No Prescription Meds and Arthritis

Imdur (Isosorbide Mononitrate)

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Imdur (Isosorbide Mononitrate) is a vasodilator used to prevent angina (chest pain).

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About Imdur (Isosorbide Mononitrate):

Product Type: Pain Medicine

Brand name: Imdur Generic name: Isosorbide Mononitrate What is the most important information I should know about Imdur? • Use Imdur exactly as directed. Follow your doctor's instructions especially about the timing of your doses. Your blood needs to be free of Imdur for a certain period every day. • You may develop a headache because of this medicine but do not stop taking it. Take aspirin or acetaminophen to treat the headache. Ask your doctor which is best for you. This side effect usually goes away as treatment with Imdur continues. • Do not stop taking Imdur suddenly. Stopping suddenly could cause a severe angina (chest pain) attack. • Do not drink alcohol while taking this medication. What is Imdur? • Imdur is in a class of drugs called nitrates. Imdur dilates (widens or relaxes) blood vessels (arteries and veins). When blood vessels are dilated it is easier for the heart to pump. Also more blood which is rich in oxygen can flow to the heart. • Imdur is used to prevent angina attacks (chest pain). • Imdur may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Imdur? • Before taking this medication tell your doctor if you have had a heart attack have congestive heart failure have low blood pressure; have had a stroke a transient ischemic attack (TIA or mini-stroke) or a serious head injury; have anemia; have an allergy to nitrates; have closed-angle glaucoma; suffer from migraines; have kidney disease; or have liver disease. • The conditions listed above may prevent you from taking Imdur or you may need a dosage adjustment or special monitoring during your therapy. • Imdur is in the FDA pregnancy category C. This means that it is not known whether it will harm an unborn baby. Do not take Imdur without first talking to your doctor if you are pregnant. • It is also not known whether Imdur passes into breast milk. Do not take Imdur without first talking to your doctor if you are breast-feeding a baby. How should I take Imdur? • Take Imdur 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. • Imdur is usually taken first thing in the morning before breakfast. Follow your doctor's instructions. • Swallow the extended-release forms of Imdur whole. Do not crush or chew them. They are specially formulated to release medication slowly into your body. • Do not stop taking Imdur suddenly. Stopping suddenly could cause a severe angina attack. • Store the tablets at room temperature away from moisture and heat. Imdur tablets must be stored in the container that your pharmacist gives them to you in. Throw away any leftover Imdur on the expiration date. Expired Imdur will not treat your condition. What happens if I miss a dose? • Take the missed dose as soon as you remember. If you are taking the regular tablets (not the extended-release tablets) and your next regularly scheduled dose is within 2 hours skip the dose you missed and take only your next regularly scheduled dose. If you are taking the extended release tablets and your next regularly scheduled dose is within 6 hours also skip the missed dose and take only your next regularly scheduled dose. Do not take a double dose of this medication. What happens if I overdose? • Seek emergency medical attention. • Symptoms of an Imdur overdose include a severe throbbing headache difficult or slow breathing muscle cramps nausea vomiting diarrhea fever dizziness fainting an irregular heartbeat changes in vision flushing and seizures. What should I avoid while taking Imdur? • Use caution when driving operating machinery or performing other hazardous activities. Also stand up slowly from a sitting or lying position. Imdur may cause dizziness. If you experience dizziness avoid hazardous activities. • Avoid alcohol. It also widens your blood vessels and it can cause very low blood pressure dizziness and drowsiness and you could endanger yourself or others. • Do not stop taking Imdur suddenly. What are the possible side effects of Imdur? • If you experience any of the following serious side effects stop taking Imdur and seek emergency medical attention: an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips tongue or face; or hives); blurred vision or dry mouth; or irregular heartbeat; fainting. • Other less serious side effects may be more likely to occur. Continue to take Imdur and talk to your doctor if you experience headache or dizziness flushing (redness of the face neck and chest) nausea or vomiting a fast heartbeat swollen ankles or weakness. • 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 Imdur? • Do not use sildenafil (Viagra) a drug used to treat impotence while taking Imdur. The combination could cause severe or life-threatening low blood pressure. • Before taking Imdur tell your doctor if you are taking any of the following medicines: dihydroergotamine (D.H.E. 45); or any other heart medicines especially those used to treat high blood pressure or irregular heartbeats. • You may require a dosage adjustment or special monitoring during your treatment if you are taking any of the medicines listed above. • Do not drink alcohol. Like Imdur alcohol widens your blood vessels and it can cause very low blood pressure dizziness and drowsiness. If you combine Imdur and alcohol you could endanger yourself or others. • Drugs other than those listed here may also interact with Imdur or affect your condition. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

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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. 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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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