Treating and preventing ulcers; treating and preventing heartburn associated with acid indigestion and sour stomach. It is also used to treat gastroesophageal reflux disease (GERD), conditions that cause increased acid secretion, and esophagitis. It also may be used for other conditions as determined by your doctor.

Famotidine is an H₂ (histamine) blocker. It reduces stomach acid by blocking one of the chemicals (histamine) that stimulates the release of acid into the stomach.

Do NOT use Famotidine if:

• you are allergic to any ingredient in Famotidine or other acid reducers (H₂blockers)

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

Before using Famotidine :

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

• if you are pregnant, plan 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 or other substances
• if you have kidney or liver problems

Some MEDICINES MAY INTERACT with Famotidine. However, no specific interactions with Famotidine are known at this time.

This may not be a complete list of all interactions that may occur. Ask your health care provider if Famotidine 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 Famotidine :

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

• Famotidine may be taken with or without food.
• Take Famotidine with a glass of water.
• Take Famotidine at least 2 hours before or after taking cephalosporins (eg, cephalexin), itraconazole, or ketoconazole.
• Ask your doctor before taking Famotidine with other acid reducers (antacids).
• If a dose is missed, 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 Famotidine.

Important safety information:

• Famotidine may cause dizziness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to this medicine. Using Famotidine alone, with certain other medicines, or with alcohol may lessen your ability to drive or perform other potentially dangerous tasks.
• If your symptoms do not improve or if they become worse, check with your doctor.
• Notify your doctor if you have any symptoms of a bleeding ulcer, such as black, tarry stools or vomit that looks like coffee grounds.
• If pain continues or you need to take Famotidine for more than 14 days for heartburn symptoms, stop use and contact your doctor.
• You may need to make significant diet and lifestyle changes to help treat and prevent ulcers and other digestive problems, including stress-reduction programs, exercise, and diet changes.
• LAB TESTS may be performed to monitor your progress. Be sure to keep all doctor and lab appointments.
• Use Famotidine with caution in the ELDERLY because they may be more sensitive to its effects.
• PREGNANCY and BREAST-FEEDING: Do not use Famotidine if you are pregnant. If you suspect that you could be pregnant, contact your doctor immediately. If you are or will be breast-feeding while you are using Famotidine , check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of Famotidine :

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; diarrhea; dizziness; headache.

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

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); bloody or black stools; convulsions (seizures); difficulty or pain upon swallowing.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

Preventing nausea and vomiting due to cancer chemotherapy or surgery. It may also be used for other conditions as determined by your doctor.

Ondansetron is a serotonin 5-HT₃ receptor blocker. It works by blocking a chemical thought to be a cause of nausea and vomiting in certain situations (eg, chemotherapy).

Do NOT use Ondansetron if:

• you are allergic to any ingredient in Ondansetron

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

Before using Ondansetron :

Some medical conditions may interact with Ondansetron. 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 liver problems

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

• Antineoplastic agents (eg, cyclophosphamide) because the effectiveness of these medicines may be decreased

This may not be a complete list of all interactions that may occur. Ask your health care provider if Ondansetron 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 Ondansetron :

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

• Ondansetron is usually administered as an injection at your doctor’s office, hospital, or clinic. If you are using Ondansetron at home, carefully follow the injection procedures taught to you by your health care provider.
• If Ondansetron contains particles or is discolored, or if the vial or container is cracked or damaged in any way, do not use it.
• Keep this product, as well as syringes and needles, out of the reach of children. Do not reuse needles, syringes, or other materials. Dispose of properly after use. Ask your doctor or pharmacist to explain local regulations for proper disposal.
• It is important that Ondansetron be given prior to cancer chemotherapy as directed. If you miss a dose of Ondansetron , contact your doctor or pharmacist.

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

Important safety information:

• Ondansetron may cause drowsiness or dizziness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Ondansetron. Using Ondansetron alone, with certain other medicines, or with alcohol may lessen your ability to drive or perform other potentially dangerous tasks.
• Use Ondansetron with extreme caution in CHILDREN younger than 4 months of age. Safety and effectiveness in this age group have not been confirmed.
• PREGNANCY and BREAST-FEEDING: If you become pregnant while taking Ondansetron , discuss with your doctor the benefits and risks of using Ondansetron during pregnancy. It is unknown if Ondansetron is excreted in breast milk. If you are or will be breast-feeding while you are using Ondansetron , check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of Ondansetron :

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; diarrhea; dizziness; drowsiness; headache; irritation, redness, pain, or burning at the site of injection; tiredness.

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); chest pain; fever; skin tingling or numbness; trouble urinating; vision changes or loss.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

MESALAMINE is used to treat the pain and inflammation caused by ulcerative colitis. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care providers before I take this medicine?

They need to know if you have any of these conditions:

• kidney disease
• pyloric stenosis
• an unusual or allergic reaction to mesalamine, salicylates, other medicines, sulfites, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I use this medicine?

Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. Do not crush or chew. Take your doses at regular intervals. Do not take your medicine more often than directed. Do not stop taking this medicine except on the advice of your doctor or health care professional.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

Note: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

• digoxin

This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What side effects may I notice from this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
• bloody diarrhea
• chest pain
• difficulty breathing, wheezing
• fever
• pain or difficulty passing urine
• unusually weak or tired
• yellowing of the eyes or skin

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• headache
• nausea, vomiting
• stomach gas
• stomach pain or cramps

This list may not describe all possible side effects.

What should I watch for while using this medicine?

Tell your doctor or health care professional if your symptoms do not start to get better after several days. There is usually an improvement in 3 to 21 days. You may need about 6 weeks of treatment to get good results.

Do not change the brand of this medicine that you are taking without talking to your doctor or health care professional. All brands do not have the same dose.

You may notice the empty shell from this medicine in your stool. If this happens frequently, you should contact your doctor or health care professional.

Where should I keep this medicine?

Keep out of the reach of children.

Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Throw away any unused medicine after the expiration date.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

• Ranitidine is in a group of drugs called histamine-2 blockers. Ranitidine works by reducing the amount of acid your stomach produces.
• Ranitidine is used to treat and prevent ulcers in the stomach and intestines. It also treats conditions in which the stomach produces too much acid , such as Zollinger-Ellison syndrome. Ranitidine also treats gastroesophageal reflux disease (GERD) and other conditions in which acid backs up from the stomach into the esophagus, causing heartburn.
• Ranitidine may also be used for conditions other than those listed in this medication guide.

What should I discuss with my doctor before using ranitidine?

• Before using this medication, tell your doctor if you have:
  • kidney disease;
  • liver disease; or
  • porphyria.
• If you have any of the conditions listed above, you may not be able to use ranitidine or you may need a dosage adjustment or special monitoring during treatment.
• The effervescent tablet forms of ranitidine contain phenylalanine. If you have phenylketonuria, you should be aware of possible effects this may have on you.
• Ranitidine is in the FDA pregnancy category B. This means that it is not expected to be harmful to an unborn baby. Do not use this medication without telling your doctor if you are pregnant or plan to become pregnant during treatment.
• Ranitidine passes into breast milk. Do not take ranitidine without telling your doctor if you are breast-feeding a baby.
• This medication can cause you to have unusual results with certain medical tests. Tell any doctor who treats you that you are using ranitidine.
• Using this medication may make you more susceptible to pneumonia if you have diabetes, lung disease, a weak immune system, or if you are elderly. Talk with your doctor about your individual risk.

How should I take ranitidine?

• Take ranitidine exactly as your doctor has prescribed it for you. Do not use more of the medication than recommended. Do not take ranitidine for longer than your doctor has prescribed.
• Take each ranitidine tablet with a full glass of water.
• The ranitidine effervescent tablet or granules must be dissolved in water before taking each dose. Tablets or granules should not be chewed, swallowed whole, or dissolved on the tongue.
• Place the Zantac 150 mg dose tablet in a full glass (6 to 8 ounces) of water. Allow the tablet to completely dissolve, then drink the entire mixture.
• Place the Zantac 25 mg dose tablet in at least 1 teaspoon of water. Allow the tablet to completely dissolve, then drink the entire mixture. If you are giving this medicine to a child, you can place this mixture in a medicine dropper or syringe before giving it to the child.
• Ranitidine granules should be mixed with 6 to 8 ounces of water before drinking.
• To be sure you get the correct dose, measure the liquid form of ranitidine with a marked 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. Ranitidine syrup may be given to an infant or child by medicine dropper or oral syringe.
• Do not stop taking ranitidine without asking your doctor. It may take up to 8 weeks for an ulcer to heal.
• Store ranitidine at room temperature away from moisture, heat, and light.

What happens if I miss a dose?

• Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

• Seek emergency medical attention if you think you have used too much of this medicine.
• Symptoms of a ranitidine overdose may include weakness, lack of coordination, severe nausea or vomiting, and a fast heartbeat.

What should I avoid while taking ranitidine?

• There are no restrictions on food, beverages, or activity while taking ranitidine, unless otherwise directed by your doctor.

What are the possible side effects of ranitidine?

• Stop using ranitidine and 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.
• Call your doctor at once if you have any of these serious side effects:
  • easy bruising or bleeding, unusual weakness;
  • fast or uneven heartbeats; or
  • jaundice (yellowing of the skin or eyes).
• Other, less serious side effects may be more likely to occur. Continue to take ranitidine and talk to your doctor if you experience
  • headache (may be severe);
  • decreased sex drive, impotence;
  • swollen or tender breasts (in men);
  • nausea, vomiting, stomach pain; or
  • diarrhea or constipation.
• 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 drug(s) may interact with ranitidine?

• alcohol containing beverages
• alendronate
• antacids
• cefditoren
• cefpodoxime
• cefuroxime
• delavirdine
• enoxacin
• glipizide
• glyburide
• iron supplements
• itraconazole
• ketoconazole
• metformin
• nifedipine
• propantheline
• theophylline
• triazolam
• warfarin

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

Treating heartburn or esophagitis (inflammation of the food pipe) due to acid reflux disease (GERD). It may be used to prevent stomach ulcers associated with nonsteroidal anti-inflammatory drugs (NSAIDs). It may also be used with other medicines to prevent ulcers of the small intestines.

Esomeprazole is an acid pump inhibitor (or proton pump inhibitor). It works by turning off some of the acid pumps in the stomach lining and reducing the amount of acid backing up into the esophagus (food pipe).

Do NOT use Esomeprazole if:

• you are allergic to any ingredient in Esomeprazole or to similar medications

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

Before using Esomeprazole :

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

• if you are pregnant, plan 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 or other substances
• if you have liver disease

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

• Azole antifungals (eg, ketoconazole) or protease inhibitors (eg, indinavir) because the effectiveness may be decreased by Esomeprazole
• Cilostazol or digoxin, because the actions and side effects may be increased by Esomeprazole

This may not be a complete list of all interactions that may occur. Ask your health care provider if Esomeprazole 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 Esomeprazole :

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

• Take Esomeprazole on an empty stomach at least 1 hour before eating.
• Swallow Esomeprazole whole. Do not break, crush, or chew before swallowing.
• If you have difficulty swallowing the capsule, you may add 1 tablespoon of applesauce to an empty bowl. Open the capsule and empty the pellets onto the applesauce. Mix the pellets with the applesauce and swallow the mixture immediately. The applesauce used should not be hot and should be soft enough to be swallowed without chewing. Do not chew or crush the pellets. Do not store the mixture for future use.
• Antacids may be taken while using Esomeprazole.
• If you miss a dose of Esomeprazole , 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 Esomeprazole.

Important safety information:

• Notify your doctor if you have any symptoms of a bleeding ulcer, such as black, tarry stools or vomit that looks like coffee grounds; or experience throat pain, chest pain, or severe stomach pain.
• Esomeprazole is not recommended for use in CHILDREN; safety and effectiveness have not been confirmed.
• PREGNANCY and BREAST-FEEDING: If you are pregnant or plan on becoming pregnant, discuss with your doctor the benefits and risks of using Esomeprazole during pregnancy. This medicine is excreted in breast milk. If you are or will be breast-feeding while you are using Esomeprazole , check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of Esomeprazole :

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:

Chest pain; constipation; cough; diarrhea; dry mouth; gas; headache; nausea; stomach pain; throat pain.

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

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest, throat, or severe stomach pain.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

Treating symptoms of gastroesophageal reflux disease (GERD) (heartburn) in patients who do not respond to other treatment. It is also used to treat symptoms associated with a certain digestive problem in diabetic patients (diabetic gastroparesis). It may also be used for other conditions as determined by your doctor.

Metoclopramide is a gastrointestinal stimulant and anti-nauseant. It works by increasing the movement of the stomach and intestines to help move food and acid out of the stomach more quickly. It also works in certain areas in the brain to decrease nausea.

Do NOT use Metoclopramide if:

• you are allergic to any ingredient in Metoclopramide
• you have seizures (eg, epilepsy); bleeding, blockage, or perforation in your stomach or intestines; or tumors on your adrenal gland (pheochromocytoma)
• you are taking cabergoline or pergolide
• you are taking medicines, such as phenothiazines (eg, chlorpromazine), that may cause extrapyramidal reactions (abnormal, involuntary muscle movements of the head, neck, or limbs)

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

Before using Metoclopramide :

Some medical conditions may interact with Metoclopramide. 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 depression, asthma, heart failure, high blood pressure, diabetes, Parkinson disease, blood problems (eg, porphyria), kidney problems, or low levels of an enzyme called methemoglobin reductase

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

• Cisapride or droperidol because side effects, such as muscle rigidity, increased heart rate, and altered mental abilities, may occur
• Anticholinergic medicine (eg, hyoscyamine), certain antihistamines (eg, diphenhydramine), or narcotic pain medicines (eg, codeine) because they may decrease Metoclopramide ‘s effectiveness
• Acetaminophen, alcohol, levodopa, phenothiazines (eg, chlorpromazine), sedatives (eg, zolpidem), selective serotonin reuptake inhibitors (SSRIs) (eg, fluoxetine), succinylcholine, or tetracycline because the risk of their side effects may be increased by Metoclopramide
• Monoamine oxidase inhibitors (eg, phenelzine) because the risk of serious side effects (eg, high blood pressure, seizures) may be increased
• Cabergoline, digoxin, or pergolide because their effectiveness may be decreased by Metoclopramide

This may not be a complete list of all interactions that may occur. Ask your health care provider if Metoclopramide 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 Metoclopramide :

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

• Take Metoclopramide by mouth 30 minutes before meals unless directed otherwise by your doctor.
• It may take several days to weeks for Metoclopramide to work. Do not stop taking Metoclopramide without checking with your doctor.
• If you miss a dose of Metoclopramide , 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 Metoclopramide.

Important safety information:

• Metoclopramide may cause drowsiness, dizziness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Metoclopramide with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Do not drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Metoclopramide without first checking with your doctor; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
• Diabetes patients – Metoclopramide may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
• Neuroleptic malignant syndrome (NMS) is a possibly fatal syndrome that can be caused by Metoclopramide. Symptoms may include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your doctor at once if you have any of these symptoms.
• Lab tests, including liver and kidney function tests, may be performed while you use Metoclopramide. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
• Metoclopramide should not be used in CHILDREN younger than 15 years old; 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 Metoclopramide while you are pregnant. This medicine is found in breast milk. If you are or will be breast-feeding while you use Metoclopramide , check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Metoclopramide :

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:

Agitation; anxiety; breast growth; changes in menstrual flow; confusion; diarrhea; dizziness; drowsiness; foot tapping; frequent urination; headache; inability to sit still; jitteriness; lack of energy; loss of bladder control; nausea; pacing; restlessness; sleeplessness; spontaneous flow of breast milk; tiredness.

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); altered mental abilities, including lack of response to surroundings; breathing problems; depression with thoughts of suicide; fever; fluid retention; hallucinations; hives; impotence; increased body heat; increased heart rate; involuntary movements of tongue, face, mouth or jaw (eg, sticking out of the tongue, puffing of cheeks, puckering of mouth, chewing movements), sometimes with involuntary movements of the arms and legs; irregular heart rhythm; irregular pulse and blood pressure; mood changes; muscle rigidness; muscle twitching; rash; seizures; slow movements with tremor; sweating; swelling in the throat area; tightness in the lungs; unusual or unexplained vision changes; yellowing of the skin or eyes.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

Loperamide slows the rhythm of digestion so that the small intestines have more time to absorb fluid and nutrients from the foods you eat.

Loperamide is used to treat diarrhea. Loperamide is also used to reduce the amount of stool in people who have an ileostomy (re-routing of the bowel through a surgical opening in the stomach).

Loperamide may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about loperamide?

Drink extra water while you are taking this medication to keep from getting dehydrated. It may take up to 48 hours of taking loperamide before your symptoms improve. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve after 10 days of treatment. Loperamide can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

What should I discuss with my healthcare provider before taking loperamide?

Do not use this medication if you are allergic to loperamide, or if you have:

• stools that are bloody, black, or tarry; or
• if you have diarrhea that is caused by taking an antibiotic.

Before taking loperamide, tell your doctor if you are allergic to any drugs, or if you have:

• a fever;
• mucus in your stools;
• a history of liver disease; or
• if you are taking an antibiotic.

If you have any of these conditions, you may not be able to use loperamide, or you may need a dosage adjustment or special tests during treatment.

FDA pregnancy category B. This medication 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 loperamide 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. Do not give this medicine to a child younger than 2 years old without the advice of a doctor.

The short-term treatment (7 to 10 days) of severe inflammation and erosion of the esophagus due to gastroesophageal reflux disease (GERD, or stomach contents rising back into the esophagus) in adults. The injection is only used when the oral form of Pantoprazole cannot be taken. Pantoprazole is also used to treat certain conditions associated with Zollinger-Ellison syndrome and similar conditions.

Pantoprazole is a proton pump inhibitor. It reduces gastric acid secretion by blocking the final step of acid production by the stomach lining. This decreases the discomfort caused by the stomach contents rising back into the esophagus.

Do NOT use Pantoprazole if:

• you are allergic to any ingredient in Pantoprazole

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

Before using Pantoprazole :

Some medical conditions may interact with Pantoprazole. 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 liver problems

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

• Clarithromycin or voriconazole because side effects and toxic effects associated with Pantoprazole may be increased
• Digoxin or methotrexate because the actions and side effects of these medicines may be increased
• HIV protease inhibitors (eg, ritonavir) because their effectiveness may be decreased by Pantoprazole

This may not be a complete list of all interactions that may occur. Ask your health care provider if Pantoprazole 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 Pantoprazole (Generic Protonix):

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

• Pantoprazole is usually administered as an injection at your doctor’s office, hospital, or clinic. If you are using Pantoprazole at home, carefully follow the injection procedures taught to you by your health care provider.
• If Pantoprazole contains particles or is discolored, or if the vial is cracked or damaged in any way, do not use it.
• Pantoprazole should not be taken within 4 hours of imidazoles (eg, ketoconazole).
• If you miss a dose of Pantoprazole , contact your doctor for further instruction.

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

Important safety information:

• Pantoprazole may cause dizziness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Pantoprazole. Using Pantoprazole alone, with certain other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks.
• Pantoprazole may affect the results of certain lab tests (eg, false positive urine screen for THC/marijuana). Make sure laboratory personnel and your doctors know you use Pantoprazole.
• Do not reuse needles, syringes, or other materials. Dispose of properly after use. Ask your doctor, nurse, or pharmacist to explain local regulations for selecting an appropriate container and properly disposing of the container when full.
• LAB TESTS, such as liver function, may be performed to monitor your progress. Be sure to keep all doctor and lab appointments.
• Pantoprazole is not recommended for use in CHILDREN; safety and effectiveness have not been confirmed.
• PREGNANCY and BREAST-FEEDING: If you become pregnant, discuss with your doctor the benefits and risks of using Pantoprazole during pregnancy. It is unknown if Pantoprazole is excreted in breast milk. If you are or will be breast-feeding while you are using Pantoprazole , check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of Pantoprazole (Generic Protonix):

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; diarrhea; dizziness; headache; indigestion; nausea; pain and swelling at the injection site; runny nose; sleeplessness; stomach pain.

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

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

MISOPROSTOL helps to prevent stomach ulcers in patients who take medicines like ibuprofen and aspirin and who are at high risk of complications from ulcers. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care providers before I take this medicine?

They need to know if you have any of these conditions:

• Crohn’s disease
• heart disease
• kidney disease
• ulcerative colitis
• an unusual or allergic reaction to misoprostol, prostaglandins, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I use this medicine?

Take this medicine by mouth with a full glass of water. Follow the directions on the prescription label. Take this medicine with food.Take your medicine at regular intervals. Do not take your medicine more often than directed.

A patient information sheet for the product will be given with each prescription and refill. Read this sheet carefully each time. The sheet may change frequently.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

Note: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

• antacids

This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What side effects may I notice from this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
• chest pain
• fainting spells
• severe diarrhea
• sudden shortness of breath
• unusual vaginal bleeding, pelvic pain, or cramping

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• dizziness
• headache
• menstrual irregularity, spotting, or cramps
• mild diarrhea
• nausea
• stomach upset or cramps

This list may not describe all possible side effects.

What should I watch for while using this medicine?

Do not smoke cigarettes or drink alcohol. These increase irritation to your stomach and can make it more susceptible to damage from medicine like ibuprofen and aspirin.

If you are female, do not use this medicine if you are pregnant. Do not get pregnant while taking this medicine and for at least one month (one full menstrual cycle) after stopping this medicine. If you can become pregnant, use a reliable form of birth control while taking this medicine. Talk to your doctor about birth control options. If you do become pregnant, think you are pregnant, or want to become pregnant, immediately call your doctor for advice.

Where should I keep this medicine?

Keep out of the reach of children.

Store at room temperature below 25 degrees C (77 degrees F). Keep in a dry place. Protect from moisture. Throw away any unused medicine after the expiration date.,

PROPANTHELINE is used in combination with other medicines to treat peptic ulcer disease. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care providers before I take this medicine?

They need to know if you have any of these conditions:

difficulty passing urine heart or blood vessel disease glaucoma kidney disease liver disease myasthenia gravis stomach obstruction ulcerative colitis an unusual or allergic reaction to propantheline, other medicines, foods, dyes, or preservatives pregnant or trying to get pregnant breast-feeding

How should I use this medicine?

Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. Take this medicine 30 minutes before meals. Take your medicine at regular intervals. Do not take your medicine more often than directed.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

Note: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

digoxin medicines for hay fever and other allergies medicines to control heart rhythm like disopyramide, procainamide and quinidine medicines for mental depression meperidine phenothiazines like chlorpromazine, mesoridazine, prochlorperazine, thioridazine steroid medicines like prednisone or cortisone

This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What side effects may I notice from this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

agitation, nervousness, confusion blurred vision and other eye problems decreased sweating dizziness, drowsiness fever irregular heartbeat pain or difficulty passing urine skin rash, itching unusually weak or tired vomiting

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

constipation difficulty sleeping headache nausea sexual difficulty (impotence)

This list may not describe all possible side effects.

What should I watch for while using this medicine?

You may get drowsy, dizzy, or have blurred vision. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. To reduce the risk of dizzy or fainting spells, do not sit or stand up quickly, especially if you are an older patient. Alcohol can make you more drowsy. Avoid alcoholic drinks.

Avoid extreme heat. This medicine can cause you to sweat less than normal. Your body temperature could increase to dangerous levels, which may lead to heat stroke.

Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water may help. Contact your doctor if the problem does not go away or is severe.

Where should I keep this medicine?

Keep out of the reach of children.

Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Throw away any unused medicine after the expiration date.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.