Suspension for heartburn

Magaldrate Suspension is used for:

Treating acid indigestion, heartburn, and sour stomach. It may also be used for other conditions as determined by your doctor.

Magaldrate Suspension is an antacid. It works by neutralizing stomach acid and increasing the pH of the stomach.

                     Some medical conditions may interact with Magaldrate Suspension. 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 appendicitis, stomach pain, nausea, vomiting, diarrhea, blockage of the bowel, rectal bleeding of unknown cause, kidney problems, or you have had bowel surgery

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

    * Oral blood thinners (eg, warfarin), citrate salts (found in some calcium supplements, antacids, and laxatives), or quinidine because their actions and side effects may be increased by Magaldrate Suspension

    * Bisphosphonates (eg, alendronic acid), cation exchange resins (eg, sodium polystyrene sulfonate), cephalosporins (eg, cefaclor), imidazoles (eg, fluconazole), mycophenolate, penicillamine, quinolones (eg, ciprofloxacin), tetracyclines (eg, doxycycline), or thyroid hormones because their effectiveness may be decreased by Magaldrate Suspension

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

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

    * Magaldrate Suspension may be taken with or without food.

    * Shake well before using.

    * If you miss a dose of Magaldrate Suspension and you are taking it regularly, take it as soon as possible. If several hours have passed or if it is nearing time for the next dose, do not double the dose to catch up, unless advised by your health care provider. Do not take 2 doses at once.

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

                              * Do not exceed the recommended dose or use the maximum dose for more than 2 weeks without checking with your doctor.

    * Magaldrate Suspension contains aluminum and magnesium. Before you begin taking any new prescription or over-the-counter medicine, read the ingredients to see if it also contains aluminum or magnesium. If it does or if you are uncertain, contact your doctor or pharmacist.

    * PREGNANCY and BREAST-FEEDING: It is unknown if Magaldrate Suspension can cause harm to the fetus. If you become pregnant while taking Magaldrate Suspension, discuss with your doctor the benefits and risks of using Magaldrate Suspension during pregnancy. Magaldrate Suspension is excreted in breast milk. If you are or will be breast-feeding while you are using Magaldrate Suspension, check with your doctor or pharmacist to discuss the risks to your baby.

                           Store Magaldrate Suspension at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Magaldrate Suspension out of the reach of children and away from pets.

Rabeprazole

Rabeprazole is used for:

Treating heartburn or irritation of the esophagus caused by gastroesophageal reflux disease (GERD). It may be used for short-term treatment of ulcers of the small intestine. It may be used with certain antibiotics to treat ulcers of the small intestine and to help prevent them from coming back. It may be used to treat conditions that cause your body to make too much stomach acid (eg, Zollinger-Ellison syndrome). It may also be used for other conditions as determined by your doctor.

Rabeprazole is a proton pump inhibitor. It works by decreasing the amount of acid produced in the stomach.

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

* Take Rabeprazole by mouth with or without food.

* Swallow Rabeprazole whole. Do not break, crush, or chew before swallowing.

* You may take antacids while you are taking Rabeprazole if you are directed to do so by your doctor.

* If you also take an imidazole antifungal (eg, ketoconazole), take it at least 2 hours before taking Rabeprazole .

* If you also take sucralfate, take Rabeprazole at least 30 minutes before taking sucralfate.

* Continue to take Rabeprazole even if you feel well. Do not miss any doses.

* If you miss a dose of Rabeprazole , 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 Rabeprazole . * Rabeprazole may cause drowsiness or dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Rabeprazole with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.

* Contact your doctor if you have any symptoms of a bleeding ulcer, such as black, tarry stools or vomit that looks like coffee grounds, or if you experience throat pain, chest pain, severe stomach pain, or trouble swallowing.

* Rabeprazole may interfere with certain lab tests. Be sure your doctor and lab personnel know you are taking Rabeprazole .

* Rabeprazole should be used with extreme caution in Asian patients; the risk of side effects may be increased in these patients.

* Rabeprazole should be used with extreme caution in CHILDREN younger than 12 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 Rabeprazole while you are pregnant. It is not known if Rabeprazole is found in breast milk. Do not breast-feed while taking Rabeprazole .

Store Rabeprazole 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 Rabeprazole out of the reach of children and away from pets.

Quarzan

Clidinium reduces the secretions of certain organs in the body.

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

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

Use caution when driving, operating machinery, or performing other hazardous activities. Clidinium may cause dizziness, drowsiness, or blurred vision. If you experience dizziness, drowsiness, or blurred vision, avoid these activities. Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking clidinium.

Avoid becoming overheated in hot weather. Clidinium increases the risk of heat stroke because it causes decreased sweating.

Take clidinium exactly as directed by your doctor. If you do not understand these directions, on ask your pharmacist, nurse, or doctor to explain them to you.

Take each dose with a full glass of water.

Clidinium is usually taken three or four times a day with meals and at bedtime. Follow your doctor's instructions.

Store clidinium at room temperature away from moisture and heat.

Many other drugs may increase the side effects of clidinium. Before taking this medication, tell your doctor if you are taking any of the following medicines:

amantadine (Symmetrel)

quinidine (Quinaglute, Cardioquin, Quinora, Quinidex)

antihistamines such as diphenhydramine (Benadryl, many others), brompheniramine (Dimetapp, Bromphen, many others), triprolidine (Actifed, others), and chlorpheniramine (Chlor-Trimeton, others), which are found in many over-the-counter and prescription cough, cold and allergy medications

decongestants and appetite suppressants such as phenylpropanolamine (Dexatrim, others), phenylephrine (Neo-Synephrine, others), and pseudoephedrine (Sudafed, others), which are also found in many over-the-counter and prescription products

phenothiazines such as chlorpromazine (Thorazine) and prochlorperazine (Compazine) other commonly used phenothiazines, including fluphenazine (Prolixin), mesoridazine (Serentil), perphenazine (Trilafon), thioridazine (Mellaril), trifluoperazine (Stelazine), and promazine (Sparine)

tricyclic antidepressants such as amitriptyline (Elavil, Endep), doxepin (Sinequan), and nortriptyline (Pamelor) or

* other commonly used tricyclic antidepressants, including amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), imipramine (Tofranil), protriptyline (Vivactil), and trimipramine (Surmontil).

Clidinium may increase the level of digoxin in your blood. Tell your doctor if you are taking digoxin so that your digoxin levels can be monitored and changes in your dosage can be made if necessary.

Drugs other than those listed here may also interact with clidinium. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.