In severe overdose, particularly by the intravenous route, apnea, circulatory collapse, cardiac arrest, and death may occur. This drug may make you dizzy or drowsy or cause blurred vision. Do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely. Limit alcoholic beverages. Your pharmacist can provide more information about tolterodine. Check with your pharmacist about how to dispose of unused medicine. Intravenous hydrocortisone or prednisolone have been used to treat severe reactions, with the addition of intravenous chlorpromazine in those cases exhibiting hypertension and hyperpyrexia. The usefulness and safety of narcotic antagonists in the treatment of these reactions is unknown.
What is tolterodine Detrol? Inform patients that opioids could cause a rare but potentially life-threatening condition resulting from concomitant administration of serotonergic drugs. Warn patients of the symptoms of serotonin syndrome and to seek medical attention right away if symptoms develop. Tell your doctor or pharmacist if you are taking other products that cause drowsiness including alcohol, antihistamines such as cetirizine, diphenhydramine drugs for sleep or anxiety such as alprazolam, diazepam, zolpidem muscle relaxants, and narcotic pain relievers such as codeine. Concomitant use of Demerol Injection with CYP3A4 inducers or discontinuation of a CYP3A4 inhibitor could decrease meperidine plasma concentrations, decrease opioid efficacy or, possibly, lead to a withdrawal syndrome in a patient who had developed physical dependence to meperidine.
Do NOT change your dose of Detrol LA extended-release capsules without checking with your doctor. Meperidine appears in the milk of nursing mothers receiving the drug. The developmental and health benefits of breastfeeding should be considered along with the mother's clinical need for Demerol Injection and any potential adverse effects on the breastfed infant from Demerol Injection or from the underlying maternal condition. Methylprednisolone can make you more likely to get infections or may worsen any current infections. Therefore, well to prevent the spread of infection. keftab
Do not start, stop, or change the dosage of any medicines without your doctor's approval. Low levels of potassium or magnesium in the blood may also increase your risk of QT prolongation. For certain products of this drug, an empty tablet shell may appear in your stool. This is harmless. Do not use Demerol Injection in patients taking MAOIs or within 14 days of stopping such treatment. Intravenous hydrocortisone or prednisolone have been used to treat severe reactions, with the addition of intravenous chlorpromazine in those cases exhibiting hypertension and hyperpyrexia. The usefulness and safety of narcotic antagonists in the treatment of these reactions is unknown.
Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets. Physical dependence results in withdrawal symptoms after abrupt discontinuation or a significant dosage reduction of a drug. What happens if I miss a dose Detrol LA? Meperidine causes miosis, even in total darkness. Allergic. Pruritus, urticaria, other skin rashes, wheal and flare over the vein with intravenous injection. DEMEROL is not a trademark of Hospira.
What other drugs will affect tolterodine Detrol? Follow patients for signs and symptoms of respiratory depression and sedation. Drowsiness and confusion can increase the risk of falling. Cordarone, Pacerone dofetilide Tikosyn disopyramide Norpace procainamide Procan, Pronestyl quinidine Quin-G or sotalol Betapace. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist. Take Detrol LA extended-release capsules by mouth with or without food. Candesartan belongs to a class of drugs called angiotensin receptor blockers ARBs. It works by relaxing vessels so can flow more easily. Detrol LA extended-release capsules works best if it is taken at the same time each day. UpToDate: "Nutrition and Dietary Interventions in Adults with Inflammatory Bowel Disease. Gastrointestinal. Dry mouth, constipation, biliary tract spasm. The dose of Demerol Injection should be proportionately reduced usually by 25 to 50 percent when administered concomitantly with phenothiazines and many other tranquilizers since they potentiate the action of Demerol Injection. Abuse and addiction are separate and distinct from physical dependence and tolerance. Health care providers should be aware that addiction may not be accompanied by concurrent tolerance and symptoms of physical dependence in all addicts. In addition, abuse of opioids can occur in the absence of true addiction. provera
Your condition will not improve any faster, and your risk of side effects will increase. Meperidine is metabolized through biotransformation. In vitro data show meperidine is metabolized to normeperidine in liver mainly by CYP3A4 and CYP2B6. Meperidine produces respiratory depression by direct action on brain stem respiratory centers. The respiratory depression involves a reduction in the responsiveness of the brain stem respiratory centers to both increases in carbon dioxide tension and electrical stimulation. When a patient who has been taking Demerol Injection regularly and may be physically dependent no longer requires therapy with Demerol Injection, taper the dose gradually, by 25% to 50% every 2 to 4 days, while monitoring carefully for signs and symptoms of withdrawal. If the patient develops these signs or symptoms, raise the dose to the previous level and taper more slowly, either by increasing the interval between decreases, decreasing the amount of change in dose, or both. In case of overdose, priorities are the reestablishment of a patent and protected airway and institution of assisted or controlled ventilation, if needed. Employ other supportive measures including oxygen and vasopressors in the management of circulatory shock and pulmonary edema as indicated. Cardiac arrest or arrhythmias will require advanced life-support techniques. Drug-seeking" behavior is very common in persons with substance use disorders. Drug-seeking tactics include emergency calls or visits near the end of office hours, refusal to undergo appropriate examination, testing, or referral, repeated "loss" of prescriptions, tampering with prescriptions, and reluctance to provide prior medical records or contact information for other treating health care providers. "Doctor shopping" visiting multiple prescribers to obtain additional prescriptions is common among drug abusers and people suffering from untreated addiction. Preoccupation with achieving adequate pain relief can be appropriate behavior in a patient with poor pain control. Take this by as directed by your doctor, usually with food or milk. Follow your dosing instructions carefully. The dosage and length of treatment are based on your medical condition and response to treatment. Different dosing schedules exist for this medication. If you are not taking the same dose each day or if you take this medication every other day, it may help to mark your calendar with a reminder. Consult your doctor or if you have any questions. This is also called . With this type, you have an urgent need to go to the bathroom and may not get there in time. Pfizer also has programs that provide eligible patients with insurance support, copay assistance, and medicines for free. cheapest flagyl money order shopping flagyl
Tolterodine may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Adrenal insufficiency: Cases of adrenal insufficiency have been reported with opioid use, more often following greater than one month of use. Accumulation of normeperidine as in chronic use or possibly following introduction of a concomitant CYP3A4 inducer presents as excitatory syndrome including hallucinations, tremors, muscle twitches, dilated pupils, hyperactive reflexes, and convulsions. Marked mydriasis rather than miosis may be seen due to hypoxia in overdose situations. How does your doctor know if you really do have a kidney stone? Overdose symptoms may include dry mouth, blurred vision, and fast heartbeat. Think about stirring up your favorite drink from a powder mix. Your doctor may occasionally change your dose to make sure you get the best results. Carbon dioxide CO 2 retention from opioid-induced respiratory depression can exacerbate the sedating effects of opioids. To prevent needle-stick injuries, needles should not be recapped, purposely bent, or broken by hand. Observational studies have demonstrated that concomitant use of opioid analgesics and benzodiazepines increases the risk of drug-related mortality compared to use of opioid analgesics alone. What should I discuss with my healthcare provider before taking tolterodine Detrol?
Cystine stones: This is the least common type. Once you get a cystine stone, there is a chance that you may have one again. You inherit the possibility of getting them from your parents, both of whom would have to have the same type of genetic disorder. Have your checked regularly while taking this medication. Learn how to monitor your own pressure at home, and share the results with your doctor. Check the labels on all your medicines such as allergy or cough-and-cold products because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely. FDA pregnancy category C. It is not known whether tolterodine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. The findings cannot be clearly attributed to maternal toxicity. Many drugs besides tolterodine may affect the heart rhythm QT prolongation including amiodarone, dofetilide, pimozide, procainamide, quinidine, sotalol, macrolide antibiotics such as erythromycin among others. If you are taking this once daily and miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your or local waste disposal company. Consult your pharmacist for further advice. In an individual physically dependent on opioids, administration of the recommended usual dosage of the antagonist will precipitate an acute withdrawal syndrome. The severity of the withdrawal symptoms experienced will depend on the degree of physical dependence and the dose of the antagonist administered. If a decision is made to treat serious respiratory depression in the physically dependent patient, administration of the antagonist should be begun with care and by titration with smaller than usual doses of the antagonist. The most frequently observed adverse reactions include lightheadedness, dizziness, sedation, nausea, vomiting, and sweating. These effects seem to be more prominent in ambulatory patients and in those who are not experiencing severe pain. In such individuals, lower doses are advisable. Some adverse reactions in ambulatory patients may be alleviated if the patient lies down. Elderly patients aged 65 years or older may have increased sensitivity to meperidine. In general, use caution when selecting a dosage for an elderly patient, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function and of concomitant disease or other drug therapy. Drinking alcohol can increase some of the side effects of tolterodine. QTdrugs List, AZCERT, Inc. Check the Rx Outreach website for the exact price and most current medication list. Oro Valley, AZ 85755. November 17, 2015. cheap vibramycin capsules vibramycin
Talk to your doctor about using tolterodine safely. Avoid becoming overheated in hot weather, saunas, and during or other strenuous activity. Meperidine may enhance the neuromuscular blocking action of skeletal muscle relaxants and produce an increased degree of respiratory depression. All of these results will help the doctor figure out how best to treat you. This product may increase your potassium levels. Before using potassium or salt substitutes that contain potassium, consult your doctor or pharmacist. If a CYP3A4 or CYP2B6 inhibitor is discontinued, consider increasing the Demerol Injection dosage until stable drug effects are achieved. Tolterodine reduces spasms of the bladder muscles. Injections and surgery. Shots to bulk up your urethral area may help. In more extreme cases, you may need surgery. One procedure pulls the bladder back up to a more normal position, relieving the pressure and leakage. Stopping the flow of urine can lead to an infection. This program provides uninsured patients with savings on their prescriptions at the pharmacy. What should I avoid while taking tolterodine Detrol? Use this medication regularly to get the most benefit from it. To help you remember, take it at the same times each day. It is important to continue taking this medication even if you feel well. Most people with not feel sick. Assess each patient's risk for opioid addiction, abuse, or misuse prior to prescribing Demerol Injection, and monitor all patients receiving Demerol Injection for the development of these behaviors and conditions. Butorphanol, nalbuphine, pentazocine, buprenorphine. Tell your doctor if your condition persists or worsens. price sotalol use
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Other. Pain at injection site; local tissue irritation and induration following subcutaneous injection, particularly when repeated; antidiuretic effect. Once you have passed the stone, the doctor will have it analyzed to figure out what it was made of. You also might need to collect your pee for 24 hours to have it tested. How should I take tolterodine Detrol LA? Monitor these patients for signs of hypotension after initiating or titrating the dosage of Demerol Injection. In patients with circulatory shock, Demerol Injection may cause vasodilation that can further reduce cardiac output and blood pressure. Avoid the use of Demerol Injection in patients with circulatory shock.
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If your symptoms do not improve or if they become worse, check with your doctor. Methylprednisolone may make you dizzy. not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Acute overdose with Demerol Injection can be manifested by respiratory depression, somnolence progressing to stupor or coma, skeletal muscle flaccidity, cold and clammy skin, constricted pupils, and, in some cases, pulmonary edema, bradycardia, hypotension, partial or complete airway obstruction, atypical snoring, and death. Taking flecainide with other agents that can affect your heart rhythm may increase your risk of an irregular heartbeat, which may be life-threatening. ubag.info atorvastatin
Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. If necessary, meperidine may be given intravenously, but the injection should be given very slowly, preferably in the form of a diluted solution. Rapid intravenous injection of narcotic analgesics, including meperidine, increases the incidence of adverse reactions; severe respiratory depression, apnea, hypotension, peripheral circulatory collapse, and cardiac arrest have occurred. Meperidine should not be administered intravenously unless a narcotic antagonist and the facilities for assisted or controlled respiration are immediately available. When meperidine is given parenterally, especially intravenously, the patient should be lying down.
Tolterodine is used to treat overactive bladder with symptoms of urinary frequency, urgency, and incontinence. This drug may make you dizzy. not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Limit beverages. If you are in really bad pain, you probably want to see a doctor. If you miss a dose of Detrol LA extended-release capsules, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once. There are many other drugs that can interact with tolterodine. 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. Keep a list of all your medicines and show it to any healthcare provider who treats you. best generic for doxycycline
Phenytoin: The hepatic metabolism of meperidine may be enhanced by phenytoin. What should I discuss with my healthcare provider before taking tolterodine Detrol LA? The meperidine in Demerol Injection may increase the frequency of seizures in patients with seizure disorders, and may increase the risk of seizures occurring in other clinical settings associated with seizures. Monitor patients with a history of seizure disorders for worsened seizure control during Demerol Injection therapy. The dosage is based on your medical condition and response to treatment. Formal reproductive and developmental toxicology studies for meperidine have not been completed. cyproheptadine