Cipralex (Escitalopram)

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LEXAPRO  

Lexapro Information

Select from a wide range of medications online to buy Lexapro, a popular antidepressant medication that is known to belong to a wide class of medicines, known under the name of selective serotonin reuptake inhibitors. This medicine is able to affect some of the substances that can be found in the patient’s brain, and that are known to sometimes become unbalanced (thus, a depression is initiated).

Lexapro Indications

Buy Lexapro from our online pharmacy, as it is a medicine that is primarily prescribed in the treatment of patients who are suffering from depression. However, this antidepressant medication can also serve some other purposes (treat or prevent some other medical conditions) that have not been listed in this guide.

Lexapro Warnings

A treatment with Lexapro is not recommended in the case of patients who are suffering from the following medical conditions:

• ·         liver disease
• ·         kidney disease
• ·         suicidal thoughts
• ·         seizures
• ·         mania  

Patients who are suffering from any of the medical disorders that have been listed below might not be allowed to start taking this medicine, or they should be prescribed a lower dose of Lexapro. Their personal healthcare provider should closely monitor their patients’ treatment with this product. You should avoid starting a treatment with Lexapro if you have recently taken monoamine oxidase inhibitors like these medicines:

·         Phenelzine or Nardil

·         Isocarboxazid or Marplan

·         Tranylcypromine or Parnate

Lexapro is a Category C FDA Pregnancy Medicine. Therefore, it has not been clearly determined whether a treatment of this drug during pregnancy could harm a growing foetus or not. If you are pregnant, or if you suspect that you might become pregnant soon, you should then ask your personal physician if it is safe both for you and for the unborn child to start a treatment of Lexapro.

It has been clearly established that Lexapro’s main ingredients are able to pass into the nursing mother’s breast milk. If you are currently breastfeeding a child, you must not start using this medicine without first consulting with your personal doctor.

Lexapro Intake Guidelines

Ask your doctor to tell you how, when and how much Lexapro you should take on a regular basis. You must take this drug exactly how your personal doctor has told you to. If you do not understand some of your personal physician’s instructions, you should ask a pharmacist, a nurse or a physician. 

Also, carefully read the set of instructions from your medicine’s label. You must try to avoid taking double doses of this medicine without your personal physician’s consent. You should accompany each dose of this medicine with a full glass of water (eight ounces of liquid), with food or milk – this is in order to avoid an upset stomach. You must not stop your treatment with this drug without your physician’s approval, as this might trigger some unwanted side effects.

Lexapro Dosage

Ask your personal physician to inform you of the correct dose of Lexapro that you should take in (the one that suits your medical condition best). The correct dosage is known to sometimes vary from one patient to another, as it depends on the severity of the patient’s medical condition, sex, age, and so on. You must not make any adjustments to the dose that you have been prescribed by your personal healthcare provider without their approval.

Lexapro Overdose

If you suspect that you are suffering from an overdose of this drug, you are probably in need of emergency medical attention. Alert your local poison control centre as soon as you can and if possible, you should take your drug container with you. Inform your personal physician of this. The average Lexapro overdose symptoms are:

• ·         Tremor
• ·         Nausea
• ·         Vomiting
• ·         Dizziness
• ·         Drowsiness
• ·         A fast heartbeat
• ·         Sweating

Lexapro Missed Dose

In order to get the best results from you treatment with Lexapro, you must try to take this antidepressant medication (the prescribed doses of this drug) on a regular basis and at the same time each day. However, if you happen to forget to take one of your scheduled doses, you should take it as soon as you remember to. Then try to evenly space the rest of the day in order to take the reminder of your prescribed doses within equal time intervals. If it is time for another dose, you should skip the one that you have missed.

Lexapro Side Effects

A treatment with Lexapro is known to sometimes trigger some the following severe allergic reactions and side effects:

• ·         Closing of the throat
• ·         Difficulty breathing
• ·         An irregular pulse or heartbeat 
• ·         Hives
• ·         high blood pressure
• ·         Swelling of the face, lips or tongue
• ·         chills or fever
• ·         low blood pressure

If you are experiencing any of these severe allergic reactions and side effects you must stop taking Lexapro. Alert your personal physician as soon as possible. A prolonged treatment with this medicine is also known to sometimes trigger other less severe but more common side effects which might include:

·         insomnia or sleepiness

·         headache, nervousness, tremor, or anxiety

·         changes in weight or appetite

·         impotence, decreased sex drive, or difficulty having an orgasm

·         nausea, dry mouth, diarrhea

If you are experiencing any of the side effects that have been listed here, you may continue using this medicine. You should alert your personal physician at once. There are other side effects that have not been mentioned here, but that might occur. Please inform you doctor of anything unusual that might be linked to your treatment with Lexapro.  

Lexapro Drug Reactions

Avoid using the following drugs while you are treated with Lexapro:

• ·         antidepressants
• ·         an antifungal drug
• ·         a seizure drug
• ·         a stomach drug
• ·         a migraine drug
• ·         an antibiotic
• ·         lithium
• ·         asthma medicines such as Zafirlukast

Buy Lexapro

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In some countries LEXAPRO may also be known as: Aramix, Citalax, Lextor, Meridian, Cipralex, Celtium, Sipralexa, Ectiban, Ipran, Neozentius, Zepaz, Entact, Esertia 

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Keppra (Levetiracetam)

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Keppra is used to treat partial onset seizures in adults and children who are at least 1 month old.
It is also used to treat tonic-clonic seizures in adults and children who are at least 6 years old, and myoclonic seizures in adults and children who are at least 12 years old.

INSTRUCTIONS

Take Keppraexactly 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.

Your doctor may occasionally change your dose to make sure you get the best results.

Keppra is usually taken twice per day. Take the medicine at the same time each day. You may take Keppra with or without food.

Measure liquid medicine with a special dose-measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

Do not crush, chew, or break a controlled release, delayed-release, or extended-release tablet. Swallow it whole. Breaking the pill may cause too much of the drug to be released at one time.

Use Keppra regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

Do not stop using Keppra without first talking to your doctor, even if you feel fine. You may have increased seizures if you stop using this medicine suddenly. You may need to use less and less before you stop the medication completely.

Seizures are often treated with a combination of different drugs. Use all medications as directed by your doctor. Read the medication guide or patient instructions provided with each medication. Do not change your doses or medication schedule without your doctor's advice. .

Wear a medical alert tag or carry an ID card stating that you take Keppra. Any medical care provider who treats you should know that you take seizure medication.

To be sure Keppra is not causing harmful effects, your kidney function may need to be tested. Visit your doctor regularly.

If you missed 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.

DOSAGE

Important Administration Instructions

Keppra is given orally with or without food. The Keppra dosing regimen depends on the indication, age group, dosage form (tablets or oral solution), and renal function.

Prescribe the oral solution for pediatric patients with body weight ≤ 20 kg. Prescribe the oral solution or tablets for pediatric patients with body weight above 20 kg.

When using the oral solution in pediatric patients, dosing is weight-based (mg per kg) using a calibrated measuring device (not a household teaspoon or tablespoon).

Keppra tablets should be swallowed whole. Keppra tablets should not be chewed or crushed.

Pediatric Patients

·         1 Month To 6 Months

Treatment should be initiated with a daily dose of 14 mg/kg in 2 divided doses (7 mg/kg twice daily). The daily dose should be increased every 2 weeks by increments of 14 mg/kg to the recommended daily dose of 42 mg/kg (21 mg/kg twice daily). In the clinical trial, the mean daily dose was 35 mg/kg in this age group. The effectiveness of lower doses has not been studied.

·         6 Months To 4 Years

Treatment should be initiated with a daily dose of 20 mg/kg in 2 divided doses (10 mg/kg twice daily). The daily dose should be increased in 2 weeks by an increment of 20 mg/kg to the recommended daily dose of 50 mg/kg (25 mg/kg twice daily). If a patient cannot tolerate a daily dose of 50 mg/kg, the daily dose may be reduced. In the clinical trial, the mean daily dose was 47 mg/kg in this age group.

·         4 Years To 16 Years

Treatment should be initiated with a daily dose of 20 mg/kg in 2 divided doses (10 mg/kg twice daily). The daily dose should be increased every 2 weeks by increments of 20 mg/kg to the recommended daily dose of 60 mg/kg (30 mg/kg twice daily). If a patient cannot tolerate a daily dose of 60 mg/kg, the daily dose may be reduced. In the clinical efficacy trial, the mean daily dose was 44 mg/kg. The maximum daily dose was 3000 mg/day.

For Keppra tablet dosing in pediatric patients weighing 20 to 40 kg, treatment should be initiated with a daily dose of 500 mg given as twice daily dosing (250 mg twice daily). The daily dose should be increased every 2 weeks by increments of 500 mg to a maximum recommended daily dose of 1500 mg (750 mg twice daily).

For Keppra tablet dosing in pediatric patients weighing more than 40 kg, treatment should be initiated with a daily dose of 1000 mg/day given as twice daily dosing (500 mg twice daily). The daily dose should be increased every 2 weeks by increments of 1000 mg/day to a maximum recommended daily dose of 3000 mg (1500 mg twice daily).

Partial Onset Seizures

Adults 16 Years And Older

In clinical trials, daily doses of 1000 mg, 2000 mg, and 3000 mg, given as twice-daily dosing were shown to be effective. Although in some studies there was a tendency toward greater response with higher dose [see Clinical Studies], a consistent increase in response with increased dose has not been shown.

Treatment should be initiated with a daily dose of 1000 mg/day, given as twice-daily dosing (500 mg twice daily). Additional dosing increments may be given (1000 mg/day additional every 2 weeks) to a maximum recommended daily dose of 3000 mg. Doses greater than 3000 mg/day have been used in open-label studies for periods of 6 months and longer. There is no evidence that doses greater than 3000 mg/day confer additional benefit.

Myoclonic Seizures In Patients 12 Years of Age and Older With Juvenile Myoclonic Epilepsy

Treatment should be initiated with a dose of 1000 mg/day, given as twice-daily dosing (500 mg twice daily). Dosage should be increased by 1000 mg/day every 2 weeks to the recommended daily dose of 3000 mg. The effectiveness of doses lower than 3000 mg/day has not been studied.

Primary Generalized Tonic-Clonic Seizures

Adults 16 Years And Older

Treatment should be initiated with a dose of 1000 mg/day, given as twice-daily dosing (500 mg twice daily). Dosage should be increased by 1000 mg/day every 2 weeks to the recommended daily dose of 3000 mg. The effectiveness of doses lower than 3000 mg/day has not been adequately studied.

Pediatric Patients Ages 6 To< 16 Years

Treatment should be initiated with a daily dose of 20 mg/kg in 2 divided doses (10 mg/kg twice daily). The daily dose should be increased every 2 weeks by increments of 20 mg/kg to the recommended daily dose of 60 mg/kg (30 mg/kg twice daily). The effectiveness of doses lower than 60 mg/kg/day has not been adequately studied. Patients with body weight ≤ 20 kg should be dosed with oral solution. Patients with body weight above 20 kg can be dosed with either tablets or oral solution. Only whole tablets should be administered.

Adult Patients With Impaired Renal Function

Keppra dosing must be individualized according to the patient's renal function status.

STORAGE

Store Keppra at room temperature away from moisture, heat, and light.

Side effects

·     Get emergency medical help if you have any of these signs of an allergic reaction to Keppra: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, depression, anxiety, or if you feel agitated, hostile, irritable, hyperactive (mentally or physically), or have thoughts about suicide or hurting yourself.

Call your doctor at once if you have a serious side effect such as:

• hallucinations, unusual thoughts or behavior;
• bruising, severe tingling, numbness, pain, muscle weakness;
• feeling very weak or tired;
• fever, chills, body aches, flu symptoms, sores in your mouth and throat;
• problems with walking or movement;
• the first sign of any skin rash, no matter how mild; or
• severe skin reaction -- fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.

·         Less serious Keppra side effects may include:

•  mild dizziness or drowsiness;
• mild tired feeling;
• loss of appetite; or
• stuffy nose.

·    This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

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Dilantin (phenytoin)

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Dilantin (phenytoin)

Dilantin Information

Dilantin is approved for use as an anti-seizure medication (anticonvulsant), especially to prevent tonic-clonic (grand mal) seizures and complex partial seizures (psychomotor seizures). It may be used alone or with Phenobarbital or other anticonvulsants.

Dilantin Warnings

Dilantin can increase the metabolism (elimination) of many drugs, reducing their concentrations in the body. Drugs that may be affected include: digoxin, carbamazepine, clonazepam, corticosteroids (e.g.prednisone), cyclosporine, disopyramide, doxycycline, estrogens, felodipine, levodopa, lidocaine, methadone, mexiletine, oral contraceptives, paroxetine, quinidine, tacrolimus, theophylline, phenobarbital, and warfarin. Dilantin can interact with these drugs not only when it is added to therapy but also when it is discontinued. In the latter case, the concentration of the other drugs may increase. 

Dilantin's metabolism may be affected by other drugs. Drugs that can reduce the amount of Dilantin in the body include rifampin and phenobarbital. Drugs that increase Dilantin concentrations include Amiodarone, chloramphenicol,cimetidine, disulfiram, fluconazole, fluoxetine, isoniazid (INH), omeprazole, and paroxetine. 

Thus, measuring levels of Dilantin in the blood may be necessary when patients begin or discontinue other medications. There appears to an increased risk of malformations and birth defects in women taking Dilantin . 

Thus Dilantin should be used in pregnancy only if the physician feels that the potential benefit outweighs the risk. Dilantin is secreted into breast milk. Nursing is not recommended for persons taking Dilantin .

Dilantin Side effects

Many varied adverse effects can occur during Dilantin therapy including dizziness, drowsiness, difficulty focusing (vision), unsteady gate, tiredness, abnormal involuntary movements, nausea, vomiting, constipation, abdominal pain, and loss of appetite. Children and young adults can develop overgrowth of the gums during long-term therapy which requires regular treatment by a dentist. 

Good oral hygiene and gum massage may reduce the risk. Rashes can occur in between 1 in 20 and 1 in 10 persons; some may be severe. Also, dark coloration of the skin may develop Dilantin can produce unusual growth of hair in some patients. This reaction most commonly affects the arms and legs but can also affect the trunk and face; it may be irreversible. Various lymph node reactions have been reported with Dilantin therapy. Lymph nodes may swell up, sometimes painfully. Dilantin may cause serum glucose to rise. 

Thus, blood sugar should be monitored closely when Dilantin is administered to patients with diabetes. Dilantin can potentially injure the liver although this is an uncommon occurrence. Dilantin can cause the platelet or white blood cell counts to drop, increasing the risk of bleeding or infection, respectively. Dilantin also can cause anemia. Because it interferes with vitamin D metabolism, Dilantin can cause weakening of the bones (osteomalacia). Dilantin can cause sexual dysfunction including decreased libido, impotence, and priapism (painful, prolonged erections).

Dilantin Overdose

If overdose is suspected, contact your local poison control center or emergency room immediately.

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Norpress (Nortriptyline)

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Norpress Information

The active substance of Norpress, namely Nortriptyline Hydrochloride, belongs to the tricyclic antidepressants class of medication. Its mechanism of action consists of an alteration of the chemical imbalance that may appear in parts of the patient’s brain, an imbalance that causes several physical or emotional symptoms that affect the patient’s general health condition and quality of life. Norpress has a strong positive effect on correcting this imbalance thus effectively treating these symptoms.

Norpress Indications

Norpress is typically used for the treatment of patients that suffer from depression, as it effectively treats the symptoms of this affection and improves the patients’ general condition. Apart from that, Norpress may also be successfully employed as part of the smoking cessation therapy, as it helps fight the withdrawal effects and as such may aid patients who wish to quit smoking. There are other uses for this medicine that are not listed here. If your prescriber advises you to follow a therapy course with this medicine and you are not sure why, it is best to ask him or her for more information.

Norpress Warnings

Norpress may not be administered to children or adolescents, or to patients that have recently suffered from heart attack. Individuals that are allergic to any of the active or inactive substances in this drug, or to any other tricyclic antidepressants or patients that are following a treatment with MAO inhibitors may not start taking Norpress.

Other medical conditions may influence your ability to start a treatment with Norpress. You should seek the advice of your physician if you have any liver, heart or kidney disorders, seizure disorders such as epilepsy, if you have diabetes, glaucoma, or hyperthyroidism (or if you are taking any thyroid gland related medication). 

Patients that are pregnant or breastfeeding, patients that have sustained heavy brain damage or head trauma, patients with bipolar disorders or mania, heavy drinkers or suicidal patients may require special consideration before starting to take this drug. Electroshock therapy and medication such as stimulants or sedatives may also interfere with the possibility of starting a treatment with Norpress. You should inform your prescriber of any other medical condition you are suffering from before receiving a prescription for this pharmaceutical product.

Norpress Intake Guidelines

Your prescriber will provide you with a complete set of guidelines for taking Norpress in order to achieve the best results from the therapy. It is best that you closely follow the prescriber’s indications. If the intake guidelines you are provided differ from any of the following information, you should take the drug as advised by your doctor.

The Norpress tablets need to be taken whole, without crushing or chewing them. You may take them with food or with a full glass of water. In some situations, the prescriber may recommend you to use just half a tablet at a time – this is only possible for the 25 mg tablets. The smoking cessation treatment typically lasts for 3 to 6 months, while the treatment for depression may last much longer. You should continue taking the tablets for the full duration of the therapy, although you may experience an improvement in your condition much sooner. Do not stop taking this medicine without your prescriber’s consent.

Norpress Dosage

For smoking cessation, the usual starting Norpress dosage is of 25 mg per day increasing in time to a maximum of 75 mg to 100 mg per day. The treatment should begin two to four weeks before the date you actually stop smoking. If the drug is employed for the treatment of depression, the treatment usually consists of three to four daily intakes of 25 mg each. Elderly patients will receive a lower daily dose than the adult one, for example 25 to 50 mg. Your prescriber may advise you to use a different Norpress dose than stated above. In this case, you should take the medication dosage that you have been prescribed.

Norpress Overdose

An overdose with Norpress is often a severe condition and requires prompt medical attention. As such, if you think that you may have taken too much of the medicine you should immediately contact the local poisons center or call your personal health care professional. In severe cases you may need to go to the nearest clinic or hospital in order to receive emergency medical assistance.

Norpress Missed Dose

You should keep a strict intake schedule for your Norpress doses, as this may help reduce the chances of accidentally missing any intakes. However, if you happen to miss a dose of the medicine, it is best that you completely skip taking it. Do not attempt to make up for the missed dose by taking a larger dose of the medicine. It is recommended that you continue taking the medicine as regular, but you should inform your personal physician in order to determine if any corrective measures need to be taken.

Norpress Side Effects

Norpress may cause a number of severe adverse reactions such as fainting, fits and seizures, severe chest pain, suicidal thoughts or allergic reactions. If you experience any of these you should immediately stop taking the drug and contact a trained health care professional. Other serious side effects of this medicine include jaundice, vision disturbances, heart beat disorders, hallucinations or confusion, anxiety, agitation or a worsening of the depression. You should inform your personal physician of these and any other unwanted effects that may appear during your Norpress treatment.

Norpress Drug Reactions

Norpress may cause accidental drug reactions with other antidepressants (either tricyclic antidepressants, MAO inhibitors or SSR inhibitors), blood pressure medication, anticholinergics, sympathomimetics, thyroid medications, some heart drugs, Carbamazepine or Cimetidine. You should inform your prescriber of any other pharmaceutical products you are taking before starting your Norpress therapy.

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