No Prescription Meds and Arthritis

Calan (Verapamil)

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Calan (Verapamil) is a calcium channel blocker used to treat angina (chest pain) or high blood pressure. It is also used to treat and prevent a rapid heart rate.

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About Calan (Verapamil):

Product Type: Blood Pressure

Brand name: Calan Generic name: Verapamil What is the most important information I should know about Calan? • Do not stop taking this medication without first talking to your doctor. If you stop taking the medication your condition could become worse. • Do not crush chew or break extended-release forms of Calan such as generic Covera-HS and Verelan PM. Swallow them whole. Generic Calan SR Isoptin SR and Calan SR may be divided in half but should not be crushed or chewed. What is Calan? • Calan is in a class of drugs called calcium channel blockers. Calan relaxes (widens) blood vessels (veins and arteries) which makes it easier for the heart to pump and reduces its workload. • Calan is used to treat hypertension (high blood pressure) to treat angina (chest pain) and to control some types of irregular heartbeats. • Calan may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Calan? • Before taking this medication tell your doctor if you have kidney or liver disease; other diseases of the heart or blood vessels such as sick sinus syndrome aortic stenosis heart failure heart block Wolff-Parkinson-White syndrome coronary artery disease or low blood pressure; or muscular dystrophy. • You may not be able to take Calan or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. • Calan is in the FDA pregnancy category C. This means that it is not known whether Calan will be harmful to an unborn baby. Do not take Calan without first talking to your doctor if you are pregnant or could become pregnant during treatment. • Calan passes into breast milk and may harm a nursing infant. Do not take Calan without first talking to your doctor if you are breast-feeding a baby. How should I take Calan? • Take Calan 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. • Verelan Verelan PM Calan Isoptin Covera-HS and generic forms of regular-release Calan can be taken with or without food. Taking the medication with food may reduce stomach upset if it occurs. • Calan SR Isoptin SR and generic sustained-release Calan (Calan SR) may be more likely to cause stomach upset and should be taken with food to reduce this side effect. • Take Covera-HS and Verelan PM at bedtime. • If you have trouble swallowing the Verelan pellet-filled capsules they can be opened and the contents can be sprinkled onto cold soft food such as applesauce. This mixture must be swallowed without chewing. Use the mixture immediately. Do not save it for later use. (Do not use this procedure for the Verelan PM capsules.) • Do not crush chew or break extended-release forms of Calan such as Covera-HS and Verelan PM. Swallow them whole. Generic Calan SR Isoptin SR and Calan SR may be divided in half if the tablets are scored but should not be crushed or chewed. • If you are taking Covera-HS do not be concerned if you find what looks like an undissolved tablet in your stool. This medication is formulated with an outer shell that does not dissolve. This shell allows the medicine to be released slowly into your body before it is passed out in the stool. • It is important to take Calan regularly to get the most benefit. • Do not stop taking this medication without first talking to your doctor. If you stop taking the medication your condition could become worse. • Grapefruit and grapefruit juice may interact with Calan. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor. • Your doctor may want you to have blood tests blood pressure monitoring or other medical evaluations during treatment with Calan to monitor progress and side effects. • Store Calan 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 Calan overdose include dizziness weakness chest pain shortness of breath fainting an unusually fast or slow heartbeat coma slurred speech and confusion. What should I avoid while taking Calan? • Grapefruit and grapefruit juice may interact with Calan. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor. • Avoid the use alcohol. Alcohol may further lower blood pressure and increase drowsiness and dizziness while taking Calan. • Follow any recommendations your doctor makes about diet or exercise. What are the possible side effects of Calan? • If you experience any of the following serious side effects stop taking Calan 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); an unusually fast or slow heartbeat; shortness of breath (heart failure); fainting; abnormal behavior or psychosis; jaundice (yellowing of the skin or eyes); or swelling of the legs or ankles. • Other less serious side effects may be more likely to occur. Continue to take Calan and talk to your doctor if you experience unusual headache fatigue or tiredness; insomnia or trouble sleeping; vivid dreams; hair loss; nausea or diarrhea; or increased urination. • 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 Calan? • Before taking this medication tell your doctor if you are taking any of the following drugs: cyclosporine (Sandimmune Neoral); cimetidine (Tagamet Tagamet HB); carbamazepine (Tegretol Carbatrol); lithium (Lithobid Eskalith others); theophylline (Theo-Dur Theochron Theolair Theobid Elixophyllin Slo-Phyllin others); rifampin (Rifadin Rimactane); phenobarbital (Luminal Solfoton); an HMG CoA reductase inhibitor such as atorvastatin (Lipitor) lovastatin (Mevacor) simvastatin (Zocor) and others; or another heart medication such as propranolol (Inderal) metoprolol (Lopressor Toprol XL) atenolol (Tenormin) digoxin (Lanoxin) quinidine (Quinora Quinidex Quinaglute) flecainide (Tambocor) disopyramide (Norpace) captopril (Capoten) enalapril (Vasotec) and others. • You may not be able to take Calan or you may require a dosage adjustment or special monitoring if you are taking any of the medicines listed above. • Drugs other than those listed here may also interact with Calan or affect your condition. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines including vitamins minerals and herbal products

Generic Calan (Verapamil)

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Discuss with your doctor the procedure for removing Arava from the body following treatment before becoming pregnant. Without the proper drug elimination procedure it may take up to two years before Arava is at sufficiently low levels in the body so as to reduce the risk of harm to an unborn baby. It is not known whether Arava imposes an increased risk of fetal harm when taken by a man. Men wishing to father a child while taking Arava should discuss their options with their doctor. What is Arava? • Arava affects the immune system and decreases inflammation. • Arava is used to reduce the signs and symptoms of rheumatoid arthritis reduce damage to the joints caused by rheumatoid arthritis and to improve physical function in people with rheumatoid arthritis. • Arava may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Arava? • Before taking Arava tell your doctor if you have liver disease or a history of hepatitis; a history of significant alcohol use; kidney disease; an immune system disease; recently received a live vaccine; poor bone marrow function; or a current or chronic infection. • You may not be able to take Arava or you may require a dosage adjustment or special monitoring during your treatment if you have any of the conditions listed above. • Arava is in the FDA pregnancy category X. There is an increased risk of birth defects and death of the unborn baby while taking Arava. Do not take this medication if you are pregnant or could become pregnant during treatment. Notify your doctor immediately if you think you have become pregnant during treatment. Birth control must be used during treatment with Arava. Discuss with your doctor the procedure for removing Arava from the body following treatment before becoming pregnant. Without the proper drug elimination procedure it may take up to two years before Arava is at sufficiently low levels in the body so as to reduce the risk of harm to an unborn baby. It is not known whether Arava imposes an increased risk of fetal harm when taken by a man. Men wishing to father a child while taking Arava should discuss their options with their doctor. • It is not known whether Arava passes into breast milk. There is a potential for serious side effects in a nursing baby from Arava. Do not take Arava if you are breast-feeding a baby. How should I take Arava? • Take Arava exactly as directed by your doctor. If you do not understand these instructions ask your pharmacist nurse or doctor to explain them to you. • Take each dose with a full glass of water. • Arava can be taken with or without food or milk. • It is important to take Arava regularly to get the most benefit. • Your doctor may want you to have blood tests or other medical evaluations while taking Arava to monitor side effects and progress. • Store Arava at room temperature away from moisture and heat. What happens if I miss a dose? • Take the missed dose as soon as you remember. If it is almost time for your next dose skip the missed dose and only take your next regularly scheduled dose. Do not take a double dose of this medication unless otherwise directed by your doctor. What happens if I overdose? • Seek emergency medical attention if an overdose is suspected. • Symptoms of a Arava overdose may include diarrhea abdominal pain blood problems and liver problems. What should I avoid while taking Arava? • Discuss with your doctor the use of alcohol while taking Arava. Alcohol and Arava can both be damaging to the liver. • Arava can lower the activity of the immune system making you more susceptible to infection. Avoid contact with people who have colds the flu or other contagious illnesses. In addition do not receive vaccines that contain a live strain of the virus (e.g. live oral polio vaccine) and avoid contact with individuals who have recently been vaccinated with a live virus. What are the possible side effects of Arava? • If you experience any of the following serious side effects stop taking Arava and seek medical treatment or contact your doctor immediately: an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips tongue or face; or hives); changes in liver function (may be detected by blood tests or cause symptoms such as yellowing of the skin or eyes; pale colored stools or dark colored urine; unusual fatigue; or abdominal pain); decreased bone marrow function or blood problems (may be detected by blood tests or cause symptoms such as extreme or unusual fatigue; easy bruising or bleeding; black bloody or tarry stools; fever or chills; or signs of infection such as fever; chills or sore throat); or skin rash; or sores in the mouth. • Other less serious side effects may be more likely to occur. Continue to take Arava and talk to your doctor if you experience headache; increased blood pressure; muscle aches; nausea; diarrhea; or hair loss. • 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 Arava? • Before taking Arava tell your doctor if you are taking any of the following drugs: cholestyramine (Questran Prevalite LoCHOLEST); methotrexate (Rheumatrex); or rifampin (Rifadin Rimactane). • You may not be able to take Arava or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above. • Drugs other than those listed here may also interact with Arava. 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