Pharmacy Prescriptions, Gastrointestinal Meds

Lithicarb Eskalith

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Indications1.Treatment of mania and hypomania. 2.Lithium may also be tried in the treatment of some patients with recurrent bipolar depression for which treatment with other antidepressants has been unsuccessful. 3.Prophylactic treatment of recurrent affective disorders.Dosage and AdministrationA simple treatment schedule has been evolved which except for some minor variations should be followed whether using LITHICARB FC therapeutically or prophylactically. The minor variations to this schedule depend on the elements of the illness being treated and these are described later.1. In patients of average weight (70kg) an initial dose of 400- 1 200mg of LITHICARB FC may be given as a single daily dose in the morning or on retiring. Alternatively the dose may be divided and given morning and evening. The tablets should not be crushed chewed or swallowed with hot liquids. When changing from other lithium preparations serum lithium levels should first be checked then 2. LITHICARB FC therapy commenced at a daily dose as close as possible to the dose of the other form of lithium. As bioavailability varies from product to product (particularly with regard to retard or slow release preparations) a change of product should be regarded as initiation of new treatment. 3. Four to five days after starting treatment (and never longer than one week) a blood sample should be taken for the estimation of serum lithium level. 4. The objective is to adjust the LITHICARB FC dose so as to maintain the serum lithium level permanently within the diurnal range of 0.5 - 1.5 mmol/L. In practice the blood sample should be taken between 12 and 24 hours after the previous dose of LITHICARB FC. 'Target' serum lithium concentrations at 12 and 24 hours are shown in Table 1.LITHICARB FC tablets are scored therefore they can be divided accurately to provide dosage adjustments as small as 125mg. Serum lithium levels should be monitored weekly until stabilisation is achieved.Table 1. Target serum lithium concentrations "Target" serum lithium concentration (mmol/L) At 12 hours At 24 hours Once daily dosage 0.7 - 1.0 0.5 - 0.8 Twice daily dosage 0.5 - 0.8 4. Lithium therapy should not be initiated unless adequate facilities for routine monitoring of serum concentrations are available. Following stabilisation of serum lithium levels the period between subsequent estimations can be increased gradually but should not normally exceed three months. Additional measurements should be made following alteration of dosage on development of intercurrent disease signs of manic or depressive relapse following significant change in sodium or fluid intake or if signs of lithium toxicity occur. 5. Whilst a high proportion of acutely ill patients may respond within three to seven days of the commencement of LITHICARB FC therapy LITHICARB FC should be continued through any recurrence of the affective disturbance. This is important as the full prophylactic effect may not occur for 6 to 12 months after the initiation of therapy. 6. In patients who show a positive response to LITHICARB FC therapy treatment is likely to be long term. Careful clinical appraisal of the patient should be exercised throughout medication (see Precautions).Treatment of Acute Mania Hypomania and Recurrent Bipolar Depression:It is likely that a higher than normal LITHICARB FC intake may be necessary during an acute phase and divided doses would be required here. Therefore as soon as control of mania or depression is achieved the serum lithium level should be determined and it may be necessary dependent on the results to lower the dose of LITHICARB FC and re-stabilise serum lithium levels. In all other details the described treatment schedule is recommended.Prophylactic Treatment of Recurrent Affective DisordersIt is recommended that the described treatment schedule is followed.Use in the Elderly:In elderly patients or those below 50kg in weight it is recommended that the starting dose be 400mg. Elderly patients may be more sensitive to undesirable effects of lithium and may also require lower doses in order to maintain normal serum lithium levels. It follows therefore that long term patients often require a reduction in dosage over a period of years.Use in Children and AdolescentsNot recommended.

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Lithicarb ( Eskalith Generic Lithium Carbonate )

Lithicarb (Eskalith Generic Lithium Carbonate)

Eskalith Generic Lithium Carbonate

250mg Eskalith Generic Lithium Carbonate Lithicarb

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Pharmacy Prescriptions, Gastrointestinal Meds: 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