Co Natal FA, Complete Natal DHA, Complete-RF, CompleteNate, Concept OB, Docosavit, Dualvit OB, Duet, Edge OB, Elite OB 400, Femecal OB, Folbecal, Folcaps Care One, Folivan-OB, Foltabs, Gesticare, Icar Prenatal, Icare Prenatal Rx, Inatal Advance, Infanate DHA, Kolnatal DHA, Lactocal-F, Marnatal-F, Maternity, Maxinate, Mission Prenatal, Multi-Nate 30, Multinatal Plus, Nata 29 Prenatal, Natachew, Natafort, Natelle, Neevo, Nestabs, Nexa Select with DHA, Novanatal, NovaStart, O-Cal Prenatal, OB Complete, OB Natal One, Ob-20, Obtrex DHA, OptiNate, Paire OB Plus DHA, PNV Select, PNV-Total, PR Natal 400, Pre-H-Cal, Precare, PreferaOB, Premesis Rx, PrenaCare, PrenaFirst, PrenaPlus, Prenatabs OBN, Prenatabs Rx, Prenatal 1 Plus 1, Prenatal Elite, Prenatal Multivitamins, Prenatal Plus, Prenatal S, Prenatal-U, Prenate Advanced Formula, Prenate DHA, Prenate Elite, Prenavite FC, PreNexa, PreQue 10, Previte Rx, PrimaCare, Pruet DHA, RE OB Plus DHA, Renate, RightStep, Rovin-NV, Se-Care, Se-Natal One, Se-Plete DHA, Se-Tan DHA, Select-OB, Seton ET, Strongstart, Stuart Prenatal with Beta Carotene, Tandem OB, Taron-BC, Tri Rx, TriAdvance, TriCare, Trimesis Rx, Trinate, Triveen-PRx RNF, UltimateCare Advance, Ultra-Natal, Vemavite PRX 2, VeNatal FA, Verotin-BY, Verotin-GR, Vinacal OR, Vinatal Forte, Vinate Advanced (New Formula), Vinate AZ, Vinate Care, Vinate Good Start, Vinate II (New Formula), Vinate III, Vinate One, Vitafol-OB, VitaNatal OB plus DHA, Vitaphil, Vitaphil Aide, Vitaphil Plus DHA, Vitaspire, Viva DHA, Vol-Nate, Vol-Plus, Vol-Tab Rx, Vynatal F.A., Zatean-CH, Zatean-PN

What are Bright Beginnings (prenatal multivitamins)?

There are many brands and forms of prenatal vitamin available and not all brands are listed on this leaflet.

Prenatal vitamins are a combination of many different vitamins that are normally found in foods and other natural sources.

Prenatal vitamins are used to provide the additional vitamins needed during pregnancy. Minerals may also be contained in prenatal multivitamins.

Prenatal vitamins may also be used for purposes not listed in this medication guide.

What is the most important information I should know about prenatal vitamins?

There are many brands and forms of prenatal vitamin available and not all brands are listed on this leaflet.

Never take more than the recommended dose of a multivitamin. Avoid taking any other multivitamin product within 2 hours before or after you take your prenatal vitamins. Taking similar vitamin products together at the same time can result in a vitamin overdose or serious side effects.

Many multivitamin products also contain minerals such as calcium, iron, magnesium, potassium, and zinc. Minerals (especially taken in large doses) can cause side effects such as tooth staining, increased urination, stomach bleeding, uneven heart rate, confusion, and muscle weakness or limp feeling. Read the label of any multivitamin product you take to make sure you are aware of what it contains.

Seek emergency medical attention if you think you have used too much of this medicine. An overdose of vitamins A, D, E, or K can cause serious or life-threatening side effects and can also harm your unborn baby. Certain minerals contained in a prenatal multivitamin may also cause serious overdose symptoms or harm to the baby if you take too much.

Overdose symptoms may include stomach pain, vomiting, diarrhea, constipation, loss of appetite, hair loss, peeling skin, tingly feeling in or around your mouth, changes in menstrual periods, weight loss, severe headache, muscle or joint pain, severe back pain, blood in your urine, pale skin, and easy bruising or bleeding.

Do not take this medication with milk, other dairy products, calcium supplements, or antacids that contain calcium. Calcium may make it harder for your body to absorb certain ingredients of the multivitamin.

What should I discuss with my healthcare provider before taking prenatal vitamins?

Many vitamins can cause serious or life-threatening side effects if taken in large doses. Do not take more of this medication than directed on the label or prescribed by your doctor.

Before taking prenatal vitamins, tell your doctor about all of your medical conditions.

You may need to continue taking prenatal vitamins if you breast-feed your baby. Ask your doctor about taking this medication while breast-feeding.

How should I take prenatal vitamins?

Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.

Never take more than the recommended dose of prenatal vitamins.

Many multivitamin products also contain minerals such as calcium, iron, magnesium, potassium, and zinc. Minerals (especially taken in large doses) can cause side effects such as tooth staining, increased urination, stomach bleeding, uneven heart rate, confusion, and muscle weakness or limp feeling. Read the label of any multivitamin product you take to make sure you are aware of what it contains.

Take your prenatal vitamin with a full glass of water.

Swallow the regular tablet or capsule whole. Do not break, chew, crush, or open it.

The chewable tablet must be chewed or allowed to dissolve in your mouth before swallowing. You may also allow the chewable tablet to dissolve in drinking water, fruit juice, or infant formula (but not milk or other dairy products). Drink this mixture right away.

Use prenatal vitamins regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

Store at room temperature away from moisture and heat. Keep prenatal vitamins in their original container. Storing vitamins in a glass container can ruin the medication.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. 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. An overdose of vitamins A, D, E, or K can cause serious or life-threatening side effects and can also harm your unborn baby. Certain minerals contained in a prenatal multivitamin may also cause serious overdose symptoms or harm to the baby if you take too much.

Overdose symptoms may include stomach pain, vomiting, diarrhea, constipation, loss of appetite, hair loss, peeling skin, tingly feeling in or around your mouth, changes in menstrual periods, weight loss, severe headache, muscle or joint pain, severe back pain, blood in your urine, pale skin, and easy bruising or bleeding.

What should I avoid while taking prenatal vitamins?

Avoid taking any other multivitamin product within 2 hours before or after you take your prenatal vitamins. Taking similar vitamin products together at the same time can result in a vitamin overdose or serious side effects.

Avoid the regular use of salt substitutes in your diet if your multivitamin contains potassium. If you are on a low-salt diet, ask your doctor before taking a vitamin or mineral supplement.

Do not take this medication with milk, other dairy products, calcium supplements, or antacids that contain calcium. Calcium may make it harder for your body to absorb certain ingredients of the prenatal vitamin.

Prenatal vitamins 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.

When taken as directed, prenatal vitamins are not expected to cause serious side effects. Less serious side effects may include:

• 
  

  upset stomach;

  
  


• 
  

  headache; or

  
  


• 
  

  unusual or unpleasant taste in your mouth.

  
  

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect prenatal vitamins?

Vitamin and mineral supplements can interact with certain medications, or affect how medications work in your body. Before taking a prenatal vitamin, tell your doctor if you also use:

• 
  

  diuretics (water pills);

  
  


• 
  

  heart or blood pressure medications;

  
  


• 
  

  tretinoin (Vesanoid);

  
  


• 
  

  isotretinoin (Accutane, Amnesteen, Clavaris, Sotret);

  
  


• 
  

  trimethoprim and sulfamethoxazole (Cotrim, Bactrim, Gantanol, Gantrisin, Septra, TMP/SMX); or

  
  


• 
  

  an NSAID (non-steroidal anti-inflammatory drug) such as ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn, Naprelan, Treximet), celecoxib (Celebrex), diclofenac (Cataflam, Voltaren), indomethacin (Indocin), meloxicam (Mobic), and others.

  
  

This list is not complete and other drugs may interact with prenatal vitamins. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

More Bright Beginnings resources

• Bright Beginnings Side Effects (in more detail)
• Bright Beginnings Use in Pregnancy & Breastfeeding
• Bright Beginnings Drug Interactions
• Bright Beginnings Support Group
• 0 Reviews for Bright Beginnings - Add your own review/rating

• Cal-Nate MedFacts Consumer Leaflet (Wolters Kluwer)


• CareNatal DHA MedFacts Consumer Leaflet (Wolters Kluwer)


• CitraNatal 90 DHA MedFacts Consumer Leaflet (Wolters Kluwer)


• CitraNatal Assure Prescribing Information (FDA)


• CitraNatal Harmony Prescribing Information (FDA)


• Concept DHA Prescribing Information (FDA)


• Docosavit Prescribing Information (FDA)


• Duet DHA with Ferrazone MedFacts Consumer Leaflet (Wolters Kluwer)


• Folbecal MedFacts Consumer Leaflet (Wolters Kluwer)


• Folcal DHA Prescribing Information (FDA)


• Folcaps Care One Prescribing Information (FDA)


• Gesticare DHA Prescribing Information (FDA)


• Gesticare DHA MedFacts Consumer Leaflet (Wolters Kluwer)


• Inatal Advance Prescribing Information (FDA)


• Inatal Ultra Prescribing Information (FDA)


• Multi-Nate DHA Prescribing Information (FDA)


• Multi-Nate DHA Extra Prescribing Information (FDA)


• MultiNatal Plus MedFacts Consumer Leaflet (Wolters Kluwer)


• Natelle One Prescribing Information (FDA)


• Neevo Caplets MedFacts Consumer Leaflet (Wolters Kluwer)


• Neevo DHA MedFacts Consumer Leaflet (Wolters Kluwer)


• OB Complete 400 MedFacts Consumer Leaflet (Wolters Kluwer)


• Paire OB Plus DHA Prescribing Information (FDA)


• PreNexa MedFacts Consumer Leaflet (Wolters Kluwer)


• PreNexa Prescribing Information (FDA)


• PreferaOB Prescribing Information (FDA)


• Prenatal Plus Prescribing Information (FDA)


• Prenatal Plus Iron Prescribing Information (FDA)


• Prenate Elite Prescribing Information (FDA)


• Prenate Elite MedFacts Consumer Leaflet (Wolters Kluwer)


• Prenate Elite tablets


• Prenate Essential Prescribing Information (FDA)


• PrimaCare Advantage MedFacts Consumer Leaflet (Wolters Kluwer)


• PrimaCare ONE capsules


• PrimaCare One MedFacts Consumer Leaflet (Wolters Kluwer)


• Renate DHA Prescribing Information (FDA)


• Se-Natal 19 Chewable Tablets MedFacts Consumer Leaflet (Wolters Kluwer)


• Se-Natal 19 Prescribing Information (FDA)


• Tandem DHA Prescribing Information (FDA)


• Tandem OB Prescribing Information (FDA)


• TriAdvance Prescribing Information (FDA)


• Triveen-One MedFacts Consumer Leaflet (Wolters Kluwer)


• Triveen-PRx RNF Prescribing Information (FDA)


• UltimateCare ONE NF Prescribing Information (FDA)


• Ultra NatalCare MedFacts Consumer Leaflet (Wolters Kluwer)


• Vinate AZ Prescribing Information (FDA)


• Vitafol-One MedFacts Consumer Leaflet (Wolters Kluwer)


• Zatean-CH Prescribing Information (FDA)

Compare Bright Beginnings with other medications

• Vitamin/Mineral Supplementation during Pregnancy/Lactation

Where can I get more information?

• Your pharmacist can provide more information about prenatal vitamins.

See also: Bright Beginnings side effects (in more detail)

Brevoxyl-4 Wash

Pronunciation: BEN-zoe-il per-OK-sid
Generic Name: Benzoyl Peroxide
Brand Name: Examples include Brevoxyl-4 and Brevoxyl-8

Brevoxyl-4 Wash is used for:

Treating mild to moderate acne.

Brevoxyl-4 Wash is an antibacterial and keratolytic agent. It works by killing bacteria that cause acne and by causing mild drying and peeling of the skin.

Do NOT use Brevoxyl-4 Wash if:

• you are allergic to any ingredient in Brevoxyl-4 Wash

Contact your doctor or health care provider right away if any of these apply to you.

Before using Brevoxyl-4 Wash:

Some medical conditions may interact with Brevoxyl-4 Wash. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding


• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement


• if you have allergies to medicines, foods, or other substances


• if you have an open wound or damaged skin at the application site

Some MEDICINES MAY INTERACT with Brevoxyl-4 Wash. However, no specific interactions with Brevoxyl-4 Wash are known at this time.

Ask your health care provider if Brevoxyl-4 Wash may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Brevoxyl-4 Wash:

Use Brevoxyl-4 Wash as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Wash your hands well before and after using Brevoxyl-4 Wash


• This kit includes a benzoyl peroxide wash and a soap-free cleansing lotion.


• To use the wash, shake well before each use. Wet the affected area and apply the wash. Gently rub to form a lather. Rinse with water and pat dry with a clean cloth.


• To use the lotion, shake well before each use. Apply a generous amount to the skin and gently rub in. Remove excess lotion with a soft cloth or tissue. If you are using the lotion with water, apply it to the skin and then moisten the skin with warm water. Gently rub to form a lather. Rinse with warm water and pat dry with a soft cloth.


• Use Brevoxyl-4 Wash on a regular schedule to get the most benefit from it. Continue to use it even if your skin appears to improve. Do not miss any doses.


• If you miss a dose of Brevoxyl-4 Wash, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use Brevoxyl-4 Wash.

Important safety information:

• Brevoxyl-4 Wash is for external use only. Do not get it in your eyes, nose, or mouth. If you get it in your eyes, rinse at once with cool tap water.


• Brevoxyl-4 Wash may begin to work within 3 weeks, but you may not see the full effect for 8 to 12 weeks. If you symptoms do not get better within 3 weeks or if they get worse, check with your doctor.


• Do NOT use more often or for longer than prescribed without checking with your doctor.


• Talk with your doctor before you use any other medicines or cleansers on your skin.


• Brevoxyl-4 Wash may cause bleaching. Avoid contact with hair, fabrics, or carpeting.


• Brevoxyl-4 Wash may cause harm if it is swallowed. If you may have taken it by mouth, contact your poison control center or emergency room right away.


• Brevoxyl-4 Wash should be used with extreme caution in CHILDREN younger than 12 years old; safety and effectiveness in these children have not been confirmed.


• PREGNANCY and BREAST-FEEDING: It is not known if Brevoxyl-4 Wash can cause harm to the fetus. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Brevoxyl-4 Wash while you are pregnant. It is not known if Brevoxyl-4 Wash is found in breast milk. If you are or will be breast-feeding while you use Brevoxyl-4 Wash, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Brevoxyl-4 Wash:

All medicines may cause side effects, but many people have no, or minor side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Dryness; minor irritation, itching, stinging, peeling, or redness.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; dizziness; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); burning; severe or persistent irritation, itching, peeling, dryness, or redness of the skin; swelling.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Brevoxyl-4 side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.

Proper storage of Brevoxyl-4 Wash:

Store Brevoxyl-4 Wash at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Keep Brevoxyl-4 Wash out of the reach of children and away from pets.

General information:

• If you have any questions about Brevoxyl-4 Wash, please talk with your doctor, pharmacist, or other health care provider.


• Brevoxyl-4 Wash is to be used only by the patient for whom it is prescribed. Do not share it with other people.


• If your symptoms do not improve or if they become worse, check with your doctor.


• Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Brevoxyl-4 Wash. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Brevoxyl-4 resources

• Brevoxyl-4 Side Effects (in more detail)
• Brevoxyl-4 Use in Pregnancy & Breastfeeding
• Brevoxyl-4 Drug Interactions
• Brevoxyl-4 Support Group
• 0 Reviews for Brevoxyl-4 - Add your own review/rating

Compare Brevoxyl-4 with other medications

• Acne
• Perioral Dermatitis

Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar

Pronunciation: BEN-zoe-il per-OX-ide
Generic Name: Benzoyl Peroxide
Brand Name: Brevoxyl Creamy Wash Complete Pack

Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar is used for:

Treating acne.

Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar is a keratolytic agent with antibacterial actions. The effectiveness of benzoyl peroxide appears to be due to its antibacterial, peeling (keratolytic), and drying actions.

Do NOT use Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar if:

• you are allergic to any ingredient in Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar

Contact your doctor or health care provider right away if any of these apply to you.

Before using Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar:

Some medical conditions may interact with Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding


• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement


• if you have allergies to medicines, foods, or other substances

Some MEDICINES MAY INTERACT with Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar. However, no specific interactions with Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar are known at this time.

Ask your health care provider if Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar:

Use Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• To use the wash: Shake well before each use.


• Wet the affected area. Use your hands to apply the medicine and gently wash the affected area. Rinse with water and pat dry.

• To use the bar: Wash the affected area with warm water as directed for 1 to 2 minutes. Rinse well, then pat dry with a clean towel.

• Wash your hands immediately after using Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar.


• If you miss a dose of Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar.

Important safety information:

• Use on the skin only. Avoid getting Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar in your eyes, eyelids, on the inside of your nose or mouth, on highly inflamed or damaged skin, or on your lips. If you get Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar in your eyes, immediately wash them out with cool tap water.


• Avoid applying Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar to raw or irritated skin, including sunburns, or to open wounds.


• Several weeks may pass before you see improvement in your acne. Continue to use Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar for the full time recommended by your doctor. If your acne does not improve or if it gets worse, check with your doctor.


• Talk with your doctor before you use any other medicines, special cleansers, aftershave, or cosmetics on your skin.


• Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.


• Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar may cause bleaching. Avoid contact with hair, fabrics, or carpeting.


• Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar may cause harm if it is swallowed. If you may have taken it by mouth, contact your poison control center or emergency room right away.


• Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar should be used with extreme caution in CHILDREN younger than 12 years old; safety and effectiveness in these children have not been confirmed.


• PREGNANCY and BREAST-FEEDING: It is not known if Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar can cause harm to the fetus. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar while you are pregnant. It is not known if Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar is found in breast milk after topical use. If you are or will be breast-feeding while you use Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Dryness; feeling of warmth; irritation; itching; peeling; redness; stinging.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; dizziness; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); excessive burning, itching, irritation, peeling, redness, or tenderness of your skin; extreme dryness; swelling.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Brevoxyly Complete Pack side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include excessive scaling; flushing; redness; swelling.

Proper storage of Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar:

Store at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store in a tightly closed container, away from fire, flame, heat, moisture, and light. Keep Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar out of the reach of children and away from pets.

General information:

• If you have any questions about Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar, please talk with your doctor, pharmacist, or other health care provider.


• Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar is to be used only by the patient for whom it is prescribed. Do not share it with other people.


• If your symptoms do not improve or if they become worse, check with your doctor.


• Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Brevoxyl Creamy Wash Complete Pack Wash and Cleansing Bar. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Brevoxyl Creamy Wash Complete Pack resources

• Brevoxyl Creamy Wash Complete Pack Side Effects (in more detail)
• Brevoxyl Creamy Wash Complete Pack Use in Pregnancy & Breastfeeding
• Brevoxyl Creamy Wash Complete Pack Drug Interactions
• Brevoxyl Creamy Wash Complete Pack Support Group
• 0 Reviews for Brevoxyly Complete Pack - Add your own review/rating

Compare Brevoxyl Creamy Wash Complete Pack with other medications

• Acne
• Perioral Dermatitis

Briellyn

Generic Name: ethinyl estradiol and norethindrone (ETH in il ess tra DYE ole and nor ETH in drone)

Brand Names: Aranelle, Balziva, Brevicon, Briellyn, Cyclafem 1/35, Cyclafem 7/7/7, Estrostep Fe, Femcon FE, Generess Fe, Gildess FE 1.5/0.03, Gildess FE 1/0.2, Junel 1.5/30, Junel 1/20, Junel Fe 1.5/30, Junel Fe 1/20, Leena, Lo Loestrin Fe, Loestrin 21 1.5/30, Loestrin 21 1/20, Loestrin 24 Fe, Loestrin Fe 1.5/30, Loestrin Fe 1/20, Microgestin 1.5/30, Microgestin 1/20, Microgestin FE 1.5/30, Microgestin FE 1/20, Modicon, Necon 0.5/35, Necon 1/35, Necon 10/11, Necon 7/7/7, Norinyl 1+35, Nortrel 0.5/35, Nortrel 1/35, Nortrel 7/7/7, Ortho-Novum 1/35, Ortho-Novum 7/7/7, Ovcon 35, Ovcon 35 Fe, Ovcon 50, Tilia Fe, Tri-Legest Fe, Tri-Norinyl, Zenchent Fe, Zeosa

What is Briellyn (ethinyl estradiol and norethindrone)?

Ethinyl estradiol and norethindrone contains a combination of female hormones that prevent ovulation (the release of an egg from an ovary). This medication also causes changes in your cervical mucus and uterine lining, making it harder for sperm to reach the uterus and harder for a fertilized egg to attach to the uterus.

Ethinyl estradiol and norethindrone are used as contraception to prevent pregnancy. It is also used to treat severe acne.

Ethinyl estradiol and norethindrone may also be used for purposes not listed in this medication guide.

What is the most important information I should know about Briellyn (ethinyl estradiol and norethindrone)?

Do not use birth control pills if you are pregnant or if you have recently had a baby. Do not use this medication if you have any of the following conditions: a history of stroke or blood clot, circulation problems, a hormone-related cancer such as breast or uterine cancer, abnormal vaginal bleeding, liver disease or liver cancer, or a history of jaundice caused by birth control pills.

You may need to use back-up birth control, such as condoms or a spermicide, when you first start using this medication. Follow your doctor's instructions.

Taking hormones can increase your risk of blood clots, stroke, or heart attack, especially if you smoke and are older than 35.

Some drugs can make birth control pills less effective, which may result in pregnancy. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

What should I discuss with my healthcare provider before taking Briellyn (ethinyl estradiol and norethindrone)?

This medication can cause birth defects. Do not use if you are pregnant. Tell your doctor right away if you become pregnant, or if you miss two menstrual periods in a row. If you have recently had a baby, wait at least 4 weeks before taking birth control pills (6 weeks if you are breast-feeding). You should not take birth control pills if you have:

• 
  

  coronary artery disease, a severe or uncontrolled heart valve disorder, untreated or uncontrolled high blood pressure;

  
  


• 
  

  a history of a stroke, blood clot, or circulation problems;

  
  


• 
  

  a hormone-related cancer such as breast or uterine cancer;

  
  


• 
  

  unusual vaginal bleeding that has not been checked by a doctor;

  
  


• 
  

  liver disease or liver cancer;

  
  


• 
  

  severe migraine headaches; or

  
  


• 
  

  a history of jaundice caused by pregnancy or birth control pills.

  
  

To make sure you can safely take this medication, tell your doctor if you have any of these other conditions:

• 
  

  high blood pressure or a history of heart disease;

  
  


• 
  

  high cholesterol, gallbladder disease, or diabetes;

  
  


• 
  

  migraine headaches or a history of depression; or

  
  


• 
  

  a history of breast cancer or an abnormal mammogram.

  
  

The hormones in birth control pills can pass into breast milk and may harm a nursing baby. This medication may also slow breast milk production. Do not use if you are breast-feeding a baby.

How should I take Briellyn (ethinyl estradiol and norethindrone)?

Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label. Take your first pill on the first day of your period or on the first Sunday after your period begins (follow your doctor's instructions).

You may need to use back-up birth control, such as condoms or a spermicide, when you first start using this medication. Follow your doctor's instructions.

The 28-day birth control pack contains seven "reminder" pills to keep you on your regular cycle. Your period will usually begin while you are using these reminder pills.

You may have breakthrough bleeding, especially during the first 3 months. Tell your doctor if this bleeding continues or is very heavy.

Take one pill every day, no more than 24 hours apart. When the pills run out, start a new pack the following day. You may get pregnant if you do not use this medication regularly. Get your prescription refilled before you run out of pills completely.

The chewable tablet may be chewed or swallowed whole. If chewed, drink a full glass of water just after you swallow the pill.

If you need surgery or medical tests or if you will be on bed rest, you may need to stop using this medication for a short time. Any doctor or surgeon who treats you should know that you are using birth control pills.

Your doctor will need to check your progress on a regular basis. Do not miss any scheduled appointments.

Store at room temperature away from moisture and heat.

What happens if I miss a dose?

Missing a pill increases your risk of becoming pregnant. If you miss one "active" pill, take two pills on the day that you remember. Then take one pill per day for the rest of the pack.

If you miss two "active" pills in a row in week one or two, take two pills per day for two days in a row. Then take one pill per day for the rest of the pack. Use back-up birth control for at least 7 days following the missed pills.

If you miss two "active" pills in a row in week three, or if you miss three pills in a row during any of the first 3 weeks, throw out the rest of the pack and start a new one the same day if you are a Day 1 starter. If you are a Sunday starter, keep taking a pill every day until Sunday. On Sunday, throw out the rest of the pack and start a new one that day.

If you miss two or more pills, you may not have a period during the month. If you miss a period for two months in a row, call your doctor because you might be pregnant.

If you miss any reminder pills, throw them away and keep taking one pill per day until the pack is empty. You do not need back-up birth control if you miss a reminder pill.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Overdose symptoms may include nausea, vomiting, and vaginal bleeding.

What should I avoid while taking Briellyn (ethinyl estradiol and norethindrone)?

Do not smoke while using birth control pills, especially if you are older than 35. Smoking can increase your risk of blood clots, stroke, or heart attack caused by birth control pills.

Birth control pills will not protect you from sexually transmitted diseases--including HIV and AIDS. Using a condom is the only way to protect yourself from these diseases.

Briellyn (ethinyl estradiol and norethindrone) 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 using this medication and call your doctor at once if you have any of these serious side effects:

• 
  

  sudden numbness or weakness, especially on one side of the body;

  
  


• 
  

  sudden severe headache, confusion, problems with vision, speech, or balance;

  
  


• 
  

  sudden cough, wheezing, rapid breathing, coughing up blood;

  
  


• 
  

  pain, swelling, warmth, or redness in one or both legs;

  
  


• 
  

  chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;

  
  


• 
  

  a change in the pattern or severity of migraine headaches;

  
  


• 
  

  pain in your upper stomach, jaundice (yellowing of the skin or eyes);

  
  


• 
  

  a lump in your breast;

  
  


• 
  

  swelling in your hands, ankles, or feet; or

  
  


• 
  

  symptoms of depression (sleep problems, weakness, mood changes).

  
  

Less serious side effects may include:

• 
  

  mild nausea or vomiting, appetite or weight changes;

  
  


• 
  

  breast swelling or tenderness;

  
  


• 
  

  headache, nervousness, dizziness;

  
  


• 
  

  problems with contact lenses;

  
  


• 
  

  freckles or darkening of facial skin, loss of scalp hair; or

  
  


• 
  

  vaginal itching or discharge.

  
  

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Briellyn (ethinyl estradiol and norethindrone)?

Some drugs can make ethinyl estradiol and norethindrone less effective, which may result in pregnancy. Before using ethinyl estradiol and norethindrone, tell your doctor if you are using any of the following drugs:

• 
  

  acetaminophen (Tylenol) or ascorbic acid (vitamin C);

  
  


• 
  

  bosentan (Tracleer);

  
  


• 
  

  prednisolone (Orapred);

  
  


• 
  

  St. John's wort;

  
  


• 
  

  theophylline (Elixophyllin, Theo-24, Uniphyl);

  
  


• 
  

  an antibiotic;

  
  


• 
  

  HIV or AIDS medications;

  
  


• 
  

  phenobarbital (Solfoton) and other barbiturates; or

  
  


• 
  

  seizure medication.

  
  

This list is not complete and other drugs may interact with birth control pills. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

More Briellyn resources

• Briellyn Side Effects (in more detail)
• Briellyn Use in Pregnancy & Breastfeeding
• Briellyn Drug Interactions
• Briellyn Support Group
• 1 Review for Briellyn - Add your own review/rating

• Briellyn Prescribing Information (FDA)


• Aranelle Prescribing Information (FDA)


• Balziva Prescribing Information (FDA)


• Brevicon Prescribing Information (FDA)


• Cyclafem 1/35 Prescribing Information (FDA)


• Cyclafem 7/7/7 Prescribing Information (FDA)


• Estrostep Fe Prescribing Information (FDA)


• Femcon FE Prescribing Information (FDA)


• Femcon Fe Chewable Tablets MedFacts Consumer Leaflet (Wolters Kluwer)


• Femhrt Consumer Overview


• Femhrt Prescribing Information (FDA)


• Femhrt MedFacts Consumer Leaflet (Wolters Kluwer)


• Jevantique Prescribing Information (FDA)


• Jinteli Prescribing Information (FDA)


• Leena Prescribing Information (FDA)


• Lo Loestrin Fe MedFacts Consumer Leaflet (Wolters Kluwer)


• Lo Loestrin Fe Consumer Overview


• Lo Loestrin Fe Advanced Consumer (Micromedex) - Includes Dosage Information


• Lo Loestrin Fe Prescribing Information (FDA)


• Loestrin 24 FE Prescribing Information (FDA)


• Loestrin 24 Fe Consumer Overview


• Loestrin Fe 1/20 MedFacts Consumer Leaflet (Wolters Kluwer)


• Ovcon 35 MedFacts Consumer Leaflet (Wolters Kluwer)


• Tilia FE Prescribing Information (FDA)


• Tri-Norinyl Prescribing Information (FDA)


• Zenchent FE Prescribing Information (FDA)


• Zeosa Prescribing Information (FDA)

Compare Briellyn with other medications

• Abnormal Uterine Bleeding
• Acne
• Birth Control
• Endometriosis
• Gonadotropin Inhibition
• Menstrual Disorders
• Polycystic Ovary Syndrome
• Postmenopausal Symptoms
• Prevention of Osteoporosis

Where can I get more information?

• Your pharmacist can provide more information about ethinyl estradiol and norethindrone.

See also: Briellyn side effects (in more detail)

Basaljel

Generic Name: aluminum carbonate (ah LOO mih num CAR boe nate)

Brand Names: Basaljel

What is Basaljel (aluminum carbonate)?

Aluminum is a naturally occurring substance. Aluminum carbonate is the carbonate salt form of aluminum designed for oral ingestion.

Aluminum carbonate is used to treat the symptoms of increased stomach acid in conditions such as heartburn, acid reflux, acid indigestion, sour stomach, and stomach ulcers. Aluminum carbonate is also used to treat, control, or manage high levels of phosphate in the body. Aluminum carbonate is also used with a low phosphate diet to prevent the formation of phosphate urinary stones.

Aluminum carbonate may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about Basaljel (aluminum carbonate)?

Before taking aluminum carbonate, talk to your doctor if you take any other medicines. Aluminum can decrease the effects of many other medicines by binding to them or by changing the acidity of the stomach or the urine.

Do not take more of this medication than is recommended.

Who should not take Basaljel (aluminum carbonate)?

Before taking this medication, tell your doctor if you

• have kidney disease;


• 
  

  have any condition that causes slow emptying of the stomach; or

  
  


• 
  

  take any other medicines.

  
  

You may not be able to take aluminum carbonate or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.

It is not known whether aluminum carbonate will harm an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant. It is not known whether aluminum carbonate will harm an nursing baby. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.

How should I take Basaljel (aluminum carbonate)?

Take aluminum carbonate exactly as directed by your doctor or on the package. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Take the tablets and capsules with a full glass of water. To ensure that you get the correct dosage, measure the liquid form of aluminum carbonate with a dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one. Shake the suspension well before measuring a dose. Mix the liquid form of aluminum carbonate with water or fruit juice as directed. Store aluminum carbonate at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the dose you missed and take only the next regularly scheduled dose. Do not take a double dose of this medication unless otherwise directed by your doctor.

What happens if I overdose?

Seek emergency medical attention.

Symptoms of an aluminum overdose include weight loss, decreased appetite, general feeling of sickness, muscle weakness, kidney failure, and softening of the bones.

What should I avoid while taking Basaljel (aluminum carbonate)?

Do not take more of this medication than is recommended.

Basaljel (aluminum carbonate) side effects

Stop taking aluminum and seek emergency medical attention if you experience an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives).

Other, less serious side effects may be more likely to occur. Continue to take aluminum and talk to your doctor if you experience constipation. Increased fluid intake may lessen constipation.

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 Basaljel (aluminum carbonate)?

Before taking aluminum carbonate, talk to your doctor if you take any other medicines. Aluminum can decrease the effects of many other medicines by binding to them or by changing the acidity of the stomach or the urine.

Drugs other than those listed here can also interact with aluminum carbonate. Talk to your doctor and pharmacist before taking any over-the-counter or prescription medicines.

More Basaljel resources

• Drug Images
• Basaljel Drug Interactions
• Basaljel Support Group
• 0 Reviews for Basaljel - Add your own review/rating

Compare Basaljel with other medications

• Indigestion

Where can I get more information?

• Your doctor, pharmacist, or health care provider may have more information about aluminum carbonate.