Aspirin/Butalbital/Caffeine

Pronunciation: AS-pir-in/byoo-TAL-bi-tal/kaf-EEN
Generic Name: Aspirin/Butalbital/Caffeine
Brand Name: Examples include Farbital and Fiorinal

Children and teenagers should not use aspirin, aspirin-containing, or aspiring-related medicines for flu symptoms or chickenpox without first consulting a doctor. A rare but serious illness known as Reye syndrome may occur.

Aspirin/Butalbital/Caffeine is used for:

Treating tension headaches. It may also be used for other conditions as determined by your doctor.

How these medicines work is not completely understood. Aspirin reduces pain and inflammation. Caffeine may work by constricting blood vessels that may cause headaches. Butalbital has a depressant effect that reduces anxiety and causes relaxation.

Do NOT use Aspirin/Butalbital/Caffeine if:

• you are allergic to nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) or any ingredient in Aspirin/Butalbital/Caffeine


• you have Von Willebrand disease, porphyria, or bleeding or blood clotting problems


• you are taking sodium oxybate (GHB), heparin, probenecid, or sulfinpyrazone


• your child has the flu, chickenpox, or joint problems

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

Before using Aspirin/Butalbital/Caffeine:

Some medical conditions may interact with Aspirin/Butalbital/Caffeine. 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 asthma, stomach or intestinal problems (eg, peptic ulcer, bleeding), liver problems, the flu, Kawasaki syndrome, nasal polyps, kidney problems, lung or respiratory tract disease, severe heart disease, skin irritation or inflammation, chickenpox, vitamin K deficiency, or difficulty sleeping


• if you have a history of stroke, anxiety, substance abuse or dependence, depression, or suicidal thoughts or behaviors

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

• Benzodiazepines (eg, chlordiazepoxide), monoamine oxidase (MAO) inhibitors (eg, phenelzine), narcotic analgesics (eg, morphine), sleeping medicines (eg, temazepam), or sodium oxybate (GHB) because they may increase the risk of Aspirin/Butalbital/Caffeine's side effects


• Anticoagulants (eg warfarin), celecoxib, clopidogrel, heparin, or NSAIDs (eg, ibuprofen) because the risk of serious side effects, such as stomach ulcers and bleeding, may be increased


• Carbonic anhydrase inhibitors (eg, acetazolamide), insulin, meglitinides (eg, repaglinide), methotrexate, quinolone antibiotics (eg, ciprofloxacin), or valproic acid because the risk of their side effects may be increased by Aspirin/Butalbital/Caffeine


• Angiotensin-converting enzyme (ACE) inhibitors (eg, lisinopril), antipsychotics (eg, clozapine), beta-blockers (eg, atenolol), corticosteroids (eg, prednisone), doxycycline, estrogens (eg, estradiol), metronidazole, oral contraceptives (eg, norethindrone/ethinyl estradiol), quinidine, probenecid, sulfinpyrazone, theophylline, or tricyclic antidepressants (eg, amitriptyline) because their effectiveness may be decreased by Aspirin/Butalbital/Caffeine

This may not be a complete list of all interactions that may occur. Ask your health care provider if Aspirin/Butalbital/Caffeine 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 Aspirin/Butalbital/Caffeine:

Use Aspirin/Butalbital/Caffeine as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take Aspirin/Butalbital/Caffeine by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation. Taking it with food may not decrease the risk of stomach or bowel problems (such as bleeding or ulcers) that may occur while taking Aspirin/Butalbital/Caffeine. Talk with your doctor or pharmacist if you experience persistent stomach upset.


• Do not take Aspirin/Butalbital/Caffeine if it has a strong vinegar-like smell, or if any vinegar smell remains after leaving the bottle open for 10 minutes.


• If you miss a dose of Aspirin/Butalbital/Caffeine and you are taking it regularly, take it as soon as possible. If several hours have passed or if it is almost time for your next dose, do not double the dose to catch up, unless advised to do so by your doctor. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Aspirin/Butalbital/Caffeine.

Important safety information:

• Aspirin/Butalbital/Caffeine may cause drowsiness or dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Aspirin/Butalbital/Caffeine with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.


• Do not drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Aspirin/Butalbital/Caffeine; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.


• Serious stomach ulcers or bleeding can occur with the use of Aspirin/Butalbital/Caffeine. Taking it in high doses or for a long time, smoking, or drinking alcohol increases the risk of these side effects. Taking Aspirin/Butalbital/Caffeine with food will NOT reduce the risk of these effects. Contact your doctor or emergency room at once if you develop severe stomach or back pain; black, tarry stools; vomit that looks like blood or coffee grounds; or unusual weight gain or swelling.


• Tell your doctor or dentist that you take Aspirin/Butalbital/Caffeine before you receive any medical or dental care, emergency care, or surgery.


• Aspirin/Butalbital/Caffeine has aspirin in it. Before you start any new medicine, check the label to see if it has aspirin in it too. If it does or if you are not sure, check with your doctor or pharmacist.


• Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor. Taking more than the recommended dose or taking Aspirin/Butalbital/Caffeine for longer than prescribed may be habit-forming.


• Aspirin has been linked to a serious illness called Reye syndrome. Do not give Aspirin/Butalbital/Caffeine to a child or teenager who has the flu, chickenpox, or a viral infection. Contact your doctor with any questions or concerns.


• Hormonal birth control (eg, birth control pills) may not work as well while you are using Aspirin/Butalbital/Caffeine. To prevent pregnancy, use an extra form of birth control (eg, condoms).


• Use Aspirin/Butalbital/Caffeine with caution in the ELDERLY; they may be more sensitive to its effects.


• Aspirin/Butalbital/Caffeine should not be used in CHILDREN younger than 12 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 Aspirin/Butalbital/Caffeine while you are pregnant. Aspirin/Butalbital/Caffeine is not recommended during the last 3 months (third trimester) of pregnancy because it may cause harm to the fetus. Aspirin/Butalbital/Caffeine is found in breast milk. If you are or will be breast-feeding while you use Aspirin/Butalbital/Caffeine, check with your doctor. Discuss any possible risks to your baby.

When used for long periods of time or at high doses, Aspirin/Butalbital/Caffeine may not work as well and may require higher doses to obtain the same effect as when originally taken. This is known as TOLERANCE. Talk with your doctor if Aspirin/Butalbital/Caffeine stops working well. Do not take more than prescribed.

Some people who use Aspirin/Butalbital/Caffeine 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 suddenly stop taking Aspirin/Butalbital/Caffeine, you may experience WITHDRAWAL symptoms, including anxiety, muscle twitching, trembling hands and fingers, weakness, dizziness, hallucinations, nausea, vomiting, sleeplessness, lightheadedness, or seizures.

Possible side effects of Aspirin/Butalbital/Caffeine:

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; gas; lightheadedness; nausea; 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); black or bloody stools; confusion; fast heartbeat; red, swollen, or blistered skin; stomach pain; unusual bruising or bleeding.

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: Aspirin/Butalbital/Caffeine 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 confusion; fast or irregular heartbeat; loss of consciousness; nausea; ringing in the ears; sleeplessness; slow or shallow breathing; stomach pain; tremor; unusual drowsiness or dizziness; vomiting.

Proper storage of Aspirin/Butalbital/Caffeine:

Store Aspirin/Butalbital/Caffeine at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Aspirin/Butalbital/Caffeine out of the reach of children and away from pets.

General information:

• If you have any questions about Aspirin/Butalbital/Caffeine, please talk with your doctor, pharmacist, or other health care provider.


• Aspirin/Butalbital/Caffeine 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 Aspirin/Butalbital/Caffeine. 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 Aspirin/Butalbital/Caffeine resources

• Aspirin/Butalbital/Caffeine Side Effects (in more detail)
• Aspirin/Butalbital/Caffeine Dosage
• Aspirin/Butalbital/Caffeine Use in Pregnancy & Breastfeeding
• Drug Images
• Aspirin/Butalbital/Caffeine Drug Interactions
• Aspirin/Butalbital/Caffeine Support Group
• 33 Reviews for Aspirin/Butalbital/Caffeine - Add your own review/rating

• Fiorinal Prescribing Information (FDA)


• Fiorinal Advanced Consumer (Micromedex) - Includes Dosage Information


• Fiorinal Consumer Overview

Compare Aspirin/Butalbital/Caffeine with other medications

• Headache
• Migraine
• Pain

Zirgan

Generic Name: ganciclovir (Ophthalmic route)

gan-SYE-kloe-vir

Commonly used brand name(s)

In the U.S.

• Zirgan

Available Dosage Forms:

• Gel/Jelly

Therapeutic Class: Antiviral

Pharmacologic Class: Viral DNA Polymerase Inhibitor

Chemical Class: Guanosine Nucleoside Analog

Uses For Zirgan

Ganciclovir ophthalmic (eye) gel is used to treat acute herpetic keratitis (dendritic ulcers). Herpetic keratitis is an eye infection (swelling of the front part of the eye) caused by herpes simplex virus.

This medicine is available only with your doctor's prescription.

Before Using Zirgan

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 this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine 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 ganciclovir ophthalmic in children. However, safety and efficacy have not been established in children younger than 2 years of age.

Geriatric

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

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.

Proper Use of Zirgan

Your doctor will tell you how much of this medicine to use and how often. Do not use more medicine or use it more often than your doctor tells you to. This medicine is not for long-term use.

To use the eye drops:

• First, wash your hands. Tilt your head back and, pressing 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, use another drop.


• Immediately after using the eye drops, wash your hands to remove any medicine that may be on them.


• To keep the medicine as germ-free as possible, do not touch the dropper to any surface (including the eye). Always keep the container tightly closed.

Dosing

The dose of this medicine 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 this medicine. 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 treatment of acute herpetic keratitis:
    
    • Adults and children 2 years of age and older—Put one drop in the affected eye five times a day, (every three hours) until the symptoms improve. Then, one drop three times a day for 7 days.
    
    
    • Children younger than 2 years of age—Use and dose must be determined by your doctor.
    
    
  
  

Missed Dose

If you miss a dose of this medicine, 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 Zirgan

Your eye doctor will want to examine your eye(s) at regular visits to make sure the medicine is working properly and is not causing unwanted effects.

Do not wear contact lenses while you are using this medicine to avoid further eye irritation.

If you develop pain, or symptoms do not improve within a few days or if they become worse, check with your doctor.

Zirgan 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 vision


• red, sore eyes

Less common

• Painful irritation of the clear front part of the eye


• redness of the white part of eyes or inside of the eyelids

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: Zirgan 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 Zirgan resources

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

• Zirgan Prescribing Information (FDA)


• Zirgan Consumer Overview


• Zirgan Gel MedFacts Consumer Leaflet (Wolters Kluwer)


• Vitrasert Implant MedFacts Consumer Leaflet (Wolters Kluwer)


• Vitrasert Prescribing Information (FDA)

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• Herpes Simplex Dendritic Keratitis

Lacri-Lube S.O.P.

Generic Name: ocular lubricant (OK yoo lar LOO bri kant)

Brand Names: Artificial Tears, Celluvisc, Clear Eyes CLR, Comfort Tears, Dry Eye Relief, GenTeal, Isopto Tears, Lacri-Lube S.O.P., Lacrisert, Lubricant Eye Drops, Moisture Drops, Oasis Tears, Opti-Free Rewetting Drops, optive, Refresh, Soothe, Sterilube, Systane, Systane Balance, Tears Again, Tears Naturale, Tears Renew, TheraTears, Ultra Fresh, Visine Tears

What is Lacri-Lube S.O.P. (ocular lubricant)?

There are many brands and forms of ocular lubricant available and not all are listed on this leaflet.

Ocular lubricant is a solution specially formulated to moisten the eyes.

Ocular lubricant is used to relieve burning, irritation, and discomfort caused by dry eyes.

Ocular lubricant may also be used for purposes not listed in this medication guide.

What is the most important information I should know about Lacri-Lube S.O.P. (ocular lubricant)?

There are many brands and forms of ocular lubricant available and not all are listed on this leaflet.

You should not use an ocular lubricant if you are allergic to it. Ocular lubricant will not treat or prevent an eye infection.

Ask a doctor or pharmacist if it is safe for you to use this medicine if you have any type of infection in your eye.

Do not allow the dropper or tube tip to touch any surface, including the eyes or hands. If the dropper or tube becomes contaminated it could cause an infection in your eye, which can lead to vision loss or serious damage to the eye.

Stop using ocular lubricant and call your doctor if you have severe burning, stinging, irritation, eye pain, or vision changes.

This medication may cause blurred vision. Be careful if you drive or do anything that requires you to be able to see clearly.

Talk with your doctor if your symptoms do not improve or if they get worse while you are using ocular lubricant.

What should I discuss with my healthcare provider before using Lacri-Lube S.O.P. (ocular lubricant)?

You should not use an ocular lubricant if you are allergic to it. Ocular lubricant will not treat or prevent an eye infection.

Ask a doctor or pharmacist if it is safe for you to use this medicine if you have any type of infection in your eye.

Ocular lubricant is not expected to harm an unborn baby. Ask a doctor or pharmacist about using ocular lubricant if you are pregnant. It is not known whether ocular lubricant passes into breast milk or if it could harm a nursing baby. Ask a doctor or pharmacist about using ocular lubricant if you are pregnant.

How should I use Lacri-Lube S.O.P. (ocular lubricant)?

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.

Do not use this medication while wearing contact lenses. Eye medication may contain a preservative that can discolor soft contact lenses. Wait at least 15 minutes after using this medication before putting your contact lenses in. Wash your hands before using ocular lubricant.

To apply the eye drops:

• 
  

  Tilt your head back slightly and pull down your lower eyelid to create a small pocket. Hold the dropper above the eye with the tip down. Look up and away from the dropper as you squeeze out a drop, then close your eye.

  
  


• 
  

  Use only the number of drops your doctor has prescribed.

  
  


• 
  

  Gently press your finger to the inside corner of the eye (near your nose) for about 1 minute to keep the liquid from draining into your tear duct. If you use more than one drop in the same eye, wait about 5 minutes before putting in the next drop.

  
  


• 
  

  Do not use the eye drops if the liquid has changed colors or has particles in it.

  
  

To apply the ointment:

• 
  

  Tilt your head back slightly and pull down your lower eyelid to create a small pocket. Hold the ointment tube with the tip pointing toward this pocket. Look up and away from the tip.

  
  


• 
  

  Squeeze out a ribbon of ointment 1/2-inch long into the lower eyelid pocket without touching the tip of the tube to your eye. Look down and close your eyes for a few minutes. Rolling your eyes around gently will help spread the ointment evenly.

  
  


• 
  

  After opening your eyes, you may have blurred vision for a short time. Avoid driving or doing anything that requires you to be able to see clearly.

  
  

Do not allow the dropper or tube tip to touch any surface, including the eyes or hands. If the dropper or tube becomes contaminated it could cause an infection in your eye, which can lead to vision loss or serious damage to the eye.

Talk with your doctor if your symptoms do not improve or if they get worse while you are using ocular lubricant. Store at room temperature away from moisture and heat. Do not freeze. Keep the bottle or tube tightly closed when not in use.

What happens if I miss a dose?

Since ocular lubricant is used on an as needed basis, you are not likely to miss a dose.

What happens if I overdose?

An overdose of ocular lubricant is not expected to be dangerous.

What should I avoid while using Lacri-Lube S.O.P. (ocular lubricant)?

This medication may cause blurred vision. Be careful if you drive or do anything that requires you to be able to see clearly.

Avoid using other medications in your eyes during treatment with ocular lubricant unless your doctor tells you to.

Lacri-Lube S.O.P. (ocular lubricant) 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 ocular lubricant and call your doctor if you have a serious side effect such as:

• 
  

  severe burning, stinging, or eye irritation after using the medication;

  
  


• 
  

  eye pain; or

  
  


• 
  

  vision changes.

  
  

Less serious side effects may include:

• 
  

  mild eye burning or irritation;

  
  


• 
  

  itching or redness of your eyes;

  
  


• 
  

  watery eyes;

  
  


• 
  

  blurred vision; 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 Lacri-Lube S.O.P. (ocular lubricant)?

It is not likely that other drugs you take orally or inject will have an effect on ocular lubricant used in the eyes. But many drugs can interact with each other. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

More Lacri-Lube S.O.P. resources

• Lacri-Lube S.O.P. Side Effects (in more detail)
• Lacri-Lube S.O.P. Use in Pregnancy & Breastfeeding
• Lacri-Lube S.O.P. Support Group
• 0 Reviews for Lacri-Lube S.O.P. - Add your own review/rating

• Lacri-Lube S.O.P. Ointment MedFacts Consumer Leaflet (Wolters Kluwer)


• FreshKote Drops MedFacts Consumer Leaflet (Wolters Kluwer)


• Genteal Advanced Consumer (Micromedex) - Includes Dosage Information


• Lacrisert Prescribing Information (FDA)


• Lacrisert Insert MedFacts Consumer Leaflet (Wolters Kluwer)


• Lacrisert Advanced Consumer (Micromedex) - Includes Dosage Information


• Murine Tears Drops MedFacts Consumer Leaflet (Wolters Kluwer)


• Murocel Eye Drops MedFacts Consumer Leaflet (Wolters Kluwer)


• Refresh Redness Relief Drops MedFacts Consumer Leaflet (Wolters Kluwer)


• Refresh liquigel

Compare Lacri-Lube S.O.P. with other medications

• Eye Dryness/Redness

Where can I get more information?

• Your pharmacist can provide more information about ocular lubricant.

See also: Lacri-Lube S.O.P. side effects (in more detail)

Tikosyn

Generic Name: dofetilide (doe FET i lide)

Brand Names: Tikosyn

What is Tikosyn (dofetilide)?

Dofetilide is a heart rhythm medication, also called an antiarrhythmic.

Dofetilide is used to help keep the heart beating normally in people with certain heart rhythm disorders of the atrium (the upper chambers of the heart that allow blood to flow into the heart). Dofetilide is used in people with atrial fibrillation or atrial flutter.

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

What is the most important information I should know about Tikosyn (dofetilide)?

Dofetilide is available only from a hospital or specialty pharmacy. You should not take dofetilide if you are allergic to it, or if you have severe kidney disease (or you are on dialysis) or a history of Long QT syndrome.

Before you receive dofetilide, tell your doctor if you have heart disease, high blood pressure, kidney disease, severe liver disease, depression, mental illness, or an electrolyte imbalance (such as low levels of potassium or magnesium in your blood).

There are many other drugs that should not be used together with dofetilide. Tell your doctor about all other medicines you use.

You will need to spend at least 3 days in a hospital setting when you first start taking dofetilide. This is so your heart rhythm and kidney function can be monitored in case the medication causes serious side effects.

Tell your doctor if you have a prolonged illness that causes severe diarrhea, vomiting, heavy sweating, increased thirst, or loss of appetite. These conditions can cause an electrolyte imbalance (such as low potassium levels), making it dangerous for you to use dofetilide.

Your blood pressure will need to be checked often. Visit your doctor regularly.

What should I discuss with my health care provider before taking Tikosyn (dofetilide)?

You should not take dofetilide if you are allergic to it, or if you have

• 
  

  severe kidney disease (or you are on dialysis); or

  
  


• 
  

  a history of Long QT syndrome.

  
  

There are many other drugs that can cause serious or life threatening medical problems if you take them together with dofetilide. The following drugs should not be used while you are taking dofetilide:

• 
  

  cimetidine (Tagamet);

  
  


• 
  

  ketoconazole (Nizoral);

  
  


• 
  

  megestrol (Megace);

  
  


• 
  

  prochlorperazine (Compazine);

  
  


• 
  

  trimethoprim (Proloprim, Trimpex, Bactrim, Cotrim, Septra);

  
  


• 
  

  verapamil (Covera, Calan, Isoptin, Verelan); or

  
  


• 
  

  a diuretic (water pill) that contains hydrochlorothiazide (HCTZ), such as Accuretic, Aldactazide, Aldoril, Amturnide, Atacand HCT, Avalide, Benicar HCT, Capozide, Diovan HCT, Dyazide, Exforge HCT, Hyzaar, Hydra-Zide, HydroDiuril, Inderide, Lopressor HCT, Lotensin HCT, Maxzide, Micardis HCT, Moduretic, Monopril HCT, Prinzide, Tekturna HCT, Teveten HCT, Tribenzor, Uniretic, Vaseretic, Zestoretic, Ziac, and others.

  
  

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

• 
  

  heart disease, high blood pressure;

  
  


• 
  

  kidney disease;

  
  


• 
  

  severe liver disease;

  
  


• 
  

  depression, mental illness; or

  
  


• 
  

  an electrolyte imbalance (such as low levels of potassium or magnesium in your blood).

  
  

FDA pregnancy category C. It is not known whether dofetilide will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. It is not known whether dofetilide passes into breast milk or if it could harm a nursing baby. You should not breast-feed while you are using dofetilide.

How should I take Tikosyn (dofetilide)?

Dofetilide is available only from a hospital or specialty pharmacy. You will need to spend at least 3 days in a hospital setting when you first start taking dofetilide. This is so your heart rhythm and kidney function can be monitored in case the medication causes serious side effects.

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.

Dofetilide comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

You may take dofetilide with or without food.

Do not skip doses or stop taking dofetilide without first talking to your doctor. Stopping suddenly may make your condition worse. You may need to use less and less before you stop the medication completely.

Tell your doctor if you have a prolonged illness that causes severe diarrhea, vomiting, or heavy sweating. These conditions can cause an electrolyte imbalance, making it dangerous for you to use dofetilide.

Your blood pressure will need to be checked often. Your kidney function may also need to be checked with frequent blood tests. Visit your doctor regularly.

Store at room temperature away from moisture and heat.

See also: Tikosyn dosage (in more detail)

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 or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include some of the serious side effects listed in this medication guide.

What should I avoid while taking Tikosyn (dofetilide)?

Grapefruit and grapefruit juice may interact with dofetilide and lead to potentially dangerous effects. Discuss the use of grapefruit products with your doctor.

Tikosyn (dofetilide) side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have a serious side effect such as:

• 
  

  headache with chest pain and severe dizziness;

  
  


• 
  

  fast or pounding heartbeats, feeling like you might pass out;

  
  


• 
  

  low magnesium (confusion, uneven heart rate, jerking muscle movements, muscle weakness or limp feeling); or

  
  


• 
  

  low potassium (confusion, uneven heart rate, extreme thirst, increased urination, leg discomfort, muscle weakness or limp feeling).

  
  

Less serious side effects may include:

• 
  

  mild headache;

  
  


• 
  

  mild dizziness;

  
  


• 
  

  sleep problems (insomnia);

  
  


• 
  

  back pain;

  
  


• 
  

  nausea, diarrhea, stomach pain;

  
  


• 
  

  cold symptoms such as stuffy nose, sneezing, sore throat; or

  
  


• 
  

  mild skin rash.

  
  

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 Tikosyn (dofetilide)?

Many drugs can interact with dofetilide. Below is just a partial list. Tell your doctor if you are using:

• 
  

  arsenic trioxide (Trisenox);

  
  


• 
  

  conivaptan (Vaprisol);

  
  


• 
  

  imatinib (Gleevec);

  
  


• 
  

  isoniazid (for treating tuberculosis);

  
  


• 
  

  tacrolimus (Prograf);

  
  


• 
  

  an antibiotic such as clarithromycin (Biaxin), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin, Pediazole), levofloxacin (Levaquin), moxifloxacin (Avelox), or pentamidine (NebuPent, Pentam);

  
  


• 
  

  an antidepressant such as amitriptylline (Elavil, Vanatrip, Limbitrol), clomipramine (Anafranil), desipramine (Norpramin), fluvoxamine (Luvox), sertraline (Zoloft), and others;

  
  


• 
  

  antifungal medicine such as itraconazole (Sporanox), ketoconazole (Nizoral), miconazole (Oravig), or voriconazole (Vfend);

  
  


• 
  

  anti-malaria medications such as chloroquine (Aralen) or mefloquine (Lariam);

  
  


• 
  

  a diuretic (water pill) such as amiloride amiloride (Midamor), triamterene triamterene (Dyrenium), and others;

  
  


• 
  

  heart rhythm medicine such as amiodarone (Cordarone, Pacerone), diltiazem (Cartia, Cardizem), disopyramide (Norpace), dronedarone (Multaq), ibutilide (Corvert), nicardipine (Cardene), procainamide (Procan, Pronestyl), propafenone (Rythmol), quinidine (Quin-G), or sotalol (Betapace);

  
  


• 
  

  HIV/AIDS medicine such as atazanavir (Reyataz), delavirdine (Rescriptor), indinavir (Crixivan), nelfinavir (Viracept), saquinavir (Invirase), or ritonavir (Norvir, Kaletra);

  
  


• 
  

  medicine to prevent or treat nausea and vomiting such as dolasetron (Anzemet), droperidol (Inapsine), or ondansetron (Zofran);

  
  


• 
  

  medicines to treat psychiatric disorders, such as chlorpromazine (Thorazine), clozapine (FazaClo, Clozaril), haloperidol (Haldol), pimozide (Orap), thioridazine (Mellaril), or ziprasidone (Geodon);

  
  


• 
  

  migraine headache medicine such as sumatriptan (Imitrex, Treximet) or zolmitriptan (Zomig);

  
  


• 
  

  narcotic medication such as methadone (Methadose, Diskets, Dolophine); or

  
  


• 
  

  oral diabetes medications that contain metformin (Actoplus Met, Avandamet, Glucophage, Glucovance, Janumet, Kombiglyze, Metaglip, Prandimet).

  
  

This list is not complete and other drugs may interact with dofetilide. 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 Tikosyn resources

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

• Tikosyn Prescribing Information (FDA)


• Tikosyn MedFacts Consumer Leaflet (Wolters Kluwer)


• Tikosyn Monograph (AHFS DI)


• Tikosyn Advanced Consumer (Micromedex) - Includes Dosage Information


• Dofetilide Professional Patient Advice (Wolters Kluwer)

Compare Tikosyn with other medications

• Arrhythmia

Where can I get more information?

• Your doctor or pharmacist can provide more information about dofetilide.

See also: Tikosyn side effects (in more detail)

Verazinc

Generic Name: zinc sulfate (ZINK SUL fate)

Brand Names: Orazinc 110, Orazinc 220, Verazinc, Zinc-220, Zincate

What is Verazinc (zinc sulfate)?

Zinc is a naturally occurring mineral. Zinc is important for growth and for the development and health of body tissues.

Zinc sulfate is used to treat and to prevent zinc deficiency.

Zinc sulfate may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Verazinc (zinc sulfate)?

Before using zinc sulfate, talk to your doctor, pharmacist, herbalist, or other healthcare provider. You may not be able to use zinc sulfate if you have certain medical conditions.

Avoid taking this medication with foods that are high in calcium or phosphorus, which can make it harder for your body to absorb zinc sulfate. Foods high in calcium or phosphorus include milk, cheese, yogurt, ice cream, dried beans or peas, lentils, nuts, peanut butter, beer, cola soft drinks, and hot cocoa.

Zinc sulfate can make certain antibiotics less effective. Tell your doctor about all other medications you are using before you start taking zinc sulfate.

What should I discuss with my healthcare provider before taking Verazinc (zinc sulfate)?

Before using zinc sulfate, talk to your doctor, pharmacist, herbalist, or other healthcare provider. You may not be able to use zinc sulfate if you have certain medical conditions.

It is not known whether zinc sulfate will harm an unborn baby. Do not take zinc sulfate without telling your doctor if you are pregnant or could become pregnant during treatment. It is not known whether zinc sulfate passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take Verazinc (zinc sulfate)?

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.

Take zinc sulfate with a full glass of water. Take zinc sulfate with food if it upsets your stomach.

Your healthcare provider may occasionally change your dose to make sure you get the best results from zinc sulfate. The recommended dietary allowance of zinc sulfate increases with age. Follow your healthcare provider's instructions. You may also consult the National Academy of Sciences "Dietary Reference Intake" or the U.S. Department of Agriculture's "Dietary Reference Intake" (formerly "Recommended Daily Allowances" or RDA) listings for more information.

Store at room temperature away from moisture and heat.

What happens if I miss a dose?

Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

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, severe vomiting, dehydration, and restlessness.

What should I avoid while taking Verazinc (zinc sulfate)?

Avoid taking this medication with foods that are high in calcium or phosphorus, which can make it harder for your body to absorb zinc sulfate. Foods high in calcium or phosphorus include milk, cheese, yogurt, ice cream, dried beans or peas, lentils, nuts, peanut butter, beer, cola soft drinks, and hot cocoa.

Verazinc (zinc sulfate) 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.

Less serious side effects may include:

• 
  

  nausea; or

  
  


• 
  

  upset stomach.

  
  

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 Verazinc (zinc sulfate)?

The following drugs can interact with or be made less effective by zinc sulfate. Tell your doctor if you are using any of these:

• 
  

  a blood thinner such as warfarin (Coumadin);

  
  


• 
  

  methyltestosterone (Android, Methitest, Oreton);

  
  


• 
  

  penicillamine (Cuprimine, Depen);

  
  


• 
  

  risedronate (Actonel);

  
  


• 
  

  a tetracycline antibiotic such as demeclocycline (Declomycin), doxycycline (Adoxa, Doryx, Oracea, Vibramycin), minocycline (Dynacin, Minocin, Solodyn, Vectrin), or tetracycline (Brodspec, Panmycin, Sumycin, Tetracap); or

  
  


• 
  

  an antibiotic such as ciprofloxacin (Cipro), ofloxacin (Floxin), norfloxacin (Noroxin), levofloxacin (Levaquin), and others.

  
  

This list is not complete and other drugs may interact with zinc sulfate. Tell your healthcare provider 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 Verazinc resources

• Verazinc Use in Pregnancy & Breastfeeding
• Verazinc Drug Interactions
• Verazinc Support Group
• 0 Reviews for Verazinc - Add your own review/rating

• Zinc Sulfate MedFacts Consumer Leaflet (Wolters Kluwer)


• Zinc Sulfate Professional Patient Advice (Wolters Kluwer)


• Orazinc 110 Advanced Consumer (Micromedex) - Includes Dosage Information

Compare Verazinc with other medications

• Vitamin/Mineral Supplementation and Deficiency

Where can I get more information?

• Your pharmacist can provide more information about zinc sulfate.

Eye Cool

Generic Name: phenylephrine (Ophthalmic route)

fen-il-EF-rin

Commonly used brand name(s)

In the U.S.

• AK-Dilate


• Altafrin


• Eye Cool


• Mydfrin


• Neofrin


• Neo-Synephrine


• Ocu-Phrin


• Prefrin Liquifilm

Available Dosage Forms:

• Solution

Therapeutic Class: Mydriatic-Cycloplegic

Pharmacologic Class: Sympathomimetic

Chemical Class: Alkylarylamine

Uses For Eye Cool

Ophthalmic phenylephrine in strengths of 2.5 and 10% is used to dilate (enlarge) the pupil. It is used before eye examinations, before and after eye surgery, and to treat certain eye conditions. In the U.S., these preparations are available only with your doctor's prescription.

Before Using Eye Cool

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 this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine 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

Children may be especially sensitive to the effects of phenylephrine. This may increase the chance of side effects during treatment. In addition, the 10% strength is not recommended for use in infants. Also, the 2.5 and 10% strengths are not recommended for use in low birth weight infants.

Geriatric

Repeated use of 2.5 or 10% phenylephrine may increase the chance of problems during treatment with this medicine. In addition, heart and blood vessel problems have occurred more often in elderly patients than in younger adults.

Pregnancy

	Pregnancy Category	Explanation
All Trimesters	C	Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

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. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

• Clorgyline


• Iproniazid


• Isocarboxazid


• Nialamide


• Phenelzine


• Procarbazine


• Rasagiline


• Selegiline


• Tranylcypromine

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

• Amitriptyline


• Amoxapine


• Clomipramine


• Desipramine


• Dothiepin


• Doxepin


• Furazolidone


• Imipramine


• Lofepramine


• Midodrine


• Nortriptyline


• Opipramol


• Pargyline


• Protriptyline


• Trimipramine

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

• Guanethidine


• Propranolol

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 this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

• Type 2 diabetes mellitus or


• Heart or blood vessel disease or


• High blood pressure—The 2.5 and 10% strengths of phenylephrine may make the condition worse

• Idiopathic orthostatic hypotension (a certain kind of low blood pressure)—Use of this medicine may cause a large increase in blood pressure to occur

Proper Use of phenylephrine

This section provides information on the proper use of a number of products that contain phenylephrine. It may not be specific to Eye Cool. Please read with care.

Do not use if the solution turns brown or becomes cloudy.

To use:

• First, wash your hands. Tilt the head back and, pressing 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 2 or 3 minutes to allow the medicine to be absorbed by the eye.


• Immediately after using the eye drops, wash your hands to remove any medicine that may be on them.


• To keep the medicine as germ-free as possible, do not touch the applicator tip to any surface (including the eye). Also, keep the container tightly closed.

For patients using the 2.5 or 10% eye drops:

• It is very important that you use this medicine only as directed. Do not use more of it and do not use it more often than your doctor ordered. To do so may increase the chance of too much medicine being absorbed into the body and the chance of side effects. This is especially important when this medicine is used in children or in patients with heart disease or high blood pressure, since high doses of this medicine may cause an irregular heartbeat and an increase in blood pressure.

Dosing

The dose of this medicine 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 this medicine. 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 solution (eye drops) dosage form:
  
  • For eye redness:
    
    • Adults and children—Use one drop of 0.12% solution every three or four hours as needed.
    
    
  
  
  • For eye exams:
    
    • Adults and children—Use one drop of 2.5% solution. Depending on the eye test to be done, it will take from fifteen minutes to one or two hours for the medicine to work before you can have the eye test.
    
    
  
  
  • For use before eye surgery:
    
    • Adults and teenagers—Use one drop of 2.5 or 10% solution thirty to sixty minutes before the start of eye surgery.
    
    
    • Children—Use one drop of 2.5% solution thirty to sixty minutes before the start of eye surgery.
    
    
  
  
  • For certain eye conditions:
    
    • Adults and teenagers—Depending on the eye condition being treated, your doctor may tell you to use one drop of 2.5 or 10% solution in the eye from once a day to three times a day.
    
    
    • Children—Depending on the eye condition being treated, your doctor may tell you to use one drop of 2.5% solution in the eye from once a day to three times a day.
    
    
  
  

Missed Dose

If you miss a dose of this medicine, take 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. Do not double doses.

For non-prescription strength eye drops, follow the package directions.

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.

Precautions While Using Eye Cool

If eye pain or change in vision occurs or if redness or irritation of the eye continues, gets worse, or lasts for more than 72 hours, stop using the medicine and check with your doctor.

For patients using the 2.5 or 10% eye drops:

• After you apply this medicine to your eyes, your pupils will become unusually large. This will cause your eyes to become more sensitive to light than they are normally. When you go out during the daylight hours, even on cloudy days, wear sunglasses that block ultraviolet (UV) light to protect your eyes from sunlight and other bright lights. Ordinary sunglasses may not protect your eyes. If you have any questions about the kind of sunglasses to wear, check with your doctor. Also, if this effect continues for longer than 12 hours after you have stopped using this medicine, check with your doctor.

Eye Cool 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 as soon as possible if any of the following side effects occur:

Symptoms of too much medicine being absorbed into the body - Less common with 10% solution; rare with 2.5% or weaker solution

• Dizziness


• fast, irregular, or pounding heartbeat


• increased sweating


• increase in blood pressure


• paleness


• trembling

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 with 2.5 or 10% solution

• Burning or stinging of eyes


• headache or browache


• sensitivity of eyes to light


• watering of eyes

Less common

• Eye irritation not present before use of this medicine

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.

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 Eye Cool resources

• Eye Cool Use in Pregnancy & Breastfeeding
• Eye Cool Drug Interactions
• Eye Cool Support Group
• 0 Reviews for Eye Cool - Add your own review/rating

Compare Eye Cool with other medications

• Eye Dryness/Redness
• Eye Redness/Itching
• Pupillary Dilation

Triamcinolone Paste

Pronunciation: trye-am-SIN-oh-lone
Generic Name: Triamcinolone
Brand Name: Generic only. No brands available.

Triamcinolone Paste is used for:

Temporarily relieving symptoms associated with inflammation, ulcers, and lesions in the mouth caused by injury to the skin. It may also be used for other conditions as determined by your doctor.

Triamcinolone Paste is a topical adrenocortical steroid. It works by reducing skin inflammation (redness, swelling, itching, and irritation) in a way that is not clearly understood.

Do NOT use Triamcinolone Paste if:

• you are allergic to any ingredient in Triamcinolone Paste


• you have a fungal, viral, or bacterial infection of the mouth or throat

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

Before using Triamcinolone Paste:

Some medical conditions may interact with Triamcinolone Paste. 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 any kind of skin infection, cuts, scrapes, or lessened blood flow to your skin


• if you have had a recent vaccination; have a herpes eye infection or mouth lesion (cold sore); have measles, tuberculosis, chickenpox, or shingles; or have had a positive tuberculosis test


• if you have diabetes, diarrhea, or an ulcer


• if you are taking prednisone or similar medicines

Some MEDICINES MAY INTERACT with Triamcinolone Paste. Because little, if any, of Triamcinolone Paste is absorbed into the blood, the risk of it interacting with another medicine is low.

Ask your health care provider if Triamcinolone Paste 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 Triamcinolone Paste:

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

• Apply Triamcinolone Paste at bedtime unless directed otherwise by your doctor. If you are using Triamcinolone Paste several times per day, apply it after meals unless otherwise directed by your doctor.


• Wash your hands before and after applying Triamcinolone Paste.


• Press a small dab (about ¼ inch) to the affected area of the mouth or gums until a thin film develops. A larger amount may be needed to cover some areas. Do not rub in.


• If you miss a dose of Triamcinolone Paste, apply 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 apply 2 doses at once.

Ask your health care provider any questions you may have about how to use Triamcinolone Paste.

Important safety information:

• Triamcinolone Paste is for topical use in the mouth only. Do not get Triamcinolone Paste in your eyes. If contact is made with the eyes, flush them immediately with tap water.


• If your symptoms do not get better within 7 days or if they get worse, check with your doctor.


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


• Talk with your doctor before you receive any vaccine while you are using Triamcinolone Paste.


• Do not use Triamcinolone Paste for other conditions at a later time.


• Corticosteroids may affect growth rate in CHILDREN and teenagers in some cases. They may need regular growth checks while they use Triamcinolone Paste.


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

Possible side effects of Triamcinolone Paste:

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; itching.

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); burning, cracking, irritation, or peeling not present before you began using Triamcinolone Paste; thinning, softening, or discoloration of mouth or gum tissue.

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.

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 increased thirst or urination; muscle weakness; unusual weight gain, especially in the face.

Proper storage of Triamcinolone Paste:

Store Triamcinolone Paste at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not freeze. Keep Triamcinolone Paste out of the reach of children and away from pets.

General information:

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


• Triamcinolone Paste 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 Triamcinolone Paste. 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 Triamcinolone resources

• Triamcinolone Use in Pregnancy & Breastfeeding
• Triamcinolone Drug Interactions
• Triamcinolone Support Group
• 22 Reviews for Triamcinolone - Add your own review/rating

Compare Triamcinolone with other medications

• Aphthous Ulcer
• Atopic Dermatitis
• Dermatitis
• Lichen Planus
• Psoriasis