MedicationJunction Weight loss pills

Drospirenone and ethinyl estradiol does not offer protection from sexually transmitted diseases--including HIV or AIDS. Using a condom is the only way to obtain protection from these diseases.

Take one pill every day, no more than 24 hours after the last dose. Try to take the pills at a time that you will remember every day--for example, just before bed, with a meal, or first thing in the morning.

Avoid smoking cigarettes while taking drospirenone and ethinyl estradiol. Smoking greatly increases the risk of heart attack, stroke, and blood clot.

Some other medicines may decrease the effectiveness of drospirenone and ethinyl estradiol, which may result in unintended pregnancy. Talk to your doctor before taking any other medicines while taking drospirenone and ethinyl estradiol to determine if an additional form of birth control may be needed temporarily.

What are birth control pills.

Drospirenone is a form of progesterone and ethinyl estradiol is a form of estrogen. These are both female hormones involved in conception. Together, drospirenone and ethinyl estradiol prevent ovulation the release of an egg from an ovary from occurring.

Drospirenone and ethinyl estradiol are used to prevent pregnancy.

Drospirenone and ethinyl estradiol may also be used for purposes other than those listed in this medication guide.

Who should not take birth control pills.

Drospirenone may increase potassium in the body. The following list of conditions and medications may also affect potassium levels in the body. Do not take drospirenone and ethinyl estradiol without first talking to your doctor if you have or are taking.

liver disease or a history of yellowing of the skin or eyes due to pregnancy or previous use of birth control pills.
kidney disease.
adrenal insufficiency.
a nonsteroidal anti-inflammatory drug NSAID such as ibuprofen Motrin, Advil, others, naproxen Aleve, Naprosyn, Anaprox, others, and others.
a potassium-sparing diuretic such as spironolactone Aldactone, others, triamterene Dyrenium, Dyazide, Maxzide, others, amiloride Midamor, others, or eplerenone Inspra.
a potassium supplement such as Klor-Con, K-Dur, K-Tab, Kaon, others.
an ACE inhibitor such as benazepril Lotensin, lisinopril Prinivil, Zestril, enalapril Vasotec, and others.
an angiotensin II receptor antagonist such as candesartan Atacand, losartan Cozaar, telmisartan Micardis, and others. or
heparin.
Also, do not take drospirenone and ethinyl estradiol without first talking to your doctor if you have

had a stroke, heart attack, or blood clot.
high blood pressure, angina, or heart disease.
a bleeding or blood-clotting disorder.
breast, uterine, or another hormone-related cancer. or
undiagnosed, abnormal vaginal bleeding.
Before taking drospirenone and ethinyl estradiol, also tell your doctor if you have diabetes. high cholesterol. gallbladder disease. migraines or other headaches. epilepsy. a history of depression. a history of scanty or irregular menstrual periods. smoke cigarettes. or need an extended period of bed rest due to surgery or illness.

Drospirenone and ethinyl estradiol is in the FDA pregnancy category X. This means that it has been reported to cause birth defects in an unborn baby. Hormonal changes during pregnancy can have very serious negative effects on a developing baby. Do not take drospirenone and ethinyl estradiol if you are pregnant or if you think you might be pregnant.

Drospirenone and ethinyl estradiol passes into breast milk and may decrease milk production. Do not take drospirenone and ethinyl estradiol without first talking to your doctor if you are breast-feeding a baby.

How should I take birth control pills.

Take drospirenone and ethinyl estradiol exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Take the first pill in a package on the first day of your period or on the first Sunday after your period begins as directed by your doctor.

Take one pill every day, no more than 24 hours after the last dose. Try to take the pills at a time that you will remember every day.

Taking the pill at night may reduce noticeable side effects such as headache or nausea.

If you are on a 28-day cycle, take one pill every day. When the pack runs out, throw it away. Begin a new pack the following day. The 28-day cycle contains seven pills that are placebos with no active ingredients. These are reminder pills to keep you on a regular cycle. They are taken while you are menstruating.

Follow your doctors instructions about using a second form of birth control when you first start taking drospirenone and ethinyl estradiol, when you are taking other medications, or if you miss a pill. If you are unsure what to do in any of these cases, talk to your pharmacist, nurse, or doctor about how to ensure that you will not become pregnant.

Have yearly physical exams and examine your breasts for lumps monthly while taking drospirenone and ethinyl estradiol. Your doctor may also want you to have blood tests to monitor potassium levels in your blood.

Store drospirenone and ethinyl estradiol at room temperature away from moisture and heat.

What happens if I miss a dose.

Missing a pill increases the risk of becoming pregnant. Follow the exact directions on the package information insert concerning missed doses, it may have slightly different instructions in the case of missed pills.

If you do not have a package information insert, call your pharmacist, doctor, or nurse to find out what to do. In general.

If you miss one yellow active pill, take the dose as soon as you remember or take two pills at the time of your next regularly scheduled dose. You do not need to use backup birth control.

If you miss two yellow active tablets in a row in week one or two, take two tablets each for the next two regularly scheduled doses one missed tablet plus one regularly scheduled tablet for 2 days in a row. Use another form of birth control for at least 7 days following the missed tablets.

If you miss two yellow active tablets in a row in week three, or if you miss three tablets in a row during any of the first 3 weeks, throw out the rest of the pack and start a new package on 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 pack of pills that same day. You may not have a period that month, but this is expected. However, if you miss your period 2 months in a row, call your doctor because you might be pregnant. You may become pregnant if you have sex in the 7 days after you miss pills. You MUST use another birth control method such as condoms or spermicides as a back-up for those 7 days.

If you miss one of the reminder pills in week four, skip that dose and take the next one as directed.

What happens if I overdose.

Consult a doctor, emergency room, or poison control center for advice if an overdose is suspected.

Symptoms of an overdose include nausea, vomiting, and menstrual bleeding.

What should I avoid while taking my birth control pills.

Avoid smoking. Smoking greatly increases the risk of heart attack, stroke, or blood clot formation.

Drospirenone and ethinyl estradiol does not offer protection from sexually transmitted diseases--including HIV or AIDS. Using a condom is the only way to obtain protection from these diseases.

What are the possible side effects of my birth control pills.

If you experience any of the following serious side effects, stop taking drospirenone and ethinyl estradiol and seek emergency medical attention or contact your doctor immediately.

an allergic reaction difficulty breathing. closing of the throat. swelling of the lips, tongue, or face. or hives.
sharp chest pain, coughing of blood or shortness of breath possible blood clot in the lung .
pain in the calf possible blood clot in the leg.
crushing chest pain or heaviness in the chest possible heart attack.
sudden severe headache or vomiting, dizziness or fainting, disturbances of vision or speech, weakness, or numbness in an arm or leg possible stroke.
partial or complete loss of vision possible clot in the eye.
stomach pain or tenderness, yellowing of the skin or eyes, fever, fatigue, loss of appetite, dark-colored urine, or light-colored stools possible liver problems.
difficulty sleeping, weakness, lack of energy, fatigue , or change in mood possibly severe depression. or
new or changing breast lumps.
Other, less serious side effects may also occur. Continue to take drospirenone and ethinyl estradiol and talk to your doctor if you experience

headache or dizziness.
changes in menstrual cycle or breast tenderness.
changes in weight or appetite.
water retention.
intolerance to contact lenses.
changes in skin color. or
changes in blood sugar.
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 my birth control pills.

Drospirenone may increase potassium in the body. The following list of medications may also affect potassium levels in the body. More specific examples of these medicines are listed in the section entitled What should I discuss with my healthcare provider before taking drospirenone and ethinyl estradiol.. Do not take drospirenone and ethinyl estradiol without first talking to your doctor if you are on daily, long-term treatment with.

a nonsteroidal anti-inflammatory drug NSAID.
a potassium-sparing diuretic.
a potassium supplement.
an ACE inhibitor.
an angiotensin II receptor antagonist. or
heparin.
Many other drugs may interact with drospirenone and ethinyl estradiol. Some interactions e.g. with certain antibiotics, protease inhibitors, seizure medications, St. Johns wort, and other medications may result in decreased effectiveness of the medication and therefore increase the risk of unintended pregnancy. Talk to your doctor or pharmacist before taking any other prescription or over-the-counter medications, including vitamins and minerals and herbal products.

Where can I get more information.

Your pharmacist has additional information about drospirenone and ethinyl estradiol written for health professionals that you may read.

What does my medication look like.

Drospirenone and ethinyl estradiol is available with a prescription under the brand name Yasmin. Ask your pharmacist any questions you might have about your medication or about any pills that do not look familiar to you.

While you are taking venlafaxine you may need to be monitored for worsening symptoms of depression and/or suicidal thoughts especially at the start of therapy or when doses are changed. Your doctor may want you to monitor for the following symptoms. anxiety, panic attacks, difficulty sleeping, irritability, hostility, impulsivity, severe restlessness, and mania mental and/or physical hyperactivity. These symptoms may be associated with development of worsening symptoms of depression and/or suicidal thoughts or actions. Contact your healthcare provider if you develop any new or worsening mental health symptoms during treatment with venlafaxine. Do not stop taking venlafaxine without first talking to your healthcare provider.

Do not take venlafaxine if you are currently taking or have taken a monoamine oxidase inhibitor MAOI such as isocarboxazid Marplan, phenelzine Nardil, or tranylcypromine Parnate in the last 14 days.

Use caution when driving, operating machinery, or performing other hazardous activities. Venlafaxine may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.

Use alcohol cautiously. Alcohol may increase drowsiness, dizziness, and confusion

Do not stop taking venlafaxine without first talking to your doctor. Your doctor may need to gradually reduce the dose before stopping the medication completely. Stopping the medication suddenly may cause unpleasant side effects to occur.

What is venlafaxine.

Venlafaxine is an antidepressant medication. It affects chemicals in the brain that may become unbalanced and cause depression or anxiety.

Venlafaxine is used to relieve symptoms of depression, generalized anxiety disorder, and social anxiety disorder social phobia.

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

What should I discuss with my healthcare provider before taking venlafaxine.

While you are taking venlafaxine you may need to be monitored for worsening symptoms of depression and/or suicidal thoughts especially at the start of therapy or when doses are changed. Your doctor may want you to monitor for the following symptoms. anxiety, panic attacks, difficulty sleeping, irritability, hostility, impulsivity, severe restlessness, and mania mental and/or physical hyperactivity. These symptoms may be associated with development of worsening symptoms of depression and/or suicidal thoughts or actions. Contact your healthcare provider if you develop any new or worsening mental health symptoms during treatment with venlafaxine. Do not stop taking venlafaxine without first talking to your healthcare provider.

Do not take venlafaxine if you are currently taking or have taken a monoamine oxidase inhibitor MAOI such as isocarboxazid Marplan, phenelzine Nardil, or tranylcypromine Parnate in the last 14 days.

Before taking this medication, tell your doctor if you have

liver disease.
kidney disease.
heart disease or high blood pressure.
seizures or epilepsy.
a history of mania or bipolar disorder.
increased pressure in the eyes or narrow-angle glaucoma.
bleeding or blood clotting problems. or
increased level of cholesterol in the blood.
You may not be able to take venlafaxine, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.

Venlafaxine is in the FDA pregnancy category C. This means that it is not known whether venlafaxine will be harmful to an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment.

Venlafaxine passes into breast milk and may affect a nursing baby. Do not take venlafaxine without first talking to your doctor if you are breast-feeding a baby.

How should I take venlafaxine.

Take venlafaxine exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain the instructions to you.

Take each dose with a full glass of water.

Take venlafaxine with food or milk to lessen stomach upset.

Venlafaxine should be taken at the same time every day.

Each Effexor XR capsule should be swallowed whole with fluid and not divided, crushed, chewed, or placed in water.

If swallowing of the Effexor XR capsules is difficult, a capsule may be carefully opened and the entire contents sprinkled onto a spoonful of applesauce. This drug/food mixture should be swallowed immediately without chewing and followed with a glass of water.

It is important to take venlafaxine regularly to get the most benefit.

Do not stop taking venlafaxine without first talking to your doctor. Your doctor may need to gradually reduce the dose before stopping the medication completely. Stopping the medication suddenly may cause unpleasant side effects to occur.

Your doctor may want you to have blood tests or other medical evaluations during treatment with venlafaxine to monitor progress and side effects.

Store venlafaxine 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 missed dose and take only the next one as directed. Do not take a double dose of this medication.

What happens if I overdose.

Seek emergency medical attention if an overdose is suspected.

Symptoms of a venlafaxine overdose may include dizziness, drowsiness, numbness, nausea, irregular heartbeats, seizures, and unconsciousness.

What should I avoid while taking venlafaxine.

Use caution when driving, operating machinery, or performing other hazardous activities. Venlafaxine may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.

Avoid the use of alcohol. Alcohol may increase drowsiness, dizziness, and confusion while taking venlafaxine.

What are the possible side effects of venlafaxine.

If you experience any of the following serious side effects, stop taking venlafaxine and contact your doctor immediately or seek emergency medical treatment.

an allergic reaction difficulty breathing. closing of the throat. swelling of the lips, tongue, or face. or hives.
seizures. or
an irregular heartbeat or severely high blood pressure blurred vision, headache.
Other, less serious side effects may be more likely to occur. Continue to take venlafaxine and talk to your doctor if you experience

nausea, vomiting, upset stomach, abdominal pain, or loss of appetite or weight.
dry mouth.
drowsiness or dizziness.
mild tremor, anxiety, or agitation.
insomnia.
abnormal dreams.
sexual problems such as impotence, abnormal ejaculation, difficulty reaching orgasm, or decreased libido.
sweating.
yawning. or
increase in blood cholesterol levels detected by blood tests.
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 venlafaxine.

Do not take venlafaxine if you are currently taking or have taken a monoamine oxidase inhibitor MAOI such as isocarboxazid Marplan, phenelzine Nardil, or tranylcypromine Parnate in the last 14 days.

Venlafaxine may increase the effects of other drugs that cause drowsiness, including other antidepressants, anxiety medicines, antipsychotics, alcohol, antihistamines, sedatives used to treat insomnia, pain relievers, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any other medicine without first talking to your doctor.

Drugs other than those listed here may also interact with venlafaxine. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.

Where can I get more information.

Your pharmacist has additional information about venlafaxine written for health professionals that you may read.

What does my medication look like.

Venlafaxine is available with a prescription under the brand names Effexor and Effexor XR. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

Effexor 25 mg--peach-colored, shield-shaped, scored tablets
Effexor 37.5 mg--peach-colored, shield-shaped, scored tablets
Effexor 50 mg--peach-colored, shield-shaped, scored tablets
Effexor 75 mg--peach-colored, shield-shaped, scored tablets
Effexor 100 mg--peach-colored, shield-shaped, scored tablets
Effexor XR 37.5 mg-grey/peach capsules
Effexor XR 75 mg-peach capsules
Effexor XR 150 mg-dark orange capsules

Sibutramine has been reported to cause increased blood pressure in some patients. It is important to have your blood pressure and pulse monitored regularly while taking sibutramine.

Use caution when driving, operating machinery, or performing other hazardous activities. Sibutramine may cause dizziness, difficulty concentrating, or restlessness. If you experience these effects, avoid hazardous activities.

Do not take any other prescription or over-the-counter medicines without first talking to your doctor, especially weight-loss products, tryptophan L-tryptophan, 5-HTP, decongestants, antidepressants, cough suppressants, lithium Eskalith, Lithobid, Lithonate, others, and migraine medicines.

What is sibutramine.

Sibutramine affects chemicals in the body that are related to weight maintenance.

Sibutramine is used as a short-term supplement to diet and exercise in the treatment of obesity.

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

What should I discuss with my healthcare provider before taking sibutramine.

Do not take sibutramine without first talking to your doctor if you

have taken a monoamine oxidase inhibitor MAOI such as isocarboxazid Marplan, tranylcypromine Parnate, or phenelzine Nardil in the last 14 days.
have anorexia nervosa.
are taking an appetite suppressant.
have high blood pressure.
have heart disease, irregular heartbeats, congestive heart failure, or a history of stroke.
have epilepsy or another seizure disorder.
have gallstones.
have glaucoma.
have liver disease. or
have kidney disease.
You may not be able to take sibutramine, or you may require a dosage adjustment or special monitoring if you have any of the conditions listed above.

Sibutramine is in the FDA pregnancy category C. This means that it is not known whether sibutramine will harm an unborn baby. Do not take sibutramine without first talking to your doctor if you are pregnant or could become pregnant during treatment.

It is not known whether sibutramine passes into breast milk. Do not take sibutramine without first talking to your doctor if you are breast-feeding a baby.

The safety and effectiveness of sibutramine have not been studied in children younger than 16 years of age.

How should I take sibutramine.

Take sibutramine exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Take each dose with a full glass of water.

Sibutramine is usually taken once a day. Follow your doctors instructions.

Sibutramine can be taken with or without food.

Never take more of this medication than is prescribed for you. Too much sibutramine could be dangerous.

Sibutramine has been reported to cause increased blood pressure in some patients. It is important to have your blood pressure and pulse monitored regularly while taking sibutramine.

Store sibutramine 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 missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication.

What happens if I overdose.

Seek emergency medical attention.

Symptoms of a sibutramine overdose are not known.

What should I avoid while taking sibutramine.

Use caution when driving, operating machinery, or performing other hazardous activities. Sibutramine may cause dizziness, difficulty concentrating, or restlessness. If you experience these effects, avoid hazardous activities.

Do not take any other prescription or over-the-counter medicines without first talking to your doctor, especially weight-loss products, tryptophan L-tryptophan, 5-HTP, decongestants, antidepressants, cough suppressants, lithium Eskalith, Lithobid, Lithonate, others, and migraine medicines.

What are the possible side effects of sibutramine.

If you experience any of the following serious side effects, stop taking sibutramine and seek emergency medical attention or contact your doctor immediately.

an allergic reaction difficulty breathing. closing of your throat. swelling of your lips, tongue, or face. or hives.
an irregular heartbeat.
high blood pressure severe headache, blurred vision. or
seizures.
Other, less serious side effects may be more likely to occur. Continue to take sibutramine and talk to your doctor if you experience

restlessness or tremor,
nervousness or anxiety,
mild headache or dizziness,
insomnia,
dry mouth or an unpleasant taste in your mouth, or
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 sibutramine.

Do not take sibutramine if you have taken a monoamine oxidase inhibitor MAOI such as isocarboxazid Marplan, tranylcypromine Parnate, or phenelzine Nardil in the last 14 days. A dangerous drug interaction may occur.

Before taking this medication, tell your doctor if you are taking

lithium Lithobid, Eskalith, Lithonate, others.
almotriptan Axert, naratriptan Amerge, rizatriptan Maxalt, sumatriptan Imitrex, or zolmitriptan Zomig.
citalopram Celexa, fluoxetine Prozac, sertraline Zoloft, paroxetine Paxil, or fluvoxamine Luvox.
venlafaxine Effexor, nefazodone Serzone, mirtazapine Remeron, or thioridazine Mellaril.
amitriptyline Elavil, Endep, amoxapine Asendin, clomipramine Anafranil, desipramine Norpramin, doxepin Sinequan, imipramine Tofranil, nortriptyline Pamelor, protriptyline Vivactil, or trimipramine Surmontil.
dihydroergotamine D.H.E..
dextromethorphan in many cough medicines.
meperidine Demerol.
fentanyl Duragesic. or
pentazocine Talacen, Talwin.
Sibutramine may interact with the medicines listed above and cause anxiety, restlessness, loss of consciousness, confusion, weakness, tremor, poor coordination, fever, shivering, sweating, vomiting, a fast heartbeat, and other symptoms. These reactions can be very dangerous and require medical attention. Do not take any other prescription or over-the-counter medicines without first talking to your doctor, especially weight-loss products, tryptophan L-tryptophan, 5-HTP, decongestants, antidepressants, cough suppressants, lithium Eskalith, Lithobid, Lithonate, others, or migraine medicines.

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

Where can I get more information.

Your pharmacist has more information about sibutramine written for health professionals that you may read.

What does my medication look like.

Sibutramine is available with a prescription under the brand name Meridia. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

Meridia 5 mg--blue/yellow capsules
Meridia 10 mg--blue/white capsules
Meridia 15 mg--yellow/white capsules

Orlistat may decrease your bodys absorption of some fat-soluble vitamins. To ensure adequate nutrition, your doctor may recommend taking a multivitamin that contains vitamins D, E, K, and beta-carotene. Take your vitamin supplement once a day, at least 2 hours before or after a dose of orlistat.

Do not take more of this medication than has been prescribed for you. Doses greater than 120 mg three times a day have not been shown to provide any additional weight-loss benefit.

What is orlistat.

Orlistat blocks some of the fat that you eat from being absorbed by your body.

Orlistat is used in the management of obesity including weight loss and weight maintenance when used with a reduced-calorie diet.

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

What should I discuss with my healthcare provider before taking orlistat.

Do not take orlistat without first talking to your doctor if you have

a chronic malabsorption syndrome, or
gallbladder problems.
You may not be able to take orlistat if you have any of the conditions listed above.

Before taking orlistat, talk to your doctor if you

have a history of kidney stones,
have diabetes,
have anorexia or bulimia,
take any other weight-loss medicine, or
take cyclosporine Sandimmune, Neoral.
You may not be able to take orlistat, or you may require a dosage adjustment or special monitoring during your treatment if you have any of the conditions listed above.

Orlistat is in the FDA pregnancy category B. This means that it is not expected to harm an unborn baby. Do not take orlistat without first talking to your doctor if you are pregnant.

It is not known whether orlistat passes into breast milk. Do not take orlistat without first talking to your doctor if you are breast-feeding a baby.

How should I take orlistat.

Take orlistat exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Take each dose with a full glass of water.

Orlistat is usually taken with each main meal that contains fat. Orlistat can be taken during meals or up to one hour after a meal.

Each time you take orlistat, your meal should contain no more than about 30pct. of calories from fat. Evenly divide your daily intake of fat, carbohydrates, and protein over three main meals a day. Talk to your doctor about following a healthy eating plan.

If you miss a meal, or if you have a meal without fat, you can skip your dose of orlistat for that meal also.

If orlistat is taken with any one meal that is very high in fat, there is an increased chance of digestive side effects.

Do not take more of this medication than has been prescribed for you. Doses greater than 120 mg three times a day have not been shown to provide an additional weight-loss benefit.

Orlistat may decrease your bodys absorption of some fat-soluble vitamins. To ensure adequate nutrition, your doctor may recommend taking a multivitamin that contains vitamins D, E, K, and beta-carotene. Take your vitamin supplement once a day, at least 2 hours before or after a dose of orlistat.

Store orlistat at room temperature away from moisture and heat.

What happens if I miss a dose.

Take the missed dose up to one hour after a meal. If more than one hour has passed since your last meal, skip the dose you missed and take only your next regularly scheduled dose as directed. Do not take a double dose of this medication.

If you miss a meal, or if you have a meal without fat, you can skip your dose of orlistat for that meal also.

What happens if I overdose.

Seek emergency medical attention.

Symptoms of an orlistat overdose are not known.

What should I avoid while taking orlistat.

Orlistat may decrease your bodys absorption of some fat-soluble vitamins. To ensure adequate nutrition, your doctor may recommend taking a multivitamin that contains vitamins D, E, K, and beta-carotene. Take your vitamin supplement once a day, at least 2 hours before or after a dose of orlistat.

Each time you take orlistat, your meal should contain no more than about 30pct. of calories from fat. Evenly divide your daily intake of fat, carbohydrates, and protein over three main meals a day. Talk to your doctor about following a healthy eating plan.

What are the possible side effects of orlistat.

Stop taking orlistat and seek emergency medical attention if you experience a rare allergic reaction including shortness of breath. closing of your throat. swelling of your lips, tongue, or face. or hives.

Other, less serious side effects are more likely to occur. Continue to take orlistat and talk to your doctor if you experience

oily spotting,
gas with discharge,
an urgent need to go to the bathroom,
oily or fatty stools,
an oily discharge,
an increased number of bowel movements,
an inability to control bowel movements, or
orange or brown colored oil in your stool.
The bowel changes listed above are a natural effect of blocking fat and indicate that orlistat is working. They generally occur early in treatment, particularly after meals containing higher amounts of fat than are recommended. These symptoms are usually temporary and lessen or disappear as you continue treatment and keep to your recommended diet of meals containing 30pct. fat.

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 orlistat.

Do not take orlistat without first talking to your doctor if you are taking any of the following medicines.

cyclosporine Neoral, Sandimmune, or
warfarin Coumadin.
You may not be able to take orlistat, or you may require a dosage adjustment or special monitoring during your treatment if you are taking any of the medicines listed above.

Before taking orlistat, tell your doctor if you are taking any of the following medicines to lower cholesterol.

atorvastatin Lipitor,
cerivastatin Baycol,
fluvastatin Lescol,
lovastatin Mevacor,
pravastatin Pravachol, or
simvastatin Zocor.
You may require a dosage adjustment or special monitoring during treatment if you are taking any of the cholesterol-lowering medicines listed above.

Orlistat may decrease your bodys absorption of some fat-soluble vitamins. To ensure adequate nutrition, your doctor may recommend taking a multivitamin that contains vitamins D, E, K, and beta-carotene. Take your vitamin supplement once a day, at least 2 hours before or after a dose of orlistat.

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

Where can I get more information.

Your pharmacist has more information about orlistat written for health professionals that you may read.

What does my medication look like.

Orlistat is available with a prescription under the brand name Xenical. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

Xenical 120 mg-dark-blue, hard-gelatin capsule

Seek immediate medical attention if you experience blurred vision, changes in vision, or pain in or around the eyes during treatment with topiramate. These may be early signs of a serious side effect.

Do not stop taking topiramate without first talking to your doctor, even if your symptoms have improved. It is important to continue taking topiramate to prevent seizures from recurring.

Carry or wear a medical identification tag to let others know that you are taking topiramate in the case of an emergency.

Use caution when driving, operating machinery, or performing other hazardous activities. Topiramate may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.

Alcohol should be avoided while taking topiramate. Alcohol may cause increased sedation or drowsiness. It may also increase the risk of having a seizure.

Unless otherwise directed by your doctor, drink several extra glasses of fluid each day during treatment with topiramate to minimize the risk of side effects such as kidney stone formation and metabolic acidosis a decrease in a certain electrolyte in the body. Additional fluid may be necessary during hot weather, vigorous exercise, and illness e.g., fever, vomiting, diarrhea.

Decreased sweating and high body temperature have been associated with the use of topiramate. These side effects may be dangerous. Avoid becoming overheated in hot weather and during vigorous exercise, monitor sweating, and drink plenty of fluid to maintain hydration. If sweating is decreased or body temperature is elevated, contact your doctor.

What is topiramate.

The exact way that topiramate works is unknown. However, it is believed that topiramate alters the chemical impulses in the brain that cause seizures.

Topiramate is used with other medications to control seizures.

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

What should I discuss with my healthcare provider before taking topiramate.

Before taking topiramate, tell your doctor if you

have kidney disease or a history of kidney stones.
have liver disease.
have lung or respiratory disease such as asthma, emphysema, or bronchitis. or
need to have surgery.
You may not be able to take topiramate, or you may require a dosage adjustment or special monitoring during treatment

Topiramate is in the FDA pregnancy category C. This means that it is not known whether topiramate will be harmful to an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant or if you could become pregnant during treatment.

It is not known whether topiramate passes into breast milk. Do not take topiramate without first talking to your doctor if you are breast-feeding a baby.

How should I take topiramate.

Take topiramate exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Take each dose of topiramate with a full glass of water.

The tablets should be swallowed whole. Due to their bitter taste, the tablets should not be broken.

The capsules may be swallowed whole or opened to facilitate swallowing. If the capsules are opened, the entire contents of the capsule should be sprinkled onto a small amount teaspoon of soft food e.g., applesauce, custard, ice cream, oatmeal, pudding, yogurt. This drug/food mixture should be swallowed immediately, without chewing. The mixture should not be stored for future use. If the mixture is combined in a small container, add some water to the container after the dose has been taken, and drink the water to ensure the whole dose has been taken.

Topiramate can be taken with or without food.

It is important to take topiramate regularly to get the most benefit.

Carry or wear a medical identification tag to let others know that you are taking this medicine in the case of an emergency.

Do not stop taking topiramate without first talking to your doctor, even if your symptoms have improved. It is important to continue taking topiramate to prevent seizures from recurring.

Unless otherwise directed by your doctor, drink several extra glasses of fluid each day during treatment with topiramate to minimize the risk of side effects such as kidney stone formation and metabolic acidosis a decrease in a certain electrolyte in the body. Additional fluid may be necessary during hot weather, vigorous exercise, and illness e.g., fever, vomiting, diarrhea.

Your doctor may want you to have blood tests or other medical evaluations during treatment with topiramate to monitor progress and side effects.

Store topiramate 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.

What happens if I overdose.

Seek emergency medical treatment if an overdose is suspected.

Symptoms of a topiramate overdose are not known but may include severe drowsiness, poor coordination, tremor, confusion, difficulty speaking, and nausea.

What should I avoid while taking topiramate.

Use caution when driving, operating machinery, or performing other hazardous activities. Topiramate may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.

Alcohol should be avoided while taking topiramate. Alcohol may cause increased sedation or drowsiness. It may also increase the risk of having a seizure.

Unless otherwise directed by your doctor, drink several extra glasses of fluid each day during treatment with topiramate to minimize the risk of side effects such as kidney stone formation and metabolic acidosis a decrease in a certain electrolyte in the body. Additional fluid may be necessary during hot weather, vigorous exercise, and illness e.g., fever, vomiting, diarrhea.

Ketogenic diets high protein, very low carbohydrate diets that may induce ketosis may increase the risk of kidney stone formation and should be avoided during treatment with topiramate.

Decreased sweating and high body temperature have been associated with the use of topiramate. These side effects may be dangerous. Avoid becoming overheated in hot weather and during vigorous exercise, monitor sweating, and drink plenty of fluid to maintain hydration. If sweating is decreased or body temperature is elevated, contact your doctor.

Tell your doctor and dentist that you are taking topiramate before having any type of surgery.

What are the possible side effects of topiramate.

Seek immediate medical attention if you experience blurred vision, changes in vision, or pain in or around the eyes during treatment with topiramate. These may be early signs of a serious side effect.

If you experience any of the following serious side effects, stop taking topiramate and seek emergency medical attention or contact your doctor immediately.

an allergic reaction difficulty breathing. closing of your throat. swelling of your lips, tongue, or face. or hives.
worsening of seizures.
metabolic acidosis a decrease in an electrolyte in the body that may be detected by blood tests or cause symptoms such as increased rate of breathing, decreased appetite, and irregular heartbeats.
decreased sweating.
fever or increased body temperature. or
side or low back pain, or painful or difficult urination may indicate kidney stones.
Other, less serious side effects may be more likely to occur. Continue to take topiramate and talk to your doctor if you experience

dizziness, poor coordination, sluggishness, or drowsiness.
irregular back-and-forth movements of the eyes.
nausea, decreased appetite, or weight loss.
tremor, numbness, or tingling.
confusion, difficulty concentrating or decreased memory.
speech or language difficulties. or
changes in behavior, depression, nervousness, or agitation.
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 topiramate.

Before taking topiramate, tell your doctor if you are taking any of the following medicines.

another seizure medication such as valproic acid Depakote, Depakene, carbamazepine Tegretol, Carbatrol, Epitol, phenytoin Dilantin, and others.
a carbonic anhydrase inhibitor such as acetazolamide Diamox, methazolamide Neptazane, or dichlorphenamide Daranide.
metformin Glucophage. or
digoxin Lanoxin, Lanoxicaps.
You may not be able to take topiramate, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the drugs listed above.

Topiramate may decrease the effectiveness of birth control pills. Talk to your doctor about other birth control options to prevent unintended pregnancy.

Topiramate may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, pain relievers, sedative sleep aids, anxiety medicines, and muscle relaxants. Dangerous sedation, dizziness, or drowsiness may occur if topiramate is taken with any of these medications.

Drugs other than those listed here may also interact with topiramate. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.

Where can I get more information.

Your pharmacist has additional information about topiramate written for health professionals that you may read.

What does my medication look like.

Topiramate is available with a prescription under the brand name Topamax. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medicine, especially if it is new to you.

Topamax 25 mg--white tablets
Topamax 100 mg--yellow tablets
Topamax 200 mg--salmon-colored tablets
Topamax Sprinkle Capsules 15 mg-clear/white capsules containing small white to off-white spheres
Topamax Sprinkle Capsules 25 mg-clear/white capsules containing small white to off-white spheres

While you are taking bupropion you may need to be monitored for worsening symptoms of depression and/or suicidal thoughts especially at the start of therapy or when doses are changed. Your doctor may want you to monitor for the following symptoms. anxiety, panic attacks, difficulty sleeping, irritability, hostility, impulsivity, severe restlessness, and mania mental and/or physical hyperactivity. These symptoms may be associated with development of worsening symptoms of depression and/or suicidal thoughts or actions. Contact your healthcare provider if you develop any new or worsening mental health symptoms during treatment with bupropion. Do not stop taking bupropion without first talking to your healthcare provider.

Do not stop taking bupropion without first talking to your doctor. It may be several weeks before you begin to feel better, and you may require continuous treatment for quite some time.

Avoid alcohol or drink it only in moderation while taking bupropion. Alcohol may increase the risk of having a seizure while taking bupropion. However, if you usually drink a lot of alcohol, talk with your doctor before stopping. Suddenly stopping may increase the risk of having a seizure. Talk to your doctor about alcohol use before starting treatment with bupropion.

Do not crush, chew, or break the sustained- or extended-release tablets Wellbutrin SR, Wellbutrin XL, Zyban SR. Swallow them whole. They are specially formulated to release slowly in the body. If you are unsure of the formulation of your medication, ask your healthcare provider.

Bupropion may be used to treat different medical conditions. You should not be taking more than one product containing bupropion at a time e.g., Wellbutrin and Zyban SR. Talk to your doctor if a second product containing bupropion is prescribed for you. Too much of this medicine can increase the risk of a seizure.

Never take more bupropion in one dose or in one day than is directed by your doctor. Higher doses of bupropion may increase the risk of a seizure.

What is bupropion.

Bupropion is an antidepressant medication. The exact way that bupropion works is unknown.

Bupropion is used to relieve symptoms of depression such as feelings of sadness, worthlessness or guilt, loss of interest in daily activities, changes in appetite, tiredness, sleeping too much, insomnia, and thoughts of death or suicide. Bupropion is also used to help people stop smoking by reducing withdrawal effects.

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

What should I discuss with my healthcare provider before taking bupropion.

While you are taking bupropion you may need to be monitored for worsening symptoms of depression and/or suicidal thoughts especially at the start of therapy or when doses are changed. Your doctor may want you to monitor for the following symptoms. anxiety, panic attacks, difficulty sleeping, irritability, hostility, impulsivity, severe restlessness, and mania mental and/or physical hyperactivity. These symptoms may be associated with development of worsening symptoms of depression and/or suicidal thoughts or actions. Contact your healthcare provider if you develop any new or worsening mental health symptoms during treatment with bupropion. Do not stop taking bupropion without first talking to your healthcare provider.

Do not take bupropion if you have taken a monoamine oxidase inhibitor MAOI such as isocarboxazid Marplan, phenelzine Nardil, or tranylcypromine Parnate in the last 14 days.

Do not take bupropion without first talk to your doctor if you

have liver problems.
have kidney problems.
have heart problems, high blood pressure, or history of heart attack.
have anorexia or bulimia.
have epilepsy or a seizure disorder.
have a head injury or brain or spinal column tumor.
have diabetes. or
drink alcohol, use street drugs, or take a prescription benzodiazepine such as alprazolam Xanax, diazepam Valium, temazepam Restoril, and others.
You not be able to take bupropion or you may require a dosage adjustment or special monitoring during treatment.

Bupropion may be used to treat different medical conditions. You should not be taking more than one product containing bupropion at a time e.g., Wellbutrin and Zyban. Talk to your doctor if a second product containing bupropion is prescribed for you. Too much of this medicine can increase the risk of a seizure.

Bupropion is in the FDA pregnancy category B. This means that it is not expected to be harmful to an unborn baby. Do not take bupropion without first talking to your doctor if you are pregnant or could become pregnant during treatment.

It is not known whether bupropion will be harmful to a nursing baby. Do not take bupropion without first talking to your doctor if you are breast-feeding a baby.

How should I take bupropion.

Take bupropion exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Take each dose with a full glass of water.

Bupropion can be taken with or without food.

Do not crush, chew, or break the sustained- or extended-release tablets Wellbutrin SR, Wellbutrin XL and Zyban SR. Swallow them whole. They are specially formulated to release slowly in the body. If you are unsure of the formulation of your medication, ask your healthcare provider.

Never take more bupropion in one dose or in one day than is directed by your doctor. Higher doses of bupropion may increase the risk of a seizure. Maximum doses of bupropion are as follows.

No single dose of the regular-release product Wellbutrin should be more than 150 mg, and doses should be taken at least 6 hours apart with a maximum daily dose of 450 mg.
Single doses of the sustained-release product Wellbutrin SR should not exceed 200 mg and should be taken at least 8 hours apart with a maximum daily dose of 400 mg.
Single doses of the extended-release product Wellbutrin XL should not exceed 450 mg, and doses should be taken 24 hours apart.
Single doses of Zyban SR should not exceed 150 mg and doses should be taken at least 8 hours apart with a maximum daily dose of 300 mg.
Take bupropion exactly as directed by your doctor.

If you are taking Zyban SR to help you stop smoking, a target quit date is usually set for the second week of treatment with Zyban SR. Although it is not physically harmful to smoke while taking Zyban SR, continuing to smoke after the date you set to stop smoking will seriously reduce your chance of breaking the smoking habit.

Nicotine replacement products patches or gum can be used during treatment with Zyban SR under the supervision of a doctor. Zyban SR and a nicotine replacement product together may raise blood pressure and your doctor may want to check your blood pressure regularly. Do not smoke at any time if you are using a nicotine product along with Zyban SR as this can cause serious side effects from too much nicotine.

The WELLBUTRIN XL tablet is covered by a shell that slowly releases the medicine inside the body. You may notice something in the stool that looks like a tablet. This is normal. This is the empty shell passing from the body.

It is important to take bupropion regularly to get the most benefit.

Do not stop taking bupropion without first talking to your doctor. It may be several weeks before you begin to feel better, and you may require continuous treatment for quite some time.

Your doctor may want you to have blood tests or other medical evaluations during treatment with bupropion to monitor progress and side effects.

Bupropion tablets may have an odor. If present, this odor is normal.

Store bupropion at room temperature away from moisture and heat.

What happens if I miss a dose.

Skip the missed dose and take only your next regularly scheduled dose. Do not take a double dose.

What happens if I overdose.

Seek emergency medical attention if an overdose is suspected.

Symptoms of a bupropion overdose include seizures, hallucinations, loss of consciousness, weakness, a fast heartbeat, and heart attack.

What should I avoid while taking bupropion.

Avoid alcohol or drink it only in moderation while taking bupropion. Alcohol may increase the risk of having a seizure while taking bupropion. However, if you usually drink a lot of alcohol, talk with your doctor before stopping. Suddenly stopping may increase the risk of having a seizure. Talk to your doctor about alcohol use before starting treatment with bupropion.

Use caution when driving, operating machinery, or performing other hazardous activities. Bupropion may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.

Dizziness may be more likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall.

Bupropion may be used to treat different medical conditions. You should not be taking more than one product containing bupropion at a time e.g., Wellbutrin and Zyban SR. Talk to your doctor if a second product containing bupropion is prescribed for you. Too much of this medicine can increase the risk of a seizure.

What are the possible side effects of bupropion.

If you experience any of the following uncommon but serious side effects, stop taking bupropion and seek emergency medical attention or contact your doctor immediately.

an allergic reaction difficulty breathing. closing of the throat. swelling of the lips, tongue, or face. or hives.
seizures. or
fast or irregular heartbeats.
Other, less serious side effects may be more likely to occur. Continue to take bupropion and talk to your doctor if you experience

headache.
insomnia.
dry mouth.
tremors, restlessness, agitation, or anxiety.
dizziness or drowsiness.
sweating.
skin rash.
ringing in the ears.
flulike symptoms such as aching muscles, fatigue, and discomfort.
frequent urination. or
weight loss or gain.
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 bupropion.

Do not take bupropion if you have taken a monoamine oxidase inhibitor MAOI such as isocarboxazid Marplan, phenelzine Nardil, or tranylcypromine Parnate in the last 14 days.

Many drugs can interact with bupropion, resulting in side effects and/or decreased effectiveness of the medication. Do not take any other prescription or over-the-counter medicines, including vitamins, minerals, and herbal products, without first talking to your doctor during treatment with bupropion.

Where can I get more information.

Your pharmacist has more information about bupropion written for health professionals that you may read.

What does my medication look like.

Bupropion is available with a prescription under the brand names Wellbutrin, Wellbutrin SR, and Zyban. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

Wellbutrin 75 mg--round, yellow-gold tablets
Wellbutrin 100 mg--round, red tablets
Wellbutrin SR 100 mg--round, blue, film-coated tablets
Wellbutrin SR 150 mg--round, purple, film-coated tablets
Wellbutrin SR 200 mg-round, light pink, film-coated tablets
Wellbutrin XL 150 mg-round, creamy-white to pale yellow tablets
Wellbutrin XL 300 mg-round, creamy-white to pale yellow tablets
Zyban 100 mg--round, blue, film-coated tablets
Zyban 150 mg--round, purple, film-coated tablets