No Prescription Meds and Arthritis

Diflucan (Fluconazole)

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Diflucan (Fluconazole) is an azole antifungal used to treat or prevent fungal infections. It may also be used to prevent infections after bone marrow transplant.

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About Diflucan (Fluconazole):

Product Type: Anti Fungal

Brand name: Diflucan Generic name: Fluconazole What is the most important information I should know about Diflucan? • Do not take Diflucan if you are taking cisapride (Propulsid). Combined with cisapride (Propulsid) Diflucan could cause serious even fatal heart problems. • In rare cases Diflucan has caused severe liver damage sometimes resulting in death. Notify your doctor immediately if you develop nausea vomiting abdominal pain unusual fatigue loss of appetite yellow skin or eyes itching dark urine or clay colored stools. These symptoms may be early signs of liver damage. • In rare cases Diflucan has also caused severe skin rash sometimes resulting in death. Notify your doctor immediately fi you develop a rash while taking Diflucan. • Take all of the Diflucan that has been prescribed for you even if you begin to feel better. Your symptoms may begin to improve before the infection is completely treated. What is Diflucan? • Diflucan is an antifungal medication. It is used to treat fungal infections. • Diflucan is used to treat yeast infections of the mouth throat and esophagus; vaginal yeast infections; fungal urinary tract infections; pneumonia caused by yeast; and fungal infections throughout the whole body and in the blood. Diflucan is also used to prevent fungal infections from occurring in people with suppressed immune systems such as cancer chemotherapy patients organ transplant patients and AIDS patients. • Diflucan may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Diflucan? • Do not take Diflucan if you are taking cisapride (Propulsid). Combined with cisapride (Propulsid) Diflucan could cause serious even fatal heart problems. • Before taking Diflucan tell your doctor if you have any other medical conditions especially kidney disease or if you take other medicines. You may not be able to take Diflucan or you may require a dosage adjustment or special monitoring during your treatment. • Diflucan is in the FDA pregnancy category C. This means that it is not known whether it will be harmful to an unborn baby. Do not take Diflucan without first talking to your doctor if you are pregnant or could become pregnant during treatment. • Diflucan passes into breast milk and may be harmful to a nursing baby. For this reason Diflucan should not be taken by nursing mothers. Do not take this medication without first talking to your doctor if you are breast-feeding a baby. How should I take Diflucan? • Take Diflucan 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. • A single dose of this medication is often used to treat vaginal yeast infections. • In multiple-dose therapy a double dose of Diflucan is often taken on the first day of treatment to quickly get the proper amount of medicine into the body. Follow your doctor's directions. • Shake the suspension well before measuring a dose. To ensure that you get the correct dose measure the suspension using a dose-measuring spoon cup or dropper not a regular table spoon. If you do not have a dose-measuring device ask your pharmacist where you can get one. • It is important to take Diflucan regularly to get the most benefit. • Store the tablets at room temperature away from moisture and heat. • The suspension can be stored at room temperature or in the refrigerator. Do not let it freeze. Throw away any unused suspension after 14 days. What happens if I miss a dose? • Take the missed dose as soon as you remember. If it is almost time for the next dose skip the dose you missed and take only the next regularly scheduled dose as directed. 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 Diflucan overdose include confusion hallucinations paranoia decreased movement decreased breathing tearing eyes drooling urinary incontinence seizures and death. What should I avoid while taking Diflucan? • Avoid alcohol or use it in moderation while taking Diflucan. Alcohol and Diflucan can both affect the liver. • Use caution when driving or performing other hazardous activities. Diflucan may cause dizziness. If you experience dizziness avoid these activities. What are the possible side effects of Diflucan? • If you experience any of the following serious side effects stop taking Diflucan 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); liver damage (pale stools yellowing of the skin or eyes abdominal pain unusual fatigue or dark urine); or a rash. • Other less serious side effects may be more likely to occur. If you experience any of the following side effects continue taking Diflucan and talk to your doctor: nausea vomiting or abdominal pain; diarrhea; headache; dizziness; fatigue; or itching. • 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 Diflucan? • Do not take Diflucan if you are taking cisapride (Propulsid). Combined with cisapride (Propulsid) Diflucan could cause serious even fatal heart problems. • Before taking Diflucan tell your doctor if you are taking any other medicines especially any of the following: an oral diabetes medicine such as glipizide (Glucotrol) glyburide (Diabeta Micronase Glynase) tolbutamide (Orinase) tolazamide (Tolinase) chlorpropamide (Diabinese) and others; warfarin (Coumadin); phenytoin (Dilantin others); cyclosporine (Sandimmune Neoral); cisapride (Propulsid); a benzodiazepine such as diazepam (Valium) lorazepam (Ativan) alprazolam (Xanax) estazolam (ProSom) and others; tacrolimus ((Prograf); rifabutin (Mycobutin) or rifampin (Rifadin Rimactane); or theophylline (Theo-Dur Theolair Theochron Elixophyllin Slo-Phyllin others); or astemizole (Hismanal). • You may not be able to take Diflucan 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 Diflucan 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

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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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