Thursday, September 22, 2016

Molsidomina




Molsidomina may be available in the countries listed below.


Ingredient matches for Molsidomina



Molsidomine

Molsidomina (DCIT) is also known as Molsidomine (Rec.INN)

International Drug Name Search

Glossary

DCITDenominazione Comune Italiana
Rec.INNRecommended International Nonproprietary Name (World Health Organization)

Click for further information on drug naming conventions and International Nonproprietary Names.

Robinul Forte


Generic Name: glycopyrrolate (glye koe PIE roe late)

Brand Names: Cuvposa, Robinul, Robinul Forte


What is Robinul Forte (glycopyrrolate)?

Glycopyrrolate reduces the secretions of certain organs in the body.


Glycopyrrolate helps to control conditions such as peptic ulcers that involve excessive stomach acid production.


Glycopyrrolate is also used to reduce drooling in children ages 3 to 16 who have certain medical conditions, such as cerebral palsy.


Glycopyrrolate may also be used for purposes not listed in this medication guide.


What is the most important information I should know about Robinul Forte (glycopyrrolate)?


You should not use glycopyrrolate if you are allergic to it, or if you have bladder obstruction or other urination problems, a bowel obstruction called paralytic ileus, a blockage in your stomach or intestines, severe constipation, severe ulcerative colitis or toxic megacolon, glaucoma, myasthenia gravis, or if you also take potassium chloride.

Before you take glycopyrrolate, tell your doctor if you have kidney disease, heart disease, a heart rhythm disorder, a stomach disorder, a colostomy or ileostomy, a thyroid disorder, high blood pressure, vision problems, or numbness and tingling.


Take glycopyrrolate on an empty stomach, at least 1 hour before or 2 hours after a meal. This medication may cause blurred vision and may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly. Drinking alcohol can increase certain side effects of glycopyrrolate, such as dizziness and drowsiness. Avoid becoming overheated or dehydrated during exercise and in hot weather. Glycopyrrolate can decrease sweating and you may be more prone to heat stroke.

What should I discuss with my healthcare provider before taking Robinul Forte (glycopyrrolate)?


You should not use glycopyrrolate if you are allergic to it, or if you have:

  • bladder obstruction or other urination problems;




  • a bowel obstruction called paralytic ileus;




  • a blockage in your digestive tract (stomach or intestines), severe constipation;




  • severe ulcerative colitis or toxic megacolon;




  • glaucoma;




  • myasthenia gravis; or




  • if you are also taking potassium chloride (Epiklor, K-Lor, K-Tab, Klor-Con, Micro-K, Rum-K, and others).



To make sure you can safely take glycopyrrolate, tell your doctor if you have any of these other conditions:



  • kidney disease;




  • heart disease or a heart rhythm disorder;




  • a stomach disorder such as hiatal hernia, reflux disease, or slow digestion;




  • a colostomy or ileostomy;




  • a thyroid disorder;




  • high blood pressure;




  • vision problems; or




  • a nerve disorder that causes numbness or tingling.




FDA pregnancy category C. It is not known whether glycopyrrolate will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. It is not known whether glycopyrrolate passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Glycopyrrolate should not be given to a child younger than 3 years old.

How should I take Robinul Forte (glycopyrrolate)?


Take exactly 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.


Take glycopyrrolate on an empty stomach, at least 1 hour before or 2 hours after a meal.

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.


Store at room temperature away from moisture and heat.

What happens if I miss 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.


What happens if I overdose?


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include weak or shallow breathing, feeling cold, jerky muscle movements, or seizure (convulsions).


What should I avoid while taking Robinul Forte (glycopyrrolate)?


This medication may cause blurred vision and may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly. Drinking alcohol can increase certain side effects of glycopyrrolate, such as dizziness and drowsiness. Avoid becoming overheated or dehydrated during exercise and in hot weather. Glycopyrrolate can decrease sweating and you may be more prone to heat stroke.

Robinul Forte (glycopyrrolate) side effects


Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Stop using glycopyrrolate and call your doctor at once if you have a serious side effect such as:

  • severe constipation, severe stomach pain and bloating;




  • diarrhea (especially if you have a colostomy or ileostomy);




  • feeling like you might pass out;




  • feeling very thirsty or hot, being unable to urinate, heavy sweating, weak pulse, or hot and dry skin; or




  • dry diapers, fussiness, or excessive crying in a child taking glycopyrrolate.



Less serious side effects may include:



  • dry mouth;




  • vomiting;




  • mild constipation;




  • stuffy nose, sinus pain; or




  • flushing (warmth, redness, or tingly feeling).



This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.


What other drugs will affect Robinul Forte (glycopyrrolate)?


Many drugs can interact with glycopyrrolate. Below is just a partial list. Tell your doctor if you are using:



  • amantadine (Symmetrel);




  • atenolol (Tenormin, Tenoretic);




  • digoxin (Lanoxin, Lanoxicaps);




  • haloperidol (Haldol);




  • levodopa (Larodopa); or




  • metformin (Glucophage, Actoplus Met, Avandamet, Janumet, Kombiglyze, PrandiMet).



This list is not complete and other drugs may interact with glycopyrrolate. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.



More Robinul Forte resources


  • Robinul Forte Side Effects (in more detail)
  • Robinul Forte Use in Pregnancy & Breastfeeding
  • Drug Images
  • Robinul Forte Drug Interactions
  • Robinul Forte Support Group
  • 0 Reviews for Robinul Forte - Add your own review/rating


  • Robinul Forte MedFacts Consumer Leaflet (Wolters Kluwer)

  • Robinul Forte Advanced Consumer (Micromedex) - Includes Dosage Information

  • Glycopyrrolate Professional Patient Advice (Wolters Kluwer)

  • Glycopyrrolate MedFacts Consumer Leaflet (Wolters Kluwer)

  • Glycopyrrolate Monograph (AHFS DI)

  • Cuvposa Prescribing Information (FDA)

  • Cuvposa Solution MedFacts Consumer Leaflet (Wolters Kluwer)

  • Cuvposa Consumer Overview

  • Robinul Prescribing Information (FDA)



Compare Robinul Forte with other medications


  • Anesthesia
  • Peptic Ulcer


Where can I get more information?


  • Your pharmacist can provide more information about glycopyrrolate.

See also: Robinul Forte side effects (in more detail)


Lovastatina Astral




Lovastatina Astral may be available in the countries listed below.


Ingredient matches for Lovastatina Astral



Lovastatin

Lovastatin is reported as an ingredient of Lovastatina Astral in the following countries:


  • Peru

International Drug Name Search

Wednesday, September 21, 2016

ReliOn/Novolin R


Generic Name: insulin regular (IN soo lin REG yoo lar)

Brand Names: HumuLIN R, NovoLIN R, NovoLIN R Innolet, NovoLIN R PenFill, ReliOn/NovoLIN R


What is ReliOn/Novolin R (insulin regular)?

Insulin is a hormone that is produced in the body. It works by lowering levels of glucose (sugar) in the blood. Insulin regular is a short-acting form of insulin.


Insulin regular is used to treat diabetes.


Insulin regular may also be used for other purposes not listed in this medication guide.


What is the most important information I should know about ReliOn/Novolin R (insulin regular)?


Take care not to let your blood sugar get too low. Low blood sugar (hypoglycemia) can occur if you skip a meal, exercise too long, drink alcohol, or are under stress. Symptoms include headache, hunger, weakness, sweating, tremors, irritability, or trouble concentrating. Carry hard candy or glucose tablets with you in case you have low blood sugar. Other sugar sources include orange juice and milk. Be sure your family and close friends know how to help you in an emergency.


Also watch for signs of blood sugar that is too high (hyperglycemia). These symptoms include increased thirst, increased urination, hunger, dry mouth, fruity breath odor, drowsiness, dry skin, blurred vision, and weight loss. Your blood sugar will need to be checked often, and you may need to adjust your insulin dose.


Never share an injection pen or cartridge with another person. Sharing injection pens or cartridges can allow disease such as hepatitis or HIV to pass from one person to another.

Insulin is only part of a complete program of treatment that may also include diet, exercise, weight control, foot care, eye care, dental care, and testing your blood sugar. Follow your diet, medication, and exercise routines very closely. Changing any of these factors can affect your blood sugar levels.


Do not change the brand of insulin or syringe you are using without first talking to your doctor or pharmacist. Some brands of insulin regular and syringes are interchangeable, while others are not. Your doctor and/or pharmacist know which brands can be substituted for one another.

What should I discuss with my healthcare provider before using ReliOn/Novolin R (insulin regular)?


Do not use this medication if you are allergic to insulin, or if you are having an episode of hypoglycemia (low blood sugar).

To make sure you can safely use insulin, tell your doctor if you have liver or kidney disease.


Tell your doctor about all other medications you use, including any oral (by mouth) diabetes medications.


Insulin regular is only part of a complete program of treatment that may also include diet, exercise, weight control, foot care, eye care, dental care, and testing your blood sugar. Follow your diet, medication, and exercise routines very closely. Changing any of these factors can affect your blood sugar levels.


FDA pregnancy category B. Insulin is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether insulin regular passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I use ReliOn/Novolin R (insulin regular)?


Use exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.


Your blood sugar will need to be checked often, and you may need other blood tests at your doctor's office. Visit your doctor regularly.


Insulin regular is injected under the skin. You may be shown how to use injections at home. Do not self inject this medicine if you do not fully understand how to give the injection and properly dispose of used needles and syringes.


Choose a different place in your injection skin area each time you use this medication. Do not inject into the same place two times in a row.


Insulin regular should look as clear as water. Do not use the medication if has changed colors, looks cloudy, or has particles in it. Call your doctor for a new prescription.

Use a disposable needle only once. Throw away used needles in a puncture-proof container (ask your pharmacist where you can get one and how to dispose of it). Keep this container out of the reach of children and pets.


Some types of insulin needles can be used more than once. But reusing needles increases your risk of infection. Used needles must be properly cleaned and inspected for bending or breakage. Ask your doctor or pharmacist whether you can reuse your insulin needles.


Never share an injection pen or cartridge with another person. Sharing injection pens or cartridges can allow disease such as hepatitis or HIV to pass from one person to another. Know the signs of low blood sugar (hypoglycemia) and how to recognize them: headache, hunger, weakness, sweating, tremors, irritability, or trouble concentrating.

Always keep a source of sugar available in case you have symptoms of low blood sugar. Sugar sources include orange juice, glucose gel, candy, or milk. If you have severe hypoglycemia and cannot eat or drink, use an injection of glucagon. Your doctor can give you a prescription for a glucagon emergency injection kit and tell you how to give the injection.


Also watch for signs of blood sugar that is too high (hyperglycemia). These symptoms include increased thirst, increased urination, hunger, dry mouth, fruity breath odor, drowsiness, dry skin, blurred vision, and weight loss.


Check your blood sugar carefully during a time of stress or illness, if you travel, exercise more than usual, drink alcohol, or skip meals. These things can affect your glucose levels and your dose needs may also change.


Your doctor may want you to stop taking insulin for a short time if you become ill, have a fever or infection, or if you have surgery or a medical emergency.


Ask your doctor how to adjust your insulin dose if needed. Do not change your medication dose or schedule without your doctor's advice.

If your doctor changes your brand, strength, or type of insulin, your dosage needs may change. Ask your pharmacist if you have any questions about the new kind of insulin you receive at the pharmacy.


Carry an ID card or wear a medical alert bracelet stating that you have diabetes, in case of emergency. Any doctor, dentist, or emergency medical care provider who treats you should know that you are diabetic.

Insulin is only part of a complete program of treatment that may also include diet, exercise, weight control, foot care, eye care, dental care, and testing your blood sugar. Follow your diet, medication, and exercise routines very closely. Changing any of these factors can affect your blood sugar levels.


Storing unopened vials and cartridges: Keep in the carton and store in a refrigerator, protected from light. Unopened vials may also be stored at room temperature, away from heat and bright light.

Storing after your first use: Keep the "in-use" vials or cartridges at room temperature.


Do not freeze insulin regular, and throw away the medication if it has become frozen.


Throw away any insulin not used before the expiration date on the medicine label.


What happens if I miss a dose?


Since insulin regular is used before meals or snacks, you may not be on a timed dosing schedule. Whenever you use insulin regular, be sure to eat a meal or snack within 15 to 30 minutes. Do not use extra insulin to make up a missed dose.


It is important to keep insulin regular on hand at all times. Get your prescription refilled before you run out of medicine completely.


What happens if I overdose?


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An insulin overdose can cause life-threatening hypoglycemia.

Symptoms of severe hypoglycemia include extreme weakness, blurred vision, sweating, trouble speaking, tremors, stomach pain, confusion, and seizure (convulsions).


What should I avoid while using ReliOn/Novolin R (insulin regular)?


Do not change the brand of insulin regular or syringe you are using without first talking to your doctor or pharmacist. Avoid drinking alcohol. Your blood sugar may become dangerously low if you drink alcohol while using insulin regular.

ReliOn/Novolin R (insulin regular) side effects


Get emergency medical help if you have any of these signs of insulin allergy: itching skin rash over the entire body, wheezing, trouble breathing, fast heart rate, sweating, or feeling like you might pass out.

Hypoglycemia, or low blood sugar, is the most common side effect of insulin. Symptoms include headache, hunger, weakness, sweating, tremors, irritability, trouble concentrating, rapid breathing, fast heartbeat, fainting, or seizure (severe hypoglycemia can be fatal). Carry hard candy or glucose tablets with you in case you have low blood sugar.


Tell your doctor if you have itching, swelling, redness, or thickening of the skin where you inject insulin.


This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.


What other drugs will affect ReliOn/Novolin R (insulin regular)?


Using certain medicines can make it harder for you to tell when you have low blood sugar. Tell your doctor if you use any of the following:



  • albuterol (Proventil, Ventolin);




  • clonidine (Catapres);




  • reserpine; or




  • beta-blockers such as atenolol (Tenormin, Tenoretic), carvedilol (Coreg), labetalol (Normodyne, Trandate), metoprolol (Dutoprol, Lopressor, Toprol), nadolol (Corgard), propranolol (Inderal, InnoPran), sotalol (Betapace), and others.




These lists are not complete and there are many other medicines that can increase or decrease the effects of insulin on lowering your blood sugar. Tell your doctor about all medications you use. This includes prescription, over the counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

More ReliOn/Novolin R resources


  • ReliOn/Novolin R Side Effects (in more detail)
  • ReliOn/Novolin R Use in Pregnancy & Breastfeeding
  • ReliOn/Novolin R Drug Interactions
  • ReliOn/Novolin R Support Group
  • 0 Reviews for ReliOn/Novolin R - Add your own review/rating


  • Humulin R MedFacts Consumer Leaflet (Wolters Kluwer)

  • Humulin R Prescribing Information (FDA)

  • Humulin R (Concentrated) MedFacts Consumer Leaflet (Wolters Kluwer)

  • Novolin R Prescribing Information (FDA)



Compare ReliOn/Novolin R with other medications


  • Diabetes, Type 1
  • Diabetes, Type 2
  • Diabetic Ketoacidosis
  • Gestational Diabetes
  • Growth Hormone Reserve Test
  • Hyperkalemia
  • Insulin Resistance Syndrome
  • Nonketotic Hyperosmolar Syndrome


Where can I get more information?


  • Your pharmacist can provide more information about insulin regular.

See also: ReliOn/Novolin R side effects (in more detail)


DDAVP Solution


Pronunciation: DES-moe-PRES-in
Generic Name: Desmopressin
Brand Name: DDAVP


DDAVP Solution is used for:

Managing bleeding in patients with certain bleeding disorders (eg, hemophilia A, type I von Willebrand disease). It is also used to manage temporarily increased thirst and urination caused by head injury or certain types of brain surgery, or to manage certain types of diabetes (cranial diabetes insipidus). It may also be used for other conditions as determined by your doctor.


DDAVP Solution is an antidiuretic hormone. It works by causing the kidneys to produce less urine.


Do NOT use DDAVP Solution if:


  • you are allergic to any ingredient in DDAVP Solution

  • you have moderate to severe kidney problems

  • you have type IIB von Willebrand disease

  • you have or have a history of low blood sodium levels (salt depletion)

Contact your doctor or health care provider right away if any of these apply to you.



Before using DDAVP Solution:


Some medical conditions may interact with DDAVP Solution. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:


  • if you are pregnant, planning to become pregnant, or are breast-feeding

  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

  • if you have allergies to medicines, foods, or other substances

  • if you have severe drowsiness

  • if you have a history of kidney problems, heart problems (eg, heart blood vessel problems), abnormal blood clots (eg, in the legs, lungs, eyes), or high blood pressure

  • if you have cystic fibrosis, dehydration, fever, severe infection, vomiting or diarrhea, swelling or fluid retention, or abnormal blood electrolyte levels

  • if you are exposed to very hot weather, are physically active, or drink a lot of water

  • if you have recently had surgery in the head area

Some MEDICINES MAY INTERACT with DDAVP Solution. Tell your health care provider if you are taking any other medicines, especially any of the following:


  • Carbamazepine, chlorpromazine, lamotrigine, narcotic analgesics (eg, codeine), nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen), oxybutynin, selective serotonin reuptake inhibitors (SSRIs) (eg, fluoxetine), or tricyclic antidepressants (eg, imipramine) because the risk of fluid overload with low blood sodium levels may be increased

Ask your health care provider if DDAVP Solution may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.


How to use DDAVP Solution:


Use DDAVP Solution as directed by your doctor. Check the label on the medicine for exact dosing instructions.


  • DDAVP Solution is usually given as an injection at your doctor's office, hospital, or clinic. If you will be using DDAVP Solution at home, a health care provider will teach you how to use it. Be sure you understand how to use DDAVP Solution. Follow the procedures you are taught when you use a dose. Contact your health care provider if you have any questions.

  • Do not use DDAVP Solution if it contains particles, is cloudy or discolored, or if the vial is cracked or damaged.

  • If you miss a dose of DDAVP Solution, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once. Contact your doctor right away.

Ask your health care provider any questions you may have about how to use DDAVP Solution.



Important safety information:


  • DDAVP Solution may cause dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use DDAVP Solution with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.

  • Follow the fluid intake instructions given to you by your health care provider very carefully. Serious side effects may occur if you drink too much liquid while taking DDAVP Solution.

  • Check with your doctor if you experience infection, fever, vomiting, or diarrhea. Tell your doctor if you will be exposed to very hot weather, will be physically active, or will be increasing your water intake for any reason. The risk of low blood sodium levels may be increased.

  • Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor.

  • Tell your doctor or dentist that you take DDAVP Solution before you receive any medical or dental care, emergency care, or surgery.

  • Lab tests, including urine volume, blood electrolyte levels, or kidney function, may be performed while you use DDAVP Solution. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.

  • Use DDAVP Solution with caution in the ELDERLY and in CHILDREN; they may be more sensitive to its effects, especially water overload. Signs of water overload may include severe or persistent nausea or headache, vomiting, or unusual weight gain.

  • DDAVP Solution should be used with extreme caution in CHILDREN younger than 12 years old if used for diabetes insipidus; safety and effectiveness in these children have not been confirmed.

  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using DDAVP Solution while you are pregnant. It is not known if DDAVP Solution is found in breast milk. If you are or will be breast-feeding while you are using DDAVP Solution, check with your doctor. Discuss any possible risks to your baby.


Possible side effects of DDAVP Solution:


All medicines may cause side effects, but many people have no, or minor, side effects. No COMMON side effects have been reported with DDAVP Solution. Seek medical attention right away if any of these SEVERE side effects occur:



Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); burning, redness, swelling, or pain at the injection site; calf pain, tenderness, or swelling; chest pain; confusion; coughing up blood; fainting; loss of appetite; mental or mood changes (eg, agitation, irritability); muscle weakness, spasms, or cramps; nausea; one-sided numbness or weakness; personality changes; seizures; severe or persistent dizziness; slurred speech; swelling; unusual headache or restlessness; unusual tiredness or sluggishness; unusual weight gain; vision problems; vomiting.



This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.


See also: DDAVP side effects (in more detail)


If OVERDOSE is suspected:


Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include confusion; persistent headache; sudden weight gain; trouble urinating; unusual drowsiness. DDAVP Solution may be harmful if swallowed.


Proper storage of DDAVP Solution:

Store DDAVP Solution in the refrigerator, between 36 and 46 degrees F (2 and 8 degrees C). Do not freeze. Store away from heat, moisture, and light. Keep DDAVP Solution out of the reach of children and away from pets.


General information:


  • If you have any questions about DDAVP Solution, please talk with your doctor, pharmacist, or other health care provider.

  • DDAVP Solution is to be used only by the patient for whom it is prescribed. Do not share it with other people.

  • If your symptoms do not improve or if they become worse, check with your doctor.

  • Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about DDAVP Solution. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.



Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More DDAVP resources


  • DDAVP Side Effects (in more detail)
  • DDAVP Use in Pregnancy & Breastfeeding
  • Drug Images
  • DDAVP Drug Interactions
  • DDAVP Support Group
  • 6 Reviews for DDAVP - Add your own review/rating


Compare DDAVP with other medications


  • Diabetes Insipidus
  • Hemophilia A
  • Primary Nocturnal Enuresis
  • von Willebrand's Disease

Repliva 21/7


Pronunciation: EYE-urn/sux-IN-ic AS-id/VYE-ta-min C/FOE-lik AS-id/VYE-ta-min B 12
Generic Name: Iron/Succinic Acid/Vitamin C/Folic Acid/Vitamin B12
Brand Name: Examples include Chromagen Forte and Repliva 21/7

Accidental overdose of products that contain iron is a leading cause of fatal poisoning in children younger than 6 years old. Keep this and all medicines out of the reach of children. In case of accidental ingestion, call the poison control center or a doctor at once.





Repliva 21/7 is used for:

Treating certain types of anemia that can be helped by increasing the amount of iron in the body (eg, anemia caused by pregnancy, blood loss, low dietary iron, metabolic disease, surgery). It may also be used for other conditions as determined by your doctor.


Repliva 21/7 is a combination of vitamins and minerals. It works by replacing iron in the body.


Do NOT use Repliva 21/7 if:


  • you are allergic to any ingredient in Repliva 21/7

  • you have too much iron in your body (eg, hemosiderosis, hemochromatosis)

Contact your doctor or health care provider right away if any of these apply to you.



Before using Repliva 21/7:


Some medical conditions may interact with Repliva 21/7. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:


  • if you are pregnant, planning to become pregnant, or are breast-feeding

  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

  • if you have allergies to medicines, foods, or other substances

  • if you have another type of anemia (eg, pernicious anemia, megaloblastic anemia, hemolytic anemia)

  • if you have stomach or bowel problems (eg, inflammation, Crohn disease, ulcer), metabolism problems, porphyria, or a blood disease (eg, thalassemia)

  • if you have had multiple blood transfusions

Some MEDICINES MAY INTERACT with Repliva 21/7. Tell your health care provider if you are taking any other medicines, especially any of the following:


  • Fluorouracil because the risk of its side effects may be increased by Repliva 21/7

  • Doxycycline, hydantoins (eg, phenytoin), mycophenolate, penicillamine, or thyroid hormones (eg, levothyroxine) because their effectiveness may be decreased by Repliva 21/7

This may not be a complete list of all interactions that may occur. Ask your health care provider if Repliva 21/7 may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.


How to use Repliva 21/7:


Use Repliva 21/7 as directed by your doctor. Check the label on the medicine for exact dosing instructions.


  • Take Repliva 21/7 by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.

  • Swallow Repliva 21/7 whole. Do not break, crush, or chew before swallowing.

  • Take Repliva 21/7 with a full glass of water (8 oz/240 mL). Do not lie down for 30 minutes after taking Repliva 21/7.

  • If you also take cefdinir, methyldopa, a quinolone antibiotic (eg, ciprofloxacin), or a tetracycline antibiotic (eg, minocycline), ask your doctor or pharmacist how to take it with Repliva 21/7.

  • If you miss a dose of Repliva 21/7, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Repliva 21/7.



Important safety information:


  • Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor.

  • Do not take large doses of vitamins while you take Repliva 21/7 unless your doctor tells you to.

  • Repliva 21/7 may cause your stools to darken. This is normal and not a cause for concern.

  • Repliva 21/7 may interfere with certain lab tests, such as tests used to check for blood in the stool. Make sure your doctor and lab personnel know you are using Repliva 21/7.

  • Lab tests, including blood counts and iron levels, may be performed while you use Repliva 21/7. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.

  • Repliva 21/7 should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.

  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Repliva 21/7 while you are pregnant. Repliva 21/7 is found in breast milk. If you are or will be breast-feeding while you use Repliva 21/7, check with your doctor. Discuss any possible risks to your baby.


Possible side effects of Repliva 21/7:


All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:



Constipation; darkened or green stools; diarrhea; nausea; stomach upset; vomiting.



Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); black, tarry stools; blood or streaks of blood in the stool; severe or persistent vomiting or stomach pain.



This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.


See also: Repliva 21/7 side effects (in more detail)


If OVERDOSE is suspected:


Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include black, tarry stools; chest pain; coma; dizziness; fast heartbeat; fever; increased or decreased urination; increased thirst or hunger; seizures; severe nausea, vomiting, diarrhea, or stomach pain; shortness of breath; sluggishness; trouble breathing; unusual tiredness or drowsiness; unusually pale skin; weak pulse.


Proper storage of Repliva 21/7:

Store Repliva 21/7 at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Repliva 21/7 out of the reach of children and away from pets.


General information:


  • If you have any questions about Repliva 21/7, please talk with your doctor, pharmacist, or other health care provider.

  • Repliva 21/7 is to be used only by the patient for whom it is prescribed. Do not share it with other people.

  • If your symptoms do not improve or if they become worse, check with your doctor.

  • Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Repliva 21/7. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.



Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

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