Pharmacy Prescriptions, Gastrointestinal Meds » Prescription Drugs 6 » Dilantin Infatabs Generic Phenytoin
Phenytoin is used to prevent and control seizures (also called an anticonvulsant or antiepileptic drug). It works by reducing the spread of seizure activity in the brain.Indication:Dilantin is indicated for the control of grand mal and psychomotor seizures. Dilantin will prevent or effectively decrease the incidence and severity of convulsive seizures in a high percentage of cases with patients exhibiting little tendency to become resistant to its action. Besides its effectiveness in controlling seizures Dilantin frequently improves the mental condition and outlook of epileptic patients and there is also increasing evidence that Dilantin is valuable in the prevention of seizures occurring during or after neurosurgery and in the treatment of certain cardiac arrythmias. Phenytoin serum level determinations may be necessary for optimal dosage adjustments (see Dosage and Administration).Dosage and Administration:Dilantin capsules (30 mg 100 mg) are formulated with the sodium salt of phenytoin.The free acid form of phenytoin is used in Dilantin Infatabs (50 mg) and Dilantin Paediatric Suspension (30 mg/5 mL).Because there is approximately an 8% increase in drug content with the free form over that of the sodium salt dosage adjustments and serum level monitoring may be necessary when switching from a product formulated with the free acid to a product formulated with the sodium salt and vice versa.GeneralDosage should be individualised to obtain maximum benefit. In some cases serum blood level determinations may be necessary for optimal dosage adjustments. Serum levels between 10 and 20 Αg/mL are considered to be clinically effective. With the recommended dosage a period of at least 7 to 10 days may be required to achieve therapeutic blood levels of Dilantin unless therapy is initiated with a loading dose. After the initial dose has been prescribed plasma levels should be determined and the dosage adjusted if necessary to obtain a level in the therapeutic range; 10 to 20 Αg/mL (40 to 80 Αmoles/L). Because phenytoin is hydroxylated in the liver by an enzyme system which is saturable at high plasma levels small incremental doses may increase the half-life and produce very substantial increases in serum levels when these are in the upper range.Oral AdministrationAlthough phenytoin has a relatively long plasma half-life thrice daily dosing may reduce the incidence of gastric irritation since lower doses can be administered with thrice daily dosing as compared with twice daily dosing. Recent studies suggest that a better correlation is achieved between plasma levels and dose by expressing the latter on a body-weight basis.AdultInitiate therapy with 4 to 5 mg/kg/day in 2 to 3 divided doses and assess plasma levels. A further upward dosage adjustment may be required to a maximum of 600 mg/day dosage increments should be made at about 2 week intervals. Plasma phenytoin levels should be monitored should higher doses be required.An initial dose of 6 to 7 mg/kg/day would be more likely to ensure therapeutic levels however there is a risk that such a dose may achieve levels exceeding 20 Αg/mL and increase the risk of toxicity.PaediatricInitiate therapy with 5 mg/kg/day in 2 to 3 equally divided doses not to exceed 300 mg daily. A recommended daily maintenance dosage is usually 4 to 8 mg/kg. Children over 6 years may require the minimum adult dose (300 mg/day).Paediatric dosage forms available include Dilantin Chewable Infatabs and Dilantin Paediatric Suspension.
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Dilantin Infatabs ( Generic Phenytoin )
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Aciphex (Rabeprazole) Aciphex (Rabeprazole) is a Proton Pump Inhibitor (PPI) used to treat ulcers Gastroesophageal Reflux Disease (GERD) erosive esophagitis or zollinger-ellison syndrome. This medicine works by blocking acid production in the stomach. It may be used in combination with antibiotics including amoxicillin or clarithromycin to treat certain types of ulcers. It may also be used to treat other conditions as determined by your doctor. Buy Aciphex (Rabeprazole) and other Gastrointestinal products online at Medstore. About Aciphex (Rabeprazole): Product Type: Gastrointestinal Brand name: Aciphex Generic name: Rabeprazole What is the most important information I should know about Aciphex? Do not stop taking Aciphex even if you begin to feel better. Your symptoms may improve before your condition is fully treated. Do not break chew or split the tablets. Swallow them whole. They are specially formulated to release slowly in your body. What is Aciphex? Aciphex decreases the amount of acid produced in your stomach. Aciphex is used to treat ulcers gastroesophageal reflux disease (GERD or heartburn) and other conditions involving excessive stomach acid production. Aciphex may also be used for purposes other than those listed in this medication guide. Who should not take Aciphex? Talk to your doctor before taking Aciphex if you have liver disease. You may not be able to take Aciphex or you may require a dosage adjustment or special monitoring during treatment if you have liver disease. Aciphex is in the FDA pregnancy category B. This means that it is not expected to harm an unborn baby. Do not take Aciphex without first talking to your doctor if you are pregnant. It is not known whether Aciphex passes into breast milk. Do not take Aciphex without first talking to your doctor if you are breast-feeding a baby. How should I take Aciphex? Take Aciphex 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. Do not break chew or split the tablets. Swallow them whole. They are specially formulated to release slowly in your body. Do not stop taking Aciphex even if you begin to feel better. Your symptoms may improve before your condition is fully treated. Store Aciphex 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 your next dose skip the missed dose and take only your next regularly scheduled dose. Do not take a double dose of this medication unless your doctor directs otherwise. What happens if I overdose? Seek emergency medical attention. Symptoms of a Aciphex overdose are not known. What should I avoid while taking Aciphex? There are no restrictions on food beverages or activity while taking Aciphex unless otherwise directed by your doctor. What are the possible side effects of Aciphex? Serious side effects from Aciphex are rare. Stop taking Aciphex and seek emergency medical attention if you experience an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips tongue or face; or hives) to Aciphex. Less serious side effects from Aciphex are also uncommon. Continue to take Aciphex and talk to your doctor if you experience headache; upset stomach or diarrhea; insomnia or nervousness; or a rash 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 Aciphex? Before taking Aciphex tell your doctor if you are taking any of the following medicines: ketoconazole (Nizoral) ampicillin (Omnipen Principen) iron (Feosol Mol-Iron Fergon Femiron others) digoxin (Lanoxin Lanoxicaps) or cyclosporine (Sandimmune Neoral). You may not be able to take Aciphex or you may require a dosage adjustment or special monitoring during your treatment if you are taking any of the medicines listed above. Drugs other than those listed here may also interact with Aciphex. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines. Generic Aciphex (Rabeprazole) Rabfifin Rabifin Rabium Raby Irsogladine Maleate 10mg 120 pills 10mg 150 pills 20mg 120 pills 10mg 300 pills 20mg 150 pills 10mg 90 pills 20mg 60 pills 10mg 60 pills 20mg 300 pills 20mg 90 pills Rabeprazole Aciphex


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